Mothers' expectations and other factors affecting breastfeeding at six months in Greece
In conclusion, additional antenatal and postnatal framework is necessary. Mothers’ prediction of the duration of breastfeeding is an additional tool for identification of women with a high probability for early weaning. (Source: Journal of Child Health Care)
Source: Journal of Child Health Care - December 12, 2013 Category: Pediatrics Authors: Bouras, G., Mexi-Bourna, P., Bournas, N., Christodoulou, C., Daskalaki, A., Tasiopoulou, I., Poulios, A. Tags: Articles Source Type: research

Do parents of obese children use ineffective parenting strategies?
Research has shown mixed findings about the relationship between parenting style and child lifestyle outcomes. This paper describes a cross-sectional study that aimed to clarify the relationship between ineffective parenting and childhood obesity by using multiple measures of child and family functioning. Sixty-two families with an obese child (aged four to 11 years) were matched with 62 families with a healthy weight child on key sociodemographic variables. Significant differences were found on several measures, including general parenting style, domain-specific parenting practices, and parenting self-efficacy (d = .53 to...
Source: Journal of Child Health Care - December 12, 2013 Category: Pediatrics Authors: Morawska, A., West, F. Tags: Articles Source Type: research

Factitious disorders and Munchausen syndrome: The tip of the iceberg
This population-based study evaluates the prevalence of factitious disorders, Münchausen syndrome, and Münchausen syndrome by proxy in a clinical setting. All children referred to the Pediatric Unit of the Department of Pediatrics of the Catholic University Medical School (Agostino Gemelli Hospital) in Rome were recruited between November 2007 and March 2010. An experienced interdisciplinary team of medical professionals analyzed all suspected cases. A total of 751 patients were hospitalized. Factitious disorders were diagnosed in 14/751 patients, resulting in a prevalence of 1.8%. Three of 14 (21.4%) patients fu...
Source: Journal of Child Health Care - December 12, 2013 Category: Pediatrics Authors: Ferrara, P., Vitelli, O., Bottaro, G., Gatto, A., Liberatore, P., Binetti, P., Stabile, A. Tags: Articles Source Type: research

Adolescents' perceptions and experiences of family meals
This study identified factors relating to the frequency and importance of family meals. A focus group conducted with seven adolescents was analysed thematically. The themes and findings of past research were used to develop a Family Meals Questionnaire (FMQ), completed by 76 adolescents. Regular engagement in healthy family meals eaten around the table was reported, with the majority of participants reporting that their meals included a variety of foods and portions of vegetables. Frequency of family meals was associated with increased family togetherness for both males and females. The nutritional value of meals was found...
Source: Journal of Child Health Care - December 12, 2013 Category: Pediatrics Authors: Prior, A.-L., Limbert, C. Tags: Articles Source Type: research

Meeting the information needs of children in hospital
The provision of information is an individual entitlement and a prerequisite to enabling children to understand their illness, make choices about their health care and be involved in decision-making processes around these choices. However, limited evidence exists on children’s perspectives of information provision while an inpatient in hospital. The aim of this paper is to describe the process of information exchange between health professionals and children in hospital. Informed by an ethnographic design, data were collected using multiple methods, including semi-participant observations, interviews and participator...
Source: Journal of Child Health Care - December 12, 2013 Category: Pediatrics Authors: Lambert, V., Glacken, M., McCarron, M. Tags: Articles Source Type: research

The restrictions to the use of codeine and dilemmas about safe alternatives
(Source: Journal of Child Health Care)
Source: Journal of Child Health Care - December 12, 2013 Category: Pediatrics Authors: Carter, B., Hawcutt, D. B., Arnott, J. Tags: Editorial Source Type: research

Children's social/emotional characteristics at entry to school: Implications for school nurses
We examined the relational development of children at school entry in regard to aggression and empathy, showing that teacher-reported aggression decreased between Pre-primary and Year One, while empathy increased between Year One and Year Two classes. No gender difference was found in teacher-reported total, or covert aggression. Understanding how development of empathy can be supported in children at school entry is important, thereby supporting development of pro-social behaviour and decreasing bullying. School nurses must understand the importance of surrounding children with safety in relationships as they begin school...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Nelson, H., Kendall, G., Shields, L. Tags: Articles Source Type: research

Nurses' knowledge of and attitudes towards fever and fever management in one Irish children's hospital
This study aims to describe nurses’ knowledge of and attitudes towards the management of fever in one children’s hospital in Ireland. A descriptive, quantitative research design was employed. One hundred and nineteen nurses working in one children’s hospital completed a self-report questionnaire. Nurses’ mean knowledge score about the physiology of fever, fever management and antipyretics was 51 per cent (n = 119), which was lower than expected. Nurses had both appropriate and inappropriate attitudes towards fever and fever management. Inconsistent attitudes between nurses were identified. Nurses wh...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Greensmith, L. Tags: Articles Source Type: research

Hospitalized children's representations of their relationship with nurses and doctors
This article reports an explorative study which aims to investigate hospitalized children’s views of their relationships with nurses and doctors. Twenty-seven school-aged children and adolescents from 6 to 15 years old in the paediatric haematology and oncology ward of an Italian hospital participated in the study. Each participant was asked to draw him or herself with a doctor or nurse from the ward while they were doing something. The drawings were analysed using Pictorial Assessment of Interpersonal Relationships (PAIR) and a qualitative analysis. The results showed that the participants viewed their relationships...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Corsano, P., Majorano, M., Vignola, V., Cardinale, E., Izzi, G., Nuzzo, M. J. Tags: Articles Source Type: research

An evaluation of questionnaires assessing physical activity levels in youth populations
The aim of this study was to revise and organize according to recall time based criteria, questionnaires created and validated to assess the level of physical activity in children and adolescents, with the intention of enabling their proper understanding and subsequent use by nurses and health care professionals. In order to determine the questionnaires’ quality, their degree of reliability and validity was the main feature to be taken into account. Thirty-eight papers were retrieved and analyzed, 31 of which were aimed at designing and validating a questionnaire intended for physical activity (PA) level assessment i...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Cancela, J. M., Ayan, C., Castro, A. Tags: Articles Source Type: research

Evaluation of breastfeeding promotion, support, and knowledge of benefits on breastfeeding outcomes
We examined how prenatal exposure to breastfeeding information from various media sources, maternal knowledge of benefits, family and clinician support, and peer practices influence breastfeeding outcomes in early infancy. Initiation of breastfeeding, any breastfeeding at two months, and exclusivity of breastfeeding at two months were examined in a cohort of US women using data from the Infant Feeding Practices Study II. Descriptive statistics, chi-square analyses and logistic regression were conducted. Approximately 85 percent of the women initiated breastfeeding. At two months, 63.8 percent continued breastfeeding, while...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Kornides, M., Kitsantas, P. Tags: Articles Source Type: research

Health care access disparities among children entering kindergarten in Nevada
This study used the 2008–2009 Nevada Kindergarten Health Survey data of 11,073 children to assess both independent and combined effects of annual household income, race/ethnicity, primary language spoken in the family, rural/urban residence, and existing medical condition on access to health care. Annual household income was a significant predictor of access to health care, with middle and high income respondents having regular access to care compared to low income counterparts. Further, English proficiency was associated with access to health care, with English-speaking Hispanics over 2.5 times more likely to have r...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Fulkerson, N. D., Haff, D. R., Chino, M. Tags: Articles Source Type: research

Growth patterns and their implications for preterm infants in a culture of rapid modernization
This prospective longitudinal study explored the growth patterns of preterm infants and the implications of rearing them in an advancing culture. The study measured the weight, length, and head circumference of 343 Korean preterm infants over 12 months corrected age. Data were analyzed using a generalized estimation equation for growth patterns of preterm infants by the degree of prematurity (mild, moderate, or severe). Results showed that the early ‘catch-up phenomenon’, accelerated growth rate, occurred around 11 months corrected age, although the mild preterm group weighed less, was shorter, and had a smalle...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Ahn, Y., Sohn, M., Jun, Y., Lee, S. Tags: Articles Source Type: research

Non-medical out-of-pocket expenses incurred by families during their child's hospitalization
Little is known about the nonmedical out of pocket expenses (NOOPEs) incurred by families of hospitalized children. The purpose of this study is to help nurses, other healthcare providers, hospital administrators, and policymakers better understand the NOOPEs incurred by families during their child’s hospitalization. Parents of children (n = 50) who underwent orthopedic surgery at a major tertiary-care children’s hospital reported all NOOPEs incurred during their child’s hospitalization. Descriptive statistics and univariate and multiple logistic regression analyses were used to analyze the data. The tota...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: DiFazio, R. L., Vessey, J. A. Tags: Articles Source Type: research

Framing body size among African American women and girls
Obesity continues to affect African Americans in epidemic proportions, particularly among women and adolescent females. Perceptions, beliefs, behaviors, and body sizes of adolescents are associated with those of their mothers, yet little is known about the transgenerational meanings and experiences of obese African American adolescent girls and their mothers. An interpretive phenomenological study was conducted with seven African American adolescents between the ages of 11 and 17, and their adult female caregivers. Audio-taped interviews were transcribed and analyzed by a multicultural interpretive team. Two constitutive p...
Source: Journal of Child Health Care - September 11, 2013 Category: Pediatrics Authors: Williams, E. P., Wyatt, S. B., Winters, K. Tags: Articles Source Type: research