Premium
Practical application and evaluation of a care model for informing and reassuring children undergoing medical examinations and/or procedures (part 2): Methods of relating and practical nursing techniques that best bring out the potential of children *
Author(s) -
MATSUMORI Naomi,
NINOMIYA Keiko,
EBINA Michiko,
KATADA Noriko,
KATSUDA Hitomi,
KOSAKO Yukie,
SASAKI Shinobu,
MATSUBAYASHI Tomomi,
NAKANO Ayami,
TSUTSUI Mayumi,
IIMURA Naoko,
EMOTO Rina,
SUZUKI Atsuko,
NARAGINO Hiromi,
TAKAHASHI Sayako,
KISUGI Namiko,
HUKUCHI Makiko
Publication year - 2006
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/j.1742-7924.2006.00052.x
Subject(s) - dignity , distraction , negotiation , nursing , medicine , pediatric nursing , nursing care , psychology , neuroscience , political science , law
Aim: Based on previous surveys, we developed a care model for informing and reassuring children undergoing medical examinations and/or procedures that respects the dignity of pediatric patients and their parents and aims to realize the potential of children. Method: We enlisted the cooperation of nurses working in eight pediatric wards in five hospitals in the Kanto and Kansai areas in applying the care model on a trial basis and evaluating its effect in monthly meetings. Results: Analysis of the 82 case reports received produced four categories. Here, we will concentrate on the second category, “bringing out the potential of children: methods of relating and nursing techniques attempted and used”, and eight subcategories. Five subcategories are related to the care model. Children tolerated procedures best when: they were provided with an explanation; were allowed to make choices related to the procedure; continuous explanations were given during procedures; the timing of the procedure suited the child; and distraction techniques were used. Three subcategories are not related to the care model and were newly identified as it was applied: negotiation with the child; cooperation of the mother and family; and the influence of first impressions. Conclusions: We found that nurses were best able to bring out the potential of children while protecting patient dignity by combining and continuing these various techniques.