METHODS: This study is qualitative research conducted with nurses in the pediatric emergency unit of a university hospital between 06 March and 06 April 2024. This study used a purposive sampling method and conducted semi-structured interviews with 17 nurses. All interviews were audio recorded and transcribed. Inductive thematic analysis method was used. The study was written based on the COREQ checklist.
RESULTS: This study determined two themes, five sub-themes, and 13 categories. The theme \"challenges to child-friendly healthcare implementation\" included a lack of physical space and agitated and violent families. It has been reported that physical space, especially where privacy is not protected, makes child-friendly care complex, and the violent reactions of families are significant obstacles. The second theme, \"facilitators for an ideal child-friendly pediatric emergency unit,\" included the design of the pediatric emergency unit/improving physical environment, availability of appropriate equipment, and effective communication strategies. This theme emphasizes the importance of colorfully designing the physical space and equipment in a way that does not scare children.
CONCLUSIONS: It has been determined that the healing environment and care processes are essential for child-friendly care. During the care processes, communication according to the age of the children and communication with agitated families was emphasized as an essential component of care.
CONCLUSIONS: The study results will guide hospital management, healthcare professionals working in the field, and future studies on designing the child-friendly emergency unit that children deserve.
方法:本研究是2024年3月6日至4月6日在大学医院儿科急诊科的护士进行的定性研究。本研究采用目的性抽样方法,对17名护士进行了半结构化访谈。所有采访都是录音和转录的。采用归纳专题分析方法。该研究是根据COREQ清单编写的。
结果:这项研究确定了两个主题,五个分主题,13个类别。主题“对儿童友好型医疗保健实施的挑战”包括缺乏物理空间以及烦躁和暴力的家庭。据报道,物理空间,尤其是在隐私不受保护的地方,使儿童友好型护理变得复杂,家庭的暴力反应是重大障碍。第二个主题,\"促进理想的儿童友好型儿科急救室,“包括儿科急救单元的设计/改善物理环境,适当设备的可用性,有效的沟通策略。这个主题强调了以不会吓到孩子的方式设计物理空间和设备的重要性。
结论:已经确定,治疗环境和护理过程对于儿童友好型护理至关重要。在护理过程中,强调根据儿童的年龄进行沟通,并与烦躁的家庭进行沟通是护理的重要组成部分。
结论:研究结果将指导医院管理,在该领域工作的医疗保健专业人员,以及未来关于设计儿童应得的儿童友好型应急单元的研究。