Difficulties Experienced by Pediatric Ward Nurses and the Underlying Factors in Caring for Children with Characteristics of Developmental Disorders

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  • 小児病棟において発達障害の特性をもつ児に入院生活中の看護援助をする看護師の困難の状況と影響要因

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Abstract

This study attempted to reveal the diffi culties perceived by pediatric ward nurses caring for hospitalized children with developmental disorder characteristics（ DDC） and the factors underlying those diffi culties. We conducted semistructured interviews, each for about an hour, with seven nurses who had cared for about 10 to 60 DDC children and had fi ve or more years of nursing experience. A qualitative analysis of the interview data revealed that the nurses perceived diffi culties with 1） understanding the feelings and behavioral characteristics of the children, 2） cooperating with the parents, and 3） fi nding support methods appropriate for DDC children. The factors perceived by the nurses as responsible for these difficulties were 1） insufficient utilization of their knowledge due to lack of experience, 2） inappropriate ward system, and 3） decreased motivation of nurses. This situation should be improved by providing educational support for nurses to sufficiently assess the DDC children and their parents as well as developing a ward system that enables the nurses to cooperate with other professionals to provide eff ective support for the DDC children.

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