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Pflege Zeitschrift Nov 2014
Comparative Study
Topics: Child; Clinical Competence; Cross-Cultural Comparison; Curriculum; Germany; Humans; Nurses, International; Pediatric Nursing; Societies, Nursing
PubMed: 25608327
DOI: No ID Found -
Paediatric Nursing Mar 2001
Review
Topics: Child Welfare; Child, Preschool; Female; Humans; Male; Nurse's Role; Patient Advocacy; Pediatric Nursing; Quality of Health Care; United Kingdom
PubMed: 12025159
DOI: 10.7748/paed2001.03.13.2.12.c724 -
Paediatric Nursing Dec 2007The risks of suction are well documented. Nurses caring for children with tracheostomies must use their clinical judgement as well as a safe suction procedure based on... (Review)
Review
The risks of suction are well documented. Nurses caring for children with tracheostomies must use their clinical judgement as well as a safe suction procedure based on evidence. Preperation, correct equipment and suction pressures, a safe suction procedure and post-procedure assessment are included in a proposed protocol for a self-ventilating child with a tracheostomy. Suction presures are recommented at the lower limits suggested by research, i. e. presures of 80-120 mmHg (10-16 Kpa) for adolescents, 80-100 mmHg (10-13 Kpa) for children and 60-80 mmHg (8-10 Kpa) for neonates. Three holed catheters are advocated of a size no larger than half the internal diameter of the patient's tracheostomy. It is recommended that the suction catheter not be inserted further than the end of the tracheostomy tube. Routine instillation of saline is not recommended. A combination of education, staff involvement and mechanisms for adult, evaluation and modification of the protocol are required to support implementation of the protocol and improvements in practice.
Topics: Benchmarking; Child; Clinical Protocols; Education, Nursing, Continuing; Evidence-Based Medicine; Humans; Nursing Assessment; Nursing Audit; Nursing Evaluation Research; Organizational Innovation; Patient Care Planning; Pediatric Nursing; Practice Guidelines as Topic; Risk Factors; Suction; Tracheostomy
PubMed: 18196852
DOI: No ID Found -
Journal of Nursing Management Nov 2018This study aimed to explore the association between paediatric nursing-sensitive outcomes and nurse staffing levels.
AIM
This study aimed to explore the association between paediatric nursing-sensitive outcomes and nurse staffing levels.
BACKGROUND
Although previous studies have reported an association between low nursing-sensitive outcomes and high nurse staffing levels in adult populations, there are few studies on paediatric nursing-sensitive outcomes.
METHODS
This study used electronic Health insurance review and assessment data for all children under 18 years old admitted at 46 tertiary hospitals in Korea between 2013 and 2014. Multiple logistic regression was used to examine relationships among nurse staffing levels and 11 paediatric nursing-sensitive outcomes.
RESULTS
Nurse staffing levels had a clear relationship with the occurrence of lower respiratory tract infection and gastrointestinal infection. Five paediatric nursing-sensitive outcomes (pneumonia, sepsis, arrest / shock / respiratory failure, wound infection and postoperative cardiopulmonary complication) showed weak relationships with nurse staffing levels. Pressure ulcers and failure to rescue had the lowest incidences in hospitals with the lowest nurse staffing levels.
CONCLUSIONS
We demonstrated evidence for the relationships of nurse staffing levels with seven paediatric nursing-sensitive outcomes.
IMPLICATIONS FOR NURSING MANAGEMENT
For quality paediatric nursing care, nurse staffing improvement is required. The study results could be useful evidence for appropriateness of nursing staffing in paediatric facilities.
Topics: Adolescent; Child; Child, Preschool; Female; Humans; Infant; Insurance, Health; Logistic Models; Male; Medical Errors; Nursing Staff, Hospital; Pediatric Nursing; Personnel Staffing and Scheduling; Republic of Korea; Retrospective Studies; Tertiary Care Centers
PubMed: 30136329
DOI: 10.1111/jonm.12627 -
Journal of Pediatric Nursing 2023This study aimed to examine the relationship between nursing students' knowledge level of paediatric emergency practices and their clinical comfort and worry status.
AIM
This study aimed to examine the relationship between nursing students' knowledge level of paediatric emergency practices and their clinical comfort and worry status.
METHODS
A cross-sectional correlational design was used. Data was collected using the "Personal Information Form," "Paediatric Nursing Student Clinical Comfort and Worry Assessment Tool," and "Paediatric Emergency Practices Information Questionnaire.
RESULTS
The nursing students' knowledge level of paediatric emergency practices was good (14.76 ± 2.67/2-20). Their level of worry in paediatric services was above average (14.14 ± 4.8/5-25), while their paediatric clinical comfort level was at an average level (17.61 ± 3.72/10-30). It was found that as the nursing students' knowledge level of paediatric emergency practices increased, their comfort in paediatric clinics improved (r = 0.11, p = 0.003), and their worry levels decreased (r = -0.382, p < 0.001). Variables such as knowing the emergency number to call in case of poisoning and taking the child to a health facility after an electric shock contributed to the students' clinical comfort and worry (p < 0.005).
CONCLUSION
The students' worry levels in paediatric clinics were above average, while their paediatric clinical comfort levels were average. As students' knowledge of paediatric emergency practices increased, they felt more comfortable in the clinical setting and had lower worry levels.
IMPLICATION OF PRACTICE
Providing nursing students with theoretical and practical training centred on paediatric emergency situations before their clinical rotations are believed to enhance their comfort in paediatric clinics.
Topics: Humans; Child; Students, Nursing; Cross-Sectional Studies; Anxiety; Pediatric Nursing; Surveys and Questionnaires; Education, Nursing, Baccalaureate
PubMed: 37977970
DOI: 10.1016/j.pedn.2023.11.005 -
Paediatric Nursing Jun 2001
Topics: Education, Nursing, Baccalaureate; Humans; Pediatric Nursing; United Kingdom
PubMed: 12025689
DOI: 10.7748/paed.13.5.3.s1 -
Paediatric Nursing Jun 1998
Topics: Australia; Child; Education, Nursing, Graduate; Humans; Job Description; Pediatric Nursing; Workforce
PubMed: 9687784
DOI: 10.7748/paed.10.5.2.s1 -
Curationis Dec 2007Holistic nursing care is widely advocated and is espoused in the philosophy of the South African Nursing Council. This concept is unclear, variously interpreted and...
Holistic nursing care is widely advocated and is espoused in the philosophy of the South African Nursing Council. This concept is unclear, variously interpreted and poorly understood in paediatric nursing. This study was undertaken to examine the meaning of holistic nursing care and to develop a framework for holistic nursing care, which can be utilised in nurse education settings and in clinical nursing practice in the context of paediatric nursing. A qualitative, interpretive, explorative and contextual research design was used. An evolutionary concept analysis was undertaken to clarify the concept "holistic nursing care" in paediatric nursing in three Johannesburg hospitals. Rodgers' (1989, 2000) evolutionary method was utilised to analyse the concept. The study objectives were formulated in two phases to: --Conduct an analysis of the concept "holistic nursing care" --Obtain an emic viewpoint of holistic nursing care from paediatric nurses working in the academic hospitals. --Identify the characteristics and dimensions of "holistic nursing care" and develop a framework of holistic nursing care for paediatric nurses working in the academic hospitals. Attributes of holistic nursing care yielded two dimensions; whole person and mind-body-Spirit dimension. The decriptors of whole-person include physical, mental, emotional, spirit and spitual being. Spirituality is the predominant antecedent. Holistic nursing care is initiated by the recognition of the individual as a spiritual being with a mind-body-spirit dimension. Spirituality is an ever-present force pervading all human experience. Complimentary alternative medicine (CAM) was identified as a surrogate term. The connection of CAM with holistic nursing care is the focus of therapeutic interventions that are directed to the mind-body-spirit dimension. Therapeutic interventions are designed to meet the needs of the whole-person. Caution is advocated in the use of CAM therapies in child nursing, as CAM efficacy has not been sufficiently investigated in child health care.
Topics: Attitude of Health Personnel; Child; Health Promotion; Holistic Health; Holistic Nursing; Humans; Mind-Body Relations, Metaphysical; Models, Nursing; Nurse's Role; Nursing Methodology Research; Nursing Process; Nursing Staff, Hospital; Patient-Centered Care; Pediatric Nursing; Philosophy, Nursing; Qualitative Research; South Africa; Spirituality; Transcultural Nursing
PubMed: 18402420
DOI: 10.4102/curationis.v30i4.1116 -
Nurse Education Today Feb 2020Empathy is a central competence for nursing students in delivering compassionate care. Empathy training might improve the communication skills in children's nursing...
BACKGROUND
Empathy is a central competence for nursing students in delivering compassionate care. Empathy training might improve the communication skills in children's nursing students.
OBJECTIVES
To evaluate the effectiveness of the Knowledge, Simulation, and Sharing training programme on empathy skills among children's nursing students.
DESIGN
A controlled pre-post intervention study with a quasi-experimental design.
SETTING
Tertiary children's hospital in China.
PARTICIPANTS
Children's nursing students (n = 250) in clinical internship.
METHODS
A Knowledge, Simulation, and Sharing (KSS) module related to empathy learning was developed and tested during a 10-month period in 2017. Nursing students were divided into an experimental group (n = 125) and control group (n = 125). Both groups received the standard internship programme. The experimental group received the KSS training. Outcome measures were: Jefferson Scale of Empathy-Health Professions Student, Clinical Communication Competence Scale and Professional Identity Scale.
RESULTS
At the end of the internship the experimental groups had significantly higher empathy scores than the control group (114.57 versus 110.36; p = .016). The communication skills improved significantly in the experimental group after the training; experimental group mean 90.22 versus control group mean 87.41 (p = .042). The professional identity scores were significantly higher in the experimental group at the end of the internship compared to the control group (mean 116.43 versus 107.68; p < .001). Subgroup analysis revealed only significant differences on professional identity outcomes between experimental and control groups on diploma level (mean 115.78 versus 107.72; p < .001); and bachelor's level (mean 120.05 versus 108.00; p < .016).
CONCLUSION
The KSS training can enhance empathy and communication skills and the professional identity in children's nursing students. Further long-term effectiveness of the training needs to be tested, ideally with reported outcomes measures of children and parents.
Topics: China; Education, Nursing; Empathy; Female; Humans; Male; Pediatric Nursing; Students, Nursing; Tertiary Care Centers; Young Adult
PubMed: 31778862
DOI: 10.1016/j.nedt.2019.104260 -
Emergency Nurse : the Journal of the... Jun 2000
Topics: Adult; Child; Curriculum; Education, Nursing, Continuing; Emergency Nursing; Hospitals, Urban; Humans; Interprofessional Relations; Pediatric Nursing; Professional Competence; Program Evaluation; United Kingdom
PubMed: 11935546
DOI: 10.7748/en2000.06.8.3.12.c1321