1. Investigación

Este estudio centra su objetivo principal en describir las vivencias de una madre ante el nacimiento de un hijo prematuro; las repercusiones sobre el rol materno y paterno, y la conducta referida de su hijo mayor. Para ello se ha realizado una entrevista en profundidad a la madre sobre sus propias vivencias y reflexiones, pasados tres años desde el evento. Se describen las categorías extraídas de su relato, observando cuestiones relacionadas con sus sentimientos ante el embarazo y el parto prematuro, el rol materno, el apoyo familiar percibido, y las experien-cias del marido y del hermano mayor desde la perspectiva de la madre. El apoyo de enfermería durante la hospitalización del niño prematuro sugiere un abordaje integral, familiar y humanizado para minimizar el impacto del nacimiento prematuro y propiciar un establecimiento adecua-do del rol paterno en todos los hijos de la pareja. / This biography story exposes the mother´s experiences before the birth of her premature child, and the repercussions on the maternal and paternal role, and the referred behavior of their eldest son. To this end, we have done an in-depth interview with the mother, in order to repro-duce her own experiences and reflections three years after the success. We extracted the main categories we have observed, like her feelings about pregnancy and premature birth, the maternal role, the family support perceived, the experiences of her husband and her older son from herself perspective. The nursing support during the hospitalization of the premature child includes an integral, familiar and humanized approach to minimize the impact of premature birth and it promotes an adequate establishment of the paternal role in all the children of the couple.

Objectives This study sought to develop a tool for evaluating person-centered therapeutic relationships within physiotherapy services, and to examine the content validity of the same. Methods A mixed qualitative and quantitative study was performed in three distinct phases: 1) the items were generated based on a literature review and a content analysis of focus groups of patients and physiotherapists; 2) an e-Delphi survey process was performed based on three rounds to select and refine the proposed questionnaire; 3) two rounds of cognitive interviews were conducted to evaluate the comprehension of items, the clarity of language and the appropriateness and relevance of content. Results Thirty-one items were generated based on the seven domains identified after the analysis of four focus groups of physiotherapists and four patient focus groups. Nine experts participated in the e-Delphi survey. Fifty-five patients participated in the two rounds of the cognitive pre-tests. Participating patients were from public and private physical therapy services. Based on the participants’ suggestions, four items were removed, and four were added, whereas 16 were reworded. Conclusions The final tool comprised 31 items divided into seven domains. The response format was based on a 5-point Likert frequency scale. The response options ranged from “strongly agree” to “strongly disagree”.