Caring for Kids

Luckstead-Gosdin, Ann; Vinson, Lori; Greenwell, Cynthia; Tweed, Jefferson

doi:10.1016/j.cnc.2017.01.002

Cited by 10 publications

(10 citation statements)

References 8 publications

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“…No eligible articles were identified from the grey literature search using Google Scholar. This left a total of five articles eligible for inclusion 23,[31][32][33][34] .…”

Section: Study Selectionmentioning

confidence: 99%

“…Five studies were reviewed, with locations of their research focused in the rural and remote healthcare settings of Australia (n=2), Canada (n=2) and the USA (n=1). Research approaches included a mix of quantitative (n=1) 23 , qualitative (n=3) [31][32][33] and mixed-method studies(n=1) 34 . Broad topics identified issues associated with accessibility to education support for specialist practice, acknowledging the generalist role of rural nurses, and their lack of confidence and competence in managing paediatric presentations.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In rural hospitals of Australia, Canada and the USA, RENs practise as generalists and require a broad skillset to serve the needs of their communities 32,33 . Nurses in these locations within rural Australia find themselves being tasked to care for paediatric patients in the ward setting, sometimes without any recency of paediatric practice.…”

Section: Competence and Confidence In Paediatric Emergency Carementioning

confidence: 99%

“…Compliance with national guidelines in the USA and Canada has been identified as low, with recommendations that nurses have training to gain the necessary skills and knowledge, based on evidence, for competency evaluations and local credentialling for the delivery of emergency care to paediatric patients of all ages in rural settings 36 . However, there is a clear understanding that clinical practice embedded in evidence-based approaches is essential for the safe provision of care and positive outcomes [31][32][33] .…”

Section: Barriers For Evidence-based Paediatric Carementioning

confidence: 99%

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Nursing care and management of paediatric emergencies in regional and rural settings: a scoping review

OMalley¹,

Forster²,

Kellett³

2022

JCYPH

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Problem Paediatric nursing is a specialty that relies on a specific knowledge and skill set to care for children in hospital, particularly when presenting to the emergency department. Recognition, interpretation and understanding the unique needs of paediatric patients requires nurses to consistently rely on best practice approaches informed by research evidence. In rural healthcare settings, paediatric nurses may be disadvantaged in maintaining current, evidence-based practice aimed at achieving optimal health outcomes.Aim This scoping review sought to explore and critique the published literature examining the rural emergency nurse (REN) care of paediatric patients presenting to emergency departments of three similar geographically sized countries of Australia, Canada, and the United States of America (USA). Two broad questions underpinned this aim: In rural emergency settings, 1. What are the professional development needs of RENs in emergency paediatric care? and 2. What are the facilitators and barriers in developing and updating paediatric nursing knowledge and skills in this context? It was anticipated that scoping review findings could inform new approaches to address identified needs.Methods Arksey and O'Malley's Framework for Scoping Reviews was used. The review systematically explored the extent and areas of focus in the nursing literature, with searches completed across eight databases. Searches focused on peer-reviewed research. Reference lists of retrieved articles were also searched, and citations were further explored to elicit additional research in paediatric emergency care in rural health settings. Searches focused on literature published from 2000 onwards, due to the limited results yielded in a ten-year retrospective review. Keyword search terms developed with the librarian were used with English language as the selected inclusion. After titles and abstracts, and full text reviews were completed, five studies were identified, for both synthesis and thematic analysis for the generation of themes. Due to the dearth of literature identified using these search terms, searches were extended to the grey literature in Google Scholar for any unpublished literature.Findings There is limited research focused on paediatric nursing emergency care in rural health practice. Data extraction and analysis revealed the three key themes: (a) competence and confidence in paediatric emergency care, (b) barriers for evidence-based paediatric care, and (c) challenges for paediatric nursing education. Provision of educational opportunities and staff support is needed for Registered Nurses working in rural healthcare settings, specifically for paediatric emergency nursing practice. Education must be accessible and grounded in evidence-based practice for care of paediatric patients to ensure optimal patient outcomes. This contributes to REN knowledge, skills and confidence in caring for children and young people, who have a higher vulnerability due to their potential for rapid deterioration in condition, and who may h...

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“…No eligible articles were identified from the grey literature search using Google Scholar. This left a total of five articles eligible for inclusion 23,[31][32][33][34] .…”

Section: Study Selectionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Competence and Confidence In Paediatric Emergency Carementioning

confidence: 99%

Section: Barriers For Evidence-based Paediatric Carementioning

confidence: 99%

See 2 more Smart Citations

Nursing care and management of paediatric emergencies in regional and rural settings: a scoping review

OMalley¹,

Forster²,

Kellett³

2022

JCYPH

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“…Distributed simulation was initially introduced through Kneebone’s description of a transportable mobile operating room environment. This approach has been elaborated on by additional reports describing simulation-adapted recreational vehicles and lower cost mobile simulation centers [10, 13–16, 39–43].…”

Section: Introductionmentioning

confidence: 99%

Community-based in situ simulation: bringing simulation to the masses

et al. 2019

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Simulation-based methods are regularly used to train inter-professional groups of healthcare providers at academic medical centers (AMC). These techniques are used less frequently in community hospitals. Bringing in-situ simulation (ISS) from AMCs to community sites is an approach that holds promise for addressing this disparity. This type of programming allows academic center faculty to freely share their expertise with community site providers. By creating meaningful partnerships community-based ISS facilitates the communication of best practices, distribution of up to date policies, and education/training. It also provides an opportunity for system testing at the community sites. In this article, we illustrate the process of implementing an outreach ISS program at community sites by presenting four exemplar programs. Using these exemplars as a springboard for discussion, we outline key lessons learned discuss barriers we encountered, and provide a framework that can be used to create similar simulation programs and partnerships. It is our hope that this discussion will serve as a foundation for those wishing to implement community-based, outreach ISS.

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