Related Experiment Videos

Paediatric palliative care: a review of needs, obstacles and the future

Jackie Williams-Reade1, Angela L Lamson, Sharon M Knight

  • 1School of Behavioral Health, Loma Linda University, Loma Linda, CA, USA.

Journal of Nursing Management
|August 16, 2013
PubMed

Insights

Developing effective pediatric palliative care programs requires a framework addressing clinical, operational, and financial aspects. Nurse managers are key to navigating these complex factors for sustainable services.

Area of Science:

  • Palliative Care
  • Healthcare Management
  • Nursing

Background:

  • Paediatric palliative care presents complex challenges beyond clinical needs, encompassing operational policies and financial barriers.
  • The continuum of services for patients requires integrated approaches to care delivery.

Purpose of the Study:

  • To propose a framework, the 'three world view,' for evaluating paediatric palliative care programs.
  • To provide nurse managers with an evaluative lens for program planning and assessment.

Main Methods:

  • A literature review was conducted, analyzing 54 articles.
  • The review focused on clinical, operational, and financial factors within paediatric palliative care.

Main Results:

  • The 'three world view' framework integrates clinical best practices, operational/policy standards, and financial feasibility.
  • Fifty-four articles were synthesized to represent the current literature on these factors.

Conclusions:

  • Efficient paediatric palliative care services necessitate identifying and addressing clinical, operational, and financial resources and barriers.
  • Nursing management is crucial for addressing the multifaceted needs and concerns in paediatric palliative care.
Abstract

Keywords:
nurse managersorganisational challengespaediatricpalliative carereview

Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...