ABSTRACT
This article details the process used to develop the revision of the original Guidelines that resulted in the development of the 2014 Health Care Quality and Outcomes Guidelines for Nursing of Children, Adolescents, and Families. Members of the 2014 Guidelines Revision Task Force conducted an extensive process of revision, which included the input and approval of 16 pediatric and child health nursing and affiliated organizational endorsements. The revised Guidelines were presented to and endorsed by the American Academy of Nursing Board. These Guidelines are designed for use by pediatric and child health nurses who work in a range of health care and community-based settings. The Guidelines are proposed to be used as a framework for nurse-directed services and intervention development and testing, as a model for undergraduate and graduate pediatric and child health nursing program curriculum development, and as the theoretical basis for nursing investigations on the care of children, adolescents, and families.
Subject(s)
Clinical Competence/standards , Delivery of Health Care/standards , Health Promotion/standards , Pediatric Nurse Practitioners , Adolescent , Child , Child, Preschool , Curriculum , Humans , Nursing Education Research , Pediatric Nurse Practitioners/standards , Practice Guidelines as Topic , Program Development , Program Evaluation , Quality Assurance, Health Care , United StatesABSTRACT
Although use of diagnoses originally developed by NANDA (now known as NANDA-I), NIC, and NOC in education and practice is increasing, many faculty members have not been educated in their use and may be reluctant to teach these languages. This article provides guidance on the use of NANDA-I, NIC, and NOC in clinical education. This guidance will facilitate both faculty and student learning.
Subject(s)
Education, Medical, Undergraduate/methods , Nursing Diagnosis/classification , Schools, Nursing , Clinical Competence , Curriculum , Data Collection , Health Knowledge, Attitudes, Practice , Humans , Learning , Nursing Diagnosis/methods , Outcome and Process Assessment, Health Care , Software , Surveys and Questionnaires , Teaching , Vocabulary, ControlledABSTRACT
Although much has been written regarding ill adolescents, research has not described their spiritual response. The purpose of this descriptive phenomenological study was to describe the lived experiences of spirituality in adolescents with Duchenne muscular dystrophy using van Manen's phenomenological method. Findings from nine teens showed that the essential theme of spirituality was "longing," the strong desire for something unattainable. Consistent with Reed's (1992) paradigm for understanding spirituality, participants mediated their longing through "Connecting with others, self, and beyond self." These findings support the need for nursing to assess spirituality in teens and determine developmentally appropriate interventions to ameliorate longing.
Subject(s)
Adaptation, Psychological , Attitude to Health , Muscular Dystrophy, Duchenne/psychology , Psychology, Adolescent , Spirituality , Activities of Daily Living/psychology , Adolescent , Humans , Interpersonal Relations , Leisure Activities/psychology , Male , Midwestern United States , Nurse's Role , Nursing Assessment , Nursing Methodology Research , Pediatric Nursing , Religion and Psychology , Self Concept , Surveys and QuestionnairesABSTRACT
PURPOSE: To examine the historical, legal/ organizational, informatics, clinical, economic, and policy contexts underlying economic consequences of nursing diagnoses on patient outcomes. DATA SOURCES: Published literature, online material. DATA SYNTHESIS: Nursing diagnoses influence diagnostic-specific patient outcomes and other outcome variables such as length of hospital stay, morbidity, and mortality. CONCLUSIONS: Examination of the economic ramifications of nursing diagnosis on patient outcomes can be facilitated using standardized language and databases containing nursing-sensitive measures.
Subject(s)
Nursing Diagnosis/economics , Nursing Research/organization & administration , Outcome Assessment, Health Care/economics , Bayes Theorem , Health Policy/trends , Humans , Medical Informatics/trends , Models, Nursing , Nursing Diagnosis/standards , Odds Ratio , Outcome Assessment, Health Care/standards , Sensitivity and Specificity , Terminology as Topic , United StatesABSTRACT
Core values and assumptions regarding child health care are identified. Concepts that are generalized across settings are defined. The dimensions of care involve the child, the family, the system, and the community. The Child-Family Expert Panel will continue to work within specialties on standards, processes, and outcomes.
Subject(s)
Maternal-Child Nursing/standards , Outcome Assessment, Health Care , United StatesABSTRACT
STUDY OBJECTIVE: To identify variables that influence the disclosure decisions of parents who conceive children using donor eggs and to compare such variables among disclosing, nondisclosing, and undecided families. DESIGN: Exploratory, comparative, descriptive. SETTING: A university hospital-assisted reproductive technology program in the Midwest. PARTICIPANTS: Thirty-one couples with children conceived with anonymously donated eggs. METHODS: Audiotaped telephone interviews, measures of social support and family environment, and a demographic survey. MAIN OUTCOME MEASURES: Content analysis of interview transcripts and comparison of recurring themes among groups. RESULTS: The majority of parents intended disclosure. Dominant themes among disclosing parents included the belief that a child has a right to know and concerns about the harmful effects of family secrets. Among nondisclosing parents, common themes were knowing of no compelling reason to tell and perceiving potential harm in telling. Undecided parents reported concerns about how and when to tell and the child's possible reaction. Parents in all groups expressed concern about their disclosure decisions. CONCLUSIONS: Dominant decisional influences were beliefs and values and concerns about possible harm. Longitudinal study is needed to determine the impact of disclosure decisions on children, families, and society.
Subject(s)
Decision Making , Insemination, Artificial, Homologous/psychology , Oocyte Donation , Parent-Child Relations , Pregnancy/physiology , Tissue Donors , Adult , Child, Preschool , Data Collection , Female , Humans , Infant, Newborn , Male , Middle Aged , Paternal Behavior , Privacy , Surveys and Questionnaires , United StatesABSTRACT
PURPOSE: To discuss the label, definition, defining characteristics, and related factors of a proposed nursing diagnosis, "ineffective family participation in professional care." DATA SOURCES: Published research articles, clinical handbooks, textbooks. DATA SYNTHESIS: Although a number of family-related nursing diagnoses exist, none really addresses the problems encountered if family members are unwilling or unable to participate in patient care. This is critical because the bulk of care occurs outside the hospital setting. CONCLUSIONS: A new nursing diagnosis, "Ineffective family participation in professional care" is needed. This diagnosis has been submitted to the Nursing Diagnosis Extension and Classification for consideration. PRACTICE IMPLICATIONS: With this diagnosis nurses could encourage family participation in care more effectively by focusing on assessment and interventions.
