Journal of pediatric nursing
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Injury is the leading cause of death and disability for preschoolers in the United States. Young children suffer disproportionate morbidity and mortality when injured. ⋯ This article includes a discussion of the factors that contribute to preschool unintentional injury occurrence and is based on a combination of epidemiology theory and the health belief model. Evidence-based suggestions for modification of nursing practice are provided.
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Review
Child-to-child unintentional injury and death from firearms in the United States: what can be done?
Children are unintentionally killing and injuring other children at an alarming rate in the United States owing to the accessibility of firearms. Firearms are found in 33-40% of American households with children. Many of those firearms are stored in an unsafe manner, loaded and unlocked, leaving children vulnerable to injury. Health care professionals dedicated to the well-being of the pediatric population must take an active role in protecting our nation's children from unnecessary injury and death owing to the unsafe storage of firearms.
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There is growing empirical evidence that the U. S. healthcare system fails to meet the needs of children with life-threatening conditions and their families. ⋯ The approach is based on needs assessment research with clinicians and parents and reflects a commitment to culturally respectful, family-centered care of children with life-threatening conditions. The pedagogy combines principles of adult education, includes families as teachers, and integrates affective and cognitive dimensions to enhance learning.
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Care of children at the end of life frequently involves ethical dilemmas and difficult decisions. These ethical dilemmas often complicate the already challenging circumstances surrounding the death of a child; therefore, the knowledge and application of ethical principles becomes an essential component of nursing practice. The purpose of this article is to describe bioethical principles and common ethical dilemmas faced by nurses in pediatric end-of-life care and suggest nursing interventions to promote a peaceful end-of-life experience for the child and family.