护理干预在儿童和青少年精神病学神经发育障碍中的攻击性行为的有效性:修改后的e-Delphi研究
Yuka Kato1,2, Yuichi Nakayama1,3, Tae Kawahara1
1Division of Health Sciences, Area of Nursing Science, Graduate School of Medicine The University of Osaka Suita Japan.
PCN reports : psychiatry and clinical neurosciences
|July 1, 2025
概括
为患有神经发育障碍 (NDD) 的住院儿童制定了新的护理指导方针,这些儿童表现出侵略性行为. 这些基于证据的指导方针旨在改善精神病医院住院患者的安全性和行为支持.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 护理科学 护理科学
- 神经发育障碍 神经发育障碍
背景情况:
- 神经发育障碍 (NDD) 是儿童和青少年精神病医院住院的主要原因.
- 对于患有NDD的住院青少年的专业护理,特别是那些表现出侵略性行为的人,存在有限的证据.
研究的目的:
- 建立基于证据的护理指导方针,对因侵略性行为而入院精神病室的患有NDD的儿童进行护理.
- 提高这种脆弱患者群体的护理质量和安全性.
主要方法:
- 护士采访的定性内容分析为最初的指导方针草案提供了信息.
- 多学科专家审查确保了内容的有效性.
- 通过对日本62名护士进行的三轮Delphi调查,在最终的指导方针上达成了共识.
主要成果:
- 在五个关键领域完成了19个指南项目:安全,情绪反射,行为动机,目标设定和行为建立.
- 参与护士之间达成了高度共识,表明了强大的内容有效性.
结论:
- 开发的护理护理指南表明了显著的共识和内容有效性.
- 这些指南为患有NDD和侵略性行为儿童的住院治疗提供了宝贵的支持.
相关概念视频
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.4K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.4K
Formulating and Validating Nursing Diagnosis II
3.0K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
3.0K
Nursing Evaluation
3.6K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.6K
Ethical Dilemmas I
1.1K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.1K
Formulating and Validating Nursing Diagnosis I
2.9K
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
There are thirteen domains...
2.9K
Operant Conditioning Intervention
123
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
123


