Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Exploring support systems for nurses involved with safeguarding children

Exploring support systems for nurses involved with safeguarding children

Study found that safeguarding children work can have significant emotional effects on nurses

Parents’ perceptions of the transition of their child who is ventilator dependent from hospital to home

Perceptions of transition from hospital to home of a child who is ventilator dependent

Families can provide skilled, competent care at home to their children with support

Nurses’ underuse of non-pharmacological pain relief interventions in preterm infants

Nurses’ underuse of non-pharmacological pain relief interventions in preterm infants

Literature review identified factors contributing to nurses’ underuse of such pain relief

Family members’ perceptions of a Singing Medicine project in a children’s hospital

Family members’ perceptions of a Singing Medicine project in a children’s hospital

Children spending prolonged periods in hospital need to play and express themselves

Enhancing the care of children and young people with mental health issues

Enhancing the care of children and young people with mental health issues

Children’s nurses require education and training in mental health to provide optimal care

Frequency of injection site assessment for lipohypertrophy in children and young people with type 1 diabetes

Injection site assessment for lipohypertrophy in children with type 1 diabetes

It is vital that nurses understand the importance of injection site assessment

Does parental anxiety affect children’s pain perception during intravenous cannulation?

Children’s nurses can help parents manage anxiety to reduce the traumatic effect on children

In the child’s best interests: should life be sustained when further treatment is futile?

In the child’s best interests: should life be sustained when further treatment is...

Why you should read this article: • To understand that medical advances have meant that children with complex diseases are living longer, but in some cases prolonging treatment may be deemed futile • To understand the ethics involved in decisions about withholding or withdrawing treatment and the best interests of the child • To recognise the importance of nurturing partnerships and encouraging parents to be involved in decision-making particularly about end of life care The aim of this article is to explore the concept of medical futility and the withdrawal of care for children in intensive care units. There have been several recent cases where medical staff have considered that there was no possibility of recovery for a child, yet their clinical judgments were challenged by the parents. The private anguish of these families became public, social media heightened emotions and this was followed by political and religious intrusion. Innovations in medical treatment and technological advances raise issues for all those involved in the care of children and young people especially when decisions need to be made about end of life care. Healthcare professionals have a moral and legal obligation to determine when treatment should cease in cases where it is determined to be futile. The aim should be to work collaboratively with parents but all decisions must be made in the best interests of the child. However, medical staff and parents may have differing opinions about care decisions. In part, this may be as a result of their unique relationships with the child and different understanding of the extent to which the child is in discomfort or can endure pain.

Exploring the implementation of family-witnessed resuscitation in children and young people

The implementation of family-witnessed resuscitation in children and young people

Exploring the evidence for and against the practice of family-witnessed resuscitation

A position statement about predictive genetic testing among children

A position statement about predictive genetic testing among children

Genetic testing of children to predict the future risk of illness remains controversial

Development and validation of the Children’s Competence in Decision-Making Scale

Development and validation of the Children’s Competence in Decision-Making Scale

Developing a tool to measure competence in the decision-making process in children aged 8-12

Withdrawal of treatment from critically ill children: legal and ethical issues

Withdrawal of treatment from critically ill children: legal and ethical issues

The complex issues involved in the care of children who receive life-sustaining treatment

Approaches to community-based palliative care provision by children’s hospices in the UK

Meeting the needs of children with palliative conditions and those of their families

Adolescent safeguarding: a review of the literature

Key themes are identified: adolescent life course, risk and vulnerability, and safeguarding

Early recognition and treatment of Henoch-Schönlein purpura in children

Nurses should be aware of the presentation and pathophysiology of Henoch-Schönlein purpura

Use of storytelling and audio podcasts in qualitative research

This article discusses the author’s experiences of using an audio podcast to guide and...

Parents’ decision-making about attending an emergency department with their child

Evaluation to explain frequent ED attendance and indicate potential redesigns to services

The importance of protocol-based eye care in the paediatric intensive care unit

With eye care education, nurses can look out for any warning signs of injury or infection

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