Creating a safe passage: the meaning of engagement for nurses caring for children and their families.
The purpose of this study was to uncover the meaning of engagement for nurses who care for children and their families. This study employed a hermeneutic-phenomenological methodology as specified by van Manen (1984, 1990) and Ray (1991). A convenience sample consisted of eight nurses who worked in a pediatric ambulatory care setting. Data were generated from audiotaped interviews and journaling. The first level of reflection revealed the themes and metathemes of the meaning of engagement: Making Connection: Becoming Aware of the Person; Perceiving the Other: Developing and Nurturing the Relationship; A Sense of Investment: Unfolding From Commitment; and Remaining Distant: Choosing Not To Engage. In the second level of reflection selected literature further illuminated the meaning of engagement. Through deeper reflection, the metaphor Creating a Safe Passage surfaced to capture the meaning of engagement. This research supports the transformation of health care delivery toward a greater emphasis on the caring relationship. Findings illuminate specific characteristics of an engaged relationship. Implications for sensitizing health care professionals in practice, education, and research are described.
Burns
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D000328:Adult; D000553:Ambulatory Care; D002648:Child; D004645:Empathy; D006801:Humans; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D010371:Pediatric Nursing; D011368:Professional-Family Relations