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Determining Pediatric Trauma (New Injury Severity Score and Trauma Injury Severity Score) 确定儿科创伤(新损伤严重程度评分和创伤损伤严重程度评分)
Pub Date : 2021-06-11 DOI: 10.1097/JPS.0000000000000314
Amy L Brammer
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引用次数: 0
Institutional Protocol Evolution for Screening Surgical Patients During the COVID-19 Pandemic 新冠肺炎大流行期间筛查外科患者的机构方案演变
Pub Date : 2021-06-03 DOI: 10.1097/JPS.0000000000000304
Rami P. Dibbs, A. Ferry, S. Mehl, J. Dunn, Joyce A. Enochs, Susannah M. Ferguson, Nakeisha M. Archer, A. Ward, Janet M. Winebar
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引用次数: 0
The Effect of Ostomy on Pediatric Patient and Family in Nursing 造口术对儿科患者及家庭护理的影响
Pub Date : 2021-06-03 DOI: 10.1097/JPS.0000000000000313
Hatice Uzşen, Şeyda Binay Yaz, Merve Gumus
Aim This study aimed to examine the studies on children with stoma/ostomy in the field of nursing in terms of nursing science. Method This was a qualitative research based on a document analysis of the studies, and it was designed as a systematic review. It was carried out in accordance with the Centre for Reviews and Dissemination guide. The databases of EBSCOhost, PubMed, Science Direct, Google Scholar, and Web of Science were searched between January 2010 and October 2020, and the studies on ostomy in pediatric patients were examined. The search was conducted by using the English keywords including “ostomy/stoma, children, nursing care.” Inclusion and exclusion criteria to select studies were determined based on the PICOS method (P = populations, I = interventions, C = comparison, O = outcomes, and S = study type). Data were extracted by two researchers independently. All studies were examined in full text, and it was decided which studies to include in the systematic review. Results In this study, 9,857 studies were found by entering the keywords in the first search. Among these, 87 studies were selected when their titles, abstracts, and keywords were examined. By the inclusion criteria, 20 studies from the EBSCOhost, PubMed, Scopus, Google Scholar, and Science Direct databases were included in the study. Conclusion It was observed that the most common studies were the ones that were investigating the problems experienced by the children with an ostomy and their parents and its effects on them. It has been suggested that this systematic review will form a base for the experimental or randomized controlled studies that are needed in the field of ostomy and make a contribution to the literature.
目的从护理学的角度对儿童造口术在护理领域的研究进行综述。方法本研究是在文献分析的基础上进行定性研究,设计为系统综述。它是按照审查和传播中心的指南进行的。检索2010年1月至2020年10月EBSCOhost、PubMed、Science Direct、谷歌Scholar和Web of Science等数据库,对儿科患者造口术的相关研究进行分析。搜索使用的英文关键词包括“造口术/造口术,儿童,护理”。根据PICOS方法确定入选和排除标准(P =人群,I =干预措施,C =比较,O =结局,S =研究类型)。数据由两位研究者独立提取。所有的研究都被全文审查,并决定将哪些研究纳入系统评价。结果在本研究中,通过在第一次搜索中输入关键词,共找到9857篇研究。通过考察题目、摘要和关键词,从中筛选出87篇研究。根据纳入标准,来自EBSCOhost、PubMed、Scopus、b谷歌Scholar和Science Direct数据库的20项研究被纳入研究。结论调查造口患儿及其父母所遇到的问题及其对其影响的研究最为普遍。有人建议,本系统综述将为造口术领域的实验或随机对照研究奠定基础,并对文献做出贡献。
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引用次数: 0
Increasing Family Education and Support Opportunities 增加家庭教育和支持机会
Pub Date : 2021-06-03 DOI: 10.1097/JPS.0000000000000312
Matthew J. Tvedte, Amelia S. Henaghan, P. Nandivada, Belinda H. Dickie
Introduction The medical and surgical care of individuals diagnosed with an anorectal malformation (ARM) has become increasingly standardized with greater attention to the importance of holistic and long-term treatment approaches. Development of opportunities for social connection and peer support among individuals diagnosed with an ARM and their families is a valuable contribution to care for this population. The desire to increase these types of opportunities in our center led to the development of a family education and peer support day for individuals with ARM and their families. Methods We identify and describe five priorities for event development: (a) securing hospital and center-based leadership support, (b) maximizing family input, (c) limiting financial burden, (d) maintaining an interdisciplinary approach, and (e) building on existing connections. Results A 1-day event was developed, which included educational presentations, Question and Answer with an expert panel, group discussion, and group activities. The event was attended by 42 participants including 28 caregivers, 12 patients, and two siblings, representing 18 distinct family groups. Overall feedback for the event (response rate: 50%) was positive. Discussion The development of a family education and support event was found to be a valuable experience for providers, patients, and families. Families appeared to benefit from both the education provided and the opportunity to engage with others with similar lived experiences. Implications for future events include greater emphasis on opportunities for peer connections, greater emphasis on the adolescent experience, and expansion of included diagnoses.
引言诊断为肛门直肠畸形(ARM)患者的医疗和外科护理越来越规范,人们越来越重视整体和长期治疗方法的重要性。在被诊断为ARM的个人及其家人之间发展社会联系和同伴支持的机会是对照顾这一人群的宝贵贡献。希望在我们中心增加这些类型的机会,因此为ARM患者及其家人设立了家庭教育和同伴支持日。方法我们确定并描述了事件发展的五个优先事项:(a)确保医院和中心的领导支持,(b)最大限度地增加家庭投入,(c)限制经济负担,(d)保持跨学科的方法,以及(e)建立现有的联系。结果制定了为期一天的活动,包括教育演示、专家小组问答、小组讨论和小组活动。42名参与者参加了此次活动,其中包括28名护理人员、12名患者和两名兄弟姐妹,代表18个不同的家庭群体。事件的总体反馈(回复率:50%)是积极的。讨论家庭教育和支持活动的开展被认为是提供者、患者和家庭的宝贵经验。家庭似乎从所提供的教育和与其他有类似生活经历的人交往的机会中受益。对未来事件的影响包括更加重视同伴联系的机会,更加重视青少年的经历,以及扩大纳入的诊断。
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引用次数: 1
Introduction to Issue on Gastrointestinal Tubes and Enteral Feeding 胃肠管和肠道喂养问题介绍
Pub Date : 2021-05-22 DOI: 10.1097/JPS.0000000000000319
R. H. Lao
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引用次数: 0
Navigating the Transition From Nasogastric to Gastrostomy Tube Feeding for Infants and Young Children With Craniofacial Abnormalities 患有颅面异常的婴幼儿从鼻内镜到胃造口管喂养的过渡
Pub Date : 2021-05-19 DOI: 10.1097/JPS.0000000000000316
B. Leland, L. Wocial
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引用次数: 0
From Pediatric Surgical Patient to Future Nurse 从儿科外科病人到未来护士
Pub Date : 2021-05-19 DOI: 10.1097/JPS.0000000000000275
Alazahe Antonio, A. Catlin
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引用次数: 0
Moving Forward: From Struggle to Strength 前进:从奋斗到力量
Pub Date : 2021-05-15 DOI: 10.1097/JPS.0000000000000315
Monique S. Jenkins
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引用次数: 0
Firearm Safety 枪枝管制
Pub Date : 2021-05-15 DOI: 10.1097/JPS.0000000000000305
Nina Hoskins, Rachel Joseph, S. Akers
Abstract Firearm-related injuries to children are reported as one of the top 10 causes of death for all age groups of children. Over 250 children are shot unintentionally each year, with 150 deaths per annum. Accidental shootings occur when a child has access to a family member's weapon and ammunition in the home. This article summarizes the literature on accidental shootings in the home, not including intentional homicides, suicides, or mass shootings. The pediatric surgical nurse can attempt to decrease this tragedy by providing prevention education at every pediatric visit.
摘要据报道,与火器有关的儿童伤害是所有年龄组儿童死亡的十大原因之一。每年有250多名儿童被枪杀,每年有150人死亡。当儿童在家中接触到家庭成员的武器和弹药时,就会发生意外枪击事件。本文总结了关于家庭意外枪击的文献,不包括故意杀人、自杀或大规模枪击。儿科外科护士可以通过在每次儿科就诊时提供预防教育来减少这种悲剧。
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引用次数: 0
Improving Operating Room Start Times 改善手术室启动时间
Pub Date : 2021-05-05 DOI: 10.1097/JPS.0000000000000308
Melissa A. Duffy, K. Capusan, Annie Shea
Abstract The Pre-Surgical Testing program at Cohen Children's Medical Center launched in 2012. We evaluate approximately 7,000 patients per year who are scheduled for outpatient and inpatient surgeries from all pediatric surgical services. The Pre-Surgical Testing program providers are pediatric and family nurse practitioners (NPs). In 2017, the NP role expanded into the inpatient setting. We started to evaluate patients scheduled for emergency procedures, sedated radiology studies, and invasive procedures. We identified high-risk patients, which provided anesthesiologists with the critical information they needed to deliver safe patient care. In 2018, the NPs further expanded into the ambulatory setting. Our role includes preoperative orders, managing postoperative pain, entering discharge medications, and providing continuing education to nursing staff. From February 2018 to August 2018, first-case start times have improved by 20%. The combination of clinical knowledge and experience makes NPs uniquely qualified to identify high-risk patients scheduled for surgery. Other institutions may consider NPs in their postoperative areas to improve OR start times and, more generally, patient safety.
摘要科恩儿童医疗中心的术前测试项目于2012年启动。我们每年评估约7000名来自所有儿科外科服务的门诊和住院手术患者。术前测试项目的提供者是儿科和家庭执业护士(NP)。2017年,NP的角色扩展到住院患者。我们开始评估计划进行紧急手术、镇静放射学研究和侵入性手术的患者。我们确定了高危患者,这为麻醉师提供了提供安全患者护理所需的关键信息。2018年,NPs进一步扩展到门诊环境。我们的职责包括术前医嘱、管理术后疼痛、输入出院药物以及为护理人员提供继续教育。从2018年2月到2018年8月,首次病例开始时间提高了20%。临床知识和经验的结合使NP具有独特的资格来识别计划进行手术的高危患者。其他机构可能会考虑在术后区域使用NP,以提高OR开始时间,更普遍地说,提高患者安全性。
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引用次数: 0
期刊
Journal of pediatric surgical nursing
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