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Paediatric Nurse Education
Current Awareness Newsletter
July 2015
Outreach Your Outreach Librarian can help facilitate evidence-based
practise for all members of staff, as well as assisting with academic study and research. We can help with literature searching, obtaining journal articles and books, and
setting up individual current awareness alerts.
Literature Searching We provide a literature searching service for any library member. For those embarking on their own research it is advisable to book some time with one of the librarians for a 1 to 1 session where we
can guide you through the process of creating a well-focused literature research and introduce you to the health databases
access via NHS Evidence.
Critical Appraisal Training We also offer one-to-one or small group training in
literature searching, accessing electronic journals, and critical appraisal/Statistics. These are essential courses that teach how to
interpret clinical papers.
For more information, email: [email protected]
Books Books can be searched for using SWIMS our online catalogue at
www.swims.nhs.uk. Books and journals that are not available on site or electronically may be requested from other locations.
Please email requests to: [email protected]
Contents
1: Tables of Contents from July’s
Paediatric Nurse Education
journals
2: New NICE Guidance
3: Latest relevant Systematic
Reviews from the Cochrane
Library.
4: NHS Behind the Headlines
5: Quick Exercise
Tables of Contents from Nurse Education journals
The links below will take you to the full Tables of Contents.
If you require full articles please email: [email protected]
Nurse Educator July/August 2015, Volume 40, Issue 4
Nurse Education in Practice May 2015, Vol 15 Issue 3
New NICE Guidance
Challenging behaviour and learning disabilities: prevention and
interventions for people with learning disabilities whose behaviour
challenges (NG11)
May 2015
Suspected cancer: recognition and referral (NG12)
June 2015
Violence and aggression: short-term management in mental health, health
and community settings (NG10)
May 2015
To access electronic resources you need an NHS Athens username and password
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Registration is a quick, simple process, and will give you access to a huge range of online subscription resources,
including:
UpToDate
Dynamed
NHS Evidence
Anatomy.tv
E-journals
E-books
For more information or help with setting up your Athens account, email:
Latest relevant Systematic Reviews
from the Cochrane Library
Massage therapy for preventing pressure ulcers Qinhong Zhang, Zhongren Sun, Jinhuan Yue Topical tacrolimus for atopic dermatitis Jade Cury Martins, Ciro Martins, Valeria Aoki, Aecio FT Gois, Henrique A Ishii, Edina MK da Silva Needle size for vaccination procedures in children and adolescents Paul V Beirne, Sarah Hennessy, Sharon L Cadogan, Frances Shiely, Tony Fitzgerald, Fiona MacLeod Short-course versus long-course intravenous therapy with the same antibiotic for severe community-acquired pneumonia in children aged two months to 59 months Zohra S Lassi, Aamer Imdad, Zulfiqar A Bhutta Negative pressure wound therapy for treating surgical wounds healing by secondary intention Jo C Dumville, Gemma L Owens, Emma J Crosbie, Frank Peinemann, Zhenmi Liu Topical antihistamines and mast cell stabilisers for treating seasonal and perennial allergic conjunctivitis Mayret Castillo, Neil W Scott, Mohammad Z Mustafa, Mohammed S Mustafa, Augusto Azuara-Blanco Physical exercise training for cystic fibrosis Thomas Radtke, Sarah J Nolan, Helge Hebestreit, Susi Kriemler Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis Maggie McIlwaine, Brenda Button, Kerry Dwan Propofol versus thiopental sodium for the treatment of refractory status epilepticus Hemanshu Prabhakar, Mani Kalaivani
NHS Behind the Headlines
Report warns of threat to unborn babies from CMV virus
Tuesday Jun 30 2015
"Thousands of pregnant women are unwittingly passing on infections to their unborn babies
that cause severe disabilities," is the headline in the Daily Mail after a new report highlighted
the risks cytomegalovirus (CMV) can pose to pregnancies…
Meningitis B vaccine 'available from September'
Monday Jun 22 2015
"All newborn babies in England and Scotland are to be offered a vaccine to combat
meningitis B from September," BBC News reports. This will be the world’s first publicly
funded vaccination programme for the potentially fatal disease…
Too soon to say if breastfeeding problems could be genetic
Thursday Jun 18 2015
"Is your inability to breastfeed written in your genes?" the Mail Online asks. The question is
prompted by animal research that discovered that a genetic mutation in a protein called ZnT2
that may restrict milk production after pregnancy…
Wet wipes may help spread hospital bugs
Tuesday Jun 9 2015
"A new study finds that detergent wipes are spreading bugs in hospitals," The Daily
Telegraph reports. This isn't strictly true, as the study didn't do any tests in hospitals. But
through laboratory experiments…
Children with autism may be supersensitive to change
Friday Jun 5 2015
"People with autism … are over-sensitive to the world," the Mail Online reports. It reports on
an animal study involving a rat model of autism, where a chemical is used to mimic the
development of autism in rats…
Cats blamed for children’s poor reading skills
Tuesday Jun 2 2015
"Parasite in cats linked to learning difficulties in children," The Daily Telegraph reports. A
new study suggests that cat ownership increases the risk of Toxoplasma gondii parasite
infection, which could affect cognitive functioning in children…
UpToDate is the leading evidence-based clinical decision support system, designed for use at the point of care.
It contains more than 9,500 searchable topics across the following specialities:
Adult and paediatric emergency medicine Allergy and immunology Cardiovascular medicine Dermatology Drug therapy Endocrinology and diabetes mellitus Family medicine Gastroenterology and hepatology General surgery Geriatrics Haematology Hospital Medicine Infectious diseases Nephrology and hypertension Neurology Obstetrics and gynaecology Oncology Paediatrics Primary care internal medicine Psychiatry Pulmonary, critical care and sleep medicine Rheumatology
How to access UpToDate You can access UpToDate from any computer via www.uptodate.com. You will need your NHS Athens username/password (register through http://openathens.nice.org.uk/).
Quick Exercise
Confounding Bias in research methodology
A confounder is a factor that is:
Linked to the outcome of interest, independent of the exposure
Linked to the exposure but not the consequence of the exposure
What is the confounding factor in the following relationships:
People who carry matches are more likely to develop lung cancer
People who eat ice-cream are more likely to drown
Training in anaesthesia is more likely to make doctors commit
suicide
To find out more about bias in research methodology, sign up for one of our
Critical Appraisal training sessions. For more details, email
Current Awareness Database Articles
If you require full articles please email: [email protected]
Title: Shaken baby syndrome: a review.
Citation: Fetal and pediatric pathology, Jun 2015, vol. 34, no. 3, p. 169-175 (June 2015)
Author(s): Mian, Maha, Shah, Janki, Dalpiaz, Amanda, Schwamb, Richard, Miao, Yimei, Warren, Kelly, Khan,
Sardar
Abstract: Shaken Baby Syndrome occurs in infants as a result of the brain pushing against the skull due to
severe acceleration-deceleration forces. Symptoms of Shaken Baby Syndrome include subdural, subarachnoid,
and retinal hemorrhages. MRI and ocular examinations are used to determine the extent of mental and visual
damage and β-amyloid precursor protein immunohistochemical staining is used to detect axonal injuries.
Surgeries such as Subdural hemorrhage (SDH) evacuation surgery and the Burr hole craniotomy are used to treat Shaken Baby Syndrome; however, the prognosis is poor in many cases. Because of the severity of Shaken
Baby Syndrome and its traumatic and sometimes fatal effects, it is important to educate new parents, nurses, and
doctors on the syndrome in order to prevent incidents.
Source: Medline
Title: A person-centred intervention for providing information to parents of children with cancer. Experiences
and effects.
Citation: European journal of oncology nursing : the official journal of European Oncology Nursing Society,
Jun 2015, vol. 19, no. 3, p. 318-324 (June 2015)
Author(s): Ringnér, Anders, Karlsson, Stig, Hällgren Graneheim, Ulla
Abstract: The aim of this paper is to describe the experiences of participating in a person-centred information
intervention aimed at parents of children with cancer. Eight parents participated in the intervention, beginning
two months after their child's diagnosis. The intervention was based upon the representational approach to
patient education and a mixed method approach was employed in the study. The experiences of parents and intervention nurses were captured via qualitative interviews and the effects of the intervention on parental
psychosocial measures, primarily perceived stress, were evaluated using a single-case design with web-based
questionnaires. Parents expressed high satisfaction with the intervention, as reported in the follow-up interviews
and on the scale measuring satisfaction. However, no changes were seen in the quantitative measures of
psychosocial distress. The nurses performing the intervention felt it was useful and feasible. A representational
approach to providing person-centred information to parents of children with cancer was appreciated and
considered feasible by both the parents and the intervention nurses. However, further research is needed
considering the lack of effect on the parents' perceived stress. Copyright © 2014 Elsevier Ltd. All rights
reserved.
Source: Medline
Title: How do you keto? Survey of north american pediatric ketogenic diet centers.
Citation: Journal of child neurology, Jun 2015, vol. 30, no. 7, p. 868-873 (June 2015)
Author(s): Jung, Da Eun, Joshi, Sucheta M, Berg, Anne T
Abstract: We surveyed ketogenic diet centers in North America about their practices surrounding the ketogenic
diet. An internet survey was disseminated via REDCap(©) to North American ketogenic diet centers identified
from the Charlie Foundation and Ketocal(©) websites. Fifty-six centers responded. In addition to physicians,
nurses and dieticians, ketogenic teams included social workers (39%), feeding specialists (14%), educational liaisons (4%), psychologists (5%), and pharmacists (36%). A child attending school (2%), non-English speaking
family (19%), single-parent family (0%), and oral feeding (6%) were rarely considered barriers. Overall, the diet
was considered the first or second (0%), third or fourth (67%), fifth or sixth (29%), and last resort treatment
(4%) by centers. It was considered the first or second treatment for GLUT1 disease (86%) and third or fourth for
Dravet (63%), West (71%), and Doose (65%) syndromes. Ketogenic diet is no longer a last resort option.
Traditional barriers do not influence its use. © The Author(s) 2014.
Source: Medline
Title: [Reducing the Unplanned Removal Rate of Endotracheal Tubes in the Pediatric Intensive Care Unit].
Citation: Hu li za zhi The journal of nursing, Jun 2015, vol. 62, no. 3 Suppl, p. 39-48, 0047-262X (June 2015)
Author(s): Liang, Muu-Dan, Fann, Guei-Ling
Abstract: In 2012, the rate of unexpected removal of endotracheal tubes in our pediatric intensive unit was
above the maximum target level of 0.28%. We designed a survey to identify the relevant difficulties faced by
nurses in order to formulate viable solutions and reduce the removal rate. After assessing the findings of this
survey, we concluded that the following represented the primary difficulties: use of incorrect endotracheal tube
care standards, the inadequate sedation of patients, the incorrect cognition of care of nurses, and lack of in-
service education and securing techniques. After implementing quality improvements to overcome these
difficulties, the rate of unexpected removal dropped dramatically to 0.57%. Our quality improvement strategy
included: designing a protocol and a checklist for securing endotracheal tubes, purchasing additional waterproof
tape and restraint straps, establishing a standard protocol for sedation, producing an educational DVD, and continuing in-service education. After implementation of the above measures, the rate of unexpected removal
fell dramatically from 0.76% to 0.33%. Additionally, the completion-of-care rate for patients with endotracheal
tubes rose significantly from 27.2% to 94.5%. This project established a standard procedure for caring for
endotracheal tube patients; improved communication among staff members; and reduced unexpected removal
events.
Source: Medline
Full Text:
Available from EBSCOhost in Journal of Nursing
Available from ProQuest in Hu Li Za Zhi
Title: [The Effect of Taking an Affectionate Approach to Discharge Education in the Pediatric Ward].
Citation: Hu li za zhi The journal of nursing, Jun 2015, vol. 62, no. 3 Suppl, p. 58-64, 0047-262X (June 2015)
Author(s): Wang, Mei-Ying, Huang, Tzu-Chun, Lin, Yi-Yu
Abstract: From January to March 2013, only 36.7% of pediatric patients in our hospital were given health
education by nurses and only 47.1% of patient families indicated feeling "good" about the health education that
they had received. After analyzing the situation, we identified the following key issues: (1) Lack of an SOP; (2)
Inconsistent nursing guidelines; (3) Difficulties in comprehending health education tools; and (4) Poor caregiver
adoption of TPN skills. Our aim was to apply "impressive service" at our pediatric department to improve the effect of post-discharge health education in order to enhance the quality of care received by patients and their
families. A variety of measures were implemented to improve the satisfaction rate of post-discharge health
education. These measures included: reinforcing advocacy during hospitalization, developing an SOP on health
education and an auditing system, manufacturing an "Impressive Service Card" and a "Pamphlet for hospitalized
children", and employing a health education method and leaflets that were beneficial to the caregiver. The result
of our practice increased the rate of health education to 100% and a rate of satisfaction of 99.4%. These
significant improvements indicate that the "Impressive Service" program may be an effective strategy to
improve the quality and effectiveness of post-discharge health education. This program was implemented as part
of standard discharge procedures as a strategy to improve the attitudes of nursing staff, to enhance the
satisfaction of pediatric patients and their family members, and the enhance the image of our hospital and
nursing personnel.
Source: Medline
Full Text:
Available from EBSCOhost in Journal of Nursing
Available from ProQuest in Hu Li Za Zhi
Title: Neonatal nurses' beliefs, knowledge, and practices in relation to sudden infant death syndrome risk-
reduction recommendations.
Citation: Advances in neonatal care : official journal of the National Association of Neonatal Nurses, Jun 2015, vol. 15, no. 3, p. 209-219 (June 2015)
Author(s): Barsman, Sarah Gutin, Dowling, Donna A, Damato, Elizabeth G, Czeck, Pamela
Abstract: Sudden infant death syndrome (SIDS) remains the third leading cause of infant death in the United
States and the leading cause of death beyond 1 month of age. In 2011, the American Academy of Pediatrics
(AAP) released the newest SIDS risk-reduction recommendations, which address healthcare providers in
neonatal intensive care units (NICUs). Little is known about neonatal nurses' SIDS prevention strategies since
the release of these newest recommendations. To assess neonatal nurses' beliefs, knowledge, and practices
regarding SIDS prevention in both the NICU and step-down transitional care unit (TCU). A prospective-
descriptive design was used. The 33-item SIDS Risk-Reduction Questionnaire was distributed to a convenience
sample of nurses in a level III NICU/TCU in the Midwest. Two hundred questionnaires were distributed; 96
(48%) were returned completed. Fifty-three percent of nurses strongly agreed that SIDS recommendations make
a difference in preventing SIDS and 20% strongly believed that parents model SIDS prevention practices employed by staff. A majority of nurses correctly identified 2011 recommendations. Sixty-three percent of
nurses often or always gave parents verbal information and 28% often or always gave parents written
information regarding SIDS. Differences were seen between NICU and TCU nurses concerning beliefs and
practices, suggesting that TCU nurses more consistently follow SIDS recommendations. Increased neonatal
nursing and parental education regarding SIDS prevention and updated hospital policies promoting safe sleep
are paramount. Larger multicenter studies in level II/III NICUs are needed to provide further data on SIDS
attitudes and practices.
Source: Medline
Title: Psychological, behavioral, and educational considerations for children with classified disabilities and diabetes within the school setting.
Citation: Psychology in the Schools, Jun 2015, (Jun 23, 2015), 0033-3085 (Jun 23, 2015)
Author(s): Wyckoff, Leah, Hanchon, Timothy, Gregg, S. Renee
Abstract: School nurses are answering a call to action to provide day‐to‐day care for an increasing number of
students diagnosed with chronic illnesses. Diabetes mellitus is one of the most prevalent chronic health
conditions identified among school‐age children and presents a host of complex challenges for the school nurse,
educators, and other support personnel to address in an effort to keep these children healthy and optimally prepared to learn. In working with this student population, it is critical that all educators possess an adequate
working knowledge of type 1 and type 2 diabetes mellitus. This article provides a comprehensive overview of
diabetes, including common measures and provisions necessary for managing students’ daily needs, associated
conditions that may compromise aspects of psychosocial and academic functioning, and commonly used
medications and treatment plans for diabetes, with consideration for impact on students’ daily school routines.
Additionally, diabetes is reviewed within the context of multiple disabling conditions, with an emphasis on the
psychological and behavioral features. Guidance and recommendations are offered to adequately prepare and
position school nurses and other school‐based personnel to fully support the student with diabetes in the school
setting. (PsycINFO Database Record (c) 2015 APA, all rights reserved)(journal abstract)
Source: PsycInfo
Title: Overcoming the barriers to using kangaroo care in neonatal settings.
Citation: Nursing children and young people, Jun 2015, vol. 27, no. 5, p. 22-27, 2046-2336 (June 10, 2015)
Author(s): Penn, Sarah
Abstract: Skin-to-skin contact, or kangaroo care (KC), has benefits for babies and parents, improving clinical
outcomes, temperature control, breastfeeding rates and child-parent bonding; it reduces morbidity and mortality.
Barriers to KC for neonates may include a lack of training for nurses, lack of time, maternal or child physical or mental ill health, and inappropriate settings. With education and helpful management, neonatal nurses can
advocate for KC for all babies. Parents may need information and encouragement to begin with. Therefore,
nurses can improve the experiences of their patients and, in the long run, free time to perform clinical
procedures.
Source: Medline
Title: Effective nursing care of children and young people outside hospital.
Citation: Nursing children and young people, Jun 2015, vol. 27, no. 5, p. 28-33, 2046-2336 (June 10, 2015)
Author(s): Whiting, Lisa, Caldwell, Chris, Donnelly, Mary, Martin, Debbie, Whiting, Mark
Abstract: Aim To assess the preparation required to ensure a workforce of nurses who can provide high quality
out-of-hospital services for children and young people. Methods Using mixed methods, questionnaires were sent to young people and community children's nursing teams, interviews were conducted with academic staff and
clinical nurses, and focus groups were undertaken with pre-registration children's nursing students. Findings
Nurses' communication skills and clinical abilities were most important to young people. There is a range of
opinions about optimum out-of-hospital clinical experience. Pre- and post-qualification education and
recruitment in this area, therefore, need attention. Conclusion Out-of-hospital care presents problems, but is
developing rapidly. Adequate, updated training, supervision and resources are needed.
Source: Medline
Title: Education and simulation training of pediatric intensive care unit nurses to care for open heart surgery
patients.
Citation: Critical care nurse, Jun 2015, vol. 35, no. 3, p. 76-81 (June 2015)
Author(s): Campbell, Jacqueline M
Source: Medline
Full Text:
Available from EBSCOhost in Critical Care Nurse
Title: Interventions to Improve Asthma Management of the School-Age Child.
Citation: Clinical pediatrics, Jun 2015, vol. 54, no. 6, p. 534-542 (June 2015)
Author(s): Friend, Mary, Morrison, Amber
Abstract: Improvement of medication adherence in the school-age child can lead to improvement in quality of
life, decreased morbidity, and a potential decreased risk of deferred academic, social, and emotional
development. The objective of this article is to review barriers to asthma medication adherence and identify
evidence-based techniques that improve medication management of the asthmatic child 5 to 12 years of age. A
literature review was performed and articles were obtained through database searches within Medline, CINAHL
(Cumulative Index to Nursing and Allied Health Literature), and PubMed. Research indicates that barriers to the adherence of medication regimens required for asthmatic children include poor understanding of the medication
regimen, substandard education on symptom recognition and environmental triggers, rejection of the diagnosis,
and a lack of support or understanding within the community. Researched techniques aimed to improve
medication management in 5- to 12-year-olds include: computer-based education; workshops for parents,
teachers, and children; incorporation of asthma education into classroom lessons; use of case managers; the
introduction of a nurse practitioner in the school to provide care, including medication prescriptions for the
asthmatic child; and assessment and evaluation of environmental and emotional triggers in the home and school.
Collaboration of current data may help lead to a successful interventional model that can improve asthma
management in this population. © The Author(s) 2014.
Source: Medline
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