护理人员让儿童参与护理活动：一项横断面研究。
Nursing staff involvement of children in care activities: A cross-sectional study.
作者信息
Bawah Richard Kwaku, Osman Wahab, Pireh Diana, Bapuah Millicent Aarah, Yakong Vida Nyagre, Kala Millicent
机构信息
Department of Pediatrics, Division of Nursing & Midwifery, Evangelical Church of Ghana Hospital, Christian Health Association of Ghana, Kpandai, Ghana.
Faculty of Pediatric Nursing, Division of Nursing, Ghana College of Nurses and Midwives, 114, Boulevard Street, West Legon, Accra, Ghana.
出版信息
Int J Nurs Stud Adv. 2023 Oct 17;5:100160. doi: 10.1016/j.ijnsa.2023.100160. eCollection 2023 Dec.
BACKGROUND
Nurses' involvement of children in their care is essential to quality pediatric care. Various international guidelines stress the need for children's involvement in decisions and activities affecting their care and lives; widely known among them is the United Nations Convention on the Rights of the Child. This convention gives children the right to participate in decisions and activities that affect their growth and development.
OBJECTIVE
This study assessed the level of nursing staff involvement of children in care activities and the benefits they perceived from this involvement.
DESIGN
Descriptive cross-sectional study.
SETTING
Units of Evangelical Church of Ghana Hospital, Kpandai rendering services for children.
PARTICIPANTS
A total of 116 nursing staff members were invited to participate; 97 (84%) responded. The term "nurses" in this study includes unlicensed nursing assistants, as well as licensed professional nursing staff.
METHODS
Descriptive statistics were used to analyze participants' demographic characteristics and the nurses' perceived benefits derived from children's involvement in care activities. A Chi-square test was used to analyze associations between nurses' demographic data and the level of nurses' involvement of children in care activities at a significance level of < 0.05.
RESULTS
A majority (56.7%) of the nurses poorly involved children in their care activities. They either involved children to some extent or did not involve children at all. Nurses' age and gender predicted involvement. Older nurses aged 30 and above (56.4%) were more likely to involve children in care activities than those under 30 (26.1%) [=0.003]. Female nurses (31.7%) were marginally less likely to involve children in their care activities than their male colleagues (51.8%) [=0.049]. Most of the nurses agreed to several impactful benefits of involving children in care activities, thus benefiting children, caregivers, and health professionals.
CONCLUSION
The overall level of nurses' involvement of children in care activities was poor. Policy documents to safeguard children's rights in healthcare involvement must be developed and implemented from the national down to the hospital level to safeguard children's rights to healthcare involvement.
背景
护士让儿童参与自身护理对于优质儿科护理至关重要。各种国际准则强调儿童参与影响其护理和生活的决策及活动的必要性；其中广为人知的是《联合国儿童权利公约》。该公约赋予儿童参与影响其成长和发展的决策及活动的权利。
目的
本研究评估了护理人员让儿童参与护理活动的程度以及他们从这种参与中所感知到的益处。
设计
描述性横断面研究。
地点
加纳福音教会医院Kpandai为儿童提供服务的科室。
参与者
共邀请了116名护理人员参与；97人（84%）做出回应。本研究中的“护士”一词包括无执照护理助理以及有执照的专业护理人员。
方法
采用描述性统计分析参与者的人口统计学特征以及护士从儿童参与护理活动中所感知到的益处。使用卡方检验分析护士的人口统计学数据与护士让儿童参与护理活动的程度之间的关联，显著性水平为<0.05。
结果
大多数（56.7%）护士在护理活动中很少让儿童参与。他们要么只是在一定程度上让儿童参与，要么根本不让儿童参与。护士的年龄和性别可预测参与情况。30岁及以上的年长护士（56.4%）比30岁以下的护士（26.1%）更有可能让儿童参与护理活动[=0.003]。女护士（31.7%）让儿童参与护理活动的可能性略低于男同事（51.8%）[=0.049]。大多数护士认同让儿童参与护理活动有若干显著益处，从而使儿童、护理人员和卫生专业人员都受益。
结论
护士让儿童参与护理活动的总体水平较差。必须制定并实施从国家到医院层面保障儿童医疗保健参与权的政策文件，以保障儿童的医疗保健参与权。
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