Nurse’s impressions and changes after the workshops using the pediatric nursing care model

Abstract

For children undergoing medical examinations/procedures and nursing care, medical settings are unfamiliar environments where they are surrounded by unfamiliar people, so they often experience more fears and anxieties than adults would expect. To reduce them, nurses practice various types of patient care related to preparation, and pay adequate attention to providing psychological preparation when involved with children and their families. The workshops were conducted with the aims of: interpreting the meaning of the responses of children and their families, reflecting on daily nursing practice, exchanging information on nursing practice provided at other hospitals, and helping participants achieve new insights, by using the pediatric nursing care model. To hold workshops using a pediatric nursing care model demonstrating the basic attitudes towards ethical practice of nursing, including psychological preparation provided in medical settings, and investigate nurses' impressions of and changes observed after the workshops. 12 pediatric nurses working at medical institutions in Japan were participated with informed consent. As a result of this workshops using the pediatric nursing care model, the original goals were accomplished. Furthermore, the implementation rate has improved in most of the care model items after the third workshop, showing the positive outcome of the workshops. We would like to further refine the model, and hold more workshops by improving its content and methods.

An Ethical Practice Intervention Program for Pediatric Nurses with Varied Nursing Experience

“…Six weeks after the intervention, improvement was observed in the frequency of implementation for most items. However, it was not clear if there was a difference in the effects of the intervention between participants with experience in different settings [20]. Therefore, an intervention program designed for nurses with five or less years of pediatric nursing experience and aimed at enhancing ethical nursing practice, was implemented.…”

“…In 2012 we developed a simplified version of the PNCM checklist, containing 24 items; its validity and reliability have been verified (Cronbach's α = 0.973). The simplified checklist and forms, which were to be completed with practical examples, were used in an intervention program for nurses in order to reinforce their ethical practices [20].…”

Studying the Reinforcement Effect of a Seminar on Ethical Practices among Pediatric Nurses

“…Similarly, Omori conducted a survey among Japanese nursing colleges and reported that all 56 pediatric nursing teachers (participants) taught about preparing children in their lectures and practical training [8]. However, previous Japanese research revealed that the implementation rate was only 10% to 50%; this low rate was due to the economic and time constraints on implementing the preparation guidelines, on account of the lack of tools for evaluating children's explanations and psychological preparation because of time and budget constraints among nurses and in hospitals, respectively [9].…”