• Subject Name : Nursing

Child and Family Health Nurse - Part A

Introduction

The early childhood years act as a significant window of opportunities in order to construct a strong groundwork for their future development (Fraser, Grant & Mannix, 2016). The registered nurses that had their higher qualification in the proficiency of specifically child and family health care nursing are referred as child and family health nurses. They are in the prime position for managing and supporting the child and his family. They have been renowned as working as per the set guidelines regarding the primary health care model with all the groups of children that include infants, child, young children, and family (Dorell, Ostlund & Sundin, 2016). This assignment aims to focus on the purpose and roles and responsibilities of the child and family health nurses along followed by discussing the importance of child and family health nurses in primary health care.

Purpose and responsibilities of child and family health nurse

Child and family health nurses play a significant role in developing the health system. They take crucial responsibilities of providing child health services for this, they focus on the children as well as their families with higher needs. Their roles and responsibilities are not just confined to this but also expanding to contribute in more tasks. They play a significant role in abolishment of health and support organizations (Turley et al., 2018). These nurses accomplish several purposes and responsibilities in the primary healthcare system. This includes the provision of a variety of assessments that are related to the wellbeing of the children and their families. They work in partnership with the patients i.e., children which is in itself a complicated task as collaborate working with them is not easy. Not only with them but they also work with the staff members which is considered as an important aspect to ensure safe, effectual, and trustworthy care. They work by putting critical, analytical, as well as reflective thinking into practice with the purpose to facilitate creative and flexible clinical practice for the children. In case of dealing with children, it is quite difficult to apply personal knowledge and theoretical concepts into practice but, with the help of relevant disciplines a suitable course of action can be provided and this is considered to be the prime sense of duty of the child and family health nurse (Yakuwa et al., 2016).

Importance of child and family health nurse in primary health care

Primary health care system entails family-focused prevention programs that have been revealed to efficiently diminish multiple negative behavioral health outcomes (Leslie et al., 2016). According to World Health Organization, (2019) it is a public approach for achieving patient-centered care by keeping the preferences of the patient and its family members in mind. The significance of these nurses is to direct various health determinants of health and to target the attributes of physical, mental, and social wellbeing. The aim of primary health care is to promote the overall health of the individuals, families, communities and actually the whole populations. Their importance is in the provision of a health supporting environment to the patients. The main significance of child and family health nurses in primary health care is in providing the most appropriate child-centered and family-centered care that leads to the optimal health outcomes. They have been recognized as working at a competent level of nursing practice within the set guidelines of primary health care model with infants, child, young children, and their family members. Not only this, but they also play a crucial role in delivering the optimal antenatal care to the pregnant women along with playing a major role in preventing as well as in diagnosing any deviation from the standard pattern in the course of pregnancy. These nurses also make sure to accomplish the educational requirements of the pregnant woman. These educational requirements can be related to the history of the woman as well the physiological changes that are happening in her body. Child and family health nurses do not only offer these care services but also play a significant role in constructing up the potency and confidence in the nurses. The broad purposes of the family health nursing that have been accomplished by the child and family nurses encompasses the recognition of health and nursing necessities and the issues or challenges that are faced by the family as well. It also helps to expand the understanding as well as the approval of these necessities and challenges to the family. Recognition and giving individual attention along with the care to the pregnant woman that is at great risk also comes under the responsibility of a child and family nurse. They potential reduce the rate of maternal deaths of women. This have been done by detecting and managing the risk factors at an early stage or detecting any complications regarding the pregnancy as soon as it develops and addressing it quickly. Furthermore, child and family nurses are important in planning and providing the healthcare services with the dynamic participation and involvement of the family members (Leslie et al. 2016).

Child and Family Health Nurse - Part B

Short description of the used resource

The resource used for the completion of part B of this assessment from the assessment resources folder is Immunisation saves lives.

Intended consumer group

The intended consumer group in this resource is children. It has been seen that child population is very delicate and is prone to a wide range of diseases that can turn into serious life-threatening illness if they didn’t get immunized or vaccinated at time. Immunization saves life of a child by strengthening his immune system. The child and family healthcare nurses play a major role in this delivering the safe and effective process of vaccinating the children. The reporting rate of immunization of children in Australia is above 91%. Though, the immunisation reporting for the children has been seen increasing since 2009. But, it has not reached the aspiring target of 95% now. At June 2020, the national reporting rates for immunization were 94.60% for those who are one year olds; 91.68% for those who are two year olds; and 94.77% for those who are five year olds (Australian Government, 2020).

Intended purpose

The main purpose of the selected resource is to spread awareness regarding role of immunization in saving the life of children. The other objectives of this poster are to promote and enhance the rate of immunization among the children in order to save them from deadly diseases by making their immune system stronger. Immunization begins the natural defence mechanism of the body for building up the resistance towards specific infections. Successful immunisation interventions has been seen the reason behind the eradication of smallpox as well as the widespread abolition of poliomyelitis (Orenstein & Ahmed 2017).

Suitability

The selected health education resource is suitable as it is able to make an impact on the intended consumer group. With the help of this resource optimal outcome can be achieved that is spreading the awareness and increasing the rate immunization among the child population. The resource is free of any medical jargon. The education resource is helpful in educating the different aspects of immunization. This includes the interrelationship of protecting the children and the community because immunizing means protecting the children from serious illness and protecting the children contributes in protecting the community as well (Australian Government, 2020). The chosen educational resource is suitable in measuring the coverage rate of childhood immunization that contributes in tracking how secluded the community is against the diseases that are vaccine preventable. This results in reflecting the potency of the health-care system in targeting the intended group effectively and in providing the vaccinations to child population. The higher rate of immunization will help the whole community in fighting and protecting against the diseases like measles. However, Australia’s aspirational target for the rate of immunization among child group has been set at 95% in order to attain the herd immunity against all those diseases that are vaccine-preventable (Department of Health, 2016).

Benefits and Challenges of The Resource with Respect to The Primary Health Care

Benefits

The chosen educational resource has numerous benefits as it helps in developing the understanding of the role of immunization. The ultimate goal of primary healthcare is to prevent the public from diseases. However, this resource helps in doing so as promotes the prevention of diseases rather than treating it. And, it has been seen that it is much easier as well as a cost-effective way to prevent someone from a disease rather than in treating it. This is exactly what this educational resource through spreading the awareness regarding the immunizations aims to do. Immunizations help in protecting from serious diseases as well as also help in preventing the spread of such diseases to others and this contributes in benefiting the primary health care (Queensland Government, 2019). It has been seen that over the years immunizations have disenchanted the epidemics of those diseases that were once the most common infectious diseases such as mumps, measles, and whooping cough. With the help of such educational resources public become aware of the importance of immunization and become more active in implicating them which has been benefited the primary health care by the near eradication of some diseases such as polio and smallpox (Anderson et al., 2018).

Challenges

The first challenge faced is the shortages of the vaccines as well as the staff. However, the mothers of the children also lacks as they fails to bring their children back for their next immunization on the return dates and this is also considered as a challenge in immunizing the children. Maintenance of the vaccine potency is another challenge as the findings has revealed that the cold chain of the vaccines that maintains its potency is not well maintained at the time of transportation and storage of the vaccines by the members who are intended to take care of these procedures. Vaccines must be maintained at suitable specified temperatures. A lot of vaccines are heat sensitive, while some of them are destroyed by freezing. Thus, cold chain is important in maintaining the vaccine potency. For this, the vaccines must be transported and stored in an appropriate (Mothiba & Tladi, 2016). Another key challenge is the wider application of currently available vaccines against severe diseases that result in the significant morbidity and mortality in the developing countries (Malande et al., 2019).

References for Nurses Role in Primary Healthcare

Anderson, E. J., Daugherty, M. A., Pickering, L. K., Walter, A. O., Yogev, R. (2018). Protecting the community through child vaccination. Clinical Infectious Diseases, 67(3), 464–471. https://doi.org/10.1093/cid/ciy142

Australian Government. (2020). Immunisation coverage rates for all children. Retrieved from https://www.health.gov.au/health-topics/immunisation/childhood-immunisation-coverage/immunisation-coverage-rates-for-all-children

Australian Government. (2020). Why get immunised? Retrieved from https://www.health.gov.au/health-topics/immunisation/about-immunisation/why-get-immunised

Department of Health. ( 2016). Immunization coverage targets. Retrieved from https://www.health.gov.au/news/immunisation-coverage-targets

Dorell, A., Ostlund, U., & Sundin, K. (2016). Nurses' perspective of conducting family conversation. International Journal of Qualitative Studies on Health and Well-being11, 30867. https://doi.org/10.3402/qhw.v11.30867

Fraser, S., Grant, J., & Mannix, T. (2016). Maternal child and family health nurses: Delivering a unique nursing speciality. Maternal and Child Health Journal20(12), 2557–2564. https://doi.org/10.1007/s10995-016-2081-2

Leslie, . L. K. et al. (2016). Primary health care: Potential home for family-focused preventive interventions. American Journal of Preventive Medicine, 51(4), 106-118. https://doi.org/10.1016/j.amepre.2016.05.014

Leslie, L. K. et al. (2016). Potential Home for Family-Focused Preventive Interventions. American Journal of Preventive Medicine, 20(4), 106-118. https://doi.org/10.1016/j.amepre.2016.05.014

Malande, O. O. et al. (2019). Barriers to effective uptake and provision of immunization in a rural district in Uganda. PLoS ONE 14(2), e0212270. https://doi.org/10.1371/journal.pone.0212270

Mothiba, T. M., & Tladi, F. M. (2016). Challenges faced by professional nurses when implementing the expanded programme on immunisation at rural clinics in Capricorn district, Limpopo. African Journal of Primary Health Care & Family Medicine8(2), e1–e5. https://doi.org/10.4102/phcfm.v8i2.923

Orenstein, W. A. & Ahmed, R. (2017). Simply put: vaccination saves lives. Proceedings of the National Academy of Sciences of the United States of America, 114(16):4031–4033.

Queensland Government. (2019). Immunisation. Retrieved from https://www.qld.gov.au/health/conditions/immunisation/benefits

Turley, J., Vanek, J., Johnston, S., & Archibald, D. (2018). Nursing role in well-child care: Systematic review of the literature. Canadian Family Physician Medecin De Famille Canadien64(4), e169–e180.

Yakuwa, M. S., Andrade, R. D., W., M., Fonseca, L. M., M., Furtado, M C., & Mello, D. F. (2016). Nurses' knowledge in child health primary care primary. Texto & Contexto - Enfermagem, 25(4), e2670015. https://doi.org/10.1590/0104-07072016002670015

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