Nursing science - Second year ▪️ NursingSubject: Child health nursing ▪️ Chapter 1: Introduction▪️Topic 2. TRENDS IN PEDIATRIC NURSING

Nursing science - Second year Nursing

Subject: Child health nursing
Chapter 1: Introduction
Topic 2. TRENDS IN PEDIATRIC NURSING

TRENDS IN PEDIATRIC NURSING

▪️INTRODUCTION

Remarkable change has occurred in the field of pediatric nursing in recent years due to the changing needs of society medical and technological advancing political interest and changing trends within the nursing profession.

▪️HISTORICAL PERSPECTIVES

The modern concept care is part of a great historical pageantry that involved cultures of many people present day child health nurse should know something of the part to appreciate the present fully.

▪️EARLY MODERN WORLD

In the 16TH century two great medical books were published:

1. “THE BOOK OF CHILDREN” by Thomas phare .
2. “THE CHILDRENS BOOK” by Felix wurtz in Germany.

They found a lot of hazardous practices in feeding clothing. Rarely infants were breast fed, instead infants received different types of soups and sugar solutions or water.

In 1748 William Cadogans easy on nursing called attention to unhealthy children practices and identified over dressing, over feeding and poor diet as contributing factors to childhood illness. This encouraged breast feeding and urged parents to dress infants in loose and lightweight garments.

Abraham Jacobi ( father of pediatrics ). He started several new York hospitals and was one of the founders of the American pediatric society in 1888.

During the 19TH century people recognized the effects of childhood labor and poverty.

▪️MODERN CONCEPT OF CHILD CARE

Child health nursing is undergoing tremendous advancement just like pediatric medicine and surgery. The current trends in the practice are based on research that have taken place in the field of pediatric nursing.

▪️TRENDS ARE FOLLOWING:

1. Family centered care
2. High technology care
3. Evidence based practice
4. A traumatic care
5. Cost containment
6. Prevention and health promotion

1.FAMILY CENTERED CARE

It is based on philosophy that the quality care can be provided in an environment that supports family integrity and promotes psychological health of the family. Parents know best about their child's need more aware of their child's behaviour and habits.

2. HIGH TECHNOLOGY CARE

Advancement in the medical field has created the care of children too technologically versatile .The nurse also needs to be technologically competent enough to meet the nursing care need of children.The advancement in diagnostic technology has made detection of many disorders even in the fetal period .

3. EVIDENCE BASED PRACTICE In evidence based practice nurses need to make decisions on the best available evidence . Nursing provides a systematic approach to enable nurses to effectively use. Clinical practice guidelines and patient centered care will help the nursing team move toward evidence based practice and improve the process of care.

4. ATRAUMATIC CARE

It is a provision of therapeutic care set by personnel and with interventions to minimize the physical and psychological distress experienced by children and their families in the health care system.

5. COST CONTAINMENT

It is a management technique utilized to reduce the cost of hospitalization.

6.PREVENTION AND HEALTH PROMOTION

The pediatric nurse applied health promotion and health maintenance in all settings in which children are served .The nurse provides a comprehensive background on all aspects of children and the understanding of child growth and development. The majority of children's health problems are preventable .
MCQ:

1. Family-centered care in pediatric nursing focuses on:
a. Providing care only to the child, excluding the family.
b. Promoting the psychological health of the child.
c. Excluding parents from decision-making processes.
d. Supporting family integrity and involving parents in care decisions.

2. High technology care in pediatric nursing refers to:
a. The use of advanced medical equipment and procedures.
b. Eliminating technology from the care of children.
c. Limiting the use of technological advancements in pediatric nursing.
d. Excluding parents from understanding medical technology.

3. Evidence-based practice in pediatric nursing involves:
a. Making decisions based on personal opinions and experiences.
b. Ignoring research findings and relying solely on clinical judgment.
c. Using the best available evidence to guide nursing practice.
d. Relying on intuition and gut feelings when providing care.

4. Atraumatic care in pediatric nursing aims to:
a. Minimize physical and psychological distress for children and their families.
b. Maximize the use of painful procedures to diagnose and treat children.
c. Exclude children from participating in their own care decisions.
d. Focus only on physical distress while neglecting psychological well-being.

5. Cost containment in pediatric nursing is a management technique used to:
a. Increase the cost of hospitalization for children.
b. Reduce the quality of care provided to children.
c. Minimize the expenses associated with pediatric nursing.
d. Maximize the financial burden on families of hospitalized children.

6. Prevention and health promotion in pediatric nursing involve:
a. Ignoring preventive measures and focusing solely on treatment.
b. Providing comprehensive care to children regardless of their health status.
c. Neglecting the understanding of child growth and development.
d. Emphasizing the importance of preventive measures to avoid health problems in children.

Answers:

d. Supporting family integrity and involving parents in care decisions.
a. The use of advanced medical equipment and procedures.
c. Using the best available evidence to guide nursing practice.
a. Minimize physical and psychological distress for children and their families.
c. Minimize the expenses associated with pediatric nursing.
d. Emphasizing the importance of preventive measures to avoid health problems in children.

Short answer questions:

1. What is family-centered care in pediatric nursing?
2. How does high technology care impact pediatric nursing?
3. What is evidence-based practice in pediatric nursing?
4. Define atraumatic care in the context of pediatric nursing.
5. What is the goal of cost containment in pediatric nursing?
6. How does pediatric nursing contribute to prevention and health promotion?

Long answer questions:

1. A. Discuss the importance of family-centered care in pediatric nursing.

B. Explain how family-centered care principles can be applied in various healthcare settings to enhance the overall well-being of children and their families.

2. A. Explain the concept of evidence-based practice in pediatric nursing.

B. Discuss the steps involved in implementing evidence-based practice and how it can improve the quality of care provided to children.

C. Provide examples of how evidence-based practice can be applied in pediatric nursing scenarios.