Nursing interventions supporting hospitalized children and their families to "negotiate" with nurses

2007 Fiscal Year Final Research Report Summary

• Project/Area Number: 15592295
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Kochi Women's University
• Principal Investigator: NAKANO Ayami Kochi Women's University, Department of Nursing, Faculty of Nursing, Professor (90172361)
• Co-Investigator(Kenkyū-buntansha): MASUMORI Kazuki Kochi Women's University, 看護学部, Associate Professor (20238918) ; SATO Mio Kochi Women's University, 看護学部, Lecturer (20364135) ; YUKIMATSU Michiko Saga University, Faculty of Medicine, School of Nursing, Associate Professor (40295168)
• Project Period (FY): 2003 – 2005
• Keywords: children / family / nurse / negotiation / nursing intervention

Research Abstract

The objective of the present study was to clarity nursing interventions that support hospitalized children and their families in order to negotiate nurses. The present study was a qualitative factor-searching study. Sixteen nurses with clinical nursing experience ranging from 5 to 23 years who had negotiated with sick children and their families were interviewed, and the data were qualitatively analyzed. Nursing interventions supporting nurses in their negotiations with sick children and their families could be divided into a total of nine categories with respect to the developmental stages of the children, i.e., newborn, infant, and school-age children. A total of 14 facilitators and 10 inhibitors were extracted for dealing with sick children and difficult situations. To support families, nurses used different techniques in order to negotiate with them in the beginning of care ; continue to negotiate with families in the course of care ; and negotiate under difficult circumstances. Nine categories of negotiations, the characteristics of the families participating in difficult negotiations, the factors that make it difficult for families to negotiate with nurses, the challenges that nurses face, and three facilitators and seven inhibitors for negotiations were identified. This study clarified the developmental process of nursing skills needed to negotiate with children and families. In addition, how nurses with less clinical experience are supported to negotiate with sick children and their families in relation to the stage of nursing skill development was identified.