Journal for specialists in pediatric nursing : JSPN
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J Spec Pediatr Nurs · Oct 2019
What are the effects of care bundles on the incidence of ventilator-associated pneumonia in paediatric and neonatal intensive care units? A systematic review.
The purpose of this review was to ascertain the impact of ventilator bundles on the incidence of ventilator-associated pneumonia in mechanically ventilated neonates and children in intensive care units. ⋯ This systematic review determines that ventilator bundles impact positively on the incidence of VAP in critically ill neonates and children in the neonatal intensive care unit and paediatric intensive care unit. However, the variations in the bundle elements and insufficient valid evidence necessitates further research in the area to validate the findings and to ensure standardisation of clinical practice. Prevention of VAP is aimed at avoiding the risk of aspiration in the lungs, colonisation of respiratory tract with pathogenic microorganisms and contamination of respiratory equipment. Moreover, the implementation of evidence-based interventions grouped together is fundamental to improve patient outcomes. It is recommended that a further bona fide research is required to standardise the components of paediatric ventilator bundles.
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J Spec Pediatr Nurs · Apr 2014
ReviewA review of pain measures for hospitalized children with cognitive impairment.
The aims of this review were to examine pain measures for hospitalized children with cognitive impairment who are unable to self-report and to describe the best available evidence for their clinical utility in acute care settings. ⋯ The revised Face, Leg, Activity, Cry, and Consolability scale has demonstrated feasibility in acute care settings related to ease of use, time requirements, and flexibility regarding caregiver input.
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J Spec Pediatr Nurs · Jan 2014
ReviewPain management for pediatric tonsillectomy: an integrative review through the perioperative and home experience.
This integrative review aims to increase our understanding of current pain management care practices for children undergoing tonsillectomy. ⋯ Nurses have many opportunities to understand pain management practices and intervene to minimize pain experienced in pediatric outpatients undergoing tonsillectomy.
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J Spec Pediatr Nurs · Jan 2013
ReviewAn interdisciplinary momentary confluence of events model to explain, minimize, and prevent pediatric patient falls and fall-related injuries.
This article reviews theoretical, empirical, and clinical evidence to support the hypothesis that pediatric patient fall episodes are rarely predictable; rather, falls and fall-related injuries occur during the momentary convergence of child, parent, and caregiver human factors, and environmental, biomechanical, and system factors. ⋯ When falls and near miss falls occur, nurses' detailed descriptions of each model component are critical to discovery of more effective pediatric fall and injury prevention methods.