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소아병실 어린이 간호에서의 어머니 역할에 대한 일 연구

A Study of Participation in Nursing Care of Mothers Staying With Hospitalized Children"

간호학논집 - 연세대학교 1976년 1권 0호 p.75 ~ 91
한정석, 심치정,
소속 상세정보
한정석 ( Han Jung-Suk ) - 연세대학교 간호대학 소아간호학교실
심치정 ( Shim Chi-Joung ) - 연세대학교 간호대학 소아간호학교실

Abstract


The practice of "rooming-in" in pediatric wards is encouraged for its many positive aspects. Most pediatric wards in Korea are open to parents and their participation in the nursing care activities of children is, both formally and informally, accepted. However, the question has been raised whether mothers participation in nursing care is efficient or not, since there is a possibility that mothers often carry out their nursing care without education or supervision by nurses. In addition, a mothers presence may cause careless nursing service.
Because of such assumption, the mother´s participation in nursing care activities and the nurse´s function in the mother´s participation should be rightly examined to determine more effective methods of providing the best nursing care for hospitalized children.
Objectives of the study are:
1. to identify child nursing care activities
carried out by mothers,
2. to evaluate the nursing care performance of mothers,
3. to determine the nurse´s function in nursing care activities of mothers
The study was conducted from July 1975 till September 1975, with 65 mothers who were staying with their children admitted to the pediatric ward of X- University Medical Center.
A checklist, consisting of 36 items of nursing care activities, for the interview with mothers and an observational manual for the evaluation of nursing care performance of mothers were developed.
The result of the study were as follows.
1. The total number of nursing care activities carried out by the mothers was 960, with 14.4 activities per mother. It was shown that many parts of the child´s nursing care was actually carried out by mothers.
2. The attitude of the mothers towards the nursing care activities they performed was positive in 76.4%, of total nursing care activities carried out by them. From this, it can be assumed that many of the mothers staying with their children in the hospital show positive attitudes toward the participation in the nursing care of their children.
3. The test of possible variables, such as, education, experience of hospitalization, experience of nursing a patient and age and birth order of children, affecting the mothers attitudes toward the nursing care performance showed that these variables were not significant in most nursing care items. However, mothers with high education, generally, seemed less positive in their nursing care performance. and mothers with the experience of nursing, a patient showed comparatively positive attitudes toward the nursing care activities which require skill and knowledge.
Mothers of first born children had, generally, negative attitudes toward their nursing care performance. While mothers of child under 5 years old were more positive toward the nursing care activities regarding protective measures, mothers of child over 5 years old were more positive toward the nursing care activities regarding curative measure.
4. The percentage of nursing care activities performed by mothers evaluated to be acceptable was 59.0 % and 40. 9 % were evaluated to be unacceptable. Those nursing items, evaluated as acceptable were, generally, items which did not require skill and or knowledge.
5. The mother´s opinions toward their performance of nursing care were more positive than the result of the researcher´s evaluation of the nursing care activities performed by the mothers.
6. For 21 selected nursing items, only 48.0%of the total nursing care activities carried out by mothers were performed with instruction by nurses and these items were mostly concerned with nursing care activities requiring skill and knowledge.
7. For 21 selected nursing items, only 13.0% of the total nursing care activities carried out by mothers were given supervision.
Conclusion and recommendations.
1. Mothers need more instruction and supervision for their nursing care activities in order to ensure the quality of nursing care given to the children.
2. Mothers of first born child need more instruction and supervision.
3. In order to provide proper instruction and supervision, nurses need to evaluate the mother´s performance of nursing care activities rather than merely asking the mother´s opinions

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