Intercountry adoption of children with complex health conditions and disabilities: A systematic review

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2022-10-25 DOI:10.1111/jspn.12398

Audrey Roach RN, Eileen Sherburne PhD, ACNS-BC, FNP-BC, Julia Snethen PhD, RN, FAAN

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Abstract

Purpose

The rate of children with complex health conditions or disabilities who are intercountry adopted (ICA) is increasing. These children have unique physical, developmental, and psychological needs that must be addressed as they integrate into adoptive families. The purpose of this systematic review is to identify considerations nurses must recognize when caring for children with complex health conditions or disabilities who are ICA and their families.

Design and Methods

A systematic literature review in accordance with the PRISMA guidelines was conducted. Four databases (PubMed, PsycINFO, Web of Science, and ERIC) located 365 articles about intercountry adoption and complex health conditions or disability. Articles that were non-English language, focused on attachment disorder or infectious disease, book chapters, dissertations, or case studies were excluded. Sixteen articles met inclusion criteria and informed this review.

Results

The systematic review identified eight themes: primary care resources, interdisciplinary care teams, cost, developmental difficulties, nutritional challenges, mental health issues, parental need for knowledge, and parental need for support. These themes correspond to nursing assessments that should be conducted during clinic visits for children with complex health conditions or disabilities who are ICA.

Practice Implications

This systematic review demonstrates that a multidisciplinary approach is necessary to address the needs of the child diagnosed with a complex health condition or disability and their family in the context of intercountry adoption. Children with a complex health condition or disability who are ICA have unique needs and require individualized care planning to maximize growth and developmental potential. Adoption is a life-long process and adjustment is complicated by the medical needs that children with complex health conditions or disabilities experience. Parents will benefit from additional support and education as they integrate a new family member while also learning about the medical care needs of a child with a complex health condition or disability.

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复杂健康状况和残疾儿童的跨国收养:系统审查

具有复杂健康状况或残疾的儿童被跨国收养的比率正在上升。这些孩子有独特的身体、发育和心理需求，必须在他们融入收养家庭时加以解决。本系统综述的目的是确定护士在照顾具有复杂健康状况或残疾的ICA儿童及其家庭时必须认识到的注意事项。设计与方法按照PRISMA指南进行系统的文献综述。四个数据库(PubMed、PsycINFO、Web of Science和ERIC)收录了365篇关于跨国收养和复杂健康状况或残疾的文章。非英语、关注依恋障碍或传染病、书籍章节、论文或案例研究的文章被排除在外。16篇文章符合纳入标准，为本综述提供了信息。结果系统评价确定了八个主题:初级保健资源、跨学科护理团队、成本、发育困难、营养挑战、心理健康问题、父母对知识的需求和父母对支持的需求。这些主题对应于在诊所访问患有复杂健康状况或残疾的儿童时应进行的护理评估。本系统综述表明，在跨国收养的背景下，有必要采用多学科方法来解决被诊断患有复杂健康状况或残疾的儿童及其家庭的需求。患有复杂健康状况或残疾的ICA儿童有独特的需求，需要个性化的护理计划，以最大限度地提高成长和发展潜力。收养是一个终生的过程，具有复杂健康状况或残疾儿童的医疗需求使调整变得复杂。父母将受益于额外的支持和教育，因为他们融入了一个新的家庭成员，同时也了解了患有复杂健康状况或残疾的儿童的医疗保健需求。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.