1,721,023 research outputs found
Pragmatic children’s nursing: a theory for children and their childhoods
No full textPragmatic Children’s Nursing is the first attempt to create a paediatric nursing theory which argues for the importance of giving children living with illness access to a childhood which is, as far as possible, equal to that of their peers. Set in the historical context of the development of children’s nursing, this theory is presented in detail as an educational process, complete with eight outcome measures which allow the practitioner to evaluate its effectiveness. This book explores the triad relationship between children, carers and nurses within the context of healthcare delivery. Ht analyses the moral and ethical implications of pragmatic children’s nursing, which challenges the established ideas of family-centred care. In addition to offering theoretical grounding and debate, Randall presents four practical case studies which model how this theory may work within various hospital and community settings. Establishing a link between the concepts inherent in pragmatism and our understanding of childhood within society, this accessible book will appeal to a global audience of undergraduate and postgraduate nursing students, researchers and policy makers.Discover more about this subject on our author Duncan C. Randall's website, which provides extra resources and information here: http://pragmaticchildrensnursing.com
Taking a new path: time to move from family-centred care and adopt a pragmatic approach to children’s nursing
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Pragmatics and parenting
Full text linkTheoretical Principles: Pragmatic Children's Nursing Theory draws on the theory principles of North American Pragmatist including the work of William James, Richard Rorty, and John Dewy and incorporates Margaret Urban Walkers' work on expressive collaborative feminism. Phenomena Addressed: In this discussion paper I explore how the role of parents is framed in Pragmatic Children's Nursing Theory. In setting out Pragmatic Children's Nursing Theory I detailed a rebuttal of Family Centred care. However, working with the theory I have come to realise how the arguments against Family Centred care do not exclude involving parents in children's care. Indeed, Pragmatic Children's Nursing recognises the vital role parents and other carers play in children's access and experience of childhood. Using Walkers expressive collaborative feminism who accepts and who rejects the parenting role for children living with illness is discussed. Research Linkages: This is an emergent theoretical approach to children's nursing with challenging research evidence. However, I draw on existing children's nursing studies to explore the potential of Pragmatic Children's Nursing Theory to assist children, parents and nurses in negotiating care. Concluding that as childhoods and parenting are continually evolving, in time, in certain physical, cultural and political contexts, that pragmatic theory will evolve to meet these intergenerational contextual challenges.</p
Pragmatics and bringing dying back into children’s nursing
No full textA new book, Pragmatic children's nursing - A theory for children and their childhoods, by Dr Duncan C. Randall, provides a theory for nursing all children with nursing needs as well as dying children and brings death and dying in childhood back into the mainstream of children's nursing
Two futures: financial and practical realities for parents of living with a life limited child
Full text linkToday more and more children are living with complex health care needs, many of these children are living with life limiting, and or threatening conditions, some are medically fragile. To live a childhood these children must live in communities and with their families. In most cases this means the child’s carers, their parents, most often their mothers, are required to undertake a great deal of the child’s care. During a project on parental coping I became aware of the ways in which parents were restructuring their working lives in order to meet the demands of the nursing and medical care needs of their children. In this paper I relate the stories we discovered in this qualitative study and discuss the tensions between parental and state’s responsibility for children, carers and the political and cultural rights and responsibilities pertaining to children’s care. I use Margret Urban Walkers ideas of expressive collaborative morality to argue that the care of life limited and life threatened children should be framed in a negotiation between the state and the carers, both informal and professional. That such an agreement should include a covenant to assist parents and siblings when a child dies to recover and adjust to their loss, in recognition of the work they have performed in caring for the child during their child’s life and their death
The benefits for children’s nurses of overseas placements: Where is the evidence?
No full textOverseas placements are presumed to provide students with experiences to enhance their cultural competence and to give them insights into other healthcare systems. However, the literature has not focused on what students of children’s nursing might gain from an overseas placement. This paper is a report of a literature review (2003–2011) and our own student evaluation, both aimed at shedding new light on this important opportunity for learning for children’s nurses.The literature review indicates that current research does not address the learning from overseas placements for children’s nurses. Our student evaluation suggests children’s nursing students are able to explore the position of children in the host culture and to place this in a healthcare context. Students also reported that they adhered to UK scope of student practice when delivering care to children on overseas placement.These placements provide a valuable learning experience for children’s nurses. However, consideration in the shorter term is required to address issues of equity. Looking forward, further large scale studies are required to determine the long term effects of such experience on the health outcomes for children, and development of children’s nurses and children’s nursing globally
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