Nursing children and young people最新文献

{"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":"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":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","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":"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":"10.7748/ncyp.2025.e1562","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"34-42"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","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}

{"title":"Role of the children's nurse in identifying and responding to medical neglect.","authors":"Emma Cowen","doi":"10.7748/ncyp.2025.e1547","DOIUrl":"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":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2025-11-06","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":"Inclusive care for children and young people with gender dysphoria: educating the workforce.","authors":"Fiona Helen Cust, Josh Vella","doi":"10.7748/ncyp.2025.e1561","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1561","url":null,"abstract":"<p><p>Transgender people have reported negative experiences of healthcare service provision, often due to a lack of awareness and education among staff. The challenges experienced by transgender people when accessing healthcare are likely to be even more pronounced for children and young people with gender dysphoria. Nurses working in children's settings are well placed to create a care environment where children and young people with gender dysphoria feel safe, acknowledged and respected. However, currently there is no mandatory requirement or standardised approach in relation to education and training on transgender health, so some healthcare professionals may lack the foundational knowledge needed to provide gender-inclusive care. This article highlights the urgent need for comprehensive mandatory preregistration education and post-registration training in transgender health to foster inclusive and respectful care for children and young people with gender dysphoria.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330387","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 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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To explore nurses' perspectives on neonatal pain management in Ghana.</p><p><strong>Method: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"10.7748/ncyp.2025.e1533","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","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}

{"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":"<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":"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}

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To explore the experiences of parents when their child receives NGT feeding under physical restraint and understand the effects of this on them.</p><p><strong>Method: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"title":"Suspected sepsis in children and young people: assessment, recognition and when to escalate.","authors":"Gemma Williams, Oliver Beavan","doi":"10.7748/ncyp.2025.e1523","DOIUrl":"10.7748/ncyp.2025.e1523","url":null,"abstract":"<p><p>Sepsis in children has been defined as a clinical syndrome resulting from a dysregulated immune response to infection. Several publications have highlighted the need for education for healthcare professionals on the recognition and management of sepsis to improve patient care and reduce the risk of morbidity and mortality. This article offers information, tools and resources for children's nurses to promote a multidisciplinary team approach to assessing children and young people with suspected sepsis and escalating care where appropriate. It uses a case study to illustrate the challenges that may be encountered in diagnosing sepsis and providing effective care.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"34-42"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080950","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":"How to auscultate for heart sounds in infants and children.","authors":"Emily Westley, Catherine Renwick, Emily Ellis","doi":"10.7748/ncyp.2024.e1527","DOIUrl":"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":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","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}