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[改善急性病住院儿童护理质量的服务设计]

[Design of Services for Improving the Quality of Care of Hospitalized Children with Acute Diseases].

作者信息

Koo Hyun Young, Yi Kyungmin, Gu Young Eun

出版信息

Child Health Nurs Res. 2019 Oct;25(4):528-540. doi: 10.4094/chnr.2019.25.4.528. Epub 2019 Oct 31.

DOI:10.4094/chnr.2019.25.4.528
PMID:35004444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8650980/
Abstract

PURPOSE

This study was conducted to design services for improving the quality of care of hospitalized children with acute diseases.

METHODS

The service design process had four phases: discovery, definition, development, and delivery. The participants were 23 mothers of hospitalized children with an acute disease, and seven nurses and three doctors working at a pediatric hospital. Data were collected through self-report questionnaires, in-depth interviews, and observations. The data were analyzed using content analysis and descriptive statistics.

RESULTS

The participants reported needs for explanations about the treatment, skillful nursing, and environmental improvements. The concept of the services was familiarity and enjoyment, aimed at solving the problems of unfamiliarity and boredom. A six-guideline was presented for improving the quality of care of hospitalized children with acute diseases: improvement of awareness, development of educational materials, improvement of skills, environmental improvements, play activities, and evaluations of user satisfaction.

CONCLUSION

These findings indicate that nursing services should deliver familiarity and enjoyment to hospitalized children and their families. The findings of this study emphasize that the service design methodology can be used to improve the quality of care of hospitalized children with acute diseases.

摘要

目的

本研究旨在设计服务,以提高急性病住院儿童的护理质量。

方法

服务设计过程包括四个阶段:发现、定义、开发和交付。参与者包括23名急性病住院儿童的母亲,以及一家儿童医院的7名护士和3名医生。通过自填问卷、深度访谈和观察收集数据。使用内容分析和描述性统计对数据进行分析。

结果

参与者报告了对治疗解释、熟练护理和环境改善的需求。服务的理念是熟悉和愉悦,旨在解决陌生和无聊的问题。提出了六条改善急性病住院儿童护理质量的指导原则:提高认识、开发教育材料、提高技能、改善环境、开展游戏活动以及评估用户满意度。

结论

这些发现表明,护理服务应给住院儿童及其家庭带来熟悉感和愉悦感。本研究结果强调,服务设计方法可用于提高急性病住院儿童的护理质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df80/8650980/be3f8c7215a3/chnr-25-4-528f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df80/8650980/a2ed0d5eeae1/chnr-25-4-528f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df80/8650980/be3f8c7215a3/chnr-25-4-528f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df80/8650980/a2ed0d5eeae1/chnr-25-4-528f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df80/8650980/be3f8c7215a3/chnr-25-4-528f2.jpg

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本文引用的文献

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Service Contacts Among the Children Participating in the British Child and Adolescent Mental Health Surveys.参与英国儿童与青少年心理健康调查的儿童中的服务接触情况。
Child Adolesc Ment Health. 2005 Feb;10(1):2-9. doi: 10.1111/j.1475-3588.2005.00108.x.
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Beyond "implementation": digital health innovation and service design.超越“实施”:数字健康创新与服务设计
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Int J Gynaecol Obstet. 2017 Dec;139 Suppl 1:67-73. doi: 10.1002/ijgo.12382. Epub 2017 Dec 7.
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Engaging children and parents in service design and delivery.让儿童和家长参与服务设计和提供。
Arch Dis Child. 2014 Dec;99(12):1158-62. doi: 10.1136/archdischild-2013-304869. Epub 2014 Jul 22.
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