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Acta Bio-medica : Atenei Parmensis Jul 2018procedural pain is a significant issue for paediatric patients. In particular, needle pain is amongst the most stressful for children. Studies revealed that a large... (Comparative Study)
Comparative Study Randomized Controlled Trial
BACKGROUND AND AIM OF THE WORK
procedural pain is a significant issue for paediatric patients. In particular, needle pain is amongst the most stressful for children. Studies revealed that a large number of children do not receive adequate pain prevention during the procedures. Neglecting the prevention of needle pain can cause several psychological effects such as anxiety and phobias, and increase perceptions of pain in the future. We aimed to verify the efficacy of Buzzy System in reducing pain during venipuncture.
METHODS
A randomized control trial was conducted among 72 children aged 3 to 10 years undergoing venipuncture. Children were randomly assigned to The Buzzy with distraction cards group (experimental group) or to "magic gloves" group (control group). Perception of pain was measured through the Visual Analogue Scale (VAS), the Wong-Baker Scale (WBS) and the Numeric Rating Scale (NRS).
RESULTS
Sixty-four children participated in the study, 34 in the experimental group and 30 in the control group. The experimental group showed significantly lower levels of pain (p=.039; 95% CI: -2,11; -0,06) in terms of the mean=3.65±2.011; median=3, compared to the control group (mean: 4.67±2.14, median=4). Caregivers were satisfied with the Buzzy System.
CONCLUSION
The Buzzy System combined to distraction cards showed a greater reduction of perceived pain than "magic glove" technique. This study underlines the importance of active involvement of caregivers during procedural pain in children. Pediatric nurses have an important role in empowering children and caregivers to be interactive during venipunctures.
Topics: Attention; Caregivers; Child; Child, Preschool; Cryotherapy; Female; Humans; Male; Pain Management; Pain Perception; Pain, Procedural; Parents; Pediatric Nursing; Personal Satisfaction; Phlebotomy; Vibration; Visual Analog Scale
PubMed: 30038198
DOI: 10.23750/abm.v89i6-S.7378 -
Revista Gaucha de Enfermagem 2020To understand, in the temporality, the care phenomenon of the child and family in the scope of Pediatric Nursing of a teaching hospital.
OBJECTIVE
To understand, in the temporality, the care phenomenon of the child and family in the scope of Pediatric Nursing of a teaching hospital.
METHOD
This is a phenomenological and hermeneutical study which uses the existential focus of Martin Heidegger and Ricoeur`s hermeneutical analysis. Interviews were carried out with nine nurses of the Pediatric ward of the Porto Alegre's Clinical Hospital and with a teacher of the Nursing School of the Federal University of Rio Grande do Sul involved in the implementation of Pediatrics, between December 2014 and June 2015.
RESULTS
In the temporality of Pediatric Nursing, the care model has been designed as a Joint Permanence System. The following dimensions have been revealed: creation process, care proposal, teaching, evolution in the development of time.
CONCLUSIONS
Pediatric Nursing introduces a pioneer care model that guarantees and qualifies the presence of the family next to the hospitalized child. It reaffirms the originality, topicality and innovation of this knowledge and the way of performing the care actions. It may be disseminated and replicated in other contexts of care, teaching and research.
Topics: Child; Hermeneutics; Hospitals, Teaching; Humans; Nursing Care; Pediatric Nursing; Time Factors
PubMed: 32401860
DOI: 10.1590/1983-1447.2020.20190170 -
The Journal of Perinatal & Neonatal... 2017
Topics: Humans; Neonatal Nursing; Pain Management; Perinatal Care; Periodicals as Topic
PubMed: 28437296
DOI: 10.1097/JPN.0000000000000250 -
Computers, Informatics, Nursing : CIN Aug 2021This article describes the development process and application of the Pediatric Nursing-Clinical Decision Support System for Hyperthermia. Firstly, we formed the...
This article describes the development process and application of the Pediatric Nursing-Clinical Decision Support System for Hyperthermia. Firstly, we formed the Pediatric Nursing-Knowledge Base for Hyperthermia, which combines publicly available clinical practice guidelines and nursing routines of hyperthermia management. Then, following the nursing process framework, the system was developed using clinical decision support technology. Finally, a pre- and post-test were adopted to examine the effectiveness, usability, and feasibility before (1st to 31st of August 2018) and after (1st to 31st of December 2019) using the system. Its effectiveness was examined by analysis of nursing records' quality, including completeness of nursing assessment, timeliness of nursing diagnosis, individualization of nursing interventions, and timeliness of nursing evaluation. Its usability and feasibility were assessed using the Clinical Nursing Information System Effectiveness Evaluation Scale. There was a significant difference between the two groups in effectiveness, usability, and feasibility. Although the system was developed specifically for our hospital workflow and processes, the Pediatric Nursing-Knowledge Base for Hyperthermia and workflow for hyperthermia management in this study can be used as a reference to other hospitals.
Topics: Child; Decision Support Systems, Clinical; Hospitals; Humans; Hyperthermia, Induced; Pediatric Nursing; Workflow
PubMed: 34347639
DOI: 10.1097/CIN.0000000000000812 -
Revista Da Escola de Enfermagem Da U S P Mar 2019To analyze the training and evaluation of professional competency to work in the area of pediatric nursing based on the conceptions and experiences of university...
OBJECTIVE
To analyze the training and evaluation of professional competency to work in the area of pediatric nursing based on the conceptions and experiences of university professors.
METHOD
A qualitative study conducted with pediatric nursing professors from six public undergraduate courses in the state of São Paulo, Brazil. The data were collected by semi-structured interview and analyzed by the Content Analysis method.
RESULTS
Sixteen professors participated. Five main themes emerged: competency definition, attributes to act with children, advances in the training of professional competency, challenges to enable training pediatric competency, and methods and instruments for evaluating competency acquisition to work in the area of pediatric nursing.
CONCLUSION
The findings of this study point to the importance of a balanced approach in the cognitive, psychomotor and affective dimensions in training and evaluating professional competency in pediatric nursing, as well as extending the curricular valorization of this area of knowledge and practice.
Topics: Adult; Brazil; Clinical Competence; Curriculum; Education, Nursing; Faculty, Nursing; Female; Health Knowledge, Attitudes, Practice; Humans; Middle Aged; Pediatric Nursing; Students, Nursing
PubMed: 30843927
DOI: 10.1590/S1980-220X2018002703454 -
Journal For Specialists in Pediatric... Jul 2012The purpose of this study was to review evidence from the last 5 years (2006-2011) regarding a relationship between sleep duration and childhood overweight/obesity. (Comparative Study)
Comparative Study Review
PURPOSE
The purpose of this study was to review evidence from the last 5 years (2006-2011) regarding a relationship between sleep duration and childhood overweight/obesity.
CONCLUSIONS
Among the 25 studies selected from PubMed and Web of Knowledge databases, all indicated significant associations between short sleep duration and childhood overweight/obesity. Studies explored a range of pediatric populations, methodologies, and potential contributing factors.
PRACTICE IMPLICATIONS
Childhood sleep duration may be a modifiable risk factor in preventing obesity. In addition to identifying and assessing patients' sleep habits, nurses play important roles as educators regarding the importance of adequate sleep and promoting it in children.
Topics: Adolescent; Age Factors; Body Mass Index; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Male; Obesity; Overweight; Pediatric Nursing; Risk Assessment; Severity of Illness Index; Sex Factors; Sleep; Sleep Deprivation; Sleep Wake Disorders; Socioeconomic Factors; Time Factors
PubMed: 22734873
DOI: 10.1111/j.1744-6155.2012.00332.x -
La Clinica Terapeutica Mar 2021The objective of this survey is to assess nurses and pe-diatric nurses' knowledge about pediatric procedures and to evaluate, according to the results, whether it may be...
OBJECTIVE
The objective of this survey is to assess nurses and pe-diatric nurses' knowledge about pediatric procedures and to evaluate, according to the results, whether it may be useful to provide handbooks that include the main techniques, courses or CME.
MATERIALS AND METHODS
This study is a cross-sectional survey car-ried out from 31st of May 2020 to 21st July 2020 including a sample of 811 subjects. To analyze data obtained from questionnaire, it has been used Distribution Frequency, analysis of variance and multiple regression analysis.
RESULTS
The sample analyzed, 585 nurses and 226 pediatric nurses, aged >20years, originates from central Italy (54,7%). Most profes-sionals had a post degree training (66,8%) According to ANOVA, the subjects with major knowledge of pediatric procedures are male (p=<0,001) and pediatric nurses (p=< 0,001); furthermore, post degree training (p=0,004) and a larger amount of years of service (p= <0,001) could affect significantly professionals training. Moreover, based on multiple linear regression analysis, what played a major role in a better nurse education was the higher age, 31-40 years old (p= <0,001) and origin from northern Italy (p=<0,001).
CONCLUSIONS
After a literature review on the main database, this study appears to be the first of its genre. The Survey demonstrates how pediatric nursing techniques are poorly known within nursing environment. To give a contribution for a better improvement in this field it is requested a pediatric nursing degree or at least a master in pediatrics and continue training.
Topics: Cross-Sectional Studies; DNA Helicases; Education, Nursing; Female; Humans; Italy; Male; Middle Aged; Nurses; Nurses, Pediatric; Pediatric Nursing; Surveys and Questionnaires; Young Adult
PubMed: 33763673
DOI: 10.7417/CT.2021.2298 -
Evidence-based Nursing Oct 2017
Topics: Adolescent; Anthropology, Cultural; Child; Child, Preschool; Delivery of Health Care; Female; Humans; Infant; Infant, Newborn; Male; Pediatric Nursing; Qualitative Research; Quality of Health Care
PubMed: 28889095
DOI: 10.1136/eb-2017-102786 -
Journal of Pediatric Nursing 2020Priority setting for pediatric nursing is important to plan, coordinate and direct future research. The aim of this scoping review was to systematically identify and... (Review)
Review
PROBLEM
Priority setting for pediatric nursing is important to plan, coordinate and direct future research. The aim of this scoping review was to systematically identify and synthesise the nature, range and extent of published pediatric nursing research priorities.
ELIGIBILITY CRITERIA
English language full text publications focusing generic nursing research priorities for the child or adolescent, indexed in CINAHL, EMBASE, The Cochrane Database of Systematic Reviews, AMED, MEDLINE and PsycINFO and published from 2008 to 2019.
SAMPLE
A total of 789 citations were identified, 44 full text articles were retrieved and assessed for eligibility and eight studies were finally reviewed, quality assessed (CREDES) and synthesised.
RESULTS
All eight studies used a consensus building method to identify research priorities reported by nurses. Six used Delphi technique, one Nominal Group Technique (NGT) and one consensus workshop. CREDES score range was 10-14 of a possible 16. Synthesis of the 234 nursing research priorities generated four themes; evidenced-based practice, pediatric context, child and family-centered care; pediatric nursing, with 14 subthemes.
CONCLUSION
The nursing research priorities reported appear to be still current and important to nurses. There was a focus on acute care, with fewer priorities reflecting areas of child-, school-, or mental- health. Consumer and community priorities have not been reported.
IMPLICATIONS
These nursing research priorities can be used to inform the national or local research agenda, although there is a need to establish priorities from the perspective of all stakeholders and in particular, identify what is important to consumers.
Topics: Adolescent; Child; Consensus; Critical Care; Delphi Technique; Humans; Nursing Research; Pediatric Nursing
PubMed: 32008833
DOI: 10.1016/j.pedn.2020.01.006 -
Revista Brasileira de Enfermagem 2021Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present.
OBJECTIVE
Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present.
METHOD
Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing.
RESULTS
From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses.
FINAL CONSIDERATIONS
In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.
Topics: Child; Emotions; Family; History of Nursing; History, 17th Century; History, 18th Century; History, 19th Century; History, 20th Century; History, 21st Century; Humans; Nursing Care; Pediatric Nursing; Professional Competence
PubMed: 34105638
DOI: 10.1590/0034-7167-2020-0377