Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Why eating disorders in children and young people are increasing: implications for...

Why you should read this article: • To be aware that the number of children and young people with eating disorders continues to increase • To recognise that early intervention is vital in supporting a child or young person with an eating disorder • To acknowledge that some young people with an eating disorder will refuse treatment or do not seek help According to data collected by NHS England in 2022 1,721 children and young people were awaiting treatment for eating disorders compared with 603 patients in 2016. This reveals an increase of 185% in eating disorders among children and young people and suggests that this increase will continue to occur even with the government pledging £79 million ( GOV UK 2021 ) to expand children and adolescent mental health services (CAMHS) and early intervention services ( NHS England 2022a ). This is due to the already extensive CAMHS waiting list managing the sizeable accumulation of referrals combined with the consistent increase of new referrals. This article outlines the most common types of eating disorders, the importance of the school nurse and factors that have affected the prevalence of eating disorders in young people, highlighting that early intervention and prevention is vital. The authors argue that this can be achieved through increased funding for services such as CAMHS and the First Episode and Rapid Early Intervention for Eating Disorders service, stricter legislation surrounding social media and greater mental health education in schools for teachers, young people and their families.

Nasogastric tube feeding under restraint: practical guidance for children’s nurses

Why you should read this article: • To enhance your knowledge of the detrimental effects of eating disorders such as anorexia nervosa • To better understand why a young person with an eating disorder might refuse treatment • To find practical advice on how to minimise the distress caused by nasogastric tube feeding under restraint The number of children and young people admitted to children’s wards with an eating disorder has increased significantly since the start of the coronavirus disease 2019 (COVID-19) pandemic. In the most extreme cases, those with severe malnutrition may need to be fed via a nasogastric tube without their consent. Children’s nurses working on hospital wards may therefore care for children and young people who need to receive nasogastric tube feeding under physical restraint. This article offers an overview of eating disorders and their detrimental effects as well as practical advice for children’s nurses, supporting them to provide safe, compassionate and person-centred care to their patients.

Prevention of dental caries in children and young people

Prevention of dental caries in children and young people

Read about evidence-based guidance on dental hygiene and prevention of dental caries

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

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

Curricula to support postgraduate development need to be responsive, flexible and adaptable

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

Barriers to health promotion with overweight or obese children, young people and their families

Barriers to health promotion with overweight children, young people and their families

Identifying the barriers that children’s nurses face in addressing overweight or obesity

Reducing pressure injuries in children caused by peripheral intravenous cannulae

Reducing pressure injuries in children caused by peripheral intravenous cannulae

Education, tubular bandaging and skin inspections could reduce incidence of pressure injuries

Reflecting on the development of a band 5 nurse coordinators’ competency pathway in a children’s hospital

Development of a band 5 nurse coordinators’ competency pathway in a children’s hospital

How a children’s hospital developed a competency-based document and training day

Confidentiality breaches in hospital: the experiences of young people and parents

This study demonstrates the challenges of preserving confidentiality in children’s wards
Open access

Care after death in children’s hospices

Recommendations for moving and handling, and for managing physiological deterioration

Mitigating the effects of COVID on the work of a children’s clinical research facility

Learn how one children’s clinical research facility adapted to change during the pandemic

Type 1 disordered eating in children and young people with diabetes

Enhance your knowledge of recognising and managing type 1 disordered eating

Nurses’ experiences of managing vulnerability when working with seriously ill children

An exploration of the experiences of children’s nurses who work with seriously ill children

CPD in children’s nursing: identifying needs and delivering quality assured activities

Importance of measuring effect and quality of continuing professional development activities

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