Journal of Japanese Society of Child Health Nursing
Online ISSN : 2423-8457
Print ISSN : 1344-9923
ISSN-L : 1344-9923
Nursing care enabling preparation of pre-school children for I.V. drip treatment after emergency hospitalization
Hiromi MimuraMieko TakemotoNoriko Usui
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2013 Volume 22 Issue 3 Pages 34-41

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Abstract
The purpose of this study was to clarify the nursing care which enables the preparation of pre-school children to be put on a drip, following emergency hospitalization. Participant observation and semi-structured interviews were conducted with 7 nurses, followed by inductive qualitative analysis, from which 5 categories were extracted. As the start is the most critical part, the nurses maintain the child's world by [conveying peace of mind while preparing to enter the child's world], thus establishing trust. In explaining about the drip, they provide care [connecting in the child's word the present experience and the image of the future] to draw out the child's can-do spirit. Then, the enjoyment of joint hand-washing is effective for [strengthening the wave of "can-do spirit" in the child's world] so that the high positive level is maintained, which results in care [coordinating timing to effect safe secure treatment, and praising the child's efforts]. In cases of resistance by the child, using strategies based on the nurses' experiences, they carried out care [seeking a way to redirect a resisting child]. This study clarified a way of nursing care which, even under the time constraint of emergency hospitalization and immediate I.V., helps to strengthen the "can-do spirit" of children by giving them peace of mind in their own world, while nursing staff remain responsive to situational changes.
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© 2013 Japanese Society of Child Health Nursing
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