Pediatric Rehabilitation Nurse
Pediatric rehabilitation nursing is the specialty practice committed to improving the quality of life for children and adolescents with disabilities and their families. The mission is to provide, in collaboration with the interdisciplinary team, a continuum of nursing care from onset of injury or illness to productive adulthood. The goal of the rehabilitation process is for children, regardless of their disability or chronic illness, to function at their maximum potential and become contributing members to both their families and society. Physical, emotional, social, cultural, educational, developmental, and spiritual dimensions are all considered in a holistic approach to care. The unique qualities of each child or adolescent are cherished and fostered.
Developmental theory is a cornerstone of pediatric rehabilitation nursing. A major interruption of normal life experiences that occurs with all developmental disabilities, traumatic injuries, and acute and chronic illnesses and hospitalizations can jeopardize the child's development. Therefore, nurses working with children must have an in-depth knowledge of normal development and related assessment skills, as well as knowledge of interventions that promote developmental milestones. Play, the means by which children learn about the world, is an integral part of each child's rehabilitation plan. The family plays a vital role in advocating for the child and is a core part of the rehabilitation team.
Roles of the pediatric rehabilitation nurse
- Functions as a child/adolescent and family advocate.
- Facilitates the entire family's transition from hospital to home and community.
- Promotes community and governmental knowledge of pediatric rehabilitation issues.
- Provides health education for professionals and consumers regarding the health needs of children with disabilities and their families.
Coordinator of Care
- Works as a valued member of the healthcare team.
- Brings together the expertise of health professionals and integrates that knowledge into a comprehensive continuum of care.
- Facilitates the design and implementation of the child's, adolescent's and/or family's individual plan of care.
- Coordinates academic educational activities (e.g., hospital-based, homebound, return to regular classroom).
- Uses appropriate resources to develop and implement an individualized teaching and discharge plan with the child/adolescent and their family.
Leader and Consultant
- Provides leadership in the professional practice setting and the profession.
- Acts as an agent of change.
- Consults with other health professionals.
- Delegates responsibilities to other members of the team.
- Involves stakeholders in the decision making process and considers factors related to safety, effectiveness, cost, and impact on practice.
- Implements nursing care based on a sound knowledge base, scientific principles and developmental theories, and a documented therapeutic plan.
- Integrates ethical provisions in all areas of practice.
- Maintains professional practice standards by providing nursing interventions that meet individual needs and are consistent with the total rehabilitation program.
Health Teaching and Promotion
- Shares knowledge and skills
- Offers support to families about the special needs of their children and adolescents with disabilities.
- Teaches other individuals (both in the healthcare field and in the community) about the special aspects of childrens' and adolescents' rehabilitation needs.
- Acts as a resource and role model for nursing staff and students and participates in activities such as nursing committees and professional organizations that promote the improvement of nursing care and the advancement of professional rehabilitation nursing.
- Collaborates with other professionals, the child or adolescent, and the family in assessing, planning, implementing and evaluating an individual interdisciplinary plan of care.
- Collaborates in the development of new service delivery models that best meet the needs of young clients and their families.
- Interacts with and contributes to the professional development of peers and colleagues.
- Evaluates existing research in light of current evidence and research findings.
- Integrates evidence and research findings into best practices.
- Contributes to nursing and the field of pediatric rehabilitation through participation in research. Intra- and interdisciplinary research is essential to continual development of knowledge and skills and to evidence-based practice.
Professional Practice, Education, and Evaluation
- Attains knowledge and competency that reflects current nursing practice.
- Evaluates one's own practice in relation to professional standards and guidelines, relevant statutes, rules and regulations.
- Systematically enhances the quality and effectiveness of nursing practice.
This description was originally developed by a subcommittee of the Association of Rehabilitation Nurses Pediatric Special Interest Group (1992) and revised by a similar subcommittee in January 2007, led by Patricia A. Edwards, EdD RN.
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