Journal for specialists in pediatric nursing : JSPN最新文献

Purpose: The purpose of this research was to identify what types of information expectant parents want to make a decision about the use of their babies' residual dried blood specimens for research.

Design and methods: Three focus groups were conducted with pregnant women and their partners and one focus group with prenatal healthcare providers and educators.

Results: Eleven categories of information needs were identified within each focus group.

Practice implications: Providing sufficient information for parents to make informed choices will be essential to future research with residual dried blood specimens and to maintain public trust with the growing applications of this important public health program.

Purpose: To evaluate an end-of-life (EOL) program related to specific outcomes (i.e., number of hospitalizations and place of death) for children with brain tumors.

Design and methods: From 1990 to 2005, a retrospective chart review was performed related to specified outcomes for 166 children with admission for pediatric brain tumors.

Results: Patients who received the EOL program were hospitalized less often (n = 114; chi-square = 5.001 with df = 1, p <.05) than patients who did not receive the program.

Practice implications: An EOL program may improve symptom management and decrease required hospital admissions for children with brain tumors.

Purpose: To assess the efficacy of petrolatum jelly for the prevention of diaper rash and to evaluate the relationship between the occurrence of diaper rash and certain treatments and type of nutrition.

Design and methods: A randomized clinical trial was carried out with two parallel groups (n = 213) at the neonatal care unit of Donostia University Hospital in San Sebastián, Guipuzcoa Province, Spain.

Results: There was a lower incidence of diaper rash in the experimental group with petrolatum jelly (17.1%) than the control group (22.2%), but the difference was not statistically significant (p =.39). The use of antibiotics and oral 50% glucose as well as an increased number of stools are associated with a higher incidence of diaper rash, while breastfeeding and phototherapy are protective factors.

Practice implications: Prevention is strengthened by a better understanding of the risk factors.

Purpose: This study examined the effect of pressing a soft ball during intravenous catheter insertion (IVCI) on the intensity of pain in children ages 4-6 years.

Design and methods: In this quasi-experimental study, children in the intervention group were asked to press a soft ball with the opposite hand during IVCI and to immediately mark the Wong-Baker FACES Pain Rating Scale.

Results: There was a significant difference in the intensity of pain between the control group (n = 30) and the intervention group (n = 30; p =.012).

Practice implications: Pressing a soft ball during IVCI may be an easily accessed, inexpensive, and effective technique to control or reduce pain in young children.

Purpose: To examine the feasibility and preliminary benefits of an integrative cognitive behavioral therapy (CBT) with adolescents with inflammatory bowel disease and anxiety.

Design and methods: Nine adolescents participated in a CBT program at their gastroenterologist's office. Structured diagnostic interviews, self-report measures of anxiety and pain, and physician-rated disease severity were collected pretreatment and post-treatment.

Results: Postintervention, 88% of adolescents were treatment responders, and 50% no longer met criteria for their principal anxiety disorder. Decreases were demonstrated in anxiety, pain, and disease severity.

Practice implications: Anxiety screening and a mental health referral to professionals familiar with medical management issues is important.

Purpose: The purpose of this project was to determine if the Wise Guys program influences young men's perceptions of the impact a teen birth would have on their lives in the areas of relationships, vocation, and personal life.

Design and methods: The Wise Guys program was implemented with 70 adolescent males. The Thoughts on Teen Parenting Survey was used to determine participants' perceptions of the costs and rewards associated with teen parenting.

Results: Data, analyzed using paired t-tests, demonstrated that Wise Guys was effective in reinforcing less positive perceptions of teen parenting.

Practice implications: Wise Guys offers an important strategy to impact young men's perceptions about the teen parenting experience and provides one means to promote responsible sexual behavior in teen men.

Purpose: The purpose of this study was to determine how mothers of preterm infants perceive the feasibility and acceptability of a guided feeding intervention.

Design and methods: In this multiple case study design, feasibility was assessed by retention of participants through all intervention sessions. Acceptability was assessed with a semi-structured interview.

Results: Participants found the intervention useful for demonstrating and explaining behaviors that facilitate feeding, and helpful in dispelling previous, erroneous understandings about infant behaviors.

Practice implications: The results are encouraging. The intervention was found to be both feasible and acceptable. The effectiveness of this intervention needs to be assessed in a randomized controlled trial.