{"title":"Factors Affecting eHealth Literacy of Early Adolescents: School-based Research.","authors":"Şafak Dağhan, Asli Kalkim, Emine Unlu, Hatice Kubra Sahin, Merve Yuksel","doi":"10.1080/24694193.2022.2056263","DOIUrl":"https://doi.org/10.1080/24694193.2022.2056263","url":null,"abstract":"<p><p>The purpose of the research were to describe eHealth literacy and identify factors affecting the eHealth literacy of early adolescents. This descriptive and correlational study was conducted in a government secondary school in the west of Turkey. The research sample consisted of 1347 adolescents in the sixth, seventh, and eighth grades in the academic year 2016-2017. An adolescents' description form and the eHealth Literacy Scale (eHEALS) were used to collect the data. The mean score on eHEALS was 23.81 ± 6.94. Multiple regression analysis showed that being in the 11-12 year age group (β = 0.528, p < 0.001), having a father with a high school or university level education (β = 0.055, p = 0.038), and carrying out research in the internet on health related topics (β = 0.118, p < 0.001) were determinant at 32% (F = 56.901, p < 0.001, R<sup>2</sup> = 0.32) on the adolescents' eHealth literacy. The mean eHEALS score in the study demonstrated that the e-health literacy of the adolescents was rather low and inadequate, and that there were gaps in the adolescents' knowledge and skills about how and where to find quality eHealth information. Nurses are expected to provide eHealth literacy training that will help to find information on the internet and interpret and assess it, and this will develop eHealth literacy of adolescents. Integrating online health information sources into the school health education curriculum in line with developed strategies can be suggested because it is an attempt to improve the eHealth literacy of adolescents.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"383-394"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489643","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}
Kimberly Mancinelli-Hough, Karen Lucas Breda, Cherry Karl, Beth A Wentland
{"title":"Don't Ask, Won't Tell: Suicide Screening in the Pediatric Perioperative Setting.","authors":"Kimberly Mancinelli-Hough, Karen Lucas Breda, Cherry Karl, Beth A Wentland","doi":"10.1080/24694193.2022.2060376","DOIUrl":"https://doi.org/10.1080/24694193.2022.2060376","url":null,"abstract":"<p><p>Suicide is the second leading cause of death for children and adolescents ages 10-19 in the United States. Globally, suicide is the fourth leading cause of death among adolescents and young adults ages 15-29. The World Health Organization identifies suicide prevention and promotion as a public health priority. In the United States, one of the key prevention strategies has been the recognition of the need for screening, particularly for children and adolescents. The American Academy of Pediatrics (AAP), National Institute of Mental Health (NIMH), and the Joint Commission recommend suicide risk screening for those ages 10 and older. Research has shown that children and adolescents won't disclose suicidal thoughts unless directly asked. Perioperative units in pediatric hospitals are uniquely positioned to integrate suicide screening as part of the nurses' pre-operative assessment of surgical patients. Utilizing pre-operative units for screening can identify at-risk patients who otherwise may not be screened. The purpose of this evidence-based practice (EBP) project was to determine if a one-time, educational intervention highlighting the importance of universal suicide screening in pediatric patients 10 years old or older would affect the beliefs and comfort level of pediatric perioperative nurses. The survey assessed perioperative nurses' beliefs and comforts around suicide screenings for patients ages 10 and older in the perioperative unit. Twenty-minute educational unit-based in-services were provided over a 2-week period to all current staff. The survey was then repeated to assess for changes in nurses' beliefs and comfort. Pre-educational intervention, 43.5% of participants did not believe it is important to ask patients about suicidal thoughts. Only 60.9% of participants agreed that all patients 10 years and older should be assessed for suicidal risk, regardless of behavioral health history. After the educational intervention, all perioperative nurse participants (n = 22) agreed it was important to ask patients about suicidal thoughts and to screen all patients 10 years and older for suicidal risk, not just behavioral health patients. Post-education, all participants (100%) agreed it was important to ask patients about suicidal thoughts and believed patients 10 years and older should be assessed for suicidal risk. Early detection through screening is crucial to combating this growing health crisis for children and adolescents. Educational in-services strengthened this group of perioperative nurses' understanding of the importance and feasibility of universal suicide screening in their unit. Responses from this EBI can potentially help guide the educational component of pediatric hospitals' initiatives to implement suicide screening.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"395-402"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489636","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 Dangers of Concentrated Nicotine Vaping Liquid on the Health of Children and Young People.","authors":"Edward Alan Glasper","doi":"10.1080/24694193.2022.2114229","DOIUrl":"https://doi.org/10.1080/24694193.2022.2114229","url":null,"abstract":"Concern is increasing among healthcare professionals that the use of so-called e-cigarettes might lead to a whole generation of young people in many countries who become like their forefathers of yesteryear addicted to nicotine. Recent media coverage of the problem among children and young people suggests that they are able to obtain illegal vaping devices with up to 12.5% nicotine, which is in context more than six times above the legal limit currently set at 2% nicotine (Das & Ungoed-Thomas, 2022). Data from Action on Smoking and Health, a UK public health charity that aims to eliminate the harm caused by tobacco, show that among 11–17-year olds who have tried vaping, a greater proportion have never smoked (40.1%) than smoked (35.6%) (Action on Smoking and Health, 2022). As a student nurse in the late 1960s, I remember that a significant proportion of older adult patients were given fresh enamel sputum cups on a daily basis. This was because so many of them were smokers with productive coughs irrespective of their actual admission diagnosis. Chronic obstructive pulmonary disease (COPD) among older smokers was commonplace then and carried a high risk of mortality in addition to respiratory disability, which profoundly impacted daily life. Sputum production in the heyday of cigarette smoking ensured that most pubs, taverns, and bars would have featured a spittoon in the corner for the use of customers. The spittoon scene in the movie Back to the Future 3 where Marty McFly empties the full spittoon over Buford “Mad Dog” Tannen is a humorous COMPREHENSIVE CHILD AND ADOLESCENT NURSING 2022, VOL. 45, NO. 4, 345–348 https://doi.org/10.1080/24694193.2022.2114229","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"45 4","pages":"345-348"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10483601","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}
Siobhan Quinn, Elizabeth Dierckx, Tony Long, Andrew Graeme Rowland
{"title":"Sudden Unexpected Death in Childhood in Greater Manchester (United Kingdom): A Five-Year Review (2015-2020).","authors":"Siobhan Quinn, Elizabeth Dierckx, Tony Long, Andrew Graeme Rowland","doi":"10.1080/24694193.2022.2047828","DOIUrl":"https://doi.org/10.1080/24694193.2022.2047828","url":null,"abstract":"<p><p>The sudden, unexpected death of a child (SUDC) is a devastating experience. It is vital that supportive and investigative services are effective and promote the best outcomes for families. Analysis of 5 years of data from 309 SUDC cases in Greater Manchester, United Kingdom (UK) shows how a number of key service outcomes can be measured and achieved through a raft of actions which are commensurate with and exceed the service level recommended by the UK Government. Annual reports covering the work of the Greater Manchester SUDC team are compiled from audit forms completed by the attending SUDC pediatrician for each case. Data from these reports from April 1, 2015 to March 31, 2020 were analyzed. Most cases happened out of normal working hours, predominantly on Sundays. This supports the need for a 24-hour, 7 days per week SUDC service to enable early investigation and timely support for families. The review demonstrated that the Greater Manchester model is able to deliver this in a rapid response with early attendance in emergency departments and early home visits; effective joint agency working with police, children's social services, and other agencies; and provision of support to families. The proposed instigation of a key worker role in the SUDC team is a welcome development. This is central to ameliorating the experience for parents by providing bereavement support separate from the investigative role of the SUDC team. Research is needed into the role of the key worker, potentially as a dedicated bereavement nurse, and understanding of families' experiences to ensure that support is optimal.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"349-367"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489640","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}
Dianne L Cook, Joan Livesley, Tony Long, Mfon Sam, Andrew Graeme Rowland
{"title":"The Need for Children's Advocacy Centres: Hearing the Voices of Children.","authors":"Dianne L Cook, Joan Livesley, Tony Long, Mfon Sam, Andrew Graeme Rowland","doi":"10.1080/24694193.2021.1989085","DOIUrl":"https://doi.org/10.1080/24694193.2021.1989085","url":null,"abstract":"<p><p>Children and young people (CYP) can be empowered to take on roles as agents of change in their own communities. CYP want to be heard and should be actively involved in the co-production, design and development of services aimed at them to ensure that the resulting services are acceptable and accessible. Little analysis of the framing and discourse of co-production in different contexts has been undertaken.Building on Children's Advocacy Center models from the United States of America (which are held in high esteem by local communities), there is perceived value of such a center in the UK. A service development initiative was designed to work with children from Greater Manchester (UK) to determine the potential for the establishment of a children's advocacy center in the North of England. This report presents the design and outcome of the initiative and contributes to the literature on the co-production of such service development projects with CYP, notably the means of achieving that outcome.Recommendations are made for the piloting of an Advocacy House model in the UK with collaborative efforts between CYP as well as health, education, law enforcement, social care providers, charities and voluntary groups. A community-inclusive partnership, underpinned by the principles of co-production and co-design, is integral to the further development of this pilot.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"368-382"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489641","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}
Kavindri Kulasinghe, Amy E Mitchell, Alina Morawska
{"title":"Parent-Reported Barriers and Enablers to Establishing Sun Safety Practices with Young Children in Australia.","authors":"Kavindri Kulasinghe, Amy E Mitchell, Alina Morawska","doi":"10.1080/24694193.2022.2079765","DOIUrl":"https://doi.org/10.1080/24694193.2022.2079765","url":null,"abstract":"<p><p>This study investigated parent-reported barriers and enablers to establishing sun safety practices with young children (0-4 years; N = 423) living in Australia. An online survey examined parent/child adherence to recommended sun safety practices and barriers and enablers to establishing sun safety practices. Adherence to different sun safety practices varied across age groups. Lack of child cooperation was the most commonly-endorsed barrier while child compliance was the most commonly-endorsed facilitator. Young children's lack of cooperation with sun safety practices represents a major obstacle for parents. In conclusion, the development and testing of family-based intervention approaches to reduce child resistance and promote cooperation is warranted.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"403-413"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489639","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}
Hidar Halal Mehdi Alfatavi, Tahereh Sadeghi, Mohammed Baqer Hassan Mohammed Al-Dakheel, Fariba Asadi Noghabi, Maryam Sahebkar Moeini
{"title":"Effects of Whistling Compared with Buzzy Device During Blood Sampling on Pain and Fear in Children's Emergency Department.","authors":"Hidar Halal Mehdi Alfatavi, Tahereh Sadeghi, Mohammed Baqer Hassan Mohammed Al-Dakheel, Fariba Asadi Noghabi, Maryam Sahebkar Moeini","doi":"10.1080/24694193.2022.2091683","DOIUrl":"https://doi.org/10.1080/24694193.2022.2091683","url":null,"abstract":"<p><p>Blood sampling from a peripheral vein in children can be significant. Pediatric nurses should be able to use the techniques which decrease the pain and fear duration of the blood sampling. This research studied the effect of vibration bee and whistling (concentrate on breathing) blood sampling on pain and fear in the children's emergency. In this randomized clinical trial study, 120 children ages 3-6 years referred to a pediatric ward in Najaf, Iraq, using Random Blocking Method, were divided into three groups; vibration bee, whistling, and control group. A musical vibration bee, with the cold bag attached to it, was closed for 5 minutes at approximately 5-10 cm above the blood sampling site. A final minute, the vibration was applied; then, the procedure was done. The pain severity was measured by Wong Baker Faces scale. Data were analyzed by SPSS19 software at the significant level of 95%. There was a significant difference in pain intensity between the control groups and the intervention groups (<i>p</i> = .000). Moreover, there was a significant difference in children's medical fear scale between the control groups and the intervention groups (<i>p</i> = .000). Whistling (concentrate on breathing) may be an easily accessed, inexpensive, and effective technique to control or reduce pain and fear in young children. But, vibration bee with cold has a greater effect for reducing pain and fear. It is suggested to use vibration bee (with cold) in painful aggressive procedures in children.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"414-424"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489637","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":"Obstacles Preventing Public Health Nurses from Discussing Children's Overweight and Obesity with Parents.","authors":"Yael Sela, Keren Grinberg, Dan Nemet","doi":"10.1080/24694193.2022.2117433","DOIUrl":"https://doi.org/10.1080/24694193.2022.2117433","url":null,"abstract":"<p><p>We examined how well-baby care nurses perceive communication with parents regarding their children's obesity and identified main communication barriers. Pediatric obesity is a significant public health concern, and health care personnel are among the first to detect overweight and the first to offer assistance to parents. Yet, research suggests that when nurses identify a weight problem in children, they may have trouble initiating this discussion. This qualitative study, using semi-structured interviews with 20 public health nurses, addressed potential obstacles nurses face when discussing young children's weight. Lack of time and workload were the most significant barriers to meaningful conversation with parents. Instructing parents toward a healthy lifestyle, while specifically relating to the child's weight, is perceived as part of the nurse's role, but execution was flawed. Trust and good communication between the nurse and parents are seen as critical ingredients to provide future guidance around a child's weight. Nurses want parents to feel comfortable to discuss children's weight problems, but are worried that such a discussion may impair previously established trust. Nurses should receive comprehensive training to address childhood obesity, including specific communication skills to implement when discussing this stigmatized and sensitive topic.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"425-436"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40489638","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":"Breastfeeding History, Preschool Children's Sleep, and Obesity.","authors":"Angel Herring, Jerome Kolbo, Hwanseok Choi, Xiaoshan Z Gordy, Bonnie Harbaugh, Elaine Molaison, Lindsey Hardin, Olivia Ismail","doi":"10.1080/24694193.2020.1797235","DOIUrl":"https://doi.org/10.1080/24694193.2020.1797235","url":null,"abstract":"<p><p>Breastfeeding and sleep are both considered medically and physiologically protective factors for child health. Most existing research studied their impact on child health outcomes, respectively. Few studies examined the two factors collectively to explore any potential associations among a history of breastfeeding and quantity of sleep in children and child health. This study sought to uncover the association among breastfeeding history, the amount of sleep, and obesity in preschool-aged children to provide additional insights into their protective physical and psychological effects on health outcomes. As part of a larger study examining obesity in preschool children, the current investigation explored the association among obesity, a history of breastfeeding, and the total number of hours of preschool children's sleep, as reported by parents. Actual heights and weights were collected on a total of 1,693 children 3-5 years of age enrolled in licensed child care facilities in Mississippi. Descriptive analyses of the demographic and parent survey variables were conducted to explore the status related to breastfeeding in Mississippi. To understand the relationships between breastfeeding and covariates, bivariate analyses such as chi-square independent tests, Cochran-Mantel-Haenszel chi-square tests, and Fisher's exact tests were performed. Obesity was negatively correlated to breastfeeding, and Caucasian mothers were significantly more likely to breastfeed than African American mothers. Obesity was also negatively correlated to the amount of sleep, and African American children reportedly slept significantly less than Caucasian children. The average amount of time of sleep reported for children with a history of being breastfed was significantly higher than for those who were not breastfed, suggesting that breastfeeding could have a significant positive association with preschool children's sleep, serving as an additional protective factor obesity. The interaction between breastfeeding and subsequent sleep as children mature is an important area for future research to fully explore their foundational impact in family health practices that combat obesity in children and promote other subsequent health outcomes.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"45 1","pages":"11-21"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2020.1797235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38328140","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}