Confronting Adversity: How the COVID-19 Pandemic Impacted Receiving Difficult News in Neonatal Intensive Care Units.

Background And Significance: In neonatal intensive care, the communication of difficult news can have lingering repercussions throughout the lives of those receiving such information. Uncertainty and stress associated with the COVID-19 pandemic may negatively influence this sensitive yet essential communication process.

Purpose: To analyze the communication of difficult news during the COVID-19 pandemic from the perspective of parents of newborns admitted to a neonatal intensive care unit.

Naloxone Knowledge and Attitudes of Juvenile Residents in a Detention Setting.

The opioid epidemic in the United States is financially, physically, and emotionally costly. Juvenile residents in detention settings witness overdose through personal opioid use or that of family or friends. Educational programming was developed for residents in a juvenile temporary detention center to increase knowledge of opioid overdose and nonopioid misuse.

Increasing Health Literacy Among Residents at a Juvenile Temporary Detention Center.

Introduction: Health literacy is a nationwide public health concern. Low health literacy in adolescents is related to increased adolescent high-risk behaviors, which can negatively affect their overall health.

Method: A quality improvement health literacy project was developed, implemented, and evaluated in a juvenile temporary detention center.

Using Simulation to Evaluate Nurse Competencies.

A multimodal nursing pedagogy utilizing simulation was incorporated into annual nurse competencies at a 465-bed academic medical center to translate into practice the required surveillance of a potentially septic patient and the necessary clinical decision-making. Pretest/posttest was used to determine knowledge retention from simulation. Nurses' sepsis knowledge following simulation was improved.

Implementation of a Pathway for the Treatment of Fever and Neutropenia in Pediatric Patients With Cancer.

Fever and neutropenia is an oncologic emergency. Time-to-antibiotics (TTA) refers to the amount of time from initial provider evaluation for fever and neutropenia to intravenous antibiotic administration. Research supports that rapid time-to-antibiotics (RTTA) is associated with improved patient outcomes.

Interactions between parents of technology-dependent children and providers: an integrative review.

This article is a review of the literature on the experiences of parents and their interactions with healthcare providers while caring for their technology-dependent child(ren) in their homes. Results are presented in the following themes: information needs, respect and partnership with healthcare providers, care coordination, and experiences with home healthcare nurses. Parents needed information and guidance and felt supported when providers recognized parents' expertise with the child's care, and offered reassurance and confirmation about their practices.

Implementation of evidence-based practice for a pediatric pain assessment instrument.

Purpose/objectives: The purpose of this project was to facilitate the successful implementation of an evidence-based practice (EBP) change to the Faces Pain Scale-Revised (FPS-R) using the Promoting Action on Research Implementation in Health Services (PARIHS) framework.

Background/rationale: Accurate pain assessment is a high priority in the clinical setting. Despite the availability of valid pain assessment instruments, use in practice remains deficient.

Palliative care resources for the health professional.

Over the past several years, healthcare professionals have developed policies, guidelines, and educational programs to promote the implementation of pediatric palliative care practices in acute and outpatient care settings. This article provides a description and listing of many of these resources to aid nurses as they strive to improve their palliative care knowledge and skills, and implement palliative care programs in their institutions.

Patient-controlled epidural analgesia in children: can they do it?

Unlabelled: Extensive clinical experience and many studies support the use of i.v. patient-controlled analgesia (i.