Overview of pediatric nursing

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Overview of pediatric nursing

• By
• Shadia A. H. Yousuf RN, BSN, MSN, PhD

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Objectives

• Discuss current societal trends and describe
  their influence on children in Saudi Arabia
• Identify the effects of poverty, violence on
  children and their health
• Discuss the current status of children's physical
  and social health
• Identify five strategies to prevent unintentional
  childhood injuries
• Describe and discuss the importance of each
  pediatric nurse role

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Introduction

• Children are members of families, communities and
  society
• The wellbeing of children is associated with
  wellbeing of their families, communities and the
  society in where they live

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• World is changing and different trends appear
  that have effect on the environment surrounding
  children and their families and their health
• These trends are poverty, violence, homelessness,
  migration of different nationality

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• Immigration
• Immigration of desert people to city
• Immigration (over staying population) of Haji and
  Omrah people
• Poor diet, intestinal parasites, tuberculosis,
  hepatitis A B

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• Poverty
• Low income family has significant effects on the
  well-being of the children
• Poor children at risk of physical, social,
  cognitive and emotional effects
• Have higher rates of death and illness
• Infant mortality is associated with poverty

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• Homelessness
• Factors contribute homelessness
• Increase in poverty
• Lack of affordable housing
• Unemployment
• Personal crises such as divorce, domestic
  violence and substance abuse

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• Violence
• Violence crimes include
• Murder
• forcible rape
• robbery
• assault

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• Health status of children
• Infant mortality no. of infant deaths during the
  first year of life per 1,000 live births
• Child mortality is another indicator for
  children health status

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• Injuries is any damage or harm to an individual
  resulting in destruction of health, disability,
  or death
• Unintentional injuries congenital anomalies,
  cancer, heart diseases, respiratory illness, HIV,
  motor vehicle, bicycle, motorcycle and pedestrian
  related injuries

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• Prevention of unintentional injuries
• Education
• Behaviour modification seat belt, safe hot water
  temperature, etc
• Changes in the environment and products
• Physical surrounding, toys and clothing safer etc
  
• Change legislations and regulations
• Wear bicycle helmet laws etc

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Role of pediatric nurse

• Primary roles
• Secondary roles
• Differentiated practice roles
• Advanced practice role

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Role of pediatric nurse

• Primary roles
• Caregiver helping patient, diagnosing and
  monitoring, administering therapeutic
  intervention
• Advocate assist family and children to make
  informed decisions
• Educator
• Researcher
• Manager or leader

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Role of pediatric nurse

• Secondary roles
• Coordinator
• Collaborator
• Communicator
• Consultant

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Role of pediatric nurse

• Differentiated practice roles
• Clinical care coordinator (associate degree)
• Care manager (BS degree)
• Clinical nurse (master degree)
• Advanced practice role
• Nurse practitioner
• Clinical nurse specialist
• Case manager

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Setting where pediatric nurses are involved

• Acute care setting, schools, clinics, physician
  office, home health agencies, rehabilitation
  centres, hospice programme, day care centres,
  psychiatric centres, summer camps

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Reference

• Potts, N. L. and Mandleco, B. L. 2007 Pediatric
  nursing caring for children and their families.
  2nd edition, Thomson, Delmar learning, Australia