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Critical Care Nursing Clinics of North... Mar 2024Neonatal nurses play an essential role in small and sick newborn care. In the last few years, especially during the pandemic, neonatal mortality stayed relatively... (Review)
Review
Neonatal nurses play an essential role in small and sick newborn care. In the last few years, especially during the pandemic, neonatal mortality stayed relatively static. Recognition is growing that neonatal nurses represent a specialty that requires unique, consistent, competency-based training and education to provide the best possible care. The Council of International Neonatal Nurses, Inc collaborates with many global stakeholders to raise the standards of neonatal nursing care, especially in Africa.
Topics: Infant, Newborn; Humans; Neonatal Nursing; Nursing Care; Clinical Competence
PubMed: 38296372
DOI: 10.1016/j.cnc.2023.08.005 -
Journal of Pediatric Oncology Nursing :... 2021The Nursing Working Group of the International Society of Pediatric Oncology developed baseline standards for pediatric oncology nursing care in low- and middle-income...
The Nursing Working Group of the International Society of Pediatric Oncology developed baseline standards for pediatric oncology nursing care in low- and middle-income countries. The standards represent the foundational support required to provide quality nursing care and address barriers such as inadequate staffing, lack of support, limited access to education, and unsafe nursing environments. The purpose of the current study was to develop and validate an instrument to accurately measure the standards. Content validity was assessed by a panel of expert pediatric oncology nurses from all geographical regions of the World Health Organization. The experts were informed about the study's purpose and provided the publications used to develop the instrument. The experts rated how well each criterion measured the corresponding standard by using a 4-point scale. A content validity index (CVI) was computed by using the percentage of total standards given a score of 3 or 4 by the experts. A CVI of .98 was obtained from the panel's evaluation. A CVI of more than .80 is recommended for a newly developed instrument. On the basis of the panel's recommendations, minor modifications were made to the instrument. We developed and validated the content of an instrument to accurately measure baseline standards for pediatric oncology nursing care. This instrument will aid future research on the effect of nursing standards on clinical outcomes, including mortality and abandonment of treatment, with the potential to influence health policy decisions and improve nursing support in low- and middle-income countries.
Topics: Child; Developing Countries; Humans; Medical Oncology; Neoplasms; Oncology Nursing; Pediatric Nursing
PubMed: 32452707
DOI: 10.1177/1043454220919700 -
The Journal of Perinatal & Neonatal... 2020
Topics: Adaptation, Psychological; COVID-19; Emotional Intelligence; Humans; Neonatal Nursing; Organizational Innovation; Patient Care Management; Physical Distancing; Resilience, Psychological; SARS-CoV-2
PubMed: 33079814
DOI: 10.1097/JPN.0000000000000517 -
Neonatal Network : NN Jul 2020
Topics: Female; Humans; Infant, Newborn; Male; Midwifery; Neonatal Nursing
PubMed: 32675313
DOI: 10.1891/0730-0832.39.4.187 -
Nursing in Critical Care Nov 2021Children who develop Acute Kidney Injury may start renal replacement therapy (RRT) in Paediatric or Neonatal Intensive Care Units (hereafter PICU or NICU); RRT can be...
BACKGROUND
Children who develop Acute Kidney Injury may start renal replacement therapy (RRT) in Paediatric or Neonatal Intensive Care Units (hereafter PICU or NICU); RRT can be delivered either by paediatric dialysis nurses or by critical care nurses. In both case, nurses devoted to this task must have a high level of competence in providing care to children receiving haemodialytic treatment in a specific technological environment.
AIM
The objective of this research was to investigate which models have been adopted to organize nursing care in RRT management in different Italian PICU and NICU, and to explore the training of ICU nurses on the management of RRT.
METHODS
A multi-centre survey was conducted through an online questionnaire directed to the Italian PICU and NICU nurse coordinators.
RESULTS
A total of 15 Intensive Care Units (12 PICU and 3 NICU) in 12 hospitals were involved. The mean nurse/patient ratio in these units is 1:3. In 72.7% of critical care units, dialysis treatment is delivered by critical care nurses belonging to the unit itself, while in 27.3% of units paediatric dialysis nurses are in charge of dialysis treatment in collaboration with critical care nurses. In 25% of surveyed units there is some structured form of collaboration between Paediatric Dialysis nurses and critical care nurses. However, 75% of units did not respond to this specific question. The different units adopt various forms of RRT training for nursing staff.
CONCLUSION
The scenario resulting from this analysis showed how in our sample of Italian hospitals there is no standard practice for RRT nursing management. In addition, although various forms of training for nursing staff exist, a proper educational programme and/or a standardized specific training about RRT management for nursing staff is not in place in the surveyed hospitals.
RELEVANCE TO CLINICAL PRACTICE
The lack of standardized protocols or guidelines for RRT delivery to critically ill children can compromise their safety. The structuring of these protocols and the production of best clinical practice guidelines would allow standardization of the nursing management of the RRT and of the corresponding training. This may help to provide the proper care and to guarantee the patients' safety.
Topics: Child; Critical Care Nursing; Humans; Infant, Newborn; Intensive Care Units, Pediatric; Pediatric Nursing; Renal Dialysis; Renal Replacement Therapy
PubMed: 33283418
DOI: 10.1111/nicc.12576 -
Journal of Emergency Nursing Sep 2021The need for virtual education for nursing staff has dramatically increased because of social distancing measures after the coronavirus disease pandemic. Emergency...
The need for virtual education for nursing staff has dramatically increased because of social distancing measures after the coronavirus disease pandemic. Emergency departments in particular need to educate staff on caring for patients with coronavirus disease while concurrently continuing to ensure education related to core topic areas such as pediatric assessment and stabilization. Unfortunately, many nurse educators are currently unable to provide traditional in-person education and training to their nursing staff. Our inter-professional team aimed to address this through the rapid development and implementation of an emergency nursing telesimulation curriculum. This curriculum focused on the nursing assessment and initial stabilization of a child presenting to the emergency department in status epilepticus. This article describes the rapid development and implementation of a pediatric emergency nursing telesimulation. Our objectives in this article are (1) to describe the rapid creation of this curriculum using Kern's framework, (2) to describe the implementation of a fully online simulation-based pediatric emergency training intervention for nurse learners, and (3) to report learners' satisfaction with and feedback on this intervention.
Topics: Child; Curriculum; Emergency Nursing; Emergency Service, Hospital; Humans; Nurses; Pediatric Nursing; Simulation Training; Telemedicine
PubMed: 33785197
DOI: 10.1016/j.jen.2021.01.013 -
Nurse Education Today May 2021Undergraduate nursing programs are required to prepare nursing students to care for people across the lifespan, however due to limited paediatric nursing content in...
BACKGROUND
Undergraduate nursing programs are required to prepare nursing students to care for people across the lifespan, however due to limited paediatric nursing content in undergraduate nursing curricula and limited paediatric clinical placements, nursing graduates may lack competence and experience in caring for children.
OBJECTIVES
The aim of this study was to enhance undergraduate nursing students' work readiness and confidence to care for children by immersing them in a mock paediatric ward experience where students could practice using medical play to communicate and engage with children.
PARTICIPANTS
Participants (n = 22) were undergraduate nursing students recruited across all years from a Bachelor of Nursing program.
DESIGN
Participants were involved in a mock paediatric hospital experience providing them the opportunity to engage with children from 2 to 8 years.
METHODS
A mixed methods approach was used. Participants completed a confidence scale questionnaire pre and post the mock paediatric ward experience and a satisfaction scale post the experience. Inductive thematic analysis was used to analyse qualitative data. Quantitative data was analysed using the Wilcoxon Signed-Ranked Test.
RESULTS
Findings indicated a marked improvement in paediatric nursing skills and work readiness among the student nurses post intervention. Participants developed confidence in the use of medical play in the mock paediatric nursing setting. Improvements in paediatric nursing skills in relation to clinical learning, clinical reasoning and clinical confidence were reported.
CONCLUSIONS
The mock children's ward provided a real time paediatric experience for undergraduate nursing students to practice using medical play to communicate and engage with children. Nursing students had the opportunity to experience children's play, practice age related communication and provide explanations to children about hospital related procedures that children may encounter. With the lack of paediatric placements, it is necessary that nursing curricula examine strategies to enhance the learning for undergraduate students about paediatrics.
Topics: Child; Clinical Competence; Curriculum; Education, Nursing, Baccalaureate; Humans; Learning; Pediatric Nursing; Students, Medical; Students, Nursing
PubMed: 33751997
DOI: 10.1016/j.nedt.2021.104821 -
Pediatric Emergency Medicine Practice Aug 2019Adequate analgesia is critical in the management of pediatric patients in the emergency department. Suboptimal treatment of pain can have deleterious effects in the...
Adequate analgesia is critical in the management of pediatric patients in the emergency department. Suboptimal treatment of pain can have deleterious effects in the short term, and it can also affect a patient's development and reaction to future painful experiences. Tools exist to quantify a patient's pain level regardless of age or developmental stage. Both pharmacologic and nonpharmacologic methods can be effective in the management of pediatric pain. Emergency clinicians must remain vigilant in the recognition, treatment, and reassessment of pediatric pain, as patients' developmental level may limit their ability to independently express their pain experience without prompting or tools. This issue reviews pain scales that are suitable for pediatric patients and discusses pediatric pain management using nonpharmacologic methods, topical, local, and regional anesthesia as well as systemic agents.
Topics: Analgesia; Analgesics; Child; Emergency Medicine; Emergency Service, Hospital; Hospitals, Pediatric; Humans; Hypnotics and Sedatives; Pain Management; Pediatric Nursing
PubMed: 31339255
DOI: No ID Found -
Revista Latino-americana de Enfermagem 2021to elaborate and validate the content and appearance of an algorithm for treating infiltration and extravasation of non-chemotherapy drugs and solutions administered to... (Review)
Review
OBJECTIVE
to elaborate and validate the content and appearance of an algorithm for treating infiltration and extravasation of non-chemotherapy drugs and solutions administered to children.
METHOD
a methodological study of the technology formulation and validation type. To elaborate the algorithm, a bibliographic review was carried out to list the scientific evidence on the treatment of infiltration and extravasation. Content and appearance validation was in charge of 14 specialists in pediatric nursing, using the Delphi technique, adopting a value equal to or greater than 0.80 as Content Validation Index.
RESULTS
the algorithm was validated in the third evaluation by the judges, reaching a Global Content Validation Index of 0.99, being composed by the perception of the occurrence of the complication; discontinuation of intravenous therapy infusion; verification of signs and symptoms; measurement of edema; application of an infiltration and extravasation assessment scale and conduits to be used according to the characteristics of the fluid administered and the type of complication.
CONCLUSION
the algorithm was validated and can be used in a practical and objective way by health professionals, in order to promote safety in the care of hospitalized children, with regard to reducing harms caused by infiltration and extravasation.
Topics: Algorithms; Catheterization, Peripheral; Child; Health Personnel; Humans; Infusions, Intravenous; Pediatric Nursing
PubMed: 34190937
DOI: 10.1590/1518-8345.4314.3435 -
Nursing Leadership (Toronto, Ont.) Apr 2024The nursing context in pediatric rehabilitation is that of caring for children with disabilities and complex developmental differences and health conditions in an...
The nursing context in pediatric rehabilitation is that of caring for children with disabilities and complex developmental differences and health conditions in an ever-changing and demanding environment. Rehabilitation nurses aim to continuously advance nursing leadership, practice, education and research to meet service needs. Strengths-Based Nursing and Healthcare (SBNH) is a philosophy and value-driven approach that aligns with and enables the advancement of strengths-based rehabilitation nursing and family-centred care. This paper describes the leadership approach undertaken to implement SBNH in a Canadian pediatric rehabilitation hospital context over a 10-year period. We will share what we did and what we learned.
Topics: Humans; Leadership; Canada; Child; Pediatric Nursing; Rehabilitation Nursing; Disabled Children
PubMed: 38779832
DOI: 10.12927/cjnl.2024.27311