Abstract
Aim: This study aimed to examine the effect of a seminar to continuously reinforce ethical nursing practices among pediatric nurses. Methods: This seminar was based on a 24-point pediatric nursing care model (PNCM) that provided specific examples of basic ethical nursing practices for children undergoing medical procedures and their families. Participants’ knowledge level and application frequencies, regarding these practices, were assessed face-to-face in the first session and via email 2 and 5 months later, using the PNCM checklist and qualitative data about ethical practices. Results: Results revealed that 8 PNCM items about frequency remained the same as the first session after 5 months; however, 16 items reported increased application. The qualitative data collected 2 months later suggested that the nurses could have adapted better to implement ethical pediatric nursing; however, the one collected 5 months later confirmed the effect of the seminar on ethical nursing practices with children and their families. The continuous effect of the seminar became more evident from the responses received 5 months later than those received 2 months later. Conclusions: The findings confirmed a reinforced effect on ethical pediatric nursing practice with child patients and their parents after 5 months.
Highlights
In Japan, Taguchi says that nurses can be aware of the ethical issues of children and families and have a perspective to search for solutions through experiences that cannot be solved
This seminar was based on a 24-point pediatric nursing care model (PNCM) that provided specific examples of basic ethical nursing practices for children undergoing medical procedures and their families
We have evaluated the effectiveness of a seminar, conducted since 2012, based on a 24-point pediatric nursing care model (PNCM)
Summary
This study revealed that pediatric nurses in hospitals have limited time to provide care and communicate the environmental challenges to the children, who are away from their families. He reports these important issues for hospitalized children: 1) nursing for infants, 2) isolation from the family, 3) strained family relationships, 4) difficulties due to environmental and ward design, and 5) lack of play experiences. The most recent revisions accommodated family centered, people-first, and cultural sensitivity and language diversity changes Through these revisions, the privacy and rights of children, youth, and their families are protected, and healthcare providers are viewed as partners in decision-making, planning, and providing care, including appropriate community services
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