Role of the Rn
Role of the Registered Nurse in Pediatric Palliative Care
Stephanie Harley
Nipissing University
Nursing is a career that requires collaborative relationships among professionals that assist nurses to provide the best possible care for the client and family. These interprofessional relationships may involve a wide range of health care professionals of multiple members that work collaboratively together to deliver quality care. Nurses are required to work with other professionals on a daily basis on the floor whether it is with a doctor, a lab tech, a respiratory therapist, physiotherapists or even a fellow nurse. Registered Practical Nurses (RPN) and Registered Nurses (RN) work together on a daily basis and work in partnership with one another to provide the level of care that is required in order for a patient to meet their outcomes. Pediatric palliative care is a specialized setting that requires constant teamwork or consultations and majority of the centers only allow RN`s to work on that floor, however; some centers allow for RPN`s to care for these children. Crozier and Hancock (2012) state that “it has been estimated that 13.9% of all children are living with a chronic health condition … and palliative care can be provided to these children as well” (p.2). This paper will discusses the role of the RN in pediatric palliative care in relation to family support through the three factor frame work which involves the client, the nurse and the environment.
The Three Factor Framework
The three factor frame work is used in many different settings to determine whether a RN or a RPN will be caring for a certain client. This framework consists of the client, the nurse and the environment (College of Nurses of Ontario [CNO], 2011). These three factors are implemented and have an impact on decision making related to care provider assignment for the RPN and RN. It takes into consideration the client’s needs, the needs for consultation as well as collaboration
Stephanie Harley
Nipissing University
Nursing is a career that requires collaborative relationships among professionals that assist nurses to provide the best possible care for the client and family. These interprofessional relationships may involve a wide range of health care professionals of multiple members that work collaboratively together to deliver quality care. Nurses are required to work with other professionals on a daily basis on the floor whether it is with a doctor, a lab tech, a respiratory therapist, physiotherapists or even a fellow nurse. Registered Practical Nurses (RPN) and Registered Nurses (RN) work together on a daily basis and work in partnership with one another to provide the level of care that is required in order for a patient to meet their outcomes. Pediatric palliative care is a specialized setting that requires constant teamwork or consultations and majority of the centers only allow RN`s to work on that floor, however; some centers allow for RPN`s to care for these children. Crozier and Hancock (2012) state that “it has been estimated that 13.9% of all children are living with a chronic health condition … and palliative care can be provided to these children as well” (p.2). This paper will discusses the role of the RN in pediatric palliative care in relation to family support through the three factor frame work which involves the client, the nurse and the environment.
The Three Factor Framework
The three factor frame work is used in many different settings to determine whether a RN or a RPN will be caring for a certain client. This framework consists of the client, the nurse and the environment (College of Nurses of Ontario [CNO], 2011). These three factors are implemented and have an impact on decision making related to care provider assignment for the RPN and RN. It takes into consideration the client’s needs, the needs for consultation as well as collaboration
References: Ahmann, E., & Dokken, D. (2006). The many roles of family members in "family-centered care" - part 1. Pediatric Nursing, 32(6), 562-565. Anita, C., & Rushton, C. H. (2002). Pediatric palliative care: The time is now!. Pediatric Nursing, 28(1), 1-9. Retrieved from http://moxy.eclibrary.ca/login?url=http://search.proquest.com/docview/199391320?accountid=12792. Bartell, A. S., & Kissane, D. W. (2005). Issues in pediatric palliative care: Understanding families . Journal of Palliative Care, 21(3), 1-16. Retrieved from http://moxy.eclibrary.ca/login?url=http://search.proquest.com/docview/214198065?accountid=12792. Boyle, L. A., & Roberts , K. E. (2005). End of life education in the pediatric intensive care unit .Critical care nurses , 25(1), 1-6. Retrieved from http://moxy.eclibrary.ca/login?url=http://search.proquest.com/docview/228182699?accountid=12792. College of Nurses of Ontario. (2011). RN and RPN practice: The client , the nurse and the environment. Retrieved from http://www.cno.org/Global/docs/prac/41062.pdf. Cox, S. (2004). Pediatric bereavement: Supporting the family and each other. Journal of Trauma Nursing, 11(3), 1-6. Retrieved from http://moxy.eclibrary.ca/login?url=http://search.proquest.com/docview/194497588?accountid=12792. Crozier, F., & Hancock, L. E. (2012). Pediatric palliative care: Beyond the end of life. Pediatric Nursing,38(4), 198-203, 227. Retrieved from http://moxy.eclibrary.ca.roxy.nipissingu.ca/login?url=http://search.proquest.com.roxy.nipissingu.ca/docview/1037681303?accountid=12792. Ferrell, B., Malloy, P., Uman, G., Virani, R., & Wilson, K. (2006). Palliative care education for pediatric nurses. Pediatric Nursing, 32(6), 1-6. Retrieved from http://moxy.eclibrary.ca/login?url=http://search.proquest.com/docview/199397107?accountid=12792. Palliative Pain and Symptom Managment. (2007). The fundamentals of hospice palliative care. (4 ed., pp. 89-90). London, Ontario: Shop for Learning Publishing Services.