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1.
J Pediatr Nurs ; 77: e474-e479, 2024.
Article in English | MEDLINE | ID: mdl-38777675

ABSTRACT

PURPOSE: To evaluate the effect of a Simulation-based training (SBT) program on neonatal and paediatric nurses' knowledge regarding infant safe sleep practices. BACKGROUND: Sudden infant death syndrome (SIDS) presents a major public health concern, preventable through the promotion of optimal safe sleep practices, particularly among neonatal and paediatric nurses. Despite its effectiveness in enhancing nurses' knowledge and clinical skills, SBT is not an adopted training method for nurses in Egypt. DESIGN AND METHODS: A single-group pre- and post-test design involved 57 nurses from Neonatal Intensive Care Unit, Paediatric Intensive Care Unit, and Paediatric In-patient Unit. The study consisted of two stages. In the first stage, knowledge assessment to identify deficiencies. The second stage, researchers developed four SBT scenarios. Two of these scenarios were recorded for training purposes, while the other two were intended for nurses to actively participate in. Data were collected from May 2022 to January 2023. RESULTS: A significant improvement in nurses' knowledge of infant safe sleep practices and SIDS prevention was observed (p = 0.000). Nurses expressed high satisfaction with the training program (mean score 45.035 ± 4.38). CONCLUSION: This study provides evidence that simulation-based training is an effective approach to promoting safe infant sleep practices among neonatal and paediatric nurses. PRACTICE IMPLICATIONS: Integrating SBT programs into nursing education can enhance nurses' knowledge and skills in infant-safe sleep practices, providing a realistic and interactive learning experience.


Subject(s)
Clinical Competence , Simulation Training , Sudden Infant Death , Humans , Sudden Infant Death/prevention & control , Simulation Training/methods , Infant, Newborn , Female , Infant , Male , Pediatric Nursing/education , Egypt , Neonatal Nursing/education , Infant Care/methods , Nurses, Pediatric/education , Sleep/physiology , Adult , Nurses, Neonatal/education , Intensive Care Units, Neonatal
2.
J Pediatr Nurs ; 77: e211-e217, 2024.
Article in English | MEDLINE | ID: mdl-38658302

ABSTRACT

PURPOSE: This study was conducted to investigate the effect of training provided to pediatric nurses on their knowledge and attitude levels about artificial intelligence and robot nurses. DESIGN AND METHODS: In this study, a single-group pre- and post-test quasi-experimental design was used. Data were collected from pediatric nurses working in Training and Research Hospital located in western Turkey. Forty-three pediatric nurses participated in the study. The study data were collected using the "Pediatric Nurses' Descriptive Characteristics Form", "Artificial Intelligence Knowledge Form", and "Artificial Intelligence General Attitude Scale". RESULTS: The mean scores of the participating pediatric nurses obtained from the Artificial Intelligence Knowledge Form before, right after and one month after the training were 41.16 ± 14.95, 68.25 ± 13.57 and 69.06 ± 13.19, respectively. The mean scores they obtained from the Positive Attitudes towards Artificial Intelligence subscale of the Artificial Intelligence General Attitude Scale before and after the training were 3.43 ± 0.54 and 3.59 ± 0.60, respectively whereas the mean scores they obtained from its Negative Attitudes towards Artificial Intelligence subscale were 2.68 ± 0.67 and 2.77 ± 0.75, respectively. CONCLUSIONS: It was determined that the training given to the pediatric nurses about artificial intelligence and robot nurses increased the nurses' knowledge levels and their artificial intelligence attitude scores, but this increase in the artificial intelligence attitude scores was not significant. PRACTICE IMPLICATIONS: The use of artificial intelligence and robotics or advanced technology in pediatric nursing care can be fostered.


Subject(s)
Artificial Intelligence , Attitude of Health Personnel , Nurses, Pediatric , Pediatric Nursing , Robotics , Humans , Female , Male , Pediatric Nursing/education , Turkey , Nurses, Pediatric/psychology , Nurses, Pediatric/education , Adult , Nursing Staff, Hospital/psychology , Nursing Staff, Hospital/education , Clinical Competence , Education, Nursing, Continuing/methods
3.
Rev. cuba. pediatr ; 94(4)dic. 2022.
Article in Spanish | LILACS, CUMED | ID: biblio-1441815

ABSTRACT

La fecundidad adolescente en Cuba es elevada y muestra resistencia a su reducción en los últimos años a pesar de las acciones realizadas. Para promover una sexualidad responsable en los adolescentes, se requiere de un diferente y particular accionar de los pediatras. El objetivo de esta colaboración es aportar elementos que sensibilicen e involucren a los pediatras cubanos para que ofrezcan orientación a los adolescentes sobre el ejercicio de una sexualidad plena, libre y responsable, que contribuya a la reducción de la fecundidad y al cuidado integral de la salud sexual y reproductiva. El método utilizado fue la revisión de las legislaciones vigentes y las recomendaciones de varias sociedades internacionales de pediatría, respecto a la función e importancia de la especialidad en la prevención del embarazo adolescente. Se destacan las ventajas del pediatra para la prevención de la fecundidad adolescente, se explican las habilidades que deben adquirir para informar y orientar a los adolescentes, se analizan las barreras que debe favorecer el acceso del adolescente a la prevención de la fecundidad y se exponen las recomendaciones específicas para su actuación Se concluye que los pediatras cubanos pueden contribuir a la reducción de la fecundidad y mejorar el cuidado integral de la salud sexual y reproductiva de los adolescentes(AU)


Adolescent fertility in Cuba is high and shows resistance to its reduction in recent years despite the actions taken. To promote responsible sexuality in adolescents, a different and particular action of pediatricians is required. The objective of this collaboration is to provide elements that sensitize and involve Cuban pediatricians to offer guidance to adolescents on the exercise of a full, free and responsible sexuality, which contributes to the reduction of fertility and comprehensive care of sexual and reproductive health. The method used was the review of current legislation and the recommendations of several international pediatric societies, regarding the role and importance of the specialty in the prevention of adolescent pregnancy. The advantages of the pediatrician for the prevention of adolescent fertility are highlighted, the skills they must acquire to inform and guide adolescents are explained, the barriers that the pediatrician must face to favor the access of adolescents to prevent fertility are analyzed, and the specific recommendations for the action of the pediatrician in the prevention of adolescent fertility are exposed. It is concluded that Cuban pediatricians can contribute to the reduction of fertility and improve the comprehensive care of sexual and reproductive health of adolescents(AU)


Subject(s)
Humans , Adolescent , Physician's Role , Fertility , Reproductive Health/education , Pediatricians , Sex Counseling/trends , Nurses, Pediatric/education
4.
Clin Ter ; 172(2): 123-128, 2021 Mar 15.
Article in English | MEDLINE | ID: mdl-33763673

ABSTRACT

OBJECTIVE: The objective of this survey is to assess nurses and pe-diatric nurses' knowledge about pediatric procedures and to evaluate, according to the results, whether it may be useful to provide handbooks that include the main techniques, courses or CME. MATERIALS AND METHODS: This study is a cross-sectional survey car-ried out from 31st of May 2020 to 21st July 2020 including a sample of 811 subjects. To analyze data obtained from questionnaire, it has been used Distribution Frequency, analysis of variance and multiple regression analysis. RESULTS: The sample analyzed, 585 nurses and 226 pediatric nurses, aged >20years, originates from central Italy (54,7%). Most profes-sionals had a post degree training (66,8%) According to ANOVA, the subjects with major knowledge of pediatric procedures are male (p=<0,001) and pediatric nurses (p=< 0,001); furthermore, post degree training (p=0,004) and a larger amount of years of service (p= <0,001) could affect significantly professionals training. Moreover, based on multiple linear regression analysis, what played a major role in a better nurse education was the higher age, 31-40 years old (p= <0,001) and origin from northern Italy (p=<0,001). CONCLUSIONS: After a literature review on the main database, this study appears to be the first of its genre. The Survey demonstrates how pediatric nursing techniques are poorly known within nursing environment. To give a contribution for a better improvement in this field it is requested a pediatric nursing degree or at least a master in pediatrics and continue training.


Subject(s)
Nurses, Pediatric/education , Pediatric Nursing/education , Pediatric Nursing/methods , Cross-Sectional Studies , DNA Helicases , Education, Nursing , Female , Humans , Italy , Male , Middle Aged , Nurses/standards , Nurses, Pediatric/standards , Surveys and Questionnaires , Young Adult
5.
GMS J Med Educ ; 38(1): Doc13, 2021.
Article in English | MEDLINE | ID: mdl-33659618

ABSTRACT

The COVID-19 pandemic has led to massive and aprupt changes in the training of health care professionals. Especially hands-on training can no longer take place in the usual form in everyday clinical practice. Rotations on the interprofessional training ward in Pediatrics (IPAPAED) at the University Medical Center Freiburg, had to be suspended starting March 2020. This report presents the interprofessional Covid-19 Replacement Program (I-reCovEr) as an alternative learning format for a rotation on the IPAPAED at the Center for Pediatric and Adolescent Medicine. I-reCovEr offers opportunities for pediatric nursing trainees (n=6) and medical students (n=9) to learn together, taking hygienic and distancing measures into account. Based on a case study, selected learning aspects regarding interprofessional cooperation and communication are targeted. The participants report increased knowledge about the work of the other professional group in the evaluation using the Interprofessional Socialization and Valuing Scale (ISVS) -9A. In comparison to participants of the IPAPAED, however, the self-evaluation did not reveal any self-perceived acquisition of other interprofessional skills or competences. I-reCovEr can therefore serve as an introduction to interprofessional training, but it cannot replace interprofessional learning and working on an interprofessional training ward.


Subject(s)
COVID-19/epidemiology , Interprofessional Relations , Nurses, Pediatric/education , Pediatrics/education , Communication , Cooperative Behavior , Education, Medical/organization & administration , Education, Nursing/organization & administration , Group Processes , Humans , Pandemics , Patient Care Team , SARS-CoV-2
6.
PLoS One ; 15(11): e0242440, 2020.
Article in English | MEDLINE | ID: mdl-33211744

ABSTRACT

BACKGROUND: The misdiagnosis of non-malarial fever in sub-Saharan Africa has contributed to the significant burden of pediatric pneumonia and the inappropriate use of antibiotics in this region. This study aims to assess the impact of 1) portable pulse oximeters and 2) Integrated Management of Childhood Illness (IMCI) continued education training on the diagnosis and treatment of non-malarial fever amongst pediatric patients being treated by the Global AIDS Interfaith Alliance (GAIA) in rural Malawi. METHODS: This study involved a logbook review to compare treatment patterns between five GAIA mobile clinics in Mulanje, Malawi during April-June 2019. An intervention study design was employed with four study groups: 1) 2016 control, 2) 2019 control, 3) IMCI-only, and 4) IMCI and pulse oximeter. A total of 3,504 patient logbook records were included based on these inclusion criteria: age under five years, febrile, malaria-negative, and treated during the dry season. A qualitative questionnaire was distributed to the participating GAIA providers. Fisher's Exact Testing and odds ratios were calculated to compare the prescriptive practices between each study group and reported with 95% confidence intervals. RESULTS: The pre- and post-exam scores for the providers who participated in the IMCI training showed an increase in content knowledge and understanding (p<0.001). The antibiotic prescription rates in each study group were 75% (2016 control), 85% (2019 control), 84% (IMCI only), and 42% (IMCI + pulse oximeter) (p<0.001). An increase in pneumonia diagnoses was detected for patients who received pulse oximeter evaluation with an oxygen saturation <95% (p<0.001). No significant changes in antibiotic prescribing practices were detected in the IMCI-only group (p>0.001). However, provider responses to the qualitative questionnaires indicated alternative benefits of the training including improved illness classification and increased provider confidence. CONCLUSION: Clinics that implemented both the IMCI course and pulse oximeters exhibited a significant decrease in antibiotic prescription rates, thus highlighting the potential of this tool in combatting antibiotic overconsumption in low-resource settings. Enhanced detection of hypoxia in pediatric patients was regarded by clinicians as helpful for identifying pneumonia cases. GAIA staff appreciated the IMCI continued education training, however it did not appear to significantly impact antibiotic prescription rates and/or pneumonia diagnosis.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Delivery of Health Care, Integrated , Education, Medical, Continuing , Education, Nursing, Continuing , Oximetry , Pneumonia/diagnosis , Practice Patterns, Physicians'/statistics & numerical data , Adult , Child, Preschool , Delayed Diagnosis , Delivery of Health Care, Integrated/organization & administration , Diagnostic Errors , Drug Utilization , Female , Fever/etiology , Humans , Hypoxia/diagnosis , Hypoxia/etiology , Infant , Infant, Newborn , Malawi , Male , Mobile Health Units/statistics & numerical data , Nurses, Pediatric/education , Oxygen/blood , Pediatricians/education , Pneumonia/blood , Pneumonia/drug therapy , Rural Population , Surveys and Questionnaires , Voluntary Health Agencies
7.
J Infus Nurs ; 43(5): 275-282, 2020.
Article in English | MEDLINE | ID: mdl-32881814

ABSTRACT

All nurses who care for neonates with peripherally inserted central catheters require enhanced awareness of the current practice guidelines and standards. This study evaluated the impact of an educational program on nurses' performance from May 2016 to July 2017 at 4 hospitals in Tehran, Iran. The performance of 80 nurses was observed and scored 3 times before the intervention. Four weeks after the last training session, their performance was observed with the same researcher, and the checklist was completed 3 times in different working shifts. Four 35- to 45-minute training sessions were completed with a 4-week follow-up. Results of the study indicated that training courses should be held every 6 months, including permanent or periodic feedback.


Subject(s)
Catheterization, Peripheral , Educational Measurement/statistics & numerical data , Nurses, Pediatric , Adult , Female , Humans , Infant, Newborn , Intensive Care Units, Neonatal , Iran , Male , Nurses, Pediatric/education , Nurses, Pediatric/statistics & numerical data , Practice Guidelines as Topic
8.
Complement Ther Med ; 52: 102426, 2020 Aug.
Article in English | MEDLINE | ID: mdl-32951704

ABSTRACT

OBJECTIVES: The purpose of this study was to test the feasibility of a training in hypnotic communication techniques (HCTech) for pediatric nurses to prevent procedural pain and distress in children during venipunctures. Specifically, this study aimed to (1) assess nurses' mastery of HCTech and (2) nurses' experience regarding the training program. METHODS: Participants were 6 female pediatric nurses and 33 of their cancer patients. Nurses took part in a 4-day theoretical and practical training in HCTech. Venipuncture procedures were video-recorded and assessed to evaluate nurses' mastery of HCTech using a standardized scale. Pre-training use of HCTech was compared with post-training and follow-up for the entire nurse sample and across nurses with the same patients (109 nurse-patient interactions). After the follow-up, nurses were questioned about their experience in regards to the training and activities (themes and practice). RESULTS: Results showed medium pre-post changes in hypnotic communication behaviours (pre-post d = 0.74), with changes maintaining at follow-up (pre-follow-up d = 0.97). Interviews transcripts' analyses revealed moderate levels of motivation and satisfaction regarding the training content and format. Nurses suggested to emphasize on the practice of HCTech in a noisy outpatient clinic as well as offer more practical exercises. CONCLUSION: A 4-day training in hypnotic communication techniques translated into the use of HCTech by nurses practicing in pediatric oncology when comparing the same dyads at baseline, post-training and follow-up. Results support further refinement and suggest nurses could be trained to prevent pain and distress with hypnosis-derived communication strategies.


Subject(s)
Attitude of Health Personnel , Communication , Hypnosis/methods , Nurse-Patient Relations , Nurses, Pediatric/education , Pain Management/methods , Phlebotomy/psychology , Adolescent , Adult , Child , Female , Humans , Neoplasms/therapy
9.
J Pediatr Oncol Nurs ; 37(5): 321-329, 2020.
Article in English | MEDLINE | ID: mdl-32659198

ABSTRACT

Nursing specialization in the care of children with cancer provides the foundation for implementing successful childhood cancer and blood disorder treatment programs throughout the world. Excellence in nursing education is at the center of all that is needed to maximize cures for children with cancer in low- and middle-income countries (LMIC). While the burden of childhood cancer care is the highest in LMIC, opportunities for continuing nursing education and specialization are extremely limited. Capacity-building programs using distance-based learning opportunities have been successful in sub-Saharan Africa and provide insight into successful, continuing professional development. The Global Hematology-Oncology Pediatric Excellence (HOPE) program part of Texas Children's Hospital in Houston, Texas, has developed and implemented a distance-based training program designed for nurses working in sub-Saharan Africa. Following a needs assessment, Global HOPE developed a program using both the Moodle (modular object-oriented dynamic learning environment) distance-based learning platform and computer notebooks that hold the course content. The program teaches basic principles of nursing care for a child with cancer and has been implemented in Malawi, Uganda, and Botswana. Courses are taught using a modular approach and core competencies are established for each module. Frequent teaching sessions using Zoom and WhatsApp reinforce independent learning experiences. Formal course evaluation includes written pre- and posttests, self-competency assessments, and simulated checkoffs on essential pediatric oncology nursing competencies. The success of this distance-based learning program emphasizes the importance of formal training for nurses in LMIC to become full-time specialists in pediatric oncology nursing.


Subject(s)
Education, Distance/methods , Education, Nursing, Continuing/methods , Neoplasms/nursing , Nurses, Pediatric/education , Oncology Nursing/education , Pediatric Nursing/education , Adolescent , Adult , Africa South of the Sahara/epidemiology , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , Neoplasms/epidemiology
10.
J Child Adolesc Psychiatr Nurs ; 33(3): 141-147, 2020 08.
Article in English | MEDLINE | ID: mdl-32506588

ABSTRACT

TOPIC: Mental illness and substance use have become areas of concern throughout society. One of the greatest concerns affecting the United States is the increased prevalence of opioid use and accidental overdose. The opioid epidemic not only impacts adults, it also affects the nation's most vulnerable youth. Children and adolescents are at high risk for substance abuse due to multiple risk factors including negative life events, family dysfunction, and parental substance abuse. PURPOSE: Pediatric nurses must be prepared to care for children and families who experience opioid addiction and overdose. The aim of the quality improvement project was to improve the skill set of nurses working with children and adolescents with substance use disorders (SUDs) in a pediatric psychiatric hospital. SOURCES USED: Nurses attended a 2-hr workshop focused on nursing interventions related to SUD utilizing Orlando's Nursing Theory and Brief Intervention Therapy. Following the workshop, nurses reported their perceived competence in caring for individuals at risk for or identified with SUD increased. CONCLUSION: The workshop appeared to be effective in increasing nurses' competence and confidence if working with youth and their families dealing with substance use issues.


Subject(s)
Clinical Competence , Nurses, Pediatric/education , Opioid-Related Disorders/nursing , Psychiatric Nursing/education , Adult , Child, Preschool , Hospitals, Pediatric , Hospitals, Psychiatric , Humans , Quality Improvement , United States
12.
PLoS One ; 14(10): e0223730, 2019.
Article in English | MEDLINE | ID: mdl-31600329

ABSTRACT

INTRODUCTION: Nurses encounter children who report of pain of diverse and unknown causes in their professional work. The current study therefore assessed and compared nursing students and nurses' knowledge and attitudes pertaining to children's pain in the Ghanaian context. The goal of this was to have a baseline information to guide the development and implementation of the content for a sustainable educational programme (short-course) for nursing students and nurses in Ghana. METHODS: Between October and December 2018, a cross-sectional study was carried out among 554 final year nursing students and 65 nurses in Ghana. The Pediatric Nurses Knowledge and Attitudes Survey Regarding Pain (PNKAS) was used to collect data from participants who were affiliated to four educational institutions and eight hospitals. Data were descriptively and inferentially analyzed using chi-square test of independence, independent samples t-test and one-way analysis of variance (ANOVA). RESULTS: Our findings revealed that nursing students and nurses generally had unsatisfactory knowledge and attitudes towards pain management in children. Nursing students however, had significantly higher scores than nurses in the total PNKAS score and in 10 out of the 13 identified item-areas. Greater scores were obtained by nursing students in areas which were related to pain physiology, pharmacokinetics, pharmacology of analgesics and pain perceptions (p < .05). All the participating nurses could not accurately determine: the onset of action of orally administered analgesics, equianalgesia of orally administered morphine, and the right dosage of prescribed morphine for a child who consistently reported of moderate to severe pain. CONCLUSION: Final year nursing students and nurses have unsatisfactory knowledge and attitudes regarding children's pain; which reiterates the need for urgent and effective educational efforts in this area. Regular in-service training should be offered to post-registration nurses to enhance their pediatric pain knowledge and attitudes for improved pain care in children.


Subject(s)
Health Knowledge, Attitudes, Practice , Nurses, Pediatric/standards , Pain/nursing , Students, Nursing/statistics & numerical data , Adult , Female , Ghana , Humans , Male , Middle Aged , Nurses, Pediatric/education , Students, Nursing/psychology
13.
Oncol Nurs Forum ; 46(3): 338-347, 2019 05 01.
Article in English | MEDLINE | ID: mdl-31007264

ABSTRACT

OBJECTIVES: To develop an evidence-based compassion fatigue program and evaluate its impact on nurse-reported burnout, secondary traumatic stress, and compassion satisfaction, as well as correlated factors of resilience and coping behaviors. SAMPLE & SETTING: The quality improvement pilot program was conducted with 59 nurses on a 20-bed subspecialty pediatric oncology unit at the St. Jude Children's Research Hospital in Memphis, Tennessee. METHODS & VARIABLES: Validated measures of compassion fatigue and satisfaction (Professional Quality of Life Scale V [ProQOLV]), coping (Brief COPE), and resilience (Connor-Davidson Resilience Scale-2) were evaluated preprogram and at two, four, and six months postprogram, with resilience and coping style measured at baseline and at six months postprogram. RESULTS: Secondary traumatic stress scores significantly improved from baseline to four months. Select coping characteristics were significantly correlated with ProQOLV subscale scores. IMPLICATIONS FOR NURSING: Ongoing organizational support and intervention can reduce compassion fatigue and foster compassion satisfaction among pediatric oncology nurses.


Subject(s)
Burnout, Professional/prevention & control , Compassion Fatigue/prevention & control , Nurses, Pediatric/psychology , Oncology Nursing , Pediatric Nursing , Adaptation, Psychological , Adult , Bereavement , Burnout, Professional/etiology , Burnout, Professional/psychology , Compassion Fatigue/etiology , Depression/etiology , Education, Nursing, Continuing , Female , Follow-Up Studies , Grief , Health Behavior , Humans , Job Satisfaction , Male , Nurse-Patient Relations , Nurses, Pediatric/education , Nutritional Support , Pilot Projects , Resilience, Psychological , Young Adult
14.
BMC Pediatr ; 19(1): 51, 2019 02 07.
Article in English | MEDLINE | ID: mdl-30732580

ABSTRACT

BACKGROUND: Newborn resuscitation is a life-saving intervention for birth asphyxia, a leading cause of neonatal mortality. Improving provider newborn resuscitation skills is critical for delivering quality care, but the retention of these skills has been a challenge. Tanzania implemented a national newborn resuscitation using the Helping Babies Breathe (HBB) training program to help address this problem. Our objective was to evaluate the effectiveness of two training approaches to newborn resuscitation skills retention implemented across 16 regions of Tanzania. METHODS: An initial training approach implemented included verbal instructions for participating providers to replicate the training back at their service delivery site to others who were not trained. After a noted drop in skills, the program developed structured on-the-job training guidance and included this in the training. The approaches were implemented sequentially in 8 regions each with nurses/ midwives, other clinicians and medical attendants who had not received HBB training before. Newborn resuscitation skills were assessed immediately after training and 4-6 weeks after training using a validated objective structured clinical examination, and retention, measured through degree of skills drop, was compared between the two training approaches. RESULTS: Eight thousand, three hundred and ninety-one providers were trained and assessed: 3592 underwent the initial training approach and 4799 underwent the modified approach. Immediately post-training, average skills scores were similar between initial and modified training groups: 80.5 and 81.3%, respectively (p-value 0.07). Both groups experienced statistically significant drops in newborn resuscitation skills over time. However, the modified training approach was associated with significantly higher skills scores 4-6 weeks post training: 77.6% among the modified training approach versus 70.7% among the initial training approach (p-value < 0.0001). Medical attendant cadre showed the greatest skills retention. CONCLUSIONS: A modified training approach consisting of structured OJT, guidance and tools improved newborn resuscitation skills retention among health care providers. The study results give evidence for including on-site training as part of efforts to improve provider performance and strengthen quality of care.


Subject(s)
Allied Health Personnel/education , Asphyxia Neonatorum/therapy , Clinical Competence , Inservice Training , Resuscitation/education , Humans , Infant , Infant, Newborn , Nurse Midwives/education , Nurses, Pediatric/education , Program Evaluation , Tanzania
15.
Compr Child Adolesc Nurs ; 42(1): 71-84, 2019 Mar.
Article in English | MEDLINE | ID: mdl-29293023

ABSTRACT

Children's nurses require a wide range of skills and knowledge to enable them to provide the best care for children and families, thus nurse educators must continually strive to ensure they create appropriate and meaningful learning for students in their journey to become children's nurses. Museum visits have been utilized previously within nurse education, but no evidence as to any added value of such visits on the learning of children's nursing students has been reported. This article highlights an innovative teaching strategy that was introduced to a group of year 1 children's nursing students-a field visit to the Museum of Childhood in London-and demonstrates the potential value to their learning. Students worked together in small groups within the museum exploring topics relevant to children's nursing. They had an opportunity to reflect and research further and then worked together to present their learning to their peers. Subsequent evaluation of both the visit and the presentation helped unravel the extent of student learning and highlighted that a range of different learning had taken place. Not without its challenges, the museum visit seemed to provide a meaningful learning experience for students, and suggestions for improving the learning for future similar groups have been explored.


Subject(s)
Museums , Students, Nursing/psychology , Teaching/standards , Education, Nursing, Baccalaureate , Humans , Learning , London , Nurses, Pediatric/education , Nurses, Pediatric/psychology , Pediatric Nursing/methods , Problem-Based Learning/methods , Problem-Based Learning/standards , Qualitative Research , Teaching/psychology
16.
Acad Pediatr ; 19(1): 118-129, 2019.
Article in English | MEDLINE | ID: mdl-29860134

ABSTRACT

OBJECTIVE: To assess barriers to and facilitators of shared decision making (SDM) for pediatric healthcare providers (HCPs) after they have been trained in SDM. METHODS: A mixed methods study using triangulation of data sources. Pediatric HCPs with SDM training who worked at a Canadian tertiary care pediatric hospital were eligible. Participants completed a validated SDM barriers survey (n = 60) and a semi-structured interview (n = 11). We calculated descriptive statistics. Univariate and multivariable ordinary least squares linear regression models determined predictors of HCPs' intention to use SDM. Interviews were audiotaped and transcribed verbatim. We analyzed qualitative data using deductive and inductive content analyses and organized categories according to the Ottawa Model of Research Use. RESULTS: Intention to use SDM was high (mean score = 5.6/7, SD = 0.78) and positively correlated with SDM use (RR = 1.46, 95% CI 1.18-1.81). However, 52% of survey respondents reported not using SDM after training. HCPs identified factors influencing SDM at the levels of innovation, adopter, environment, and training. Insufficient time (barrier) and buy-in and agreement with SDM (facilitators) were most commonly cited. To improve SDM use, HCPs want a more team-based approach to SDM training, continuing education, and implementation. CONCLUSIONS: Despite training and positive intentions, many HCPs report not subsequently using SDM and identified numerous post-training barriers to its use. To overcome SDM barriers and improve uptake, HCPs recommend creating a socially supportive environment through a team-based approach to SDM training and implementation. These findings can inform SDM training and implementation interventions at pediatric health care centers.


Subject(s)
Allied Health Personnel/education , Decision Making, Shared , Nurses, Pediatric/education , Pediatricians/education , Adult , Canada , Female , Humans , Intention , Least-Squares Analysis , Linear Models , Male , Middle Aged , Multivariate Analysis , Patient Participation , Physician-Patient Relations , Qualitative Research , Young Adult
17.
West J Emerg Med ; 21(1): 134-140, 2019 Dec 19.
Article in English | MEDLINE | ID: mdl-31913833

ABSTRACT

INTRODUCTION: The World Health Organization recently recognized the importance of emergency and trauma care in reducing morbidity and mortality. Training programs are essential to improving emergency care in low-resource settings; however, a paucity of comprehensive curricula focusing specifically on pediatric emergency medicine (PEM) currently exists. The African Federation for Emergency Medicine (AFEM) developed a PEM curriculum that was pilot-tested in a non-randomized, controlled study to evaluate its effectiveness in nurses working in a public Tanzanian referral hospital. METHODS: Fifteen nurses were recruited to participate in a two-and-a-half-day curriculum of lectures, skill sessions, and simulation scenarios covering nine topics; they were matched with controls. Both groups completed pre- and post-training assessments of their knowledge (multiple-choice test), self-efficacy (Likert surveys), and behavior. Changes in behavior were assessed using a binary checklist of critical actions during observations of live pediatric resuscitations. RESULTS: Participant-rated pre-training self-efficacy and knowledge test scores were similar in both control and intervention groups. However, post-training, self-efficacy ratings in the intervention group increased by a median of 11.5 points (interquartile range [IQR]: 6-16) while unchanged in the control group. Knowledge test scores also increased by a median of three points (IQR: 0-4) in the nurses who received the training while the control group's results did not differ in the two periods. A total of 1192 pediatric resuscitation cases were observed post-training, with the intervention group demonstrating higher rates of performance of three of 27 critical actions. CONCLUSION: This pilot study of the AFEM PEM curriculum for nurses has shown it to be an effective tool in knowledge acquisition and improved self-efficacy of pediatric emergencies. Further evaluation will be needed to assess whether it is currently effective in changing nurse behavior and patient outcomes or whether curricular modifications are needed.


Subject(s)
Curriculum , Pediatric Emergency Medicine/education , Pediatric Nursing/education , Case-Control Studies , Child , Clinical Competence/standards , Emergency Medical Services/standards , Hospitals, Public , Humans , Nurses, Pediatric/education , Nurses, Pediatric/standards , Pediatric Emergency Medicine/standards , Pediatric Nursing/standards , Pilot Projects , Referral and Consultation , Resuscitation/education , Resuscitation/standards , Surveys and Questionnaires , Tanzania
18.
Nurse Educ Pract ; 34: 85-89, 2019 Jan.
Article in English | MEDLINE | ID: mdl-30476728

ABSTRACT

Safeguarding children teaching is a required component in all pre-registration nursing curricula. A structured approach to this teaching as part of preparation for registration as a children's nurse was developed jointly by the Course Leader and the Designated Nurse for Safeguarding Children. This approach aims to equip children's nurses with the necessary theoretical knowledge and practical skills needed for safe practice. A key element in this curriculum is simulation, where students must assess injuries on manikins, select and complete appropriate documentation, and perform a nursing handover. Simulation has recognised value in nurse education but its use in safeguarding children teaching for student children's nurses has not previously been widely reported. This small-scale qualitative study explored the student experience and the impact of simulation teaching in the development of relevant knowledge and the core safeguarding skill set of observation, interpretation, documentation and communication. The methodology for this small, qualitative study was triangulated, comprising observation of the simulation teaching and two sets of semi-structured interviews. The resultant data was investigated using thematic analysis. The outcome of the study suggested that students were able to transfer learning from the simulation into clinical practice, and that simulation as an approach to safeguarding children teaching resonated with the students' preferred learning style and merits further consideration and evaluation.


Subject(s)
Clinical Competence/standards , Nurses, Pediatric/education , Pediatric Nursing/standards , Students, Nursing/psychology , Attitude of Health Personnel , Cohort Studies , Education, Nursing, Baccalaureate/methods , Humans , Patient Simulation , Pediatric Nursing/education , Qualitative Research , Simulation Training/methods
19.
Rev. medica electron ; 40(5): 1699-1718, set.-oct. 2018. graf
Article in Spanish | LILACS, CUMED | ID: biblio-978697

ABSTRACT

RESUMEN La formación del personal de salud a los más altos niveles, como aspira Cuba, constituye una tarea de primer orden, por lo que el ejemplo de docentes destacados constituye una fortaleza en este sentido. El objetivo del presente trabajo es socializar la historia de vida de Juana de Jesús Villalón Sánchez, licenciada en enfermería y destacada profesora, para mostrar sus valores éticos, humanistas y patrióticos, como ejemplo de la docencia y asistencia en la enfermería cubana correspondiéndose estos con los que se aspira del sector de la salud. Se desarrolló una investigación cualitativa, empleando la entrevista individual y el método histórico. Además, se utilizaron documentos inéditos relacionados con su trayectoria laboral, el cumplimiento de diferentes tareas encomendadas, así como, fotografías, testimonios, certificados y reconocimientos. Se describen diferentes etapas de su vida estudiantil, su trayectoria como enfermera y como profesora de Enfermería. Se hace referencia a su militancia comunista y en organizaciones de masas, su participación internacionalista en la República de Angola, en Yemen del Sur, en la República Bolivariana de Venezuela y pasajes de su vida familiar (AU).


ABSTRACT Health professionals' formation is undoubtedly one of the most valuable achievements of the Revolution so the example of the outstanding teachers constitute a pillar for the medical education. The objective of the current work is to socialize the life Juana de Jesús Villalón Sánchez, Bachelor of nursing and an outstanding teacher, showing her ethical-humanist and patriotic values, as an example of the teaching and assistance of the Cuban Nursing, which is in correspondence with what is expected from the Cuban Health System. A qualitative research was developed using the individual interview and the historical method. In addition, unpublished documents were used related to her professional career, the fulfillment of different tasks entrusted, as well as photographs, testimonies, certificates and acknowledgments. The study describes different stages of her school life, her professional career, as a nurse and as a nursing teacher. It also deals with her communist political affiliation and mass organizations activism. The paper includes her internationalist participation in the Republic of Angola, in South Yemen, and in the Bolivarian Republic of Venezuela. Passages of her family life are also described (AU).


Subject(s)
Humans , Female , Faculty, Nursing/history , Nurses, Pediatric/history , Nurse's Role/history , Faculty, Nursing/education , Nurses, Pediatric/education , Medical Missions , Nurses
20.
Rev. medica electron ; 40(5): 1699-1718, set.-oct. 2018. graf
Article in Spanish | CUMED | ID: cum-77399

ABSTRACT

RESUMEN La formación del personal de salud a los más altos niveles, como aspira Cuba, constituye una tarea de primer orden, por lo que el ejemplo de docentes destacados constituye una fortaleza en este sentido. El objetivo del presente trabajo es socializar la historia de vida de Juana de Jesús Villalón Sánchez, licenciada en enfermería y destacada profesora, para mostrar sus valores éticos, humanistas y patrióticos, como ejemplo de la docencia y asistencia en la enfermería cubana correspondiéndose estos con los que se aspira del sector de la salud. Se desarrolló una investigación cualitativa, empleando la entrevista individual y el método histórico. Además, se utilizaron documentos inéditos relacionados con su trayectoria laboral, el cumplimiento de diferentes tareas encomendadas, así como, fotografías, testimonios, certificados y reconocimientos. Se describen diferentes etapas de su vida estudiantil, su trayectoria como enfermera y como profesora de Enfermería. Se hace referencia a su militancia comunista y en organizaciones de masas, su participación internacionalista en la República de Angola, en Yemen del Sur, en la República Bolivariana de Venezuela y pasajes de su vida familiar (AU).


ABSTRACT Health professionals' formation is undoubtedly one of the most valuable achievements of the Revolution so the example of the outstanding teachers constitute a pillar for the medical education. The objective of the current work is to socialize the life Juana de Jesús Villalón Sánchez, Bachelor of nursing and an outstanding teacher, showing her ethical-humanist and patriotic values, as an example of the teaching and assistance of the Cuban Nursing, which is in correspondence with what is expected from the Cuban Health System. A qualitative research was developed using the individual interview and the historical method. In addition, unpublished documents were used related to her professional career, the fulfillment of different tasks entrusted, as well as photographs, testimonies, certificates and acknowledgments. The study describes different stages of her school life, her professional career, as a nurse and as a nursing teacher. It also deals with her communist political affiliation and mass organizations activism. The paper includes her internationalist participation in the Republic of Angola, in South Yemen, and in the Bolivarian Republic of Venezuela. Passages of her family life are also described (AU).


Subject(s)
Humans , Female , Faculty, Nursing/history , Nurses, Pediatric/history , Nurse's Role/history , Faculty, Nursing/education , Nurses, Pediatric/education , Medical Missions , Nurses
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