Editorial: Family-centred care – points to ponder
Linda Shields

A research opportunity: “3D-ROSE”: virtual reality preparation for children having radiotherapy or imaging procedures
Linda Shields and Christian Langton

Family-centred care – RIP: an invited commentary
Jeremy Jolley

Nurse-initiated x-rays: a leap forward for children and nurses
Donald Puckridge, Malcolm Higgins and Alison Hutton

Paediatric emergency nurses can accurately and suitably order x-rays for paediatric patients with isolated extremity injuries. Secondary aims of this study were to decrease patient emergency department (ED) time and improve satisfaction for patients, parents, nursing and medical staff. This initiative has many benefits, including decreased patient ED waiting time as well as improving satisfaction for patients, parents and nursing staff. Data was obtained through audits and surveys. The study was conducted in a major Australian metropolitan hospital. Audit data was extracted from the PED’s information system (EDIS) and radiology reporting systems that are generated by way of the x-ray request forms and completed by nurses. Further information was obtained from two surveys: one completed by emergency nursing staff, which provided information on parents’ views about
the x-ray process. The other survey was completed by the PED’s doctors. Nurse-initiated x-rays (NIXR) audit forms were available for 147 presentations during the study period of April to June 2000. Fractures were detected in 74 (51%) of the x-rays ordered by nurses. This number compared favourably with doctors’ x-rays over the same period, where 56% of the x-rays ordered detected fractures. The study has demonstrated that nursing staff can accurately and effectively order NIXR for children with isolated limb injuries in our ED. The study also showed that as a direct result of NIXR, waiting time was reduced for children with these injuries.
Keywords: Nurse-initiated x-rays, accuracy, waiting times and parent satisfaction.

Commentary on the standards for the care of children and adolescents in health services, by Women’s Hospitals Australasia (WHA) and the Children’s Hospital Australasia (CHA)
Alison Hutton

Perinatal loss and support strategies for diverse cultures: discussion paper
Sarah JM “Jodi” Shaefer

Perinatal loss, grief response and cultural variations are considerations for nurses providing care for the family experiencing a pregnancy loss or infant death. While the pain of the loss may be universal, the expressions of grief and traditions after a death vary among cultures. Key components of initial care include communication in the family’s language, accurate information about the cause of death and enquiring about traditions following the death. Intervention approaches include support at the time of death and future family needs. Finally, care for the provider is an essential component of the care system in addition to self-assessment of cultural background. Providing care to bereaved families can be professionally rewarding because families appreciate the support of providers
Keywords: Pregnancy loss, infant death, bereavement support, culturally competent care.

Yanan Ngurra-ngu Walalja 
Halls Creek Community Families Programme
Ailsa Munns

Home-based parent support is an important strategy for assisting parents to develop their parenting confidence and capacity, across a range of physical and psychosocial environments. Social, biological, environmental and family influences during the early years have lifelong impacts on children. The introduction of an Indigenous, peer-led parent support programme in a remote, socially disadvantaged town in Western Australia has allowed the local community to develop culturally appropriate strategies to support their own families. Their anecdotal evidence has demonstrated effective engagement with programme visitors with the families, using a partnership approach to promote behaviour and attitudinal changes to parenting.
Keywords: parenting, Indigenous parent programme, community partnership, home visiting, Community Mothers Programme.

Cochrane Nursing Care Network
Carmel Collins

Book reviews
To be delighted in! What we want and need: a baby’s view
Core Curriculum Neonatal Intensive Care Nursing 4E
Maternal-Child Nursing Care: Optimising Outcomes for Mothers, Children and Families