Child Health Nurs Res.  2013 Jan;19(1):59-68.

Development of an Ecological Model to Improve Health Care Management for Children in Child Care Centers

Affiliations
  • 1Korea University College of Nursing, Seoul, Korea. yjlim@korea.ac.kr

Abstract

PURPOSE
This study was conducted to identify current health care management and barriers in health care management according to ecological systems, and to develop an ecological model for enhancing health care in child care centers.
METHODS
Focus group interviews were conducted with directors and teachers of child care centers, and with parents of children enrolled in child care. Data were analyzed by the latent content analysis method.
RESULTS
Twelve categories of health care management were identified. Barriers to child health care included knowledge deficit and lack of competence in health care by teachers, lack of useful health care manuals, non-existence of professional child health care personnel in child care centers, lack of mutual information sharing and disagreement on child health conditions between child care personnel and parents, lack of specific health related child care inspection criteria and time flexible child care centers with a lack of policy on collaboration with health care facilities. The ecological model developed included specific strategies to improve health care management in child care.
CONCLUSION
The proposed ecological model to improve child health care management should be useful to plan future health care program considering both the immediate and indirect social environment surrounding children in child care.

Keyword

Child care; Delivery of health care; Preschool child; Ecology

MeSH Terms

Child
Child Care
Child Health
Child, Preschool
Cooperative Behavior
Delivery of Health Care
Ecology
Ecosystem
Focus Groups
Humans
Information Dissemination
Mental Competency
Parents
Social Environment
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