Nurse Practitioner plays an
important role in any healthcare organization. Nurse practitioner in a
Pediatric Setting believed that children are very important for
their families. Each family considers that their child is unique and their
integral part. That is why the role of nurse in a pediatric setting is very
important as a caregiver, as a teacher, as a counselor and health promoter.
Carla Luggiero, the Senior Associate Director of American Health Organization,
said that, “ There are an array of patient care activities performed by nurses
who work in hospitals. In addition to providing care at the patient's bedside,
nurses are also extremely involved in patient education and working as team
coordinators for patient care. Nurses also help coordinate outpatient care and
educational programs provided by many hospitals."
Nursing covers many aspects
of care including physical, mental, psychological, social, educational, cultural
aspects. To cover all these aspects in their nursing care, nurses in pediatric
setting believed in performing their duty with following core elements:
·
Collaboration: it is the most
important element in providing nursing care in pediatric setting. To enhance
the standard of their services, nurse practitioners believe in collaboration
with other healthcare professionals to provide the best and most effective
services
·
Improvement: nurse
practitioners believe in continuous improvement of their services. They always
try to give as much care to the child as described in the ANA and Society of
Pediatric Nurses standards
·
Respect: for the children and
for their families, regardless of their social, economical and racial
background is the core element for providing nursing care in the pediatric
setting. Nurse practitioner provide nursing care to the children with
preservation of their dignity and privacy
Role of Nurse Practitioner in
Pediatric Setting
As already discussed, role of a
nurse is very important in pediatric setting, because she has to play a role of
a caregiver, a teacher, an advocate etc.
·
Nurse practitioner as caregiver: it is the core responsibility
of any nurse practitioner. Nurses provide care, not only for physical illness,
but also for emotional, mental, social and spiritual problems to ensure the
complete healing of the patient.
·
Nurse practitioner as teacher: nurse practitioner, especially
in pediatric setting, has to play a role of teacher. It is the duty of the
nurse to teach patients and their families, how to live with present health
condition and how any disease can be prevented? The core responsibility of
nurse practitioner as teacher is to teach the family of the children to prevent
diseases and to provide a most healthy environment for children. Nurse
practitioner also teaches the families to adhere to the best healthcare
behavior, maintenance of a healthy life style and most appropriate use of
healthcare services. Teaching role of a nurse practitioner includes the following
responsibilities:
1.
Identify the need of teaching
2.
Develop a clear learning strategy
for the child’s family
3.
Provide learning according to the
strategy
4.
Evaluate the results
·
Nurse Practitioner as advocate: nurse practitioner’s
responsibilities in this role include the safeguarding of child and the
family’s interests and providing the psychological, mental and spiritual help
to the patient and his family. Advocate’s role requires that there exist a
mutual confidence and understanding between the nurse practitioner and the
family of the child. The major objectives of this role are to protect patient
and his family’s self-determination, to act as a shield between the patient and
hostile environment, and to act on patient’s behalf. This role includes the following
responsibilities:
1.
Explain the role of different
healthcare providers to the patient and his family
2.
Make necessary changes in the
environment to safeguard the welfare of the patient and his family
3.
Ensuring that adequate healthcare
is provided to the patient
Stress in Pediatrics Nurse
Practitioner
Nursing is a difficult job;
providing nursing services to seriously ill, injured and dying children is
often become a source of stress and suffering. Dr. Hans Seyle, a Canadian
physician and researcher, is considered the father of stress management because
of his pioneering research in the field. He defines stress as, “ the body’s
nonspecific response to any demand placed on it, whether or not that demand is
pleasant”. Seyle discovered that people’s bodies exhibit a specific series of
biological reaction in response to some demand or threat. The surprise is that
people’s bodies go through the same reaction in positive as well as negative
situations. The same physical reaction occurs if people cut off in traffic, or
given a surprise party by the friends. The body does not know the difference
between positive and negative events. Only the mind does.
There are number of sources of
stress for nurse practitioners in pediatric setting. Some of the common sources
are:
Caring
for such children who are in critical position
Excess
workload
Conflicts
Hostile
environment
Lack
of staff support
Uncertainty
in decisions regarding patient’s care etc.
In the short term, the negative
effects of stress are temporary. However, if stress is frequent or prolonged,
several effects can result. Among the medical problems are back pains,
headaches, digestive and coronary problems. Psychological effects include
irritability, depression and anxiety. Beside illness, there are other negative
effects like, increased absenteeism, accidents, impaired decision making, poor
quality of work, increased conflict, low morale etc.
Effective behaviors to cope
with stress is building resistance to stress through regular sleep, good eating
and health habits, and discussing the stressful situation with coworkers,
family, and friends.
Job Satisfaction in Pediatric
Nurse Practitioners
If any job “is not an entity, but
a complex interrelationship of tasks, roles, responsibilities, interactions,
incentives, and rewards,” then none may be treated effectively by ignoring the
array of attributes associated with the job. Instead, a format for identifying
and analyzing these attributes becomes useful.
When first considered, a job
seems to be a straightforward concept. One’s job is what is done, typically on
a continuing basis, in exchange for some reward or compensation. Yet a nurse’s
job is more than the application of nursing skills. The idea of the reward or
compensation is more complex than it might first seem, too; a volunteer
hospital worker does not work for what normally view as compensation, for no
money is involved.
Nurse practitioners play an
important role in Pediatric setting, in order to enhance the feeling of job
satisfaction in nurse practitioners the following points may be considered:
Reasonable
workload
When
necessary, family obligations comes first
Avoid
conflicts
Fair
compensations for the work performed
Respectful
treatment
Friendly
working environment
Adequate
Training
Treated
as a responsible individual etc.
Nurse Practitioners in
Pediatric setting perform an extremely difficult job. They not only provide
physical care to the patients and their families but also support them
psychologically, socially, mentally and spiritually. Their role is a
combination of a caregiver, a teacher and an advocate of the patient.
Nurse practitioner always faces
extreme stress and hardships while providing the most friendly and healthy
environment to their patients. To extract most from a nurse practitioner, it is
necessary that she or he must be stress free and satisfied with his/her job.
Healthy and friendly working environment for nurse practitioners in pediatric
setting would ultimately help to promote quality health environment and
healthcare for children.
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