Pediatric Certified Nurse Specialist’s Decision-Making Processes in Supporting Children

• Published in: Journal of Japan Society of Nursing Research Vol. 46; no. 4; pp. 4_635 - 4_645
• Main Authors: Sato, Yukiko, Shiwaku, Hitoshi, Konta, Shiho, Taneyosi, Keiko, Kon, Youko
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Nursing Research 20.10.2023; 一般社団法人 日本看護研究学会
• Subjects: child; decision-making; pediatric certified nurse specialist; process; support; プロセス; 子ども; 小児看護専門看護師; 意思決定; 支援
• ISSN: 2188-3599; 2189-6100
• DOI: 10.15065/jjsnr.20221221200

Objective: To clarify the decision-making processes of pediatric certified specialist nurses (pediatric CNS) in supporting children. Methods: A survey and analysis using the modified grounded theory approach were performed with eight pediatric CNS. Results: The analysis generated two categories: "Cycle of adjustments to explanations and approaches tailored for children" and "perceptions and awareness of pediatric CNS that are the foundation of support." Seven subcategories were also generated. The category "cycle of adjustments to explanations and approaches tailored for children" involved a cycle of pediatric CNS' "understanding the acceptance of the child" after "recognizing the need for support" and providing "explanations and/or suggestions based on the child's situation" and "waiting for the child to decide for him/herself." The category "perceptions and awareness of pediatric CNS that are the foundation of support" was composed of the following two base subcategories: "Ethics that form the basis of decisions in providing support" and "thorough understanding of the children's ability and situation for deciding on methods of providing support." Conclusions: The findings of this study suggested that "perceptions and awareness of pediatric CNS that are the foundation of support" is necessary to support children's decision-making.