{"title":"The influence of the timing of preparation on the anxiety of preschool children experiencing surgery.","authors":"C M Kennedy, I I Riddle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A quasi-experimental design with two groups of preschool children was used to determine if surgical preparation offered at two different time periods would result in different levels of state anxiety and posthospital behavioral upset. Twenty-three children (3 to 6 years of age) were studied. The children in one group were prepared the afternoon before surgery, and the children in the other group were prepared the morning of surgery. The same surgical preparation program was given to all the children by the principal investigator. The state anxiety level of each child was assessed at six time points during the ambulatory surgical experience. The posthospital behavioral upset of each child was also measured. The parent of each child responded to a 27-item questionnaire one week after discharge. Analysis of the observation and questionnaire data indicated that the children who were prepared the afternoon before surgery did not differ significantly in state anxiety or posthospital behavioral upset from the children who were prepared the morning of surgery. Also, the levels of anxiety of the children in the two preparation groups did not vary significantly with the type of surgery. The state anxiety mean score of the children in the morning preparation group at each time point was lower than the mean score of the children in the afternoon preparation group at each time point. Replication of the study with a larger sample size is recommended.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 2","pages":"117-32"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13636970","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":"Support behaviors identified as helpful and desired by second-time parents over the perinatal period.","authors":"P L Jordan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The initial transition to parenthood is well represented in theory and research, but little exists related to the addition of subsequent children to the family. In order to provide for the caring needs of expanding families, nurses need to better understand the experiences of repeat parents, their needs, and the supportive behaviors these parents find helpful in the process of adding another child to their families. The purpose of this secondary analysis was to describe the types of social support and the specific behaviors identified as helpful or desired by mothers and fathers having a second child. Consistently, over the perinatal period, both mothers and fathers found behaviors which provided material support helpful and desired more of them. Emotional support was also helpful, particularly during pregnancy. In addition, information and comparison support were helpful during the antepartum period. Clinical application of findings is discussed.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 2","pages":"133-45"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13636971","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}
M S Miles, M C Carter, T W Eberly, J Hennessey, I I Riddle
{"title":"Toward an understanding of parent stress in the pediatric intensive care unit: overview of the program of research.","authors":"M S Miles, M C Carter, T W Eberly, J Hennessey, I I Riddle","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 3","pages":"181-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13637727","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 Parental Stressor Scale: Pediatric Intensive Care Unit.","authors":"M C Carter, M S Miles","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article details the development of an instrument designed to assess the impact of certain environmental stressors in the pediatric intensive care unit (ICU) on parents of hospitalized children. A theoretical framework based on stress theory and developed by the authors provided the framework for this project. This 62-item scale assessing seven dimensions of the PICU environment was developed in three stages. The first phase in the development of the instrument established the sampling domain of the items, supported content validity, conceptualized the dimensions, developed the scaling, and helped support stability over time. In the second phase of the project, the instrument was administered to 165 parents of children recently discharged from four midwestern ICUs to further evaluate reliability and validity. Results of factor analysis, internal consistency reliability, and construct validity analyses were used to revise the instrument. In the third phase of the project, the revised instrument was administered to 510 parents while their children were in one of five pediatric ICUs. Factor analysis provided seven orthogonal, invariant factors. An alpha coefficient of .95 was obtained for the total instrument; subscale coefficients ranged from .72 to .99 providing support for internal consistency and construct validity.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 3","pages":"187-98"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13637728","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":"Young infants' feeding patterns when sick and well.","authors":"A E Conway","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Observations of sick infants' feeding patterns suggest that changes occur which are specific to certain illness conditions. These changes may disrupt the feeding synchrony that had been established early in the infant's development. Little research has been done on differences in feeding behaviors of infants when they become sick with a specific illness condition. This research study investigated the differences in specific feeding behaviors of infants when they were sick with an acute respiratory condition compared to when they were well. In this comparative descriptive study, infants 1 to 4 months of age were observed in their homes. The study sample consisted of 16 full-term infants who were bottlefed and became ill with a respiratory infection. Infants were videotaped during two feedings when they were ill and one feeding when they were well. Caregiver questionnaires and videotapes were the data collection tools. The videotapes were analyzed using an Infant Feeding Behavior Assessment Checklist which measures four categories of feeding behaviors: type of seal around nipple, suck-pause pattern, suck-swallow pattern, and respiratory pattern. Descriptive statistics assisted in the exploration of differences that existed between the infants' sick and well feeding behaviors. Analysis indicated that there were differences in the infants' sick and well feeding behaviors. When well, infants appeared to smoothly coordinate their suck-swallow and breathe cycle. When sick, the infants had an erratic suck-pause pattern, loosened their seal around the nipple, and had an irregular respiratory pattern with some degree of respiratory distress.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 4","pages":"1-353"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13662527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of breastfeeding attitudes and practices: low-income adolescents and adult women.","authors":"M J Baisch, R A Fox, E Whitten, N Pajewski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Breastfeeding attitudes and practices of two independent samples of low-income adolescents were compared to a third sample of low-income, adult women. Low-income status was based on subject eligibility for the Special Supplemental Food Program for Women, Infants, and Children (WIC). Breastfeeding attitudes were significantly related to setting, race, and age. Other factors, such as previous exposure to breastfeeding, also influenced breastfeeding attitudes. Breastfeeding rates were 16.7% and 32.4% for the two teen samples, and 35.4% for the sample of adult women. Choice of infant feeding method post delivery was significantly related to intention regarding feeding method during pregnancy. Implications of these findings for health care professionals are discussed.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 1","pages":"61-71"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13844745","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":"Nurses' perceptions of their relationships with parents.","authors":"J Brown, J A Ritchie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty-five children's nurses were interviewed and asked to select and describe two relationships, one satisfying and one dissatisfying, that they had had with parents of hospitalized children. The data were analyzed using interpretive strategies, and five types of parent-nurse relationships were identified: negotiated, reciprocal, adversarial, asynchronous, and ineffective. It seemed that the nurses' relationships with parents were social rather than professional, and that the nurses had difficulty caring for certain parents. The nurses' descriptions indicated that they either did not have knowledge of communication skills, conflict management and family-centered care to provide therapeutic, goal-oriented care for parents, or had difficulty utilizing that knowledge in practice. Various factors in the environment may have contributed to these difficulties. This descriptive study was conducted to provide some understanding of the interpersonal difficulties that often exist in relationships between nurses and the parents of hospitalized children.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 2","pages":"79-96"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13636974","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}
M S Miles, M C Carter, I Riddle, J Hennessey, T W Eberly
{"title":"The pediatric intensive care unit environment as a source of stress for parents.","authors":"M S Miles, M C Carter, I Riddle, J Hennessey, T W Eberly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Parents of children hospitalized in one of five midwestern pediatric intensive care units (ICU) were interviewed about the stress experienced from aspects of the ICU environment. Subjects were 324 mothers and 186 fathers of 350 children. Data were collected using the Parental Stressor Scale: Pediatric ICU which assesses seven dimensions of the environment: Child's Behavior and Emotions, Child's Appearance, Sights and Sounds, Procedures, Staff Communication, Anomie, and Parental Role Alteration. The dimensions Child's Behavior and Emotions and Parental Role Alteration were found to be the most stressful aspects of the experience. The items from the dimension Child's Behavior and Emotions that were most stressful were seeing my child in pain, seeing the child frightened and sad, and the inability of the child to communicate with the parent. The items from the Parental Role Alteration dimension with the highest stress scores were: feeling unable to protect my child and not knowing how to best help my child. Findings suggest that alterations in the parent-child relationship are more stressful than aspects of the physical environment. In particular, feeling helpless in the parenting role is a great source of stress for parents.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 3","pages":"199-206"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13634714","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":"Anxiety levels, health behaviors, and support systems of pregnant women.","authors":"S A Albrecht, M Rankin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this correlational descriptive study was to assess health behaviors, anxiety levels, and social support of pregnant women, ages 20 to 40, who were without complications and were patients of four private obstetrical practices in a large metropolitan city. Although sampling was a nonprobability approach, various socioeconomic, racial, and religious groups were represented. The three instruments used to test the hypotheses included the State-Trait Anxiety Inventory (STAI), the Personal Resource Questionnaire (PRQ) and a detailed Health Behavior Demographic Questionnaire. Results of the data indicated no significant differences between pregnant smokers' and pregnant nonsmokers' STAI or PRQ scores. Significant positive correlations were revealed between the following variables: Trait anxiety with increased age of pregnancy (r = .77, p = .008); trait anxiety with high educational level (r = .72, p = .001); trait anxiety with state anxiety (r = .64, p = .001); trait anxiety with years married (r = .68, p = .018); trait anxiety with numbers of children (r = .82, p = .005); trait anxiety with high occupation level (r = .68, p = .001), increased age with PRQ support (r = -.88, p = .001); caucasian women examined breast more frequently (r = .47, p = .005); pregnant women who were smokers also were more likely to drink (r = .66, p = .03). Significant negative correlations were: Increased state anxiety with decreased social support (r = -.28, p = .05); higher trait anxiety with lower PRQ (r = -.59, p = .001), and more drinks of alcohol per day with decreased social support (r = .88, p = .04). The study indicated that the subjects who continue to smoke while pregnant were highly educated. All had at least two years of college with 45% having completed graduate school. All were working in managerial or professional jobs. This has implications for nursing interventions focused on enhancing health coping strategies at the workplace and specific health promotion activities designed to reduce job-related stress during pregnancy.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 1","pages":"49-60"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13844744","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":"Compromising positions: medical treatment for disabled infants.","authors":"M K Chalnick","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this paper is to trace the evolution of the \"Baby Doe\" policy, focusing on litigation and legislation. The policy is examined for its strengths and weaknesses, and areas for continuing study are identified and explored. In addition, the participation of nurses as members of Infant Care Review Committees and the Committees' role as potential policy makers are discussed.</p>","PeriodicalId":76125,"journal":{"name":"Maternal-child nursing journal","volume":"18 2","pages":"167-77"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13636973","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}