Journal of Child Health Care最新文献

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Non-pharmacological interventions to reduce anxiety among children undergoing surgery: A systematic review. 非药物干预以减少手术儿童的焦虑:系统回顾。
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 DOI: 10.1177/13674935211062336
Edlin Glane Mathias, Mamatha Shivananda Pai, Vasudeva Guddattu, Ann-Cathrine Bramhagen
{"title":"Non-pharmacological interventions to reduce anxiety among children undergoing surgery: A systematic review.","authors":"Edlin Glane Mathias,&nbsp;Mamatha Shivananda Pai,&nbsp;Vasudeva Guddattu,&nbsp;Ann-Cathrine Bramhagen","doi":"10.1177/13674935211062336","DOIUrl":"https://doi.org/10.1177/13674935211062336","url":null,"abstract":"<p><p>A hospitalized child experiences anxiety more frequently as compared to non-hospitalized children. Surgery can be emotionally distressing for children, and subsequently their parents and caregivers, this distress can cause profound adverse impacts on children. We aimed to identify the effect of non-pharmacological interventions on children's (1-18 years) anxiety undergoing surgery. The following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index of Nursing and Allied Health Literature (CINAHL), Proquest, Web\" of Science, and Cochrane Central Register of Controlled Trials were systematically searched for full-text articles. The review included 15 randomized controlled trials. The risk of bias was assessed using Cochrane Risk of Bias tool. The interventions included in the study were preoperative education, puppet play, therapeutic play, distraction activities, parental presence, and clown therapy. The review presents a narrative reporting of the findings. This review identifies that non-pharmacological interventions are effective in reducing anxiety among children undergoing surgery. There are a limited number of studies from developing countries. Further research is required to underpin the use of these interventions with children before surgery.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"466-487"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10230742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Determinants of health care seeking behavior for childhood infectious diseases and malnutrition: A slum-based survey from Bangladesh. 儿童传染病和营养不良求医行为的决定因素:孟加拉国贫民窟调查
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 DOI: 10.1177/13674935211057714
Sumaiya Akter, Md Hasan Al Banna, Keith Brazendale, Mst Sadia Sultana, Satyajit Kundu, Tasnim Rahman Disu, Najim Z Alshahrani, Md Abu Tareq, Md Nazmul Hassan, Md Shafiqul Islam Khan
{"title":"Determinants of health care seeking behavior for childhood infectious diseases and malnutrition: A slum-based survey from Bangladesh.","authors":"Sumaiya Akter,&nbsp;Md Hasan Al Banna,&nbsp;Keith Brazendale,&nbsp;Mst Sadia Sultana,&nbsp;Satyajit Kundu,&nbsp;Tasnim Rahman Disu,&nbsp;Najim Z Alshahrani,&nbsp;Md Abu Tareq,&nbsp;Md Nazmul Hassan,&nbsp;Md Shafiqul Islam Khan","doi":"10.1177/13674935211057714","DOIUrl":"https://doi.org/10.1177/13674935211057714","url":null,"abstract":"<p><p>This study aimed to explore the magnitude and determinants of health care seeking behaviors for common infectious disease and malnutrition among Bangladeshi under-five children living in slum areas. A cross-sectional study of 300 children-caregiver dyads was conducted in an urban slum of Bangladesh. Data were collected via a structured questionnaire with accompanying anthropometric assessments of children administered by research staff. Multiple logistic regression was employed to identify associated factors of health care seeking behaviors. Only 44.7% and 13.0% of respondents sought care for childhood infectious diseases and malnutrition, respectively. Being a male child, 2-5 years old, having ≤5 family members, monthly family income >125$, and living in close proximity to a health facility were found to be potential determinants of health care seeking behavior for childhood infectious diseases. Mother/caregivers with poor nutritional information knowledge and who had a child 2-5 years old reported engaging in less care seeking behaviors regarding their child's malnutrition compared to their counterparts<b>.</b> Caregivers of children under the age of 5 years old reported low participation in health care seeking behaviors in relation to childhood infectious disease and malnutrition. Families living in slums require additional support targeting health and nutritional educational programs.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"395-409"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10172322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Health anxiety and associated constructs in school-age children and adolescents with congenital heart disease and their parents: A children's healthy-heart activity monitoring program in Saskatchewan cohort study. 患有先天性心脏病的学龄儿童和青少年及其父母的健康焦虑和相关构念:萨斯喀彻温省儿童健康心脏活动监测项目的队列研究
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 DOI: 10.1177/13674935221075896
Jessica L Llewelyn-Williams, Amanda M Oliver, Kristi D Wright, Shonah Runalls, Dana S Lahti, Timothy J Bradley, Ashok Kakadekar, Scott Pharis, Charissa Pockett, Marta C Erlandson, Corey R Tomczak
{"title":"Health anxiety and associated constructs in school-age children and adolescents with congenital heart disease and their parents: A children's healthy-heart activity monitoring program in Saskatchewan cohort study.","authors":"Jessica L Llewelyn-Williams,&nbsp;Amanda M Oliver,&nbsp;Kristi D Wright,&nbsp;Shonah Runalls,&nbsp;Dana S Lahti,&nbsp;Timothy J Bradley,&nbsp;Ashok Kakadekar,&nbsp;Scott Pharis,&nbsp;Charissa Pockett,&nbsp;Marta C Erlandson,&nbsp;Corey R Tomczak","doi":"10.1177/13674935221075896","DOIUrl":"https://doi.org/10.1177/13674935221075896","url":null,"abstract":"<p><p>Youth with congenital heart disease (CHD) have been found to experience higher levels of health anxiety and associated constructs than typically developing peers. The association between youth and parent health anxiety has been explored in typically developing youth but this association remains unknown in youth with CHD. This association was explored using a prospective, cross-sectional study that included 36 school-age children and adolescents with CHD (median age =10.5 years, <i>IQR</i> = 4) and 35 parents (median age = 44 years, <i>IQR</i> = 10.5). Participants completed a demographic form and measures of health anxiety, anxiety sensitivity, intolerance of uncertainty, and anxiety disorder symptom categories (youth) or general anxiety (parent). Associations were observed between child and adolescent panic/agoraphobia symptoms and parent state anxiety (<i>r</i> = .41), child and adolescent intolerance of uncertainty and parent state and trait anxiety (<i>r</i> = .37; <i>r</i> = .46, respectively), and child and adolescent anxiety sensitivity and parent state anxiety (<i>r</i> = .40). No association was observed between health anxiety in children and adolescents and parents nor between child and adolescent health anxiety and parent associated constructs. For parents, associations between health anxiety and all measures of associated constructs of interest were observed. Study findings will facilitate improved understanding of the psychological needs of school-age children and adolescents with CHD.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"450-465"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10528158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Barriers and facilitators to discussing parent mental health within child health care: Perspectives of parents raising a child with congenital heart disease. 在儿童医疗保健中讨论家长心理健康的障碍和促进因素:抚养先天性心脏病患儿的父母的观点。
IF 1.3 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 Epub Date: 2021-12-08 DOI: 10.1177/13674935211058010
Melanie K Franklin, Allison Karpyn, Jennifer Christofferson, Linda G McWhorter, Abigail C Demianczyk, Cheryl L Brosig, Emily A Jackson, Stacey Lihn, Sinai C Zyblewski, Anne E Kazak, Erica Sood
{"title":"Barriers and facilitators to discussing parent mental health within child health care: Perspectives of parents raising a child with congenital heart disease.","authors":"Melanie K Franklin, Allison Karpyn, Jennifer Christofferson, Linda G McWhorter, Abigail C Demianczyk, Cheryl L Brosig, Emily A Jackson, Stacey Lihn, Sinai C Zyblewski, Anne E Kazak, Erica Sood","doi":"10.1177/13674935211058010","DOIUrl":"10.1177/13674935211058010","url":null,"abstract":"<p><p>This study aimed to identify barriers and facilitators to discussing parent mental health within child health care for parents of children with congenital heart disease (CHD). Seventy-nine parents of young children with CHD who received care across 40 hospitals in the United States responded to questions about barriers and facilitators to discussing their mental health with their child's health care providers. Responses were analyzed using qualitative research methods. Parents described multiple barriers: (1) belief that parent mental health support was outside the care team's scope of practice, (2) perceived expectation to \"stay strong,\" (3) fear of negative judgment or repercussion, (4) individual preferences for communication/support, (5) desire to maintain care resources on their child, (6) perceived need to compartmentalize emotions, and (7) negative reactions to past emotional disclosure. Parents also described several facilitators: (1) confidence in the care team's ability to provide support, (2) intentional efforts by the care team to provide support, (3) naturally extroverted tendencies, and (4) developing personal connections with health care providers. It is important that health care providers normalize the impact of child illness on the family and create an environment in which parents feel comfortable discussing mental health challenges.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"360-373"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9174345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10545652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mind the power gap: How hierarchical leadership in healthcare is a risk to patient safety. 注意权力差距:医疗保健中的等级领导如何对患者安全构成风险。
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 DOI: 10.1177/13674935231196197
Constantinos Kanaris
{"title":"Mind the power gap: How hierarchical leadership in healthcare is a risk to patient safety.","authors":"Constantinos Kanaris","doi":"10.1177/13674935231196197","DOIUrl":"https://doi.org/10.1177/13674935231196197","url":null,"abstract":"","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"319-322"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10168932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Cellie Coping Kit for children with Eosinophilic Esophagitis: Feasibility, acceptability, and preliminary outcomes. 针对嗜酸性粒细胞食管炎儿童的 Cellie 应对工具包:可行性、可接受性和初步结果。
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 Epub Date: 2022-01-03 DOI: 10.1177/13674935211064126
Alain J Benitez, Ashley McGar, Kristen Kohser, Troy Gibbons, Amanda Muir, Maria Mascarenhas, Carmen Rossi, Francesca Dogias, Anneliese Golden, Nancy Kassam-Adams, Meghan L Marsac
{"title":"The Cellie Coping Kit for children with Eosinophilic Esophagitis: Feasibility, acceptability, and preliminary outcomes.","authors":"Alain J Benitez, Ashley McGar, Kristen Kohser, Troy Gibbons, Amanda Muir, Maria Mascarenhas, Carmen Rossi, Francesca Dogias, Anneliese Golden, Nancy Kassam-Adams, Meghan L Marsac","doi":"10.1177/13674935211064126","DOIUrl":"10.1177/13674935211064126","url":null,"abstract":"<p><p>Children with eosinophilic esophagitis (EoE) are faced with ongoing treatments that can impact their wellbeing. There are no evidence-based resources that families can implement independently to cope with EoE-related stressors. This study aimed to examine acceptability, feasibility, and preliminary outcomes of the newly developed Cellie Coping Kit for Children with EoE intervention. Forty child-caregiver dyads completed a baseline assessment (T1) and initiated the intervention; 30 (75%) child participants and 33 (82.5%) caregivers were retained to follow-up (T2). Of those who completed the T2 assessment, most reported that the intervention was easy to use (>90%) and would recommend the intervention to others (>90%). The intervention was feasible: >70% used the kit, and most indicated they would use it again (>75%). More than half of families reported learning new information and/or coping strategies. No statistically significant changes were identified in comparing T1 and T2 coping and health-related quality of life. These findings suggest that the Cellie Coping Kit for Children with EoE is a promising intervention in that it was well accepted, feasible, and helped many families learn novel strategies on how to manage EoE challenges. Future research should examine how to strengthen the intervention to achieve longer-term targeted outcomes.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"374-385"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10172309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of a cluster-randomized exercise intervention on cardiovascular health in preschoolers. 群随机运动干预对学龄前儿童心血管健康的影响
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 DOI: 10.1177/13674935221078368
Alice Minghetti, Oliver Faude, Lars Donath, Henner Hanssen
{"title":"Effects of a cluster-randomized exercise intervention on cardiovascular health in preschoolers.","authors":"Alice Minghetti,&nbsp;Oliver Faude,&nbsp;Lars Donath,&nbsp;Henner Hanssen","doi":"10.1177/13674935221078368","DOIUrl":"https://doi.org/10.1177/13674935221078368","url":null,"abstract":"<p><p>Primary health prevention in at-risk children is receiving increased attention while less information is available on cardiovascular profile and response to exercise in healthy children. Our study examined the effects of a gross motor skill-based exercise intervention on micro- and macro-vascular health in preschoolers. This is a sub-study of a five-armed clinical trial with six kindergartens and 68 children. Four kindergartens were assigned to the intervention group (INT) and two to control groups (CON). We performed gross motor skill assessment (TGMD-2), static retinal vessel analysis, and measurements of central hemodynamics before and after the intervention. INT received one weekly exercise session for 25 weeks, while CON received no intervention. We calculated linear regressions correcting for age, sex, BMI-percentile, and baseline. We observed favorable effects in TGMD-2 for INT over CON (Cohen's <i>d</i> = 0.52 95% CI [0.15; 0.90]). Trivial between-group differences were observed in retinal vessel diameters (0.08 < <i>d</i> ≤ 0.29) and trivial to moderate differences in all other arterial stiffness parameters (-0.55 < <i>d</i> ≤ 0.31). Motor-skill based interventions are sensible measures to incorporate physical activity in pre-schools and improve gross motor proficiency at a very young age. The potential of motor skill-based interventions as primordial prevention strategy in healthy preschoolers needs to be further investigated.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"424-434"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10528152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The indirect health impacts of the COVID-19 pandemic on children and adolescents: A review. COVID-19大流行对儿童和青少年的间接健康影响:综述
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 DOI: 10.1177/13674935211059980
Tina Ga Oostrom, Patricia Cullen, Sanne Ae Peters
{"title":"The indirect health impacts of the COVID-19 pandemic on children and adolescents: A review.","authors":"Tina Ga Oostrom,&nbsp;Patricia Cullen,&nbsp;Sanne Ae Peters","doi":"10.1177/13674935211059980","DOIUrl":"https://doi.org/10.1177/13674935211059980","url":null,"abstract":"<p><p>It is pertinent to examine potentially detrimental impacts of the coronavirus disease 2019 (COVID-19) pandemic on young people. We conducted a review to assess the health impacts of the COVID-19 pandemic on children and adolescents. Databases of MEDLINE, Embase and the Cochrane Library were searched in June 2020, using keywords for 'children', 'adolescents' and 'COVID-19'. English papers discussing young people in context to the COVID-19 pandemic were included. Quality of selected studies was evaluated and scored. Of the 2013 identified articles, 22 met the inclusion criteria, including 11 cohort studies, ten cross-sectional studies and one report. Five main issues emerged: Increased mental health conditions, declines in presentations to paediatric emergency departments, declines in vaccination rates, changes in lifestyle behaviour (mainly decreased physical activity for specific groups of children), and changes in paediatric domestic violence and online child sexual abuse. There are early indications that the COVID-19 pandemic is impacting the health of young people, and this is amplified for those with existing health conditions and vulnerabilities. Despite this, there is limited insight into the protective factors for young people's health and wellbeing, as well as how the impacts of the pandemic can be mitigated in both the short and long term.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"488-508"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10230748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Pediatric tracheostomy speaking valves: A multidisciplinary protocol leads to earlier initial trials. 儿童气管切开术说话阀:多学科协议导致早期初步试验。
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 DOI: 10.1177/13674935211070416
Karen Kam, Rebecca Patzelt, Renee Soenen
{"title":"Pediatric tracheostomy speaking valves: A multidisciplinary protocol leads to earlier initial trials.","authors":"Karen Kam,&nbsp;Rebecca Patzelt,&nbsp;Renee Soenen","doi":"10.1177/13674935211070416","DOIUrl":"https://doi.org/10.1177/13674935211070416","url":null,"abstract":"<p><p>Early speaking valve application in children with tracheostomies is encouraged for language development. Whether an institutional multidisciplinary protocol impacts the patient population and timelines for which a speaking valve is trialed has not been studied. This retrospective study compared speaking valve trials performed at a pediatric quaternary hospital over a 12-year period. Timelines (time between tracheostomy insertion, speech-language pathologist (SLP) consultation, speaking valve order, and trial) and patient characteristics (demographics, tracheostomy classification, and feeding status) were collected. Medians (IQRs) compared timelines before and after a protocol was instituted and compared the timelines between tracheostomy classifications. Median time between tracheostomy insertion and SLP consultation did not change: before protocol-1.8 (7.7) months and after protocol-1.8 (2.4) months. Time between tracheostomy insertion and speaking valve trial decreased: before protocol-34.1 (40.5) months and after protocol-12.9 (8.4) months. Time between tracheostomy insertion and trial was not different between tracheostomy classifications: upper airway obstruction-16.0 (27.1) months, complex medical condition-36.3 (45.8) months, and invasive ventilation-17.5 (22.3) months. An institutional multidisciplinary protocol decreases the time between tracheostomy insertion and speaking valve trial, regardless of the reason the tracheostomy is needed in the pediatric population.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"386-394"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10528148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Parent and staff perspectives on the benefits and barriers to communication with infants in the neonatal intensive care unit. 父母和工作人员对新生儿重症监护病房中与婴儿沟通的好处和障碍的看法。
IF 1.9 4区 医学
Journal of Child Health Care Pub Date : 2023-09-01 DOI: 10.1177/13674935221076216
Rachel Romeo, Regina Pezanowski, Kassie Merrill, Sarah Hargrave, Anne Hansen
{"title":"Parent and staff perspectives on the benefits and barriers to communication with infants in the neonatal intensive care unit.","authors":"Rachel Romeo,&nbsp;Regina Pezanowski,&nbsp;Kassie Merrill,&nbsp;Sarah Hargrave,&nbsp;Anne Hansen","doi":"10.1177/13674935221076216","DOIUrl":"https://doi.org/10.1177/13674935221076216","url":null,"abstract":"<p><p>Exposure to high quantity and quality of language in the neonatal period is critical to neurocognitive development; however, Neonatal Intensive Care Unit (NICU) environments may contribute to language deprivation. Using qualitative thematic content analysis, this study aimed to characterize the knowledge and attitudes of NICU staff and patient families toward the importance of early language experience, the current NICU language environment, and the benefits and barriers of communication in the NICU. Results revealed that all respondents recognized the importance of communication for optimal cognitive development, though few understood why. Staff and family members alike recognized the role of nurses as coaches and role models in promoting communication at the bedside. Nurses generally felt that family members communicate less with their babies than family members themselves perceived, and that cell phone use has fewer communicative advantages than parents perceive. Respondents reported that patient illness, lack of time, and intimidating equipment all raise barriers to communication. These findings yield important considerations for developing educational interventions to improve NICU language environments, including a synergistic, dual focus on both staff and families. Communication in the NICU is a low cost, feasible, and accessible target with aims of ensuring optimal neurocognitive development for at-risk children.</p>","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":"27 3","pages":"410-423"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9433464/pdf/nihms-1807073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10528153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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