{"title":"The role of the school nurse in supporting school-age children with mental health difficulties: an integrative review","authors":"Jess Taylor-Beirne, S. Taylor-Beirne","doi":"10.12968/chhe.2022.3.3.135","DOIUrl":"https://doi.org/10.12968/chhe.2022.3.3.135","url":null,"abstract":"In the context of rising mental disorder prevalence among school-age children and increasing pressures on services to deliver effective and efficient interventions, school nurses have been identified as a key workforce to clinically support school-age children with emerging mental health difficulties and existing mental health diagnoses. This review aims to identify and critically analyse existing academic literature, in order to ascertain the current role of the school nurse in supporting school-age children with emerging mental health difficulties and existing mental health disorders. In doing so, this integrative review makes recommendations for future research and discusses implications for nursing practice. An integrative review methodology was used in order to conduct a systematic review of the literature, in conjunction with the PRISMA (2009) guidelines. CASP tools were used to critically appraise the selected papers, and the findings were tabulated in order to identify emerging themes. 289 papers were found through database searches, and six papers were identified as relevant to this literature review. Although these papers were preliminary in nature, clear themes were identified across the selected papers. School nurses were found to be uniquely placed to support school-age children with emerging mental health difficulties and existing mental health diagnoses. However, barriers to effective interventions included school nurses' lack of knowledge and lack of resources within school nurse teams. The lack of training and knowledge for school nurses within this clinical subject area is an urgent cause for concern, and future research and practice development is strongly recommended.","PeriodicalId":354264,"journal":{"name":"British Journal of Child Health","volume":"45 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115647412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parents' lived experience of health care for children with long-term conditions","authors":"Emily Devoy, Jennifer M Swann, Joanne Thompson","doi":"10.12968/chhe.2022.3.3.119","DOIUrl":"https://doi.org/10.12968/chhe.2022.3.3.119","url":null,"abstract":"Young people in the UK with a long-term condition experience a poorer quality of life than those in most comparable countries. To gain an understanding of parents' experiences of and contribution to health care for children with Long-term conditions. This qualitative study includes 15 semi-structured interviews with parents of children with Long-term conditions. The interviews were audiotaped, transcribed verbatim and analysed using Framework analysis. The analysis generated a meta theme ‘complexity of experience’ and five key themes: Impact, Interactions, Experience of Care, Feelings, Feedback. Parents have a substantial role in coordinating and communicating between health-care teams. Consultations can be like an iceberg where attending the appointment is visible, but the constant and complex demands of the illness, the child, and the family remain hidden. Clinicians have a major role in signposting parents to different avenues of support. The impact of appointments on families can be reduced by increasing the use of virtual consultation.","PeriodicalId":354264,"journal":{"name":"British Journal of Child Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133013990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diabetes: new guidance supports wider access to glucose monitoring technology","authors":"Dorothy Lepkowska","doi":"10.12968/chhe.2022.3.2.65","DOIUrl":"https://doi.org/10.12968/chhe.2022.3.2.65","url":null,"abstract":"New NICE guidance recommends that children and young people with type 1 diabetes are offered continuous glucose monitoring (CGM) and if CGM is not suitable, flash monitoring.","PeriodicalId":354264,"journal":{"name":"British Journal of Child Health","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121876064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James Turner, L. Cooper, Amie Woodward, J. Painter, P. Day, G. Hazelby, D. Harrop, K. Moore
{"title":"Report on a scoping review of nursing interventions for young people's psychological wellbeing","authors":"James Turner, L. Cooper, Amie Woodward, J. Painter, P. Day, G. Hazelby, D. Harrop, K. Moore","doi":"10.12968/chhe.2022.3.2.90","DOIUrl":"https://doi.org/10.12968/chhe.2022.3.2.90","url":null,"abstract":"This paper reports on a two-part mixed methods scoping project, funded by the RCN Foundation, to review the available evidence and undertake a Delphi study of nurse-led interventions. Nurses in the field were surveyed to understand their role in promoting children and young people's mental health and emotional wellbeing across the UK. A scoping review of the literature was undertaken and a two-part Delphi survey was developed and managed. Results of the literature review were inconclusive. There was a paucity of literature, particularly in the UK, suggesting that nurses may be under-represented in the research seeking to make recommendations concerning their profession. 244 responses to the Delphi method survey were received. Responses confirmed the fundamental importance of the therapeutic relationship. They also suggested that nurse-led pre-crisis and early interventions which addressed the mental health and emotional wellbeing needs of children and young people were being extensively utilised. All countries and all regions appeared to have primarily community-based services. School-based services were perceived to be highly beneficial. Early interventions typically targeted levels of resilience, emotional regulation and the prevention of ongoing mental health problems. Respondents viewed these interventions as effective but often encountered organisational and practical challenges, including access to training and ongoing supervision.","PeriodicalId":354264,"journal":{"name":"British Journal of Child Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131561037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A clinical study of the benefits and effectiveness of a respiratory viral panel PCR study in children presenting with respiratory tract infections","authors":"K. Thattakkat","doi":"10.12968/chhe.2022.3.2.95","DOIUrl":"https://doi.org/10.12968/chhe.2022.3.2.95","url":null,"abstract":"Respiratory illnesses account for more than half of paediatric diseases and it is often difficult to differentiate viral and bacterial agents by clinical assessment, leading to unnecessary investigations and interventions including hospitalisation and use of antibiotics. A respiratory virus panel (RVP) multiplex polymerase chain reaction (PCR) test can identify the pathogen rapidly with specificity. The objective of this study was to explore the characteristics and outcomes of children who had RVP PCR and to identify its impact on the use of antibiotics, hospitalisation, and revisit and readmission rates. The medical records of 100 children under 18 years old in one hospital in Dubai who had an RVP PCR test in December 2019 were reviewed to investigate the type of pathogen identified as well as hospitalisation and antibiotic use rates. Out of 100 children, 85 had a positive RVP result. Rhino/enterovirus was the single most common virus (28.8%) identified. There was a hospital admission rate of 9%, as one baby in the neonatal intensive care unit had an RVP PCR test during the study period. This baby was excluded during the statistical analysis as the baby was not an outpatient at the time of testing. Seven children received antibiotics. Of the 87 patients sent home, 10 (11.5%) only received antibiotics. Overall, 14 patients revisited the hospital within 1 week. There was no antibiotic use at follow up and the readmission rate was 0%. This study illustrates that a positive RVP PCR result leads to beneficial outcomes such as low rates of hospitalisation and antibiotic use. With thoughtful clinical correlation, the RVP PCR can be a useful and cost-effective tool for clinical management.","PeriodicalId":354264,"journal":{"name":"British Journal of Child Health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115206481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supporting children and young people with long COVID in the classroom","authors":"Sue Peters","doi":"10.12968/chhe.2022.3.2.98","DOIUrl":"https://doi.org/10.12968/chhe.2022.3.2.98","url":null,"abstract":"Sue Peter provides some practical guidance aimed at school health professionals, educationalists and school leaders, to help them support children and young people once they are able to start attending school again.","PeriodicalId":354264,"journal":{"name":"British Journal of Child Health","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116053024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Pike, Melanie J. Thomas, Rhian Noble‐Jones, E. Coveney, Karl Hocking
{"title":"Audit to strategy: development of a national children and young people lymphoedema service","authors":"C. Pike, Melanie J. Thomas, Rhian Noble‐Jones, E. Coveney, Karl Hocking","doi":"10.12968/chhe.2022.3.2.67","DOIUrl":"https://doi.org/10.12968/chhe.2022.3.2.67","url":null,"abstract":"Lymphoedema in children and young people (CYP) can cause significant impact affecting physical, psychological and social wellbeing. This audit of 286 CYP with Lymphoedema (2015–2018) is the first national cohort reported and provides new information on patient reported outcome (PROM) changes over time. Conservative therapy produced statistically significant change in outcome measures relating to swelling, infection, appearance and compression garments. Almost half of the children had primary lymphoedema of varying types. An overall prevalence of 31 per 100 000 CYP with lymphoedema was found among a population aged 0–25 over a 3-year period. This finding suggests a higher occurrence of lymphoedema in children and young people than previously reported and is important for service planning and health professionals' education.","PeriodicalId":354264,"journal":{"name":"British Journal of Child Health","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115548340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long COVID: new guide to recognition, support, and recovery","authors":"Sammie Mcfarland","doi":"10.12968/chhe.2022.3.2.62","DOIUrl":"https://doi.org/10.12968/chhe.2022.3.2.62","url":null,"abstract":"New guidance has been published to help the recognition, support and recovery of long COVID in children and young people. Sammie Mcfarland explains","PeriodicalId":354264,"journal":{"name":"British Journal of Child Health","volume":"458 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124333158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}