Worldwide Successful Pediatric Nurse-Led Models of Care

Description

This book provides readers with international exemplars of nurse-led/nurse-directed pediatric models of care. It offers innovative and forward-thinking models of nursing care, incentives and opportunities for nurses to replicate similar nurse-led models of care in their own clinical and community-based settings. Readers will benefit from selected and proven nurse-led/nurse-directed pediatric models of care that have been developed, implemented and evaluated by advanced practice pediatric nurses, including successful examplars from less developed countries and underserved populations.This book is a welcome addition to faculty in child health graduate programs and/or clinicians in hospitals to have this kind of “model” for practice.  This book encompasses an extensive compilation of contributions of international authors, also from countries that have been rarely featured in books, and it facilitates worldwide linkages with colleagues internationally.  Preface References Contents Nurse-Led Models of Care for Infants, Children, Youth, and Families: Introduction and Overview Introduction Neonates, Infants, and Early Childhood Broad Range of Children, Youth and Young Adults Theory-Driven Approaches to Care Staff Initiative Conclusion References The Social-Ecological Theory of Child Development: A Framework for Nurse-Led Initiatives and Models of Care Social-Ecological Theory A Need for Change Applying Social-Ecological Theory to Care Application to Practice, Training, and Research Conclusions References Baby Steps: Improving the Transition from Hospital to Home for Neonatal Patients and Caregivers Through a Nurse-Led Telehealth Program Introduction Background Information Why Develop Baby Steps? Process to Develop the Baby Steps Service Theoretical Framework: Theory of Transition (Meleis) Description of Nurse-Led Baby Steps Model Organizational Components of Baby Steps Involve Several Interprofessional Teams Description of the Services Provided Role/Responsibilities of Team Members/Position Requirements of Those Involved with the Nurse-Led Model Methods of Evaluation Challenges and Facilitators Challenges Facilitators Financial Challenges and Opportunities Service Adjustments Made Lessons Learned Future Implications for Clinical Practice and Research Conclusion Useful Resources Appendix: Baby Steps Program Brochure References Canadian Nurse Practitioner-Led Pediatric Rehabilitation Complex Care Program Introduction Background NP Scope of Practice in Ontario The Children’s Rehabilitation Hospital Population Description (Children with Medical Complexity) Nurse Practitioner-Led Model Model Development Gaps and Challenges with the Pre-existing Model of Care Description of the New Model of Care Collaboration with Physician Partners Collaboration with the Interprofessional Team Provincial Framework Complex Care for Kids Ontario (CCKO) Evaluation Challenges and Facilitators Challenges Facilitators Service Adjustments Improvements for Access to Care Lessons Learned Building Relationships Approach to Care of CMC Future Implications for Clinical Practice and Research NP as Most Responsible Provider (MRP) Transition to Adulthood for Complex Care Population Evaluation of Long-Term Impact Conclusion Useful Resources References Leveraging a Professional Nursing Organization to Create an Antitrafficking Care Model Introduction Background Human Trafficking: A Public Health Threat Target Setting: Professional Nursing Organizations Impetus for Model Development Theoretical and Conceptual Frameworks The Alliance for Children in Trafficking Standard Setting for Education and Policy Replication Through the ACT Advocates Program Dissemination Through Contributions to Scientific Literature Evaluation Challenges and Facilitators Challenges Facilitators Financial Support and Sustaining Strategies Service Adjustments National Workgroup Development Lessons Learned Health Equity Global Health Perspective Importance of Partnerships Calls to Action Future Implications for Clinical Practice and Research Suicide Prevention and Foster Care Conclusion The Role of Professional Nursing Organizations Useful Resources References Evolution of a Complex and Home Care Program for Children with Chronic Diseases Introduction Background Target Population and Setting Process Undertaken to Implement This Model Workload Projection Budget Planning Home Medical Equipment and Consumables Caregiver Training Care Plans Postdischarge Care Theoretical Framework Shared Care Team-Based Care Joint Accountability Electronic Care Plans Organizational Component Service Components of CCHS Caregiver Training and Assessment Medical, Psychosocial and Financial Assessment Home Environment Assessment Equipment and Consumables Assessment and Procurement Care Planning and Coordination Outpatient Clinics Home Visits Roles of the CCHS Home Care Nurse Patient Assessment Caregiver Training and Assessment Medical Equipment Procurement and Consumable Supply Discharge Planning Home Visits and Tele-Consultations Training and Collaboration with Health-Care Providers Liaison with Medical Equipment Vendors Recruitment of Home Care Nurses Methods of Evaluation Challenges Lack of Community Facilities for Long-Term and Respite Care Responsible Care of Medical Equipment Funding Caregiver’s Psychological and Physical Health Facilitators Collaboration Philanthropic Funding Caregiver Support Programs (Psychosocial Counselling and Respite Care) Service Adjustments Made Medical Equipment Procurement and Maintenance Funding Transition to Adult Care Lessons Learnt Future Implications for Clinical Practice and Research Conclusion References Affirming and Empowering Kids: Creating an Independent and Comprehensive Gender-Affirming Health-Care Center An Introduction to Transhealth Background Transgender and Gender-Diverse Kids Are Resilient and Deserve More Transhealth Was Developed to Respond to Community Need Description of the Nurse-Led Transhealth Model Challenges and Facilitators Service Adjustments Made Lessons Learned Future Implications Conclusions Useful Resources References Caring for Patient on Extracorporeal Membrane Oxygenation (ECMO) in the Pediatric Intensive Care Setting Introduction Background Process Undertaken to Implement the Model Acquiring ECMO Knowledge and Skills from Established ECMO Centers KKH Pediatric-Neonatal ECMO Committee Working with Stakeholders Recruitment and Training of ECMO Specialist Nurses Theoretical Framework Organizational Component Service Components ECMO Initiation ECMO Maintenance Post-ECMO Management Roles of the Nurses ECMO Nurse Coordinator ECMO Specialist Nurse Bedside Nurse Multidisciplinary Team Training for ECMO Specialist Nurses Methods of Evaluation Challenges and Facilitators Address Financing/Reimbursement Service Adjustments Made Lessons Learned Future Implications Conclusion References Transitioning from Pediatric to Adult Care in Sickle Cell Disease: An Innovative Nurse-Led Model Introduction Background Process Theoretical Framework Nurse-Led Module Description Methods of Evaluation Challenges and Facilitators Service Adjustments Made Lessons Learned Future Implications for Clinical Practice and Research Conclusion Useful Resources/Websites References The Sierra Leone National ETAT+ Programme: Delivering Nurse-Led Emergency Paediatric Care Introduction Background Need for the Model and the Target Population Impetus for the Development of This Model The Process Undertaken to Develop and Implement the Model Theoretical Framework Description Organizational Components Services Team Members Evaluation Challenges and Facilitators Challenges Facilitators Lessons Learned Future Implications for Clinical Practice and Research Conclusion Useful Resources References Interactional Model of Caring for Families of Children with Chronic Conditions Introduction Background Description of the Nurse-Led Model Theoretical Foundations of the Model The Interactional Family Care Model (IFCM) Dimensions IFCM Assumptions IFCM Practice IFCM Service Components The Family Assessment Process Interventions with the Family Strategies for Intervening with the Family IFCM Outcomes IFCM Team Members Challenges and Facilitators Lessons Learned Service Adjustments Made Future Implications for Clinical Practice and Research Conclusion Useful Resources References From Patient Studies to a Hospital-Wide Initiative: A Mindfulness Journey Introduction Background Theoretical Model and Conceptual Framework Organizational Components Service Components Intervention Team Members Methods of Evaluation IRB and Ethical Approval Process Challenges Facilitators Service Adjustments Made Lessons Learned Future Implications Conclusion Useful Resources References Nurse-Led Service Models: Lessons Learned Over 25 Years Overview of Past and Ongoing Nurse-Led Healthcare Transition Models of Care Early Beginnings Movin’ On Up Future Development in Intellectual Disabilities and Developmental Disabilities Lessons Learned Conclusion References A Paediatric Eczema Shared Care Model Introduction Background Overview of the Need for an Eczema Model/Target Population/Setting Impetus for Development of the Eczema Model The Process Undertaken to Develop and Implement the Eczema Model Laying the Groundwork for the Eczema Model Collaboration Efforts Involved with Eczema Model Planning Collaboration, Training and Resource Development Eczema Resources for Health Professionals and Consumers Community Webinars and Seminars Eczema School Kit Primary Care Decision-Making Algorithm and GP Management Plan Theoretical Framework Components of the Shared Care Model for Allergic Diseases Collaborative Pharmacy Eczema Model of Care Description of the Nurse-Led Model Organisational Components Components of the Service Model Position Requirements of Those Involved with the NP-Led Model Methods of Evaluation Challenges and Facilitators Challenges Facilitators Address Financing/Reimbursement Service Adjustments Made Lessons Learned Future Implications for Clinical Practice and Research Conclusion Useful Resources Appendix 1: Eczema Decision-Making Algorithm Appendix 2: GP Management Plan Appendix 3: Advisory Group Members Collaborative Pharmacy Eczema Model of Care Expert Advisory Group (Alphabetical by Surname) Multidisciplinary Expert Advisory Group (Alphabetical by Surname) References Breatheasy: A Nurse-Led ‘Care Through Family’ Service Model Introduction Background Information Infant and Child Mortality and Morbidity Shifts Children with a Tracheostomy Care in Lower-Resourced Settings The Contextual Lens A Solution-Focused Lens Researching Clinical Practice Description of the Breatheasy Programme The Service Model Staffing Inter- and Multidisciplinary Teamwork Preserving the Mother–Child Pair Enabling Continuous Presence Belief and Trust Psychological Support and Empathy Mothers as a Capable Resource Sharing Knowledge Factors That Support Care Through Family Daily Changing of the Tracheostomy Tube Resources and Inputs A Competent Team of Caregivers A Safe Place Challenges and Service Adjustments Made Challenges Service Adjustments Lessons Learned The Care Through Family Self-Assessment Tool Future Implications for Clinical Practice and Research Conclusion Useful Resources Appendix References Leading a Nurse Practitioner-Designed Newborn Circumcision Clinic Introduction Background Information NCC Needs Assessment Target Population and Setting Designing and Implementing the NCC Theoretical Framework Description of the NCC Organizational Components Services Components of the Service Model Description of the Services Provided Setting of the Model/Wherein Services Provided Team Member’s Roles and Responsibilities Methods of Evaluation Challenges and Opportunities Family Feedback Guides Service Delivery Adjustments Lessons Learned Future Implications for Clinical Practice and Research Conclusion Useful Resources References Analysis of Nurse-Led Models Heath Care and Implications for Practice, Research, Education, and Policymaking Introduction Responsive to Healthcare Needs Theoretical Frameworks Sustainability Research and Quality Improvement Efforts Evaluation Measures Conclusions References