Abstract：
OBJECTIVE: To explore the experiences of partnership nursing among nurses when caring for children and young people with long-term conditions, and their families.
BACKGROUND: Partnership nursing is promoted as a positive model of care among paediatric nurses, where shared roles and decision-making, parental participation, mutual trust and respect, communication and negotiation are valued to create positive care experiences and enhance patient outcomes. Little is known about how nurses use partnership with both the patient and the parents in this triad to deliver partnership nursing.
METHODS: A qualitative systematic review followed Joanna Briggs Institute meta-aggregation approach and has been reported according to PRISMA guidelines.
METHODS: A comprehensive systematic search was conducted in seven electronic databases. Studies were assessed according to a pre-determined inclusion criteria. Qualitative findings with illustrative participant quotes were extracted from included studies and grouped into categories to inform overall synthesised findings. Methodological quality assessment was conducted.
RESULTS: A total of 5837 publications were screened, and 41 qualitative studies were included. Three overarching synthesised findings were identified: (1) Using education to promote feelings of safety and support, (2) Partnering to develop a strong therapeutic relationship and (3) Optimising communication underpinned by shared decision-making principles to deliver individualised care.
CONCLUSIONS: Nurses demonstrated successful partnership in their practice, but focused on developing dyadic nurse-parent and dyadic nurse-child partnerships. Future practice development that creates a three-way triadic partnership may aid therapeutic relationships and shared decision-making.
CONCLUSIONS: Clinicians can reflect on how dyadic partnerships (focusing on the child or the parent) may exclude opportunities for coherent care. Further exploration in practice, policy and research as to how nurses determine child competency and child and parent level of engagement in triadic partnership may improve the potential of meaningful shared decision-making.
BACKGROUND: Partnership nursing is promoted as a positive model of care among paediatric nurses, where shared roles and decision-making, parental participation, mutual trust and respect, communication and negotiation are valued to create positive care experiences and enhance patient outcomes. Little is known about how nurses use partnership with both the patient and the parents in this triad to deliver partnership nursing.
METHODS: A qualitative systematic review followed Joanna Briggs Institute meta-aggregation approach and has been reported according to PRISMA guidelines.
METHODS: A comprehensive systematic search was conducted in seven electronic databases. Studies were assessed according to a pre-determined inclusion criteria. Qualitative findings with illustrative participant quotes were extracted from included studies and grouped into categories to inform overall synthesised findings. Methodological quality assessment was conducted.
RESULTS: A total of 5837 publications were screened, and 41 qualitative studies were included. Three overarching synthesised findings were identified: (1) Using education to promote feelings of safety and support, (2) Partnering to develop a strong therapeutic relationship and (3) Optimising communication underpinned by shared decision-making principles to deliver individualised care.
CONCLUSIONS: Nurses demonstrated successful partnership in their practice, but focused on developing dyadic nurse-parent and dyadic nurse-child partnerships. Future practice development that creates a three-way triadic partnership may aid therapeutic relationships and shared decision-making.
CONCLUSIONS: Clinicians can reflect on how dyadic partnerships (focusing on the child or the parent) may exclude opportunities for coherent care. Further exploration in practice, policy and research as to how nurses determine child competency and child and parent level of engagement in triadic partnership may improve the potential of meaningful shared decision-making.
摘要：
目的：探讨护士在照顾有长期病情的儿童和青少年时，合作护理的经验。和他们的家人。
背景：伙伴关系护理被推广为儿科护士的积极护理模式，在共享角色和决策的地方，家长参与,相互信任和尊重，沟通和谈判的价值，以创造积极的护理经验，提高患者的结果。关于护士如何在这个三合会中与患者和父母建立伙伴关系来提供伙伴关系护理，人们知之甚少。
方法：定性系统评价遵循JoannaBriggs研究所的元聚集方法，并根据PRISMA指南进行了报道。
方法：在七个电子数据库中进行了全面的系统检索。根据预先确定的纳入标准对研究进行评估。从纳入的研究中提取带有说明性参与者报价的定性结果，并将其分组为类别，以告知总体综合结果。进行方法学质量评价。
结果：共筛选了5837种出版物，纳入41项定性研究。确定了三个总体综合发现：（1）利用教育来促进安全感和支持感，（2）合作发展强大的治疗关系；（3）以共享决策原则为基础优化沟通，以提供个性化护理。
结论：护士在实践中表现出成功的伙伴关系，但专注于发展二元护士-父母和二元护士-子女伙伴关系。建立三方合作关系的未来实践发展可能有助于治疗关系和共同决策。
结论：临床医生可以反思二元伙伴关系（关注孩子或父母）如何排除连贯护理的机会。在实践中进一步探索,关于护士如何确定儿童能力以及儿童和父母参与三体伙伴关系的水平的政策和研究可能会提高有意义的共同决策的潜力。
背景：伙伴关系护理被推广为儿科护士的积极护理模式，在共享角色和决策的地方，家长参与,相互信任和尊重，沟通和谈判的价值，以创造积极的护理经验，提高患者的结果。关于护士如何在这个三合会中与患者和父母建立伙伴关系来提供伙伴关系护理，人们知之甚少。
方法：定性系统评价遵循JoannaBriggs研究所的元聚集方法，并根据PRISMA指南进行了报道。
方法：在七个电子数据库中进行了全面的系统检索。根据预先确定的纳入标准对研究进行评估。从纳入的研究中提取带有说明性参与者报价的定性结果，并将其分组为类别，以告知总体综合结果。进行方法学质量评价。
结果：共筛选了5837种出版物，纳入41项定性研究。确定了三个总体综合发现：（1）利用教育来促进安全感和支持感，（2）合作发展强大的治疗关系；（3）以共享决策原则为基础优化沟通，以提供个性化护理。
结论：护士在实践中表现出成功的伙伴关系，但专注于发展二元护士-父母和二元护士-子女伙伴关系。建立三方合作关系的未来实践发展可能有助于治疗关系和共同决策。
结论：临床医生可以反思二元伙伴关系（关注孩子或父母）如何排除连贯护理的机会。在实践中进一步探索,关于护士如何确定儿童能力以及儿童和父母参与三体伙伴关系的水平的政策和研究可能会提高有意义的共同决策的潜力。
