Principles of Pediatric Nursing Caring for Children 8e Kay Cowen, Laura
Wisely, Robin Dawson, Jane Ball, Ruth Bindler (Instructor's Manual All
Chapters, 100% Original Verified, A+ Grade) (Lecture Notes Only)
CHAPTER 1 CONTEMPORARY CHILD HEALTH NURSING
LEARNING OUTCOME 1
Describe the continuum of pediatric health care.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Assign students to work in groups. Allow each group to select one nursing specialty
(e.g., the students can research the nurse’s responsibility, the location where the
nurse works, the population the nurse cares for). Allow each group to present their
findings to the class.
• Have students reference Figure 1.1 The Binder-Ball Continuum of Pediatric Health
Care for Children and Their Families. Ask students to describe examples of family,
community, and culture that influences the care that the child receives.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students identify the level of care provided by nurses in various clinical settings
where nurses encounter children and families.
• Have students investigate current pediatric job postings at the clinical facility. Have
the students read the job description and qualifications.
LEARNING OUTCOME 2
Identify the nursing roles available to pediatric nurses.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Have students do an internet search on the Standards for Pediatric Nursing
Practice—utilizing the American Nurses Association, National Association of
Pediatric Nurse Practitioners, and Society of Pediatric Nurses—and describe the
expectations for professional performance during the care with children and families
• Assign the students a nursing procedure (e.g., an IV start or a blood draw) and have
students break down the steps in that procure and specify the differences that may
occur in children versus adults.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have the clinical instructor obtain patient education sheets for the clinical facility.
Students can be placed in groups of two and provide each other patient education.
• Have students complete an internet search of the American Academy of Pediatrics’
advocacy and policy to read about federal, state and community advocacy.
LEARNING OUTCOME 3
Summarize the current status of societal influences on pediatric health care and nursing
practice.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Have students complete an internet search of the Institute of Patient and Family
Centered Care. Have the students write a small excerpt or present to class a topic
specific to family-centered care in the pediatric setting.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
,SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students investigate the roles in the clinical facility (e.g., case management,
patient advocate, research, professional development). Have students interview
these nurses and report to the clinical students.
• Have students locate any policies of the clinical facilities related to family centered
care and present to clinical group.
LEARNING OUTCOME 4
Report the most common public health data for causes of child morbidity and mortality.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Have students work in groups. Choose one of the leading causes of death in U.S.
children and adolescents, and create a presentation on a way to decrease the
incidence.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Using their designated client for the day, create a specific educational “moment” (i.e.
Paper, pamphlet) for their patient and/or parents on how to prevent a possible
mortality risk.
LEARNING OUTCOME 5
Explore the value of the QSEN project in promoting patient safety and high-quality care.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Give students a list of unsafe nursing activities, and ask them to write how they can
& will keep from making these same mistakes. List may include medication error,
wrong procedure performed, wrong patient transported to testing, personal patient
information given to a family member, etc.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students work in teams of two to care for their patients for a whole day. At the
end of the day during the post conference have them discuss the advantages of
working together (teamwork) and how they can incorporate this in their everyday
nursing practice.
LEARNING OUTCOME 6
Analyze the role of evidence-based practice in improving the quality of nursing care for
childrearing families.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Have students find four evidence based research articles about a certain topic such
as medication errors in the pediatric population and create a reference page with
correct APA formatting.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students choose one nursing intervention they performed during the clinical
day and find “evidence” such as a nursing article that proves why the certain nursing
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
, intervention is necessary to provide care.
LEARNING OUTCOME 7
Contrast the policies for obtaining informed consent for minors with policies for adults.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• In groups, students create two skits both gaining informed consent for the same
procedure however, one with a minor and the other with an adult.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students discuss the process of gaining informed consent with one of the
nurses on the unit and report out during the post conference.
LEARNING OUTCOME 8
Delineate significant legal and ethical issues that influence the practice of pediatric
nursing.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
● Have students complete case study questions for an ethical/ legal issue.
Example- Anna is a 12-year-old who has metastatic brain cancer. She is requesting
to stop treatment and begin palliative care. Her parents want to continue treatment.
Question- Does Anna or her parents have the right to make this decision? As the
nurse, how can you advocate for your patient and her family? What resources are
available for Anna and her family?
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have a manager or charge nurse come to post conference and discuss a time they
or someone on their unit was involved in an ethical or legal issue.
KEY CONCEPTS
1. The continuum of care includes a variety of settings and complexities of care for
children and their families.
2. Pediatric nurses have many roles beyond direct patient care.
3. Current pediatric nursing is culturally sensitive.
4. Current pediatric nursing is family centered.
5. Pediatric nurses apply special knowledge and skills to care for children.
6. Pediatric nurses use the nursing process to identify and solve problems and to plan
patient care.
7. Unintentional injury is the leading cause of death throughout childhood.
8. Intentional injury is a major cause of death of children in the United States.
9. Access and financing of health care for children is not consistent across the United
States.
10. Research and technology allow many children with congenital anomalies and low
birth weights to survive.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
, 11. The parent or legal guardian must give informed consent prior to treatment or
research participation.
12. In some cases, a parent might not have legal authority to give consent.
13. Adolescents can legally give informed consent in certain circumstances.
14. Children may be involved in decision making, but the parents make final decisions
regarding treatment or research participation.
15. State laws vary regarding what information about an adolescent’s health care may
be withheld from the parent.
16. Pediatric nurses might face ethical dilemmas when providing care to children and
their families.
17. Pediatric nurses should be aware of the ethical issues and legal responsibilities
surrounding the withholding or withdrawing of medical treatment, genetic testing,
and organ transplantation for children.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
Wisely, Robin Dawson, Jane Ball, Ruth Bindler (Instructor's Manual All
Chapters, 100% Original Verified, A+ Grade) (Lecture Notes Only)
CHAPTER 1 CONTEMPORARY CHILD HEALTH NURSING
LEARNING OUTCOME 1
Describe the continuum of pediatric health care.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Assign students to work in groups. Allow each group to select one nursing specialty
(e.g., the students can research the nurse’s responsibility, the location where the
nurse works, the population the nurse cares for). Allow each group to present their
findings to the class.
• Have students reference Figure 1.1 The Binder-Ball Continuum of Pediatric Health
Care for Children and Their Families. Ask students to describe examples of family,
community, and culture that influences the care that the child receives.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students identify the level of care provided by nurses in various clinical settings
where nurses encounter children and families.
• Have students investigate current pediatric job postings at the clinical facility. Have
the students read the job description and qualifications.
LEARNING OUTCOME 2
Identify the nursing roles available to pediatric nurses.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Have students do an internet search on the Standards for Pediatric Nursing
Practice—utilizing the American Nurses Association, National Association of
Pediatric Nurse Practitioners, and Society of Pediatric Nurses—and describe the
expectations for professional performance during the care with children and families
• Assign the students a nursing procedure (e.g., an IV start or a blood draw) and have
students break down the steps in that procure and specify the differences that may
occur in children versus adults.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have the clinical instructor obtain patient education sheets for the clinical facility.
Students can be placed in groups of two and provide each other patient education.
• Have students complete an internet search of the American Academy of Pediatrics’
advocacy and policy to read about federal, state and community advocacy.
LEARNING OUTCOME 3
Summarize the current status of societal influences on pediatric health care and nursing
practice.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Have students complete an internet search of the Institute of Patient and Family
Centered Care. Have the students write a small excerpt or present to class a topic
specific to family-centered care in the pediatric setting.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
,SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students investigate the roles in the clinical facility (e.g., case management,
patient advocate, research, professional development). Have students interview
these nurses and report to the clinical students.
• Have students locate any policies of the clinical facilities related to family centered
care and present to clinical group.
LEARNING OUTCOME 4
Report the most common public health data for causes of child morbidity and mortality.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Have students work in groups. Choose one of the leading causes of death in U.S.
children and adolescents, and create a presentation on a way to decrease the
incidence.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Using their designated client for the day, create a specific educational “moment” (i.e.
Paper, pamphlet) for their patient and/or parents on how to prevent a possible
mortality risk.
LEARNING OUTCOME 5
Explore the value of the QSEN project in promoting patient safety and high-quality care.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Give students a list of unsafe nursing activities, and ask them to write how they can
& will keep from making these same mistakes. List may include medication error,
wrong procedure performed, wrong patient transported to testing, personal patient
information given to a family member, etc.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students work in teams of two to care for their patients for a whole day. At the
end of the day during the post conference have them discuss the advantages of
working together (teamwork) and how they can incorporate this in their everyday
nursing practice.
LEARNING OUTCOME 6
Analyze the role of evidence-based practice in improving the quality of nursing care for
childrearing families.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• Have students find four evidence based research articles about a certain topic such
as medication errors in the pediatric population and create a reference page with
correct APA formatting.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students choose one nursing intervention they performed during the clinical
day and find “evidence” such as a nursing article that proves why the certain nursing
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
, intervention is necessary to provide care.
LEARNING OUTCOME 7
Contrast the policies for obtaining informed consent for minors with policies for adults.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
• In groups, students create two skits both gaining informed consent for the same
procedure however, one with a minor and the other with an adult.
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have students discuss the process of gaining informed consent with one of the
nurses on the unit and report out during the post conference.
LEARNING OUTCOME 8
Delineate significant legal and ethical issues that influence the practice of pediatric
nursing.
SUGGESTIONS FOR CLASSROOM ACTIVITIES
● Have students complete case study questions for an ethical/ legal issue.
Example- Anna is a 12-year-old who has metastatic brain cancer. She is requesting
to stop treatment and begin palliative care. Her parents want to continue treatment.
Question- Does Anna or her parents have the right to make this decision? As the
nurse, how can you advocate for your patient and her family? What resources are
available for Anna and her family?
SUGGESTIONS FOR CLINICAL ACTIVITIES
• Have a manager or charge nurse come to post conference and discuss a time they
or someone on their unit was involved in an ethical or legal issue.
KEY CONCEPTS
1. The continuum of care includes a variety of settings and complexities of care for
children and their families.
2. Pediatric nurses have many roles beyond direct patient care.
3. Current pediatric nursing is culturally sensitive.
4. Current pediatric nursing is family centered.
5. Pediatric nurses apply special knowledge and skills to care for children.
6. Pediatric nurses use the nursing process to identify and solve problems and to plan
patient care.
7. Unintentional injury is the leading cause of death throughout childhood.
8. Intentional injury is a major cause of death of children in the United States.
9. Access and financing of health care for children is not consistent across the United
States.
10. Research and technology allow many children with congenital anomalies and low
birth weights to survive.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
, 11. The parent or legal guardian must give informed consent prior to treatment or
research participation.
12. In some cases, a parent might not have legal authority to give consent.
13. Adolescents can legally give informed consent in certain circumstances.
14. Children may be involved in decision making, but the parents make final decisions
regarding treatment or research participation.
15. State laws vary regarding what information about an adolescent’s health care may
be withheld from the parent.
16. Pediatric nurses might face ethical dilemmas when providing care to children and
their families.
17. Pediatric nurses should be aware of the ethical issues and legal responsibilities
surrounding the withholding or withdrawing of medical treatment, genetic testing,
and organ transplantation for children.
Cowen, Wisely, Dawson, Ball, and McGillis Bindler, Principles of Pediatric Nursing, 8e
Copyright 2023 by Pearson Education, Inc.
