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Ajouter le résultat dans votre panierDeterminants of Health-related Quality of Life Among Mothers of Children With Cerebral Palsy / Meen Hye Lee in Journal of Pediatric Nursing, Vol. 44 (January/February 2019)
Titre : Determinants of Health-related Quality of Life Among Mothers of Children With Cerebral Palsy Type de document : Article Auteurs : Meen Hye Lee ; Alicia K. Matthews ; Park Chang Année de publication : 2019 Article en page(s) : p. 1-8 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Indicateurs qualité santé ; Mères ; Paralysie cérébrale ; Qualité de vie ; Santé ; Santé mentaleRésumé : •The level of health related quality of life among mothers of children with cerebral palsy were very low
•Health related Quality of life of mothers of children with cerebral palsy was determined by multidimensional variables, including child characteristics, maternal characteristics, and environmental factors
•These study findings comprehensively identified the multidimensional influences on Health related Quality of life of mothers of children with cerebral palsy.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87326
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Titre : Interrater Reliability of the Braden and Braden Q by Skin Champion Nurses Type de document : Article Auteurs : Nicole Riccioni ; Rosa Berlanga ; Joseph Hagan ; Robin Schier ; Mary Gordon Année de publication : 2019 Article en page(s) : p. 9-15 Langues : Anglais (eng) Descripteurs : HE Vinci
Echelle d'évaluation ; Escarre ; Evaluation des risques ; Infirmiers pédiatriques ; PédiatrieMots-clés : Braden Braden Q Résumé : •The purpose of this study was to assess the interrater reliability among pediatric Skin Champion nurses with the use of the Braden and Braden Q skin risk assessment scales.
•The ICC for the Braden scale was 0.894, which indicated excellent agreement. Among the six subcategories, mobility and activity had the highest agreement scores.
•The ICC for the Braden Q scale was 0.726 which indicated fair to good agreement. Among the seven subcategories, mobility and sensory perception had the highest agreement scores.
•Nutrition and friction/shear subcategories had the lowest agreement scores on both scales. Lower agreement indicates greater measurement error.
•Disagreement error can be reduced by clarifying the Braden and Braden Q subcategory definitions and standardizing the location of the data pulled to score each item on the scales.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87327
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 9-15[article]Exemplaires (1)
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Titre : Disparities in Insulin Pump Therapy Persist in Youth With Type 1 Diabetes Despite Rising Overall Pump Use Rates Type de document : Article Auteurs : M. Rebecca O'Connor ; Kristen Carlin ; Tumaini Coker ; Brenda Zierler ; Catherine Pihoker Année de publication : 2019 Article en page(s) : p. 16-21 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète de type 1 ; Pédiatrie ; Pompe à insulineNote de contenu : •Sociodemographic disparities in insulin pump use persist.
•Limited English proficiency is associated with lower pump use.
•Future research is needed to identify disparity causes and develop interventions.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87328
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 16-21[article]Exemplaires (1)
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Titre : A Systematic Review of Behavioral and Environmental Interventions for Procedural Pain Management in Preterm Infants Type de document : Article Auteurs : Linda A. Hatfield ; Nancy Murphy ; Kelley Karp ; Rosemary C. Polomano Année de publication : 2019 Article en page(s) : p. 22-30 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement ; Douleur ; Environnement ; Nouveau-né ; Prématuré ; Thérapies complémentairesMots-clés : Intervention comportementale Résumé : Problem : Current research suggests behavioral and environmental interventions to prevent neonatal pain prior to an invasive procedure are rarely administered and seldom documented. The aim of this study was to systematically review findings from published randomized controlled trials that tested the effects of behavioral and environmental procedural pain management interventions on behavioral pain response in preterm infants. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87329
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 22-30[article]Exemplaires (1)
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Titre : Effective HPV Vaccination Strategies: What Does the Evidence Say? An Integrated Literature Review Type de document : Article Auteurs : Ginger L. Holloway Année de publication : 2019 Article en page(s) : p. 31-41 Langues : Anglais (eng) Descripteurs : HE Vinci
Evidence-based nursing ; Infections à papillomavirus ; Recommandations ; VaccinationRésumé : •Human papillomavirus is the number one sexually transmitted infection.
•Human papillomavirus vaccination rates are below 50% nationally.
•Need to identify effective strategies to increase uptake rates
•Provider recommendation most effective in initiating series
•Multi method strategies most effective in sustaining changeDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87330
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 31-41[article]Exemplaires (1)
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Titre : The Influence of Psychological Stress, Depressive Symptoms, and Cortisol on Body Mass and Central Adiposity in 10- to-12-Year-Old Children Type de document : Article Auteurs : Thuy Lynch ; Andres Azuero ; John E. Lochman ; Na-Jin Park ; Anne Turner-Henson ; Marti Rice Année de publication : 2019 Article en page(s) : p. 42-49 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépression ; Enfant (6-12 ans) ; Indice de masse corporelle ; Obésité ; Stress psychologiqueRésumé : •The majority of children (57%) in this study were overweight or obese.
•Normoweight, overweight, and obese children reported levels of depressive symptoms.
•Healthcare providers need to assess for depressive symptoms in health screenings.
•Both BMI and WC measures need to be included as part of child health visits.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87331
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 42-49[article]Exemplaires (1)
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Titre : Reverse Cascade Screening for Familial Hypercholesterolemia Type de document : Article Auteurs : Amelia Vinson ; Lisa Guerra ; Luke Hamilton ; Don P. Wilson Année de publication : 2019 Article en page(s) : p. 50-55 Langues : Anglais (eng) Descripteurs : HE Vinci
Cholestérol ; Enfant (6-12 ans) ; Famille ; Hypercholesterolemie ; Infirmiers pédiatriques ; Maladies cardiovasculairesRésumé : •Familial hypercholesterolemia (FH) is a genetic condition associated with lifelong elevation of cholesterol.
•Screening youth for FH provides means of identifying children at risk as well as their family members.
•Pediatric nurses play a key role in education and care of children diagnosed with FH.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87332
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 50-55[article]Exemplaires (1)
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Titre : Improvements in Hope and Beliefs about Illness Following a Summer Camp for Youth with Chronic Illnesses Type de document : Article Auteurs : Melissa A. Faith ; Sunnye Mayes ; Chelsea D. Pratt ; Carrick Carter Année de publication : 2019 Article en page(s) : p. 56-62 Langues : Anglais (eng) Descripteurs : HE Vinci
Espoir ; Maladie chronique ; PerceptionRésumé : •Specific camp activities do not predict changes in attitudes about illness
•Pre-camp hope moderated role of activity engagement
•Campers' repeated camp attendance may indicate other important benefits of campDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87333
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 56-62[article]Exemplaires (1)
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Titre : Children's Perceptions of Pictures Intended to Measure Anxiety During Hospitalization Type de document : Article Auteurs : Stefan Nilsson ; Josefine Holstensson ; Cajsa Johansson ; Gunilla Thunberg Année de publication : 2019 Article en page(s) : p. 63-73 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Echelle d'évaluation ; Émotions ; Enfant (6-12 ans) ; Hospitalisation ; Image ; PédiatrieRésumé : •When children between five and eight years assess anxiety, they may understand facial expressions of emotions.
•When children between five and eight years assess anxiety, they may understand emotional labels.
•Nurses in clinical praxis may use pictures when they assess children's emotional states.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87334
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 63-73[article]Exemplaires (1)
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Titre : Experiences of College Students Who Are Newly Diagnosed With Type 1 Diabetes Mellitus Type de document : Article Auteurs : Jennifer Saylor ; Kathleen M. Hanna ; Christina J. Calamaro Année de publication : 2019 Article en page(s) : p. 74-80 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète de type 1 ; Diagnostic ; Enfant (6-12 ans) ; Recherche qualitativeRésumé : •Type 1 diabetes mellitus affects all aspects of life and complicates college living.
•College environment affects type 1 diabetes mellitus management.
•Type 1 diabetes mellitus diagnosis facilitates growth and maturity.
•Diabetes education for emerging adults in college requires an adaptive focus.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87335
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 74-80[article]Exemplaires (1)
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Titre : Adverse Childhood Experiences and the Presence of Cancer Risk Factors in Adulthood: A Scoping Review of the Literature From 2005 to 2015 Type de document : Article Auteurs : Katie A. Ports ; Dawn M. Holman ; Angie S. Guinn ; Sanjana Pampati ; Karen E. Dyer ; Melissa T. Merrick ; Natasha Buchanan Lunsford ; Marilyn Metzler Année de publication : 2019 Article en page(s) : p. 81-96 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Facteurs de risque ; Maltraitance ; Prévention ; TumeursRésumé : •Over 33 types of adversity were measured with physical, emotional, and sexual abuse the most common.
•Individual and summed adversity were associated with alcohol behaviors, obesity, and tobacco.
•Few studies examined links between early adversity and chronic inflammation or infectious agents.
•No publications were for environmental carcinogens, hormones, immunosuppression, or radiation.
•Studies identified significant associations between early adversity and cancer risk factors.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87336
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 81-96[article]Exemplaires (1)
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Titre : Health-Related Quality of Life Among Survivors of Cancer in Adolescence : An Integrative Literature Review Type de document : Article Auteurs : Hyewon Shin ; Robin Bartlett ; Jennie C. De Gagne Année de publication : 2019 Article en page(s) : p. 97-106 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Qualité de vie ; Survivants ; TumeursRésumé : •Most survivors of a childhood cancer that occurred during adolescence reported good health-related quality of life scores.
•Gender, types of cancer, and late effects negatively affected quality of life.
•Social support and coping strategies positively affected quality of life as mediating factors.
•Parenthood and fertility/sexual function are needed in the quality of life measurement.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87337
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 97-106[article]Exemplaires (1)
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Titre : School and Community-based Nurse-led Asthma Interventions for School-aged Children and Their Parents : A Systematic Literature Review Type de document : Article Auteurs : Elif Isik ; Nina M. Fredland ; Wyona Freysteinson Année de publication : 2019 Article en page(s) : p. 107-114 Langues : Anglais (eng) Descripteurs : HE Vinci
Asthme ; Ecole ; Education thérapeutique ; Enfant (6-12 ans) ; Infirmiere scolaire ; ParentsRésumé : •Asthma is one of the most prevalent chronic diseases in the world.
•Poor asthma management in children were related to a lack of asthma knowledge on the part of the children and their parents.
•Exploring different strategies beyond the inpatient clinic setting is key for successful asthma management.
•School nurses can play an integral role in empowering children and their parents to improve asthma management through education, advising, and direct care.
•Asthma education programs are likely to strengthen the empowerment of the children and their parents in managing asthma.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87338
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 107-114[article]Exemplaires (1)
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Titre : Creating a Safe Sleep Environment for the Infant : What the Pediatric Nurse Needs to Know Type de document : Article Auteurs : Jaime A. Newberry Année de publication : 2019 Article en page(s) : p. 119-122 Langues : Anglais (eng) Descripteurs : HE Vinci
Mort subite du nourrisson ; Pédiatrie ; Pratique factuelle (EBP) ; Sécurité ; SommeilDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87339
in Journal of Pediatric Nursing > Vol. 44 (January/February 2019) . - p. 119-122[article]Exemplaires (1)
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Titre : A Novel Nesting Protocol to Decrease Readmission and Increase Patient Satisfaction Following Congenital Heart Surgery Type de document : Article Auteurs : Tess E. Wright Année de publication : 2018 Article en page(s) : p. 1-8 Note générale : doi : 10.1016/j.pedn.2018.07.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Cardiopathies congénitales ; Pédiatrie ; Protocole ; Sortie du patientRésumé : BACKGROUND: Pediatric patients post-cardiac surgery have complex care needs requiring extensive discharge education and skill competency by caregivers to transition from the hospital environment to a medical home. The purpose of this quality improvement project was to implement a nesting protocol in the cardiovascular intensive care unit (CVICU) to improve discharge teaching and care coordination, with a goal to reduce readmission rates and increase caregiver satisfaction and understanding.
METHODS: A nesting protocol was created to provide clear and consistent guidelines to the multidisciplinary team. Pre- and post-intervention data was collected from caregiver satisfaction surveys, using a Likert scale, to determine understanding of nesting and feeling of preparedness upon discharge. In 2016 and 2017, retrospective chart reviews were performed to evaluate readmission data. SQUIRE 2.0 guidelines were utilized when writing this article (Ogrinc et al., 2015).
RESULTS: Caregivers reported an increase in satisfaction and understanding of the nesting process post-intervention with an increase of 4.48%. Readmission rates did not improve from 2016 to 2017. However, only 6 months of 2017 were reviewed.
CONCLUSIONS: Readmission is a significant problem for children with complex CHD. Post-discharge care requires caregivers to understand the medical care that their children require. Pre-intervention data revealed deficiencies in understanding regarding care regimens, infection control, and nutrition, which correlated with the most frequent causes for readmission among this population. The protocol developed addressed multiple issues concerning discharge readiness.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87001
in Journal of Pediatric Nursing > Vol. 43 (November/December 2018) . - p. 1-8[article]Exemplaires (1)
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Titre : Post-Operative Pain and Comfort in Children After Heart Surgery : a Comparison of Nurses and Families Pre-operative Expectations Type de document : Article Auteurs : Kayla A. Harvey ; Andrea Kovalesky Année de publication : 2018 Article en page(s) : p. 9-15 Note générale : doi : 10.1016/j.pedn.2018.07.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Confort ; Douleur postopératoire ; Gestion de la douleur ; Infirmières et infirmiers ; Parents ; Pédiatrie ; Procédures de chirurgie cardiaque ; Relations entre professionnels de santé et patientsRésumé : PURPOSE : Parents' and nurses' expectations about pain control and comfort in children after heart surgery were explored to contribute to evidence-based family-centered interventions.
DESIGN AND METHODS : 20 nurses and 23 parents from a tertiary pediatric center in the Pacific Northwest, were interviewed about their expectations of children's pain control and comfort experience in the hospital after heart surgery. In this descriptive study, data were collected from semi-structured recall interviews and analyzed using content analysis.
RESULTS : Most parents expected their child be medicated at a level of not feeling any pain. Many expected their child to remain in a heavily sedated state after the surgery. A few parents did not know what to expect. In contrast, nurses expected children to have controlled pain with intermittent discomfort, yet, tolerating recovery activities.
CONCLUSIONS : Although both parents and nurses expect to partner in the comfort care of the child, there is variation on the expectations around the nurse-parent relationship and the operational definition of pain management and comfort.
PRACTICE IMPLICATIONS : Awareness of parents' expectations about pediatric post-operative comfort present an opportunity for the development of interventions aimed to enhance alignment of nurse and family strategies for children after heart surgery. Pre-operative preparation for families specific to post-operative recovery and pain management of children hospitalized for heart surgery is needed.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87002
in Journal of Pediatric Nursing > Vol. 43 (November/December 2018) . - p. 9-15[article]Exemplaires (1)
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Titre : Response to a National Issue: Moving Beyond “Back to Sleep” at Three Hospitals Type de document : Article Auteurs : Martha Rider Sleutel ; Barbara True ; Heidi Gustus ; Kathy Baldwin ; Brandi Early Année de publication : 2018 Article en page(s) : p. 16-19 Note générale : doi : 10.1016/j.pedn.2018.07.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Asphyxie ; Mort subite du nourrisson ; Recommandations ; Sécurité ; SommeilRésumé : •Many parents and nurses were unaware of newer recommendations that loose blankets, soft toys, and warm room temperatures are hazardous to infants.
•Media and advertising continue to depict unsafe sleep environments (sleeping infants on couches, in cribs with pillows or soft toys, in bed with sleeping parents).
•Using ABC'S crib cards and room signs based on updated recommendations helped nurses easily and consistently teach parents.
•This intervention improved nurses' knowledge and practices; parents' recall of teaching; and safety of infant sleep and crib environments.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87003
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Titre : The Why Behind the Questions: Question-asking in Parents of Children Newly Diagnosed With Cancer : A Report From the Children's Oncology Group Type de document : Article Auteurs : Katherine Patterson Kelly ; Kristin Stegenga Année de publication : 2018 Article en page(s) : p. 23-28 Note générale : doi : 10.1016/j.pedn.2018.07.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication ; Education thérapeutique ; Information ; Oncologie médicale ; Parents ; PédiatrieRésumé : •Question asking is frequently used during the initial educational process.
•Clinician actions can influence parent question asking.
•Parents and clinicians ask questions for different reasons.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87004
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Titre : Infant Feeding Practices and Weight Gain in Toddlers Born Very Preterm : A Pilot Study Type de document : Article Auteurs : Jeannie Rodriguez ; Olivia Affuso ; Andres Azuero ; Charles A. Downs ; Anne Turner-Henson ; Marti Rice Année de publication : 2018 Article en page(s) : p. 29-35 Note générale : doi : 10.1016/j.pedn.2018.08.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Consommation alimentaire ; Enfant (6-12 ans) ; Lait humain ; Prématuré ; Préparation pour nourrissons ; Prise de poids ; Régime alimentaireRésumé : •By the time of discharge from the NICU, only one-third of the participants in this study were still receiving human milk.
•The majority of participants (77.7%) had caught up in weight with their term counterparts by 12 months corrected age.
•The support for or desire to feed human milk feedings in the NICU appears to wane over time.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87005
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Titre : Parents' and Health Professionals' Views of Collaboration in the Management of Childhood Long-term Conditions Type de document : Article Auteurs : Joanna Smith ; Sarah Kendal Année de publication : 2018 Article en page(s) : p. 36-44 Note générale : doi : 10.1016/j.pedn.2018.08.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Coopération ; Enfant (6-12 ans) ; Parents ; Personnel de santé ; Relations entre professionnels de santé et patients ; Soins centrés sur le patientRésumé : •Patient-centered and family-centered care are poorly defined concepts and not routinely embedded into every day practice;
•Effective parent-health professional collaboration may result in improved outcomes for children and their families;
•The nature of the parent-health professional relationship is key to developing positive collaborative practice;
•Families and health professionals differ in their expectations of strategies to work collaboratively.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87007
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Titre : Improving Quality Through Nursing Participation at Bedside Rounds in a Pediatric Acute Care Unit : A Pilot Project Type de document : Article Auteurs : Rafael Acal Jiménez ; Martha Swartz ; Ruth McCorkle Année de publication : 2018 Article en page(s) : p. 45-55 Note générale : doi : 10.1016/j.pedn.2018.08.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication ; Consultation médicale ; Infirmières et infirmiers ; PédiatrieRésumé : PROBLEM : Implementation of bedside rounds enhances communication and collaboration between physicians and nurses, resulting in improved clinical outcomes. Yet, the literature demonstrates that it remains difficult for nurses to attend rounds if they don't know when they are happening.
PURPOSE : This project aimed to increase nurses' presence and participation at bedside rounds in a pediatric acute care unit, enhance teamwork and collaboration, and improve quality outcomes.
Design and methods : Nurses carried a pager so that physicians could alert them of rounds. Perception of teamwork and collaboration was assessed via surveys pre- and post-intervention as well as the annual survey evaluating RN and MD interactions from the National Database of Nursing Quality Indicators™ (NDNQI®). Other quality outcome measures included length of stay and patient satisfaction through Press Ganey™ surveys.
Results : Findings demonstrated that when nurses were notified in advance, their participation in rounds increased from 44.4 to 73%. Length of stay decreased from 2.5 days prior to the project to an average of 2.10 days during the project. Scores on inpatient satisfaction surveys increased from 82.4 to 92.2%, and nursing communication improved from 83.3 to 95.65%.
CONCLUSION : Interprofessional collaboration as reflected by the inclusion of nurses at bedside rounds led to positive outcomes in patient care.
IMPLICATIONS : Increasing nurses' presence and providing them with a role at rounds is an important step towards fostering teamwork and collaboration with physicians and enhancing team-based care in a pediatric inpatient setting. Further research measuring the impact of interprofessional collaboration in healthcare is needed.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87008
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Titre : The Development and Content Validation of a Self-reported Instrument to Explore the Nurse's Role in Healthcare Transition Planning for Youth and Young Adults With Chronic Illness and/or Disability (NR-HCTP) Type de document : Article Auteurs : Jennifer E. Mannino ; Jennifer A. Disabato ; Cecily L. Betz Année de publication : 2018 Article en page(s) : p. 56-61 Note générale : doi : 10.1016/j.pedn.2018.08.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Evaluation ; Infirmière pédiatrique ; Maladie chronique ; Matériel d'enseignement ; Rôle propre infirmierRésumé : •Increasing concern over the successful transition to adult healthcare
•Nurses are an essential group of professionals who care for YYA with CI/D.
•Development and validation of an instrument to evaluate nurses' roles in HCTP
•Only instrument of its kind
•Serve as a needs assessment for nurses and for quality improvement projectsDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87009
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Titre : Feasibility of Online Mental Wellness Self-assessment and Feedback for Pediatric and Neonatal Critical Care Nurses Type de document : Article Auteurs : Brenda Bursch ; Natacha D. Emerson ; Armen C. Arevian ; Hilary Aralis ; Lee Galuska ; Jessica Bushman ; Maegan Sinclair ; Karen Grimley ; Patricia Lester ; Yonca Bulut Année de publication : 2018 Article en page(s) : p. 62-68 Note générale : doi : 10.1016/j.pedn.2018.09.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Auto-évaluation diagnostique ; Dépression ; Infirmières et infirmiers ; Psychiatrie ; Résilience psychologique ; Stress psychologique ; Syndrome d'épuisement professionnel ; Traumatisme ; Unités de soins intensifs pédiatriquesRésumé : •Few tools exist to facilitate self-assessment of burnout and psychological distress among pediatric critical care nurses.
•An online self-assessment tool with evidence-informed feedback is feasible and acceptable to pediatric critical care nurses.
•Stressors that predict burnout vary across the three main subscales of the burnout measure.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87011
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Titre : Psychometric Validation of the Family Nurse Caring Belief Scale in a Neonatal Nursing Population Type de document : Article Auteurs : Eileen P. Magri Année de publication : 2018 Article en page(s) : p. 69-76 Note générale : doi: 10.1016/j.pedn.2018.09.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Echelle d'évaluation ; Etudes de validation ; Famille ; Infirmiers néonatals ; Psychométrie ; Soins centrés sur le patient ; Soins infirmiers auprès des famillesRésumé : PURPOSE : To psychometrically validate and strengthen the construct validity of the Family Nurse Caring Belief Scale (FNCBS) with a sample of neonatal nurses.
DESIGN AND METHODS : Confirmatory factor analysis of the 25-item FNCBS, using the factor structure based on the original exploratory principal components analysis, was performed to evaluate the psychometric properties of the FNCBS with the neonatal nurse population.
RESULTS : Confirmatory factor analysis (CFA) examined the factor structure of the FNCBS using the sample of neonatal nurses. The chi-square test determined overall model fit. Comparative fit index (CFI) and Tucker-Lewis index (TLI) were both 0.06 and the standardized root mean square residual (SRMR) of the sample data is >0.08 and, therefore, the data did not demonstrate good fit. In addition, the factor correlations between the four latent variables were small. This suggests there is no parsimony and the sample data with neonatal nurses did not fit the model.
CONCLUSION : The findings suggest the FNCBS was not psychometrically validated with the population of neonatal nurses and this study was unable to strengthen the construct validity of the FNCBS beyond the pediatric nurse sample in the original study.
IMPLICATIONS FOR PRACTICE : This study highlighted the opportunity for continued research in the area of measuring nurses' beliefs regarding the provision of family-sensitive care to families in crisis and will generate a revision of the FNCBS to incorporate concepts which are important to care for a family unit.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87023
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Titre : Refinement of an Instrument to Measure the Needs of Parents of Sick Children in the Context of Family Centered Care Type de document : Article Auteurs : Veronica Feeg ; I-Chan Huang ; Jennifer E. Mannino ; Deborah Miller ; Cécilia Hau-Yee Kuan Année de publication : 2018 Article en page(s) : p. 77-87 Note générale : doi : 10.1016/j.pedn.2018.08.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Évaluation des besoins ; Famille ; Parentalité ; Parents ; Patients ; Soins infirmiers auprès des famillesRésumé : BACKGROUND AND PURPOSE : The purpose of this study was to refine an instrument to capture the perceived needs of parents whose children are seriously ill. This article describes the psychometric properties of the Parents' Needs Scale (PNS), a translated, revised 22-item short form from an original instrument that was developed and tested on parents of children with cancer in Hong Kong.
METHODS : The study was done in three stages that included (a) factor analysis of two samples recruited from clinics in Northern Virginia of parents of children with cancer (n = 74) and end stage renal disease (ESRD) (n = 30); (b) known groups validity testing with two groups of parents recruited in a parallel study on children with special needs (n = 15) and a control group of well children (n = 23); and (c) concurrent validity testing on the subsample of parents of children with special needs using the known measure of Impact on the Family Scale (IFS). Data collection for the stages included mailed questionnaires and follow-up telephone interviews.
RESULTS : Exploratory factor analysis using the common factor approach identified two domains: (1) needs related to my child's illness and (2) needs unrelated to my child's illness. The factorial structure was followed by item scaling tests to determine item-level convergence and discriminative validity, as well as scale reliability for the two domains (Cronbach's alpha = 0.93 and 0.90). Domain-level discriminant validity tests yielded significant differences on several expected characteristics of the child and/or family based on the literature. The final 22-item scale was reworded and used to establish known groups validity by comparing the two groups of children with acute illnesses from the previous study with two control groups of parents of children who were well or children with special needs but not acutely ill, yielding significant results on both factors (p CONCLUSIONS : The PNS can measure parents' needs with demonstrated psychometric validity and reliability.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87024
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Titre : Care Coordination Using a Shared Plan of Care Approach : From Model to Practice Type de document : Article Auteurs : Jeanne Walker McAllister ; Rebecca McNally Keehn ; Rylin Rodgers ; Thomas M. Lock Année de publication : 2018 Article en page(s) : p. 88-96 Note générale : doi : 10.1016/j.pedn.2018.09.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Coordination ; Enfant (6-12 ans) ; Famille ; Pédiatrie ; Plan de soinsRésumé : INTRODUCTION : Children and youth with special health care needs (CYSHCN) need, but do not have, adequate care coordination (CC); CC leads to better pediatric care, improved family/professional experience of care, and enhanced population health. Current CC initiatives are promising but lack adherence to emerging definitions/standards. A Lucile Packard Report provides guidelines for using a Shared Plan of Care (SPoC) as a CC approach; studied implementation is needed.
PURPOSE : The studied implementation of the Riley Care Coordination Program (RCCP) set out to: 1) illuminate components of family-centered, interdisciplinary, team-based care/coordination and SPoC, use 2) underscore family participation/engagement 3) reveal implementation processes/lessons learned.
METHODS : Children (ages 2–10) with neurodevelopmental disabilities were referred by subspecialists; families agreed to participate in RCCP from a children's hospital ambulatory care setting. RCCP team used a five-phase workflow to implement CC: (1) Family Outreach/Engagement 2) Family and Team Pre-Visit Work, 3) Population-Based Teamwork, 4) Planned-Care Visits/SPOC “Co-Production”, 5) Ongoing Care Coordination and Community Transfer. Family surveys and SPoC goals informed an evaluation.
RESULTS : Children (268) with neurodevelopmental disabilities enrolled/completed the 6-month RCCP; it was a feasible endeavor. The co-produced SPoC supported families/care neighborhood partners to meet goals/unmet needs. Team plan-do-study-act improvement cycles informed RCCP enhancements.
DISCUSSION/CONCLUSION : Eliciting/using family goals to drive CC emphasized family priorities; children/families gained interventions, treatments, confidence and navigation skills. Going beyond episodic, reactive care, RCCP achieved better CC with care neighborhood learning partnerships. Investing in this quality care coordination with fidelity to national standards holds promise.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87025
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Titre : Secondary Traumatic Stress in Pediatric Nurses Type de document : Article Auteurs : Marni B. Kellogg ; Margaret Knight ; Jacqueline S. Dowling ; Sybil L. Crawford Année de publication : 2018 Article en page(s) : p. 97-103 Note générale : doi : 10.1016/j.pedn.2018.08.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Age de la vie ; Expérience ; Infirmiers pédiatriques ; Statistiques ; Stress professionnel ; Usure de compassionRésumé : •Secondary traumatic stress impacts many pediatric nurses.
•Recognizing this experience will help to protect nurses' health.
•Research is needed to learn which events cause pediatric nurses traumatic stress.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87026
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Titre : How Do Youth with Cystic Fibrosis Perceive Their Readiness to Transition to Adult Healthcare Compared to Their Caregivers' Views? Type de document : Article Auteurs : Valérie Lapp ; Susan K. Chase Année de publication : 2018 Article en page(s) : p. 104-110 Note générale : doi : 10.1016/j.pedn.2018.09.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Autosoins ; Mucoviscidose ; Parents ; Transition aux soins pour adultesRésumé : •Many youth age 18–22 are still contemplating or starting to learn self-management skills.
•“This has opened my eyes … how much we have to teach her!” (parent comment).
•Parents had not considered transferring knowledge of certain skills to their child.
•Starting transition discussion to adult healthcare at age 16 is too late.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87027
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Titre : Identifying Opportunities to Provide Family-centered Care for Families With Children With Type 1 Spinal Muscular Atrophy Type de document : Article Auteurs : Diane V. Murell ; Claire A. Crawford ; Chanti T. Jackson ; Thimothy Lotze ; Constance M. Wiemann Année de publication : 2018 Article en page(s) : p. 111-119 Note générale : doi : 10.1016/j.pedn.2018.09.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Amyotrophie spinale ; Coordination ; Famille ; Parents ; Pédiatrie ; ValeurRésumé : •The features of ideal medical care described by families of children with Type 1 SMA are consistent with tenets of FCC.
•A care coordinator liaises between families and medical teams to represent the family’ values and decisions.
•Families of children with Type 1 SMA are experts on their child and should be included as partners in the care team.
•Families of children with Type 1 SMA want education about the disease trajectory and time to make treatment choices.
•The cultural context of family constellation, language, employment and support systems impacts decision making.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87028
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Titre : Standardized Tracheostomy Education Across the Enterprise Type de document : Article Auteurs : Sarah Wells ; Herminia Shermont ; Gail Hockman ; Susan Hamilton ; Leah Abecassis ; Susan Blanchette ; Daphne Munhall Année de publication : 2018 Article en page(s) : p. 120-126 Note générale : doi : 10.1016/j.pedn.2018.06.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Education thérapeutique ; Famille ; Pédiatrie ; TrachéostomieRésumé : •Audits demonstrate families are receiving standardized tracheostomy education.
•Distanciation of tracheostomy education decreased readmission rates.
•Traveling go-bags are provided to all tracheostomy patients.
•Automated reporting of all tracheostomy admissions alerts team members.
•Engaging staff, patients and families is critical when standardizing processes.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87029
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Titre : Translational Research – The Linkage between Family-Centered Care and Improved Health Outcomes for Children and their Families Type de document : Article Auteurs : Becky J. Christian Année de publication : 2018 Article en page(s) : p. 127-131 Note générale : doi : 10.1016/j.pedn.2018.10.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Interdisciplinarité ; Pédiatrie ; SantéMots-clés : Soins centrés sur la famille Partenariat Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87030
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Titre : Do Pediatric Early Warning Systems for Hospitalized Children Reduce Mortality? Type de document : Article Auteurs : Deborah L. McBride Année de publication : 2018 Article en page(s) : p. 132-133 Note générale : doi : 10.1016/j.pedn.2018.04.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Hospitalisation ; PédiatrieMots-clés : Système d'alerte précoce Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87031
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Titre : Texting as a Strategy to Increase Contraception Use Compliance in Adolescent Females Type de document : Article Auteurs : Susan M. Burke Année de publication : 2018 Article en page(s) : p. 134-135 Note générale : doi : 10.1016/j.pedn.2018.08.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Contraception ; Message ; Observance par le patient ; Smartphone ; Technologie de l'informationDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87032
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Titre : Clinical Practice Guideline for Support of Families of Children With Chronic Conditions Type de document : Article Auteurs : Elizabeth Straus ; Jennifer Baird Année de publication : 2018 Article en page(s) : p. 136 Note générale : doi : 10.1016/j.pedn.2018.09.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Famille ; Maladie chronique ; Parents ; RecommandationsDisponible en ligne : Oui En ligne : https://www.pediatricnursing.org/article/S0882-5963(18)30430-5/fulltext Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87033
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Titre : Drawing as a Communication Modality in Clinic Type de document : Article Auteurs : Shari K. Liesch ; Kathleen M. Elertson Année de publication : 2018 Article en page(s) : p. 137-138 Note générale : doi : 10.1016/j.pedn.2018.10.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication ; Dessin ; Émotions ; Pédiatrie ; ThérapeutiqueNote de contenu : I-Introduction and Background
II-Therapeutic Drawing in Clinic
III-Youth Engagement in Drawing
IV-Conclusion
V-ReferencesDisponible en ligne : Oui En ligne : https://www.pediatricnursing.org/article/S0882-5963(18)30443-3/fulltext Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=87034
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Titre : Barriers and Facilitators to Improving Virginia's HPV Vaccination Rate: A Stakeholder Analysis With Implications for Pediatric Nurses Type de document : Article Auteurs : Miev Y. Carhart ; Donna L. Schminkey ; Emma M. Mitchell ; Jessica Keim-Malpass Année de publication : 2018 Article en page(s) : p. 1-8 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.05.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Etats-Unis ; Infections à papillomavirus ; Infirmière pédiatrique ; Pédiatrie ; VaccinationMots-clés : Partie prenante Résumé : Purpose
Despite the evidence, the availability since 2006, and strong recommendations from many professional organizations, the human papillomavirus (HPV) vaccine has had a low uptake rate nationally and these trends have been even lower in the state of Virginia.
Design and methods
We explored key stakeholders' perspectives on factors influencing HPV vaccination in central and southern Virginia organized within the socio-ecological model (SEM) framework. We conducted semi-structured key informant interviews with 31 stakeholders involved in HPV vaccination or cancer prevention.
Results
Stakeholders identified barriers at all SEM levels: Knowledge gaps and sexuality concerns (parent-child dyad level), time constraint and inconsistent recommendation (interpersonal level), lack of leadership and informational support (organizational and community level), and an ineffective mandate (policy level). Facilitators identified were realistic/receptive attitude (parent-child dyad level), provider's strong recommendation and educational support (interpersonal level), team approach and useful data (organizational level), educational outreach and community resources (community level), and support from federal and professional organizations (policy level).
Conclusions
The stakeholder analysis provided an environmental scan of the barriers and facilitators so that an effective HPV vaccination strategy can be planned and implemented in the Commonwealth of Virginia by public health nurses.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86231
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Titre : Severe Obesity in Children May Not Pose Independent Risk for Influenza Complications Type de document : Article Auteurs : Vickie L. Neyer ; Jessica G. Woo ; Robert M. Siegel Année de publication : 2018 Article en page(s) : p. 21-24 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.05.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications ; Enfant (6-12 ans) ; Grippe humaine ; Obésité ; VaccinationRésumé : Purpose
Subsets of children are targeted for influenza vaccination due to known conditions that increase the risk of influenza complications. The purpose of this study was to determine if severe obesity in children suggests targeted vaccination.
Design and methods
A retrospective chart review of a large Midwestern pediatric hospital identified 188 cases of influenza complications (defined as requiring hospitalization or death) aged 2 to Results
Of 188 cases, 174 (93%) had a high-risk condition, while only 14 (7%) had no known condition. All 14 (100%) with no known high-risk condition had a BMI Conclusions
This suggests that severe obesity in children is not an independent high-risk condition for influenza complications defined as requiring hospitalization or resulting in death, once other known influenza risk factors are considered.
Implications
Based on this data, clinicians should not target children for influenza vaccination based on weight status. We cannot comment about whether severe obesity represents increased risk for less severe cases of influenza.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86232
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Titre : Association between Pain Sensitivity, Central Sensitization, and Functional Disability in Adolescents With Joint Hypermobility Type de document : Article Auteurs : Elizabeth A. Bettini ; Ki Moore ; Yunfei Wang ; Pamela S. Hinds ; Julia C. Finkel Année de publication : 2018 Article en page(s) : p. 34-38 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.06.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Maladie chronique ; Soins de l'enfant ; Syndrome d'Ehlers-DanlosMots-clés : Incapacité fonctionnelle Résumé : Purpose
The purpose of this study was to examine the association between pain sensitivity, central sensitization, and functional disability in adolescents with joint hypermobility.
Design and Methods
A cross-sectional descriptive design was utilized for this study. A sample of 40 adolescents being evaluated for chronic pain and autonomic nervous system dysfunction were recruited. Subjects were evaluated for pain, function, central sensitization, and sensitivity on pain and touch sensory nerve fiber types. Data were analyzed to detect associations between variables.
Results
Joint hypermobility had a moderately significant correlation with central sensitization measured by the Central Sensitization Inventory, as well as increased pain sensitivity as evidenced by hypersensitivity of Aδ sensory nerve fibers. The presence of central sensitization was also positively associated with level of functional disability.
Conclusions
Findings implicate joint hypermobility as a possible antecedent to pain hypersensitivity and central sensitization syndromes that when recognized and addressed effectively may reduce functional disability in those affected.
Practice Implications
It is important for pediatric nurses that work with adolescents that have chronic pain to understand variables that may impact pain and functional disability in order to develop methods to increase function, reduce pain, and increase perceived quality of life.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86233
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Titre : Centeredness in Healthcare : A concept synthesis of family-centered care, person-centered care and child centered care Type de document : Article Auteurs : Imelda Coyne ; Inger Holmström Année de publication : 2018 Article en page(s) : p. 45-56 Note générale : L'article ne figure pas dans le numéro en ligne (oubli) Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse de concept ; Pédiatrie ; Soins ; Soins centrés sur le patientMots-clés : Soins centré sur la famille Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86234
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Titre : Concept Analysis of family-centered care of hospitalized pediatric patient Type de document : Article Auteurs : Wendi Smith Année de publication : 2018 Article en page(s) : p. 57-64 Note générale : DOI:10.1016/j.pedn.2018.06.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse de concept ; Hospitalisation ; Relation d'aide ; Soins centrés sur le patient ; Unités de soins intensifs pédiatriquesMots-clés : Accompagnement de la famille du patient Résumé : Abstract
AIM:
The purpose of this concept analysis is to provide a background of family-centered care of the hospitalized pediatric patient, clarify its components, and validate its significance to nursing practice and research.
BACKGROUND:
The concept of family-centered care in the hospital environment has been discussed in the literature for over 60 years, yet its principles remain unclear and poorly implemented. Further analysis of this concept is warranted and has the potential to promote its integration into current nursing practice by increasing awareness and clarifying the essential attributes.
DATA SOURCES:
A systematic review of the literature yielded thousands of resources which were narrowed to a comprehensive list of 37 sources rich in valuable and applicable content.
REVIEW METHODS:
This analysis utilized the 8-step methodology of concept analysis described by Walker and Avant.
FINDINGS:
The majority of research investigating the concept of family-centered care and the hospitalized pediatric patient found was focused on defining family-centered care and surveying both families and nurses on their understanding of the concept. Little research was found exploring the relationship of family-centered care with patient and family outcomes, or patient and family satisfaction.
CONCLUSION:
Family-centered care of the pediatric patient in the hospital environment remains an abstract concept. It is recommended as a cornerstone of modern nursing practice, yet nurses report they lack sufficient education regarding its operationalization into practice. Elucidation of characteristics coupled with education regarding principles of the concept has the potential to augment further integration of family-centered care in the hospital environment.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86235
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Titre : Maturity in Adolescents with Type 1 Diabetes Mellitus: A Concept Analysis Type de document : Article Auteurs : Christine M. Jones ; Karen J. Foli Année de publication : 2018 Article en page(s) : p. 73-80 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.07.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Analyse de concept ; Diabète de type 1Résumé : Theoretical Principles
The transition from adolescence to adulthood can be a particularly challenging time for teenagers with type 1 diabetes mellitus (T1DM). Adolescents with T1DM must manage a treatment regimen which requires a high level of responsibility and self-care. Often the responsibilities of self-care are given to these teens without a clear assessment of their maturity, resulting in poor health outcomes. In order to accurately assess a youth's ability to assume self-management of T1DM, a clear understanding of the concept of maturity is needed.
Phenomena Addressed
The purpose of this paper is to provide a theoretical definition of the concept of maturity in the context of adolescents with T1DM and support this definition based on a literature review. This discussion was developed utilizing the Walker and Avant approach to concept analysis.
Research Linkages
This concept analysis defined maturity in adolescents with T1DM as a multi-dimensional state of development that encompasses the physical, cognitive, psychological, and social dimensions of being. Maturity requires that an individual is capable of functioning with behavioral, cognitive, and emotional autonomy in self-care activities related to TIDM on a consistent basis. This explanation also emphasizes that the process of achieving maturity is gradual and dynamic in nature. Caregivers must understand that physical age alone does not indicate that an adolescent is adequately prepared to assume independent diabetes management. Nurses are in the unique position to assist youth with the transition from dependent diabetes care to independent self-management of the disease; thus, increasing the likelihood of positive outcomes.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86236
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Titre : Predictors of Social Relationships for Children with Special Health Care Needs Type de document : Article Auteurs : Cara Sisk ; George Chitiyo ; Ashley Akenson Année de publication : 2018 Article en page(s) : p. 92-99 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.03.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Interaction socialeMots-clés : Amitié Difficultés à conserver les amis Besoins spécifiques en matière de soins de santé Résumé : Children with special health care needs (CSHCN) experience various developmental challenges including difficulties in social relationships with peers. Using data from the Centers for Disease Control and Prevention's National Survey of Children with Special Health Care Needs 2009–2010, this correlational study examined predictors of difficulty making and keeping friends among CSHCN. Binary logistic regression was used to analyze the data. Findings indicate statistical significance for 12 out of 14 predictor variables. Key findings indicate the odds of having difficulty making and keeping friends are 3.06 times higher for children with an autism spectrum diagnosis and 2.87 times higher for children with some behavior problem when compared to other CSHCN. Overall, the logistic regression model classified 80.7% of the cases correctly. A secondary analysis also identified factors which significantly differentiate between CSHCN who have a lot of difficulty compared to a little difficulty making and keeping friends. For this analysis, eight variables were statistically significant. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=86237
in Journal of Pediatric Nursing > Vol. 42 (September/October 2018) . - p. 92-99[article]Exemplaires (1)
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Titre : Healthcare Professionals' Views on Parental Participation in the Neonatal Intensive Care Units Type de document : Article Auteurs : Anna Kjellsdotter ; Björn Lantz ; Cornelia Ottosson Année de publication : 2018 Article en page(s) : p. 3-8 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.09.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Infirmières et infirmiers ; Unités de soins intensifs pédiatriquesMots-clés : Soins centrés sur la famille Participation parentale Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85561
in Journal of Pediatric Nursing > Vol. 41 (July/August 2018) . - p. 3-8[article]Exemplaires (1)
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Titre : Family-Centered Care From the Perspective of Parents of Children Cared for in a Pediatric Intensive Care Unit: An Integrative Review Type de document : Article Auteurs : Carrie Hill ; Kathleen Knafl ; Sheila Judge Santacroce Année de publication : 2018 Article en page(s) : p. 22-33 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.11.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Parents ; Unités de soins intensifs pédiatriquesMots-clés : Soins centrés sur la famille Résumé : Problem
The Institute for Patient- and Family-Centered Care's (IPFCC) definition of family-centered care (FCC) includes the following four core concepts: respect and dignity, information sharing, participation, and collaboration. To date, research has focused on the provider experience of FCC in the PICU; little is known about how parents of children hospitalized in the pediatric intensive care unit (PICU) experience FCC.
Eligibility Criteria
Articles were included if they were published between 2006 and 2016, included qualitative, quantitative, or mixed methods results, related to care received in a PICU, and included results that were from a parent perspective.
Sample
49 articles from 44 studies were included in this review; 32 used qualitative/mixed methods and 17 used quantitative designs.
Results
The concepts of respect and dignity, information sharing, and participation were well represented in the literature, as parents reported having both met and unmet needs in relation to FCC. While not explicitly defined in the IPFCC core concepts, parents frequently reported on the environment of care and its impact on their FCC experience.
Conclusions
As evidenced by this synthesis, parents of critically ill children report both positive and negative FCC experiences relating to the core concepts outlined by the IPFCC.
Implications
There is a need for better understanding of how parents perceive their involvement in the care of their critically ill child, additionally; the IPFCC core concepts should be refined to explicitly include the importance of the environment of care.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85562
in Journal of Pediatric Nursing > Vol. 41 (July/August 2018) . - p. 22-33[article]Exemplaires (1)
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Titre : Improving the Discharge to Home Experience for Pediatric Heart Center Patients and Families Type de document : Article Auteurs : Kari Vigna ; Karen Balakas ; Lisa M. Steurer ; Patrick M. Ercole Année de publication : 2018 Article en page(s) : p. 42-47 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.01.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Défaillance cardiaque ; Maladie congénitale ; Pédiatrie ; Sortie du patient ; Transition de phaseRésumé : Purpose
The purpose of this study was to determine if implementation of the discharge specialist role improves family perception of discharge readiness and determines whether the use of the role decreases the number of tasks needing completion on the day of discharge.
Design and Methods
A prospective descriptive study was designed to compare parent readiness for discharge from two groups of participants. One group had a discharge specialist the day of discharge. The other group did not have the assistance of the discharge specialist on the day of discharge. Participants were contacted after discharge and surveyed on their perception of readiness for discharge based on a modified version of the Care Transitions Method Survey. Patient responses were either Strongly Agree or Less than Strongly Agree.
Results
A total of 60 patients (30 in each group) were analyzed. There were no statistically significant differences in demographic variables between the two groups. The overall average score of the composite proportion responding with Strongly Agree was higher among caregivers using a discharge specialist (Mean = 88.2) as compared to those without (Mean = 55.9, U = 157.0, p Conclusion
The use of a discharge specialist on the day of discharge resulted in a higher parent perception of discharge readiness in this sample of children with complex cardiac diagnosis.
Practice Implications
The use of a discharge specialist in the heart center can assist with the successful transition from hospital to home. Future research should examine the effect of the discharge specialist on hospital re-admission rates and clinical outcomes.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85563
in Journal of Pediatric Nursing > Vol. 41 (July/August 2018) . - p. 42-47[article]Exemplaires (1)
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Titre : Nurse-led Discharge in Pediatric Care: A Scoping Review Type de document : Article Auteurs : Sydney Breneol ; Aaron Hatty ; Andrea Bishop ; Janet A. Curran Année de publication : 2018 Article en page(s) : p. 60-68 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.01.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Pédiatrie ; Pratique infirmière avancée ; Rôle propre infirmier ; Sortie du patientRésumé : Patients and caregivers frequently report feeling ill-prepared during the transition from hospital to home. Given the privileged position nurses occupy within the health care setting, they are often an appropriate health care professional to lead the discharge process. We aimed to map what is currently known about nurse-led/facilitated discharge programs, interventions, models, or frameworks for the pediatric population.
Eligibility Criteria
We conducted a scoping review following the Joanna Briggs Institute Methodology. Published literature targeting children 0–18 years old being discharged from acute care to home and describing a nurse leading the discharge planning/process was included.
Sample
A search strategy was developed and implemented in four electronic databases; CINAHL, MEDLINE, Embase, and Web of Science. We also hand searched three high impact journals and reviewed reference lists of relevant articles. This search resulted in 1485 records. Based on our eligibility criteria, 9 articles were included in this review. Two independent reviewers screened each eligible article and extracted relevant information.
Results
Terminology and program structure varied greatly across included studies. Critical appraisal revealed a lack of high quality research designs.
Conclusions
We identified a paucity of nurse-led/facilitated discharge programs evaluated within the pediatric population. The majority of studies were inadequately reported, leaving it difficult to identify development, implementation, and evaluation strategies.
Implications
Given the positive outcomes reported across all articles included in our review, future empirical research is warranted to explore this role within nursing practice.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85564
in Journal of Pediatric Nursing > Vol. 41 (July/August 2018) . - p. 60-68[article]Exemplaires (1)
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Titre : Use of Electronic Visibility Boards to Improve Patient Care Quality, Safety, and Flow on Inpatient Pediatric Acute Care Units Type de document : Article Auteurs : Mary Field ; Krista Kong ; Carol Shade Année de publication : 2018 Article en page(s) : p. 69-76 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.01.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche qualité ; Informatique en soins infirmiers ; Systèmes informatisés de dossiers médicaux ; Unités de soins intensifs pédiatriquesMots-clés : Tableau de visibilité électronique Résumé : Purpose
Effective information exchange among healthcare providers is critical to the delivery of high quality care. Electronic visibility boards (EVB) are an established tool for improving health care efficiency and promoting communication between healthcare team members.
Design and Methods
Seattle Children's Hospital (SCH) sought to evaluate the use of EVBs as a tool to improve patient care quality, safety and flow in a pediatric inpatient setting. EVBs were placed on the cancer and surgical patient care units at SCH, and displayed data flowing directly from the electronic health record.
Results
This paper describes the conceptual framework used for designing these boards, and details on the design methodology, testing approach, and successful deployment of the boards.
Conclusions
The close collaboration between development analysts and clinical nursing is highlighted as a key to successful EVB implementation. Initial metrics indicate improvements in incentive spirometry compliance, nursing documentation of care plans, and flow awareness on the units.
Practice Implications
These results suggest that with appropriate design, EVBs can effectively enhance patient safety and care, and may be a useful tool for implementation on other pediatric inpatient units.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85565
in Journal of Pediatric Nursing > Vol. 41 (July/August 2018) . - p. 69-76[article]Exemplaires (1)
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Titre : Implementation of a Nurse Driven Pathway to Reduce Incidence of Hospital Acquired Pressure Injuries in the Pediatric Intensive Care Setting Type de document : Article Auteurs : Angela D. Rowe ; Karen McCarty ; Amy Huett Année de publication : 2018 Article en page(s) : p. 104-109 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.03.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Barotraumatismes ; Démarche qualité ; Pédiatrie ; Prévention ; Unités de soins intensifs pédiatriquesRésumé : Purpose
A large, freestanding pediatric hospital in the southern United States saw a 117% increase in reported hospital acquired pressure injuries (HAPI) between 2013 and 2015, with the intensive care units being the units of highest occurrence.
Design and Methods
A quality improvement project was designed and implemented to assist with pressure injury prevention. Literature review confirmed that pediatric HAPIs are a challenge and that usage of bundles and user-friendly guidelines/pathways can help eliminate barriers to prevention. The aim of this quality improvement project had two aims. First, to reduce HAPI incidence in the PICU by 10%. Second, to increase consistent usage of pressure injury prevention strategies as evidenced by a 10% increase in pressure injury bundle compliance. The third aim was to identify if there are differences in percentage of interventions implemented between two different groups of patients. Donabedian's model of Structure, Process, and Outcomes guided the development and implementation of this quality improvement project. Interventions focused on risk assessment subscale scores have the opportunity to mitigate specific risk factors and improve pressure injury prevention.
Results
Through implementation of the nurse driven pathway there was as 57% decrease in reported HAPIs in the PICU as well as a 66% increase in pressure ulcer prevention bundle compliance.
Conclusions
Implementation of the nurse driven pressure injury prevention pathway was successful. There was a significant increase in bundle compliance for pressure ulcer prevention and a decrease in reported HAPIs.
Practice Implications
The pathway developed and implemented for this quality improvement project could be adapted to other populations and care settings to provide guidance across the continuum.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85566
in Journal of Pediatric Nursing > Vol. 41 (July/August 2018) . - p. 104-109[article]Exemplaires (1)
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Titre : Blogs Written by Families During Their Child's Hospitalization: A Thematic Narrative Analysis Type de document : Article Auteurs : Carolyn W. Jones ; Mary R. Lynn Année de publication : 2018 Article en page(s) : p. 110-116 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.03.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Hospitalisation ; Publication de bloc-notes ; Souffrance des parents ; Unités de soins intensifs pédiatriquesRésumé : To identify stressors experienced by parents whose child is hospitalized in an intensive care unit, and identify coping mechanisms utilized to ameliorate those stressors.
Using Lazarus and Folkman's Transactional Model of Stress and Coping as a framework, 20 publicly available blogs written by parents while their child was a patient in intensive care were analyzed using thematic analysis techniques. Stressors and coping techniques were identified, and grouped by theme for further analysis.
The most frequently noted types of stressors were related to information; both knowing and not knowing information related to their child's condition was reported as stressful, as well as waiting for information and when the information was not what was expected. Reframing was the emotion-focused technique most often identified by the parents, and seeking support was the most frequently noted
Illness blogs represent a rich source of information regarding the experiences of families with a child in the hospital. Parents transitioned from more emotion-focused coping strategies to problem-focused strategies during their child's hospital stay.
Practice Implications
When nurses give information to parents, they should be aware that knowing information can be stressful as well as not knowing, and care should be taken to provide support for parents after information is given. Nurses can also help parents identify sources of support. Writing about their experiences, either online or in a journal, may help parents cope in stressful situations.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=85567
in Journal of Pediatric Nursing > Vol. 41 (July/August 2018) . - p. 110-116[article]Exemplaires (1)
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Titre : Correlates of Physical Activity and Sedentary Behaviors Among Overweight Hispanic School-aged Children Type de document : Article Auteurs : Kimberly R. Hartson ; Bonnie Gance-Cleveland ; Claudia R. Amura ; Sarah Schmiege Année de publication : 2018 Article en page(s) : p. 1-6 Note générale : https://doi.org/10.1016/j.pedn.2018.01.019 Langues : Anglais (eng) Descripteurs : HE Vinci
Ecole ; Enfant (6-12 ans) ; Espagne ; Exercice physique ; Mode de vie sédentaire ; SurpoidsRésumé : Purpose
The purpose of this study was to explore potential correlates of physical activity and sedentary screen time behaviors among overweight Hispanic school-aged children, ages 7 to 14 years.
Design and Methods
We conducted an exploratory correlation analysis using baseline data of 40 child-parent dyads from the “Mind Exercise Nutrition Do It!” program conducted in the Western United States.
Results
Child self-esteem and parental vegetable intake were moderately associated with physical activity, while parental vegetable intake and child fruit intake were strongly associated with physical activity among males. Physical activity was not significantly associated with body mass index percentile, sedentary screen time behaviors, or body esteem. Only decreased body esteem in males was correlated with sedentary screen time behaviors.
Conclusions and Practice Implications
Understanding the correlates of physical activity and sedentary screen time behaviors in this underrepresented population allows nurses to better understand the connections between physical activity and other aspects of well-being in children. Further investigation is needed to determine how these relationships can be incorporated into physical activity interventions that improve the health of overweight Hispanic school-aged children.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84977
in Journal of Pediatric Nursing > Vol. 40 (May-June 2018) . - p. 1-6[article]
Titre : Does Pain Intensity Matter? The Relation between Coping and Quality of Life in Pediatric Patients with Chronic Pain Type de document : Article Auteurs : Alexis K. Yetwin ; Nicole E. Mahrer ; Cindy John ; Jeffrey I. Gold Année de publication : 2018 Article en page(s) : p. 7-13 Note générale : https://doi.org/10.1016/j.pedn.2018.02.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Adaptation psychologique ; Adolescent ; Enfant (6-12 ans) ; Maladie chronique ; Pédiatrie ; Qualité de vieRésumé : Purpose
Chronic pain is a complex and debilitating chronic health condition that negatively impacts a child's daily function. Previous investigations of coping behaviors in youth with chronic illness have suggested that secondary control/accommodative coping may be more adaptive than primary control/active coping or disengagement/passive coping. However, studies have not considered how pain intensity may change the effect of various coping strategies on functioning in this pediatric population. The current study examines how coping strategies relate to health-related quality of life (HRQOL) in youth with chronic pain at various levels of pain intensity.
Design and Methods
Sixty-five children and adolescents, aged 8–18 (77% female: M = 13.6 years, SD = 2.64) were recruited from a pediatric pain management clinic at an urban children's hospital. The Response to Stress Questionnaire examined coping behaviors of participants. The PedsQL 4.0 Generic Core Scales assessed HRQOL and a 10-cm Visual Analog Scale measured pain intensity.
Results
Primary control engagement coping had a significant main effect to predict higher HRQOL. There was a significant interaction between secondary control engagement coping and pain, and a marginal interaction between disengagement coping and pain. Specifically, secondary control engagement coping significantly related to higher HRQOL when pain was low and disengagement coping marginally related to higher HRQOL when pain was high.
Conclusions
Findings suggest that the effectiveness of specific coping strategies may vary depending on a child's level of pain.
Practice Implications
These findings suggest that clinicians (e.g., nurses, psychologists) use a more tailored approach when recommending interventions for managing chronic pain.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84978
in Journal of Pediatric Nursing > Vol. 40 (May-June 2018) . - p. 7-13[article]
Titre : A Systematic Review of the Psychometric Properties of the Modified Behavioral Pain Scale (MBPS) Type de document : Article Auteurs : Dianne J. Crellin ; Franz E. Babl ; Nick Santamaria ; Denise Harrison Année de publication : 2018 Article en page(s) : p. 14-26 Note générale : https://doi.org/10.1016/j.pedn.2018.02.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Etudes de validation ; Mesure de la douleur ; Nouveau-né ; Psychométrie ; Reproductibilité des résultatsRésumé : Problem
Clinicians and researchers require a valid way to assess procedural pain experienced by infants and children. The Modified Behavioral Pain Scale (MBPS) has been used to assess immunisation pain. However, it is unknown whether it is valid for this purpose and whether use can be extended to other procedures. The aim of this study was to rigorously assess evidence addressing the psychometric properties of this scale and to provide recommendations for its use.
Eligibility criteria
Psychometric evaluation studies reporting feasibility, reliability, validity, or utility data for the MBPS applied to children (birth to 18 years) and randomised controlled trials (RCT) using the MBPS were included.
Sample
Twenty-eight studies (8 psychometric and 20 RCTs) were included.
Results
Studies were of varying quality. Sufficient data was available to cautiously accept the MBPS as valid for assessing immunisation related pain in infants aged 2 to 22 months. There was insufficient data to support the psychometrics in other age groups or in circumstances other than immunisation. There is no data addressing the clinical utility of the MBPS.
Conclusions
It is not possible at this time to confidently accept the MBPS as suitable for assessing all procedural pain in young children.
Implications
Studies to evaluate the capacity of the MBPS to assess pain in a range of procedures and to distinguish between pain and non-pain related distress are needed if it is to be recommended.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84979
in Journal of Pediatric Nursing > Vol. 40 (May-June 2018) . - p. 14-26[article]
Titre : Perceptions of Health Care Professionals on the Effects of Residential Summer Camp in their Patients Type de document : Article Auteurs : P. Galen DiDomizio ; Ann Gillard Année de publication : 2018 Article en page(s) : p. 37-46 Note générale : https://doi.org/10.1016/j.pedn.2018.03.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Camping-caravaning ; Drépanocytose ; Enfant (6-12 ans) ; Personnel de santé ; Recherche qualitative ; TumeursRésumé : Purpose
A growing body of literature exists regarding medical specialty camps for children. However, very little of the research focuses on the perspectives of healthcare providers. This study explored perceptions of pediatric healthcare providers on a medical specialty camp for children.
Design and Methods
Interviews with five volunteer physicians and five nurses were conducted and analyzed using inductive content analysis.
Results
Results showed that healthcare providers perceived camp to be a positive influence on campers' normalization and healthcare ownership, and to strengthen patient-provider relationships. Providers contextualized their assertions by discussing the settings of camp and of patients. However, providers also identified multiple barriers perceived as limiting a camp experience's ability to create lasting changes in patients' attitudes or behaviors.
Conclusions
While healthcare providers in this study perceived camp as being a positive opportunity for patients, the potential for long-lasting effects was seen to be hindered by factors external to the camp and changes in patients' attitudes or behaviors can be difficult to ascribe to the camp experience.
Practice Implications
Healthcare providers can reinforce and extend positive health behavior messages from camp at follow-up appointments. Adding inquiries about camp attendance and experiences to patients' visits can provide healthcare providers with additional insights about patients. Health outcomes before and after camp could be measured to assess change. Camps can send home patient protocols on successes and challenges.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84980
in Journal of Pediatric Nursing > Vol. 40 (May-June 2018) . - p. 37-46[article]
Titre : Concussion Symptom Prevalence, Severity and Trajectory : Implications for Nursing Practice Type de document : Article Auteurs : Gail Macartney ; Valérie Simoncic ; Kristian Goulet ; Mary Aglipay Année de publication : 2018 Article en page(s) : p. 58-62 Note générale : https://doi.org/10.1016/j.pedn.2018.03.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Commotion de l'encéphale ; Enfant (6-12 ans) ; Pratique professionnelle ; Prévalence ; Signes et symptômesRésumé : Purpose
The purpose of this study was to describe the symptom severity and trajectory in concussed children who were followed during a one year period at a concussion clinic.
Design and Methods
A retrospective chart review was completed to describe the symptom trajectory up to three months during the recovery.
Results
One hundred and thirty-six patients were included (74 female, 62 male) with a median age of 15.4 years (range 13–17). The most common mechanisms of injury included: falls (19.9%), hockey injuries (15.4%), soccer (14.0%) and football injuries (6.6%). Most concussion symptoms decreased in severity or improved over time. Four symptoms including fatigue/low energy, drowsiness, concentration difficulties and irritability had the highest symptoms scores at both 28 and 84 days post-injury in patients with persistent symptoms. Emotionality and nervousness/anxiousness and nausea/vomiting scores were seen to increase over time in patients with persistent symptoms.
Implications
Clinical use of standardized assessment tools can help caregivers track and monitor concussion symptoms over time. Appropriate management strategies need to be devised for symptoms that are prevalent or increasing over time.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84981
in Journal of Pediatric Nursing > Vol. 40 (May-June 2018) . - p. 58-62[article]
Titre : The Cost of Caring: An Exploration of Compassion Fatigue, Compassion Satisfaction, and Job Satisfaction in Pediatric Nurses Type de document : Article Auteurs : Linda Nancy Roney ; Mary C. Acri Année de publication : 2018 Article en page(s) : p. 74-80 Note générale : https://doi.org/10.1016/j.pedn.2018.01.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Enquête de satisfaction ; Fatigue ; Infirmiers pédiatriques ; Satisfaction professionnelle ; TravailRésumé : Purpose
The purpose of this study was to describe levels of compassion satisfaction, compassion fatigue, and job satisfaction among pediatric nurses in the United States and determine if there was a relationship among these constructs.
Design and Methods
All members Society of Pediatric Nurses were sent an electronic invitation to participate, and those who consented received three measures; a demographic questionnaire, the Job Satisfaction Survey (JSS) and the Professional Quality of Life (ProQOL) measure.
Results
Three hundred eighteen (10.6%) of members of the Society of Pediatric Nurses participated in the study: Over three quarters (245, 76%) of the sample had another career before nursing. The sample's mean job satisfaction level was 149.8 (SD = 29.74), which was significantly higher than published reported means for nurses. Bivariate analyses revealed a significant relationship between gender and the compassion satisfaction, in that women were more likely to evidence compassion satisfaction than men (t = 1.967, p = .05, df = 298). No other significant relationships were found.
Conclusions
The majority of nurses had high levels of compassion satisfaction and job satisfaction; further, female gender was associated with higher levels of compassion satisfaction.
Practice Implications
This current study had a very high response from second-career nurses (n = 245, 76.8%) and overall, the sample had higher levels of compassion satisfaction. It is possible that second career nurses are better equipped in some way that helps them mediate negative responses of caring as a pediatric nurse and future research should explore this. Due to the significant financial costs to institutions of having nurses who have low levels of job satisfaction and high levels on compassion fatigue, it is imperative for hospital administrators to develop infrastructures to support employees.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84982
in Journal of Pediatric Nursing > Vol. 40 (May-June 2018) . - p. 74-80[article]
Paru le : 01/03/2018
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Titre : Pediatric Vascular Access Peripheral IV Algorithm Success Rate Type de document : Article Auteurs : Jane H. Hartman ; John Baker ; James F. Bena ; et al. Année de publication : 2018 Article en page(s) : p. 1-6 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.12.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Hospitalisation ; Injection intraveineuse ; Soins de l'enfantMots-clés : Accès vasculaire pédiatrique Résumé : Purpose
Determine if the pediatric peripheral vascular access algorithm (PPVAA) led to differences in first-attempt and overall peripheral intravenous (PIV) success, staff attempting PIV access per episode and overall attempts and first PIV attempt success by provider.
Design/Methods
A two-cohort pre-/post-implementation comparative design involved pediatric nurses and patients. The PPVAA included four components: a patient comfort plan, PIV grading score, nurses' self-assessed IV access capability and nurse decision to stop-the-line. Two sample t-test or Wilcoxon rank sum test and Pearson's chi-square test were used to evaluate differences between groups and measures.
Results
Healthcare providers (N = 96) attempted 721 PIV insertions (pre-PPVAA, n = 419 and post-PPVAA, n = 302). Of 78 nurse providers, mean (SD) age was 37.4 (11.0) years and 20.0% self-assessed PIV capability as expert. Of children, mean age was 8.3 (7.0) years. Post-PPVAA, first-attempt (p = 0.86) and overall (p = 0.21) success did not change, though fewer staff were needed per episode to initiate PIV; p = 0.017. Overall rate of success after one attempt in the post-PPVAA period compared to pre-PPVAA was reduced (p = 0.002), reflecting greater awareness to stop-the-line. Compared to pre-PPVAA, advanced practice nurses and non-clinician providers were more likely to achieve success on first attempt.
Conclusions
The PPVAA did not increase first-attempt or overall PIV success; however, it decreased overall IV attempts and the number of staff attempting access per episode.
Practice Implications
The multi-component PPVAA provided a guide for nurses during PIV and assisted decision making to stop attempts in difficult cases.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84588
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Titre : Completeness of Human Papilloma Virus Vaccination : A Systematic Review Type de document : Article Auteurs : Hee Sun Kang ; Jennie C. De Gagne ; Ye Dong Son ; et al. Année de publication : 2018 Article en page(s) : p. 7-14 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.12.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Infections à papillomavirus ; Rappel de vaccin ; Revue systématique ; VaccinationRésumé : Problem
It has been reported that some adolescents and young women who started taking human papillomavirus (HPV) vaccination are not completing all three doses. The aim of this study was to systematically review intervention studies on HPV vaccination completion.
Eligibility Criteria
Intervention studies with a comparison group that assessed HPV vaccination completion rate as the primary outcome variable in adolescents and adults younger than 26 years of age, and published in English from 2006 to 2016, were eligible for review.
Sample
Five studies from a literature search of CINAHL, EMBASE, PsycARTICLES, PubMed, SCOPUS, and Web of Science databases were included in this review.
Results
The overall quality of the reviewed studies was moderate, and the studies have mainly been conducted in a high-income country. Intervention strategies were DVD-based education on HPV and reminders that were delivered via either electronic or non-electronic methods. Some studies used fixed type of electronic reminders. Others chose preference-based electronic reminders, allowing participants to select one or two delivery options from e-mail, text message, automated telephone message, or Facebook message. Non-electronic reminders were letters sent by standard mail.
Conclusions
The rates of HPV vaccination completeness increased with the interventions. However, the completeness rate of HPV vaccination remained unsatisfactory and lower than its initiation rate.
Implications
Educational and reminder interventions for HPV vaccination could contribute to HPV vaccination completion. However, this review highlights the need for more high-quality studies to identify the best way to promote vaccination completion.
Keywords:Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84589
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Titre : Children's Early Disruptive Behavior Predicts Later Coercive Behavior and Binge Drinking by Mothers Type de document : Article Auteurs : Linda S. Pagani ; Caroline Fitzpatrick Année de publication : 2018 Article en page(s) : p. 15-20 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.12.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Coercition ; Consommation d'alcool ; Développement de l'enfant ; Enfant (6-12 ans) ; Interaction parent-enfant ; Mères ; RisqueRésumé : Purpose
We examined the prospective influence of early child problematic behavior on later coercive interactions and binge drinking by mothers.
Design and methods
Canadian participants are from the Quebec Longitudinal Study of Child Development, born between spring 1997 and 1998, which allowed a longitudinal birth cohort design. At the 41 months, 628 parents reported on children's oppositional, aggressive, turbulent, and inattentive/hyperactive behavior. Mothers then reported on their own coercive and binge drinking behavior at the 60 month follow-up.
Results
We estimated a series of ordinary least-squares regressions to examine the relationship between early child behavior problems and later parental coercion and binge drinking, above and beyond many key pre-existing/concurrent confounding factors including prior parenting stress and binge alcohol use. Oppositional, aggressive, and turbulent child behaviors at 41 months predicted harsh, negative parenting at 60 months. Early inattentive/hyperactive child behavior also forecasted later binge alcohol use by mothers within the same time frame.
Conclusion
Negative preschool behavior predicted harsh, negative maternal behavior kindergarten entry. Early inattentive/hyperactive behavior also forecasted later binge alcohol use by mothers. Coercive parenting and alcohol use are clinically signs of adult distress. Such parents might use alcohol excessively because of its perceived stress-dampening effects and mental evasion from their life difficulties and frustration experiences.
Practice implications
Problematic preschool behavior can lead to less effective child-rearing and unhealthy parental behavior. Such at-risk mothers would benefit from professional caring practices. Practitioners can inspire change, especially using interaction interventions which encourage positive parent-child relations that, in turn, diminish parental distress.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84590
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Titre : No Evidence to Support Number of Clinical Hours Necessary for Nursing Competency Type de document : Article Auteurs : Ann M. Bowling ; Rhonda Cooper ; Ashley Kellish ; et al. Année de publication : 2018 Article en page(s) : p. 27-36 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.12.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Compétence ; Expertise ; Pédiatrie ; Simulation ; Soins infirmiersRésumé : Introduction
Direct patient care across the lifespan has been the standard for nursing clinical experiences over the past several years. Recently, the Ohio Board of Nursing ruled that 100% of pediatric clinical hours could be replaced with simulation.
Purpose
Make a recommendation for the number of direct patient care clinical hours in pediatrics that are needed to meet the pediatric nursing competencies.
Method
All fifty United States Boards of Nursing prelicensure nursing education requirements were reviewed to identify the number of required clinical hours and definitions for clinical experience. In addition, the Society of Pediatric Nurses members were surveyed to identify the number of direct pediatric clinical hours needed to achieve the Society of Pediatric Nurses pediatric pre-licensure competencies.
Results
Only ten states outline any requirements regarding the required number of clinical hours for prelicensure nursing education and twenty-six states incorporate language that defines clinical experiences.
Conclusion
All prelicensure students take the standardized National Council Licensure Examination (NCLEX), therefore, a consensus among the state boards of nursing outlining the minimum number of clinical hours required to reach nursing competency is needed.
Practice Implications
Based on the survey results of the Society of Pediatric Nurses' members and expert opinion of the pediatric authors, a minimum of 61 to 80 clinical hours in direct care of pediatric patients is necessary for nursing students to meet the Society of Pediatric Nurses' recommended pediatric nursing content, obtain pediatric nursing competency, and be able to care for pediatric patients and their families.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84592
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Titre : Reasons for Stopping Exclusive Breastfeeding Between Three and Six Months : A Qualitative Study Type de document : Article Auteurs : Narges Alianmoghaddam ; Suzanne Phibbs ; Cheryl Benn Année de publication : 2018 Article en page(s) : p. 37-43 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.01.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Allaitement naturel ; Recherche qualitative ; Sevrage ; Soins de l'enfantRésumé : Purpose
Scant published qualitative literature exists focusing on why exclusive breastfeeding rates decline between three and six months. This study aims to develop an understanding of why exclusive breastfeeding tails off so dramatically between three and six months after birth in New Zealand.
Design and Methods
A generic qualitative methodology was employed in this study and social constructionism selected as the main epistemological framework underpinning the research. This study was carried out between September 2013 and July 2014, involving face-to-face interviews with 30 women who were characterised as highly motivated to complete six months exclusive breastfeeding prior to the birth of their child. In order to gain an in-depth understanding of the research material, thematic analysis of the interview transcripts was completed using manual coding techniques.
Results
After thematic analysis of the data four key themes were identified: 1) The good employee/good mother dilemma. 2) Breastfeeding is lovely, but six months exclusively is demanding. 3) Exclusive breastfeeding recommendations should be individualised. 4) Introducing solids early as a cultural practice.
Conclusions
Most studies have linked barriers to six months exclusive breastfeeding to difficulties within the mother-infant dyad, as well as negative maternal socioeconomic and socio-demographic characteristics. However, this study has shown that the maintenance of six months exclusive breastfeeding is also challenging for this group of mothers who were socially advantaged, well-educated and highly motivated to breastfeed their babies exclusively for six months.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84593
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Titre : Social Support Provision: Perspective of Fathers With Preterm Infants Type de document : Article Auteurs : Hyung Nam Kim Année de publication : 2018 Article en page(s) : p. 44-48 Note générale : DOI: https://doi.org/10.1016/j.pedn.2018.01.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Aide sociale ; Pères ; Prématuré ; Soins de l'enfantRésumé : Purpose
Today's social support systems for parents of preterm infants tend to pay more attention to mothers than fathers. As a father also plays a critical role in caring for a preterm infant, there is a need to advance understanding of paternal concerns and needs about social supports that should better support fathers.
Design and Methods
Interviews were conducted with 18 parents of preterm infants (i.e., 10 mothers and 8 fathers) who have been discharged from the NICU to home. All interviews were audio-recorded and subsequently transcribed verbatim for analysis.
Results
The fathers' primary resources are healthcare professionals, their partners, and peer fathers of preterm infants. The fathers expressed various social support needs associated with informational, belonging, and emotional supports.
Conclusions
It is recommended that a social support system be customized accordingly to better accommodate paternal needs.
Practice Implications
Healthcare professionals may refer to the study results in designing the educational materials for fathers of preterm infants.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84594
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Titre : Social and Health Determinants of Adolescents' Wellbeing in Jordan : Implications for Policy and Practice Type de document : Article Auteurs : Diana H. Arabiat ; Abeer Shaheen ; Ommaya Nassar ; et al. Année de publication : 2018 Article en page(s) : p. 55-60 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.03.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Bien-être ; Jordanie ; Politique de santé ; SantéRésumé : Purpose
This study examined the extent to which health related aspect, health outcome, behaviour outcomes and social connectedness may predict adolescents' wellbeing at the schools of Jordan.
Methods
Using a two-stage cluster sampling technique 1166 adolescents completed the Health Behaviour of School Children survey.
Results
Stepwise Regression Analysis showed that the adolescents' wellbeing was predicted by academic achievements, bullying behaviour, eating habits, psycho-somatization, parent support and ease of communication with parents. These predictors explained 40% of the variance in the emotional wellbeing scores.
Conclusion and Practice Implications
This study provides baseline information to build the evidence base for surveillance of health behaviors among adolescents in Jordan. Students' experiences of secondary school and their relationships at school continue to predict their emotional wellbeing.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84595
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Titre : Child Physical Abuse, Non-anemic Iron Deficiency and Behavior Problems Type de document : Article Auteurs : Naixue Cui ; Xiaopeng Ji ; Jianghong Liu Année de publication : 2018 Article en page(s) : p. 74-79 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.11.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Chine ; Comportement ; Enfant (6-12 ans) ; Fer ; Maladies de carence ; Violence domestiqueRésumé : Purpose
Child abuse is regarded as a life-course social determinant of health problems. However, little is known about the nutritional status of physically abused children and their cumulative effect on child behavior. The present study aimed to examine the non-anemic iron deficiency status of abused children and the combined effect of physical abuse and non-anemic iron deficiency on child behavior in China.
Methods
This cross-sectional study comprised 314 children aged 11–14 (12.30 ± 0.57) years old from Jintan, China. Children self-reported their physical abuse experiences and behavior problems. Blood iron and hemoglobin concentrations were also measured.
Results
Thirty-eight percent of children reported physical abuse experience, 17.5% had non-anemic iron deficiency, and the two risk factors co-occurred in 8.0% children. Physically abused children were more likely to be affected by non-anemic iron deficiency than their non-abused counterparts. Children who had experienced both physical abuse and non-anemic iron deficiency reported more behavior problems than children with neither or either risk factors.
Conclusions
Physically abused children are more likely to have non-anemic iron deficiency. Children with the presence of both physical abuse experience and non-anemic iron deficiency have more behavior problems. There is a need to prevent both child abuse and non-anemic iron deficiency simultaneously to maintain normal child behavior development.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=84598
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Titre : Effects of Thermomechanical Stimulation during Vaccination on Anxiety, Pain, and Satisfaction in Pediatric Patients : A Randomized Controlled Trial Type de document : Article Auteurs : Roberta E. Redfern ; John T. Chen ; Stéphanie Sibrel Année de publication : 2018 Article en page(s) : p. 1-7 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.09.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Douleur ; Essai clinique ; Injections ; Satisfaction ; VaccinsMots-clés : Stimulation thermomécanique Essai contrôlé randomisé Satisfaction du patient Résumé : Purpose
Vaccination can be a significant source of pain for pediatric patients, which could result in fear of medical procedures and future reluctance to seek medical care. It is important for nurses to provide pain prevention during these procedures. This study sought to measure the impact of an intervention combining cold and vibration on pain scores during routine pediatric immunization.
Design and Methods
A prospective, open-label, randomized controlled trial to examine the effectiveness of the Buzzy device (thermomechanical stimulation) compared to no intervention (control group) in reducing child-reported pain during routine immunization. The Wong Baker Faces scale was used to collect child, parent, and observer reported anxiety and pain. Parents reported satisfaction with the procedure and overall office visit.
Results
Fifty children between the ages of 3 and 18 were included in the present analysis. Mean child-reported pain scores were significantly lower in the group receiving thermomechanical stimulation compared to control (3.56 vs 5.92, p = 0.015). Buzzy did not impact child-reported anxiety or how much pain the child expected. Parent-reported satisfaction did not vary significantly between groups, but was strongly associated with parent-reported pain scores.
Conclusions
Thermomechanical stimulation with the Buzzy device significantly reduced pain during pediatric immunization over a wide range of ages compared to control, but did not impact pre-procedure anxiety.
Practice Implications
The Buzzy device is an easy to implement intervention to reduce pediatric pain during vaccination. It may have the greatest impact in younger children but could be offered during all immunizations.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83782
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Titre : Outcomes of Depression Screening Among Adolescents Accessing School-based Pediatric Primary Care Clinic Services Type de document : Article Auteurs : Sarmila Bhatta ; Jane Dimmitt Champion ; Cara C. Young ; et al. Année de publication : 2018 Article en page(s) : p. 8-14 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.10.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Dépistage systématique ; Dépression ; Medecine scolaire ; Pédiatrie ; Soins de santé primairesRésumé : Purpose
Implementation of routine Patient Health Questionnaires (PHQ-9) screening among adolescents aged 12–18 year, accessing school-based pediatric primary care clinic services for identification of adolescents at potential risk for Major Depressive disorder (MDD).
Design and Methods
Retrospective chart review (N = 256 cases) documented PHQ-9 depression screening outcomes among adolescents accessing school-based pediatric primary care clinic services for episodic illness and wellness visits. Data analyses included descriptive statistical methods.
Results
Chart review included 137 (53.5%) females and 119 (46.5%) males. PHQ-9 depression screening was identified for 56.3% (n = 144) of charts with scores ≥10 for 12.5% (n = 18) among those screened. Mental health referrals were made for 83.3% (n = 15) with PHQ-9 scores ≥10. Dysthymia related concerns were reported among 20.1% (n = 29) of which 55.2% (n = 16) received mental health referrals. Female adolescents reported more sleep problems (χ2 = 9.174, p = 0.002) and tiredness (χ2 = 6.165, p = 0.013) than males. The 15–18 year age group (χ2 = 5.443, p = 0.020) was more likely to experience sleep problem and low self-esteem than 12–14 year age group (χ2 = 5.143, p = 0.023).
Conclusion
Implementation of PHQ-9 depression screening protocol identified MDD among adolescent accessing pediatric school-based primary care clinic services facilitating referrals to mental health providers, potentially improving morbidity and mortality among adolescents.
Practice Implications
MDD is common among adolescents and associated with functional impairments and increased morbidity and mortality. Due to its high prevalence, it is imperative to improve screening and treatment access in this population via school-based clinics.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83783
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Titre : Provider Beliefs Regarding Early Mobilization in the Pediatric Intensive Care Unit Type de document : Article Auteurs : Christine L. Joyce ; Cosme Taipe ; Brittany Sobin ; et al. Année de publication : 2018 Article en page(s) : p. 15-19 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.10.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Pédiatrie ; Personnel de santé ; Soins intensifsMots-clés : Unités de soins intensifs Lever précoce Résumé : Purpose
Critically ill patients are at risk for short and long term morbidity. Early mobilization (EM) of critically ill adults is safe and feasible, with improvement in outcomes. There are limited studies evaluating EM in pediatric critical care patients. Provider beliefs and concerns must be evaluated prior to EM implementation in the pediatric intensive care unit (PICU).
Design and Methods
A survey was distributed to PICU providers assessing beliefs and concerns with regards to EM of PICU patients.
Results
Seventy-one providers responded. Most staff believed EM would be beneficial. The largest perceived benefits were decreased length of both stay and mechanical ventilation. The largest perceived concerns were risk of both endotracheal tube and central venous catheter dislodgement. Surveyed clinicians felt significantly more comfortable mobilizing the oldest as compared to the youngest patients (p Conclusion
There is clear benefit to the EM of adult ICU patients, with evidence supporting its safety and feasibility. As pediatric patients pose different challenges, it is imperative to understand provider concerns prior to the implementation of EM. Our research demonstrates similar concerns between adult and pediatric programs, with the addition of significant concern surrounding EM in very young children.
Practice Implications
Understanding pediatric specific concerns with regards to EM will allow for the proper development and implementation of pediatric EM programs, allowing us to assess safety, feasibility, and ultimately outcomes.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83785
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Titre : The Convergence of Two Epidemics: Vitamin D Deficiency in Obese School-aged Children Type de document : Article Auteurs : Linda Cheng Année de publication : 2018 Article en page(s) : p. 20-26 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.10.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Epidémies ; Obésité ; Surpoids ; Vitamine DMots-clés : Déficience en vitamine D Résumé : Problem
Vitamin D deficiency (VDD) and obesity are two interrelated global epidemics that affect school-aged children. This article will review the relationship between VDD and obesity in school-aged children and implications it has for the pediatric nurse (PN).
Eligibility criteria
Original articles of studies, review articles and meta-analyses were selected from the past 5 years and pooled for review. These included obese school-aged children who had vitamin D insufficiency. The latest guidelines concerning the issue were also included.
Sample
Children 6–12 years of age with obesity and vitamin D insufficiency.
Results
This review strongly implies obesity in children being a strong risk factor for VDD. Prevention of VDD starts with lifestyle changes and adequate dietary intake of fortified foods and current screening recommendations for VDD are inconsistent. Vitamin D supplementation is recommended with inadequate intake or deficient serum 25-hydroxyvitamin D levels or signs of hypocalcemia. Supplementation doses differ based on whether VDD is being prevented or being treated and in obese children, the Endocrine Society recommends a dose that is two to three times higher than for normal weight children. Subclinical signs and symptoms of VDD include musculoskeletal pain, fractures, reduced bone density and reduced immunity.
Conclusions
Whereas obesity is a strong risk factor for VDD, more research is needed to clarify the role of VDD as a risk factor for obesity.
Implications
The PN plays an essential role in preventing, screening for, assessing for, treating and counseling on VDD in obese school-aged children.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83786
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Titre : The Effects of Breastfeeding in Infants With Phenylketonuria Type de document : Article Auteurs : Engin Kose ; Betul Aksoy ; Nilhan Tuncer ; et al. Année de publication : 2018 Article en page(s) : p. 27-32 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.10.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Allaitement naturel ; Enfant (6-12 ans) ; Phénylcétonuries ; Prise de poidsRésumé : Purpose
In the early years of phenylketonuria (PKU) treatment, mothers and healthcare professionals often decide to discontinue breastfeeding after the diagnosis of PKU in infants. It was believed to be the only effective way to monitor the infant's intake and allow for precise titration and measurement of the intake of phenylalanine (Phe). In the early 1980s, with the determination of low concentration of Phe in breast milk, breast milk supplemented with Phe-free formula has become an acceptable dietary treatment for infants with PKU. Today, breastfeeding is encouraged and well established in PKU patients.
The aim of the present study is to investigate the prevalence and duration of breastfeeding, the effect of breastfeeding on serum Phe levels, and weight gain in infants with PKU.
Design and Methods
Data were collected from chart reviews. Medical records of 142 children with PKU diagnosed via the national neonatal screening program were analyzed retrospectively.
Results
Of the 41 infants with complete medical records, 40 (97.6%) were breastfed following delivery whereas only one (2.4%) was bottle fed. After the diagnosis, breastfeeding was continued in 25 (61%) infants with phenylalanine-free amino acid based protein substitute. The mean duration of breastfeeding was 7.4 ± 4.0 (1–15) months. Serum Phe concentration of breastfed infants (280 ± 163 μmol/L) was significantly lower than non-breastfed infants (490 ± 199 μmol/L) (p Conclusion
In the first year of life, weight gain and serum Phe levels were more favorable in breastfed infants with PKU compared to non-breastfed infants with PKU.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83787
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Titre : Use of Theory to Examine Health Responsibility in Urban Adolescents Type de document : Article Auteurs : Cynthia G. Ayres ; Nancy M. Pontes Année de publication : 2018 Article en page(s) : p. 40-45 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.09.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Education thérapeutique ; Responsabilité ; Soins ; Théorie ; VillesRésumé : The study's purpose was to examine the factors that may influence health responsibility among adolescents. More specifically, this study examined relationships among health responsibility, resilience, neighborhood perception, social support, and health promoting behaviors in adolescents, between the ages of 13 and 18 years old. The Health Promotion Model was used as the theoretical framework. This study empirically tested theoretical relationships postulated in the literature between health responsibility and the variables: (a) resilience (b) social support (c) neighborhood perception (d) social support and (e) health promoting behaviors.
Design/Methods
A correlational study design was used. A convenience sample of 122 adolescents in an urban setting completed questionnaires assessing health responsibility, resilience, social support, neighborhood perception, health promoting behaviors, and a demographic questionnaire. Pearson correlations were used to examine relationships among variables.
Results
A statistically significant relationship was found between health responsibility and healthy promoting behaviors (r = 0.733, p Conclusions
Study findings help contribute to the body of knowledge regarding the factors that influence health responsibility among urban adolescents to promote adoption and maintenance of healthy behaviors among this population.
Practice Implications
Nurses need to educate adolescents to provide them with a good understanding of the consequences of health behaviors so that they can assess their own risk and make responsible, healthy choices.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83788
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Titre : Randomized Trial Evaluating the Effectiveness of a Leg Crossing and Muscle Tensing Technique on Decreasing Vasovagal Symptoms Among Pediatric and Young Adult Patients Undergoing Peripheral IV Catheter Insertion Type de document : Article Auteurs : Laura McIntyre-Patton ; Shannon Wanderski ; Deb Graef Année de publication : 2018 Article en page(s) : p. 53-56 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.09.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Cathétérisme périphérique ; Essai clinique ; Pédiatrie ; Signes et symptômesMots-clés : Sémiologie vagale Technique de croisement de jambes Tension musculaire Résumé : Peripheral intravenous (PIV) catheter insertion is a common procedure that can cause vasovagal symptoms. Lower extremity muscle tensing techniques decrease these symptoms in adults. However, there are no studies examining this technique in the pediatric population.
Objective
This study aims to determine whether pediatric patients are able to perform the technique and to determine the effects of this technique on vasovagal symptoms in a pediatric population.
Design, Setting, Participants
A parallel-group randomized controlled trial was conducted with 28 patients cared for in a pediatric surgery unit.
Intervention
Patients randomized to the experimental group performed the leg crossing and muscle tensing technique during PIV placement. Patients in the control group received standard care during PIV placement.
Primary Outcome Measure
The primary outcome measure was the frequency of experiencing at least one vasovagal sign or symptom which included nausea, vomiting, dizziness, pallor, sweating/diaphoresis, and fainting.
Results
Patients randomized to perform the technique were able to perform it without difficulty. There was a lower frequency of experiencing vasovagal symptoms among patients in the experimental group (15%) compared to patients in the control group (62.5%) (Fisher's exact test, p = 0.02). The number of vasovagal symptoms experienced by patients in the experimental group (M = 0.3) was significantly lower than the number of vasovagal symptoms experienced by patients in the control group (M = 1.13), t(26) = 2.302, p = 0.03.
Conclusion
A leg crossing technique is a low cost, low risk, and effective strategy to teach to pediatric patients resulting in reducing vasovagal symptoms.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83789
in Journal of Pediatric Nursing > Vol. 38 (January/February 2018) . - p. 53-56[article]Exemplaires (1)
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Titre : Disparities in Health Literacy and Healthcare Utilization among Adolescents and Young Adults with Chronic or End-stage Kidney Disease Type de document : Article Auteurs : Robyn Levine ; Karina Javalkar ; Meaghan Nazareth ; et al. Année de publication : 2018 Article en page(s) : p. 57-61 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.10.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Adulte (19-44 ans) ; Hospitalisation ; Malades en phase terminale ; Maladie chronique ; Maladies du rein ; SoinsMots-clés : Littératie en santé Disparité dans la littératie Service hospitalier d'urgences Résumé : Purpose
Low health literacy adversely affects health outcomes in adults with chronic kidney disease. The current study examined associations between limited/inadequate health literacy and health services utilization among adolescents and young adults (AYA) with chronic or end-stage kidney disease (CKD or ESKD).
Design and Methods
This was a retrospective cohort study that enrolled patients from both the pediatric- and adult-focused nephrology clinics of a major university hospital. Demographic information, patients' health literacy and numeracy skills (Newest Vital Sign), and health services utilization (emergency department visits, preventable hospitalizations, total hospitalizations, and length of stay in the hospital) were evaluated. A negative binomial regression model for counts tested the association between AYA patients' literacy/numeracy skills and health services utilization.
Results
The study enrolled 142 participants, 66 (46.5%) patients from adult nephrology and 76 (53.5%) from pediatric nephrology clinics, with a mean age of 20.8 ± 5.60 years (range 12–31). Half of the sample (n = 72, 51%) had limited health literacy skills. Health literacy/numeracy level was not significantly associated with total hospitalizations, preventable hospitalizations, emergency department (ED) visits, or length of hospital stay. However, public insurance/self-pay, minority race, and kidney transplant/dialysis diagnoses were associated with more preventable hospitalizations.
Conclusions
Among AYA with CKD/ESKD, there were no differences between the low and adequate health literacy groups on health care utilization outcomes when modeling clinical outcomes (total hospitalizations, preventable hospitalizations, ED visits, and length of hospital stay) after adjusting for demographics and disease type. This suggests that other factors warrant consideration in healthcare utilization rates.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83790
in Journal of Pediatric Nursing > Vol. 38 (January/February 2018) . - p. 57-61[article]Exemplaires (1)
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Titre : The Effect of Diagnostic Blood Loss on Anemia and Transfusion Among Postoperative Patients With Congenital Heart Disease in a Pediatric Intensive Care Unit Type de document : Article Auteurs : Dan Zhou ; Yu-Lan Luo ; Shu-Hua Luo ; et al. Année de publication : 2018 Article en page(s) : p. 62-67 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.09.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Anémie ; Cardiopathies ; Complications postopératoires ; Diagnostic ; Maladie congénitale ; Pédiatrie ; Saignement ; Soins intensifs ; Soins postopératoires ; Transfusion sanguineMots-clés : Unités de soins intensifs Résumé : Purpose
To evaluate whether diagnostic blood loss can lead to anemia and consequent blood transfusion among postoperative patients with congenital heart disease (CHD) in the pediatric intensive care unit (PICU).
Design and Methods
This prospective observational study was conducted in a university-affiliated tertiary hospital between January and August 2016. CHD patients aged 48 h were included (n = 205). Multivariate logistic regression analyses were used to determine the effect of diagnostic blood loss on anemia and transfusion.
Results
The mean daily phlebotomy volume was 5.40 ± 1.94 mL/d during the PICU stay (adjusted for body weight, 0.63 ± 0.36 mL/kg/d). Daily volume/kg was associated with cyanotic CHD, Pediatric Risk of Mortality III score, and Pediatric Logistic Organ Dysfunction (PELOD)-2 score. In total, 101 (49.3%) patients presented with new or more severe anemia after admission to PICU, which was not associated with phlebotomy volume. Forty-one (20.0%) children received one or more RBC transfusions during their PICU stay. Multivariate analysis indicated that PELOD-2 score > 5, new or more severe anemia, and daily volume/kg of phlebotomy >0.63 mL/kg/d were significantly associated with transfusion after 48 h of admission to PICU.
Conclusions
Our findings indicate that diagnostic blood loss is not related to postoperative anemia in children with CHD; however, this factor does correlate with blood transfusion, since it somewhat reflects the severity of illness.
Practice Implications
Strategies should be applied to reduce diagnostic blood loss, as appropriate.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83791
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Titre : Eating Behaviors, Weight Bias, and Psychological Functioning in Multi-ethnic Low-income Adolescents Type de document : Article Auteurs : Rana Halabi Najjar ; Eufemia Jacob ; Lorraine S. Evangelista Année de publication : 2018 Article en page(s) : p. 81-87 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.11.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Comportement alimentaire ; Obésité ; Pauvreté ; PsychologieMots-clés : Adolescent multiethnique Résumé : Purpose
The purposes of this study were to: 1) Describe the incidence of disordered eating, weight bias, body dissatisfaction, and psychological distress, 2) Examine the relationship between sociodemographic variables (gender, ethnicity, and income) and disordered eating, weight bias, body dissatisfaction, and psychological distress in a sample of low-income adolescents.
Design and Methods
A cross-sectional study was conducted with 105 adolescents from low-income neighborhoods. Participants completed self-report questionnaires to assess eating behaviors, weight bias, body dissatisfaction, and psychological functioning. Height and weight were measured, and information on household income was collected.
Results
The participant's mean age was 16.31 (SD = 2.8) years, 66% female, 47% Hispanic, and 46% African American. The mean annual income was $17,018 (SD = 11,355). Twenty-eight percent self-reported having some form of disordered eating, and 15% reported an eating disorder. The group with eating disorder reported the highest levels of weight bias (M = 93.4, SD = 109.6), body dissatisfaction (M = 94.6, SD = 47.6), and psychological distress (M = 1.4, SD = 0.97).
Conclusion
This study found a high prevalence of eating disorders with eating disorder participants experiencing the highest levels of weight bias and psychological distress. Future studies are needed to identify and evaluate community and school-based interventions to minimize weight bias and disordered eating.
Practice Implications
Nurses are at the forefront of healthcare and should collaborate with educators, school counselors, administrators, coaches, parents, and students, to address weight bias and disordered eating in schools by implementing school-based curriculum and policies.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83792
in Journal of Pediatric Nursing > Vol. 38 (January/February 2018) . - p. 81-87[article]Exemplaires (1)
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Titre : A Metasynthesis: Uncovering What Is Known About the Experiences of Families With Children Who Have Life-limiting and Life-threatening Illnesses Type de document : Article Auteurs : Jill M.G. Bally ; Nicole R. Smith ; Lorraine Holtslander ; et al. Année de publication : 2018 Article en page(s) : p. 88-98 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.11.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Dangerosité ; Enfant (6-12 ans) ; Famille ; Interaction parent-enfant ; Longévité ; Méta-analyseMots-clés : Maladie catastrophique Résumé : Purpose
To conduct a metasynthesis of qualitative research exploring parents' psychosocial experiences during complex and traumatic life transitions related to caring for a child with a life-limiting (LLI) or life-threatening illness (LTI).
Background
Parents' experiences of caring for a child impacted by an LLI or LTI are not clearly understood, and holistic, comprehensive pediatric nursing care for parents who have children with LLI and LTIs continues to be developed as treatment improves and survival is extended.
Review Methods
Predetermined inclusion and exclusion criteria were used to review qualitative studies. Those included were appraised, classified, and synthesized using systematic procedures guided by Sandelowski and Barroso (2006).
Data Sources
A systematic search of qualitative research was conducted by an experienced librarian to identify and retrieve studies from 10 databases.
Results
Of the 3515 studies screened, 23 were included. A synthesis of the findings demonstrated that parents experience profound and pervasive uncertainty, leading to their own illness experience being described as a dual reality in which fighting for survival and recognizing the threat of their child's death were daily challenges. Three key processes emerged: the devastation of living with uncertainty, the emergence of hope, and moving forward.
Conclusion
The integration of findings adds to the current body of knowledge by highlighting the very complex experiences that parents undergo. These findings can support a more comprehensive pediatric nursing plan of care that accounts for the intricacies of the parental experience and the importance of hope.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83793
in Journal of Pediatric Nursing > Vol. 38 (January/February 2018) . - p. 88-98[article]Exemplaires (1)
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Titre : Qualitative Analysis of Pediatric Patient and Caregiver Perspectives After Recent Diagnosis With Inflammatory Bowel Disease Type de document : Article Auteurs : Cheryl Kluthe ; Kaitlynd Hiller ; Matthew B. Carroll ; et al. Année de publication : 2018 Article en page(s) : p. 106-113 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.11.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Diagnostic ; Inflammation ; Maladie chronique ; Maladies de l'appareil digestif ; Pédiatrie ; Prise de décision ; Thérapies complémentairesMots-clés : Analyse qualitative Résumé : Purpose
A diagnosis of a chronic illness is a life-altering experience for a child and his or her family. The purpose of this study was to elicit children and parent perspectives following a diagnosis of Inflammatory Bowel Disease (IBD).
Design & Methods
A qualitative description design was employed. Eighteen patients were recruited from a Pediatric IBD Clinic in Western Canada. Interviews were used to gather perceptions, opinions, and attitudes from children and their parents. Transcriptions of the interviews were analyzed using a qualitative content analysis.
Results
Four themes were identified: perspective of diagnosis, roles in care and decision-making, sharing the diagnosis, and treating the disease. Children and parents expressed varied emotions in response to diagnosis. Families articulated the desire to become more active members in the decision-making process on treatment choices. While using conventional medical therapy was seen as an appropriate choice for short-term therapy, many parents hoped that more non-conventional and alternative therapies could be used in the future.
Conclusion
Healthcare providers need to provide excellent education on the disease process, treatment options, and the use of CAM therapy in IBD, while at the same time supporting children and parent's voices in treatment decisions.
Practice Implications
Improvement strategies need to be implemented to allow families to feel that they have a voice when making decisions regarding treatment options. Families need to be educated and supported on the use of CAM therapies in IBD.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83794
in Journal of Pediatric Nursing > Vol. 38 (January/February 2018) . - p. 106-113[article]Exemplaires (1)
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Titre : Hospital to Home : A Quality Improvement Initiative to Implement High-fidelity Simulation Training for Caregivers of Children Requiring Long-term Mechanical Ventilation Type de document : Article Auteurs : Jodi Thrasher ; Joyce Baker ; Kathleen M. Ventre ; et al. Année de publication : 2018 Article en page(s) : p. 114-121 Note générale : DOI: https://doi.org/10.1016/j.pedn.2017.08.028 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche qualité ; Enfant (6-12 ans) ; Hospitalisation ; Retour à domicile ; Simulation ; Trachéostomie ; Ventilation artificielleMots-clés : Ventilation mécanique Résumé : Background
Preparing families of children requiring long-term mechanical ventilation (LTMV) to manage medical emergencies at home is challenging. Opportunities for family caregivers to rehearse crisis management in a controlled setting before discharge are limited.
Objective
We aimed to create a multimodal discharge preparedness curriculum, incorporating high-fidelity simulation training, to prepare family caregivers of children with complex medical conditions requiring long-term mechanical ventilation. We sought to determine which curricular elements were most helpful and whether this curriculum impacted the rate of readmissions within 7 days of hospital discharge.
Methods
The curriculum included instructional videos, printed handouts, cardiopulmonary resuscitation training, and two mandatory high fidelity simulation scenarios depicting tracheostomy- and ventilator-related emergencies. Teams of one to three family caregivers per patient managed each scenario. A video-based debriefing focused on identifying and closing performance gaps. Participants rated their perceptions regarding each curricular element and its relative impact on their preparedness for discharge.
Results
87 family caregivers completed the curriculum. Simulation-enhanced curriculum was well-received by participants. Participants reported that post-simulation debriefing was the most beneficial component. We observed a trend toward reduced readmissions within 7 days of discharge since implementation of our revised curriculum.
Conclusion
Simulation training can be incorporated into discharge training for families of children requiring LTMV. Rehearsal of emergency management in a simulated clinical setting increases caregiver confidence to assume care for their ventilator-dependent child.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83795
in Journal of Pediatric Nursing > Vol. 38 (January/February 2018) . - p. 114-121[article]Exemplaires (1)
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Titre : Exposure to Medication Overdose as an Adversity in Childhood Type de document : Article Auteurs : Kimberly J. Mitchell ; Kerry Nolte ; Heather A. Turner ; et al. Année de publication : 2018 Article en page(s) : p. 127-132 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Enfant (6-12 ans) ; Médicament ; Prescription ; TraumatismeMots-clés : Mauvais usage des médicaments prescrits Résumé : Purpose
To determine the prevalence of youth exposure to medication or pill overdose by someone close to them, as well as how common this is within the spectrum of major stressful events and child victimization experienced by youth.
Design and Methods
Data were collected as part of the Third National Survey of Children's Exposure to Violence, a nationally representative telephone survey of youth, ages 2–17 years (N = 3738) conducted in 2013. The analytical subset for the current paper is youth ages 10–17 years (n = 1959).
Results
Estimates indicate that approximately 1 in 12 youth (8%), ages 10–17 have been exposed to medication overdose by someone close to them in their lifetimes. Overdose exposure is related to recent trauma symptoms, alcohol and other substance use. However, these relationships appear to be largely driven by the co-existence of major stressful events these youth are experiencing. Alcohol use is the exception; exposure to medication overdose continues to be related to past year personal alcohol use even after adjusting for other lifetime stressful events.
Conclusions
Having a close family member or friend overdose on a medication is a common experience among U.S. youth and related to high rates of co-occurring stressful events.
Practice Implications
Health care providers should be aware that youth exposure to medication overdoses likely indicates exposure to other recognized adversities. Youth with a caregiver who has had an overdose may require an urgent response including referral to crisis intervention through child and family services.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=83796
in Journal of Pediatric Nursing > Vol. 38 (January/February 2018) . - p. 127-132[article]Exemplaires (1)
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Titre : Does Access to Green Space Impact the Mental Well-being of Children : A Systematic Review Type de document : Article Auteurs : Rachel McCormick Année de publication : 2017 Article en page(s) : p. 3-7 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Environnement ; Santé mentale ; StressMots-clés : Accès aux espaces verts (nature) Résumé : Problem
An increasing body of research is showing associations between green space and overall health. Children are spending more time indoors while pediatric mental and behavioral health problems are increasing. A systematic review of the literature was done to examine the association between access to green space and the mental well-being of children.
Eligibility Criteria
Articles were limited to English language, ages 0–18 years, and publish date 2012–2017.
Sample
The search yielded 341 articles in Ovid, 81 in Pub Med and 123 in Scopus. Articles that were not original research and that were not a pediatric population were excluded. Twelve articles fit the selection criteria.
Results
Twelve articles relating to green space and the mental well-being of children were reviewed. Three articles outside the date criteria were included as they are cited often in the literature as important early research on this topic.
Conclusions
Access to green space was associated with improved mental well-being, overall health and cognitive development of children. It promotes attention restoration, memory, competence, supportive social groups, self-discipline, moderates stress, improves behaviors and symptoms of ADHD and was even associated with higher standardized test scores.
Implications
Scientific evidence demonstrating the mental health benefits of access to nature for children can guide policy and urban planning, while nursing interventions and initiatives can enhance health by promoting outdoor play, educating patients and families, advocating for recess times and green environments at school as well as healing gardens in hospital settings.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82872
in Journal of Pediatric Nursing > Vol. 37 (November/December 2017) . - p. 3-7[article]Exemplaires (1)
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Titre : Social Determinants of Overweight and Obesity Rates by Elementary School in a Predominantly Hispanic School District Type de document : Article Auteurs : Richard Santos ; Gabriel Huerta ; Menuka Karki ; et al. Année de publication : 2017 Article en page(s) : p. 8-12 Langues : Anglais (eng) Descripteurs : HE Vinci
Ecole ; Obésité ; SurpoidsMots-clés : Hispaniques Déterminant social Résumé : Objective
This study analyzes the social determinants associated with the overweight or obesity prevalence of 85 elementary schools during the 2010–11 academic year in a predominantly Hispanic school district.
Methods
A binomial logistic regression is used to analyze the aggregate overweight or obesity rate of a school by the percent of Hispanic students in each school, selected school and neighborhood characteristics, and its geographical location.
Results
The proportion of Hispanic enrollment more readily explains a school's aggregate overweight or obesity rate than social determinants or spatial location. Number of fast food establishments and the academic ranking of a school appear to slightly impact the aggregate prevalence rate. Spatial location of school is not a significant factor, controlling for other determinants.
Conclusions
An elementary school's overall overweight or obesity rate provides a valuable health indicator to study the social determinants of obesity among Hispanics and other students within a local neighborhood.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82873
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Titre : Sociocultural Considerations in Juvenile Arthritis : A review Type de document : Article Auteurs : Kimberly A. Lewis ; Sharon A. Brown ; Stefano Tiziani ; et al. Année de publication : 2017 Article en page(s) : p. 13-21 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrite ; Pédiatrie ; Qualité de vie ; RhumatologieMots-clés : Santé des minorités Déterminants sociaux en santé Résumé : Problem
Juvenile Arthritis (JA) is one of the most common autoimmune diseases in children. A variety of sociocultural factors that influence health outcomes in children with JA have been examined in previous research. However, clinical guidelines to guide the care of these children lack support because this research has not been systematically examined and synthesized.
Eligibility Criteria
Primary research articles from five internet databases were included if they were peer-reviewed articles in English of studies conducted in the U.S. or Canada and referenced one or more determinants of health, quality of life, socioeconomic status, or health disparities in children with JA.
Sample
The final sample included 16 articles representing 2139 children and 939 parents.
Results
Topics covered in the studies included medication compliance, electronic medical records, environmental risk factors, economic hardship, parental coping, leisure activities, and their effects on patient outcomes including disability and quality of life. Patients with Medicaid experienced more severe outcomes than patients with private insurance despite equivalent levels of healthcare utilization. Other important topics, such as effects of the physical environment and alcohol use, were missing from the literature.
Conclusions
Five categories of health determinants were found to influence outcomes: biology, individual behaviors, social environment, physical environment, and health services. Disparities continue to exist for racial and ethnic minority children with JA and those of low socioeconomic status.
Implications
Sociocultural factors should be taken into consideration when developing care plans, research studies, and policies in order to remove barriers and promote the best outcomes for this vulnerable population.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82874
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Titre : An Integrative Review of Social Determinants of Health Assessment and Screening Tools Used in Pediatrics Type de document : Article Auteurs : Jennifer Morone Année de publication : 2017 Article en page(s) : p. 22-28 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage systématique ; Inégalité socialeMots-clés : Déterminants sociaux Outil Risques sociaux Résumé : Problem
Social and physical contexts which make up social determinants of health (SDOH) have tremendous impacts on youth development, health and well-being. Despite knowledge and evidence of these impacts, few pediatric SDOH screening tools are known. The purpose of this review was to identify and evaluate available pediatric SDOH screening tools.
Eligibility Criteria
Articles were limited to studies in the English language, with pediatric populations, conducted in the United States, and were peer-reviewed, primary studies.
Sample
Search of 3 databases (PsychInfo, CINAHL and PubMed) yielded 499 articles, 486 were excluded. Total of 13 articles were appraised and synthesized using the SDOH framework outlined by Healthy People 2020.
Results
Thirteen articles relevant to the assessment of SDOH domains were evaluated. Majority of studies were limited in both the number of SDOH domains screened and the depth of screening. Tools were heterogeneous in methods used to assess SDOH risks and few were validated. Limited number of studies included youth or families in the initial development of tools.
Conclusions
Despite growing recognition across healthcare that SDOH greatly influence pediatric health risks, management and outcomes, there is a dearth of available high quality, multidimensional, comprehensive screening tools for pediatric care professionals.
Implications
This review emphasizes the need for the continued development of effective, comprehensive and practical tools for assessing pediatric SDOH risk factors. Pediatric nursing care includes the assessment of the youth and family context to effectively evaluate resource needs. Pediatric nurses are well poised to address this knowledge and resource gap.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82875
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Titre : Dance for Health: An Intergenerational Program to Increase Access to Physical Activity Type de document : Article Auteurs : Krista Schroeder ; Sarah J. Ratcliffe ; Adriana Perez ; et al. Année de publication : 2017 Article en page(s) : p. 29-34 Langues : Anglais (eng) Descripteurs : HE Vinci
Danse ; Exercice physiqueMots-clés : Recherche communautaire participative Programme intergénérationnel Résumé : Purpose
The purpose of this study was to evaluate Dance for Health, an intergenerational program to increase access to physical activity in an underserved, high risk urban community.
Design and Methods
Dance for Health was developed using community-based participatory research methods and evaluated using an observational study design. The program entailed two hour line dancing sessions delivered by trained dance instructors in the neighborhood recreation center. The weekly sessions were delivered for one month in the spring and one month in the fall from 2012–2016. Nurse practitioner students mentored local high school students to assess outcomes: achievement of target heart rate, Borg Rating of Perceived Exertion, number of pedometer steps during dance session, Physical Activity Enjoyment Scale, and adiposity. Analytic methods included descriptive statistics and mixed effects models.
Results
From 2012–2016, 521 participants ranging from 2–79 years attended Dance for Health. Approximately 50% of children and 80% of adults achieved target heart rate. Achievement of target heart rate was not related to perceived exertion, though it was related to pedometer steps in adults. All participants rated the program highly for enjoyment. There was no change in adiposity.
Conclusions
Dance for Health demonstrated high levels of community engagement and enjoyment. It led to adequate levels of exertion, particularly for adults. Our evaluation can inform program refinement and future intergenerational physical activity programs.
Practice Implications
Dance is an enjoyable, culturally appropriate, low cost method for increasing access to physical activity for children and families.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82876
in Journal of Pediatric Nursing > Vol. 37 (November/December 2017) . - p. 29-34[article]Exemplaires (1)
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Titre : New Frameworks for Understanding Sudden Unexpected Deaths in Infancy (SUDI) in Socially Vulnerable Families Type de document : Article Auteurs : Rebecca Shipstone Année de publication : 2017 Langues : Anglais (eng) Descripteurs : HE Vinci
Famille ; Mort subite du nourrissonMots-clés : Vulnérabilité sociale Déterminants sociaux Résumé : Theoretical Principles
Sociological frameworks may enhance understanding of the complex and multidimensional nature of disadvantage, which is prevalent among families who experience Sudden Unexpected Death in Infancy (SUDI).
Phenomena Addressed
SUDI is the largest category of postneonatal death and largely associated with the social determinants of health. The highly successful ‘Back to Sleep’ campaign has resulted in a more than 85% decrease in SUDI. However, social inequalities have accompanied this decrease, and the burden of SUDI now lies with the most disadvantaged and socially vulnerable families. A considerable body of research on the phenomena of SUDI and disadvantage has been published over the last decade, demonstrating the widening social gradient in SUDI, and the importance in recognising structural factors and the multifactorial nature of disadvantage. Gaps in understanding of risk factors and scepticism about the received wisdom of health professionals have emerged as central themes in understanding why socially vulnerable families may adopt unsafe infant care practices. The direct impact of social disadvantage on infant care has also been recognised.
Research Linkages
The translation of epidemiological findings regarding SUDI risk into public health recommendations for health professionals and families alike has to date focused on eliminating individual level risk behaviours. Unfortunately, such a model largely ignores the broader social, cultural, and structural contexts in which such behaviours occur. Translating the new knowledge offered by sociological frameworks and the principles of behavioural economics into evidence based interventions may assist in the reduction of SUDI mortality in our most socially vulnerable families.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82877
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Titre : How Early do Social Determinants of Health Begin to Operate? Results From the Fragile Families and Child Wellbeing Study Type de document : Article Auteurs : Anao Zhang ; Yolanda Padilla ; Yeonwoo Kim Année de publication : 2017 Article en page(s) : p. 42-50 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Famille ; Fragilité ; HarcèlementMots-clés : Déterminants sociaux en santé Auto-évaluation de l'état de santé Résumé : Purpose
From a life course perspective, important insights about how social determinants of health operate can be gained by analyzing the various forms that social climate can take in different life periods. For children, a critical aspect of social climate is exposure to bullying. Bullying can serve as a proxy for power imbalance and social exclusion analogous to adult social climate of discrimination and racism.
Design and Methods
We used the Year 9 follow-up data of the Fragile Families and Child Wellbeing Study (N = 3301) that, for the first time included interviews with the children. We drew on a national sample of children and their families, which allowed us to account for broader contextual variables and represented a broad range of geographic areas and schools. Multinomial logistic regression was used to estimate the effects of exposure to bullying on self-rated health among primarily 9- to 10-year-old children while controlling for socio-demographic and diagnosed health-conditions.
Results
Both frequency and forms of bullying were positively associated with lower odds of reporting excellent, very good or good health. The effect of forms of bullying on children's self-rated health fell on a gradient. Subgroup analysis indicated a significant effect on self-rated health for children who experienced peer rejection but not for those who experienced physical aggression.
Conclusions
The results of the study provide new evidence that the harmful health consequences of power imbalance and discriminatory practices may extend to children in early development. It also accentuates the need to study social determinants of health from both an ecological/contextual and a developmental angle.
Practice Implications
Echoing a plethora of nursing literature on the critical role of psycho-social pediatric care, this study further encourages pediatric nurses to expand their assessment and intervention priorities beyond a familial and developmental perspective, and to consider the evident physical health consequence of a child's overall social climate determinants.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82878
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Titre : Barriers to Addressing Social Determinants of Health in Pediatric Nursing Practice : An Integrative Review Type de document : Article Auteurs : Mary M. Tallon ; Garth E. Kendall ; Lynn Priddis ; et al. Année de publication : 2017 Article en page(s) : p. 51-56 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; FamilleMots-clés : Déterminants sociaux en santé Soins centrés sur la famille Résumé : Problem
Despite a substantial body of knowledge regarding the importance of the social determinants of health, recognizing and responding to the psychosocial circumstances of seriously and chronically ill children and their families is not well established in routine pediatric nursing care.
Eligibility Criteria
The search process focused on psychological and social determinants and care in the healthcare setting. Searches were limited to research and review publications written in the English language. The quality of evidence was graded using the National Health and Medical Research Council evidence hierarchy.
Results
Thirteen publications were identified for inclusion. Healthcare providers do recognize emotional distress experienced by patients, but feel unable to address psychosocial issues due to the lack of time, a lack of confidence in their own communication skills, and the perception that patients and their families prioritize physical care over psychosocial care. For patients and their families the main issue was that the healthcare system was focused on physical care with little opportunity to talk about psychosocial concerns.
Conclusions
The greatest barrier to addressing the social determinants of health in the pediatric context is the dominance of the ‘medical model’ of care. Also, many healthcare providers believe that they lack the communication skills necessary to talk about psychosocial issues.
Implications
The way forward will be to empower nurses through the sharing of knowledge of the social determinants of health, the development of skills in relationship building and therapeutic communication, and the mentorship of compassionate family-centered care.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82879
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Titre : Parents' Underestimations of Child Weight : Implications for Obesity Prevention Type de document : Article Auteurs : Carol J. Howe ; Gina Alexander ; Jada Stevenson Année de publication : 2017 Article en page(s) : p. 57-61 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Obésité ; Prévention ; SurpoidsMots-clés : Perception du poids de l'enfant par les parents Littératie en santé Implication des parents Résumé : Purpose
Obesity prevention efforts may be ineffective if parents lack awareness of their children's overweight status.
This study examined the factors that predicted parents' underestimation of child weight status.
Design and Methods
Using a cross sectional design, researchers recruited children and parents in a local children's museum. Parents completed a demographic questionnaire, the Newest Vital Sign, and the Child Body Image Scale. Children's height and weight were measured to calculate child BMI. Random effects modeling examined the association between predictor variables (parent race/ethnicity, income, education, and health literacy, and child BMI percentile, gender, and age) and the dependent variable, parent underestimation of child weight status.
Results
Participants included 160 parents (213 children aged 7–12 years) representing a racially and ethnically diverse sample who were affluent, educated, and with 36.6% of parents assessed with limited health literacy. Although 45.1% of children were overweight/obese, only 7.5% of parents chose this weight status; 80% of parents underestimated the weight of their normal weight children, 96% underestimated their overweight children, and 72% underestimated their obese children. Parents were more likely to underestimate weight of older children and those under 81st percentile of BMI. No other predictors were significant.
Conclusions
Parent underestimation of child weight status appears to be a widespread phenomenon in this sample, regardless of race, ethnicity, income, education, and health literacy.
Practice Implications
The consistent underestimation of child weight suggests that parents' misperception of weight status represents a critical pathway for intervention. Methods to improve parents' perception of child weight need be developed and tested.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82880
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Titre : Intersecting Health Policy and the Social Determinants of Health in Pediatric Type 1 Diabetes Management and Care Type de document : Article Auteurs : Sanja Visekruna ; Linda McGillis Hall ; Monica Parry ; et al. Année de publication : 2017 Article en page(s) : p. 62-69 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète de type 1 ; Infirmières et infirmiers ; Pédiatrie ; Politique de santé ; TechnologieRésumé : Theoretical Principles
Type 1 diabetes health technologies are evolving. This is an expensive chronic condition to manage, hence a combination of public and private healthcare funding sources, as well as out-of-pocket payments support disease management. The aim of this paper is to describe two conceptual underpinnings, which can appropriately position the health policy and clinical context of pediatric type 1 diabetes management and care.
Phenomena Addressed
“The Main Determinants of Health” framework is used to position pediatric T1D management and care within the model's four interconnected layers: the structural environment, social and material conditions, support systems and individual health behaviors. A health policy in Ontario, Canada, the Assistive Devices Program for insulin pump therapy is also discussed relative to the model's outermost layer: the structural environment. Four dimensions of control, which characterize the “street-level bureaucrat” role including “distributing benefits and sanctions; structuring the context; teaching the client role; and, psychological benefits and sanctions” then position the policy context of the diabetes nurse educator role relative to the Assistive Devices Program policy.
Research Linkages
These conceptual underpinnings could extend beyond the pediatric T1D landscape to position global research in other nursing practice areas, as well as with other patient populations and professional disciplines such as social work and medicine.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82881
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Titre : Integrating Faith-based and Community-based Participatory Research Approaches to Adapt the Korean Parent Training Program Type de document : Article Auteurs : Eujung Kim ; Doris Boutain ; Sangho Kim ; et al. Année de publication : 2017 Article en page(s) : p. 70-78 Langues : Anglais (eng) Mots-clés : Recherche communautaire participative basée sur la foi Population d'origine coréenne (USA) Formation des parents Adaptation de programme de formation Résumé : Purpose
Faith and community based inquiry approaches are rarely used to develop research interventions. The purpose of this article is to present how a research team worked with six Korean American Christian churches to revise the prototype Korean Parent Training Program (KPTP), based upon the Bright Futures Parenting Program. The collaboration was sought to better integrate and align the KPTP with Korean culture and faith. The KPTP was developed to promote positive parenting practices and decrease mental health disparities of Korean American children.
Design and Methods
Sixteen church participants completed a Delphi survey, a workshop series, Community Theaters, and focus groups.
Results
The participants suggested adding Korean traditional parenting virtues, Christian parenting principles, and revising the standardized parent training and program philosophy.
Conclusions
Revisions made KPTP sensitive to Korean culture and faith, and promoted program acceptability.
Implications
The process demonstrated the importance of working with church volunteers to develop faith-based and community-based health promotion interventions targeting Korean American faith communities. This research presents significant and meaningful implications for working with other faith communities from minority backgrounds.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82882
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Titre : Recommendations for the Establishment of Disorders/Differences of Sex Development Interdisciplinary Care Clinics for Youth Type de document : Article Auteurs : Dana M. Bakula ; Christina M. Sharkey ; Cortney Wolfe-Christensen ; et al. Année de publication : 2017 Article en page(s) : p. 79-85 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Interdisciplinarité ; RecommandationsMots-clés : Troubles/différences du développement du sexe Résumé : Purpose
Provide recommendations for the development of an interdisciplinary care (IDC) clinic for the treatment of youth with disorders/differences of sex development (DSD). DSD consist of a group of complex congenital medical disorders in which the development of chromosomal, gonadal, or anatomical sex is atypical. Youth with DSD require care from multiple specialized healthcare disciplines, including several medical specialties, surgery, nursing, and mental health.
Method
Recommendations are based on an interdisciplinary care clinic model that allows for a team of relevant professionals who share knowledge, ideas, and responsibility of care. The framework established in this article is based largely on experiences at an established DSD clinic, as well as observations of multiple clinics across the United States.
Results
Preliminary outcome data on clinic adherence to treatment protocol under an IDC model are provided.
Conclusions
To meet the diverse healthcare needs of youth with DSD, comprehensive care clinics are recommended; however, few such clinics exist in the United States. Establishing new comprehensive DSD clinics can be challenging due to the highly unique treatment of DSD, but the current paper expands the literature available to guide clinic development in the United States.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82883
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Titre : National Testing of the Nursing-Kids Intensity of Care Survey for Pediatric Long-term Care Type de document : Article Auteurs : Amanda J. Hessels ; Sharon W. Darby ; Edwin Simpser ; et al. Année de publication : 2017 Article en page(s) : p. 86-90 Langues : Anglais (eng) Descripteurs : HE Vinci
Enquête ; Soins de l'enfantMots-clés : Examen national Intensité des soins Soins de longue durée Résumé : Purpose
The purpose of this study is to test the Nursing–Kids Intensity of Care, a measure of the intensity of nursing care needs, defined as the quantity and type of direct and indirect care activities performed by caregivers in a national sample.
Design and Methods
A 40-item tool previously tested in a small sample was psychometrically tested on a sample of 116 children with complex medical conditions by 33 nurse raters across 11 pediatric sites.
Results
The Nursing-Kids Intensity of Care tool demonstrated components of usability, feasibility, inter-rater, test-retest and internal consistency reliability and construct validity in the national study sample.
Conclusions
Additional testing to further establish psychometric sufficiency and expanded use to quantify the intensity of nursing care needs of children with complex medical conditions in pediatric long-term care settings is recommended.
Practice Implications
This novel measure could assist the nursing administrators, educators and staff of pediatric long-term care facilities assess the intensity of care needs of their residents.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82884
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Titre : Comparison of Children's Venipuncture Fear and Pain: Randomized Controlled Trial of EMLA® and J-Tip Needleless Injection System Type de document : Article Auteurs : Petronella Stoltz ; Renee C.B. Manworren Année de publication : 2017 Article en page(s) : p. 91-96 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Enfant (6-12 ans) ; Essai clinique ; Peur ; Ponction veineuseMots-clés : Injection sans aiguille Refus de soins Résumé : Purpose
Needle procedures, like venipuncture and intravenous (IV) catheter insertion, are recognized as a common cause of pain and fear for children in hospitals and emergency departments. The purpose of this study was to compare children's self-reported pain and fear related to IV insertion with administration of either the topical local anesthetic EMLA® or 1% buffered lidocaine delivered with the J-Tip Needleless Injection System® (J-Tip®).
Design and Methods
In this prospective, randomized trial, 150 consecutive pediatric patients 8 to 18 years of age undergoing IV insertion were randomly assigned 1:1 to treatment group. Participants self-reported procedural pain using a Visual Analog Scale, and procedural fear using the Children's Fear Scale.
Results
Procedural pain scores were significantly lower in the EMLA® group (mean score 1.63 + 1.659) vs. the J-Tip® group (2.99 ± 2.586; p Conclusion
EMLA® provided superior pain relief for IV insertion compared to J-Tip®.
Practice Implications
Although EMLA® use resulted in lower self-reported pain scores compared to J-Tip®, pain scores for both treatments were low and fear scores did not differ. When IV insertion can be delayed for 60–90 min, EMLA® should be used. When a delay is contraindicated, J-Tip® may be a reasonable alternative to minimize procedural pain of IV insertion.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82885
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Titre : Comparing Low-income Mothers' and Fathers' Concern for Young Children's Weight Type de document : Article Auteurs : Rachel L. Vollmer ; Amy R. Mobley Année de publication : 2017 Article en page(s) : p. 97-100 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Indice de masse corporelle ; Pauvreté ; Prise de poidsMots-clés : Famille à faibles revenus Préoccupation et perception de la prise de poids Résumé : Purpose
The objectives of this study were to compare the relationship of mother and father (1) perceived child weight and child body mass index (BMI) z-score, (2) concern for child's current weight and child BMI z-score, and (3) concern for child's future weight and child BMI z-score.
Design and Methods
This cross-sectional study included low-income mothers (n = 30) and fathers (n = 30) with a young child (3 to 10 years old) from the same household. Each parent completed select items from the Child Feeding Questionnaire (CFQ) with a trained interviewer. Child BMI z-score was calculated.
Results
There was a significant, positive relationship between fathers' perceived child weight and child BMI z-score (p = 0.006) and between fathers' concern for a child's future weight and child BMI z-score (p = 0.001) but not among mothers.
Conclusions
Cohabitating low-income parents of young children may have conflicting appraisals of their child's BMI z-score and concerns for their child's future weight, and low-income fathers may be more accurate and concerned about their children's weight.
Practice Implications
Based on findings from this study, healthcare providers including physicians and nurses should attempt to include fathers in discussions regarding their child's weight for obesity prevention, especially in low-income families.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82933
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Titre : Impact of Non-medical Out-of-pocket Expenses on Families of Children With Cerebral Palsy Following Orthopaedic Surgery Type de document : Article Auteurs : Judith A. Vessey ; Rachel L. DiFazio ; Tania D. Strout ; et al. Année de publication : 2017 Article en page(s) : p. 101-107 Langues : Anglais (eng) Descripteurs : HE Vinci
Famille ; Paralysie ; PauvretéMots-clés : Paralysie cérébrale Chirurgie orthopédique Dépenses non médicales Résumé : Purpose
Limited research has been conducted on the non-medical out-of-pocket expenses (NOOPEs) incurred by families of children with chronic health conditions. The study objectives were to: 1) calculate the estimated NOOPEs incurred by families during hospitalization of their child, 2) identify predictors of high NOOPEs, and 3) assess the impact of the child's chronic health condition on the family's finances.
Design and Methods
Prospective observational study. Parents were included if their child was 3–20 years old, had severe, non-ambulatory cerebral palsy (CP), and scheduled for hip or spine surgery. Parents reported all NOOPEs incurred during their child's hospitalization using the Family Expense Diary. Families completed the subscales of the Impact on Family Scale and the Assessment of Caregivers Experience with Neuromuscular Disease. Descriptive and univariate and multiple hierarchical regression models were used in the analysis.
Results
Fifty two parents participated. The total NOOPEs ranged from $193.00 to $7192.71 (M = $2001.92) per hospitalization representing an average of 4% of the family's annual earned income. Caregiver age (F = 8.393, p Conclusions and Practice Implications
Hospitalization is associated with numerous NOOPEs that create additional financial demands for families caring for a child with severe CP. NOOPEs should be addressed when preparing families for their children's planned hospital admissions, especially those families of CSHCN who experience significant financial impacts secondary to their children's care.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82934
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Titre : Chronic Sorrow in Parents of Children with a Chronic Illness or Disability : An Integrative Literature Review Type de document : Article Auteurs : Mary Beth Coughlin ; Kristen A. Sethares Année de publication : 2017 Article en page(s) : p. 108-116 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Enfant (6-12 ans) ; Maladie chronique ; Parents ; Personnes handicapéesRésumé : Problem
This integrative review aims to synthesize the findings of studies on chronic sorrow in parents, to analyze the findings along three specific research questions, and to identify areas for future research.
Eligibility Criteria
Studies of parents, mothers and/or fathers of non-adult children published in peer-reviewed journals that answered the research questions: 1) How does the experience of chronic sorrow differ between mothers and fathers? 2) What factors have been identified to impact the experience of chronic sorrow over time? 3) What strategies by health care providers for helping parents cope with chronic sorrow have been identified to be most and least helpful?
Sample
Nineteen studies from a literature search within the databases of CINAHL, MEDLINE, PsycINFO, Psycarticles and SocIndex were included in the review.
Results
Findings suggest that mothers experience more intense chronic sorrow compared with fathers. Health care crises and developmental milestones are potent triggers for resurgence of chronic sorrow. Helpful strategies by healthcare providers include providing information, helping to procure respite and being empathetic and compassionate.
Conclusions
Healthcare providers need to understand that chronic sorrow is a normal consequence of having a child with a chronic illness or disability.
Implications
Family-centered interventions should be individualized and aimed at providing increased comfort to parents in times of need. Further research that looks at the effectiveness of interventions is needed.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82935
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Titre : Coping with the Stress in the Cardiac Intensive Care Unit: Can Mindfulness Be the Answer? Type de document : Article Auteurs : Nadya Golfenshtein ; Janet A. Deatrick ; Amy J. Lisanti Année de publication : 2017 Article en page(s) : p. 117-126 Langues : Anglais (eng) Descripteurs : HE Vinci
Adaptation psychologique ; Personnel de santé ; Pleine conscience (Mindfulness) ; Soins intensifs ; StressMots-clés : Maladie cardiaque congénitale Résumé : Background
Mothers of infants with complex congenital heart disease are exposed to increased stress which has been associated with numerous adverse health outcomes. The coping mechanisms these mothers use critically effect the familial illness adaptation and most likely infant outcomes. Currently no data-based strategies have been developed for mothers to facilitate their coping, and proactively promote their adaptation in the critical care settings. A potential strategy is mindfulness which is currently used in other clinical settings with stress-reduction effects.
Purpose
(1) To investigate coping mechanisms of mothers whose infant with complex CHD is admitted in the CICU, and (2) to explore the acceptability and feasibility of mindfulness as a potential stress-reduction intervention for these mothers.
Design and Methods
A descriptive qualitative study obtained perspectives from 14 mothers during three focus groups. A qualitative conventional content analysis was performed using ATLAS.ti.
Results
In congruence with the Stress and Coping framework, themes identified mostly emotion-regulatory coping mechanisms including both active and passive strategies such as positive thinking, denial, distraction, relying on support systems, and focusing on baby. Mindfulness was an acceptable and feasible approach for most participants, however, practice unfamiliarity, time and space concerns, and personal preferences were identified as potential barriers for future dissemination.
Conclusions
Mindfulness can potentially promote illness adaptation by utilization of active coping mechanisms. Early interventions can provide immediate, and potentially long-term stress relief. Intervention settings, format, and time-frame should be flexibly tailored to the trajectory of parental distress and familial adjustment.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82936
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Titre : Resilience in Families of Children With Autism and Sleep Problems Using Mixed Methods Type de document : Article Auteurs : Backy J. Christian Année de publication : 2017 Article en page(s) : p. 127-131 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Famille ; Résilience psychologique ; Trouble autistique ; Troubles de la veille et du sommeilMots-clés : Méthode mixte Résumé : Purpose
About 80% of children with autism spectrum disorder (ASD) have sleep problems that may disrupt optimal family functioning. We explored the impact of sleep problems on families' resilience.
Design and Methods
An explanatory sequential mixed methods design was used to discern whether resilience differed between families whose children with ASD have or do not have sleep problems, to seek predictors for family hardiness/resilience, and to determine whether narrative findings support, expand, or conflict quantitative findings.
Results
Seventy complete surveys were returned from parents of children with ASD to compare sleep and family functioning. Fifty-seven children had sleep problems and six interviews regarding eight of these children were conducted. Parents of children with ASD and sleep problems had lower levels of resilience than those who slept well. Predictors of hardiness were social support, coping-coherence (stress management), and lower strain scores. Qualitative content analysis revealed a journey analogy with themes: finding the trailhead, dual pathways, crossing paths and choosing travel companions, forging new paths, resting along the way, and seeing the vistas.
Conclusions
Qualitative findings supported quantitative findings regarding the impact of sleep problems but also expanded them by illustrating how families' resilience and children's socialization improved over time. Social support predicted family hardiness. Parents revealed that sleep issues contributed to family strains and described their progression to resilience and embracing their child.
Practice Implications
Findings support the need for community and provider advocacy and implicates a need for development of sleep interventions on behalf of families and children with ASD.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82937
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Titre : The Use of Technology by Adolescents With Intellectual and Developmental Disabilities Type de document : Article Auteurs : Susan M. Burke Année de publication : 2017 Article en page(s) : p. 134-135 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; TechnologieMots-clés : Trouble intellectuel Trouble du développement Utilisation des technologies Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82938
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Titre : Indicators of Non-adherence to Asthma Treatment in Pediatric Primary Care Type de document : Article Auteurs : Marcela D. Monti ; Rose M. Nealis Année de publication : 2017 Article en page(s) : p. 7-12 Langues : Anglais (eng) Descripteurs : HE Vinci
Adhésion au traitement médicamenteux ; Asthme ; Indicateur de sante ; Maladie chronique ; Observance par le patient ; Pédiatrie ; Sante (centre) ; Soins de santé primaires ; UrgencesRésumé : Purpose
Chronic disease management represents an ongoing challenge, as many childhood illnesses require complex medical management by primary care providers. Asthma is one such illness, and today there is evidence to support primary care-based management strategies that will benefit patients with asthma throughout a lifetime. This study seeks to find significant indicators of asthma non-adherence in pediatric primary care, with potential for utilization in the medical home model.
Design and Methods
Potential indicators included in a chart review process of one large Southeastern U.S. primary care pediatric practice were reviewed from the previous calendar year for asthma patients. The study retroactively looks at the incidence of six indicators in relation to asthma-related emergency department visits and hospitalizations, and number of missed appointments for clinically relevant associations.
Results
Strong associations were found between emergency department visits and hospitalizations and many of the indicators of non-adherence with high statistical significance. No associations were found between number of missed appointments and the selected indicators.
Conclusions
The data analysis performed from the collected patient information can be helpful to guide practices in further discussions on the topic. Results were analyzed and reported to the practice in review as recommendations for a new medical home asthma documentation protocol that is in development.
Practical Implications
The indicators of non-adherence to asthma treatments identified may be useful in developing markers of disease severity in primary care pediatrics. Medical home access to knowledge of target populations can lead to better patient outcomes with lower cost to stakeholders.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82104
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Titre : The Effects of Smartphone-based Nebulizer Therapy Education on Parents' Knowledge and Confidence of Performance in Caring for Children with Respiratory Disease Type de document : Article Auteurs : Jung Min Lee ; Shin-Jeong Kim ; Hae Young Min Année de publication : 2017 Article en page(s) : p. 13-19 Langues : Anglais (eng) Descripteurs : HE Vinci
Applications mobiles ; Education ; Education thérapeutique ; Enfant (6-12 ans) ; Maladies de l'appareil respiratoire ; Thérapie respiratoireRésumé : Purpose
This study aimed to identify the effects of smartphone-based nebulizer therapy education on the knowledge and confidence of parents while performing care for their children with respiratory disease.
Design and Methods
This quasi-experimental study employed a pretest-posttest design using a nonequivalent control group. Data were collected from children's parents who had not used nebulizer therapy for their children previously. Both the groups were given nebulizer therapy education using the same content but different learning methods. The experimental group (n = 36) was taught using smartphones, while the control group (n = 36) was taught using verbal and paper-based methods. The data were analyzed using the Chi Square test, repeated measures analysis of variance, and t-test.
Results
The mean scores on knowledge improvement (F = 100.949, p Conclusion
This study suggests that smartphone-based education needs to be considered as an effective educational intervention in providing nursing support for parents of children with respiratory disease.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82105
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Titre : Parenting Practices of African Immigrants in Destination Countries : A Qualitative Research Synthesis Type de document : Article Auteurs : Bukola Salami ; Shela Akbar Ali Hirani ; Salima Meherali ; et al. Année de publication : 2017 Article en page(s) : p. 20-30 Langues : Anglais (eng) Descripteurs : HE Vinci
Emigrants et immigrants ; Recherche qualitativeMots-clés : Africains immigrés Pratique parentale Conflit culturel Politique d'intégration Résumé : Abstract
Problem
While studies have discussed the parenting practices and challenges of African immigrants, no paper has synthesized the results of these qualitative studies. We conducted a qualitative synthesis of the literature to summarize and interpret knowledge of African immigrants' parenting practices and challenges in destination countries to identify future directions for research, policy, and practice.
Eligibility
We used a qualitative research synthesis method involving meta-summary and meta-synthesis of the literature. A research librarian assisted in searching ten databases. Two members of the research team independently reviewed 1794 articles. We included articles that: (a) reported a qualitative research study; (b) was written in English; and (c) provided the perspective of African immigrant parents on their parenting practices and/or challenges.
Sample
A total of 24 articles met our inclusion criteria.
Results
Our results indicate that parenting practices of African immigrants include the following: changes in discipline practices across transnational borders and the use of physical discipline, respect as a deeply embedded value of parenting, integration of cultural values into parenting, and integration of religious practices into parenting. We also found gender differences in parenting. Challenges faced by African immigrants in parenting their children in destination countries include lack of informal/community support, access to services and lack of formal support, cultural conflict in parenting, fear related to social services, and language barriers.
Conclusion and Implications
Our study identifies a need for culturally appropriate policies and practices that build on the strengths of African immigrants in destination countries while addressing their unique challenges.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82106
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Titre : Tummy Time for Latinos With Limited English Proficiency: Evaluating the Feasibility of a Cultural and Linguistically Adapted Parent Education Intervention Type de document : Article Auteurs : Alexandra Nitsos ; Robin Dawson Estrada ; DeAnne K. Hilfinger messias Année de publication : 2017 Article en page(s) : p. 31-36 Langues : Anglais (eng) Descripteurs : HE Vinci
Culture (sociologie) ; EvaluationMots-clés : Éducation culturelle des parents Apprentissage de la langue (anglais) Personnes d'origine hispanique Résumé : Purpose
Tummy Time is preventive positioning designed to strengthen an infant's neck and upper body muscles and minimize musculoskeletal disorders, including positional plagiocephaly. Latino parents with limited English proficiency (LEP) may experience barriers to receiving instruction on this important health-promotion strategy. Study aims included 1) adaptation and implementation of a Spanish-language version of Tummy Time; 2) evaluation of participant Tummy Time knowledge; and 3) assessment of efficacy and acceptability of the Spanish language intervention.
Design and Methods
This feasibility study involved translation of educational materials into Spanish, creation of Spanish-language print materials, and training of bilingual research assistants to deliver the educational intervention. Participants were 21 Latino expectant and current parents with self-identified LEP. Participants completed brief pre- and post-tests and performed a return demonstration.
Results
Participant knowledge of Tummy Time increased post-intervention. Program evaluation and on-site observations supported feasibility and acceptability.
Conclusions
The cultural and linguistic tailoring of targeted educational interventions is a feasible and potentially effective strategy to overcome barriers experienced by parents with limited English proficiency and may contribute to improved infant health outcomes.
Practice Implications
To be effective, health education programs must be tailored to the target population. Pediatric nurses and nurse practitioners should be aware that populations with LEP face many barriers that may inhibit their ability to participate in and understand health promotion educational activities. While translating interventions can mitigate language barriers, providers should also evaluate and address other barriers such as time constraints, transportation issues, and trust.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82107
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Titre : Improving the Patient Experience: Call Light Intervention Bundle Type de document : Article Auteurs : Jacqueline Nelson ; Beth A. Staffileno Année de publication : 2017 Article en page(s) : p. 37-43 Langues : Anglais (eng) Descripteurs : HE Vinci
Appel malade ; Lumière ; SécuritéMots-clés : Temps de réponse Dispositif d'appel du soignant Résumé : Purpose
Delays in call light response are a significant patient quality and safety concern. Research on call light interventions and patient outcomes has focused exclusively on adult inpatients. This project examined the impact of increasing staff awareness and workflow redesign to improve the pediatric patient experience and outcomes based on timely response.
Design and Methods
A quality improvement project was conducted on two pediatric medical surgical units’ (31 and 35 beds respectively) at a large Midwest academic medical center with patients' ages from to young adults. Data on staff knowledge, patient satisfaction, and fall rates was examined pre- and post-intervention of an evidence-based call light intervention bundle which included: 1) unit-based patient experience committees, 2) purposeful rounding, 3) pod buddy assignments, and 4) staff education.
Results
Post-intervention both units demonstrated improvement in staff knowledge on call light interventions and exhibited sustained improvement in patient satisfaction scores for promptness to call. Likelihood to recommend the hospital and satisfaction with pain control improved for one of the two units. No impact on fall rates was noted over time for either unit.
Conclusions
A call light intervention bundle can positively impact patient satisfaction with promptness to call lights in pediatric medical surgical hospitalized patients and their families. Unlike adult patients, a call light intervention bundle did not impact fall rates in children and further study in pediatric fall reduction strategies is needed.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82108
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Titre : The Influence of Peers on Diet and Exercise Among Adolescents : A Systematic Review Type de document : Article Auteurs : Sophia Jihey Chung ; Anne Ersig L. ; Ann Marie McCarthy Année de publication : 2017 Article en page(s) : p. 44-56 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Exercice physique ; Famille ; Influence ; Régime alimentaireRésumé : Adolescents' diet and exercise are modifiable factors contributing to high rates of adolescent obesity. Diverse contextual factors, including family, social environment, and peers, affect adolescents' diet and exercise behaviors. Because peer influence increases during adolescence, peers' contributions to adolescents' diet and exercise behaviors should be examined as potential targets for intervention to reduce the prevalence of adolescent obesity. The purpose of this systematic review is to identify research examining the contribution of peers to diet and exercise of adolescents. The electronic databases PubMed, CINAHL, Web of Science, and SCOPUS were searched. A total of 24 unique articles were included: seven examined diet only, fourteen studied exercise only, and three explored diet and exercise. This review provided evidence that diet and exercise of adolescents were significantly associated with those of their peers. However, these associations differed depending on gender, the type of diet and exercise, and closeness of friends. Findings from this review suggest that peers could be possible targets for interventions to promote healthier diet and exercise among adolescents; however, more studies are needed to identify specific peer influences and develop tailored interventions. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82109
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Titre : Caring for a Child With an Obstetric Brachial Plexus Injury : A Metaphor Analysis Type de document : Article Auteurs : Cheryl Tatano Beck Année de publication : 2017 Article en page(s) : 57-63 Langues : Anglais (eng) Descripteurs : HE Vinci
Blessure ; Enfant (6-12 ans) ; Obstétrique ; Plexus brachial ; Recherche qualitative ; Relations mère-enfant ; SoinsRésumé : Purpose
The purpose of this study was to examine the metaphors used by mothers to describe their experiences caring for their children with obstetric brachial plexus injuries.
Design and Methods
A secondary qualitative data analysis was conducted from the primary data set of a phenomenological study of mothers' experiences caring for their children with obstetric brachial plexus injuries. The type of secondary qualitative data analysis approach used was analytic expansion. Metaphor Identification Procedure was used to analyze the corpus of 132 pages of typed transcription.
Results
This metaphorical analysis yielded seven metaphors mothers used to describe their experiences caring for their children with obstetric brachial plexus injuries. These metaphors portrayed mothers' lives as involving a heavy weight, a maze, a juggling act, a simmering pot, a dagger to the heart, a rollercoaster, and a constant battle.
Conclusion
The seven metaphors helped women express what they could not completely capture using only medical jargon and provide valuable insight for clinicians. Using secondary qualitative data analysis to mine for any metaphors in a primary data set gives researchers another valuable and creative opportunity to discover new knowledge from the data they had previously collected.
Practice Implications
Specific interventions can be developed to target each of these seven metaphors to help mothers in their daily care for their children with obstetric brachial plexus injuries.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82110
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Titre : Enhancing Pediatric Asthma Care and Nursing Education Through an Academic Practice Partnership Type de document : Article Auteurs : Natasha McClure ; Melanie Lutenbacher ; Ellen O'Kelley ; et al. Année de publication : 2017 Article en page(s) : p. 64-69 Langues : Anglais (eng) Descripteurs : HE Vinci
Asthme ; Écoles d'infirmières ; Education ; Enfant (6-12 ans) ; Interdisciplinarité ; Pédiatrie ; Soins ; Universités ; Visites à domicileRésumé : Abstract
Background
Home environmental assessments and interventions delivered via academic practice partnerships (APP) between clinics and schools of nursing may be a low or no cost delivery model of pediatric asthma care and professional education. Patients receive enhanced clinical resources that can improve self-management and healthcare utilization. Additionally, students can practice chronic disease management skills in actual patient encounters.
Objective
To describe outcomes of the implementation of an APP between a school of nursing and a pediatric asthma specialty clinic (PASC) to deliver a home visit program (HVP). The HVP was designed to reduce emergency department visits and asthma related hospitalizations in PASC patients and provide clinical experiences for nursing students.
Methods
PASC referred patients to the HVP based on their level of asthma control. Students provided an individualized number of home visits to 17 participants over a nine month period. A 12-month pre- and post-HVP comparison of emergency department visits and asthma related hospitalizations was conducted. Additional information was gathered from stakeholders via an online survey, and interviews with APP partners and HVP families.
Outcomes
Children had fewer asthma related hospitalizations post HVP. Findings suggest a reduction in exposure to environmental triggers, improved patient and family management of asthma, and increased PASC knowledge of asthma triggers in the home and increased student knowledge and skills related to asthma management.
Conclusions
Multiple clinical and educational benefits may be realized through the development of APPs as an infrastructure supporting targeted interventions in home visits to pediatric asthma patients and their familiesDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82111
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Titre : “Treat Me Like a Normal Person!” A Meta-Ethnography of Adolescents' Expectations of Their Health Care Providers Type de document : Article Auteurs : Alison Moriarty Daley ; Carol E. Polifroni ; Lois S. Sadler Année de publication : 2017 Article en page(s) : p. 70-83 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Communication ; Confiance ; Confidentialité ; Perception ; Recherche qualitative ; Relations entre professionnels de santé et patientsMots-clés : Attentes en matière de soins de santé Professionnel de santé Méta-synthèse Résumé : Purpose
Preventive health care services provide an important opportunity to assist adolescents to establish and maintain a healthy lifestyle and assume an increasing independent role in their health care. National guidelines emphasize the importance of an annual wellness visit to identify and address risk-behaviors that contribute significantly to the morbidity and mortality in this population. Despite these recommendations, adolescents utilize preventive health care at declining rates throughout adolescence. The purpose of this study was to capture a more holistic view of what adolescents, as consumers of health care services, expect from their primary health care providers (HCPs).Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82112
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Titre : Effects of Animal-assisted Activities on Biobehavioral Stress Responses in Hospitalized Children : A Randomized Controlled Study Type de document : Article Auteurs : Sandra M. Branson ; Lisa Boss ; Nikhil S. Padhye ; et al. Année de publication : 2017 Article en page(s) : p. 84-91 Langues : Anglais (eng) Descripteurs : HE Vinci
Animal ; Anxiété ; Comportement ; Enfant (6-12 ans) ; Hôpitaux ; Hospitalisation ; Stress ; ZootherapieRésumé : Purpose
This study assessed the effectiveness of animal-assisted activities (AAA) on biobehavioral stress responses (anxiety, positive and negative affect, and salivary cortisol and C-reactive protein [CRP] levels) in hospitalized children.
Design and Methods
This was a randomized, controlled study.
Method
Forty-eight participants were randomly assigned to receive a 10-minute AAA (n = 24) or a control condition (n = 24). Anxiety, positive and negative affect, and levels of salivary biomarkers were assessed before and after the intervention.
Results
Although increases in positive affect and decreases in negative affect were larger in the AAA condition, pre- and post-intervention differences between the AAA and control conditions were not significant. In addition, pre- and post-intervention differences between the conditions in salivary cortisol and CRP were not statistically significant. Baseline levels of anxiety, cortisol, and CRP had a significant and large correlation to the corresponding post-intervention measures. Scores on the Pet Attitude Scale were high but were not associated with changes in anxiety, positive affect, negative affect, or stress biomarkers.
Conclusions
Although changes were in the expected direction, the magnitude of the effect was small. Future randomized controlled trials with larger recruitment are needed to determine the effectiveness of AAAs in reducing biobehavioral stress responses in hospitalized children.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82113
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Titre : Beliefs Regarding Asthma Management Relating to Asthma Action Plans (AAPs) of African American Caregivers Residing in Newark, New Jersey Public Housing Communities Type de document : Article Auteurs : Frank Wagner ; Lorraine Steefel Année de publication : 2017 Article en page(s) : p. 92-97 Langues : Anglais (eng) Descripteurs : HE Vinci
Asthme ; Etats-Unis ; Famille ; SoignantsMots-clés : Africains (Etats-Unis) Prise en charge de l'asthme Résumé : Purpose
The purpose of this study was to explore the beliefs regarding asthma management and Asthma Action Plans (AAPs) of African American caregivers residing in three New Jersey public housing communities in Newark, New Jersey.
Design
A qualitative methods design was accomplished using semi-structured interviews with a purposive sample of nine African American caregivers of children with asthma. Information was coded using N'VIVO™; the textual analysis combined codes into categories, which were then assembled into themes.
Results
Self-determination was found to be a fundamental goal of asthma management; however, three themes emerged as barriers and facilitators to this goal: challenges in the urban environment, preference of familial methods, and access to medical care.
Conclusions
Findings from this study regarding minority caregivers' beliefs regarding difficulty navigating the health care system coupled with insurance instability, leading to use of Emergency Departments, are consistent with past research. Although caregivers expressed belief in use of prescribed medications as indicated on AAPs, familial methods, found to provide a sense of control over asthma, were preferred.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82114
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Titre : The Effect of Oral Care Using an Oral Health Care Guide on Preventing Mucositis in Pediatric Intensive Care Type de document : Article Auteurs : Duygu Sönmez düzkaya ; Gülzade Uysal ; Gülcin Bozkurt Année de publication : 2017 Article en page(s) : p. 98-102 Langues : Anglais (eng) Descripteurs : HE Vinci
Guide ; Mucite ; Prévention ; Recommandations ; Soins buccodentaires ; Soins de l'enfant ; Soins intensifsRésumé : Objectives
To evaluate the effectiveness of standard-of-care oral care guides developed specifically for children in intensive care to prevent mucositis.
Design and Methods
This prospective, interventional and single-group study design was performed in the pediatric intensive care unit of a university hospital in Istanbul between January and December 2014. Daily oral care was implemented to pediatric patients in the study group in line with an oral care guide developed by the researchers. Data were collected using the data collection form and oral mucositis assessment scale published by the World Health Organization (WHO).
Results
Oral mucositis occurred in 16 (5.2%) patients in the pre-intervention group and 7 (2.5%) in the post-intervention group, 10 patients had grade 1, and 6 patients had grade 2 oral mucositis in the pre-intervention group, and in the post-intervention group, three patients had grade 1, and four patients had grade 2 oral mucositis. Although more patients in the pre-intervention group had mucositis than in the post-intervention group, the differences were not statistically significant (P = 0.067).
Conclusions
Oral mucositis can be reduced through the practice of administering oral care in accordance with oral healthcare guidelines.
Practice Implications
Oral care implemented in line with an evidence-based oral care guide and frequent observation of patients are the most important steps in preventing oral mucositis.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82115
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Titre : Mental Health and Quality of Life Among Spanish-born and Immigrant Children in Years 2006 and 2012 Type de document : Article Auteurs : Nazaret Alonso-Fernandez ; Rodrigo Jimenez-Garcia ; Leticia Alonso-Fernandez ; et al. Année de publication : 2017 Article en page(s) : p. 103-110 Langues : Anglais (eng) Descripteurs : HE Vinci
Ecole ; Emigrants et immigrants ; Enfant (6-12 ans) ; Espagne ; Qualité de vie ; Santé mentaleMots-clés : Troubles du comportement Troubles de la conduite Résumé : Background
One of every five children and adolescents in the European Union suffers from behavioural, and emotional disturbances.
Objectives
To compare factors associated with the quality of life and mental health of immigrant and Spanish children aged 4–14 years both during the years 2006 and 2012 and to evaluate changes over this time period.
Design and Methods
An epidemiologic age and sex matched case-control study (1:2) was conducted. The study group were 677 immigrant children and 1354 matched Spanish children (controls). This study was conducted using data obtained from the Spanish National Health Surveys done in 2006 and 2012. We used the Strengths and Difficulties Questionnaire to obtain the score for variables derived from mental health and the Kidscreen-10 questionnaire to score the Health-Related Quality of Life.
Results
Spanish girls scored higher in conduct problems (2.04 ± 0.1) and better in problems with peers (1.21 ± 0.08) regarding immigrant girls (1.82 ± 0.12–1.92 ± 0.13 respectively). Concerning total scores, immigrant children obtained significantly lower scores in quality of life (81.29 ± 0.76) and in problems with peers (2.04 ± 0.09) than their matched Spanish children (84.4 ± 0.45 and 1.26 ± 0.06) in 2006. Immigrant children had lower total scores in prosocial behaviour (8.62 ± 0.11) compared to the matched Spanish children (8.92 ± 0.06) in 2012. The total average scores of immigrant children in terms of quality of life, emotional symptoms, behavioural problems, hyperactivity and problems with peers were significantly better in 2012 (86.58; 1.84; 1.46; 3.77 and 1.48 respectively) than in 2006 (81.29; 2.15; 1.90; 4.58 and2.04).
Conclusions
Immigrant children had a poorer quality of life and mental health than matched Spanish children in 2006.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82137
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Titre : Type 2 Diabetes in Canadian Aboriginal Adolescents : Risk Factors and Prevalence Type de document : Article Auteurs : Shelley Spurr ; Jill Bally ; Krista Trinder Année de publication : 2017 Article en page(s) : p. 111-117 Langues : Anglais (eng) Descripteurs : HE Vinci
Canada ; Diabète ; Facteurs de risque ; PrévalenceMots-clés : Adolescent autochtone Résumé : Purpose
To identify the risk factors and prevalence rates of prediabetes and type 2 diabetes among northern Canadian Aboriginal adolescents.
Design and Methods
In this novel exploratory, quantitative study, 160 high school students (aged 13–21) from three northern, predominantly Canadian Aboriginal communities were screened for risk for prediabetes and type 2 diabetes including demographic data, family medical history, anthropometric measurements, blood pressure, and hemoglobin A1c (HbA1c). Descriptive and inferential statistics, in addition to chi-square analysis, were used to establish risk and prevalence rates for prediabetes and type 2 diabetes in Aboriginal adolescents.
Results
At least half of the adolescents presented with multiple risk factors for type 2 diabetes. In this sample, 10% had an HbA1c > 5.7%, 22.5% were overweight, 17.5% were obese, and 26.6% had prehypertension or hypertension.
Conclusions
Prediabetes and type 2 diabetes are emerging as serious health concerns for young Aboriginal Canadians. This is troubling because both result from modifiable risk factors. As this study is the first to examine the prevalence of prediabetes in Canadian Aboriginal adolescents in the last decade, the findings underscore the necessity for early screening of Aboriginal adolescents for both prediabetes and type 2 diabetes.
Practice Implications
Recommendations toward positive health outcomes include the introduction of early age screening programs, followed by culturally relevant interventions, specific to the modifiable risk factors (overweight/obesity and hypertension), and developed in collaboration with the communities. Such approaches have the potential to prevent the progression of prediabetes to diabetes and reduce complications related to type 2 diabetes.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82138
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Titre : Breakfast Eating Habits Among Schoolchildren Type de document : Article Auteurs : Mohammed AlBashtawy Année de publication : 2017 Article en page(s) : p. 118-123 Langues : Anglais (eng) Descripteurs : HE Vinci
Ecole ; Enfant (6-12 ans) ; Habitudes alimentaires ; RepasMots-clés : Petit déjeuner (repas) Soins en milieu scolaire Résumé : Background
A healthy breakfast provides school-age children with the essential nutrients needed for their activities and is correlated with improving a person's general nutritional status.
Methods
A cross-sectional study was conducted over a period of two months in 2015, involving 1798 Jordanian schoolchildren from grade 1 to grade 6. The study data sheet covered the breakfast habits of those children. Descriptive measures and Pearson's chi-square test were computed. Multivariate regression was calculated to assess the predictors' factors for breakfast consumption. The p value was considered significant at p Results
Findings show a prevalence for breakfast consumption of 80.4%. Furthermore, 52.1% of the breakfast eaters indicated that it was a family habit; half of them ate breakfast in order to be active and energetic and to alleviate hunger during the morning. Live with both parents, age groups of 6–9 years and boys were the predictors of breakfast consumption among schoolchildren.
Conclusion
Breakfast skipping among schoolchildren was initially high and increased with age. The findings suggest a community health education programme, conducted by school nurses, nutritionists and other health professionals, is needed.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82139
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Titre : Physio-psychological Burdens and Social Restrictions on Parents of Children With Technology Dependency are Associated With Care Coordination by Nurses Type de document : Article Auteurs : Seigo Suzuki ; Iori Sato ; Shun Emoto ; et al. Année de publication : 2017 Article en page(s) : p. 124-131 Langues : Anglais (eng) Descripteurs : HE Vinci
Coordination ; Dépendance ; Education ; Enfant (6-12 ans) ; Infirmières et infirmiers ; Parents ; Précarité ; TechnologieMots-clés : Charges physio-psychologiques des parents Résumé : Abstract
Purpose
To determine the association between parental care burdens and care coordination provided by nurses for children with technology dependency, specifically regarding physio-psychological burdens and social restrictions.
Design and Methods
A cross-sectional study was conducted between October and November 2015. Participants were recruited via home-visit nursing stations, social worker offices, and special-needs schools. A total of 246 parents of children with technology dependency completed anonymous self-report questionnaires. Parental burden was measured using the Zarit Burden Interview. Care coordination for children with technology dependency was examined using items extracted from focus group interviews involving three nursing administrators at home-visit nursing stations, two social workers, and a coordinator of school education for children with special health care needs. Multiple regression analysis was performed to examine the relationship between parental burden and care coordination among 172 parents who contracted with visiting nurses.
Results
Parents and children with nursing support were significantly younger and had higher medical care needs and higher parental role strain than those without nursing support. Care coordination from nurses predicted reduced parental burden, role strain, and personal strain (β = −0.247, p = 0.002; β = −0.272, p = 0.001; β = −0.221, p = 0.009, respectively).
Conclusion
Nurses' care coordination appears to be associated with a reduction in parents' care burden resulting from home medical care of children with technology dependency, especially the social restrictions and physio-psychological burdens.
Practice Implications
Strengthening nursing functioning as care coordinators may contribute to reducing care burdens for parents of children with technology dependency.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82140
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Titre : Stress, Anxiety, Depression and Sleep Disturbance among Jordanian Mothers and Fathers of Infants Admitted to Neonatal Intensive Care Unit : A Preliminary Study Type de document : Article Auteurs : Dua'a Fayiz Al Maghaireh ; Khatijah Lim Abdullah ; Mei Chan Chong ; et al. Année de publication : 2017 Article en page(s) : p. 132-140 Langues : Anglais (eng) Descripteurs : HE Vinci
Anxiété ; Dépression ; Jordanie ; Néonatalogie ; Parents ; StressMots-clés : Troubles veille sommeil Unité de soins intensifs Résumé : Abstract
Purpose
To investigate the stressors and stress levels among Jordanian parents of infants in the NICU and their relationship to three factors: anxiety, depression and sleep disturbance.
Design and Methods
A cross-sectional survey was conducted in two hospitals in Jordan among 310 parents of infants in the NICU by using PSS: NICU and PROMIS.
Results
Both parents experienced high levels of stress, anxiety, depression and sleep disturbance. There was a significant difference in stress level between mothers and fathers [t (308) = 3.471, p = 0.001], with the mothers experiencing higher stress than the fathers [mean: mothers = 108.58; fathers = 101.68]. The highest and lowest sources of stress were infant behavior and appearance (M = 4.09) and sights and sounds in the NICU (M = 3.54), respectively.
The correlation between stress levels with anxiety (r = 0.79) and depression (r = 0.75) was strong and positive while sleep disturbance was significant and moderate (r = 0.43).
Conclusions
The mothers experienced higher levels of stress compared to fathers, with positive correlations between stress and anxiety, depression and sleep disturbance.
Practical Implications
The findings of this study create nursing awareness of parent stress and its impact, which will help them to improve nursing care for parents.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82141
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Titre : Teachers' Experiences With and Perceptions of Students With Attention Deficit/hyperactivity Disorder Type de document : Article Auteurs : K. Lawrence ; Robin Dawson Estrada ; Jessica McCormick Année de publication : 2017 Article en page(s) : p. 141-148 Langues : Anglais (eng) Descripteurs : HE Vinci
Étudiants ; Perception ; Trouble déficitaire de l'attention avec ou sans hyperactivitéMots-clés : Enseignant Relation enseignant-étudiant Stratégie de classe Résumé : Purpose
The purpose of this research was to examine teacher experiences with and perceptions of students with attention deficit/hyperactivity disorder (ADHD). Teachers are integral in helping these children learn effectively and foster healthy relationships, yet little is known about their interactions with these children.
Design and Method
Semi structured interviews were conducted with a purposive sample of fourteen currently practicing or retired elementary and middle schools teachers in North Carolina and South Carolina. All interviews were audio-recorded then analyzed for common themes.
Results
Participants obtained ADHD information from in-services or peer interaction, rather than formal education. Culture and gender influenced teacher perceptions, and ADHD classroom strategies were based on anecdotal experience. Teachers experienced guilt and worry while negotiating student needs, school system constraints, and family issues.
Conclusions
While teachers have developed effective coping mechanisms through informal means, formal education and support will help teachers better serve students with ADHD.
Practice Implications
Pediatric nurses in many settings can benefit from better understanding how teachers perceive and interact with students who have attentional issues.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82142
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Titre : “Mission Impossible”; the Mothering of a Child With Type 1 Diabetes – From the Perspective of Mothers Experiencing Burnout Type de document : Article Auteurs : Caisa Lindström ; Jan Aman ; Annika Lindahl Norberg ; et al. Année de publication : 2017 Article en page(s) : p. 149-156 Langues : Anglais (eng) Descripteurs : HE Vinci
Diabète de type 1 ; Enfant (6-12 ans) ; Relations mère-enfant ; StressMots-clés : Stress parental Méthodologie qualitative Maternage Syndrome d'épuisement maternel (Burnout maternel) Résumé : Abstract
Purpose
To explore how mothers experiencing burnout describe their mothering of a child with type 1 diabetes mellitus (T1DM), with a focus on their experienced need for control and self-esteem.
Methods
This study used a qualitative, descriptive design and aimed to reveal the experience of mothering a child with diabetes when experiencing burnout. Twenty-one mothers of children with T1DM who were experiencing burnout participated in this study. Data were collected via semi-structured interviews, and content analysis was performed.
Results
The main results (latent content of the data) were interpreted in one theme, Mission impossible, an inner feeling derived from an extremely challenging experience of mothering, encompassing involuntary responsibility and constant evaluation. Two sub-themes emerged: Forced to provide extraordinary mothering and Constant evaluation of the mothering.
Conclusions
In addition to monitoring the health of the child with T1DM, it is important for clinicians to pay attention to how mothers experience their daily life in order to support those who are at risk of developing burnout, as well as those who are experiencing burnout. The wellbeing of the mother could influence the wellbeing of the child, as well as the entire family. Further research on perceived parental responsibility, gender differences, psychosocial factors, and burnout is needed.
Practice Implications
Knowledge and understanding of how mothers suffering from burnout experience mothering a child with diabetes could help nurses, social workers, psychologists and counselors conducting pediatric diabetes care become more attentive to the mother's situation and have procedures for counseling interventions.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82143
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Titre : Urban-Rural Differences in School Nurses' Asthma Training Needs and Access to Asthma Resources Type de document : Article Auteurs : Delesha Carpenter M. ; Robin Dawson Estrada ; Courtney A. Roberts ; et al. Année de publication : 2017 Article en page(s) : p. 157-162 Langues : Anglais (eng) Descripteurs : HE Vinci
Asthme ; Education à la santé ; Infirmiere scolaire ; Milieu ruralMots-clés : Milieu urbain Inégalités Besoin de formation Résumé : Abstract
Purpose
Few studies have examined school nurses preferences' for asthma training. Our purpose was to: 1) assess school nurses' perceived asthma training needs, 2) describe nurses' access to asthma educational resources, and 3) identify urban-rural differences in training needs and access to resources in southern states.
Design and Methods
A convenience sample of school nurses (n = 162) from seven counties (two urban and five rural) in North Carolina and South Carolina completed an online, anonymous survey. Chi-square tests were used to examine urban-rural differences.
Results
Although most nurses (64%) had received asthma training within the last five years, urban nurses were more likely to have had asthma training than rural nurses (χ2 = 10.84, p = 0.001). A majority of nurses (87%) indicated they would like to receive additional asthma training. Approximately half (45%) of nurses reported access to age-appropriate asthma education materials, but only 16% reported that their schools implemented asthma education programs. Urban nurses were more likely than rural nurses to have access to asthma education programs (χ2 = 4.10, p = 0.04) and age-appropriate asthma education materials (χ2 = 8.86, p = 0.003).
Conclusions
Few schools are implementing asthma education programs. Rural nurses may be disadvantaged in terms of receiving asthma training and having access to asthma education programs and materials.
Practice Implications
Schools are an ideal setting for delivering age-appropriate asthma education. By providing school nurses with access to age-appropriate asthma education resources and additional asthma training, we can help them overcome several of the barriers that impede their ability to deliver asthma care to their students.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82144
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Titre : Parental expectations of support from healthcare providers during pediatric life-threatening illness : A secondary, qualitative analysis Type de document : Article Auteurs : Kim Mooney-Doyle ; Maiara Rodrigues dos Santos ; Regina Szylit ; et al. Année de publication : 2017 Article en page(s) : p. 163-172 Langues : Anglais (eng) Descripteurs : HE Vinci
Pédiatrie ; Recherche qualitative ; Soins palliatifsMots-clés : Attentes parentales en matière de soutient par des professionnels de santé Maladie pédiatrique Pronostic vital Résumé : Purposes
To explain parental expectations of support from healthcare providers for their parenting roles and goals during a child's life-threatening illness (LTI).
Design and Methods
Qualitative interpretive study guided by the Family Adjustment and Adaptation Response Model. Thematic analyses were conducted with data from 31 semi-structured interviews of parents of children with LTI using systematic strategies to ensure rigor including audit trails and prolonged engagement.
Results
We identified three themes and one meta-theme or overall theme: (1) “Help us survive this,” (2) “Let's fight together: please fight with me, not against me, to care for my family,” and (3) “Guide me through the darkness: I am suffering.” Overall, the parents conveyed that they expect mutuality with the health care providers and system in order to keep Fighting together for my family survival.
Conclusions
In the daily work of caring for their families, parents of children with LTI consider survival on multiple levels. They consider the life, illness, and potential death of one child while considering the on-going survival and sustenance of family relationships.
Practice Implications
Parents are distressed and grapple with conflicted feelings about managing competing needs of various family members. Relationships with health care providers can influence parents' management of the situation and be a source of support as their parenting role changes over the illness trajectory, time, and in response to adversity.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82145
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Titre : The Efficacy of Art Therapy in Pediatric Oncology Patients : An Integrative Literature Review Type de document : Article Auteurs : Bree A. Aguilar Année de publication : 2017 Article en page(s) : p. 173-178 Langues : Anglais (eng) Descripteurs : HE Vinci
Dessin ; Efficacité ; Enfant (6-12 ans) ; Oncologie médicale ; Pédiatrie ; Thérapie par l'art ; TumeursRésumé : Problem
Children undergoing cancer treatment experience detrimental adverse side effects that may be addressed with complementary and alternative medicine (CAM) such as art therapy. The purpose of this research was to examine the effects of art therapy in pediatric patients living with cancer.
Eligibility criteria
An integrative literature review was conducted using the CINAHL, OVID Medline, and PsycINFO databases. Studies were included if they were a primary source utilizing an art therapy intervention in children with cancer age birth to 18 years old, was published between the year 2000 and 2016, and written in the English language.
Sample
Seven primary sources met inclusion criteria.
Results
Few studies were reported in this review. Findings of this review suggest that children who participated in various forms of drawing interventions exhibited enhanced communication with family members and healthcare providers. Additionally, children were able to better express underlying emotions, developed more effective coping skills, and experienced a reduction in adverse side effects.
Conclusions
Implementing a drawing intervention or other forms of art into the holistic care of a pediatric oncology patient may assist in maximizing quality of life and allow for a more tolerable lifestyle.
Implications
Acquiring a means of proper communication with children through art allows nurses to gain insight on the needs of this special patient population, resulting in a higher quality plan of care.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82146
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Titre : Evaluating the Reliability and Validity of the Arabic Version of the Parents Perceptions of Uncertainty Scale (A-PPUS) Type de document : Article Auteurs : Nabeel Al-Yateem ; Maria Brenner ; Alaa Ahmad ; et al. Année de publication : 2017 Article en page(s) : p. 179-185 Langues : Anglais (eng) Descripteurs : HE Vinci
ParentalitéMots-clés : Échelle de perception des parents Fiabilité Incertitude Émirats arabes unis Résumé : Background
Uncertainty often accompanies illness and may be a major aversive component of the patients' treatment process. There is evidence that parental uncertainty has a negative impact on their own and on their child's coping strategies and may affect family functioning. Key to the provision of competent care, to address uncertainty, is the use of an appropriate validated assessment tool to understand key parental concerns. The ‘Parent Perception of Uncertainty Scale’ (PPUS) has been widely used for this purpose.
Aim
This study reports on the validity and reliability testing of the Arabic version of the Parents Perception of Uncertainty Scale (A-PPUS).
Methods
The scale was translated to Arabic using the translation-back-translation method. Appropriate statistical tests were performed including measurements of internal consistency, item to total scale correlation, and univariate and multivariate analyses.
Results
The study included 240 parents of children with chronic illnesses. Cronbach's alpha coefficient of the whole scale was 0.93. All the items were positively correlated to the total score. The univariate and multivariate analysis supported the previous tests and the assertion that the Arabic version of the PPUS provided a relevant measure of the uncertainty level.
Conclusion
This study has identified that the A-PPUS is a reliable tool for parent report of their uncertainty, in the UAE and Arabic population.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82147
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Titre : The effectiveness of assertiveness training for school-aged children on bullying and assertiveness level Type de document : Article Auteurs : Fatma Avsar ; Sultan Ayaz-Alkaya Année de publication : 2017 Article en page(s) : p. 186-190 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement ; Efficacité ; Enfant (6-12 ans) ; Formation ; SoinsMots-clés : Affirmation de soi Santé scolaire Intimidation Résumé : Abstract
Purpose
The aim of this study was to determine the effectiveness of an assertive training for school-aged children on peer bullying and assertiveness.
Design and methods
A quasi-experimental design using pre- and post-testing was conducted. Data were collected using a demographic questionnaire, an assertiveness scale, and the peer victimization scale. The training program was comprised of eight sessions which were implemented to intervention group.
Results
Descriptive characteristics were not statistically different between the groups (p > 0.05). The peer victimization victim dimension results show that post-test mean scores of the students in the intervention group were lower than the pre-test mean scores (p 0.05). A comparison of the mean pre-test/post-test scores of peer-victimization bully dimension of the students' intervention and control groups revealed that the mean post-test scores of the students in the each group decreased (p > 0.05).
Conclusions
An assertiveness training program increased the assertiveness level and reduced the state of being victims, but did not affect the state of being bullies.
Practice Implications
The results of this study can help children acquire assertive behaviors instead of negative behaviors such as aggression and shyness, and help them to build effective social communication.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82148
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Titre : Health Literacy in Adolescents With Sickle Cell Disease Type de document : Article Auteurs : Elizabeth L. Perry ; Patricia A. Carter ; Heather A. Becker ; et al. Année de publication : 2017 Article en page(s) : p. 191-196 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; DrépanocytoseMots-clés : Littéracie en santé Résumé : Purpose
To evaluate health literacy in a cohort of 75 adolescents with sickle cell disease (SCD).
Design and Methods
This cross-sectional, descriptive correlational study included assessment of demographic measures and appraisal of data resulting from completion of the REALM-Teen and Newest Vital Sign (NVS) instruments by 75 Black, non-Hispanic adolescents with SCD. Convenience sampling was utilized. Inclusion criteria were a diagnosis of one of the four primary genotypes of SCD and age 10–19 years.
Results
Thirty-seven males and 38 females were recruited for the study. Their mean age was 14.7 years (SD = 2.2; range 8.1). Their grade level ranged from 4 to 12 (mean 8.7; SD = 2.2). Scores on the REALM-Teen ranged from 12 to 66 (mean 53.7; SD = 12.8). Scores on the NVS ranged from 0 to 6 (mean 2.37; SD = 1.33). These health literacy scores were lower using both the REALM-Teen and the NVS instruments when compared to scores in all healthy adolescents and adults. Current grade level and health literacy scores showed a moderately high positive correlation (r = 0.52, p Conclusions
Health literacy in adolescents with SCD is suboptimal. Future research should include identifying facilitators and barriers to health literacy levels in a larger cohort of adolescents with SCD.
Practice Implications
Health literacy is a potential facilitator of successful health outcomes for all adolescents. This study lays a solid foundation for future adolescent health literacy initiatives.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82149
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Titre : Adolescent Smoking Prevention : Feasibility and Effect of Participatory Video Production Type de document : Article Auteurs : Eunhee Park ; Pamela A. Kulbok ; Jessica Keim-Malpass ; et al. Année de publication : 2017 Article en page(s) : p. 197-204 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Dépendance ; Prévention ; Tabagisme ; Video assistanceMots-clés : Comportement en matière de santé Résumé : Purpose
This study tested whether a youth participatory video production program for smoking prevention is feasible and effective.
Design and Methods
A participatory video production program was implemented in eight twice-weekly sessions at a youth summer camp in a community center in a low-income neighborhood. Twenty-three youths participated. Descriptive statistics and a qualitative analysis were conducted to test the feasibility of the program by assessing attendance rates, the time and resources required, reasons for participation, and program satisfaction using checklists and interviews. Smoking intention was measured via pre- and post-intervention surveys and a quantitative analysis utilizing a Wilcoxon Signed Rank test to detect differences in intention for non-smoking.
Results
Participants worked in groups to produce four video clips containing anti-smoking messages. Three main themes (active engagement, participation for community health, and personal growth and healthy development) emerged from the qualitative interview data. >75% of the participants considered the program excellent and stated that it met their expectations. Significant positive changes were also found from baseline to post-intervention in intention not to smoke.
Conclusions
This study demonstrated the effect of a participatory digital media production approach and confirmed its feasibility for youth health promotion and health education. Participants' active involvement in producing anti-smoking videos for a community health-promotion campaign decreased their intention to smoke and empowered them as advocates for a non-smoking community.
Practice Implications
These findings confirm the feasibility and utility of digital media use and interactive technology for actively engaging young people in health promotion.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82150
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Titre : Mindfulness for Novice Pediatric Nurses : Smartphone Application Versus Traditional Intervention Type de document : Article Auteurs : Chelsey Morrison Wylde ; Nicole E. Mahrer ; Rika M. L. Meyer ; et al. Année de publication : 2017 Article en page(s) : p. 205-212 Langues : Anglais (eng) Descripteurs : HE Vinci
Applications mobiles ; Fatigue ; Infirmières et infirmiers ; Pédiatrie ; Pleine conscience (Mindfulness) ; Syndrome d'épuisement professionnelMots-clés : Smartphone Infirmières novices Résumé : Purpose
The current study compares the effects of a traditionally delivered mindfulness (TDM) intervention to a smartphone delivered mindfulness (SDM) intervention, Headspace, an audio-guided mindfulness meditation program, in a group of novice nurses.
Design and Methods
Novice nurses participating in a pediatric nurse residency program were asked to participate in either a TDM or SDM intervention. Participants (N = 95) completed self-administered pencil and paper questionnaires measuring mindfulness skills, and risk and protective factors at the start of their residency and three months after entering the program.
Results
Nurses in the SDM group reported significantly more “acting with awareness” and marginally more “non-reactivity to inner experience” skills compared to the TDM group. The smartphone intervention group also showed marginally more compassion satisfaction and marginally less burnout. Additionally, nurses in the SDM group had lower risk for compassion fatigue compared to the TDM group, but only when the nurses had sub-clinical posttraumatic symptoms at the start of the residency training program.
Conclusions
Smartphone delivered mindfulness interventions may provide more benefits for novice nurses than traditionally delivered mindfulness interventions. However, the smart-phone intervention may be better indicated for nurses without existing symptoms of posttraumatic stress.
Practice Implications
Mindfulness interventions delivered through smartphone applications show promise in equipping nurses with important coping skills to manage stress. Because of the accessibility of smartphone applications, more nurses can benefit from the intervention as compared to a therapist delivered intervention. However, nurses with existing stress symptoms may require alternate interventions.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82151
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Titre : The Perspective of Families With a Ventilator-Dependent Child at Home : A Literature Review Type de document : Article Auteurs : Sandra Falkson ; Christiane Knecht ; Claudia Hellmers ; et al. Année de publication : 2017 Article en page(s) : p. 213-224 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépendance ; Enfant (6-12 ans) ; Famille ; Revue de la littérature ; Soins à domicile ; Ventilation artificielleRésumé : This literature review gives an overview about the existing research concerning the experiences of families with a child with ventilation at home. The number of children with home-ventilation is increasing. Children who receive homecare have the possibility of growing up in their familiar environment and participate in social life. In comparison to children living in institutions, children at home show advantages in their physical, psychological, emotional, social and cognitive development. However, homecare of a child with ventilation places high demands on all family members. Parents assume divergent roles and live with losses. Especially mothers feel isolated, partially through self-imposed isolation. While parents are concerned about this dilemma, talk about their anxieties and strive for stability, children focus on other aspects of their life. They see the ventilator as a positive technique that helps them breathe. The children underline the importance of friends and would like to meet them without nurses in attendance. They strive for normalcy and independence like healthy children, asking for acceptance of themselves and their wishes. There are only few studies about the experience of families with a child with ventilator. Most studies are from the mother's perspective. Parents and children ascribe different importance to the ventilation. Further research should usefully explore the experiences of families with children using home-ventilation. The different perspectives of all family members have to be taken into consideration. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82152
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Titre : Pediatric Nurses' Perspectives on Medication Teaching in a Children's Hospital Type de document : Article Auteurs : Cori A. Gibson ; Ashley J. Stelter ; Kristin A. Haglund ; et al. Année de publication : 2017 Article en page(s) : p. 225-231 Langues : Anglais (eng) Descripteurs : HE Vinci
Education à la santé ; Enfant (6-12 ans) ; Enseignement ; Hôpital pédiatrique ; Infirmières et infirmiers ; Médicament ; Sécurité ; Soins de l'enfantRésumé : Abstract
Purpose
To explore inpatient pediatric nurses' current experiences and perspectives on medication teaching.
Design and Methods
A descriptive qualitative study was conducted at a Midwest pediatric hospital. Using convenience sampling, 26 nurses participated in six focus groups. Data were analyzed in an iterative group coding process.
Results
Three themes emerged. 1) Medication teaching is an opportunity. 2) Medication teaching is challenging. Nurses experienced structural and process challenges to deliver medication teaching. Structural challenges included the physical hospital environment, electronic health record, and institutional discharge workflow while process challenges included knowledge, relationships and interactions with caregivers, and available resources. 3) Medication teaching is amenable to improvement.
Conclusion
Effective medication teaching with caregivers is critical to ensure safe, quality care for children after discharge. Nursing teaching practices have not changed, despite advances in technology and major changes in hospital care. Nurses face many challenges to conduct effective medication teaching. Improving current teaching practices is imperative in order to provide the best and safest care.
Practice Implications
This study generated knowledge regarding pediatric nurses' teaching practices, values and beliefs that influence teaching, barriers, and ideas for how to improve medication teaching. Results will guide the development of targeted interventions to promote successful medication teaching practices.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82153
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Titre : Functional Independence of Children With Myelomeningocele : Is It Associated With the Informal Caregivers' Burden? Type de document : Article Auteurs : Karen Negrao Cavalari ; Pedro Tadao Hamamoto Filho ; Silvia Maria Caldeira ; et al. Année de publication : 2017 Article en page(s) : p. 232-235 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant (6-12 ans) ; Spina bifidaMots-clés : Indépendance fonctionnelle Charge des soignants (fardeau) Résumé : Purpose
This study aims to evaluate the association between the functional independence of children after postnatal spinal dysraphism correction and informal caregivers' burden.
Design and Methods
This is a cross-sectional study conducted in a child neurosurgery clinic at a University hospital. We included informal caregivers of children between six months and seven-and-a-half years old who were operated on for spinal dysraphism correction due to myelomeningocele. Functional independence was assessed using the Pediatric Evaluation of Disability Inventory (PEDI). Caregivers' burden was assessed through the Caregiver Burden Scale (CBS).
Results
Twenty-six caregivers were assessed, all mothers, aged 18–42 years. Five provided child care and engaged in paid work. Regarding functional independence, 23.1% of the children were classified as needing supervision, 23.1% moderate assistance, 42.3% maximal assistance, and 11.5% total assistance. Median value for the overall CBS was 27.0 (22.0–53.0). The mean global CBS score was 1.42 and the mean PEDI score was 1.95. Correlations between PEDI and CBS scores were very close to zero.
Conclusions
We found no association between the functional independence of children with myelomeningocele from 0 to 7 years old and the burden of informal caregivers.
Practice Implications
The effect of functional independence of children with myelomeningocele may be balanced by the caregivers' resilience so that caregivers' burden is not dependent upon the child's independence.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=82154
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Titre : The Effects of Child Life Specialists on Success Rates of Intravenous Cannulation Type de document : Article Auteurs : Soumya Murag ; Cristie Suzukawa ; Todd P. Chang Année de publication : 2017 Article en page(s) : p. 236-240 Langues : Anglais (eng) Descripteurs : HE Vinci
Catheterisme intra veineux ; Enfant (6-12 ans) ; Gestion de la douleur ; PédiatrieMots-clés : Professionnel de santé en pédiatrie Résumé : Background
Child life specialists (CLS) work with children directly to minimize long-term psychological sequelae of traumatic or medical events such as intravenous cannulation. There has been little done to measure how CLS impact outcomes of medical procedures. The objective of this study is to determine the impact of interventions by CLS upon successful attainment of intravenous (IV) cannulation among pediatric patients in the emergency department setting.
Method
This was an eight month retrospective review within an urban tertiary-care freestanding pediatric Emergency Department (ED), using nursing and CLS documentation of ED patients younger than 21 years who underwent