| Abstract: | Aim: Based on previous surveys, we developed a care model for informing and reassuring children undergoing medical examinations and/or procedures that respects the dignity of pediatric patients and their parents and aims to realize the potential of children. Method: We enlisted the cooperation of nurses working in eight pediatric wards in five hospitals in the Kanto and Kansai areas in applying the care model on a trial basis and evaluating its effect in monthly meetings. Results: Analysis of the 82 case reports received produced four categories. Here, we will concentrate on the second category, “bringing out the potential of children: methods of relating and nursing techniques attempted and used”, and eight subcategories. Five subcategories are related to the care model. Children tolerated procedures best when: they were provided with an explanation; were allowed to make choices related to the procedure; continuous explanations were given during procedures; the timing of the procedure suited the child; and distraction techniques were used. Three subcategories are not related to the care model and were newly identified as it was applied: negotiation with the child; cooperation of the mother and family; and the influence of first impressions. Conclusions: We found that nurses were best able to bring out the potential of children while protecting patient dignity by combining and continuing these various techniques. |
