Nursing Education for Pediatric Cardiac Care Centers in Developing Countries


Published: Sep 8, 2023
Keywords:
nursing education simualtion competency congenital heart disease
Jennifer Peterson
Abstract

Summary


Pediatric cardiac programs achieve excellent patient outcomes through the teamwork of a highly capable interdisciplinary team. Nurses are key members of this team, and must possess and highly specialized set of skills and knowledge. A comprehensive nursing education program is needed to develop the necessary skills and knowledge to care for critically ill infants and children with heart disease who are often highly unstable, complex, and vulnerable. Orientation of novice nurses or those who are new to the unit begins with a needs assessment, resulting in a comprehensive plan to achieve required competencies. Nurse residency programs are one method to provide a comprehensive orientation to novice nurses, using a combination of didactic instruction, preceptored clinical experiences, and simulation. An ongoing nursing education plan is also important to refresh skills, especially with high-risk, low-volume procedures, as well as to meet regulatory requirements and develop new skills and knowledge. A key component of the pediatric cardiac nursing education plan is development of preceptors, who provide hands-on instruction to mentor new nurses to develop the needed skills and knowledge, while ensuring that patients receive safe care. Preceptor development can also provide experienced bedside nurses with opportunities to develop their own knowledge and to continue professional development, which helps to positively influence job satisfaction. Numerous resources are available to develop a curriculum or the pediatric cardiac program. Evaluation is also an important component of the nursing education program, to quantify individual as well as programmatic outcomes.

Article Details
  • Section
  • Articles
Downloads
Download data is not yet available.
References
American Association of Critical Care Nurses. The AACN Synergy Model for Patient Care. Published n.d. Accessed May 31, 2023. https://www.aacn.org/~/media/aacn-website/nursing-excellence/standards/aacnsynergymodelforpatientcare.pdf?la=en
Truth A. No health without a workforce. World Health Organ WHO Rep 2013. Published online 2013:1-104.
World Health Organization. Global standards for the initial education of professional nurses and midwives (No.WHO/HRH?HPN/08.6). Published online 2009. Accessed June 5, 2023. https://apps.who.int/iris/bitstream/handle/10665/44100/WHO_HRH_HPN_08.6_eng.pdfaiyub
Aiyub S, Linh NN, Tayler-Smith K, Khogali M, Bissell K. Nurses graduating in Fiji between 2001 and 2010: sufficient supply for Fiji’s health service demands? Public Health Action. 2013;3(1):63. doi:10.5588/pha.12.0067
Brindley P, Morgan M. ICU’s most powerful tool will always be skilled staff. BMJ. Published online April 6, 2023:p804. doi:10.1136/bmj.p804
International Council of Nurses. International Council of Nurses policy brief: The global nursing shortage and nurse retention. Published online 2021.
Hickey PA, Gauvreau K, Curley MAQ, Connor JA. The Effect of Critical Care Nursing and Organizational Characteristics on Pediatric Cardiac Surgery Mortality in the United States: JONA J Nurs Adm. 2013;43(12):637-644. doi:10.1097/NNA.0000000000000005
Lasa JJ, Banerjee M, Zhang W, Bailly DK, Sasaki J, Bertrandt R, Raymond TT, Olive MK, Smith A, Alten J, Gaies M. Critical Care Unit Organizational and Personnel Factors Impact Cardiac Arrest Prevention and Rescue in the Pediatric Cardiac Population. Pediatr Crit Care Med. 2022;23(4):255. doi:10.1097/PCC.0000000000002892
Hickey PA, Gauvreau K, Porter C, Connor JA. The Impact of Critical Care Nursing Certification on Pediatric Patient Outcomes. Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc. 2018;19(8):718-724. doi:10.1097/PCC.0000000000001609
Sudarmika P, Santyasa IW, Tegeh IM, Sudarma IK. How to assess nurse learning needs through training needs analysis: Mixed methods study. Int J Health Sci. 2023;7(1):13-25. doi:10.53730/ijhs.v7n1.13843
Levine J, Johnson J. An Organizational Competency Validation Strategy for Registered Nurses: J Nurses Prof Dev. 2014;30(2):58-65. doi:10.1097/NND.0000000000000041
McBride ME, Beke DM, Fortenberry JD, Imprescia A, Callow L, Justice L, Bronicki RA. Education and Training in Pediatric Cardiac Critical Care. World J Pediatr Congenit Heart Surg. 2017;8(6):707-714. doi:10.1177/2150135117727258
Pertiwi RI, Hariyati RrTS. Effective orientation programs for new graduate nurses: A systematic review. Enferm Clínica. 2019;29:612-618. doi:10.1016/j.enfcli.2019.04.094
Zyblewski SC, Callow L, Beke DM, Jain P, Madathil SB, Schwartz S, Tabbutt S, Bronicki RA. Education and Training in Pediatric Cardiac Critical Care: International Perspectives. World J Pediatr Congenit Heart Surg. 2019;10(6):769-777. doi:10.1177/2150135119881369
Virtual Programs. The Pediatric Cardiac Intensive Care Society. Accessed June 5, 2023. https://pcics.org/education/virtual-programs/
Powers K, Herron EK, Pagel J. Nurse Preceptor Role in New Graduate Nurses’ Transition to Practice. Dimens Crit Care Nurs. 2019;38(3):131. doi:10.1097/DCC.0000000000000354
O’Neill T, Aust MP. HealthStream Onboarding Series: Essential Best Practices in Preceptor Training. Becker’s Hospital Review. Published 2014. https://www.beckershospitalreview.com/pdfs/white-papers/Healthstream_White_Preceptorship_Final.pdf
Helman S, Lisanti AJ, Adams A, Field C, Davis KF. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33. doi:10.1097/NCQ.0000000000000131
Choudhury TA, Flyer JN, McBride ME. Simulation as an Educational Tool in the Pediatric Cardiac Intensive Care Unit. Curr Pediatr Rep. 2021;9(3):52-59. doi:10.1007/s40124-021-00241-0
Tretter JT, Windram J, Faulkner T, Hudgens M, Sendzikaite S, Blom NA, Hanseus K, Loomba RS, McMahon CJ, Zheleva B, Kumar RK, Jacobs JP, Oechslin EN, Webb GD, Redington AN. Heart University: a new online educational forum in paediatric and adult congenital cardiac care. The future of virtual learning in a post-pandemic world? Cardiol Young. 2020;30(4):560-567. doi:10.1017/S1047951120000852
The Peak Performance Center. Types of Evaluations - The Peak Performance Center. Published 2023. Accessed June 7, 2023. https://thepeakperformancecenter.com/business/learning/business-training/types-of-evaluations/
Blake N, Leach LS, Robbins W, Pike N, Needleman J. Healthy work environments and staff nurse retention: the relationship between communication, collaboration, and leadership in the pediatric intensive care unit. Nurs Adm Q. 2013;37(4):356-370. doi:10.1097/NAQ.0b013e3182a2fa47
Duru DC, Hammoud MS. Identifying effective retention strategies for front-line nurses. Nurs Manag Harrow Lond Engl 1994. 2022;29(1):17-24. doi:10.7748/nm.2021.e1971