急诊儿科输液室护士实行弹性排班的探讨

目的探讨儿科急诊输液室护士弹性排班制度,以提高单位时间内的工作效率,提高患儿、家属满意度及护理质量。方法对15名急诊儿科输液室护士实行弹性排班。结果实施弹性排班5个月后,门诊输液室的科室管理和护理工作满意度明显提高,与弹性排班前比较差异有统计学意义(P<0.05)。结论对急诊儿科输液室,护士实行弹性排班,可提高工作效率,减轻护士压力,提高护理质量,有效防止差错事故发生。

Coordination and nursing care of pediatric patients undergoing double balloon enteroscopy

AIM:To review safety,efficacy,and proper nursing care of double-balloon enteroscopy (DBE) in pediatric patients with small intestinal disease.METHODS:Our study included 37 patients with abdominal pain,diarrhea,passage of blood in the stools,and other symptoms,who underwent DBE from December 2006 to July 2010.DBE was retrograde in 36 procedures,antegrade in six,and from both ends in five.The diagnostic significance and salient points in nursing care are discussed in this article.RESULTS:At least one lesion was discovered in 28 out of 37 patients,which yielded a positive diagnosis in 75.7% of cases.Good bowel preparation and skilled nursing care not only shortened the procedure time,but could also alleviate patient discomfort and enhance the quality of examination.No serious procedure-related complications were observed in any cases.CONCLUSION:DBE is a new modality of endoscopic procedure that improves the standard of diagnosis and treatment of small bowel diseases in children.Good nursing care is essential to the successful execution of the procedure.

儿科护理投诉原因分析及应对措施

目的统计分析本院儿科护理投诉的原因,并采取针对性的应对措施,提高护理质量。方法回顾分析2015年1月—2016年10月本院儿科的护理投诉资料,分析投诉原因。结果 2015年1月—2016年10月本院儿科共接到护理投诉72例,其中有效投诉41(56.94%)例,投诉原因包括医院设施、管理、护理人员、患者等多方面的因素。结论通过改善医院基础设施,加强管理力度,提升护理人员的综合素质,重视与患者沟通,提高护理质量,能够提高患者的满意度,减少护理投诉事件的发生。

儿科护理风险因素分析及防范措施

目的探讨儿科护理中存在的主要风险因素及相应的防范策略。方法选择2014年7月至2015年6月本院742例儿科患者,未实施护理风险防范,另取2015年7月至2016年6月本院748例儿科患者,给予护理风险防范,对其临床资料开展回顾性分析,总结儿科护理风险因素,对比护理风险防范前后的患者投诉率。结果防范后的儿科投诉率为2.0%,明显低于防范前14.0%(P<0.05)。结论儿科护理过程中存在各种风险因素,通过给予科学的护理风险防范,能够大大提高儿科护理质量,降低儿科护理纠纷发生率。

Pediatric nurse-patient communication practices at Pentecost Hospital,Madina:A qualitative study

Purpose:Delivering quality health care requires effective communication between health care providers and their patients.Nurse-patient effective communication remains a challenge in Ghana,despite criticism and concern expressed by the public.The study,therefore,aims to assess the effective nurse caregivers’communication practices among pediatric nurses at Pentecost Hospital,Madina.Methods:A qualitative exploratory and purposive sampling technique were used.Participants were engaged in Focus group discussions or face-to-face interviews.In all,4 focus group discussions were conducted with 7 participants in each group and 15 face-face in-depth interviews,with a total sample size of 43.The data was content analyzed.Interviews were taped recorded and transcribed verbatim.Results:The data analysis yielded 3 themes and 11 subthemes.The main themes were:effective communication practices,factors influencing effective communication,and attitudes towards effective communication.The study revealed how the participants communicated with patients who are deafmute,anxious,and those who refused treatment.In addition,participants reported how they used techniques such as silence,listening,and leading cues in communicating with patients and their relatives.Conclusion:Effective communication between pediatric nurses,patients,and their parents is ascertained to be a key tool in the delivery of quality health care.However,several factors are found to hinder this therapeutic communication.Hence,further studies are needed to improve effective communication skills among pediatric nurses and their patients to enhance health care for children.

Improving the Transitional Care for Child Dental Nursing via the Use of Documentary Films

The purpose of this paper is utilizing quasi-experimental study to evaluate the educational value of a documentary film for transitional care about children dental health management The method used in this study is a pre-post survey among nurse viewers. The study was completed over a 12-month period. In the experimental group, when the nurses watched the documentary film, they evaluated the documentary film highly and reported an intention to change their transitional care practice and mind as a result of watching the documentary film. Following viewing, children and their parents felt more strongly that ＂children with dental problems should meet with a nurse early＂ and that ＂transitional care greatly impacts children oral health＂. As a result, a documentary film about oral transitional care is an effective educational tool to improve nurses＇ transitional care awareness among children about the importance and needs of children. The results suggest that if significant modifications are obtained, this approach can be an efficient way applicable to other contexts of patient care.

Adaptation and validation of pediatric peripheral intravenous catheter insertion and care practices audit tools

Objectives:This study aimed to describe the translation process and establish the validity of the three instruments in Indonesian to assess pediatric peripheral intravenous catheter(PIVC)insertion and care practices.Methods:The six-step forward and backward translation method was used to translate the adapted questionnaires.The English version questionnaires included the point prevalence audit checklist,the nurse survey consisting of the nurse PIVC knowledge questionnaire and the nurse PIVC confidence questionnaire,plus a Patient/parent Experience Survey.Data collection was conducted in Indonesia between October 2019 and February 2020.In total,there were six translators(two for each instrument),nine-panel vascular access experts(three for each instrument),and 30 participants(ten for each in-strument)of the target population involved in the translation and validation of the three instruments.Three-panel experts rated the content relevance of each instrument using a four-point rating scale.Item level and scale level content validity index and kappa index were calculated.Ten-panel members of the target population evaluated each questionnaire regarding feasibility,clarity,logical sequence,and formatting.Qualitative comments from the panel were also reviewed.Results:The translation process indicated relatively low discrepancies between translators except for semantic equivalence.There were nine,eight,and one semantic discrepancies found in the forward translation of the point prevalence audit checklist,nurse survey,and patient/parent experience survey.The semantic discrepancies were less prevalent in the backward translation,with only one,three,and two items reported during the process.The item validity index for all of the three instruments showed relatively high agreement between experts(I-CVI>0.78,S-CVI/Ave>0.90,S-CVI/UA>0.70,and kappa index>0.74).The face validity was established with the panel reporting that the three instruments were easy to understand and presented logically.However,some re-formatting of the nurse survey and pa-tient/parent experience survey were needed to avoid ambiguity and confusion for the participants.Conclusions:The results indicate that the translated three survey instruments that had been widely used in other developed countries show good content validity in the Indonesian context.They can be used as a reference for further testing in different countries and contribute to understanding the pediatric PIVC audit tools used in future clinical research.