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Autor: Grafiati

Data publikacji: 4 czerwca 2021

Data aktualizacji: 7 lutego 2022

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1

Rosina, Robyn, Jean Starling, Kenneth Nunn, David Dossetor i Kim Bridgland. "Telenursing: Clinical nurse consultancy for rural paediatric nurses". Journal of Telemedicine and Telecare 8, nr 3_suppl (grudzień 2002): 48–49. http://dx.doi.org/10.1258/13576330260440844.

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summary Videoconferencing is increasingly being accepted as a medium for health-care. Telenursing is in its infancy in Australia but has enormous potential for nursing care in remote areas. The Child and Adolescent Psychological Telemedicine Outreach Service (CAPTOS) began in 1997 and in its first evaluation recommended more support for paediatric nurses. CAPTOS telenursing began as a new initiative in late 2001. The telenursing project aims to link ward nurses to CAPTOS and local community teams, and to provide both clinical consultancy on nursing and interdisciplinary issues and locally based professional development. Telenursing supports nurses via site visits, videoconferencing sessions, an interactive Website and sabbatical opportunities. Telehealth works with existing services to enhance the nursing care of young people with a complex mixture of psychological and physical health problems.

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Stocki, Daniel, Conor McDonnell, Gail Wong, Gloria Kotzer, Kelly Shackell i Fiona Campbell. "Knowledge translation and process improvement interventions increased pain assessment documentation in a large quaternary paediatric post-anaesthesia care unit". BMJ Open Quality 7, nr 3 (sierpień 2018): e000319. http://dx.doi.org/10.1136/bmjoq-2018-000319.

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BackgroundDue to inadequate pain assessment documentation in our paediatric post-anaesthetic care unit (PACU), we were unable to monitor pain intensity, and target factors contributing to moderate and severe postoperative pain in children. The purpose of this study was to improve pain assessment documentation in PACU through a process improvement intervention and knowledge translation (KT) strategy. The study was set in a PACU within a large university affiliated paediatric hospital. Participants included PACU and Acute Pain Service nursing staff, administrative staff and anaesthesiologists.MethodsThe Plan–Do–Study-Act method of quality improvement was used. Benchmark data were obtained by chart review of 99 patient medical records prior to interventions. Data included pain assessment documentation (pain intensity score, use of validated pain intensity measure) during PACU stay. Repeat chart audit took place at 4, 5 and 6 months after the intervention.InterventionKey informant interviews were conducted to identify barriers to pain assessment documentation. A process improvement was implemented whereby the PACU flowsheets were modified to facilitate pain assessment documentation. KT strategy was implemented to increase awareness of pain assessment documentation and to provide the knowledge, skill and judgement to support this practice. The KT strategy was directed at PACU nursing staff and comprised education outreach (educational meetings for PACU nurses, discussions at daily huddles), reminders (screensavers, bedside posters, email reminders) and feedback of audit results.ResultsThe proportion of charts that included at least one documented pain assessment was 69%. After intervention, pain assessment documentation increased to >90% at 4 and 5 months, respectively, and to 100% after 6 months.ConclusionAfter implementing process improvement and KT interventions, pain assessment documentation improved. Additional work is needed in several key areas, specifically monitoring moderate to severe pain, in order to target factors contributing to significant postoperative pain in children.

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Peeraully, R., R. Hill, D. Colliver, A. Williams, S. Motiwale i B. Davies. "Can laparoscopy be part of a paediatric surgery outreach service?" Annals of The Royal College of Surgeons of England 99, nr 5 (maj 2017): 355–57. http://dx.doi.org/10.1308/rcsann.2017.0011.

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INTRODUCTION The aim of this study was to assess the outreach laparoscopic service delivered by four paediatric surgeons to a district general hospital (DGH). METHODS A retrospective review was carried out of all laparoscopic procedures performed in a single DGH between January 2004 and November 2014 by the four paediatric surgeons providing the outreach service. All operations were identified from the electronic theatre system and archived correspondence. Demographic and clinical details were obtained from contemporaneous records. RESULTS Over the 11-year study period, 1,339 operations were performed as part of the outreach paediatric surgery service, with 128 patients (9.6%) undergoing laparoscopy. The indications for laparoscopic surgery were impalpable unilateral or bilateral undescended testes (UDT) (n=79, 62%) or request for insertion of a feeding gastrostomy (n=49, 38%). All but six UDT cases (96%) were performed as day surgery and the median length of stay for gastrostomy patients was 3 days (interquartile range: 2–3 days). There were three UDT cases with surgical complications and one had complications related to the anaesthesia. One gastrostomy case required transfer to our tertiary centre for management of postoperative urinary retention and urethral injury. CONCLUSIONS Elective laparoscopic procedures in young children can be provided safely as components of an outreach paediatric surgery service in a DGH setting as part of an increasing volume of operations performed by specialist paediatric surgeons. This enables children to have a high quality service as close to their home as possible.

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Cubitt, Jonathan J., Amy Chesney, Liz Brown i Dai Q. Nguyen. "Evaluating an outreach service for paediatric burns follow up". Burns 41, nr 6 (wrzesień 2015): 1193–98. http://dx.doi.org/10.1016/j.burns.2015.02.004.

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Mendelson, Marilyn A., James Plews-Ogan i Jeffrey A. Johnson. "Utilization of a Migrant Outreach Nursing Service". Journal of Rural Health 2, nr 2 (lipiec 1986): 37–45. http://dx.doi.org/10.1111/j.1748-0361.1986.tb00144.x.

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Manickchund, Yashoda, i GP Hadley. "Paediatric surgery outreach: analysis of referrals to a tertiary paediatric surgery service to plan an outreach programme Kwa-Zulu Natal, South Africa". Tropical Doctor 47, nr 4 (6.07.2017): 305–11. http://dx.doi.org/10.1177/0049475517718103.

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Paediatric surgical disease is a neglected health problem. Patients travel great distances to tertiary level care for management. This study aimed at analysing referral patterns to design an outreach programme for paediatric surgery in KwaZulu Natal. Data forms of patients referred to the service between January and July 2016 were correlated with the clinical record. Delays in management were compared to morbidity and mortality. Out of 781, 158 referrals were accepted as emergencies. The majority (62%) were children aged < 1 year. Gastro-intestinal problems (38.4%) and congenital anomalies (26.9%) formed the majority. Patients who died had a significantly longer delay in transfer. Longer total delay was associated with statistically significant greater morbidity. In a setting where a large rural population is served by single-centre tertiary care, delays exist and contribute to morbidity. The authors advocate the establishment of an outreach programme to address these issues.

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Allen, Jane, David F. Dickinson, Arun Ramachandran i John D. R. Thomson. "Development of a cardiac technician led paediatric echocardiographic service – experience from a district general hospital in the United Kingdom". Cardiology in the Young 15, nr 3 (3.05.2005): 299–301. http://dx.doi.org/10.1017/s1047951105000600.

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Objectives:To report our experience in providing cardiac technician led paediatric echocardiography services in a district general hospital in the United Kingdom.Methods:We have collected prospectively the numbers of referrals, and the proportion of abnormal echocardiograms, since inception of the service in 2000. In additional, for a period of 12 months, we have audited in detail the patterns of referral to the service, and outcomes, assessing the effect of the service on the outreach clinic run by a visiting paediatric cardiologist.Results:Use of the system resulted in detection of a wide range of abnormalities, with our audit showing that the patients received appropriate management. The total referrals to the service increased 10 fold over the 4 year period of the study. The proportion of abnormal hearts detected by echocardiography, however, dropped from 90 per cent to 16 per cent over the same period. The numbers of patients seen in the outreach cardiology clinic remained unaltered.Conclusions:Having been proved to be an effective model for the triage of children with suspected congenital cardiac disease, adoption of a cardiac technician led echocardiographic service has seen a dramatic increase in the numbers of echocardiograms requested, without decreasing the workload of the visiting paediatric cardiologist.

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Bairstow, Phillip, Sarah Ashe i Mary Bairstow. "Hospital outreach service: Helping to prevent nursing home placement". Australian Health Review 21, nr 4 (1998): 192. http://dx.doi.org/10.1071/ah980192.

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An outreach service from a post-acute metropolitan teaching hospital delivered anintensive, multidisciplinary and coordinated allied health service, and achieved bothearly hospital discharge and the prevention or delay of nursing home placement. Thisarticle reports on three types of cases which illustrate how the service assisted wardteams, families and patients to determine whether nursing home placement wasessential. For a group of 20 cases, the total reduction in hospital length of stay was556 days, and home accommodation as an alternative to nursing homeaccommodation was achieved for a total of 7505 days. The article outlines a matrixof advantages and disadvantages, both tangible and intangible, of home versusnursing home accommodation. It is suggested that a full costing of this matrix wouldinform debate on the comparative merits of long-term home and nursing homeaccommodation.

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9

Draper, Brian, Susanne Meares i Helen McIntosh. "A Psychogeriatric Outreach Service to Nursing Homes in Sydney". Australasian Journal on Ageing 17, nr 4 (listopad 1998): 184–86. http://dx.doi.org/10.1111/j.1741-6612.1998.tb00070.x.

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Beane, Carol, i Liz Auld. "Paediatric oncology research nursing: improving the service". British Journal of Nursing 11, nr 9 (9.05.2002): 626–33. http://dx.doi.org/10.12968/bjon.2002.11.9.10176.

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Andrews, Hannah, i Yogen Singh. "Review of paediatric cardiology services in district general hospitals in the United Kingdom". Cardiology in the Young 26, nr 3 (20.05.2015): 528–31. http://dx.doi.org/10.1017/s1047951115000633.

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AbstractFollowing the Safe and Sustainable review of Paediatric Services in 2012/2013, National Health Service England recommended that local paediatric cardiology services should be provided by specially trained paediatricians with expertise in cardiology in all non-specialist hospitals.AimTo understand the variation in local paediatric cardiology services provided across district general hospitals in the United Kingdom.Study design and methodsAn internet-based questionnaire was sent out via the Paediatrician with Expertise in Cardiology Special Interest Group and the Neonatologists with Interest in Cardiology and Haemodynamics contact databases and the National Health Service directory. Non-responders were followed-up via telephone.ResultsThe response rate was 80% (141 of 177 hospitals), and paediatricians with expertise in cardiology were available in 68% of those. Local cardiology clinics led by paediatricians with expertise in cardiology were provided in 96 hospitals (68%), whereas specialist outreach clinics were held in 123 centres (87%). A total of 11 hospitals provided neither specialist outreach clinics nor any local cardiology clinics led by paediatricians with expertise in cardiology. Paediatric echocardiography services were provided in 83% of the hospitals, 12-lead electrocardiogram in 96%, Holter electrocardiogram in 91%, and exercise testing in only 47% of the responding hospitals. Telemedicine facilities were established in only 52% of the centres, where sharing echocardiogram images via picture archiving and communication system was used most commonly.ConclusionThere has been a substantial increase in the availability of paediatricians with expertise in cardiology since 2008. Most of the hospitals are well-supported by specialist cardiology centres via outreach clinics; however, there remains significant variation in the local paediatric cardiology services provided across district general hospitals in the United Kingdom.

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Schantz, Betty J. "ERS as a Community Outreach Service from a Nursing Home". Home Health Care Services Quarterly 13, nr 3-4 (20.05.1993): 229–38. http://dx.doi.org/10.1300/j027v13n03_19.

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Chan, Daniel K. Y., Frank X. Liu, Deni Irwanto, Davin Prasetyo, Gerard Ozorio, Feika Li, Matthew Smith, Anurag Sharma i Jack Chen. "Experience of establishing an acute geriatric outreach service versus subacute service to nursing homes". Internal Medicine Journal 48, nr 11 (listopad 2018): 1396–99. http://dx.doi.org/10.1111/imj.14104.

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Goodger, Julie, Jane Kulas, Annabel Carney, Patrick Dewan, Elizabeth Kosmala i Donald A. Simpson. "Myelodysplasia in Adult Life: The Value of an Outreach Nursing Service". Rehabilitation Nursing 23, nr 4 (8.07.1998): 185–91. http://dx.doi.org/10.1002/j.2048-7940.1998.tb01778.x.

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Odell, Mandy. "Patient- and relative-activated critical care outreach: a 7-year service review". British Journal of Nursing 28, nr 2 (24.01.2019): 116–21. http://dx.doi.org/10.12968/bjon.2019.28.2.116.

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Hockey, D. J., J. Fluxman, M. Watson i R. Klaber. "Understanding the service use patterns of emergency department frequent attenders: could paediatric outreach be a solution?" Archives of Disease in Childhood 99, nr 1 (7.10.2013): 90–91. http://dx.doi.org/10.1136/archdischild-2013-304495.

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Thomas, S. L., K. Williams, J. Ritchie i K. Zwi. "Improving paediatric outreach services for urban Aboriginal children through partnerships: views of community-based service providers". Child: Care, Health and Development 41, nr 6 (27.03.2015): 836–42. http://dx.doi.org/10.1111/cch.12246.

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Ng, S., S. Mariguddi, S. Coward i H. Middleton. "G181 Successful implementation of a paediatric community home nursing service as a model of service delivery in acute paediatric care". Archives of Disease in Childhood 99, Suppl 1 (1.04.2014): A79. http://dx.doi.org/10.1136/archdischild-2014-306237.185.

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Sims, Tanya. "Nursing and Service-Learning Partnerships: Implementation of a Community Breast Cancer Awareness Outreach". Journal of Obstetric, Gynecologic & Neonatal Nursing 43 (czerwiec 2014): S4. http://dx.doi.org/10.1111/1552-6909.12366.

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Watson, Wendy, Caroline Mozley, Judith Cope, Dianne Hart, Diana Kay, Karen Cowley, Jayne Pateraki i George Priestley. "Implementing a nurse-led critical care outreach service in an acute hospital". Journal of Clinical Nursing 15, nr 1 (styczeń 2006): 105–10. http://dx.doi.org/10.1111/j.1365-2702.2005.01457.x.

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Hare, Anthea. "Can any paediatric nurses working in the School Nursing Service help?" Paediatric Nursing 3, nr 9 (listopad 1991): 5. http://dx.doi.org/10.7748/paed.3.9.5.s8.

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McEwan, G. "A13 White cell imaging: a nursing perspective including a paediatric service". Nuclear Medicine Communications 27, nr 7 (lipiec 2006): A3. http://dx.doi.org/10.1097/00006231-200607000-00023.

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McEwan, G. "A13 White cell imaging: a nursing perspective including a paediatric service". Nuclear Medicine Communications 27, nr 7 (lipiec 2006): A3. http://dx.doi.org/10.1097/00006231-200607000-00024.

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Ojo, Samuel A. "Reflections on setting up a nurse-led paediatric peripherally inserted central catheter service". British Journal of Nursing 29, nr 14 (23.07.2020): S16—S20. http://dx.doi.org/10.12968/bjon.2020.29.14.s16.

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The aim of this article is to present the experience of starting a paediatric peripherally inserted central catheter (PICC) service and setting up a nurse-led paediatric PICC insertion service. The periods in review are divided into two: the trial phase and the interim service phase. The trial phase took place between October 2014 and December 2016. During this period, a total of 55 lines were inserted. The interim service phase, which is ongoing, pending the ratification of the business case, has resulted in 301 inserted PICC lines. The interim period discussed covers January 2017 to December 2019.

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Roussak, Penelope. "Centralisation of paediatric intensive care and a 24-hour retrieval service". British Journal of Nursing 23, nr 1 (9.01.2014): 25–29. http://dx.doi.org/10.12968/bjon.2014.23.1.25.

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Medlin, Linda G., Anne B. Chang, Kwun Fong, Rebecca Jackson, Penny Bishop, Annette Dent, Deb C. Hill, Stephen Vincent i Kerry-Ann F. O'Grady. "Indigenous Respiratory Outreach Care: the first 18 months of a specialist respiratory outreach service to rural and remote Indigenous communities in Queensland, Australia". Australian Health Review 38, nr 4 (2014): 447. http://dx.doi.org/10.1071/ah13136.

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Objective Respiratory diseases are a leading cause of morbidity and mortality in Indigenous Australians. However, there are limited approaches to specialist respiratory care in rural and remote communities that are culturally appropriate. A specialist Indigenous Respiratory Outreach Care (IROC) program, developed to address this gap, is described. Methods The aim of the present study was to implement, pilot and evaluate multidisciplinary specialist respiratory outreach medical teams in rural and remote Indigenous communities in Queensland, Australia. Sites were identified based on a perception of unmet need, burden of respiratory disease and/or capacity to use the clinical service and capacity building for support offered. Results IROC commenced in March 2011 and, to date, has been implemented in 13 communities servicing a population of approximately 43 000 Indigenous people. Clinical service delivery has been possible through community engagement and capacity building initiatives directed by community protocols. Conclusion IROC is a culturally sensitive and sustainable model for adult and paediatric specialist outreach respiratory services that may be transferrable to Indigenous communities across Queensland and Australia. What is known about this topic? The high rates of respiratory illnesses in Australian Indigenous children have been poorly explored. There is a dearth of research quantifying and qualifying risk from birth and throughout early childhood, and there are virtually no evidence-based evaluations of interventions to prevent and manage disease. Despite data suggesting an excess burden of disease, there has been little attention paid to respiratory health in this population. The limited research that has been done highlights that a ‘one size fits all’ model will not be effective in all communities, and that health service must meet the needs of communities, be culturally appropriate and be accessible to Aboriginal people for it to be effective and sustainable. The ‘common theme’ is that although health services are improving, service delivery needs to adapt to meet the needs of communities; this is not happening quickly enough for many Aboriginal people. What does this paper add? This paper highlights the importance of working with communities in the development and delivery of a culturally appropriate and accessible specialist respiratory service. In addition, this paper acknowledges the importance of recruiting Indigenous staff in the implementation, engagement and delivery of the project. What are the implications for clinicians? This paper provides an outline on how best to deliver a culturally appropriate respiratory outreach service and the role of clinicians, communities and Indigenous staff. This model supports the view that Aboriginal people must be a part of service delivery that is aligned to the ‘holistic concept of health’ for Aboriginal people, thus providing a culturally appropriate service that meets their needs and addresses the health continuum from within culture and community.

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Hunt, Jane A. "Empowering health care professionals: a relationship between primary health care teams and paediatric oncology outreach nurse specialists". European Journal of Oncology Nursing 2, nr 1 (marzec 1998): 27–33. http://dx.doi.org/10.1016/s1462-3889(98)81258-1.

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Hayter, Mark. "Reaching Marginalized Young People Through Sexual Health Nursing Outreach Clinics: Evaluating Service Use and the Views of Service Users". Public Health Nursing 22, nr 4 (lipiec 2005): 339–46. http://dx.doi.org/10.1111/j.0737-1209.2005.220409.x.

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Rothstein, Jonty, Richard Heazlewood i Marnie Fraser. "Health of Aboriginal and Torres Strait Islander children in remote Far North Queensland: findings of the Paediatric Outreach Service". Medical Journal of Australia 186, nr 10 (maj 2007): 519–21. http://dx.doi.org/10.5694/j.1326-5377.2007.tb01026.x.

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Kirby, L., N. Duns, O. Tegg, S. Pearson, M. Haddad i C. T. Goh. "P0162 / #520: IMPACT OF THE INTRODUCTION OF A TRACK AND TRIGGER SYSTEM ON A PAEDIATRIC INTENSIVE CARE OUTREACH SERVICE". Pediatric Critical Care Medicine 22, Supplement 1 3S (marzec 2021): 106–7. http://dx.doi.org/10.1097/01.pcc.0000738992.38258.dc.

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Hillis, Rowan, Julie Ling, Claire Quinn i Maria Brenner. "Evaluating a pilot paediatric hospice-at-home service: a literature review". International Journal of Palliative Nursing 22, nr 2 (2.02.2016): 90–97. http://dx.doi.org/10.12968/ijpn.2016.22.2.90.

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Calsyn, Robert J. "Evaluation of an Outreach Program Aimed at Increasing Service Utilization by the Rural Elderly". Journal of Gerontological Social Work 14, nr 1-2 (16.11.1989): 127–35. http://dx.doi.org/10.1300/j083v14n01_08.

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Jones, Catherine, Jennifer Fraser i Sue Randall. "The evaluation of a home-based paediatric nursing service: concept and design development using the Kirkpatrick model". Journal of Research in Nursing 23, nr 6 (31.07.2018): 492–501. http://dx.doi.org/10.1177/1744987118786019.

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Background A new paediatric hospital-in-the-home nursing service required evaluation. Aims To determine whether the education and training provided for nursing staff employed in the service was effective. Methods This paper presents the way in which a training evaluation model supported the design and evaluation of a training programme for registered nurses working in an out-of-hospital, home-based nursing service for paediatric patients. Results The Kirkpatrick model provides a framework for evaluating the effectiveness of workforce training for any industry including healthcare (Kirkpatrick, 2009). Conclusions That the Kirkpatrick model is an appropriate framework to evaluate a nursing training programme, but it is imperative to evaluate all levels of the model to be able to ascertain the success of the training and the impact on clinical practice.

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Makhecha, Sukeshi, Angela Jamalzadeh, Samantha Irving, Pippa Hall, Samatha Sonnappa, Sejal Saglani, Andrew Bush i Louise Fleming. "Paediatric severe asthma biologics service: from hospital to home". Archives of Disease in Childhood 106, nr 9 (15.02.2021): 900–902. http://dx.doi.org/10.1136/archdischild-2020-320626.

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Children with severe asthma may be treated with biologic agents normally requiring 2–4 weekly injections in hospital. In March 2020, due to COVID-19, we needed to minimise hospital visits. We assessed whether biologics could be given safely at home. The multidisciplinary team identified children to be considered for home administration. This was virtually observed using a video link, and home spirometry was also performed. Feedback was obtained from carers and young people. Of 23 patients receiving biologics, 16 (70%) families agreed to homecare administration, 14 administered by parents/patients and 2 by a local nursing team. Video calls for omalizumab were observed on 56 occasions, mepolizumab on 19 occasions over 4 months (April–July). Medication was administered inaccurately on 2/75 occasions without any adverse events. Virtually observed home biologic administration in severe asthmatic children, supported by video calls and home spirometry, is feasible, safe and is positively perceived by children and their families

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Bushar, Jessica A., Jodie Fishman, Danielle Garfinkel i Amy Pirretti. "Enrolling Underserved Women in mHealth Programs: Results From Text4baby Outreach Campaigns". Health Promotion Practice 20, nr 2 (24.03.2018): 292–99. http://dx.doi.org/10.1177/1524839918763589.

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Public health practitioners have increasingly leveraged technology-based communication to get health information into the hands of hard-to-reach populations; however, best practices for outreach and enrollment into mobile health (mHealth) programs are lacking. This article describes enrollment results from campaigns focused on enrolling underserved pregnant women and mothers in Text4baby—a free, mHealth service—to inform outreach strategies for mHealth programs. Text4baby participants receive health and safety information, interactive surveys, alerts, and appointment reminders through at least three weekly texts and a free app—timed to users’ due date or babies’ birth date. Text4baby worked with partners to implement national, state, and community-based enrollment campaigns. Descriptive statistics were used to compare baseline enrollment prior to a campaign with enrollment during a campaign to generate enrollment estimates. Enrollment rates were calculated for campaigns for which the number targeted/reached was available. National television campaigns resulted in more than 10,000 estimated enrollments. Campaigns that were integrated with an existing program and text-based recruitment had the highest enrollment rates, ranging from 7% to 24%. Facebook advertisements and traditional media targeting providers and consumers were least effective. mHealth programs should consider text-based recruitment and outreach via existing programs; additional research is needed on return on investment for different outreach strategies and on the effectiveness of different outreach strategies at reaching and enrolling specific target populations.

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Park, Sooyeon, i Jinkyung Park. "Identifying the Knowledge Structure and Trends of Outreach in Public Health Care: A Text Network Analysis and Topic Modeling". International Journal of Environmental Research and Public Health 18, nr 17 (3.09.2021): 9309. http://dx.doi.org/10.3390/ijerph18179309.

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Outreach programs are considered a key strategy for providing services to underserved populations and play a central role in delivering health-care services. To address this challenge, knowledge relevant to global health outreach programs has recently been expanded. The aims of this study were to analyze the knowledge structure and understand the trends in aspects over time and across regions using text network analysis with NetMiner 4.0. Data analysis by frequency, time and region showed that the central keywords such as patient, care, service and community were found to be highly related to the area, target population, purpose and type of services within the knowledge structure of outreach. As a result of performing topic modeling, knowledge structure in this area consisted of five topics: patient-centered care, HIV care continuum, services related to a specific disease, community-based health-care services and research and education on health programs. Our results newly identified that patient-centered care, specific disease and population have been growing more crucial for all times and countries by the examination of major trends in health-care related outreach research. These findings help health professionals, researchers and policymakers in nursing and public health fields in understanding and developing health-care-related outreach practices and suggest future research direction.

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Williams, T. A., G. Leslie, J. Finn, L. Brearley, M. Asthifa, B. Hay, K. Laurie i in. "Clinical Effectiveness of a Critical Care Nursing Outreach Service in Facilitating Discharge From the Intensive Care Unit". American Journal of Critical Care 19, nr 5 (31.08.2010): e63-e72. http://dx.doi.org/10.4037/ajcc2010965.

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Yılmaz, Medine, Hatice Yıldırım Sarı, Meltem Ünlü i Perihan Yetim. "Investigating intercultural effectiveness of paediatric nurses in a Turkish hospital". British Journal of Nursing 29, nr 3 (13.02.2020): 152–58. http://dx.doi.org/10.12968/bjon.2020.29.3.152.

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Background: Cultural competence, an important part of patient-centred care, has been on the nursing agenda for many years. Aim: The aim of this study was to measure the intercultural effectiveness level of paediatric nurses, and to explore relationships between the level of intercultural effectiveness and some sociodemographic variables in paediatric nurses. Method: The study was conducted at İzmir Tepecik Training and Research Hospital's children's clinics in Turkey. A convenience sample of 98 paediatric registered nurses practising at the hospital was evaluated. To collect the study data, a sociodemographic characteristics questionnaire, a Cultural Approach in Nursing Care form and the Intercultural Effectiveness Scale (IES) were used. Results: The participating paediatric nurses' intercultural effectiveness levels were moderate, the problem they experienced most was the language problem and although many of them had not received adequate training in cultural care, based on their experiences, they regarded themselves as culturally competent. Conclusion: Cultural competence is vital in multi-ethnic and multicultural societies. Cultural competence training should be provided to nurses during nurse education, or in-service training during their professional life.

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Klemm, Paula R., Veronica F. Rempusheski i Janet Teixeira. "A Nonprofit Community Service and Academic Collaboration to Increase Outreach to Older Adults With Cancer: Lessons Learned". Journal of Gerontological Social Work 56, nr 6 (sierpień 2013): 554–68. http://dx.doi.org/10.1080/01634372.2013.793222.

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Wagner, Ingrid, Stephen Stathis, Scott Harden i Jennifer Crimmins. "Models and Patterns of Service in Child and Youth Consultation–Liaison Services". Australasian Psychiatry 13, nr 3 (wrzesień 2005): 273–78. http://dx.doi.org/10.1080/j.1440-1665.2005.02201.x.

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Objective: The aim was to examine referral pathways to child and youth consultation–liaison (C-L) services to identify patterns associated with demographic characteristics of patients, referral sources, the presenting problem and models of service. Method: A case record review with a cross-sectional design. Data were extracted from the records of all patients referred to the C-L service for a 3month period. Results: Adolescents were more likely to accessmental health services through informal liaison services. Medical specialty areas that were inclusive of nursing and allied health, in both the request for service and initial response to the request, had higher frequencies of referral. There was no difference between the disciplines of medicine and social work in the frequency of referrals. However, medicine, social work and nursing differed in the number of staff who initiated the request for consultation, and the types of problems that were presented as reasons for referral. Conclusions: Inclusive multidisciplinary models may facilitate the development of service relationships in paediatric hospital settings, due to the stability of staffing arrangements. The wider participation of allied health and nursing staff within paediatric hospitals may extend opportunities for the identification of mental health problems and enhance timely management of referrals.

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Jones, Catherine, Jennifer Fraser i Sue Randall. "An evaluation of training to prepare nurses in a home-based service to care for children and families". Journal of Child Health Care 24, nr 4 (15.10.2019): 589–602. http://dx.doi.org/10.1177/1367493519881572.

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Evaluation of training was conducted for a paediatric hospital-in-the-home service in Sydney, Australia. Community nurses with no paediatric training or experience were employed and undertook a training program. The aim was to assess the degree to which the training had prepared them to care for children and families in their homes. A mixed-methods design was employed. Overall, the following aspects of the training were well received by the community nurses: paediatric resuscitation, growth and development, clinical deterioration and child protection. Each topic provided basic knowledge and skills in the speciality. The participating nurses generally reached a ‘competent’ level of practice as defined by Benner (2000). Further training and development is recommended. Where paediatric nursing practice is isolated from acute paediatrics services, opportunities must be provided to improve safe levels of practice for children of all ages.

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Dalton, M., F. Ludden i M. Johnson. "1391: Improving patient outcomes in cardiothoracic nursing: A service collaboration between the hospital at night and ITU outreach services". European Journal of Cardiovascular Nursing 6, nr 1_suppl (marzec 2007): 50. http://dx.doi.org/10.1016/j.ejcnurse.2007.01.082.

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Lee, Gemma, Jochen Kammermeier, Rakesh Vora i Mohamed Mutalib. "Review of a paediatric inflammatory bowel disease service during the pandemic and the impact of the CNS role". British Journal of Nursing 30, nr 14 (22.07.2021): 840–44. http://dx.doi.org/10.12968/bjon.2021.30.14.840.

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Background: Inflammatory bowel disease (IBD) is a chronic relapsing and remitting condition. The COVID-19 pandemic has severely disrupted provision of medical care across the world. IBD clinical nurse specialists (CNSs) played a pivotal role in the care of children with IBD during the pandemic national lockdown and in the recovery phase. This article aims to look at the impact of COVID-19 on the paediatric IBD service in one children's hospital and the effect on the IBD CNSs' workload. Method: A retrospective review of clinical notes and the service's IBD database from January 2019 to September 2020. Results: There was a significant increase in the number of email and telephone contacts to the IBD CNS team during lockdown. There was an increase in virtual clinics, and an increase in new IBD patients coming to the service, but a reduction in the number of face-to-face consultant clinics. Conclusion: COVID-19 has disrupted medical services to children with IBD and led to a reduction in face-to-face activities but has also led to a significant increase in virtual activities. CNSs have taken up a wider role to cover patient care during a time of both medical and nursing redeployment.

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Salem, Benissa E., Jordan Kwon i Masha Ames. "On the Frontlines: Perspectives of Providers Working With Homeless Women". Western Journal of Nursing Research 40, nr 5 (24.01.2017): 665–87. http://dx.doi.org/10.1177/0193945916689081.

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Homeless service providers (HSPs) are on the frontlines of caring for the most vulnerable populations to help them navigate out of homelessness and access health and social services. The purpose of this qualitative study was to understand, from the perspectives of HSPs ( N = 19; age range, 27-58 years; SD = 10.37), their account and experiences in working with homeless women (HW), and opportunities for intervention development and integration. Five focus groups were conducted with HSPs in Central City East, Los Angeles. Five main themes emerged which included (a) seeking to establish a therapeutic relationship, (b) internal and external drivers of change, (c) navigating systems, (d) targeted outreach, and (e) program design recommendations. Within these themes, individual- and structural-level characteristics emerged. To better equip HW, HSPs’ perspectives need to be considered in future interventions to aid women traverse homelessness.

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Lowe, Rochelle, Karen Bravery i Faith Gibson. "Navigating the maze: parents’ views and influence on a paediatric haematology and oncology day care service". Journal of Clinical Nursing 17, nr 23 (grudzień 2008): 3159–67. http://dx.doi.org/10.1111/j.1365-2702.2008.02632.x.

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Patel, Radhika, Mohamed Mutalib, Akhilesh Pradhan, Hannah Wright i Manasvi Upadhyaya. "Nurse-led service for children with gastrostomies: a 2-year review". British Journal of Nursing 30, nr 8 (22.04.2021): 462–66. http://dx.doi.org/10.12968/bjon.2021.30.8.462.

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Background: Percutaneous endoscopic gastrostomy (PEG) feeding can provide long-term nutritional support for patients with a functional gastrointestinal system but insufficient oral intake. Some patients, however, may require jejunal feeding, which can be achieved using a PEG tube with jejunal extension (PEG-J). A previous review at a tertiary paediatric hospital revealed poor documentation and a high incidence of buried bumper syndrome (BBS) in children with gastrostomies. Subsequently, a nurse-led service for gastrostomy care was introduced. Aim: To determine the impact of the nurse-led service. Methods: Prospective review, at 1 year and 2 years, following either a PEG or PEG-J insertion. Patient records were reviewed and a telephone survey was conducted. Statistical analysis was performed using Fisher's exact test. Findings: 32 PEG and 6 PEG-J patients were included in this study. There was 100% documentation of provision of care instructions. Average satisfaction with the service was over 8/10. Incidence of BBS was 0% in the PEG group and 17% in the PEG-J group. Of those parents/carers surveyed, 74% wanted additional tube care support via SMS text message. Conclusion: Introduction of a nurse-led service resulted in complete documentation of provision of care and sustained high levels of parental satisfaction. Future care should focus on utilising technological platforms.

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Foster, Lynelle, i Anne McMurray. "Community Parenteral Therapy Project: A pilot study". Australian Health Review 21, nr 1 (1998): 98. http://dx.doi.org/10.1071/ah980098.

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The pilot study reported in this paper was devised to develop and compare servicedelivery models that would achieve the provision of high quality parenteral therapycare to patients in the Gold Coast District Health Service community. All data werecollected on 113 patients for a 12-month period, January to December 1996. Thestudy compared the provision of outreach nursing services and contracted nursingservices on measures of satisfaction and cost.The study showed that patient and carers indicated a preference for community care,medical officers advocated the benefits of administering parenteral therapies in thecommunity, general practitioners were interested in managing future communityparenteral therapies, and contracted (nurse) service providers endorsed the developmentof a parenteral therapy resource centre. The findings also revealed considerablepotential cost savings in community-based care.

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Smith, Rachel. "P28 Implementation of clinical pharmacy services at weekends within a tertiary children’s hospital". Archives of Disease in Childhood 103, nr 2 (19.01.2018): e2.31-e2. http://dx.doi.org/10.1136/archdischild-2017-314585.37.

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AimThe need to improve the provision of Pharmacy services across seven days was highlighted in the initial findings of a report commissioned by the Medical Director of NHS England.1 The authors commented that Pharmacy services should be regarded as a priority in the first stages of transformational project work.The aim of this study was to evaluate the impact of specialist paediatric pharmacists working directly within the children’s wards of a tertiary paediatric centre within a large teaching hospital at weekends.MethodClinical pharmacists within our organisation have not routinely provided ward based services at weekends. Pharmacists were based within the inpatient dispensary or aseptic preparative service managing supply requests for medicines from a range of adult and paediatric specialities. Information queries were managed by the dispensary teams, or referred to the duty Medicines Information pharmacist.Changes were made to the weekend service specification to ensure a paediatric specialist pharmacist was available to provide ward based clinical pharmacy service to paediatric areas at the weekend.Requests for medicines for children’s areas were referred to a specialist paediatric pharmacist. The service specification included requests for supply of non-stock medicines, medicines for discharge and orders for aseptically prepared items. All orders for medicines supply were managed within the ward environment. The pharmacist was available to patients and carers, had access to medical and nursing teams, patient information and could assess patients own drugs for discharge.The duty paediatric pharmacist was available to answer clinical pharmacy related enquiries from ward staff. Details of complex patients who may need weekend review were transferred from weekday teams to the weekend duty pharmacist. Records were kept of the weekend workloadResultsA median of 7 clinical queries per weekend were managed by the weekend paediatric pharmacist. On average, 20 patients per weekend required discharge prescription management, including clinical validation, patient counselling and assessment of patients own medicines suitable for use on discharge. Twelve requests for non-stock medicines were made on a typical weekend. Staff feedback was sought following the initiation of the new weekend service. Pharmacists reported increased satisfaction in the service they provided and felt it was a more appropriate use of their skill set.Details of enquiries from children’s wards were recorded. One patient story involved a patient with haemophagocytic lymphohistiocytosis who required multiple drug dose adjustments due to haemodialysis. The paediatric pharmacist was able to review the patient’s medicines and advise appropriate dose adjustments. A patient with newly diagnosed acute leukaemia required urgent chemotherapy. The request was managed by the paediatric pharmacist enabling treatment to be commenced without delay.ConclusionThe presence of a paediatric pharmacist on children’s wards at the weekend enables medicines supply issues to be managed effectively. Requests for information on the use of medicines occur in a timely manner.ReferenceNHS England. NHS services, 7 days a week forum: Summary of initial findingsDecember 2013. https://www.england.nhs.uk/wp-content/uploads/2013/12/forum-summary-report.pdf accessed 29th July 2016.

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Crouch, Claire, David Sharpe, David Porter i Stephane Paulus. "P34 Successful introduction of an outpatient parenteral antimicrobial therapy (opat) programme in a large uk paediatric hospital". Archives of Disease in Childhood 103, nr 2 (19.01.2018): e2.38-e2. http://dx.doi.org/10.1136/archdischild-2017-314585.43.

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IntroductionAn OPAT service was launched at large paediatric hospital in November 2014 to facilitate the safe and efficient discharge of patients from hospital into the community. The OPAT service is delivered by a multi-disciplinary team including a Consultant in Paediatric Infectious Diseases, an OPAT/Intravascular Access Nurse, an Antimicrobial Pharmacist, and involves collaborative working with community nursing teams across the region. We present an evaluation of our service based on audit data and patient feedback collected over a 12 month period.MethodsProspective audit using the BSAC p-OPAT (British Society of Antimicrobial Chemotherapy Paediatric Out-patient Parenteral Antimicrobial Therapy) database including data from 1 st January 2015 to 31 st December 2015.ResultsTwo hundred and thirteen patients were admitted to the OPAT service leading to 1749 bed-days saved for the trust. Seventy-four patients avoided admission. The most common conditions were: bronchiectasis/chronic respiratory tract infection (15.5%), bacteraemia (15%), pre-septal cellulitis (15%) and respiratory tract infection (11.2%). Complex infections were less common but they accounted for longer antibiotic courses, such as cerebral abscess (5 patients – 170 days of intravenous therapy) and endocarditis (3 patients – 75 days of intravenous therapy).Using the BSAC outcomes definitions, we reported a 90% infection cure rate with a further 6.5% showing clinical improvement. OPAT outcomes were: success in 87% and partial success in 8.5%. The remaining patients (n=6) were classified as OPAT failures due to worsening of infection, drug reactions or inability to re-establish lost vascular access.Feedback from children and parents showed overall satisfaction with the OPAT service. Completed feedback questionnaires (n=30) rated the support and care as satisfactory or better in all cases, with over 83% rating the service as excellent.ConclusionWe report a positive financial and clinical impact of a new paediatric OPAT service. The service expansion will focus on the involvement of new patient groups (oncology, general surgery) and the increase use of elastomeric devices allowing for an increase number of patients to be treated in their home environment.

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Taib, Fahisham, Hans Van Rostenberghe i Nurul Adilah Muhammad. "Pediatric Palliative Care in Kelantan: A Community Engagement Model". Bangladesh Journal of Medical Science 15, nr 1 (11.04.2016): 51–56. http://dx.doi.org/10.3329/bjms.v15i1.27139.

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Holistic package of palliative care service for children is not available in most places in the South East Asia. This has resulted in unwanted suffering and loss of hope in the unfortunate families. Pediatric palliative care (PPC) is a new subspecialty in Malaysia. In our region, it was started in 2012 as a Universitys community engagement project following completion of self-initiated palliative care distance learning in Australia by a pediatrician. The grant was labeled as a flagship project and secured under the Division of Community & Industry Network of USM (BJIM) to provide service in the hospital and outreach home based PPC services, which include nursing care, needs assessment and psychosocial support for the patients and caregivers. Knowledge transfer program was initiated, in collaboration with Yayasan Orang Kurang Upaya (YOKUK) or Kelantan Foundation for the Disabled, to equip the outreach team with skills dealing with children with life limiting illnesses (LLI) in Kelantan. The move has propagated regular training setup with transformational program from hospital to community settings. This setup has led to mutual cooperation across the disciplines and provided linkages for stronger networking and training either locally or internationally. Better understanding on the importance of palliative care in the community can be achieved by having active community participation and volunteerism.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.51-56

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