The Role of Children's Nurses: Standards, Ethics, and Child Development
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Introduction: The Role of Children's Nurses: Standards, Ethics, and Child Development
In a study, it was reported that a child was admitted to the hospital with a heart problem. There were some underlying health issues for the child. The nurses did not communicate with the guardians. Operating depending on the perspective of the child causes the ultimate death of the child. The profession of nursing refers to the protection, promotion and optimisation of health and some abilities, prevention of all types of injury and illness, facilitation of the healing process, alleviation of suffering from a disease with the diagnosis and treatment; and advocacy in the health care of individuals, groups, families and communities.
Description
Professional standards of practice and behaviour influence the role of the children's nurse in contemporary practice
The nurses are appointed by an organisation to serve patients suffering from a disease. It is the nurse's responsibility to get the patients treated as soon as possible. According to the statement of Fitzgerald (2020), nurses have to know who, where, what, why, and how regarding all aspects of the treatment of patients. The performance of the nurses has a huge effect on the overall performance of the organisation. In the children's unit, the nurses provide care for the children with their knowledge, wisdom, and psychological aspects. The standard of the practice of nursing is based on the nursing processes. The nursing processes included assessment, diagnosis of the disease and outcomes of the diagnosis. Along with this, they include proper planning and implementation of the treatment of those diseases and ensure the maintenance of the patient's health. According to the statement of Steinbrenner et al. (2020), the standards discussed are:
Standard 1: The nurses collect the data or information from the patients' families and become aware of the situation of the patients.
Standard 2: The registered nurses diagnose the health-related issues of the patients to find the actual diseases of the patients.
Standard 3: The nurses then analyse all the information or outcomes collected from the diagnosis report and identify the situation of the patients.
Standard 4: The nurses make a proper plan or strategy to treat the patients according to their problems.
Standard 5: As per the recommendation of Yoo and Cho (2020), the nurses perform health-related activities for the implementation of the plan.
Standard 5A: the nurses coordinate with the other health-related staff in the organisation.
Standard 5B: in this way, they ensure the protection of the health of the patients and promote health in the organisation.
Standard 6: The nurses evaluate the planning and the programme towards achieving their goal. As per the statement of O'Connor et al. (2019), to perform all the required health services properly, nurses need to follow their professional ethics, developed in the communication process. Collaboration with other health-related personnel is needed. They also have to acquire a leadership mentality, properly educated about health problems and its solutions. As per the statement of Sperling (2021), they have to utilise the resources in a proper way to serve the patients. In this way, this can facilitate the overall health of the organisation.
Importance of key legal, regulatory and governance requirements, policies and ethical frameworks relevant to children's nursing
In the paediatric department, the nurses and the doctors follow a set of laws related to the protection of children. If there is any case that is related to child labour practices or child marriage, the health care unit can take steps against the practices and ensure the protection of the child protection laws of the country. In this way, the child's health will be protected with the help of their healthcare organisation. According to the statement of Kelly et al. (2022), the organisation can also take a step if they find the children are provided with drugs or some other products that are not related to their health. They also cause the punishment of the accused person if the child is abused physically or mentally. They can provide some legal factors with which they bring child-abusing practices to an end.
They can also discuss with the guardians of the children if the children are facing depression or other mental health issues. As per the statement of Leu et al. (2022), the hospital and the organisation have to follow some procedures for reducing the rate of children's morbidity and mortality in the community. To do this, the organisation has to maintain a record of the patients. They have to find the frequency of a special case and plan a permanent solution for it. They have to communicate with the patient's family, as the children are not able to describe their physical problems. As mentioned by West (2020), they have to treat the children with proper care and a feeling of affection. As a result, the child can relate to their families and respond to the treatment in a better way.
Role, of the children's nurse, including values and attitudes required to deliver quality evidence-based care for the individual child and family
To treat the children, the nurses have to build a relationship among the children (Çolak et al., 2023). As most of the children do not want to stay with an unknown person, the nurses have to build a family-like bond with them to make the appropriate response to the treatment. So, nurses have to acquire some qualities associated with the association of their profession with perfection. They have to be good with the children. They have to ensure that the child feels safe with them and forms a healthy bond of affection with them. The nurses have to know the psychology of the child and have to perform some activities according to it. The nurses have to be dedicated.
The role of nurses, especially the paediatric department, requires a high level of dedication. Though their career progression is slow, they have to feel that they are associated with some life-saving activities for the children. They have to perform their activity with dedication and not a small amount of negligence should occur, as the child's health is very vulnerable to a small amount of change. The nurses have to be calm. Most of the children take a large amount of time to be prepared to build a family-like bond with the nurses, and some require extra care and extra support. The nurses have to handle them with calmness during the treatment session (Navales et al., 2021). sense of humour is very important for the nurses, as they have to play or make the children laugh to build proper communication with them in their own language. The children's nurses have to update their performance level and acquire knowledge about the newly occurring problems regarding the children's health in a community (Navales et al., 2021), This will help them combat the newly occurring morbidity rate with upgraded professionalism and skills.
Identify key psychosocial theories of child development to inform the assessment of children and their development plans
Children tend to be affected by a change in their life. The change may be associated with physical, mental, or psychological factors (Heberle et al., 2020). A small change in the behaviour of their family and friend group may affect them and may create a reason for their mental and physical problems. In this case, the nurses have to build a strong relationship with the child as the child feels free and safe and speaks about the problems that they cannot share with their families. This will promote the protection of the health of the children. There are some theories related to this:
Freud's psychological development theory: According to this theory, the development of children's health relates to the psychological health of the children. Freud believed on the facts that the early experience of a child plays a great role in the shaping of development (De Los Reyes et al. 2019). The personality of the child greatly depends on the experiences that occur in their life.
Behavioural child development theories: In the early stages of life, the children are learning to socialise themselves in school and family. They are taught to misbehave properly in the community. But sometimes they show some behaviour that is not desired. In this situation, the child has to be handled properly by their family and the physician (Decosimo et al. 2019). They have to know about the underlying cause of the strong behaviour, as psychological factors can affect the child throughout their lifetime. This can also affect the physical health of the child. These issues can be solved with proper communication with the children.
Conclusion
The child feels safe with their known person. To start the treatment of a child the nurses have to be aware of the nature of the child. Then they have to perform the required health-related practices to make them physically and mentally healthy. Proper physical and mental growth is not only required in their children's phase but it can play a great role in the change of the human being different from others.
References
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De Los Reyes, A., Cook, C.R., Gresham, F.M., Makol, B.A. and Wang, M., 2019. Informant discrepancies in assessments of psychosocial functioning in school-based services and research: Review and directions for future research. Journal of school psychology, 74, pp.74-89.
Decosimo, C.A., Hanson, J., Quinn, M., Badu, P. and Smith, E.G., 2019. Playing to live: outcome evaluation of a community-based psychosocial expressive arts program for children during the Liberian Ebola epidemic. Global Mental Health, 6, p.e3.
Fitzgerald, A., 2020, July. Professional identity: A concept analysis. In Nursing forum (Vol. 55, No. 3, pp. 447-472).
Heberle, A.E., Rapa, L.J. and Farago, F., 2020. Critical consciousness in children and adolescents: A systematic review, critical assessment, and recommendations for future research. Psychological Bulletin, 146(6), p.525.
Kelly, S.J., Derrington, S. and Star, S., 2022. Governance challenges in esports: a best practice framework for addressing integrity and wellbeing issues. International Journal of Sport Policy and Politics, 14(1), pp.151-168.
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Navales, J.V., Jallow, A.W., Lai, C.Y., Liu, C.Y. and Chen, S.W., 2021. Relationship between quality of nursing work life and uniformed nurses’ attitudes and practices related to COVID-19 in the Philippines: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(19), p.9953.
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O'Connor, S., Brenner, M. and Coyne, I., 2019. Family?centred care of children and young people in the acute hospital setting: a concept analysis. Journal of clinical nursing, 28(17-18), pp.3353-3367.
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Steinbrenner, J.R., Hume, K., Odom, S.L., Morin, K.L., Nowell, S.W., Tomaszewski, B., Szendrey, S., McIntyre, N.S., Yücesoy-Özkan, S. and Savage, M.N., 2020. Evidence-Based Practices for Children, Youth, and Young Adults with Autism. FPG Child Development Institute.
West, E., 2020. Ethics and integrity in nursing research. Handbook of research ethics and scientific integrity, pp.1051-1069.
Yoo, S.Y. and Cho, H., 2020. Exploring the influences of nurses’ partnership with parents, attitude to families’ importance in nursing care, and professional self-efficacy on quality of pediatric nursing care: a path model. International journal of environmental research and public health, 17(15), p.5452.
