Evidence and Practice

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Clinical

Community children’s nursing: developing a bespoke model of post-registration education

Why you should read this article: • To be aware of the decline in the number of higher education institutions offering specialist practitioner qualification programmes for community children’s nurses • To learn about the development of a bespoke master’s level qualification to address workforce challenges in a community children’s nursing team in Scotland • To recognise that curricula designed to support postgraduate workforce development need to be responsive, flexible and adaptable Community children’s nurses provide a vital service between the hospital and home environment, supporting children, young people and families with their health needs. In the UK, the number of educational pathways providing a specialist practitioner qualification in community children’s nursing has declined significantly in recent years. This has left many community children’s nursing services with little or no access to educational programmes, despite the rising demand. The four UK governments, together with regulatory bodies such as the Nursing and Midwifery Council, have embarked on ambitious transformation of post-registration career frameworks and standards, the long-term impact of which is uncertain. This article discusses an approach that one community children’s nursing service in Scotland took to address these challenges by liaising with a local university and accessing a bespoke advanced practice programme.

A day surgery admissions pathway for children and young people with learning disabilities

Day surgery admissions pathway for children and young people with learning disabilities

Enhance your awareness of the positive effects of a bespoke admission process

Supporting children’s nurses to deliver trauma-informed care

Supporting children’s nurses to deliver trauma-informed care

Developing resilience and using self-care strategies can inform a trauma-informed approach

Advanced clinical practice in paediatric haematology and oncology: developing a capability document

Advanced clinical practice in paediatric haematology and oncology

Developing a capability document to support and standardise practice

Development of a nurse-led transport service for non-critical neonates and children in Northern Ireland

Development of a nurse-led transport service for non-critical neonates and children

Understand the advantages of the transport nurse role and similar nurse-led services

Role of retrieval nurse practitioners in safely transferring critically ill adults and children during COVID-19

Safely transferring critically ill adults and children during COVID-19

The role of retrieval nurse practitioners in inter-hospital transport of the critically ill

CPD articles

Prevention of malnutrition and faltering growth in children and young people

Why you should read this article: • To be aware of the link between malnutrition in children and faltering growth • To understand how regular surveillance of child growth can prevent or identify malnutrition • To contribute towards revalidation as part of your 35 hours of CPD (UK readers) • To contribute towards your professional development and local registration renewal requirements (non-UK readers) Malnutrition can be defined as ‘a state in which a deficiency of nutrients such as energy, protein, vitamins and minerals cause measurable adverse effects on body composition, function or clinical outcome’. Identification of malnutrition in children, therefore, requires an understanding of their growth. Faltering growth is the failure to achieve the expected rate of weight gain, linear and brain growth at a normal rate for age, which is a known consequence of inadequate nutrition. There are many medical, social and behavioural factors that can place a child at risk of malnutrition and faltering growth. This article examines malnutrition and faltering growth in children. It discusses monitoring and measurement of child growth, the aetiology and consequences of malnutrition, some risk factors and malnutrition screening. The article also considers some prevention strategies and the role of the nurse in the prevention of malnutrition.

Effective transition of young people with long-term conditions into adult services

Effective transition of young people with long-term conditions into adult services

Until recently little has been done to address the perceived barriers and challenges

Using cultural safety to enhance nursing care for children and young people

Using cultural safety to enhance nursing care for children and young people

Cultural safety can be an effective way to work with people from diverse communities

Biological basis of child health 15: understanding the renal system and common renal conditions in children

Biological basis of child health 15: the renal system and common renal conditions

The 15th in our series focuses on the renal system and common renal conditions in children

Tourette’s syndrome: challenging misconceptions and improving understanding

Tourette’s syndrome: challenging misconceptions and improving understanding

Tourette’s syndrome affects about 1% of the school-age population

Clinical assessment and management of children with bronchiolitis

Clinical assessment and management of children with bronchiolitis

Bronchiolitis is a common seasonal viral illness in babies and children aged under two years

Practice question

How can continuous positive airway pressure (CPAP) support a child’s breathing?

Why CPAP is used, complications, and how it differs from non-invasive ventilation (NIV)

ECMO

What is ECMO and how can it save the sickest of children?

ECMO can support children with primary respiratory and cardiac failure

How should nurses discuss substance use with children and young people?

Good communication is essential to elicit accurate information and optimise care

What is the nurse’s role in supporting young people’s sexual health?

Young people should have access to education, assessment and treatment for sexual health

How do bone marrow transplants work?

Children undergoing bone marrow transplants need support and follow up

County lines crime: what is a nurse's role in safeguarding children?

Children’s nurses can help prevent young people from being exploited in drug trafficking

A to Z of syndromes

Mother and baby

A-Z syndromes: Congenital Zika syndrome

First identified in 2015, there is no vaccine for this virus, which can have devastating effects on the unborn child

Webbed_fingers

A-Z syndromes: Yunis-Varon syndrome

An insight into this rare genetic disorder in which both parents are recessive gene carriers

A-Z of syndromes: X-linked ichthyosis

An insight into this genetic disorder occurring in 1 in 6,000 infant males

Stef Sanjati

A-Z of syndromes: Waardenburg syndrome

Waardenburg syndrome is a genetic disorder that gives people a distinctive appearance

A-Z of syndromes: Usher syndrome

Understanding Usher syndrome which is found in approximately 10,000 people in the UK

Tay-sachs disease

A-Z Syndromes: Tay-Sachs disease

An insight into this genetic disorder which carries a poor prognosis and is often fatal

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