Nursing children and young people最新文献

A struggle for all: findings of a qualitative study on nasogastric tube insertion in children. 所有人的斗争：一项关于儿童鼻胃管置入的定性研究结果。

Nursing children and young people Pub Date : 2025-10-06 DOI: 10.7748/ncyp.2025.e1556

Jo Vrancken, Ine Achten, Piet Leroy

{"title":"A struggle for all: findings of a qualitative study on nasogastric tube insertion in children.","authors":"Jo Vrancken, Ine Achten, Piet Leroy","doi":"10.7748/ncyp.2025.e1556","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1556","url":null,"abstract":"Background: Nasogastric tube insertion (NGTI) is one of the most uncomfortable medical procedures. Discomfort, pain and distress in children undergoing NGTI remain significant challenges and there is limited research into effective comfort strategies for this patient group.Aim: To investigate the challenges and complexities of NGTI in children under the age of ten years and develop recommendations on mitigating procedural distress and trauma by examining the beliefs, attitudes and experiences of healthcare professionals and parents.Method: A qualitative research methodology was used involving guided discussions with two focus groups of seven and nine participants, respectively. Data analysis was performed using inductive latent content analysis.Findings: NGTI commonly caused distress to all involved - children, parents and healthcare professionals. There was a lack of consensus and consistency in NGTI practices and a range of contextual barriers to improving the care of children undergoing the procedure. Four guiding principles for improving NGTI practice emerged: critically questioning the necessity and timing of NGTI; taking the time to develop and apply an individually tailored approach; ensuring child-friendly conditions and working as a team to implement comfort strategies; and conducting post-procedure team debriefing and reflection.Conclusion: There is a need for a holistic approach to NGTI that includes dialogue between all involved, the development of evidence-based guidelines and comprehensive training in technical delivery and comfort strategies.","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233430","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

Nurses' perspectives on neonatal pain management in Ghana. 加纳护士对新生儿疼痛管理的看法。

Nursing children and young people Pub Date : 2025-09-22 DOI: 10.7748/ncyp.2025.e1550

Angela Abena Larbi, Mary Ani-Amponsah, Emma Annan, Oboshie Anim-Boamah

{"title":"Nurses' perspectives on neonatal pain management in Ghana.","authors":"Angela Abena Larbi, Mary Ani-Amponsah, Emma Annan, Oboshie Anim-Boamah","doi":"10.7748/ncyp.2025.e1550","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1550","url":null,"abstract":"Background: Neonatal pain is often overlooked in healthcare settings, with misconceptions about pain perception in neonates contributing to inadequate management and potential long-term neurodevelopmental consequences.Aim: To explore nurses' perspectives on neonatal pain management in Ghana.Method: A qualitative, exploratory study was conducted using purposive sampling to select participants from the children's department of a quasi-government (public-private partnership) hospital in Ghana. Ten registered nurses participated in face-to-face interviews. Data were analysed using thematic analysis.Findings: Four main themes emerged: nurses' knowledge and recognition of neonatal pain; neonatal pain management practices; nurses' attitudes towards the management of neonatal pain; and barriers to neonatal pain management. While some nurses recognised behavioural indicators of pain, inconsistent use of validated assessment tools and reluctance to use pharmacological interventions were reported.Conclusion: Findings highlight the need for targeted training, use of standardised assessment tools and evidence-based protocols. Strengthening nurses' knowledge and skills is vital to improving neonatal pain care in Ghanaian healthcare settings.","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114350","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

Understanding measles infection and how to improve uptake of the MMR vaccine. 了解麻疹感染以及如何提高MMR疫苗的接种率。

Nursing children and young people Pub Date : 2025-09-09 DOI: 10.7748/ncyp.2025.e1562

Rosemary Jones, Hawys Youlden, Charlotte McDermott, Malorie Perry, Juliet Norwood

{"title":"Understanding measles infection and how to improve uptake of the MMR vaccine.","authors":"Rosemary Jones, Hawys Youlden, Charlotte McDermott, Malorie Perry, Juliet Norwood","doi":"10.7748/ncyp.2025.e1562","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1562","url":null,"abstract":"Measles is a highly infectious, notifiable, viral disease that is commonly contracted in childhood and associated with a characteristic rash. Most children and young people who contract measles make a full recovery, but measles infection is associated with rare but serious complications in vulnerable groups, such young infants, immunocompromised individuals and pregnant women. Vaccination is the most effective way to prevent measles infection, but uptake of the measles, mumps and rubella (MMR) vaccine in the UK has fallen short of the vaccine coverage required to provide herd immunity and prevent measles outbreaks. Consequently, there has been an increase in confirmed measles infections across the UK in recent years. This article provides a brief history of the epidemiology of measles and the MMR vaccine. It also discusses the signs and symptoms of the infection and its management, including the public health measures required. The authors consider how children's nurses can enhance uptake of the MMR vaccine through health promotion discussions with parents and carers using motivational interviewing techniques.","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030682","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 diabetes self-management policy for hospitalised children and young people on insulin therapy. 为接受胰岛素治疗的住院儿童和青少年制定糖尿病自我管理政策。

Nursing children and young people Pub Date : 2025-09-04 Epub Date: 2025-02-17 DOI: 10.7748/ncyp.2025.e1533

Carolyne Salvin, Nabil Boulos

引用次数: 0

Identifying the body mass index of children awaiting dental surgery under general anaesthetic: an audit. 在全身麻醉下等待牙科手术的儿童身体质量指数的确定：审计。

Nursing children and young people Pub Date : 2025-09-04 Epub Date: 2025-01-06 DOI: 10.7748/ncyp.2025.e1530

Laura Chimdi Uchenna Ota, Nabina Bhujel, Joanna Johnson

{"title":"Identifying the body mass index of children awaiting dental surgery under general anaesthetic: an audit.","authors":"Laura Chimdi Uchenna Ota, Nabina Bhujel, Joanna Johnson","doi":"10.7748/ncyp.2025.e1530","DOIUrl":"10.7748/ncyp.2025.e1530","url":null,"abstract":"Children with overweight or obesity are at risk of experiencing perioperative complications during general anaesthesia (GA). At Guy's and St Thomas' NHS Foundation Trust in London, children who require dental surgery under GA are placed on a waiting list for the Dental Day Surgery Unit (DDSU) or the Evelina London Children's Hospital (ELCH), which has inpatient beds and a paediatric intensive care unit, depending on their body mass index (BMI) and centile thresholds. The waiting list for the ELCH is longer than for the DDSU. This article discusses the results of a retrospective audit which involved analysis of the BMI of 300 children (aged ≤16 years) on the waiting lists for both sites (DDSU n =250; ELCH n =50). The aims were to identify those who were overweight or very overweight, calculate how much weight loss would be required for some of those allocated to the ELCH to be treated instead at the DDSU and to achieve a healthy weight, and to compare obesity prevalence with national data. The results identified 57 (19%) of the 300 patients as very overweight or overweight. A total of 24 (48%) patients on the ELCH waiting list ( n =50) were identified as very overweight or overweight. For seven (29%) of these 24 patients, the amount of weight loss required to be treated at the DDSU ranged between 19.5kg and 0.9kg and the amount of weight loss required to attain a healthy weight ranged between 28.5kg and 11.5 kg. The prevalence of obesity among the audit cohort was lower than national obesity prevalence rates for children.","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932967","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

Nasogastric tube feeding under physical restraint: understanding the effects on parents and how to support them. 物理约束下的鼻胃管喂养：了解对父母的影响及如何支持他们。

Nursing children and young people Pub Date : 2025-09-04 Epub Date: 2025-01-20 DOI: 10.7748/ncyp.2025.e1546

Sarah Fuller, Sharon Thomson, Dasha Nicholls, Jacinta Tan

{"title":"Nasogastric tube feeding under physical restraint: understanding the effects on parents and how to support them.","authors":"Sarah Fuller, Sharon Thomson, Dasha Nicholls, Jacinta Tan","doi":"10.7748/ncyp.2025.e1546","DOIUrl":"10.7748/ncyp.2025.e1546","url":null,"abstract":"Background: Nasogastric tube (NGT) feeding under physical restraint is a clinical intervention that may be required when a child or young person is medically unstable secondary to restrictive eating.Aim: To explore the experiences of parents when their child receives NGT feeding under physical restraint and understand the effects of this on them.Method: This is a secondary analysis of data from two previous studies on NGT feeding under physical restraint - one in mental health wards and one in children's wards - in which semi-structured interviews had been conducted with patients, staff and parents. For this secondary analysis, the authors thematically analysed 31 transcripts of interviews with parents.Findings: Parents reported a range of emotions which could be conflicting in nature, notably relief and shame. In both studies, parents understood the necessity of NGT feeding under physical restraint but experienced the intervention as traumatic. They expressed empathy for staff facilitating the restraint. In the children's wards study, some parents described conflict and damaged relationships with staff, and three parents had participated in physically restraining their child for NGT feeding.Conclusion: Nursing staff should be aware that NGT feeding under physical restraint is distressing for parents. Adopting a trauma-informed framework may help to mitigate the traumatic effects on parents and, in turn, on their child.","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013480","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

Suspected sepsis in children and young people: assessment, recognition and when to escalate. 儿童和青少年疑似败血症：评估、识别和何时升级。

Nursing children and young people Pub Date : 2025-09-04 Epub Date: 2025-02-03 DOI: 10.7748/ncyp.2025.e1523

Gemma Williams, Oliver Beavan

引用次数: 0

Stress and resilience in children's nursing: a review of the evidence. 儿童护理中的压力和复原力：证据综述。

Nursing children and young people Pub Date : 2025-08-18 DOI: 10.7748/ncyp.2025.e1560

Caroline Clark

引用次数: 0

Damp and mould: improving the health and homes of children with asthma through NHS and local authority collaboration. 潮湿和霉菌：通过NHS和地方当局的合作，改善哮喘儿童的健康和家庭。

Nursing children and young people Pub Date : 2025-08-11 DOI: 10.7748/ncyp.2025.e1552

Katherine Hannant

{"title":"Damp and mould: improving the health and homes of children with asthma through NHS and local authority collaboration.","authors":"Katherine Hannant","doi":"10.7748/ncyp.2025.e1552","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1552","url":null,"abstract":"The death of two-year-old Awaab Ishak in 2020 because of prolonged exposure to mould in his family's social housing flat in Rochdale, England, resulted in Awaab's Law, which mandates timely housing repairs by social housing providers from October 2025. This article explores a collaborative initiative between Frimley Health and Care Integrated Care System and Slough Borough Council to improve the respiratory health of children and young people by addressing the effect of suboptimal housing conditions, particularly damp and mould. Geospatial data and shared records helped to identify high-risk households, ensuring efficient, equitable outreach. The project integrated healthcare and housing services through community-based clinics, roadshows and family hubs, providing targeted asthma interventions, personalised education and environmental remediation. The initiative resulted in improved asthma control for many children and young people, and it highlighted the crucial role of children's nurses in delivering interdisciplinary care, advocating for systemic change and supporting vulnerable families. This model presents a promising approach to reducing health inequalities through integrated, community-led healthcare and housing support.","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817788","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

Overgranulation of stoma sites in children with an enteral feeding tube: an evidence-based treatment pathway. 儿童肠内喂养管造口部位过肉芽肿：循证治疗途径。

Nursing children and young people Pub Date : 2025-07-28 DOI: 10.7748/ncyp.2025.e1557

Michael Tatterton, Jane Mulcahy, Nicky Willcox, Michaela Rodgers, Jennifer Raison, Lorraine Watling

引用次数: 0