Sexton Jessica R, Kelly-Weeder Susan
From the Boston College, Chestnut Hill, Massachusetts.
J Patient Saf. 2024 Sep 1;20(6):381-387. doi: 10.1097/PTS.0000000000001239. Epub 2024 May 16.
Preventable adverse events (PAEs) occur across the healthcare spectrum; and, unfortunately, errors, adverse events, and PAEs are common in pediatric care. Historically, the role of disclosure of PAEs to patients and their families occurred between the dyad of physician and patient, with physicians assuming the responsibility of disclosure. In recent years, a trend toward a multidisciplinary team-based approach has emerged in some institutions, yet the role of pediatric nurses within the team disclosing a PAE is not fully understood. Given the unique relationship between pediatric nurses and their patients and their families, it is essential to understand does the literature tell us about the role of pediatric nurses during PAE disclosure?
The Arksey and O'Malley scoping review method guided this study protocol and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews framework guided reporting.
The final sample included five articles for synthesis: none reported or described a specific role for pediatric nurses during PAE disclosure.
There is a gap in the literature on the role of pediatric nurses during PAE disclosure. Two themes emerged from this review: the use of a team-based approach to disclosure, and the need to provide emotional support to the pediatric patient and their family. There is a need for additional investigation into the role of pediatric nurses as part of a team-based disclosure process and how pediatric nurses currently provide, or desire to provide, emotional support to the patient and their family.
可预防的不良事件（PAEs）在整个医疗保健领域都会发生；不幸的是，错误、不良事件和PAEs在儿科护理中很常见。从历史上看，向患者及其家属披露PAEs的工作由医生和患者双方进行，医生承担披露责任。近年来，一些机构出现了采用多学科团队方法的趋势，但儿科护士在团队中披露PAE的作用尚未得到充分理解。鉴于儿科护士与其患者及其家属之间的独特关系，了解文献对儿科护士在PAE披露过程中的作用有何说法至关重要。
本研究方案采用了阿克西和奥马利的范围综述方法，报告遵循《系统评价与Meta分析优先报告条目：范围综述扩展版》框架。
最终纳入五篇文章进行综合分析：没有一篇文章报告或描述儿科护士在PAE披露过程中的具体作用。
关于儿科护士在PAE披露过程中的作用，文献存在空白。本次综述出现了两个主题：采用基于团队的披露方法，以及需要为儿科患者及其家属提供情感支持。有必要进一步调查儿科护士作为基于团队的披露过程一部分的作用，以及儿科护士目前如何或希望如何为患者及其家属提供情感支持。
