A Safety Mnemonic for Pediatric Oncology Patients: Knowledge, Confidence and Skills Accuracy During Simulation

Cancer is the second leading cause of death in the United States, surpassed only by heart disease [1]. Approximately 1.6 million Americans will receive treatment for a variety of cancers annually [2]. This increase in oncology nursing care opportunities highlights the need to ensure that nurses have the skills, knowledge, and tools that allow them to safely provide care. Because Undergraduate nursing education often does not provide in-depth coverage of the principles of safe oncology nursing care required for children or adults, this study addressed protocols used when caring for chemotherapy pediatric patients using a chemotherapy mnemonic. The purpose of this pilot study (N=85), using quasi experimental methods, was to investigate the effect of a teaching intervention using a “safety” mnemonic and high fidelity simulation to investigate the effect of the teaching intervention and mnemonic on students’ reported confidence, knowledge of oncology nursing care content, and skills accuracy. The CHEMO SAFE SOUND mnemonic was evaluated by oncology expert nurses for construct and content validity, and for accuracy of chronology (steps). Results demonstrated that students’ confidence was increased by the activity and the use of the mnemonic. Students scored high on the knowledge pre-test. Only 55% of the students (N=70) were able to perform a sterile procedures and 85% of the students (N=108) were able to state the full safety mnemonic accurately. Further research is needed to investigate how students perform on the skills prior to the simulation. An expansion of the methods should include a pre-intervention assessment of chemotherapy skills. A larger sample size should be used and repeated measures to capture retention should be implemented

Watchfully checking rapport with the Primary Child Health Care nurses - a theoretical model from the perspective of parents of foreign origin

<p>Abstract</p> <p>Background</p> <p>Worldwide, multicultural interaction within health care seems to be challenging and problematic. This is also true among Primary Child Health Care nurses (PCHC nurses) in the Swedish Primary Child Health Care services (PCHC services). Therefore, there was a need to investigate the parents' perspective in-depth.</p> <p>Aim</p> <p>The aim of the study was to construct a theoretical model that could promote further understanding of the variety of experiences of parents of foreign origin regarding their interaction with the PCHC nurses at PCHC services.</p> <p>Method</p> <p>The study used Grounded Theory Methodology. Twenty-one parents of foreign origin in contact with PCHC servicies were interviewed.</p> <p>Results</p> <p>In our study parents were watchfully checking rapport, i.e. if they could perceive sympathy and understanding from the PCHC nurses. This was done by checking the nurse's demeanour and signs of judgement. From these interviews we created a theoretical model illustrating the interactive process between parents and PCHC nurses.</p> <p>Conclusion</p> <p>We found it to be of utmost importance for parents to be certain that it was possible to establish rapport with the PCHC nurse. If not, disruptions in the child's attendance at PCHC services could result. PCHC nurses can use the theoretical model resulting from this study as a basis for understanding parents, avoiding a demeanour and judgements that may cause misunderstandings thus promoting high-quality interaction in PCHC services.</p

The Power of Children - Childhood Cancer: Knowledge for the Soul, Narrations for the Heart

Narrations and examples of exceptional patient interactions as well as chapters on nursing care issues in pediatric oncology symptom management and nursing care.https://scholar.dominican.edu/books/1044/thumbnail.jp

Safe Maternity & Pediatric Nursing Care [2nd Edition]

The text, written specifically for LPNs/LVNs, provides the comprehensive nursing knowledge they need to understand in this key course. Online Resources equip instructors with the lesson plans, teaching resources, and activities to create an active classroom environment where students can apply what they’re learning. Davis Edge online quizzing tracks student progress; assesses their knowledge; prepares students for classroom exams and the NCLEX®; and provides real time analytics to identify their weak concepts and topic areas. -publisher\u27s description-https://scholar.dominican.edu/faculty-authored-books/1002/thumbnail.jp

Pediatric Nursing Care: A Concept-Based Approach

Pediatric Nursing Care: A Concept-Based Approach teaches undergraduate nursing students the need to know information for working in a pediatric nursing environment. The text has a strong focus on patient safety and QSEN competencies as well as the Family Centered Care Theory. This pediatric-focused text emphasizes communication and interdisciplinary team work, provides family education guidelines, questions for soliciting health history and employs a concept-based approach to the content. This text is differentiated from others through its unique approach to family dynamics including constellation, culture and religious influences to pediatric treatment. Key Features: Evolving case studies per chapter Concept-based exercises Critical thinking clinical exercises Research tips and facts Emphasis on unique aspects of family dynamics Practice-centered case studies drawn from clinical experience Pharmacological “Must Know” tips provide link between content and drug safety Navigate 2 Premier Access. ~publisher\u27s description~https://scholar.dominican.edu/books/1127/thumbnail.jp

When Parents Say No: Religious and Cultural Influences on Pediatric Healthcare

Pediatric trauma and intensive care units are populated with children from all walks of life who speak various languages and have different customs and religious practices. They look to their parents to be their voice and to keep them safe. Parents are usually a valued part of the pediatric healthcare team. But what happens when those parents appear to be acting as adversaries rather than advocates? What happens when parents seek to follow their cultural or religious customs to aid their child’s recovery, and those practices prohibit or delay modern medical treatments? This book belongs in the hands of every pediatric healthcare professional, as well as social services professionals and clergy who deal with children and their families in these situations.https://scholar.dominican.edu/books/1019/thumbnail.jp

Study Guide for Safe maternity & Pediatric Nursing

Each chapter in the Study Guide corresponds to a chapter in the text. Exercise by exercise, activity by activity, you’ll develop your critical-thinking and problem-solving skills while mastering the principles, concepts, and procedures essential to success in the classroom and in practice. ~ Publisher\u27s Description ~https://scholar.dominican.edu/books/1116/thumbnail.jp

Peds Notes: Nurse\u27s Clinical Pocket Guide [2nd Edition]

A DAVIS’S NOTES BOOK! Your one-stop source for class, clinical, and practice! This pocket-sized, quick reference is sure to become your #1 pediatric resource! You’ll find all of the information you need to deliver safe, effective care for children based on their age, size, developmental level, and unique pathologies. Write-on, wipe-off, reusable pages make it easy to take notes in any setting! -publisher description-https://scholar.dominican.edu/faculty-authored-books/1001/thumbnail.jp

Against Medical Advice: Addressing Treatment Refusal

Refusal, delay, or limitation of medical treatments, including vaccines, is an increasing phenomenon facing nurses and other healthcare practitioners daily. When a patient or family refuses treatment—maybe even lifesaving treatment—because it is contrary to their social, religious, or cultural beliefs, it can plunge healthcare providers, families, and patients into a difficult, emotionally charged conversation. Complex and diverse ethical dilemmas such as this can profoundly impact the health, welfare, and mental and emotional well-being of everyone involved. What’s more, today’s nurses and healthcare professionals will almost inevitably face this situation or one like it. Against Medical Advice details many of the medical, legal, social, cultural, and religious factors associated with treatment refusals. Authors Luanne Linnard-Palmer and Ellen Christiansen prepare healthcare professionals to compassionately assess and understand people’s beliefs, cultures, and philosophical perspectives. Their proven strategies and step-by-step examples guide providers to consider the patient’s and family’s point of view, share concerns with other healthcare team members, and negotiate the best possible outcome for all involved. -publisher description-https://scholar.dominican.edu/faculty-authored-books/1000/thumbnail.jp

PedsNotes: Nurse\u27s Clinical Pocket Guide

This pocket-size rapid reference presents all of the information needed to deliver safe, effective care for children based on their age, size, developmental level, and unique pathologies.https://scholar.dominican.edu/books/1020/thumbnail.jp