An Exploratory Analysis of the Roles of Nurses on a Pediatric Rehabilitation Unit in South Korea Perceived by Pediatric Rehabilitation Professionals
Abstract
:1. Introduction
2. Methods
2.1. Study Design
2.2. Study Participants
2.3. Data Collection
2.3.1. Focus Group Interviews
2.3.2. In-Depth Interviews
2.4. Data Analysis
2.5. Reliability
2.6. Rigor
3. Results
3.1. Participants’ Characteristics
3.2. Exploratory Analysis of the Roles of Pediatric Rehabilitation Nurses
3.2.1. Caregiver
Caregivers for Children with Disabilities
“Yes, pediatric rehabilitation is a specialized unit, but I think it’s important to know the basics of the practice. Pediatric rehabilitation patients take several medications, so issues like medication errors should never happen. However, there are many patients who are ordered special injections, like botox or phenol, and there are definitely skills that are specific to pediatric rehabilitation, but it’s hard because there are no manuals or books to learn these from”. (Participant 12)
“(Omitted) I think you need to clearly know the difference from normally developing children, and when providing care to pediatric rehabilitation patients, you need to be able to differentiate them”. (Participant 9)
Caregiver for Families of Children with Disabilities
“I met a boy who accompanied his little brother undergoing rehabilitation. The boy was an elementary school kid, and he looked intimidated and sad. I had a chance to talk to him, and he said that he doesn’t get enough attention from his parents because his parents focus only on his little brother. I felt really sorry for him. I think providing care that includes the siblings of pediatric patients is also within the scope of our practice”. (Participant 4)
“Since the rehabilitation process is long, the patient’s mom, who was the primary caregiver, seemed to be burnt out. I felt sad watching the patient’s mom having no motivation and constantly crying. (omitted) I provided emotional support and continued to pay attention to her, and she got a little better… I think nurses play a huge role in this aspect as well”. (Participant 7)
3.2.2. Team Members
Multidisciplinary Treatment Team Members (Collaborators)
“They say that rehabilitation is a multidisciplinary area. I see that hands-on. It’s important for many experts. For instance, physicians, nurses, pharmacists, physical therapists, occupational therapists, speech therapists, social workers, and nutritionists need to share their opinions and collaborate for one patient”. (Participant 1)
“(Omitted) There are many times when a nurse stands next to the caregiver and speaks for the patient. Sometimes, it’s easier to understand than when one has to talk to the caregiver directly because (nurses) summarize the essential things (laughs)”. (Participant 12)
“Out of all healthcare professionals, nurses spend the most time with the patient and caregiver. Then, when they build a rapport with the caregivers of the pediatric rehabilitation patient, we sometimes depend on the nurses. When we ask, what do we do in this case? The nurses help us to make objective judgments”. (Participant 2)
“However, I wish that the nurses were well aware of why rehabilitation therapy is needed. Many of them do not know”. (Participant 9)
3.2.3. Counselors
Counselors for Children’s Rehabilitation Therapy
“It’s sad, but pediatric rehabilitation in most cases continues from childhood to adulthood. It’s important to discuss what the family wants from the beginning and consider those needs to take a long-term approach that will continue into adulthood. What we need here is that the nurse must be also informed about adult rehabilitation to provide relevant information to the family as needed”. (Participant 6)
Counselors for Family Support
“(omitted) You know, pediatric rehabilitation is mostly available in the Seoul metropolitan area. There are many patients who complete treatment to a certain extent here and then return to their hometowns to continue receiving rehabilitation therapy. When they first go to a hospital in their local area, we get a lot of calls about drugs and treatment. Then, we explain it to them”. (Participant 4)
3.2.4. Researchers
Researchers for Pediatric Rehabilitation Nursing
“When I review existing studies, there aren’t many studies on pediatric rehabilitation patients. Is it because the study population is so specific? I think I need to be aware of the latest findings… That’s one downside”. (Participant 5)
“I attended a conference at the Korean Society of Rehabilitation Nursing, but it was unfortunate that everything was about adult rehabilitation and there was nothing about pediatric rehabilitation. Is it because they don’t think it has a great impact?…”. (Participant 4)
3.2.5. Educators
Educators for Children with Disabilities and Their Families
“You know, providing care to children with disabilities is a long-term process that spans from childhood to adulthood. So, I believe nurses educate the parents about various things, from the difference between children with and without disabilities, fostering the child’s potential despite the disability, dealing with emergencies, to the scope of daily life activities”. (Participant 3)
Educators for Healthcare Professionals
“Not many nurses have had experience in pediatric rehabilitation, so it is difficult to train new nurses. This makes it harder for new nurses. There is a growing need for pediatric rehabilitation, but there is only a limited number of nurses who have the competence. I wish that schools and hospitals educate all nurses”. (Participant 1)
“(omitted) The biggest problem is that there is no manual for education. It would be great if it’s equal across all hospitals, but I wish there was a guideline for reference, and I think it’s important to share the knowledge with nurses and physicians on other units based on that”. (Participant 6)
4. Discussion
5. Limitation
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
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Participants | Age (Year) | Gender | Occupation | Total Clinical Experience (Year) | Rehabilitation Word Experience (Year) |
---|---|---|---|---|---|
1 | 41 | Female | Nurse | 17 | 12 |
2 | 51 | Female | Nurse | 27 | 15 |
3 | 35 | Female | Nurse | 13 | 10 |
4 | 35 | Female | Nurse | 13 | 10 |
5 | 38 | Female | Nurse | 14 | 10 |
6 | 35 | Female | Nurse | 13 | 10 |
7 | 34 | Female | Nurse | 12 | 11 |
8 | 34 | Female | Nurse | 12 | 12 |
9 | 35 | Female | Physical therapist | 13 | 13 |
10 | 35 | Female | Occupational therapist | 13 | 13 |
11 | 36 | Female | Physiatrist | 11 | 11 |
12 | 37 | Female | Physiatrist | 12 | 12 |
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Lee, H.; Kim, D.-J.; Han, J.-W. An Exploratory Analysis of the Roles of Nurses on a Pediatric Rehabilitation Unit in South Korea Perceived by Pediatric Rehabilitation Professionals. Healthcare 2024, 12, 177. https://doi.org/10.3390/healthcare12020177
Lee H, Kim D-J, Han J-W. An Exploratory Analysis of the Roles of Nurses on a Pediatric Rehabilitation Unit in South Korea Perceived by Pediatric Rehabilitation Professionals. Healthcare. 2024; 12(2):177. https://doi.org/10.3390/healthcare12020177
Chicago/Turabian StyleLee, Hanna, Da-Jung Kim, and Jeong-Won Han. 2024. "An Exploratory Analysis of the Roles of Nurses on a Pediatric Rehabilitation Unit in South Korea Perceived by Pediatric Rehabilitation Professionals" Healthcare 12, no. 2: 177. https://doi.org/10.3390/healthcare12020177