Clinical Pearls in Nursing

NURSING

Nursing: NR602 Clinical Pearls

Table 1: Category 1 chosen from the video

Category name

Healthy teeth

Positive interaction/ behavior

When the provider asked him whether the parent brushes her child’s teeth with water, she responded by saying that she brushes his teeth every morning and night.

Negative interaction/behavior

None as such.

Guidelines/ recommendations

The parent should have responded in the same way as she did since she should comprehensively listen and reply to the provider’s questions.

Scholarly reference

It is recommended that for children under three years of age, no more than the size of a rice grain of toothpaste should be used for brushing his teeth daily, in the morning and night (Mark, 2019)

Professional/ ethical communication

Professional communication should include well-mannered and humble responses from the parent. The interaction between the childcare provider and the parent would enable the provider to learn what should work and what not in early childhood development.

Table 2: Category 2 chosen from the video

Category name

Cognitive developmental milestones

Positive interaction/ behavior

None as such.

Negative interaction/behavior

When the provider asked the parent about the child’s cognitive development, such as the reading routine, the parent responded inappropriately by mentioning that he is always on her phone and snubbed the baby badly for doing so. She pushed the puzzles towards the baby and telling the provider that he loves playing with the cars but still cannot do the puzzles, although the baby is quite young for putting a puzzle together.

Guidelines/ recommendations

The parent should have been courteous towards the child and the provider since it is the parent who would benefit from the session for her child’s better health and not the provider himself.

Scholarly reference

The input from the parents and the activities they do with their child at home, called parental investment, matters a lot in the early childhood cognitive development that has positive effects (Hernandez-Alava & Popli, 2017).

Professional/ ethical communication

The ethical communication between the parent and provider should involve the due respect towards the childcare provider that he deserves for his conducting job. The parent should reply to him by being attentive to his questions and giving proper eye contact.

Table 3: Category 3 chosen from the video

Category name

Sleep routines

Positive interaction/ behavior

After the negative interaction, she replies to the provider’s question on being asked the second time. She tells the provider the daily routine, which is watching television daily before going to bed. The parent tells him that it is the way her child goes to sleep every night.

Negative interaction/behavior

The parent is more focused on her phone, laughs at the text messages that she just received, and ignored the question the first time the provider asked her a question. She again asks the provider, to which the provider states the question again.

Guidelines/ recommendations

The parent should have kept her phone silent and should have been more focused on the medical provider’s session since it was why she was visiting him. She should have shown more concern about her child rather than her phone.

Scholarly reference

Proper sleep timing and routine helps the child’s emotional-behavioral health and parent-child attachment, such as in the form of cuddling and hugging before sleep (Mindell & Williamson, 2019)

Professional/ ethical communication

Again, the parent should have been more concerned about her child’s better emotional and cognitive health and should have confessed that giving him television time before sleep is not healthy. She should be apprehensive that reading and cuddling should be included in the sleep routine rather than TV as these activities would facilitate mother-infant bonding and maternal sensitivity.

Table 4: Category 4 chosen from the video

Category name

Temper, tantrums, and discipline

Positive interaction/ behavior

None observed as such.

Negative interaction/behavior

The parent told the provider that she tells her child “no” all the time, which is not suggested. During the session, at one instance, she instantly snapped at the child when he tried to touch her phone. She shouted badly at him and pushed toys and puzzles towards him.

Guidelines/ recommendations

The parent should have been more polite towards the child as the child also seemed scared when she shouted at him. The question was particularly about ‘tantrums,’ which the parent was unable to handle properly. She showed negative behavior towards her child, and even the absence of a positive response to the provider was evident.

Scholarly reference

Effective discipline necessarily does not need to involve shouting and tantrums towards the baby. It needs to involve mutual respect and the behavior from the parent ‘do as I do’ instead of ‘do as I say’ (“Effective discipline for children,” 2004)

Professional/ ethical communication

Repeatedly, the mother should be considerate and avoid indifferent behavior.

Table 5: Category 5 chosen from the video

Category name

Safety

Positive interaction/ behavior

The parent told the provider that she cooks safely on the stove by keeping the pothead away from the child’s reach. She indicated that he should not get burnt. Also, that the parent has a safety gate at the bottom and top of the stairs at home. Further, she said that she keeps the baby in the car seat facing forward, which should be facing backward according to the car safety rules for the infants.

Negative interaction/behavior

There is no clear negative interaction from the parent’s side, except that she needs to be more careful about the car seat facing forward. However, she gave the reason that she needs to see her baby when she is driving. Also, her cigarettes lying in the home openly, the child taking and swallowing them are not expected from a parent who has a toddler at home.

Guidelines/ recommendations

The parent should have accepted that she is at fault for the car seat and the cigarettes. She should have ensured the provider that she would be more watchful about the seat setting and child safety next time.