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Exploring homeostasis in children, the body's dynamic balancing act. 探索儿童的平衡状态，身体的动态平衡。
Nursing children and young people Pub Date : 2024-11-18 DOI: 10.7748/ncyp.2024.e1536
Agnes Hwekwete, Chiara Baiocchi
{"title":"Exploring homeostasis in children, the body's dynamic balancing act.","authors":"Agnes Hwekwete, Chiara Baiocchi","doi":"10.7748/ncyp.2024.e1536","DOIUrl":"https://doi.org/10.7748/ncyp.2024.e1536","url":null,"abstract":"<p><p>Homeostasis can be described as the dynamic process within an organism designed to maintain a relatively constant internal environment that is conducive to the optimal functioning of cells, enzymes and organs. To regulate physiological variables, homeostasis relies on mechanisms called negative and positive feedback loops. However, certain factors can disrupt homeostatic processes, leading to dysregulation and disease. This article provides an overview of homeostasis, including negative and positive feedback loops and dysregulation. The authors use a fictional case study - an adolescent girl with type 1 diabetes who develops diabetic ketoacidosis - to illustrate the adverse effects of homeostatic dysregulation and demonstrate the relevance of understanding homeostasis in children's nursing.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649204","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}
引用次数: 0
Protecting the integrity of children and young people's nursing as a distinct field of practice. 保护儿童和青少年护理作为一个独特实践领域的完整性。
Nursing children and young people Pub Date : 2024-11-07 Epub Date: 2024-05-07 DOI: 10.7748/ncyp.2024.e1512
Amanda Garrow, Kathryn Bailey, Julie Brown, Sonya Clarke, Matt Carey, Sarah Neill, Donald Todd, Debbie Fallon
{"title":"Protecting the integrity of children and young people's nursing as a distinct field of practice.","authors":"Amanda Garrow, Kathryn Bailey, Julie Brown, Sonya Clarke, Matt Carey, Sarah Neill, Donald Todd, Debbie Fallon","doi":"10.7748/ncyp.2024.e1512","DOIUrl":"10.7748/ncyp.2024.e1512","url":null,"abstract":"<p><p>At certain points in nursing history, it has been necessary to make a case for children and young people to be cared for by specialist nurses educated to meet their specific needs. However, in 2018 the updated Nursing and Midwifery Council (NMC) standards of proficiency for registered nurses adopted a generic rather than field-specific approach. This article reiterates that children, young people and their families have unique needs that are best met by nurses who are trained specifically to care for them. The case is made from a historical and legal perspective, concluding with a proposal that in the best interests of children, young people and their families, the NMC should embed specific competencies for children's nurses into its standards of proficiency to future-proof this field of practice.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865992","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}
引用次数: 0
Care of an infant born with a cleft palate: a case study. 先天性腭裂婴儿的护理：个案研究。
Nursing children and young people Pub Date : 2024-11-07 Epub Date: 2024-03-18 DOI: 10.7748/ncyp.2024.e1514
Bethany Eridani-Ball, Mandy Jane Brimble
{"title":"Care of an infant born with a cleft palate: a case study.","authors":"Bethany Eridani-Ball, Mandy Jane Brimble","doi":"10.7748/ncyp.2024.e1514","DOIUrl":"10.7748/ncyp.2024.e1514","url":null,"abstract":"<p><p>Orofacial clefts are the most common facial congenital abnormalities in humans. Their management is complex due to a range of immediate and ongoing challenges. These include breathing, feeding, speech, hearing and dental issues. This article uses a case study approach to outline these challenges for a patient who was born with a cleft palate. The case is followed by a discussion of contemporary evidence-based care. The article focuses on family-centred care and multidisciplinary teamwork, and the author also details the central role of the children's nurse.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144228","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}
引用次数: 0
Exploring healthcare professionals' knowledge of how to identify and respond to child sexual abuse. 探讨医护人员对如何识别和应对儿童性虐待的认识。
Nursing children and young people Pub Date : 2024-11-04 DOI: 10.7748/ncyp.2024.e1525
Gracie Eve Lowe, Ellie-May Taylor
{"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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","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}
引用次数: 0
How to auscultate for heart sounds in infants and children. 如何听诊婴儿和儿童的心音。
Nursing children and young people Pub Date : 2024-10-21 DOI: 10.7748/ncyp.2024.e1527
Emily Westley, Catherine Renwick, Emily Ellis
{"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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","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}
引用次数: 0
Exploring risk factors for undernutrition in children aged under five years in Yemen. 探索也门五岁以下儿童营养不良的风险因素。
Nursing children and young people Pub Date : 2024-10-07 DOI: 10.7748/ncyp.2024.e1526
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
{"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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","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}
引用次数: 0
Development of a structured, digital nutrition awareness tool, the Pedi R-MAPP. 开发结构化、数字化的营养认知工具 Pedi R-MAPP。
Nursing children and young people Pub Date : 2024-09-23 DOI: 10.7748/ncyp.2024.e1518
Luise Victoria Marino
{"title":"Development of a structured, digital nutrition awareness tool, the Pedi R-MAPP.","authors":"Luise Victoria Marino","doi":"10.7748/ncyp.2024.e1518","DOIUrl":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","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}
引用次数: 0
Developing a global nursing network for rare diseases to enhance patient care and support. 建立罕见病全球护理网络，加强对患者的护理和支持。
Nursing children and young people Pub Date : 2024-09-09 DOI: 10.7748/ncyp.2024.e1531
Zoe Morrison, Kaila Stevens
{"title":"Developing a global nursing network for rare diseases to enhance patient care and support.","authors":"Zoe Morrison, Kaila Stevens","doi":"10.7748/ncyp.2024.e1531","DOIUrl":"https://doi.org/10.7748/ncyp.2024.e1531","url":null,"abstract":"<p><p>Rare diseases, while individually rare, are common when considered collectively, affecting about one in 17 people across their lifetime. However, there is a lack of awareness of and education about rare diseases in nursing. To address this, the Global Nursing Network Rare Diseases (GNNRD) has been launched to connect nurses from within all fields of practice and at all levels of experience, with the aim of improving the lives of people with rare and undiagnosed diseases (RUDs). The GNNRD aims to empower nurses on a global scale through leadership, knowledge exchange and skill development and to provide a platform from which they can influence policy and advocate for patients and their families at regional, national and international levels. This article provides an overview of RUDs and some of the challenges experienced by patients and their families and describes the development and aims of the GNNRD.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156189","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}
引用次数: 0
Checking nasogastric tube safety in children cared for in the community: a re-examination of the evidence base. 检查社区护理儿童鼻胃管的安全性：重新审查证据基础。
Nursing children and young people Pub Date : 2024-09-05 Epub Date: 2024-03-04 DOI: 10.7748/ncyp.2024.e1493
Michael Tatterton, Jane Mulcahy, Joanna Mankelow, Maria Harding, Jacqui Scrace, Megan Fisher, Claire Bethell
{"title":"Checking nasogastric tube safety in children cared for in the community: a re-examination of the evidence base.","authors":"Michael Tatterton, Jane Mulcahy, Joanna Mankelow, Maria Harding, Jacqui Scrace, Megan Fisher, Claire Bethell","doi":"10.7748/ncyp.2024.e1493","DOIUrl":"10.7748/ncyp.2024.e1493","url":null,"abstract":"<p><p>Nasogastric tube feeding is generally considered safe provided a nasogastric aspirate with a pH ≤5.5, which indicates that the end of tube is correctly located in the stomach, can be obtained. When this is not possible, hospital attendance or admission is usually required so that an X-ray can be undertaken to check the tube's position. This practice is based on an interpretation of the evidence that places undue importance on nasogastric aspirate pH testing before every use of a tube that is already in place, with potential negative consequences for children cared for in the community and their families. Following a re-examination of the evidence base, a revised approach is proposed in this article: when a child has a tube in place, provided its position has been confirmed as correct on initial placement using aspirate pH testing, nurses can use checks other than aspirate pH testing, alongside their clinical judgement, to determine whether it is safe and appropriate to use the tube. This proposed revised approach would reduce delayed or missed administration of fluids, feeds and medicines and enable more children to remain at home.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022833","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}
引用次数: 0
Supporting children, young people and families to self-manage atopic eczema. 支持儿童、青少年和家庭自我管理特应性湿疹。
Nursing children and young people Pub Date : 2024-09-05 Epub Date: 2024-01-22 DOI: 10.7748/ncyp.2024.e1478
Emma Williams, Samantha Lakkiss
{"title":"Supporting children, young people and families to self-manage atopic eczema.","authors":"Emma Williams, Samantha Lakkiss","doi":"10.7748/ncyp.2024.e1478","DOIUrl":"10.7748/ncyp.2024.e1478","url":null,"abstract":"<p><p>Atopic eczema is common in childhood and can continue into adulthood. Adherence to treatment is a significant factor in its effective management, but the complexity of treatment regimens can make adherence challenging. Additionally, living with the condition can have adverse psychosocial consequences for young people in particular. This article discusses treatment regimens for moderate-to-severe atopic eczema and some of the challenges encountered by children, young people and families in self-managing the condition. The authors discuss strategies that can support families to achieve optimal self-management, namely online support tools, written action plans and nurse-led eczema clinics.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"30-35"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513641","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}
引用次数: 0
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