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Nursing Children and Young People

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https://www.readbyqxmd.com/read/29745494/understanding-fluid-homoeostasis-in-infants-and-children-part-2
#1
Doreen Crawford
Part two of this article focuses on the care and management of infants and children who are seriously ill and who have lost so much fluid that they have entered a state of shock. The pathophysiology of shock is reviewed and the types and stages of shock are considered. The challenges of identifying shock are explored and the management of fluid resuscitation with colloids rather than crystalloids is analysed. An overview of the complex management of a young person in shock is provided using a case history format...
May 10, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29737674/development-of-a-paediatric-short-stay-observation-and-assessment-unit
#2
Tracey Jones, Helen Russell-Fisher
In recent years children's emergency admissions have risen by 18%. In 2011 a team at a city district general hospital in England recognised that children were being admitted to the general children's ward and often only staying for short periods of time. After a review of the service a plan was put forward for the development of a paediatric short-stay observation and assessment unit. The unit has led to a reduction in ward admissions and offered opportunities for children's nurses to extend their roles in assessment and treatment...
May 8, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29722952/a-nursing-student-s-reflective-account-of-decision-making-in-a-school-nursing-setting
#3
Bethaney Squirrell, Jane Hunt
Reflection is integral to professional revalidation and enhancing nursing practice; it is an art and a science to be learned. Learning the art of reflection begins as a student in clinical placement settings. Drawing on a reflective model, this article presents an account of one second-year children's nursing student's experiences in a community-based placement with a school nursing team. A school nurse appointment was reflected on where advice was offered to a 13-year-old student with sleep difficulties, low affect and lethargy, which included avoiding caffeinated drinks, reducing use of a laptop and mobile phone before going to sleep, and establishing a regular bedtime routine...
May 3, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29714428/parents-views-on-toilet-training-a-cross-sectional-study-in-flanders
#4
Tinne Van Aggelpoel, Stefan De Wachter, Guido Van Hal, Kelly Van der Cruyssen, Hedwig Neels, Alexandra Vermandel
AIMS: The goals of this research were to investigate parents' perceptions of toilet training and their beliefs and views on how to toilet train children. METHODS: Questionnaires were provided to parents of healthy children, aged 18-72 months, who were or had just finished toilet training. There were 928 questionnaires returned (38% response rate). After correcting for age compliance with the range stated in the study, 832 parents remained. RESULTS: The data confirm a postponement of the age at which children start to potty train and the age at which they are toilet training...
May 1, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29697214/sickle-cell-anaemia-and-the-experiences-of-young-people-living-with-the-condition
#5
Nicole Foster, Michelle Ellis
Sickle cell anaemia (SCA) is a life-threatening haemoglobin disorder acknowledged for its unpredictability and painful episodes. The aim of this qualitative literature review was to explore the experiences of young people living with SCA and its effect on their lives. The objective was to critically review selected primary research and make recommendations for practice, education and research. After reviewing potential articles using EBSCOhost, inclusion and exclusion criteria were devised and six appropriate studies were found with most participants in the 10-25 years age range...
April 26, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29512965/leadership-and-management-influences-on-personal-and-professional-development-and-group-dynamics-a-student-s-experience
#6
Fathima Ahmed
The ever-evolving nature of nursing requires professionals to keep their knowledge up to date and uphold the Nursing and Midwifery Council (NMC) Code by engaging themselves in ongoing personal and professional development (PPD). This article aims to highlight the importance of good leadership and management in healthcare and to explore the literature surrounding leadership and management, such as the current NHS healthcare leadership model ( NHS Leadership Academy 2013 ), the Leading Change, Adding Value Framework underpinned by the 10 commitments and 6Cs ( NHS England 2016 ) and the NMC Code ( NMC 2015a ) in relation to PPD...
March 7, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29512964/collaboration-challenges-faced-by-nurses-when-premature-infants-are-discharged
#7
Mona Pauline Voie, Jorunn Tunby, Nina Strømsvik
AIM: To explore the collaboration challenges faced by neonatal intensive care unit (NICU) nurses and public health nurses when preparing premature infants for transition home and to explore the culture of cooperation between the two professional groups. METHOD: Qualitative individual interviews were undertaken with two NICU nurses and two public health nurses. A qualitative content analysis was used to analyse the data. FINDINGS: Three main themes were identified: different expectations and lack of communication between NICU nurses and public health nurses; responsibilities and interactions between the two professional groups were not clearly defined; and the public health nurses' competence was not recognised by the NICU nurses and parents...
March 7, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29512963/adrenal-insufficiency-steroid-sick-day-rules-and-the-paediatric-endocrine-nurse
#8
Taffy Makaya, Jennifer Gilbert, Fiona Ryan, Wendy Watts
Clinical governance processes are important for improving patient care. Patients with adrenal insufficiency are at significant risk if they have an adrenal crisis and require steroid therapy. Families should receive education on managing illness or stress, that is, steroid sick day rules. Most of this education is delivered by children's nurses. Two local cases of mortality related to adrenal insufficiency were reviewed and a questionnaire audit was undertaken to compare the steroid sick day rules education provided to patients and their families with published standards...
March 7, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29512962/acute-burns-management-placement-reflections-of-a-children-s-nursing-student
#9
Sara Smith, Jane Hunt
Reflection can help nurses make sense of their clinical surroundings and understand risks, challenges and opportunities. Learning the art required for reflective practice begins as a student when critical reflection is particularly important during practice placements. A suitable reflective framework is provided by Rolfe et al ( 2011 ). Adopting this framework, this article draws on the placement experiences of a second-year undergraduate children's nursing student in an acute setting, caring for a toddler with 13% partial and full-thickness burns...
March 7, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29412539/understanding-fluid-homeostasis-in-infants-and-children-part-1
#10
Doreen Crawford
Fluid requirements differ between infants and children. It is important for children's nurses to understand the principles of fluid mechanics and apply this understanding to ensure each child's state of hydration, and thereby preserve their safety and well-being. This two-part article aims to introduce the concept of fluid balance and electrolytes to children's nursing students, help them identify what is normal and what is not, and provide guidance on what actions should be taken when problems occur. It may also be useful for registered nurses to use for revalidation...
February 7, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29412538/avoiding-errors-when-administering-injectable-phenytoin-to-a-child-in-status-epilepticus
#11
Callum Douglass
Errors often occur in the prescribing, preparing, administering and monitoring of intravenous phenytoin ( NHS Improvement 2016 ). Following two fatal incidents involving injectable phenytoin, with contributing factors such as wrong weight estimation, a disregard for existing phenytoin prescriptions and confusion about the final concentration, an alert was issued by NHS Improvement in 2016. This article explores research into the use of injectable phenytoin and why adverse events occur when it is used. The article will inform nurses and doctors who work with children in acute settings about the risks associated with using injectable phenytoin and implications for practice on how to negate these risks...
February 7, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29412537/health-promotion-for-young-people-with-profound-and-multiple-learning-disabilities
#12
Kathy Davis, Simone Carter, Elizabeth Myers, Nicola Rocca
Research confirms that children and young people with severe learning disabilities do not have the same level of access to high-quality care, health education and health promotion activities as children and young people without disabilities. This article discusses a quality improvement, action research project to investigate alternative approaches to health promotion that enhance the health and well-being of children and young people with complex neurodisabilities. The project involved assessment of school records and completion by staff of an eight-question survey...
February 7, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29412536/introducing-outpatient-parenteral-antimicrobial-therapy-in-a-children-s-hospital
#13
Sally Bolsover
Outpatient parenteral antimicrobial therapy (OPAT) offers an alternative to inpatient care for delivering intravenous antibiotics in patients' homes or in a day care clinic setting. It was first introduced in North America in the 1970s and has evolved over the years, starting with the adult population and now moving to the paediatric population ( Chapman 2013 ). OPAT has the potential to offer excellent, patient-centred, high-quality care to treat a wide variety of infectious conditions in patients who are medically stable and do not need hospitalisation...
February 7, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29206362/prevalence-of-neonate-adhesive-skin-injuries-in-a-jordanian-intensive-care-unit
#14
Laila Habiballah
AIM: To determine the prevalence of adhesive skin injuries in neonates in a Jordanian neonatal intensive care unit (NICU) and to examine the characteristics of neonates with these injuries. METHOD: A cross-sectional period-prevalence study was conducted in a NICU in Irbid National University Hospital in Jordan. A total of 169 neonates were examined for skin injuries caused by adhesive equipment. RESULTS: The prevalence of skin injuries in this population was 26...
December 5, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29206361/service-user-involvement-in-preregistration-child-nursing-programmes
#15
Rebecca Barnley
Service user involvement is a fundamental part of preregistration nursing education programmes, however achieving this for child nursing students is challenging. Service user involvement can be achieved through online forums but this method can lack the emotional interaction and opportunity for deep reflection. This article reviews the background and challenges of service user involvement in preregistration child nursing programmes, further exploring the evaluation of a group of final year child nursing students' experience of appreciating the journey of two service users...
December 5, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29206360/effect-of-a-children-s-at-home-nursing-team-on-reducing-emergency-admissions
#16
Laura Farnham, Hannah Harwood, Meredith Robertson
This article explores the effect of a children's at-home nursing team, Hospital at Home (H@H), which aimed to reduce demand on acute hospital beds, support families to improve patient experience, and empower parents to care safely for their unwell children and help prevent emergency department (ED) reattendance. Data on demographics and clinical presentation of H@H and ED attendances were collected and compared. A survey measuring parents' confidence in managing their unwell children was also conducted. Of 72 patients treated by the H@H service between May and July 2016, 32 (44%) would have been admitted to hospital from the ED if the H@H service had not existed...
December 5, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29206359/parent-infant-co-sleeping-and-the-implications-for-sudden-infant-death-syndrome
#17
REVIEW
Joanne Straw, Pat Jones
In 2015 the National Institute for Health and Care Excellence (NICE) updated its 2006 guideline to clarify the association between parent infant co-sleeping and sudden infant death syndrome (SIDS). The practice of co-sleeping is a topic of continuing controversy and debate. Rather than highlighting the risks, the emphasis of the NICE guideline is to provide parents with balanced information so that they can make informed decisions about where their babies sleep. This contradicts previous public health messages on co-sleeping that discourages parents from the practice...
December 5, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29115765/behavioural-approaches-to-treating-overweight-and-obesity-in-adolescents
#18
Abdullah Alkhawaldeh, Moawiah Khatatbeh, Mohammed ALBashtawy, Khetam Al-Awamreh, Mohammad Al Qadire, Omar ALOmari, Barakat Khasawneh, Bayan ALBashtawy, Sa'd ALBashtawy, Hind Alshakh
Being overweight and obese in adolescence are significant global public health issues which threaten the viability of basic healthcare delivery in many countries. The number of affected adolescents is growing at an alarming rate. Behavioural treatment, which refers to a set of principles and techniques designed to help people reverse maladaptive eating and activity habits, has become a crucial part of most programmes designed to address overweight and obesity. This article outlines three steps involved in the behavioural treatment of overweight and obesity in adolescents: antecedents, eating behaviour and the consequences of eating behaviour...
November 7, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29115764/development-of-a-clinical-transition-pathway-for-adolescents-in-the-netherlands
#19
Margot Walter, Johanna Mw Hazes, Radboud Jem Dolhain, Philomine van Pelt, Annette van Dijk, Sylvia Kamphuis
AIMS: To explore how young people with juvenile-onset rheumatic and musculoskeletal diseases (jRMDs) and their parent(s) experience care during preparation for the upcoming transfer to adult services, and to develop a clinical transition pathway. METHOD: A survey was conducted with 32 young people aged between 14 and 20 years with jRMDs, and their parents ( n =33), treated at the department of paediatric rheumatology in a tertiary care children's hospital in the Netherlands...
November 7, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29115763/how-modifiable-factors-influence-parental-decision-making-about-organ-donation
#20
REVIEW
Kamila Luberda, Karen Cleaver
A global shortage of organs from children and adults available for transplantation is compounded by the failure of next of kin to consent for organs to be donated after death. Non-modifiable and modifiable factors influence decision-making in this area. Modifiable factors are of interest when examining families' decision-making about the donation of organs from their deceased child. A scoping review was undertaken to determine how modifiable factors influence parental decision-making about organ donation. Thematic analysis identified two themes: interactions with healthcare professionals and pre-disposition to organ donation...
November 7, 2017: Nursing Children and Young People
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