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.
Why you should read this article • To recognise role of school nurses in mental health provision for children and young people • To identify the importance of initiating early mental health interventions in schools • To understand the importance of further education in mental health for school nurses School nurses have an important role in the provision of mental health services because of their expertise in healthcare and education. The aim of this literature review was to explore research about school nurses’ ability to identify and support children and young people in secondary education with mental health issues. A search of healthcare-related databases was undertaken using search terms such as ‘specialist community public health nurse’ (SCPHN), ‘school nurses’, ‘young people’, mental health’ and ‘adolescent mental health’ to identify relevant research. The literature review found that school nurses perform various activities for children and young people, for example promoting optimal mental health, identifying concerns and initiating early interventions. However, the literature review also suggests that unless school nurses receive further education in mental health they will be unable to develop the necessary skills required to improve outcomes for children and young people in secondary education.
This group often experiences positive and negative interactions with healthcare professionals
Report on a quality improvement project aimed at improving the process of supporting nurses
Study found that safeguarding children work can have significant emotional effects on nurses
Families can provide skilled, competent care at home to their children with support
Literature review identified factors contributing to nurses’ underuse of such pain relief
Children spending prolonged periods in hospital need to play and express themselves
Children’s nurses require education and training in mental health to provide optimal care
It is vital that nurses understand the importance of injection site assessment
Children’s nurses can help parents manage anxiety to reduce the traumatic effect on children
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 evidence for and against the practice of family-witnessed resuscitation