The Great Ormond Street Hospital Manual of Children and Young People's Nursing Practices E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 2838

Veröffentlichungsjahr: 2023

Beschreibung

Clinical skills are essential in the provision of care for children and young people. The Great Ormond Street Hospital Manual of Children and Young People's Nursing Practices provides expert guidance on evidence-based clinical procedures, helping students and newly registered nurses develop sound clinical judgement and confidence. This comprehensive resource covers all aspects of children's nursing, from the fundamentals of everyday practice to advanced care in high dependency and intensive care settings. As such, its relevance and usefulness reach beyond those newly registered; it remains a valuable resource for experienced nurses wishing to further expand their nursing skills.

Now in its second edition, this thoroughly updated guide demonstrates each procedure, explains the underlying theory and evidence, and speaks to the unique challenges of working with children and young people. New chapters address mental health, complementary therapies, learning difficulties, and the deteriorating child, whilst expanded content examines blood glucose monitoring, glucocorticoid treatment, insulin administration, diabetes care, surgical diathermy, non-invasive ventilation, and much more.

Key Features

• Provides evidence-based guidelines for more than 300 clinical procedures
• Features an abundance of colour photographs and illustrations
• Examines the needs of neonates and adolescents in the context of interdisciplinary care
• Includes new material on health research and evidence-based practice, stages of development, children with complex needs, and admission, transfer, and discharge
• Complements The Royal Marsden Manual of Clinical Nursing Procedures, offering continuity to those working in both adult and paediatric settings

The second edition of The Great Ormond Street Hospital Manual is an indispensable resource for registered nurses, students, and other healthcare professionals involved in delivering clinically effective, evidenced- based, family-centred care.

Praise for the previous edition

"This manual builds on the knowledge, skills and expertise of one of the UK's finest children's hospital and explains comprehensive, evidence-based care clearly."
Nursing Children and Young People Journal

"All children's nurses should have this book as a reference."
Nursing Standard

"... a comprehensive resource for all qualified nurses, students and other healthcare professionals involved in caring for children in hospital and community settings."
Times Higher Education Supplement

Leseprobe

The Great Ormond Street HospitalManual of Children and Young People's Nursing Practices

Second Edition

Edited by

Elizabeth Anne Bruce

MSc, BSc (hons), RN (Child), RN (Adult)

Clinical Nurse Specialist, Pain Control Service, and Project Lead,

Nursing Great Ormond Street Hospital for Children NHS Foundation Trust

London, UK

Janet Williss

MSc, BSc, RN (Child), RN (Adult), ONC Cert

Formerly Deputy Chief Nurse

Great Ormond Street Hospital for Children NHS Foundation Trust

London, UK

Faith Gibson

PhD, MSc, RN (Child), RN (Adult), ONC cert, Cert Ed, RNT, FRCN, FAAN

Professor of Child Health and Cancer Care, University of Surrey

Director of Research, Nursing and Allied Health

Great Ormond Street Hospital for Children NHS Foundation Trust

London, UK

This edition first published 2023© 2023 John Wiley & Sons Ltd

Edition History© 2012 Great Ormond Street Hospital for Children NHS Foundation Trust. Published 2012 by Blackwell Publishing Ltd.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Elizabeth Anne Bruce, Janet Williss, and Faith Gibson to be identified as the authors of the editorial material in this work has been asserted in accordance with law.

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Limit of Liability/Disclaimer of WarrantyThe contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging‐in‐Publication Data

Names: Bruce, Elizabeth Anne, editor. | Williss, Janet, editor. | Gibson, Faith, editor.Title: The Great Ormond Street Hospital manual of children and young people's nursing practices / edited by Elizabeth Anne Bruce, Janet Williss, Faith Gibson.Other titles: Great Ormond Street Hospital manual of children's nursing practices | Manual of children and young people's nursing practiceDescription: 2nd edition. | Hoboken, NJ : Wiley‐Blackwell, 2023. | Preceded  by The Great Ormond Street Hospital manual of children's nursing practices / edited by Susan Macqueen, Elizabeth Anne Bruce, Faith Gibson. 2012. | Includes bibliographical references and index.Identifiers: LCCN 2020021837 (print) | LCCN 2020021838 (ebook) | ISBN 9781118898222 (paperback) | ISBN 9781119099710 (adobe pdf) | ISBN 9781119099703 (epub)Subjects: MESH: Great Ormond Street Hospital for Children NHS Foundation Trust. | Pediatric Nursing–methods | Evidence‐Based Nursing | Infant | Child | AdolescentClassification: LCC RJ245 (print) | LCC RJ245 (ebook) | NLM WY 159 | DDC 618.92/00231–dc23LC record available at https://lccn.loc.gov/2020021837LC ebook record available at https://lccn.loc.gov/2020021838

Cover Design: WileyCover Image: Courtesy of The Great Ormond Street Hospital Children’s Charity

Foreword

It is my great pleasure to be asked to write the Foreword to the second edition of the Great Ormond Street Hospital Manual of Children and Young People's Nursing Practices.

The Hospital for Sick Children opened in 1852 with just 10 beds. Since then, and throughout its 171‐year history, Great Ormond Street Children's Hospital (GOSH) has remained a hospital dedicated to the care of children and young people and has established a reputation for being at the leading edge of care, education, and research, both nationally and internationally.

Healthcare for children across the world continues to develop as advancements in medical science, technology, and pharmacology lead to innovation and treatment breakthroughs, making the impossible possible. Children and young people with rare and complex conditions come from across the United Kingdom and the rest of the world to access our highly specialised services. Excellence in nursing is fundamental to what we can offer and plays a key role in the delivery of high standards of care and practice that we constantly strive to influence and achieve, working in collaboration with the children and young people themselves and their families. Now, more so than ever before, nurses play such a pivotal role in improvements in patient care and experience by championing developments in digital technology, making access to care and treatment easier and equitable.

Florence Nightingale once stated ‘it is the real test of a nurse whether she can nurse a sick infant’ (Nightingale 1859, p. 116). This manual is an inspiring body of work, contributed to by many, which showcases the profession of children's nursing, of which we are extremely proud. It supports the delivery of evidence‐based practice across a wide variety of topics, updated original guidance, as well as introducing new aspects of practice, and is essential reading for all nurses and other healthcare professionals involved in caring for children and young people across acute, community, and primary care settings.

Reference

Nightingale F 1859 (1952)

Notes on Nursing: What it Is, and What It Is Not

. London, UK, Harrison.

Tracy LuckettChief Nurse

Great Ormond Street Hospital for Children NHS Foundation Trust

Editorial Panel

Nathan Askew MSc Adv P, BSc (Hons), Dip HE Nursing (Child)Formerly Lead Nurse and Advanced Practitioner, SurgeryGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Julie Bayliss RN (Adult), RN (Child), BSc, MSc, ANP, NMPConsultant Nurse, Paediatric Palliative CareGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Elizabeth Anne Bruce MSc, BSc (Hons), RN (Adult), RN (Child)Clinical Nurse Specialist, Pain Control ServiceGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

John Courtney RN (Adult), RN (Child), MA, PgDip, ENB415Formerly Assistant Chief NurseGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Faith Gibson PhD, MSc, RN (Child), RN (Adult), ONC cert, Cert Ed, RNT, FRCN, FAANProfessor of Child Health and Cancer CareUniversity of SurreyGuildford, UKDirector of Nursing and Allied Health ResearchGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Anna Gregorowski RN (Child), BSc Nursing, MScFormerly Nurse Consultant in Adolescent HealthGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Kate Khair RN (Adult), RN (Child), MSc, MCGI, PhDFormerly Clinical Academic Careers FellowCentre for Outcomes Research and Experience in Children’s Health Illness and Disability (ORCHID)Great Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Elizabeth Leonard RN (Adult), RN (Child), BA (Hons), MScHead of Education (Operational)Great Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Lindy May RN (Adult), RN (Child), MSc (Neuroscience), Diploma in Counselling, PhDFormerly Nurse Consultant, NeurosurgeryGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Liz Smith RN (Adult), RN (Child), Advanced Diploma and MSc in Child DevelopmentLead Advanced Nurse Practitioner and ECMO Coordinator, Cardiorespiratory ServicesGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

Mark Whiting PhD, MSc, BSc Nursing, RN (Child)Consultant Nurse, Children's Specialist Services, HertfordshireCommunity NHS Trust and WellChild Professor of Community Children’s NursingUniversity of HertfordshireHatfield, UK

Janet Williss MSc, BSc, RN (Child), RN (Adult), ONC CertFormerly Deputy Chief NurseGreat Ormond Street Hospital for Children NHS Foundation TrustLondon, UK

List of Contributors

Rachel Allaway BSc (Hons), Children’s Nursing,Clinical Nurse Specialist, Tissue Viability,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 11)

Liesje Andre RN (Adult), RN (Child), PGCME,Formerly Lead Nurse, Resuscitation,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 9)

Nathan Askew MSc Adv P, BSc (Hons), DipHE Nursing (Child),Formerly Lead Nurse and Advanced Practitioner, Surgery,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 23, Editor)

Anthony BakerFormerly Practice Educator, Theatres,Great Ormond Street Hospital for Children NHS Foundation Trust,(Chapter 26)

Emily Baker DipHE Nursing Child Branch, BSc (Hons) Children’s Cancer Nursing, MA Practice Education,Senior Clinical Research Nurse Haematology/Oncology,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapters 8, 17)

Janice Baker SCPHN‐HV RM RN (Adult),Formerly Head of Safeguarding and Named Nurse,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 31)

Lisa Baldry FIBMS,Formerly Chief Biomedical Scientist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 4)

Dr. Alex M. Barnacle BM, MRCP, FRCR,Consultant Interventional Radiologist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 3)

Nicola Barnes RN (Child), MSc Paediatric Advanced Practice,Advanced Nurse Practitioner for Epilepsy Surgery,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 21)

Hannah Barron RN (Child),Senior Staff Nurse, PICU,Great Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 14)

Julie Bayliss RN (Adult), RN (Child), BSc, MSc, ANP, NMP,Consultant Nurse, Paediatric Palliative CareGreat Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 8, Editor)

Helen Bedford RN (Adult), RHV, PhD, MSc (Nursing Studies), BSc Nursing (Hons), FFPH, FRCPCH,Professor of Children’s Health, UCL,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 12)

Nikki Bennett‐Rees RN (Child), RN (Adult), Diploma Advanced Nursing,Formerly Clinical Nurse Specialist, Bone Marrow Transplant,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 3)

Jim Blair RNLD, CNLD, DipSW, MA, BSc, BA, MSDipHE, PGDipHE,Formerly Consultant Nurse, Intellectual (Learning) Disabilities,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UKAssociate Professor Learning Disabilities, Kingston University and St. George's University of London, London, UK(Chapter 16)

Sophie Boella RN (Child),Neurology Nurse,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UKRNLD, CNLD, DipSW, MA, BSc, BA, MSDipHE, PGDipHE,(Chapter 21)

Barbara Brekle RN (Child), BSc (Hons),Deputy Lead Nurse, Infection Prevention and Control,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapters 13, 15)

Eileen Brennan RN (Adult), RN (Child), MSc,Formerly Nurse Consultant in Paediatric Nephrology,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapters 1, 3, 10)

Janet BrooksBack Care Advisor,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 19)

Edel Broomfield RN (Child), DipHE, BSC, MSc,Lead Spinal Advanced Nurse Practitioner,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 23)

Elizabeth Anne Bruce MSc, BSc (Hons), RN (Adult), RN (Child),Clinical Nurse Specialist, Pain Control Service,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 24, Editor)

Jane BurgeringFormerly Practice Educator, NICU,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 20)

Sarah Carmichael BSc (Hons), Children’s Nursing,Formerly Clinical Nurse Specialist, Tissue Viability,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 11)

Sue Chapman RN (Adult), RN (Child), AdvDip Child Development, MSc PCCN (Advanced Practice), PhD Child Health,Formerly Clinical Site Director,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 1)

Harriet Clark RN (Child) BSc (Hons) Children’s Nursing, Practice Educator,Great Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 29)

Denise CochranePlay Specialist Team Leader,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 27)

Robert Cole RN (Adult), RN (Child), MA Ed, PGDip Ed; BSc (Hons) with ENB Higher Award; ENB 199; ENB 998; ENB A53, APLS Instructor,Head of Nursing for Children and Young People,University Hospital Lewisham, Lewisham & Greenwich NHS Trust,London, UK(Chapter 28)

Claire CookFormerly Team Leader for Spinal Surgery,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 26)

Joanne Cooke TD, MSc, BSc (Hons), RN (Adult), RN (Child), NT,Advanced Nurse Practitioner, ENT/Tracheostomies,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapters 29, 32)

Rachel Cooke RN (Child),Bereavement Services Manager,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 35)

John Courtney MA, PgDip, RN (Adult), RN (Child),Formerly Assistant Chief Nurse,Great Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 10, Editor)

Charlotte Donovan BSc (Hons) Physiotherapy,Paediatric Physiotherapist, PICU and NICU,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 29)

Jennifer DyerSenior Play Specialist Team Leader,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 27)

Nicky Farrell RN (Adult), RN (Child), BSc (Hons) Nursing, DipHE Child Health, ENB 998, ENB 240,Macmillan Clinical Nurse Specialist, Neuro‐Oncology‐Endocrinology,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 8)

Róisín Fitzsimons RN (Adult), RN (Child), DipHE, BSc (Hons), MSc (Allergy), RNC, MCGI, PhD,Formerly Consultant Nurse, Children’s Allergy Service,Guy’s & St Thomas’ NHS Foundation Trust,London, UK(Chapter 2)

Dr. Danya Glaser MBBS, DCH, FRCPsych, Hon FRCPCH,Honorary Child and Adolescent Psychiatrist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 31)

Caroline GrindrodFormerly CNS, Eating Disorders Team, Adolescent Mental Health Unit,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 18)

Jenni Hallman RN (Adult), RN (Child), BSc (Hons) Children’s Oncology Nursing,Formerly Oncology Complementary Therapy Nurse Specialist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 7)

Yvonne Hambley RN (Adult), DipHE Child Health,Sister, Recovery,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 26)

Heather Hatter RN (Adult), RN (Child), Bsc (Hons), Dip Nursing,Formerly Practice Educator, Respiratory Medicine,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 29)

June Hemsley RN, BSc, MSc (Child), NMPAdvanced Nurse Practitioner,Louis Dundas Centre for Oncology Outreach and Palliative Care,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 25)

Melanie Hiorns FRCR, FRCPClinical Director International and Private Patients, and Consultant Radiologist,Great Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 15)

Anne Ho RN (Child), BScCentral venous Access CNS,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 14)

Janet Holmes BSc (Hons), NNEB, HPSET,Senior Health Play Specialist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 27)

Penny Howard RN (Adult), RN (Child),Clinical Nurse Specialist, Orthopaedics,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 23)

Carole Irwin BSc (Hons), ENB 219, PGCE,Formerly Clinical Project Manager,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 23)

Deborah Jackson BSc (Hons) in Physio, MSc in Advanced Physiotherapy, MCSP, SRP,Clinical Specialist Physiotherapist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 23)

Josephine Jim RN (Child), BSc,Sister, PICU,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 10)

Helen Johnson RN (Adult), RN (Child), ENB 216, BSc (Hons),Formerly Clinical Nurse Specialist Stoma Care,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 5)

Anne‐Marie KaoFormerly Nurse Practitioner, Dermatology,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 3)

Marie‐Anne Kelly RN (Child), ENB 405Formerly Neonatal Clinical Nurse Specialist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 20)

Kate Khair RN (Adult), RN (Child), MSc, MCGI, PhD,Formerly Clinical Academic Careers Fellow, Centre for Outcomes Research and Experience in Children’s Health Illness and Disability (ORCHID),Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 4, Editor)

Sarah KippsFormerly Practice Educator, Nursing Quality,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapters 11, 22)

Elizabeth Leonard RN (Adult), RN (Child), BA (Hons), MSc,Head of Education (Operational),Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 29, Editor)

Annabel Linger RN (Child), Dip HEd Nursing Sciences, BSc (Hons) Child Health Nursing, ENB 405, ENB 998,Sister, NICU,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 15)

Ana MaroteFormerly Ward Sister, Respiratory,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 29)

Mandy Matthews RN (Adult), RN (Child), PGDip in Learning and Teaching for Professional Practice,Formerly Head of International Practice Development,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 17)

Lindy May RN (Adult), RN (Child), MSc (Neuroscience), Diploma in Counselling, PhD,Formerly Nurse Consultant, Neurosurgery,Great Ormond Street Hospital for Children,NHS Foundation Trust,London, UK(Chapters 1, 21, Editor)

Brian McGowan RN (Child), MSc, SFHEA,Lecturer in Higher Education Practice, Ulster University, Belfast, UK(Chapter 6)

Ciara McMullin BSc Hons (Paeds), DipN (Adult),Head of Nursing and Patient Experience,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 26)

Nigel MillsFormerly Adolescent Nurse Specialist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 27)

Dr. Kishore Minhas MBCHB, MSc, FRCR,Consultant Interventional Radiologist,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 3)

Rachel Moss RN (Adult),Senior Transfusion Practitioner,Great Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 4)

Ainsley Moven RN (Child), PgDip,Nurse Practitioner, Neurosurgery,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 21)

Maura O’Callaghan RN (Adult), RN (Child), ANP,Lead Nurse, ECMO/VAD,Cardiorespiratory Unit,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 29)

Jody O’Connor RN (Child), DipHE, BSc (hons) Neuroscience, MSc ANP,Advanced Nurse Practitioner, Neurosurgery,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 21)

Lorna O’Rourke RN (Adult), RN (Child), BSc (Hons),Ward Sister, NICU,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 14)

Kathleen OwenFormerly Back Care Advisor and Moving and Handling Trainer,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 19)

Heather Parsons RN (Child), BSc (Hons) Neonatal Nursing,Practice Educator, NICU,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 20)

Bhumik Patel MPharm, MSc, PGCert,Senior Specialist Pharmacist in Paediatric Palliative Care,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapters 8, 17)

Sharon PhilipsFormerly Ward Sister, Adolescent Mental Health Unit,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 18)

Jade Rand RN(Child) BSc (Hons) Children’sNursing, PG Cert Practice Education,Practice Educator, Respiratory,Great Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 29)

Di Robertshaw RN (Adult), RN (Child), RNT, BSc (Hons)Child Health, DipN (Paediatrics), DipNE,Practice Educator, Cardiac,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 15)

Sally Robertson MA, Pg. Cert, BA, RN Child Dip,Head of Education,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 6)

Vicky Robinson DipHe and BSc (Hons) Children’s Nursing, RN (Child),CNS Non‐invasive ventilation,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 29)

Jacqueline Robinson‐Rouse RN (Child), BSc (Hon), MSc,Formerly Lead Nurse, Nursing Workforce,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 17)

June Rogers RN (Adult), RN (Child), BSc (Hons), MSc,Children’s Bladder and Bowel Nurse Specialist,Bladder & Bowel UK,Manchester, UK(Chapter 5)

Rebecca Saul RN (Child), RN (Adult), MSc,Clinical Nurse Specialist Paediatric Pain,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 34)

Monika Sedlbauer MSc Adv Paed N,Formerly Practice Educator, NICU,Great Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 20)

Vanessa Shaw MBE, MA, PGDip Dietetics, RD, FBDA,Honorary Associate Professor of Paediatric Dietetics, Plymouth University,Honorary Senior Lecturer,UCL Great Ormond Street Institute,London, UK(Chapter 22)

Emma Shkurka BSc (Hons) Physiotherapy, MRes Clinical Practice,Paediatric Critical Care Physiotherapist,NIHR Clinical Doctoral Research Fellow,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 29)

Melissa Silva BSc (nursing), MSc (Nursing Education),Formerly Practice Educator,Great Ormond Street Hospital for Children NHSFoundation Trust, London, UK(Chapter 26)

Cindy Sparkes RN (Child), MSc, PGCE,Lead Educator, Haematology and Oncology,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 8)

Catherine Spreckley RN (Child), BSc (Hons), PGCE, PGDipFormerly Practice Educator, Respiratory,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 29)

Denise Welsby RN (Adult),EPALs Subcommittee faculty member, instructor and course director, Resuscitation Council UK,Head of Resuscitation Services,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapters 9, 30)

Zoe Wilks RN (Adult), RN (Child), BSc (Hons) Child Health, Adv Dip Ch Dev,Formerly Modern Matron,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 3)

Nicola Wilson MNurSci, PGCert Ed, DTNLead Practice Educator,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 23)

Donna Wyan DipHE (Child), BSc (Hons), Independent Prescriber,Urology Nurse Practitioner,Great Ormond Street Hospital for Children NHS Foundation Trust,London, UK(Chapter 33)

Introduction

We made a decision to write this introduction last. We wanted to set the scene for what was to follow and therefore needed to know what followed before we put finger to keyboard. Our intention here is to highlight a number of principles that should underpin all clinical care given in community and hospital settings, all of which are the cornerstone of the content of chapters in this textbook. The guidelines contained herein are not intended to replace individual assessment and personalised treatment and care of the child or young person (CYP) and their carers/family. Instead, our intention in presenting this information is to bring to nurses and other healthcare professionals delivering healthcare to CYPs the latest evidence that underpins clinical care; the how to and why of many of the clinical procedures undertaken. The first principle that guides us in our work regards individualised care.

Individualised care

The mission for Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) is to put the ‘child first and always’ (GOSH 2020