Program - Day 3

ISSUES AND UPDATES IN CLINICAL PRACTICE

Advanced Nursing Practice: Avoiding Potholes on the Crossroads of Opportunity

With health resources already stretched in high-technology, fast-paced clinical environments today, pediatric nurses find themselves at a professional crossroads. Advanced education has become the potential solution for producing highly competent pediatri c nurses at the health care frontline. While the advanced practice nursing role is one that may offer the delivery system a competent provider, it is not without potential problems. This session will describe the historical evolution of the role of the ad vanced practice pediatric nurse and discuss the challenges and opportunities in the future for nurses in practice and education.
OBJECTIVES:
At the end of this session participants will be able to:
  1. Discuss the role of the advanced practice nurse today and in the future.
  2. Describe 2 challenges that advanced practice nurses will face in times of diminished resources and increasing demands.
  3. Identify 2 creative approaches to educating advanced practice nurses for the future.

PRACTICE PANEL DISCUSSION:

Developing Sound Therapeutic Boundaries in Caregiving, and Knowing Where They Begin and End
The key to providing therapeutic family centered care is an understanding of the therapeutic relationship. Our professional education does not always address this emerging issue in health care. The result is that often we are left floundering, uncertain o f our role and its impact on the clients for whom we care. This session will discuss how we can objectively look at our practice to understand and recognize the symptoms of a non-therapeutic relationship in order to develop strategies for goal-directed fa mily centered care and to define ourselves within a professional working relationship.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Define therapeutic relationships in child health care.
  2. Identify "red flags" or symptoms of a non-therapeutic relationship.
  3. Develop strategies for goal-directed therapeutic relationships.
Palliative Care - Complex Decision Points and Supportive Environments
Palliative care for children is much more than pain and symptom management. Creation of an environment supportive to the child and family is essential to the provision of comprehensive pediatric hospice care. Throughout the development of the Canuck Place Hospice Care Program, critical and complex decisions have been made regarding the physical facility, human resources, community interface, outcome evaluation, and research. The vision of a supportive environment, as articulated in the Canuck Place Hospic e Care Plan, has provided the context for decision-making. This session will outline the Hospice Care Plan and focus on complex decision points during the development process.
OBJECTIVES:
At the end of this session participants will be able to:
  1. Define pediatric hospice care.
  2. Identify components and services of the Canuck Place Hospice Care Program.
  3. Identify strategies used in complex decision-making throughout the process of program development.

Day-to-Day Challenges of Hospitalization: A View from the Other Side

A special presentation from parents/children with hospital experience will offer their points of view.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Identify issues related to hospitalization that are from the parents and children's perspective.
  2. Describe patients' and families' perceptions about caregivers, professionals, and the hospital environment.
  3. Appreciate differences in values about hospitalization between professionals and clients.

PANEL DISCUSSION: Developing Dimensions of Cultural Competencies in Pediatric Clinical Care

Beliefs and Values of Indonesian, Russian, Central American and Chinese Clients/Critical Care
This discussion will provide a brief overview of critical issues relating to beliefs and values in critical care in several cultures. Case studies from China, Indonesia and Russia will be highlighted. Selected examples will be presented for adapting nursi ng care strategies in other cultural settings.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Identify two beliefs that impact on nursing care delivery in selected cultures.
  2. Outline nursing assessment strategies for gathering information about cultural beliefs and values of families of critically ill children.
Economic Dimensions of Child Health: Latino, Hispanic and Central American Children and Families
Child health problems in Central America are seen more in the context of social and economic problems. For example, many street children suffer from malnutrition, abuse and exploitation. Some children are sent by their parents or custodians to beg or clea n cars on the streets. They are considered as individuals who can bring a little economic support to their families. These problems must be addressed to improve the conditions for children. This session will present the reality of economic hardships of La tino, Hispanic and Central American children and how nursing can assist in meeting some families' needs.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Describe the harsh reality of poverty on children and families in Central America.
  2. Discuss the economic influences of health problems.
Attitudes Toward Death Dimensions in Palliative Care: Chinese, Korean and Taiwanese Children with Cancer
Families in Asia who have a child dying from cancer may not be aware of hospice/home care. In some parts of Asia pediatric hospice services may not be available. Attitudes to children dying differ depending on various factors such as culture, religion, so cioeconomic and educational background. This session will give an overview that should lead the participants to a beginning understanding and appreciation of the complexity of these issues for Chinese families both in China and Taiwan, as well as families in South Korea and Japan.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Identify the state of the development of pediatric hospice services for each country.
  2. Define the major factors affecting the attitudes to children dying in each country.
Traditions and Trust Dimensions of Primary Care: First Nation, Aboriginal and Inuit Children and Families
Providing primary care services for children and their families from First Nation, Aboriginal and Inuit cultures can be challenging for pediatric nurse practitioners and clinicians who lack an understanding of many of their clients' cultural ways. This se ssion will offer some general information about traditions of First Nation/Aboriginal cultures, and suggest ways to establish and maintain trust in nurse-family relationships.
OBJECTIVES:
At the end of this session, participants will be able to:
  1. Identify several traditions of First Nation, Aboriginal and Inuit families.
  2. Recognize important elements of understanding cultural ways to improve trust in the professional relationship.
DISCUSSION - MULTICULTURAL ISSUES IN CLINICAL PRACTICE
Conference participants will be encouraged to address the panel and ask questions that are specific to the multicultural perspectives presented. Similarities and differences will be addressed and methods to gain a better understanding will be discussed. OBJECTIVE:
At the end of this question and answer period, participants will be able to:
  1. Develop a better understanding of cultural similarities and differences among selected cultures.
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