Pub Date : 2021-04-22DOI: 10.1097/JPS.0000000000000298
Kate Isabel Juanillo
{"title":"Updated Use of Maggots for Debridement","authors":"Kate Isabel Juanillo","doi":"10.1097/JPS.0000000000000298","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000298","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45699624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-17DOI: 10.1097/JPS.0000000000000307
T. Larery
{"title":"Impact of Childhood Obesity in America","authors":"T. Larery","doi":"10.1097/JPS.0000000000000307","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000307","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46182121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-08DOI: 10.1097/JPS.0000000000000306
C. Shelton
Supplemental digital content is available in the text. Abstract Simulation is an innovative teaching tool that is widely used to improve nursing practice. The recent COVID-19 pandemic has revealed new areas of learning for nurses who care for patients in acute healthcare settings. Particularly, the COVID-19-positive patient who experiences a medical emergency, such as a code blue, needs nurses who are skilled in safely delivering lifesaving interventions. This article provides a review of the literature on the use of simulation to improve nurses' response to a code blue emergency with patients with COVID-19. This review includes literature on using simulation to enhance donning and doffing of personal protective equipment. No previous literature discussed conducting a code blue rescue with a patient who has COVID-19. On the basis of the literature reviewed, simulation should be considered as a tool to improve code blue outcomes, confidence of nurse responders, and compliance in proper donning and doffing of personal protective equipment. This article offers implications for further research on the use of simulation to advance knowledge about best practices for nurse response to COVID-19 code blue. Highlights: • Simulation is a tool that improves code blue outcomes, such as improving early recognition of cardiac emergencies and time to first compressions. • The COVID-19 pandemic has left nurses with increased fear and anxiety when caring for patients with COVID-19. • Simulation provides a safe environment for nurses to practice donning and doffing of personal protective equipment in preparation of a COVID-19 rescue. Key Points: • Simulation helps nurses deliver quality interventions in a code blue emergency. • Self-confidence of nurses caring for patients with COVID-19 must be addressed so quality of care can be delivered. • Simulation of COVID-19 code blue should be used as a training tool to improve outcomes for the patient and safety for nurses.
{"title":"Use of Simulation to Improve Nurses' Response to COVID-19 Code Blue","authors":"C. Shelton","doi":"10.1097/JPS.0000000000000306","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000306","url":null,"abstract":"Supplemental digital content is available in the text. Abstract Simulation is an innovative teaching tool that is widely used to improve nursing practice. The recent COVID-19 pandemic has revealed new areas of learning for nurses who care for patients in acute healthcare settings. Particularly, the COVID-19-positive patient who experiences a medical emergency, such as a code blue, needs nurses who are skilled in safely delivering lifesaving interventions. This article provides a review of the literature on the use of simulation to improve nurses' response to a code blue emergency with patients with COVID-19. This review includes literature on using simulation to enhance donning and doffing of personal protective equipment. No previous literature discussed conducting a code blue rescue with a patient who has COVID-19. On the basis of the literature reviewed, simulation should be considered as a tool to improve code blue outcomes, confidence of nurse responders, and compliance in proper donning and doffing of personal protective equipment. This article offers implications for further research on the use of simulation to advance knowledge about best practices for nurse response to COVID-19 code blue. Highlights: • Simulation is a tool that improves code blue outcomes, such as improving early recognition of cardiac emergencies and time to first compressions. • The COVID-19 pandemic has left nurses with increased fear and anxiety when caring for patients with COVID-19. • Simulation provides a safe environment for nurses to practice donning and doffing of personal protective equipment in preparation of a COVID-19 rescue. Key Points: • Simulation helps nurses deliver quality interventions in a code blue emergency. • Self-confidence of nurses caring for patients with COVID-19 must be addressed so quality of care can be delivered. • Simulation of COVID-19 code blue should be used as a training tool to improve outcomes for the patient and safety for nurses.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"11 1","pages":"180 - 184"},"PeriodicalIF":0.0,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46153616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-12DOI: 10.1097/JPS.0000000000000303
K. K, Basheerahamed J. Sikandar
Abstract Parenting helps socialization in children. The inevitable presence of digital media has a major impact on parent–child relationships and parenting skills. The increased use of digital devices, such as smartphones and tablets, by children forces the parents to change their parenting styles. Digital parenting refers to a process adopted by parents to monitor and regulate the activities of their young ones in handling digital devices. The main aim of this style is to protect their children from various online dangers. Parents need to use several approaches for regulating digital media behaviors of children, such as setting limits, practicing constructive discipline, spending time with their kids, and so forth. However, there are challenges associated with digital parenting. Some of the issues include unlimited access to Internet, parents’ job, reverse socialization, and so on. Pediatric nurses can help parents in successfully managing digital parenting styles through education and advocacy as part of health promotion activities of pediatric clients both in hospital and community settings.
{"title":"Digital Parenting","authors":"K. K, Basheerahamed J. Sikandar","doi":"10.1097/JPS.0000000000000303","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000303","url":null,"abstract":"Abstract Parenting helps socialization in children. The inevitable presence of digital media has a major impact on parent–child relationships and parenting skills. The increased use of digital devices, such as smartphones and tablets, by children forces the parents to change their parenting styles. Digital parenting refers to a process adopted by parents to monitor and regulate the activities of their young ones in handling digital devices. The main aim of this style is to protect their children from various online dangers. Parents need to use several approaches for regulating digital media behaviors of children, such as setting limits, practicing constructive discipline, spending time with their kids, and so forth. However, there are challenges associated with digital parenting. Some of the issues include unlimited access to Internet, parents’ job, reverse socialization, and so on. Pediatric nurses can help parents in successfully managing digital parenting styles through education and advocacy as part of health promotion activities of pediatric clients both in hospital and community settings.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"10 1","pages":"100 - 104"},"PeriodicalIF":0.0,"publicationDate":"2021-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44374433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-27DOI: 10.1097/JPS.0000000000000299
J. Stiekema
Abstract Anencephaly is a congenital defect in which the neural tube fails to fully close during the fourth week of embryonic development (Obeidi, Russell, Higgins, & O'Donoghue, 2010). The Medical Task Force on Anencephaly (1990) defined it as a condition with the following four characteristics: (a) A large portion of the skull is absent, (b) the scalp is absent over the skull defect, (c) the exposed tissue is hemorrhagic and fibrotic, and (d) the cerebral hemispheres are indistinguishable. Approximately one in every 4,647 births is affected by anencephaly, with an estimated 847 anencephalic infants born each year (Centers for Disease Control and Prevention, 2020). It is estimated that around 65% of anencephalic fetuses will die in utero, whereas those that survive to birth typically die within a few hours or days of life (Medical Task Force on Anencephaly, 1990). Anencephalic infants who do survive beyond birth often exhibit irregular breathing, requiring the use of mechanical ventilation to be kept alive. For decades, anencephalic infants have been the topic of a highly controversial and heated debate with regard to their status and potential as organ donors. Currently, anencephalic infants are not used as organ donors because they do not meet the criteria for brain death. To some, this seems like the elimination of a vital pool of organ donors, whereas others view this as preservation of the sanctity and dignity of human life. This highly disputed issue of anencephaly and how it relates to both brain death and organ donation is the topic of this discussion.
{"title":"An Analysis of the Controversial Relationship Between Anencephaly, Brain Death, and Organ Donation","authors":"J. Stiekema","doi":"10.1097/JPS.0000000000000299","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000299","url":null,"abstract":"Abstract Anencephaly is a congenital defect in which the neural tube fails to fully close during the fourth week of embryonic development (Obeidi, Russell, Higgins, & O'Donoghue, 2010). The Medical Task Force on Anencephaly (1990) defined it as a condition with the following four characteristics: (a) A large portion of the skull is absent, (b) the scalp is absent over the skull defect, (c) the exposed tissue is hemorrhagic and fibrotic, and (d) the cerebral hemispheres are indistinguishable. Approximately one in every 4,647 births is affected by anencephaly, with an estimated 847 anencephalic infants born each year (Centers for Disease Control and Prevention, 2020). It is estimated that around 65% of anencephalic fetuses will die in utero, whereas those that survive to birth typically die within a few hours or days of life (Medical Task Force on Anencephaly, 1990). Anencephalic infants who do survive beyond birth often exhibit irregular breathing, requiring the use of mechanical ventilation to be kept alive. For decades, anencephalic infants have been the topic of a highly controversial and heated debate with regard to their status and potential as organ donors. Currently, anencephalic infants are not used as organ donors because they do not meet the criteria for brain death. To some, this seems like the elimination of a vital pool of organ donors, whereas others view this as preservation of the sanctity and dignity of human life. This highly disputed issue of anencephaly and how it relates to both brain death and organ donation is the topic of this discussion.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"10 1","pages":"141 - 146"},"PeriodicalIF":0.0,"publicationDate":"2021-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43173948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-25DOI: 10.1097/JPS.0000000000000294
Marcia Pestana-Santos, Daniela Santos, J. Pinto, Sara Nunes, Lurdes Lomba
Introduction Needle procedures can be very painful for children and generate stress and anxiety. Virtual reality (VR) has been used to enhance a child's distraction for pain control during these procedures. This study aims to identify the advantages and limitations of VR used for pain control in procedures using needles in pediatrics. Methods Studies were limited to children aged 4–18 years undergoing a procedure involving needles and the use of VR with goggles, headset, or helmet. A comprehensive search strategy using CINAHL Complete, MedicLatina, Medline Complete, B-on, LILACS, and SciELO databases was undertaken to find relevant studies published from January 2015 to April 2020. The retained studies included experimental and quasi-experimental, randomized controlled trials and nonrandomized controlled trials as well as prospective and retrospective studies. Results The search yielded 80 articles. Of these, six articles met the inclusion criteria. Advantages found with the use of VR were (a) decrease of pain; (b) improvement of communication; (c) increased probability of success in performing the procedures; (d) reduction of anxiety, stress, distress, and fear; (e) easier handling of equipment; (f) almost complete isolation of external noise; and (g) low cost, lightness, and ease of transportation. Disadvantages reported were goggles' size and annoyance from repeated play and the occasional side effect of nausea. Discussion VR is considered an interactive digital therapeutic toy used with positive effects in clinical practice. As children become calmer, VR can also reduce nursing stress and improve communication between children and nurses.
{"title":"Virtual Reality as a Nonpharmacological Strategy in Pediatric Pain Control During Procedures With Needle Use","authors":"Marcia Pestana-Santos, Daniela Santos, J. Pinto, Sara Nunes, Lurdes Lomba","doi":"10.1097/JPS.0000000000000294","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000294","url":null,"abstract":"Introduction Needle procedures can be very painful for children and generate stress and anxiety. Virtual reality (VR) has been used to enhance a child's distraction for pain control during these procedures. This study aims to identify the advantages and limitations of VR used for pain control in procedures using needles in pediatrics. Methods Studies were limited to children aged 4–18 years undergoing a procedure involving needles and the use of VR with goggles, headset, or helmet. A comprehensive search strategy using CINAHL Complete, MedicLatina, Medline Complete, B-on, LILACS, and SciELO databases was undertaken to find relevant studies published from January 2015 to April 2020. The retained studies included experimental and quasi-experimental, randomized controlled trials and nonrandomized controlled trials as well as prospective and retrospective studies. Results The search yielded 80 articles. Of these, six articles met the inclusion criteria. Advantages found with the use of VR were (a) decrease of pain; (b) improvement of communication; (c) increased probability of success in performing the procedures; (d) reduction of anxiety, stress, distress, and fear; (e) easier handling of equipment; (f) almost complete isolation of external noise; and (g) low cost, lightness, and ease of transportation. Disadvantages reported were goggles' size and annoyance from repeated play and the occasional side effect of nausea. Discussion VR is considered an interactive digital therapeutic toy used with positive effects in clinical practice. As children become calmer, VR can also reduce nursing stress and improve communication between children and nurses.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"10 1","pages":"161 - 167"},"PeriodicalIF":0.0,"publicationDate":"2021-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48337513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-16DOI: 10.1097/JPS.0000000000000293
A. Catlin
{"title":"My Belly Has Two Buttons","authors":"A. Catlin","doi":"10.1097/JPS.0000000000000293","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000293","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43408014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-16DOI: 10.1097/JPS.0000000000000292
A. Catlin
{"title":"I Am Not Your Perfect Mexican Daughter","authors":"A. Catlin","doi":"10.1097/JPS.0000000000000292","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000292","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49662228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-16DOI: 10.1097/JPS.0000000000000296
L. Kimel
Theneed for feeding tubes or ostomies are common gastrointestinal surgical procedures for children. Once discharged, most of these children return to school. Because of this, the school should be considered as one of the children's homes upon discharge. Planning for medical care at school is a necessary part of the child's discharge planning. Active partnerships between parents, the medical care team, the school, including school nurses, and the education team can support families and promote safe and successful educational experiences for children (Corrigan et al., 2017). According to the Centers for Disease Control and Prevention, school nurses have threemain roles inmanaging children with chronic conditions: direct care, casemanagement, and advocating for students and families to access needed resources and supports (Centers for Disease Control and Prevention, 2017). By providing direct care and coordinating services between the school, home, and medical providers, school nurses assist in children's success and achievement in the learning process (Toothaker & Cook, 2018). Missed school because of frequent hospitalizations is a challenge for children with medically complex conditions, and monitoring may help prevent or shorten time away from the educational setting. Monitoring children with medical devices by the school nurse allows the healthcare team to quickly identify problems
需要喂食管或造口术是儿童常见的胃肠外科手术。一旦出院，这些孩子中的大多数就会回到学校。正因为如此，学校应该被视为孩子们出院后的家之一。学校医疗保健计划是儿童出院计划的必要组成部分。家长、医疗团队、学校(包括学校护士)和教育团队之间的积极合作关系可以支持家庭，促进儿童安全和成功的教育体验(Corrigan et al.， 2017)。根据美国疾病控制与预防中心(Centers for Disease Control and Prevention)的数据，学校护士在管理慢性病儿童方面有三个主要角色:直接护理、病例管理，以及倡导学生和家庭获得所需的资源和支持(疾病控制与预防中心，2017年)。通过在学校、家庭和医疗提供者之间提供直接照顾和协调服务，学校护士帮助儿童在学习过程中取得成功和成就(Toothaker & Cook, 2018)。由于频繁住院治疗而缺课对患有复杂疾病的儿童来说是一个挑战，监测可能有助于防止或缩短离开教育环境的时间。由学校护士用医疗设备监测儿童，可以让医疗团队快速发现问题
{"title":"Children Discharged With Feeding Tubes and Ostomies","authors":"L. Kimel","doi":"10.1097/JPS.0000000000000296","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000296","url":null,"abstract":"Theneed for feeding tubes or ostomies are common gastrointestinal surgical procedures for children. Once discharged, most of these children return to school. Because of this, the school should be considered as one of the children's homes upon discharge. Planning for medical care at school is a necessary part of the child's discharge planning. Active partnerships between parents, the medical care team, the school, including school nurses, and the education team can support families and promote safe and successful educational experiences for children (Corrigan et al., 2017). According to the Centers for Disease Control and Prevention, school nurses have threemain roles inmanaging children with chronic conditions: direct care, casemanagement, and advocating for students and families to access needed resources and supports (Centers for Disease Control and Prevention, 2017). By providing direct care and coordinating services between the school, home, and medical providers, school nurses assist in children's success and achievement in the learning process (Toothaker & Cook, 2018). Missed school because of frequent hospitalizations is a challenge for children with medically complex conditions, and monitoring may help prevent or shorten time away from the educational setting. Monitoring children with medical devices by the school nurse allows the healthcare team to quickly identify problems","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"10 1","pages":"68 - 72"},"PeriodicalIF":0.0,"publicationDate":"2021-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46378174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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