2007 Volume 27 Issue 4 Pages 4_3-4_13
The research objective of this second report is to describe, according to each of the four patterns of the [intersubjective parent-child relationship] derived from the first report, the effects that the nursing intervention, which was designed and implemented in the first report, had on the preschool child's autonomy and parental self-efficacy in preparation for day surgery as well as the collaboration that parents and nurses engaged in during the course of the nursing intervention, and to propose a nursing intervention program through a reexamination, using those patterns as a basis, of the methods and composition of the nursing intervention reported in the first report. The results describe the affirmative effects of nursing intervention on the preschool child's autonomy in preparation for day surgery as well as on parental self-efficacy coincident with the preschool child's autonomy approaching the medical experience. In addition, the collaboration that the parents and nurses engaged in to support the preschool child's autonomy in preparation for day surgery was demonstrated in the continuing mutual influence that the parents and nurses had on each other in regard to the manner of support and the relationship formed with the preschool child who was facing the medical experience, and both intended to apply such experience to future activities. Accordingly, a nursing intervention program to support preschool child autonomy leading up to day surgery in collaboration with the parents is proposed that consists of the nurse, prior to the operation, suggesting a method of supporting the preschool child to the parent, and the parent, after the operation, sharing with the nurse the support implemented in regard to the child to prepare for the day surgery.
