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PRACTICE IMPLICATIONS. (practice + implications)

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Medical Sciences	100%

Selected Abstracts

Deficient Knowledge Nursing Diagnosis: Identifying the Learning Needs of Patients With Cardiac Disease

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 3 2010
Luzia Elaine Galdeano PhD
Assistência ao paciente; avaliação de processos; conhecimento; doença das coronárias; enfermagem OBJECTIVES., To identify the learning needs of patients with cardiac disease and the aspects of the disease and anesthetic and surgical procedures about which Brazilian patients have the greatest gaps in knowledge. METHODS., Eighty preoperative patients answered a General Evaluation Questionnaire, a Questionnaire to Evaluate Patient Knowledge, and the Mini-Mental State Exam. FINDINGS., Fifty-nine patients had learning needs. More than 50% of the patients were mistaken or unable to answer questions about the disease, and the goals of and type of surgery to be performed and anesthesia to be used. CONCLUSIONS., Most patients had poor performance on the questionnaire that assessed their knowledge about coronary artery disease and its treatment. PRACTICE IMPLICATIONS., This study can contribute to health professionals' assessment of patients' knowledge. OBJETIVOS., Identificar as necessidades de aprendizagem de pacientes com doença cardíaca e os aspectos da doença arterial coronariana e da revascularização do miocárdio do nos quais os pacientes brasileiros apresentam conhecimento deficiente. MÉTODO., Oitenta pacientes responderam o Questionário para avaliação geral, o Questionário para avaliar o conhecimento e o Mini-Exame do Estado Mental. RESULTADOS., Cinqüenta e nove pacientes apresentaram necessidade de aprendizagem. Mais de 50% dos pacientes erraram ou não souberam responder as questões referentes ao nome da doença, aos sinais e sintomas de complicação da doença, aos objetivos e tipo de cirurgia e anestesia. CONCLUSÃO., Muitos pacientes não apresentaram bom desempenho no questionário para medir conhecimento em relação à Doença Arterial Coronária e seu tratamento. IMPLICAÇÕES PRÁTICAS., Este estudo poderá contribuir para a avaliação do conhecimento dos pacientes por profissionais da saúde. [source]

Accuracy and Efficiency of Computer-Aided Nursing Diagnosis

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 3 2008
Sachiko Kurashima MSN
PURPOSE.,This study aims to determine whether a computer-aided nursing (CAN) diagnosis system improves diagnostic accuracy and efficiency. METHODS.,A randomized crossover trial was performed using two kinds of case studies with 42 nurses as subjects. The subjects were divided into a group using the CAN diagnosis system and a group using a handbook of nursing diagnosis. Degree of accuracy was judged by using Lunney's seven-point interval scale, while efficiency was evaluated by time required for diagnosis. FINDINGS.,There was no significant difference between the two groups in terms of diagnostic accuracy; however, time required for diagnosis was significantly shorter for subjects who used the CAN diagnosis system than for those who did not. Multiple regression analysis showed that the use of the CAN diagnosis system was the only factor associated with the time required for making the nursing diagnosis. CONCLUSIONS.,The use of the CAN diagnosis system improved the efficiency of the diagnostic process without reducing the level of accuracy of nursing diagnoses. PRACTICE IMPLICATIONS.,The use of a computerized system should be a useful tool for implementation of standardized nursing terminologies. [source]

Measuring the Dose of Nursing Intervention

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 4 2007
David Reed PhD
PURPOSE.,To increase awareness of the many issues involved in measuring the dose of nursing intervention in nursing interventions effectiveness research. METHODS.,Identify critical issues in measurement of the dose of nursing intervention and discuss decisions regarding dosage measurement made in a study of the effectiveness of nursing interventions. FINDINGS.,A single method can be applied to resolve two critical issues in intervention dosage measurement. CONCLUSIONS.,Those conducting nursing interventions effectiveness research must think explicitly about how intervention dosage will be measured and reported so that dosage can be replicated in research and practice. PRACTICE IMPLICATIONS.,,Measuring and reporting the dose of nursing intervention in research is essential to the development of an evidence base adequate to support practice. [source]

Contamination: Nursing Diagnoses with Outcome and Intervention Linkages

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2 2007
Laura V. Polk DNSc
PURPOSE.,To relate the collaborative processes involved in the evolution of environmental nursing diagnoses and the linkages between two new nursing diagnoses and their associated interventions and outcomes; to describe the environmental health implications of contamination. DATA SOURCES.,Published research articles, official reports, textbooks, and collaborative discussion with experts in community and global health. DATA SYNTHESIS.,Reflection following review of the literature and collaboration with experts led to the development of a new schema for environmental diagnoses and development of two new diagnoses, allowing for greater clarity and distinction between the contamination diagnoses and risk for poisoning diagnosis. CONCLUSIONS.,An environmental nursing diagnosis schema, with its emphasis on contamination, infection, and violence, provides nurses with a holistic framework for making judgments about environmental influences related to individual, family, community, and global health. The diagnoses of Contamination and Risk for Contamination provide necessary language to describe human responses and risk states that may arise following exposure to environmental contaminants. PRACTICE IMPLICATIONS.,Development of environmental diagnostic labels and delineation of the linkages to nursing outcomes and interventions will allow nurses to take active roles in identifying environmental components that affect health and planning care that responds to environmental health needs. Greater clarity in the use of language will allow nurses to incorporate environmental concepts appropriately in nursing assessments and improve the accuracy of the diagnostic process and selection of distinct interventions and outcomes. This will result in better outcomes for patients and communities and permit greater accountability of nursing's contribution to environmental health. [source]

Stress Overload: A New Diagnosis

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 4 2006
Margaret Lunney PhD
PURPOSE.,To describe the phenomenon of stress overload as a nursing diagnosis. METHODS.,A qualitative study using case study method was conducted with nine adults experiencing stress overload to fully describe the experience and identify possible defining characteristics. Current literature sources on stress and its related factors were examined to support stress overload as a nursing diagnosis for inclusion in the NANDA International classification. FINDINGS.,Stress overload, defined as excessive amounts and types of demands that require action, is a human response that is experienced as a problem and contributes to the development of other problems. The proposed defining characteristics are perceives situational stress as excessive, expresses a feeling of tension or pressure, expresses difficulty in functioning as usual, expresses problems with decision-making, demonstrates increased feelings of anger and impatience, and reports negative effects from stress such as physical symptoms or psychological distress. PRACTICE IMPLICATIONS.,Nursing interventions such as active listening and decision-making support are needed to help people reduce stress levels. Studies are needed to further validate the defining characteristics and related factors of this new diagnosis. [source]

Nursing Diagnoses in a Brazilian Intensive Care Unit

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 3 2006
Amália De Fátima Lucena
PURPOSE.,To identify the nursing diagnoses and their most frequent related factors or risk factors in patients admitted to an intensive care unit (ICU). METHOD.,Descriptive cross-sectional study with information from 991 admissions to an ICU during a 6-month period. FINDINGS.,Sixteen nursing diagnoses resulting from hospitalization were most frequently identified; six had percentages greater than 40% with 29 related/risk factors. The resulting averages were 6.9 diagnoses per hospitalization and 1.2 related/risk factors per nursing diagnoses. CONCLUSIONS.,The nursing diagnoses identified seemed to be common to the clinical practice of nursing and their fundamental related/risk factors to precise clinical judgment, thus providing a basis for interventions for a desired outcome. PRACTICE IMPLICATIONS.,The findings have contributed to the development of the standardized nursing language usage in Brazilian nursing practices. Diagnósticos de Enfermagem em uma Unidade de Terapia Intensiva Brasileira OBJETIVO.,Identificar os diagnósticos de enfermagem e os seus fatores relacionados/risco mais freqüentemente estabelecidos aos pacientes internados numa unidade de terapia intensiva (UTI). MÉTODO.,Estudo descritivo, transversal, com informações de 991 admissões numa UTI, durante seis meses. RESULTADOS.,Dezesseis diagnósticos de enfermagem foram mais freqüentes, seis deles com percentuais acima de 40% por internação e com 29 fatores relacionados ou de risco. As médias foram de 6,9 diagnósticos de enfermagem por internação e 1,2 fatores relacionados ou de risco por diagnóstico de enfermagem. CONCLUSÕES.,Os diagnósticos de enfermagem identificados parecem ser comuns à prática clínica de enfermagem e os seus fatores relacionados ou de risco fundamentais ao julgamento clínico preciso, que subsidia à escolha da intervenção para um resultado esperado. IMPLICAÇÕES PARA A PRÁTICA.,Os resultados têm colaborado para o desenvolvimento do uso da linguagem padronizada de enfermagem no Brasil. [source]

Ineffective Peripheral Tissue Perfusion: Clinical Validation in Patients With Hypertensive Cardiomiopathy

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2 2006
Rita de Cassia Gengo de Silva MS
PURPOSE.,To validate defining characteristics of ineffective peripheral tissue perfusion using vasomotor function assessment. METHODS.,Twenty-four patients with hypertensive cardiomiopathy were evaluated for 18 defining characteristics of ineffective peripheral tissue perfusion and underwent vasomotor function assessment with induction of reactive hyperemia, intra-arterial infusion of acetylcholine, and pulse wave velocity measurement. The Student's t test and Kruskall,Wallis test were used to assess the significance of relationships between defining characteristics and vasomotor function data. FINDINGS.,Diminished lower extremity pulses were associated with diminished forearm blood flow during acetylcholine infusion; left ventricular overload, intermittent claudication, and diminished skin moisture were associated with elevated pulse wave velocity values. CONCLUSION.,The defining characteristics of ineffective peripheral tissue perfusion were highly associated with vasomotor function data as "gold standards" for that diagnosis. PRACTICE IMPLICATIONS.,Nurses should be able to accurately assess diminished lower extremity pulses, intermittent claudication, and diminished skin moisture as relevant characteristics of ineffective peripheral tissue perfusion in patients with hypertensive cardiomiopathy. Irrigation Tissulaire Périphérique Inefficace: Validation Clinique Chez les Patients Atteints de Cardiomyopathie Hypertensive BUT.,Valider les caractéristiques de Irrigation tissulaire périphérique inefficace en utilisant l'évaluation de la fonction vasomotrice. MÉTHODES.,Vingt-quatre patients souffrant de cardiomyopathie hypertensive furent évalués au regard des 18 caractéristiques du diagnostic Irrigation vasculaire périphérique inefficace et de la fonction vasomotrice par induction d'une hyperémie réactionnelle, la perfusion intra-artérielle d'acétylcholine, et la mesure de la vélocité de l'onde du pouls. Les tests "Student t et Kruskall,Wallis" furent utilisés pour déterminer l'importance des liens entre les caractéristiques et les valeurs de la fonction vasomotrice. RÉSULTATS.,La diminution des pulsations périphériques des membres inférieurs fut associée à une diminution du flot sanguin pendant la perfusion d'acétylcholine; une surcharge ventriculaire gauche, de la claudication intermittente et une diminution de l'hydratation de la peau furent associées à des valeurs élevées de la vélocité de l'onde du pouls. CONCLUSION.,,Les caractéristiques de Irrigation tissulaire périphérique inefficace qui furent associées de manière significative à la fonction vasomotrice peuvent être considérées comme les "étalons or" de ce diagnostic. IMPLICATIONS POUR LA PRATIQUE.,Les infirmières devraient être capables d'évaluer correctement la diminution des pouls périphériques, la claudication intermittente, et la diminution de l'hydratation de la peau, car ce sont des caractéristiques pertinentes de l'irrigation tissulaire périphérique inefficace chez les patients atteints de cardiomyopathie hypertensive. Translation by Cécile Boisvert, MSN, RN Perfusão Tissular Periférica Ineficaz: Validação Clínica em Pacientes com Miocardiopatia Hipertensiva PROPÓSITO.,Validar as caraterísticas definidoras do diagnóstico de perfusão tissular periférica ineficaz usando a avaliação da função vasomotora. MÉTODO.,Vinte e quatro pacientes com miocardiopatia hipertensiva foram avaliados segundo 18 características definidoras de perfusão tissular periférica ineficaz e submetidos a avaliação da função vasomotora por indução de hiperemia reativa, infusão intra-arterial de acetilcolina e por mensuração da velocidade da onda de pulso. Testes T de Student e de Kruskall,Wallis foram aplicados para avaliar a significância das relações entre as características definidoras e os dados da função vasomotora. RESULTADOS.,Diminuição de pulso nas extremidades inferiores foi associada com o menor fluxo de sangue no antebraço durante a infusão de acetilcolina; sobrecarga ventricular esquerda, claudicação intermitente e diminuição da hidratação da pele foram associados com valores elevados de velocidade de onda de pulso. CONCLUSÃO.,Quatro características definidoras de perfusão tissular periférica ineficaz foram altamente associadas com função vasomotora alterada como "padrão ouro" para este diagnóstico. IMPLICAÇÕES PARA A PRÁTICA.,As enfermeiras devem ser capazes de avaliar com precisão a diminuição dos pulsos das extremidades inferiores, claudicação intermitente e diminuição na hidratação da pele como características definidoras relevantes da perfusão tissular periférica ineficaz em pacientes com miocardiopatia hipertensiva. Translation by Alba Leite de Barros, PhD, RN Perfusión Tisular Periférica Inefectiva: Validación Clínica en Pacientes que Presentan Miocardiopatía Hipertensiva PROPÓSITO.,Validar las características definitorias del diagnóstico Perfusión tisular periférica inefectiva utilizando una valoración de la función vasomotora. METODOLOGÍA.,Veinticuatro pacientes diagnosticados de Miocardiopatía Hipertensiva fueron evaluados con respecto a las 18 características definitorias del diagnóstico Perfusión tisular periférica inefectiva y sometidos a una valoración de la función vasomotora con inducción de Hiperemia reactiva, infusión intra-arterial de acetilcolina, y medida de la velocidad de la onda del pulso. Se utilizaron los análisis estadísticos de t-Student y Kruskall,Wallis para valorar el significado de las relaciones entre las características definitorias y los datos obtenidos de la valoración de la función vasomotora. HALLAZGOS.,Durante la infusión de acetilcolina se detectó disminución de los pulsos en la extremidad inferior relacionado con la disminución del volumen de sangre en el antebrazo; la sobrecarga ventricular izquierda, claudicación intermitente y disminución de la hidratación de la piel fueron asociadas con la elevación de los valores de la velocidad de la onda del pulso. CONCLUSIÓN.,Las características definitorias del diagnóstico Perfusión tisular periférica inefectiva estaban fuertemente asociadas a los datos procedentes de la valoración de la función vasomotora identificándose como "estándares fundamentales" para este diagnóstico. IMPLICACIONES PARA LA PRÁCTICA.,Las enfermeras deberían ser capaces de valorar cuidadosamente la presencia de pulsos disminuidos en las extremidades inferiores, y la disminución de la hidratación de la piel ya que son características relevantes del diagnóstico Perfusión tisular periférica inefectiva en pacientes que presentan Miocardiopatía Hipertensiva. Translation by Adolf Guirao, RN [source]

Comparison of Nursing Interventions Performed by Medical-Surgical Nurses in Korea and the United States

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2 2006
Eunjoo Lee PhD
PURPOSE.,To compare the Nursing Interventions Classification (NIC) interventions used in two countries, Korea and the United States. METHODS.,Data were collected from 167 nurses working in eight hospitals in Korea and analyzed with descriptive statistics. FINDINGS.,Korean nurses selected 202 interventions, nine of which were used by more than 50% of nurses surveyed. In comparison, the Academy of Medical-Surgical Nurses (AMSN) in the United States identified 68 interventions as core interventions. Among the top ranked 68 interventions selected by Korean nurses, 29 (43%) matched those selected by U.S. nurses. CONCLUSION.,The nursing interventions selected by Korean nurses were more heavily focused on the physiologic domain than those selected by the U.S. nurses. PRACTICE IMPLICATIONS.,The identified intervention lists can be used to develop nursing information systems, staff education, competency evaluation, referral networks, certification and licensing exams, and educational curricula for nursing students. Comparaison des interventions réalisées par les infirmières de Médecine-Chirurgie en Corée et aux Etats-Unis BUTS.,Comparer les interventions (tirées de la Classification des Interventions) utilisées dans deux pays: La Corée et les Etats-Unis. MÉTHODES.,Les données furent collectées auprès de 167 infirmières travaillant dans huit hôpitaux Coréens et furent analysées à l'aide de statistiques descriptives. RÉSULTATS.,Les infirmières Coréennes ont choisi 202 interventions, neuf d'entre elles furent utilisées par plus de 50% des infirmières incluses dans l'étude. En comparaison, l'Académie des Infirmières en Médecine-Chirurgie (E.U.) ont identifié 68 interventions clés. Parmi les 68 premières interventions choisies par les infirmières Coréennes, 29 (43%) correspondent à celles qui ont été choisies par les infirmières Américaines. CONCLUSION.,Les interventions de soins choisies par les infirmières Coréennes furent plus fortement centrées sur les domaines physiologiques que celles choisies par leurs collègues Américaines. IMPLICATIONS POUR LA PRATIQUE.,Les listes d'interventions identifées peuvent être utilisées pour développer des systèmes d'information, la formation du personnel, l'évaluation de la compétence, les réseaux de soin, les examens de certification et les programmes de formation des étudiantes infirmières. Translation by Cécile Boisvert, MSN, RN Comparação das Intervenções Realizadas por Enfermeiras Médico-Cirúrgicas na Coréia e nos Estados Unidos OBJETIVO.,Comparar as intervenções contidas na classificação de intervenções de Enfermagem (NIC) usadas nos dois paises, Coréia e Estados Unidos. MÉTODOS.,Os dados foram coletados com 167 enfermeiras que trabalhavam em oito hospitais na Coréia e analisadas com estaticista descritiva. RESULTADOS.,As enfermeiras coreanas selecionaram 202 intervenções, nas quais foram usadas por mais de 50% das enfermeiras entrevistadas. Em comparação, a Academia de enfermeiras médico-cirúrgicas (AMSN) nos Estados Unidos identificaram 68 intervenções como principais. Dentre as 68 intervenções como principais. Dentre as 68 intervenções mais importantes selecionadas pelas enfermeiras coreanas, 29 (43%) coincidiram com aquelas selecionadas pelas enfermeiras americanas. CONCLUSÃO.,As intervenções selecionadas pelas enfermeiras coreanas foram mais fortemente focadas no domínio fisiológico do que aquelas selecionadas pelas enfermeiras americanas. IMPLICAÇÕES PARA A PRÁTICA.,As listas das intervenções identificadas pode ser usada para o desenvolvimento de sistemas de informação de enfermagem, educação-permanente da equipe, avaliação da competência, rede de referências, exames de certificação e licença e currículo educacional para estudantes de enfermagem. Translation by Alba Leite de Barros, PhD, RN Estudio Comparativo de las Intervenciones Enfermeras Realizadas por Enfermeras Especialistas Médico-Quirúrgicas en Korea y Estados Unidos (EUA) PROPÓSITO.,Realizar un estudio comparativo entre las intervenciones enfermeras de la taxonomía NIC (Clasificación de las Intervenciones Enfermeras) utilizadas en dos países, Korea y EUA. METODOLOGÍA.,Los datos fueron recogidos entre 167 enfermeras que trabajaban en ocho hospitales de Korea y fueron analizadas utilizando medidas estadísticas descriptivas. HALLAZGOS.,Las enfermeras koreanas seleccionaron 202 intervenciones, nueve de las cuales fueron utilizadas por más del 50% de las enfermeras estudiadas. A diferencia, la Academia de Enfermeras especialistas Médico-quirúrgicas (AMSN) de los EUA, había identificado 68 intervenciones enfermeras. Entre las 68 intervenciones seleccionadas más frecuentemente por las enfermeras koreanas, 29 (43%) coincidían con las seleccionadas por las enfermeras americanas. CONCLUSIÓN.,Las intervenciones seleccionadas por las enfermeras koreanas estaban más centradas en el dominio fisiológico que las seleccionadas por las enfermeras americanas. IMPLICACIONES PARA LA PRÁCTICA.,La lista de intervenciones identificadas puede ser utilizada para desarrollar sistemas de información enfermeros, programas de formación, evaluación de la competencia, redes de enfermeras de referencia, exámenes de certificación y obtención de licencias, y currícula de formación para los estudiantes de enfermería. Translation by Adolf Guirao, RN [source]

Nursing Diagnoses and Interventions of Japanese Patients with End-Stage Breast Cancer Admitted for Different Care Purposes

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 3-4 2005
Chie Ogasawara RN
PURPOSE.,To clarify actual nursing diagnoses for and interventions given to patients with end-stage breast cancer admitted for different care purposes. METHODS.,Nursing diagnoses, defining characteristics, related/risk factors, and nursing interventions were analyzed in a convenience sample of 150 patient records. FINDINGS.,A total of 539 nursing diagnoses (96 labels) were documented. Frequently listed diagnoses were chronic pain, risk for infection, and activity intolerance. The most frequently used nursing diagnosis for the chemotherapy group was risk for infection. The nurses in this study rarely report any diagnoses related to death and dying. CONCLUSIONS.,Nursing diagnoses and interventions differed depending on the purpose of admission. PRACTICE IMPLICATIONS.,Oncology nurses need to consider the reasons for admission when making nursing diagnoses and interventions for patients with end-stage breast cancer. [source]

Quality of Nursing Diagnoses: Evaluation of an Educational Intervention

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2 2005
Jan Florin RN
PURPOSE.,To investigate the effects on the quality of nursing diagnostic statements in patient records after education in the nursing process and implementation of new forms for recording. METHODS.,Quasi-experimental design. Randomly selected patient records reviewed before and after intervention from one experimental unit (n = 70) and three control units (n = 70). A scale with 14 characteristics pertaining to nursing diagnoses was developed and used together with the instrument (CAT-CH-ING) for record review. FINDINGS.,Quality of nursing diagnostic statements improved in the experimental unit, whereas no improvement was found in the control units. Serious flaws in the use of the etiology component were found. CONCLUSION.,Nurses must be more concerned with the accuracy and quality of the nursing diagnoses and the etiology component needs to be given special attention. PRACTICE IMPLICATIONS.,Education of RNs in nursing diagnostic statements and peer review using standardized evaluation instruments can be means to further enhance RNs' documentation practice. [source]

Furthering the Understanding of Parent,Child Relationships: A Nursing Scholarship Review Series.

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2010
Adolescent, Child Relationships, Part 5: Parent, Teen Parent
PURPOSE., The purpose of this paper is to examine nursing's contribution to understanding the parent,adolescent and the teen parent,child relationships. CONCLUSION., Relationships between parents and adolescents may reflect turmoil and affect adolescents' health and development. The social and developmental contexts for teen parenting are powerful and may need strengthening. Several interventions to help teen mothers interact sensitively with their infants have been developed and tested. PRACTICE IMPLICATIONS., Nurse researchers have begun to provide evidence for practitioners to use in caring for families of adolescents and teen parents to acquire interaction skills that, in turn, may promote optimal health and development of the child. [source]

Psychosocial Experiences of Parents of a Child With Imperforate Anus

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2009
Margret 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 Adolescents

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2009
Sunhee 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 Disorders

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2009
Supapak 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]

Autism and Vaccination,The Current Evidence

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2009
Lisa Miller MD
PURPOSE., The purpose of this article is to review relevant background literature regarding the evidence linking thimerosal-containing vaccine and the measles, mumps, and rubella vaccine to autism. CONCLUSIONS., Rigorous scientific studies have not identified links between autism and either thimerosal-containing vaccine or the measles, mumps, and rubella vaccine. PRACTICE IMPLICATIONS., Nurses are often in the position of providing advice regarding vaccines in their formal practice areas as well as in their daily lives. Families need current and credible evidence to make decisions for their children. Excellent vaccine information resources are available online. [source]

Development of a Clinical Practice Guideline for Testing Nasogastric Tube Placement

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2009
Sue 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 Behaviors

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2009
Laureen 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 Review

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2008
Melissa 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 Children

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2008
Kathy 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 Children

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2008
Karen 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 Program

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2008
Elizabeth 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]

Effectiveness and Appropriateness of Therapeutic Play Intervention in Preparing Children for Surgery: A Randomized Controlled Trial Study

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 2 2008
Ho Cheung William Li
PURPOSE.,This paper aims to examine the effectiveness and appropriateness of using therapeutic play in preparing children for surgery. DESIGN/METHOD.,A randomized controlled trial was employed. Children (7,12 years of age; n = 203) admitted for surgery during a 13-month period were recruited. RESULTS.,The results support the effectiveness and appropriateness of using therapeutic play in preparing children for surgery. PRACTICE IMPLICATIONS.,The study results promote awareness in nurses and parents that play is a very important part of children's lives, and heighten the importance of integrating therapeutic play as an essential component of holistic and quality nursing care to prepare children for surgery. [source]

Collaborative Childcare Health Consultation: A Conceptual Model

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 2 2008
Angela 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 Conditions

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 1 2008
Agatha 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]

Mental Health and Academic Achievement: Role of School Nurses

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2007
Kathryn Rose Puskar
PURPOSE.,This article discusses how school nurses promote mental health and subsequent academic achievement by screening and referral for children demonstrating mental health problems. Nursing interventions are discussed at the individual, systems, and community levels. CONCLUSION.,Mental health problems can affect school performance and academic achievement. When mental health problems are not recognized, students may be unable to reach their academic potential. School nurses are in a key position to provide interventions to address mental health and academic achievement. PRACTICE IMPLICATIONS.,The role of school nurses and examples of mental health collaborative activities are provided. [source]

Adolescents' Pain Experiences Following Acute Blunt Traumatic Injury: Struggle for Internal Control

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 4 2007
Margie Crandall
ISSUES AND PURPOSE.,Although blunt trauma injury is a common cause for adolescent pain, little is known about the experience of pain as perceived by adolescents. DESIGN AND METHOD.,Semistructured interviews were conducted with 13 adolescents following blunt trauma injury. Two age-appropriate valid measures (i.e., Adolescent Pediatric Pain Tool and Temporal Dot Matrix) were incorporated into the interviews to elaborate their pain experiences. Grounded theory method was used to analyze data and build substantive theory. RESULTS.,Adolescents' behavioral and cognitive actions (i.e., "internal control") to manage and endure pain were influenced by their pain perceptions, physical losses, and clinicians' actions. PRACTICE IMPLICATIONS.,Nurses, family members, and peers have a crucial role in alleviating adolescents' distress and pain. [source]

Children's Expectations of Pain, Perceptions of Analgesic Efficacy, and Experiences With Nonpharmacologic Pain Management Strategies at Home Following Tonsillectomy

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2007
Kimberly 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 Pain

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 3 2007
Charmaine 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]

Learning to Support Children With Complex and Continuing Health Needs and Their Families

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 2 2007
Helen Farasat
PURPOSE.,This paper reports on the evaluation of a pilot placement for preregistration child health nursing students focused on supporting children with complex needs in their homes. CONCLUSIONS.,This type of placement can be beneficial in enabling students to develop practical skills, attitudes, and values that will assist them to provide appropriate support for this client group. The pilot placement clarified some of the major organizational and practical issues that must be considered. PRACTICE IMPLICATIONS.,Developing opportunities for preregistration nursing students to learn to support children with complex needs and their families is possible and potentially beneficial. [source]

Posttraumatic Stress Symptoms in the Pediatric Intensive Care Unit

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, Issue 2 2007
Wendy Ward-Begnoche
PURPOSE.,Children who experience acute injury or illness severe enough to result in a pediatric intensive care unit (PICU) stay are at risk for posttraumatic stress symptoms, as are their parents. A distinction is made between injury-related traumatic events, illness-related traumatic events, and treatment-related traumatic events, all of which contribute to this risk. CONCLUSIONS.,This paper reviews what the PICU experience is like for children and their parents, the emerging literature on posttraumatic stress symptoms in PICU patients and their parents, and current knowledge regarding risk and resiliency factors for these children. PRACTICE IMPLICATIONS.,Children hospitalized in the PICU should be monitored for posttraumatic stress disorder during and after their stay. Risk and resiliency factors are a focus for practice and for future research. [source]