1
|
Camara C, Rosengarten L, Callum J. Experiences of nursing students providing end of life care for children and young people: A focus group study. Nurse Education Today 2024; 137:106147. [PMID: 38508024 DOI: 10.1016/j.nedt.2024.106147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 01/09/2024] [Accepted: 02/23/2024] [Indexed: 03/22/2024]
Abstract
BACKGROUND End of life care for Children and Young People (CYP) is known to be an emotive area of practice. Previous studies involving qualified nurses have demonstrated that nurses feel they need more end-of-life care education, as well as a platform for sharing experiences and discussing them with others. Evidence relating to nursing students remains limited despite being widely acknowledged as a difficult aspect of nursing education. AIMS This study aims to help improve understanding of the lived experiences of children's nursing students who have cared for a patient at, during, or immediately following end-of-life. The study describes the emotions experienced by children's nursing students and explores the student nurses' perceptions of education and support needs around caring for CYP during end-of-life care. METHODOLOGY A qualitative inquiry methodology allowed for a pragmatic approach to design this focus group study. Nine undergraduate student children's nurses participated in two focus groups. Ethical approval was granted by the host university. Thematic data analysis using Braun and Clarke's (2019) thematic analysis was conducted. FINDINGS Six themes emerged from the data; Emotional practice (1), the heart of the care (2), a lasting impact (3), hierarchy of grief (4), experience, knowledge and understanding (5), and the value of support (6). End of life care for children and young people is recognised by students as a sad but important part of the job role, which can have a lasting impact and which students required improved education and support for. IMPLICATIONS FOR PRACTICE Improved education on end-of-life care is required. This should be introduced early, encompassing practical approaches to the varied nature of end-of-life care, normalising a range of emotions and delayed responses. Furthermore, improved support is required for both student nurses and qualified staff, who are supporting students caring for CYP at the end of life.
Collapse
Affiliation(s)
- Claire Camara
- Children and Young Peoples Nursing Northumbria University, D202 Coach Lane Campus West, Coach Lane, Benton NE7 7TR, United Kingdom of Great Britain and Northern Ireland.
| | - Leah Rosengarten
- Children and Young Peoples Nursing Northumbria University, D202 Coach Lane Campus West, Coach Lane, Benton NE7 7TR, United Kingdom of Great Britain and Northern Ireland.
| | - Jane Callum
- Children and Young Peoples Nursing Northumbria University, D202 Coach Lane Campus West, Coach Lane, Benton NE7 7TR, United Kingdom of Great Britain and Northern Ireland.
| |
Collapse
|
2
|
Rosengarten L. Administration of intravenous fluids and medicines in children and young people. Nurs Child Young People 2023:e1481. [PMID: 37661751 DOI: 10.7748/ncyp.2023.e1481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2023] [Indexed: 09/05/2023]
Abstract
Managing intravenous (IV) access is a standard proficiency for UK nurses, enabling them to administer IV injections and IV infusions and to manage injection equipment and infusion pumps and devices. In this article the author describes various types of venous access devices that are commonly seen in practice and details the preparation, checking and administration of IV fluids and medicines, including some complications that may arise. The author also discusses the calculation of fluid requirements, types of IV fluids, displacement values and ongoing care of venous access devices.
Collapse
Affiliation(s)
- Leah Rosengarten
- health and life sciences, Northumbria University, Newcastle Upon Tyne, England
| |
Collapse
|
3
|
Dinsmore E, Rosengarten L. The psychological, psychosocial and emotional wellbeing of children and young people with leukaemia. Br J Nurs 2022; 31:1020-1028. [PMID: 36370400 DOI: 10.12968/bjon.2022.31.20.1020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
BACKGROUND Leukaemia is the most common childhood cancer, and with the success of current treatment, it has an overall survival rate of up to 92%. Despite this, treatment does not come without consequences. As a result, it is no surprise that recent research has examined the long-term implications of this treatment. METHODS An integrative review was conducted to capture a broad range of primary research studies from both quantitative and qualitative perspectives. Four electronic databases were searched, displaying 3239 articles, of which nine met all the inclusion criteria. This integrative review explores these studies, using thematic analysis, with the purpose of identifying the impact this disease has on the psychological, psychosocial and emotional wellbeing of children and young people (CYP) diagnosed with leukaemia. RESULTS The review highlighted the vast impact that a leukaemia diagnosis can have on CYP and five main trends emerged: experienced emotions; relationships with peers; relationships with family; academic challenges; and differentiating factors. DISCUSSION As a result of the findings, it is recommended that CYP receive psychological support from diagnosis, with a regular reassessment throughout treatment. Parents and carers require support to enable them to efficiently care for their children. It is evident from this review that further research in this area would be beneficial to address some gaps in the literature.
Collapse
Affiliation(s)
- Emma Dinsmore
- Leukaemia Clinical Nurse Specialist, The Royal Belfast Hospital for Sick Children, Belfast
| | - Leah Rosengarten
- Assistant Professor, Children's Nursing, Northumbria University, Newcastle upon Tyne
| |
Collapse
|
4
|
Ban S, Baker K, Bradley G, Derbyshire J, Elliott C, Haskin M, MacKnight J, Rosengarten L. 'Hello, my name is …': an exploratory case study of inter-professional student experiences in practice. ACTA ACUST UNITED AC 2021; 30:802-810. [PMID: 34251857 DOI: 10.12968/bjon.2021.30.13.802] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND The 'Hello my name is …' campaign emphasises the importance of compassionate care and focuses on health professionals introducing themselves to patients. Research has found that using names is key to providing individuals with a sense of belonging and can be vital in ensuring patient safety. OBJECTIVE To investigate the student experience of having 'Hello my name is …' printed on student uniforms and implement this campaign in practice. DESIGN A case study was used to capture the experiences of 40 multiprofessional healthcare students in practice. Participants were asked to complete a reflective diary during their first week in practice and attend a focus group with 4-8 other students. SETTING A higher education institution in the north east of England with students from adult, child and learning disability nursing, occupational therapy, physiotherapy and midwifery programmes, in a variety of clinical placements throughout the region. FINDINGS The implementation of the campaign and logo branding on the uniforms of students resulted in an increase in the number of times students were addressed by their name in practice. Participants reported that the study helped them to quickly develop a sense of belonging when on placement, and aided them in delivering compassionate care. Occasions when patient safety was improved were also reported. CONCLUSION The use of names is a key feature in human relationships and the delivery of compassionate care, and the authors advocate use of the 'Hello my name is …' campaign for all health professionals.
Collapse
Affiliation(s)
- Sasha Ban
- Senior Lecturer, Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne
| | - Katherine Baker
- Senior Lecturer, Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne
| | - Gemma Bradley
- Senior Lecturer, Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne
| | - Julie Derbyshire
- Senior Lecturer, Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne
| | - Cheryl Elliott
- Lecturer, Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne
| | - Marion Haskin
- Senior Lecturer, Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne
| | - Janice MacKnight
- Senior Lecturer, Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne
| | - Leah Rosengarten
- Lecturer, Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne
| |
Collapse
|
5
|
Rosengarten L, Davies B. Nutritional support for children and young people: nasogastric tubes. ACTA ACUST UNITED AC 2021; 30:S12-S18. [PMID: 34251849 DOI: 10.12968/bjon.2021.30.13.s12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The need to offer nutritional support to children and young people is commonplace for health professionals. This article explores the use and indication of nasogastric tubes (NGT) in children and young people, before explaining the process of inserting NGTs and the ongoing management of this method of nutritional support.
Collapse
Affiliation(s)
- Leah Rosengarten
- Lecturer Children's Nursing, Department of Health and Life Sciences, University of Northumbria, Newcastle
| | - Barbara Davies
- Senior Lecturer Children's Nursing, Department of Health and Life Sciences, University of Northumbria, Newcastle
| |
Collapse
|
6
|
Camara C, Rosengarten L. Faith-sensitive end of life care for children, young people and their families. ACTA ACUST UNITED AC 2021; 30:276-279. [PMID: 33733844 DOI: 10.12968/bjon.2021.30.5.276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This article is part of an at a glance series on palliation and end of life care in paediatrics and focuses on the provision of faith-sensitive end of life care. Particular religions are discussed, with some key points for care of patients from some of the most prevalent religions within the UK. This article is intended to give points for discussion and consideration, but health professionals are encouraged to speak to every patient and family on an individual level to ensure an understanding of their personal beliefs. Although there is a range of literature discussing faith during end-of-life care, there is litte that outlines the practical specifics and for this reason some of the supporting literature in this article is dated and, where possible, this has been supported with contemporary sources.
Collapse
|
7
|
Rosengarten L, Callum J. Continuing professional development: evaluating a masterclass for band 5 children's nurses. Nurs Child Young People 2021; 33:18-24. [PMID: 33942591 DOI: 10.7748/ncyp.2021.e1352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2020] [Indexed: 11/09/2022]
Abstract
BACKGROUND Continuing professional development (CPD) is an important factor in being able to recruit and retain staff. However, it is recognised that budget constraints make offering CPD difficult, and it often falls to local NHS organisations and higher education providers to develop CPD initiatives that are fit for purpose. AIM To evaluate the impact of a CPD masterclass on band 5 children's nurses. METHOD Fourteen band 5 children's nurses attended a CPD masterclass delivered as a series of workshops over one day. Participants completed questionnaires before, at the end of, and three months after the masterclass. The pre-masterclass and three-month follow-up questionnaires included the short version of the Occupational Self-Efficacy Scale. FINDINGS After the masterclass, all participants had a plan (or a partial plan) for their career development, compared with 79% before it. Participants felt more confident at handling challenging situations at work after the masterclass. Participants appreciated the opportunity to focus on their CPD needs and discuss them with colleagues. CONCLUSION Time for CPD, career development opportunities, workplace culture, learning and development, and confidence are all important factors to consider when developing CPD opportunities for band 5 children's nurses.
Collapse
Affiliation(s)
| | - Jane Callum
- Northumbria University, Newcastle upon Tyne, England
| |
Collapse
|
8
|
Carr E, Rosengarten L. Teenagers and Young Adults with Cancer: An Exploration of Factors Contributing to Treatment Adherence. J Pediatr Oncol Nurs 2021; 38:190-204. [PMID: 33769898 PMCID: PMC8172305 DOI: 10.1177/1043454221992302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
This systematic appraisal explores the literature surrounding treatment adherence in teenagers and young adults (TYAs) with cancer, with the aim of identifying influential factors that could affect adherence rates. This area is particularly important due to the increased risk of relapse and death associated with nonadherent behavior. In addition, TYAs are found to be the age group least likely to adhere to medical regimes. A comprehensive review of the literature was conducted and seven studies met the inclusion criteria, the articles were then critiqued using a data extraction form and eight themes were generated and discussed. This review highlights the complexities and difficulties in measuring adherence, as well as the key factors affecting adherence, before identifying implications for practice. Good communication and relationships are crucial between all parties involved in TYAs’ care including the patients, professionals, parents, and peers. A model of adherence was adapted on the basis of the result of the systematic review, other literature pertaining to adherence in TYAs, and the clinical experience of the authors. Personal factors and external factors, along with treatment factors and interactions with the system all have an effect on the patient's response or ability to adhere. It is apparent that there is a need for more high-quality qualitative and quantitative research in this area, with an emphasis on finding interventions that directly improve adherence specific to this age group.
Collapse
Affiliation(s)
- Elizabeth Carr
- Safari Day Unit, 156793Lincoln County Hospital, Lincoln, UK
| | - Leah Rosengarten
- Faculty of Health and Life Sciences, 5995Northumbria University, Newcastle upon Tyne, UK
| |
Collapse
|
9
|
Rosengarten L, Davies B, Camara C. Law and ethics in palliative care of children and young people. Br J Nurs 2021; 30:154-155. [PMID: 33565938 DOI: 10.12968/bjon.2021.30.3.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
| | | | - Claire Camara
- Graduate Tutor Children's Nursing, all at Northumbria University, Newcastle
| |
Collapse
|
10
|
Rosengarten L, Carr E. End-of-life care in paediatrics. Br J Nurs 2020; 29:1114-1117. [PMID: 33104422 DOI: 10.12968/bjon.2020.29.19.1114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Leah Rosengarten
- Lecturer, Children's Nursing, Department of Health and Life Sciences, Northumbria University, Newcastle
| | - Elizabeth Carr
- Paediatric Staff Nurse, Paediatrics, Lincoln County Hospital
| |
Collapse
|
11
|
Camara C, Rosengarten L. An introduction to the palliative care of children and young people. Br J Nurs 2020; 29:1008-1009. [PMID: 32972224 DOI: 10.12968/bjon.2020.29.17.1008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
|
12
|
Rosengarten L, Camara C. A guide to central venous access devices in children. Br J Nurs 2020; 29:S6-S14. [PMID: 37243306 DOI: 10.12968/bjon.2020.29.14.s6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Central venous access devices (CVADs) are commonly used in the care of children both in the short term and long term. Health professionals providing care for children who have CVADs in place are required to have a clear understanding of the benefits and risks associated with their use. This article introduces the different types of CVADs commonly used in paediatrics and provides step-by-step guidance on the use and care of these devices.
Collapse
Affiliation(s)
- Leah Rosengarten
- Lecturer, Children's Nursing, Department of Health and Life Sciences, University of Northumbria, Newcastle
| | - Claire Camara
- Graduate Tutor, Children's Nursing, Department of Health and Life Sciences, University of Northumbria, Newcastle
| |
Collapse
|
13
|
Rosengarten L. How to manage the care of the dehydrated child. Br J Nurs 2019; 28:1366-1368. [PMID: 31778337 DOI: 10.12968/bjon.2019.28.21.1366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Leah Rosengarten
- Lecturer in Children's Nursing, Department of Health and Life Sciences, University of Northumbria, Newcastle upon Tyne
| |
Collapse
|
14
|
Rosengarten L, Ban S. Basic life support for the child and infant. Br J Nurs 2019; 28:1118-1122. [PMID: 31556731 DOI: 10.12968/bjon.2019.28.17.1118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The majority of cardiorespiratory arrests in children and infants are caused by respiratory insufficiency rather than cardiac problems; therefore, the order of delivering resuscitation is different to the delivery of basic life support to adults. The Nursing and Midwifery Council has stated that all nurses must be able to provide basic life support. This article will explain the process for recognising the need for, and delivering, basic life support to infants and children.
Collapse
Affiliation(s)
- Leah Rosengarten
- Lecturer in Children's Nursing, Department of Health and Life Sciences, University of Northumbria, Newcastle
| | - Sasha Ban
- Senior Lecturer in Children's Nursing, Department of Health and Life Sciences, University of Northumbria, Newcastle
| |
Collapse
|
15
|
Abstract
As any nurse working in the NHS knows, teamwork can be powerful. Successful teamwork can make a huge workload of unmanageable tasks manageable. However, unsuccessful teamwork can leave people struggling to cope. This article explores readers' knowledge and skills related to teamwork and provides them with new skills and techniques to improve practice.
Collapse
Affiliation(s)
- Leah Rosengarten
- School of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, England
| |
Collapse
|
16
|
Abstract
A Cluster Care Aide Model of home care was implemented within a senior apartment complex in New York City. Many unforeseen difficulties arose when traditional home health aides were teamed with newly dependent elderly. Cooperation between the administrators of the two agencies created a specialized orientation and in-service program with positive outcomes.
Collapse
|
17
|
Rosengarten L, Rosengarten F. Aspects of cooperative home care for the elderly in Bologna, Italy. Pride Inst J Long Term Home Health Care 1991; 9:33-7. [PMID: 10107248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
|
18
|
Walsh M, Page-Greifinger L, Rosengarten L, Smith GM. Training aides and family caregivers. Pride Inst J Long Term Home Health Care 1990; 9:51-9. [PMID: 10105598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
|
19
|
|