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DESIGN AND METHODS. (design + and_methods)
Selected AbstractsPsychosocial Experiences of Parents of a Child With Imperforate AnusJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2009Margret Nisell PURPOSE., This study aims to examine the psychosocial experiences of parents of children with imperforate anus (IA) and to describe their potential positive experiences. DESIGN AND METHODS., Parents of IA children and a comparison group answered a questionnaire, which was analyzed quantitatively and with manifest content analysis. RESULTS., Social relationships and respect for the child's will were more affected among IA mothers. Positive experiences were revealed in relation to the child, the parent, and the family. PRACTICE IMPLICATIONS., Support to parents in caring for a child with IA should be individualized and occasionally undertaken through collaboration with experts from child and adolescent psychiatry. [source] The Association Between Internet Use and Depressive Symptoms Among South Korean AdolescentsJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2009Sunhee ParkArticle first published online: 28 APR 200 PURPOSE., This study explores the cross-sectional relationship between Internet use and depressive symptoms in South Korean adolescents. DESIGN AND METHODS., Existing data, the three-wave Korean Youth Panel Survey, were analyzed. The sample was a cohort representing the population of second-year students at Korean middle schools in 2003 (N = 3,449). Multivariate logistic regression was used. RESULTS., A one-unit increase in Internet use was positively associated with a 20.7% increase in risk for depressive symptoms. PRACTICE IMPLICATIONS., It may be worthwhile for nursing professionals to inquire about Internet use as part of a measure of screening for depressive symptoms in teens. [source] Parenting Stress in Mothers of Children With Autism Spectrum DisordersJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2009Supapak Phetrasuwan PURPOSE., The purpose of this paper is to describe the sources of parenting stress in mothers of children with Autism Spectrum Disorders (ASD) and examine the relationship between parenting stress and maternal psychological status (depression and well-being). DESIGN AND METHODS., A descriptive correlational design was used. Data were collected via mailed questionnaires. RESULTS., Behavioral symptoms were the primary source of parenting stress for mothers. There was no relationship between child characteristics and parenting stress. Mothers reporting more parenting stress had more depressive symptoms and lower levels of well-being. PRACTICE IMPLICATIONS., Our findings have implications for interventions with mothers to help them manage their children's behavior and focus on stress reduction and well-being. [source] Development of a Clinical Practice Guideline for Testing Nasogastric Tube PlacementJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2009Sue Peter PURPOSE.,A Perth metropolitan hospital group standardized changes to nasogastric tube placement, including removal of the "whoosh test" and litmus paper, and introduction of pH testing. DESIGN AND METHODS.,,Two audits were conducted: bedside data collection at a pediatric hospital and a point-prevalence audit across seven hospitals. RESULTS.,,Aspirate was obtained for 97% of all tests and pH was , 5.5 for 84%, validating the practice changes. However, patients on continuous feeds and/or receiving acid-inhibiting medications had multiple pH testing fails. PRACTICE IMPLICATIONS.,Nasogastric tube placement continues to present a challenge for those high-risk patients on continuous feeds and/or receiving acid-inhibiting medications. [source] Exploring Youth Development With Diverse Children: Correlates of Risk, Health, and Thriving BehaviorsJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2009Laureen H. Smith PURPOSE.,This study explored the relationships between internal and external assets, risk behaviors, health behaviors, and thriving behaviors in diverse children. DESIGN AND METHODS.,The strength of relationships existing between measures, differences between group means based on gender, grades earned, and school, and confidence interval (p , .05) were tested in a sample of 61 urban sixth graders. RESULTS.,Few assets were related to substance use. Assets were related to delinquency acts, health behaviors, and thriving indicators. Group differences between schools and gender and the total number of assets were noted. PRACTICE IMPLICATIONS.,Supporting assets are important to consider when nurses perform assessments and design interventions to support youths in their maturation processes. [source] The Effect of Childhood Sexual Abuse on Adolescent Pregnancy: An Integrative Research ReviewJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2008Melissa A. Francisco PURPOSE.,This study aims to describe the current research literature on the relationship of childhood sexual abuse and adolescent pregnancy and highlight the potential cross-cutting risk factors. DESIGN AND METHODS.,Thirteen articles were identified as the basis of this review using Cooper's methodology (1998) for synthesizing research. Articles were categorized according to the levels of evidence proposed by Melnyk and Fineout-Overholt (2005). RESULTS.,The majority of the studies identified a relationship between childhood sexual abuse and adolescent pregnancy (n = 9). Cross-cutting risk factors included female gender, younger age, substance use/abuse, family constellation, parent,child conflict, and mother disengagement. PRACTICE IMPLICATIONS.,Strategies for nurses to identify pregnant and parenting adolescents who have been sexually victimized are important for early intervention. Resiliency factors of young people who report positive outcomes are highlighted. [source] Family-Based Weight Management With Latino Mothers and ChildrenJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2008Kathy Shadle James PURPOSE.,This paper aims to design a culturally appropriate weight management intervention for high-risk Latino families and to examine the feasibility of recruiting program participants. DESIGN AND METHODS.,A descriptive design using qualitative and quantitative data collected during preliminary phases of an ongoing intervention study. RESULTS.,From the preliminary works, a curriculum was revised for Latino families who have overweight children. The curriculum was modified to include suggestions from the focus groups, including helping mothers set limits with their children and make the transition to lighter foods and a more active family life. PRACTICE IMPLICATIONS.,The information will aid professionals in the process of program design for Latino families who have weight concerns. [source] Evaluation of a Pilot Hospital-Based Community Program Implementing Fitness and Nutrition Education for Overweight ChildrenJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2008Karen Gabel Speroni PhD PURPOSE.,Evaluate the effect of the Kids Living FitÔ hospital-based intervention on body mass index (BMI) percentile, adjusted for age (months) and gender in children ages 8,12 years with BMI percentiles , 85. DESIGN AND METHODS.,Twelve weekly exercise sessions and three nutrition presentations were held. Nurses recorded BMI and waist circumference at baseline, week 12, and week 24. Participants completed food and activity diaries. RESULTS.,Of the 32 participants enrolled, 16 completed all outcome measures and experienced a decrease in average BMI, BMI percentile, and waist circumference between baseline and weeks 12 and 24. PRACTICE IMPLICATIONS.,Hospitals can offer exercise and nutrition programs to decrease childhood obesity in their communities. [source] Ecological Differences in Weight, Length, and Weight for Length of Mexican American Children in the WIC ProgramJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2008Elizabeth Reifsnider PhD, WHNP PURPOSE.,Examine factors common in the environments of children who obtain services from a WIC program to determine if differences in ecological/environmental factors can be found in the children who differ in weight, length, and weight for length. DESIGN AND METHODS.,Cross-sectional study of 300 children, 100 each who were stunted, normal weight for length, or overweight. Instruments used were NCATS, ARSMA II, 24-hr diet recall, and Baecke Activity Questionnaire. RESULTS.,Significant differences were present in children's diet, parents' BMI, parents' generation in United States, parents' activity levels, and maternal,child relationship. PRACTICE IMPLICATIONS.,Encourage parents to adopt family approaches to encourage normal body size in children. [source] Collaborative Childcare Health Consultation: A Conceptual ModelJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 2 2008Angela A. Crowley PhD PURPOSE.,This study explored the nature of consultation between childcare providers and nurse childcare health consultants and identified factors that promote a collaborative relationship. DESIGN AND METHODS.,A qualitative study using semistructured, individual interviews of five collaborative and five conflicted pairs of nurse childcare health consultants and childcare center directors. Data were analyzed following principles of grounded theory and applying the constant comparative method of analysis. RESULTS.,Establishing a collaborative relationship was influenced by previous experiences and four themes in the relationship: open and active communication, commitment, respect, and congruent philosophies. PRACTICE IMPLICATIONS.,Preparation in developing collaborative relationships should be incorporated into the education of nurse consultants and childcare directors and providers. [source] Parents' Concerns About Issues Related to Their Children's Genetic ConditionsJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2008Agatha M. Gallo PURPOSE.,The purpose of this analysis was to examine parents' (N = 142) concerns about issues (i.e., privacy of information, insurance, healthcare costs, employment, school) related to their children's genetic conditions. DESIGN AND METHODS.,Using a series of matrices, thematic analysis was conducted focusing on parents' concerns. RESULTS.,Parents were less concerned with privacy and more concerned with insurance, healthcare costs, employment, and school issues. PRACTICE IMPLICATIONS.,Nurses and other healthcare professionals need to give parents the opportunity to discuss their concerns and to assist parents with strategies and resources to meet the needs of their children and families. [source] Children's Expectations of Pain, Perceptions of Analgesic Efficacy, and Experiences With Nonpharmacologic Pain Management Strategies at Home Following TonsillectomyJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2007Kimberly A. Sutters PURPOSE.,To document children's (ages 6,15 years) descriptions of their pain management at home following tonsillectomy. DESIGN AND METHODS.,Audio-taped interviews of 80 children were transcribed and coded. Data for each response category were tabulated. RESULTS.,Children reported they had more pain after surgery than expected, the pain medicine helped to take their pain away, taking the pain medicine was associated with a negative response by some children, and cold liquids/food by mouth provided pain relief. PRACTICE IMPLICATIONS.,Findings provide insight into children's perspective of pain management at home following tonsillectomy and methods for relieving their pain. [source] Pain-Sensitive Temperament and Postoperative PainJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2007Charmaine Kleiber PURPOSE.,To describe the relationship between pain-sensitive temperament and self-report of pain intensity following surgery. DESIGN AND METHODS.,Fifty-nine adolescents and young adults (average age 14 years) undergoing spinal fusion for adolescent idiopathic scoliosis completed the Sensitivity Temperament Inventory for Pain,Child version (STIP-C). The Pearson correlation between STIP-C scores and the highest pain intensity for each of the first three postoperative days was investigated. RESULTS.,There was a small but significant correlation between the Perceptual Sensitivity and Symptom Reporting subscales of the STIP-C and pain intensity measured on the third postoperative day. PRACTICE IMPLICATIONS.,Aspects of the pain-sensitive temperament may be important in understanding the variability in postoperative pain. This is the first investigation of the relationship between pain-sensitive temperament and surgical pain. More research is needed in this area. [source] Stimulant Medications: A Trade-off?JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2006The Lived Experience of Adolescents With ADHD PURPOSE.,The purpose of this study was to gain information and insight about prescription stimulant medication use among children and adolescents with attention deficit,hyperactivity disorder (ADHD) across developmental stages. DESIGN AND METHODS.,Investigators conducted semistructured qualitative interviews with 15 college students with ADHD. Follow-up interviews confirmed and validated information obtained during initial interviews. RESULTS.,Qualitative data analysis resulted in three global categories related to the use of prescription stimulant medication from childhood to late adolescence: (a) the early years, (b) "the trade-off," and (c) stimulant medications in college. PRACTICE IMPLICATIONS.,Increased education about prescription stimulant medications and closer management is needed to reduce side effects and minimize the risks of misuse. [source] Methods of Continuing Professional Education Preferred by Irish Pediatric NursesJOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 2 2006Carmel Doyle PURPOSE.,To explore the continuing professional education (CPE) of pediatric nurses in Ireland and establish if and in what ways pediatric nurses are taking part in CPE as well as factors that might assist or hinder pediatric nurses in undertaking CPE. DESIGN AND METHODS., A stratified random sample of 205 registered children's nurses (RCNs) completed a questionnaire. RESULTS.,RCNs in Ireland use a variety of methods of CPE, the most popular being journal reading, while the least popular method is the use of computerized journal databases and the internet. Many RCNs appear to lack the computer skills necessary to utilize these methods of CPE. PRACTICE IMPLICATIONS.,The favored methods of CPE by RCNs need to be utilized and promoted in the practice setting in order to ensure RCNs are up to date in the provision of quality care to pediatric patients. [source] Anticipatory Pleasure Skills Training: A New Intervention to Reduce Anhedonia in SchizophreniaPERSPECTIVES IN PSYCHIATRIC CARE, Issue 3 2010Jérôme Favrod RN PURPOSE., Anhedonia is a challenging symptom of schizophrenia and remains largely recalcitrant to current pharmacological treatments. The goal of this exploratory pilot study was to assess if a cognitive,sensory intervention could improve anticipatory pleasure. DESIGN AND METHODS., Five participants meeting the Diagnostic and Statistical Manual of Mental Disorders (4th edition, Text Revision) criteria for schizophrenia, presenting severe anhedonia and stabilized on atypical antipsychotic medication, received between 10 hours and 25 hours of training. FINDINGS., Results show that the patients improved on the anticipatory scale of the Temporal Experience of Pleasure Scale. Daily activities of the patients were also increased. PRACTICE IMPLICATIONS., These preliminary data need to be interpreted with caution given the small sample of the study, but they offer promising paths to develop new interventions to alleviate anhedonia in schizophrenia. [source] The Effects of Potentiality Education on Potentiality and Job Satisfaction Among Psychiatric Nurses in TaiwanPERSPECTIVES IN PSYCHIATRIC CARE, Issue 2 2010Kang-Hua Chen RN PURPOSE., This study evaluated the effects of a potentiality education program on potentiality and job satisfaction among psychiatric nurses. DESIGN AND METHODS., This quasiexperimental study recruited 59 psychiatric nurses, of whom 26 were assigned to an experimental group, based on their interest in participating in the program, and 33 to a control group. FINDINGS., The results indicated that the scores for job satisfaction were significantly higher in the experimental group than in the control group. Specifically, potentiality education promoted job satisfaction but had no significant influence on potentiality. PRACTICE APPLICATION., Increasing nurses' potentiality could help them to successfully cope with their large workload and the various challenges of their job. [source] Postdeployment, Self-Reporting of Mental Health Problems, and Barriers to CarePERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2009Rosanne Visco PhD PURPOSE., This study explored the relationship between self-reported mental health symptoms and help-seeking behaviors of active-duty Air Force members. DESIGN AND METHODS., Mixed-methods approach reviewed 200 postdeployment surveys from active-duty members assigned to Eglin Air Force Base, Florida, USA. Chi-square analysis examined significance between self-reporting mental health problems and accessing treatment. FINDINGS., As the rate of self-reported mental health symptoms increased, active-duty members were less inclined to seek help. There were inconsistencies among gender for self-reporting and accessing services. PRACTICE IMPLICATIONS., Air Force psychiatric nurses need to be at the forefront of outreach services when treating combat-stressed troops. [source] Effective Interaction With Patients With Schizophrenia: Qualitative Evaluation of the Interaction Skills Training ProgrammePERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2009Berno Van Meijel RN PURPOSE., The purpose of this study was to describe experiences of caregivers with the Interaction Skills Training Programme, and to evaluate the training effects observed by caregivers. DESIGN AND METHODS., A qualitative research design was applied. Semistructured interviews were conducted with 17 caregivers who had followed the training program. FINDINGS., The research findings clearly confirm the value of the program. Positive effects of the training were reported in terms of: (a) awareness and insightfulness; (b) the attitude of caregivers; (c) the quality of the therapeutic alliance; and (d) job perception. PRACTICE IMPLICATIONS., Training interactive skills may contribute to a better quality of care for chronic psychiatric patients. Based on the qualitative study, implementation of the skills training program can be recommended. [source] Enhancing Intellectual Empathy: The Lived Experience of Voice SimulationPERSPECTIVES IN PSYCHIATRIC CARE, Issue 3 2009Karen S. Dearing PhD PURPOSE., This study aimed to understand the lived experience of voice simulation with the novice nurse and to describe the impact on the nurse's empathy and desire to develop a therapeutic relationship. DESIGN AND METHODS., Twenty-eight women and men participated in a detailed narrative investigation of reflective writing of the lived experience of hearing voices through a voice simulation experience. FINDINGS., A sense of insight was developed, and participants felt they could empathize with this type of suffering. The ability to change attitudes to focus on the development of therapeutic relationships was enhanced. PRACTICE IMPLICATION., Voice simulation assists the novice nurse in developing intellectual empathy. [source] Workplace Stressors and Coping Strategies Among Chinese Psychiatric NursesPERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2008Zhong-Xiang Cai RN PURPOSE.,This study was conducted with Chinese psychiatric nurses to identify their workplace stressors and coping strategies, as well as the relationships between their demographics, workplace stressors, and coping strategies. DESIGN AND METHODS.,This survey was conducted, with the use of three questionnaires, on 188 psychiatric nurses recruited via convenient sampling in central China. FINDINGS.,The findings indicated that (a) workload and dealing with death/dying were the greatest workplace stressors; (b) positive coping strategies were the most often used coping strategies; and (c) a series of correlation results occurred. PRACTICE APPLICATION.,Understanding the relationship between workplace stressors, effective and ineffective coping, and demographics can contribute to designing less stressful environments and more constructive coping strategies. [source] Strategies Used by Advanced Practice Psychiatric Nurses in Treating Adults With DepressionPERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2008Evelyn Parrish APPN PURPOSE.,Strategies used by psychiatric advanced practice registered nurses (APRNs) in treating clients with depression are described to explore their effectiveness. DESIGN AND METHODS.,Ten APRNs participated in semistructured individual interviews for this qualitative descriptive study. The use of either a symptom severity scale or symptom reduction checklist was used to measure the effectiveness of the strategies used. FINDINGS.,APRNs identified a biopsychosocial approach as the primary component of their treatment of clients with depression. Other strategies identified include psychopharmacology, cognitive-behavioral therapy, and partnering with the client. PRACTICE IMPLICATIONS.,Treatment of depression can be enhanced with the incorporation of the biopsychosocial strategies along with standard treatment modalities. [source] | ||||||||||