Quality Of Pediatric Nursing Care Research Articles

Factors influencing the quality of nursing care as perceived by mothers of hospitalized children in South Korea.

PurposeThis study aimed to identify the factors affecting the quality of nursing care as perceived by mothers of hospitalized children and provide basic data for the development of nursing care quality improvement programs.MethodsThe participants consisted of 167 mothers, each of whom had a child hospitalized at a specific children's hospital. Data were collected from June 22 to August 8, 2019.ResultsThe factors that affected how mothers perceived the quality of nursing care were the communication ability of nurses (β=.44, p<.001) and the mother-nurse partnership (β=.33, p=.001). The total explanatory power of these factors was 54.1%.ConclusionTo improve the quality of pediatric nursing care, it is necessary to improve the communication abilities of nurses and to promote partnership between nurses and the mothers of hospitalized children.

Exploring the Influences of Nurses' Partnership with Parents, Attitude to Families' Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model.

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.

Translational Research – Developing Partnerships Between Parents and Pediatric Nurses

Developing partnerships between parents and pediatric nurses is fundamental to pediatric nursing. Partnerships between parents and pediatric nurses are based on the development of trusting relationships with the goal of improving the quality of pediatric nursing care and child health outcomes. Collaborative partnerships between parents and pediatric nurses create a nurturing and supportive environment for children and families to promote health and to enhance coping with children's acute and chronic conditions (Christian, 2011, 2013, 2016, 2020).

Levels of Partnership between Nurses and Parents of Hospitalized Children and the Quality of Pediatric Nursing Care as Perceived by Nurses.

PurposeThis study investigated the relationship of the partnership between nurses and parents of hospitalized children with the quality of pediatric nursing care as perceived by pediatric nurses.MethodsA cross-sectional descriptive study was conducted among 90 nurses. The data collected were analyzed using the independent t-test and the Pearson correlation coefficient.ResultsThe level of partnership between nurses and parents showed significant differences by nurses’ age (t=2.22, p=.029) and marital status (t=2.54, p=.013). The quality of pediatric nursing care was found to significantly differ by the nurses’ age (t=2.62, p=.013), marital status (t=4.17, p<.001), whether nurses had children (t=2.53, p=.020), pediatric ward work experience (t=2.43, p=.020), and total work experience (t=2.51, p=.016). The level of partnership between nurses and parents was positively correlated with the quality of pediatric nursing care (r=.48, p<.001).ConclusionTo improve the quality of nursing care for hospitalized children and their parents, it is important to consider the specific characteristics of pediatric nurses, whose clinical skills should be improved.

Comparison of the Quality of Nursing Care as Perceived by Pediatric Nurses and Mothers of Hospitalized Children

Purpose: This study aimed to compare the quality of nursing care as perceived by registered nurses and mothers of hospitalized children in South Korea. Methods: This was a descriptive study that recruited 70 mothers of hospitalized children and 70 nurses in pediatric units in university hospitals as participants. The quality of pediatric nursing care was measured using importance and performance scores for 19 items describing various elements of nursing care. The collected data were analyzed using descriptive statistics and the independent t-test. Results: The hospitalized children mothers’mean importance scores were significantly higher than those of the nurses (t=2.94, p=.004). However, there were no significant differences in the mean performance scores of nurses and mothers (t=0.91, p=.363) or between nurses’and mothers’perceptions of quality of nursing care, with the exception of a significant difference for the quality of explanations (t=2.78, p=.006). The quality of explanations was assessed more positively by nurses than by mothers. Conclusion: This study suggests that when developing strategies to improve the quality of nursing care in pediatric wards, ensuring that pediatric nurses provide detailed explanations should be considered as a way to improve the quality of nursing care in pediatric units.

Children satisfaction of nursing care by drawing

Background & Objective: Patient satisfaction is the main indicator of the quality of healthcare systems. Usually in pediatric works parents are questioned due to lack of appropriate scale. Therefore, this study was done to assess the children’s satisfaction themselves by drawing which is an applicable scale for them.Patients & methods: This study was done with 20 hospitalized children aged 6-12 This study was done with 20 hospitalized children aged 6-12 years in medical and surgical wards of Dr. Sheikh pediatrics hospital in Mashhad who were hospitalized at least for 2 days In order to gathering data a blank A4 size paper and 12 color pencils was given to participants and asked them to draw what they’ve been thinking about nursing and their interventions. Each drawing was analyzed based on Plander et al scale (2007). The scale has content validity and reliability of α=0.89.Results: Most of participants were boys (65%), and hospitalized in medical wards (60%).In patient’s room no entertainment tools, toys or even readings were drawn. In all drawings the child was happy and in most was resting on a bed instead of playing or sitting (80%, 20%, and 0.0%, respectively). Conclusion: Drawing is a good and reliable source for assessing the quality of pediatric nursing care. So, suggested its usage in order of assessing children’s opinions in different matters relating to their care.

Translational Research – The Imperative for Integrating Evidence Into Pediatric Nursing Practice to Improve Health Outcomes

With the translation of research and integration of evidence into practice, the quality of health outcomes for children and their families is improved and pediatric nursing practice is transformed. EVIDENCE GENERATED FROM research and translated into pediatric nursing practice leads to improved health outcomes for children and their families (Christian, 2012a, 2012b, 2012c, 2013a, 2013b, 2013c). New knowledge and evidence generated from clinical nursing research builds upon and extends nursing knowledge, thereby improving clinical outcomes and the quality of nursing practice (Polit & Beck, 2012). New approaches and interventions developed and tested through research create new methods and more effective strategies for addressing the challenging health problems that affect children and their families. This new evidence generated from research is then translated and integrated into practice to improve the quality of care. Translating research evidence into pediatric nursing practice provides the foundation for improving the quality of pediatric nursing care, ultimately resulting in improved child and family health outcomes (Christian, 2011, 2012a, 2012b). Quality health outcomes are linked to evidence-based practice and produce the best possible outcomes for patients (Melnyk & Fineout-Overholt, 2011). Thus, evidence-based practice improves the quality of pediatric nursing care and children’s health outcomes (Hockenberry & Wilson, 2011). Moreover, translation of new evidence and integration into pediatric nursing practice transforms the practice landscape through the development of new intervention strategies. To that end, it is imperative that new research evidence is translated and integrated into pediatric nursing practice in order to improve health outcomes for children and their families. In this issue of the Journal of Pediatric Nursing, seven research articles have employed a variety of research

Rebirth and Renewal Through Research—New Evidence and Strategies for Improving the Quality of Pediatric Nursing Care

NEW EVIDENCE AND strategies specific to children are designed to improve the quality of pediatric nursing care through research. Without new evidence, pediatric nursing care stagnates, resulting in poor quality of care for children and their families. In effect, new developmentally-appropriate research evidence provides the promise of change and improvement in pediatric nursing practice—that is, the promise of rebirth and renewal through research. New evidence and strategies are created through the development of new knowledge generated from research; the innovative interventions specifically designed for children, their parents, and pediatric healthcare providers; translation of new research methods to practice; and the creative application of new strategies to improve pediatric clinical practice. Clinical nursing research is conducted to generate and

Improving the Lives of Children and Their Families—Integrating Clinical Research Into Everyday Pediatric Nursing Practice

Gaining new insights and a better understanding of the health-related experiences of child r en and the i r families through research provides the foundation for the development of new intervention strategies to improve the quality of pediatric nursing care. INTEGRATING EVIDENCE FROM clinical research into pediatric nursing practice provides a method for improving the quality of pediatric nursing care, thereby improving the everyday lives of children and their families. The purpose of clinical nursing research is to generate and develop nursing knowledge providing evidence to guide nursing practice (Polit and Beck, 2012). Thus, it is essential for pediatric nurses to discover the power of research for improving the quality of care for children and their families by integrating new evidence into pediatric nursing practice (Christian, 2010a). Evidence is synthesized from clinical research providing foundational knowledge development for the advancement of pediatric nursing practice (Christian, 2012a). By translating evidence into pediatric nursing practice, the health of children and families is improved through better quality of nursing care (Hockenberry and Wilson, 2011). Therefore, translating clinical research and integrating evidence into everyday clinical practice result in improved quality of pediatric nursing care, as well as improved quality of life for children and their families (Christian, 2012b, 2012c). Moreover, research designed to evaluate knowledge gained from educational interventions for children, parents, and their families improves pediatric nurses' understanding of how children and their parents experience health and illness, cope with and adapt to chronic conditions, manage the everyday challenges of caregiving, and access the healthcare system to achieve the best quality of care for their children (Christian, 2010a, 2010b, 2011a, 2011b). In turn, this new evidence leads to the development of innovative pediatric nursing care practices that not only

Translational Research: Creating Excellent Evidence-Based Pediatric Nursing Practice

Translating research into evidence-based practice and best clinical practices creates excellence in pediatric nursing practice. EXCELLENCE IN PEDIATRIC nursing practice is created by translating research evidence into best clinical practices to improve the quality of pediatric nursing care for children and their families (Christian, 2011). Clinical nursing research involves systematic inquiry conducted to develop, refine, and expand nursing knowledge to guide nursing practice and improve health and quality of life of clients (Polit & Beck, 2012). This integration of research evidence with clinical expertise and decision making results in best clinical practices that improve the quality of care (DiCenso, Guyatt, & Ciliska, 2005; Melnyk & Fineout-Overholt, 2005; Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). Best clinical practices identified from clinical experiences provide essential evidence that is tested through research and then translated into practice. In this way, translational research completes the process by creating evidence-based practice based on research evidence to ultimately improve the quality of pediatric nursing care. Translating research into evidence-based practice and best clinical practices may be accomplished through a variety of methods (Polit & Beck, 2012). For example, systematic reviews of the literature are foundational to the development of clinical practice guidelines and provide the basis for conclusions about existing evidence. Clinical pathways and clinical scenarios facilitate translation of research evidence into improved models of care (DiCenso et al., 2005). Research studies designed to test the effectiveness of evidence-based clinical practice guidelines provide a mechanism to evaluate outcomes and analyze the cost and benefits of implementing practices (Polit & Beck,

Research Commentary—Discovering the Power of Research: Improving the Quality of Pediatric Nursing Care

THE CHALLENGE FOR pediatric nursing is to use research evidence to improve the quality of care for children, adolescents, and their families. Pediatric nursing has a rich tradition of providing excellent nursing care. Pediatric nurses share knowledge and clinical expertise that children are different from adults—anatomically, physiologically, and developmentally. Yet, improving the quality of pediatric nursing care depends on the ability of pediatric nurses to use the best research evidence for providing care to children, adolescents, and their families.

Quality of Pediatric Nursing Care: Concept Analysis

This paper is a report of a concept analysis of'quality of pediatric nursing care'. Rodgers's evolutionary method of concept analysis was used. Data were collected from published literature related to quality of pediatric nursing care. Quality of pediatric nursing care was identified with three dimensions and seven attributes: 1) nurse's character: technical competence, interpersonal competence, 2) nurse's activities: developmentally appropriate care, attentiveness, entertainment, 3) nurse-parent interaction: nurse-parent partnership, emotional support. Antecedents of quality of pediatric nursing care were'child and parent's expectation about pediatric nursing care','previous caring experience of pediatric nurses'. Consequences of quality of pediatric nursing care were'meet child and parent's needs' and'better health outcomes.' 'Quality of pediatric nursing care' is a core concept in pediatric nursing practice. Appropriate instruments to operationalize the concept need to be developed.

Quality of Pediatric Nursing Care in Finland

This study assessed the quality of pediatric nursing care as perceived by children (N = 388) aged 7 to 11 in Finland. The children rated as excellent the nursing environment, the nurses' humanity and trustworthiness, and caring and communication. They were most critical about the nurses' entertainment activities such as playing with them. Children's age and type of admission were both related to the amount of information they received. The instrument used in the study needs to be developed and tested further.

QUALITY IN PEDIATRIC NURSING CARE: CHILDREN'S EXPECTATIONS

Children's perceptions of pediatric nursing care have not been systematically taken into account in the development of the quality of care. Usually, parents have evaluated children's care and its quality. The purpose of this study was to examine children's expectations concerning the quality of pediatric nursing care by interviewing 20 preschool and 20 school-aged children in Finland. Twenty of them had insulin-dependent diabetes mellitus (IDDM) and visited the hospital on a regular basis, and 20 were treated on a surgical ward for a short period. Using content analysis, the interviews were coded and categories and subcategories identified. The children's expectations concerning the quality of nursing care were related to the nurse, nursing activities, and environment. They expected the nurses to be humane and reliable, have a good sense of humor, and wear colorful clothes at work. Both the nurses and the parents were expected to take part in nursing activities. The children expected from nurses, in particular, entertainment, educational, caring, and safety activities, while parents were expected to relieve fears and longing and to provide company. The children also emphasized the role of other children as part of good care. The results demonstrate that children are capable of offering valuable insights into the quality of pediatric nursing care. The results open new avenues for strengthening children's perspectives on pediatric nursing.