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Paediatric nurses perspections

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https://www.readbyqxmd.com/read/27699783/factors-that-impact-on-the-use-of-mechanical-ventilation-weaning-protocols-in-critically-ill-adults-and-children-a-qualitative-evidence-synthesis
#1
REVIEW
Joanne Jordan, Louise Rose, Katie N Dainty, Jane Noyes, Bronagh Blackwood
BACKGROUND: Prolonged mechanical ventilation is associated with a longer intensive care unit (ICU) length of stay and higher mortality. Consequently, methods to improve ventilator weaning processes have been sought. Two recent Cochrane systematic reviews in ICU adult and paediatric populations concluded that protocols can be effective in reducing the duration of mechanical ventilation, but there was significant heterogeneity in study findings. Growing awareness of the benefits of understanding the contextual factors impacting on effectiveness has encouraged the integration of qualitative evidence syntheses with effectiveness reviews, which has delivered important insights into the reasons underpinning (differential) effectiveness of healthcare interventions...
October 4, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27671425/health-providers-perception-of-quality-of-care-for-neonates-in-health-facilities-in-a-municipality-in-southern-ghana
#2
Kokui Elikplim Pomevor, Augustine Adomah-Afari
Purpose The purpose of this paper is to assess available human resources for neonatal care and their skills, in order to explore health providers' perceptions of quality of neonatal care in health facilities in Ghana. Design/methodology/approach Data were gathered using qualitative interviews with health providers working in the maternity and paediatric wards and midwives; direct observation; and documentary review at a regional hospital, a municipal hospital and four health centres in a municipality in a region in Southern Ghana...
October 10, 2016: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/27391995/i-don-t-know-what-i-am-doing-because-i-am-doing-everything-perceptions-and-experiences-of-nurses-about-hiv-counselling-and-testing-among-children-in-free-state-province-south-africa
#3
Abiola O Olaleye, Yolisa Tsibolane, Lydia Van-Turha, Sibongile Monareng, Perpetual Chikobvu, Mohlouoa Sam Boleme, Celicia Serenata
Although HIV/AIDS constitute a significant health burden among children in South Africa, testing and counselling of exposed children are inadequate. It is therefore imperative that factors relating to paediatric HCT services offered by health workers are examined. This study was conducted to explore and describe the perceptions and experiences of trained professional nurses regarding HIV counselling and testing among children. We conducted six focus group discussions among trained professional nurses in health facilities in a district in Free State Province, South Africa...
March 2016: AIDS Care
https://www.readbyqxmd.com/read/27214456/oc40-family-participation-in-caring-for-hospitalized-children-nurses-perspectives
#4
Margarida Reis Santos, Natália Quina Lopes, Paula Sousa
UNLABELLED: Theme: Professional issues Aim: To understand nurses' perspective about the presence and participation of parents/caregivers during child's hospitalization. METHOD: Quantitative, descriptive and exploratory study. Data collection in 2011 through questionnaire. RESULTS: The sample comprised 146 nurses that work in paediatric wards in five different hospitals in the North of Portugal; aged between 23 to 59 years old; 93.1% were female; the average professional time was 10...
May 9, 2016: Nursing Children and Young People
https://www.readbyqxmd.com/read/27019169/what-do-nurses-think-they-are-doing-in-pre-school-autism-assessment
#5
Julia Halpin
This study reports on the perspective of all the specialist nurses in community paediatric teams in one NHS trust on their role in pre-school autism assessment. Kim's critical reflective inquiry research method ( Kim, 1999 ) was adapted through the inclusion of the researcher as a participant. Participants reflected on the nursing beliefs and values they hold in common, and on their actions in practice. The study found that the beliefs and values held by these nurses, and their intention to offer holistic nursing delivered through a professional relationship of care, correlated with the kind of care that parents have said families need, and make a unique contribution to team assessment...
March 24, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/26879127/parent-perspectives-and-reasons-for-lower-urgency-paediatric-presentations-to-emergency-departments
#6
Gary L Freed, Amy R Allen, Erin Turbitt, Caroline Nicolas, Ed Oakley
OBJECTIVE: The age band with, by far, the greatest number of ED presentations is children 0-4 years, with other paediatric age bands also among the highest. As the majority of these presentations are for lower urgency conditions, we sought to determine why parents seek ED care for their child for lower urgency conditions. METHODS: A survey study of 1150 parents or guardians of children with lower urgency conditions (triage category 4 or 5) presenting to the EDs of three public general and one paediatric specialty hospital in metropolitan Melbourne...
April 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/26866165/parents-and-healthcare-providers-perspectives-about-hospitalised-children-being-visited-by-other-children-in-nairobi-kenya
#7
D G M Makworo, N Bwibo, G Omoni
BACKGROUND: Throughout history, visitation of the hospitalised child has always been restricted. The subject of whether hospitalised children should be visited by other children has been accorded minimal attention. OBJECTIVE: To determine the current status of visitation of the hospitalised children and the parents and healthcare providers'views on hospitalised children being visited by other children. DESIGN: A descriptive study carried out using quantitative and qualitative methods in two phases SETTING: All paediatric wards at Kenyatta National Hospital and Gertrudes Children's Hospital...
April 2013: East African Medical Journal
https://www.readbyqxmd.com/read/26866094/parents-and-healthcare-providers-perspectives-about-hospitalised-children-being-visited-by-other-children-in-nairobi-kenya
#8
D G M Makworo, N Bwibo, G Omoni
BACKGROUND: Throughout history, visitation of the hospitalised child has always been restricted. The subject of whether hospitalised children should be visited by other children has been accorded minimal attention. OBJECTIVE: To determine the current status of visitation of the hospitalised children and the parents and healthcare providers'views on hospitalised children being visited by other children. DESIGN: A descriptive study carried out using quantitative and qualitative methods in two phases SETTING: All paediatric wards at Kenyatta National Hospital and Gertrudes Children's Hospital...
April 2013: East African Medical Journal
https://www.readbyqxmd.com/read/26842275/understanding-and-evaluating-the-effects-of-implementing-an-electronic-paediatric-prescribing-system-on-care-provision-and-hospital-work-in-paediatric-hospital-ward-settings-a-qualitatively-driven-mixed-method-study-protocol
#9
Albert Farre, Carole Cummins
INTRODUCTION: Electronic prescribing systems can improve the quality and safety of healthcare services, but their implementation is not straightforward and may create unexpected change. However, the added complexity of paediatric prescribing (eg, dose calculations, dilutions, manipulations) may pose additional challenges. This study will aim to (1) understand the complex organisational reality of a paediatric hospital in which a new electronic paediatric prescribing (ePP) system will be introduced; (2) describe ePP-related change, over time, in paediatric hospital ward settings; (3) explore staff perspectives in relation to currently established practices and processes; and (4) assess the impact of ePP on care provision and hospital work from the perspective of paediatricians, paediatric nurses and managers...
February 3, 2016: BMJ Open
https://www.readbyqxmd.com/read/26770678/pharmacists-journey-to-clinical-pharmacy-practice-in-ethiopia-key-informants-perspective
#10
Alemayehu B Mekonnen, Elias A Yesuf, Peggy S Odegard, Sultan S Wega
OBJECTIVE: Clinical pharmacy practice has developed internationally to expand the role of a pharmacist well beyond the traditional roles of compounding and supplying drugs to roles more directly in caring for patients and providing medication consultation to staff. This area of practice is at the infant stage in Ethiopia. The aim of this study was to explore key informants' perspective in the implementation of clinical pharmacy practice in Jimma University Specialized Hospital, Ethiopia...
2013: SAGE Open Medicine
https://www.readbyqxmd.com/read/26486907/-theory-of-unpleasant-symptoms-support-for-the-management-of-symptoms-in-children-and-adolescents-with-cancer
#11
Luís Carlos Lopes-Júnior, Emiliana de Omena Bomfim, Lucila Castanheira Nascimento, Gabriela Pereira-da-Silva, Regina Aparecida Garcia de Lima
OBJECTIVE: To present an overview of the clusters of neuropsychological symptoms in children and adolescents with cancer from the perspective of the Theory of Unpleasant Symptoms. METHODS: A theoretical and reflective study based on international literature and the critical analysis of the authors. RESULTS: In scientific literature, there is scarcity of international studies and an absence of studies in Brazil regarding the neuropsychological symptom clusters in children and adolescents with cancer...
September 2015: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/26388551/end-of-life-decisions-in-the-intensive-care-unit-icu-exploring-the-experiences-of-icu-nurses-and-doctors-a-critical-literature-review
#12
REVIEW
Liz Flannery, Lucie Michelle Ramjan, Kath Peters
BACKGROUND: End-of-life decision making in the Intensive Care Unit (ICU), can be emotionally challenging and multifaceted. Doctors and nurses are sometimes placed in a precarious position where they are required to make decisions for patients who may be unable to participate in the decision-making process. There is an increasing frequency of the need for such decisions to be made in ICU, with studies reporting that most ICU deaths are heralded by a decision to withdraw or withhold life-sustaining treatment...
May 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/26334409/-palliative-care-in-paediatric-oncology-perceptions-expertise-and-practices-from-the-perspective-of-the-multidisciplinary-team
#13
Adriana Ferreira da Silva, Helena Becker Issi, Maria da Graça Corso da Motta, Daisy Zanchi de Abreu Botene
OBJECTIVE: To reveal the perceptions, expertise and practices of multi-professional teams providing palliative care to children in a paediatric oncology unit. The research questions were based on everyday care, facilitations and difficulties, essential aspects of professional approaches, and the inter-disciplinary focus of care for children in palliative care and their families. METHOD: Qualitative, exploratory and descriptive research. Data were collected from June to October 2013 from nine professional multidisciplinary team members by means of a semi-structured interview submitted to thematic analysis...
June 2015: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/26173937/problems-with-oral-formulations-prescribed-to-children-a-focus-group-study-of-healthcare-professionals
#14
Rebecca Venables, Heather Stirling, Hannah Batchelor, John Marriott
BACKGROUND: There is evidence to suggest that adherence with prescribed medication is lower amongst adolescents and children than in adults. Medication adherence rates between 11 and 93 % in paediatric patients have been reported. More research needs to be carried out in order to understand why medicines adherence is low and how adherence can be improved in children with long-term conditions. Personal communication with paediatricians in secondary care has highlighted that problems are most likely to be encountered by parents, carers, nurses and children themselves when administering medicines for prevalent long-term childhood conditions...
December 2015: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/26121885/-systematization-order-and-security-as-a-result-of-the-nurse-assessment-in-paediatric-emergency-a-metamorphosis-process
#15
M-Noelia García-Hernández, Ma Elena Fraga-Hernández, Vinita Mahtani-Chugani
OBJECTIVE: To determine from the health care professionals perspective the impact on clinical practice of incorporating an assessment tool for primary care paediatric emergency. METHOD: Qualitative study based on the collection of written documents. Twenty-four wide and detailed documents were collected. Thematic analysis was used. RESULTS: Participants were 9 nurses and 7 paediatricians, all with experience in the Paediatric Emergency Department...
December 2014: Revista de Enfermería
https://www.readbyqxmd.com/read/25971398/-practice-what-you-preach-nurses-perspectives-on-the-code-of-ethics-and-service-pledge-in-five-south-african-hospitals
#16
Janine White, Maureen Phakoe, Laetitia C Rispel
BACKGROUND: A recent focus of the global discourse on the health workforce has been on its quality, including the existence of codes of ethics. In South Africa, the importance of ethics and value systems in nursing was emphasised in the 2011 National Nursing Summit. OBJECTIVE: The study explored hospital nurses' perceptions of the International Code of Ethics for Nurses; their perceptions of the South African Nurses' Pledge of Service; and their views on contemporary ethical practice...
2015: Global Health Action
https://www.readbyqxmd.com/read/25809773/supporting-clinical-management-of-the-difficult-to-treat-tb-cases-the-ers-who-tb-consilium
#17
Lia D'Ambrosio, Marina Tadolini, Rosella Centis, Raquel Duarte, Giovanni Sotgiu, Stefano Aliberti, Masoud Dara, Giovanni Battista Migliori
Multi-drug and extensively drug-resistant tuberculosis (MDR/XDR-TB) are considered a serious threat for TB control and elimination. The outcome of these patients is still largely unsatisfactory as of today, with treatment success rates being consistently below 50% at global level. The World Health Organization (WHO) recommends that management of MDR-TB cases is supported by a specialized team, including complementary medical professionals able to cover several perspectives (clinical, both for adults and children; surgical; radiological; public health; psychological; nursing, among others)...
March 2015: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/25797859/assessment-of-the-introduction-of-an-adolescent-transition-urology-clinic-using-a-validated-questionnaire
#18
COMPARATIVE STUDY
Mohamed Sameh Shalaby, Anthony Gibson, Paraskeve Granitsiotis, Graeme Conn, Salvatore Cascio
BACKGROUND: Adolescents with complex urological conditions are at risk of bladder dysfunction, metabolic disturbances, neoplastic changes and deterioration in renal function. Hence they require appropriate transition to the adult service to ensure lifelong urological care is adequately provided. OBJECTIVE: Barriers and difficulties to the transition process have been identified in the literature. To overcome these difficulties an Adolescent Transition Urology Clinic (ATUC) was established in 2009 where the patients are seen by a paediatric and an adult urologist, a urology nurse and if needed an adolescent gynaecologist...
April 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25721360/advance-care-planning-in-palliative-care-a-qualitative-investigation-into-the-perspective-of-paediatric-intensive-care-unit-staff
#19
Sarah Mitchell, Jeremy Dale
BACKGROUND: The majority of children and young people who die in the United Kingdom have pre-existing life-limiting illness. Currently, most such deaths occur in hospital, most frequently within the intensive care environment. AIM: To explore the experiences of senior medical and nursing staff regarding the challenges associated with Advance Care Planning in relation to children and young people with life-limiting illnesses in the Paediatric Intensive Care Unit environment and opportunities for improvement...
April 2015: Palliative Medicine
https://www.readbyqxmd.com/read/25684101/public-health-care-nurses-views-of-mothers-mental-health-in-paediatric-healthcare-services-a-qualitative-study
#20
Gunilla Borglin, Johanna Hentzel, Doris M Bohman
AIM: To investigate public health nurses' perceptions and experiences of mental health and of the prevention of mental ill health among women postpartum, within paediatric healthcare services. BACKGROUND: Although maternal health following childbirth should be a priority within primary care, it is known that women postpartum do not always receive the support they need to adapt to and cope with motherhood. Research implies that postnatal problems lack recognition and are not always acknowledged in routine practice...
September 2015: Primary Health Care Research & Development
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