Journal for Specialists in Pediatric Nursing via MedWorm.com

Disaster Risk and Children Part II: How Pediatric Healthcare Professionals Can Help

Journal for Specialists in Pediatric Nursing — Tue, 31 Jan 2012 05:00:00 +0100

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Educating diabetes camp counselors with a human patient simulator: A pilot study

Journal for Specialists in Pediatric Nursing — Tue, 31 Jan 2012 05:00:00 +0100

AbstractPurpose. The purpose of this study was to pilot test the feasibility and efficacy of a novel method of teaching camp counselors hypoglycemia management.Design and Methods. During orientation, counselors were assigned to the experimental (n= 21) or control (n= 15) group and received hypoglycemia education. The experimental group received supplemental education with a human patient simulator (HPS).Results. Baseline demographics, knowledge, and self‐efficacy were similar between groups. The experimental group had a significantly larger gain in diabetes knowledge than the control group. Within‐participant change in self‐efficacy did not differ by group. We observed a significant effect modification, with larger treatment‐related differences in the small subgroup with n...

Childcare health and health consultation curriculum: Trends and future directions in nursing education

Journal for Specialists in Pediatric Nursing — Sun, 01 Jan 2012 05:00:00 +0100

AbstractPurpose. The purpose of this study was to identify graduate and undergraduate nursing courses in health and health consultation in childcare and early education, and faculty awareness and interest in federal resources.Design and Methods. A questionnaire was sent electronically to 140 faculty in 45 schools of nursing.Results. Fifty‐nine faculty from 45 schools (42%) participated, and 80% reported at least one course related to childcare health and safety. Most faculty were not aware of federal initiatives to support childcare health and safety, and the role of nurse childcare health consultants; however, many were interested in receiving instructional materials.Practice Implications. Utilizing federal resources to augment nursing education in childcare health and safet...

Thank You

Journal for Specialists in Pediatric Nursing — Sun, 01 Jan 2012 05:00:00 +0100

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JSPN announces the winners of the article and reviewer awards for 2011

Journal for Specialists in Pediatric Nursing — Thu, 22 Dec 2011 14:26:24 +0100

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Practical Issues of Physiologic Measurement for Clinical Research with Children. Part I: Measurement Accuracy and Precision

Journal for Specialists in Pediatric Nursing — Thu, 22 Dec 2011 14:26:22 +0100

Column Editor: Lauren ClarkScientific Inquiry provides a forum to facilitate the ongoing process of questioning and evaluating practice, presents informed practice based on available data, and innovates new practices through research and experimental learning. (Source: Journal for Specialists in Pediatric Nursing)

Reporting guidelines: CONSORT, PRISMA, and SQUIRE

Journal for Specialists in Pediatric Nursing — Thu, 22 Dec 2011 14:26:09 +0100

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Pediatric migraine teaching for families

Journal for Specialists in Pediatric Nursing — Mon, 12 Dec 2011 05:00:00 +0100

Conclusions. Effective management of pediatric migraine can be achieved with a combination of individually tailored biobehavioral strategies, lifestyle modifications, and optimal scheduling of rescue and preventative pharmacologic treatment.Practice Implications. Included are goal setting recommendations, common triggers, key comorbidities, lifestyle modifications, principles of pharmacologic management, commonly used naturopathic compounds, and a link to an online downloadable teaching handout. (Source: Journal for Specialists in Pediatric Nursing)

Self‐efficacy and physical activity in adolescent and parent dyads

Journal for Specialists in Pediatric Nursing — Thu, 10 Nov 2011 05:00:00 +0100

AbstractPurpose. The study examined the relationships between self‐efficacy and physical activity in adolescent and parent dyads.Design and Methods. A cross‐sectional, correlational design was used to explore the relationships among levels of parent physical activity, parent–adolescent self‐efficacy, and adolescent physical activity. Descriptive and multivariate regression analyses were conducted in a purposive sample of 94 adolescent/parent dyads.Results. Regression results indicated the overall model significantly predicted adolescent physical activity (R2= .20, R2adj= .14, F[5, 70]= 3.28, p= .01). Only one of the five predictor variables significantly contributed to the model. Higher levels of adolescent self‐efficacy was positively related to greater levels of adoles...

Adolescents' perceptions of a mobile cell phone text messaging‐enhanced intervention and development of a mobile cell phone‐based HIV prevention intervention

Journal for Specialists in Pediatric Nursing — Tue, 01 Nov 2011 04:00:00 +0100

This study examined African American adolescents' perceptions of a mobile cell phone (MCP)‐enhanced intervention and development of an MCP‐based HIV prevention intervention.Design and Methods. One focus group was conducted with 11 adolescents who participated in the Becoming a Responsible Teen Text Messaging project.Results. Adolescents said they benefited from the MCP‐enhanced approach and were receptive to the idea of developing an MCP‐based intervention.Practice Implications. Nurses can use the findings of this report as a starting point in examining the development of MCP‐based sexuality education with parents and adolescents. (Source: Journal for Specialists in Pediatric Nursing)

Overweight and obesity among White, Black, and Mexican American children: Implications for when to intervene

Journal for Specialists in Pediatric Nursing — Tue, 01 Nov 2011 04:00:00 +0100

AbstractPurpose. The study sought to determine if race/ethnicity, age, gender, and poverty index influence the development of overweight (OW) or obesity (OB) in children 6–11 years of age and whether a desirable time to intervene could be established.Methods. A descriptive and comparative analysis was conducted using data from the 1999–2008 National Health and Nutrition Examination Survey.Results. Advancing age was the single largest predictor of OW or OB followed by race/ethnicity.Practice Implications. Culturally sensitive interventions targeting children in their early elementary school years could reduce the consequences of OW and OB in childhood. (Source: Journal for Specialists in Pediatric Nursing)

A review of nonsurgical treatment for the symptom of irritability in infants with GERD

Journal for Specialists in Pediatric Nursing — Tue, 01 Nov 2011 04:00:00 +0100

AbstractPurpose. The purpose of this review was to assess effectiveness of nonsurgical treatment on irritable behavior of infants with gastroesophageal reflux disease.Design and Methods. A systematic literature review was conducted.Results. Research targeted treatment for irritability in infants with gastroesophageal reflux disease. All interventions including placebo were similar in reducing irritability. Which specific intervention is best for which infant is not yet known. Minor adverse effects that could increase discomfort in infants were found with pharmacologic treatments.Practice Implications. Knowledge of the effects of treatment on irritability and regurgitation can assist the nurse to work with other care providers in deciding how best to treat an individual infant. ...

Disaster Risk and Children Part I: Why Poverty‐Stricken Populations Are Impacted Most

Journal for Specialists in Pediatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

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Pediatric inpatient falls and injuries: A descriptive analysis of risk factors

Journal for Specialists in Pediatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

This study identified patient characteristics and environmental factors related to falls and injuries at one pediatric hospital.Design and Methods. This descriptive study was part of a multisite study based on inpatient pediatric falls reported over a 6‐month period.Results. Fall prevalence was .84/1,000 patient days. Thirty‐one of the 53 falls (58.5%) resulted in injury; 17% required treatment. Of the injured children, 83% were developmentally appropriate, 58% were in the hospital room, and five fell from a bed.Practice Implications. Comprehensive fall prevention programs are required to promote patient safety. (Source: Journal for Specialists in Pediatric Nursing)

Health behaviors and mental health of students attending alternative high schools: A review of the research literature

Journal for Specialists in Pediatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

Conclusions. Substance use, diet and/or physical activity, sexual‐risk behaviors, mental health, and violence were reviewed. Students were described as marginalized youth facing significant social environmental challenges. Findings from 43 studies published from 1997–2010 suggested a high prevalence of health‐risk behaviors among alternative high school students. Very few studies were conducted by nurse researchers. Suggestions for future research include addressing social environmental factors, resiliency, and emotional/mental health outcomes.Practice Implications. Alternative high schools offer a venue to conduct research and implement nursing interventions with high‐risk, yet resilient, youth. (Source: Journal for Specialists in Pediatric Nursing)

Intervention fidelity: Ensuring application to practice for youth and families

Journal for Specialists in Pediatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

Conclusions. Strategies for ensuring intervention fidelity according to the Treatment Fidelity Workgroup of the Behavior Change Consortium in the areas of study design, provider training, treatment delivery, treatment receipt, and treatment enactment provide guidance for evaluating or developing intervention fidelity plans.Practice Implications. Ensuring the quality of intervention fidelity in evidence‐based reviews or when developing new interventions is essential for translating findings into practice. (Source: Journal for Specialists in Pediatric Nursing)

Comparing methods of determining insertion length for placing gastric tubes in children 1 month to 17 years of age

Journal for Specialists in Pediatric Nursing — Fri, 30 Sep 2011 04:00:00 +0100

AbstractPurpose. The purpose was to compare three methods of predicting the gastric tube insertion length in children 1 month to 17 years of age: age‐related, height‐based (ARHB); nose‐ear‐xiphoid (NEX); and nose‐ear‐mid‐umbilicus (NEMU).Design and Methods. The design was a randomized controlled trial. Children were randomly assigned to the ARHB, NEX, or NEMU groups. Tubes placed high were considered to be misplaced.Results. There were significant differences in percentages of correctly placed tubes, with ARHB and NEMU being more accurate than NEX.Practice Implications. NEX should no longer be used as a gastric tube insertion‐length predictor. Either ARHB or NEMU should be used. (Source: Journal for Specialists in Pediatric Nursing)

Arts‐based data collection techniques used in child research

Journal for Specialists in Pediatric Nursing — Fri, 30 Sep 2011 04:00:00 +0100

AbstractPurpose. The purpose of this study was to identify the different arts‐based techniques being used in health‐related research with children.Design and Methods. A systematic survey of literature was conducted.Results. Two hundred and ten articles were initially identified and reviewed. Of these, 116 met inclusion criteria of arts‐based techniques in research with children 7–12 years of age. The different categories of techniques identified included (a) drawings, (b) photographs, (c) graphics, and (d) artifacts. Only 19% of the studies were health related. Further, 79% were conducted outside the United States, revealing that arts‐based techniques appear to be underused by nurses and other healthcare researchers, especially in the United States.Practice Implications....

Practical Issues of Physiologic Measurement for Clinical Research with Children: Part II: Establishing Feasibility

Journal for Specialists in Pediatric Nursing — Mon, 26 Sep 2011 02:23:09 +0100

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Care coordination for children with complex care needs significantly reduces hospital utilization

Journal for Specialists in Pediatric Nursing — Mon, 26 Sep 2011 02:23:05 +0100

AbstractPurpose. The purpose was to evaluate an ambulatory care coordination program for children with complex care needs.Design and Methods. A pre‐ and postcohort evaluation design was implemented to analyze the impact on hospital utilization.Results. Results included a decrease in emergency department presentations (15%, p < .001), hospital admissions (9%, p < .019), and hospital bed days (43%, p < .001). Economic analysis indicated a cost savings of $A1.9 million per annum.Practice Implications. Hospital utilization is significantly reduced for children with complex care needs through 24/7 care coordination. (Source: Journal for Specialists in Pediatric Nursing)

Relationships between physical activity and depressive symptoms among middle and older adolescents: A review of the research literature

Journal for Specialists in Pediatric Nursing — Mon, 26 Sep 2011 02:22:58 +0100

Conclusions. Inverse relationships were found between PA, particularly sports participation, and depressive symptoms. Limitations of the current research are discussed, including measurement issues. A major gap exists regarding research with youth at high risk for depressive symptoms and low levels of PA, including older, low‐income, minority females. Future research should focus on high‐risk populations such as youth attending alternative high schools.Practice Implications. Nurses should consider promoting PA among middle and older adolescents as a way to prevent depressive symptoms and consider integrating PA into care plans for those experiencing depressive symptoms. (Source: Journal for Specialists in Pediatric Nursing)

Ensure your voice is heard in response to proposed changes in IRB rules

Journal for Specialists in Pediatric Nursing — Mon, 26 Sep 2011 02:22:56 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Forensic nurses' experiences of receiving child abuse disclosures

Journal for Specialists in Pediatric Nursing — Mon, 18 Jul 2011 23:00:00 +0100

This study described the context in which child abuse victims disclosed to forensic nurses.Design and Methods. Thirty interviews were conducted at the International Forensic Nurses Scientific Assembly 2007 and then analyzed using narrative inquiry methodology.Results. Five themes emerged: child‐friendly environment, building rapport, engaged listening, believing unconditionally, and the potential for false disclosures.Practice Implications. Nurses can provide an environment that allows a child the perception of limitless time to share their unique stories. (Source: Journal for Specialists in Pediatric Nursing)

How effective is a short‐term educational and support intervention for families of an adolescent with type 1 diabetes?

Journal for Specialists in Pediatric Nursing — Mon, 18 Jul 2011 23:00:00 +0100

AbstractPurpose. To study adaptation and coping strategies of parents who had adolescents with diabetes and the effect of a short‐term educational and support intervention.Design and Method. A quasi‐experimental design was used in the study on 23 families of adolescents with diabetes.Results. A significant difference was found between parents' coping patterns before the intervention. Fathers were, however, found to rate their coping patterns significantly more helpful after the intervention than before. The mothers demonstrated, nevertheless, a significantly greater use of all the coping patterns.Practice Implications. Educational and support intervention is helpful for parents of adolescents with diabetes. (Source: Journal for Specialists in Pediatric Nursing)

Outcomes of nutrition knowledge and healthy food choices in 5‐ to 6‐year‐old children who received a nutrition intervention based on Piaget's theory

Journal for Specialists in Pediatric Nursing — Thu, 30 Jun 2011 23:00:00 +0100

AbstractPurpose. To develop nutrition education for preschool children based on Piaget's theory and to examine the effects of this education on children's nutritional knowledge, nutritional behaviors, and anthropometric measurements.Design and Methods. Pre‐ and postexperimental design. In experimental schools nutrition education was given. Children's nutritional knowledge, food consumption frequencies, and anthropometric measurements were evaluated.Results. The experimental group's nutritional knowledge scores increased and the group's food preferences positively changed. No significant difference was observed between the experimental and control groups' anthropometric measurements.Practice Implications. The nutrition education program used in this study may guide nurses in p...

The pediatric PRO‐SELF©: Pain control program: An effective educational program for parents caring for children at home following tonsillectomy

Journal for Specialists in Pediatric Nursing — Thu, 30 Jun 2011 23:00:00 +0100

AbstractPurpose. The purpose of this paper was to provide a description of the components of the PEDIATRIC PRO‐SELF©: Pain Control Program.Design and Methods. The Program, adapted from studies of this intervention in adults with cancer pain, was tested in two randomized clinical trials of acute pain management in pediatrics.Results. Key strategies most effective for parents in the pediatric ambulatory surgery setting included use of an educational booklet and timer to facilitate adherence to the prescribed analgesic regimen, as well as interactive nursing support.Practice Implications. The PEDIATRIC PRO‐SELF©: Pain Control Program can be used with parents caring for children at home following tonsillectomy. (Source: Journal for Specialists in Pediatric Nursing)

Practical Issues of Physiologic Measurement for Clinical Research with Children

Journal for Specialists in Pediatric Nursing — Thu, 30 Jun 2011 23:00:00 +0100

Ask the Editor

Journal for Specialists in Pediatric Nursing — Tue, 28 Jun 2011 00:14:57 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Cross‐age peer mentoring approach to impact the health outcomes of children and families

Journal for Specialists in Pediatric Nursing — Mon, 30 May 2011 23:00:00 +0100

Column Editor: Bonnie Gance‐ClevelandFamily‐Centered Care provides a forum for sharing information about basic components of caring for children and families, including respect, information sharing, collaboration, family‐to‐family support, and confidence building. (Source: Journal for Specialists in Pediatric Nursing)

Involving fathers in research

Journal for Specialists in Pediatric Nursing — Mon, 30 May 2011 23:00:00 +0100

Effectiveness and feasibility of using the computerized interactive virtual space in reducing depressive symptoms of Hong Kong Chinese children hospitalized with cancer

Journal for Specialists in Pediatric Nursing — Mon, 30 May 2011 23:00:00 +0100

AbstractPurpose. To examine the effectiveness and feasibility of using the computerized interactive virtual space in reducing depressive symptoms of children hospitalized with cancer.Design and Methods. A nonequivalent control group design was employed. Children (8–16 years of age; n= 122) admitted to a pediatric oncology ward during a 14‐month period were recruited.Results. The results support the effectiveness and feasibility of using the computerized interactive virtual space in reducing depressive symptoms of children hospitalized with cancer.Practice Implications. The results heighten the awareness in nurses of the importance of integrating play activities as an essential component of holistic and quality nursing care. (Source: Journal for Specialists in Pediatric Nurs...

Parenting children with hypoplastic left heart syndrome: Finding a balance

Journal for Specialists in Pediatric Nursing — Mon, 30 May 2011 23:00:00 +0100

This study described the role normalization played for parents related to their young children with hypoplastic left heart syndrome.Design and Methods. The data source for this secondary analysis was 30 interviews with 16 parents.Results. Three themes were identified: normalization, parental perception of child vulnerability, and optimistic appraisal. Parents engaged in a balancing act between worrying about their children's vulnerability and marveling at their children's survival, using normalization as a coping strategy.Practice Implications. Nurses can collaborate with parents to determine strategies to restore a sense of normalcy to simultaneously promote child independence and parent well‐being. (Source: Journal for Specialists in Pediatric Nursing)

The relationships among body size, biological sex, ethnicity, and healthy lifestyles in adolescents

Journal for Specialists in Pediatric Nursing — Mon, 30 May 2011 23:00:00 +0100

AbstractPurpose. The purposes of this study were to (a) determine whether actual weight, biological sex, and race/ethnicity were related to differences of weight perception, nutrition and activity knowledge, perceived difficulty, attitudes, and choices about living a healthy lifestyle in adolescents; and (b) describe the relationships among these variables.Design and Methods. This was a cross‐sectional descriptive, correlational design with 404 adolescents.Results. Perception of weight was more accurate in overweight adolescents. Teens who reported difficulty in leading a healthy lifestyle reported less healthy choices, attitudes, and knowledge.Practice Implications. Findings suggest tailored interventions should consider biological sex and race/ethnicity. (Source: Journal fo...

Effects of infant massage on HIV‐infected mothers and their infants

Journal for Specialists in Pediatric Nursing — Mon, 30 May 2011 23:00:00 +0100

AbstractPurpose. To determine the feasibility of implementing an infant massage intervention and to evaluate the preliminary effects of infant massage on HIV‐infected mothers and their infants.Design and Methods. In this two‐group, randomized controlled pilot study, intervention group mothers were taught to perform infant massage daily for 10 weeks.Results. Infant massage training had a positive impact on maternal depression, parental distress, and infant growth along with facilitating more optimal parent–child interactions.Practice Implications. Infant massage, a quick, easy, and inexpensive intervention, is feasible in a clinic setting and may benefit human immunodeficiency virus‐infected mothers and their infants. (Source: Journal for Specialists in Pediatric Nursing...

Illness‐specific anxiety: Implications for functioning and utilization of medical services in adolescents with inflammatory bowel disease

Journal for Specialists in Pediatric Nursing — Mon, 30 May 2011 23:00:00 +0100

AbstractPurpose. Adolescents with inflammatory bowel disease (IBD) may be at heightened risk for developing anxiety and depression. This cross‐sectional pilot study examined the relationship between anxiety and depression and health‐related behaviors.Methods. Thirty‐six adolescents with diagnosed IBD, ages 12–17, and their parents were recruited from two pediatric gastroenterology medical centers.Results. Clinical levels of anxiety (22%) and depressive symptoms (30%) were reported by patients. Regression analyses revealed that IBD‐specific anxiety was significantly associated with greater utilization of medical services and worsened psychosocial functioning.Practice Implications. Results provide preliminary support that IBD‐specific anxiety may play an important rol...

Disaster preparedness for children with special healthcare needs and disabilities

Journal for Specialists in Pediatric Nursing — Thu, 31 Mar 2011 23:00:00 +0100

Ask the Expert provides research‐based answers to practice questions submitted by JSPN readers. (Source: Journal for Specialists in Pediatric Nursing)

Caring for children following radiation disaster

Journal for Specialists in Pediatric Nursing — Thu, 31 Mar 2011 23:00:00 +0100

Ask the Expert provides research‐based answers to practice questions submitted by JSPN readers. (Source: Journal for Specialists in Pediatric Nursing)

Corrigendum

Journal for Specialists in Pediatric Nursing — Thu, 31 Mar 2011 23:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Promoting the Health of Frontier Caregiving Grandparents: A Demonstration Project Evaluation

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:29 +0100

Qualitative Rigor or Research Validity in Qualitative Research

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:29 +0100

Vitamin D status and supplementation in pediatric gastrointestinal disease

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:28 +0100

Conclusions. Those with gastrointestinal diseases are more likely to have vitamin D deficiency as a result of malabsorption. Current recommendations for supplementation may be too low to achieve optimal levels.Practice Implications. It is important to monitor vitamin D levels in pediatric populations with gastrointestinal diseases and appropriately treat levels that are insufficient. (Source: Journal for Specialists in Pediatric Nursing)

Development, implementation, and evaluation of a comprehensive fall risk program

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:28 +0100

AbstractPurpose. The purpose was to develop and implement I'M SAFE, a comprehensive patient fall‐risk assessment tool linked to a tiered‐intervention falls prevention program.Design and Method. A fall‐risk evaluation tool was incorporated into electronic nurse documentation along with risk‐specific nursing interventions.Results. Intrinsic fall rates declined significantly (preimplementation: .67 falls/1,000 patient days; postimplementation: .51 falls/1,000 patient days, p= .015) and has been sustained 2 years following implementation.Practice Implications. The I'M SAFE tool identifies patients at increased risk for falls. When linked to a multidisciplinary fall prevention program, the incidence of preventable falls can be reduced. The program's impact has persisted acro...

Effects of spinal health educational programs for elementary school children

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:27 +0100

This study examined the effects of spinal health educational programs.Design and Methods. A nonequivalent control‐group pretest–posttest design was used. Participants were 88 fifth‐grade elementary schoolchildren. Three groups were compared: a Web‐based program group, a traditional face‐to‐face program group, and a control group.Results. In both intervention groups, the changes for spinal health knowledge and self‐efficacy were significantly higher than those of the control group. However, the changes of spinal health practices were not significantly different.Practice Implications. A Web‐based spinal health education program is a convenient and flexible health educational approach that was as effective in this study as traditional face‐to‐face instruction. (So...

Factors associated with emotional response of parents at the time of diagnosis of Down syndrome

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:27 +0100

AbstractPurpose. The purpose is to describe factors associated with emotional responses of parents at the time of diagnosis of Down syndrome.Design and Methods. Using a survey design, data on attitudes of healthcare providers, content of information, and emotional responses were collected from 131 parents in Korea.Results. There were positive relationships between healthcare providers' attitudes and the content of information (r= .622; p < .0001), and content of information and parents' responses (r= .271; p= .002).Practice Implications. By providing positive information, healthcare providers can help parents to develop a more optimistic outlook on their children's future. (Source: Journal for Specialists in Pediatric Nursing)

Self‐efficacy and physical activity in children with congenital heart disease: Is there a relationship?

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:26 +0100

This study examined the relationship between self‐efficacy and physical activity in 10‐ to 14‐year‐old children with congenital heart disease.Design and Methods. Cross‐sectional study using self‐report instruments.Results. In 84 participants, self‐efficacy scores were similar to those published for healthy adolescents, 30.8 as compared with 29.4. Physical activity participation as prescribed by the Centers for Disease Control and Prevention was low (38%). Self‐efficacy scores were moderately correlated with physical activity participation (r= .47; p < .001).Practice Implications. Interventions are needed to increase physical activity in this high‐risk group. Interventions that focus on self‐efficacy may be particularly helpful given the link between self‐e...

Reflective Practice

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:25 +0100

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Plagiarism Unveiled

Journal for Specialists in Pediatric Nursing — Tue, 29 Mar 2011 20:16:24 +0100

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Breakage of growth hormone needle in subcutaneous tissue

Journal for Specialists in Pediatric Nursing — Tue, 11 Jan 2011 00:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Influence of body mass index, gender, and Hispanic ethnicity on physical activity in urban children

Journal for Specialists in Pediatric Nursing — Sat, 01 Jan 2011 00:00:00 +0100

AbstractPurpose. This community‐based participatory research study examined the association between overweight status and activity among Hispanic urban, school‐age children.Design and Methods. In a sample of 140 children, activities were assessed using the Youth Risk Behavior Survey's questions about physical activity (PA) and team sports.Results. Thirty‐nine percent were overweight (body mass index [BMI] >85%). Normal‐weight children had higher levels of PA and team sports. Females had lower levels of PA and team sports. Significant associations included BMI and sports team participation, and BMI and Hispanic ethnicity.Practice Implications. Nurses should be aware that Hispanic urban children are at risk for lower activity. (Source: Journal for Specialists in Pediat...

Thank you

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:05 +0100

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Corrigendum

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:04 +0100

(Source: Journal for Specialists in Pediatric Nursing)

The heart beads program

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:04 +0100

Modeling relationships in clinical research using path analysis Part II: evaluating the model

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:03 +0100

The effects of the gulf oil spill on children

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:02 +0100

Ask the Expert provides research‐based answers to practice questions submitted by JSPN readers. (Source: Journal for Specialists in Pediatric Nursing)

The systematic review of literature: Synthesizing evidence for practice

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:02 +0100

Conclusion. Defining attributes, rationale for, and steps in conducting systematic reviews are presented. Examples from published reviews on pediatric nursing are included.Practice Implications. Pediatric nurses may consult professionally prepared systematic reviews, such as The Cochrane Collection, or conduct their own reviews with the help of electronic search engines. (Source: Journal for Specialists in Pediatric Nursing)

Human growth hormone treatment: Synthesis of literature on product delivery systems and administration practices

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:01 +0100

AbstractPurpose. To synthesize current literature on recombinant human growth hormone (rhGH) use and to identify areas of research that have received little to no attention in light of administration practice and patient perception/behavior.Design and Methods. Relevant articles for a systematic review were identified through PubMed.Results. A total of 43 articles were identified: 9 (15.9%) studies on product administration practices and 34 (84.1%) on patient behavior patterns. Patients primarily preferred simple, convenient, and easy‐to‐use delivery devices. However, literature addressing the effect of convenient product administration practices on treatment outcomes using real‐world patient/caregiver data is lacking.Practice Implications. Better understanding of real‐w...

A comparison of family adversity and family dysfunction in families of children with attention deficit hyperactivity disorder (ADHD) and families of children without ADHD

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:00 +0100

This study examined the presence of family adversity and family dysfunction in 32 families who had children diagnosed with attention deficit hyperactivity disorder (ADHD) compared with 23 families with similar sociodemographic characteristics whose children did not have ADHD.Design and Methods. A descriptive comparative design was used to investigate family adversity and family dysfunction.Results. Families of children with ADHD had significantly higher levels of family dysfunction than families whose children did not have ADHD.Practice Implications. Earlier identification and intervention with families of children who have ADHD may result in healthier family and child outcomes. (Source: Journal for Specialists in Pediatric Nursing)

The use of nonpharmacological methods for children's postoperative pain relief: Singapore nurses' perspectives

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:28:00 +0100

AbstractPurpose. The purpose of this study was to examine nurses' use of nonpharmacological methods for school‐age children's postoperative pain relief.Design and Methods. A survey was conducted in 2008 with a convenience sample of 134 registered nurses from 7 pediatric wards in Singapore.Results. Nurses who were younger, had less education, lower designation, less working experience, and no children of their own used nonpharmacological methods less frequently.Practice Implications. Nurses need training and education on nonpharmacological pain relief methods, particularly on methods that have been shown to be effective in prior research but that were less often used by nurses in this study: massage, thermal regulation, imagery, and positive reinforcement. (Source: Journal for...

Piloting the use of teen mentors to promote a healthy diet and physical activity among children in Appalachia

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:27:59 +0100

This study tested a mentoring model that paired trained teens with younger children in an after‐school setting to deliver a curriculum aimed at promoting healthier patterns of dietary intake and physical activity.Design and Methods. Using a pretest–posttest design, group comparisons were made. Descriptive, independent, and paired t‐test analyses with Bonferroni corrections were conducted in a sample of 72 children.Results. Group differences were noted with the intention to eat healthfully. Mentored children demonstrated greater improvement in knowledge, attitudes, efficacy, perceived support, and body mass index (BMI).Practice Implications. Teen mentors can effectively impact children's intention to improve health behaviors, which is foundational to normalizing BMI. (Source:...

What do you tell parents when their child is sick with the common cold?

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:27:58 +0100

Conclusions. Research has shown that the majority of OTC CCMs and antihistamines have little to no effect when used to treat the common cold and have a risky safety profile. Despite these findings, parents continue to use OTC CCMs for treatment of their children's colds.Practice Implications. Educating parents on the lack of scientific evidence supporting the use of OTC CCMs and the potential for harm is important in altering parental perception and decreasing the purchase of OTC CCMs. (Source: Journal for Specialists in Pediatric Nursing)

Learning from Kenyan Nurses

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:27:58 +0100

(Source: Journal for Specialists in Pediatric Nursing)

International nursing: Culture in context, Part II

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:27:57 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Systematic Review: Implications for Scholars

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:27:57 +0100

(Source: Journal for Specialists in Pediatric Nursing)

JSPN announces the winners of the articles and reviewer awards for 2010

Journal for Specialists in Pediatric Nursing — Fri, 24 Dec 2010 19:27:56 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Modeling Relationships in Clinical Research Using Path Analysis Part I: An Overview of the Process

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:20 +0100

Marjorie A. Pett and Margaret F. Clayton (Source: Journal for Specialists in Pediatric Nursing)

Am I Sure I Want to Go Down This Road? Hesitations in the Reporting of Child Maltreatment by Nurses

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:19 +0100

PURPOSE. (Source: Journal for Specialists in Pediatric Nursing)

Cardiovascular Fitness and Quality of Life in Adolescents With Type 1 or Type 2 Diabetes

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:18 +0100

PURPOSE. (Source: Journal for Specialists in Pediatric Nursing)

Children With Advanced Cancer: Responses to a Spiritual Quality of Life Interview

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:18 +0100

PURPOSE. (Source: Journal for Specialists in Pediatric Nursing)

Ways to Enhance Children's Activity and Nutrition (WE CAN)—A Pilot Project With Latina Mothers

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:17 +0100

PURPOSE. (Source: Journal for Specialists in Pediatric Nursing)

International Nursing: Culture in Context, Part I

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:16 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Author's Response to Letter to the Editor by Dunlei Cheng, PhD, Biostatistician Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, TX

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:16 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Re: Hill‐Rodriguez, D., Messmer, P. R., Williams, P. D., Zeller, R. A., Williams, A. R., Wood, M., & Henry, M. (2009). The Humpty Dumpty Falls Scale: A case‐control study. Journal for Specialists in Pediatric Nursing, 14(1), 22–32. doi: 10.1111/j.1744‐6155.2008.00166.x

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:15 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Psychological Plan for Coping With Swine Flu Outbreak

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:14 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Are We Preparing DNPs for Collaborative Roles?

Journal for Specialists in Pediatric Nursing — Thu, 30 Sep 2010 16:58:14 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Pertussis—The Case for Universal Vaccination

Journal for Specialists in Pediatric Nursing — Fri, 23 Jul 2010 23:00:00 +0100

PURPOSE. Does the literature support universal vaccination of adolescents and adults, reducing disease incidence in infants and young children?DESIGN & METHODS. An extensive literature review and a meta-analysis of four case-control studies, evaluating effects of missed or late vaccine doses, was conducted.RESULTS. The literature confirms (a) increasing pertussis rates; (b) adults and adolescents are the primary carriers; (c) vaccine effectiveness wanes over time; and (d) pertussis persists despite disease control efforts.PRACTICE IMPLICATIONS. Missed or late doses mean an increase in likelihood of contracting pertussis, supporting full vaccination for children and boosters for adolescents/adults. (Source: Journal for Specialists in Pediatric Nursing)

Engaging Families to Prevent Substance Use Among Latino Youth

Journal for Specialists in Pediatric Nursing — Thu, 22 Jul 2010 23:00:00 +0100

Angela Chia-Chen Chen, Bonnie Gance-Cleveland, Albert Kopak, Steven Haas, and Mary GillmoreColumn Editor: Bonnie Gance-Cleveland Family-Centered Care provides a forum for sharing information about basic components of caring for children and families, including respect, information sharing, collaboration, family-to-family support, and confidence building. (Source: Journal for Specialists in Pediatric Nursing)

Semi‐Structured Interviewing in Practice‐Close Research

Journal for Specialists in Pediatric Nursing — Wed, 30 Jun 2010 23:00:00 +0100

Jennifer Baumbusch (Source: Journal for Specialists in Pediatric Nursing)

Obesity Prevention Interventions for Middle School‐Age Children of Ethnic Minority: A Review of the Literature

Journal for Specialists in Pediatric Nursing — Wed, 30 Jun 2010 23:00:00 +0100

PURPOSE. (Source: Journal for Specialists in Pediatric Nursing)

Furthering the Understanding of Parent–Child Relationships: A Nursing Scholarship Review Series. Part 5: Parent–Adolescent and Teen Parent–Child Relationships

Journal for Specialists in Pediatric Nursing — Wed, 30 Jun 2010 23:00:00 +0100

PURPOSE. (Source: Journal for Specialists in Pediatric Nursing)

Re: Holzhauer, J. K., Reith, V., Sawin, K. J., & Yen, K. (2009). Evaluation of Temporal Artery Thermometry in Children 3–36 Months Old. Journal for Specialists in Pediatric Nursing, 14, 239–244. doi: 10.1111/j.1744‐6155.2009.00204.x

Journal for Specialists in Pediatric Nursing — Wed, 30 Jun 2010 23:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Pertussis—The Case for Universal Vaccination

Journal for Specialists in Pediatric Nursing — Wed, 30 Jun 2010 23:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Parent Support, Peer Support, and Peer Acceptance in Healthy Lifestyle for Asthma Management Among Early Adolescents

Journal for Specialists in Pediatric Nursing — Tue, 29 Jun 2010 23:00:00 +0100

This study aims to investigate the association between social support variables and healthy lifestyle for asthma management among early adolescents (ages 9[ndash]14 years).DESIGN AND METHODS. Questionnaires were completed by 86 parent[ndash]adolescent dyads.RESULTS. Healthy lifestyle was associated with social support variables. The association with peer acceptance was stronger among adolescents who received less asthma-specific support from peers. Age was negatively associated with healthy lifestyle, but the association was attenuated after adjustment for asthma-specific peer support.PRACTICE IMPLICATIONS. The findings of this study suggest recognizing the developmental change of social support during early adolescence. (Source: Journal for Specialists in Pediatric Nursing)

Re: Holzhauer, J. K., Reith, V., Sawin, K. J., & Yen, K. (2009). Evaluation of Temporal Artery Thermometry in Children 3–36 Months Old. Journal for Specialists in Pediatric Nursing, 14, 239–244. doi: 10.1111/j.1744-6155.2009.00204.x

Journal for Specialists in Pediatric Nursing — Thu, 24 Jun 2010 06:09:13 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Semi-Structured Interviewing in Practice-Close Research

Journal for Specialists in Pediatric Nursing — Mon, 21 Jun 2010 23:00:00 +0100

Jennifer BaumbuschColumn Editor: Lauren Clark Scientific Inquiry provides a forum to facilitate the ongoing process of questioning and evaluating practice, presents informed practice based on available data, and innovates new practices through research and experimental learning. (Source: Journal for Specialists in Pediatric Nursing)

Caring for the Child With an Autism Spectrum Disorder in the Acute Care Setting

Journal for Specialists in Pediatric Nursing — Mon, 21 Jun 2010 23:00:00 +0100

CONCLUSIONS. With a high prevalence rate of medical comorbidities among this population, such as gastrointestinal complaints and seizures, nurses are likely to care for hospitalized patients with an ASD.PRACTICE IMPLICATIONS. For a child with an ASD, hospitalization can be an overwhelming sensory and cognitive experience. Nurses equipped with an understanding of the unique needs of a child with ASD can tailor the plan of care to reduce patient and family anxiety, optimize treatment goals, and reduce the stress of hospitalization. (Source: Journal for Specialists in Pediatric Nursing)

Obesity Prevention Interventions for Middle School-Age Children of Ethnic Minority: A Review of the Literature

Journal for Specialists in Pediatric Nursing — Mon, 21 Jun 2010 23:00:00 +0100

PURPOSE. The purpose of this study was to describe the current literature on interventions to reduce obesity in middle school-age children of ethnic minority.DESIGN AND METHODS. A systematic review of the literature was conducted.RESULTS. A total of eight studies matched the inclusion criteria. Findings support personal, behavioral, and environmental factors that contribute to obesity in children, yet results for ethnic minorities were inconclusive.PRACTICE IMPLICATIONS. Obesity research suggests that there is merit in addressing specific factors. This review highlights the absence of prevention interventions for middle school-age children, particularly of ethnic decent. (Source: Journal for Specialists in Pediatric Nursing)

Response From the Author

Journal for Specialists in Pediatric Nursing — Mon, 21 Jun 2010 23:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

School Nurses in New Jersey: A Quantitative Inquiry on Roles and Responsibilities

Journal for Specialists in Pediatric Nursing — Thu, 13 May 2010 23:00:00 +0100

This study examined types of chronic diseases present and nursing procedures administered in school, health promotion and disease prevention efforts, collaborative efforts, perception of school nursing activities, documentation media of school nursing activities, and student academic outcomes.DESIGN AND METHODS. A nonexperimental research design was employed. The sample (N= 63) was practicing school nurses in New Jersey public schools.RESULTS. The increased numbers of students with chronic illnesses in mainstream classrooms have increased the roles and responsibilities of school nurses.PRACTICE IMPLICATIONS. School nurses can use the findings as a framework to articulate their roles and responsibilities. (Source: Journal for Specialists in Pediatric Nursing)

Breastfeeding Educational Interventions for Health Professionals: A Synthesis of Intervention Studies

Journal for Specialists in Pediatric Nursing — Wed, 12 May 2010 23:00:00 +0100

PURPOSE. The purpose of this synthesis was to review intervention studies that focused on increasing the breastfeeding knowledge, self-confidence, and supportive behaviors of healthcare professionals.DESIGN AND METHODS. Fourteen articles were identified through database searches as the basis for this review.RESULTS. Breastfeeding education can be effective in increasing the knowledge and confidence of nurses. Duration and exclusivity rates for breastfeeding may also be improved.PRACTICE IMPLICATIONS. Improving nurses' knowledge of breastfeeding is a modifiable factor that is important in supporting a mother in her decision to breastfeed. (Source: Journal for Specialists in Pediatric Nursing)

Adolescents' Preferences for Primary Care Provider Interactions

Journal for Specialists in Pediatric Nursing — Fri, 26 Mar 2010 00:00:00 +0100

PURPOSE. Adolescents receive less primary care than other age groups. One reason may be the negative ways that providers sometimes interact with adolescents. The purpose was to develop knowledge regarding adolescents' preferences for provider interactions.DESIGN AND METHODS. Design was descriptive and mixed method. Donabedian's healthcare quality model guided the study. Data were collected via focus groups and a survey.RESULTS. Twenty-four adolescents participated. Four themes described their preferences: forming a relationship, supporting independence, assuring confidentiality, and conveying caring.PRACTICE IMPLICATIONS. Care that is congruent with adolescents' preferences may improve quality of, and access to, care and, ultimately, health outcomes. (Source: Journal for Specialists in Ped...

Accuracy of Asthma Information on the World Wide Web

Journal for Specialists in Pediatric Nursing — Fri, 26 Mar 2010 00:00:00 +0100

PURPOSE. An essential component of asthma management is education. Parents often turn to the Internet, a 24-hour source of health information.DESIGN AND METHODS. In this descriptive study, two researchers evaluated websites using eight core educational concepts developed by the National Heart, Blood, and Lung Institute (NHLBI) to determine the accuracy of the health information regarding asthma on the Internet.RESULTS. Of the 68 websites reviewed, only 6 (8.8%) had accurate and complete information regarding asthma according to NHBLI recommendations.PRACTICE IMPLICATIONS. Nurses must be educated regarding the selection of accurate websites on asthma so that in turn, they may educate patients and their families. (Source: Journal for Specialists in Pediatric Nursing)

Febrile Seizures, Genetic (Generalized) Epilepsy With Febrile Seizures Plus, and Dravet's Syndrome

Journal for Specialists in Pediatric Nursing — Wed, 24 Feb 2010 00:00:00 +0100

CONCLUSIONS. It can be difficult for patients and their families to comprehend what it means to have a seizure disorder with a genetic cause. Nurses caring for patients with seizure disorders require knowledge of the condition, its causes, treatment, and prognosis to better care for and inform their patients.PRACTICE IMPLICATIONS. It is important for all specialists working with pediatric populations to understand possible causes of seizure disorders linked to febrile episodes, its diagnosis, and treatment, and their responsibility to provide pertinent education to patients and their families. (Source: Journal for Specialists in Pediatric Nursing)

Probiotics: Preventing Antibiotic-Associated Diarrhea

Journal for Specialists in Pediatric Nursing — Wed, 24 Feb 2010 00:00:00 +0100

CONCLUSIONS. Research has shown that several strains of probiotics are helpful in the prevention and treatment of antibiotic-associated diarrhea. The most commonly studied probiotics are Lactobacillus GG and Saccharomyces boulardii.PRACTICE IMPLICATIONS. By understanding the uses, dosages, and safety of common probiotics, nurses can help educate patients and their families on the benefits of probiotics. (Source: Journal for Specialists in Pediatric Nursing)

Furthering the Understanding of Parent–Child Relationships: A Nursing Scholarship Review Series. Part 5: Parent–Adolescent and Teen Parent–Child Relationships

Journal for Specialists in Pediatric Nursing — Thu, 07 Jan 2010 00:00:00 +0100

CONCLUSION. Relationships between parents and adolescents may reflect turmoil and affect adolescents' health and development. The social and developmental contexts for teen parenting are powerful and may need strengthening. Several interventions to help teen mothers interact sensitively with their infants have been developed and tested.PRACTICE IMPLICATIONS. Nurse researchers have begun to provide evidence for practitioners to use in caring for families of adolescents and teen parents to acquire interaction skills that, in turn, may promote optimal health and development of the child. (Source: Journal for Specialists in Pediatric Nursing)

Furthering the Understanding of Parent–Child Relationships: A Nursing Scholarship Review Series. Part 4: Parent–Child Relationships at Risk

Journal for Specialists in Pediatric Nursing — Wed, 06 Jan 2010 00:00:00 +0100

CONCLUSIONS. Most reviewed studies demonstrated negative effects of risk conditions on parent[ndash]child relationships and documented importance of child, parent, and contextual variables. Studies were predominately single investigations. Varying theoretical perspectives complicated interpretation. Mainly White, middle-class, and small samples limited generalizability. Important areas for further research were identified.PRACTICE IMPLICATIONS. Nurse researchers identified factors that may interfere with the parent[ndash]child relationship. Nurses are in a position to support families under these circumstances. (Source: Journal for Specialists in Pediatric Nursing)

A Collaborative Approach to Meeting the Psychosocial Needs of Children During an Influenza Pandemic

Journal for Specialists in Pediatric Nursing — Wed, 30 Dec 2009 00:00:00 +0100

CONCLUSION. Throughout 2009, the United States grappled with an influenza pandemic, including how to care for children during outbreak of illness. As disease spread, children were identified as being highly susceptible to infection. It is not known how severe future influenza outbreaks will be.PRACTICE IMPLICATIONS. Pediatric healthcare professionals must be prepared to collaboratively address the psychosocial needs of children before, during, and after a pandemic in order to avoid fear and panic. (Source: Journal for Specialists in Pediatric Nursing)

Influence, Education, and Advocacy: The Pediatric Nurse's Role in the Evaluation and Management of Children with Central Auditory Processing Disorders

Journal for Specialists in Pediatric Nursing — Wed, 02 Dec 2009 00:00:00 +0100

CONCLUSIONS. Nurses' understanding of central auditory processing disorders and their signs and symptoms may help prevent misdiagnosis or underdiagnosis in the pediatric population.PRACTICE IMPLICATIONS. The common indicators of central auditory processing disorders often mimic other childhood disorders such as attention deficit hyperactivity disorder. Testing for central auditory processing disorders is optimized when children are on the appropriate medication at the time of testing. (Source: Journal for Specialists in Pediatric Nursing)

Furthering the Understanding of Parent–Child Relationships: A Nursing Scholarship Review Series. Part 3: Interaction and the Parent–Child Relationship—Assessment and Intervention Studies

Journal for Specialists in Pediatric Nursing — Tue, 01 Dec 2009 00:00:00 +0100

CONCLUSIONS. Directions for research include development of theoretical frameworks, valid observational systems, and multivariate and longitudinal data analytic strategies.PRACTICE IMPLICATIONS. Observation of social[ndash]emotional as well as task-related interaction qualities in the context of assessing parent[ndash]child relationships could generate new questions for nursing research and for family-centered nursing practice. (Source: Journal for Specialists in Pediatric Nursing)

Turkish Mothers' Perceptions of Their Children's Weight

Journal for Specialists in Pediatric Nursing — Tue, 01 Dec 2009 00:00:00 +0100

This study was designed to determine mothers' perceptions and concerns about their preschool children's weight.DESIGN AND METHOD. This descriptive survey was carried out with mothers of 4- to 6-year-old children attending preschool.RESULTS. The prevalence of overweight among preschool children was 25.4%, but 73.3% of mothers of overweight children did not think that their children were overweight. Only 12.8% of mothers were concerned about their children being currently overweight; 8.1% worried that their children would become overweight.PRACTICE IMPLICATIONS. Understanding parental views about their children's weight is a key step for designing effective prevention strategies. (Source: Journal for Specialists in Pediatric Nursing)

A Concept Analysis: Assuming Responsibility for Self-Care among Adolescents with Type 1 Diabetes

Journal for Specialists in Pediatric Nursing — Tue, 01 Dec 2009 00:00:00 +0100

PURPOSE. This concept analysis clarifies "assuming responsibility for self-care" by adolescents with type 1 diabetes.METHODS. Walker and Avant's (2005) methodology guided the analysis.RESULTS. Assuming responsibility for self-care was defined as a process specific to diabetes within the context of development. It is daily, gradual, individualized to person, and unique to the task. The goal is ownership that involves autonomy in behaviors and decision-making.PRACTICE IMPLICATIONS. Adolescents with type 1 diabetes need to be assessed for assuming responsibility for self-care. This achievement has implications for adolescents' diabetes management, short- and long-term health, and psychosocial quality of life. (Source: Journal for Specialists in Pediatric Nursing)

Maternal Perspectives on Lifestyle Habits That Put Children of Mexican Descent at Risk for Obesity

Journal for Specialists in Pediatric Nursing — Sat, 31 Oct 2009 00:00:00 +0100

This article presents the views that mothers of Mexican descent have related to lifestyle habits that put children at risk for obesity.DESIGN AND METHOD. A qualitative, naturalistic design using ethnographic interviews was selected for this study. Informational redundancy was reached with 9 mothers of Mexican descent. Spradley's Developmental Research Sequence guided data collection and analysis.RESULTS. Participants held views that were congruent with the American Academy of Pediatrics' recommendations.PRACTICE IMPLICATIONS. Findings provide nurses with knowledge on how mothers of Mexican descent view appropriate nutrition, discipline in feeding, and the place of physical activity and television in young preschool children's lives. (Source: Journal for Specialists in Pediatric Nursing)

An Evidentiary Review Regarding the Use of Chronological and Adjusted Age in the Assessment of Preterm Infants

Journal for Specialists in Pediatric Nursing — Fri, 30 Oct 2009 00:00:00 +0100

CONCLUSIONS. The use of full age adjustment based on the degree of prematurity was supported for the assessment of premature infants for a minimum of 12 months adjusted age.PRACTICE IMPLICATIONS. The use of adjusted age enhances the ability to accurately recognize genuine delays as opposed to perceived delays related to a child's gestational age at birth. (Source: Journal for Specialists in Pediatric Nursing)

Furthering the Understanding of Parent–Child Relationships: A Nursing Scholarship Review Series. Part 1: Introduction

Journal for Specialists in Pediatric Nursing — Tue, 28 Jul 2009 23:00:00 +0100

CONCLUSIONS. A historical review of nursing research is presented and methods described as an introduction to a review series of the parent[ndash]child relationship.IMPLICATIONS. Definition and explication of the parent[ndash]child relationship is a first-step in understanding factors amenable to nursing intervention. A clear definition of the concept of parent[ndash]child relationship will support further study using appropriate theoretical frameworks, and enable development and testing of supportive nursing interventions. (Source: Journal for Specialists in Pediatric Nursing)

Mexican American Youths' and Mothers' Explanatory Models of Diabetes Prevention

Journal for Specialists in Pediatric Nursing — Tue, 28 Jul 2009 23:00:00 +0100

PURPOSE. To describe Mexican American mothers' and youths' explanatory models of promoting health and preventing diabetes in 12[ndash]14 year olds.DESIGN AND METHODS. In this descriptive study, interviews produced mothers' (n= 21) and adolescents' (n= 20) explanatory models.RESULTS. Mothers' and youths' views of causes of diabetes were mostly concordant with the biomedical model. They saw shared responsibility for health promotion and prevention.PRACTICE IMPLICATIONS. Mothers and youths want help to promote health and prevent diabetes. Providers can apply explanatory models in interventions. (Source: Journal for Specialists in Pediatric Nursing)

Erratum

Journal for Specialists in Pediatric Nursing — Thu, 16 Jul 2009 23:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Discharge Readiness: An Integrative Review Focusing on Discharge Following Pediatric Hospitalization

Journal for Specialists in Pediatric Nursing — Tue, 14 Jul 2009 23:00:00 +0100

PURPOSE. This review aims to identify factors associated with parental discharge readiness following pediatric hospitalization, with focus applicability to solid organ transplant patients.DESIGN AND METHODS. Thirty-eight publications, including research and clinical practice papers, were identified using Cooper's methodology for conducting integrative research reviews (1982).RESULTS. Four concepts emerged influencing discharge readiness: support, identification of unique and individual needs, education, and communication and coordination. Synthesis of themes resulted in two overarching concepts: meaningful interactions and confidence building.PRACTICE IMPLICATIONS. Nurses have a singular opportunity to enhance meaningful interactions and confidence building, ultimately promoting a successf...

Evaluation of Temporal Artery Thermometry in Children 3–36 Months Old

Journal for Specialists in Pediatric Nursing — Mon, 06 Jul 2009 23:00:00 +0100

This study aims to determine whether temporal artery (TA) thermometer readings are accurate and better tolerated than rectal readings in young children.DESIGN AND METHODS. Paired rectal and TA temperature readings and Face Legs Activity Cry and Consolability (FLACC) scores were obtained.RESULTS. TA thermometry failed to detect rectal fever (38°C or greater) in approximately 20% of paired temperature readings. FLACC scores were significantly lower after TA readings than after rectal readings.PRACTICE IMPLICATIONS. This study questions TA readings as an accurate substitute for rectal thermometry. (Source: Journal for Specialists in Pediatric Nursing)

Psychosocial Experiences of Parents of a Child With Imperforate Anus

Journal for Specialists in Pediatric Nursing — Wed, 29 Apr 2009 03:22:36 +0100

This study aims to examine the psychosocial experiences of parents of children with imperforate anus (IA) and to describe their potential positive experiences.DESIGN AND METHODS. Parents of IA children and a comparison group answered a questionnaire, which was analyzed quantitatively and with manifest content analysis.RESULTS. Social relationships and respect for the child's will were more affected among IA mothers. Positive experiences were revealed in relation to the child, the parent, and the family.PRACTICE IMPLICATIONS. Support to parents in caring for a child with IA should be individualized and occasionally undertaken through collaboration with experts from child and adolescent psychiatry. (Source: Journal for Specialists in Pediatric Nursing)

Parenting Stress in Mothers of Children With Autism Spectrum Disorders

Journal for Specialists in Pediatric Nursing — Tue, 28 Apr 2009 04:00:00 +0100

PURPOSE. The purpose of this paper is to describe the sources of parenting stress in mothers of children with Autism Spectrum Disorders (ASD) and examine the relationship between parenting stress and maternal psychological status (depression and well-being).DESIGN AND METHODS. A descriptive correlational design was used. Data were collected via mailed questionnaires.RESULTS. Behavioral symptoms were the primary source of parenting stress for mothers. There was no relationship between child characteristics and parenting stress. Mothers reporting more parenting stress had more depressive symptoms and lower levels of well-being.PRACTICE IMPLICATIONS. Our findings have implications for interventions with mothers to help them manage their children's behavior and focus on stress reduction and we...

The Association Between Internet Use and Depressive Symptoms Among South Korean Adolescents

Journal for Specialists in Pediatric Nursing — Tue, 28 Apr 2009 04:00:00 +0100

This study explores the cross-sectional relationship between Internet use and depressive symptoms in South Korean adolescents.DESIGN AND METHODS. Existing data, the three-wave Korean Youth Panel Survey, were analyzed. The sample was a cohort representing the population of second-year students at Korean middle schools in 2003 (N = 3,449). Multivariate logistic regression was used.RESULTS. A one-unit increase in Internet use was positively associated with a 20.7% increase in risk for depressive symptoms.PRACTICE IMPLICATIONS. It may be worthwhile for nursing professionals to inquire about Internet use as part of a measure of screening for depressive symptoms in teens. (Source: Journal for Specialists in Pediatric Nursing)

Focus Group Research With Children and Youth

Journal for Specialists in Pediatric Nursing — Wed, 01 Apr 2009 04:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Almost Normal: Experiences of Adolescents With Implantable Cardioverter Defibrillators

Journal for Specialists in Pediatric Nursing — Wed, 01 Apr 2009 04:00:00 +0100

PURPOSE. The purpose of this study was to describe the experiences of adolescents with implantable cardioverter defibrillators (ICDs).DESIGN AND METHODS. This qualitative study explored the lived experiences of 14 adolescents with ICDs using face-to-face, semistructured interviews.RESULTS. Six themes were identified: life interrupted; still the same, except; sometimes it's tough; it cuts both ways; unique joule; and living life regular.PRACTICE IMPLICATIONS. These findings suggest that nurses could make a significant impact on the lives of adolescents with ICDs by focusing their efforts away from viewing the adolescent through an illness lens and more toward a normalization lens. (Source: Journal for Specialists in Pediatric Nursing)

Three Intervention Models for Exploring Oral Health in Pregnant Minority Adolescents

Journal for Specialists in Pediatric Nursing — Wed, 01 Apr 2009 04:00:00 +0100

CONCLUSIONS. Identifying and understanding the risks of poor oral health in pregnant minority adolescents will assist those who plan and provide care for this vulnerable population.PRACTICE IMPLICATIONS. Utilizing more than one model or a combination of models may be necessary for improving oral health outcomes in this population. (Source: Journal for Specialists in Pediatric Nursing)

Receptivity of African American Adolescents to an HIV-Prevention Curriculum Enhanced by Text Messaging

Journal for Specialists in Pediatric Nursing — Wed, 01 Apr 2009 04:00:00 +0100

This study assessed African American adolescents' receptivity to an HIV-prevention curriculum enhanced by text messaging.DESIGN AND METHODS. Two focus groups were conducted with 14 African American adolescents regarding how an HIV-prevention curriculum could be enhanced for text messaging delivery.RESULTS. The adolescents were receptive to the idea of text messaging HIV-prevention information but wanted to receive a maximum of three messages per day during the hours of 4:00[ndash]6:00 p.m.PRACTICE IMPLICATIONS. By taking the findings of this study, nurses, other healthcare providers, and community-based organizations can adapt evidence-based interventions for text messaging delivery to individuals at high risk for HIV infection. (Source: Journal for Specialists in Pediatric Nursing)

Evidence-Based Practice: Identifying and Measuring Progress

Journal for Specialists in Pediatric Nursing — Wed, 01 Apr 2009 04:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Family-Identified Barriers to Medication Reconciliation

Journal for Specialists in Pediatric Nursing — Sun, 15 Mar 2009 04:00:00 +0100

This study aims to discover family-identified barriers to providing medication information, family ability to provide medication information, and family suggestions to improve the medication reconciliation process.DESIGN AND METHODS. One hundred families with a child with a chronic condition on daily-prescribed medication completed a 10-question survey.RESULTS. Families identified not knowing, forgetting, and ability to provide information as the main reasons for not bringing medication. Half of the families that did not bring medication could not provide complete information. Families wanted to be reminded multiple times in different ways.PRACTICE IMPLICATIONS. Many families are unable to provide complete medication information. (Source: Journal for Specialists in Pediatric Nursing)

Predictors of the Transition From Experimental to Daily Smoking Among Adolescents in the United States

Journal for Specialists in Pediatric Nursing — Wed, 11 Mar 2009 04:00:00 +0100

This study examined factors affecting the transition from experimental smoking at baseline to two types of daily smoking, temporary daily smoking, and continued daily smoking, at 1-year follow-up.DESIGN AND METHODS. This study analyzed data from the National Longitudinal Study of Adolescent Health (n = 4,903 U.S. adolescents). Baseline predictors were selected based on Problem Behavior Theory.RESULTS. Important problem behavior theory-related predictors of smoking were the number of friends who smoke, academic performance, and alcohol, marijuana, and other illicit drug use. Other significant predictors were age, gender, race, depression, perceived general health, and cigarette availability at home.PRACTICE IMPLICATIONS. To prevent teens from progressing to daily smoking, nursing profession...

The Effects of Gender on the Coping Outcomes of Young Children Following an Unanticipated Critical Care Hospitalization

Journal for Specialists in Pediatric Nursing — Wed, 11 Mar 2009 04:00:00 +0100

PURPOSE. A prior evaluation of the predictors of child coping outcomes following an unanticipated critical hospitalization revealed gender differences, which were explored in this study to examine patterns of behavioral change over time.DESIGN AND METHODS. Data from 163 mother[ndash]child (2[ndash]7 years) dyads were extracted for this study. Measures of child coping obtained 3 and 6 months following hospitalization included the Behavioral Assessment System for Children and the Post-Hospitalization Behavior Questionnaire.RESULTS. Maladaptive behaviors in girls increased throughout the 6-month posthospitalization period. Boys demonstrated a peak and then decline of those same behaviors.PRACTICE IMPLICATIONS. Given this information, gender-specific child coping information can be developed f...

Prospective Evaluation of a Pediatric Inpatient Early Warning Scoring System

Journal for Specialists in Pediatric Nursing — Tue, 02 Dec 2008 05:00:00 +0100

PURPOSE. The present study evaluated the use of the Pediatric Early Warning Score (PEWS) for detecting clinical deterioration among hospitalized children.DESIGN/METHODS. A prospective, descriptive study design was used. The tool was used to score 2,979 patients admitted to a single medical unit of a pediatric hospital over a 12-month period.RESULTS. PEWS discriminated between children who required transfer to the pediatric intensive care unit and those who did not require transfer (area under the curve = 0.89, 95% CI = 0.84[ndash]0.94, p < .001).IMPLICATIONS. The PEWS tool was found to be a reliable and valid scoring system to identify children at risk for clinical deterioration. (Source: Journal for Specialists in Pediatric Nursing)

The Relationship of Household Routines to Morbidity Outcomes in Childhood Asthma

Journal for Specialists in Pediatric Nursing — Mon, 01 Dec 2008 05:00:00 +0100

This study is a secondary data analysis in a sample of 150 children, which was originally used for an intervention study.RESULTS. Parents who had fewer routines in their homes had lower quality-of-life scores and higher burden of asthma scores when compared to parents in households with more routines. More routines were associated with improved asthma morbidity outcomes as measured by nurse rankings of routines.PRACTICE IMPLICATIONS. Assisting families to establish routines may result in improved asthma morbidity outcomes. (Source: Journal for Specialists in Pediatric Nursing)

Family Needs Assessment in Cerebral Palsy Clinic

Journal for Specialists in Pediatric Nursing — Mon, 01 Dec 2008 05:00:00 +0100

PURPOSE. The dual purpose of this study was to identify areas of need as perceived by parents of children with cerebral palsy in three domains and to evaluate internal reliability of the Family Needs Assessment Tool (FNAT).DESIGN AND METHODS. The FNAT was distributed to parents and includes a demographic survey and three subscales: service, information, and obstacles to care.RESULTS. Parents identified services as their greatest need, followed by information and then obstacles to care.PRACTICE IMPLICATIONS. The FNAT may be utilized to evaluate parental perceptions of needs, and provide clinicians with information for program planning and assessing needs central to providing quality care. (Source: Journal for Specialists in Pediatric Nursing)

Scientific InquiryStudy Designs for Program Evaluation: How Do We Know What Works?

Journal for Specialists in Pediatric Nursing — Mon, 01 Dec 2008 05:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Comparing Parents' and Children's Views of Children's Quality of Life After Heart Transplant

Journal for Specialists in Pediatric Nursing — Sat, 18 Oct 2008 04:00:00 +0100

PURPOSE. The purpose of this focused ethnographic study was to explore the quality of life (QOL) of school-age heart-transplant recipients.DESIGN AND METHODS. Semistructured interviews were conducted with 11 parent[ndash]child dyads. Data were analyzed using content analysis and constant comparison.RESULTS. Participants identified key factors impacting the children's QOL including: participation in normal activities, normalcy, staying healthy, sources of strength and support, and struggles (parents' perspectives) and doing what kids do, being with family and friends, and being a heart transplant kid (children's perspectives).PRACTICE IMPLICATIONS. Interventions focusing on the key factors identified by participants may impact the QOL of school-age heart-transplant recipients. (Source: Jour...

A Novel, Intensive Home-Visiting Intervention for Runaway, Sexually Exploited Girls

Journal for Specialists in Pediatric Nursing — Fri, 17 Oct 2008 04:00:00 +0100

CONCLUSIONS. Preliminary results suggest that this is an effective intervention for reducing risk behaviors and helping younger runaways reconnect to school and family.PRACTICE IMPLICATIONS. Client-centered interventions in community settings can address the complex health needs of vulnerable young runaways. (Source: Journal for Specialists in Pediatric Nursing)

The Effect of Kangaroo Care on Behavioral Responses to Pain of an Intramuscular Injection in Neonates

Journal for Specialists in Pediatric Nursing — Thu, 04 Sep 2008 04:00:00 +0100

This study aims to assess the efficacy of Kangaroo Care (KC) on behavioral responses of term neonates to the pain of an intramuscular injection.DESIGN AND METHODS. One hundred healthy term neonates were enrolled and randomly assigned to intervention and control groups. In the intervention group, the neonate was held in KC for 10 min before the injection and remained in KC for the duration of the procedure. The primary outcome measure was the cumulative Neonatal Infant Pain Scale (NIPS) score immediately after injection.RESULTS. The cumulative NIPS score immediately after injection in the intervention group was significantly lower (p < .001) than in the control group.PRACTICE IMPLICATIONS. KC given before injection seems to effectively decrease pain and should be considered for minor invasi...

The Humpty Dumpty Falls Scale: A Case–Control Study

Journal for Specialists in Pediatric Nursing — Wed, 03 Sep 2008 04:00:00 +0100

PURPOSE. The purpose of this descriptive study was to assess whether the Humpty Dumpty Falls Scale (HDFS) identifies hospitalized pediatric patients at high risk for falls.DESIGN AND METHODS. The study was a matched case[ndash]control design. A chart review of 153 pediatric cases who fell and 153 controls who did not fall were pair-matched by age, gender, and diagnosis.RESULTS. High-risk patients fell almost twice as often as low-risk patients (odds ratio 1.87, confidence interval = 1.01, 3.53, p = .03).PRACTICE IMPLICATIONS. A Falls Prevention Pediatric Program with the HDFS tool addresses the Joint Commission Patient Safety Goals, but further research is needed to examine HDFS sensitivity-specificity. (Source: Journal for Specialists in Pediatric Nursing)

Implementation and Evaluation of an Individualized Developmental Care Program in a Neonatal Intensive Care Unit

Journal for Specialists in Pediatric Nursing — Wed, 03 Sep 2008 04:00:00 +0100

This study aims to detect differences in outcomes for very preterm infants after the introduction of developmental care in a neonatal nursery, and to evaluate the effect of developmental care on parental well-being.DESIGN AND METHODS. Prospective before and after cohort study of very preterm babies, with education for all staff between cohorts.RESULTS. No significant differences were found between cohorts for short-term outcomes for babies or parental anxiety levels or depression. All infants scored within normal temperament ranges at 4 months.PRACTICE IMPLICATIONS. Developmental care is a safe practice model. The interdisciplinary study facilitated professional development and increased the knowledge of nurses. (Source: Journal for Specialists in Pediatric Nursing)

Exploring Youth Development With Diverse Children: Correlates of Risk, Health, and Thriving Behaviors

Journal for Specialists in Pediatric Nursing — Wed, 03 Sep 2008 04:00:00 +0100

This study explored the relationships between internal and external assets, risk behaviors, health behaviors, and thriving behaviors in diverse children.DESIGN AND METHODS. The strength of relationships existing between measures, differences between group means based on gender, grades earned, and school, and confidence interval (p [le] .05) were tested in a sample of 61 urban sixth graders.RESULTS. Few assets were related to substance use. Assets were related to delinquency acts, health behaviors, and thriving indicators. Group differences between schools and gender and the total number of assets were noted.PRACTICE IMPLICATIONS. Supporting assets are important to consider when nurses perform assessments and design interventions to support youths in their maturation processes. (Source: Jou...

Family-Based Weight Management With Latino Mothers and Children

Journal for Specialists in Pediatric Nursing — Fri, 08 Aug 2008 04:00:00 +0100

PURPOSE. This paper aims to design a culturally appropriate weight management intervention for high-risk Latino families and to examine the feasibility of recruiting program participants.DESIGN AND METHODS. A descriptive design using qualitative and quantitative data collected during preliminary phases of an ongoing intervention study.RESULTS. From the preliminary works, a curriculum was revised for Latino families who have overweight children. The curriculum was modified to include suggestions from the focus groups, including helping mothers set limits with their children and make the transition to lighter foods and a more active family life.PRACTICE IMPLICATIONS. The information will aid professionals in the process of program design for Latino families who have weight concerns. (Source:...

The Effect of Childhood Sexual Abuse on Adolescent Pregnancy: An Integrative Research Review

Journal for Specialists in Pediatric Nursing — Thu, 07 Aug 2008 04:00:00 +0100

This study aims to describe the current research literature on the relationship of childhood sexual abuse and adolescent pregnancy and highlight the potential cross-cutting risk factors.DESIGN AND METHODS. Thirteen articles were identified as the basis of this review using Cooper's methodology (1998) for synthesizing research. Articles were categorized according to the levels of evidence proposed by Melnyk and Fineout-Overholt (2005).RESULTS. The majority of the studies identified a relationship between childhood sexual abuse and adolescent pregnancy (n = 9). Cross-cutting risk factors included female gender, younger age, substance use/abuse, family constellation, parent[ndash]child conflict, and mother disengagement.PRACTICE IMPLICATIONS. Strategies for nurses to identify pregnant and par...

Development of a Clinical Practice Guideline for Testing Nasogastric Tube Placement

Journal for Specialists in Pediatric Nursing — Thu, 07 Aug 2008 04:00:00 +0100

PURPOSE. A Perth metropolitan hospital group standardized changes to nasogastric tube placement, including removal of the "whoosh test" and litmus paper, and introduction of pH testing.DESIGN AND METHODS. Two audits were conducted: bedside data collection at a pediatric hospital and a point-prevalence audit across seven hospitals.RESULTS. Aspirate was obtained for 97% of all tests and pH was [le] 5.5 for 84%, validating the practice changes. However, patients on continuous feeds and/or receiving acid-inhibiting medications had multiple pH testing fails.PRACTICE IMPLICATIONS. Nasogastric tube placement continues to present a challenge for those high-risk patients on continuous feeds and/or receiving acid-inhibiting medications. (Source: Journal for Specialists in Pediatric Nursing)

Collaborating With Low-Income Families and Their Overweight Children to Improve Weight-Related Behaviors: An Intervention Process Evaluation

Journal for Specialists in Pediatric Nursing — Thu, 07 Aug 2008 04:00:00 +0100

PURPOSE. This paper aims to examine the collaborative negotiation process, an interventional approach being tested at a primary-care school-based clinic to help low-income families improve lifestyle and weight-related health indicators in their overweight children.DESIGN AND METHODS. Process evaluation of the intervention employed in an ongoing longitudinal pilot study. Descriptive analysis is from structured field notes and audiotapes of parent[ndash]child[ndash]provider interactions during intervention visits (n= 111).RESULTS. Activity levels and eating patterns were families' main concerns in managing their children's weight. Challenges and facilitators of implementing health plans were explored.PRACTICE IMPLICATIONS. The collaborative negotiation intervention provides a family-centered...

Family-Centered CareAssessing and Surmounting Barriers to Eating and Activity Changes in Overweight Youth

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Collaborative Practice A Collaborative Approach to Nutritional Counseling of the Overweight Child

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Ask the Expert Legislative Efforts to Combat Childhood Obesity

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

Pilot Study of an Individually Tailored Educational Program by Mail to Promote Healthy Weight in Chinese American Children

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

PURPOSE. To test the feasibility and impact of an individually tailored educational intervention to promote healthy weight in Chinese American children (ages 8[ndash]10).DESIGN. A pre- and post-test study (N = 57) using standardized instruments to measure children's usual food choices, knowledge of nutrition and physical activity needs, and time spent engaging in physical and sedentary activities.RESULTS. We found improvement after the intervention in all three areas.PRACTICE IMPLICATIONS. Healthcare providers need to provide parents and children with specific recommendations regarding children's weight statuses, dietary intake, and levels of activity. (Source: Journal for Specialists in Pediatric Nursing)

Dietary and Physical Activity Patterns: Examining Fathers' Perspectives

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

PURPOSE. Obesity adversely affects children, yet limited information is available on the familial environmental influence of fathers. The purpose of this study was to examine fathers' influences on their children's eating and activity patterns.DESIGN AND METHODS. Participants for this mixed methods study was a convenience sample of 51 multi-ethnic fathers of children 8[ndash]12 years of age, who completed surveys addressing dietary and physical activity behaviors.RESULTS. An association was found between fathers' and children's weight status. Half the children snacked without parental guidance.PRACTICE IMPLICATIONS. Nurses need to assist children and their families to develop effective weight management strategies. (Source: Journal for Specialists in Pediatric Nursing)

Social Implications of Overweight and Obesity in Children

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

PURPOSE. To elucidate some of the social impacts that overweight and obesity in children has on families. Healthcare practitioners may be unaware of these impacts if not similarly affected.DESIGN. Qualitative semistructured, interview-based study.METHODS. A purposive sample of parents (n = 58) with overweight and obese children (n = 48) from three areas in the United Kingdom was used. Analysis was thematic and iterative, underpinned by Grounded Theory.RESULTS. There are many social situations that have an impact on the child directly (stigmatization), on parents (blame), and on the family in general (being ostracized).PRACTICE IMPLICATIONS. Seeing the child and his/her family in a broader context with improved understanding of the complexity of raising an overweight child. (Source: Journal...

Healthcare Providers' Perceptions of the Factors Contributing to Infant Obesity in a Low-Income Mexican American Community

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

PURPOSE. To examine healthcare professionals' perceptions of Mexican American infant feeding practices and obesity.DESIGN AND METHODS. Five provider focus groups (n = 38 providers) were conducted in two agencies in the Denver area on the topic of contributors to childhood obesity in the Mexican American community.RESULTS. Healthcare providers believe obesity in Mexican American infants is related to: (a) a chubby baby being a healthy baby, (b) introducing complementary foods early, (c) extended family members' infant feeding practices, (d) offering infants high-calorie foods, and (e) prolonged bottle feeding and sweet beverages. Providers reported ambivalence regarding their role in addressing infant obesity.PRACTICE IMPLICATIONS. Healthcare providers working with Mexican American families...

Pediatric Hyperlipidemia: Child and Adolescent Disease Understandings and Perceptions About Dietary Adherence

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

PURPOSE. Pediatric hyperlipidemia increases cardiovascular disease risk. The cornerstone of treatment is a restrictive, lipid-lowering diet. Child disease understandings and perceptions of dietary adherence were explored, a secondary aim of the Endothelial Assessment of Risk from Lipids in Youth trial.DESIGN AND METHODS. Focus groups and individual interviews were conducted with participants, ages 9[ndash]20 years (n = 50). Data were thematically analyzed.FINDINGS. Adherence is influenced by individual characteristics (developmental level, knowledge), in the context of social interactions (family modeling, peer relationships, school).PRACTICAL IMPLICATIONS. Dietary practices are developed within social interactions. Interventions promoting adherence must consider children within their soci...

Ecological Differences in Weight, Length, and Weight for Length of Mexican American Children in the WIC Program

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

PURPOSE. Examine factors common in the environments of children who obtain services from a WIC program to determine if differences in ecological/environmental factors can be found in the children who differ in weight, length, and weight for length.DESIGN AND METHODS. Cross-sectional study of 300 children, 100 each who were stunted, normal weight for length, or overweight. Instruments used were NCATS, ARSMA II, 24-hr diet recall, and Baecke Activity Questionnaire.RESULTS. Significant differences were present in children's diet, parents' BMI, parents' generation in United States, parents' activity levels, and maternal[ndash]child relationship.PRACTICE IMPLICATIONS. Encourage parents to adopt family approaches to encourage normal body size in children. (Source: Journal for Specialists in Pedi...

Evaluation of a Pilot Hospital-Based Community Program Implementing Fitness and Nutrition Education for Overweight Children

Journal for Specialists in Pediatric Nursing — Tue, 08 Jul 2008 04:00:00 +0100

PURPOSE. Evaluate the effect of the Kids Living Fit[trade] hospital-based intervention on body mass index (BMI) percentile, adjusted for age (months) and gender in children ages 8[ndash]12 years with BMI percentiles [ge] 85.DESIGN AND METHODS. Twelve weekly exercise sessions and three nutrition presentations were held. Nurses recorded BMI and waist circumference at baseline, week 12, and week 24. Participants completed food and activity diaries.RESULTS. Of the 32 participants enrolled, 16 completed all outcome measures and experienced a decrease in average BMI, BMI percentile, and waist circumference between baseline and weeks 12 and 24.PRACTICE IMPLICATIONS. Hospitals can offer exercise and nutrition programs to decrease childhood obesity in their communities. (Source: Journal for Special...

The Complex and Untidy Science of Childhood Obesity Mirrors the Complexity of Practice

Journal for Specialists in Pediatric Nursing — Tue, 01 Jul 2008 04:00:00 +0100

(Source: Journal for Specialists in Pediatric Nursing)

One Voice on the Scope and Standards for Pediatric Nursing Practice

Journal for Specialists in Pediatric Nursing — Tue, 25 Mar 2008 19:16:18 +0100

Journal for Specialists in Pediatric Nursing, Volume 13, Issue 2, Page 61-62, April 2008. (Source: Journal for Specialists in Pediatric Nursing)

School HealthDevelopmental Screening in Pediatric Primary Care: The Role of Nurses

Journal for Specialists in Pediatric Nursing — Tue, 25 Mar 2008 01:33:00 +0100

Journal for Specialists in Pediatric Nursing, Volume 13, Issue 2, Page 130-134, April 2008. (Source: Journal for Specialists in Pediatric Nursing)

Ask the ExpertLatest Developments in Advanced Nursing Practice

Journal for Specialists in Pediatric Nursing — Tue, 25 Mar 2008 01:32:57 +0100

Journal for Specialists in Pediatric Nursing, Volume 13, Issue 2, Page 123-125, April 2008. (Source: Journal for Specialists in Pediatric Nursing)

Collaborative Childcare Health Consultation: A Conceptual Model

Journal for Specialists in Pediatric Nursing — Tue, 25 Mar 2008 01:32:51 +0100

This study explored the nature of consultation between childcare providers and nurse childcare health consultants and identified factors that promote a collaborative relationship. DESIGN AND METHODS. A qualitative study using semistructured, ... (Source: Journal for Specialists in Pediatric Nursing)

Collaborative PracticeA Theory-Based Collaborative Approach to HIV/AIDS Prevention in Latino Youth

Journal for Specialists in Pediatric Nursing — Tue, 25 Mar 2008 01:32:36 +0100

Journal for Specialists in Pediatric Nursing, Volume 13, Issue 2, Page 126-129, April 2008. (Source: Journal for Specialists in Pediatric Nursing)

Scientific InquiryClinical Statistics for Primary Care Practitioners: Part II—Absolute Risk Reduction, Relative Risk, Relative Risk Reduction, and Number Needed to Treat

Journal for Specialists in Pediatric Nursing — Tue, 25 Mar 2008 01:32:28 +0100

Journal for Specialists in Pediatric Nursing, Volume 13, Issue 2, Page 135-138, April 2008. (Source: Journal for Specialists in Pediatric Nursing)

Facial Expression and Pain Assessment in the Pediatric Patient: The Primal Face of Pain

Journal for Specialists in Pediatric Nursing — Tue, 25 Mar 2008 01:31:52 +0100

CONCLUSION. The PFP ... (Source: Journal for Specialists in Pediatric Nursing)