Balancing infection control practices and family‐centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong
Identifieur interne : 000825 ( Istex/Corpus ); précédent : 000824; suivant : 000826Balancing infection control practices and family‐centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong
Auteurs : Sophia Sc Chan ; Daisy Yk Leung ; Emmy My Wong ; Agnes Fy Tiwari ; David Cn Wong ; Sl Lo ; Yl LauSource :
- Journal of Paediatrics and Child Health [ 1034-4810 ] ; 2006-01.
English descriptors
- Teeft :
- Appropriate rest, April, Australasian, Chan, Chart review, Child health, Child health division, Clinical features, Clinical presentation, Cohort, Direct contact, Health care workers, Hong kong, Infection control, Infection control measures, Infectious diseases, Median, Median range, Negative pressure rooms, Nosocomial infection, Nurs, Nursing, Nursing care, Nursing dilemma, Nursing management, Nursing practices, Nursing records, Oxygen saturation, Paediatric, Paediatric nursing care, Paediatric patients, Paediatric wards, Paediatrics, Queen mary hospital, Respiratory syndrome, Royal australasian college, Sars, Sars epidemic, Sars paediatric patients, Sars patients, Syndrome, World health organization.
Abstract
Objective: To identify key nursing issues for paediatric patients suspected of severe acute respiratory syndrome (SARS) in relation to the family‐centred model of nursing care and to develop a data‐based model of paediatric nursing care to be better applied in situations of suspected SARS or where outbreaks of other infectious diseases occur. Methods: This is a retrospective descriptive case series, which analysed the medical and nursing records of all highly‐suspected/suspected SARS patients admitted to a major acute hospital in Hong Kong. Key nursing personnel were also interviewed. Results: The study included a total of 17 highly‐suspected and 49 suspected SARS paediatric patients (age: 1–16). None of the paediatric patients was eventually diagnosed of SARS. Most cases presented fever (highly‐suspected: 76.5%/ suspected: 100%), cough (64.7%/71.4%), nausea and vomiting (35.3%/28.6%). Nursing care was provided to the patients as necessary. Both the children and parents experienced fear of SARS, as well as separation anxiety arisen from hospitalization in a strict isolation setting. Conclusions: Infection control overshadowed the family‐centred nursing practices in the management of SARS paediatric patients. A major nursing care issue for SARS paediatric patients was to achieve a careful balance between attending to patients' physical and psychological needs and adhering to the infection control guidelines, while at the same time offering psychological support to family members. The current philosophy and practice of family‐centred nursing model neglect the special needs of children with infectious diseases and predominantly apply to children with non‐infectious diseases that family visits are allowed and nursing care by parents are encouraged.
Url:
DOI: 10.1111/j.1440-1754.2006.00776.x
Links to Exploration step
ISTEX:3122CFC2644C6692A92A4A6CDA3DB5B6F149C8D3Le document en format XML
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Nursing Studies, The University of Hong Kong</mods:affiliation></affiliation></author><author><name sortKey="Tiwari, Agnes Fy" sort="Tiwari, Agnes Fy" uniqKey="Tiwari A" first="Agnes Fy" last="Tiwari">Agnes Fy Tiwari</name><affiliation><mods:affiliation>Department of Nursing Studies, The University of Hong Kong</mods:affiliation></affiliation></author><author><name sortKey="Wong, David Cn" sort="Wong, David Cn" uniqKey="Wong D" first="David Cn" last="Wong">David Cn Wong</name><affiliation><mods:affiliation>Department of Nursing Studies, The University of Hong Kong</mods:affiliation></affiliation></author><author><name sortKey="Lo, Sl" sort="Lo, Sl" uniqKey="Lo S" first="Sl" last="Lo">Sl Lo</name><affiliation><mods:affiliation>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</mods:affiliation></affiliation></author><author><name sortKey="Lau, Yl" sort="Lau, Yl" uniqKey="Lau Y" first="Yl" last="Lau">Yl 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last="Chan">Sophia Sc Chan</name><affiliation><mods:affiliation>Department of Nursing Studies, The University of Hong Kong</mods:affiliation></affiliation></author><author><name sortKey="Leung, Daisy Yk" sort="Leung, Daisy Yk" uniqKey="Leung D" first="Daisy Yk" last="Leung">Daisy Yk Leung</name><affiliation><mods:affiliation>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</mods:affiliation></affiliation></author><author><name sortKey="Wong, Emmy My" sort="Wong, Emmy My" uniqKey="Wong E" first="Emmy My" last="Wong">Emmy My Wong</name><affiliation><mods:affiliation>Department of Nursing Studies, The University of Hong Kong</mods:affiliation></affiliation></author><author><name sortKey="Tiwari, Agnes Fy" sort="Tiwari, Agnes Fy" uniqKey="Tiwari A" first="Agnes Fy" last="Tiwari">Agnes Fy Tiwari</name><affiliation><mods:affiliation>Department of Nursing Studies, The University of Hong Kong</mods:affiliation></affiliation></author><author><name sortKey="Wong, David Cn" sort="Wong, David Cn" uniqKey="Wong D" first="David Cn" last="Wong">David Cn Wong</name><affiliation><mods:affiliation>Department of Nursing Studies, The University of Hong Kong</mods:affiliation></affiliation></author><author><name sortKey="Lo, Sl" sort="Lo, Sl" uniqKey="Lo S" first="Sl" last="Lo">Sl Lo</name><affiliation><mods:affiliation>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</mods:affiliation></affiliation></author><author><name sortKey="Lau, Yl" sort="Lau, Yl" uniqKey="Lau Y" first="Yl" last="Lau">Yl Lau</name><affiliation><mods:affiliation>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Paediatrics and Child Health</title><title level="j" type="alt">JOURNAL OF PAEDIATRICS CHILD HEALTH</title><idno type="ISSN">1034-4810</idno><idno type="eISSN">1440-1754</idno><imprint><biblScope unit="vol">42</biblScope><biblScope unit="issue">1‐2</biblScope><biblScope unit="page" from="20">20</biblScope><biblScope unit="page" to="27">27</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Asia</publisher><pubPlace> PO Box 378 , Carlton South Victoria 3053 , Australia </pubPlace><date type="published" when="2006-01">2006-01</date></imprint><idno type="ISSN">1034-4810</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1034-4810</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Appropriate rest</term><term>April</term><term>Australasian</term><term>Chan</term><term>Chart review</term><term>Child health</term><term>Child health division</term><term>Clinical features</term><term>Clinical presentation</term><term>Cohort</term><term>Direct contact</term><term>Health care workers</term><term>Hong kong</term><term>Infection control</term><term>Infection control measures</term><term>Infectious diseases</term><term>Median</term><term>Median range</term><term>Negative pressure rooms</term><term>Nosocomial infection</term><term>Nurs</term><term>Nursing</term><term>Nursing care</term><term>Nursing dilemma</term><term>Nursing management</term><term>Nursing practices</term><term>Nursing records</term><term>Oxygen saturation</term><term>Paediatric</term><term>Paediatric nursing care</term><term>Paediatric patients</term><term>Paediatric wards</term><term>Paediatrics</term><term>Queen mary hospital</term><term>Respiratory syndrome</term><term>Royal australasian college</term><term>Sars</term><term>Sars epidemic</term><term>Sars paediatric patients</term><term>Sars patients</term><term>Syndrome</term><term>World health organization</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To identify key nursing issues for paediatric patients suspected of severe acute respiratory syndrome (SARS) in relation to the family‐centred model of nursing care and to develop a data‐based model of paediatric nursing care to be better applied in situations of suspected SARS or where outbreaks of other infectious diseases occur. Methods: This is a retrospective descriptive case series, which analysed the medical and nursing records of all highly‐suspected/suspected SARS patients admitted to a major acute hospital in Hong Kong. Key nursing personnel were also interviewed. Results: The study included a total of 17 highly‐suspected and 49 suspected SARS paediatric patients (age: 1–16). None of the paediatric patients was eventually diagnosed of SARS. Most cases presented fever (highly‐suspected: 76.5%/ suspected: 100%), cough (64.7%/71.4%), nausea and vomiting (35.3%/28.6%). Nursing care was provided to the patients as necessary. Both the children and parents experienced fear of SARS, as well as separation anxiety arisen from hospitalization in a strict isolation setting. Conclusions: Infection control overshadowed the family‐centred nursing practices in the management of SARS paediatric patients. A major nursing care issue for SARS paediatric patients was to achieve a careful balance between attending to patients' physical and psychological needs and adhering to the infection control guidelines, while at the same time offering psychological support to family members. The current philosophy and practice of family‐centred nursing model neglect the special needs of children with infectious diseases and predominantly apply to children with non‐infectious diseases that family visits are allowed and nursing care by parents are encouraged.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>sars</json:string><json:string>paediatric</json:string><json:string>nursing care</json:string><json:string>respiratory syndrome</json:string><json:string>paediatrics</json:string><json:string>sars patients</json:string><json:string>paediatric patients</json:string><json:string>sars paediatric patients</json:string><json:string>hong kong</json:string><json:string>april</json:string><json:string>nursing records</json:string><json:string>chan</json:string><json:string>royal australasian college</json:string><json:string>infection control</json:string><json:string>child health division</json:string><json:string>child health</json:string><json:string>australasian</json:string><json:string>cohort</json:string><json:string>health care workers</json:string><json:string>nurs</json:string><json:string>nursing dilemma</json:string><json:string>world health organization</json:string><json:string>paediatric wards</json:string><json:string>median</json:string><json:string>syndrome</json:string><json:string>infectious diseases</json:string><json:string>nursing practices</json:string><json:string>paediatric nursing care</json:string><json:string>queen mary hospital</json:string><json:string>clinical presentation</json:string><json:string>chart review</json:string><json:string>infection control measures</json:string><json:string>negative pressure rooms</json:string><json:string>nursing management</json:string><json:string>nosocomial infection</json:string><json:string>clinical features</json:string><json:string>sars epidemic</json:string><json:string>appropriate rest</json:string><json:string>median range</json:string><json:string>oxygen saturation</json:string><json:string>direct contact</json:string><json:string>nursing</json:string></teeft></keywords><author><json:item><name>Sophia SC Chan</name><affiliations><json:string>Department of Nursing Studies, The University of Hong Kong</json:string></affiliations></json:item><json:item><name>Daisy YK Leung</name><affiliations><json:string>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</json:string></affiliations></json:item><json:item><name>Emmy MY Wong</name><affiliations><json:string>Department of Nursing Studies, The University of Hong Kong</json:string></affiliations></json:item><json:item><name>Agnes FY Tiwari</name><affiliations><json:string>Department of Nursing Studies, The University of Hong Kong</json:string></affiliations></json:item><json:item><name>David CN Wong</name><affiliations><json:string>Department of Nursing Studies, The University of Hong Kong</json:string></affiliations></json:item><json:item><name>SL Lo</name><affiliations><json:string>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</json:string></affiliations></json:item><json:item><name>YL Lau</name><affiliations><json:string>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>family‐centred paediatric nursing</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>nursing care</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>SARS</value></json:item></subject><articleId><json:string>JPC776</json:string></articleId><arkIstex>ark:/67375/WNG-3RJ1FPVH-S</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Objective: To identify key nursing issues for paediatric patients suspected of severe acute respiratory syndrome (SARS) in relation to the family‐centred model of nursing care and to develop a data‐based model of paediatric nursing care to be better applied in situations of suspected SARS or where outbreaks of other infectious diseases occur. Methods: This is a retrospective descriptive case series, which analysed the medical and nursing records of all highly‐suspected/suspected SARS patients admitted to a major acute hospital in Hong Kong. Key nursing personnel were also interviewed. Results: The study included a total of 17 highly‐suspected and 49 suspected SARS paediatric patients (age: 1–16). None of the paediatric patients was eventually diagnosed of SARS. Most cases presented fever (highly‐suspected: 76.5%/ suspected: 100%), cough (64.7%/71.4%), nausea and vomiting (35.3%/28.6%). Nursing care was provided to the patients as necessary. Both the children and parents experienced fear of SARS, as well as separation anxiety arisen from hospitalization in a strict isolation setting. Conclusions: Infection control overshadowed the family‐centred nursing practices in the management of SARS paediatric patients. A major nursing care issue for SARS paediatric patients was to achieve a careful balance between attending to patients' physical and psychological needs and adhering to the infection control guidelines, while at the same time offering psychological support to family members. The current philosophy and practice of family‐centred nursing model neglect the special needs of children with infectious diseases and predominantly apply to children with non‐infectious diseases that family visits are allowed and nursing care by parents are encouraged.</abstract><qualityIndicators><score>9.535</score><pdfWordCount>4547</pdfWordCount><pdfCharCount>29282</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>8</pdfPageCount><pdfPageSize>595 x 780 pts</pdfPageSize><pdfWordsPerPage>568</pdfWordsPerPage><pdfText>true</pdfText><refBibsNative>true</refBibsNative><abstractWordCount>249</abstractWordCount><abstractCharCount>1774</abstractCharCount><keywordCount>3</keywordCount></qualityIndicators><title>Balancing infection control practices and family‐centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong</title><pmid><json:string>16487385</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Journal of Paediatrics and Child Health</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1440-1754</json:string></doi><issn><json:string>1034-4810</json:string></issn><eissn><json:string>1440-1754</json:string></eissn><publisherId><json:string>JPC</json:string></publisherId><volume>42</volume><issue>1‐2</issue><pages><first>20</first><last>27</last><total>8</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>from 20 March to 15 May</json:string><json:string>from 15 February to 31 May</json:string><json:string>2006</json:string><json:string>2003</json:string></date><geogName></geogName><orgName><json:string>WHO</json:string><json:string>Hong Kong SAR Government</json:string><json:string>International Labour Organization</json:string><json:string>Department of Nursing Studies, The University of Hong Kong</json:string><json:string>Department of Paediatrics and Adolescent Medicine</json:string><json:string>Queen Mary Hospital, Pokfulam, Hong Kong SAR, China Objective</json:string><json:string>Centers for Disease Control and Prevention</json:string><json:string>World Health Organization</json:string><json:string>Hospital Authority</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Characteristics</json:string><json:string>Alan Wong</json:string><json:string>Fig</json:string><json:string>Miss Helena</json:string><json:string>Hong Kong</json:string><json:string>Harbaugh</json:string><json:string>Mary Hospital</json:string><json:string>To</json:string><json:string>Collaborative</json:string><json:string>Sophia</json:string></persName><placeName><json:string>Hong Kong</json:string><json:string>China</json:string><json:string>Toronto</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Chan et al.</json:string><json:string>September and November 2003</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-3RJ1FPVH-S</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - pediatrics</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - pediatrics</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Pediatrics, Perinatology, and Child Health</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences 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SC</forename><surname>Chan</surname></persName><affiliation><orgName type="division">Department of Nursing Studies</orgName><orgName type="institution">The University of Hong Kong</orgName></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Daisy YK</forename><surname>Leung</surname></persName><affiliation><orgName type="division">Department of Paediatrics and Adolescent Medicine</orgName><orgName type="institution">Queen Mary Hospital</orgName><address><addrLine>Pokfulam</addrLine><addrLine>Hong Kong SAR, China</addrLine></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Emmy MY</forename><surname>Wong</surname></persName><affiliation><orgName type="division">Department of Nursing Studies</orgName><orgName type="institution">The University of Hong Kong</orgName></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Agnes FY</forename><surname>Tiwari</surname></persName><affiliation><orgName type="division">Department of Nursing Studies</orgName><orgName type="institution">The University of Hong Kong</orgName></affiliation></author><author xml:id="author-0004"><persName><forename type="first">David CN</forename><surname>Wong</surname></persName><affiliation><orgName type="division">Department of Nursing Studies</orgName><orgName type="institution">The University of Hong Kong</orgName></affiliation></author><author xml:id="author-0005"><persName><forename type="first">SL</forename><surname>Lo</surname></persName><affiliation><orgName type="division">Department of Paediatrics and Adolescent Medicine</orgName><orgName type="institution">Queen Mary Hospital</orgName><address><addrLine>Pokfulam</addrLine><addrLine>Hong Kong SAR, China</addrLine></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">YL</forename><surname>Lau</surname></persName><affiliation><orgName 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unit="vol">42</biblScope><biblScope unit="issue">1‐2</biblScope><biblScope unit="page" from="20">20</biblScope><biblScope unit="page" to="27">27</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Asia</publisher><pubPlace> PO Box 378 , Carlton South Victoria 3053 , Australia </pubPlace><date type="published" when="2006-01"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><encodingDesc><schemaRef type="ODD" url="https://xml-schema.delivery.istex.fr/tei-istex.odd"></schemaRef><appInfo><application ident="pub2tei" version="1.0.10" when="2019-12-20"><label>pub2TEI-ISTEX</label><desc>A set of style sheets for converting XML documents encoded in various scientific publisher formats into a common TEI format.
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<hi rend="bold">Objective: </hi>To identify key nursing issues for paediatric patients suspected of severe acute respiratory syndrome (SARS) in relation to the family‐centred model of nursing care and to develop a data‐based model of paediatric nursing care to be better applied in situations of suspected SARS or where outbreaks of other infectious diseases occur.</p><p>
<hi rend="bold">Methods: </hi>This is a retrospective descriptive case series, which analysed the medical and nursing records of all highly‐suspected/suspected SARS patients admitted to a major acute hospital in Hong Kong. Key nursing personnel were also interviewed.</p><p>
<hi rend="bold">Results: </hi>The study included a total of 17 highly‐suspected and 49 suspected SARS paediatric patients (age: 1–16). None of the paediatric patients was eventually diagnosed of SARS. Most cases presented fever (highly‐suspected: 76.5%/ suspected: 100%), cough (64.7%/71.4%), nausea and vomiting (35.3%/28.6%). Nursing care was provided to the patients as necessary. Both the children and parents experienced fear of SARS, as well as separation anxiety arisen from hospitalization in a strict isolation setting.</p><p>
<hi rend="bold">Conclusions: </hi>Infection control overshadowed the family‐centred nursing practices in the management of SARS paediatric patients. A major nursing care issue for SARS paediatric patients was to achieve a careful balance between attending to patients' physical and psychological needs and adhering to the infection control guidelines, while at the same time offering psychological support to family members. The current philosophy and practice of family‐centred nursing model neglect the special needs of children with infectious diseases and predominantly apply to children with non‐infectious diseases that family visits are allowed and nursing care by parents are encouraged.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">family‐centred paediatric nursing</term><term xml:id="k2">nursing care</term><term xml:id="k3">SARS</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-3RJ1FPVH-S/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Asia</publisherName><publisherLoc> PO Box 378 , Carlton South Victoria 3053 , Australia </publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1440-1754</doi><issn type="print">1034-4810</issn><issn type="electronic">1440-1754</issn><idGroup><id type="product" value="JPC"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF PAEDIATRICS CHILD HEALTH">Journal of Paediatrics and Child Health</title></titleGroup></publicationMeta><publicationMeta level="part" position="01001"><doi origin="wiley">10.1111/jpc.2006.42.issue-1-2</doi><numberingGroup><numbering type="journalVolume" number="42">42</numbering><numbering type="journalIssue">1‐2</numbering></numberingGroup><coverDate startDate="2006-01">January 2006</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="8" status="forIssue"><doi origin="wiley">10.1111/j.1440-1754.2006.00776.x</doi><idGroup><id type="unit" value="JPC776"></id><id type="supplier" value="jpc776"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><eventGroup><event type="firstOnline" date="2006-02-16"></event><event type="publishedOnlineFinalForm" date="2006-02-16"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.5 mode:FullText source:FullText result:FullText" date="2010-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-31"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="20">20</numbering><numbering type="pageLast" number="27">27</numbering></numberingGroup><correspondenceTo><b>Correspondence:</b> Dr Sophia SC Chan, Department of Nursing Studies, The University of Hong Kong, 4/F, William MW Mong Block, Faculty of Medicine Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China. Fax: +852 2168 4051; email: <email>nssophia@hkucc.hku.hk</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JPC.JPC776.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 8 July 2005.</unparsedEditorialHistory><countGroup><count type="figureTotal" number="5"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="26"></count><count type="linksCrossRef" number="41"></count></countGroup><titleGroup><title type="main">Balancing infection control practices and family‐centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong</title><title type="shortAuthors">SSC Chan <i>et al.</i></title><title type="short">Nursing dilemma in suspected SARS patients</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Sophia SC</givenNames><familyName>Chan</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Daisy YK</givenNames><familyName>Leung</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Emmy MY</givenNames><familyName>Wong</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>Agnes FY</givenNames><familyName>Tiwari</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>David CN</givenNames><familyName>Wong</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a2"><personName><givenNames>SL</givenNames><familyName>Lo</familyName></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a2"><personName><givenNames>YL</givenNames><familyName>Lau</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="HK"><unparsedAffiliation>Department of Nursing Studies, The University of Hong Kong</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">family‐centred paediatric nursing</keyword><keyword xml:id="k2">nursing care</keyword><keyword xml:id="k3">SARS</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p> <b>Objective: </b>To identify key nursing issues for paediatric patients suspected of severe acute respiratory syndrome (SARS) in relation to the family‐centred model of nursing care and to develop a data‐based model of paediatric nursing care to be better applied in situations of suspected SARS or where outbreaks of other infectious diseases occur.</p><p> <b>Methods: </b>This is a retrospective descriptive case series, which analysed the medical and nursing records of all highly‐suspected/suspected SARS patients admitted to a major acute hospital in Hong Kong. Key nursing personnel were also interviewed.</p><p> <b>Results: </b>The study included a total of 17 highly‐suspected and 49 suspected SARS paediatric patients (age: 1–16). None of the paediatric patients was eventually diagnosed of SARS. Most cases presented fever (highly‐suspected: 76.5%/ suspected: 100%), cough (64.7%/71.4%), nausea and vomiting (35.3%/28.6%). Nursing care was provided to the patients as necessary. Both the children and parents experienced fear of SARS, as well as separation anxiety arisen from hospitalization in a strict isolation setting.</p><p> <b>Conclusions: </b>Infection control overshadowed the family‐centred nursing practices in the management of SARS paediatric patients. A major nursing care issue for SARS paediatric patients was to achieve a careful balance between attending to patients' physical and psychological needs and adhering to the infection control guidelines, while at the same time offering psychological support to family members. The current philosophy and practice of family‐centred nursing model neglect the special needs of children with infectious diseases and predominantly apply to children with non‐infectious diseases that family visits are allowed and nursing care by parents are encouraged.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Balancing infection control practices and family‐centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Nursing dilemma in suspected SARS patients</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Balancing infection control practices and family‐centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong</title></titleInfo><name type="personal"><namePart type="given">Sophia SC</namePart><namePart type="family">Chan</namePart><affiliation>Department of Nursing Studies, The University of Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Daisy YK</namePart><namePart type="family">Leung</namePart><affiliation>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Emmy MY</namePart><namePart type="family">Wong</namePart><affiliation>Department of Nursing Studies, The University of Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Agnes FY</namePart><namePart type="family">Tiwari</namePart><affiliation>Department of Nursing Studies, The University of Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David CN</namePart><namePart type="family">Wong</namePart><affiliation>Department of Nursing Studies, The University of Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">SL</namePart><namePart type="family">Lo</namePart><affiliation>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">YL</namePart><namePart type="family">Lau</namePart><affiliation>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Asia</publisher><place><placeTerm type="text">PO Box 378 , Carlton South Victoria 3053 , Australia</placeTerm></place><dateIssued encoding="w3cdtf">2006-01</dateIssued><edition>Accepted for publication 8 July 2005.</edition><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">5</extent><extent unit="tables">2</extent><extent unit="formulas">0</extent><extent unit="references">26</extent><extent unit="linksCrossRef">41</extent></physicalDescription><abstract lang="en">Objective: To identify key nursing issues for paediatric patients suspected of severe acute respiratory syndrome (SARS) in relation to the family‐centred model of nursing care and to develop a data‐based model of paediatric nursing care to be better applied in situations of suspected SARS or where outbreaks of other infectious diseases occur. Methods: This is a retrospective descriptive case series, which analysed the medical and nursing records of all highly‐suspected/suspected SARS patients admitted to a major acute hospital in Hong Kong. Key nursing personnel were also interviewed. Results: The study included a total of 17 highly‐suspected and 49 suspected SARS paediatric patients (age: 1–16). None of the paediatric patients was eventually diagnosed of SARS. Most cases presented fever (highly‐suspected: 76.5%/ suspected: 100%), cough (64.7%/71.4%), nausea and vomiting (35.3%/28.6%). Nursing care was provided to the patients as necessary. Both the children and parents experienced fear of SARS, as well as separation anxiety arisen from hospitalization in a strict isolation setting. Conclusions: Infection control overshadowed the family‐centred nursing practices in the management of SARS paediatric patients. A major nursing care issue for SARS paediatric patients was to achieve a careful balance between attending to patients' physical and psychological needs and adhering to the infection control guidelines, while at the same time offering psychological support to family members. 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