Nursing children and young people最新文献_第2页

Enhancing service provision for looked after children and young people in Doncaster. 加强为唐卡斯特受看护儿童和青少年提供的服务。

Nursing children and young people Pub Date : 2025-03-06 Epub Date: 2024-07-22 DOI: 10.7748/ncyp.2024.e1516

Jayne Mulhern

引用次数: 0

How to undertake respiratory auscultation with infants and children. 如何对婴幼儿进行呼吸听诊。

Nursing children and young people Pub Date : 2025-03-06 Epub Date: 2024-08-20 DOI: 10.7748/ncyp.2024.e1528

Rebecca Peto

{"title":"How to undertake respiratory auscultation with infants and children.","authors":"Rebecca Peto","doi":"10.7748/ncyp.2024.e1528","DOIUrl":"10.7748/ncyp.2024.e1528","url":null,"abstract":"Rationale and key points: Respiratory auscultation involves listening to and interpreting sounds from within the chest. Undertaking respiratory auscultation effectively requires appropriate equipment, knowledge of physiology and pathophysiology and experience in listening to and interpreting breath sounds. Nurses undertaking this procedure must ensure they have the knowledge and skills to do so and work within the limits of their competence. This article provides a step-by-step guide that explains how to undertake respiratory auscultation with infants and children aged 0-16 years. • Respiratory auscultation is an essential procedure for informing differential diagnoses and assessing the trajectory of a child's illness and response to treatment. • In children with structurally normal, healthy lungs and a regular breathing pattern, the respiratory sound should be relatively quiet, with regular movement of air along the trachea and bronchioles, in and out of the lungs. • Any breath sounds heard in unexpected areas requires further investigation, while a complete absence of breath sounds must be treated as a clinical emergency and assistance from the medical team must be sought immediately. 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 this article might improve your practice when undertaking respiratory auscultation with infants and children. • How you could use this information to educate nursing students or your colleagues on the procedure for undertaking respiratory auscultation with infants and children.","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"16-20"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005430","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

Climate change and the environmental impact of asthma inhalers: advice for children, young people and families. 气候变化和哮喘吸入器对环境的影响：对儿童、青年和家庭的建议。

Nursing children and young people Pub Date : 2025-03-03 DOI: 10.7748/ncyp.2025.e1545

Laura Day

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 : 2025-02-17 DOI: 10.7748/ncyp.2025.e1533

Carolyne Salvin, Nabil Boulos

{"title":"Developing a diabetes self-management policy for hospitalised children and young people on insulin therapy.","authors":"Carolyne Salvin, Nabil Boulos","doi":"10.7748/ncyp.2025.e1533","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1533","url":null,"abstract":"Children and young people with diabetes mellitus and their families often develop expertise in managing their condition independently, but their autonomy to manage it is often removed during hospital admissions. Insulin is a high-risk medicine and insulin errors can lead to serious or life-threatening events. Allowing children and their parents or carers to self-manage their diabetes and self-administer insulin while in hospital is likely to improve patient safety. In 2022-2023, the paediatric diabetes team at Southampton Children's Hospital, England, developed and implemented a diabetes self-management policy for children and young people on insulin therapy who are admitted as inpatients. The new policy provides a robust decision-making tool for healthcare professionals and gives children and young people and their parents the opportunity to self-manage during hospital stays, if they are deemed competent and it is considered safe to do so. It is anticipated that the policy will facilitate communication between families and staff, improve patient experience and promote safe and effective diabetes management on the wards.","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434161","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 : 2025-02-03 DOI: 10.7748/ncyp.2025.e1523

Gemma Williams, Oliver Beavan

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 : 2025-01-20 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","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

Using non-pharmacological interventions to manage medical procedure-induced anxiety in children: a framework to guide best practice. 使用非药物干预措施控制医疗程序引发的儿童焦虑：指导最佳实践的框架。

Nursing children and young people Pub Date : 2025-01-09 Epub Date: 2024-06-17 DOI: 10.7748/ncyp.2024.e1499

Garry Ming Heng Goh, Liza Edmonds

引用次数: 0

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

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":"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.","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":"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":""},"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