探討兒科護理人員對嬰幼兒發展的認知及發展照護的態度和行為

Pediatric Nurses: Cognition of Young Child Development and Attitudes and Behaviors Toward Developmental Care

背景：兒童發展照護強調早期發現早期介入的功效，因此兒科護理人員對嬰幼兒發展的知識和行為是發現特殊兒童的重要能力。
目的：探討兒科護理人員對嬰幼兒發展的認知、態度、和行為之影響因素及其相關性。
方法：本描述性研究採問卷調查研究法，以中部某醫院兒科護理人員112人為施測對象。以自擬問卷，含嬰幼兒發展的知識、兒童發展照護之態度及行為。資料以平均數、皮爾森檢定、單因子變異數及邏輯式迴歸等方法進行統計分析。
結果：顯示兒科護理人員具有嬰幼兒發展知識，對兒童發展照護都持正向態度，但兒童發展照護行為少。其嬰幼兒發展知識和兒童發展照護態度有顯著的正相關。預測兒童發展照護行為的重要因素是參加兒童發展及早療相關課程和子女數。
結論：兒童發展相關課程是影響護理人員對兒童發展照護行為的重要因素，建議應舉辦或鼓勵護理人員參加發展及早療相關課程，於護理養成教育中即應涵蓋早療概念和模式的運作。

Background: The effectiveness of early detection and intervention is emphasized in child development. The knowledge and attitudes of pediatric nurses related to child development is a factor critical to identifying and helping disabled children. Purpose: The purpose of this study was to explore general pediatric nurse knowledge of young child development and attitudes and behavior toward child developmental care. Methods: Researchers collected data for this descriptive study using a structured questionnaire and recruited a sample of 112 pediatric nurses from hospitals in Central Taiwan. Data was analyzed by Mean, Pearson correlation, ANOVA, and Logistic regression. Results: The study revealed pediatric nurses have a good level of knowledge related to children development. Although most participants held positive attitudes toward early intervention and child developmental care, their related behaviors were inadequately reported. Predictive factors of child developmental care behavior in nurses included attending related courses and number of children that has. Conclusion: Child development-related programs are an important factor affecting nurse child developmental care behavior. The authors recommend establishing developmental care programs and encouraging nurse participation. Early intervention concepts and models should be introduced in nursing and continued education programs.