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Exploring homeostasis in children, the body's dynamic balancing act. 探索儿童的平衡状态，身体的动态平衡。
Nursing children and young people Pub Date : 2025-03-06 Epub Date: 2024-11-18 DOI: 10.7748/ncyp.2024.e1536
Agnes Hwekwete, Chiara Baiocchi
{"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}
引用次数: 0
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
{"title":"Enhancing service provision for looked after children and young people in Doncaster.","authors":"Jayne Mulhern","doi":"10.7748/ncyp.2024.e1516","DOIUrl":"10.7748/ncyp.2024.e1516","url":null,"abstract":"<p><p>The 0-19 looked after children (LAC) team in Doncaster, England, is a well-established service that has developed over time to identify and address the health needs of looked after children and young people and care leavers. Its aims are to improve outcomes for these children and young people by offering a holistic approach to assessing their health and well-being. The principle of having a dedicated nurse specialist for LAC following each child or young person throughout their care journey enables a trusting relationship to be established and the voice of the child or young person to be heard. This article reports on several developments in the Doncaster LAC team, including a local pilot of joint nurse and GP initial health assessments and participation in a national pilot of mental health assessments.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"28-33"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735255","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 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":"<p><strong>Rationale and key points: </strong>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.</p>","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
{"title":"Climate change and the environmental impact of asthma inhalers: advice for children, young people and families.","authors":"Laura Day","doi":"10.7748/ncyp.2025.e1545","DOIUrl":"https://doi.org/10.7748/ncyp.2025.e1545","url":null,"abstract":"<p><p>Climate change is an ever-increasing threat that is having significant detrimental effects on the planet and people's health and well-being. This article explores these effects and examines the environmental impact of different types of inhalers, demonstrating the vast difference between certain types. It also discusses how children's nurses can implement inhaler changes in children and young people effectively, using change management theory and recognised change tools as a guide. With reference to the latest research and studies, the author demonstrates how making inhaler changes can significantly reduce their impact on the environment, thereby protecting the lives of children today and future generations.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537832","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
{"title":"Using non-pharmacological interventions to manage medical procedure-induced anxiety in children: a framework to guide best practice.","authors":"Garry Ming Heng Goh, Liza Edmonds","doi":"10.7748/ncyp.2024.e1499","DOIUrl":"10.7748/ncyp.2024.e1499","url":null,"abstract":"<p><p>Medical procedure-induced anxiety in children can have short- and long-term negative effects. Research shows that children's anxiety can be affected by non-pharmacological interventions and adults' behaviours in a complex manner. This article presents a scoping review of the literature on non-pharmacological interventions to manage medical procedure-induced anxiety in children. Based on this review, the authors propose a framework comprising six strategies for effective non-pharmacological management of medical procedure-induced anxiety in children. A real-life, and anonymised, example is used to illustrate this framework in practice.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":" ","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332095","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
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
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
Medicines management in children and young people: pharmacokinetics, drug calculations and off-label drug use. 儿童和年轻人的药物管理：药代动力学、药物计算和超说明书用药。
Nursing children and young people Pub Date : 2024-11-07 Epub Date: 2024-04-22 DOI: 10.7748/ncyp.2024.e1540
Kate Davies
{"title":"Medicines management in children and young people: pharmacokinetics, drug calculations and off-label drug use.","authors":"Kate Davies","doi":"10.7748/ncyp.2024.e1540","DOIUrl":"https://doi.org/10.7748/ncyp.2024.e1540","url":null,"abstract":"<p><p>Medicines management in children and young people presents specific challenges because children differ from adults in their response to medicines. The way in which medicines work inside the human body, or pharmacokinetics, varies according to age and stage of development. Accurate drug calculations for a child rely on the careful consideration of a series of factors, such as weight and height, pharmacokinetics and drug characteristics. This article focuses on three fundamental aspects: pharmacokinetics, drug calculations, and unlicensed and off-label drug use.</p>","PeriodicalId":38902,"journal":{"name":"Nursing children and young people","volume":"36 6","pages":"34-42"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555255","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
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