Abstract
This study examined the effects of nurse–parent partnership, nurses’ attitude to families’ importance in nursing care, and nursing professional self-efficacy on the quality of pediatric nursing care. Background: The quality of pediatric nursing care based on family-centered care is defined by the qualitative care behavior of nurses from the perspective of hospitalized children and their families. Methods: The participants were 218 nurses in pediatric wards in hospitals. Data were collected using self-report questionnaires and analyzed using descriptive statistics, Pearson’s correlation coefficient, and path analysis. Results: Among the factors influencing the perceived quality of respect, explanation, and skillfulness, nurse experience showed the greatest total effect. The nurse–parent partnership had the greatest direct effect on the quality of respect and the greatest total effect on kindness. Nursing professional self-efficacy showed the greatest direct effect on explanation and the largest total effect on nurse–parent partnership and nurses’ attitude to families’ importance in nursing care. Conclusions: To improve the quality of pediatric nursing care, it is necessary to provide a working environment in which pediatric nurses can work continuously. Hospitals should also develop a program that enables proper collaboration between nurses and parents of hospitalized children and improves nursing professional self-efficacy.
Highlights
The present study aimed to identify the factors affecting the quality of pediatric nursing care based on Family-centered care (FCC)
All the questionnaires distributed were collected; five questionnaires with insufficient responses were excluded, and six outliers with a standard score of ±2.0 or higher were eliminated in the review of the normality distribution of the data collected
To confirm the goodness of fit of the hypothetical model and modified model of this study, we identified the absolute fit indexes χ2 and χ2 /df, goodness-of-fit index (GFI), adjusted goodness-of-fit index (AGFI), root mean squared error of approximation (RMSEA), comparative-fit index (CFI), normed-fit index (NFI), and Tucker–Lewis index (TLI)
Summary
When nursing hospitalized children, the nurse should respect and protect the dignity of the family and accurately assess nursing needs in accordance with the FCC philosophy [2,3]. Nurses need to share all information without bias so that the family of hospitalized children can make a decision for nursing care and provide direct care in cooperation with the patient’s family; nurses must make decisions with and share the responsibilities of the patient’s family [3,4]. Parents of hospitalized children require nurses to respect the dignity of children and their parents and to provide an easy-to-understand explanation of treatment and nursing [5].
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