Pediatric Care

*Explain what most excites and/or concerns you about pediatric clinical experiences.
Include a description of your strengths and weaknesses in terms of working with children
and how these strengths and weaknesses might impact your Practicum experience.
*Select and explain a nursing theory to guide your practice with pediatric patients.
*Based on your strengths, weaknesses, and theory of nursing practice, develop goals and
objectives for the Practicum experience in this course. Be sure to consider the NAPNAP
Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice from this
week’s Learning Resources

*Create a timeline of Practicum activities based on your Practicum requirements.

Journal Entry: Pediatric Care

It is a concern for nurses to find pediatrics agonizing in pain. Ensuring that children
receive nursing care is an obligation for pediatric nurses. I am strong in that I ensure that patients
experience minimum pain when in my hands. When measuring pain levels, I assess pediatric
patients’ physiologic and behavioral reactions as expected (Vincent, Wilkie, & Wang, 2011, Pg.
825). However, I also have weaknesses when handling pediatric patients. For instance, I find
myself relying too much on behavioral reactions of patients when assessing pain intensity. At


times, I apply the technique to children who are beyond four years of age, yet the group can
sufficiently describe the level of pain they experience. Both my strengths and weaknesses
influence the quality of care that I give to pediatrics. As suggested by my strengths, I offer high-
quality care to children less than four years old. On the other hand, my limitation leads to the
provision of non-standard care to older groups.

Kolcaba’s Comfort Theory

The comfort theory would guide my nursing practice efficiently. The theory approaches
care from its physical, sociocultural and psychosocial aspects (Blackburn, 2014, Pg. 21).
Comfort theory also includes recognizing pains that patients feel. The acknowledgments offer
relief, especially to pediatric patients (Blackburn, 2014, Pg. 21).
Practicum Objectives

  1. To attend more than twenty pediatric patients within the time limits of the practicum.
  2. To assess and diagnose more than ten pediatric patients who express severe pains.
  3. To evaluate pain in more than five pediatrics aged beyond four years.
  4. I will prescribe appropriate analgesic medications for more than ten pediatric patients.
  5. To assess the efficiency of both pharmacologic and non-pharmacologic pain management
    strategies in more than ten patients.
  6. I will promote the health of pediatrics through advocacy, good practice, research, and
    appropriate leadership as expected of pediatric nurse practitioners (NAPNAP, 2008, e2).

Week 1 Entry


I will identify pediatric inpatients to whom I will attend during the practicum. I will also
collect the adequate history of my patients of interest. I will establish the level of pain and
prescribe analgesic medications to more than five patients.


National Association of Pediatric Nurse Practitioners. (2010). NAPNAP Position statement on
age parameters for pediatric. Journal of Pediatric Health Care, 22(3), e1-e2.

Vincent, C. V. H., Wilkie, D. J., & Wang, E. (2011). Pediatric nurses’ beliefs and pain
management practices: an intervention pilot. Western Journal of Nursing Research,
33(6), 825–845.

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