Balancing infection control practices and family‐centred care in a cohort of paediatric suspected severe acute respiratory syndrome patients in Hong Kong
Identifieur interne : 000192 ( Psycho/Analysis ); précédent : 000191; suivant : 000193Balancing 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 [République populaire de Chine] ; Emmy My Wong ; Agnes Fy Tiwari ; David Cn Wong ; Sl Lo [République populaire de Chine] ; Yl Lau [République populaire de Chine]Source :
- 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
Affiliations:
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SAR</wicri:noRegion></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><wicri:noCountry code="subField">Kong</wicri:noCountry></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><wicri:noCountry code="subField">Kong</wicri:noCountry></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><wicri:noCountry code="subField">Kong</wicri:noCountry></affiliation></author><author><name sortKey="Lo, Sl" sort="Lo, Sl" uniqKey="Lo S" first="Sl" last="Lo">Sl Lo</name><affiliation wicri:level="1"><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR</wicri:regionArea><wicri:noRegion>Hong Kong SAR</wicri:noRegion></affiliation></author><author><name sortKey="Lau, Yl" sort="Lau, Yl" uniqKey="Lau Y" first="Yl" last="Lau">Yl Lau</name><affiliation wicri:level="1"><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR</wicri:regionArea><wicri:noRegion>Hong Kong SAR</wicri:noRegion></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><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><noCountry><name sortKey="Chan, Sophia Sc" sort="Chan, Sophia Sc" uniqKey="Chan S" first="Sophia Sc" last="Chan">Sophia Sc Chan</name><name sortKey="Tiwari, Agnes Fy" sort="Tiwari, Agnes Fy" uniqKey="Tiwari A" first="Agnes Fy" last="Tiwari">Agnes Fy Tiwari</name><name sortKey="Wong, David Cn" sort="Wong, David Cn" uniqKey="Wong D" first="David Cn" last="Wong">David Cn Wong</name><name sortKey="Wong, Emmy My" sort="Wong, Emmy My" uniqKey="Wong E" first="Emmy My" last="Wong">Emmy My Wong</name></noCountry><country name="République populaire de Chine"><noRegion><name sortKey="Leung, Daisy Yk" sort="Leung, Daisy Yk" uniqKey="Leung D" first="Daisy Yk" last="Leung">Daisy Yk Leung</name></noRegion><name sortKey="Lau, Yl" sort="Lau, Yl" uniqKey="Lau Y" first="Yl" last="Lau">Yl Lau</name><name sortKey="Lo, Sl" sort="Lo, Sl" uniqKey="Lo S" first="Sl" last="Lo">Sl Lo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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