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Children's Nurses (children + nurse)
Selected AbstractsDecision-making during hospitalization: parents' and children's involvementJOURNAL OF CLINICAL NURSING, Issue 3 2004Inger Hallström RN Background., Ethical duties of health professionals include the obligation to enhance their patients' competence and ability to participate. Aims and objectives., To explore what kind of decisions and how these decisions were made during a child's hospitalization. Design., During a 9-week period 24 children and their parents were followed during the course of events at the hospital. In total 135 hours of observations were made and analysed in two steps. Results., In most of the situations one or both parents were present with the child. Most decisions were of a medical nature, and commonly decisions were made in consultation with those affected by the decision. Although one or more persons protested in 83 of the 218 described situations, decisions were seldom reconsidered. Conclusions., The children and their parents were usually involved in the decision-making process. Children and parents made few decisions themselves and even if they disagreed with the decision made, few decisions were reconsidered. Relevance to clinical practice., Having a voice in decision-making helps the child to develop a sense of himself as a person and gives the parents a feeling that they are part of a team giving their child optimal care during hospitalization. Promoting children's rights is one of the most important roles for the children's nurse. [source] Methods of Continuing Professional Education Preferred by Irish Pediatric NursesJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 2 2006Carmel Doyle PURPOSE.,To explore the continuing professional education (CPE) of pediatric nurses in Ireland and establish if and in what ways pediatric nurses are taking part in CPE as well as factors that might assist or hinder pediatric nurses in undertaking CPE. DESIGN AND METHODS., A stratified random sample of 205 registered children's nurses (RCNs) completed a questionnaire. RESULTS.,RCNs in Ireland use a variety of methods of CPE, the most popular being journal reading, while the least popular method is the use of computerized journal databases and the internet. Many RCNs appear to lack the computer skills necessary to utilize these methods of CPE. PRACTICE IMPLICATIONS.,The favored methods of CPE by RCNs need to be utilized and promoted in the practice setting in order to ensure RCNs are up to date in the provision of quality care to pediatric patients. [source] Commentary on Twycross A and Powls L (2006) How do children's nurses make clinical decisions?JOURNAL OF CLINICAL NURSING, Issue 9 2007Two preliminary studies. [source] What does partnership in care mean for children's nurses?JOURNAL OF CLINICAL NURSING, Issue 3 2007Dip N, Polly Lee MSc Aim and objective., To explore partnership in care with a small sample of children's nurses in an inner city trust. (i) To obtain local data on what a sample of children's nurses understand by partnership in care and to what degree partnership in care is evident in their practice; (ii) where feasible, to compare these data with national and international literatures describing partnership in care and provide pointers that will be useful in contributing and responding to the children's national service framework. Background., Partnership in care has been practised within children's nursing in UK for over a decade, but is an amorphous topic. More recently, it has been suggested that partnership in care can be described as a part of the spectrum of family-centred care. An exploratory study with 10 experienced children's nurses was undertaken to determine what they understood by the term partnership in care. Results., Seven categories emerged from the data: attitudes, respect for family, communication, parent understanding, effective partnership, all parties (satisfied) and improved well-being. Conclusion., It is suggested that a negative approach to one of the first four categories leads to ineffective partnership in care. Relevance to clinical practice., Attitudes, respect for the family and communication should improve to enhance the practice of partnership in care. Respect for the child and family and communication have both been identified as important qualities within the new National Service Framework for Children, Young People and Maternity Services. Further research is suggested to determine the applicability of these findings to other members of the multi-disciplinary team. [source] Support needs of children's nurses involved in child protection casesJOURNAL OF NURSING MANAGEMENT, Issue 6 2009VICKI ROWSE MA Aim, This qualitative study explored the experiences of nurses working in a hospital paediatric department, who had direct involvement in child protection cases, to discover their support needs and suggest developments in training and support. Background, The study was inspired by an awareness of increasing anxiety amongst nurses involved in child protection cases. Method, A phenomenological approach was used with fifteen nurses during semi-structured interviews, which were taped, transcribed and analysed thematically. Results, Involvement in child protection has a lasting impact; nurses need procedural information from a knowledgeable supporter during a case; and, they need individualized support. The personal qualities of the Named Nurse for Safeguarding Children were crucial. Conclusions, Involvement in child protection cases has lasting effects for individuals. The emotions generated can lead to interagency and inter-professional communication difficulties and affect the future management of child protection by individuals. Seeking support can be hampered by individuals' fear of ridicule or of making a mistake. Implications for nursing management, This study has implications for the training of children's nurses in child protection procedures, and the provision of appropriate effective support for individuals. The long-term effects of involvement are previously unreported by nurses. [source] Negotiation of parental roles within family-centred care: a review of the researchJOURNAL OF CLINICAL NURSING, Issue 10 2006Jo Corlett MSc Aims and objectives., To review research published in the past 15 years about how children's nurses' negotiate with parents in relation to family-centred care. Background., Family-centred care is a basic tenet of children's nursing and requires a process of negotiation between health professionals and the family, which results in shared decision-making about what the child's care will be and who will provide this. The literature highlights inconsistencies in the degree to which nurses are willing to negotiate with parents and allow them to participate in decisions regarding care of their child. There is need to explore further the extent to which nurses communicate and negotiate shared care with children and their parents. Conclusions., Three themes emerged from this review of the literature relating to whether role negotiation occurred in practice, parental expectations of participation in their child's care and issues relating to power and control. Parents wanted to be involved in their child's care but found that nurses' lack of communication and limited negotiation meant that this did not always occur. Nurses appeared to have clear ideas about what nursing care parents could be involved with and did not routinely negotiate with parents in this context. Relevance to clinical practice., For family-centred care to be a reality nurses need to negotiate and communicate with children and their families effectively. Parents need to be able to negotiate with health staff what this participation will involve and to negotiate new roles for themselves in sharing care of their sick child. Parents should be involved in the decision-making process. However, research suggests that a lack of effective communication, professional expectations and issues of power and control often inhibit open and mutual negotiation between families and nurses. [source] | ||||||||||