Comprehensive child and adolescent nursing最新文献

{"title":"Adaptation to Asthma in Children: A Matter of Coping and Stress Control.","authors":"Cindy Carolina Segura Moreno, Luz Patricia Diaz Heredia","doi":"10.1080/24694193.2021.1945707","DOIUrl":"10.1080/24694193.2021.1945707","url":null,"abstract":"<p><p>Asthma is the most common chronic lower respiratory disease in childhood throughout the world; it is characterized by bronchial hyperreactivity and variable airway obstruction. Asthma is a disorder involving autonomic nervous system, immunologic, and psychologic factors in individuals. This work sought to describe the relationship among stress, coping, and disease control in children with asthma between 6 and 12 years of age. This was a cross-sectional correlational quantitative study with the participation of 280 children with asthma admitted to outpatient consultation and to a hospitalization service at a tier IV health institution in the city of Bogotá. An inverse correlation was found between stress and coping (<i>r</i> = -0.581; <i>p</i> < .05); between stress and asthma control (<i>r</i> = -0.545¸ <i>p</i> < .05); and a direct correlation between coping and asthma control (<i>r</i> = 0.759; <i>p</i> < .05). The results show that children with low stress levels have greater control of their disease and assume functional coping against their health status. The theory of Adaptation to Chronic Health Conditions permitted analyzing children's conduct and behaviors against a health situation. These findings provide evidence for promoting interventions directly to patients with asthma, focusing on patients, families, and schools. Thus, it is possible to improve the quality of health care and strengthen primary health care.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"275-286"},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39160880","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":"Does a Behavioral Parent Training Program for Parents of ADHD Children Improve Outcomes? A Pilot Project.","authors":"Tracie Clark Morgan, Louise C O'Keefe","doi":"10.1080/24694193.2021.1933263","DOIUrl":"10.1080/24694193.2021.1933263","url":null,"abstract":"<p><p>Attention Deficit Hyperactivity Disorder (ADHD) is the most common chronic neurobehavioral disorder of childhood. Research suggests increased parent-child conflict exists in families with an ADHD child. The evidence indicates links between child behavior problems and parenting practices. Behavioral Parent Training (BPT) is an evidence-based intervention recommended for the treatment of ADHD. BPT is recommended as first-line treatment in ADHD children under age six and as a combination treatment approach for children older than the age six. BPT programs have demonstrated significant improvement in frequency of the problem behaviors of inattention, hyperactivity, and impulsivity associated with ADHD. Pre- and Post-BPT Parenting Scales and Vanderbilt ADHD Diagnostic Rating Scales for Parents and Teachers were used to evaluate the efficacy of the BPT program. Percent changes for each participant pre- and post-BPT were calculated. The Parenting Scale overall score and overreactivity factor score showed significant improvement post-BPT (<i>p</i> = .05). Participation in a BPT program can affect parenting practices and improve outcomes for ADHD children. BPT programs are effective in reducing negative parenting practices and improving outcomes for this population.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"264-274"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39233525","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":"Clinical Features of COVID-19 in Newborns, Infants, and Children: A Systematic Review and Meta-analysis.","authors":"Leila Taheri, Seyede Fatemeh Gheiasi, Mohammad Taher, Mohammad Hasan Basirinezhad, Zulfiqar Ali Shaikh, Nahid Dehghan Nayeri","doi":"10.1080/24694193.2021.1930288","DOIUrl":"10.1080/24694193.2021.1930288","url":null,"abstract":"<p><p>Although it was thought that children were not susceptible to 2019-nCoV in the early days of the COVID-19 infection outbreak, there are currently reports of children and even one-day-old newborns being infected by the virus and hospitalized around the world. Recognizing the symptoms of the infection in children is of great value since a large number of children are asymptomatic or have mild symptoms, which may act as facilitators of the virus transmission. This review aimed to identify and summarize the existing evidence on clinical characteristics of COVID-19 in pediatric patients. A systematic search was conducted in the PubMed, Web of Science, Scopus, Google Scholar, and WHO database for eligible publications. The review proposal was registered with the PROSPERO. The quality assessment was done based on JBI Critical appraisal tools. The random-effects model was used to pool clinical features in the meta-analysis. From the identified 256 potentially relevant studies, 32 articles met the predetermined inclusion and exclusion criteria. Twenty-one studies fulfilled the criteria for this meta-analysis. Fever (58%) and cough (48%) were reported as the most common symptoms of infected children. Disease severity was mild in 51% and moderate in 39% of cases. A total of 63% of cases had respiratory and 25% of children had gastrointestinal symptoms, particularly diarrhea and nausea/vomiting. Approximately 24% of patients were asymptomatic. Results demonstrated that fever and cough were the most common symptoms of COVID-19-infected children and the majority of cases had mild-to-moderate disease severity.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"137-155"},"PeriodicalIF":0.0,"publicationDate":"2021-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39093420","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":"An Overview of Adolescents Sexual and Reproductive Health Services Provision in Malaysia.","authors":"Abdul Hamid Siti Hazariah,&nbsp;Debbie Fallon,&nbsp;Peter Callery","doi":"10.1080/24694193.2020.1756983","DOIUrl":"https://doi.org/10.1080/24694193.2020.1756983","url":null,"abstract":"<p><p>Safer sex provision, including contraception information and services, should be made available to adolescents regardless of their marital status in strategies to reduce the incidence of unintended teenage pregnancies and the spread of STIs. In Malaysia, this information is still not being delivered formally to adolescents even though unintended teenage pregnancies and the practice of \"baby dumping\" are serious public health issues. The aims of this article are to describe the Malaysian context in terms of the need for comprehensive sexual and reproductive health information and treatment for unmarried adolescents. The article presents the key aspects of Malaysian society and the potential influence on the provision and delivery of sexual and reproductive health information and treatment to unmarried Malaysian adolescents that can be a reference for healthcare professionals especially school health nurses. The article also describes the establishment of sheltered homes, baby hatches and unregulated adoption processes as the initiatives being taken to address the issue of unintended teenage pregnancies. This article suggests that the policy and laws that require parental consent for accessing the services need to be reviewed and revised to ensure that specific services are available to adolescents in a safe environment that maintains confidentiality.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"44 2","pages":"144-160"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2020.1756983","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37963070","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":"Understanding the Causes of Work-Related Stress among Registered Nurses Working with Children at Home: An Integrative Literature Review.","authors":"Julianne Lee,&nbsp;Sonya Clarke,&nbsp;Fiona Lynn","doi":"10.1080/24694193.2020.1745325","DOIUrl":"https://doi.org/10.1080/24694193.2020.1745325","url":null,"abstract":"<p><p>Work-related stress in nursing is widely acknowledged. This integrative review was undertaken to systematically identify and appraise the causes of work-related stress experienced by registered nurses working with children at home. Ten studies were included, eight of which focused solely on the experiences of nurses providing palliative and end of life care at home for children. One study focused on the experiences of newly qualified nurses and one on the experiences of nurses caring for sick children at home at different stages within their care trajectory. Stress was experienced by nurses caring for children at home and identified and acknowledged within all included studies. Recurrent themes reported in the literature that contributed to work-related stress were, provision of out of hours care, challenge of developing and maintaining skills (clinical and non-clinical), ambiguity of roles and relationships (professional team and child and family), lack of resources, emotional toll, and lack of staff support. The causes of work-related stress highlighted in this review need to be proactively addressed; thus, providing an opportunity to improve the working experiences of nurses improve job satisfaction and overall wellbeing. A recommendation from this integrative review is for workplaces to identify and invest in effective strategies to prevent or reduce work-related stress.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"44 2","pages":"90-121"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2020.1745325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37862862","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":"Reducing the Impact of Anti-Vaccine Propaganda on Family Health.","authors":"Edward Alan Glasper","doi":"10.1080/24694193.2021.1912988","DOIUrl":"https://doi.org/10.1080/24694193.2021.1912988","url":null,"abstract":"<p><p>Emeritus Professor Alan Glasper from the University of Southampton discusses strategies to enhance Covid-19 and other vaccine uptake among some families and groups in society who are adversely influenced by so called anti-vaxxers.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"44 2","pages":"79-85"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2021.1912988","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38934706","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 Challenge of Teaching Emotive Subject Content within the Pre-registration Nursing Program-A Retrospective Review.","authors":"Bally Sandhu","doi":"10.1080/24694193.2021.1925074","DOIUrl":"https://doi.org/10.1080/24694193.2021.1925074","url":null,"abstract":"Undergraduate training of student nurses at each UK higher education institution (HEI) consists of a network of modules interwoven in subjects culminating in a well validated program preparing student nurses to be both competent and confident in their care delivery (Price & McAlinden, 2018; Nursing and Midwifery Council UK, 2018). Pre-registration nursing programs are mostly designed to start with the development of the infant leading to the critically ill child with reference to developing a reasonable understanding in mental and emotional health at some point over the course delivery. The complexities of caring for children require nurses who are fully conversant with the unique needs of this client group. Yet the most emotive and sensitive issues that influence children’s emotional wellbeing remain somewhat understudied within pre-registration nursing due to the challenging nature of the subjects and emotional impact on students learning in the classroom (Mills et al., 2021). Research informs us that young people are willing to engage in understanding much more about their mental health and emotional wellbeing (Omari et al., 2019) despite stigma and discrimination in society. Yet many health-care professionals require support in having confidence in providing a non-judgmental service that is both empathetic and practical (Trainor, 2020). Discrimination remains particularly prevalent toward young people expressing themselves as transgender or non-binary, a minority group whose characteristics and needs (Gender Recognition Act, 2004) should be understood, as well as the mental health needs of Black and Asian children which are overlooked far too often within healthcare (Burton et al., 2014). Along with implementing ethnic-racial socialization (Priest et al., 2014) a deeper exploration of egregious cultural practices of female genital mutilation (Balkozar, 2020), honor-based violence and forced marriages (Gregory et al., 2020), human trafficking (Raker, 2020), or violated mothers modeling aggressive behavior toward their children (Morgan, 2020) remain too often outside the 3-year program. Embedding these emotionally challenging topics within the BSc in Children’s Nursing requires skill, planning, and sensitivity by nurse educators. For many years, performing diagnostics to confirm conditions such as type 1 diabetes or throat infection has become quicker and more accurate (Shatkin, 2015), whereas the lack of accurate testing to determine why a child is exhibiting behaviors of anger, irritability, and withdrawal in the absence of any physical illness remains complex and inexact. Nor is there an exact formula in helping children deal with loss.","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"44 2","pages":"86-89"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2021.1925074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38900830","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":"Factors Associated with Acute Health Care Use in Children and Adolescents with Asthma.","authors":"Maha Dardouri,&nbsp;Jihene Sahli,&nbsp;Thouraya Ajmi,&nbsp;Ali Mtiraoui,&nbsp;Jihene Bouguila,&nbsp;Manel Mallouli","doi":"10.1080/24694193.2020.1742249","DOIUrl":"https://doi.org/10.1080/24694193.2020.1742249","url":null,"abstract":"ABSTRACT Asthma is a leading cause of acute health care use (AHCU) as defined by hospitalization and emergency department visits (ED). Little was known about factors associated with asthma-related AHCU. This study aimed to identify factors determining AHCU in children and adolescents with asthma. A descriptive study was conducted among children with mild to severe asthma referred to the pediatric outpatient clinic of “Farhat Hached” University Hospital of Sousse (Tunisia) over a period of three months (April–June 2018). We collected data regarding clinical information, the number of hospitalizations and ED visits related to asthma in the past 12 months, asthma management behaviors, and quality of life of children. Multivariable logistic regression was performed using SPSS (20.0). A total of 90 children have participated in the study. The percentage of children aged 7 to 11 years was higher than the percentage of adolescents aged 12 to 17 years (67.8%; 32.2%, respectively). The final logistic regression model demonstrated that asthma severity and inhaler technique increased the odds of AHCU (OR a = 4.6; 95% CI: 1.1–18.1; p = .03, OR a = 2.9; 95% CI: 1.1–7.8; p = .02, respectively). Also, increased quality of life score reduced the odds of AHCU (OR a = 0.6; 95% CI: 0.4–0.9; p = .01). These results suggest that the organization of programs targeting the management of these factors can reduce the workload on hospital services and emergencies.","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"44 2","pages":"122-133"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2020.1742249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37843585","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":"Psychological Well-being and Perceived Parenting Style among Adolescents.","authors":"Ansu Francis,&nbsp;Mamatha Shivananda Pai,&nbsp;Sulochana Badagabettu","doi":"10.1080/24694193.2020.1743796","DOIUrl":"https://doi.org/10.1080/24694193.2020.1743796","url":null,"abstract":"<p><p>The family of an adolescent assists in shaping the adolescent's behavior and psychological well-being throughout life. In order for the adolescents to maintain an identity, they require security and affection from their parents. To assess the psychological well-being, perceived parenting style of adolescents and to determine the relationship between psychological well-being and perceived parenting style among the adolescents, a correlational survey was conducted in five randomly selected schools in Southern India with 554 adolescents studying in 8th grade to 9th grade. A self-administered perceived parenting scale and a standardized Ryff scale for the assessment of psychological well-being were adopted to collect data, which were analyzed using SPSS. Without gender differences, majority (51%) had a high psychological well-being; 49% revealed low psychological well-being. Majority (95.5%) had a purpose in life and positive relation with others. Most (93.2%) of the adolescents perceived their parents as authoritative. A moderately positive relationship was found between psychological well-being and authoritarian and permissive parenting styles and a negative correlation between psychological well-being and neglectful parenting style. The study concluded that parenting styles will have an influence on adolescents' psychological well-being. Among the four parenting styles, authoritative parenting is warm and steady and hence will contribute to the psychological development of adolescents. They also had maintained a positive relation with others and have a purpose in life. Adolescents who perceived their parents as authoritarian had a decreased autonomy and those who perceived their parents as permissive had a diminished personal growth.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"44 2","pages":"134-143"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/24694193.2020.1743796","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37846010","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":"Capacity Building for Health Care Workers and Support Staff in Pediatric Emergency Triage Assessment and Treatment (ETAT) at Primary Health Care Level in Resource Limited Settings: Experiences from Malawi.","authors":"Maureen Daisy Majamanda, Mtisunge Joshua Gondwe, Martha Makwero, Alfred Chalira, Norman Lufesi, Queen Dube, Nicola Desmond","doi":"10.1080/24694193.2021.1916127","DOIUrl":"10.1080/24694193.2021.1916127","url":null,"abstract":"<p><p>Primary health care facilities offer an entry point to the health care system in Malawi. Challenges experienced by these facilities include limited resources (both material and human), poor or inadequate knowledge, skills and attitudes of health care workers in emergency management, and delay in referral from primary care level to other levels of care. These contribute to poor outcomes including children dying within the first 24 hours of hospital admission. Training of health care workers and support staff in Emergency Triage Assessment and Treatment (ETAT) at primary care levels can help improve care of children with acute and severe illnesses. Health care workers and support staff in the primary care settings were trained in pediatric ETAT. The training package for health care workers was adapted from the Ministry of Health ETAT training for district and tertiary health care. Content for support staff focused on non-technical responsibility for lifesaving in emergency situations. The primary health care facilities were provided with a minimum treatment package comprising emergency equipment, supplies and drugs. Supportive supervisory visits were conducted quarterly. The training manual for health care workers was adapted from the Ministry of Health package and the support staff training manual was developed from the adapted package. Eight hundred and seventy-seven participants were trained (336 health care workers and 541 support staff). Following the training, triaging of patients improved and patients were managed as emergency, priority or non-urgent. This reduced the number of referral cases and children were stabilized before referral. Capacity building of health care workers and support staff in pediatric ETAT and the provision of a basic health center package improved practice at the primary care level. The practice was sustained through institutional mentorship and pre-service and in-service training. The practice of triage and treatment including stabilization of children with dangerous signs at the primary health care facility improves emergency care of patients, reduces the burden of patients on referral hospitals and increases the number of successful referrals.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"201-216"},"PeriodicalIF":0.0,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39027319","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}