Staying Away, Reaching Out: Offering Parents Support During the Pandemic

The ‘circuit breaker.’

Image by Wokandapix from Pixabay

I brace myself as I look over the names printed on my patient list. Our developmental pediatric unit has started an initiative to call our more vulnerable families during the COVID-19 pandemic.

Chan J. DOB: 12/10/2001. As I scan the electronic notes, I learn that mum is the main caregiver of not one but two boys with autism spectrum disorder who require a high level of support. They both usually attend special school, but the school is currently closed because of social distancing measures. We are in lockdown, or ‘circuit breaker’ as we call it in Singapore, and both children have been at home for the past three weeks. My heart sinks in anticipation as I punch in the numbers.

“Hello,” a voice hesitates at the other end.

“Good morning, Mrs. Chan,” I say, putting on a cheery tone. “My name is Jia Yi and I am a nurse from the child development unit. We are checking in with our families and I wonder if you have some time to speak with me?”

“What about?” This mother sounds tired.

“Oh, just checking in on how you are getting on and whether there is anything we can do to help.”

‘”It’s hard,” she says. […]

2020-10-01T10:18:14-04:00October 1st, 2020|Nursing, nursing stories|0 Comments

August Issue Highlights: Experiencing Racism in Nursing, Promoting Publications by Nurses, Much More

“Six of the nurses quit when they found out I was coming on because they said they would not take orders from me . . .”nursing leader Bernardine Lacey on encountering racism in her career, as described in this month’s Historical Feature

The August issue of AJN is now live. Here are some highlights.

Original Research: Understanding Nursing Home Staff Attitudes Toward Death and Dying: A Survey

In this multisite study, the authors surveyed nursing home staff to gain insight into their perspectives on end-of-life care and to identify needs in such areas as pain control and palliative care education and training.

PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infection

A review of the pathogenesis, clinical presentation, diagnosis, and treatment of pediatric neuropsychiatric disorders associated with strep infection, plus teaching points for parents and patients.

Historical Feature: ‘You Don’t Have Any Business Being This Good’: An Oral History Interview with Bernardine Lacey

This article details, in her own words, black nursing leader Bernardine Lacey’s experiences with racism in her childhood, education, and career.

[…]

2020-07-29T09:27:02-04:00July 29th, 2020|Nursing|0 Comments

May Issue: Assessing a Child’s Pain, Handling Work-Related Stress, Stop the Bleed, More

“Nursing takes a steely courage that many people don’t possess. We deal with raw emotions on a daily basis, taking in the grief and loss and pain and hopelessness of patients and families who look to us to make them feel better.”—AJN editor-in-chief Shawn Kennedy in her May editorial

The May issue of AJN is now live. Here are some highlights.

CE: Original Research: Work-Related Stress and Positive Thinking Among Acute Care Nurses: A Cross-Sectional Survey

In the first U.S. study to evaluate acute care nurses’ use of positive thinking in managing work-related stress, the authors found that positive thinking skills are being used to cope with such stress, and that nurses’ use of these skills can be improved through training.

CE: Assessing a Child’s Pain

This article discusses the factors that can influence a child’s report of pain, describes components of a comprehensive pediatric pain assessment, and reviews appropriate pain assessment scales for children of different ages and levels of cognitive development.

Nursing and the Sustainable Development Goals: From Nightingale to Now

The authors explore how nurses can contextualize the United Nations 17 Sustainable Development Goals within their daily practice and create holistic plans of care for patients, families, communities, and nations.

Leading the Effort to Promote Bleeding Control in Our Communities

This article […]

2019-04-29T08:16:17-04:00April 29th, 2019|Nursing|1 Comment

August Issue: Pain in Nonverbal Children, Sepsis Update, Particulate Matter Exposure, More

“I didn’t really know what to do . . . . This happened to other people’s families, not mine. I was supposed to be reading the monitors and titrating the drips. I was supposed to be taking care of the patient. I was supposed to be comforting the family. I was the nurse.” —Tonja Padgett, author of this month’s Reflections essay, “The Crazy Aunt or the Nurse

The August issue of AJN is now live. Here are some of the articles we’re pleased to have a chance to publish this month.

CE: Original Research: Pain in Nonverbal Children with Medical Complexity: A Two-Year Retrospective Study

Children with medically complex conditions often experience pain, but in the absence of self-report, assessing pain can be challenging. The authors of this article sought to describe the signs and symptoms parents of such children find worrisome, the sources of pain in these children, and how to best assess their pain.

CE: A Review of the Revised Sepsis Care Bundles

An update on recent revisions to the sepsis care guidelines, including development of the new one-hour bundle, plus screening and assessment tools to identify sepsis in the ICU, in the ED, on the medical–surgical unit, and outside the hospital.

Environments and Health: Nursing Practice and Particulate Matter Exposure

Both indoor and outdoor particulate matter pollution […]

2018-07-27T09:18:49-04:00July 27th, 2018|Nursing|0 Comments

The Nurse’s Temptation to Fill in the Patient Handoff Narrative

The limitations of handoff report

In bedside nursing, the nurse enters the story of the patient’s life at the point where the handoff report ends.

“Pt is an 8 mo old female, history of hypoxic ischemic encephalopathy (HIE), baseline 2L oxygen at home. Admitted to the unit for respiratory distress.”

Handoff report then goes through a systemic description of the patient’s current state: neurological, cardiovascular, respiratory, GI/GU, skin, and finally, psychosocial. The report is thorough but brief, never truly complete.

The oncoming nurse takes report and seeks to develop an accurate picture of her patient’s physiological state in order to anticipate emergencies and prioritize nursing interventions. But as any experienced nurse knows, no report can replace thorough and ongoing assessments—patients can change, and even the most expert nurses who have previously cared for this patient can miss details.

This holds true both in terms of a physiological assessment and a psychosocial assessment. What the nurse receives during handoff in terms of the patient and family’s psychosocial status is typically brief. “The patient’s parents are involved. Dad is a little more anxious and doesn’t stay at the bedside for long. Mom has a lot of questions, and she likes to help a lot with the hands-on care.”

Assumptions rush in to fill empty spaces

At […]

2018-04-23T10:26:19-04:00April 23rd, 2018|Nursing|2 Comments
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