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Meeting the continuing education needs of pediatric nurses: the Pediatric Nurse Exchange Program.

Today's dynamic health care environment offers multiple challenges as hospitals attempt to design and implement successful nursing career plans and support the development of professional nurses along such plans. The Pediatric Nurse Exchange Program is designed as a means for personal and professional development to support professional nurses as they are challenged to provide quality nursing care to children and their families. A pilot project is designed to provide experiences for professional nurses in three children's hospitals in Ohio. Exchange experiences, of two to five days in length, provide opportunities for nurses to share expertise, exchange patient care strategies, and develop skills as consultants, change agents, educators, and communicators. Nurse participants in the program are awarded continuing education contact hours for the experience.

Clinical Competence↗

[Family nursing versus pediatric nursing].

AIM: To collect primary care pediatricians' opinions on the two models of nursing care organization (family nursing and pediatric nursing) in primary care centers: the advantages of each model, pediatricians' preferred model and suggestions for implantation. METHODS: Delphi study, carried out between October 1999 and January 2000, among 58 primary care pediatricians from area 11 in Madrid. RESULTS: The advantages of pediatric nursing were better coordination with the pediatrician, improved motivation and training of nursing professionals, uniform criteria, greater knowledge of the patient, preference of the families, increased activity, and separation of children and adults. Agreement on these factors was greater than 92%, with a rating higher than 4(on a scale from 0 to 5 scale). The advantages of family nursing were financial savings, greater social and familial knowledge, preference of the nursing staff, the possibility of staff changes, and continuity in the followup of teenagers. Agreement was variable (2961%) with a lower rating (2.8 to 3.6) according to each question. Ninety six percent of the pediatricians considered pediatric nursing to be the most suitable organizational alternative. Seventy five percent did not provide any suggestions for the implementation of their preferred model but agreement on initiatives proposed by the remaining participants was between 68 and 100%. CONCLUSIONS: Primary care pediatricians consider that in their daily work pediatric nursing is more advantageous than family nursing.

Adolescent↗

Clinical and professional role development among experienced pediatric nurses: the pediatric medical nursing certificate program.

ISSUES AND PURPOSE: The development of a multiunit-based certificate program to promote retention by increasing experienced pediatric nurses' knowledge, skills, and professional role development through a blend of didactic, clinical, and mentoring components. CONCLUSIONS: The certificate group demonstrated an increase in knowledge and skill, advanced leadership role acquisition, promotion, certification, and graduate school matriculation, and achieved a 95% retention rate within the organization. PRACTICE IMPLICATIONS: With support from management and multidisciplinary team members, a certificate program like this can be implemented in a variety of settings and specialties.

Certification↗