Abstract：
OBJECTIVE: To explore the lived experience of advanced preparation nurses (APNs) who are mothers (APN-mothers) as they seek care in the Emergency Department for a child with a chronic disease.
METHODS: Qualitative, Narrative Inquiry.
METHODS: Narrative Inquiry was used to examine critical self-reflections of four (n = 4) APN-mothers. Directed by a question guide, participants engaged in the Narrative Reflective Process through metaphoric and artistic means.
RESULTS: Participants identified salient challenges associated with their experiences. Narrative threads that emerged include feelings around being discovered, unfair expectations by healthcare providers, feelings of guilt and the tension from competing roles: APN and mother.
CONCLUSIONS: APN-mothers represent a unique population with enhanced knowledge, skills and judgement; however, they indicate that there is insufficient communication and interprofessional collaboration between parents and Emergency Department staff. Further research is needed to foster and improve therapeutic relationships between APN-mothers and healthcare providers.
UNASSIGNED: Findings can inform the development of family centred care guidelines for healthcare professional parents and their children.
CONCLUSIONS: This study explores the experiences of an understudied population. This research will impact APN-mothers, healthcare professionals in the Emergency Department as well as nursing students and researchers.
UNASSIGNED: EQUATOR guidelines and SRQR reporting method used.
UNASSIGNED: APN-mothers, caregivers and support persons of children with chronic disease enacted investigator-participant roles and were involved in each step of the study process. In addition, some patients (participants\' children with chronic diseases) were included in data collected.
METHODS: Qualitative, Narrative Inquiry.
METHODS: Narrative Inquiry was used to examine critical self-reflections of four (n = 4) APN-mothers. Directed by a question guide, participants engaged in the Narrative Reflective Process through metaphoric and artistic means.
RESULTS: Participants identified salient challenges associated with their experiences. Narrative threads that emerged include feelings around being discovered, unfair expectations by healthcare providers, feelings of guilt and the tension from competing roles: APN and mother.
CONCLUSIONS: APN-mothers represent a unique population with enhanced knowledge, skills and judgement; however, they indicate that there is insufficient communication and interprofessional collaboration between parents and Emergency Department staff. Further research is needed to foster and improve therapeutic relationships between APN-mothers and healthcare providers.
UNASSIGNED: Findings can inform the development of family centred care guidelines for healthcare professional parents and their children.
CONCLUSIONS: This study explores the experiences of an understudied population. This research will impact APN-mothers, healthcare professionals in the Emergency Department as well as nursing students and researchers.
UNASSIGNED: EQUATOR guidelines and SRQR reporting method used.
UNASSIGNED: APN-mothers, caregivers and support persons of children with chronic disease enacted investigator-participant roles and were involved in each step of the study process. In addition, some patients (participants\' children with chronic diseases) were included in data collected.
摘要：
目的：探讨高级预备护士（APN-mothers）在急诊科为患有慢性疾病的儿童寻求护理时的生活经验。
方法：定性，叙事调查。
方法：叙事调查用于检查四个（n=4）APN母亲的批判性自我反思。由问题指南指导，参与者通过隐喻和艺术手段参与叙事反思过程。
结果：参与者确定了与他们的经历相关的突出挑战。出现的叙事线索包括被发现的感觉，医疗保健提供者的不公平期望，负罪感和竞争角色的紧张：APN和母亲。
结论：APN-母亲代表了一个知识增强的独特群体，技能和判断力；然而，它们表明父母和急诊科工作人员之间的沟通和跨专业合作不足。需要进一步的研究来促进和改善APN母亲与医疗保健提供者之间的治疗关系。
研究结果可以为医疗保健专业父母及其子女制定以家庭为中心的护理指南提供信息。
结论：本研究探索了研究不足人群的经验。这项研究将影响APN-母亲，急诊科的医疗保健专业人员以及护理学生和研究人员。
■使用的EQUATOR指南和SRQR报告方法。
■APN-母亲，慢性病儿童的照顾者和支持人员扮演研究者-参与者的角色,并参与研究过程的每个步骤.此外,一些患者(参与者患有慢性疾病的儿童)被纳入收集的数据.
方法：定性，叙事调查。
方法：叙事调查用于检查四个（n=4）APN母亲的批判性自我反思。由问题指南指导，参与者通过隐喻和艺术手段参与叙事反思过程。
结果：参与者确定了与他们的经历相关的突出挑战。出现的叙事线索包括被发现的感觉，医疗保健提供者的不公平期望，负罪感和竞争角色的紧张：APN和母亲。
结论：APN-母亲代表了一个知识增强的独特群体，技能和判断力；然而，它们表明父母和急诊科工作人员之间的沟通和跨专业合作不足。需要进一步的研究来促进和改善APN母亲与医疗保健提供者之间的治疗关系。
研究结果可以为医疗保健专业父母及其子女制定以家庭为中心的护理指南提供信息。
结论：本研究探索了研究不足人群的经验。这项研究将影响APN-母亲，急诊科的医疗保健专业人员以及护理学生和研究人员。
■使用的EQUATOR指南和SRQR报告方法。
■APN-母亲，慢性病儿童的照顾者和支持人员扮演研究者-参与者的角色,并参与研究过程的每个步骤.此外,一些患者(参与者患有慢性疾病的儿童)被纳入收集的数据.
