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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 -
Critical Care Explorations Dec 2023Pediatric neurocritical care (PNCC) is a quickly growing subspecialty within pediatric critical care medicine. Standards for care, education, and application of...
OBJECTIVES
Pediatric neurocritical care (PNCC) is a quickly growing subspecialty within pediatric critical care medicine. Standards for care, education, and application of neuromonitoring technologies in PNCC are still being developed. We sought to identify and improve knowledge deficits in neurocritical care with an educational boot camp for nurses.
SETTING
Quaternary children's hospital with 36 PICU beds.
DESIGN
Preinterventional and postinterventional study.
METHODS
A 2-day boot camp course covering neurologic and neurosurgical topics pertinent to PNCC was provided to 46 pediatric acute and critical care nurses divided into three cohorts over 3 years. Participant characteristics were collected, and precourse and postcourse knowledge assessments were administered.
RESULTS
Regarding participant characteristics, neither critical care registered nurse certification nor years of nursing experience were associated with better precourse baseline knowledge. Knowledge gaps spanned bedside neurologic assessments, physiologic goals in brain injury, and side effects of neurocritical care medications. In postcourse assessments, all participants showed improvement in scores, and most participants sustained improvements after 6 months. Nurses reported significant improvement in self-reported confidence in caring for the PNCC population. We also observed shorter ICU lengths of stay, decreased hospital incident reports, and decreased time to stroke imaging, although these programmatic metrics cannot be credited to nursing education alone.
CONCLUSIONS
PNCC programs should include nursing expertise in the field. However, topics specific to PNCC may not be adequately addressed by existing general critical care nursing education and certification. A multimodal educational boot camp can be an effective method to improve nursing knowledge in PNCC. Our results demonstrate that specialty nursing education in PNCC is both innovative and feasible, with the potential to improve patient care. Further research is needed to determine the benefits of specialty education on quality of care and clinical outcomes.
PubMed: 38073667
DOI: 10.1097/CCE.0000000000001018 -
Japan Journal of Nursing Science : JJNS Oct 2023This study aimed to explore the experiences of senior nursing students working in a pediatric outpatient clinic.
OBJECTIVES
This study aimed to explore the experiences of senior nursing students working in a pediatric outpatient clinic.
METHODS
This study adopted a descriptive phenomenological approach, through semi-structured interviews. Purposive sampling was used to select 12 senior nursing students in the pediatric outpatient clinic of West China Second University Hospital, Sichuan University, China, from August 2020 to March 2021. The collected data were analyzed using the Colaizzi method.
RESULTS
Four themes were identified in this study: knowledge and skills (triage, emergency care), communication (courage, communication skills), value re-evaluation (understand of outpatient nurses, judgment of outpatient nurses), and outpatient feelings (satisfaction, empathy, pressure).
CONCLUSION
Pediatric outpatient internships have a positive impact on senior nursing students. Research has found that constructing a nursing clinical practice pathway in pediatric outpatient clinics helps teachers and students clarify the objectives and content of internships, and the "shadow teaching" model is conducive to nursing students' empathy and thinking. In addition, outpatient internship experience can help students gain communication courage.
Topics: Humans; Child; Students, Nursing; Outpatients; Education, Nursing, Baccalaureate; Qualitative Research; Empathy
PubMed: 37470318
DOI: 10.1111/jjns.12553 -
Journal of Obstetric, Gynecologic, and... May 2024Nurses need to understand how clinical genetic and genomic applications affect newborn screening and advocate for parents and newborns.
Nurses need to understand how clinical genetic and genomic applications affect newborn screening and advocate for parents and newborns.
Topics: Humans; Infant, Newborn; Neonatal Screening; Phenylketonurias; Genetic Testing; Neonatal Nursing
PubMed: 38583485
DOI: 10.1016/j.jogn.2024.03.004 -
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 2023Quality of care and the mental and physical health of nurses are interlinked. The COVID-19 pandemic has imposed an extremely high burden on health care. This study aimed...
PURPOSE
Quality of care and the mental and physical health of nurses are interlinked. The COVID-19 pandemic has imposed an extremely high burden on health care. This study aimed to: 1) describe professional quality of life of registered nurses (RN) working in the pediatric and neonatal care units during the COVID-19 pandemic in Sweden, 2) compare professional quality of life between RNs with and without a Master's degree in specialist nursing pediatric care (MSc), and 3) compare differences in professional quality of life associated with the nursing experience (years).
DESIGN AND METHODS
This study adopted a cross-sectional survey design. The PROQoL®-5-questionnaire was administered as a web survey to 160 RNs at four pediatric wards and two neonatal units of two hospitals in Sweden.
RESULTS
Seventy-one RNs responded to the survey. Overall, they reported a sufficient professional quality of life. RNs with an MSc suffered significantly lower secondary traumatic stress levels. Experienced RNs reported significantly higher compassion satisfaction and lower occupational burnout.
CONCLUSION
Higher education and longer experience are beneficial for nurses' professional quality of life when working in pediatric care units.
PRACTICAL IMPLICATIONS
Results from this study highlights the importance of offering RN education in pediatric care at master level and supporting novice nurses, to prevent negative professional well-being outcomes in pediatric care, because the health of nurses is of utterly importance when crisis such as a pandemic hits the world. The findings also suggest that the conditions for professional quality of life could improve through activities such as self-care, time for reflection, better working hours, competence-adjusted salary, and educational opportunities.
Topics: Infant, Newborn; Humans; Child; Compassion Fatigue; Pandemics; Empathy; Quality of Life; Cross-Sectional Studies; Sweden; COVID-19; Burnout, Professional; Surveys and Questionnaires; Personal Satisfaction; Job Satisfaction; Nurses
PubMed: 37977972
DOI: 10.1016/j.pedn.2023.11.013 -
Western Journal of Nursing Research Dec 2023Resilience, an individual's ability to cope with and recover from stressors, is supported by contextually specific factors. Factors in the work environment may support...
BACKGROUND
Resilience, an individual's ability to cope with and recover from stressors, is supported by contextually specific factors. Factors in the work environment may support or hinder nurses' resilience to the specific stressors present in pediatric nursing, an understudied population.
OBJECTIVE
We aimed to explore the contextual factors in the work environment of pediatric nurses with varying levels of resilience, including social support, the work environment, and opportunities for coping from an individual approach.
METHODS
This study is a secondary mixed-methods analysis using ordinal logistic regression and a meta-matrix of survey responses and semi-structured interview transcripts from 30 pediatric nurses.
RESULTS
5 themes, 3 supporting and 2 hindering resilience, emerged from the interviews. Nurses described their resilience as supported by sharing the burden, support from administration, and taking a break. Participants described resilience as hindered when they found it challenging to provide quality nursing care and when they felt unappreciated or undervalued. No theme significantly changed the odds of having higher resilience.
CONCLUSIONS
Our findings suggest that nurses recognize resources and conditions within their work environment as influencing their resilience. However, workplace resources and conditions are only one contributor to pediatric nurse resilience. Encouraging breaks and informal opportunities for nurses to support each other may support resilience in pediatric nurses. In addition, nursing leaders can support pediatric nurse resilience by regularly spending time connecting with nurses. Finally, health care organizations should consider how changes in the work environment may hinder nurse resilience by adding stress or changing access to supportive factors.
Topics: Child; Humans; Adaptation, Psychological; Nurses, Pediatric; Social Support; Workplace; Working Conditions; Resilience, Psychological; Nurses
PubMed: 37882413
DOI: 10.1177/01939459231204693 -
Journal of Pediatric Nursing 2023The present study to determine the level of therapeutic communication skills among the students undertaking the pediatric nursing course and explore the associated...
AIM
The present study to determine the level of therapeutic communication skills among the students undertaking the pediatric nursing course and explore the associated influencing factors.
METHODS
This descriptive cross-sectional study was conducted with 140 nursing students who took the pediatric nursing course. Data were collected using a Nursing Student Information Form and the Therapeutic Communication Skills Scale for Nursing Students. The mean and percentage calculations, t-test, ANOVA test, and regression analysis were conducted to analyze the correlations between the participants' descriptive characteristics and their mean scores on the scales.
RESULTS
The participants' mean scores obtained on the total Therapeutic Communication Skills Scale for Nursing Students and all of its subdimensions were observed to have a statistically significant correlation with variables such as gender, grade point average, willingness to select the nursing department, satisfaction with the nursing department, difficulty in establishing communication, perceived ability to establish social relations, difficulty in communicating with a child, perception of childhood life, experience with child care, fondness for children, interest in playing therapeutic games with children, and perceived ability to communicate with children. In Model 1, certain descriptive characteristics (satisfaction with the nursing department, difficulty in communicating with a child, experience with child care, interest in playing therapeutic games with children, and perceived ability to communicate with children) explained 52.4% of the therapeutic communication skills scores of the pediatric nursing students and were statistically significantly.
CONCLUSIONS
In this study, it was determined that some of the descriptive characteristics of the students who took the pediatric nursing course had a significant effect on their therapeutic communication skills.
IMPLICATIONS FOR PRACTICE
In order to develop the therapeutic communication skills of students undertaking a pediatric nursing course, it is necessary to support these students with a standard curriculum that includes student-centered, innovative, and interactive educational methods, such as role play, case analysis, and video-based learning. It is also recommended to conduct comparative studies on different educational approaches for nursing students undertaking pediatric nursing courses or meta-analyses to evaluate the effectiveness of such approaches.
Topics: Humans; Child; Cross-Sectional Studies; Students; Pediatric Nursing; Communication; Curriculum; Students, Nursing; Education, Nursing, Baccalaureate
PubMed: 37603925
DOI: 10.1016/j.pedn.2023.08.015 -
Applied Nursing Research : ANR Aug 2023A pediatric emergency department deals with a vast number of patients and a high load of emergent/high-priority healthcare practices. Therefore, at times, it is possible...
OBJECTIVE
A pediatric emergency department deals with a vast number of patients and a high load of emergent/high-priority healthcare practices. Therefore, at times, it is possible to experience missed nursing care in this department. This study aims to ascertain the types of and reasons for missed nursing care cases in pediatric emergency departments in Turkey.
METHOD
This is a cross-sectional survey study. Survey data were collected from 155 nurses using the "Introductory Information Form" and the "MISSCARE-Pediatric Emergency Department Survey."
RESULTS
Gastrostomy care, colostomy care, tracheotomy care, and teaching about hospital discharge were the care practices most often missed. The volume of patients, urgent patient situations, an inadequate number of nurses in charge, too many inexperienced nurses in the department, and assignment of work outside the scope of the job are the main reasons for missed care.
CONCLUSION
Pediatric emergency department patients experience missed nursing care and nurses should be supported more in order for them to provide efficient care to children.
Topics: Child; Humans; Cross-Sectional Studies; Turkey; Quality of Health Care; Nursing Staff, Hospital; Nursing Care; Surveys and Questionnaires; Emergency Service, Hospital
PubMed: 37423683
DOI: 10.1016/j.apnr.2023.151699 -
Levels of nursing support and satisfaction of parents with children having pediatric inpatient care.Journal of Pediatric Nursing Mar 2024This study aims to investigate the level of inpatient child-care satisfaction of parents.
OBJECTIVE
This study aims to investigate the level of inpatient child-care satisfaction of parents.
MATERIAL AND METHOD
This descriptive, correlational and cross-sectional study consisted of 143 parents whose children were monitored as inpatients between December 2019 and February 2020 in the pediatric clinics. The data were collected with introductory information form, Nurse-Parent Support Tool (NPST) and Pediatric Quality of Life Healthcare Satisfaction Inventory (PedsQL-HCSS). In the analysis of the research, Cronbach's Alpha, independent groups t-test (student t-test), One-way analysis of variance (ANOVA), Mann-Whitney U test, Kruskall-Wallis and Spearman Correlation were used.
RESULTS
The average NPST score of the parents in the study is 64.16 ± 20.75, and the PedsQL-HCSS average score is 55.22 ± 24.22, which is at a moderate level. In parents' perception of nurse support level, the emotional support factor has the lowest score and the information and communication support factor has the highest score. Regarding the health care satisfaction levels of parents, the factor of emotional needs has the lowest score while the general satisfaction factor has the highest score. As parents' ages increase, their perception of nurse support in providing quality care also increases (p < 0.05). The NPST total score and PedsQL-HCSS information score of parents of children with chronic diseases are lower than those with acute diseases (p < 0.05). There is a high level positive correlation between the NPST total score and the PedsQL-HCSS general satisfaction score (r = 0.712, p < 0.001), and between the NPST total score and the PedsQL-HCSS total score (r = 0.755, p < 0.001).
CONCLUSION
Parents of hospitalized children reported a medium level of satisfaction with their health treatment and support from nurses. Emotional support scored lowest among parents' perceptions of nurse help, whereas information and communication support scored highest. The subscale measuring emotional needs had the lowest score among parents' satisfaction with healthcare, while general satisfaction factor had the highest score. Parents' satisfaction with health care was found to increase in parallel with their perception of nurse support.
IMPLICATIONS FOR PRACTICE
When parents of hospitalized children receive nursing assistance, their stress and anxiety levels are lowered, which in turn boosts their confidence in the nurses and their satisfaction with health services, which consequently has a favorable impact on the child's care and treatment.
PubMed: 38461118
DOI: 10.1016/j.pedn.2024.03.004