Changing trends in pediatrics nursing

1. PRESENTED BY
CHARUTA SUKHDEO KUNJEER
1ST MSC NURSING STUDENT
INE MUMBAI

2.  General objective:
At the end of the lecture student will able to gain
indepth knowledge regarding trends in pediatric
nursing.
 Specific objectives:
1. To define trends in pediatric nursing.
2. To describe trends in pediatric nursing.
3. To discuss role of family in child care.

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

4.  Remarkable change in the field of pediatric
nursing in recent years due to the changing
needs of society. Medical and technological
advancing interests and changing trends
within nursing profession

5.  Family centered care(FCC)
 Enabling
 Empowerment
 high technology care
 Evidenced-based practice(EBP)
 Atraumatic care
 Cost containment
 Prevention and health promotion

6.  It is based on the philosophy that quality care
can be provided in an environment that
support family .
 According to Johnson , Mc Gonial and
Kauffmann (1989)-the philosophy of FCC is
to recognize the family as the constant in a
child’s life and that the services system and
personnel must support, respect, encourages
and enhances strength of the family.

8.  It is based on the quality care provided in an
environment that support family integrity and
promote psychological health of the family.
 FCC provides holistic approach.
 Two basic concepts
en
enabling empowerment

9.  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 needs
of children.
 High technology induced ethical dilemmas
include controversial foetal surgery , foetal blood
transfussions , medical termination of pregnancy,
cloning, in-vitro fertilisation , female foeticide,
etc.

11.  Nurse needs to make decessions based on
evidences.
 It provides systemic approach to effectively
use the best solutions related to nursing
practice.
 Nurses needs to search the literature to
analyse evidences using biostatistics rules to
identify generalized ability of findings.

12.  Apply information for day-to-day clinical problem solving.
 Nursing focuses on the illness aspects of care-the human
response during disease and therapy.
 Clinical practice guidelines (CPG’s)
-Patient centered multidimensional, multidisciplinary plans of
care.
-Encourages practitioners accountablity.
-Improve the process of care delivery.
-EBC can be applied for the problem that seeks solution.
Major goal is high quality care at moderate cost.

13. Flow chart depicting the process of using evidence-based
practice in nursing:

14.  Primary nursing :
- It provides extreme
commitment to the patients
accountability.
- To maintain consistency of
care is to designate one primary
nurse and provide standard care
to the patient.
- Mainly focuses on family
unit as an integral component in
planning and implementing care.

15.  Case management :
- It is considered as an extension of primary
nursing.
- In this the quality of care is maintained i.e.
Care of delivery is a cost effective manner.
- Advantages:
1. Improved patient family satisfaction.
2. Decreased fragmentation.
3. Outcome of care provided.

17.  Child friendly environment should be
provided.
 Education and facilities should be provided.
 Staff should be sensitive related to family’s
individual needs i.e. social, educational,
cultural, religious needs.
 Ward should be equipped with skilled staff
members.

18.  Liberal meeting hours
and permitting
parents to be with
when child is
admitted.
 Promote orientation
to parents and child
of hospital.

19.  It is the provision of therapeutic care in
settings by personnel with interventions that
eliminates and minimizes the psychological
and physical distress experienced by children
and their families in the health care system.
 It mainly focuses to reduce mental and
physical harm.

20.  Three principles to be
followed in provision
are:
1.Prevent or minimize the
child’s separation from
family.
2.Promote sense of comfort.
3.Prevent of minimize
bodily injury and pain.

21. Some of the Nursing interventions for child
during hospitalization are as follows:
 foster parent-child relationship during
hospitalization.
 prepare the child before any procedure.
 control pain.
 provide child privacy.
 Minimize loss of control.
 respect cultural, social, religious differences.

22.  Cost containment is management technique
utilized to reduce cost of hospitalization.
 It is achieved in many ways :
 cutting nursing positions or improving the
process of care and tightening non labor
resources.
 Reducing mortality rate, length of stay.
 Increasing family’s satisfaction , contribute
with quality of hospital services.

24.  Nursing process is the framework for the
practice of professional nursing.
 It provides framework for evidence-based
practice as the judgments are based on the
evidences.

25.  Steps of nursing process:
 Assessment
 Nursing diagnoses
 Sign and symptoms
 planning
 Nursing care plan
 Implementation
 Evaluation
 documentation

26.  The common ethical principles nurse must
understand while caring a child are as follows:
 Non-malificence: do not harm
 Beneficence: do good
 Justice: there are three aspects as legal justice,
respect, for rights and fair distribution of
resources even the nurses time and attention.

27.  Respect for autonomy: respect the
individual’s rights to make informed and
thought out decisions for them shelves.
 Truth telling: this is actually a sub set of
autonomy.

30.  Values
 Social development and socialization
 Developmental skills
 Security

31.  Child absorbs whatever he observes.
 The best way to teach child is through
examples
 It is very important for family to inculcate
good values in children.

32.  The foundations of good skills are laid at
home, which may help child for better social
skills and help child to socialize as the child
grows.
 As the family members communicate with
child helps child to grasp the skill of
communication and helps in interaction.

34.  Developmental skills includes :
 motor skills
 Cognitive skills
 Language skills
 growth and development

35.  The family provides child with the emotional
security .
 family tends to provide basic needs for the
survival of child, includes safe and secure
environment, food, shelter, clothing.
 Family is child’s first source of learning,
development and care.

36.  Discuss trends in pediatric nursing.

37.  Dorothy R. Marlow, Textbook Of Pediatric Nursing, Saunder
Publisher, 6th Edition, Page No.8-14
 Paraul Datta, Pediatric Nursing, Third Edition, Jaypee
Publication, Page No.15,16
 Rimple Sharma’s, Essentials Of Pediatric Nursing, Second,
Page No. 05
 Ghai Essentials Pediatrics, Ninth Edition, Cbs Publishers And
Distributors, Page No.
 K.Parks,Text Book Of Preventive & Social Medicine, 24th
Edition, Page No.