Issues in comprehensive pediatric nursing最新文献

{"title":"The benefits for children's nurses of overseas placements: where is the evidence?","authors":"Richard Standage,&nbsp;Duncan Randall","doi":"10.3109/01460862.2014.880531","DOIUrl":"https://doi.org/10.3109/01460862.2014.880531","url":null,"abstract":"<p><p>Overseas placements are presumed to provide students with experiences to enhance their cultural competence and to give them insights into other healthcare systems. However, the literature has not focused on what students of children's nursing might gain from an overseas placement. This paper is a report of a literature review (2003-2011) and our own student evaluation, both aimed at shedding new light on this important opportunity for learning for children's nurses. The literature review indicates that current research does not address the learning from overseas placements for children's nurses. Our student evaluation suggests children's nursing students are able to explore the position of children in the host culture and to place this in a healthcare context. Students also reported that they adhered to UK scope of student practice when delivering care to children on overseas placement. These placements provide a valuable learning experience for children's nurses. However, consideration in the shorter term is required to address issues of equity. Looking forward, further large scale studies are required to determine the long term effects of such experience on the health outcomes for children, and development of children's nurses and children's nursing globally.</p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"37 2","pages":"87-102"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2014.880531","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32088987","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":"Are parents doing what they want to do? Congruency between parents' actual and desired participation in the care of their hospitalized child.","authors":"Daria Romaniuk,&nbsp;Linda O'Mara,&nbsp;Noori Akhtar-Danesh","doi":"10.3109/01460862.2014.880532","DOIUrl":"https://doi.org/10.3109/01460862.2014.880532","url":null,"abstract":"<p><p>Family-centered care is integral to pediatric nursing practice, and includes supporting parents to participate in their hospitalized child's care. Research to date suggests that parents' actual participation in care may differ from their desired participation in care, and that such discrepancies may cause parental distress. Supporting parental participation in a way that facilitates congruency between actual and desired participation may contribute to a satisfying experience for families of hospitalized children. This cross-sectional study measured parents' actual and desired level of participation in care of their hospitalized child and examined the congruency between them. Participants (N = 191), the majority of whom were mothers, provided demographic data and completed two instruments measuring desired and actual participation in care. Study results indicate a significant difference between parents' actual and desired participation (t = -9.382, df = 190, p < 0.0001). The majority of parents expressed a desire to increase their participation. The care activities in which these parents participated are described, including providing comfort, assisting with activities of daily living and advocating for their child. Nurses caring for hospitalized children and their families need to remember that parental preferences for participation will vary, and they need to be prepared to support parents' participation at the level parents choose. Understanding congruency between actual and desired levels of participation can promote awareness of parents' preferences for participation.</p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"37 2","pages":"103-21"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2014.880532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32091759","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":"Editorial: All governments should reinforce their commitment to giving all children a healthy start in life.","authors":"Edward Alan Glasper","doi":"10.3109/01460862.2014.905388","DOIUrl":"https://doi.org/10.3109/01460862.2014.905388","url":null,"abstract":"","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"37 2","pages":"81-6"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2014.905388","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32316545","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":"Parental caregiving of children with cancer and family impact, economic burden: nursing perspectives.","authors":"Phoebe D Williams,&nbsp;Kirstin A Williams,&nbsp;Arthur R Williams","doi":"10.3109/01460862.2013.855843","DOIUrl":"https://doi.org/10.3109/01460862.2013.855843","url":null,"abstract":"<p><p>Pediatric cancer diagnoses affect the entire family: parents, well siblings, the ill child, and others. The objective of this study was to review nursing studies on parental caregiving of children with cancer, family impact, and costs. The study used inclusion/exclusion criteria and family systems theory, self/dependent-care, and symptom management (monitoring, alleviation) concepts. Regarding \"levels of evidence,\" 3 studies were Level II; 7 were Level IV; 7 were Level VI; 1 review was Level V and the second was Level I. Of 19 studies: 11 were qualitative; 4, quantitative; 2 were mixed methods. Content analysis themes were: Parental caregiving and family impact, economic burden. Conclusions were that (a) qualitative studies are predominant; findings supported quantitative findings; (b) quantitative nursing studies are less common: found one longitudinal, randomized controlled trial (RCT) focused on outcomes of an intervention for well siblings and parents, implemented by Clinical Nurse Specialists, CNSs; (c) few quantitative studies with large samples were found, especially ones with theoretical models of the family system and measures of illness impact on families; and (d) \"mixed methods\" longitudinal nursing research is illustrated. There is a need for \"evidence-based\" practice (EBP) nursing studies of interventions focused on parent education/support/assistance; respite care, and increasing family/well sibling knowledge/other information on the child's illness. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"37 1","pages":"39-60"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.855843","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31889757","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":"Factors influencing hospital admissions and emergency department visits among children with complex chronic conditions: a qualitative study of parents' and providers' perspectives.","authors":"Shannon M Hudson,&nbsp;Susan D Newman,&nbsp;William H Hester,&nbsp;Gayenell S Magwood,&nbsp;Martina Mueller,&nbsp;Marilyn A Laken","doi":"10.3109/01460862.2013.855844","DOIUrl":"https://doi.org/10.3109/01460862.2013.855844","url":null,"abstract":"<p><p>Children with complex chronic conditions (CCC) have greater health care needs and use rates than children in general. Elevated health care use includes more frequent hospital admissions, longer hospital stays, and greater health care expenses. Prior studies have examined population characteristics associated with increased hospital admissions, emergency department (ED) use, and general healthcare use, yet few studies have investigated these events from the parents' or health care providers' point of view. The purpose of this study was to explore parents/caregivers' and health care providers' perceptions of the factors placing infants and young children with CCC at risk for or protecting them against hospital admissions and ED visits. Parents or primary caregivers participated in interviews, and health care providers in pediatric acute care, pediatric primary care, and emergency care participated in focus groups. Interview and focus group data were analyzed using directed content analysis and an ecological risk and protective factors model. The analysis revealed that parents/caregivers and health care providers described risk factors and protective factors on multiple ecological levels surrounding the child with CCC. This article presents these findings, which add to current knowledge of factors influencing hospital admissions and ED visits and may be used to inform interventions addressing high health care utilization in this population. This article concludes with the implications of the findings for future research and nursing practice. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"37 1","pages":"61-80"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.855844","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32028490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A different world? The transition experiences of newly qualified children's nurses taking up first destination posts within children's community nursing teams in England.","authors":"Angela Darvill,&nbsp;Debbie Fallon,&nbsp;Joan Livesley","doi":"10.3109/01460862.2013.855841","DOIUrl":"https://doi.org/10.3109/01460862.2013.855841","url":null,"abstract":"<p><p>The concept of transition is of fundamental concern to those seeking to prepare, recruit, and retain newly qualified staff. The pioneering work of researchers such as Kramer (1974) who explored the transition experiences of nurses has transcended international boundaries (Whitehead & Holmes, 2011) to influence the educational preparation of nurses worldwide. However, much of what we know about the transition experiences of newly qualified nurses is based on research with adult nurses and in the acute care settings. This article outlines the findings from a qualitative study about the experiences of a group of newly qualified children's nurses in England who had taken up first destination posts in community children's nursing teams at a time when such posts were novel, and had previously been met with some resistance. Data were collected using semi-structured interviews and fieldwork observation, and analyzed using a combination of thematic analysis (Braun & Clarke, 2006) and the framework approach (Ritchie & Lewis 2003; Smith & Firth 2011). The findings are outlined under the broad headings of \"Shadowing,\" \"The Visits,\" and \"Emerging Identity\" and support previous research that highlights how good formal support and the physical presence of a preceptor is valued by newly qualified nurses since it reduces occupational stress. However, the study also highlights the downside of such support which occurred because some accepted practices inadvertently reduced confidence and therefore inhibited a smooth transition. The ideal transition experience therefore necessitated a more individual approach, allowing for different rates of progression. The primary care environment allowed for such individuality which may account for the significant finding that the nurses in this study did not report feelings of reality shock (Kramer, 1974) as experienced by those in acute care settings. The study therefore highlights how the development of a new professional identity as a community children's nurse is not just dependent on the actions of the newly qualified nurse, but also of those with whom they work. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"37 1","pages":"6-24"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.855841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32086447","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":"Issues in Comprehensive Pediatric Nursing's quest for evidence to underpin child health nursing practice.","authors":"E A Glasper","doi":"10.3109/01460862.2014.869419","DOIUrl":"https://doi.org/10.3109/01460862.2014.869419","url":null,"abstract":"Clinicians in child health nursing practice will appreciate that journals such as Issues in Comprehensive Pediatric Nursing actively seek to contribute to the knowledge base of children’s nurses and other health care professionals who care for sick children. They do this by publishing peer reviewed original quantitative and qualitative research and among others, systematic reviews of the literature which are designed to illuminate and build the evidence base which underpins contemporary practice. Although evidence-based practice (EBP) has been part of the nursing nomenclature for a significant period of time it is actually a relatively new guiding principle within child health care. It was Sackett et al (1997) who were among the early pioneers of what is now referred to as the evidence-based practice movement (Bick & Graham, 2010). Their definition ‘‘the conscientious, explicit and judicious use of current best evidence about the care of individual patients’’ (Sackett et al, 1997 p 2) has since become the part of the philosophy of children’s and young","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"37 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2014.869419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32138508","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":"Ethical decision-making in the dilemma of the intersex infant.","authors":"Breanna L Lathrop,&nbsp;Teresa B Cheney,&nbsp;Annette B Hayman","doi":"10.3109/01460862.2013.855842","DOIUrl":"https://doi.org/10.3109/01460862.2013.855842","url":null,"abstract":"<p><p>The Making Ethical Decisions about Surgical Intervention (MEDSI) tool is designed to guide health care professionals, patients, and families faced with ethically charged decisions regarding surgical interventions for pediatric patients. MEDSI is built on the principles of beneficence, nonmaleficence, and patient autonomy and created to promote truth-telling, compassion, respect for patient cultural and religious preferences, and appropriate follow up in the clinical setting. Following an overview of the 8 steps that compose MEDSI, the tool is applied to the management of intersex infants. The birth of a child with a disorder of sexual development (DSD) and ambiguous genitalia presents an ethically challenging situation for the family and health care team. The use of the MEDSI model is demonstrated in a case study involving the decision of surgical intervention in the management of an intersex child. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"37 1","pages":"25-38"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.855842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31880536","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":"The effectiveness of a storybook in lessening anxiety in children undergoing tonsillectomy and adenoidectomy in Northern Ireland.","authors":"Anne Marie Tunney,&nbsp;Jennifer Boore","doi":"10.3109/01460862.2013.834398","DOIUrl":"https://doi.org/10.3109/01460862.2013.834398","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to assess the effectiveness of a storybook, entitled, The Tale of Woody's Tonsils, written by Anne Marie Tunney, on reducing the level of anxiety of children aged 5-11 years who were undergoing tonsillectomy and adenoidectomy in one hospital in Northern Ireland. BACKGROUND/LITERATURE REVIEW: Psychological preparation of children for surgery impacts coping. There is evidence, in both adult and pediatric studies, that effective psychological preparation for a surgical procedure has an impact on the individuals' coping ability with reduced levels of anxiety leading to better post-operative outcome, faster recovery and a reduction in long term sequelae associated with admission to hospital. A storybook, as a method of preparation, has been recommended by a number of researchers but the effectiveness of this in reducing anxiety has not yet been investigated in the UK. Previous studies have mainly used only one research instrument for anxiety measurement and child self-report is not a commonly used feature of such research.</p><p><strong>Design and methodology: </strong>A quasi-experimental study involving 80 children was conducted using a repeated measures design. Children attending a pre-assessment clinic were randomly allocated to either an experimental group (received the storybook) or a control group (did not get the storybook). Anxiety was tested both pre- and post-intervention using a self-report Hospital Fears Rating Scale and Child Drawing: Hospital, a projective technique based on children's drawings.</p><p><strong>Findings: </strong>The storybook was found to be effective in reducing pre-operative anxiety and was found to be particularly effective for females and in the 7-year-old age group. Practice Implications; This study demonstrates the storybook's effectiveness for alleviating anxiety and advocates the use of child focused anxiety measurement tools. It reinforces the need for pre assessment to include exploration of anxiety triggers so that preoperative preparation and nursing care can be individualized for each child.</p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 4","pages":"319-35"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.834398","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31771052","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":"Exploring moral distress in pediatric oncology; a sample of registered practitioners.","authors":"Kate Pye","doi":"10.3109/01460862.2013.812693","DOIUrl":"https://doi.org/10.3109/01460862.2013.812693","url":null,"abstract":"<p><p>The aim of this research was to explore perceptions of doctors and nurses working in an English regional pediatric oncology unit, regarding their lived experiences and feelings relating to the concept of moral distress. This was undertaken to illuminate the understanding of team dynamics and the impact that the causes and repercussions of moral distress may have on that team. The qualitative methodology was influenced by the Heideggarian phenomenological approach and data analysis was undertaken using Colaizzi's (1978) phenomenological method for protocol analysis. Six main themes were identified expressing participants' experiences of morally distressing situations, with three warranting in depth exploration: \"the importance of the decision-making processes,\" \"conflict over right to treatment and withholding treatment,\" and \"communication within the team.\" Moral distress does occur within pediatric oncology clinical settings and it has unavoidable triggers including emotional responses to difficult scenarios. The implications of this small study show benefits in sharing the decision-making process, thus enabling staff to recognize triggers more efficiently in clinical practice, enhancing communication through training and further research, collaborative education, de-briefing, and team meetings. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 4","pages":"248-61"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.812693","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31704050","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}