Developing a conceptual model of pediatric inpatient safety accidents: A mixed methods approach

Won Oak Oh, Eun Joo Kim, Yeo Jin Im, Jihee Han, Mirim Kim

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Given that injuries to children during periods of hospitalization can lead to more serious health conditions in vulnerable children, preventing pediatric inpatient injuries should be a priority for the pediatric health care profession. This study was conducted to develop a conceptual model of factors affecting pediatric inpatient safety, including all injuries, not just fall injuries, in pediatric units. An explorative sequential mixed methods design was used. Qualitative interviews were conducted with 13 nurses working in pediatrics units and 17 parents of hospitalized children, and then 200 nurses in pediatrics units and parents of hospitalized children completed a self-report questionnaire. Based on the integration of both qualitative and quantitative data using building and weaving narrative integration, the Pediatric Inpatient Safety Accidents (PISA) model was proposed. The PISA model contains two main domains, the immediate and mediating domain and encompasses the six factors explain of the elements affecting the occurrence and prevention of pediatric inpatient safety accidents. The PISA model can serve as a model to understand child accidents in hospitals as well as to plan customized nursing interventions to prevent child accidents.

Original languageEnglish
Pages (from-to)777-786
Number of pages10
JournalNursing and Health Sciences
Issue number3
Publication statusPublished - 2020 Sept 1

Bibliographical note

Funding Information:
This study was funded by the National Research Foundation of South Korea (grant No. NRF‐2016R1A2B1015455). Funding information

Publisher Copyright:
© 2020 John Wiley & Sons Australia, Ltd


  • accidental injuries
  • child
  • hospitals
  • nurses
  • parents
  • safety

ASJC Scopus subject areas

  • General Nursing


Dive into the research topics of 'Developing a conceptual model of pediatric inpatient safety accidents: A mixed methods approach'. Together they form a unique fingerprint.

Cite this