Child-Centered Care: A Qualitative Study Exploring Pediatric Hospitalization Through Children's Perspectives.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-10-22 DOI:10.3390/nursrep14040228
Amalia Sillero Sillero, Raquel Ayuso Margañon, Elena Marques-Sule, María Gil Poisa
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Abstract

Background/Objectives: Hospitalization can be stressful for children due to the influence of unfamiliar environments, separation from family, and interactions with healthcare professionals. This study aimed to explore children's hospitalization experiences from a child-centered care perspective to develop interventions that better meet their emotional and psychological needs. Methods: This qualitative study employed Husserl's descriptive phenomenology to explore hospitalization experiences among children aged 9-13 years. Conducted at a primary health center in Spain from October 2022 to June 2023, the study used purposive sampling to select participants hospitalized within the past six months. Data were collected through in-depth interviews and children's self-created drawings, analyzed using thematic analysis with ATLAS.ti software. Results: A total of 10 school-age children (five boys and five girls) were interviewed. Three main themes emerged: (1) Emotions and Feelings-children described fear, anxiety, and loneliness during their hospital stay; (2) Experiences of Pain and Discomfort-participants reported physical pain and discomfort; (3) Interactions with Medical Staff-children expressed a need for more detailed explanations and clearer communication. Conclusions: The findings highlight the importance of family-centered care and improved communication between healthcare providers and children. Strategies like art therapy and flexible visiting hours could provide better emotional support. Tailored communication to children's developmental levels is crucial. Integrating these strategies into clinical practice could enhance the well-being of hospitalized children. Future research should focus on evaluating these interventions to improve pediatric care.

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以儿童为中心的护理:通过儿童视角探索儿科住院治疗的定性研究。
背景/目的:由于受到陌生环境、与家人分离以及与医护人员互动等因素的影响,住院治疗可能会给儿童带来压力。本研究旨在从 "以儿童为中心的护理 "的角度探讨儿童的住院经历,以制定能更好地满足儿童情感和心理需求的干预措施。研究方法本定性研究采用胡塞尔的描述现象学来探讨 9-13 岁儿童的住院经历。研究于 2022 年 10 月至 2023 年 6 月在西班牙的一家初级保健中心进行,采用目的性抽样的方法选择过去六个月内住院的参与者。数据通过深度访谈和儿童自创绘画收集,并使用 ATLAS.ti 软件进行主题分析。结果共采访了 10 名学龄儿童(5 男 5 女)。出现了三大主题:(1)情绪和感受--儿童描述了住院期间的恐惧、焦虑和孤独感;(2)疼痛和不适的经历--参与者报告了身体上的疼痛和不适;(3)与医务人员的互动--儿童表示需要更详细的解释和更清晰的沟通。结论:研究结果强调了以家庭为中心的护理以及改善医疗服务提供者与儿童之间沟通的重要性。艺术疗法和灵活的探视时间等策略可以提供更好的情感支持。根据儿童的发育水平进行有针对性的沟通至关重要。将这些策略融入临床实践可以提高住院儿童的福祉。未来的研究应重点评估这些干预措施,以改善儿科护理。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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