The Practical Application and Evaluation of a Care Model for Informing and Reassuring Children Who Are to Undergo Medical Examinations and/or Procedures (Part 2): Methods of Relating and Practical Nursing Techniques That Best Bring Out the Potential of Children Naomi Matsumori 1 , Keiko Ninomiya 1 , Michiko Ebina 1 , Noriko Katada 2 , Hitomi Katsuda 2 , Yukie Kosako 2 , Shinobu Sasaki 3 , Tomomi Matsubayashi 4 , Ayami Nakano 5 , Mayumi Tsutsui 6 , Naoko Iimura 6 , Rina Emoto 6 , Atsuko Suzuki 7 , Hiromi Naragino 8 , Sayako Takahashi 9 , Namiko Kisugi 10 , Makiko Hukuchi 11 1Kobe City College of Nursing 2College of Nursing Art and Science, Hyogo 3Graduate School of Nursing, College of Nursing Art and Science, Hyogo 4Kitazato University Hospital 5Kochi Women's University 6The Japanese Red Cross College of Nursing 7Fukui Prefectural University 8Shiga University of Medical Science 9Osaka University 10Ministry of Health, Labour and Welfare 11Saitama Children's Medical Center Keyword: 説明と納得 , ケアモデル , 子どもの力 , 看護技術 , 評価 , informed consent , care model , potential ability of children , practical nursing techniques , evaluation pp.22-35
Published Date 2004/12/30
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 The purpose of this study was to determine methods of relating to children and practical nursing techniques that best bring out the potential ability of children about to undergo a medical procedure(for example, venepuncture, or IV cannulation), using an original care model for providing pediatric patients with an appropriate explanation suited to their comprehension level. For six months,we enlisted the cooperation of seven pediatric wards in five hospitals in the Kanto and Kansai areas in applying the care model on a trial basis and evaluating its effect. The effectiveness of the care model was evaluated in monthly meetings held with nursing staff participating in the study (nurses who executed our Care Model). From nursing discussions of 82cases in such meetings, four categories were extracted. This study presents second category that has eight subcategories. First, factors related to effectiveness of the care model formed five subcategories. Children performed best when:provided with an explanation;able to select treatment circumstances by themselves;explanations took the form of continuous predictions while procedures were performed, and every aspect of the procedure was timed optimally, using a distraction technique. Second, considerations not included in the care model formed three subcategories:negotiations with children;cooperation of the mother and family, and children were influenced by their first impressions of and relationships with health care providers. We found that nurses executed procedures while accumulating experience and could best bring out the potential of children while protecting patient dignity.

Copyright © 2004, Japan Academy of Nursing Science. All rights reserved.


電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会