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Seminars in Oncology Nursing Jun 2024The implementation of pediatric oncology advanced practice nurse (s) roles in low- and middle-income countries (LMICs) presents opportunities and challenges. The authors... (Review)
Review
OBJECTIVES
The implementation of pediatric oncology advanced practice nurse (s) roles in low- and middle-income countries (LMICs) presents opportunities and challenges. The authors explore the implications of pediatric oncology advanced practice nursing roles in Pakistan, Cameroon, Turkey, and Mexico. Potential benefits and drawbacks of advanced practice nursing roles, impacts on nursing care, and strategies for advanced practice nursing role development in LMIC settings are considered.
METHODS
Information from scholarly articles, policy documents, and four LMIC pediatric oncology nurse expert perspectives on existing and imagined advanced practice nursing roles in pediatric oncology in LMIC were synthesized.
RESULTS
Current literature and policies point to efforts across LMICs to establish a wide variety of advanced nursing practices, not necessarily aligned with internationally accepted advanced practice nursing standards of practice or education. The LMIC nurses describe a wide range of national general nurse education and government advanced practice nurse recognition/licensing. Challenges to achieving or strengthening advanced practice nursing roles include, for example, healthcare professional resistance, government unwillingness to recognize/license advanced practice nurses, and lack of advanced practice nursing faculty. To promote a pediatric oncology advanced practice nursing role in LMICs requires navigating the national nursing scope of practice and nursing culture.
CONCLUSION
The strategic introduction of pediatric oncology advanced practice nursing roles in LMICs has the potential to significantly enhance patient care by, for example, addressing healthcare workforce shortages and facilitating timely care delivery. However, challenges related to role complexity, resistance from traditional healthcare structures, and role overlap must be considered. Tailoring these roles to local contexts and fostering stakeholder collaboration are essential for successful implementation.
IMPLICATIONS FOR NURSING PRACTICE
The adoption of advanced practice nursing roles can lead to improved quality of care for pediatric oncology patients and their families in LMICs, where cancer care is challenging. The positive impact of pediatric oncology advanced practice nurses on patient outcomes and healthcare delivery cannot be discounted but must align with local nursing and healthcare culture and expectations.
Topics: Humans; Oncology Nursing; Advanced Practice Nursing; Developing Countries; Pediatric Nursing; Nurse's Role; Mexico; Pakistan; Turkey; Child; Cameroon; Female; Male; Neoplasms
PubMed: 38735785
DOI: 10.1016/j.soncn.2024.151631 -
Revista Brasileira de Enfermagem Dec 2019To identify how children's stories can be used in child care. (Review)
Review
OBJECTIVE
To identify how children's stories can be used in child care.
METHOD
Integrative literature review, conducted in databases between 2000 and 2018, in three languages. Full research articles were included that agreed with the following question: "How can children's stories be used in child care?".
RESULTS
From the analysis of 16 selected articles, three categories emerged: The use of stories in the hospital; Specialized nursing intervention; and Stories in the educational dimension.
FINAL CONSIDERATIONS
Evidence shows benefits to children, families, institutions and nursing. The use of children's stories as a care intervention can occur in different situations and settings, values; boosts bonds, reduces anxiety in children and families, encourages children's participation in care, and promotes health education. It is a low-cost and still incipient strategy in nursing.
Topics: Child; Child, Preschool; Humans; Nurse-Patient Relations; Nursing Care; Pediatric Nursing; Reading
PubMed: 31851271
DOI: 10.1590/0034-7167-2018-0456 -
Journal of Pediatric Health Care :... 2016
Topics: Attitude of Health Personnel; Clinical Competence; Humans; Medical History Taking; Pediatric Nurse Practitioners; Pediatric Nursing; Physical Examination; Preceptorship; Problem-Based Learning
PubMed: 26896378
DOI: 10.1016/j.pedhc.2016.01.002 -
MCN. the American Journal of Maternal... 2020
Review
Topics: Humans; Intensive Care Units, Neonatal; Neonatal Nursing; Nursing Care; Pediatric Nursing; Quality of Health Care
PubMed: 33095551
DOI: 10.1097/NMC.0000000000000662 -
Nursing Leadership (Toronto, Ont.) Apr 2024There is growing recognition of the critical role nursing leadership plays in healthcare. Integrating strengths-based approaches into nursing education enables positive...
There is growing recognition of the critical role nursing leadership plays in healthcare. Integrating strengths-based approaches into nursing education enables positive learning settings and empowers nurses as leaders who foster healing and well-being for patients and their families. This paper describes an effort to integrate Strengths-Based Nursing and Healthcare (SBNH) and Strengths-Based Nursing and Healthcare Leadership (SBNH-L) into the development, implementation and evaluation of a postgraduate pediatric nursing program in Ghana. In the evaluation of the program in Ghana, three themes emerged related to strengths-based nursing: transformation of teaching and learning, impact on relationships with colleagues and impact on relationships with patients.
Topics: Ghana; Humans; Pediatric Nursing; Leadership; Curriculum; Education, Nursing, Graduate
PubMed: 38779834
DOI: 10.12927/cjnl.2024.27309 -
Journal of Pediatric Nursing 2019
Topics: Health Services Needs and Demand; Humans; Pediatric Nursing; School Nursing; United States
PubMed: 30904257
DOI: 10.1016/j.pedn.2019.02.026 -
Nursing Ethics Feb 2018Paediatric nurses often face complex situations requiring decisions that sometimes clash with their own values and beliefs, or with the needs of the children they care... (Review)
Review
BACKGROUND
Paediatric nurses often face complex situations requiring decisions that sometimes clash with their own values and beliefs, or with the needs of the children they care for and their families. Paediatric nurses often use new technology that changes the way they provide care, but also reduces their direct interaction with the child. This may generate ethical issues, which nurses should be able to address in the full respect of the child. Research question and objectives: The purpose of this review is to describe the main ethical dimensions of paediatric nursing. Our research question was, 'What are the most common ethical dimensions and competences related to paediatric nursing?'
RESEARCH DESIGN
A rapid evidence assessment.
METHOD
According to the principles of the rapid evidence assessment, we searched the PubMed, SCOPUS and CINAHL databases for papers published between January 2001 and March 2015. These papers were then independently read by two researchers and analysed according to the inclusion criteria. Ethical considerations: Since this was a rapid evidence assessment, no approval from the ethics committee was required.
FINDINGS
Ten papers met our inclusion criteria. Ethical issues in paediatric nursing were grouped into three areas: (a) ethical issues in paediatric care, (b) social responsibility and (c) decision-making process.
CONCLUSION
Few studies investigate the ethical dimensions and aspects of paediatric nursing, and they are mainly qualitative studies conducted in critical care settings based on nurses' perceptions and experiences. Paediatric nurses require specific educational interventions to help them resolve ethical issues, contribute to the decision-making process and fulfil their role as advocates of a vulnerable population (i.e. sick children and their families). Further research is needed to investigate how paediatric nurses can improve the involvement of children and their families in decision-making processes related to their care plan.
Topics: Child; Clinical Competence; Humans; Pediatric Nursing; Social Responsibility
PubMed: 27005952
DOI: 10.1177/0969733016631161 -
Journal of Pediatric Nursing 2020Adverse events occur in up to 19% of pediatric hospitalized patients, often associated with delays in recognition or treatment. While early detection is recognized as a... (Review)
Review
PROBLEM
Adverse events occur in up to 19% of pediatric hospitalized patients, often associated with delays in recognition or treatment. While early detection is recognized as a primary determinant of recovery from deterioration, most research has focused on profiling patient risk and testing interventions, and less on factors that impact surveillance efficacy. This integrative review explored actions and factors that influence the quality of pediatric nursing surveillance.
ELIGIBILITY CRITERIA
Original research on nursing surveillance, escalation of care, or cardiopulmonary deterioration in hospitalized pediatric patients in non-critical environments, published in English in peer reviewed journals.
SAMPLE
Twenty-four studies from a literature search within the databases of CINAHL, PubMed, and Web of Science were evaluated and synthesized using a socio-technical systems theory framework. Study quality was assessed using The Mixed Methods Appraisal Tool.
RESULTS
Assessment, documentation, decision-making, intervening and communicating were identified as activities associated with surveillance of deterioration. Factors that influenced nurses' detection of deterioration were patient acuity, nurse education, experience, expertise and confidence, staffing, standardized assessment and communication tools, availability of emergency services, team composition and opportunities for multidisciplinary care planning.
CONCLUSIONS
Research provides insight into some aspects of nursing surveillance but does not adequately explore factors that affect clinical data interpretation and synthesis, and role integration between nurse and parents, and nurse and other clinicians on surveillance of clinical stability.
IMPLICATIONS
Research is needed to enhance understanding of the contextual factors that impact nursing surveillance to inform intervention design to support nurses' timely recognition and mitigation of clinical deterioration.
Topics: Child; Clinical Deterioration; Humans; Nursing Assessment; Pediatric Nursing
PubMed: 31770679
DOI: 10.1016/j.pedn.2019.10.008 -
Journal of Pediatric Health Care :... 2022The purpose was to identify the educational needs of pediatric nurses and pediatric nurse practitioners providing direct care to transition-aged youth with chronic...
INTRODUCTION
The purpose was to identify the educational needs of pediatric nurses and pediatric nurse practitioners providing direct care to transition-aged youth with chronic illness and disability and to identify strategies to develop health care transition planning (HCTP) expertise.
METHOD
Mixed-methods descriptive analyses were performed on survey data extracted from a larger national study exploring the provision of HCTP activities performed by nurses of two pediatric nursing professional organizations.
RESULTS
Items querying educational needs were completed by 1,162 pediatric nurses serving in advanced practice and staff roles. Twenty percent reported having specialized HCTP education. Of which more than half received it outside of the workplace. Factor analysis revealed two constructs explaining 73.4% of the variance in nurses' reported level of knowledge.
DISCUSSION
HCTP education and the development of nurse-led services to facilitate optimal health care transitions outcomes are necessitated. Academia and service have a shared responsibility in educating nurses.
Topics: Adolescent; Aged; Child; Humans; Nurse Practitioners; Nurses, Pediatric; Patient Transfer; Pediatric Nurse Practitioners; Pediatric Nursing; Transition to Adult Care
PubMed: 35501202
DOI: 10.1016/j.pedhc.2022.04.001 -
The Nursing Clinics of North America Jun 2020Over the past several decades there has been a dramatic change in the landscape of youth sports. This article provides an overview of sport-related injuries in the child... (Review)
Review
Over the past several decades there has been a dramatic change in the landscape of youth sports. This article provides an overview of sport-related injuries in the child and adolescent populations, looking at changes over the past 10 to 15 years. A closer look at frequently seen injuries, including assessment, diagnosis, and management in osteochondritis dissecans, sprains, fractures, anterior cruciate ligament, and meniscus tears, is provided. Current protocols and screening tools for this population are discussed, including preparticipation screening. The nursing implications in the clinical and community setting are identified, with ways to incorporate this information into practice.
Topics: Adolescent; Athletic Injuries; Humans; Pediatric Nursing; Sports Medicine
PubMed: 32389257
DOI: 10.1016/j.cnur.2020.02.005