Nursing children and young people最新文献

{"title":"A tool to estimate nurse management hours for commissioners of children's continuing care packages.","authors":"Eleanor Pearson","doi":"10.7748/ncyp.2025.e1549","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1549","url":null,"abstract":"<p><p>Children and young people may be eligible for continuing care at home where their healthcare needs cannot be met solely through existing universal or specialist services. Those assessed as eligible receive a bespoke package of care which may be overseen, managed and coordinated by community children's nursing teams, and which requires a significant amount of nurse management time. This article discusses the provision of continuing care in England and the importance of including adequate nurse management time in commissioned care packages. The author describes the development of a tool by the community children's nursing team in Warwickshire, England, designed to quantify nurse management time based on data from the continuing care assessment decision-support tool, direct care hours and number of competencies required to provide safe care. The outcome, in the form of weekly nurse management hours, is then recommended to commissioners for inclusion in the commissioned care package. Local audit data suggest that the tool can estimate effectively the required number of weekly nurse management hours, particularly for larger care packages. The team has secured positive changes in the commissioning of nurse management time for existing and new patients on its caseload.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627362","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":"How to auscultate for heart sounds in infants and children.","authors":"Emily Westley, Catherine Renwick, Emily Ellis","doi":"10.7748/ncyp.2024.e1527","DOIUrl":"10.7748/ncyp.2024.e1527","url":null,"abstract":"<p><strong>Rationale and key points: </strong>This article provides an introduction to performing cardiac auscultation in infants and children aged 0-16 years, with the aim of improving children's nurses' knowledge and confidence in this procedure. Nurses wishing to develop competence in cardiac auscultation can use this article as a guide to complement supervised practical experience; however, it is not intended to determine an individual's competence. • Cardiac auscultation is a component of a structured cardiac assessment rather than a standalone tool. • It is important to auscultate all four main heart valve areas, listening for normal heart sounds and any additional sounds. • Several differences should be considered when auscultating heart sounds in infants and children compared with adults, including heart rate ranges and the potential need to use distraction techniques for those who are distressed. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How you think this article might help improve your practice when undertaking cardiac auscultation in infants and children. • How you could use this information to develop your own knowledge and skills before educating others on the appropriate technique and evidence base behind auscultating heart sounds in infants and children.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476933","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":"Caring for children and young people with inherited cardiac conditions: the evolving role of specialist nurses.","authors":"Jennifer Tollit, Stephanie Oates, Alessia Odori, Sorcha Smyth, Juan Pablo Kaski, Ella Field","doi":"10.7748/ncyp.2024.e1532","DOIUrl":"10.7748/ncyp.2024.e1532","url":null,"abstract":"<p><p>Inherited cardiac conditions (ICCs) encompass a range of rare genetic heart diseases and require the expert care of a skilled multidisciplinary team. Increased awareness of these conditions and advances in genetic testing have led to a rise in demand for specialist ICC services. The Centre for Inherited Cardiovascular Diseases at Great Ormond Street Hospital in London, England, is a tertiary centre for the diagnosis and management of ICCs in children and young people. Specialist nursing roles have developed at the centre in recent years in parallel with the growth of ICC nursing. There are also increasing opportunities for advanced and autonomous nursing practice to support the provision of high-quality care for children and young people affected by ICCs and their families.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830222","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":"Exploring healthcare professionals' knowledge of how to identify and respond to child sexual abuse.","authors":"Gracie Eve Lowe, Ellie-May Taylor","doi":"10.7748/ncyp.2024.e1525","DOIUrl":"10.7748/ncyp.2024.e1525","url":null,"abstract":"<p><p>Evidence on the incidence of child sexual abuse (CSA) indicates it is a global epidemic that adversely affects the short- and long-term physical and mental health outcomes of those affected. Learning from safeguarding practice reviews suggests healthcare professionals (HCPs) are in a unique position to identify and intervene when they suspect CSA. However, research suggests that HCPs have insufficient knowledge to identify CSA, intervene and manage the individual's care. This article reports the findings of a systematic literature review that explored HCAs' knowledge of how to identify and respond to CSA. The findings from the published research on this topic indicate that HCAs have limited knowledge and confidence, which can prevent them from fulfilling their mandatory safeguarding roles. The literature review emphasises the need to improve training to ensure better health outcomes for children and young people who have been sexually abused.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569784","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":"Using the national Paediatric Early Warning System (PEWS) for England: part 2.","authors":"Anne-Marie England, Alice Temporin, Vicci Hornsby, Melanie Ritson, Karl Emms, Alison Warren","doi":"10.7748/ncyp.2025.e1544","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1544","url":null,"abstract":"<p><p>The System-wide Paediatric Observation Tracking (SPOT) programme in England aims to improve the recognition of, and response to, deterioration in the health status of children and young people in any healthcare environment. The first phase of the programme involved the development of a standardised Paediatric Early Warning System (PEWS) and its implementation in inpatient settings. This is the second of two articles that aim to develop nurses' knowledge and understanding of the SPOT programme and the PEWS observation and escalation charts to assist in providing safe and effective care to children and young people. It explores the 'carer question' and 'clinical intuition' triggers of the PEWS charts, which allow for the escalation of a child's care based solely on the carer's concerns or the nurse's intuition. The authors also outline the nurse's role in escalating the child's care and effectively communicating the need for escalation, as well as the ongoing roll-out and development of the PEWS charts.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369322","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":"Experiences of cisgender siblings with their transgender siblings: a professional and personal perspective.","authors":"Gemma Trainor, Liberty Heaslip","doi":"10.7748/ncyp.2025.e1542","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1542","url":null,"abstract":"<p><p>This article explores the often-overlooked experiences of cisgender siblings when their sibling undergoes a gender transition. Using a combination of a rapid literature review and the lived experience of a young cisgender sibling, it highlights the emotional, social and familial challenges that can arise during this transition. The sibling relationship is one of the longest and most significant in a person's life, yet research and professional support in this area remain limited. The article outlines a four-stage process through which families typically progress: discovery and disclosure; resulting turmoil; negotiation of the situation; and finding balance and acceptance. It emphasises the critical role of healthcare professionals in providing informed, compassionate and inclusive support to transgender young people and their families. Practical recommendations for nursing practice are provided, including the importance of listening, using appropriate pronouns and facilitating family-centred care. The article concludes with a call for further research and enhanced professional training to support sibling inclusion in transgender healthcare.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250081","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":"Using the national Paediatric Early Warning System (PEWS) for England: part 1.","authors":"Anne-Marie England, Alice Temporin, Vicci Hornsby, Melanie Ritson, Karl Emms, Alison Warren","doi":"10.7748/ncyp.2025.e1543","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1543","url":null,"abstract":"<p><p>The System-wide Paediatric Observation Tracking (SPOT) programme in England aims to improve the recognition of, and response to, deterioration in the health status of children and young people in any healthcare environment. The first phase of the programme involved the development of a standardised inpatient chart and track and trigger system, or Paediatric Early Warning System (PEWS), for England. This is the first of two articles that aim to develop nurses' knowledge and understanding of the SPOT programme and the PEWS to assist them in providing safe and effective care to children and young people. This first article describes the assessment, documentation and scoring of a child's vital signs and observations to calculate a PEWS score, which indicates the required escalation level and corresponding actions to take. The article also outlines the assessment and documentation of other important physiological parameters that do not contribute to the PEWS score but inform the escalation level and actions to take.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152171","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":"Nurses' perspectives on factors influencing the use of chlorhexidine gel in newborn umbilical cord care in Ghana.","authors":"Emma Annan, Magdalene Boamah, Mary Ani-Amponsah, Dina Brenda Boateng Adu, Ernestina Asiedua","doi":"10.7748/ncyp.2025.e1541","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1541","url":null,"abstract":"<p><strong>Background: </strong>Neonatal umbilical cord infection is a significant contributor to neonatal sepsis, a leading cause of newborn mortality, particularly in sub-Saharan Africa and southern Asia. The World Health Organization recommends the use of 7.1% chlorhexidine digluconate gel for newborn umbilical cord care to reduce infection risks. In Ghana, this recommendation has been adopted by the Ministry of Health. However, uptake and adherence to this recommendation are inconsistent.</p><p><strong>Aim: </strong>To explore nurses' perspectives on the factors influencing the use of chlorhexidine gel in newborn umbilical cord care in a tertiary referral hospital in Ghana.</p><p><strong>Method: </strong>A qualitative, exploratory, descriptive design was adopted using purposive sampling to recruit 15 nurses with at least six months' experience in neonatal care. Semi-structured, face-to-face interviews were conducted and data were analysed using content analysis to identify the main themes and subthemes.</p><p><strong>Findings: </strong>Two main themes and seven subthemes emerged from the analysis. While participants showed good awareness of chlorhexidine gel, there were inconsistencies in their knowledge of its application, largely due to inadequate training. Maternal socioeconomic status and cultural beliefs influenced adherence to use of the gel, with some mothers opting to use traditional substances such as herbal preparations, cow dung and toothpaste instead. Low maternal health literacy and affordability concerns further affected the uptake of chlorhexidine gel. Participants identified the need for structured training programmes and policy interventions to enhance the uptake of chlorhexidine gel.</p><p><strong>Conclusion: </strong>Limited knowledge among healthcare providers, maternal socioeconomic barriers, cultural influences and misconceptions about chlorhexidine gel hinder its widespread adoption for newborn umbilical cord care. Addressing these challenges requires targeted training for nurses, culturally sensitive maternal education and policy interventions such as cost waivers for chlorhexidine gel to promote equitable access. Furthermore, research comparing the effectiveness of the gel versus its aqueous form is recommended to improve acceptance and use in Ghana.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053827","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":"Exploring risk factors for undernutrition in children aged under five years in Yemen.","authors":"Noman Al-Hatemi, Ebraheem Al-Nawd, Laith Alosoufe, Haddad Alhebshi, Nisser Alhroub, Abdullah Alkhawaldeh, Mohammed Al-Bashtawy, Yaseen Saeed, Jehan Al-Arag, Hosam Aqeel, Noor Al-Qahtani, Ahmed Al-Mezgagi, Asem Abdalrahim","doi":"10.7748/ncyp.2024.e1526","DOIUrl":"10.7748/ncyp.2024.e1526","url":null,"abstract":"<p><strong>Background: </strong>Undernutrition is a global health concern, particularly in low-income countries, and can manifest as wasting, stunting and/or underweight. In Yemen, the recent armed conflict is likely to have significantly increased the incidence of undernutrition in young children, particularly those living in communities that were already experiencing socioeconomic and health disparities.</p><p><strong>Aim: </strong>To explore the risk factors associated with wasting, stunting and underweight in children aged between six months and five years living in one district of Yemen.</p><p><strong>Method: </strong>A cross-sectional study was conducted using a two-part questionnaire to collect anthropometric measurements and sociodemographic characteristics of children enrolled on an outpatient programme for undernourished children at three healthcare facilities in the Jiblah district, and of their families and households.</p><p><strong>Results: </strong>Of the 120 children included in the study, 58 (48%) had wasting, 27 (23%) had stunting and 35 (29%) were underweight. Risk factors for undernutrition included being under the age of three years, being a girl, having had a low birthweight, having siblings under the age of five years, having a mother who is a housewife, living in a household relying on unimproved sources of drinking water, living in a rural area, and living in a low-income household.</p><p><strong>Conclusion: </strong>The nutritional status of children in Yemen is under continuing threat. The identification of risk factors for undernutrition may increase awareness of the issue and influence the policy decisions of the international community.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"19-27"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381931","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":"Development of a structured, digital nutrition awareness tool, the Pedi R-MAPP.","authors":"Luise Victoria Marino","doi":"10.7748/ncyp.2024.e1518","DOIUrl":"10.7748/ncyp.2024.e1518","url":null,"abstract":"<p><p>The coronavirus disease 2019 (COVID-19) pandemic led to an unprecedented change in healthcare systems, including the swift roll-out of technology-enabled care services, such as remote consultations. Interventions such as nutrition assessments for children are likely to continue to be conducted remotely as part of an online consultation. This article considers nutrition screening and nutritional assessment in children in acute and primary care settings. The article also provides an overview of the development of the Paediatric Remote Malnutrition Application (Pedi-R-MAPP), designed to assist healthcare professionals to undertake a standardised, nutrition-focused assessment via remote consultation and/or in primary care settings. The aim of the Pedi-R-MAPP is to help identify children with declining nutritional status or new nutritional concerns and to recommend frequency of review based on the outcomes of the assessment.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297641","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}