Design and pilot testing of therapeutic clothing for hospitalized children

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2021-12-08 DOI:10.1111/jspn.12363

Beth Hawkins, Courtney Ventresco, Meghan Cummings, Kimberly McCaffrey, Andrew J. Willwerth, Elizabeth D. Blume MD, Christina VanderPluym MD

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Abstract

Purpose

The purpose of this paper is to describe the design and pilot program of a parent designed clothing option for hospitalized infants and children and to better understand the importance and effects of hospital clothing on families. Little research has been done on how clothing a hospitalized child impacts the child's quality of life and their parent's perception of care. Research has been limited to clothing in adults and its relation to infection.

Design and Methods

A pediatric outfit (the Georgie) for hospitalized infants and children was designed based on insight from bedside nursing, physicians, parents, and supply chain personnel. The garment was pilot tested on select patients from intensive care units of a large children's hospital. A pre- and post-use questionnaire was disseminated with questions focused on aspects of the child's care, comfort in changing child's clothes/diapers, number of times the Georgie was used and comfort level of using the Georgie. Survey responses were summarized using descriptive statistics.

Results

Parents overall response to the Georgie was positive with great value placed on having their child dressed. All parents (n = 5) responded that too many lines were an obstacle to having their child dressed. Compared to the hospital Johnny, the Georgie (80%, n = 4) was the most preferred when placement and securement of monitoring lines was taken into consideration with one parent preferring a blanket and diaper only. Nurses felt the benefit outweighed the added effort in dressing the patient. The majority of the nurses had a positive initial reaction to the Georgie (80%, n = 4) and felt the lines or external devices were “very secure/secure” (80%, n = 4) when the patient was wearing the Georgie.

Practice Implications

Implementing a new family centered care initiative of dressing critically ill patients in the Georgie may improve patient and family's quality of life while hospitalized. A larger scale study is indicated to assess the importance of dressing hospitalized pediatric patients for their families, to clarify the effect on nursing care, to optimize ability to stabilize lines, and to understand logistical issues.

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住院儿童治疗服的设计和试点测试

本文的目的是描述父母为住院婴儿和儿童设计的服装选择的设计和试点方案，以便更好地了解医院服装对家庭的重要性和影响。很少有人研究住院儿童的衣着如何影响儿童的生活质量和父母对护理的看法。研究仅限于成人的衣着及其与感染的关系。设计与方法基于床边护理、医生、家长和供应链人员的见解，设计了一套适用于住院婴儿和儿童的儿科装备(Georgie)。该服装在一家大型儿童医院重症监护病房的选定患者身上进行了试点测试。发放了一份使用前和使用后问卷，问题集中在儿童护理、更换儿童衣服/尿布的舒适度、使用Georgie的次数和使用Georgie的舒适度等方面。使用描述性统计对调查结果进行总结。结果家长对Georgie的总体反应是积极的，他们非常重视让孩子穿衣服。所有的父母(n = 5)都回答说，太多的线是给孩子穿衣服的障碍。与Johnny医院相比，Georgie (80%， n = 4)在考虑到监测线的放置和安全时最受欢迎，其中一位家长更喜欢只使用毯子和尿布。护士们觉得给病人穿衣服带来的好处超过了额外的努力。大多数护士对Georgie有积极的初始反应(80%，n = 4)，并且当患者佩戴Georgie时，他们认为线路或外部设备“非常安全/安全”(80%，n = 4)。实施一个新的家庭为中心的护理倡议穿衣危重病人在乔治亚州可能会改善病人和家庭的生活质量，而住院。本研究拟进行一项更大规模的研究，以评估住院儿科患者穿衣对其家庭的重要性，阐明其对护理的影响，优化稳定排队的能力，并了解后勤问题。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.