CHAPTER 1 CONTEMPORARY CHILD HEALTH NURSING
LEARNING OUTCOME 1
Describe the continuum of pediatric health care.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
Assign students to work in groups. Allow each group to select one nursing specialty (e.g., the students can research the nurse’s responsibility, the location where the nurse works, the population the nurse cares for). Allow each group to present their findings to the class.
Have students reference Figure 1.1 The Binder-Ball Continuum of Pediatric Health Care for Children and Their Families. Ask students to describe examples of family, community, and culture that influences the care that the child receives.
SUGGESTIONS FOR CLINICAL ACTIVITIES
Have students identify the level of care provided by nurses in various clinical settings where nurses encounter children and families.
Have students investigate current pediatric job postings at the clinical facility. Have the students read the job description and qualifications.
LEARNING OUTCOME 2
Identify the nursing roles available to pediatric nurses.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
Have students do an internet search on the Standards for Pediatric Nursing Practice —utilizing the American Nurses Association, National Association of Pediatric Nurse Practitioners, and Society of Pediatric Nurses—and describe the expectations for professional performance during the care with children and families
Assign the students a nursing procedure (e.g., an IV start or a blood draw) and have students break down the steps in that procure and specify the differences that may occur in children versus adults.
SUGGESTIONS FOR CLINICAL ACTIVITIES
Have the clinical instructor obtain patient education sheets for the clinical facility. Students can be placed in groups of two and provide each other patient education.
Have students complete an internet search of the American Academy of Pediatrics’ advocacy and policy to read about federal, state and community advocacy.
LEARNING OUTCOME 3
Summarize the current status of societal influences on pediatric health care and nursing practice.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
Have students complete an internet search of the Institute of Patient and Family Centered Care Have the students write a small excerpt or present to class a topic specific to family-centered care in the pediatric setting.
SUGGESTIONS FOR CLINICAL ACTIVITIES
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
Have students investigate the roles in the clinical facility (e.g., case management, patient advocate, research, professional development). Have students interview these nurses and report to the clinical students.
Have students locate any policies of the clinical facilities related to family centered care and present to clinical group.
LEARNING OUTCOME 4
Report the most common public health data for causes of child morbidity and mortality.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
Have students work in groups. Choose one of the leading causes of death in U.S. children and adolescents, and create a presentation on a way to decrease the incidence.
SUGGESTIONS FOR CLINICAL ACTIVITIES
Using their designated client for the day, create a specific educational “moment” (i.e. Paper, pamphlet) for their patient and/or parents on how to prevent a possible mortality risk.
LEARNING OUTCOME 5
Explore the value of the QSEN project in promoting patient safety and high-quality care.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
Give students a list of unsafe nursing activities, and ask them to write how they can & will keep from making these same mistakes. List may include medication error, wrong procedure performed, wrong patient transported to testing, personal patient information given to a family member, etc.
SUGGESTIONS FOR CLINICAL ACTIVITIES
Have students work in teams of two to care for their patients for a whole day. At the end of the day during the post conference have them discuss the advantages of working together (teamwork) and how they can incorporate this in their everyday nursing practice.
LEARNING OUTCOME 6
Analyze the role of evidence-based practice in improving the quality of nursing care for childrearing families.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
Have students find four evidence based research articles about a certain topic such as medication errors in the pediatric population and create a reference page with correct APA formatting.
SUGGESTIONS FOR CLINICAL ACTIVITIES
Have students choose one nursing intervention they performed during the clinical day and find “evidence” such as a nursing article that proves why the certain nursing intervention is necessary to provide care.
LEARNING OUTCOME 7
Contrast the policies for obtaining informed consent for minors with policies for adults.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
In groups, students create two skits both gaining informed consent for the same procedure however, one with a minor and the other with an adult.
SUGGESTIONS FOR CLINICAL ACTIVITIES
Have students discuss the process of gaining informed consent with one of the nurses on the unit and report out during the post conference.
LEARNING OUTCOME 8
Delineate significant legal and ethical issues that influence the practice of pediatric nursing.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
● Have students complete case study questions for an ethical/ legal issue. Example- Anna is a 12-year-old who has metastatic brain cancer. She is requesting to stop treatment and begin palliative care. Her parents want to continue treatment. Question- Does Anna or her parents have the right to make this decision? As the nurse, how can you advocate for your patient and her family? What resources are available for Anna and her family?
SUGGESTIONS FOR CLINICAL ACTIVITIES
Have a manager or charge nurse come to post conference and discuss a time they or someone on their unit was involved in an ethical or legal issue.
KEY CONCEPTS
1. The continuum of care includes a variety of settings and complexities of care for children and their families.
2. Pediatric nurses have many roles beyond direct patient care.
3. Current pediatric nursing is culturally sensitive.
4. Current pediatric nursing is family centered.
5. Pediatric nurses apply special knowledge and skills to care for children.
6. Pediatric nurses use the nursing process to identify and solve problems and to plan patient care.
7. Unintentional injury is the leading cause of death throughout childhood.
8. Intentional injury is a major cause of death of children in the United States.
9. Access and financing of health care for children is not consistent across the United States.
10.Research and technology allow many children with congenital anomalies and low birth weights to survive.
11.The parent or legal guardian must give informed consent prior to treatment or research participation.
12.In some cases, a parent might not have legal authority to give consent.
13.Adolescents can legally give informed consent in certain circumstances.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
14.Children may be involved in decision making, but the parents make final decisions regarding treatment or research participation.
15.State laws vary regarding what information about an adolescent’s health care may be withheld from the parent.
16.Pediatric nurses might face ethical dilemmas when providing care to children and their families.
17.Pediatric nurses should be aware of the ethical issues and legal responsibilities surrounding the withholding or withdrawing of medical treatment, genetic testing, and organ transplantation for children.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.