Journal of paediatrics and child health
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J Paediatr Child Health · Jan 2013
Clinical TrialEffect of a multifaceted intervention on documentation of vital signs and staff communication regarding deteriorating paediatric patients.
To evaluate the impact of newly designed Paediatric Early Warning Scores and an accompanying education package, COMPASS, on the frequency of documentation of vital signs and communication between health professionals and associated medical review in deteriorating paediatric patients. ⋯ A multifaceted intervention for the early recognition and response to clinical deterioration in children significantly improved documentation of vital signs, communication and time to medical review.
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J Paediatr Child Health · Jan 2013
Why families choose not to participate in research: feedback from non-responders.
Subjects who did not respond to an invitation to participate in a community-based randomised controlled trial for childhood obesity in Melbourne, Australia were approached to investigate reasons for non-participation. ⋯ This study illustrates the experiences of potential participants during the recruitment process, their perceptions of study commitments and how their previous experiences impact on their decision to participate in research. These findings provide insight into the decision not to participate in health research and could be used to modify recruitment procedures for future health research as a way of improving the recruitment experience for potential participants as well as enhancing recruitment rates.
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J Paediatr Child Health · Jan 2013
Procedural pain in neonates in Australian hospitals: a survey update of practices.
The study aims to determine whether there has been improved uptake of the evidence for the management of procedural pain in neonates throughout Australia. ⋯ There has been an increase in awareness and use of sucrose and breastfeeding for procedural pain in Australia since previous surveys were undertaken in 2004. Continued resources, local pain champions and a national interest group to promote the use of pain management for procedural pain in neonates are needed for continued uptake of the evidence.
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J Paediatr Child Health · Jan 2013
Twelve-year review of neonatal deaths in the delivery room in a perinatal tertiary centre.
To describe decisions made for babies who died in the delivery room as a result of clinical practice of non-resuscitation or unsuccessful resuscitation. ⋯ A large proportion of NNDs occurred outside the neonatal nurseries involving end-of-life decision-making. Review of the circumstances of these NNDs in the subcategories of extreme prematurity, congenital abnormalities and 'other' raises different management dilemmas with the potential for clinical practice improvement in compassionate care and transparency in decision-making.