Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Pediatric Nurses’ Anxiety about Responding to Sudden Changes in Children’s Condition
Masato SugiuraMamiko MoritaAkiko Hagimoto
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2019 Volume 42 Issue 4 Pages 4_735-4_747

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Abstract

 We sought to explore the anxiety felt by pediatric ward nurses during sudden changes in young patients’ condition. We conducted semi-structured interviews with 20 pediatric ward nurses and used phenomenological analysis to analyze their responses. We extracted three categories of anxiety felt by pediatric ward nurses: 1) worries and upsets associated with a sense that their skills were inadequate to deal with sudden changes; 2) concerns and upsets over the progress of patients and their families’ reaction; and 3) worries associated with disadvantageous environmental conditions and difficulties corresponding to these environments. These findings indicate that patient conditions and families’ reactions progress from when they are anticipating the sudden change, at the time the sudden changes occur, during the sudden changes, and after the sudden changes. Responding to sudden changes in patient condition requires not only adequate knowledge and skills, but also clinical judgment based on experience. However, nurses worried about their nursing competence in responding to changes in patient conditions. Their concerns and upsets over patient progress and family reactions were influenced by feelings of inadequate competence and worries regarding disadvantageous environmental conditions.

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© 2019 Japan Society of Nursing Research
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