Developing a conceptual model of pediatric inpatient safety accidents: A mixed methods approach

Area of Science:

• Pediatric healthcare
• Patient safety research
• Nursing science

Background:

• Pediatric inpatient injuries can lead to severe health issues in vulnerable children.
• Preventing these injuries is a priority for healthcare professionals.
• Existing models may not comprehensively address all types of pediatric inpatient accidents.

Purpose of the Study:

• To develop a conceptual model for understanding factors influencing pediatric inpatient safety.
• To identify elements contributing to and preventing accidents in pediatric units.
• To create a framework for targeted nursing interventions.

Main Methods:

• An explorative sequential mixed-methods design was employed.
• Qualitative interviews were conducted with 13 pediatric nurses and 17 parents.
• Quantitative data were collected via self-report questionnaires from 200 nurses and parents.
• Data integration used building and weaving narrative techniques.

Main Results:

• The Pediatric Inpatient Safety Accidents (PISA) model was developed.
• The PISA model comprises two main domains: immediate and mediating.
• It encompasses six factors influencing the occurrence and prevention of pediatric inpatient safety accidents.

Conclusions:

• The PISA model provides a comprehensive framework for understanding child accidents in hospitals.
• It can guide the planning of customized nursing interventions to enhance pediatric patient safety.
• Implementing the PISA model can contribute to reducing pediatric inpatient injuries.