Title: Paediatric Intensive Care Nursing
Edited by: Michaela Dixon and Doreen Crawford
Publisher: Wiley Blackwell
Reviewer: Dr Jo Wilson, managing director, WHS
What was it like?
A good comprehensive and systematic textbook that covers many aspects of specialised paediatric intensive care nursing. The book is logistically written in four sections with section one providing an excellent introduction; section two a systems approach across the bodily functions and specific diseases; section three clearly outlining essential specialised care and section four covering holistic aspects of nursing. The needs of children are paramount through the PICU (Paediatric Intensive Care Unit) with ever advancing treatments from staff with appropriate advanced skills, knowledge and understanding through family centred care and support. Safety and appropriateness of complex care is essential and has to be matched to qualified medical and nursing staffing levels and skills mix requirements to meet paediatric intensive care standards and services This book outlines these essential requirements and aligns them to importance of the nurses role in each of the sections.
What were the highlights?
The book takes a systematic approach around each topic and clearly takes the reader through the steps and stages through enhancing their understanding and application of the skills and knowledge. Tables summarising the information and providing normal levels in order to support detection of abnormalities and areas for action support this clear approach. There are also a number of flow diagrams that help to enhance understanding and the expected outcomes. Chapter five on Cardiac Conditions is particularly well written starting from embryology, anatomy and physiology and then congenital heart disease and management strategies.
Strengths & weaknesses:
The strengths are the systematic and logical approach that this textbook takes in order to enhance knowledge and understanding. Within the essential care section the chapters on Nutrition and Fluid Management and Management of Pain and Sedation are both really good and clearly link important aspects of paediatric care and management. One possible area of weakness was in the chapter on Care of the Family, where more support aspects of the family and their involvement could have been covered and the important role they have in their child’s care, recovery and family centred care involvement.
Who should read it?
Paediatric and PICU nurses and medical staff. Also commissioners of care and regulators.