2. GROUP MEMBERS
GLORIA NOSIKU 19060382
LUCKY SIMWIZA. 2020010118
FLORENCE NYIRONGO 2020014996
DORCAS SAKALA 2020014751
MERCY CHILOLO. 19060402
DICKSON JERE 2020011039
MARSHAL MULENGA 2020011504
DEAN HATWIKO 2020013051
3. INTRODUCTION
• The Paediatric Community Nursing (PCN) provides
clinical nursing care for children that have complex
and ongoing health needs in the community. The team
cares for children between the ages of 0 – 16 years
who would need to return to hospital or their GP for
their healthcare needs and young people, including
palliative care and end of life symptom management.
4. • The Community Children’s Nursing service provides holistic care to sick children by
providing nursing care in the community setting, empowering and enabling the child,
family carers’ to become more competent in the management of the child’s
condition, thereby reducing the need for hospital admissions or enabling early
discharge.
• The Community Children’s Nurses provide nursing care to children and young
people with a life-limiting, life-threatening condition, complex disability, long-
term conditions such as asthma, eczema or allergies as well as palliative and end-
of-life care. The service also provides short-term nursing care to sick children to
enable early discharge from hospital.
5. • The Community Children’s Nurses provide nursing care to children and young people
with a life-limiting, life-threatening condition, complex disability, long-term conditions
such as asthma, eczema or allergies as well as palliative and end-of-life care. The service
also provides short-term nursing care to sick children to enable early discharge from
hospital.
6. DEFINITION OF TERMS
• 1. Child: This is any human being below the age of 18 years
according to the zambia constitution. It refers to neonate,
infant, child or adolescent young person from birth to 18 years
( Australian Confederation of paediatric and child health
nurses, 2006)
• 2. Community paediatric nurses: These are registered children's
nurses with a community specialist practitioner qualifications.
7. • 3. Paediatric nursing: Pediatric nursing is a specialization of the nursing profession that
focuses on pediatrics and the medical care of children, from infancy to the teenage
years.
• 4. Community children's nursing service: These are services provided by registered
community children's nurses who are leading and delivering care within community
and out of hospital settings.
• To empower and enable children and their careers to become more
competent in the management of their child’s condition, thereby reducing
the need for hospital admissions and enabling early discharge into the
community
THE COMMUNITY CHILDREN'S NURSING
TEAMS' OBJECTIVES ARE:
8. • To be the first contact point for case-managed children, to co-ordinate appropriate
healthcare and support, to meet the child’s holistic needs
• To improve quality of life of children and young people and reduce the risk of acute
episodes
• To ensure the early recognition or change of condition facilitating early
interventions, providing least intensive care in the lease intensive setting
• To provide ongoing preventive care and support at a time and in a venue of client
choice
• To liaise with hospital staff involved in care following admissions, informing
them of the child’s usual status and aiming to reduce length of stay
9. • To co-ordinate care services, delivered in the community, to meet the needs of the child
and family through the Lead Professional role.
• To monitor the progress of children with long term conditions promoting the healthiest
possible lifestyle and offering them and their parents/careers appropriate education
about their condition.
• To provide support and information to children and their cares to facilitate the best
quality of life for the child and promote early detection of change
10. • To co-ordinate care services, delivered in the community, to meet the needs of the child
and family through the Lead Professional role.
• To monitor the progress of children with long term conditions promoting the healthiest
possible lifestyle and offering them and their parents/cares appropriate education about
their condition.
• To provide support and information to children and their cares to facilitate the best
quality of life for the child and promote early detection of change
• To act as an advocate for the needs and wishes of the child and family and work to
ensure informed consent and involvement in decision making
11. • To give or signpost advice and information on a range of health issues, liaising with
other organizations, seeking to empower and enable independence of children and
their families/careers
• To contribute to the learning experience of student nurses and other healthcare
professionals
12. THE WORK OF THE COMMUNITY
CHILDREN'S NURSES
• Supporting the families of children with long-term nursing
needs
• Supporting children with a disability
• Supporting families who are caring for a child during the
terminal phase of his/her life
• Neonatal and postnatal care, including the care of children
with complex problems arising from prematurity and disorders
presenting at birth
13. • Supporting children undergoing planned surgery
• Caring for children with acute nursing needs, which can reduce
the need for and duration of hospital admission
• Follow-up and support of children requiring emergency
treatment which may assist the promotion of early discharge
from hospital
14. GUIDING PRINCIPLES OF COMMUNITY
CHILDREN'S NURSING PRACTICE
• Promoting family-centred care rather than child-centered care
• Maintaining or improving the quality of life of the family,
rather than focusing on medical needs
• Minimizing stressful events rather than giving routinized care
• Fostering family empowerment rather than learned
helplessness/dependency on professionals’ solving abilities
15. • Having an approach of partnership rather than the imposition of
professional expertise
• Appreciating the complexity of a problem rather than
oversimplifying it
• Solving or reframing problems rather than avoiding them.
Recognizing the boundaries of one’s own expertise and knowing
where to turn for appropriate help, rather than trying to solve all
problems independently
16. • Establishing credibility with pediatric and primary healthcare
colleagues through working together openly rather than having
an insular approach
• Having a flexible, organic, responsive role, rather than a formally
directed set of functions
• Having knowledge gained through experience rather than
procedures
17. • Having the knowledge to anticipate and plan for future
directions in the care needs of the child, rather than reacting to
crisis
• Being available (light touch) for the family when the family
wants it, rather than when it is most convenient to services
• Promoting the health of families rather than focusing solely on
tertiary interventions
18. • Lightening the burden through manner of approach, rather than
getting caught up in the anxieties of the situation and reinforcing
the burden
• Enabling children and families to lead ordinary lives, rather than
this being regarded as secondary to biomedical interventions
• Listening and discovering rather than imposing ready-made
solutions from elsewhere
19. ROLES / RESPONSIBILITIES OF A COMMUNITY
PAEDIATRIC NURSE
The unique role of the community children’s nurse
• Providing leadership and case management
• Delivering nursing care and support to children, young people
and families across the life course
• Assessing, planning, implementing and evaluating evidence
based care interventions within the community setting
• Contributing to the assessment of health needs of children and
monitor the effectiveness of safe care packages
20. • Working in partnership parents/carer and families to provide
nursing care and support to meet the individual child's needs
over a 24 hour period;
• Delivering nursing care to the defined delegated cases under the
supervision of case manager (named nurse)
• Liaising with general practitioners (GPs) and secondary care to
reduce hospital admission and support early discharge
• Advocating for the child/young person to ensure their needs
are safeguarded at all times
21. • Encouraging integration of the child/young person into a normal
family life and supporting transition across the life course (0-19
years)
• Empowering children and families to manage care closer to home
• Nursing specialist in the environment and care closer to home
• Nursing care management throughout childhood
• Acting as a lead professional and key worker role
22. CONCLUSION
• Community children’s nursing remains a relatively young
discipline compared with more established branches of
community nursing. As such, the corporate identity of services
is still emerging. This lack of a traditional foundation can
facilitate more imaginative and flexible approaches to identified
care needs, but it can also cause confusion and
misunderstanding for stakeholders and affect collaboration
with other professional groups.
23. REFERENCE
• Royal College of Nursing. The Future of Community Children’s Nursing:
Challenges and Opportunities. London: Royal College of Nursing; 2014.
• Parker G, Spiers G, Gridley K, Atkin K, Cusworth L, Mukherjee S, et al.
Evaluating Models of Care Closer to Home for Children and Young People
Who Are Ill: Main Report. York: Social Policy Research Unit, University of
York; 2011.
• Whiting M. The future of community children’s nursing. Arch Dis Child
2004;89:987–8. 10.1136/adc.2004.059337. [PMC free article] [PubMed]
[CrossR
