关键词: Child-HCAHPS Communication Inpatients Nursing Pediatric Quality of health care

来  源:   DOI:10.1016/j.pedn.2024.08.004

Abstract:
OBJECTIVE: Effective nurse-child communication is a fundamental aspect of delivering pediatric nursing care. Family caregivers\' global ratings to hospital are considered a proxy-reported measure for assessing a child\'s inpatient stay experience. We investigate the associations between nurse-child communication and family caregivers\' global ratings to hospital.
METHODS: A retrospective analysis of a national child patient experience survey data was conducted. Patient experience with nurse-child communication and the family caregivers\' global ratings of hospital were measured using the Child Hospital Consumer Assessment of Healthcare Providers and Systems. Hierarchical linear models were constructed to examine the association between nurse-child communication measures and family caregivers\' global ratings to hospital.
RESULTS: Data from 1010 patients at six National Regional Centers for Pediatric in China were collected. The overall rating of hospitals and the willingness to recommend the hospital showed increasing trends as the nurse-child communication score increased. How often nurses encourage children to ask questions was significantly associated with family caregivers\' overall ratings of hospital and the family caregivers\' willingness to recommend the hospital.
CONCLUSIONS: Effective communication by nurses with the child is associated with significantly higher global ratings to the hospital by family caregivers during inpatient care. Encouraging children to ask questions is a promising contributor to caregivers\' global ratings to hospital.
CONCLUSIONS: Pediatric nurses should emphasis encouraging children to ask questions for effective communication in nursing practice. Future research is also needed to develop more targeted strategies to assist pediatric nurse to communicate with child better.
摘要:
目的:有效的护儿沟通是提供儿科护理的一个基本方面。家庭护理人员对医院的全球评级被认为是评估儿童住院经历的代理报告指标。我们调查了护士与儿童沟通与家庭护理人员对医院的全球评级之间的关联。
方法:对全国儿童患者体验调查数据进行回顾性分析。使用儿童医院消费者对医疗保健提供者和系统的评估来衡量患者在护士与儿童沟通和家庭护理人员的全球医院评级。构建了分层线性模型,以检查护童沟通措施与家庭护理人员对医院的全球评级之间的关联。
结果:收集了来自中国六个国家儿科区域中心的1010名患者的数据。随着护子沟通得分的增加,医院的整体评级和推荐医院的意愿呈增长趋势。护士鼓励儿童提问的频率与家庭护理人员对医院的总体评价和家庭护理人员推荐医院的意愿显著相关。
结论:护士与孩子的有效沟通与家庭护理人员在住院期间对医院的总体评分明显更高相关。鼓励儿童提问是照顾者对医院的全球评级的一个有希望的贡献者。
结论:儿科护士应强调鼓励儿童在护理实践中提出问题以进行有效的沟通。未来的研究还需要制定更有针对性的策略来帮助儿科护士更好地与孩子沟通。
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