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Revista Gaucha de Enfermagem 2021To discuss the emotional labor in pediatric nursing considering the repercussions of COVID-19 in childhood and adolescence.
OBJECTIVE
To discuss the emotional labor in pediatric nursing considering the repercussions of COVID-19 in childhood and adolescence.
METHOD
Reflexion based on theoretical aspects and scientific evidence of emotional labor in pediatric nursing.
RESULTS
Given the repercussions of COVID-19 on children and adolescents, it is up to the nurse to recognize them and nurture a non-traumatic and affectionate care. However, measures to control the disease affect the care provided. In this context, emotional labor process become essential, as they guide the management of the child's and family's emotions, associated with the suffering caused by the pandemic and the nurse's emotional experience when caring.
CONCLUSION
Emotional support and care processes are essential in pediatrics, especially in a stressful time such as a pandemic, which requires the positive transformation of the intense and disturbing experiences of people for them to achieve psychosocial well-being.
Topics: Adolescent; COVID-19; Child; Child, Preschool; Emotions; Family; Humans; Life Change Events; Nurse's Role; Nurse-Patient Relations; Nursing Staff; Pandemics; Pediatric Nursing; Psychology, Adolescent; Psychology, Child; Qualitative Research
PubMed: 33787726
DOI: 10.1590/1983-1447.2021.20200217 -
Journal of the Medical Library... Oct 2016The purpose of this study was to identify core journals and other types of literature cited in four major pediatric nursing journals and to characterize coverage of...
OBJECTIVE
The purpose of this study was to identify core journals and other types of literature cited in four major pediatric nursing journals and to characterize coverage of these resources in major bibliographic databases. The study was part of the "Mapping the Literature of Nursing Project" of the Medical Library Association's Nursing and Allied Health Resource Section. It updates a similar analysis published in 2006 and determines whether citation patterns have changed over time.
METHODS
Cited references from articles published in 4 pediatric nursing journals between 2011 and 2013 were collected. Cited journal titles were ranked according to number of times cited and analyzed according to Bradford's Law of Scattering and the 80/20 rule to identify the most frequently cited journals. Five databases were surveyed to assess the coverage of the most-often-cited journals. The most frequently cited non-journal sources were also identified.
RESULTS
Journals were the most frequently cited sources, followed by books, government documents, Internet resources, and miscellaneous resources. Most cited sources were cited within ten years of their publication, which was particularly true for government documents and Internet resources. Scopus had complete coverage of the most frequently cited journals, whereas PubMed had nearly complete coverage.
CONCLUSIONS
Compared with the 2006 study, the list of top-cited journals referenced by pediatric nursing researchers has remained relatively stable, but the number of cited journal titles has increased. Book citations have declined, and Internet and government document references have increased. These findings suggest that librarians should retain subscriptions to frequently cited journal titles, provide efficient document delivery of articles from infrequently used journals, de-emphasize but not eliminate books, and connect patrons with useful open-access Internet resources.
Topics: Bibliometrics; Child; Humans; Library Services; Pediatric Nursing; Periodicals as Topic
PubMed: 27822148
DOI: 10.3163/1536-5050.104.4.005 -
Respiratory Medicine Jan 2022Advances in medical care and ventilator technologies increase the number of children with tracheostomy and home mechanical ventilation (HMV). Data on severe adverse...
BACKGROUND
Advances in medical care and ventilator technologies increase the number of children with tracheostomy and home mechanical ventilation (HMV). Data on severe adverse events in home care and in specialized nursing care facilities are limited.
PATIENTS AND METHODS
Retrospective analysis of incidence and type of severe adverse events in children with tracheostomy and HMV in home care compared to a specialized nursing care facility over a 7-year period.
RESULTS
163.9 patient-years in 70 children (home care: 110.7 patient-years, 24 patients; nursing care facility: 53.2 patient-years, 46 patients) were analyzed. In 34 (48.6%) patients tracheostomy was initiated at the age of <1 year. 35 severe adverse events were identified, incidence of severe adverse events per patient-year was 0.21 (median 0.0 (0.0-3.0)). We observed no difference in the rate of severe adverse events between home care and specialized nursing care facility (0.21 [y-1]; median 0.0 (0.0-3.0) versus 0.23 [y-1]; median 0.0 (0.0-1.6); p = 0.690), however, significantly more tracheostomy related incidents and infections occurred in the home care setting. Young age (<1 year) (Odds ratio 3.27; p = 0.045) and feeding difficulties (nasogastric tubes and percutaneous endoscopic gastrostomy) (Odds ratio 9.08; p = 0.016) significantly increased the risk of severe adverse events. Furthermore, the rate of severe adverse events was significantly higher in patients with a higher nursing score.
CONCLUSION
Pediatric home mechanical ventilation via tracheostomy is rarely associated with emergencies or adverse events in home care as well as in a specialized nursing care facility setting.
Topics: Child; Home Care Services; Humans; Pediatric Nursing; Respiration, Artificial; Retrospective Studies; Tracheostomy
PubMed: 33865662
DOI: 10.1016/j.rmed.2021.106392 -
Revista Brasileira de Enfermagem Dec 2019To identify how children's stories can be used in child care. (Review)
Review
OBJECTIVE
To identify how children's stories can be used in child care.
METHOD
Integrative literature review, conducted in databases between 2000 and 2018, in three languages. Full research articles were included that agreed with the following question: "How can children's stories be used in child care?".
RESULTS
From the analysis of 16 selected articles, three categories emerged: The use of stories in the hospital; Specialized nursing intervention; and Stories in the educational dimension.
FINAL CONSIDERATIONS
Evidence shows benefits to children, families, institutions and nursing. The use of children's stories as a care intervention can occur in different situations and settings, values; boosts bonds, reduces anxiety in children and families, encourages children's participation in care, and promotes health education. It is a low-cost and still incipient strategy in nursing.
Topics: Child; Child, Preschool; Humans; Nurse-Patient Relations; Nursing Care; Pediatric Nursing; Reading
PubMed: 31851271
DOI: 10.1590/0034-7167-2018-0456 -
Revista Da Escola de Enfermagem Da U S P 2017Objective To know the levels of Burnout Syndrome and perception of grief support in nursing teams of oncology and pediatric intensive care in public hospitals in Chile....
Objective To know the levels of Burnout Syndrome and perception of grief support in nursing teams of oncology and pediatric intensive care in public hospitals in Chile. Method A study of descriptive cross-sectional design. The Maslach Burnout Inventory and the Grief Support Health Care Scale were applied to university-level and technical nursing professionals between March and November 2015. An analysis to compare the means was performed with use of the Student's t-test, and the level of significance was set at 5%. Results The study included 153 professionals. Results show 4% of professionals have Burnout Syndrome (BS) and 89% are at risk of having it. Oncology professionals are at higher risk as they present higher levels of emotional exhaustion and lower levels of personal fulfillment. Half of professionals have a high level of perception of grief support, which is greater in the oncology team. Conclusion Professionals working in pediatric oncology units are at increased risk of Burnout Syndrome and grief support may be a mediating factor in this process.
Topics: Adult; Attitude of Health Personnel; Burnout, Professional; Chile; Critical Care Nursing; Cross-Sectional Studies; Female; Grief; Hospital Units; Humans; Male; Middle Aged; Nursing, Team; Oncology Nursing; Pediatric Nursing; Young Adult
PubMed: 29562046
DOI: 10.1590/s1980-220x2017004303289 -
Journal of Pediatric Nursing 2016The evidence linking nursing care and patient outcomes has been globally demonstrated. Thus, it is time for translation and application of this evidence to robust...
UNLABELLED
The evidence linking nursing care and patient outcomes has been globally demonstrated. Thus, it is time for translation and application of this evidence to robust measurement that uniquely demonstrates the value of nursing care and the characteristics of the nursing workforce that contribute to optimal patient outcomes.
OBJECTIVE
The aim of this study was to identify and develop standardized measures representative of pediatric nursing care of the cardiovascular patient for benchmarking within freestanding children's hospitals.
METHODS
Using a consensus-based approach, the Consortium of Congenital Cardiac Care- Measurement of Nursing Practice (C4-MNP) members developed quality measures within working groups and then individually critiqued all drafted measures. Final draft measures were then independently reviewed and critiqued by an external nursing quality measurement committee. The final quality measures were also made available to a national parent support group for feedback.
OUTCOMES
The development process used by C4-MNP resulted in 10 measures eligible for testing across freestanding children's hospitals. Employing a collaborative consensus-based method plus implementing the criteria of the National Quality Forum and external vetting period provided a strong framework for the development and evaluation of standardized measures.
NEXT STEPS
The Consortium will continue with implementation and testing of each measure in 9 of our 28 collaborating centers. This activity will support initial development of benchmarks and evaluation of the association of the measures with patient outcomes.
Topics: Cardiovascular Nursing; Child; Child, Preschool; Consensus; Female; Hospitals, Pediatric; Humans; Male; Pediatric Nursing; Pediatrics; Quality Assurance, Health Care; United States
PubMed: 27368931
DOI: 10.1016/j.pedn.2016.04.010 -
Journal of Pediatric Nursing Oct 2010The purposes of this article were to summarize the development of family-centered pediatric care, review the current state of nursing research in this area, and... (Review)
Review
The purposes of this article were to summarize the development of family-centered pediatric care, review the current state of nursing research in this area, and recommend directions for future study. A literature review of 30 nursing research studies between 1995 and 2006 was conducted. Results revealed that evidence of consistent provision of family-centered pediatric care is lacking. Many areas of research remain undeveloped, but there is a solid foundation for moving forward in conducting research focused on assisting nurses in implementing this basic philosophy of practice in all settings and situations in which children receive health care.
Topics: Adult; Attitude of Health Personnel; Child; Child, Preschool; Clinical Nursing Research; Family Nursing; Female; Forecasting; Humans; Infant; Male; Nurse-Patient Relations; Pediatric Nursing; Pediatrics; Professional-Family Relations; Quality of Health Care; United States
PubMed: 20816555
DOI: 10.1016/j.pedn.2009.01.006 -
Australian Critical Care : Official... Jan 2019
Topics: Australia; Child; Child, Preschool; Critical Care Nursing; Humans; Infant; Infant, Newborn; Intensive Care Units, Neonatal; Intensive Care Units, Pediatric; New Zealand; Nursing Research; Pediatric Nursing; Periodicals as Topic; Publishing
PubMed: 30606446
DOI: 10.1016/S1036-7314(18)30385-0 -
International Journal of Environmental... Jul 2020This study examined the effects of nurse-parent partnership, nurses' attitude to families' importance in nursing care, and nursing professional self-efficacy on the...
Exploring the Influences of Nurses' Partnership with Parents, Attitude to Families' Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model.
UNLABELLED
This study examined the effects of nurse-parent partnership, nurses' attitude to families' importance in nursing care, and nursing professional self-efficacy on the quality of pediatric nursing care.
BACKGROUND
The quality of pediatric nursing care based on family-centered care is defined by the qualitative care behavior of nurses from the perspective of hospitalized children and their families.
METHODS
The participants were 218 nurses in pediatric wards in hospitals. Data were collected using self-report questionnaires and analyzed using descriptive statistics, Pearson's correlation coefficient, and path analysis.
RESULTS
Among the factors influencing the perceived quality of respect, explanation, and skillfulness, nurse experience showed the greatest total effect. The nurse-parent partnership had the greatest direct effect on the quality of respect and the greatest total effect on kindness. Nursing professional self-efficacy showed the greatest direct effect on explanation and the largest total effect on nurse-parent partnership and nurses' attitude to families' importance in nursing care.
CONCLUSIONS
To improve the quality of pediatric nursing care, it is necessary to provide a working environment in which pediatric nurses can work continuously. Hospitals should also develop a program that enables proper collaboration between nurses and parents of hospitalized children and improves nursing professional self-efficacy.
Topics: Attitude of Health Personnel; Child; Child, Hospitalized; Humans; Nursing Staff, Hospital; Parents; Pediatric Nursing; Professional-Family Relations; Self Efficacy; Surveys and Questionnaires
PubMed: 32751100
DOI: 10.3390/ijerph17155452 -
Journal of Palliative Medicine Dec 2014The majority of young people in need of palliative care live in low- and middle-income countries, where curative treatment is less available. (Review)
Review
BACKGROUND
The majority of young people in need of palliative care live in low- and middle-income countries, where curative treatment is less available.
OBJECTIVE
We systematically reviewed published data describing palliative care services available to young people with life-limiting conditions in low- and middle-income countries and assessed core elements with respect to availability, gaps, and under-reported aspects.
METHODS
PubMed, CINAHL, EMBASE (1980-2013), and secondary bibliographies were searched for publications that included patients younger than 25 years with life-limiting conditions and described palliative care programs in low- and middle-income countries. A data extraction checklist considered 15 items across seven domains: access, education/capacity building, health system support, pain management, symptom management, end-of-life care, and bereavement. Data were aggregated by program and country.
RESULTS
Of 1572 records, 238 met criteria for full-text review; 34 qualified for inclusion, representing 30 programs in 21 countries. The median checklist score was 7 (range, 1-14) of 10 reported (range, 3-14). The most pervasive gaps were in national health system support (unavailable in 7 of 17 countries with programs reporting), specialized education (unavailable in 7 of 19 countries with programs reporting), and comprehensive opioid access (unavailable in 14 of 21 countries with programs reporting). Underreported elements included specified practices for pain management and end-of-life support.
CONCLUSION
Comprehensive pediatric palliative care provision is possible even in markedly impoverished settings. Improved national health system support, specialized training and opioid access are key targets for research and advocacy. Application of a checklist methodology can promote awareness of gaps to guide program evaluation, reporting, and strengthening.
Topics: Adolescent; Child; Child, Preschool; Developing Countries; Health Policy; Health Services Accessibility; Humans; Palliative Care; Pediatric Nursing; Pediatrics
PubMed: 25225748
DOI: 10.1089/jpm.2014.0095