[in Japanese]

View full abstract

[in Japanese]

View full abstract

Qualitative, inductive research was implemented from the perspective of instructors of child nursing practicum with the aim of clarifying the factors that impact the personal relationship between students and children in early child nursing practicum. Semi-structured interviews were conducted with 8 instructors teaching child nursing practicum in university nursing schools in the Kinki Region. The acquired data were analyzed for content to elicit the following 8 categories: "a child's behavior," "a parent's presence," "a student's position," "the approach toward pediatric nursing," "a medical professional's presence," "an instructor's presence," "worksite circumstances," and "anticipation of anxiety." There are factors that help and factors that hinder the relationship between students and children, and instructors believed that the presence of a parent greatly impacts whether the factors help or hinder. In addition, with the understanding that the instructor also impacts a student's relationship with a child, it is believed that while the student assumes an exaggerated manner consciousness of evaluation, they seek advice and assistance, and learn how to interact with children through modeling.

View full abstract

[in Japanese]

View full abstract

This qualitative descriptive study explored how nurses respond to 7- to 8-year olds who suffered from cancer when they asked about the deaths of their peers, who had coped with suffering before death. Semi-structured interviews were conducted with 11 pediatric oncology nurses who each had over 3 years of clinical experience. Nurses assessed how much or how little the children would like to know about the situations of their associates while assuming an attitude that would prevent the children from realizing that their peers had died. Nurses could not unilaterally act on the children's requests, so the nurses assessed their parents' wishes regarding how their children should be informed of the deaths. Nurses could have potentially influenced the children's answers, but they attempted to impartially take note of the children's needs for information about the deaths of their peers. The nurses carefully took stock of the children's anxiety about their own futures and evaluated whether the children might want to discuss their own anxiety. They placed emphasis on the wishes of the children's parents and provided care to the children in accordance with their parents' wishes. The nurses observed the children's satisfaction with the care they received; they also noted that the children felt that they could not talk about their associate and that the children had various feelings about the death of their peers.

View full abstract

This study aimed to identify the criteria used to select suitable beds (cots with high side-rails or adult-sized beds) for pediatric patients, and to determine the relationship between these criteria and the fall rate. Data were collected using a cross-sectional design and questionnaires sent to 603 randomized general hospitals in Japan. Among the hospitals that were contacted, 252 (41.8%) returned their questionnaires. One hundred and sixty-four facilities (65.1%) had criteria for selecting pediatric beds. Children given an adult-sized bed were predominantly aged "over 4-5 years" (28.2%) or "over 3-4 years" (26.4%). Other criteria used to select suitable beds were "development" (40.4%), "body height/physical size" (33.1%) and "disease/symptom" (13.2%). Data on the number of falls were provided by 162 facilities. The fall rate was significantly lower in facilities that had criteria such as those above than in those that did not (p=0.02). The fall rate was significantly higher in facilities that gave an adult-sized bed to children aged "over 4-5 years" than in those that gave such beds to children "under 4 years" (p=0.01).

View full abstract

The purpose of this study is to clarify the present situation of pediatric nurses' recognition and practice about five stages of psychological preparation for pediatric patients. From May to July 2010 we conducted a self-administered questionnaire survey of nurses working for children's wards, pediatric wards, mixed wards for pediatric and adult patients, and pediatric outpatient clinics in general hospitals and children's hospitals. 207 questionnaires were returned (response rate 36.1%), among which 171 were valid. Questionnaire items were composed of nurses' basic attributes, items on nurses' psychological preparation, and nurses' recognition and practice about fives stages of psychological preparation. Spearman's rank-order correlation was used for analyzing the relationship between their recognition and practice. The analysis revealed that nurses' levels of recognition on psychological preparation and of practice frequency were varied across children's age-class and survey items. Yet, the level of practice frequency tended to be lower than the level of recognition on the whole. It also showed that there was no correlation between recognition and practice from the first stage to the third stage of preparation in many items. We consider that it is necessary for pediatric nurses to practice psychological preparation for pediatric patients on all stages by focusing on their prehospital involvement and practice on preparatory stage for the stay at the hospital, treatment, and examination.

View full abstract

[in Japanese]

View full abstract

[in Japanese]

View full abstract

[in Japanese]

View full abstract

[in Japanese]

View full abstract