Journal of pediatric nursing
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Multicenter Study
Pediatric emergency nurses' self-reported medication safety practices.
Preventable adverse events occur more frequently in areas such as the emergency department with medication errors as the most frequently reported errors. A cross-sectional survey design was used to gather descriptive data of medication safety practices used by pediatric emergency nurses in the Midwest U. S. ⋯ Data were analyzed using descriptive statistics. Participants identified several barriers to adopting and implementing the NPSGs. Additional interventions are needed to reduce the barriers to medication safety practices for pediatric emergency nurses.
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Injuries due to button battery ingestion continue to evolve with worsening clinical outcomes reported in recent years. These batteries pose a unique hazard to children due to the severity of complications that may arise within a short period of time as well as their availability in almost every home environment in the United States. It is crucial that health care providers maintain a high level of clinical suspicion for foreign body ingestion and facilitate rapid triage and treatment in these cases. Nurses should educate all children and families about button battery safety to prevent injury and decrease the morbidity and mortality related to ingestion.
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Hypoplastic left heart syndrome is a life threatening congenital cardiac anomaly. After a child has been diagnosed with hypoplastic left heart syndrome, parents must make life or death decisions within days of birth. ⋯ Information regarding the diagnosis, treatment options, and parental decision making process for initial decision making for hypoplastic left heart syndrome are provided to guide nurses who work with these families. The challenging decision making process that parents must go through after diagnosis of hypoplastic left heart syndrome will be described.
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Randomized Controlled Trial Comparative Study
Active and passive distraction in children undergoing wound dressings.
The aim of this study was to test how distraction influences pain, distress and anxiety in children during wound care. Sixty participants aged 5-12 years were randomized to three groups: serious gaming, the use of lollipops and a control group. ⋯ Serious gaming, an active distraction, reduced the observed pain behaviour and self-reported distress compared with the other groups. A sense of control and engagement in the distraction, together, may be the explanation for the different pain behaviours when children use serious gaming.