Development and validation of the Distracting Ingenuity Promotion Scale for paediatric nurses to support the psychological outcomes of paediatric patients and their families: A survey‐based cross‐sectional cohort study

Abstract

Aim To develop and validate the Distracting Ingenuity Promotion Scale (DIPS) for paediatric nurses. Design Cross‐sectional study using anonymized self‐administered questionnaires. Methods From July–November 2013, paediatric nurses working in the wards or outpatient departments in 39 medical institutions in Japan were enrolled in the survey. Data were analysed using the Student's t‐test, Mann–Whitney U test and analysis of variance test. Exploratory and confirmatory factor analyses were performed to validate the factors in the DIPS. Cronbach's α was used to calculate the reliability of the DIPS. Results The DIPS included five subscales comprising 21 items. The goodness‐of‐fit indices for confirmatory factor analysis had a Comparative Fit Index of 0.923 and a Root Mean Square Error of Approximation of 0.059 and fulfilled the standard external validity criteria. Cronbach's α was 0.707–0.826 for each subscale and 0.895 for the overall scale.

Pediatric Nursing for Appropriate Healthcare Environment Based on United Nations Convention on Rights of Child

“…School-aged children's perceptions of the UNCRC and decision-making indicate the need for nurses to consider children's rights in pediatric nursing. The results of this study support the important concept of nurses implementing the best interest criteria to support a child-centered, family-oriented process [12,30,31]. The UNCRC and decision-making as perceived by school-aged children experiencing psychological Table 2.…”

“…Therefore, it can be said that pediatric nursing is currently required to foster the creation of an environment where children and their families can receive appropriate explanations at the right developmental age of the child. Specifically, the use of DIPS is recommended [12], as it can be implemented by pediatric nurses, including nursing ethics, in addition to the SOA [31]. These tools, and the study results, which have focused on HCPs and explanatory needs, demonstrate the need to ensure benefits to children and families in UNCRC-aware nursing management.…”

“…Recently, nurses' participation in ethical discussions has increased the involvement of pediatric patients and their understanding of the decision-making process [9], while the endowment of choices to children during invasive procedures allows for support tailored to their individual needs [10]. In this context, a professional self-efficacy pathway model of pediatric nursing quality has been proposed [11], the Distracted Ingenuity Promotion Scale (DIPS) has been developed as a nursing strategy that respects children's rights [12], and specific viable and creative methods of distraction are also being considered [13]. While the United Nations Convention on the Rights of the Child (UNCRC) emphasizes the importance of providing health and welfare information to children, children are not usually supported in healthcare settings [14][15][16].…”

Proposal for a Distraction Technique Using Two-Screen Projection for Stress Relief in Children With Medical Complexity

“…Distraction techniques [5] have been recognized in pediatric nursing as a way to alleviate stress in children receiving medical care, and the value of promoting ingenuity in nursing practice has been emphasized [6]. Recently, virtual reality (VR) with head-mounted displays (HMDs) has emerged as a promising distraction technique that effectively reduces pain and fear in pediatric nursing [7]- [10].…”