Harris, N., Amos, A., & North, N. 2021 Sep 29. Role of the nurses in partnering with mothers to give oral medication to their hospitalised child: Modification and development of a contextualised evidence-based practice guideline. Curationis. [Online] 44:1

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•    Reflective questions:

1. On page 6 of this article in the table of recommendations, the authors explain what would happen if the mother/caregiver was not considered competent to participate in oral administration of medication. What do they recommend in this instance?
2. On page 7 under the “Implementation” recommendations, who do the authors recommend as responsible for observing the patient for adverse reactions?
3. The flow chart on page 8 summarises the recommendations; what are the four main points that the nurse must educate the mother/caregiver on?
4. If medication errors are one of the most frequent causes of adverse events in the hospital setting, is this something that nurses can or should be involving mother with?

Bian, W., Cheng, J., Dong, Y. et al. Experience of pediatric nurses in nursing dying children - a qualitative study. BMC Nurs 22, 126 (2023). https://doi.org/10.1186/s12912-023-01274-0

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•   Reflective questions for this month:  

1. On page 2, under context, how do the staff at AKUH routinely prevent infection in newborns?
2. On page 3, in the first paragraph, how do the authors define CLABSI?
3. Table 1 on page 2 of the article details the five components of the CLABSI Prevention Package. Under point 3, central line maintenance, discuss why the “stamp” was used.
4. In Table 1, under central line insertion, what were the maximal barrier precautions used? 
5. Look at Table 2 on page 4: How many neonates in total were ≤ 27 weeks gestation?

Bian, W., Cheng, J., Dong, Y. et al. Experience of pediatric nurses in nursing dying children - a qualitative study. BMC Nurs 22, 126 (2023). https://doi.org/10.1186/s12912-023-01274-0

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•    Reflective questions for this month:  

1. On page 3 of this article, under ‘Ethical considerations’, how did the authors assure anonymity of the participants? What happened to the audio recordings at the end of the study? 
2. On page 4 of the article, under ‘Data collection’, what interview skills training did the investigators receive? 
3. In the ‘Results’ of the article (pages 4 to 6), the authors provide the main topics identified and sub-themes for each. Under the sub-themes, find one example of the nurse’s exact words for each. 
4. What do you find stressful about caring for a dying child? 
5. What do you find helpful in dealing with your emotions related to the dying or deceased child? 
6. What do you think the results would be if this study is conducted in your setting? 

Chasweka, G., Majamanda, M. D., & Namathanga, A. (2022). The Cry to Be Involved: Experiences of Caregivers on Participation in Decision Making and Care Provision at Mercy James PICU in Blantyre, Malawi. Comprehensive Child and Adolescent Nursing, 46(1), 20–32. https://doi.org/10.1080/24694193.2022.2085821

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•    Reflective questions for this month:  

1. On page 4 of this article, in paragraph 1, what areas of FCC did the probe questions address? 
2. On page 4 under “ethical considerations”, how was the participants’ privacy ensured? 
3. On page 5 under “participants”, what were the reasons for the children’s admission to PICU? 
4. On page 6, what was the main reason given by caregivers for them not being involved in ward rounds? 
5. On page 7, what example was given by the caregiver for how the healthcare workers had provided support to him/her?

Balliram, R., Sibanda, W., & Essack, S. (2021). The knowledge, attitudes and practices of doctors, pharmacists and nurses on antimicrobials, antimicrobial resistance and antimicrobial stewardship in South Africa. Southern African Journal of Infectious Diseases, 36(1), 15 pages. doi:https://doi.org/10.4102/sajid.v36i1.262

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•    Reflective questions for this month:  

1. On page 2 of this article, the authors mention 5 interventions that would increase awareness of AMR. Which intervention addresses an audience other than HCP? 
2. Also on page 2, under ‘Methods’, the authors explain how participants were identified. What two organisations were used to identify participants and distribute the questionnaires? 
3. On page 5, in paragraph 2, column 1: what were the preferred sources of information on the appropriate use of antimicrobials? In paragraph 3, column 2 on page 5, which group of HCP (doctors, pharmacists or nurses) represented the highest percentage that thought skipping a does would contribute to AMR? 
4. Under the heading ‘Practices’ on page 5, column 2, the authors detail how many pharmacists and nurses were licensed to prescribe antimicrobials. On page 6 (paragraph 1, column 1), how many pharmacists and nurses in this study prescribed antimicrobials without a license?

Gashaye M, Tilahun D, Belay A, Bereka B. (2023) Perceived Utilization of Leadership Styles Among Nurses. Risk Manag Healthc Policy 16:215-224 https://doi.org/10.2147/RMHP.S388966

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•    Reflective questions for this month:  

1. Which is the biggest age range of nurses who participated in the study?
2. What level of qualification was most common?
3. How many nurses had received training in leadership?
4. On page 6 of this article, under ‘factors associated with perceived use of leadership style among staff nurses’, the authors describe the process of finding the five factors that were associated with perceived leadership. How many factors did they start with?

Van Der Heijden, M. J., De Jong, A., Rode, H., Martinez, R., & Van Dijk, M. (2018). Assessing and addressing the problem of pain and distress during wound care procedures in paediatric patients with burns. Burns, 44(1), 175–182. https://doi.org/10.1016/j.burns.2017.07.004

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1)    On page 2 of this article, in column 2, the researchers describe what children were not eligible. Why do you think children were excluded if they had a hearing impairment of altered level of consciousness?
2)    On page 3 of the article, under ‘Procedure’ the authors describe standard wound dressing care. Are the parents routinely allowed to be with the child? How do you feel about the answer? Should parents be present or not?
3)    In the top right column on page 6 of the article, the authors discuss parental anxiety, depression, and guilt as a result of their child’s burn injury. How do they suggest this relates to their child’s distress and what do they recommend?
4)    Figure 2 on page 6 illustrates the mean (average) COMFORT-B scores in children < 3 years and >3 years. Hopefully you have a better understanding of boxplots now and can answer which age-group had the wider range of scores (between highest and lowest)? Which age group had three children that had COMFORT-B scores outside of the reported range?
 

McCulloch MI, Nourse P, Argent AC. Use of locally prepared peritoneal dialysis (PD) fluid for acute PD in children and infants in Africa. Peritoneal Dialysis International. 2020;40(5):441-445. doi:10.1177/0896860820920132

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•    Reflective questions for this month: 

1) On page 2, column 2 of this article: Were antibiotics given at the insertion of peritoneal dialysis catheters?

2) On page 2, under “Results”: Discuss the ages of children treated. How many children were < 1 year old and how many were > 1yr old? What was the median weight?

3) On page 3 in Table 2: What was the greatest indication for peritoneal dialysis ? And what was the greatest underlying diagnosis?

4) On page 3, column 2, under point 4: What possible reason do the authors give for only two patients having peritonitis?

NAIDOO, Deshini et al. Having a child with cancer: African mothers' perspective. S. Afr. j. occup. ther. [online]. 2016, vol.46, n.3 [cited  2024-02-29], pp.49-54. ISSN 2310-3833.  http://dx.doi.org/10.17159/2310-3833/2016/v46n3a9.

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•    Reflective questions for this month: 

1) The findings are reported on page 2 and 3 of this article. Find a mother’s quote that shows her feelings of guilt and anxiety.

2) As above, find a mother’s quote on page 3 that provides an example of a mother’s coping mechanism.

3) On page 3, a mother who was given the name “Eunice” expresses her distress over her oldest child at home – what is her distress about?

4) On page 5 of this article, the authors describe “ubuntu”. How do they relate this value to the mothers’ occupational roles at home?

5) Look at figure 1 on page 5 and read the paragraph below it. Discuss what the shift in the mothers’ responsibilities does to the family’s occupations.