The Construction and utilization of the pediatric nursing care model including the psychological preparation by nurses

2018 Fiscal Year Final Research Report

• Project/Area Number: 25463503
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Lifelong developmental nursing
• Research Institution: Prefectural University of Hiroshima
• Principal Investigator: Matsumori Naomi 県立広島大学, 保健福祉学部(三原キャンパス), 教授 (20336845)
• Research Collaborator: SASAKI SHINOBU
• Project Period (FY): 2013-04-01 – 2019-03-31
• Keywords: 小児看護ケアモデル / 倫理的看護実践 / 看護師 / 実行容易性

Outline of Final Research Achievements

The pediatric nursing care model (PNCM), defining 24 nursing approaches, was developed to show simple examples of ethical nursing practices for pediatric patients and their families. An intervention program for promoting ethical nursing practices among patients and their families was implemented for pediatric nurses. The intervention program led to improvements in highly feasible and basic ethical nursing practices, including an increase in greetings and self-introductions, verbal explanations for children, quantitative and qualitative alterations in order to improve children's coping behaviors, changes in nurses’ active attitudes for reducing children’s fear and attitudes for feasible future implementation. Changes in practices at 3 months post-initiation corresponded to the four components of “child assent” or the final three goals of our conceptual framework.

Free Research Field

臨床看護学

Academic Significance and Societal Importance of the Research Achievements

小児看護における倫理的看護実践を促進するため帰納的研究から「小児看護ケアモデル」を開発し、これを基にした看護師への介入プログラムの考案および実施と検証によって実用的な方法として構築することができた。他科経験者を含む混合病棟や診療所を含めた幅広い小児医療に携わる看護師の倫理的看護実践を強化する1方法として提案できたことは、少子高齢社会における医療制度改革や地域包括ケアの時代の中で、小児と家族の権利を保護しながら闘病を支える看護実践に役立つものと考える。