• Caring for Caregivers: An Evaluation of Schwartz Rounds in a Paediatric Setting

      Silke, A; Rushe, H; Keating, K; Thurstan, R; Barrett, E (Irish Medical Journal, 2019-06)
      Schwartz rounds (SR) are a multi-disciplinary intervention that aim to support clinical and non-clinical healthcare professionals in their work. Temple Street Children’s University Hospital (TSCUH) is the first paediatric hospital to introduce SR. SR are a popular intervention, with numerous sites adopting them in the US and the UK. First introduced in Ireland in 2015, they were piloted at sites in Galway University Hospital and Blackrock Hospice. SR have since spread to 15 other sites across Ireland, including regional hospitals, children’s hospices and ambulance services. 2 Only one paper has been published on the topic of SR in paediatric hospitals. This paper hopes to highlight the potential for SR in the paediatric context by evaluating the views of staff who attended SR at TSCUH.
    • Neurodevelopmental outcome at seven years in term, acidotic newborns

      Diviney, M; Pinnamaneni, R; Murphy, JFA; Lynch, B; Rushe, H; Madigan, C; Geary, M; Foran, A (Irish Medical Journal, 2015-04)
      The objective was to follow up a cohort of acidotic full-term infants with or without hypoxic ischemic encephalopathy (HIE) and determine if at 7 years they displayed any neurodevelopmental delays. Children (n=44) were divided according to those with mild (n=25) or severe (n=19) acidosis and were then further subdivided into those with or without HIE. Participants were assessed using the Wechsler Intelligence Scale for Children (WISC-IVUK) and Achenbach Child Behaviour Checklist (CBCL). No differences in WISC-IVUK scores in children without HIE irrespective of the cord pH values were found. Children with HIE grade I scored significantly higher in perceptual reasoning than those with grade III (p<0.01). CBCL scores revealed no differences between groups. Findings suggest evidence of impairment at school-age that correlates with the degree of encephalopathy. Acidosis without the presence of clinical encephalopathy was associated with normal outcome.