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Weng Y, Pei C, Liu Q, Chen Y, Zhang Z, Feng XL, Hu G. Association between nurse-child communication and family caregivers' global ratings to hospital: a retrospective study. J Pediatr Nurs 2024:S0882-5963(24)00304-X. [PMID: 39147636 DOI: 10.1016/j.pedn.2024.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2024] [Revised: 08/03/2024] [Accepted: 08/03/2024] [Indexed: 08/17/2024]
Abstract
PURPOSE Effective nurse-child communication is a fundamental aspect of delivering pediatric nursing care. Family caregivers' global ratings to hospital are considered a proxy-reported measure for assessing a child's inpatient stay experience. We investigate the associations between nurse-child communication and family caregivers' global ratings to hospital. DESIGN AND METHODS A retrospective analysis of a national child patient experience survey data was conducted. Patient experience with nurse-child communication and the family caregivers' global ratings of hospital were measured using the Child Hospital Consumer Assessment of Healthcare Providers and Systems. Hierarchical linear models were constructed to examine the association between nurse-child communication measures and family caregivers' global ratings to hospital. RESULTS Data from 1010 patients at six National Regional Centers for Pediatric in China were collected. The overall rating of hospitals and the willingness to recommend the hospital showed increasing trends as the nurse-child communication score increased. How often nurses encourage children to ask questions was significantly associated with family caregivers' overall ratings of hospital and the family caregivers' willingness to recommend the hospital. CONCLUSIONS Effective communication by nurses with the child is associated with significantly higher global ratings to the hospital by family caregivers during inpatient care. Encouraging children to ask questions is a promising contributor to caregivers' global ratings to hospital. PRACTICE IMPLICATIONS Pediatric nurses should emphasis encouraging children to ask questions for effective communication in nursing practice. Future research is also needed to develop more targeted strategies to assist pediatric nurse to communicate with child better.
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Affiliation(s)
- Yiwei Weng
- School of Public Health, Hubei University of Medicine, Shiyan, Hubei, China.
| | - Chenyang Pei
- School of Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
| | - Qiannan Liu
- National Institute of Hospital Administration, National Health Commission, Beijing, China.
| | - Yin Chen
- Beijing Municipal Health Big Data and Policy Research Center, Beijing, China.
| | - Zhentong Zhang
- School of Nursing, Hubei University of Medicine, Shiyan, Hubei, China.
| | - Xing Lin Feng
- School of Public Health, Peking University, Beijing, China.
| | - Guangyu Hu
- Institute of Medical Information/Center for Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
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Petronio-DeFanti BJ, Schwartz-Barcott D. The impact of approachable nurses: An exploratory study, the voice of hospitalized children with cancer. J Pediatr Nurs 2024; 75:e128-e134. [PMID: 38233320 DOI: 10.1016/j.pedn.2024.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 01/02/2024] [Accepted: 01/02/2024] [Indexed: 01/19/2024]
Abstract
PURPOSE The right of children to be heard was acclaimed at the 1989 Convention on the Rights of the Child, with subsequent research conducted in various settings, but with few in hospitals. This study explores the perceptions of children hospitalized with cancer and the impact of approachable nurses. DESIGN & METHODS The impact of approachable nurses was explored using a qualitative, descriptive research design, including semi-structured interviews with seven school age children in a pediatric oncology service. Audio recorded interviews were content analyzed using immersion/crystallization and editing organizational styles. RESULTS Children felt a sense of genuine concern when the nurses took time to talk and listen to them and the positive impact of fun and laughter in the midst of difficult and challenging circumstances. They had a lasting feeling of gratitude for creative ways nurses cared for them. Individualized attire created an immediate openness and avenue to conversation. Children were less worried about a rehospitalization because approachable nurses made them feel at home while in the hospital. IMPLICATIONS Nursing administration and managers are urged to provide training and regularly evaluate communication competencies. Nurses need to be accountable for the impact of their presence and actions on children both inpatient and following hospitalization. The need to promote an environment of comfort and trust supports positive impact for present and future hospitalization experiences.
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Affiliation(s)
- Bethany J Petronio-DeFanti
- Zvart Onanian School of Nursing, Rhode Island College, Fogarty Life Science, Room 160, 600 Mount Pleasant Avenue, Providence, RI 02908, RINEC - Room 284, 350 Eddy Street, Providence, RI 02903, USA.
| | - Donna Schwartz-Barcott
- College of Nursing, University of Rhode Island, White Hall, 39 Butterfield Road, Kingston, RI 02881, USA
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De Rosa R, Siano MA, Colucci A, De Anseris AGE, Siani P, Vajro P, Savarese G, Mandato C. Perceptions and Expectations of Youth Regarding the Respect for Their Rights in the Hospital. CHILDREN (BASEL, SWITZERLAND) 2024; 11:222. [PMID: 38397334 PMCID: PMC10887615 DOI: 10.3390/children11020222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 01/28/2024] [Accepted: 02/07/2024] [Indexed: 02/25/2024]
Abstract
Information obtained from children themselves regarding the characteristics of the ideal hospital that ensure well-being during a hospital stay is scarce. Here, we report the opinions, perceptions, and expectations of 700 children and adolescents about their experiences, assessed through a mixed-method research approach with age-appropriate questionnaires, three open-ended questions, and an analysis of optional pictorial and textual narratives. Most children indicated that, while they acknowledged the expertise of hospital staff, they also noted several shortcomings, e.g., insufficiently understandable medical information as well as emotional and cognitive support. The continuity of schooling and the right to suffer as little as possible were also critical issues. Adolescents valued in particular the quality of care and services provided, the hospital's adherence to equality and non-discrimination rights, and protection systems but negatively perceived several aspects related to play and participation. Significant differences in the co-occurrences of the most frequently used text terms with the keywords "hospital" and "child/adolescent" between age groups highlight variations in the way patients perceive and articulate their experiences within the hospital setting depending on the cognitive processes linked to age. In drawings, prevailing attention was placed on the physical context of the hospital room, with figures expressing mostly negative emotions. Specifically, in this regard, the main emotion in children was sadness, and, in adolescents, it was fear. Overall, these insights are pivotal in the context of our research objectives as they shed light on the nuanced preferences, needs, and perspectives of children and adolescents during their hospital stays. Recognizing the identified shortcomings, we propose recommendations emphasizing the improvement of medical communication clarity, enhancement of emotional and cognitive support, and the improvement of programs to avoid instructional gaps during hospital stays. Addressing these specific needs is critical for a more comprehensive approach to pediatric healthcare provision.
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Affiliation(s)
- Roberta De Rosa
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, Pediatrics Section, University of Salerno, 84081 Baronissi, Italy; (R.D.R.); (M.A.S.); (A.C.); (P.V.)
| | - Maria Anna Siano
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, Pediatrics Section, University of Salerno, 84081 Baronissi, Italy; (R.D.R.); (M.A.S.); (A.C.); (P.V.)
| | - Angelo Colucci
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, Pediatrics Section, University of Salerno, 84081 Baronissi, Italy; (R.D.R.); (M.A.S.); (A.C.); (P.V.)
| | | | - Paolo Siani
- Pediatrics, AORN Santobono-Pausilipon Children’s Hospital, 80122 Naples, Italy;
| | - Pietro Vajro
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, Pediatrics Section, University of Salerno, 84081 Baronissi, Italy; (R.D.R.); (M.A.S.); (A.C.); (P.V.)
| | - Giulia Savarese
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, Psychology Section, University of Salerno, 84081 Salerno, Italy;
| | - Claudia Mandato
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, Pediatrics Section, University of Salerno, 84081 Baronissi, Italy; (R.D.R.); (M.A.S.); (A.C.); (P.V.)
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Boztepe H, Çınar Özbay S, Akçam A, Kanbay Y. The pediatric provider communication skills assessment scale. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2023; 36:307-315. [PMID: 37394543 DOI: 10.1111/jcap.12433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2023] [Revised: 06/12/2023] [Accepted: 06/20/2023] [Indexed: 07/04/2023]
Abstract
PROBLEM Building rapport and trust between healthcare professional and patient/parents would improve satisfaction of patient/parents. The purpose of this study was to develop "The Pediatric Provider Communication Skills Assessment Scale" in this study. METHODS A trial form, with linguistic and psychometric validation and consisting of 44 statements, was administered to a sample of 325 individuals. Data were collected between January 20 and October 22, 2021. The validity of the scale was concluded after examining its construct validity and internal validity. "Exploratory factor analysis" was used for determining construct validity, and "comparison of lower-upper groups" for internal validity. "Cronbach's α reliability coefficient" and "split half test consistency coefficient" were calculated for testing the reliability of the scale. FINDINGS The Pediatric Provider Communication Skills Assessment Scale that we developed consists of one dimension and 20 items, and the variance it can explain was calculated as 62.3%. The Cronbach α reliability coefficient of the scale was calculated as 0.90, indicating high reliability. CONCLUSIONS According to the findings, "The Pediatric Provider Communication Skills Assessment Scale" is a scale with features that can measure in a valid and reliable way, with high variance and a low number of items. The study aims to develop the "The Pediatric Provider Communication Skills Assessment Scale," and present it to the literature as a validated and reliable new objective measurement tool. This study will enable us to understand more about the complex communication processes involved in pediatric care and how these may influence care delivery.
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Affiliation(s)
- Handan Boztepe
- Department of Nursing, Faculty of Health Sciences, Atilim University, Ankara, Turkey
| | - Sevil Çınar Özbay
- Emergency Aid and Disaster Management, Faculty of Health Sciences, Artvin Coruh University, Artvin, Turkey
| | - Aysun Akçam
- Department of Turkish Language Teaching, Faculty of Education, Necmettin Erbakan University, Konya, Turkey
| | - Yalçın Kanbay
- Department of Nursing, Faculty of Health Sciences, Artvin Coruh University, Artvin, Turkey
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Koury RDMDS, Monteiro EMLM, Lima LSD. [Validation of an instructional therapeutic tool to demonstrate cardiac catheterization]. CIENCIA & SAUDE COLETIVA 2023; 28:1799-1808. [PMID: 37255156 DOI: 10.1590/1413-81232023286.16832022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 11/03/2022] [Indexed: 06/01/2023] Open
Abstract
The scope of this work was to validate a toy and a narrative as an instructional tool to present to children who are to be submitted to cardiac catheterization. Content validation was performed by 23 specialist judges (storytellers, child educators, nurses, medics, educational psychologists, occupational therapists, and a psychologist), by using a form considering the following topics: goals, structure and presentation, as well as relevance. Quantitative data was analyzed through the Content Validation Index (CVI) and a cutoff of 0.80 was adopted. Qualitative data was then submitted to thematic content analysis. The toy is composed of: figurines representing the child, the healthcare team, and the person responsible for the child, prototypes of the angiography equipment and the anesthesia equipment, and objects used in hospital for anesthetic induction and vein puncture. The narrative addresses the physical structure of the Hemodynamics room and all steps comprising pre-, trans- and post-cardiac catheterization in a playful way. The technology was validated by the judges with a total CVI of 0.95. The validated toy and narrative constitute a dialog between health, education and art that may contribute to integral and humanized care to the child.
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Affiliation(s)
- Rosalia Daniela Medeiros da Silva Koury
- Programa de Pós-Graduação em Enfermagem, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
| | - Estela Maria Leite Meirelles Monteiro
- Programa de Pós-Graduação em Enfermagem, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
- Programa de Pós-Graduação em Saúde da Criança e do Adolescente, UFPE. Recife PE Brasil
| | - Luciane Soares de Lima
- Programa de Pós-Graduação em Enfermagem, Universidade Federal de Pernambuco (UFPE). Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
- Programa de Pós-Graduação em Saúde da Criança e do Adolescente, UFPE. Recife PE Brasil
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Loureiro F. Reflections on children participation in care during hospitalization. J Pediatr Nurs 2022; 66:e74-e75. [PMID: 35597740 DOI: 10.1016/j.pedn.2022.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 05/10/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Fernanda Loureiro
- Escola Superior de Saúde Egas Moniz Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), 2829-511 Caparica, Escola Superior de Saúde Egas Moniz, Portugal.
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Foster M, Quaye AA, Whitehead L, Hallström IK. Children's voices on their participation and best interests during a hospital stay in Australia. J Pediatr Nurs 2022; 63:64-71. [PMID: 35074701 DOI: 10.1016/j.pedn.2022.01.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 01/04/2022] [Accepted: 01/05/2022] [Indexed: 10/19/2022]
Abstract
PURPOSE To explore school-aged children's experiences about their best interests and participation in care during a hospital admission. DESIGN AND METHODS A descriptive qualitative design involving in-depth, iterative inductive review of child responses to generate key words that led to identification of categories and themes. The study was guided by the United Nations Convention on the Rights of the Child's definition of the best interests of the child, Bronfenbrenner's bioecological model and a child centred care approach. RESULTS Nine school-aged children (5-15 years old) from one children's ward in Australia participated. Analysis yielded thirteen categories, six sub-themes, and three themes: 1) Relationships with parents were positive when they met their children's physical and emotional needs and advocated for them; 2) Relationships with staff were positive when staff created opportunities for children to have a say in their healthcare, and checked in on the children and 3) Seeking familiarity away from home was facilitated when the environment children found themselves in provided them their own space and various forms of entertainment. CONCLUSION School-aged children were able to verbalize what their best interests were and how participation in care could be facilitated in the hospital setting. The inter-relationships of the children with their parents, healthcare professionals, and the immediate environment reflected interactions both within, and between systems. RESEARCH AND PRACTICE IMPLICATIONS Children in hospital need to be provided with age-appropriate opportunities to participate in shared decision making to support their best interests. Studies that model and evaluate such opportunities are needed.
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Affiliation(s)
- Mandie Foster
- Auckland University of Technology, School of Clinical Sciences, Auckland, New Zealand; Edith Cowan University, School of Nursing and Midwifery, Perth, Western Australia, Australia; Perth Children's Hospital, Perth, Western Australia, Australia.
| | - Angela Afua Quaye
- Department of Health Science, Faculty of Medicine, Lund University, Box 188, 221 00 Lund, Sweden.
| | - Lisa Whitehead
- Edith Cowan University, School of Nursing and Midwifery, Perth, Western Australia, Australia; Centre for Postgraduate Nursing Studies, University of Otago, Christchurch, New Zealand.
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Zvonareva O, Witte S, Kabanets N, Filinyuk O. Adolescents in a tuberculosis hospital: Qualitative study of how relationships with doctors, caregivers, and peers mediate their mental wellbeing. PLoS One 2021; 16:e0257379. [PMID: 34597311 PMCID: PMC8486124 DOI: 10.1371/journal.pone.0257379] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 08/31/2021] [Indexed: 11/19/2022] Open
Abstract
Lengthy hospitalization can impact adolescents’ mental wellbeing in a number of negative ways. Scholarship has indicated that a young patient’s relationships play an important role in reducing the amount of stress felt and in improving emotional state. In this article we turn to the experiences of adolescents with tuberculosis [TB] in Russia to explore how exactly hospitalization together with the TB diagnosis itself impact their mental wellbeing and how relationships with others mediate these impacts. We conducted a qualitative, interview-based study in Tomsk pediatric TB clinic. Interviews were conducted with three groups relevant for reaching the aim of this research: adolescent patients, their adult caregivers, and their treating physicians [17 informants in total]. Interview data were complemented with prolonged observations in the same clinic. The results of our study highlight that threats to mental wellbeing of adolescents with TB are multiple. Adolescents who are about to enter the in-patient treatment feel apprehensive and anxious about their future. They tend to have a hard time accepting their diagnosis, which they often feel is something shameful, and, consequently, may develop a negative attitude towards themselves. Most importantly, many undergo painful loss of personal relationships and expect or actually experience rejection by peers because of having tuberculosis. However, relationships with physicians, caregivers, and other patients in the clinic mediate negative impacts of TB diagnosis and hospitalization on adolescents’ mental wellbeing and can open ways for providing support. Supportive practices include physicians leaving it up to adolescents to decide what they want to discuss and when, caregivers remaining available for contact and keeping regular communication, and other adolescents with TB proactively seeking contact with the newcomers and behaving in a non-judgmental way. These results can inform design of adolescent-friendly TB services.
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Affiliation(s)
- Olga Zvonareva
- Department of Health, Ethics and Society, Maastricht University, Maastricht, The Netherlands
- StrAU Integrative Approaches to Public Health and Health Care, Siberian State Medical University, Tomsk, The Russian Federation
- Policy Analysis and Studies of Technologies Center, National Research Tomsk State University, Tomsk, The Russian Federation
- * E-mail:
| | - Saskia Witte
- Department of Health, Ethics and Society, Maastricht University, Maastricht, The Netherlands
| | - Nadezhda Kabanets
- Department of Tuberculosis and Pulmonology, Siberian State Medical University, Tomsk, The Russian Federation
| | - Olga Filinyuk
- Department of Tuberculosis and Pulmonology, Siberian State Medical University, Tomsk, The Russian Federation
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Ebrahimpour F, Mirlashari J, Hosseini ASS, Zarani F, Thorne S. Symbols of Hope on Pediatric Oncology Ward: Children's Perspective Using Photovoice. J Pediatr Oncol Nurs 2021; 38:385-398. [PMID: 34541954 DOI: 10.1177/10434542211041934] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Hope nurtures confidence and enhances positivity. It is known to be a critical factor in illness, recovery and healing. This study aimed to identify the views of hospitalized children with cancer about the circumstances and factors that create hope for them in the oncology ward. Methods: This qualitative study explored children's experiences using Photovoice, which is an arts-based approach. Twenty children aged 6-12 years diagnosed with various cancers at a Pediatric Hospital in Tehran, Iran, participated in this study. Participants were requested to take photographs of objects, circumstances, or anything that gave them hope or represented a sign of hope in the oncology ward. The photographs were then used to facilitate face-to-face interviews with these children. Data were analyzed using thematic analysis. Results: Data analysis revealed six main themes: emotional connectedness with nursing staff; the playroom as a means to soften the hospital space; the presence of a parent; symbols of recovery; a touch of nature in the hospital setting; and escaping the hospital cage. Discussion: Hopefulness among children can emanate from diverse events and circumstances within the hospital environment. Nurses and physicians need an understanding of children's perspectives to design interventions to improve hopefulness among hospitalized children with cancer.
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Affiliation(s)
- Fatemeh Ebrahimpour
- School of Nursing & Midwifery, 48439Tehran University of Medical Sciences, Tehran, Iran
| | - Jila Mirlashari
- School of Nursing & Midwifery, 48439Tehran University of Medical Sciences, Tehran, Iran.,Women's Health Research Institute, 8166Department of OBGYN, University of British Columbia, Vancouver, BC, Canada V6Z 2K8
| | | | - Fariba Zarani
- Department of Clinical and Health Psychology, Shahid, 48512Beheshti University, Shahid Shahriari Square, Daneshjou Boulevard, Shahid Chamran Highway, Tehran, Iran
| | - Sally Thorne
- School of Nursing, 70439University of British Colombia, Vancouver, BC, Canada V6T 2B5
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Davison G, Kelly MA, Conn R, Thompson A, Dornan T. How do children and adolescents experience healthcare professionals? Scoping review and interpretive synthesis. BMJ Open 2021; 11:e054368. [PMID: 34244289 PMCID: PMC8273482 DOI: 10.1136/bmjopen-2021-054368] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 06/22/2021] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE Explore children's and adolescents' (CADs') lived experiences of healthcare professionals (HCPs). DESIGN Scoping review methodology provided a six-step framework to, first, identify and organise existing evidence. Interpretive phenomenology provided methodological principles for, second, an interpretive synthesis of the life worlds of CADs receiving healthcare, as represented by verbatim accounts of their experiences. DATA SOURCES Five key databases (Ovid Medline, Embase, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus, and Web of Science), from inception through to January 2019, reference lists, and opportunistically identified publications. ELIGIBILITY CRITERIA Research articles containing direct first-person quotations by CADs (aged 0-18 years inclusive) describing how they experienced HCPs. DATA EXTRACTION AND SYNTHESIS Tabulation of study characteristics, contextual information, and verbatim extraction of all 'relevant' (as defined above) direct quotations. Analysis of basic scope of the evidence base. The research team worked reflexively and collaboratively to interpret the qualitative data and construct a synthesis of children's experiences. To consolidate and elaborate the interpretation, we held two focus groups with inpatient CADs in a children's hospital. RESULTS 669 quotations from 99 studies described CADs' experiences of HCPs. Favourable experiences were of forming trusting relationships and being involved in healthcare discussions and decisions; less favourable experiences were of not relating to or being unable to trust HCPs and/or being excluded from conversations about them. HCPs fostered trusting relationships by being personable, wise, sincere and relatable. HCPs made CADs feel involved by including them in conversations, explaining medical information, and listening to CADs' wider needs and preferences. CONCLUSION These findings strengthen the case for making CADs partners in healthcare despite their youth. We propose that a criterion for high-quality child-centred healthcare should be that HCPs communicate in ways that engender trust and involvement.
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Affiliation(s)
- Gail Davison
- Centre for Medical Education, Queen's University Belfast, Belfast, UK
- Children's Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, UK
| | - Martina Ann Kelly
- Department of Family Medicine, University of Calgary Faculty of Medicine, Calgary, Alberta, Canada
| | - Richard Conn
- Centre for Medical Education, Queen's University Belfast, Belfast, UK
- General Paediatrics Department, Royal Belfast Hospital for Sick Children, Belfast, UK
| | - Andrew Thompson
- General Paediatrics Department, Royal Belfast Hospital for Sick Children, Belfast, UK
| | - Tim Dornan
- Centre for Medical Education, Queen's University Belfast, Belfast, UK
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Onileimo V, Bella-Awusah T, Lasebikan V, Omigbodun O. Brief training in child and adolescent mental health: Impact on the knowledge and attitudes of pediatric nurses in Nigeria. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2021; 34:164-170. [PMID: 33749942 DOI: 10.1111/jcap.12312] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 02/25/2021] [Accepted: 03/03/2021] [Indexed: 11/29/2022]
Abstract
PROBLEM Poor knowledge and stigmatizing attitudes of healthcare professionals constitute a significant barrier to child and adolescent mental health care worldwide. This study aimed to determine the effect of a training intervention on the knowledge and attitudes of pediatric nurses to child mental health problems at a Nigerian tertiary hospital. METHODS A two group pretest-posttest study design was undertaken. A total of 156 pediatric nurses were recruited, and participants in the intervention group received a brief child mental health training based on the World Health Organization's mhGAP training manual. Knowledge and attitudes to child mental health problems were obtained at baseline, and post intervention. FINDINGS There were no differences in knowledge or attitudes across the two groups at baseline. Post intervention, there was a significant increase in the mean post knowledge scores of the intervention group compared with the control group (t = 3.8, p < .001). The effect size of the intervention was 0.62. There were no significant differences in mean post attitude scores across groups. CONCLUSION Incorporating children and adolescents mental health competencies into the training of nurses had a modest effect on their knowledge, but limited effect on their attitudes.
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Affiliation(s)
- Victoria Onileimo
- Department of Clinical Nursing, University College Hospital, Ibadan, Nigeria.,Center for Child and Adolescent Mental Health, University of Ibadan, Ibadan, Nigeria
| | - Tolulope Bella-Awusah
- Center for Child and Adolescent Mental Health, University of Ibadan, Ibadan, Nigeria.,Department of Psychiatry, College of Medicine University of Ibadan, Ibadan, Nigeria
| | - Victor Lasebikan
- Department of Psychiatry, College of Medicine University of Ibadan, Ibadan, Nigeria
| | - Olayinka Omigbodun
- Center for Child and Adolescent Mental Health, University of Ibadan, Ibadan, Nigeria.,Department of Psychiatry, College of Medicine University of Ibadan, Ibadan, Nigeria
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Dalley JS, Morrongiello BA, McMurtry CM. Children's Perspectives on Outpatient Physician Visits: Capturing a Missing Voice in Patient-Centered Care. CHILDREN (BASEL, SWITZERLAND) 2021; 8:34. [PMID: 33430441 PMCID: PMC7827829 DOI: 10.3390/children8010034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Revised: 12/21/2020] [Accepted: 12/30/2020] [Indexed: 11/30/2022]
Abstract
Actively involving children in their healthcare is a core value of patient-centered care. This is the first study to directly obtain children's detailed perspectives on positive and negative aspects of outpatient physician visits in a primary care setting (e.g., checkups) and their preferred level of participation. Individual interviews were conducted with 167 children (female n = 82, male n = 85; ages 7-10, Mage = 8.07 years, SD = 0.82). Open-ended questions were used so that children's responses were not confined to researchers' assumptions, followed by close-ended questions to meet specific objectives. Quantitative content analysis, correlations, logistic regression, and Cochran's Q were used to explore the data. Children were highly fearful of needle procedures (61%), blood draws (73%), pain (45%), and the unknown (21%). Children indicated that they liked receiving rewards (32%) and improving their health (16%). Children who were more fearful during physician visits wanted more preparatory information (ExpB = 1.05, Waldx2(1) = 9.11, p = 0.003, McFadden's R2 2 = 0.07) and more participation during the visit (ExpB = 1.04, Waldx2(1) = 5.88, p = 0.015, McFadden's R2 2 = 0.03). Our results can inform efforts to promote positive physician visit experiences for children, reduce procedural distress, and foster children's ability to take an active role in managing their health.
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Affiliation(s)
- Jessica S. Dalley
- Department of Psychology, University of Guelph, Guelph, ON N1G 2W1, Canada; (J.S.D.); (B.A.M.)
| | - Barbara A. Morrongiello
- Department of Psychology, University of Guelph, Guelph, ON N1G 2W1, Canada; (J.S.D.); (B.A.M.)
| | - C. Meghan McMurtry
- Department of Psychology, University of Guelph, Guelph, ON N1G 2W1, Canada; (J.S.D.); (B.A.M.)
- McMaster Children’s Hospital, Hamilton, ON L8N 3Z5, Canada
- Department of Paediatrics, Western University, London, ON N6A 3K7, Canada
- Children’s Health Research Institute, London, ON N6C 2V5, Canada
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Aşikli E, Aydin Er R. Paediatric oncology patients' definitions of a good physician and good nurse. Nurs Ethics 2020; 28:656-669. [PMID: 33249951 DOI: 10.1177/0969733020961499] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND It is stated that the communication and disease experiences of paediatric patients, especially paediatric oncology patients, with healthcare professionals are completely different from those of adults. OBJECTIVE The aim of this study was to determine the definitions of a good physician and good nurse provided by elementary school-age oncology patients. RESEARCH DESIGN In this qualitative research, data were collected through semi-structured individual interviews. The data were evaluated thorough thematic analysis. PARTICIPANTS AND RESEARCH CONTEXT Eighteen children hospitalised due to cancer in paediatric oncology and haematology clinics of a university hospital in Turkey. ETHICAL CONSIDERATIONS Permission to conduct the study was obtained from the Institution's Ethics Committee. The objectives of this study were explained to the participants and families, and written consent was obtained from them. Also, participants were assured that necessary measures would be taken to protect their anonymity and confidentiality. FINDINGS The definitions of children were based on five main themes: interpersonal relationships, virtues, professional responsibility, security and individual characteristics. CONCLUSION Children conveyed important messages to health professionals. They emphasised that a good physician and good nurse should communicate well, not only with themselves but also with their family. In addition, children were sensitive about health professionals who played with them and actively participated in the treatment by informing them about the disease. Meeting the expectations of children can be possible by improving the communication skills of physicians and nurses and by adding games and activities to the treatment and care plan.
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Petronio-Coia BJ, Schwartz-Barcott D. A description of approachable nurses: An exploratory study, the voice of the hospitalized child. J Pediatr Nurs 2020; 54:18-23. [PMID: 32505059 DOI: 10.1016/j.pedn.2020.05.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 05/18/2020] [Accepted: 05/18/2020] [Indexed: 12/28/2022]
Abstract
PURPOSE The 1989 Convention on the Rights of the Child drew international attention to the right of a child to be heard. Researchers have enhanced the child's voice in many settings, albeit few in the hospital. Nurse researchers investigating the hospital experiences of children have identified positive and negative patterns of communication. Potential characteristics of an approachable nurse were hinted at, although none explored the concept of approachability. DESIGN AND METHODS A qualitative, descriptive research design, including semi-structured interviews with seven school age children (ages 8-12, four girls and three boys) in a pediatric oncology service, was used to gain children's perceptions and descriptions of approachable nurses. Drawings were used to supplement and glean a greater understanding of descriptive characteristics. All but one child had endured multiple hospitalizations related to their diagnosis of cancer. Interviews were recorded and data were content analyzed using immersion/crystallization and editing organizational styles. RESULTS The children had experiences with more than one approachable nurse and described approachable nurses as smiling and happy, playful, creative, competent and willing to talk and listen to them. CONCLUSION AND PRACTICE IMPLICATIONS The school age children in this study were able to describe their perceptions of an approachable nurse. The voices of these children illuminate the importance of nurses' words and behaviors and provide exemplars of approachable nurses. It can be argued that the responsibility remains with nurses to create an environment where in hospitalized children feel their voices are heard, they are understood and respected with unprecedented dignity.
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Affiliation(s)
- Bethany J Petronio-Coia
- School of Nursing, Rhode Island College @ Rhode Island Nursing Education Center, Providence, RI, United States.
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Loureiro F, Figueiredo MH, Charepe Z. Nursing care satisfaction from school‐aged children's perspective: An integrative review. Int J Nurs Pract 2019; 25:e12764. [DOI: 10.1111/ijn.12764] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 02/25/2019] [Accepted: 06/02/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Fernanda Loureiro
- Escola Superior de Saúde Egas Moniz Caparica Portugal
- Center for Interdisciplinary Research in Health (CIIS)Universidade Católica Portuguesa Lisbon Portugal
| | - Maria Henriqueta Figueiredo
- Centre for Health Technologies and Services Research (CINTESIS)Escola Superior de Enfermagem do Porto Porto Portugal
| | - Zaida Charepe
- Center for Interdisciplinary Research in Health (CIIS)Universidade Católica Portuguesa Lisbon Portugal
- Centre for Health Technologies and Services Research (CINTESIS)Escola Superior de Enfermagem do Porto Porto Portugal
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Santos PMD, Silva LFD, Depianti JRB, Cursino EG, Ribeiro CA. Nursing care through the perception of hospitalized children. Rev Bras Enferm 2017; 69:646-53. [PMID: 27508468 DOI: 10.1590/0034-7167.2016690405i] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2014] [Accepted: 02/23/2016] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to describe the perception of hospitalized children of school age, on nursing care and understand what are, from their perspective, the best ways to address it to when performing such care. METHOD qualitative, descriptive, exploratory research, with concepts of Vygotsky used as theoretical framework. The data collection occurred through interviews mediated by drawings and was performed with ten school children, with the interview later transcribed and submitted to a thematic analysis. RESULTS showed the importance of playing during hospitalization, of a friendly and caring approach and providing explanations regarding the performed procedures. CONCLUSION nursing professionals need to consider how the children would like to receive the care being provided, so that their singularities are respected, characterizing nursing actions according to a perspective of the whole human being.
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Affiliation(s)
- Priscila Mattos Dos Santos
- Faculdade Pequeno Príncipe, Programa de Residência de Enfermagem em Saúde da Criança e do Adolescente. Curitiba-PR, Brasil
| | - Liliane Faria da Silva
- Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa. Niterói-RJ, Brasil
| | | | - Emília Gallindo Cursino
- Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa. Niterói-RJ, Brasil
| | - Circéa Amália Ribeiro
- Universidade Federal de São Paulo, Escola Paulista de Enfermagem. São Paulo-SP, Brasil
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Grahn M, Olsson E, Mansson ME. Interactions Between Children and Pediatric Nurses at the Emergency Department: A Swedish Interview Study. J Pediatr Nurs 2016; 31:284-92. [PMID: 26992940 DOI: 10.1016/j.pedn.2015.11.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2015] [Revised: 11/20/2015] [Accepted: 11/22/2015] [Indexed: 11/27/2022]
Abstract
UNLABELLED Admission to an emergency department can be considered a stressful event for both the child and the family. Due to the nature of traumas, illnesses and fatalities it is a chaotic forum in which good communication between child and staff can be difficult to establish. PURPOSE The purpose of the study was to describe nurses' methods when interacting with children aged three to six at a pediatric emergency department and to identify aspects in need of further investigation. METHODS The study included seven nurses who work with children. The data were collected through semi-structured interviews and analyzed using qualitative content analysis. RESULTS The analysis resulted in three main themes; fundamentals for being able to create a good encounter, nurse's adaptations when encountering children and limitations associated with providing child and family-centered care in the pediatric emergency department. CONCLUSIONS Healthcare organizations must create time to allow important communication to take place between staff and pediatric patients so that children and families feel safe when being treated. The implementation of effective measures to train staff in communication with pediatric patients is important. PRACTICE IMPLICATIONS The child should participate in his/her care and in procedures as much as possible. By listening to children and their parents proposals, especially before invasive procedures, effective ways to handle pain and discomfort may be developed.
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Affiliation(s)
- Malin Grahn
- Department of Gynecology, blå stråket, Sahlgrenska Hospital, Gothenburg, Sweden
| | - Emmy Olsson
- Department of Surgery Section 49, Blekinge Hospital, Karlskrona, Sweden
| | - Marie Edwinson Mansson
- Department of Health Sciences Centre, HSC, Medical Faculty, Lund University, Lund, Sweden.
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de Melo EMDOP, Ferreira PL, de Lima RAG, de Mello DF. The involvement of parents in the healthcare provided to hospitalzed children. Rev Lat Am Enfermagem 2014; 22:432-9. [PMID: 25029054 PMCID: PMC4292621 DOI: 10.1590/0104-1169.3308.2434] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2013] [Accepted: 01/06/2014] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to analyze the answers of parents and health care professionals concerning the involvement of parents in the care provided to hospitalized children. METHOD exploratory study based on the conceptual framework of pediatric healthcare with qualitative data analysis. RESULTS three dimensions of involvement were highlighted: daily care provided to children, opinions concerning the involvement of parents, and continuity of care with aspects related to the presence and participation of parents, benefits to the child and family, information needs, responsibility, right to healthcare, hospital infrastructure, care delivery, communication between the parents and health services, shared learning, and follow-up after discharge. CONCLUSION the involvement of parents in the care provided to their children has many meanings for parents, nurses and doctors. Specific strategies need to be developed with and for parents in order to mobilize parental competencies and contribute to increasing their autonomy and decision-making concerning the care provided to children.
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Affiliation(s)
| | - Pedro Lopes Ferreira
- PhD, Associate Professor, Faculdade de Economia, Universidade de
Coimbra, Coimbra, Portugal
| | - Regina Aparecida Garcia de Lima
- PhD, Full Professor, Escola de Enfermagem de Ribeirão Preto,
Universidade de São Paulo, WHO Collaborating Centre for Nursing Research
Development, Ribeirão Preto, SP, Brazil
| | - Débora Falleiros de Mello
- PhD, Associate Professor, Escola de Enfermagem de Ribeirão Preto,
Universidade de São Paulo, WHO Collaborating Centre for Nursing Research
Development, Ribeirão Preto, SP, Brazil
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Abstract
The aim of this study was to identify key aspects in the exchange of information and to determine how nurses communicate news to hospitalised children. For this study, we applied the critical incident technique with 30 children aged between 8 and 14 years. Data were collected in paediatric units in a hospital in Alicante (Spain) using participant observation and semi-structured interviews. The analysis yielded three main categories: the children's reaction to the information, nursing staff behaviour as a key aspect in the exchange of information and communication of news as well as children's experience. This article emphasises the need to promote children's consent and participation in nursing interventions. An analysis of these aspects will verify whether children's rights are being respected and taken into account in order to promote children's well-being and adaptation to hospitalisation.
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