Professional Documents
Culture Documents
PEDIATRIC NURSING
OBJECTIVES
State the major cause of death for (a) infants and (b) children 1 to
18.
Identify factors that make a child susceptible to health problems.
Discuss the relevance of cultural sensitivity to the implementation
of comprehensive pediatric nursing care.
Discuss the impact that socioeconomic influence can have on health
and child development.
Discuss the importance of family centered care.
Give an example of atraumatic care
Describe the roles of the pediatric nurse in today’s health care
system.
EARLY REFORMERS
Study of Pediatrics began in mid-1800s
Abraham Jacobi, Father of Pediatrics
Isabel Hampton Robb (1893) wrote about
the challenges of pediatric nursing:
“the habit of observation on the part of the nurse is of the
highest degree of importance…we have to depend on signs
to tell us where the trouble is located, and we may be able
to gather facts of much importance from what are
apparently quite trivial symptoms.”
Providing therapeutic
care that eliminates
or minimizes the
psychologic and physical distress
experienced by children & families in the
health care system
Goal: First, do no harm
Prevent or minimize child’s separation from
their family
Promote a sense of control
Prevent or minimize bodily injury and pain
FAMILY –CENTERED
CARE
Recognizes family as the
constant in child’s life
Needs of all
family members are addressed
Acknowledges diversity among family
structures and backgrounds
Empowerment – helping families
maintain or acquire a sense of control and
competence by fostering their strengths
and abilities, and by treating them with
respect and acknowledging their expertise
in caring for their child.
PARENT-PROFESSIONAL PARTNERSHIP
Implies the belief that partners are capable
individuals who become more capable by sharing
knowledge, skills and resources
Nurse can help families identify their strengths,
build on them, and assume a comfortable level of
participation
Our role is to strengthen their ability to nurture
CULTURAL INFLUENCES
Culture: pattern of assumptions, beliefs,
& practices that unconsciously frames or
guides the outlook & decisions of a group
Race: traits that are transmissible by
descent &are sufficient to characterize
those as a distinct human type
Ethnicity: people sharing a unique
cultural, social, and linguistic heritage
Ethnocentrism: attitude that one’s own
ethnic group is superior to others
NEW PERSPECTIVE ON CULTURE
CULTURAL INFLUENCES ON
HEALTH CARE (CHAPTER 2)
May view illness in a child differently
Gender of child may be a factor
Food customs
Medical practices
CONCLUSION
Goal is to adapt ethnic practices to the family’s
health needs rather than try to change their
beliefs
Practices that do no harm should be respected
Living independently
Military service
WHO CAN GIVE INFORMED CONSENT
FOR CHILDREN? (CONT’D)
In IL, if < 18 yrs, can give consent if: PG,
married, or is a parent
Mature minor doctrine
Parental Negligence—
In cases of neglect or abuse by parent/legal
guardian, most states have statutory procedures by
which custody of the child is transferred to a
governmental or private agency (like DCFS) and
consent for treatment can then be obtained.
The State does interfere with a parent’s rights in
the interest of protection of the child
Blood Transfusion for a child of Jehovah’s Witness parents
Medical tx for children of Christian Scientists
WHO CAN GIVE INFORMED CONSENT
FOR CHILDREN?
Summary:
As an RN, work within the law.
Respect the patient and family wishes
as appropriate.
Give full, informed consent after the
primary caregiver has reviewed it
with the appropriate parties, being
sure that the benefits AND the risks of
the procedure(s) have been discussed in
terms the consumer/family can
understand.
ROLE OF THE PEDIATRIC NURSE
Therapeuticrelationships
Family Advocacy/Caring
Health Promotion/Disease Prevention
Anticipatory Guidance
Support/Counseling
Restorative Role
Coordination/Collaboration
Ethical Decision Making
Research – evidence based practice
Health Care Planning – family & consumer
advocates
UNITED NATIONS’ DECLARATION OF THE
RIGHTS OF THE CHILD