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Revista Brasileira de Enfermagem 2020to describe a theoretical model of nursing care for children with obesity in Primary Health Care.
OBJECTIVES
to describe a theoretical model of nursing care for children with obesity in Primary Health Care.
METHODS
Grounded Theory and the theoretical/philosophical framework of Virginia Henderson were used. The research was conducted in Family Basic Health Units and in Specialized Services in the city of Campina Grande, Paraíba, Brazil. A total of 24 participants composed four sample groups. Data were collected through semi-structured interviews, between April and October 2015, and analyzed by the constant comparison method. The analysis occurred by initial coding, construction of diagrams and memos, axial coding, selective coding and reflection on the paradigm and on the emerging theory.
RESULTS
six categories emerged from the data. Nurses worrying about the care of children with obesity as a neglected area in Primary Health Care was the theoretical model.
FINAL CONSIDERATIONS
the phenomenon is related to the individuality of nursing care and the need for shared responsibilities.
Topics: Adult; Brazil; Female; Grounded Theory; Humans; Interviews as Topic; Male; Middle Aged; Nursing Care; Nursing Theory; Pediatric Nursing; Pediatric Obesity; Qualitative Research
PubMed: 32578728
DOI: 10.1590/0034-7167-2018-0881 -
Human Resources For Health Feb 2020Burnout in healthcare providers has impacts at the level of the individual provider, patient, and organization. While there is a substantial body of literature on... (Review)
Review
Burnout in healthcare providers has impacts at the level of the individual provider, patient, and organization. While there is a substantial body of literature on burnout in healthcare providers, burnout in pediatric nurses has received less attention. This subpopulation may be unique from adult care nurses because of the specialized nature of providing care to children who are typically seen as a vulnerable population, the high potential for empathetic engagement, and the inherent complexities in the relationships with families. Thus, the aim of this scoping review was to investigate, among pediatric nurses, (i) the prevalence and/or degree of burnout, (ii) the factors related to burnout, (iii) the outcomes of burnout, and (iv) the interventions that have been applied to prevent and/or mitigate burnout. This scoping review was performed according to the PRISMA Guidelines Scoping Review Extension. CINAHL, EMBASE, MEDLINE, PsycINFO, ASSIA, and The Cochrane Library were searched on 3 November 2018 to identify relevant quantitative, qualitative, and mixed-method studies on pediatric nurse burnout. Our search identified 78 studies for inclusion in the analysis. Across the included studies, burnout was prevalent in pediatric nurses. A number of factors were identified as impacting burnout including nurse demographics, work environment, and work attitudes. Similarly, a number of outcomes of burnout were identified including nurse retention, nurse well-being, patient safety, and patient-family satisfaction. Unfortunately, there was little evidence of effective interventions to address pediatric nurse burnout. Given the prevalence and impact of burnout on a variety of important outcomes, it is imperative that nursing schools, nursing management, healthcare organizations, and nursing professional associations work to develop and test the interventions to address key attitudinal and environmental factors that are most relevant to pediatric nurses.
Topics: Burnout, Professional; Humans; Nursing Staff, Hospital; Pediatric Nursing; Stress, Psychological; Workplace
PubMed: 32046721
DOI: 10.1186/s12960-020-0451-8 -
British Journal of Nursing (Mark Allen... Aug 2019Leukaemia is the most common cancer in children. The presenting manifestations can be wide-ranging, from a relatively well child to life-threatening complications....
Leukaemia is the most common cancer in children. The presenting manifestations can be wide-ranging, from a relatively well child to life-threatening complications. Symptoms can be manifested in any of the bodily systems. Undertaking a thorough clinical assessment of the child, in addition to recognising and addressing parental concerns, is vital. Furthermore, recognising that children can commonly present with musculoskeletal or abdominal symptoms increases the diagnostic yield, thereby preventing missed or late diagnoses. Childhood cancer has a huge impact on the child and their family, both at diagnosis and in the long term; providing advice and signposting families to appropriate support groups is an important aspect of their management. Nurses play a vital role in managing children with cancers, starting from raising suspicion and identifying the child with leukaemia, ensuring that high-quality care is delivered throughout their treatment, managing complications, and providing support and information to children and their families. An illustrative case study is included to highlight some of the challenges that health professionals may encounter in their clinical practice.
Topics: Child; Diagnosis, Differential; Humans; Leukemia; Nursing Diagnosis; Pediatric Nursing; Risk Factors
PubMed: 31393775
DOI: 10.12968/bjon.2019.28.15.985 -
The Journal of Perinatal & Neonatal... 2020
Topics: Humans; Infant Care; Infant Health; Infant, Newborn; Neonatal Nursing; Nurses, Neonatal; Periodicals as Topic; Quality Improvement
PubMed: 31996635
DOI: 10.1097/JPN.0000000000000457 -
Pediatrics Sep 2020One-third of outpatient antibiotic prescriptions for pediatric acute respiratory tract infections (ARTIs) are inappropriate. We evaluated a distance learning program's... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
One-third of outpatient antibiotic prescriptions for pediatric acute respiratory tract infections (ARTIs) are inappropriate. We evaluated a distance learning program's effectiveness for reducing outpatient antibiotic prescribing for ARTI visits.
METHODS
In this stepped-wedge clinical trial run from November 2015 to June 2018, we randomly assigned 19 pediatric practices belonging to the Pediatric Research in Office Settings Network or the NorthShore University HealthSystem to 4 wedges. Visits for acute otitis media, bronchitis, pharyngitis, sinusitis, and upper respiratory infection for children 6 months to <11 years old without recent antibiotic use were included. Clinicians received the intervention as 3 program modules containing online tutorials and webinars on evidence-based communication strategies and antibioti c prescribing, booster video vignettes, and individualized antibiotic prescribing feedback reports over 11 months. The primary outcome was overall antibiotic prescribing rates for all ARTI visits. Mixed-effects logistic regression compared prescribing rates during each program module and a postintervention period to a baseline control period. Odds ratios were converted to adjusted rate ratios (aRRs) for interpretability.
RESULTS
Among 72 723 ARTI visits by 29 762 patients, intention-to-treat analyses revealed a 7% decrease in the probability of antibiotic prescribing for ARTI overall between the baseline and postintervention periods (aRR 0.93; 95% confidence interval [CI], 0.90-0.96). Second-line antibiotic prescribing decreased for streptococcal pharyngitis (aRR 0.66; 95% CI, 0.50-0.87) and sinusitis (aRR 0.59; 95% CI, 0.44-0.77) but not for acute otitis media (aRR 0.93; 95% CI, 0.83-1.03). Any antibiotic prescribing decreased for viral ARTIs (aRR 0.60; 95% CI, 0.51-0.70).
CONCLUSIONS
This program reduced antibiotic prescribing during outpatient ARTI visits; broader dissemination may be beneficial.
Topics: Acute Disease; Anti-Bacterial Agents; Bronchitis; Chicago; Child; Child, Preschool; Communication; Confidence Intervals; Education, Distance; Female; Humans; Inappropriate Prescribing; Infant; Intention to Treat Analysis; Logistic Models; Male; Odds Ratio; Otitis Media; Outpatients; Pediatric Nursing; Pediatricians; Pharyngitis; Primary Health Care; Program Development; Quality Improvement; Respiratory Tract Infections; Sinusitis; Streptococcal Infections
PubMed: 32747473
DOI: 10.1542/peds.2020-0038 -
Critical Care Nurse Apr 2020Professional burnout is a widespread phenomenon in health care. The health of patients and organizations begins with the well-being of health care professionals....
BACKGROUND
Professional burnout is a widespread phenomenon in health care. The health of patients and organizations begins with the well-being of health care professionals. Identifying and understanding self-care strategies that professionals perceive to be helpful is crucial to combat burnout.
OBJECTIVE
To determine perceptions of self-care strategies to combat professional burnout among nurses and physicians in pediatric critical care settings.
METHODS
This was a qualitative descriptive study with a phenomenological overtone. The study was conducted in a 20-bed pediatric intensive care unit and an 8-bed intermediate care unit of a children's hospital in the United States. Information flyers and emails were used to introduce the study. A combination of convenience and purposive sampling methods was used to recruit participants who were full-time nurses and physicians in the 2 units. Information saturation was used to regulate sample sizes, resulting in 20 participants. Data were collected through a onetime face-to-face interview with each participant. A qualitative descriptive approach was used to analyze the data. The first author was the primary coder and discussed the codes with the coauthors throughout the coding process.
RESULTS
Six major self-care strategies were identified: finding meaning in work, connecting with an energy source, nurturing interpersonal connections, developing an attitude of positivity, performing emotional hygiene, and recognizing one's uniqueness and contributions at work.
CONCLUSIONS
Developing effective self-care strategies helps promote health care professionals' physical and psychological well-being and reduce burnout. It is vital for health care professionals to care for themselves so that they can best care for others.
Topics: Adaptation, Psychological; Adult; Burnout, Professional; Critical Care Nursing; Female; Humans; Job Satisfaction; Male; Middle Aged; Nurses, Pediatric; Nursing Staff, Hospital; Pediatric Nursing; Physicians; Self Care; Surveys and Questionnaires; United States
PubMed: 32236429
DOI: 10.4037/ccn2020621 -
Journal of Pediatric Nursing 2021
Topics: Child; Education, Nursing; Educational Status; Humans; Pediatric Nursing
PubMed: 34053698
DOI: 10.1016/j.pedn.2021.04.030 -
Journal of Family Nursing Feb 2021
Topics: Child; Friends; Humans; Neoplasms; Oncology Nursing; Pediatric Nursing
PubMed: 33599554
DOI: 10.1177/1074840720986625 -
Neonatal Network : NN May 2024Neonatal hypoglycemia (NH) is broadly defined as a low plasma glucose concentration that elicits hypoglycemia-induced impaired brain function. To date, no universally... (Review)
Review
Neonatal hypoglycemia (NH) is broadly defined as a low plasma glucose concentration that elicits hypoglycemia-induced impaired brain function. To date, no universally accepted threshold (reference range) for plasma glucose levels in newborns has been published, as data consistently indicate that neurologic responses to hypoglycemia differ at various plasma glucose concentrations. Infants at risk for NH include infants of diabetic mothers, small or large for gestational age, and premature infants. Common manifestations include jitteriness, poor feeding, irritability, and encephalopathy. Neurodevelopmental morbidities associated with NH include cognitive and motor delays, cerebral palsy, vision and hearing impairment, and poor school performance. This article offers a timely discussion of the state of the science of NH and recommendations for neonatal providers focused on early identification and disease prevention.
Topics: Humans; Hypoglycemia; Infant, Newborn; Blood Glucose; Neonatal Nursing; Infant, Newborn, Diseases
PubMed: 38816219
DOI: 10.1891/NN-2023-0068 -
Neonatal Network : NN Jul 2022
Topics: Academies and Institutes; Humans; Infant, Newborn; Neonatal Nursing
PubMed: 35840329
DOI: 10.1891/NN.41.4.news