Issues in comprehensive pediatric nursing最新文献

{"title":"Service user involvement in pre-registration children's nursing education: the impact and influence on practice: a case study on the student perspective.","authors":"Christine Amanda Rhodes","doi":"10.3109/01460862.2013.830161","DOIUrl":"https://doi.org/10.3109/01460862.2013.830161","url":null,"abstract":"<p><p>This article reports on a study that aimed to conduct an in-depth investigation into the impact of user involvement on student learning and subsequent influence on practice as a qualified nurse. This was undertaken through a single case study that followed a narrative inquiry approach. UK policy has recommended user involvement in healthcare education for a number of years; this has in turn increased requirements for involvement from Professional, Statutory and Regulatory Bodies. The Nursing and Midwifery Council (NMC, 2010) now requires program providers to clearly demonstrate how service users and carers contribute to program design, delivery and assessment. Although the literature base is expanding there remains limited evidence of the impact of involvement on student learning and improved outcomes for patients. Narratives were collected from a children's nursing student on completion of her 3-year nurse education program and again after practicing as a qualified children's nurse for 1 year. Taking part in the research enabled the participant to consider and reflect on her experience of user involvement in her education and training. Analysis followed an interpretive approach utilizing \"The Listening Guide\" (Doucet & Mauthner 2008) with the researcher's interpretation of how the experience was conveyed with clear acknowledgement of reflexivity.The findings identified central themes of authenticity, knowledge of self, resilience and coping, professional relationships, personalization of care, and influence on practice. This demonstrates transformative learning and support to practice, with preparation for situations and ideas on how to respond with empathy and compassion. This article contributes to the emerging evidence base specifically from a children's nursing perspective, an area with a dearth of published material. Further research with a range of students is required to explore the lasting impact on practice. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 4","pages":"291-308"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.830161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31723354","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":"Children's misunderstandings of hazard warning signs in the new globally harmonized system for classification and labeling.","authors":"Garry Latham,&nbsp;Tony Long,&nbsp;Patric Devitt","doi":"10.3109/01460862.2013.825659","DOIUrl":"https://doi.org/10.3109/01460862.2013.825659","url":null,"abstract":"Accidental chemical poisoning causes more than 35 000 child deaths every year across the world, and it leads to disease, disability, and suffering for many more children. Children’s ignorance of dangers and their failure to interpret hazard warning signs as intended contribute significantly to this problem. A new Globally Harmonized System for Classification and Labeling is being implemented internationally with a view to unifying the current multiple and disparate national systems. This study was designed to establish a productive, effective means of teaching the new GHS warning signs to primary school children (aged 7–11 years). A pre-test, post-test, follow-up test design was employed, with a teaching intervention informed by a Delphi survey of expert opinion. Children from one school formed the experimental group (n = 49) and a second school provided a control group (n = 23). Both groups showed a gain in knowledge from pre-test to post-test, the experimental group with a larger gain but which was not statistically significant. However, longer-term retention of knowledge, as shown by the follow-up test, was statistically significantly greater in the experimental group (p = 0.001). The employment of teaching to match children’s preferred learning styles, and the use of active learning were found to be related to improved retention of knowledge. Part of the study involved eliciting children’s interpretation of standard hazard warning symbols, and this provoked considerable concern over the potential for dangerous misinterpretation with disastrous consequences. This article focuses on the reasons for such misconception and the action required to address this successfully in testing the intervention.","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 4","pages":"262-78"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.825659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31673083","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":"Helping health care assistants develop skills in caring for sick children.","authors":"Edward Alan Glasper","doi":"10.3109/01460862.2013.852380","DOIUrl":"https://doi.org/10.3109/01460862.2013.852380","url":null,"abstract":"At the UK Association of Chief Children’s Nurses (ACCN) annual educational symposium which was held in the Italian city of Florence in September 2013, the future direction of the education of children’s and young people’s nurses was debated. The University of Florence and the Meyer Children Hospital through the good offices of Professor Filippo Festini, a board member of ICPN, acted as hosts for the symposium. The city of Florence was a poignant venue for the meeting, being the birthplace of Florence Nightingale, the founder of modern nursing, who was born there in 1820. The ACCN annual symposium brings together child health academics and senior children’s nursing managers from across the UK, but on this occasion colleagues from across Italy were also invited. A principal objective of these annual symposiums is to ensure that children’s and young people’s nurses of the future have the right skill set for future practice.","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 4","pages":"243-7"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.852380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31876479","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","authors":"D. Harris, R. Enright, Michelle Gilpin, T. Cathers, H. Berman, Cathers","doi":"10.3109/01460862.2013.860759","DOIUrl":"https://doi.org/10.3109/01460862.2013.860759","url":null,"abstract":"","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 1","pages":"337 - 337"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.860759","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69566047","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":"Pediatric pressure injuries: does modifying a tool alter the risk assessment outcome?","authors":"Paul Leonard,&nbsp;Astrid Hill,&nbsp;Kylie Moon,&nbsp;Sally Lima","doi":"10.3109/01460862.2013.825989","DOIUrl":"https://doi.org/10.3109/01460862.2013.825989","url":null,"abstract":"<p><p>The aim of this study was to determine whether assessing patient risk of developing pressure injuries in Pediatric Intensive Care (PICU) and Neonatal Units (NNU) using a modification of the Glamorgan Scale (mGS) would alter the risk identification when compared to the Glamorgan Scale (GS). Prospective data were collected from a convenience sample of patients admitted to PICU or NNU during a 2-month period. The patients' pressure injury risk score using both instruments was collected by observing patients, reviewing patient records, and clarifying information with bedside nurses. Chi square analysis was used to compare the risk category allocations. A total of 133 patients were assessed with complete data available for 112 (PICU = 68, NNU = 65). The total number of admissions during the data collection period was 202 in PICU and 100 in NNU. There was an extensive spread of patients allocated to the \"High Risk\" and \"Very High Risk\" categories in both units. Only one was in the lower \"At Risk\" category. There was little difference in allocated risk category between the mGS and the GS (p = 0.982). Only one patient was not allocated to the same risk category by both tools. In addition to identifying little difference in risk identification the mGS was found to be easier to complete. The mGS delivered the same risk rating as the GS when applied to patients in the PICU and NNU. It is not clear if a similar agreement exists in the general pediatric population. When modifying a validated tool for local use consideration should be given as to how those modifications might alter outcomes. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 4","pages":"279-90"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.825989","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31673084","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":"Home oxygen therapy for infants and young children with acute bronchiolitis and other lower respiratory tract infections: the HiTHOx program.","authors":"Theresa Zappia,&nbsp;Sue Peter,&nbsp;Graham Hall,&nbsp;Julie Vine,&nbsp;Andrew Martin,&nbsp;Ailsa Munns,&nbsp;Linda Shields,&nbsp;Maureen Verheggenn","doi":"10.3109/01460862.2013.834397","DOIUrl":"https://doi.org/10.3109/01460862.2013.834397","url":null,"abstract":"<p><strong>Background: </strong>Acute lower respiratory tract infection (LRTI) including bronchiolitis, is one of the leading causes of pediatric hospital admissions worldwide. Recent studies have demonstrated that some children with acute bronchiolitis can be successfully managed using home oxygen therapy.</p><p><strong>Aim: </strong>To report the impact of a Hospital in The Home Oxygen therapy program (HiTHOx) for selected infants and young children with acute bronchiolitis and other LRTI.</p><p><strong>Findings: </strong>The HiTHOx program appears to be a safe model of care for carefully selected infants and young children with acute bronchiolitis and LRTI that reduces the hospital length of stay.</p><p><strong>Conclusions: </strong>The HiTHOx program provides an alternative model of care for infants and young children with acute LRTI. Implementation of models of care similar to that of the HiTHOx program in other pediatric health services may have the potential to create additional bed capacity, at the time of year when it is most needed.</p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 4","pages":"309-18"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.834397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31773262","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":"You can't put a dollar amount on presence: young, non-resident, low-income, African American fathers.","authors":"Margaret Ofe Fleck,&nbsp;Diane Brage Hudson,&nbsp;Douglas A Abbott,&nbsp;Allison M Reisbig","doi":"10.3109/01460862.2013.818744","DOIUrl":"https://doi.org/10.3109/01460862.2013.818744","url":null,"abstract":"<p><strong>Aims and objectives: </strong>The purpose of this transcendental phenomenological study was to describe the lived experiences of young, non-resident, low-income, African-American fathers.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with a convenience sample of 6 men enrolled in the Omaha Healthy Start, Fathers for a Lifetime Program.</p><p><strong>Results: </strong>The following themes were identified: (a) A Work in Progress: Fatherhood Investment; (b) A Little Island by Myself: Barriers to Fathering; (c) I'm Going to be There From Day One to Infinity: Presence; and (d) The Tomorrow Dad: Not Like my Dad. Barriers to fathering created resource-poor environments posing challenges to involvement.</p><p><strong>Conclusions: </strong>Dispelling the myth of the \"hit-and-run\" father or the \"package deal\" remains a concern for fathers and their children. Nurses can develop early assessment strategies and interventions to help African American fathers with their parenting involvement. Fathers can be encouraged to attend community-based fathering programs to increase investment opportunities.</p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 3","pages":"225-40"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.818744","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31620784","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":"Supporting children and young people in hospital.","authors":"Edward Alan Glasper","doi":"10.3109/01460862.2013.820609","DOIUrl":"https://doi.org/10.3109/01460862.2013.820609","url":null,"abstract":"It has long been recognized that hospital admission for children can have deleterious consequences and many children’s and young people’s nurses have endeavored to overcome this. I remember visiting Toronto Sick Children’s Hospital in the late 1980s to learn more about their pre admissions programs, which were designed to inoculate children against the stresses of hospital admission. Such programs were predicated on the knowledge that children who are prepared for hospital procedures cope belter than children who have not been prepared. Mellish (1969), in a seminal paper, indicated that surgical success in childhood must be measured not only through intact wounds but also must include intact emotions. Strategies to ensure this have been implemented in most children’s hospitals and units. However more still needs to be done to ensure that Florence Nightingales mantra of ‘‘first do the patient no harm’’ is actually delivered in all areas where sick children may be cared for. For example In England the National Health Services (NHS) Institute for Innovation and Improvement has developed the 15-Steps Challenge which are a series of toolkits designed to help nurses and others work","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 3","pages":"173-7"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.820609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31671113","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":"Writing for publication in Issues in Comprehensive Pediatric Nursing.","authors":"Edward Alan Glasper,&nbsp;Jordan Schilling","doi":"10.3109/01460862.2013.820610","DOIUrl":"https://doi.org/10.3109/01460862.2013.820610","url":null,"abstract":"<p><p>This article is designed to help children's and young people's nurses and health care professionals working with children to prepare a manuscript for publication in Issues in Comprehensive Pediatric Nursing. A suggested format based on 11 simple steps which details the specific architecture expected for the preparation of a range of manuscripts. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 3","pages":"178-87"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.820610","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31671114","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":"Play as a mechanism of working through medical trauma for children with medical illnesses and their siblings.","authors":"Laura Nabors,&nbsp;Jennifer Bartz,&nbsp;Jessica Kichler,&nbsp;Rebecca Sievers,&nbsp;Rebecca Elkins,&nbsp;Jordan Pangallo","doi":"10.3109/01460862.2013.812692","DOIUrl":"https://doi.org/10.3109/01460862.2013.812692","url":null,"abstract":"<p><p>Children's reactions to medical trauma have been recorded through play. In this study, participants were 15 children with medical illnesses, 14 siblings of children with a medical illness, and 6 children in the community who did not have any ill family members. Children participated in play groups and their play with medical toys was videotaped and coded for themes that would provide a window on their perspectives. The play of children with medical illnesses and siblings was similar. Medical play was a mechanism for imaginal coping and working through stress related to medical experiences. In contrast, children in the comparison group did not engage in much medical play and when they did, they did not demonstrate a rich play experience with detailed medical stories. Future research should focus on ways to use play therapy techniques to help medically ill children and their siblings cope with their feelings and reactions to medical events related to chronic illness. </p>","PeriodicalId":75953,"journal":{"name":"Issues in comprehensive pediatric nursing","volume":"36 3","pages":"212-24"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2013.812692","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31214452","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}