Analysis of the Characteristics and the Nursing Interventions for Children in Regional Emergency Departments: Using the Nursing Intervention Classification.
1College of Nursing, Pusan National University, Busan, Korea. 2Department of Nursing, Silla University, Busan, Korea. naeyoungle@silla.ac.kr 3Pusan National University Hospital, Busan, Korea.
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 hr 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.
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