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Journal of Pediatric Nursing 2022This study was conducted to determine the effects of the COVID-19 pandemic process on nursing care and nurses' work in neonatal intensive care units. (Review)
Review
PURPOSE
This study was conducted to determine the effects of the COVID-19 pandemic process on nursing care and nurses' work in neonatal intensive care units.
DESIGN AND METHODS
The study was conducted using a qualitative method. The data were collected by voice recording with a one-on-one in-depth interview technique, and a semi-structured question form was used in the interviews. The data obtained from voice recordings were evaluated using the qualitative content analysis method.
RESULTS
The main themes and subthemes of the study were as follows: (1) decrease in physical contact with newborns due to fear of transmitting Covid-19 (decrease in physical contact between neonatal nurses and newborns, decrease in physical contact between mothers and newborns, decrease in physical contact between fathers and newborns), (2) communication problems between healthcare professionals and parents (3) changes in the working conditions for neonatal nurses (increase in the frequency and duration of work intense working speed, exhaustion and decreased motivation due to use of protective equipment).
CONCLUSION
The COVID-19 pandemic process led to a decrease in nurses' and parents' touching newborns, nurses' experiencing problems with parents due to measures taken, heavier working conditions and a decrease in motivation for nurses.
PRACTICE IMPLICATIONS
This study will inform future research to be directed to nursing care and the work of nursing who work on the front line in the COVID-19 pandemic process.
Topics: COVID-19; Humans; Infant, Newborn; Intensive Care Units, Neonatal; Neonatal Nursing; Nurses; Nurses, Neonatal; Pandemics; Qualitative Research
PubMed: 35635999
DOI: 10.1016/j.pedn.2022.05.013 -
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 -
Computational Intelligence and... 2022The motivation behind this study is to explore the influence of narrative nursing combined with thinking map health education on parturient self-efficacy and neonatal... (Randomized Controlled Trial)
Randomized Controlled Trial
The motivation behind this study is to explore the influence of narrative nursing combined with thinking map health education on parturient self-efficacy and neonatal nursing ability. To verify this claim, we have selected 60 parturients who were treated in the hospital from February 2019 to April 2021. Moreover, these patients were randomly assigned to control and study groups. The former received narrative nursing, and the latter received narrative nursing combined with thinking map health education. The nursing satisfaction, maternal and neonatal nursing ability, maternal health knowledge awareness score, maternal self-efficacy, anxiety, and depression scores were compared. Initially, we have compared the nursing satisfaction: in the study group, 22 cases were satisfied, 8 cases were basically satisfied, and 0 cases were dissatisfied, and the satisfaction rate was 100.00%; in the control group, 12 cases were satisfied, 14 cases were basically satisfied, and 4 cases were dissatisfied, and the satisfaction rate was 86.67%. The nursing satisfaction in the study group was higher compared to the control group ( < 0.05). Secondly, we compared the mastery of neonatal nursing ability. The study group mastered the relevant knowledge of neonatal nursing in 23 cases, basically mastered 6 cases, and did not master 1 case, with a mastery rate of 96.67%. The control group mastered the knowledge of neonatal nursing in 12 cases, basically mastered 10 cases, and did not master 8 cases with a mastery rate of 73.33%. In the comparison between the two groups, the mastery of neonatal nursing ability in the study group was higher compared to the control group ( < 0.05). Considering the scores of maternal health knowledge, the scores of neonatal basic nursing, physiological characteristics, breastfeeding methods, environmental nursing knowledge, vaccination, and physical examination requirements in the study group were higher compared to the control group ( < 0.05). In the comparison of maternal self-efficacy, the total scores for promoting development, health care, safety, feeding, and self-efficacy in the study group were significantly higher compared to the control group ( < 0.05). Finally, we compared the scores for anxiety and depression. Before nursing, there exhibited no significant difference ( > 0.05). After nursing, the anxiety and depression scores decreased. Furthermore, the anxiety and depression scores of the study group were lower compared to the control group ( < 0.05). In the health education of primary parturient, the adoption of narrative nursing combined with thought guiding schema can enhance the level of nursing satisfaction and self-efficacy, strengthen the nursing ability of primiparas and the awareness rate of health knowledge, and reduce the occurrence of a maternal bad mood, which is more in line with the requirements of parturient.
Topics: Health Education; Humans; Infant, Newborn; Neonatal Nursing; Quality of Life; Self Efficacy
PubMed: 35665279
DOI: 10.1155/2022/8466797 -
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 -
Revista Da Escola de Enfermagem Da U S P 2021To evaluate the effect of training on intravenous medication administration in pediatric patients on nursing staff 's learning and response.
OBJECTIVE
To evaluate the effect of training on intravenous medication administration in pediatric patients on nursing staff 's learning and response.
METHOD
This is a quasi-experimental study (pre- and post-test), with 38 nursing professionals who participated in training on administration of intravenous (IV) medication in pediatric patients with heart disease. For data collection, a questionnaire with 19 items was applied to evaluate participants' learning before (pre-test) and after (post-test) training. Data were analyzed by descriptive and analytical statistics (binomial and Friedman tests).
RESULTS
Nurses predominated (52.6%), mean age 41.2 years and 9.8 years of professional experience in pediatrics. For learning evaluation, there was an increase in the rate of hits from the pre-test to the post-test in 13 items, with a significant difference (p < 0.05) in the items: removing adornments to sanitize hands; wearing gloves when administering medication; administering medication with gloves, mask and goggles; and checking patient name by asking their companion.
CONCLUSION
Training had positive effects on nursing professionals' learning and reaction.
Topics: Adult; Child; Clinical Competence; Controlled Before-After Studies; Education, Nursing, Baccalaureate; Humans; Learning; Pediatric Nursing
PubMed: 34570871
DOI: 10.1590/1980-220X-REEUSP-2021-0195 -
Revista Latino-americana de Enfermagem Sep 2020to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic.
OBJECTIVE
to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic.
METHOD
qualitative study, using a semi-structured electronic form applied to nursing workers from pediatric services in the state of Rio de Janeiro, Brazil. Data were submitted to lexicographic analysis using the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires, Word Cloud technique, and Similitude Analysis.
RESULTS
different challenges concerning the COVID-19 pandemic were reported, including the need to promote comprehensive and quality care while being concerned with protecting oneself and others, with an emphasis on fear. A lack of protective equipment, training, diagnostic tests, and knowledge/information concerning the disease was also reported, in addition to a reduced number of nursing workers and a lack of appreciation for the profession.
CONCLUSION
managerial guidelines need to be adopted for properly allocating human and material resources in the health field, including the pediatric services, in addition to providing training on standard precautions. Actions to encourage, value, motivate, and support the nursing staff are needed during and after the pandemic to protect the physical and mental health of these professionals.
Topics: Betacoronavirus; Brazil; COVID-19; Child; Coronavirus Infections; Fear; Health Knowledge, Attitudes, Practice; Humans; Nursing Staff; Pandemics; Pediatric Nursing; Personal Protective Equipment; Pneumonia, Viral; SARS-CoV-2
PubMed: 32901774
DOI: 10.1590/1518-8345.4550.3367 -
Journal of Nursing Scholarship : An... Jan 2023Nursing-sensitive indicators (NSIs) measure factors influencing nursing care quality and patient outcomes. Established NSIs reflect general and select specialty nursing...
INTRODUCTION
Nursing-sensitive indicators (NSIs) measure factors influencing nursing care quality and patient outcomes. Established NSIs reflect general and select specialty nursing practices. However, a core set of NSIs for international pediatric oncology nursing practice does not currently exist. Without valid and reliable quality indicators, the impact of nursing care on children and adolescents with cancer cannot be effectively measured and improved. The purpose of this study was to develop a preliminary core set of NSIs for international pediatric oncology nursing that would be important, actionable, and feasible to measure across varied resource settings and countries.
DESIGN/METHODS
A multiphase sequential mixed methods research design, intersected with a classical Delphi method, was utilized. Through purposive snowball sampling, 122 expert pediatric oncology nurses from 43 countries participated. Round One: Panelists identified five potential NSIs and constructs. Open-ended responses were coded and categorized through descriptive content analysis and integrated into the next round. Round Two: Panelists selected their top 10 NSIs and constructs and ranked them by importance to patient care quality. Mean importance scores were calculated through reverse scoring; the top 10 NSIs and constructs were integrated into the next round. Round Three: Panelists ranked the top 10 NSIs and constructs by order of importance for this particular population, then rated each NSI/Construct for actionability and feasibility of measurement by Likert-scale. Rounds Two and Three were analyzed using descriptive statistics. Mixed methods meta-inferences were derived from the integration of Rounds One and Three findings.
RESULTS
Eighty-five (70%) panelists from 38 countries completed all Delphi survey rounds. The preliminary core set of NSIs and constructs identified by the expert panel, and ranked in order of importance, were as follows: safe chemotherapy administration and handling, infection prevention/control, pediatric oncology nursing orientation program, early warning score system/recognition of patient deterioration, chemotherapy/biotherapy education/course, pain assessment/management, symptom assessment/management, patient and family education, palliative/end of life care, and continuing nursing education/competency. All NSIs and constructs were rated as actionable; all but palliative/end of life care were rated as feasible to measure. Each of the 10 NSIs and constructs were nominated in Round One by at least one expert panelist from low- and middle-income and high-income countries, and at least one panelist from the Americas.
CONCLUSION
Preliminary core NSIs and constructs provide insight into common attributes of international pediatric oncology nursing practice that are important, actionable, and feasible for quality measurement.
CLINICAL RELEVANCE
NSIs have the potential to drive quality improvement, guide comparison with other institutions, promote knowledge-sharing, and advance pediatric oncology nursing outcomes around the world. These NSIs and constructs may also be relevant to other pediatric and adult oncology settings.
Topics: Adult; Adolescent; Humans; Child; Quality Indicators, Health Care; Delphi Technique; Nursing Care; Pediatric Nursing; Neoplasms
PubMed: 35790072
DOI: 10.1111/jnu.12798 -
The American Journal of Tropical... Nov 2022After Port-au-Prince's 2010 earthquake, Hospital Bernard Mevs (HBM) developed a collaboration with international medical volunteers to provide clinical care and medical...
After Port-au-Prince's 2010 earthquake, Hospital Bernard Mevs (HBM) developed a collaboration with international medical volunteers to provide clinical care and medical resources; that evolved to include medical education as local Haitian staffing developed. There has been limited coordination among volunteers and local providers about ways in which volunteers can best serve the hospital, and literature that addresses how to coordinate volunteer efforts to support the educational needs of the local nursing staff is scant. Our objectives were to complete an educational needs assessment of the most common diagnoses encountered, requested topics for education, and preferred learning modalities as reported by Haitian pediatric nurses, and categorize the strengths of HBM and barriers to care to understand more fully the context within which nurses function, and how education and international volunteers may be related. In October 2019, 10 HBM pediatric nurses participated in small-group interviews. Questions were based on an interview guide and responses were coded and analyzed for recurring themes. The most common diagnoses were sepsis, hydrocephalus, and hypoxic ischemic encephalopathy. Topics for review included chest tubes, ventilator management, and ventriculoperitoneal shunts. Preferred learning modalities were didactics and hands-on workshops. Strengths of the hospital were team dynamics and education provided by HBM and international volunteers, whereas the most common barrier to care was lack of clinical supplies. This information is useful to guide future educational interventions, and this model may inform other programs with a volunteer presence in resource-limited settings to promote collaboration and self-directed learning.
Topics: Humans; Child; Haiti; Pediatric Nursing; Qualitative Research; Earthquakes; Volunteers
PubMed: 36191875
DOI: 10.4269/ajtmh.22-0299 -
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 Pediatric Nursing 2022Communication quality is an essential indicator of family functioning and represents an important outcome after pediatric nursing interventions. However, few...
PURPOSE
Communication quality is an essential indicator of family functioning and represents an important outcome after pediatric nursing interventions. However, few well-documented child-report questionnaires for family communication exist. We aimed to document the psychometric properties of a previously developed child-rated family communication scale for use in pediatric nursing.
DESIGN AND METHODS
We examined the Parent-Child Communication Scale - Child Report (PCCS-CR) in terms of factor structure, convergent validity against the Experiences in Close Relationships-Relationship Structures scale (ECR-RS), and known-groups validity between a sample of siblings of children with pediatric health conditions and controls. The sample comprised 101 siblings of children with a pediatric health condition and 44 controls (M age = 11.5 years, SD = 2.2).
RESULTS
We confirmed a two-factor structure of the PCCS-CR. One factor is communication from the child to the parent, labelled child communication (e.g., "I discuss problems with my parents") and the other is communication from the parent to the child, labelled parent communication (e.g., "My parent is a good listener"). Convergent validity of the PCCS-CR was demonstrated through correlations with ECR-RS (r = -0.73 to -0.22, p ≤ .05). Further, construct validity through differences between families with and without a child with a pediatric health condition was demonstrated (g = 0.36-0.83, p ≤ .052).
CONCLUSION
The PCCS-CR appears to be a psychometrically sound measure of parent-child communication from the child's point of view.
PRACTICAL IMPLICATIONS
The PCCS-CR can be administered in pediatric nursing care and can be used to target and measure the outcomes of interventions aimed at enhancing family functioning.
Topics: Child; Communication; Humans; Parent-Child Relations; Parents; Pediatric Nursing; Psychometrics; Quality of Life; Reproducibility of Results; Surveys and Questionnaires
PubMed: 34799202
DOI: 10.1016/j.pedn.2021.10.022