Journal of Child and Adolescent Psychiatric Nursing最新文献

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Reflections of the COVID-19 pandemic on health problems of children with special needs COVID-19 大流行对有特殊需要儿童健康问题的影响。
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-12-16 DOI: 10.1111/jcap.12446
Ayse Dost, Sura Kaya, Ramazan Kurucay, Berkan Sezen, Mehmet Akinci, Nihal Sunal
{"title":"Reflections of the COVID-19 pandemic on health problems of children with special needs","authors":"Ayse Dost,&nbsp;Sura Kaya,&nbsp;Ramazan Kurucay,&nbsp;Berkan Sezen,&nbsp;Mehmet Akinci,&nbsp;Nihal Sunal","doi":"10.1111/jcap.12446","DOIUrl":"10.1111/jcap.12446","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This research aimed to examine changes caused by the COVID-19 pandemic in activities of daily living and health status of children with special needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The current descriptive and comparative study was carried out with 82 students studying at a special education practice school that provided daytime education to children with special needs before and during the COVID-19 pandemic. The Personal Information Form, the Katz Index of Independence in Activities of Daily Living, and the Omaha System Problem Classification Scheme were employed as data collection tools in the research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 10 most common problems during the COVID-19 pandemic were stated as cognition (86.6%), mental health (75.6%), speech and language (85.4%), interpersonal relationships (79.3%), personal care (79.3%), social contact (64.6%), growth and development (63.4%), neighborhood/workplace safety (58.5%), communication with community resources (57.3%), and caretaking/parenting (<i>n</i> = 47, 57.3%). The incidence of “cognition,” “speech and language,” “neighborhood/workplace safety,” “communication with community resources,” and “caretaking/parenting” problems of children with special needs was significantly higher during the pandemic than before the pandemic (<i>p</i> &lt; 0.05; <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The current research emphasized the significant impacts on the health of children with physical and mental disabilities and loss of opportunity, as their education was considerably interrupted during the quarantine. During a pandemic, the regular evaluation of health benefits/risks is essential to ensure the continuity of medical follow-up, rehabilitation, education, and support mechanisms for children with disabilities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12446","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preschoolers and anxiety: The effect of parental characteristics 学龄前儿童与焦虑:父母特征的影响。
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-12-10 DOI: 10.1111/jcap.12445
Maria Kadoglou, Eftychia Tziaka, Maria Samakouri, Aspasia Serdari
{"title":"Preschoolers and anxiety: The effect of parental characteristics","authors":"Maria Kadoglou,&nbsp;Eftychia Tziaka,&nbsp;Maria Samakouri,&nbsp;Aspasia Serdari","doi":"10.1111/jcap.12445","DOIUrl":"10.1111/jcap.12445","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Anxiety is a common phenomenon among children that can lead to adverse developmental outcomes. A challenging parent–child relationship and its characteristics may negatively impact the development of a child's internalizing problems. However, theoretical models on children's anxiety have not fully emphasized the contribution of parenting and environmental factors. Therefore, the aim of this study is to explore the possible correlations between parenting styles and other parental characteristics with children's anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The sample consisted of 443 parents of preschool children who completed the Parenting Styles and Dimension Questionnaire and the Child Behavior Checklist 1.5–5. The univariate analysis included differences between demographic groups, assessed with independent sample <i>t</i>-tests. Associations between demographic evidence and child anxiety were estimated using <i>χ</i><sup>2</sup> tests. Binomial logistic regression analysis assessed the most important parenting characteristics contributing to a child's anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>A total of 24.6% of the children had borderline or clinical symptoms of anxiety. Parents whose children were anxious were more permissive than parents of nonanxious children (<i>p</i> &lt; 0.001). Mothers were more authoritative compared to fathers. In addition, permissive parenting style increased the probability of a child's anxiety and maternal permissive style emerged as a significant predictor of anxiety in preschoolers (<i>p</i> &lt; 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study revealed that the permissive parenting style is associated with anxiety in preschool children. Furthermore, the maternal permissive style was identified as a predictor of anxiety. Future research may address its causal effect on anxiety and other behavioral problems, focusing on multiple perspective relationships and cultural dimensions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12445","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association of adverse family experiences, physical activity, and depression in a national sample of US adolescents 不良家庭经历、体育活动和抑郁症在美国青少年国家样本中的关联。
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-12-07 DOI: 10.1111/jcap.12444
Fanghong Dong
{"title":"The association of adverse family experiences, physical activity, and depression in a national sample of US adolescents","authors":"Fanghong Dong","doi":"10.1111/jcap.12444","DOIUrl":"10.1111/jcap.12444","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problems</h3>\u0000 \u0000 <p>Sufficient engagement in physical activity could foster resilience in adolescents and help alleviate the impact of adverse family experiences (AFEs), such as depression. However, the association between cumulative AFEs exposure, physical activity, and depression remains unclear. The aims of this study are to determine the relationship between AFEs and adolescent depression and whether physical activity moderates this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Secondary analyses were conducted on 29,617 adolescents aged 12–17 years from the 2016–2017 National Survey of Children's Health. Binomial logistic regression was used to examine the relationship among AFEs, child depression, and physical activity. Covariates include individual-level, social-level, and societal-level factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>This study reveals that 7.3% of US adolescents had a depression diagnosis. The odds of having a depression diagnosis among US children were 1.6 times (adjusted OR: 1.6, 95% CI: 1.37–1.86) greater for adolescents with one type of AFEs, and 3.4 times greater (adjusted OR: 3.39, 95% CI: 2.78–4.13) for adolescents with three or more AFEs, compared with children living without AFEs. Physical activity for 1–3 days per week remained a significant, substantial protector of childhood depression among children with at least one type of AFEs (adjusted OR: 0.73, 95% CI: 0.62–0.87).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results suggest a clinical concern for adolescents with more AFEs. Trauma-informed care to address multiple types of trauma and physical activity interventions to reduce depression symptoms may be particularly important.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499684","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}
引用次数: 0
Health-risk behaviors and peer pressure of adolescents in the child protective services in Türkiye: A cross-sectional study 土耳其儿童保护服务中青少年的健康风险行为和同伴压力:一项横断面研究。
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-10-10 DOI: 10.1111/jcap.12442
Zahide İyi RN, MSN, İlknur Kahriman RN, PhD
{"title":"Health-risk behaviors and peer pressure of adolescents in the child protective services in Türkiye: A cross-sectional study","authors":"Zahide İyi RN, MSN,&nbsp;İlknur Kahriman RN, PhD","doi":"10.1111/jcap.12442","DOIUrl":"10.1111/jcap.12442","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>This study was carried out to investigate the health-risk behaviors and peer pressure of adolescents aged 12–18 years in need of protection at child protective services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The data of this cross-sectional study were collected using individual interviews with 85 adolescents living in child homes and child homes buildings complex between February 25 and May 31, 2019. The data were collected using the “Descriptive Information Form,” the “Health-Risk Behaviors Questionnaire,” and the “Peer Pressure Questionnaire.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The results of study in adolescents were 34.1% were in the risk group in terms of weight, and 41.2% had a psychiatric problem. Among the health-risk behaviors of adolescents; 56.5% did not pay attention to daily nutrition, 51.8% had fast food every day, 54.1% injury behaviors were doing dangerous sports, only 15.3% wore seat belts, 78.8% did not exercise three or more days per week, 38.8% watched television and computer three or more hours per day, 27.1% used painkillers without consulting a doctor, 24.7% applied the health recommendations they read on the internet, 20.0% of the adolescents reported that they went on a diet without consulting the healthcare personnel, and 14.1% voluntary vomited to lose or maintain their weight. And 21.2% of the adolescents were exposed to peer pressure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It was concluded that adolescents in need of protection at child protective services have health-risk behaviors and low-level peer pressure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183852","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}
引用次数: 0
Taking a broad view of COVID-19, stressors and youth mental health 对新冠肺炎、压力源和青少年心理健康有广泛的认识。
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-10-10 DOI: 10.1111/jcap.12443
Kathleen R. Delaney PhD, PMH-NP, FAAN
{"title":"Taking a broad view of COVID-19, stressors and youth mental health","authors":"Kathleen R. Delaney PhD, PMH-NP, FAAN","doi":"10.1111/jcap.12443","DOIUrl":"10.1111/jcap.12443","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183853","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}
引用次数: 0
Inpatient pediatric nursing staff experiences treating psychiatric patients: A mixed methods study 住院儿科护理人员治疗精神病患者的经验:一项混合方法研究。
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-09-25 DOI: 10.1111/jcap.12441
Katelyn DeAlmeida BSN, RN, Keli Blanco BSN, RN, Katherine Metz DNP, RN, CPNP-PC, CCRN, Nicole L. Bohr PhD, RN
{"title":"Inpatient pediatric nursing staff experiences treating psychiatric patients: A mixed methods study","authors":"Katelyn DeAlmeida BSN, RN,&nbsp;Keli Blanco BSN, RN,&nbsp;Katherine Metz DNP, RN, CPNP-PC, CCRN,&nbsp;Nicole L. Bohr PhD, RN","doi":"10.1111/jcap.12441","DOIUrl":"10.1111/jcap.12441","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>A gap in the literature exists attempting to understand the impact that the influx of pediatric psychiatric patients has had on inpatient general medicine pediatric nursing staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-method research study was conducted among full- and part-time pediatric nurses and nursing assistants working on general pediatric units. Quantitative data was collected via an anonymous survey using the Professional Quality of Life Scale version 5 and Support Appraisal for Work Stressors scale. Surveys were followed by semistructured interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Of the 158 staff eligible, 47 (29.7%) participated in the quantitative portion. [Correction added on 29 September 2023, after the first online publication: In the preceding sentence, the participation rate was revised from 23.5% to 29.7% in this version.] Significant differences were found between roles, with nurses experiencing lower levels of compassion satisfaction and higher levels of burnout. Role differences were seen in supervisor support and nonwork support, with nurses reporting less support from both. Supervisor support showed a significant correlational relationship with compassion satisfaction and burnout. Nonwork support showed similar correlations with compassion satisfaction and burnout. Themes that emerged from the interviews were Barriers to Care, Emotional Impact, and “Help Me Help You.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses may be at greater risk for compassion fatigue due to perceived inadequate support from leadership, unclear role expectations, and lack of resources.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133445","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}
引用次数: 0
COVID-19 pandemic impact among adolescents with eating disorders referred to Italian psychiatric unit 新冠肺炎大流行对患有饮食失调的青少年的影响被转诊至意大利精神科。
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-09-22 DOI: 10.1111/jcap.12440
Pietro Cappelletto MD, Lisa De Luca PsyD, Benedetta Taddei PsyD, Silvia Taddei PsyD, Annalaura Nocentini PhD, Tiziana Pisano MD
{"title":"COVID-19 pandemic impact among adolescents with eating disorders referred to Italian psychiatric unit","authors":"Pietro Cappelletto MD,&nbsp;Lisa De Luca PsyD,&nbsp;Benedetta Taddei PsyD,&nbsp;Silvia Taddei PsyD,&nbsp;Annalaura Nocentini PhD,&nbsp;Tiziana Pisano MD","doi":"10.1111/jcap.12440","DOIUrl":"10.1111/jcap.12440","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>The COVID-19 pandemic has triggered or exacerbated eating disorders (EDs), especially in adolescents. This study examined the prevalence of admissions of patients with EDs at the Child and Adolescent Psychiatry Unit from the pre-COVID-19 pandemic to March 2023 and explored the differences in dimensions of ED's symptomatology according to the year of access.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We included 174 children and adolescents, 94.3% females and 5.7% males, with a diagnosis of ED (<i>M</i><sub>age</sub> = 14.87; <i>SD</i> = 1.72). The <i>Eating Disorder Inventory-3</i> (EDI-3), the <i>Body Uneasiness Test</i> (BUT) and <i>Youth Self Report ASEBA</i> (YSR) were assessed. A one-way analysis of variance test was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>EDs' hospitalization prevalence was higher in the years 2020 and 2021 compared to pre-COVID-19 and the year 2022. Considering the ED psychopathology (EDI-3), findings showed a higher score in the dimension of the push to thinness, body dissatisfaction, asceticism, and fear of maturity in the year 2021 compared to pre-pandemic. Regarding the discomfort related to the image of one's own body (BUT), results showed an increase in the global severity index in the year 2022 compared to pre-pandemic and in weight phobia in the year 2021 compared to the year 2020. Concerning the internalizing symptoms (YSR), a tendency was found for withdrawal/depression, with higher levels in the year 2022 compared to the year 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study highlighted the increase of different types of EDs symptomatology related to concerns about weight, especially 2 and 3 years after the outbreak of the pandemic, on which the literature is still scarce, especially in the Italian context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12440","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41113335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metabolic monitoring of pediatric patients prescribed second-generation antipsychotic medication 对服用第二代抗精神病药物的儿科患者进行代谢监测
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-08-16 DOI: 10.1111/jcap.12438
Julie Henshaw Roebuck DNP, APRN, PMHNP-BC
{"title":"Metabolic monitoring of pediatric patients prescribed second-generation antipsychotic medication","authors":"Julie Henshaw Roebuck DNP, APRN, PMHNP-BC","doi":"10.1111/jcap.12438","DOIUrl":"10.1111/jcap.12438","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The prevalence of psychotropic medication prescription use in youth has increased over the past several years. Despite recommendations and practice parameters established by the American Diabetes Association-American Psychiatric Association (ADA-APA) outlining metabolic monitoring of patients prescribed second-generation antipsychotic (SGA) medication, monitoring adherence for the pediatric patient population remains inadequate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This project aimed to improve metabolic monitoring of pediatric patients prescribed SGAs and discharge recommendations for follow-up monitoring within a small, child, and adolescent psychiatric hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This project compared metabolic monitoring adherence rates pre and postimplementation of a metabolic monitoring organizational policy developed to provide procedural guidance, using ADA-APA guidelines. Participants included prescribing clinicians (physicians and psychiatric nurse practitioners).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Phase 1 chart reviews found no records of fasting blood glucose, fasting lipid profile or waist circumference. Following project implementation, chart review found that fasting blood glucose and fasting lipid profile was recorded in 21 (72.4%) of the charts, and waist circumference was recorded in 18 (62.1%) of the charts for patients prescribed SGA medication. For patients discharged on an SGA, written recommendations for follow-up metabolic monitoring improved from 13% to 70% (&lt;0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Implementing an organizational metabolic monitoring policy and protocol can improve clinician adherence to ADA-APA guidelines for recording in-patient monitoring of metabolic parameters and discharge recommendations for pediatric patients prescribed SGA medication.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.12438","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10367806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing the DSM-5 parent/guardian-rated level 1 cross-cutting symptom measure child 6−17 in a community mental health clinic 在社区心理健康诊所实施 DSM-5 家长/监护人评定的 6-17 岁儿童一级交叉症状测量法
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-08-13 DOI: 10.1111/jcap.12439
Hervé Corbel DNP, PMHNP-BC, AHN-BC, Elizabeth Kinchen PhD, RN, AHN-BC, SGAHN
{"title":"Implementing the DSM-5 parent/guardian-rated level 1 cross-cutting symptom measure child 6−17 in a community mental health clinic","authors":"Hervé Corbel DNP, PMHNP-BC, AHN-BC,&nbsp;Elizabeth Kinchen PhD, RN, AHN-BC, SGAHN","doi":"10.1111/jcap.12439","DOIUrl":"10.1111/jcap.12439","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Despite their relevance to assessment and clinical decision-making in behavioral health, measurement tools are still rarely used in clinical settings. With an increase in undiagnosed and untreated mental health problems in children and adolescents, a southeastern US Community Health System was the ideal setting for the implementation of a behavioral health assessment tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This quality improvement project was conducted to address the question: “Among mental health clinicians at the Community Health System, will the use of the DSM-5 parent/guardian-rated level 1 cross-cutting symptom measure 6−17 (CCSM) improve diagnosis and treatment choices of children with mental health conditions, over a 4-week period?” A convenience sample was recruited from among behavioral health counselors working at various out-patient clinics and school-based counseling sites in the Community Health System. After nurse-led training on use of the CCSM, including a PowerPoint intervention and individual coaching sessions, the five clinical participants were encouraged to use the CCSM screening tool on their patients presenting for mental health assessment. Knowledge of the tool was assessed using a pre- and post-training survey. Completed screening tools were collected from participants over the 4-week duration of the project.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>A chart audit comparing the project period with the previous year showed an increase in diagnosis and treatment in 6−17 year-old patients at the outpatient clinic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This project demonstrated the usefulness of the CCSM for behavioral health assessment in the child/adolescent population at the Community Health System and supported use of the intervention in other clinics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10353785","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}
引用次数: 0
Nurses should respond to critical quality questions of child/adolescent inpatient treatment 护士应该对儿童/青少年住院治疗的关键质量问题作出回应
IF 1.5
Journal of Child and Adolescent Psychiatric Nursing Pub Date : 2023-08-02 DOI: 10.1111/jcap.12437
Kathleen R. Delaney PhD, PMHNP, FAAN
{"title":"Nurses should respond to critical quality questions of child/adolescent inpatient treatment","authors":"Kathleen R. Delaney PhD, PMHNP, FAAN","doi":"10.1111/jcap.12437","DOIUrl":"10.1111/jcap.12437","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929825","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}
引用次数: 0
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