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.

National Children’s Hospitals Bereavement Network standards for supporting families following the death of a child

Bereavement support standards for families following the death of a child

Introduction to the National Children’s Hospitals Bereavement Network’s support standards

Planning surgery for young people with learning disabilities

Planning surgery for young people with learning disabilities

Why you should read this article: • To be aware of the challenges of hospital admission for a young person with learning disabilities • To recognise the importance of comprehensive multidisciplinary planning, communication and teamwork to ensure a successful outcome • To identify the need for input from dedicated learning disability liaison nurses in acute children’s services Surgery for spinal deformity is complex and preparation involves a wide multidisciplinary team. For young people with learning disabilities, especially those who have behaviour that challenges, there are further considerations to ensure that their hospital stay is a positive experience and all their additional needs are met. Staff and carers need to be well informed and there must be effective communication. Evaluation of one patient’s journey through pre-assessment, surgery and rehabilitation has identified the need for more input from learning disability liaison nurses in acute children’s services.

Improving practice in accessing haemodialysis central venous catheters

Improving practice in accessing haemodialysis central venous catheters

Why you should read this article: • To enhance your awareness of the variation in practice between children’s haemodialysis units in relation to accessing haemodialysis central venous catheters (CVCs) • To learn about the changes to practice in haemodialysis CVC access and blood sampling technique made by one unit to improve patient safety • To recognise how reviewing one area of practice may lead to changes in other areas In children, haemodialysis is used as a form of renal replacement therapy and is typically delivered via a central venous catheter (CVC). It is necessary to access the CVC for dialysis and blood sampling regularly, and safe line practice is essential to minimise complications associated with CVCs, including infection. The authors had concerns about the rate of CVC infection in their children’s haemodialysis unit, which prompted a practice review. A questionnaire was emailed to all other children’s haemodialysis units in the UK, which identified variations in practice and training. The authors subsequently modified their unit’s CVC access guidelines and blood sampling technique, and developed a new competency-based ‘haemodialysis CVC access only’ training programme for nursing staff. A willingness to review practice in the unit, supported by comparison and communication with other units, assisted in implementing this change in practice.

Paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS): providing resuscitative care

Paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (...

Resuscitative care for a child with suspected PIMS-TS associated with SARS-CoV-2

Maternal experiences of domestic abuse and their effect on the mother’s approach to parenting

Maternal experiences of domestic abuse and effects on the mother’s approach to parenting

Maternal experiences of domestic abuse can have detrimental effects on mothers’ parenting

Use of subcutaneous fluids in palliative care with children: a case study

Use of subcutaneous fluids in palliative care with children: a case study

A discussion of subcutaneous fluid therapy in the children’s palliative care setting

Designing an adolescent safeguarding curriculum framework for preregistration nurse education programmes

Designing an adolescent safeguarding curriculum framework for preregistration nurse...

A proposed curriculum framework for adolescent safeguarding education

Immunisation

Factors contributing to parental ‘vaccine hesitancy’ for childhood immunisations

A literature review of factors contributing to ‘vaccine hesitancy’ among parents

Evaluating a nurse-led sleep support intervention to reduce melatonin prescribing in children and young people

Evaluating a nurse-led sleep support intervention to reduce melatonin prescribing in...

Recommendations for a nurse-led, non-pharmacological approach to sleep support in children

Role of school nurses in identifying and supporting children and young people with mental health issues

Role of school nurses in identifying and supporting children and young people with...

A literature review on school nurses’ ability to identify mental health issues in children

Non-biological lesbian mothers’ experiences of accessing healthcare for their children

Non-biological lesbian mothers’ experiences of accessing healthcare for their children

This group often experiences positive and negative interactions with healthcare professionals

Medication checks

A process for supporting children’s nurses after medication errors

Report on a quality improvement project aimed at improving the process of supporting nurses

Exploring support systems for nurses involved with safeguarding children

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

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

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

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

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

Injection site assessment for lipohypertrophy in children with type 1 diabetes

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

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