scholarly journals Safety and protection for hospitalized children: literature review

2009 ◽  
Vol 17 (3) ◽  
pp. 410-416 ◽  
Author(s):  
Aline Modelski Schatkoski ◽  
Wiliam Wegner ◽  
Simone Algeri ◽  
Eva Neri Rubim Pedro

This narrative-descriptive review is about the safety/protection of hospitalized children who, due to their fragility, vulnerability and peculiar growth and development conditions need special attention from health professionals. This study aimed to identify knowledge production on safety, protection and violence to hospitalized children between 1997 and 2007. In total, 15 national and international articles were analyzed, using the key words: hospitalized child, safety, violence and nursing. This qualitative approach enabled the development of four categories: adverse occurrences; medication errors; notification of adverse occurrences; and safety of pediatric patients. Results indicate the need to develop strategies to reduce the probability of these events occurring during children's hospitalization, so that they do not suffer any problem neither violation of their fundamental rights.

2009 ◽  
Vol 4 (1) ◽  
pp. 371
Author(s):  
Aline Verônica de Oliveira Gomes ◽  
Maria Aparecida de Luca Nascimento ◽  
Marialda Moreira Christoffel ◽  
Joice Cristina Pereira Antunes ◽  
Marcelle Campos de Araújo ◽  
...  

ABSTRACTObjective: to describe the emotional consequences related to venipuncture in hospitalized children. Methods: this is an upgrade study, literature review, from a qualitative approach. We conducted a literature search in the databases MEDLINE, LILACS and BDENF from March to May 2009. The data were categorized according to the objectives proposed by the reference of thematic analysis. Results: the feelings generated in hospitalized children underwent venipuncture were fear and anxiety. These feelings are that these children will react aggressively and may jeopardize the process of growth and development. The emotional consequences related to venipuncture in hospitalized children can be prevented or minimized from a nurse's role with commitment and ethics, confirming thus the importance of clinical assessment in care delivery. Conclusion: venipuncture in pediatrics, although the focus of many studies of nursing continues to occupy a prominent place in the concern of these professionals, in constant search in the promotion of care based on child development. Descriptors: peripheral catheterization; pediatric nursing; nursing care. RESUMOObjetivo: descrever as conseqüências emocionais relacionadas à punção venosa periférica na criança hospitalizada. Métodos: artigo de atualização, do tipo revisão livre de literatura, com abordagem qualitativa, com busca bibliográfica nas bases de dados MEDLINE, LILACS e BDENF no período de março a maio de 2009. Os dados foram categorizados de acordo com os objetivos propostos por meio do referencial de análise temática. Resultados: os sentimentos gerados na criança hospitalizada submetida à punção venosa periférica foram medo e ansiedade. Esses sentimentos fazem com que essas crianças reajam com agressividade e podem comprometer o seu processo de crescimento e desenvolvimento. As conseqüências emocionais relacionadas à punção venosa periférica na criança hospitalizada podem ser evitadas ou minimizadas a partir de uma atuação do enfermeiro com compromisso e ética, corroborando assim, com a importância da avaliação clínica no ato de cuidar. Conclusão: a punção venosa em pediatria, apesar de ser foco de muitos estudos de enfermagem, continua a ocupar um lugar de destaque na preocupação destes profissionais, na busca constante da promoção do cuidado voltado para o desenvolvimento infantil. Descritores: cateterismo periférico; enfermagem pediátrica; cuidados de enfermagem. RESUMENObjetivos: describir las consecuencias emocionales relacionadas con la punción venosa en niños hospitalizados. Métodos: artículo de actualización del tipo de revisión libre de la literatura con un enfoque cualitativo. Se realizó una búsqueda bibliográfica en las bases de datos MEDLINE, LILACS y BDENF de marzo a mayo de 2009. Los datos se clasifican de acuerdo a los objetivos propuestos por la referencia de análisis temático. Resultados: los sentimientos que genera en los niños hospitalizados sometidos a la venopunción eran el miedo y la ansiedad. Estos sentimientos son que estos niños reaccionan agresivamente y pueden poner en peligro el proceso de crecimiento y desarrollo. Las consecuencias emocionales relacionadas con la venopunción en niños hospitalizados se pueden prevenir o minimizar el papel de una enfermera con el compromiso y la ética, confirmando así la importancia de la evaluación clínica en la prestación de atención. Conclusión: venopunción en pediatría, aunque el foco de muchos estudios de la enfermería sigue ocupando un lugar destacado en la preocupación de estos profesionales, en la búsqueda constante en la promoción de la atención basada en el desarrollo infantil. Descriptores: cateterismo periférico; enfermería pediátrica; atención de enfermería. 


2019 ◽  
Vol 1 (1) ◽  
pp. 31
Author(s):  
Fernando Ledesma Perez ◽  
Maria Caycho Avalos ◽  
Juana Cruz Montero ◽  
Andrea Ayala Sandoval

Citizenship is the exercise of the fundamental rights of people in spaces of participation, opinion and commitments, which can not be violated by any health condition in which the individual is. This research aims to interpret the process of construction of citizenship in hospitalized children, was developed through the qualitative approach, ethnomethodological method, synchronous design, with a sample of three students hospitalized in a health institute specializing in childhood, was used Observation technique and a semi-structured interview guide were obtained as results that hospitalized children carry out their citizenship construction in an incipient way, through the communication interaction they make with other people in the environment where they grow up.


2020 ◽  
Vol 26 (2) ◽  
pp. 254-266
Author(s):  
Haeryun Cho ◽  
Jungmin Lee ◽  
Shin-Jeong Kim

Purpose: The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba’s Theory of Comfort. Methods: Whittemore and Knafl’s integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed. Results: Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child’s response to pain, effective strategies for pain relief, and nurses’ competence in pain management. Conclusion: The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.


Author(s):  
Ana Paula Soares Fernandes ◽  
Márcio Antônio Battistella

The use of osseointegrated implants has been increasingly widespread in the adult population, however in children there is a certain lack in the literature on the application of this technique. The bone growth and development factor must be well analyzed, and the pediatric dentist must be able to suggest the use of this treatment option for oral rehabilitation, when necessary. This article discusses bone growth and development of the craniofacial region, presents relevant aspects of the literature and discusses the use of this technique in pediatric patients.


2021 ◽  
pp. 136749352091931
Author(s):  
Emanuela Tiozzo ◽  
Valentina Biagioli ◽  
Matilde Brancaccio ◽  
Riccardo Ricci ◽  
Anna Marchetti ◽  
...  

A prospective comparative study was conducted in 487 pediatric patients (69% male, mean age = 6.4 ± 4.0) to evaluate (a) the incidence, intensity, and characteristics of pain in pediatric patients at home during the first 24 hours and 5 days after surgery and (b) the factors associated with higher pain intensity, including the impact of an application (App) compared to the paper-and-pencil approach. Postoperative pain was assessed by patients or their parents at home using the ‘Bambino Gesù’ Children’s Hospital (Ospedale Pediatrico Bambino Gesù, OPBG) tool for participants aged 4–17 years or the Faces, Legs, Arms, Cry, and Consolability scale for participants less than four years old. Participants were assigned to two groups: those who used the paper-and-pencil version of the pain scale and those who used the App. Overall, 209 of the 472 (44%) participants reported pain during the first 24 hours, and 92 of the 420 (22%) reported pain between one and five days after surgery. Higher pain intensity scores were associated with being in the App group, directly assessing own pain, and using the OPBG tool. The App was effective in facilitating pain assessment. Health professionals could empower pediatric patients and their parents in assessing pain at home through a dedicated App.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S681-S681
Author(s):  
Brian R Lee ◽  
Jason Newland ◽  
Jennifer Goldman

Abstract Background Studies have shown that over half of hospitalized children receive an antibiotic during their encounter, of which between 30-50% is considered inappropriate. Antibiotic prescribing is further complicated as approximately 10% of children are labeled beta-lactam allergic, resulting in the use of either broad-spectrum or suboptimal therapy. The purpose of this study was to compare antibiotic prescribing between patients with a documented ADR vs. those without using a nationwide sample of hospitalized children. Methods We performed a point prevalence study among 32 hospitals between July 2016-December 2017 where data were collected via chart review on pediatric patient and antimicrobial characteristics, including the indication for all antimicrobials. In additional, ADR history data were collected on which antimicrobial(s) were documented (e.g., penicillin, cephalosporins). Patients were mutually assigned into either: 1) no documented ADR; 2) penicillin ADR-only; 3) cephalosporin ADR-only; and 4) ADR for both penicillin and cephalosporin. The distribution of antibiotics were compared between the ADR groups, stratified by the indication for treatment. Results A total of 12,250 pediatric patients (17,929 antibiotic orders) who were actively receiving antibiotics were identified. A history of penicillin and cephalosporin ADR was documented in 5.5% and 2.8% of these patients, respectively. When compared to patients with no documented ADR, penicillin ADR patients were more likely to receive a fluoroquinolone for a SSTI infection (odds ratio [OR]: 5.6), surgical prophylaxis (OR: 18.8) or for surgical treatment (OR: 5.2) (see Figure). Conversely, penicillin ADR patients were less likely to receive first-line agents, such as narrow-spectrum penicillin for bacterial LRTI (OR: 0.08) and piperacillin/tazobactam for GI infections (OR: 0.22). Cephalosporin ADR patients exhibited similar patterns with increased use of carbapenems and fluoroquinolones when compared to patients with no ADR. Figure 1: Odds of Receiving Select Antimicrobials Among PCN ADR Patients When Compared to Non-ADR patients, by Indication Conclusion A large, nationwide sample of pediatric patients who were actively prescribed antibiotics helped identify several diagnoses where comprehensive guidelines for appropriate ADR prescribing and increased ADR de-labeling initiatives are needed to ensure optimal treatment. Disclosures Brian R. Lee, MPH, PhD, Merck (Grant/Research Support) Jason Newland, MD, MEd, FPIDS, Merck (Grant/Research Support)Pfizer (Other Financial or Material Support, Industry funded clinical trial)


2021 ◽  
Author(s):  
Christine Prodinger ◽  
Subhanitthaya Chottianchaiwat ◽  
Jemima E. Mellerio ◽  
John A. McGrath ◽  
Linda Ozoemena ◽  
...  

2000 ◽  
Vol 56 (1) ◽  
pp. 3-6 ◽  
Author(s):  
M. Papadopoulos ◽  
P. Rheeder

Physiotherapists, whether serving individual patients or populations, always have to sought to base their decisions and actions on the best possible evidence. In making choices, health professionals may benefit from structured summaries of the options and outcomes, systematic reviews of the evidence and recommendations regarding the best choices. The aim of this paper is to present guidelines on how to conduct a systematic review. The structure and content of a systematic review are being discussed, following a step-by-step approach.


2016 ◽  
Vol 8 (2) ◽  
pp. 44
Author(s):  
Dazmin Daud CMILT

<p class="1Body">The purpose of this paper is to provide a perspective view pertaining to Malaya Patriotic Fund Poster Stamp which had been used in Malaya during the World War II period. It focuses on the developing a pool of information concerning the denomination, illustration, dimension, color, perforation and design details of the stamps from two main newspapers between the periods of 1939 and 1940. The objective of this study is to arrange and group information about the stamps using content analysis. This study deals with the qualitative approach to this poster stamp in developing a literature review. The findings show that 11 articles from the two newspapers matched with objective of the study. The findings are considered to create a roadmap to design a detail study for exploring Malaya Patriotic Fund Poster in the context of British Colony and World War II.</p>


2018 ◽  
Vol 159 (11) ◽  
pp. 423-429
Author(s):  
Csanád Albert-Lőrincz

Abstract: This study summarizes the results of the author’s PhD thesis presenting the research process and the most important findings regarding the situation of Transylvanian healthcare. Our data are based on the knowledge and compliance of pediatric patients’ rights as they are seen by healthcare specialists, parents and children. A number of 751 persons were involved in the research: 200 healthcare specialists, 200 parents, 200 children aged from 7 to 17 years who have been experiencing health services at least three times over the past year and a control group of 151 children who did not have this kind of experience. Based on our data, it was possible to highlight the major problems encountered in children’s healthcare. We found that children are treated by obsolete principles of medical practice despite the fact that the rights of pediatric patients are well known to doctors. Neither the parents nor the children themselves are sufficiently aware of their rights. Healthcare professionals are not prepared to overcome communication difficulties due to the age-specific characteristics of children, so the fundamental rights of children are just partially enforced: children are usually heard, but not properly informed, their medical decisions are usually not taken into account violating the right to self-determination. The chances to access adequate health services are lower for vulnerable children living in poverty. Orv Hetil. 2018; 159(11): 423–429.


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