Contribution of structured therapeutic play in a nursing care model for hospitalised children(1919 Caleffi CCF, Rocha PK, Anders JC, Souza AIJ, Burciaga VB, Serapião LS. Contribution of structured therapeutic play in a nursing care model for hospitalised children. Rev Gaúcha Enferm [Internet]. 2016[cited 2019 Jul 2];37(2). Available from: https://www.scielo.br/pdf/rgenf/v37n2/en_0102-6933-rgenf-1983-144720160258131.pdf
https://www.scielo.br/pdf/rgenf/v37n2/en...
)
|
2018
Brazil |
Objective: to analyze how TP structured in a Nursing Care Model contributes to the care of hospitalized children;
Population and sample: Hospitalized children; sample: 7 children (5-8 years);
Methodology: convergent care research.
Open interview and participant observation; |
Nursing care model caring playing; |
Three categories were identified: meanings attributed by the child to hospitalization and its influence on nursing care; perception of therapeutic procedures through TT; importance of family insertion in care; |
TT contributes to: the reduction of the negative effects of hospitalization; clarify doubts and curiosities.
The model contributes to comprehensive care directed to the child's needs; |
The practice of nurses caring for families of pediatric inpatients in light of Jean Watson(2424 Santos MR, Bousso RS, Vendramim P, Baliza MF, Misko MD, Silva L. The practice of nurses caring for families of pediatric inpatients in light of Jean Watson. Rev Esc Enferm USP [Internet]. 2014 [cited 2019 Jun 8];48(spe):80-6. Available from: https://pubmed.ncbi.nlm.nih.gov/25517839/
https://pubmed.ncbi.nlm.nih.gov/25517839...
)
|
2014
Brazil |
Objective: to know the facilities and difficulties of nurses in the practice of caring for the families of hospitalized children;
Population and sample: nurses from paediatric services; 12 nurses;
Methodology: qualitative; semi-structured interviews, submitted to inductive thematic analysis; |
Theory of human care, by Jean Watson; |
Three themes were identified: recognizing a reference for care; considering the institutional context; and challenges in the relationship with the family; |
The theory favored reflections on the self, on institutions and on the relationship with the child's family; |
Implementation of a nursing professional practice model of care in a pediatric hospital(2525 Mullen JEA, Asher LM. Implementation of a nursing professional practice model of care in a pediatric hospital. Pediatr Nurs [Internet]. 2007[cited 2019 Jul 2];33(6):499-504. Available from: https://pubmed.ncbi.nlm.nih.gov/18196713/
https://pubmed.ncbi.nlm.nih.gov/18196713...
)
|
2007
United States of America |
Objective: to describe the implementation of the synergy model in a pediatric hospital;
Population and sample: nursing staff at a pediatric hospital;
Methodology: project work; |
Synergy Model; |
The team was divided into two groups that implemented the model across the hospital; |
The use of a professional nursing practice model is important because it facilitates describing, unravelling, guiding and evaluating nursing practice; |
Validation of nursing diagnoses, interventions and outcomes in a pediatric clinic(2626 Dantas AMN, Silva KL, Nóbrega MML. Validation of nursing diagnoses, interventions and outcomes in a pediatric clinic. Rev Bras Enferm. 2018;71(1):80-8. https://doi.org/10.1590/0034-7167-2016-0647
https://doi.org/10.1590/0034-7167-2016-0...
)
|
2018
Brazil |
Objective: to elaborate the operational definitions of the diagnostics nomenclature of diagnoses, results and nursing interventions of the pediatric clinic of a teaching hospital and to perform the content and clinical validation of the nomenclature;
Population and sample: nursing staff at a pediatric clinic;
Methodology: methodological research with documentary study and clinical case studies; |
Theory of basic human needs, by Wanda Horta; |
There was effectiveness in using the nomenclature in this context; |
There was effectiveness in using the nomenclature in this context; |
Hospitalized school children: proposition of a data collection instrument in light of Horta's theory(2727 Marques DKA, Silva KL, Nóbrega MML. Escolares hospitalizados: proposta de um instrumento para coleta de dados à luz da teoria de Horta. Rev Gaúcha Enferm. 2016;37(spe). https://doi.org/10.1590/1983-1447.2016.esp.2016-0038
https://doi.org/10.1590/1983-1447.2016.e...
)
|
2016
Brazil |
Objective: to build a data collection instrument for hospitalized students in the light of the theory of basic human needs;
Population and sample: nursing staff at a hospital; 8 nurses;
Methodology: methodological research with statistical analysis to validate empirical indicators; |
Theory of basic human needs, by Wanda Horta; |
The indicators were identified based on the analysis of instruments validated for children, considering the International Minimum Nursing Data Set. 288 indicators were oTTained that underwent revalidation and subsequent formatting of the instrument in the final version; |
The instrument has both contributed to the data collection of hospitalized students and guided the phases of the nursing process, considering the specific needs of school-age children; |
Unveiling humanized care: nurses' perceptions in pediatric oncology(2828 Santos MR, Silva L, Misko MD, Poles K, Bousso RS. Desvelando o cuidado humanizado: percepções de enfermeiros em oncologia pediátrica. Texto Contexto Enferm. 2013;22(3):646-53. https://doi.org/10.1590/S0104-07072013000300010
https://doi.org/10.1590/S0104-0707201300...
)
|
2013
Brazil |
Objective: to know the elements of humanized care present in the meeting between nurses, family and children with cancer; identify the perception of these nurses regarding the humanization of assistance and verify in which situations the nurse perceives that humanization is anchored to care;
Population and sample: nursing staff at a hospital; 9 nurses;
Methodology: exploratory-descriptive study; semi structured interview; |
Theory of human care, by Jean Watson; |
The theoretical elements emerged from the descriptions of clinical events or situations presented by nurses; |
The data allowed reflections on possibilities of building the interpersonal humanistic process in the care environment in paediatric oncology and advances and limitations regarding the applicability of this framework in practice; |
Partnership in paediatric nursing care: from discourse to nurses' action(2929 Mendes M, Martins M. Parceria nos cuidados de enfermagem em pediatria: do discurso à ação dos enfermeiros. Rev Enferm Ref. 2012;III-Série(no6):113-21. https://doi.org/10.12707/RIII1144
https://doi.org/10.12707/RIII1144...
)
|
2012
Portugal |
Objective: to know in paediatric nurses how they perceive the process of building the partnership in the practice of caring for parents and to identify in the context the actions taken;
Population and sample: nursing staff from a paediatric service; 12 nurses.
Methodology: qualitative study supported by grounded theory, supported by the theoretical framework of symbolic interactionism; interview and observation; |
FCCs; |
Working in partnership with parents is present in the nurses' "thinking". However, the observations made showed gaps in the contemplation of dimensions that are fundamental to the development of an effective partnership with parents; |
Nurses contemplate the partnership in thinking, but not in acting; |
The evolution of models of nursing care for children hospitalized in the last 30 years: from the disease-centered model to the child and family-centered model(3030 Miranda AR, Oliveira AR, Toia LM, Stucchi HKO. A evolução dos modelos de assistência de enfermagem à criança hospitalizada nos últimos trinta anos: do modelo centrado na doença ao modelo centrado na criança e família. Rev Fac Ciênc Méd Sorocaba[Internet]. 2015[cited 2019 Jul 2];17(5):5-9. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/12890
https://revistas.pucsp.br/index.php/RFCM...
)
|
2015
Brazil |
Objective: to identify the evolution of nursing models for children hospitalized in the last 30 years in Brazil;
Population and sample: not applicable;
Methodology: descriptive, retrospective and comparative research through bibliographic research; |
Child centered pathology model;
Child-centered model;
Child-centered model and family; |
Three nursing models were identified in the care of hospitalized children; the family-centered care model is recognized as the ideal in the national context; |
In order to implement the model, it is necessary to adapt the services, policies and teams; |
The Quality Caring Nursing Model: A Journey to Selection and Implementation(3131 Edmundson E. The Quality caring nursing model: a journey to selection and implementation. J Pediatr Nurs. 2012;27(4):411-5. https:// doi.org/10.1016/j.pedn.2011.09.007
https:// doi.org/10.1016/j.pedn.2011.09....
)
|
2012
United States of America |
Objective: to describe the selection and implementation process of a theoretical model of nursing in a pediatric hospital;
Population and sample: hospital nursing staff;
Methodology: project methodology; |
Quality-care model©; |
After research and reflection, the quality-care model was selected; the implementation of the model implied the use of focus groups, tutorials via the internet and educational tools; |
The existence of a theoretical model that guides nursing practice is essential; the chosen model values relationships within the scope of care as the basis for professional practice; |
Family centered care of hospitalized children: A hybrid concept analysis in Iran(3232 Khajeh M, Dehghan Nayeri N, Bahramnezhad F, Sadat Hoseini AS. Family centered care of hospitalized children: a hybrid concept analysis in Iran. Health Promot Perspect [Internet]. 2017[cited 2019 Jul 2];7(4):210-5. Available from: http://hpp.tbzmed.ac.ir/Abstract/HPP_19199_20170606124421
http://hpp.tbzmed.ac.ir/Abstract/HPP_191...
)
|
2017
Iran |
Objective: to analyze the concept of FCCs in hospitalized children in Iran;
Population and sample: children, parents, nurses and paediatricians in a total of 27 participants;
Methodology: literature review, semi-structured interviews and non-participatory observation; |
FCCs; |
In the literature, four central themes to the FCCs were identified: participation of the family and health professionals; sharing information with the family; relationships between family and professionals based on respect and dignity; individualized family care. The interviews and observations allowed the identification of the following themes: family as a non-participating visit; education in a single sense; unsupported interactions; unspecified care for the family; |
FCCs are comprehensive care, and their implementation is affected by human and organizational factors. Family and professional participation is required, effective interactions with the family, shared education and information and individualized care with each family; |
Families and health-care professionals' perspectives and expectations of family-centred care: hidden expectations and unclear roles(1010 Coyne I. Families and health-care professionals' perspectives and expectations of family-centred care: hidden expectations and unclear roles. Health Expect [Internet]. 2015 [cited 2019 Jul 2];18(5):796-808. Available from: https://onlinelibrary.wiley.com/doi/pdf/10.1111/hex.12104
https://onlinelibrary.wiley.com/doi/pdf/...
)
|
2015
Ireland |
Objective: to investigate the implementation of FCCs from the perspective of family members and nurses;
Population: children, parents and nurses in paediatric services; sample: 18 children (7-16 years), 18 parents and 18 nurses;
Methodology: interviews analyzed using grounded theory; |
FCCs; |
Four themes were identified: expectations; rely on the help of parents; work in different roles; barriers to the implementation of FCCs; |
Families are available to help with child-care, but they need information, support and clear guidance from nurses. These must be trained and have the appropriate resources to respond to the needs of the family: |
Family-centered care for hospitalized children aged 0-12 years: a systematic review of qualitative studies(3333 Watts R, Zhou H, Shields L, Taylor M, Munns A, Ngune I. Family-centered care for hospitalized children aged 0-12 years: a systematic review of qualitative studies. JBI Database Syst Rev Implement Reports [Internet]. 2014 [cited 2019 Jul 2];12(7):204-83. Available from: https://insights.ovid.com/crossref?an=01938924-201412070-00018
https://insights.ovid.com/crossref?an=01...
)
|
2014
Austrália |
Objective: to investigate the effects of FCC models in hospitalized children aged 0-12 years;
Population and sample: not applicable;
Methodology: systematic literature review; |
FCCs; |
There is still little evidence of the use of family-centered care and its relationship with the results of nursing care; |
The use of family-centered care appears to have positive effects on increasing parental satisfaction; |
Comfort Theory and its application to pediatric nursing(3434 Kolcaba K, DiMarco MA. Comfort Theory and its application to pediatric nursing. Pediatr Nurs [Internet]. 2015 [cited 2019 Jul 4];31(3):187-94. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16060582
http://www.ncbi.nlm.nih.gov/pubmed/16060...
)
|
2015
United States of America |
Objective: to present the theory of comfort and its application to the practice of pediatric care;
Population and sample: not applicable;
Methodology: theoretical article; |
Comfort Theory; |
The comfort theory was presented; demonstrated its application in a practical case; described the premises about comfort; exposed how care focused on comfort can be organized; described how comfort can be measured with instruments applicable in pediatrics; guidelines for practice are provided; |
The comfort theory can be easily applied to the context of pediatric nursing care; |
Nursing Care for the Families of Hospitalized Children and Adolescents(3535 Ferreira L, Oliveira J, Gonçalves R, Elias T, Medeiros S, Mororó D. Nursing care for the families of hospitalized children and adolescents. Rev Enferm UFPE. 2019;13(1):23-31. https://doi.org/10.5205/1981-8963-v13i1a237672p23-31-2019
https://doi.org/10.5205/1981-8963-v13i1a...
)
|
2019
Brazil |
Objective: to describe strategies adopted by nurses to care for families of hospitalized children and adolescents;
Population: nurses working in paediatrics; sample: 12 nurses;
Methodology: semi-structured interviews analyzed using a computer program; |
Systems theory, by Neuman; |
The following strategies were identified: bonding, communication, health education; looking for support in the multi-professional team; listening; quiet professional posture; |
The use of systems theory frames the care provided to families of hospitalized children and adolescents; is a facilitator, as it aims to reduce system responses (family) to environmental stressors (hospitalization); |
Nursing care through the perception of hospitalized children(3636 Santos P, Silva L, Depianti J, Cursino E, Ribeiro C. Nursing care through the perception of hospitalized children. Rev Bras Enferm. 2016;69(4):646-53. Available from: https://doi.org/10.1590/0034-7167.2016690405i
https://doi.org/10.1590/0034-7167.201669...
)
|
2016
Brazil |
Objective: to develop a proposal for a nursing process to implement the systematization of nursing care in a pediatric hospital; |
Theory of basic human needs, by Wanda Horta; |
Two categories were identified: nurses' knowledge about the systematization of nursing care; the strengths and weaknesses that nurses face in the construction of the nursing process; |
|
Partnership opportunities in caring for children with special health needs: the parents' perspective(3737 Alves J. Oportunidades de parceria no cuidar de crianças com necessidades especiais de saúde: a perspetiva dos pais [Internet]. Universidade Católica Portuguesa; 2015[cited 2019 Jul 2]. Available from: http://hdl.handle.net/10400.14/18056
http://hdl.handle.net/10400.14/18056...
)
|
2015
Portugal |
Objective: to understand how the care partnership is experienced by parents of children with special health needs;
Population: parents of hospitalized children with special health needs; sample: 10 parents;
Methodology: qualitative, descriptive and exploratory study with narrative method; ethno-biographical orientation interview; |
Care partnership model; |
There were two partnership opportunities: parent training; and decision-making in partnership; |
The partnership in caring for children with special health needs, from the parents' perspective, is understood as a relational and development process, dynamic, unique and continuous established between parents and nurses, centered on training opportunities for child care and taking shared decision: |
Parental exercise during the child's hospitalization(3838 Sousa PCMM. O exercício parental durante a hospitalização do filho [Internet]. Universidade Católica Portuguesa; 2012[cited 2019 Jul 2]. Available from: http://hdl.handle.net/10400.14/13972
http://hdl.handle.net/10400.14/13972...
)
|
2012
Portugal |
Objective: to identify the therapeutic intentions of nurses when they promote the partnership of care with parents during the child's hospitalization;
Population: parents of hospitalized children and nurses working in pediatric services; sample: 103 parents (phase 1 - questionnaires); 5 nurses and 22 mothers (phase 1 - interviews) 444 fathers (phase 1);
Methodology: action-research study with application of observation, interviews and questionnaires; |
Care partnership model; |
The child's hospitalization is an event in personal life related to the parental role. The experiences can be seen in two perspectives: hospitalization generates an interruption in the usual pattern of performance of the maternal role; the self-awareness about the changes and differences that need to be introduced in the exercise of the maternal role usually performed until now, due to the child's health status; |
Seven objectives were identified: promoting parental participation in developmental care (usual care); promoting parenting skills to provide complex care; promoting parental participation in complex care when parental skills were assessed as effective; improvement in the performance of parents to perform complex care when a potential for enhancing the skills of parents to perform complex care was identified; reduction of the stress level associated with the parental role in parents of children with permanent special needs, facilitating, during hospitalization, rest in the role; preparing parents to provide complex care; preparing parents to promote the child's autonomy; |
Communication between children and health professionals in a child hospital setting: a Child Transitional Communication Model(1818 Lambert V, Glacken M, McCarron M. Communication between children and health professionals in a child hospital setting: a child transitional communication model. J Adv Nurs [Internet]. 2011 [cited 2019 Jul 2];67(3):569-82. Available from: http://doi.wiley.com/10.1111/j.1365-2648.2010.05511.x
http://doi.wiley.com/10.1111/j.1365-2648...
)
|
2011
Ireland |
Objective: to identify the nature of communication between children and health professionals in the hospital context;
Population: children hospitalized in inpatient services; sample: 49 children from 6 to 16 years old;
Methodology: ethnographic study with semi-participant observation, unstructured interviews, participatory activities and documented evidence; |
Child transitional communication model; |
Health professionals position children either as passive spectators or as active participants in the communication process; |
Children prefer to swing between passive viewers and active participants in the communication process depending on their needs over time; |
Nurses perceptions of barriers to implementing family-centered care in a pediatric setting: A qualitative study(3939 Boztepe H, Yildiz G. Nurses perceptions of barriers to implementing family-centered care in a pediatric setting: a qualitative study. J Spec Pediatr Nurs [Internet]. 2017 [cited 2019 Jul 2];22(2):e12175. Available from: http://doi.wiley.com/10.1111/jspn.12175
http://doi.wiley.com/10.1111/jspn.12175...
)
|
2017
Turkey |
Objective: to explore nurses' view of their practice with FCCs;
Population: nurses at a pediatric hospital; sample: 18 nurses;
Methodology: qualitative study with application of interviews; |
FCCs; |
Two themes emerged: nurses' opinions and views on parental participation; |
Nurses have a positive view of FCCs and recognize the need for the family to remain present in the child's life; the cultural characteristics of families are an obstacle; the application of the model implies not only their conceptual knowledge, but also an understanding of the rights, roles and responsibilities of parents; |
Evaluating how paediatric nurses perceive the family-centred model of care and its use in daily practice(4040 Matziou V, Manesi V, Vlachioti E, Perdikaris P, Matziou T, Chliara JI, et al. Evaluating how paediatric nurses perceive the family-centred model of care and its use in daily practice. Br J Nurs [Internet]. 2018 [cited 2019 Jul 2];27(14):810-6. Available from: http://www.magonlinelibrary.com/doi/10.12968/bjon.2018.27.14.810
http://www.magonlinelibrary.com/doi/10.1...
)
|
2018
Greece |
Objective: to understand nurses' perceptions about FCCs and how they apply it in daily practice;
Population: nurses at a paediatric hospital; sample: 183 nurses;
Methodology: quantitative study using questionnaires; |
FCCs; |
FCCs were considered important for the sample; their implementation was correlated with: experience, age, marital status and having children; |
The importance of FCCs is well established, however nurses do not understand that it is essential to apply them in all aspects of daily care practice; |
Family-centred care for children in hospital(4141 Shields L, Pratt J, Davis LM, Hunter J. Family-centred care for children in hospital. Cochrane Database Syst Rev. 2007;(1):CD004811. https://doi.org/10.1002/14651858.CD004811.pub2
https://doi.org/10.1002/14651858.CD00481...
)
|
2007
England |
Objective: to investigate the effects of FCC models on hospitalized children when compared to other models of care focused on the child, family and results of the use of health services;
Population and sample: not applicable;
Methodology: systematic literature review; |
FCCs; |
No studies were found that met the inclusion criteria; |
The lack of quantitative studies on the use of this model is highlighted. |
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