Showing papers on "Pediatric nursing published in 1993"
TL;DR: The literature reviewed shows that parental participation and living-in has been viewed largely as philosophically and professionally unproblematic and 'cardinal principles' of paediatric nursing have been advocated and operationalized with little or no attempt made to understand what living in is like for either parents or for the nurses who work with them.
Abstract: The desirability of encouraging parents to live-in with their hospitalized child is widely accepted (Department of Health 1991). This review traces the historical development of parental involvement in paediatrics. The literature reviewed shows that parental participation and living-in has been viewed largely as philosophically and professionally unproblematic. These 'cardinal principles' of paediatric nursing have been advocated and operationalized with little or no attempt made to understand what living-in is like for either parents or for the nurses who work with them. It is proposed that research approaches in this area are required which are more hermeneutic and dialogic.
77 citations
Journal Article•
TL;DR: It is important that nurses fully understand the concept of family centred care or it may be implemented more with the intention of meeting ward goals than family needs.
Abstract: Family centred care is now perceived as fundamental to meeting hospitalised children's physical and emotional needs. It is important, however, that nurses fully understand the concept or it may be implemented more with the intention of meeting ward goals than family needs.
53 citations
TL;DR: The PONSQ shows that pediatric oncology nursing is a stressful profession, and additional research is needed to identify positive strategies for reducing this stress.
40 citations
TL;DR: The central focus for the Pediatrics nurse practitioner in oncology is the survivor and family, which is extended to the clinic population and related groups by the blending of the pediatric nurse practitioner and clinical nurse specialist roles.
27 citations
Book•
01 Jan 1993
TL;DR: The fourth edition of this text retains the basic format of earlier editions: child development and health promotion lay the foundation for later chapters on health problems, organized by age groups and body systems.
Abstract: The fourth edition of this text retains the basic format of earlier editions: child development and health promotion lay the foundation for later chapters on health problems, organized by age groups and body systems. The nursing process is used to present nursing care for major disorders and conditions. The text emphasises "wellness", providing information regarding health promotion and injury prevention for each age group. In addition, coverage is provided of contemporary topics, such as cocaine-exposed infants, nutritional disturbances, child abuse, patient-controlled analgesia for children, sports injuries, teen pregnancy, rape, eating disorders, substance abuse and depression/suicide. New features in this edition include prognosis statements, that should help students to understand potential outcomes, and sections on challenging traditions, which cite new research that disproves outdated beliefs and practices. The most recent technological advances, such as pulse oximetry, are reflected with the aim of familiarizing students with the latest information in nursing. This text should be useful to paediatric nurses in practice and training.
22 citations
Journal Article•
TL;DR: The author's purpose is to discuss the importance of nursing presence with children, provide information on ways in which nurses can operationalize and evaluate presence, and identify implications for needed research on presence withChildren.
Abstract: A review of nursing literature indicates that presence is a widely accepted nursing intervention, yet very little discussion exists regarding nursing presence as an intervention with children. The author's purpose is to discuss the importance of nursing presence with children, provide information on ways in which nurses can operationalize and evaluate presence, and identify implications for needed research on presence with children.
17 citations
Journal Article•
TL;DR: A review of the literature reveals a scarcity of information relating to the nurse's experience and indicates a predominant atheoretic approach.
Abstract: Care of the child who is dying is a complex and emotionally difficult nursing challenge. A review of the literature reveals a scarcity of information relating to the nurse's experience and indicates a predominant atheoretic approach. Obstacles to effective and humane terminal care exist at the personal, interpersonal, and social levels in the current health care system.
12 citations
TL;DR: An overview of Roy's model, used to assess the behaviors and stimuli influencing the behaviors of an 8-year-old boy with acute lymphocytic leukemia, and a nursing care plan for two of these diagnoses is presented.
10 citations
TL;DR: An adaptation of the Neuman Systems Model is described to unite the physical care of the hospitalized preschool child with other aspects of his development and to describe the causes and prevention of stresses of hospitalization for this child.
Abstract: This article describes an adaptation of the Neuman Systems Model to the care of the hospitalized preschool child. This was done to unite the physical care of the hospitalized preschool child with other aspects of his development and to describe the causes and prevention of stresses of hospitalization for this child.
9 citations
TL;DR: Significantly higher total test scores and selected subtest scores were demonstrated in relationship to the following variables: increased age; certification in pediatric advanced life support, advanced cardiac life support or adult critical care; increased years of adultcritical care experience; advanced dysrhythmia courses and dysrhythmias self-study; and perceived knowledge level above that of the advanced beginner.
Abstract: Objective To describe pediatric critical care nurses' knowledge of dysrhythmias in critically ill pediatric patients and relate this knowledge level to certain demographic variables (education, nursing experience, certification, supplemental training, area of employment and geographic region of residence). Design A descriptive survey. Setting American Association of Critical-Care Nurses' 19 geographic regions of the United States. Participants Of 1000 questionnaires mailed to pediatric critical care nurses who were members of the American Association of Critical-Care Nurses in 1991, 356 responses were received (a response rate of 36%). Intervention A criterion-referenced, self-administered test regarding pediatric dysrhythmias and a demographic sheet randomly mailed to 1000 pediatric critical care nurses. Test results were analyzed and compared with demographic variables. Results The mean total test score was 66%. Significantly higher total test scores and selected subtest scores were demonstrated in relationship to the following variables: increased age; certification in pediatric advanced life support, advanced cardiac life support or adult critical care; increased years of adult critical care experience; advanced dysrhythmia courses and dysrhythmia self-study; and perceived knowledge level above that of the advanced beginner. Conclusions Pediatric critical care nurses' overall knowledge of dysrhythmias was low. Knowledge strengths included recognition of basic and life-threatening dysrhythmias and calculation of basic ECG measurements. Knowledge deficits included importance of sinus bradycardia in the neonate, appropriate intervention for life-threatening dysrhythmias and calculation of an irregular heart rate. These deficits should be considered when planning continuing education programs for pediatric critical care nurses.
9 citations
Journal Article•
TL;DR: Home visitation appeared to improve the health of high-risk premature infants, is cost effective, and may be less stressful for parents.
Abstract: The care of sick premature infants at home is evaluated in terms of the benefits related to the health outcome of infants. The home care was provided by trained pediatric nurses through a service-oriented community agency. Pediatric nurses delivered home care 24 hours or less to sick very low birth weight infants discharged from the neonatal intensive care unit in lieu of continued hospitalization. Nursing care at home is described along with a sample nursing care plan for an infant with bronchopulmonary dysplasia. The efficacy of home care on medical utilization indicated that there were less hospitalizations, emergency room visits, and visits to the specialty clinics than previously reported in the literature. Home visitation appeared to improve the health of high-risk premature infants, is cost effective, and may be less stressful for parents.
Book•
01 Jan 1993
TL;DR: Taking a developmental approach, this nursing text gives coverage of a complete range of issues, including family-centred child health care, health promotion and maintenance, emotional and psychosocial considerations, care of children in life-threatening situations and common skin disorders.
Abstract: Taking a developmental approach, this nursing text gives coverage of a complete range of issues, including family-centred child health care, health promotion and maintenance, emotional and psychosocial considerations, care of children in life-threatening situations and common skin disorders.
TL;DR: Characteristics of pediatric home nursing are identified in order for these to be communicated to prospective home care nurses, to pediatric nurse educators, and to home health managers to be better prepared to negotiate shared patient care responsibilities with the client's family.
TL;DR: It is suggested that more traditional methods of care planning may not always provide enough reference to the important psychosocial and developmental needs of each child in an intensive care unit (ICU).
Journal Article•
TL;DR: New models of psychosocial family intervention need to be developed to empower families to manage their own needs as much as possible once their child returns home.
Abstract: Families who have a child with a chronic condition often have multifaceted and ongoing stressors in their daily lives New models of psychosocial family intervention need to be developed to empower families to manage their own needs as much as possible once their child returns home
TL;DR: Mother's attendance to hospitalized children Parent's company may contribute to improve quality of hospital care in the case of infants and children.
Abstract: Mother's attendance to hospitalized children Parent's company may contribute to improve quality of hospital care in the case of infants and children. Mothers of 100 patients aged 0 to 96 (mean 10.7) months who were admitted to the pediatric wards of a general university associated hospital at metropolitan Santiago, Chile, were asked to stay by their own choice with their children from 9 AM throughout 9 PM and were trained to help nurses in their assistance. Some end results of this experience were comparea with those recorded from a similar number of children not attended by their mothers while in hospital. Significant decreases were observed in the frequency of troubles between patients and hospital personnel -including professional staff-, nosocomial infections (30 vs 3%). Length of hospital stay was reduced by 20% (10 lo 8 days per bed). Breast feeding was preserved among all patients (38/38) cared for by their mothers in which it was previously present but in only 1 1 .4% J4/35) of controls. Nutrition improved in 91 % of children of stay-in mothers vs 37% of control subjects. Better understanding of their children's problem was recorded in 95% of slay-in mothers. Mother's attendance to hospitalized children seems to be advantageous from both social and medical standpoints. (Key wordst infant, child, hospitaliza'ion, hospital-patient relations, maternal care, pediatric nursing.)
TL;DR: The impact of self- care for children's development is reviewed, the effectiveness of teaching self-care skills to latchkey children is examined, and assessment and intervention information is provided to help pediatric nurses who are working with parents and children with chronic illness who are inSelf-care.
TL;DR: A classification of diagnoses for use by pediatric nurse practitioners was developed and field test and issues related to the use of a taxonomy such as this one for practicing clinicians were discussed.
Journal Article•
TL;DR: It is revealed that lack of education and experience mean that children with mental health problems can lead to significant stress in nurses, and nurses need to feel confident in caring for patients.
Abstract: If they are to give effective holistic care, nurses need to feel confident in caring for patients. This study reveals that lack of education and experience mean that children with mental health problems can lead to significant stress in nurses.
TL;DR: The Partners in Caring program is a state-funded primary care initiative involving 13 suburban public health departments that provide preventive care to uninsured and underserved children in the participating communities of the consortium.
TL;DR: The authors argue that instead of fighting over professional boundaries and defending traditional territories, nurses involved in community child care must learn to integrate their services and make the most of opportunities being presented to them to develop a high-quality professional service.
Abstract: Many changes in education and practice are taking place which will affect paediatric nurses working in the community. The authors argue that instead of fighting over professional boundaries and defending traditional territories, nurses involved in community child care must learn to integrate their services. They urge nurses to make the most of opportunities being presented to them to develop a high-quality professional service.
TL;DR: The nursing shortage, nursing's changing image, and emerging nursing roles will influence pediatric oncology nursing's ability to care for children with cancer and their families in the future.
Abstract: During the past 17 years, pediatric oncology nursing has evolved from an unknown specialty into an organization exemplary of advanced nursing practice. Pediatric oncology nursing is now recognized as a distinct subspecialty within pediatric nursing. The Association of Pediatric Oncology Nurses (APON), organized in 1976, has grown from an initial 10 members to 1200 members in 1990. The growth of pediatric oncology nursing as a specialty is due largely to a group of nurses responsible for the organization of APON. These individual's vision in the early 1970s shaped the future of pediatric oncology nursing by promoting the development of nursing standards that increased nursing's accountability for the care of children with cancer. Today, nurses play a major role in the complex management of childhood cancer. Issues facing the nursing profession during the next decade will have a direct impact on the specialty of pediatric oncology nursing. The nursing shortage, nursing's changing image, and emerging nursing roles will influence pediatric oncology nursing's ability to care for children with cancer and their families in the future. As pediatric oncology continues to advance, innovative nursing roles must evolve to meet the health care needs of children with cancer.
Journal Article•
TL;DR: Ten years ago, children with complex medical conditions remained hospitalized; five years ago they could choose from hospital or home care; now families and professionals caring forChildren with complex conditions have many choices regarding the best setting for their child's care.
Abstract: Ten years ago, children with complex medical conditions remained hospitalized; five years ago they could choose from hospital or home care. Now families and professionals caring for children with complex conditions have many choices regarding the best setting for their child's care.
Journal Article•
TL;DR: Pediatric Nursing speaks with Surgeon General Joycelyn Elders regarding the implementation of school-based clinics in Arkansas, arguments for and against school- based clinics, the financial responsibility for these clinics, and the role of pediatric nurses in this segment of health care reform.
Abstract: Among Dr. Joycelyn Elders' goals as Surgeon General is to work toward a national school-based clinic program. In this interview, she speaks with Pediatric Nursing regarding the implementation of school-based clinics in Arkansas, arguments for and against school-based clinics, the financial responsibility for these clinics, and the role of pediatric nurses in this segment of health care reform.