Pub Date : 2021-07-09DOI: 10.1097/JPS.0000000000000323
J. Bergström, M. Dellenmark-Blom, V. Gatzinsky, K. Abrahamsson, Matilda Bräutigam, C. Gatzinsky
Background There is a need for a transition model for patients with inflammatory bowel disease (IBD) moving from pediatric to adult surgical care. Aim The aim of this study was to report the development and evaluation of a transition model for adolescents with IBD from pediatric to adult surgical care in a Swedish setting. Methods A multidisciplinary team conducted a literature search on the needs of patients with IBD moving from pediatric to adult surgical care. This was followed by a consensus discussion to aid the creation of a surgical transition model. Between 2018 and 2020, eight of 12 adolescents who had undergone IBD surgery and were transferred to adult care answered a 25-item questionnaire regarding their health and quality of care. Results The main components of the surgical transition model are as follows: The adolescents are given more responsibility for their IBD management; they meet staff without parents; they are given information about the transfer at the age of 14 years; if willing, they undergo a rectoscopy without anesthesia; and they complete a transition checklist and have a first meeting with the pediatric and adult surgical staff. After transfer, respondents rated their health positively but described some everyday life limitations. They reported sufficient preparation before transfer, positive attitudes by healthcare professionals, and parental support. They felt they had been given enough information before the stoma surgery and were satisfied with availability of the nurse and the stoma location. Discussion A surgical transition model from pediatric to adult care for patients with IBD is motivated from the adolescents' perspectives. More research is warranted.
{"title":"Development and Evaluation of a Transition Model for Adolescents With Inflammatory Bowel Disease Moving From Pediatric to Adult Surgical Care","authors":"J. Bergström, M. Dellenmark-Blom, V. Gatzinsky, K. Abrahamsson, Matilda Bräutigam, C. Gatzinsky","doi":"10.1097/JPS.0000000000000323","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000323","url":null,"abstract":"Background There is a need for a transition model for patients with inflammatory bowel disease (IBD) moving from pediatric to adult surgical care. Aim The aim of this study was to report the development and evaluation of a transition model for adolescents with IBD from pediatric to adult surgical care in a Swedish setting. Methods A multidisciplinary team conducted a literature search on the needs of patients with IBD moving from pediatric to adult surgical care. This was followed by a consensus discussion to aid the creation of a surgical transition model. Between 2018 and 2020, eight of 12 adolescents who had undergone IBD surgery and were transferred to adult care answered a 25-item questionnaire regarding their health and quality of care. Results The main components of the surgical transition model are as follows: The adolescents are given more responsibility for their IBD management; they meet staff without parents; they are given information about the transfer at the age of 14 years; if willing, they undergo a rectoscopy without anesthesia; and they complete a transition checklist and have a first meeting with the pediatric and adult surgical staff. After transfer, respondents rated their health positively but described some everyday life limitations. They reported sufficient preparation before transfer, positive attitudes by healthcare professionals, and parental support. They felt they had been given enough information before the stoma surgery and were satisfied with availability of the nurse and the stoma location. Discussion A surgical transition model from pediatric to adult care for patients with IBD is motivated from the adolescents' perspectives. More research is warranted.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"11 1","pages":"212 - 221"},"PeriodicalIF":0.0,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41583267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-07DOI: 10.1097/JPS.0000000000000326
Nora Montalvo-Liendo, Andrew Grogan-Kaylor, Angeles Nava, Jenifer M. Chilton, Catherine R. Pepper, Eliza D. Alvarado
Introduction Intimate partner violence is a significant public health issue facing communities across the country and worldwide, and we know that many children are witness or exposed to the violence. Substantial research related to exposure of children to family violence exists; however, research specific to adolescents exposed to intimate partner violence remains minimally explored. Methods This mixed-methods study sought to understand the experiences and perspectives of Latinx teens with histories of exposure to intimate partner violence. The study combined focus groups with (n = 25) Latinx teens and pretests and posttests using the Strengths and Difficulties Questionnaire and Attitudes and Beliefs about Violence. Results Twenty-five Latinx teens participated in the groups. The participants were 13–17 years old, with a mean age of 14.3 years. Participants provided several perspectives in which teens deal with exposure to intimate partner violence. Teens stated that “safety” was identified as “protecting themselves” or “protecting their siblings.” Findings suggest a need for teens to discuss intimate partner violence issues and develop positive and effective coping strategies. Discussions This study sought to understand Latinx teens' experiences of their exposure to intimate partner violence. Study limitations included a small high-risk sample from a nonprofit agency located in south Texas adjacent to the U.S.–Mexico border offering services to domestic violence and sexual assault victims and their children. This study shows promise for developing an evidence-based program that is developmentally and culturally appropriate for teens exposed to family violence.
{"title":"Latinx Teens' Perspectives on Exposure to Intimate Partner Violence","authors":"Nora Montalvo-Liendo, Andrew Grogan-Kaylor, Angeles Nava, Jenifer M. Chilton, Catherine R. Pepper, Eliza D. Alvarado","doi":"10.1097/JPS.0000000000000326","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000326","url":null,"abstract":"Introduction Intimate partner violence is a significant public health issue facing communities across the country and worldwide, and we know that many children are witness or exposed to the violence. Substantial research related to exposure of children to family violence exists; however, research specific to adolescents exposed to intimate partner violence remains minimally explored. Methods This mixed-methods study sought to understand the experiences and perspectives of Latinx teens with histories of exposure to intimate partner violence. The study combined focus groups with (n = 25) Latinx teens and pretests and posttests using the Strengths and Difficulties Questionnaire and Attitudes and Beliefs about Violence. Results Twenty-five Latinx teens participated in the groups. The participants were 13–17 years old, with a mean age of 14.3 years. Participants provided several perspectives in which teens deal with exposure to intimate partner violence. Teens stated that “safety” was identified as “protecting themselves” or “protecting their siblings.” Findings suggest a need for teens to discuss intimate partner violence issues and develop positive and effective coping strategies. Discussions This study sought to understand Latinx teens' experiences of their exposure to intimate partner violence. Study limitations included a small high-risk sample from a nonprofit agency located in south Texas adjacent to the U.S.–Mexico border offering services to domestic violence and sexual assault victims and their children. This study shows promise for developing an evidence-based program that is developmentally and culturally appropriate for teens exposed to family violence.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"10 1","pages":"114 - 121"},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61624311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-06DOI: 10.1097/JPS.0000000000000327
Joan K. Boyd
{"title":"Excerpt from a Vietnam Nurse's Memoir","authors":"Joan K. Boyd","doi":"10.1097/JPS.0000000000000327","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000327","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44155660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1097/jps.0000000000000329
A. Catlin
{"title":"Family Issues for the Pediatric Surgical Nurse","authors":"A. Catlin","doi":"10.1097/jps.0000000000000329","DOIUrl":"https://doi.org/10.1097/jps.0000000000000329","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41659549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-01DOI: 10.1097/jps.0000000000000331
Monique S. Jenkins
{"title":"A Message From the President","authors":"Monique S. Jenkins","doi":"10.1097/jps.0000000000000331","DOIUrl":"https://doi.org/10.1097/jps.0000000000000331","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49057577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-30DOI: 10.1097/jps.0000000000000320
M. C. Sharma, R. Kalia
Supplemental digital content is available in the text. Abstract The aim of this study was to test Katharine Kolcaba's theory of comfort by evaluating the effectiveness of integrative comfort care interventions on discomfort experienced by children (aged 5–10 years) during the postoperative period. An experimental approach, pretest-and-posttest control group design, was used for evaluating the effectiveness of integrative comfort care interventions on discomfort experienced by children. Sample was composed of 200 children, selected using purposive sampling technique with random assignment to experimental and control groups. Kolcaba's Comfort Theory was used to assess the child's condition and then plan and deliver integrative comfort care interventions. The steps that followed for data collection, planning, and implementing effective care were based on the presuppositions of the theory. The tools used for data collection were demographics, a Comfort Behaviors Checklist, and the Comfort Daisies tool. Comfort care interventions were delivered through nursing process approach. These interventions were addressed across physical, psychological, social, spiritual, and environmental aspects. After the application of theory, the analysis revealed improvement in the comfort level of the subjects. Mann–Whitney U test was used to find out the significant difference in posttest postoperative discomfort scores among subjects in the experimental and control groups. Findings were significant at <.001. The findings revealed that subjects who received integrative comfort care interventions using the comfort theory experienced more comfort as compared with the subjects in the control group.
{"title":"Testing Katharine Kolcaba Theory of Comfort","authors":"M. C. Sharma, R. Kalia","doi":"10.1097/jps.0000000000000320","DOIUrl":"https://doi.org/10.1097/jps.0000000000000320","url":null,"abstract":"Supplemental digital content is available in the text. Abstract The aim of this study was to test Katharine Kolcaba's theory of comfort by evaluating the effectiveness of integrative comfort care interventions on discomfort experienced by children (aged 5–10 years) during the postoperative period. An experimental approach, pretest-and-posttest control group design, was used for evaluating the effectiveness of integrative comfort care interventions on discomfort experienced by children. Sample was composed of 200 children, selected using purposive sampling technique with random assignment to experimental and control groups. Kolcaba's Comfort Theory was used to assess the child's condition and then plan and deliver integrative comfort care interventions. The steps that followed for data collection, planning, and implementing effective care were based on the presuppositions of the theory. The tools used for data collection were demographics, a Comfort Behaviors Checklist, and the Comfort Daisies tool. Comfort care interventions were delivered through nursing process approach. These interventions were addressed across physical, psychological, social, spiritual, and environmental aspects. After the application of theory, the analysis revealed improvement in the comfort level of the subjects. Mann–Whitney U test was used to find out the significant difference in posttest postoperative discomfort scores among subjects in the experimental and control groups. Findings were significant at <.001. The findings revealed that subjects who received integrative comfort care interventions using the comfort theory experienced more comfort as compared with the subjects in the control group.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"10 1","pages":"168 - 175"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45192467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-11DOI: 10.1097/JPS.0000000000000317
Mayra G. Garcia, Bailey Cochrum, Hayden Dutton, Xuan Nguyen
Abstract Mechanical compression devices such as compression stockings assist in the treatment and prevention of venous thromboembolism for nonambulatory postoperative patients. Risk factors in pediatric surgical patients increase their likelihood of developing a venous thromboembolism. This article describes an adolescent patient who developed pressure injuries from prolonged compression stocking use. Although other pressure injury prevention techniques were completed by nursing, the lack of knowledge regarding the risk of pressure injuries from compression stockings resulted in a poor outcome. As a result of this event, practice changes were implemented on the pediatric surgical unit to prevent reoccurrence. The practice changes included removal of compression stockings once per shift to assess extremities, daily replacement of new stockings, and utilization of sequential compression devices as the preferred mechanical compression method. Further research is needed for compression stocking use in the pediatric and adolescent population to provide best practice implications for nursing.
{"title":"Pressure Injuries Related to the Use of Compression Stockings in Pediatric Surgical Patients","authors":"Mayra G. Garcia, Bailey Cochrum, Hayden Dutton, Xuan Nguyen","doi":"10.1097/JPS.0000000000000317","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000317","url":null,"abstract":"Abstract Mechanical compression devices such as compression stockings assist in the treatment and prevention of venous thromboembolism for nonambulatory postoperative patients. Risk factors in pediatric surgical patients increase their likelihood of developing a venous thromboembolism. This article describes an adolescent patient who developed pressure injuries from prolonged compression stocking use. Although other pressure injury prevention techniques were completed by nursing, the lack of knowledge regarding the risk of pressure injuries from compression stockings resulted in a poor outcome. As a result of this event, practice changes were implemented on the pediatric surgical unit to prevent reoccurrence. The practice changes included removal of compression stockings once per shift to assess extremities, daily replacement of new stockings, and utilization of sequential compression devices as the preferred mechanical compression method. Further research is needed for compression stocking use in the pediatric and adolescent population to provide best practice implications for nursing.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"11 1","pages":"71 - 74"},"PeriodicalIF":0.0,"publicationDate":"2021-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45010090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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