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.
Introduction to the National Children’s Hospitals Bereavement Network’s support standards
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.
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.
Resuscitative care for a child with suspected PIMS-TS associated with SARS-CoV-2
Maternal experiences of domestic abuse can have detrimental effects on mothers’ parenting
A discussion of subcutaneous fluid therapy in the children’s palliative care setting
A proposed curriculum framework for adolescent safeguarding education
A literature review of factors contributing to ‘vaccine hesitancy’ among parents
Recommendations for a nurse-led, non-pharmacological approach to sleep support in children
A literature review on school nurses’ ability to identify mental health issues in children
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