摘要目的 初步确立儿科住院患儿护理核心措施.方法 本研究基于北美护理措施分类,根据护理核心措施定义,针对措施的专业代表性和发生频率2个重要因素,于2015年7月对我院的59名临床N3及以上能级岗位的护士进行问卷调查,使用L型矩阵图法,以乘积≥12分遴选出儿科住院患儿核心护理措施.结果 从北美护理措施分类的497条护理措施中,初步确立109条护理措施为儿科住院患儿护理核心措施.护理措施条目数量排在前3位的领域依次为生理:复杂(36条)、生理:基础(26条)、健康系统(19条).代表性和使用频率的乘积得分中安全领域(16.79±3.42)分的得分最高,其次为生理:复杂领域(16.19±2.98)分,得分最低的领域为家庭(13.62±2.05)分.结论 本研究首次使用北美护理措施标准语言,藉由其"核心"措施的定义概念,初步但系统地确立了儿科住院患儿护理核心措施,部分核心措施符合儿科护理实践特点,但"以家庭为中心"和"年龄相适应"的儿科特异性的核心措施仍有聚焦空间,还有部分低效价的核心措施则需要引起管理者的进一步反思,尤其是人力资源方面.

abstractsObjective To identify the core interventions preliminarily performed by pediatric nurses for hospitalized children. Methods Based on Nursing Interventions Classification (NIC), the data of survey related to the factors of representation and frequency derived from the definition of Core Nursing Interventions were collected from 59 pediatric senior nurses above the 3rd clinical ladder, working in one of Shanghai university affiliated and tertiary children hospitals. The data was analyzed by L type of Metric Diagram. The intervention with product of two factors above 12 was selected as the core intervention. Results A total of 109 interventions were selected as core interventions on pediatric nursing from 497 interventions of NIC. The top 3 domains in quantity of interventions were physiological complex domain (36 items), physiological basic domain (26 items) and health system domain (19 items). The domain with the highest score (16.79 ± 3.42) was safety domain, followed by physiological complex domain (16.19 ± 2.98), while domain with the lowest score (13.62±2.05) was family domain. Conclusions The initial and systematic pediatric nursing core interventions were identified based on NIC and definition of core intervention. Part of core interventions reflects the characteristics of pediatric nursing practice, but more is requested to reflect the pediatric-specific care related to family-center and age-appropriated concepts. Some of inefficient interventions remind nursing administers further reflect thinking, especially on human resource management.