| Original Article | | | | | | | Analysis of the Characteristics and the Nursing Interventions for Children in Regional Emergency Departments -Using the Nursing Intervention Classification- | | Young Hae Kim,1Nae-Young Lee,*2and Jae Hyun Ha3 | 1Professor, College of Nursing, Pusan National University, Busan, Korea.
| 2Full-time Instructor, Department of Nursing, Silla University, Busan, Korea.
| 3Emergency Room Nurse, Pusan National University Hospital, Busan, Korea.
| *Address reprint requests to: Lee, Nae-Young. Department of Nursing, College of Medical Life Science, Silla University, San 1-1 Gwaebeop-dong, Sasang-gu, Busan 617-736, Korea. Tel: 82-51-999-5871, Fax: 82-51-999-5176, Email: naeyoungle@silla.ac.kr | | Received July 05, 2010; Revised October 12, 2010; Accepted October 14, 2010.
| | Abstract |
PurposeThe purpose of this study was to provide descriptive data about the characteristics of pediatric patients and nursing interventions in Regional Emergency Medical Centers (REMC). MethodsA 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). ResultsMale 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. ConclusionThese results can enhance the understanding of pediatric emergency nursing interventions and can make NIC more applicable. |
| | Keywords: Emergency medical service, Nursing care/classification, Pediatric nursing. |
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| Figure 1
Flow of study participants. | | |
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| Table 1
Demographics and Visit Characteristics in Children with Emergency Department Visits (N=4,310) | |
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| Table 2
Analysis by Age | |
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| Table 3
Medical Characteristics in Children with Emergency Department Visits (N=4,310) | |
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| Table 4
Nursing Interventions in Emergency Department according to Age (N=17,929) | |
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