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Studies in Health Technology and... Dec 2021Firstly, we form the Pediatric Nursing-Knowledge Base for Hyperthermia, which combines publicly clinical practice guidelines and nursing routines of hyperthermia...
Firstly, we form the Pediatric Nursing-Knowledge Base for Hyperthermia, which combines publicly clinical practice guidelines and nursing routines of hyperthermia management. Then, following the nursing process framework, the system is developed by clinical decision support technology. Finally, a pre- and post-test is adopted to examine the effectiveness, usability and feasibility before and after using the system. Its effectiveness is examined by nursing records quality including completeness of nursing assessment, timeliness of nursing diagnosis, individualization of nursing interventions, and timeliness of nursing evaluation. Its usability and feasibility are assessed using the Clinical Nursing Information System Effectiveness Evaluation Scale. There is a significant difference between the two groups in effectiveness, usability and feasibility. Although the system is developed specifically for our hospital workflow and processes, the Pediatric Nursing-Knowledge Base for Hyperthermia and workflow for hyperthermia management in this study can be used as a reference to other hospitals.
Topics: Child; Decision Support Systems, Clinical; Humans; Hyperthermia, Induced; Pediatric Nursing
PubMed: 34920562
DOI: 10.3233/SHTI210762 -
International Journal of Nursing... Jan 2022In 2016, a Pediatric Nursing Continuing Professional Development (PNCPD) program was created and implemented in Kigali, Rwanda, through the Training, Support, and Access...
OBJECTIVES
In 2016, a Pediatric Nursing Continuing Professional Development (PNCPD) program was created and implemented in Kigali, Rwanda, through the Training, Support, and Access Model (TSAM) for Maternal, Newborn, and Child Health (MNCH). This partnership project between Canada and Rwanda provided pediatric nursing education to forty-one Rwandan nurses and nurse educators in 2018 and 2019. The objective of this research study was to explore the experiences of nurses and nurse educators applying pediatric knowledge and skills to academic and clinical settings after participating in the PNCPD program.
METHODS
This study was situated within an interpretive descriptive perspective to explore the ways in which knowledge gained during the PNCPD program in Rwanda was applied by nurses and nurse educators in their nursing practice, both academically and clinically. Data was collected through individual interviews. Inductive content analysis was used for data analysis.
RESULTS
The analysis of the interviews resulted in the emergence of five themes: Transformations in Pediatric Nursing Practice, Knowledge Sharing, Relationship-Based Nursing, Barriers and Facilitators to Knowledge Implementation, and Scaling-up PNCPD within the Health System.
CONCLUSIONS
The results of this study have the potential to inform positive changes to child health care in Rwanda, including scaling up pediatric nursing education to other areas of the healthcare system.
Topics: Child; Education, Nursing; Faculty, Nursing; Humans; Infant, Newborn; Nurses; Pediatric Nursing; Rwanda
PubMed: 36005553
DOI: 10.1515/ijnes-2021-0155 -
Journal of Pediatric Nursing 2016Congenital heart defects (CHD) continue to be the most prevalent birth defect that occurs worldwide in approximately 6-8 of every 1,000 live births. High rates of... (Review)
Review
UNLABELLED
Congenital heart defects (CHD) continue to be the most prevalent birth defect that occurs worldwide in approximately 6-8 of every 1,000 live births. High rates of morbidity and mortality in infants, children, and adults living with CHD place a growing need for health care professionals (HCPs) to better understand potentially modifiable genetic and environmental influences. This paper will present examples of research and governmental initiatives that support genetics education and research and a review of known genetic factors associated with CHD development.
ORGANIZING CONSTRUCT
A review of the known genetic factors on risk for CHD formation in infants will be provided to help health care professionals gain a greater understanding of the genetic influences on pediatric cardiac health.
CONCLUSIONS
There are known genetic pathways and risk factors that contribute to development of CHD. This paper is a primer for nurses and HCPs providing information of the genetics and inheritance patterns of CHD to be useful in daily clinical practice.
CLINICAL RELEVANCE
Nurses work in multiple communities where they are uniquely positioned to educate and provide information about research and current models of care with families affected by CHD. Nurses and HCPs who better understand genetic risk factors associated with CHD development can more promptly refer and offer treatment for these children and families thus providing individuals of childbearing age with the necessary resources and information about risk factors.
Topics: Child Development; Child Health; Comprehension; Female; Genetic Predisposition to Disease; Genetic Testing; Heart Defects, Congenital; Humans; Incidence; Infant; Infant, Newborn; Male; Nurse's Role; Pediatric Nursing; Pediatrics; Risk Assessment; United States
PubMed: 26652210
DOI: 10.1016/j.pedn.2015.10.023 -
Kinderkrankenschwester : Organ Der... Sep 2016
Topics: Child; Delivery of Health Care, Integrated; Documentation; Efficiency, Organizational; Electronic Health Records; Germany; Humans; Nursing Records; Pediatric Nursing; Software Design; Total Quality Management
PubMed: 30549584
DOI: No ID Found -
Pediatric Critical Care Medicine : a... Jul 2015To identify and prioritize research questions of concern to the practice of pediatric critical care nursing practice.
OBJECTIVE
To identify and prioritize research questions of concern to the practice of pediatric critical care nursing practice.
DESIGN
One-day consensus conference. By using a conceptual framework by Benner et al describing domains of practice in critical care nursing, nine international nurse researchers presented state-of-the-art lectures. Each identified knowledge gaps in their assigned practice domain and then poised three research questions to fill that gap. Then, meeting participants prioritized the proposed research questions using an interactive multivoting process.
SETTING
Seventh World Congress on Pediatric Intensive and Critical Care in Istanbul, Turkey.
PARTICIPANTS
Pediatric critical care nurses and nurse scientists attending the open consensus meeting.
INTERVENTIONS
Systematic review, gap analysis, and interactive multivoting.
MEASUREMENTS AND MAIN RESULTS
The participants prioritized 27 nursing research questions in nine content domains. The top four research questions were 1) identifying nursing interventions that directly impact the child and family's experience during the withdrawal of life support, 2) evaluating the long-term psychosocial impact of a child's critical illness on family outcomes, 3) articulating core nursing competencies that prevent unstable situations from deteriorating into crises, and 4) describing the level of nursing education and experience in pediatric critical care that has a protective effect on the mortality and morbidity of critically ill children.
CONCLUSIONS
The consensus meeting was effective in organizing pediatric critical care nursing knowledge, identifying knowledge gaps and in prioritizing nursing research initiatives that could be used to advance nursing science across world regions.
Topics: Critical Care Nursing; Critical Illness; Health Priorities; Humans; Intensive Care Units, Pediatric; International Cooperation; Life Support Care; Nurse's Role; Nursing Research; Patient Safety; Pediatric Nursing; Professional-Family Relations; Terminal Care; Withholding Treatment
PubMed: 25905492
DOI: 10.1097/PCC.0000000000000446 -
MCN. the American Journal of Maternal... 2020Missed nursing care is required care that is delayed, incomplete, or left undone during a nurse's working shift. Missed nursing care is most often studied in adult...
INTRODUCTION
Missed nursing care is required care that is delayed, incomplete, or left undone during a nurse's working shift. Missed nursing care is most often studied in adult populations; however, it may have significant consequences in pediatric and neonatal care settings. The purpose of this integrative review is to describe missed nursing care in pediatric and neonatal nursing care settings.
METHODS
SCOPUS and PubMed were used in the literature search. Multiple combinations of the keywords and phrases "missed nursing care," "pediatric," "neonatal," "care left undone," or "nursing care rationing" were used for the literature search. Missed nursing care is a relatively new topic as the first article on the subject was published in 2006; therefore, inclusion criteria were set to English articles published between January 1, 2006 and October 11, 2019 that reported on missed nursing care in pediatric and neonatal inpatient care settings.
RESULTS
Fourteen articles met inclusion criteria. Missed nursing care in pediatric and neonatal nursing care settings is associated with workload, patient acuity, work environment, and nurse characteristics, and is related to prolonged hospitalization of preterm infants.
CLINICAL IMPLICATIONS
Providing nurses with an adequate amount of resources and tools to avoid missed nursing care will continue to improve care delivery. Missed nursing care and related patient and nurse outcomes in diverse pediatric and neonatal samples remains an area for future research.
Topics: Humans; Intensive Care Units, Neonatal; Neonatal Nursing; Nursing Care; Pediatric Nursing; Quality of Health Care
PubMed: 32496352
DOI: 10.1097/NMC.0000000000000642 -
Journal of Advanced Nursing Jun 2021To identify and critically appraise the available evidence on paediatric nurses' clinical competencies performed autonomously regarding disease prevention and health... (Review)
Review
AIMS
To identify and critically appraise the available evidence on paediatric nurses' clinical competencies performed autonomously regarding disease prevention and health promotion activities for children and adolescents in primary healthcare worldwide.
DESIGN
A systematic review design in accordance with the Preferred Reporting Items Systematic Reviews and Meta-Analyses statement.
DATA SOURCES
The search was conducted through MEDLINE (PubMed), Cumulative Index to Nursing and Allied Health Literature, SCOPUS, The Cochrane Library, Scientific Electronic Library Online, Web of Science and The Joanna Briggs Institute EBP (Ovid) databases. The grey literature was reviewed at OpenGrey. Additional studies were located through a references list of selected studies identified on first search.
REVIEW METHODS
Database search employed MeSH terms: (paediatric nursing) AND (primary healthcare) AND ((clinical skills) OR (clinical competences)). Studies published from inception to October 2019 exploring paediatric nurses' clinical competencies in primary healthcare were eligible for inclusion. No language restrictions were applied in the main search. Selection was made by two reviewers independently. Three independent reviewers assessed the methodological quality of included studies.
RESULTS
Eighteen studies were included from six countries. The most common nursing competencies independently performed identified and described in studies were Health education and advice, Child and adolescent health and development assessment, Immunizations and Child health checks.
CONCLUSION
Studies describe clinical competencies of nurses in children care. No consistent scientific evidence is available about clinical competencies of paediatric nurses performed autonomously in primary care.
IMPACT
Few scientific studies identifying and assessing nurses' child primary healthcare skills were found and therefore recorded. Studies describe nurses' clinical skills in childhood, but results do not show firm consistency assessing their practice scope. Health policy-makers should encourage the development of nurses' competencies if they wish to preserve quality and equity of healthcare services to children. Therefore, the first step is to identify the autonomous competencies of paediatric nurses in primary care.
Topics: Adolescent; Child; Clinical Competence; Delivery of Health Care; Humans; Pediatric Nursing; Primary Health Care
PubMed: 33594748
DOI: 10.1111/jan.14768 -
La Clinica Terapeutica Mar 2021The objective of this survey is to assess nurses and pe-diatric nurses' knowledge about pediatric procedures and to evaluate, according to the results, whether it may be...
OBJECTIVE
The objective of this survey is to assess nurses and pe-diatric nurses' knowledge about pediatric procedures and to evaluate, according to the results, whether it may be useful to provide handbooks that include the main techniques, courses or CME.
MATERIALS AND METHODS
This study is a cross-sectional survey car-ried out from 31st of May 2020 to 21st July 2020 including a sample of 811 subjects. To analyze data obtained from questionnaire, it has been used Distribution Frequency, analysis of variance and multiple regression analysis.
RESULTS
The sample analyzed, 585 nurses and 226 pediatric nurses, aged >20years, originates from central Italy (54,7%). Most profes-sionals had a post degree training (66,8%) According to ANOVA, the subjects with major knowledge of pediatric procedures are male (p=<0,001) and pediatric nurses (p=< 0,001); furthermore, post degree training (p=0,004) and a larger amount of years of service (p= <0,001) could affect significantly professionals training. Moreover, based on multiple linear regression analysis, what played a major role in a better nurse education was the higher age, 31-40 years old (p= <0,001) and origin from northern Italy (p=<0,001).
CONCLUSIONS
After a literature review on the main database, this study appears to be the first of its genre. The Survey demonstrates how pediatric nursing techniques are poorly known within nursing environment. To give a contribution for a better improvement in this field it is requested a pediatric nursing degree or at least a master in pediatrics and continue training.
Topics: Cross-Sectional Studies; DNA Helicases; Education, Nursing; Female; Humans; Italy; Male; Middle Aged; Nurses; Nurses, Pediatric; Pediatric Nursing; Surveys and Questionnaires; Young Adult
PubMed: 33763673
DOI: 10.7417/CT.2021.2298 -
Evidence-based Nursing Oct 2017
Topics: Adolescent; Anthropology, Cultural; Child; Child, Preschool; Delivery of Health Care; Female; Humans; Infant; Infant, Newborn; Male; Pediatric Nursing; Qualitative Research; Quality of Health Care
PubMed: 28889095
DOI: 10.1136/eb-2017-102786 -
Comprehensive Child and Adolescent... Mar 2020Improvements in devices and techniques used to provide life support for patients at intensive care units have reduced patient mortality. Increases in the number of...
Improvements in devices and techniques used to provide life support for patients at intensive care units have reduced patient mortality. Increases in the number of survivors from a critical illness have brought long-term complications experienced during the post-intensive care period into question. The term post-intensive care syndrome (PICS) is defined as a new and deteriorating disorder in the cognitive, mental, and physical health status experienced by the survivor after intensive care unit discharge that might continue for months or even years. Opioid and sedation exposure, the severity of illnesses and injuries, dense life support interventions, length of stay in the intensive care unit, and social isolation constitute risk factors for PICS in children. These factors cause the child to experience deterioration in physical, cognitive, and psychological health domains. Such deteriorations occur on various levels and have negative effects on quality of life. The purpose of this article is to raise awareness and help pediatric nurses to develop an understanding of the condition. Increasing awareness by pediatric nurses about the magnitude and effects of complications after discharge from the intensive care unit will be the first step to protect survivors from new problems, to provide assistance for ongoing problems, and to develop follow-up strategies. PICS-related morbidities affect the majority of children discharged from PICUs. We need to understand the scope of those morbidities and develop efficient nursing interventions accordingly. It is time to expand our goal for critical and noncritical care from life-saving into improvement of functional health status and quality of life.
Topics: Chronic Disease; Critical Illness; Humans; Intensive Care Units; Pediatric Nursing; Risk Factors
PubMed: 30252559
DOI: 10.1080/24694193.2018.1520323