Quality of Nursing Care provided to Children

with Pneumonia
Summary:
Pneumonia is a disease of the lower airway that occurs when viruses, bacteria, fungi,
or a combination of these, cause inflammation and fluid accumulation in the
pulmonary parenchyma. Pneumonia is the leading infectious cause of mortality in
children under five worldwide. Community-level interventions, such as integrated
community case management, have great potential to reduce the burden of
pneumonia, as well as other diseases, especially in remote populations. However,
there are still questions as to whether community health workers (CHW) are able to
accurately assess symptoms of pneumonia and prescribe appropriate treatment. This
research addresses limitations of previous studies using innovative methodology to
assess the accuracy of respiratory rate measurement by CHWs and provides new
evidence on the quality of care given for children with symptoms of pneumonia. It is
one of few that assesses CHW performance in their usual setting, with independent
re-examination by experts, following a considerable period of time post-training of
CHWs.

Importance to:
Patient: Continuous care in children with pneumonia can help to reduce illness severity,
pain, heart and lung failure, and serve to avoid medical disputes.

Nursing research: To observed the correlation among nursing effectiveness, clinical

symptom improvement, quality of life, satisfaction, and complications.

Nursing practice: Continuous nursing can serve to meet the needs of patients, improve
the overall level of nursing, improve patient satisfaction, promote more effective
nursing work, and promote improvement of the doctor–patient relationship.

Nursing education: To ensure that the child with pneumonia in the hospital is mostly
supportive and will involve routine monitoring and assessment of the child for
respiratory status and oxygenation, fluid status, and sepsis risk. The child may require
supplemental oxygen and SpO2 monitoring, depending on the severity of the illness.

Community and Society: to eliminate the causative organisms, resolve clinical signs and
symptoms, minimize hospitalization, and prevent reinfection.

Learning Insights:
- Diagnosis of pneumonia in a child with a respiratory illness can be challenging in a
primary care setting. It should involve a comprehensive assessment of the child,
combined with the assessment of laboratory values.

- If bacterial pneumonia is suspected, treat empirically with antibiotics, keeping in mind

significant history and bacterial pathogens that are common to specific age groups
- Treatment should be targeted to a specific pathogen that is suspected based on
information obtained from history and physical exam.

- Pneumonia is the number one infectious killer of children under age 5 globally, killing
an estimated 935, 000 children each year, that’s more than 2500 per day.

- Nursing care of the child with pneumonia in the hospital is mostly supportive and will
involve routine monitoring and assessment of the child for respiratory status and
oxygenation, fluid status, and sepsis risk. The child may require supplemental oxygen
and SpO2 monitoring, depending on the severity of the illness.

- Pneumonia is a respiratory disease that can be associated with mild or severe

symptoms. When the disease progresses rapidly and is not controlled in a timely
manner, it can be accompanied by complications such as heart failure, and respiratory
failure

- Continuous nursing helps children with pneumonia to improve their health, reduce
pain, avoid medical disputes, and reduce heart, muscular, or lung failure.