Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
권호 표지
DOI QR코드

DOI QR Code

Development of Educational Content for Nurses to Prevent Safety Accidents of Hospitalized Children: Delphi Approach

  • Lee, Yun Sil (Anam Hospital, Korea University.Graduate School, College of Nursing, Korea University) ;
  • Oh, Won-Oak (College of Nursing, Korea University)
  • Received : 2018.12.11
  • Accepted : 2018.12.23
  • Published : 2019.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop content for safety education to prevent hospital safety accidents among hospitalized children and to investigate the status of safety education performed by nurses. Methods: First, the Delphi method was used, with 18 experts, to develop educational contents for preventing safety accidents. Second, an exploratory survey was performed of the actual status of safety education for preventing safety accidents among hospitalized children using a questionnaire developed based on the Delphi method. The participants of this study were 159 nurses with at least 6 months of work experience. Results: The educational content developed through the Delphi method for preventing safety accidents among hospitalized children contained seven domains (falls, injury, electric shocks/burns, suffocation/aspiration, poisoning/abuse, kidnapping, medical devices) with 44 topics. The item mean of nurses'perceptions of the importance of child safety education was 4.18, and the actual performance score was 3.72, which was a statistically significant difference (t=11.58, p<.001). Conclusion: These seven comprehensive domains of accident prevention education for hospitalized children are expected to be useful for interventions to support the safety of hospitalized children.

Keywords

References

  1. Korea Ministry of Health and Welfare. 2017 Child safety accident status [Internet]. Sejong: Korea Ministry of Health and Welfare; 2017 [cited 2018 December 22]. Avaliable from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2711.
  2. Korea Consumer Agency. 2017 Child Safety Accident Trend Analysis [Internet]. Chungcheongbuk-do: Korea Consumer Agency; 2018 [cited 2018 December 22]. Avaliable from: http://www.cpb.or.kr/brd/m_46/view.do?seq=2191&srchFr=&srchTo=&srchWord=&srchTp=&itm_seq_1=0&itm_seq_2=0&multi_itm_seq=0&company_cd=&company_nm=&page=1.
  3. Korea Consumer Agency. Case analysis of child safety accidents. Chungcheongbuk-do: Korea Consumer Agency; 2014 [cited 2016 December 1]. Avaliable from: https://www.kca.go.kr/brd/m_367/down.do?brd_id=G026&seq=432&data_tp=A&file_seq=1.
  4. Korea Consumer Injury Surveillance System. Child safety accident trend analysis. Chungcheongbuk-do: Korea Consumer Agency; 2016 [cited 2016 December 1]. Avaliable from: https://www.ciss.go.kr/www/selectBbsNttView.do?key=187&bbsNo=84&nttNo=15898&searchCtgry=&searchCnd=all&searchKrwd=&pageIndex=1&pageUnit=10&integrDeptCode=.
  5. Korea Consumer Agency Dispute Resolution Team 2. Survey on healthcare disputes related to hospital safety management. Survey Roport. Chungcheongbuk-do: Korea Consumer Agency; 2006. Report No.: GOVP1200722863.
  6. Park EP, Oh WO, Kim MR. Factors affecting nursing students' perception on pediatric patient safety culture and nursing activity. Child Health Nursing Research. 2017;(23)4:534-542. https://doi.org/10.4094/chnr.2017.23.4.534
  7. World Health Organization. Conceptual framework for the international classification for patient safety version 1.1 [Internet]. Geneva: World Health Organization; 2009 [cited 2018 December 22]. Avaliable from: https://www.who.int/patientsafety/taxonomy/icps_full_report.pdf.
  8. Park SY, Ju HO. The effect of pediatric inpatient fall prevention education on caregivers' fall-related knowledge and preventive behaviors. The Journal of Korean Academic Society of Nursing Education. 2017;(23)4:398-408. https://doi.org/10.5977/jkasne.2017.23.4.398
  9. Shin HJ, Kim YN, Kim JH, Son IS, Bang KS. A pediatric fall-risk assessment tool for hospitalized children. Child Health Nursing Research. 2014;20(3):215-224. https://doi.org/10.4094/chnr.2014.20.3.215
  10. Cooper CL, Nolt JD. Development of an evidence-based pediatric fall prevention program. Journal of Nursing Care Quality. 2007;22(2):107-112. https://doi.org/10.1097/01.NCQ.0000263098.83439.8c
  11. Razmus I, Wilson D, Smith R, Newman E. Falls in hospitalized children. Pediatric Nursing. 2006;32(6):568-572.
  12. Neiman J, Rannie M, Thrasher J, Terry K. Kahn MG. Development, implementation, and evaluation of a comprehensive fall risk program. Journal for Specialists in Pediatric Nursing. 2011;16(2):130-139. https://doi.org/10.1111/j.1744-6155.2011.00277.x
  13. Hill-Rodriguez D, Messmer PR, Williams PD, Zeller RA, Williams AR, Wood M, et al. The Humpty Dumpty Falls Scale: A case-control study. Journal for Specialists in Pediatric Nursing. 2009;14(1):22-32. https://doi.org/10.1111/j.1744-6155.2008.00166.x
  14. Gielen AC, McKenzie LB, McDonald EM, Shields WC, Wang MC, Cheng YJ, et al. Using a computer kiosk to promote child safety: Results of a randomized, controlled trial in an urban pediatric emergency department. Pediatrics. 2007;120(2):330-339. https://doi.org/10.1542/peds.2006-2703
  15. Carayon P, Schoofs Hundt A, Karsh BT, Gurses AP, Alvarado CJ, Smith M, et al. Work system design for patient safety: The SEIPS model. Quality and Safety in Health Care. 2006;15(1):50-58. https://doi.org/10.1136/qshc.2005.015842
  16. Sung YH, Gwun IK, Kim KH. Factors influencing falls in inpatients. Journal of Korean Academy of Fundamentals of Nursing. 2006;13(2):200-207.
  17. Krippendorff KH. Content analysis: An Introduction to its methodology. 4th ed. Pennsylvania: SAGE publications; 2018. p. 1-472.
  18. Nam YJ. The types of age-specific safety accident in childcare center and content analysis [master's thesis]. Seoul: Jungang University; 2013. p. 1-183.
  19. Ahn KA, Kim ES, Lim KS. Age-related injury profile in childhood. Journal of Trauma and Injury. 2009;22(1):87-96.
  20. Jung HC. The effect of in-patient guide movie and booklet programs on understanding of hospital life and satisfaction with the programs. Journal of Korean Academy of Nursing Administration. 2008;14(1):45-50.
  21. Kim B. Development and application of mobile-based math learning application. Journal of Korea Society Educational Studies in Mathemathics School Mathemathics. 2017;19(3):593-615.
  22. Shin HS, Yoo IY, Park HY. Safety perception and behaviors of mothers with school age children. Journal of East-West Nursing Research. 2007;13(2):130-137.
  23. Han J. Nurses' management of safety accidents for hospitalized children: A structural equation model [master's thesis]. Seoul: Korea University; 2018. p. 1-101.

Cited by

  1. Developing a conceptual model of pediatric inpatient safety accidents: A mixed methods approach vol.22, pp.3, 2019, https://doi.org/10.1111/nhs.12728
  2. An Educational Intervention to Improve Staff Collaboration and Enhance Knowledge of Fall Risk Factors and Prevention Guidelines vol.57, 2019, https://doi.org/10.1016/j.pedn.2020.10.027
  3. The Hospital Safety Scale for Kids: Development of a new measurement tool for hospitalized children vol.25, pp.1, 2019, https://doi.org/10.1177/1367493520913768
  4. Effectiveness of mHealth-Safe Kids Hospital for the prevention of hospitalized children safety incidents: A randomized controlled trial vol.53, pp.5, 2019, https://doi.org/10.1111/jnu.12693