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Adolescent idiopathic scoliosis: treatment outcomes, quality of life and implications for practice. 青少年特发性脊柱侧凸：治疗效果、生活质量和对实践的影响。
Nursing children and young people Pub Date : 2025-01-09 Epub Date: 2024-05-20 DOI: 10.7748/ncyp.2024.e1510
Ryan Essex, Lesley Dibley
{"title":"Adolescent idiopathic scoliosis: treatment outcomes, quality of life and implications for practice.","authors":"Ryan Essex, Lesley Dibley","doi":"10.7748/ncyp.2024.e1510","DOIUrl":"10.7748/ncyp.2024.e1510","url":null,"abstract":"<p><p>Adolescent idiopathic scoliosis (AIS) is the most common spinal disorder among children and adolescents, with most cases being diagnosed around puberty. While the majority of people with AIS do not undergo treatment, a small but significant number are treated, depending on the extent of their spinal curvature. Treatment typically involves bracing, which requires substantial adherence, and/or surgery, which is invasive and permanent. Furthermore, decisions about treatment often need to be made at a critical stage of the person's development. This article examines the evidence on AIS and its treatment, synthesising the current literature and drawing from the authors' empirical work to explore the clinical outcomes of bracing and surgery, as well as the longer-term effects on people's quality of life. Drawing from this evidence, the authors provide guidance for nurses and healthcare professionals who care for people with AIS.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"30-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066187","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
Leadership in children and young people's nursing: an evolving journey. 儿童和青少年护理工作的领导力：不断发展的历程。
Nursing children and young people Pub Date : 2025-01-09 Epub Date: 2024-06-03 DOI: 10.7748/ncyp.2024.e1500
Kate Pye, Laura Brownlee, Katy Field
{"title":"Leadership in children and young people's nursing: an evolving journey.","authors":"Kate Pye, Laura Brownlee, Katy Field","doi":"10.7748/ncyp.2024.e1500","DOIUrl":"10.7748/ncyp.2024.e1500","url":null,"abstract":"<p><p>Children and young people's (CYP) nursing leaders have experienced considerable challenges in the context of a complex health and social care system with rapidly changing organisational structures, including the establishment of integrated care systems in England on 1 July 2022. The CYP nursing lead at NHS England commissioned a review of CYP organisational structures in emerging integrated care systems across England. The review encompassed a vision for CYP services, leadership, governance structures and opportunities for progression. A proforma was used to collate data from CYP trusts, CYP standalone hospitals and children's wards in district general hospitals. Qualitative interviews were also undertaken with senior children's nurses. At the same time, the first author of this article interviewed senior children's nurses as part of a Florence Nightingale Foundation leadership scholarship. The aim was to explore how they navigated their leadership journey and understand what advice they may give to future leaders in CYP nursing. The findings in this article identify 'what good looks like' in terms of CYP nursing leadership. Six recommendations for future development and enhancement of CYP nursing leadership are outlined.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201128","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
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 : 2025-01-06 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":"https://doi.org/10.7748/ncyp.2025.e1530","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","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
Caring for children and young people with inherited cardiac conditions: the evolving role of specialist nurses. 照顾患有遗传性心脏病的儿童和青少年：专科护士不断演变的角色。
Nursing children and young people Pub Date : 2024-12-16 DOI: 10.7748/ncyp.2024.e1532
Jennifer Tollit, Stephanie Oates, Alessia Odori, Sorcha Smyth, Juan Pablo Kaski, Ella Field
{"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":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","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}
引用次数: 0
Medicines management in children and young people: pharmacological approaches to treat pain. 儿童和年轻人的药物管理：治疗疼痛的药理学方法。
Nursing children and young people Pub Date : 2024-12-12 DOI: 10.7748/ncyp.2024.e1540
Kate Davies
{"title":"Medicines management in children and young people: pharmacological approaches to treat pain.","authors":"Kate Davies","doi":"10.7748/ncyp.2024.e1540","DOIUrl":"https://doi.org/10.7748/ncyp.2024.e1540","url":null,"abstract":"<p><p>Pain management in children is often more complex than in adults, since pain in children can be more challenging to assess and therefore more challenging to treat. It is essential that children's nurses have knowledge and understanding of the physiology of pain and the analgesics available to treat different types of pain. This article describes nociception and provides an overview of the three main groups of analgesics - non-opioids, opioids and adjuvants - that can be used in the pharmacological management of pain in children and young people.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814248","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
The nurse's role in assisting with a lumbar puncture in an infant or child. 护士协助婴儿或儿童腰椎穿刺的角色。
Nursing children and young people Pub Date : 2024-12-02 DOI: 10.7748/ncyp.2024.e1535
Coral Rees, Caroline Towriss
{"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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","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}
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
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