Nursing children and young people最新文献

{"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}

{"title":"The nurse's role in assisting with a lumbar puncture in an infant or child.","authors":"Coral Rees, Caroline Towriss","doi":"10.7748/ncyp.2024.e1535","DOIUrl":"10.7748/ncyp.2024.e1535","url":null,"abstract":"<p><p>A lumbar puncture may be performed for various reasons, but is commonly used to facilitate the diagnosis of central nervous system infections in infants and children. It involves inserting a needle into the lower spine to obtain cerebrospinal fluid, which is then sent for testing in a laboratory. The results of the tests, together with a clinical assessment of a patient, can guide the effective treatment of infections and reduce the risk of neurological conditions. This article outlines some of the reasons why lumbar punctures are performed, discusses the practical aspects of the procedure and explains how nurses can effectively support the child and their family, while also assisting the practitioner undertaking the procedure.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"34-41"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773264","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":"Assessing the dental health needs of children in the paediatric intensive care unit.","authors":"Asees Kaur Lamba, Rakhee Budhdeo, Lucy McFarlane, Nabina Bhujel","doi":"10.7748/ncyp.2025.e1539","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1539","url":null,"abstract":"<p><p>Many children admitted to paediatric intensive care units (PICUs) present with unmet dental health needs or develop these during their admission. It is important to maintain good oral health because suboptimal oral hygiene is linked to various dental and medical conditions, with intubated patients being at risk of developing hospital-acquired pneumonia. This article outlines the role of PICU nurses in identifying children's dental health needs by undertaking oral assessments when each child is admitted to the unit and by implementing national initiatives and guidelines on oral health. The article also details the findings of a service evaluation in the PICU at Evelina London Children's Hospital, England, which demonstrated the importance of maintaining good oral hygiene and the benefit of opportunistic dental treatment while children are admitted to the unit.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050345","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":"Role of the children's nurse in identifying and responding to medical neglect.","authors":"Emma Cowen","doi":"10.7748/ncyp.2025.e1547","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1547","url":null,"abstract":"<p><p>Children's nurses aim to keep children and young people safe and ensure that they are offered high-quality, accessible services and support when needed. However, it is estimated that one in ten children in the UK will experience neglect at some point during their childhood. With reference to the literature, this article critically analyses the complex barriers to effective safeguarding practice that contribute to medical neglect. These include suboptimal communication, not keeping the child at the focus of care, not being professionally curious and not attempting to understand the child's lived experience. The article explains the statutory guidance on safeguarding and the importance of using appropriate tools and safeguarding supervision in supporting nurses to work with vulnerable families. Nurses can improve the lives of children and young people in their care by adopting creative, holistic approaches to concerns raised, while not jeopardising the therapeutic relationship and losing open, honest access and communication between the family and nurse. The author explores the idea that a shift from attempting to control the child and family, and instead working collaboratively with them, can help reduce the incidence of medical neglect.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765277","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":"Screening, immunotherapy and the future of type 1 diabetes care in children and young people.","authors":"Emily Rose Dobbs","doi":"10.7748/ncyp.2025.e1548","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1548","url":null,"abstract":"<p><p>Over the past decade there has been a drive towards prevention of type 1 diabetes (T1D), which has led to the development of screening programmes to identify individuals with early-stage disease. In the same period, clinical trials have been taking place on the use of immunotherapy in preventing T1D progression. These developments in screening and immunotherapy require care pathways that provide monitoring, information and support to children and young people with early-stage type 1 diabetes and their families. This article provides an overview of the developments in screening and immunotherapy and considers the implications for children and young people and their families and for the healthcare professionals involved in their care.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651301","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":"Understanding and supporting young people exposed to online misinformation about eczema.","authors":"Sandra Lawton, Catalina Runcie, Clair Murdoch","doi":"10.7748/ncyp.2024.e1517","DOIUrl":"10.7748/ncyp.2024.e1517","url":null,"abstract":"<p><p>The traditional patient-clinician relationship is changing as young people and their families often now turn to the internet and social media for health information, treatment advice and support. Much of that content, however, is unregulated, unverified and inaccurate, which leads to the dissemination of health misinformation. Healthcare professionals working with young people with eczema and their families need to understand why young people turn to social media for health information, identify trends in online misinformation about eczema, and provide alternative, trustworthy sources of information. This article discusses particular areas of online misinformation about eczema as well as dermatology content on specific social media platforms. It also reports the views of young people on the youth panel of the charity Eczema Outreach Support about different social media platforms.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890362","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 homeostasis in children, the body's dynamic balancing act.","authors":"Agnes Hwekwete, Chiara Baiocchi","doi":"10.7748/ncyp.2024.e1536","DOIUrl":"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":"34-41"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","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}