Abstract：
OBJECTIVE: There is limited evidence of children and family-centered care (CFCC) practice in different cultural contexts, particularly regarding the factors that predict it among nurses providing care to chronically ill children. Also, the CFCC\'s impact on the quality of care has not been well studied. This study aimed to test a hypothesized model in which nurses\' attributes and care environments predict CFCC, thereby increasing the quality of nursing care.
METHODS: A multicenter cross-sectional study recruited a convenience sample of 405 nurses caring for chronically ill children in Saudi Arabia for an online survey between February 2023 and August 2023. Structural Equation Modeling evaluated the hypothesized model.
RESULTS: The hypothesized model fits the data based on the fit indices. Care environment affected CFCC (β = 0.831, p = .000), while nursing attributes only indirectly affected CFCC practices through the mediating effect of the work environment (β = 0.553, p = .000). The CFCC practices positively affect the quality of nursing care (β = 0.636, p = .000).
CONCLUSIONS: Nursing attributes impact the work environment, which affects the practice of CFCC and enhances the quality of care for chronically ill children. Investing in nurses\' attributes and a positive work environment is crucial for nursing leaders to enhance CFCC practice and the quality of care.
CONCLUSIONS: The findings of this study can be used to shape policies and develop interventions to improve nursing CFCC practices and promote better quality of care for chronically ill children.
METHODS: A multicenter cross-sectional study recruited a convenience sample of 405 nurses caring for chronically ill children in Saudi Arabia for an online survey between February 2023 and August 2023. Structural Equation Modeling evaluated the hypothesized model.
RESULTS: The hypothesized model fits the data based on the fit indices. Care environment affected CFCC (β = 0.831, p = .000), while nursing attributes only indirectly affected CFCC practices through the mediating effect of the work environment (β = 0.553, p = .000). The CFCC practices positively affect the quality of nursing care (β = 0.636, p = .000).
CONCLUSIONS: Nursing attributes impact the work environment, which affects the practice of CFCC and enhances the quality of care for chronically ill children. Investing in nurses\' attributes and a positive work environment is crucial for nursing leaders to enhance CFCC practice and the quality of care.
CONCLUSIONS: The findings of this study can be used to shape policies and develop interventions to improve nursing CFCC practices and promote better quality of care for chronically ill children.
摘要：
目标：在不同的文化背景下，儿童和以家庭为中心的护理（CFCC）实践的证据有限，特别是关于在为慢性病儿童提供护理的护士中预测它的因素。此外，CFCC对护理质量的影响尚未得到很好的研究。这项研究旨在测试一个假设模型，其中护士的属性和护理环境预测CFCC，从而提高护理质量。
方法：一项多中心横断面研究在2023年2月至2023年8月期间，在沙特阿拉伯招募了405名照顾慢性病儿童的护士，进行了一项在线调查。结构方程建模对假设模型进行了评估。
结果：假设模型根据拟合指数拟合数据。护理环境影响CFCC（β=0.831，p=.000），而护理属性仅通过工作环境的中介作用间接影响CFCC实践（β=0.553，p=.000）。CFCC实践对护理质量有积极影响(β=0.636,p=.000)。
结论：护理属性影响工作环境，这影响了CFCC的实践，并提高了慢性病儿童的护理质量。投资于护士的属性和积极的工作环境对于护理领导者提高CFCC实践和护理质量至关重要。
结论：这项研究的结果可用于制定政策和制定干预措施，以改善CFCC护理实践，并提高慢性病儿童的护理质量。
方法：一项多中心横断面研究在2023年2月至2023年8月期间，在沙特阿拉伯招募了405名照顾慢性病儿童的护士，进行了一项在线调查。结构方程建模对假设模型进行了评估。
结果：假设模型根据拟合指数拟合数据。护理环境影响CFCC（β=0.831，p=.000），而护理属性仅通过工作环境的中介作用间接影响CFCC实践（β=0.553，p=.000）。CFCC实践对护理质量有积极影响(β=0.636,p=.000)。
结论：护理属性影响工作环境，这影响了CFCC的实践，并提高了慢性病儿童的护理质量。投资于护士的属性和积极的工作环境对于护理领导者提高CFCC实践和护理质量至关重要。
结论：这项研究的结果可用于制定政策和制定干预措施，以改善CFCC护理实践，并提高慢性病儿童的护理质量。
