Abstract
This retrospective cohort study evaluates the impact of a risk prevention nursing model on the incidence of nursing risk events, length of hospital stay, nursing satisfaction, family anxiety levels, and nursing staff risk prevention awareness in pediatric inpatient care. A total of 129 pediatric patients hospitalized at our institution from January 2022 to June 2024 were included. Patients were divided into 2 groups based on the nursing care model received: the observation group (n = 65) received care based on a structured risk prevention nursing model, while the control group (n = 64) received routine nursing care. Outcome measures included incidence of nursing risk events, length of stay, family members' anxiety levels (measured by Hamilton Anxiety Rating Scale), nursing satisfaction (measured by the Newcastle Satisfaction with Nursing Scales), and nursing staff risk prevention awareness. Statistical analyses were conducted using independent t-tests and chi-square tests, with significance set at P < .05. The incidence of nursing risk events was significantly lower in the observation group than in the control group (9.2% vs 35.9%, P = .0003). The mean length of hospital stay was shorter in the observation group (6.62 ± 2.38 days) compared to the control group (8.28 ± 2.72 days; P = .0007). Nursing satisfaction scores were significantly higher in the observation group for service attitude (4.62 ± 0.52 vs 3.92 ± 0.74, P = .0002), technical competence (4.39 ± 0.58 vs 3.81 ± 0.63, P = .0004), and health education (4.31 ± 0.72 vs 3.72 ± 0.80, P = .0006). Family anxiety levels were significantly lower in the observation group (42.30 ± 6.50) than in the control group (48.62 ± 7.18; P = .0009). Additionally, nursing staff in the observation group demonstrated significantly higher risk prevention awareness scores (88.47 ± 7.28 vs 75.13 ± 8.05; P = .0001). The risk prevention nursing model significantly improves pediatric care outcomes by reducing nursing risk events, shortening hospital stays, enhancing nursing satisfaction, lowering family anxiety, and improving nurses' awareness of risk prevention. These findings support the clinical value and broader implementation of this model in pediatric inpatient settings.