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儿科医院中非常规护士着装的使用:一项准实验研究。

Use of non-conventional nurses' attire in a paediatric hospital: a quasi-experimental study.

作者信息

Festini Filippo, Occhipinti Valentina, Cocco Margherita, Biermann Klaus, Neri Stella, Giannini Chiara, Galici Valeria, de Martino Maurizio, Caprilli Simona

机构信息

Section of Sciences of Allied Health Professions, Department of Pediatrics, University of Florence, Florence, Italy.

出版信息

J Clin Nurs. 2009 Apr;18(7):1018-26. doi: 10.1111/j.1365-2702.2008.02430.x.

DOI:10.1111/j.1365-2702.2008.02430.x
PMID:19284436
Abstract

AIMS

To test the impact of a multi-coloured non-conventional attire on a population of children admitted to a paediatric hospital.

DESIGN

Quasi-experimental before-after controlled study.

BACKGROUND

It has been suggested that non-conventional nurses' uniforms in paediatric settings may contribute to lowering children's distrust towards healthcare providers and reduce fear. Little formal research has investigated on the impact of nursing attire in a paediatric setting. No study has so far analysed the effects in actual use of a non-conventional, other than the traditional type of uniform, on a paediatric hospitalised population. Design: A quasi-experimental study.

METHODS

We introduced multi-coloured nurses' attire in two wards of a paediatric hospital. Using open questions and semantic differential scales (SDS), we evaluated the effects of this non-conventional attire on a group of hospitalised children, compared to sex-and-age-matched controls interviewed before the introduction. Parents were also interviewed.

RESULTS

One hundred and twelve hospitalised children and their parents (n = 112) were studied. The percentage of positive words used by children to define their nurse was higher in children interviewed after the introduction of non-conventional uniforms (96.2% vs. 81.8%, p = 0.01). Children's perception of nurses was significantly improved by the use of multi-coloured attire ('bad'-'good' SDS: p = 0.01; 'disagreeable'-'nice' SDS: p = 0.001). Children's perceptions regarding hospital environment did not change. Parents' perception of nurses' uniform adequacy to the role and capability to reassure resulted improved (p < 0.0001, p = 0.0003).

CONCLUSIONS

Multi-coloured non-conventional attire were preferred by hospitalised children and their parents. Their introduction improved the perception children have of their nurses. Moreover, the coloured uniforms improve the parents perception about the reliability of the nurse.

RELEVANCE TO CLINICAL PRACTICE

The use of non-conventional nurses' attire can contribute to improve the child-nurse relation, which has the potential to ease the discomfort experienced by children due to hospitalisation.

摘要

目的

测试多色非常规服装对一家儿科医院收治儿童群体的影响。

设计

前后对照的准实验研究。

背景

有人提出,儿科环境中非常规护士制服可能有助于降低儿童对医护人员的不信任感并减轻恐惧。很少有正式研究调查过护理服装在儿科环境中的影响。到目前为止,尚无研究分析除传统制服类型外的非常规制服在实际使用中对儿科住院人群的影响。设计:一项准实验研究。

方法

我们在一家儿科医院的两个病房引入了多色护士服装。通过开放式问题和语义差异量表(SDS),我们评估了这种非常规服装对一组住院儿童的影响,并与引入前接受访谈的年龄和性别匹配的对照组进行比较。还对家长进行了访谈。

结果

研究了112名住院儿童及其家长(n = 112)。在引入非常规制服后接受访谈的儿童中,用积极词汇描述护士的比例更高(96.2%对81.8%,p = 0.01)。使用多色服装显著改善了儿童对护士的看法(“坏”-“好”SDS:p = 0.01;“不讨人喜欢”-“讨人喜欢”SDS:p = 0.001)。儿童对医院环境的看法没有改变。家长对护士制服与角色的适配性以及安抚能力的看法有所改善(p < 0.0001,p = 0.0003)。

结论

住院儿童及其家长更喜欢多色非常规服装。引入这种服装改善了儿童对护士的看法。此外,彩色制服提高了家长对护士可靠性的看法。

与临床实践的相关性

使用非常规护士服装有助于改善儿童与护士的关系,这有可能减轻儿童因住院而产生的不适。

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