Adaptation of the Quality-caring Model to Hospitalized School Aged Children and Their Parents

Abstract

Background: the development of nursing theory improves nursing practice and consequently the health of those who receive nursing care. The aim of this article is to describe the adaptation of the quality-caring model to hospitalized school aged children and their parent.Methods: a mixed methods study in 4 phases was outlined. Study integrated a literature review (phase 1); application of surveys to hospitalized children and their parents (phase 2); delphi panel with nurses as experts (phase 3); and the the adaptation of quality-caring model (phase 4). Participants included hospitalized children (n=252), their parents (n=251) and nurses (round 1 n=47; round 2 n=42). National Data Protection Commission provided authorization for the study as well as the ethics committee from 6 health institutions where the study was applied. Results: Findings highlight the identifications of key aspects valued by children, parents, and nurses, such as: information, family involvement, play, distraction, and communication. Conclusions: The adapted model includes fundamental aspects of children hospitalization and is focused on satisfaction with care as an outcome of nursing care. Its integration in daily clinical practice if fundamental to improve quality of care and accomplish parents and children satisfaction with nursing care.