부산대학교 도서관

The article described the nursing experience in caring for toddler boy with Neutropenia. Neuman's System Model was used to assess, develop, and evaluate nursing problems and the associated nursing care in relation to the child. Data was collected by observation and interviews, and direct care was undertaken from August 25 to September 7, 2019. Three nursing problems identified included the child's hyperthermia and fear, and the caregiver's role strain. According to the cognitive-developmental theory, firstly we provided the child with adequate amount of fluid intake, tepid-water sponging, the change of clean cotton clothes and regular monitoring of body temperature to maintain normal vital signs. Secondly, we attempted to implement some strategies such as role-playing games, stickers and balloons as rewards…etc. to reduce the child's fear of dressing change, and insertion of peripheral venous catheter…etc. Thirdly, with Shared Decision Making (SDM) adopted by the medical team and showing empathy to the child's mother were carried out throughout the whole nursing process. From the nursing experience, the author hoped to use this report as an exemplar for other healthcare providers when in face of caring for the caregivers with such case. Offering positive feedback and support by encouraging the caregiver to participate in daily nursing care would be particularly crucial because it can help improve the self-confidence and quality of life of the primary caregivers caring for a child with Neutropenia.