Pragmatic Children's Nursing

Outcome measures for Pragmatic Children’s Nursing

1: Health

Extent to which nurses are able to promote, restore and stabilise health status which allow children to participate in their childhood, with their peers in their communities


2: Participating in a childhood

Number of days/ occasions children are away from the environments in which they would access their childhood with their peers in their communities e.g. missed school days


3: Self-care

Nurses can demonstrate how they

  • assess and reassess children’s capacity to self-care
  • developed children’s skills and understanding to facilitate self-care
  • and how they encourage and facilitate children to be active partners in their own care

4: Negotiating care

The nurse has a negotiated plan of responsibilities for aspects of care where the child, their carer and the nurse all have defined and agreed responsibilities in the plan of care. This plan of responsibilities is regularly reviewed and revised.


5: Supporting children to live a childhood

Nursing care plan demonstrates understanding of the

  • child’s position in their childhood
  • parent’s capacity to meet the child’s needs and the skills or understanding that carers/ parent’s need to develop to meet the child’s needs
  • illness process and how it may affect the child and their childhood

Where possible the child’s main carer feels competent and confident to deliver care and care is delivered by the child’s main carer to a proficient standard.


6: Safe care

Nurses ensure the safe delivery of care to children including when appropriate preventing a child’s carers from delivery care if it can be established that

  • Through the actions of the carer the child is likely to suffer significant avoidable harm
  • Programmes to facilitate the carer acquiring the required skills, attitudes and understanding have failed

Nurses act to make appropriate referrals to other health and social care professionals and work with others and carers to develop the carers capacity to care for the child, either independently or with assistance


7: Evidence based care

Nursing care of plan draws on current understandings of childhood, parenting, health and social care which are evidence based, with identifiable and accessible sources.

Nursing care reflects the time and space in which children are living their childhoods in their communities, with their peers.


8: Culturally safe care

The child and their carers feel respected as individuals from a particular cultural background

Nurses are aware of and sensitive to different cultural practices related to children, child care and health

Nurses are able to challenge cultural practice if it can be demonstrated that the practices either

  • Adversely affect children’s rights in relation to health and health care
  • The practices undermine other aspects of children’s nursing interventions.