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Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: A scoping review. J Adv Nurs 2024; 80:1750-1760. [PMID: 37950382 DOI: 10.1111/jan.15954] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Revised: 10/19/2023] [Accepted: 10/28/2023] [Indexed: 11/12/2023]
Abstract
AIM To explore digital health interventions on patient safety for children and their parents. DESIGN A scoping review. METHODS The PCC 'Participants, Concepts, and Contexts' guided the selection of studies that focused on children under 19 years of age or their parents, patient safety interventions for children, and digital health technology for patient safety interventions. This study was conducted using the Arksey and O'Malley framework's five steps. We reported the review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews Checklist. DATA SOURCES PubMed, CINAHL, Embase, Web of Science, and Cochrane were searched for articles published up to November 2022. RESULTS A total of 13 articles were included and categorized according to the following criteria to describe the results: intervention characteristics, type of digital technology, and outcome characteristics. Regarding intervention characteristics, we identified two categories, prevention and risk management. Additionally, we identified four types of digital technology, mobile applications, web-based technologies, computer kiosks and electronic health records. Finally, in studies focussing on child safety, parental safety behaviours were used to assess injury risk or detect changes related to prevention. CONCLUSION Patient safety interventions provided through appropriate digital technologies should be developed to enhance continuum of care for children from hospitalization to home after discharge. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE Digital health interventions can bolster the role of healthcare providers in patient safety in and out of hospitals, thus improving children's safety and quality of care. IMPACT What problem did the study address? Although the various advantages of digital health technology have been demonstrated, the potential role of digital technology in patient safety interventions for children has not been explored. What were the main finding? Preventive patient safety interventions and risk management for children have been developed. Where and on whom will the research have an impact? Digital health interventions on patient safety can improve children's safety and quality of care by promoting non-face-to-face engagement of children and parents after discharge and expanding healthcare providers' roles. TRIAL AND PROTOCOL REGISTRATION Registered on the Open Science Framework (https://osf.io/dkvst). PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Jisu Park
- Department of Nursing, Graduate School, Yonsei University, Seoul, South Korea
| | - Heejung Jeon
- Department of Nursing, Graduate School, Yonsei University, Seoul, South Korea
| | - Eun Kyoung Choi
- College of Nursing, Yonsei University, Seoul, South Korea
- Mo-Im Kim Nursing Research Institute College of Nursing, Yonsei University, Seoul, South Korea
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Barratt M, Bail K, Lewis P, Paterson C. Nurse experiences of partnership nursing when caring for children with long-term conditions and their families: A qualitative systematic review. J Clin Nurs 2024; 33:932-950. [PMID: 37953488 DOI: 10.1111/jocn.16924] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 09/25/2023] [Accepted: 10/18/2023] [Indexed: 11/14/2023]
Abstract
AIM To explore the experiences of partnership nursing among nurses when caring for children and young people with long-term conditions, and their families. BACKGROUND Partnership nursing is promoted as a positive model of care among paediatric nurses, where shared roles and decision-making, parental participation, mutual trust and respect, communication and negotiation are valued to create positive care experiences and enhance patient outcomes. Little is known about how nurses use partnership with both the patient and the parents in this triad to deliver partnership nursing. DESIGN A qualitative systematic review followed Joanna Briggs Institute meta-aggregation approach and has been reported according to PRISMA guidelines. METHODS A comprehensive systematic search was conducted in seven electronic databases. Studies were assessed according to a pre-determined inclusion criteria. Qualitative findings with illustrative participant quotes were extracted from included studies and grouped into categories to inform overall synthesised findings. Methodological quality assessment was conducted. FINDINGS A total of 5837 publications were screened, and 41 qualitative studies were included. Three overarching synthesised findings were identified: (1) Using education to promote feelings of safety and support, (2) Partnering to develop a strong therapeutic relationship and (3) Optimising communication underpinned by shared decision-making principles to deliver individualised care. CONCLUSION Nurses demonstrated successful partnership in their practice, but focused on developing dyadic nurse-parent and dyadic nurse-child partnerships. Future practice development that creates a three-way triadic partnership may aid therapeutic relationships and shared decision-making. IMPLICATIONS FOR CLINICAL PRACTICE Clinicians can reflect on how dyadic partnerships (focusing on the child or the parent) may exclude opportunities for coherent care. Further exploration in practice, policy and research as to how nurses determine child competency and child and parent level of engagement in triadic partnership may improve the potential of meaningful shared decision-making.
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Affiliation(s)
- Macey Barratt
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - Kasia Bail
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- SYNERGY Nursing & Midwifery Research Centre, ACT Health Directorate and University of Canberra Level 3, Canberra Hospital, Canberra, Australian Capital Territory, Australia
| | - Peter Lewis
- School of Nursing and Midwifery, Western Sydney University, Hawkesbury, New South Wales, Australia
| | - Catherine Paterson
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- SYNERGY Nursing & Midwifery Research Centre, ACT Health Directorate and University of Canberra Level 3, Canberra Hospital, Canberra, Australian Capital Territory, Australia
- Prehabilitation, Activity, Cancer, Exercises and Survivorship (PACES) Research Group, University of Canberra, Bruce, Australian Capital Territory, Australia
- Robert Gordon University, Aberdeen, UK
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Simpson-Collins M, Fry M, Sheppard-Law S, Harris C. Parents' and nurses' perceptions and behaviours of family-centred care during periods of busyness. J Clin Nurs 2024; 33:691-701. [PMID: 37897101 DOI: 10.1111/jocn.16921] [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] [Received: 06/28/2023] [Revised: 10/08/2023] [Accepted: 10/18/2023] [Indexed: 10/29/2023]
Abstract
PURPOSE Busyness as a construct within modern healthcare is complex and multidimensional. To date, few studies have sought to explore how busyness influences family-centred care. This study explored the influence of busyness on the delivery of family-centred care for nurses and parents. DESIGN AND METHOD Ethnography was selected as the research design. The study site was a metropolitan tertiary hospital inpatient paediatric unit in Sydney, Australia. Semi-structured interview and non-participant observation techniques were used for data collection. Ten paediatric nurses and 10 parents were interviewed and 40 h of non-participant observations were undertaken. The COREQ was used to report the study. RESULTS The findings are presented as three key themes: (i) 'Supporting family-centred care' in which participants detail beliefs about the nurse-parent relationships and how despite busyness nurses sought out moments to engage with parents; (ii) 'Being present at the bedside' identified the challenges in optimising safety and how parents adapted their way of being and interacting on the unit; and (iii) 'The emotional cost of busyness' and how this influenced nurse-parent interactions, care delivery and family-centred care. CONCLUSIONS The ethnography has given shape to social understandings of busyness, the complexities of paediatric nursing and family-centred care. The culture of care changed in moments of busyness and transformed parent and nursing roles, expectations and collaborative care that at time generated internal emotional conflict and tension. PRACTICE IMPLICATIONS Given the increasing work demands across health systems, new agile ways of working need to ensure maintenance of a family-centred approach. Strategies need to be developed during periods of busyness to better support collaborative connections and the well-being of paediatric nurses and parents. At an organisational level, fostering a positive workplace culture that shares a vision for family-centred care and collaboration is essential. PATIENT OR PUBLIC CONTRIBUTION Parents of sick children admitted to an acute paediatric inpatient ward were invited to be a participant in a single interview. Parents were aware of the study through ward advertisement and informal discussions with the researchers or senior clinical staff. Engagement with parents was important as healthcare delivery in paediatrics is focused on the delivery of family-centred care. To minimise the risk of child distress and separation anxiety, children were present during the parent interview. Whist children and young people voices were not silenced during the interview process, for this study the parent's voice remained the focus. While important, due to limited resources, parents were not involved in the design analysis or interpretation of the data or in the preparation of this manuscript. DATA SHARING The data that support the findings of this study are available from the corresponding author upon reasonable request.
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Affiliation(s)
- Melinda Simpson-Collins
- Adolescent Unit, John Hunter Children's Hospital, New Lambton Heights, New South Wales, Australia
| | - Margaret Fry
- Faculty of Health, School of Nursing & Midwifery, University of Technology Sydney, Ultimo, New South Wales, Australia
- Northern Sydney Local Health District, Royal North Shore Hospital, St Leonards, New South Wales, Australia
| | - Suzanne Sheppard-Law
- Faculty of Health, School of Nursing & Midwifery, University of Technology Sydney, Ultimo, New South Wales, Australia
- Prince of Wales Hospital, South Eastern Sydney Local Health District, Randwick, New South Wales, Australia
| | - Claire Harris
- Faculty of Health, School of Nursing & Midwifery, University of Technology Sydney, Ultimo, New South Wales, Australia
- Nursing and Midwifery Services, Northern Sydney Local Health District, St Leonards, New South Wales, Australia
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Brunner C, Theiler M, Znoj H, Schwieger-Briel A, Luchsinger I, Weibel L, Seliner B. Corticosteroid fear in parents of children with atopic dermatitis. Pflege 2024. [PMID: 38294181 DOI: 10.1024/1012-5302/a000968] [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: 02/01/2024]
Abstract
Background: Topical corticosteroids (TCS) are the mainstay of therapy for paediatric atopic dermatitis (AD). The use of TCS is often met with fear by parents. Assessing this parental TCS fear in clinical practice is still lacking. Aim: The aim was to assess parental fear and beliefs about TCS. Furthermore, we evaluated the quality of life (QoL) of the family and the disease severity of affected children. Methods: We conducted an observational study with a cross-sectional design. Inclusion criteria were children aged 0 to 5 years with a diagnosis of AD and outpatient treatment. The outcome measures were parental fears and beliefs about TCS, assessed with the "Topical Corticosteroid Phobia Score" (TOPICOP), parental QoL evaluated with the "Family Dermatology Life Quality Index", and disease severity, assessed with the "Scoring atopic dermatitis" (SCORAD). Descriptive statistic was used to analyse the data. Results: The current study found that in 40 affected children, 25 (62.5%), suffered from mild AD, 12 (30%) children had moderate AD, and 3 (7.5%) children had severe AD. TCS fear among parents was notable (mean TOPICOP score 18.1, standard deviation (SD) 7.1). The QoL was moderately affected (mean FDLQI score 6.5, SD 2.8). Conclusions: Our study indicates that fear of TCS is prevalent. Furthermore, our data indicate that severity of TCS fear varies markedly between parents, ranging from parents with almost no fear to parents with high levels of fear. For effective education in clinical practice, the individual level of fear must be recognized and taken into account.
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Affiliation(s)
- Corinne Brunner
- Pediatric Skin Center, Skin and Wound Management, University Children's Hospital Zurich, Switzerland
- Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Switzerland
- Graduate School for Health Science, University of Bern, Switzerland
| | - Martin Theiler
- Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Switzerland
- Pediatric Skin Center, Dermatology Department, University Children's Hospital Zurich, Switzerland
| | - Hansjörg Znoj
- Department of Health Psychology and Behavioral Medicine, Institute of Psychology, University of Bern, Switzerland
| | - Agnes Schwieger-Briel
- Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Switzerland
- Pediatric Skin Center, Dermatology Department, University Children's Hospital Zurich, Switzerland
| | - Isabelle Luchsinger
- Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Switzerland
- Pediatric Skin Center, Dermatology Department, University Children's Hospital Zurich, Switzerland
| | - Lisa Weibel
- Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Switzerland
- Pediatric Skin Center, Dermatology Department, University Children's Hospital Zurich, Switzerland
| | - Brigitte Seliner
- Children's Research Center, University Children's Hospital of Zurich, University of Zurich, Switzerland
- Department of Nursing Science, University Children's Hospital Zurich, Switzerland
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Kim J, Chae H, Kim Y. Spousal support, parent-nurse partnership and caregiver burden among parents of children with chronic diseases: A cross-sectional study. J Clin Nurs 2024. [PMID: 38204200 DOI: 10.1111/jocn.16985] [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] [Received: 08/02/2023] [Revised: 11/16/2023] [Accepted: 12/11/2023] [Indexed: 01/12/2024]
Abstract
AIM To examine the effects of spousal support and parent-nurse partnership on caregiver burden of parents of children with chronic disease. BACKGROUND With the trend of increasing the global number of children with chronic diseases, the parental caregiver burden has become increasingly prevalent. DESIGN Cross-sectional study. METHODS The study participants included 115 parents of children diagnosed with chronic disease at a general hospital in South Korea. The study duration was 4 June 2021-30 April 2022. Self-reported measures included the parent-nurse partnership scale, the Korean version of the Parenting Alliance Inventory and the family caregiver burden scale. T-tests, ANOVA, Pearson's correlation coefficients and hierarchical linear multiple regression were conducted using IBM SPSS version 26.0. This study followed STROBE guideline. RESULTS Parental caregiver burden was significantly negatively associated with spousal support and parent-nurse partnership. Factors significantly influencing caregiver burden were parental alcohol consumption; child's inherited metabolic disease, cardiovascular disease, disease relating to haematological tumours or kidney disease diagnosis; child's health perceived as poor by parents; child's dependency perceived as high by parents; hospitalization recency; and low spousal support. These factors accounted for 65% of caregiver burden. CONCLUSION Parental caregiver burden was related to spousal support and parent-nurse partnership, but the primary factor affecting caregiver burden was spousal support. RELEVANCE TO CLINICAL PRACTICE The results highlighted the role of healthcare professionals in educating parents of children with chronic diseases to facilitate spousal support and have implications for nursing and community-based interventions to reduce parental caregiver burden. Furthermore, they underlined that policymakers and other stakeholders should pay attention to the parental caregiver burden through government-based, family-centered strategies. PATIENT OR PUBLIC CONTRIBUTION Parents of children with chronic disease were recruited to perform the self-administered survey in the phase of data collection.
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Affiliation(s)
- Jihye Kim
- Department of Nursing, The Graduate School, Chung-Ang University, Seoul, Korea
| | - Heemin Chae
- Department of Nursing, The Graduate School, Chung-Ang University, Seoul, Korea
| | - Yoonjung Kim
- Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
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Liu S, Deng T, Chen M, Ji Y, Dai Y, Zhang T, Zhang L. Parenting confidence and social support as predictors of coping strategies in parents of children newly diagnosed with autism spectrum disorder: A cross-sectional study. J Adv Nurs 2023; 79:3946-3955. [PMID: 37209370 DOI: 10.1111/jan.15708] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 04/21/2023] [Accepted: 05/05/2023] [Indexed: 05/22/2023]
Abstract
AIMS The aims of the study were to describe coping strategies in parents of children with autism spectrum disorder at the early stage of diagnosis and to examine the predictive effects of parenting confidence and social support on coping strategies. DESIGN A descriptive cross-sectional study. METHODS A convenience sample of 193 parents of children newly diagnosed with autism spectrum disorder in Guangzhou, China, were included from October 2020 to January 2021. The Simplified Coping Style Questionnaire, Parenting Sense of Competence Scale and Social Support Rating Scale were employed for data collection. Multiple hierarchical regression analyses examined the relationship between coping strategies and the independent variables. RESULTS The mean positive coping strategies score was higher than the negative coping strategies score. Parenting efficacy, subjective support and support utilization predicted positive coping strategies, and parenting satisfaction was a protective factor against negative coping strategies. CONCLUSION Parents tend to engage in positive coping at the early stage of diagnosis. Improving parenting confidence and social support might help parents adopt positive coping strategies and prevent negative coping. IMPACT More effective and long-term support for families of children with autism spectrum disorder is expected. Interventions should be focused on enhancing parenting satisfaction and efficacy to employ positive coping strategies and decrease negative coping. REPORTING METHOD We adhered to EQUATOR guidelines and reported results based on STROBE guidelines. PATIENT OR PUBLIC CONTRIBUTION No patient or public involvement.
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Affiliation(s)
- Shaofei Liu
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Tao Deng
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Miaoying Chen
- Child Development Behavior Center, Third Affiliated Hospital of Sun Yat-sen University in Lingnan, Guangzhou, China
| | - Yan Ji
- Child Development Behavior Center, Third Affiliated Hospital of Sun Yat-sen University in Lingnan, Guangzhou, China
| | - Yushen Dai
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Tao Zhang
- Faculty of Humanities and Social Sciences, Macao Polytechnic University, Macao, China
| | - Lifeng Zhang
- School of Nursing, Sun Yat-sen University, Guangzhou, China
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Shrestha-Ranjit J, Ranjitkar UD, Water T, Shrestha S, Sharma C, Mukhia S, Adhikari J, Adhikari T, Pandey A, Sharma M, Pandey A, Joshi N, Tuck N. Nurses' knowledge and attitudes regarding children's pain assessment and management in Nepal. J Child Health Care 2023:13674935231195133. [PMID: 37571842 DOI: 10.1177/13674935231195133] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/13/2023]
Abstract
Pain is frequently experienced by children in hospital, and international guidelines for appropriate pain assessment and management are available. Optimal management of paediatric pain has important long-term health, psychosocial, and economic benefits. However, evidence indicates that globally there are deficits in nurses' understanding of paediatric pain assessment and management. This study explored knowledge and attitudes regarding paediatric pain assessment and management among nurses at a tertiary children's hospital in Nepal. In this cross-sectional study all 140 nurses at a tertiary children's hospital in Nepal, were invited to complete the validated Paediatric Nurses Knowledge and Attitudes Survey. Findings revealed substantial deficits in nurse's knowledge and erroneous attitudes towards pain assessment and management in children. Test scores ranged from 14% to 56%, with mean scores of 38%, with no nurses achieving a recommended pass score of 80% regarding knowledge and attitudes in paediatric pain management. Consistent with previous research, nurses had insufficient knowledge and attitudes that did not reflect best practice regarding pain assessment and management in children. Education programmes targeting both trainees and registered nurses are essential to enable nurses to deliver evidence-based care and improve outcomes for children and their families.
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Affiliation(s)
- Jagamaya Shrestha-Ranjit
- Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Uma Devi Ranjitkar
- Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal
| | - Tineke Water
- Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Sulochana Shrestha
- Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal
| | - Chandrakala Sharma
- Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal
| | - Suzanna Mukhia
- Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal
| | - Jamuna Adhikari
- Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal
| | - Tulashi Adhikari
- Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal
| | - Archana Pandey
- Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal
| | - Muna Sharma
- Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal
| | - Apsara Pandey
- Tribhuvan University Institute of Medicine Birgunj Nursing Campus, Birgunj, Nepal
| | | | - Natalie Tuck
- Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand
- Waitematā Pain Services, Department of Anaesthesia and Perioperative Medicine, Te Whatu Ora Waitematā
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Schulz I, O'Neill J, Gillam P, Gillam L. The scope of ethical dilemmas in paediatric nursing: a survey of nurses from a tertiary paediatric centre in Australia. Nurs Ethics 2023; 30:526-541. [PMID: 36877536 DOI: 10.1177/09697330231153916] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Abstract
BACKGROUND No previous study has provided evidence for the scope and frequency of ethical dilemmas for paediatric nurses. It is essential to understand this to optimise patient care and tailor ethics support for nurses. RESEARCH AIM The aim of this study was to explore the scope of nurses' ethical dilemmas in a paediatric hospital and their engagement with the hospital clinical ethics service. RESEARCH DESIGN This study used a cross-sectional survey design. PARTICIPANTS AND RESEARCH CONTEXT Paediatric nursing staff in a tertiary paediatric centre in Australia completed an online survey asking about their exposure to a range of ethical dilemmas and their knowledge of the clinical ethics service. Analysis used descriptive and inferential statistics. ETHICAL CONSIDERATIONS Ethical approval was granted from the hospital research committee. The survey was anonymous, and no identifying details of participants were collected. RESULTS Paediatric nurses experienced a wide range of ethical dilemmas frequently, both in the intensive care and general areas. Knowledge and use of the clinical ethics service was poor and the most frequent challenge for nurses in managing dilemmas was feeling powerless. CONCLUSION There is a need to recognise the moral burden of ethical dilemmas for paediatric nurses in order to foster ethical sensitivity, and to provide adequate support to improve care and mitigate nursing moral distress.
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Affiliation(s)
- Ingrid Schulz
- The Victorian Paediatric Palliative Care Program, The Royal Children's Hospital, Melbourne, VIC, Australia
| | - Jenny O'Neill
- The Department of Nursing Research, The Royal Children's Hospital, Melbourne, VIC, Australia; Melbourne School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia; The Children's Bioethics Centre, The Royal Children's Hospital, Melbourne, VIC, Australia
| | - Peter Gillam
- Department of Psychology, The University of Melbourne, Melbourne, VIC, Australia
| | - Lynn Gillam
- The Children's Bioethics Centre, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, VIC, Australia
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Forster EM, Kotzur C, Richards J, Gilmour J. Paediatric post-discharge pain and parent perceptions of support from an Australian nurse practitioner led acute pain service. J Child Health Care 2022; 26:394-406. [PMID: 33940942 DOI: 10.1177/13674935211014742] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Poorly managed post-operative pain remains an issue for paediatric patients. Post-discharge telephone follow-up is used by an Australian Nurse Practitioner Acute Pain Service (NpAPS) to provide access to effective pain management post-discharge from hospital. This cross-sectional survey design study aimed to determine the pain levels of children following discharge and parent views on participation in their child's pain management and perceptions of support from the NpAPS. Parents completed the Parents' Postoperative Pain Measure-Short Form (PPPM-SF) and factors affecting parents' participation in children's pain management questionnaire (FPMQ). Results indicated that pain score was high, especially on the day of discharge and 24 hours post-discharge. Parents, despite feeling supported by the NpAPS, experienced uncertainty, emotional responses and expressed concerns about communication and coordination of care. The clinically significant pain levels of the majority of children on the day of discharge and day post-discharge from hospital are a concern. Worry and uncertainty among parents, particularly on the day and first night of discharge, suggest this transition period where responsibility of clinical management of pain is handed over to parents may require greater focus for parental support.
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Affiliation(s)
| | - Catherine Kotzur
- Department of Anaesthetics, 94273Queensland Children's Hospital, Brisbane
| | - Julianne Richards
- Department of Anaesthetics, 94273Queensland Children's Hospital, Brisbane
| | - John Gilmour
- School of Psychology, University of Southern Queensland, Australia
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Espina-Jerez B, Romera-Álvarez L, de Dios-Aguado M, Cunha-Oliveira A, Siles-Gonzalez J, Gómez-Cantarino S. Wet Nurse or Milk Bank? Evolution in the Model of Human Lactation: New Challenges for the Islamic Population. Int J Environ Res Public Health 2022; 19:9742. [PMID: 35955096 PMCID: PMC9368688 DOI: 10.3390/ijerph19159742] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 08/04/2022] [Accepted: 08/05/2022] [Indexed: 06/15/2023]
Abstract
(1) Introduction: The establishment of milk banks in the Islamic world as well as donation to Islamic families in Western countries remains a challenge in the context of human lactation. Religious reservations established since the Qur'an and regulated at the legal-religious and medical level equate milk kinship with consanguinity, which prevents donation. The aim of the study was to analyse the evolution in the model of breastfeeding and care in Islamic society. (2) Methods: The methodology of comparative history was applied, following the structural-dialectical model of care. Historical manuals, articles and databases were analysed. (3) Results: Paediatric care in medical manuals from the 10th-15th centuries is similar to that practiced by the Muslim population today, some beneficial, some harmful; the wet nurse had to follow a series of dietary habits and have a series of physical, moral and educational characteristics in order to be hired. They constituted a beginning of pseudo-professionalisation, in a domestic-family framework. Human milk was used as a remedy for different health problems. (4) Conclusions: Islamic society and nursing have to evolve towards transnational care adapted to the needs of the population.
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Affiliation(s)
- Blanca Espina-Jerez
- Department of Nursing, University of Alicante, Carretera de San Vicente del Raspeig s/n, 03690 Alicante, Spain
- ENDOCU Research Group (Nursing, Pain and Care), Department of Nursing, Physiotherapy and Occupational Therapy University of Castilla-La Mancha, 45071 Toledo, Spain
| | - Laura Romera-Álvarez
- Faculty of Physiotherapy and Nursing, Toledo Campus, University of Castilla-La Mancha, 45071 Toledo, Spain
| | - Mercedes de Dios-Aguado
- ENDOCU Research Group (Nursing, Pain and Care), Department of Nursing, Physiotherapy and Occupational Therapy University of Castilla-La Mancha, 45071 Toledo, Spain
| | - Aliete Cunha-Oliveira
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal
| | - José Siles-Gonzalez
- Department of Nursing, University of Alicante, Carretera de San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - Sagrario Gómez-Cantarino
- ENDOCU Research Group (Nursing, Pain and Care), Department of Nursing, Physiotherapy and Occupational Therapy University of Castilla-La Mancha, 45071 Toledo, Spain
- Faculty of Physiotherapy and Nursing, Toledo Campus, University of Castilla-La Mancha, 45071 Toledo, Spain
- Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal
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Barratt M, Bail K, Paterson C. Children living with long-term conditions and their experiences of partnership in nursing care: An integrative systematic review. J Clin Nurs 2022. [PMID: 35768938 DOI: 10.1111/jocn.16429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 05/01/2022] [Accepted: 06/09/2022] [Indexed: 12/26/2022]
Abstract
AIMS AND OBJECTIVE To describe the experiences of nursing care and partnership nursing as expressed by children living with long-term conditions. BACKGROUND Children with long-term conditions have higher rates of hospitalisations and adverse events in hospital, yet little is known about their experiences of nursing care. How children perceive partnership in care with their families and nurses is of interest in the achievement of safe and effective care DESIGN: An integrative review following Joanna Briggs Institute protocols for systematic reviews. METHOD An integrative review was chosen following Joanna Briggs Institute protocols for systematic reviews. A total of 5150 articles were screened, with 251 full-text publications reviewed. A total of 21 studies were included, three mixed-method studies and 18 qualitative studies. This review has been reported as per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. RESULTS Four integrated findings were identified: "Children are aware of their surroundings and needs," "Children value positive communication," "Children want to be recognised as an individual in the triadic relationship, and this can be done through nurses using tailored play;" and "Children seek a shared decision-making process." DISCUSSION Children wanted to be seen as an individual in Children and Young People's nursing as well as a child who craves security, fun and comfort, both from their families and nursing staff. Children described observing partnership between nursing staff and parents but felt uninvolved, with some children craving more knowledge and power to better understand their long-term condition. RELEVANCE TO CLINICAL PRACTICE Further research is required on how Children and Young People's nursing staff can better support children and empower them to be active members in the shared decision-making process if the child wishes to be involved.
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Affiliation(s)
- Macey Barratt
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - Kasia Bail
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Australian Capital Territory, Australia.,Canberra Health Services & ACT Health, SYNERGY Nursing & Midwifery Research Centre, ACT Health Directorate Level 3, Canberra Hospital, Canberra, Australia
| | - Catherine Paterson
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Australian Capital Territory, Australia.,Canberra Health Services & ACT Health, SYNERGY Nursing & Midwifery Research Centre, ACT Health Directorate Level 3, Canberra Hospital, Canberra, Australia.,Prehabilitation, Activity, Cancer Exercises and Survivorship (PACES) Research Group, University of Canberra, Bruce, Australian Capital Territory, Australia.,Robert Gordon University, Aberdeen, UK
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Aasen L, Johannessen AK, Ruud Knutsen I, Werner A. The work of nurses to provide good and safe services to children receiving hospital-at-home: A qualitative interview study from the perspectives of hospital nurses and physicians. J Clin Nurs 2021; 31:2495-2506. [PMID: 34570945 DOI: 10.1111/jocn.16062] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 09/08/2021] [Accepted: 09/10/2021] [Indexed: 10/20/2022]
Abstract
AIM To explore and describe the work performed by the nurses providing hospital-at-home care to children and their families from the perspectives of hospital nurses and physicians. BACKGROUND To reduce capacity pressure on hospitals, various ambulatory services combining hospital and home treatment have emerged. Studies have shown that children and their families are satisfied with hospital-at-home when the parents experienced the professionals possessed the necessary competences. Knowledge is limited about nurses and physicians' perspectives on the work performed and competence needed when children receive hospital treatment in the family's home. DESIGN A qualitative descriptive design with semi-structured interviews was used. Sixteen nurses and physicians from two hospitals in Norway working in hospital-at-home for children were recruited to interview. Data were analysed using systematic text condensation. In preparing the manuscript, we applied the COREQ guidelines. The theory on 'expert nursing' supported the discussion of results. RESULTS We identified three categories through analysis; building a trustful relationship with the family and the sick child; performing essential skills in paediatric nursing care in hospital-at-home; and nurses serving as the 'hub' between the different parties. CONCLUSION The results demonstrate the complexity of the work performed by hospital nurses when children received hospital-at-home. Building a trustful relationship and alliance with the child and the family formed the cornerstone of accomplishing good and safe paediatric care. The nurses became a coordinating and collaborating 'hub' for actors involved, taking care of patient safety on a daily basis. RELEVANCE TO CLINICAL PRACTICE The way the nurses approached the children and their families, was the core element of the paediatric nursing expertise and important for the service quality and patient safety. The importance of building a trustful relationship needs to be more acknowledged, and the services would benefit to organise this through continuity of care.
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Affiliation(s)
- Line Aasen
- Faculty of Health Sciences, Institute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
| | - Anne-Kari Johannessen
- Faculty of Health Sciences, Institute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.,Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway
| | - Ingrid Ruud Knutsen
- Faculty of Health Sciences, Institute of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
| | - Anne Werner
- Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway
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Ferrari G, Dobrina R, Buchini S, Rudan I, Schreiber S, Bicego L. The impact of personal protective equipment and social distancing on communication and relation between nurses, caregivers and children: a descriptive qualitative study in a maternal and child health hospital. J Clin Nurs 2021. [PMID: 34036654 DOI: 10.1111/jocn.15857] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 04/30/2021] [Accepted: 05/04/2021] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES The main objective was to explore the impact of personal protective equipment and social distancing on nurses, caregivers and children's communication and relationship in a maternal and child health hospital. BACKGROUND The spread of COVID-19 pandemic made it necessary to apply infection prevention and control measures, including interpersonal distancing and the use of personal protective equipment. These measures may impact communication and relationship between nurses, patients and caregivers especially in a complex environment, such as a paediatric setting. DESIGN A qualitative descriptive study design was adopted. Reporting followed the COREQ guidelines. METHODS Semi-structured interviews were conducted in two wards of a maternal and child health hospital in north-east Italy. Data were collected between September and November 2020. Transcripts were analysed using inductive content analysis. RESULTS Seventeen caregivers and 17 nurses were recruited using convenience sampling. Three themes were identified, namely: "Impact on a trustworthy relationship"; "Impact on common communication resources"; and "Strategies to overcome barriers". Participants agreed Covid-19 infection prevention and control measures impacted key elements of family-centred and compassionate care. Communication strategies and play were critical to overcoming the barriers encountered. CONCLUSIONS COVID-19 containment measures impact communication and family-centred care in paediatric hospital settings. There is a need for stakeholders to consider family needs in interventions aimed at controlling pandemics' impact. CLINICAL RELEVANCE While COVID-19 pandemic urgency intensified the use of PPE and social distancing, strategies to overcome issues related to family-centred care should be considered in those wards such as oncology or infectious disease paediatric departments where these measures are continuously adopted. Beyond a greater communication awareness, strategies may comprise the implementation of virtual care to guarantee support, continuity of care and information between the child, the healthcare team and the family members that are not admitted to the hospital for safety reasons.
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Affiliation(s)
- Giada Ferrari
- Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - Raffaella Dobrina
- Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - Sara Buchini
- Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - Iva Rudan
- Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - Silvana Schreiber
- Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - Livia Bicego
- Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
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Shakeri F, Atashzadeh‐Shoorideh F, Varzeshnejad M, Svetic Cisic R, Oomen B. Correlation between Ethical Intelligence, Quality of Work Life and Caring Behaviour of Paediatric Nurses. Nurs Open 2021; 8:1168-1174. [PMID: 34482658 PMCID: PMC8046053 DOI: 10.1002/nop2.729] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Accepted: 11/10/2020] [Indexed: 11/24/2022] Open
Abstract
AIMS The aim of this study is to determine correlation between paediatric nurses' "ethical intelligence" with "quality of work life" and "caring behaviour." DESIGN Descriptive correlational study. METHODS Data were collected with EIQ, QWL and CBI. Two hundred and one nurses and 201 caregivers of children hospitalized in a paediatric hospital in Tehran were randomly selected as participants. Data were analysed by SPSS. The data were collected in 2019. RESULTS Comparison of the subscale "ethical intelligence" with the scale "quality of work life" indicated a significant positive correlation between "honesty" with "job and carrier satisfaction" and "forgiveness" with "job and carrier satisfaction". In addition, findings showed a significant positive correlation between "honesty" and "control at work" and between "accountability" with "home-work interface." There was no significant correlation between "ethical intelligence" and "caring behaviours" and between nurses' "quality of work life" and "caring behaviours." Structural equation modelling showed a correlation between nurses' "ethical intelligence" and "quality of work life."
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Affiliation(s)
- Fateme Shakeri
- Student Research CommitteeSchool of Nursing & MidwiferyShahid Beheshti University of Medical SciencesTehranIran
| | - Foroozan Atashzadeh‐Shoorideh
- Department of Psychiatric Nursing and ManagementSchool of Nursing & MidwiferyShahid Beheshti University of Medical SciencesTehranIran
| | - Maryam Varzeshnejad
- Department of Pediatric NursingNursing & Midwifery SchoolShahid Beheshti University of Medical SciencesTehranIran
| | | | - Ber Oomen
- ESNO, European Specialist Nurses OrganizationEuropean Public Health Alliance (EPHA)Arnhemthe Netherlands
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15
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Taha AA, Jadalla A, Bin Ali W, Firkins J, Norman S, Azar N. Structured simulations improves students' knowledge acquisition and perceptions of teaching effectiveness: A quasi-experimental study. J Clin Nurs 2021; 30:3163-3170. [PMID: 33896066 DOI: 10.1111/jocn.15815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 03/16/2021] [Accepted: 04/07/2021] [Indexed: 10/21/2022]
Abstract
AIMS To determine the effect of adding structured simulation to a traditional classroom lecture format on students' knowledge acquisition and their evaluation of faculty teaching effectiveness, compared to traditional classroom lectures alone. BACKGROUND There is a critical lack of high-quality clinical placements/experiences in nursing education, particularly in clinical specialty populations, such as paediatrics. Simulation has been shown to help students practice in a safe environment. However, less is known about the outcomes of embedding simulation in didactic class sessions or classroom lectures. Additionally, data on the impact of simulation as a teaching pedagogy on faculty teaching effectiveness is limited. DESIGN Post-test, nonequivalent control group quasi-experimental study. METHODS Students in two prelicensure nursing programs participated in a 10-week term paediatric nursing course taught by the same faculty member on two different campuses. The students at one campus, designated as the control group (n = 43), received four hours of traditional, lecture-only, instructions. The group at a second campus, the intervention group (n = 44), received the same lectures with added structured simulations. Students' knowledge acquisition and their evaluation of faculty teaching effectiveness were measured in both groups using the same standardised assessment measures. The CONSORT checklist was followed. RESULTS Students' knowledge acquisition scores and their evaluation scores of faculty teaching effectiveness were significantly higher in the intervention (simulation) group compared to the control group. A significantly higher number of students in the simulation group scored above the national average Nursing Care of Children score as compared to students in the control group. CONCLUSIONS Integrating simulation with didactic instruction enhanced students' knowledge acquisition and improved their opinion of faculty teaching effectiveness. RELEVANCE TO CLINICAL PRACTICE Augmenting lecture with simulation may provide students with learning experiences that they may not have during clinical rotation due to a lack of paediatric clinical placement sites and differences between sites.
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Affiliation(s)
- Asma A Taha
- School of Nursing, Oregon Health & Science University, Portland, OR, USA
| | - Ahlam Jadalla
- School of Nursing, California State University, Long Beach, CA, USA
| | - Wafaa Bin Ali
- College of Nursing-Jeddah, King Saud Bin Abdul Aziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Jenny Firkins
- School of Nursing, Oregon Health & Science University, Portland, OR, USA
| | - Sharon Norman
- School of Nursing, Oregon Health & Science University, Portland, OR, USA
| | - Najood Azar
- Doctoral Department, School of Nursing, Azusa Pacific University, Monrovia, CA, USA
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Barratt M, Bail K, Paterson C. Children living with long-term conditions: A meta-aggregation of parental experiences of partnership nursing. J Clin Nurs 2021; 30:2611-2633. [PMID: 33829591 DOI: 10.1111/jocn.15770] [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] [Received: 12/23/2020] [Revised: 03/02/2021] [Accepted: 03/16/2021] [Indexed: 01/30/2023]
Abstract
AIM To explore how parents of children with long-term conditions experience partnership in paediatric and neonatal nursing care and to identify existing partnership barriers and facilitators. BACKGROUND Parent-nurse partnership is fundamental to paediatric and neonatal nursing. Partnership is characterised by five attributes: parental participation, negotiation, mutual trust and respect, shared roles and decision-making, and communication. Little is known about the parental experiences of partnership nursing specific to children living with a long-term condition. DESIGN A qualitative meta-aggregation review following Joanna Briggs Institute meta-aggregation approach. METHODS A comprehensive search was conducted in six electronic databases. Studies were assessed according to the inclusion and exclusion criteria. Qualitative findings with illustrative quotes from included studies were extracted and grouped into categories which informed the synthesised findings. This review has been reported according to the PRISMA guidelines. FINDINGS A total of 4,404 studies were screened, 162 full-text studies were assessed against the inclusion and exclusion criteria, and a total of six studies were included. The meta-aggregation developed three overarching synthesised findings which were as follows: (a) empowering parents to become involved, (b) effective communication to recognise mutual expertise and (c) collaborative nurse-family relationships. CONCLUSION Parents valued collaboration where both parents and nurses are recognised equally for their skills and expertise. A power struggle existed between parents and nurses when expertise was not recognised. Parents appreciated nurses who empowered them to develop new skills and knowledge in the care of their own child. RELEVANCE TO CLINICAL PRACTICE Nurses need to recognise the skills and knowledge that parents have surrounding the care requirements of their own children. Collaboration and negotiation are key to successful partnership between nurses and parents. Nurses need to frequently reflect on how they are successfully partnering with both parents and children and ensure all parties in the nurse/parent/child triad feel supported and empowered.
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Affiliation(s)
- Macey Barratt
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, ACT, Australia
| | - Kasia Bail
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, ACT, Australia.,Canberra Health Services & ACT Health, SYNERGY Nursing & Midwifery Research Centre, Canberra Hospital, Canberra, ACT, Australia
| | - Catherine Paterson
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, ACT, Australia.,Canberra Health Services & ACT Health, SYNERGY Nursing & Midwifery Research Centre, Canberra Hospital, Canberra, ACT, Australia.,Prehabilitation, Activity, Cancer, Exercises and Survivorship (PACES) Research Group, University of Canberra, Bruce, ACT, Australia.,Robert Gordon University, Aberdeen, UK
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17
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Laserna Jiménez C, López Poyato M, Casado Montañés I, Guix-Comellas EM, Fabrellas N. Paediatric nursing clinical competences in primary healthcare: A systematic review. J Adv Nurs 2021; 77:2662-2679. [PMID: 33594748 DOI: 10.1111/jan.14768] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Revised: 12/22/2020] [Accepted: 01/13/2021] [Indexed: 11/29/2022]
Abstract
AIMS To identify and critically appraise the available evidence on paediatric nurses' clinical competencies performed autonomously regarding disease prevention and health promotion activities for children and adolescents in primary healthcare worldwide. DESIGN A systematic review design in accordance with the Preferred Reporting Items Systematic Reviews and Meta-Analyses statement. DATA SOURCES The search was conducted through MEDLINE (PubMed), Cumulative Index to Nursing and Allied Health Literature, SCOPUS, The Cochrane Library, Scientific Electronic Library Online, Web of Science and The Joanna Briggs Institute EBP (Ovid) databases. The grey literature was reviewed at OpenGrey. Additional studies were located through a references list of selected studies identified on first search. REVIEW METHODS Database search employed MeSH terms: (paediatric nursing) AND (primary healthcare) AND ((clinical skills) OR (clinical competences)). Studies published from inception to October 2019 exploring paediatric nurses' clinical competencies in primary healthcare were eligible for inclusion. No language restrictions were applied in the main search. Selection was made by two reviewers independently. Three independent reviewers assessed the methodological quality of included studies. RESULTS Eighteen studies were included from six countries. The most common nursing competencies independently performed identified and described in studies were Health education and advice, Child and adolescent health and development assessment, Immunizations and Child health checks. CONCLUSION Studies describe clinical competencies of nurses in children care. No consistent scientific evidence is available about clinical competencies of paediatric nurses performed autonomously in primary care. IMPACT Few scientific studies identifying and assessing nurses' child primary healthcare skills were found and therefore recorded. Studies describe nurses' clinical skills in childhood, but results do not show firm consistency assessing their practice scope. Health policy-makers should encourage the development of nurses' competencies if they wish to preserve quality and equity of healthcare services to children. Therefore, the first step is to identify the autonomous competencies of paediatric nurses in primary care.
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Affiliation(s)
- Cristina Laserna Jiménez
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Mireia López Poyato
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.,Health Centre Les Corts, Consorci d'Atenció Primària de Salut de Barcelona Esquerra de l'Eixample (CAPSBE), Barcelona, Spain
| | | | - Eva Maria Guix-Comellas
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Núria Fabrellas
- School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
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Coetzee M, Leonard A, Bonaconsa C, Power N, North N. Developing children's nursing care outcome statements in Africa using World Café methods. Int Nurs Rev 2020; 67:529-534. [PMID: 32893340 PMCID: PMC7818475 DOI: 10.1111/inr.12621] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 07/17/2020] [Accepted: 07/28/2020] [Indexed: 11/30/2022]
Abstract
Nursing metrics use indicators to make the outcomes of nursing care visible through measurement. Metrics must be sensitive to the context-specific nature of nursing and should reflect the work that nurses really do. A workshop at the Building Children's Nursing conference (2019) was convened to develop statements of nursing care outcomes and actions specific to the work of children's nurses in African care settings, using the World Café method and the Nightingale Metrics approach. The process resulted in the development of statements as intended. Appropriate nursing metrics can guide data-driven practice improvements and decision-making about supporting the nursing workforce.
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Affiliation(s)
- Minette Coetzee
- Department of Paediatrics and Child HealthFaculty of Health SciencesUniversity of Cape TownCape TownSouth Africa
| | - Angela Leonard
- Department of Paediatrics and Child HealthFaculty of Health SciencesUniversity of Cape TownCape TownSouth Africa
| | - Candice Bonaconsa
- Department of Paediatrics and Child HealthFaculty of Health SciencesUniversity of Cape TownCape TownSouth Africa
| | - Nina Power
- Department of Paediatrics and Child HealthFaculty of Health SciencesUniversity of Cape TownCape TownSouth Africa
| | - Natasha North
- Department of Paediatrics and Child HealthFaculty of Health SciencesUniversity of Cape TownCape TownSouth Africa
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Pardo LP, Peterlini MAS, Tume LN, Pedreira MLG. Impact of different syringe pumps on red cells during paediatric simulated transfusion. Nurs Crit Care 2020; 27:267-274. [PMID: 33094901 DOI: 10.1111/nicc.12561] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 09/19/2020] [Accepted: 09/23/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Critically ill patients frequently need blood transfusions. For safety, blood must be delivered via syringe infusion pumps, yet this can cause red cell damage and increase the rate of haemolysis. AIMS AND OBJECTIVES To evaluate biochemical and haemolytic markers of red blood cells transfused in three different types of syringe infusion pumps at two different infusion rates (10 and 100 mL/h). DESIGN AND METHODS A lab-based study using aliquots of 16 red blood cell bags was undertaken. Haemolysis markers (total haemoglobin [g/dL], haematocrit [%], free haemoglobin [g/dL], potassium [mmol/L], lactate dehydrogenase [U/L], osmolality [mOsm/kg], pH, degree of haemolysis [%]) were measured before and after red blood cell infusion and exposure. Three different syringe infusion pumps brands (A, B, and C) were compared at two different infusion rates (10 and 100 mL/h). RESULTS Total haemoglobin fell significantly in all red blood cell units during manipulation (pre-infusion: 26.44 ± 5.74; post-exposure: 22.62 ± 4.00; P = .026). The degree of haemolysis significantly increased by 40% after manipulation of the red blood cells. Syringe infusion pump A caused a 3-fold increase in potassium levels (3.78 ± 6.10) when compared with B (-0.14 ± 1.46) and C (1.63 ± 1.98) (P = .015). This pump also produced the worst changes, with an increase in free haemoglobin (0.05 ± 0.05; P = .038) and more haemolysis (0.08 ± 0.07; P = .033). There were significant differences and an increase in the degree of haemolysis (P = .004) at the infusion rate of 100 mL/h. CONCLUSIONS Syringe infusion pumps may cause significant red blood cell damage during infusion, with increases in free haemoglobin, potassium, and the degree of haemolysis. Some pump types, with a cassette mechanism, caused more damage. RELEVANCE TO CLINICAL PRACTICE In many intensive care units, bedside nurses are able to consider infusion pump choice, and understanding the impact of different pump types on red blood cells during a transfusion provides the nurses with more information to enhance decision-making and improve the quality of the transfusion.
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Affiliation(s)
- Larissa Perez Pardo
- Department of Nursing, Paulista University, Sao Paulo, Brazil.,Paulista Nursing School, Universidade Federal de São Paulo - UNIFESP, Sao Paulo, Brazil
| | - Maria Angélica Sorgini Peterlini
- Department of Paediatric Nursing, Paulista School of Nursing, Universidade Federal de São Paulo - UNIFESP, Sao Paulo, Brazil.,Nursing Postgraduate Program, Paulista School of Nursing, UNIFESP, Sao Paulo, Brazil
| | | | - Mavilde Luz Gonçalves Pedreira
- Department of Paediatric Nursing, Paulista School of Nursing, Universidade Federal de São Paulo - UNIFESP, Sao Paulo, Brazil.,Department of Paediatric Nursing, Paulista School of Nursing, Universidade Federal de São Paulo - UNIFESP, Sao Paulo, Brazil
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Sahlberg S, Karlsson K, Darcy L. Children's rights as law in Sweden-every health-care encounter needs to meet the child's needs. Health Expect 2020; 23:860-869. [PMID: 32319716 PMCID: PMC7495078 DOI: 10.1111/hex.13060] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [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] [Received: 02/28/2020] [Revised: 03/16/2020] [Accepted: 03/19/2020] [Indexed: 12/22/2022] Open
Abstract
Background In 2020, the United Nations Convention on the Rights of the Child (UNCRC) became law in Sweden. This puts extra demands on Swedish health care for children in need. This study aimed to investigate children's experiences and paediatric nurses' experiences of caring in accordance with the UNCRC. Methods Interviews were conducted in 2019 with 10 children and 13 nurses at a paediatric clinic in western Sweden. Child and nurse data were analysed separately with qualitative content analysis. The results are presented as a synthesis of the combined analysis of both data sets. Results Children did not always meet health‐care professionals with the necessary competence to care for them, and they were not always cared for in a child‐friendly environment. Even though nurses in paediatric care had the competence necessary to meet children's rights in health care, organizational issues made it challenging. Providing health care in accordance with the UNCRC principles required time and competence. Sufficient time to help children participate in their care and ensure that they feel secure was considered necessary—regardless of the health‐care context. Conclusion Health‐care encounters without the necessary time or competence can affect children and future encounters negatively. Instruments to safeguard children's rights in health care need to be developed and implemented, such as a documentation system to make children's rights visible and/or UNCRC certification. Implementation of UNCRC principles in all health‐care situations for children as standardized care requires competence, involvement, strong leadership and economic support. Children's voices in research can assist in guiding care.
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Affiliation(s)
- Sofia Sahlberg
- Department of Health Sciences, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Katarina Karlsson
- Department of Health Sciences, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
| | - Laura Darcy
- Department of Health Sciences, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
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Mackay LJ, Benzies KM, Barnard C, Hayden KA. A scoping review of parental experiences caring for their hospitalised medically fragile infants. Acta Paediatr 2020; 109:266-275. [PMID: 31343765 DOI: 10.1111/apa.14950] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2019] [Revised: 05/07/2019] [Accepted: 07/23/2019] [Indexed: 11/26/2022]
Abstract
AIM To synthesise and summarise evidence from published research articles regarding parental experiences caring for their hospitalised medically fragile infant. METHODS We searched four electronic databases in April 2018 using three main concepts individually and in combination: infant, medically fragile, parents. We examined articles about experiences of parents caring for the medically fragile infant in a hospital setting. We conducted thematic analysis on the 34 included articles. RESULTS Parents experienced high rates of depressive symptoms, depression, stress, anxiety, distress and post traumatic stress. Parent-infant interactions were disrupted. Parents experienced loss and worry in response to the diagnosis of their infant, which altered or delayed parental role attainment. Supports and coping were key for parents to manage their stress. CONCLUSION Parents of medically fragile infants experience multiple stressors, elevated levels of mental health difficulties, trouble attaining their parental role and often struggle to cope. Development of interventional research is needed to test targeted strategies aimed at reducing parental stress and mental health difficulties. Interventions should include: screening for parental mental health, psychological support, healthcare professional education, strategies to enhance parent-infant interactions and improved relationship competencies among healthcare professionals.
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Affiliation(s)
| | - Karen M. Benzies
- Faculty of Nursing University of Calgary Calgary AB Canada
- Departments of Paediatrics and Community Health Sciences, Cumming School of Medicine University of Calgary Calgary AB Canada
| | - Chantelle Barnard
- Department of Pediatrics, Cumming School of Medicine University of Calgary Calgary AB Canada
| | - K Alix Hayden
- Libraries and Cultural Resources University of Calgary Calgary AB Canada
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Angelhoff C, Sjølie H, Mörelius E, Løyland B. "Like Walking in a Fog"-Parents' perceptions of sleep and consequences of sleep loss when staying overnight with their child in hospital. J Sleep Res 2019; 29:e12945. [PMID: 31724227 DOI: 10.1111/jsr.12945] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 09/18/2019] [Accepted: 10/15/2019] [Indexed: 01/05/2023]
Abstract
Disruption of parental sleep in hospital, with frequent awakenings and poor sleep quality, limits the parents' resources to meet the child's needs and maintain parental wellbeing. The aim of the study was to explore and describe how parents perceive their sleep when staying overnight with their sick child in hospital. A further aim was to explore and describe parents' perception of what circumstances influence their sleep in the hospital. Twenty-two parents who were accommodated with their sick child (0-17 years) in paediatric wards in Norway and Sweden participated. Interviews were conducted during the hospital stay to elicit their perspectives. Phenomenography was used to analyse data. Two descriptive categories were found: (a) "Perceptions of sleep", with two sub-categories: "Sleep in the paediatric ward" and "Consequences of sleep loss"; and (b) "Circumstances influencing sleep in the paediatric ward" with three sub-categories: "The importance of the family", "Information and routines at the paediatric ward", and "Accommodation facilities". Parents' sleep and needs must be acknowledged in paediatric wards. An individual plan of care for the upcoming night could be a valuable tool for both the parents and nurses. The child's medical needs must be met with respect to the parents' willingness to take part in the child's care during the night, and the need for rest and sleep for both parent and child.
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Affiliation(s)
- Charlotte Angelhoff
- Department of Pediatrics and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden
| | - Hege Sjølie
- Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
| | - Evalotte Mörelius
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, WA, Australia.,Perth Children's Hospital, Nedlands, WA, Australia
| | - Borghild Løyland
- Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
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Álvarez-García C, Álvarez-Nieto C, Kelsey J, Carter R, Sanz-Martos S, López-Medina IM. Effectiveness of the e-NurSus Children Intervention in the Training of Nursing Students. Int J Environ Res Public Health 2019; 16:ijerph16214288. [PMID: 31694191 PMCID: PMC6862581 DOI: 10.3390/ijerph16214288] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 11/01/2019] [Accepted: 11/02/2019] [Indexed: 01/31/2023]
Abstract
The paediatric population is the most vulnerable to exposure to environmental risk factors. Institutions of higher education have to equip nursing students with the attitudes, knowledge, and skills to respond to this using blended learning. The aim of this study was to evaluate the effect of e-NurSus Children intervention on student nurses' attitudes, knowledge, and skills. A quasi-experimental study of time series was designed using pre and post educational intervention evaluation in 2018. The participants were nursing students (N = 267) from Spain (n = 110) and the United Kingdom (n = 157). Three instruments were used: the Sustainability Attitudes in Nursing Survey, the Children's Environmental Health Knowledge Questionnaire, and the Children's Environmental Health Skills Questionnaire. The attitudes (15.81%), knowledge (39.02%), and skills (29.98%) of nursing students improved following the e-NurSus Children intervention. It is necessary to include topics on children's environmental health in nurse education as students are aware of this issue but do not have the knowledge or skills required to manage problems or illness caused by the environment. The e-NurSus Children intervention is an effective tool to address this educational gap.
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Affiliation(s)
- Cristina Álvarez-García
- Department of Nursing, University of Jaén, 23071 Jaén, Spain; (C.Á.-G.); (S.S.-M.); (I.M.L.-M.)
| | - Carmen Álvarez-Nieto
- Department of Nursing, University of Jaén, 23071 Jaén, Spain; (C.Á.-G.); (S.S.-M.); (I.M.L.-M.)
- Correspondence: ; Tel.: +34-953212575
| | - Janet Kelsey
- School of Nursing and Midwifery, University of Plymouth, Plymouth PL4 8AA, UK; (J.K.); (R.C.)
| | - Rachel Carter
- School of Nursing and Midwifery, University of Plymouth, Plymouth PL4 8AA, UK; (J.K.); (R.C.)
| | - Sebastián Sanz-Martos
- Department of Nursing, University of Jaén, 23071 Jaén, Spain; (C.Á.-G.); (S.S.-M.); (I.M.L.-M.)
| | - Isabel M. López-Medina
- Department of Nursing, University of Jaén, 23071 Jaén, Spain; (C.Á.-G.); (S.S.-M.); (I.M.L.-M.)
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24
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Leite ACAB, Garcia-Vivar C, Neris RR, Alvarenga WDA, Nascimento LC. The experience of hope in families of children and adolescents living with chronic illness: A thematic synthesis of qualitative studies. J Adv Nurs 2019; 75:3246-3262. [PMID: 31236968 DOI: 10.1111/jan.14129] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 05/18/2019] [Accepted: 06/04/2019] [Indexed: 11/30/2022]
Abstract
AIM To synthesize qualitative studies on the experience of hope in families of children and adolescents living with chronic illness. BACKGROUND Hope is multidimensional, dynamic, and varies according to experienced events, cultural environments and stage of life. The qualitative synthesis of the experience of hope in the paediatric population with chronic conditions is scarce. DESIGN Thematic synthesis of qualitative studies. DATA SOURCES A systematic literature search in PubMed, CINAHL, LILACS, PsycINFO, Scopus, and Web of Science was performed supplemented by manual search strategies. Thirty-one studies from fifteen countries, published between 1981-2018, were included. FINDINGS Findings were integrated into an analytical theme "FAMILY HOPE: KEEPING THE DAY-TO-DAY BALANCE", encompassing the following five descriptive themes: Uncertainty; Support; Information; Between "dark thoughts" and positive thoughts; and Hoping to go back to normality. CONCLUSION This thematic synthesis brings a new dimension of hope among families of children and adolescents living with chronic illness. "Family Hope" highlights the influence of the relationships between relatives and the chronically ill child in the balance of hope. It is recommended that health professionals use a family-focused approach to support these families. IMPACT Shifting the focus to a family dimension of hope is a promising pursuit that has the potential to inform future nursing practices to support the experiences of families living with chronic illness in the paediatric context. A better understanding of the role and characteristics of family hope will promote the development of more effective interventions for families to adapt to long-term paediatric conditions.
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Affiliation(s)
- Ana Carolina Andrade Biaggi Leite
- Interunit Doctoral Program in Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Cristina Garcia-Vivar
- School of Nursing, University of Navarra, IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
| | - Rhyquelle Rhibna Neris
- Public Health Nursing Graduate Program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | | | - Lucila Castanheira Nascimento
- Maternal-Infant and Public Health Nursing Department, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
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25
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Abstract
BACKGROUND Nurses providing 24-h care for the primary caregiver role have a number of significant roles to play in potential problems or conflicts associated with patient privacy and confidentiality. RESEARCH OBJECTIVES The objective of the study is to determine the prevailing attitudes towards gossip and the patient privacy practices of nurses working in paediatric units. RESEARCH DESIGN A descriptive and cross-sectional design was used. A Descriptive Characteristics Form, a Gossip and Rumour Attitude Scale and a Patient Privacy Scale were used to collect data. PARTICIPANTS AND RESEARCH CONTEXT A total of 112 paediatric nurses working in Turkey were included in the study. The response rate was 79.43%. ETHICAL CONSIDERATIONS Permission to conduct the study was obtained from the university's ethics committee. The participants were informed of the aim of the study, and voluntary participation, anonymous response and confidentiality were explained to them. FINDINGS It was observed that nurses who had a higher education level, who were educated about patient privacy and who had read the patient rights regulations were more concerned about patient privacy. Negative correlations were found between the attitudes towards gossiping and the average scores on the patient confidentiality scale. Nurses who negatively defined gossip were more concerned about patient confidentiality. DISCUSSION Privacy is important for securing and protecting the personal, physical and psychological things that are important and special for patients. It is argued that obstacles to maintaining the privacy of hospitalized children and adolescents are a tolerant attitude towards gossiping, a lack of education about patient privacy and insufficient information about patient's rights regulations and the Convention on the Rights of the Child. CONCLUSION A nurse's knowledge about the provision of patient confidentiality affects their privacy practices. For this reason, regular training sessions are recommended in hospitals.
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Angelhoff C, Edéll‐Gustafsson U, Mörelius E. The cortisol response in parents staying with a sick child at hospital. Nurs Open 2019; 6:620-625. [PMID: 30918712 PMCID: PMC6419118 DOI: 10.1002/nop2.245] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [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] [Received: 10/11/2018] [Revised: 12/17/2018] [Accepted: 01/07/2019] [Indexed: 11/07/2022] Open
Abstract
AIM To study the cortisol response in parents staying with their child in paediatric wards, to compare the parents' cortisol levels between the paediatric ward and at home 4 weeks after discharge and to compare the parents' cortisol levels with data of an adult reference population, reported by Wust et al., as there are few studies investigating parental cortisol. DESIGN This study has a descriptive and prospective comparative design. METHOD Thirty-one parents participated. Saliva samples were collected in the paediatric ward and 4 weeks later at home. RESULTS The parents had lower morning awakening cortisol levels in the paediatric ward than at home after discharge. There were no statistically significant differences in postawakening cortisol or cortisol awakening response (CAR). The child's age, diagnosis or previously diagnosed chronic condition did not affect the parents' cortisol levels. The morning and postawakening cortisol levels were lower than those of the reference population. CONCLUSION The hospital stay with a sick child affects parents' cortisol levels. Parental stress needs more attention to find interventions to prevent the risk of stress-related complications that subsequently can affect the care of the child.
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Affiliation(s)
- Charlotte Angelhoff
- Department of Social and Welfare Studies, Division of Nursing SciencesLinköping UniversityNorrköpingSweden
- Department of Pediatrics and Department of Clinical and Experimental MedicineLinköping UniversityLinköpingSweden
| | - Ulla Edéll‐Gustafsson
- Department of Medicine and Health Sciences, Division of Nursing ScienceLinköping UniversityLinköpingSweden
| | - Evalotte Mörelius
- Department of Social and Welfare Studies, Division of Nursing SciencesLinköping UniversityNorrköpingSweden
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27
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Dyekjaer CD, Dreyer P. The family house-A safe haven: A qualitative study of families' experiences staying in a hospital family house during their children's hospitalisation. J Clin Nurs 2019; 28:2276-2284. [PMID: 30791161 DOI: 10.1111/jocn.14827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Revised: 01/16/2019] [Accepted: 02/12/2019] [Indexed: 11/27/2022]
Abstract
AIMS To gain knowledge about families' experiences while staying in a hospital family house during their child's hospitalisation. BACKGROUND When a child is hospitalised with a chronic, serious or life-threatening disease, the entire family is stressed as normal everyday life is disrupted. In Denmark, accompanying the ill child to the paediatric wards is often possible only for one of the parents. DESIGN This qualitative study takes a phenomenological-hermeneutical approach, exploring the lived experience of families' everyday life in a hospital family house. METHOD The study comprised semi-structured interviews with 33 family members from 15 families who stayed in a hospital family house. The interviews were made in the summer of 2017. The Consolidated Criteria for Reporting Qualitative Research checklist was used as a guideline "see Appendix S1." RESULTS The families experienced the house as a home or a haven where they could stay together as a family. The house provided a quiet and peaceful environment with space for family life and playing. Overall, this gave the families a feeling of togetherness. CONCLUSION The families who stayed in the hospital family house experienced the house as a place to breathe freely, that is, as a safe haven. A place with peace and quietness, without "activity efficiency." In the house, the volunteers offered a very caring and supportive environment including all families in the house and embracing everyday activities. Providing accommodation for the whole family at the hospital family house afforded the family a place where they could stay together and maintain everyday life even though everything around them was, at times, chaotic. RELEVANCE TO CLINICAL PRACTICE Healthcare professionals should use knowledge about the healing environment to help create havens for families to a hospitalised child. Hospitalised children need safe places where no treatment takes place-therefore, family houses should stay treatment free.
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Affiliation(s)
| | - Pia Dreyer
- Institute of Public Health, Section of Nursing, Aarhus University, Aarhus C, Denmark.,Department of Intensive Care, Aarhus University Hospital, Aarhus N, Denmark
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28
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Aghajari P, Valizadeh L, Zamanzadeh V, Ghahramanian A, Foronda C. Cultural sensitivity in paediatric nursing care: a concept analysis using the Hybrid method. Scand J Caring Sci 2019; 33:609-620. [PMID: 30628722 DOI: 10.1111/scs.12654] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2018] [Accepted: 12/11/2018] [Indexed: 12/28/2022]
Abstract
BACKGROUND Cultural sensitivity is a core concept to establish awareness and knowledge about various ethnicities, cultures, genders and additional diversity characteristics to understand individual's requests and respond appropriately to them. A need for further development of the concept is warranted, especially in the context of paediatric nursing. AIMS The purpose of this paper was to determine the main elements of cultural sensitivity in the context of paediatric nursing in Iran. METHODS The Hybrid method was implemented consisting of three phases: theoretical, fieldwork and final analysis. In the theoretical phase, articles from 2007 to 2017 were reviewed for relevance. In the phase of fieldwork, 25 nurses and nine parents were interviewed to explore the aspects of cultural sensitivity in paediatric nursing. The interviews were transcribed, and content analysis was conducted. In the final phase, an overall analysis of the two previous phases was performed. RESULTS In the theoretical phase, the following attributes were determined: cultural encounter and awareness, acceptance of cultural diversity and designing programmes in accordance with family culture. The fieldwork phase explored three themes of intercultural encounters, intercultural communication and adapting the care plan with family culture. The final synthesis yielded that sensitivity to family requests and beliefs, effective intercultural communication and integration of family culture with the care plan are the main elements of cultural sensitivity in Iranian paediatric nursing. CONCLUSION With a deeper understanding of the term cultural sensitivity, nurses will have a foundation to improve paediatric nursing care and align the care plan with the patient's culture to provide trust, child/parent participation, secure care, effective communication and satisfaction. Since the concepts are the building blocks that underpin theory, the present concepts identified can help to serve as the foundation for the development of a theoretical model.
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Affiliation(s)
- Parvaneh Aghajari
- Department of Pediatric Nursing, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran
| | - Leila Valizadeh
- Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Vahid Zamanzadeh
- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Akram Ghahramanian
- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Cynthia Foronda
- School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA
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29
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Foster M, Whitehead L. Parent and staff perceptions of parental needs during a child's hospital admission to a paediatric high-dependency unit: A New Zealand study. J Paediatr Child Health 2017; 53:1167-1175. [PMID: 28799260 DOI: 10.1111/jpc.13645] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Revised: 05/07/2017] [Accepted: 05/28/2017] [Indexed: 11/27/2022]
Abstract
AIM This study aimed to identify parents' and staff's perceptions of parents' needs during a paediatric high-dependency unit admission and the relationships between needs, socio-demographic and clinical variables and explores if these perceptions have changed. METHODS This study uses a cross-sectional descriptive correlational design, and 104 parents whose children received care and 88 staff who worked within a paediatric high-dependency unit at a tertiary hospital in New Zealand completed the Needs of Parents' Questionnaire in 2011. RESULTS Parents' and staff's perceptions of the importance of needs were congruent, but differences arose between parents and staff on whether these needs were met. Parents were more likely to rate needs as having been met than staff members. Admission type, age and gender influenced parents' and staff's perceptions of parents' needs. CONCLUSION Synergy between parent and staff satisfaction scores will be enhanced when care delivery is more closely aligned to parents' priorities for care and staff receive feedback on positive health-care experiences.
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Affiliation(s)
- Mandie Foster
- Christchurch Public Hospital, Child and Family Health, Paediatrics, Christchurch Hospital, Christchurch, New Zealand.,Centre for Postgraduate Nursing Studies, University of Otago, Christchurch, New Zealand.,School of Nursing and Midwifery, Edith Cowan University, Perth, Western Australia, Australia
| | - Lisa Whitehead
- Centre for Postgraduate Nursing Studies, University of Otago, Christchurch, New Zealand.,School of Nursing and Midwifery, Edith Cowan University, Perth, Western Australia, Australia
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30
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Abstract
Healthcare staff routinely use clinical holding to help infants, children or young people stay still when treatment is being administered, to prevent children or young people from interfering with the treatment, or when invasive examinations are being carried out. However, healthcare staff rarely have any formal discussion with children and young people, or their parents, on the techniques used for clinical holding. Visual tools are important when talking to children or young people about their healthcare, and a website with images of clinical holds would allow staff to discuss relevant holds with their patients. In this article, we describe a collaboration between Birmingham City University and Birmingham Children's Hospital to develop a website that presents 3D images of clinical holds, outlining how we introduced it to staff in the clinical areas that would benefit from it and how we have been evaluating its effectiveness. We hope this website will formalise the professional discussion of clinical hold techniques. This will allow information on the appropriate holds for different situations to be documented, which will enhance best practice. In addition, the website should provide information needed to allow children, young people and their parents to give true, informed consent for any procedures they need.
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Affiliation(s)
- Andrea Page
- Birmingham City University, West Midlands, England
| | - Alison Warren
- The Royal Orthopaedic Hospital NHS Foundation Trust. She was previously lecturer/practitioner, department for children and young people's health, Birmingham City University/Birmingham Children's Hospital NHS Foundation Trust, West Midlands, England
| | - Nicola Vanes
- National Institute for Health Research/Wellcome Trust Clinical Research Facility, Birmingham Children's Hospital, West Midlands, England
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31
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Abstract
Mental illness is the number one health issue facing 14-25 year olds in England, which contributes to almost half the burden of disease in this age group ( Kessler et al 2005 , Kim-Cohen et al 2003 ). A total of 75% of all mental health disorders are established by the age of 18 which is a critical point of emotional, educational and social development. All nurses working with children and young people (CYP) across all health and social care settings should be familiar with national guidelines and the services available to treat CYP with mental health conditions such as depression.
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32
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Abstract
We have developed an information leaflet with advice on how to support children before, during and after a planned clinical procedure, using ideas from consultations with parents and professionals. Children worry about these procedures and children who are prepared and supported through procedures have better experiences. The project developing the leaflet had five phases: a scoping review of existing information, a parent consultation group, readability and parent feedback, professional input and feedback, and a final review by the patient information officer. In total, we consulted with 50 parents and 134 professionals during this project. We report on how the consultation process used group work and structured feedback to influence the content and format of the leaflet.
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Affiliation(s)
- Lucy Bray
- Edge Hill University, Ormskirk, Lancashire, and Children's Nursing Research Unit, Alder Hey Children's NHS Foundation Trust, Liverpool
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33
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Abstract
Aim To develop and evaluate the use of a specific picture book aiming to prepare children for anaesthesia and surgery. Methods An intervention comparing two different information methods before ear, nose and throat day surgery was performed. The intervention involved using a specific information sheet and a specific picture book. Parents (n=104) of children aged 2-12 years completed open-ended questions that were analysed with qualitative content analysis. They were divided into two groups: one group received routine information and one received routine information and the intervention. Findings The picture sheet and picture book were valuable aids to prepare small children for anaesthesia and surgery by explaining the procedures that would take place. The parents expressed that knowledge of the procedures made them and the child feel secure. Conclusion Peri-operative information through pictures supports children and their parents during day surgery and may be helpful in future healthcare visits.
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Affiliation(s)
| | - Gunnar Svensson
- Department of otorhinolaryngology, Vrinnevi Hospital, Norrköping, Sweden
| | - Gunilla Hollman Frisman
- Department of anaesthetics, operations and speciality surgery centre and department of medical and health sciences, Linköping University, 58185 Linköping, Sweden
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34
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Abstract
Aim Children with cancer identify staff members, who work with them in paediatric units, as their most important comforters. This study aimed to shed light on how those staff members deliver this comfort. Methods Semi-structured interviews were performed and the content then analysed. Nine families (n=9) and eight staff members (n=8) participated in the study. Findings The staff described caring for the children and the whole family. They implemented certain comforting measures with the child, and described how they provided support to parents. Staff described how they felt comforted by relating to the children they were caring for. Conclusion Staff working in paediatric units develop good relationships with children and parents and comfort them using methods described in the literature. The quality of the staff's positive relationships with the children marked all their actions.
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Affiliation(s)
| | - Astrid Norberg
- Faculty of medicine, department of nursing, Umeå University, Umeå, Sweden and Palliative Research Centre, Ersta Sköndal University College, Stockholm, Sweden
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35
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Abstract
Young people with mental health needs are often cared for on children's wards by generalist children's healthcare professionals (CHCPs). Generalist CHCPs find these encounters challenging and difficult but they are viewed as an opportunity to improve the healthcare offered to these young people. The authors secured funding from Health Education South London to design and deliver interactive workshops to improve the communication skills of CHCPs with adolescents in challenging circumstances. In this article, the authors outline the design and content of the workshops and discuss how the workshops explore and challenge the attitudes the participants have that could prevent a young person from seeking support or engaging with professionals. They also describe how the workshops have improved generalist CHCPs' confidence and communication skills when talking with young people and how participants now use these encounters as an opportunity to improve healthcare for children and young people.
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Affiliation(s)
- Rachael Bolland
- St George's University Hospitals NHS Foundation Trust, London
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36
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Abstract
[Figure: see text] The aim of this project was to provide training to nursing staff to improve their confidence and knowledge when caring for children and young people with mental health problems. A one-day bespoke training course was given to a purposeful sample of eight children's nurses. The nurses completed questionnaires before and after the training day and a third questionnaire three months after the course. All nurses reported an increase in knowledge and confidence when caring for young people with mental health problems.
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37
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Abstract
Foreign body ingestion and foreign body aspiration commonly affect children. The most vulnerable age is between six months and four years, when children tend to explore new objects with their mouths. Many of these events remain asymptomatic, with the swallowed object passing through the gastrointestinal tract without causing harm. However, the frequency of serious complications as a result of the ingestion of hazardous objects has increased in recent years, in particular button batteries and magnets. To increase the likelihood of identifying foreign body ingestion and aspiration, healthcare professionals should maintain a high index of suspicion, be aware of the variation in presentations and include it as a differential diagnosis in children presenting with non-specific symptoms, such as fever, cough, drooling, dysphagia and abdominal pain. Management of most foreign body ingestions is conservative, using a 'watch-and-wait' approach. Children should be triaged as an emergency if they have signs or symptoms of airway obstruction or a history that indicates dangerous foreign body ingestion. Early recognition and management leads to improved outcomes for patients. Nurses have a vital role in providing education and practical advice to parents, which reduces the occurrence of these events. Stronger legislation is required to ensure manufacturers emphasise the potential dangers of certain products and design child-safe devices.
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Affiliation(s)
| | | | - Jane Gamble
- Yeovil District Hospital, Yeovil, Somerset, England
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38
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Abstract
Febrile convulsion is characterised by convulsion associated with fever in an infant or child aged between six months and six years. The febrile illness causing the convulsion should not be secondary to an intracranial infection (meningitis or encephalitis) or acute electrolyte imbalance. Most cases of febrile convulsion are short lived and self-terminating. However, a few cases of prolonged febrile convulsion may need anticonvulsant medication to stop the seizure. Management is mainly symptomatic, although anticonvulsants may have a role in a small number of children with complex or recurrent febrile convulsion. Referral to paediatric neurologists may be necessary in cases of complex or recurrent febrile convulsion, or in those where a pre-existing neurological disorder exists. One third of children will develop a further febrile convulsion during subsequent febrile illness. Nurses have a vital role in managing children with febrile convulsion, educating parents about the condition and dispelling myths. This article outlines the presentation, management, investigations and prognosis for febrile convulsion, indicating how nurses working in different clinical areas can help to manage this common childhood condition.
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Affiliation(s)
| | | | - Bethany Shirt
- Bristol Royal Hospital for Children, Bristol, England
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39
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Brown R, Jubb M. An approach to mentoring healthcare play specialist students. Nurs Child Young People 2016; 28:32-35. [PMID: 27821005 DOI: 10.7748/ncyp.2016.e778] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Healthcare play specialists (HPSs) provide therapeutic play programmes for children in healthcare settings. Each HPS student must have a mentor in practice, but most HPSs have received no formal training for their role. This article explores mentoring in the HPS service at Guy's and St Thomas' NHS Foundation Trust. A study day for HPSs was arranged to share best practice and discuss the challenges of mentoring students. Stronger links were built between the higher education institute that delivers the training to HPS students and the trust, and the HPSs were provided with a deeper understanding of what was required of them in their mentoring role. HPSs highlighted the importance of a yearly update on mentoring students.
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Affiliation(s)
- Rachel Brown
- Clinical education team, Guy's and St Thomas' NHS Foundation Trust, London
| | - Mags Jubb
- Clinical education team, Guy's and St Thomas' NHS Foundation Trust, London
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40
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Al-Yateem N, Brenner M, Shorrab AA, Docherty C. Play distraction versus pharmacological treatment to reduce anxiety levels in children undergoing day surgery: a randomized controlled non-inferiority trial. Child Care Health Dev 2016; 42:572-81. [PMID: 27080806 DOI: 10.1111/cch.12343] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Revised: 11/24/2015] [Accepted: 03/20/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Perioperative experience can be one of the most distressful experiences in a child's life if not managed properly by healthcare professionals. Its consequences can extend well beyond surgery and recovery into the child's future life. Healthcare professionals have a responsibility to decrease the anxiety associated with this experience, improve the child's and the parent's experience and prevent negative consequences. This has traditionally been performed through pharmacological treatment which might have negative side effects. More developmentally appropriate distraction methods are currently being trialled globally to augment the evidence that supports their use as a similarly efficient alternative. OBJECTIVES The aim of this study was to explore the efficiency of storytelling, pictures and colouring activities as an anxiolytic intervention in comparison to the traditional pharmacological premedication technique in a non-inferiority study. STUDY DESIGN A randomized non-inferiority controlled trial was carried out in 168 children scheduled for day surgery. Children's perioperative anxiety was assessed by a trained anaesthetist using the modified Yale Preoperative Assessment Scale and by parents using the State-Trait Anxiety Inventory for Children. Children's vital signs were also collected preoperatively during the induction period and during the recovery period. RESULTS The primary endpoint, which is non-inferiority in terms of anxiety as per Yale Preoperative Assessment Scale survey between play distraction and preoperative medication, was met [average score 10.95 vs. 10.94, respectively, 95% confidence interval (-0.35; 0.37); P = 0.941]. Moreover, anxiety scores of both the intervention and the control group were quite comparable as per STAIC survey [20.90 vs. 20.73, respectively, 95% confidence interval (-0.52; 0.88); P = 0.708] and in terms of vital signs. CONCLUSION The results indicate that the distraction technique employed can be considered as an efficient alternative to traditional pharmacological premedication for children undergoing day surgery.
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Affiliation(s)
- N Al-Yateem
- Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - M Brenner
- College of Health Sciences, University College Dublin, Dublin, Ireland
| | - A A Shorrab
- University Hospital Sharjah, Sharjah, United Arab Emirates
| | - C Docherty
- Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
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41
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Abstract
Admitting children to emergency departments (EDs) often places them in an environment better suited to the treatment of adult patients. These children are often triaged and treated as adults, resulting in children being given the wrong triage categories and having their treatment delayed. EDs have problems giving drugs to children, staff are unfamiliar with children's emergency care, and children find EDs frightening. A paediatric emergency short stay unit (PESSU) was opened at Caboolture Hospital, Queensland, Australia, in January 2014. Admission to the PESSU has significantly reduced waiting times for children arriving at the ED and enabled specialist nursing and medical care to be provided quickly. This has been supported by the development of the paediatric flow nurse role ( Gray et al 2016 ).
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42
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Ek I, Höglund A, Lidström H. An experience-based treatment model for children unwilling to eat. Nurs Child Young People 2016; 28:22-8. [PMID: 27266750 DOI: 10.7748/ncyp.28.5.22.s22] [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: 11/09/2022]
Abstract
Background Guidance during Meals is a two-week inpatient intervention undertaken at the Folke Bernadotte Regional Habilitation Centre, Sweden, to help parents deal with children's eating problems. Parents are given advice about medical and/or behavioural reasons for food selectivity and possible treatment strategies. Aims To identify the way parents handle mealtimes and associated difficulties and investigate parents' opinion on children's progress using Guidance during Meals. Method A questionnaire, consisting of 30 statements and answered by 41 parents, was used to investigate parents' opinions regarding the success of the intervention in altering their child's eating habits at home. Findings Most parents thought that the intervention had helped them and their child, by teaching them how to guide their child during mealtimes, what made it easier for their child to eat, and how to communicate with their child in an encouraging way. Most children retained their increased interest in eating once back at home. These results were not dependent on time of onset of eating problems, number of intervention periods, length of time since the intervention, or gastrostomy. Conclusion The Guidance during Meals intervention helps parents develop knowledge about factors that hinder or facilitate eating in their child and tools that can help their child finish meals, and gives them a sense of hope that positive change can occur.
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Affiliation(s)
- Ingalill Ek
- Folke Bernadotte Regional Habilitation Centre, Department of Women's and Children's Health, Faculty of Medicine, Uppsala University, Sweden
| | - Anette Höglund
- Folke Bernadotte Regional Habilitation Centre, Department of Women's and Children's Health, Faculty of Medicine, Uppsala University, Sweden
| | - Helene Lidström
- Department of Social and Welfare Studies, Faculty of Medicine and Health Sciences, Linköping University, Sweden
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43
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Abstract
Pain assessment is crucial to achieving optimal pain management in children. Pain that is insufficiently controlled can have extensive short- and long-term repercussions. Many studies continue to report that children experience unnecessary post-operative pain when they are in hospital. The purpose of this literature review was to explore post-operative pain assessment practices used by children's nurses. A literature search of databases was undertaken and inclusion criteria identified. Four themes emerged: pain assessment tools; behavioural cues; documentation; and communication between child, parent/carer and nurse. The findings showed that pain assessment tools were inadequately used, that children's behavioural cues were misinterpreted, and that there was inconsistency in the documentation of pain scores and in communication about pain scores between children, parent/carer and nurse. Addressing the key issues identified from the articles reviewed can help improve nursing practice and care.
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44
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Caeiro MJ, Diogo P. OC27 - How to manage teenagers' emotions? Proposal of an algorithm for nursing intervention. Nurs Child Young People 2016; 28:74. [PMID: 27214443 DOI: 10.7748/ncyp.28.4.74.s58] [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: 11/09/2022]
Abstract
Theme: Complex health care and chronic disease management.
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Affiliation(s)
- Maria João Caeiro
- UI&DE: Research Line 'Emotions in Health',CHLC-Hospital D. Estefânia, Unidade de Adolescentes, Portugal
| | - Paula Diogo
- UI&DE: Research Line 'Emotions in Health',Escola Superior de Enfermagem de Lisboa, ESEL, Portugal
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45
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Abstract
Pervasive refusal syndrome (PRS)/pervasive arousal withdrawal syndrome (PAWS) and conversion disorder (CD) are two rare mental health disorders that commonly affect children and young people. In the most extreme cases of PRS/PAWS, young people may be unable to perform activities of daily living and rely on adults for physical and emotional support. CD can present as loss of sensation in vision and touch, pain in certain areas and an inability to walk. It is important that children's nurses are aware of these disorders and have some insight into the most helpful approaches. Young people need to feel that their experiences are validated, which can elicit feelings in staff from an urge to help to intense frustration. It is essential for staff to be able to talk and reflect to allow such feelings to be understood. Although these are rare conditions, this article outlines what to do if young people present with features of PRS/PAWS or CD in a general healthcare setting.
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Affiliation(s)
| | - Laura Lowe
- Mildred Creak Unit, Great Ormond Street Hospital, London.,University of Hertfordshire
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46
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Bagnasco A, Cadorin L, Barisone M, Bressan V, Iemmi M, Prandi M, Timmins F, Watson R, Sasso L. Ethical dimensions of paediatric nursing: A rapid evidence assessment. Nurs Ethics 2016; 25:111-122. [PMID: 27005952 DOI: 10.1177/0969733016631161] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [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: 11/15/2022]
Abstract
BACKGROUND Paediatric nurses often face complex situations requiring decisions that sometimes clash with their own values and beliefs, or with the needs of the children they care for and their families. Paediatric nurses often use new technology that changes the way they provide care, but also reduces their direct interaction with the child. This may generate ethical issues, which nurses should be able to address in the full respect of the child. Research question and objectives: The purpose of this review is to describe the main ethical dimensions of paediatric nursing. Our research question was, 'What are the most common ethical dimensions and competences related to paediatric nursing?' RESEARCH DESIGN A rapid evidence assessment. METHOD According to the principles of the rapid evidence assessment, we searched the PubMed, SCOPUS and CINAHL databases for papers published between January 2001 and March 2015. These papers were then independently read by two researchers and analysed according to the inclusion criteria. Ethical considerations: Since this was a rapid evidence assessment, no approval from the ethics committee was required. FINDINGS Ten papers met our inclusion criteria. Ethical issues in paediatric nursing were grouped into three areas: (a) ethical issues in paediatric care, (b) social responsibility and (c) decision-making process. CONCLUSION Few studies investigate the ethical dimensions and aspects of paediatric nursing, and they are mainly qualitative studies conducted in critical care settings based on nurses' perceptions and experiences. Paediatric nurses require specific educational interventions to help them resolve ethical issues, contribute to the decision-making process and fulfil their role as advocates of a vulnerable population (i.e. sick children and their families). Further research is needed to investigate how paediatric nurses can improve the involvement of children and their families in decision-making processes related to their care plan.
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47
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Abstract
AIM To understand the 'lived experience' of parents throughout the process of making and revising end of life care decisions for their child. METHOD Three mothers who had been bereaved participated in semi-structured interviews. These were recorded, transcribed and analysed using interpretative phenomenological analysis. FINDINGS Two overarching themes were identified: making decisions and revising and implementing end of life care plans. Sub-themes included: who should be the decision maker; when discussions should be initiated; the values underpinning the plans; revisiting the plans; and barriers and facilitators to their implementation. CONCLUSION Parents understand the importance of planning for the end of their child's life but find the process difficult. They also find it a challenge to verbalise their decisions at the end of their child's life and value having the decision partly taken away from them. Professionals can assist parents by using a non-dissent model of decision making. The parents' values are important in these decisions and should be elicited by professionals during the initial stages of decision making.
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Affiliation(s)
- Emma Popejoy
- University of Nottingham.,Nottingham University Hospitals NHS Trust
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48
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Kaymaz N, Yıldırım Ş, Topaloğlu N, Gencer M, Binnetoğlu FK, Tekin M, Sürecek FE, Aylanç H, Battal F, Coşar E. Prenatal maternal risk factors for infantile colic. Nurs Child Young People 2015; 27:32-38. [PMID: 26654028 DOI: 10.7748/ncyp.27.10.32.s28] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
AIM To examine maternal prenatal risk factors for infantile colic (IC). METHODS Mothers were asked to complete a standard pre-coded questionnaire form. Inclusion in the study consisted of four criteria. The case group comprised healthy children with infantile colic according to Wessel's definition. The control group comprised healthy children with no history of IC. Prenatal period characteristics of mothers were examined to determine associations with IC. RESULTS Children with mothers who had prophylactic iron supplementation therapy during pregnancy suffered more from IC. Postpartum depression was found to be more frequent in the case group than in the control group. Gynaecological history, including suffering from migraine, presence of any premenstrual symptoms, dysmenorrhea and high pre-pregnancy body mass index, was associated with development of IC. CONCLUSION Pre-gestational gynaecological complaints and pregnancy characteristics may point to IC. These characteristics should be investigated and families should be informed.
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Affiliation(s)
- Nazan Kaymaz
- Çanakkale Onsekiz Mart University, Faculty of Medicine, Turkey
| | - Şule Yıldırım
- Çanakkale Onsekiz Mart University, Faculty of Medicine, Turkey
| | - Naci Topaloğlu
- Çanakkale Onsekiz Mart University, Faculty of Medicine, Turkey
| | - Meryem Gencer
- Çanakkale Onsekiz Mart University, Faculty of Medicine, Turkey
| | | | - Mustafa Tekin
- Çanakkale Onsekiz Mart University, Faculty of Medicine, Turkey
| | | | - Hakan Aylanç
- Çanakkale Onsekiz Mart University, Faculty of Medicine, Turkey
| | - Fatih Battal
- Çanakkale Onsekiz Mart University, Faculty of Medicine, Turkey
| | - Emine Coşar
- Çanakkale Onsekiz Mart University, Faculty of Medicine, Turkey
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49
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Svendsen EJ, Moen A, Pedersen R, Bjørk IT. Parent-healthcare provider interaction during peripheral vein cannulation with resistive preschool children. J Adv Nurs 2015; 72:620-30. [PMID: 26577353 DOI: 10.1111/jan.12852] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [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: 10/05/2015] [Indexed: 12/28/2022]
Abstract
AIM The aim of this study was to increase understanding of parent-healthcare provider interaction in situations where newly admitted preschool children resist peripheral vein cannulation. BACKGROUND Parent-healthcare provider interaction represents an important context for understanding children's resistance to medical procedures. Knowledge about this interaction can provide a better understanding of how restraint is used and talked about. Symbolic interactionism informed the understanding of interaction. DESIGN An exploratory, qualitative study was chosen because little is known about these interactions. METHODS During 2012-2013, 14 naturalistic peripheral vein cannulation -attempts with six newly hospitalized preschool children were video recorded. Eight parents/relatives, seven physicians and eight nurses participated in this study. The analytical foci of turn-taking and participant structure were used. RESULTS The results comprised three patterns of interactions. The first pattern, 'parents supported the interaction initiated by healthcare providers', was a response to the children's expressed resistance and they performed firm restraint together. The second pattern, 'parents create distance in interaction with healthcare providers', appeared after failed attempts and had a short time span. Parents stopped following up on the healthcare providers' interaction and their restraint became less firm. In the third pattern, 'healthcare providers reorient in interaction', healthcare providers took over more of the restraint and either helped each other to continue the interaction or they stopped it. CONCLUSION Knowledge about the identified patterns of interactions can help healthcare providers to better understand and thereby prepare both parents and themselves for situations with potential use of restraint.
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Affiliation(s)
| | - Anne Moen
- Institute of Nursing and Health Sciences, Faculty of Medicine, University of Oslo, Norway
| | - Reidar Pedersen
- Centre for Medical Ethics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway
| | - Ida Torunn Bjørk
- Institute of Nursing and Health Sciences, Faculty of Medicine, University of Oslo, Norway
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50
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Thomas S, Clarke D. Views of children, young people and families: the 15 steps challenge. Nurs Child Young People 2015; 27:16-19. [PMID: 26448124 DOI: 10.7748/ncyp.27.8.16.s22] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
There is a growing emphasis on involving service users in improving service delivery, accelerated by the inquiry into care failings at Mid Staffordshire NHS Foundation Trust. The 15 Steps Challenge was originally developed by the NHS Institute for Innovation and Improvement as a tool to help healthcare professionals, service users and others to work together to improve the patient experience. The 15 Steps Challenge involves a ward 'walkaround' to see the ward through the eyes of a child or young person and a parent or carer. This article explores the emphasis that is placed on user involvement in the context of children's nursing, and shares the experience of planning and evaluating the introduction of the 15 Steps Challenge in an acute children's ward in a busy district general hospital.
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Affiliation(s)
- Sian Thomas
- Aneurin Bevan University Health Board, Royal Gwent Hospital, Newport
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