Pediatric Nursing Trends The pediatric nurse and family

Pediatric Nursing Trends

The pediatric nurse and family centered care Pediatric nursing involves providing care for infants, children, and adolescents on continuum from health to illness to recuperation and rehabilitation when needed. Family centered care incorporates parents and other family members into the child’s care.

Family Centered Care

Parents at bedside

Bathing children

I need you now more than ever

Care givers

Families encouraged in NICU care

I only smile when mom gives me my meds and care

I want my momma here

Respect in Nursing of Children • Treating others the way you want to be treated • Showing kindness and consideration • Liking yourself enough to be yourself • Accepting others for who they are • Practice random kindness and senseless acts of beauty

Please hold me dad

Family Centered Care • Empowering: allowing parents to maintain, or helping them to develop a sense of control over their child’s care. • Enabling: practices that help family members acquire new skills necessary to meet the needs of their child.

Play is a child’s life

Standards of pediatric nursing care • American Nurses Association (ANA) • Society of Pediatric Nurses • National Association of Pediatric Nurse Associates and practitioners (NAPNAP)Association • Developed guidelines that by adhering tothe pediatric nurse can serve as advocate for the patient and his family.

American Nurses Association

NAPNAP • National Association of Pediatric nurse Associates and Practitioners

APON and APSNA • Association of Pediatric Oncology Nurses • American Pediatric Surgical Nurses Association

Pediatric Nursing trends • Abraham Jacobi-father of pediatrics 18301919 • Lillian Wald-founded Henry Street Settlement house 1867 -1940 • US Children’s Bureau White house conference 1912 • Department health Human Services • American Academy Pediatrics 1930

Abraham Jacobi

Lillian Wald

US Children’s Bureau Whitehouse Conference

Department Health and Human Services

Childhood morbidity • Morbidity: number of people in a population who are faced with a specific health problem at a particular point in time

Child mortality • Child mortality refers to number of deaths from a specific cause in a given year. • Infant Mortality: number infant deaths during first year of life per 1000 live births

Child Mortality Ball, Bindler, Cohen 2010

Infant Mortality Ball, , Bindler, Cohen 2010

Infant Mortality Ball, Bindler, Cohen, 2010

National Health Initiatives Healthy People 2020 • Healthy People 2020: aims to improve the health of all individuals in the US. • Objectives of Healthy People 2020: 1. Continue to increase healthy life expectancy and 2. To eliminate disparities in access to health care, making health care available to all individuals in the US

Increase quality and years of Healthy Life 1 st goal of H 2020 objectives

Eliminate Health disparities 2 nd goal of H 2020 objectives An example of a health disparity: Incidence of SIDS 2. 5 times greater in black American’s of African decent in US

Legal and ethical issues • Informed consent: former preauthorization for an invasive procedure or participation in research. • Emancipated minors: self supporting adolescents under 18 years of age, not subject to parental control • Physician legally responsible for obtaining consent.

Legal and ethical issues • Confidentiality: concerns @ privacy and fear of disclosure of sensitive information to parents is great concern of adolescents. • Advance Directives: writing living will or authorizing a durable power of attorney for health care on the patients behalf. • Ethical decision making process required by federal laws

Health Care Technology

Health Care Financing • Medicaid: 1965 largest maternal child programvaries instates • WIC: 1974 -special supplemental food program • Education for all handicapped children -1975, Amendment 1986 -early intervention • FEMLA-1993 • FERPA • DRG’s • HMO’s

Future Trends • Focus from illness to wellness • More care outside hospital-thus clinic, community and home care • Nurse provider of care now the manager of care • Adult population growing faster than children • Decrease in number of children in US • Ever present challenge cost containment

Roles of the advanced practice pediatric nurse • PNP: specialized ambulatory or primary care roles for nurses Acute and Primary Tracks • Clinical Nurse Specialists: role developed in attempt to provide expert nursing care in hospital • FNP: specialized ambulatory or primary care role for children and adult members of family

Have fun and play some in 407!