Comprehensive Child and Adolescent Nursing-Building Evidence for Practice最新文献

{"title":"Hospital-Based Therapy Dog Walking for Adolescents with Orthopedic Limitations: A Pilot Study","authors":"C. Vitztum, P. Kelly, An-Lin Cheng","doi":"10.1080/24694193.2016.1196266","DOIUrl":"https://doi.org/10.1080/24694193.2016.1196266","url":null,"abstract":"ABSTRACT Nine out of 10 adolescents fail to achieve recommended levels of aerobic and muscle-strengthening physical activity leading to deleterious consequences for individuals and a public health epidemic. Whereas all adolescents comprise a vulnerable population because of minimal levels of physical activity, those with an orthopedic limitation, including slipped capitol femoral epiphyses or Blount’s disease, are at greater risk despite shared characteristics with the general adolescent population such as normal cognition and independent ambulation. Few, if any, interventions examine effective strategies for physical activity in this population. Therapy dog-walking is proposed as an original approach for physical activity. Although this form of human-animal interaction is a potential strategy for increasing physical activity, it lacks credibility due to a paucity of studies using well-constructed, experimental designs. The objective of this pilot study was to use a one group (n = 7), prospective, pre/post design to assess feasibility and acceptability, and to serve as the foundation for future research on therapy dog-walking in this population. Feasibility and acceptability were assessed by results of the recruitment strategy, by process evaluation, and by participant satisfaction survey and interview. Descriptive statistics summarized participant demographics and protocol requirements, including the use of accelerometers. Wilcoxon matched pairs tests were used to assess participants’ experience with the dogs. Paired samples t-tests compared physical activity levels before, during, and after the dog-walking intervention. Pender’s health promotion model was the guiding framework for this study. Physical activity levels were significantly increased during the intervention compared to before (p = .049) and after (p = .025) as well as during the walking sessions themselves (p = .000). Participants expressed high enthusiasm for the program: 6 of the 7 participants attended 100% of the walking sessions when no restrictions to physical activity participation were present. No differences between the participant’s pre and post-intervention dog experience were found. These findings indicate a therapy dog-walking program is an acceptable and feasible strategy for increasing physical activity in this population. Additional research with a larger sample size, more rigorous methodological design, and refinement of the data collection methods is required.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2016.1196266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60124159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Type 1 Diabetes on Health-Related Quality of Life Among 8–18-Year-Old Children","authors":"C. Petersson, K. Huus, K. Enskär, L. Hanberger, Ulf Samulesson, K. Åkesson","doi":"10.1080/24694193.2016.1196265","DOIUrl":"https://doi.org/10.1080/24694193.2016.1196265","url":null,"abstract":"ABSTRACT Measuring the health-related quality of life (HRQOL) is one way to understand an individual’s perspective on health, and, more specifically, how type 1 diabetes (T1D) affects a child’s everyday life. Early detection of poor HRQOL is considered a crucial factor for identifying children who are at risk of psychosocial problems. The aim of this study was to describe the differences in the HRQOL of children with T1D according to age, gender, and metabolic control (HbA1c). Cross-sectional data were collected from children with T1D using the DISABKIDS Chronic Generic Measure-37 (DCGM-37) and the diabetes specific module (DM-10). Non-parametric tests were used to investigate differences. There were differences between girls and boys, and girls reported lower HRQOL than boys (HRQOL total score: mean 74 and 67 respectively; p = .005). Adolescents described more worries and fears about the future compared with younger children. Children with poor metabolic control reported a lower HRQOL than those with better metabolic control (HRQOL total score:mean 68 and 76 respectively; p = .006), but the social dimensions were not affected. The findings of the present study elucidate the importance for paediatric nurses to explore potential problems in children with T1D and use this knowledge in clinical practice. Assessment of the HRQOL can provide the patient’s perspective on the quality of diabetes care. The HRQOL is correlated with HbA1c, gender, and age, and the HRQOL as well as HbA1c levels should be regularly assessed to establish a comprehensive care for children with T1D.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2016.1196265","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60124106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parents’ Communication Preferences Prior to the Interhospital Transfer of an Acutely-ill Child: A Qualitative Study","authors":"K. Masterson, M. Brenner","doi":"10.1080/24694193.2016.1186759","DOIUrl":"https://doi.org/10.1080/24694193.2016.1186759","url":null,"abstract":"ABSTRACT Parental stress is a common theme in studies of parents during the inter-hospital transfer of an acutely ill child, however, little is known about their specific information needs at this critical juncture in care delivery. In this study we aimed to understand parents’ communication preferences and information needs immediately prior to the inter-hospital transfer of their acutely ill child. Semi-structured interviews were conducted with 10 parents between March and October 2014 to explore their experiences of communication practices immediately prior to the transfer of their child from a secondary to a tertiary care center in Ireland. Data were analyzed using the modified Van Kaam method. Two key themes emerged: “worst-case scenario” and ability to absorb information. Parents value being prepared for the potential deterioration of their child during an inter-hospital transfer. However, information giving in this pre-transfer period needs to take account of parents’ compromised ability to absorb this detail due to exhaustion and stress at this time.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2016.1186759","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60124054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous Service Quality Improvement and Change Management for Children and Young People with Autism and Their Families: A Model for Change","authors":"R. Kennedy, F. Binns, A. Brammer, J. Grant, J. Bowen, R. Morgan","doi":"10.1080/24694193.2016.1178357","DOIUrl":"https://doi.org/10.1080/24694193.2016.1178357","url":null,"abstract":"ABSTRACT A case study approach was used that included data collection from a wide range of sources, e.g., a stakeholder conference, audit, questionnaires, and evaluative feedback from carers, families, staff, and Autism Champions. Integrated pathways for patient care improvement were developed. Families and carers were involved in raising awareness of the needs of children with autism and policy development to meet these needs. Increased involvement from interdisciplinary working strengthened the work of the Recognising Autism Management Programme (RAMP) and improved patient care outcomes. The interventions undertaken by the RAMP resulted in improved patient /carer satisfaction, the reduction of challenging behaviour, complaints, and treatment refusal. The Autism Champions played a significant role in signposting resources and the cascading of education and practice development. All children and young people (0–25 years) on the Autism Spectrum and their families benefit from safe, individualised, high quality care in a supportive environment. Education of staff and families and targeted actions in adapting attitudes and behaviours in communication and care management will result in positive experiences for staff, children and families and financial benefit to the NHS Trust by reducing cancellation of appointments and operating theatre slots.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2016.1178357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60123961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Body Composition Measurement in Children with Cerebral Palsy, Spina Bifida and Spinal Cord Injury: A Systematic Review of the Literature","authors":"M. Polfuss, P. Papanek, Fallon Meyer-Wentland, Andrea Moosreiner, L. Wilkas, K. Sawin","doi":"10.3109/24694193.2016.1168888","DOIUrl":"https://doi.org/10.3109/24694193.2016.1168888","url":null,"abstract":"ABSTRACT Pediatric obesity is a major health concern that has an increased prevalence in children with special needs. In order to categorize a child’s weight, an assessment of body composition is needed. Obtaining an accurate body composition measurement in children with special needs has many challenges associated with it. This perplexing scenario limits the provider’s ability to screen, prevent and treat an abnormal weight status in this vulnerable population. This systematic review summarizes common methods of body composition measurements, their strengths and limitations and reviews the literature when measurements were used in children with cerebral palsy, spina bifida and spinal cord injury. Following PRISMA guidelines, 222 studies were identified. The application of the inclusion and exclusion criteria yielded a final sample of nine studies included in this review. Overall, articles reinforced the inconsistencies of body composition measurement and methodology when used with children with special needs. Concerns include small sample sizes, the need to validate prediction equations for this population, and the lack of controlled trials and reporting of measurement methodology. Healthcare providers need to be aware of the complexities associated with measuring body composition in children with special needs and advocate for further testing of these measurements. Additional studies addressing the reliability and validity of these measures are needed to facilitate appropriate health promotion in children.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/24694193.2016.1168888","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69461086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting the Profession of Children’s and Young People’s Nursing Through Scholarly Application","authors":"E. Glasper","doi":"10.1080/24694193.2016.1184052","DOIUrl":"https://doi.org/10.1080/24694193.2016.1184052","url":null,"abstract":"I am sure that all our readers will be delighted with the new look journal and its change of name from Issues in Comprehensive Pediatric Nursing to Comprehensive Child and Adolescent Nursing: Building Evidence for Practice. The name and colour of the journal may have changed but the mission parameters remain the same. The journal is still the oldest dedicated children’s nursing journal in the world and my editorial board colleagues and I remain proud of that tradition and its aspiration to continue to build the evidence base which underpins the art and science of our profession. The new look journal will continue to contribute to the knowledge base of children’s nurses and other health care professionals who care for children in all health care settings. We all know that child health nursing is a succinct age related field of practice that requires nurses in practice to acquire detailed knowledge of children’s development to meet their highly specific physiological, psychological, emotional, and social needs, especially when they are sick. COMPREHENSIVE CHILD AND ADOLESCENT NURSING 2016, VOL. 39, NO. 2, 81–83 http://dx.doi.org/10.1080/24694193.2016.1184052","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2016.1184052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60123996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Contribution of Dr. Charles West to the Development of Contemporary Health Care for Sick Children","authors":"F. Festini, E. Glasper","doi":"10.1080/24694193.2016.1184053","DOIUrl":"https://doi.org/10.1080/24694193.2016.1184053","url":null,"abstract":"ABSTRACT Professors Festini and Glasper discuss the significant contribution of Dr Charles West to the development of paediatrics and children’s nursing during the 19th century and reflect on his legacy to the contemporary care of sick children.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2016.1184053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60124018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Pediatric Burn Wound Colonization and the Surrounding Environment","authors":"Sara E. Fore, Emily C. Munchel, S. Goldstein, Joanne Mills, Sarah Vanderwagen, D. Stewart, P. Colombani","doi":"10.3109/24694193.2016.1167986","DOIUrl":"https://doi.org/10.3109/24694193.2016.1167986","url":null,"abstract":"ABSTRACT There are wide ranging practices in barrier isolation standards for pediatric burn patients. The benefits of barrier isolation for burn patients have not been clearly shown through scientific study. Research has shown that patients with a total body surface area (TBSA) burn larger than 30% are more likely to require special precautions, however to date there has been no study that delineates the effect of isolation and precaution techniques on wound infection in pediatric patients with burns less than 20% TBSA. The aim of this research was to determine if small burn wounds (less than 20% TBSA) are colonized with bacterial growth and if that same bacteria is contaminating the patient’s surrounding environment, therefore requiring barrier isolation. The goals of this study were: to determine the colonization rates in burn wounds in our hospital setting, to decrease patient and family anxiety related to barrier isolation, and to decrease unnecessary use of hospital resources, e.g., isolation attire and time. Results from this research study led to a change in hospital policy.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/24694193.2016.1167986","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69461079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiver-Infant Interaction Quality: A Review of Observational Assessment Tools","authors":"P. Tryphonopoulos, N. Letourneau, E. Ditommaso","doi":"10.3109/01460862.2015.1134720","DOIUrl":"https://doi.org/10.3109/01460862.2015.1134720","url":null,"abstract":"ABSTRACT The relationship between caregiver and infant interaction quality and infant developmental outcomes has long been established. As children mature, problems stemming from troubled caregiver-infant relations may result in referral to mental health, early intervention, or child protection services. The accurate and appropriate assessment of caregiver-infant interaction is critical for early recognition of problematic relations and for informing suitable treatment modalities. Evaluating the quality of the caregiver-infant relationship poses a challenge for researchers and clinicians seeking to explore the association between infant development and the quality of early caregiving experiences. This paper describes and compares commonly used measures of caregiver-infant interaction, including the Parent-Child Interaction Scales, Mutual Regulation Scales, Parent-Child Early Relationship Assessment, Mother-Infant Communication Screening, Ainsworth Maternal Sensitivity Scales, Maternal Behavior Q-sort, and the Emotional Availability Scales.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2015.1134720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69566264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Knowing the Places of Care”: How Nurses Facilitate Transition of Children with Complex Health Care Needs from Hospital to Home","authors":"B. Carter, L. Bray, C. Sanders, C. van Miert, A. Hunt, Andrew J Moore","doi":"10.3109/01460862.2015.1134721","DOIUrl":"https://doi.org/10.3109/01460862.2015.1134721","url":null,"abstract":"ABSTRACT The number of children with complex health care needs continues to rise and they often have prolonged hospital stays with their discharge home being delayed by a range of factors. These delays occur despite the fact that, except in extraordinary circumstances, a child’s home is the most appropriate place for them to receive long-term care. The aim of this qualitative interview-based study was to explore the work of nurses whose main role is supporting children and families move from an institutional place of care to long-term care within the family home. Analysis of interview transcripts was collaborative, interpretive, and thematic. A total of 46 participants (9 nurses and 37 local stakeholders) engaged in the study. Findings reflect the ways in which the nurses facilitated transition of children with complex needs from hospital to home and the journeys the nurses took to develop the skills, knowledge, and networks needed to support this transition. “Knowing the places of care” was fundamental to the success of the nurses’ work. As the nurses’ knowledge of the places (and processes) of care deepened, they were better able to act as informed guides to families and other professionals and to improve care. The nurses’ practice was driven by the belief that the place where care occurs matters. Home was seen as a transformative and sustaining place where caring practices could become incorporated into an environment in which the family could exist and be nurtured together.","PeriodicalId":45903,"journal":{"name":"Comprehensive Child and Adolescent Nursing-Building Evidence for Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2016-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/01460862.2015.1134721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69566311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}