Interactions Between Children and Pediatric Nurses at the Emergency Department: A Swedish Interview Study

Grahn, Malin; Olsson, Emmy; Månsson, Marie Edwinson

doi:10.1016/j.pedn.2015.11.016

Cited by 25 publications

(32 citation statements)

References 15 publications

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“…Furthermore, a stressful working environment inhibits nurses' capability to stay creative and successfully individualize care for each child. A sufficient amount of time is necessary to make children and their parents well‐informed and prepared for different medical procedures 29 . One can conjecture, when it comes to children with disabilities and children in need of an interpreter, that lack of time also may lead to decreased effective communication 29‐31 .…”

Section: Discussionmentioning

confidence: 99%

“…A sufficient amount of time is necessary to make children and their parents well‐informed and prepared for different medical procedures 29 . One can conjecture, when it comes to children with disabilities and children in need of an interpreter, that lack of time also may lead to decreased effective communication 29‐31 . Lack of time in health care for children would then tend to risk falling short of Article 2 in the convention, 1 which states that all articles in the convention are for all children and that discrimination of any kind, as from language or disability, shall be countered 1 .…”

Section: Discussionmentioning

confidence: 99%

“…Children need their parents to keep them well informed and to feel secure when receiving health care 16,29 . According to Article 9, 1 children shall not be separated from their parents.…”

Section: Discussionmentioning

confidence: 99%

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Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs

Sahlberg

Karlsson

Darcy

2020

Health Expectations

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Background In 2020, the United Nations Convention on the Rights of the Child (UNCRC) became law in Sweden. This puts extra demands on Swedish health care for children in need. This study aimed to investigate children's experiences and paediatric nurses' experiences of caring in accordance with the UNCRC. Methods Interviews were conducted in 2019 with 10 children and 13 nurses at a paediatric clinic in western Sweden. Child and nurse data were analysed separately with qualitative content analysis. The results are presented as a synthesis of the combined analysis of both data sets. Results Children did not always meet health‐care professionals with the necessary competence to care for them, and they were not always cared for in a child‐friendly environment. Even though nurses in paediatric care had the competence necessary to meet children's rights in health care, organizational issues made it challenging. Providing health care in accordance with the UNCRC principles required time and competence. Sufficient time to help children participate in their care and ensure that they feel secure was considered necessary—regardless of the health‐care context. Conclusion Health‐care encounters without the necessary time or competence can affect children and future encounters negatively. Instruments to safeguard children's rights in health care need to be developed and implemented, such as a documentation system to make children's rights visible and/or UNCRC certification. Implementation of UNCRC principles in all health‐care situations for children as standardized care requires competence, involvement, strong leadership and economic support. Children's voices in research can assist in guiding care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs

Sahlberg

Karlsson

Darcy

2020

Health Expectations

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“…This supports various studies that demonstrated effective provider communication shapes and improves family member and pediatric patient experience. 21 – 23 …”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department

Zhang

Yocum

Repplinger

et al. 2018

WestJEM

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IntroductionAsking family members to leave during invasive procedures has historically been common practice; however, evidence-based recommendations have altered the trend of family presence during pediatric procedures. The aim of this study was to determine factors related to family members’ choice to be present or absent during fracture reductions in a pediatric emergency department (ED), and their satisfaction with that choice.MethodsWe administered role-specific, anonymous surveys to a convenience sample of patients’ family members in the ED of a Level I pediatric trauma center. All family members were given a choice of where to be during the procedure.ResultsTwenty-five family members of 18 patients completed surveys. Seventeen family members chose to stay in the room. Family member satisfaction with their decision to be inside or outside the room during the procedure (median = very satisfied) was almost uniformly high and not associated with any of the following variables: previous presence during a medical procedure; provider-reported procedure difficulty, or anxiety levels. Family member perception of procedure success (median = extremely well) was also high and not associated with other variables. Location during the procedure was associated with a desire to be in the same location in the future (Fisher’s exact test, p=0.001). Common themes found among family members’ reasons for their location decisions and satisfaction levels were a desire to support the patient, high staff competence, and their right as parents to choose their location.ConclusionFamily members self-select their location during their child’s fracture reduction to high levels of satisfaction, and they considered the ability to choose their location as important.

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“…komunikasi memegang peranan penting antara tenaga kesehatan dan pasien anak (Grahn, Olsson, & Mansson, 2015). Hasil penelitiannya juga menyebutkan dengan pendekatan yang tepat akan mengetahui sinyal dan reaksi anak untuk membuatnya nyaman.…”

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Pengalaman Perawat dalam Memberikan Perawatan Atraumatik pada Anak di Rumah Sakit

Nursasmita¹,

Waluyanti

Wanda

2020

jppni

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Abstrak Perawat anak memiliki peran penting untuk mencegah terjadinya dampak negatif hospitalisasi melalui aplikasi konsep perawatan atraumatik dalam memberikan asuhan keperawatan pada anak. Tujuan: Tujuan penelitian adalah mengeksplorasi secara mendalam tentang pengalaman yang dialami perawat dalam memberikan perawatan atraumatik pada anak yang mengalami hospitalisasi. Metode: Penelitian ini menggunakan metode kualitatif deskriptif fenomenologi di RSAB Harapan Kita Jakarta pada bulan Mei 2016. Pengambilan data melalui wawancara semi terstruktur terhadap tujuh perawat yang dipilih dengan purposive sampling. Data transkrip dianalisis secara manual dengan metode Yin (2011) dan Graneheim & Lundman (2004). Hasil penelitian: dihasilkan empat tema yaitu ada dualisme peran orang tua dalam perawatan atraumatik, dilema dukungan rumah sakit dalam perawatan atraumatik, intervensi yang digunakan perawat dalam perawatan atraumatik, dan refleksi perawatan atraumatik untuk perawat. Kesimpulan: Gambaran eksplorasi pengalaman perawat dalam memberikan perawatan atraumatik meliputi dualisme peran (positif dan negatif) orang tua, beragam intervensi perawatan atraumatik yang telah diaplikasikan, dilema dukungan rumah sakit dalam perawatan atraumatik berhubungan dengan infeksi nosokomial maupun hambatan internal, serta perawat melakukan refleksi perawatan atraumatik yang telah dilakukan.Kata Kunci: anak, pengalaman, perawat, perawatan atraumatikThe Experiences of Nurses in Providing Atraumatic Care for Children during Hospitalization AbstractA nurse has an important role to prevent the negative impact of hospitalization through the application of concepts atraumatic care in providing nursing care in children. Objective: The research aim is to explore the experiences of nurses in providing atraumatic care for children during hospitalization. Method: This research method using qualitative phenomenology descriptive study at RSAB Harapan Kita Jakarta in May 2016. Collecting data through interviews with seven nurses selected with using purposive sampling. Transcript data was analyzed manually with Yin (2011) and Graneheim & Lundman (2004) method. Results: The results of the study describes the four themes, namely a duality of the role of parents in the atraumatic care, support hospitals dilemma in atraumatic care, nursing interventions used in atraumatic care, and the reflection of atraumatic care for nurses. Conclusion: An illustration of nurses’ exploratory experiences in providing atraumatic care includes dualism of the roles (positive and negative) of parents, various atraumatic care interventions that have been applied, hospital support dilemmas in atraumatic care related to nosocomial infections and internal support, and nurses doing reflecting on atraumatic care.Keywords: atraumatic care, experience, nurse, pediatric

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Interactions Between Children and Pediatric Nurses at the Emergency Department: A Swedish Interview Study

Cited by 25 publications

References 15 publications

Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs

Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs

Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department

Pengalaman Perawat dalam Memberikan Perawatan Atraumatik pada Anak di Rumah Sakit

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