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Paediatric nursing

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https://www.readbyqxmd.com/read/27917768/iatrogenic-medication-errors-in-a-paediatric-intensive-care-unit-in-durban-south-africa
#1
A Gokhul, P M Jeena, A Gray
BACKGROUND: Iatrogenic medication errors due to calculation errors are an under-reported concern in children. OBJECTIVE: To determine the incidence and source of iatrogenic medication errors in a paediatric intensive care unit (PICU). METHODS: A prospective study was conducted in the PICU at Inkosi Albert Luthuli Hospital, Durban, South Africa, over a 3-month period in 2014. Medication-related calculation skills of medical practitioners and nurses were assessed through the voluntary anonymous completion of a questionnaire...
December 1, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27910215/stressors-of-newly-graduated-nurses-in-shanghai-paediatric-hospital-a-qualitative-study
#2
Yun Hu, Yaqing Zhang, Nanping Shen, Juemin Wu, Jia Wu, Wenche K Malmedal
AIM: To identify stressors of newly graduated paediatric nurses at a children's hospital in Shanghai, China. BACKGROUND: Stress is an international phenomenon in nursing generally, but little is known about its effect on new paediatric nurses at the Shanghai paediatric hospital. METHOD: Participants in this research were 25 newly graduated paediatric nurses. Their behaviours and perceptions were explored by field observations and interviews...
December 1, 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27904743/frontline-worker-perceptions-of-medication-safety-in-india
#3
Sangeeta Sharma, Fauzia Tabassum, Sarbjeet Khurana, Kaveri Kapoor
BACKGROUND: To explore interprofessionals' perceptions about patient safety, particularly medication safety and associated factors and barriers. METHODS: A total of 389 respondents were recruited using convenience sample in the cross sectional survey. RESULTS: Medication safety was perceived as somewhat safe (60%). One-third of respondents witnessed 3-4 or more medication errors (MEs) within the past 1 year. Out of that, one quarter were reportedly, sentinel events...
December 2016: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/27871307/current-models-of-care-for-disorders-of-sex-development-results-from-an-international-survey-of-specialist-centres
#4
Andreas Kyriakou, Arianne Dessens, Jillian Bryce, Violeta Iotova, Anders Juul, Maciej Krawczynski, Agneta Nordenskjöld, Marta Rozas, Caroline Sanders, Olaf Hiort, S Faisal Ahmed
BACKGROUND: To explore the current models of practice in centres delivering specialist care for children with disorders of sex development (DSD), an international survey of 124 clinicians, identified through DSDnet and the I-DSD Registry, was performed in the last quarter of 2014. RESULTS: A total of 78 (63 %) clinicians, in 75 centres, from 38 countries responded to the survey. A formal national network for managing DSD was reported to exist in 12 (32 %) countries...
November 21, 2016: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/27863828/-health-care-providers-knowledge-and-abilities-to-use-inhalation-devices-and-spacers
#5
S Orfanos, A Carsin, M Baravalle, J-C Dubus
INTRODUCTION: Inhaled therapy is the mainstay of asthma treatment due to its local and rapid action. However, its efficiency relies on the teaching of a good inhalation technique by health care providers. We assessed health care providers' knowledge and practical skills in the use of inhalation devices. METHODS: An observational multicenter study was conducted in the pulmonology and paediatric wards in Marseille. The departments' common practices, theoretical knowledge and practical skills were assessed through a questionnaire and a demonstration using a spacer device...
November 15, 2016: Revue des Maladies Respiratoires
https://www.readbyqxmd.com/read/27863620/paediatric-airway-foreign-body-the-human-factors-influencing-patient-safety-in-our-hospitals
#6
O C Okonkwo, A Simons, J Nichani
Foreign bodies in the pediatric airway are an uncommon emergency with a high morbidity and mortality rate. Morbidity ranges from 10 to 20% worldwide and this pathology accounts for up to 7% of accidental deaths in children under 4. Dealing with this emergency safely and effectively is complex, requiring a tight coupling of procedures and processes and optimal anesthetic and operating conditions to prevent errors. These factors are recognized by the World Health Organization as 'Human Factors'. We perform a multi-center assessment of human factors pertinent to this emergency...
December 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27855723/exceeding-the-recruitment-target-in-a-primary-care-paediatric-trial-an-evaluation-of-the-choice-of-moisturiser-for-eczema-treatment-comet-feasibility-randomised-controlled-trial
#7
Kingsley Powell, Victoria J Wilson, Niamh M Redmond, Daisy M Gaunt, Matthew J Ridd
BACKGROUND: Recruiting to target in randomised controlled trials of investigational medicinal products (CTIMPs) in primary care and paediatric populations is notoriously difficult. More evidence is needed for effective recruitment strategies in these settings. We report on the impact of different recruitment strategies used in the Choice of Moisturiser in Eczema Treatment (COMET) study - a feasibility trial comparing the effectiveness of four emollients for the treatment of childhood eczema - recruiting via general practitioner (GP) surgeries...
November 17, 2016: Trials
https://www.readbyqxmd.com/read/27831598/prison-nursing-and-its-training
#8
M Sánchez-Roig, A Coll-Cámara
The main task of nurses is to take care of sick and healthy people and evaluate changes in their health conditions. The goal is to take the appropriate measures to help their recovery or guarantee a dignified death, and if possible, help them regain autonomy and independence. Nursing is present in different areas: primary health, mental health, accident and emergencies, intensive and coronary care, surgical care, paediatrics, geriatrics, public health, occupational health, teaching, etc. In our case, prison nursing, one of the least known branches of the profession, we wanted to investigate more deeply the work of nurses in prisons, which aspect of health care they are responsible for and to what type of population they are geared towards, as well as the necessary training to be able to work in such a particular environment...
December 2016: Revista Española de Sanidad Penitenciaria
https://www.readbyqxmd.com/read/27823102/-believe-you-can-reach-the-next-level
#9
(no author information available yet)
Children's nursing expert and BME pioneer Joan Myers has held a variety of posts in children's services during her 30-year nursing career, including staff nurse, paediatric home care nurse, paediatric district nurse and children's community nursing team leader.
October 5, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27821886/microcephaly-in-north-east-brazil-a-retrospective-study-on-neonates-born-between-2012-and-2015
#10
Juliana Sousa Soares de Araújo, Cláudio Teixeira Regis, Renata Grigório Silva Gomes, Thiago Ribeiro Tavares, Cícera Rocha Dos Santos, Patrícia Melo Assunção, Renata Valéria Nóbrega, Diana de Fátima Alves Pinto, Bruno Vinícius Dantas Bezerra, Sandra da Silva Mattos
OBJECTIVE: To assess the number of children born with microcephaly in the State of Paraíba, north-east Brazil. METHODS: We contacted 21 maternity centres belonging to a paediatric cardiology network, with access to information regarding more than 100 000 neonates born between 1 January 2012 and 31 December 2015. For 10% of these neonates, nurses were requested to retrieve head circumference measurements data from delivery-room books. We used three separate criteria to classify whether a neonate had microcephaly: (i) the Brazilian Ministry of Health proposed criterion: term neonates (gestational age ≥ 37 weeks) with a head circumference of less than 32 cm; (ii) Fenton curves: neonates with a head circumference of less than -3 standard deviation for age and gender; or (iii) the proportionality criterion: neonates with a head circumference of less than ((height/2))+10) ± 2...
November 1, 2016: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/27821004/-nursing-is-where-i-belong
#11
(no author information available yet)
Why did you become a children's nurse? When I was training in the 1980s everyone did a paediatric placement and mine was on an orthopaedic children's ward. Many of the children were essentially 'well' children who were marooned in the beds. The atmosphere was markedly lighter than in other wards and I realised that children's nursing was the place for me.
November 8, 2016: Nursing Children and Young People
https://www.readbyqxmd.com/read/27803061/evaluation-of-the-electronic-self-report-symptom-screening-in-pediatrics-tool-sspedi
#12
Cathy O'Sullivan, L L Dupuis, Paul Gibson, Donna L Johnston, Christina Baggott, Carol Portwine, Brenda Spiegler, Susan Kuczynski, Deborah Tomlinson, George A Tomlinson, Lillian Sung
OBJECTIVE: We previously developed the paper-based Symptom Screening in Pediatrics Tool (SSPedi) designed for paediatric cancer symptom screening. Objectives were to evaluate and refine the electronic mobile application (app) of SSPedi using the opinions of children with cancer. METHODS: Participants were children 8-18 years of age with cancer. Participants completed electronic SSPedi on their own and then responded to semistructured questions to determine whether they found electronic SSPedi easy or difficult to complete and understand, understood and liked the app features (audio and animation), and understood previously difficult to understand concepts with the introduction of a help menu...
November 1, 2016: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/27797997/stepped-wedge-cluster-randomised-controlled-trial-to-assess-the-effectiveness-of-an-electronic-medication-management-system-to-reduce-medication-errors-adverse-drug-events-and-average-length-of-stay-at-two-paediatric-hospitals-a-study-protocol
#13
J I Westbrook, L Li, M Z Raban, M T Baysari, V Mumford, M Prgomet, A Georgiou, T Kim, R Lake, C McCullagh, L Dalla-Pozza, J Karnon, T A O'Brien, G Ambler, R Day, C T Cowell, M Gazarian, R Worthington, C U Lehmann, L White, D Barbaric, A Gardo, M Kelly, P Kennedy
INTRODUCTION: Medication errors are the most frequent cause of preventable harm in hospitals. Medication management in paediatric patients is particularly complex and consequently potential for harms are greater than in adults. Electronic medication management (eMM) systems are heralded as a highly effective intervention to reduce adverse drug events (ADEs), yet internationally evidence of their effectiveness in paediatric populations is limited. This study will assess the effectiveness of an eMM system to reduce medication errors, ADEs and length of stay (LOS)...
October 21, 2016: BMJ Open
https://www.readbyqxmd.com/read/27778434/optimization-of-home-treatment-in-haemophilia-effects-of-transmural-support-by-a-haemophilia-nurse-on-adherence-and-quality-of-life
#14
J Lock, H Raat, M Peters, M Scholten, M Beijlevelt, R Oostenbrink, F W G Leebeek, H A Moll, M H Cnossen
BACKGROUND: Transmural support by a haemophilia nurse may improve treatment and may empower parents and patients. AIM: To measure the effect of structured home visits by a haemophilia nurse in (parents of) patient on aspects of prophylactic home treatment. METHODS: A multicentre intervention study in two paediatric haemophilia treatment centres was performed. Primary outcome measures were: adherence to prescribed treatment, health-related quality of life and behavioural scores...
November 2016: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/27737839/a-pilot-study-of-an-emotional-intelligence-training-intervention-for-a-paediatric-team
#15
Ellen Bamberger, Jacob Genizi, Nogah Kerem, Ayalla Reuven-Lalung, Niva Dolev, Isaac Srugo, Amnon Rofe
OBJECTIVE: Emotional intelligence (EI) is the individual's ability to perceive, understand and manage emotion and to understand and relate effectively to others. We examined the degree to which EI training may be associated with a change in EI among different medical personnel and patient satisfaction. DESIGN, SETTING AND PARTICIPANTS: The EI of 17 physicians and 10 nurses in paediatric ward was prospectively evaluated with Bar-On's EI at baseline and after 18 months...
October 13, 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27730709/nursing-practice-environment-job-outcomes-and-safety-climate-a-structural-equation%C3%A2-modelling-analysis
#16
Daniela Fernanda Dos Santos Alves, Dirceu da Silva, Edinêis de Brito Guirardello
AIM: To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate. BACKGROUND: The nursing practice environment is critical to the well-being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units. METHODS: A cross-sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014...
October 11, 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27708812/a-mixed-method-study-of-pain-management-practice-in-a%C3%A2-uk-children-s-hospital-identification-of-barriers-and-developing-strategies-to-maintain-effective-in-patient-paediatric-pain-management
#17
Kate Beckett, Ellen M Henderson, Sarah Parry, Peter Stoddart, Margaret Fletcher
AIM: To assess Acute Pain Service and paediatric pain management efficacy in a UK specialist paediatric hospital to inform wider recommendations for future sustainability. BACKGROUND: UK paediatric acute pain services vary. Although comprehensive pain management guidelines exist, consensus on the best model of care is lacking. Worldwide, medical and pharmacological advances and rapid patient turnover have increased the challenges of managing hospitalized children's pain...
January 2016: Nursing Open
https://www.readbyqxmd.com/read/27707643/outpatient-workload-in-the-nhs-a-new-challenge-for-the-burn-services
#18
Giordano Perin, Rosanna C Ching, Mohammad U Anwar
The aim of this study was to evaluate the impact of outpatient care on activities at the Adults' Regional Burns Centre and the Children's Regional Burns Unit, Mid Yorkshire Hospitals NHS Trust UK, where outpatient and inpatient responsibilities are shared between the nursing staff. Data for all inpatient and outpatient interactions (all care related activities with the presence of a Registered Nurse (RN)) was collected prospectively by the attending RN for two consecutive months (October and November 2014)...
October 1, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/27706878/medication-communication-between-nurses-and-doctors-for-paediatric-acute-care-an-ethnographic-study
#19
Narelle Borrott, Sharon Kinney, Fiona Newall, Allison Williams, Noel Cranswick, Ian Wong, Elizabeth Manias
AIMS AND OBJECTIVES: To examine how communication between nurses and doctors occurred for managing medications in inpatient paediatric settings. BACKGROUND: Communication between health professionals influences medication incidents' occurrence and safe care. DESIGN: An ethnographic study was undertaken. METHODS: Semi-structured interviews, observations and focus groups were conducted in three clinical areas of an Australian tertiary paediatric hospital...
October 5, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27706840/models-of-partnership-within-family-centred-care-in-the-acute-paediatric-setting-a-discussion-paper
#20
Christine Dennis, Pamela Baxter, Jenny Ploeg, Susan Blatz
AIMS: A discussion of partnership in the context of family-centred care in the acute paediatric setting, through a critical analysis of partnership models. BACKGROUND: Paediatric healthcare practitioners understand the importance of family-centred care, but struggle with how to translate the core tenets into action and are confused by several rival terms. Partnering relationships are included in definitions of family-centred care, yet less is known about strategies to fully engage or support parents in these partnerships...
October 5, 2016: Journal of Advanced Nursing
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