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I n t e r n a t i o n a l C o n f e r e n c e o n
Advance Nursing Practice
Journal of Nursing and Health Studies
ISSN 2574-2825
J u n e 2 1 - 2 2 , 2 0 1 8
P a r i s , F r a n c e
Advance Nursing Practice 2018
Page 21
Childhood limb fractures are a cause of concern for parental caregivers; moreover,
the stress, anxiety, and unstable psychological states related to these fractures
can negatively influence the outcomes of pediatric patients. We evaluated the
implementation of a new admission model that features coordinated, continuous,
and family-centered care to promote the positive psychological state of the
parental caregivers. In addition, we explored the characterization of factors
associated with successful family communication in the ortho-pediatric setting.
Methods:
Using a descriptive, qualitative design, parents of children with limb
fractures were randomly assigned to either the interventional group (n = 92) or the
control group (n = 100). We surveyed the parental caregivers in both groups using
a self-designed demographic questionnaire and the symptomchecklist 90-revised
(SCL-90-R) self-rating symptom assessment, at both admission and discharge.
Results:
Most parental caregivers in our sample who experienced the new
admission model reported that they not only felt supported, but also benefitted
fromthecontinuouseducationprovidedby thehealthcareprofessionals.Moreover,
these parents reported that the open communication they experienced and the
knowledge they gained helped ameliorate some of their unstable psychological
status. Although the self-reported SCL90-R for symptoms related to various
psychological states demonstrated no statistically significant differences between
the two groups upon admission, SCL90-R mean scores did exhibit statistically
significant differences for the interventiongroup vis-a-vis somatization, obsessive-
compulsive symptoms, depression, anxiety, hostility, and paranoia.
Conclusions:
Our findings demonstrate that the new admission model for
parental caregivers of children with limb fractures can enhance the experiences
of these caregivers as their children transition from care preparation to discharge.
Nevertheless, the new model requires further development to tailor its support to
better meet the specific needs of caregivers and children.
Biography
Weiwen Wang has completed her DNP from University of
Pittsburgh on 2012. She has been a Nursing Educator and
Medical-Surgical Practitioner in China and USA for over 28
years. She has five publications in Peer-reviewed journals and
is actively involved with professional organizations such as the
Asian American Pacific Islander Nurses Association (AAPINA),
the American Nursing Informatics Association (ANIA), and
the Western PA ANIA Chapter. She is a reviewer for
Nursing
Education Today; Computers, Informatics, Nursing; and the
Journal of Clinical Nursing
.
weiwen@pitt.eduEvaluating a new admission model to
improve the experience of parental
caregivers in the ortho-pediatric setting
Weiwen Wang
1
and Yanjun Zhao
2
1
University of Pittsburgh, USA
2
Shanghai Xinhua Hospital, China
Weiwen Wang et al., J Nurs Health Stud 2018, Volume: 3
DOI: 10.21767/2574-2825-C3-007