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http://dx.doi.org/10.4094/jkachn.2010.16.4.277

Analysis of the Characteristics and the Nursing Interventions for Children in Regional Emergency Departments -Using the Nursing Intervention Classification-  

Kim, Young-Hae (College of Nursing, Pusan National University)
Lee, Nae-Young (Department of Nursing, Silla University)
Ha, Jae-Hyun (Pusan National University Hospital)
Publication Information
Child Health Nursing Research / v.16, no.4, 2010 , pp. 277-286 More about this Journal
Abstract
Purpose: The purpose of this study was to provide descriptive data about the characteristics of pediatric patients and nursing interventions in Regional Emergency Medical Centers (REMC). Methods: A retrospective design was used to examine the medical records of 4,310 children. The clinical data and nursing terminologies of REMC were analyzed using the Nursing Intervention Classification (NIC). Results: Male toddlers dominated the sample. The mean age of the children was 3.51 yr. In more than half of the visits, patients arrived between from 7 a.m. to 3 p.m., on a weekday. There were only 189 ambulance transports to REMC, (4.4% of visits). The most frequent injuries were due to falls (28.0%) and contusions (27.3%), but the most common reasons for visits were non-injury (73.4%): fever, cough/shortness of breath, seizures, and abdominal pain. Of the 4,310 visits, 27.8% spent 6-24 hours in the REMC, while 33% resulted in hospital admission and 2.1% in transfer to another hospital. Of the 17,929 nursing interventions, 17,909 elements (99.9%) were classified under NIC. All the listed NIC interventions, however, were not reflected in the level of practice demonstrated by REMC nurses. Conclusion: These results can enhance the understanding of pediatric emergency nursing interventions and can make NIC more applicable.
Keywords
Emergency medical service; Nursing care/classification; Pediatric nursing;
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