Borge Lisa Marigård, Svendsen Edel Jannecke
Oslo Metropolitan University, Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo, Norway; Children's Surgical Department, Division of surgery and specialized medicine, Oslo University Hospital, Norway.
Oslo Metropolitan University, Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo, Norway; Department of Research, Sunnaas Rehabilitation Hospital, Oslo, Norway.
J Pediatr Nurs. 2025 Jul-Aug;83:96-105. doi: 10.1016/j.pedn.2025.04.029. Epub 2025 Apr 30.
The purpose of this study was to explore and describe current practices on nurse's use of rewards for children in hospitals. Despite being a widespread practice there is little knowledge about the use of rewards in pediatric departments. Knowledge about reward practice can be used to reflect on and promote good practice in the best interests of the child and inform potential guidelines.
A qualitative exploratory method was chosen. Fourteen nurses from four different pediatric departments took part in four semi-structured focus group interviews March-May 2023. The data was analyzed by using thematic method.
Nurses use various kinds of rewards that are both tangible and non-tangible. Nurses' motives for using rewards were for children to have a pleasant experience at the hospital and as motivation or diversion to make children cooperate in procedures. Rewards were also used to make the nurses feel better about themselves. The nurses reward practice was experience based, used for most procedures except some lifelong treatments. They adjusted their reward practice to the child's experience and type of admission. Experienced challenges were related to how prizes lose function when overused, when the child was too afraid, if the child did not complete the procedure or if the child was given too many choices.
The reward practice is important, extensive, and complex and must be individually assessed for each child in each situation- to manage the challenges. It is important that nurses have a conscious relationship to how they use rewards.
本研究旨在探索和描述目前医院护士对儿童使用奖励措施的情况。尽管这是一种普遍做法，但儿科部门对奖励措施的使用了解甚少。关于奖励措施使用的知识可用于反思和推广符合儿童最佳利益的良好做法，并为潜在的指导方针提供参考。
采用定性探索性方法。2023年3月至5月，来自四个不同儿科部门的14名护士参加了四次半结构化焦点小组访谈。采用主题分析法对数据进行分析。
护士使用各种有形和无形的奖励。护士使用奖励的动机是让儿童在医院有愉快的体验，并作为激励或转移注意力的方式，使儿童在医疗程序中配合。奖励也被用来让护士自我感觉更好。护士的奖励做法基于经验，除了一些终身治疗外，大多数医疗程序都使用。他们会根据孩子的体验和入院类型调整奖励做法。遇到的挑战包括奖品过度使用时失去作用、孩子过于害怕、孩子未完成医疗程序或给孩子的选择过多。
奖励做法重要、广泛且复杂，必须针对每个孩子在每种情况下进行单独评估，以应对挑战。护士如何使用奖励要有清醒的认识，这很重要。
