Aim: This integrative review synthesizes the current knowledge on school-aged children's satisfaction with nursing care in acute care settings.Background: Children identify aspects of nursing care that are not valued by their parents. This fact confirms the relevance of properly assessing children's satisfaction.Design: An integrative review was performed. . Twenty qualitative studies and three quantitative studies were included for revision and were analysed by two independent reviewers.Results: Three themes emerged: expectations of nursing care, experiences with care, and suggested strategies. Expectations and experiences allowed us to identify work within three main domains: personal domain (nurses' characteristics), professional domain (nurses' activities), and environmental domain (interaction between nurses and the environment). Conclusion:It is important to recognize children's rights to express their opinions about the nursing care they receive. Evaluation of both patients' and children's satisfaction should be systematically performed.
Objective: Identify the theoretical concepts that have been used in the context of nursing care for hospitalized children. Methods: Scoping review was carried out according to the PRISMA-ScR methodology. The research limitations included: primary studies dealing with the use of theoretical concepts of nursing in the provision of care to hospitalized children, access in full text, in Portuguese or English and published between 2000 and 2019. Research was carried out on grassroots platforms (EBSCOhost, PubMed, SciELO and Web of Science), gray literature and in the bibliography of selected articles. Results: 21 studies were found and 10 theoretical conceptions of nursing were identified, with family-centered care being the most used. Final considerations: The variability of the identified theoretical conceptions is emphasized, with no evidence to support the use of one in detriment of the other. A more integrative theoretical conception, which adds care centered both on the family and the child, emerges as a research trend.
The emergence of digital educational technologies (DET) raises questions regarding the personalization of both teaching and care. DET use implies profound changes with consequences in nursing care and in nursing teaching-learning process. With the purpose of contributing to the improvement of the teaching-learning process through the use of DET, an exploratory-descriptive, cross-sectional, and observational study, with a quantitative approach (descriptive and inferential statistics), was developed. Online questionnaires were applied (n = 140 students and n = 23 teachers) after ethics committee approval. Results point to low cost and access without time/space limits as the main benefits, and decreased interaction, less physical contact, and technical difficulties as constraints. Globally, there was no difference between students and teachers in the use of DET. Still, men report more constraints than women. In this sample, the use of DET is still at an early stage. Both students and teachers are still unfamiliar with the scope and possibilities of these tools, not taking full advantage of the potential they have to offer. The impact of DET used in personalized nursing care is still yet to be understood.
Objective: adapt and validate the instrument Children Care Quality at Hospital (CCQH) to assess the quality of nursing care of hospitalized children for the Portuguese language of Portugal. Materials and Methods: content, language, and conceptual validity methodological study, with translation, feedback, and reflection. A non-probabilistic simple was used of 252 children between 7 and 11 years of age, hospitalized due to acute disease in nine services of six Portuguese hospitals. The reliability and validity of the results were determined to measure the psychometric properties of the instrument. Construct validity was calculated through exploratory factor analysis of main components with Varimax rotation and the internal consistency by determining the Cronbach’s alpha coefficient. Results: the internal consistency has adequate psychometric characteristics suitable for the Portuguese population (Cronbach’s alpha values between 0.66 and 0.82). The instrument maintained 49 items grouped into three categories: characteristics, activities, and environment. The psychometric characteristics of the CCQH, adapted and validated for Portuguese, guarantees its reliability and validity to measure satisfaction with the quality of nursing care from the perspective of school-aged children. Conclusions: the instrument could be used to assess children’s satisfaction with the quality of nursing care during their hospitalization.
Aims and objectives This study intended to contribute to the improvement of nursing care for both children and their parents and aimed to identify the best and worst experiences of school‐aged children during hospitalisation. Background Child hospitalisation has traditionally been studied from the parent's perspective, but studies in which the child is the subject are scarce and mainly focus on to the hospitalisation experiences. Design A cross‐sectional, observational and descriptive exploratory design was used, and STROBE reporting guidelines were followed. Methods A paper survey was applied by the primary researcher within a 3 months period to 252 children. It presented two open‐ended statements: ‘In my opinion the best thing about the hospital is …’ and ‘In my opinion the worst thing about the hospital is…’. The study was submitted and approved by the national data protection commission and also by the ethics committees of each of the six institutions where the study was undertaken. Informed consent was also obtained from children and parents. Results Answers were analysed through content analysis. Five categories were identified for each of the open‐ended statements. Children identified ‘people’, ‘physical environment’, ‘activities’, ‘outcomes’ and ‘food’ as best experiences. The worst experiences included: ‘feelings’, ‘activities’, ‘food’, ‘environment’ and ‘outcomes’. Conclusions The results allowed the identification of the children's most valued aspects of hospitalisation. Relevance to Clinical Practice The results should be considered by healthcare professionals in order to make the hospitalisation experience more positive from the perspective of the school‐aged children.
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