J Pediatr Health Care. 2019 Sep-Oct;33(5):509-519. doi: 10.1016/j.pedhc.2019.01.006. Epub 2019 Mar 19.
Holistic comfort is an essential component of pediatric procedural care. However, a main gap in the literature is the ability to measure this. In this study, researchers report the feasibility of implementing a newly developed psychosocial measurement instrument in clinical practice.
This mixed methods study was guided by Kolcaba's holistic comfort theory. Descriptive and inferential statistics and a qualitative descriptive approach to cognitive interviewing were used. Children aged 4 to 8 years (n = 16) experiencing a nonurgent needle procedure and registered nurses (n = 14) who administered the instrument were recruited.
Eight qualitative themes of feasibility and comprehensibility were identified. Perspectives of children and nurses were not significantly associated with any demographic variable. The Pediatric Procedural Holistic Comfort Assessment is a feasible instrument to implement but will benefit from minor revisions.
This study has implications for nursing practice, research methodology, and future research. The Pediatric Procedural Holistic Comfort Assessment can be successfully implemented by nurses in health care settings.
整体舒适度是儿科程序护理的重要组成部分。然而，文献中的一个主要空白是衡量这一点的能力。在这项研究中，研究人员报告了在临床实践中实施新开发的社会心理测量工具的可行性。
本混合方法研究以科卡巴的整体舒适理论为指导。采用描述性和推断性统计以及认知访谈的定性描述方法。招募了年龄在 4 至 8 岁之间（n=16）经历非紧急针程序的儿童和执行该工具的注册护士（n=14）。
确定了 8 个可行性和可理解性的定性主题。儿童和护士的观点与任何人口统计学变量均无显著关联。儿科程序整体舒适度评估是一种可行的实施工具，但将受益于一些小的修订。
这项研究对护理实践、研究方法和未来研究具有意义。儿科程序整体舒适度评估可以由护理人员在医疗保健环境中成功实施。
