Nursing culture: An enemy of evidence-based practice? A focus group exploration
Evidence-based practice (EBP) is challenging for most nurses due to the time constraints of caring for patients and the emerging pressures of a changing health service. To explore these challenges, and thus to establish possible means of overcoming them, three focus groups (n = 17) with children’s nurses were conducted. Participants were asked how they would define EBP, what the barriers to EBP were, what skills they needed to help access evidence and how they could integrate evidence into everyday practice. Data were analysed thematically and the anticipated themes of definitions of EBP, barriers, education and nurs...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Henderson, E. M., Fletcher, M. Tags: Articles Source Type: research
Psychosocial outcomes of a summer overnight recreational experience for children with heart disease
Children with chronic heart disease (CHD) are often turned away from recreational summer overnight experiences because of complicated medical histories and medication regimens. The purpose of this qualitative study was to evaluate the psychosocial impact of a five-day overnight recreational experience for children with CHD and their parents. Thirty-six children with CHD between the age of 8 and 15 years and their parents participated in the study. Data were collected from the children using photovoice interviews. Parent data were collected using a post camp survey. Results included the following external outcome themes: in...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Bultas, M. W., Steurer, L. M., Balakas, K., Brooks, C., Fields, H. Tags: Articles Source Type: research
Childrens Perceived Competence Scale: Reference values in Japan
To support children with chronic diseases, reference values to measure developmental changes in self-perception and self-esteem are considered a useful yardstick. To develop reference values to measure self-perceived competence and self-esteem in Japanese children, the Children’s Perceived Competence Scale (CPCS) was administered to 768 children of elementary school grade 1 (6 years) to grade 6 (11 years) at four public schools in Japan, from November to December 2012. After excluding 74 with chronic diseases and/or incomplete responses, 694 children were included. CPCS measures children’s self-perceived compet...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Nagai, Y., Nomura, K., Nagata, M., Ohgi, S., Iwasa, M. Tags: Articles Source Type: research
Care in the home for seriously ill children with complex needs: A narrative literature review
This article reviews contemporary literature on home care of the seriously ill child with complex care needs and the sick child/parent dyad. The literature search revealed three major themes, namely the increasing acuity of child illness, the evolving role of the parent as care provider, and the health professional as care provider. While there is much known about the complexity of care of children and the role of family in that care, little is known about what families require in terms of support and sustenance during the long years of care provision. (Source: Journal of Child Health Care)
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Ward, C., Glass, N., Ford, R. Tags: Articles Source Type: research
Surgeons aims and pain assessment strategies when managing paediatric post-operative pain: A qualitative study
Children experience moderate to severe pain post-operatively. Nurses have been found to have a variety of aims in this context. Surgeons’ aims when managing post-operative pain have not been explored. This qualitative study set out to explore paediatric surgeons’ aims when managing post-operative pain in one paediatric hospital in Canada. Consultant surgeons (n = 8) across various specialities took part in semi-structured interviews. Surgeons’ overarching aim was to keep the child comfortable. Various definitions of comfortable were given, relating to the child’s experience of pain itself and their ...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Twycross, A. M., Williams, A. M., Finley, G. A. Tags: Articles Source Type: research
Effect of prenatal Qi exercise on mother-infant interaction and behavioral state
The purpose of this study was to investigate the effects of prenatal Qi exercise on mother–infant interaction and the behavioral state of the infant. A prospective, quasi-experimental design was used in 70 healthy pregnant women of more than 18 weeks of gestation. Pregnant women in the intervention group received 90 minutes of prenatal Qi exercise twice a week for 12 weeks. Prenatal Qi exercise group’s Nursing Child Assessment of Feeding Scale scores was higher in mother’s sensitivity to cues, responses to distress, socioemotional growth fostering, and cognitive fostering and for children in responsivenes...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Ji, E. S., Lundeen, S. P., Lee, J. Tags: Articles Source Type: research
Suicide of a close family member through the eyes of a child: A narrative case study report
A narrative case study approach was used to collect a storied account from Joseph about his recollections and experience of the completed suicide of a family member with whom he lived with at 13 years of age. Data are presented longitudinally to capture Joseph’s perceptions and recollections of events leading up to, surrounding and following the suicide. Findings reveal that, as a child Joseph felt strong responsibility to keep his uncle safe and maintain his uncle’s life; and perceived a lack of support for himself and his family throughout the events. Today as a young man, Joseph remains profoundly affected b...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Jackson, D., Peters, K., Murphy, G. Tags: Articles Source Type: research
A burden of knowledge: A qualitative study of experiences of neonatal intensive care nurses concerns when keeping information from parents
This article aims to explore the issues arising for neonatal nurses when holding information about changes to a condition of a baby that they are unable to share with parents. Data were collected via interviews with 24 neonatal nurses in New South Wales, Australia. A qualitative approach was used to analyse the data. The theme ‘keeping secrets’ was identified and comprised of three sub-themes ‘coping with potentially catastrophic news’, ‘fear of inadvertent disclosure’ and ‘a burden that could damage trust’. Keeping secrets and withholding information creates internal conflic...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Green, J., Darbyshire, P., Adams, A., Jackson, D. Tags: Articles Source Type: research
Adolescents with chronic pain and associated functional disability: A descriptive analysis
The purpose of this research was to describe the biopsychosocial characteristics of adolescents with chronic pain and functional disability. Data were obtained from a registry of 100 adolescents (mean age = 15.84, SD = 2.72; 21 males) admitted to an interdisciplinary pain rehabilitation program. Clinician ratings were used to categorize coping and personality styles. The most common chief complaint at admission was limb pain (n = 44), followed by headache (n = 21) and abdominal pain (n = 17). Eighteen patients presented with other types of pain. The most frequent triggers to pain were physical trauma, medical condition or ...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Wojtowicz, A. A., Banez, G. A. Tags: Articles Source Type: research
Does the small fit them all? The utility of Disabkids-10 Index for the assessment of pediatric health-related quality of life across age-groups, genders, and informants
The objective of this study was twofold: First, to conduct a confirmatory factor analysis of the Portuguese versions of Disabkids-10; and second, to examine potential differences in factor structures between age-groups, genders, and informants. The sample included 293 school-aged children and adolescents with chronic health conditions and 197 parents. Both family members (whenever possible) completed the self- and proxy-report versions of Disabkids-10. The factorial model of Disabkids-10 had good fit for self-reported data and minimally acceptable fit for proxy-reported data. The multigroup analyses confirmed the model inv...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Carona, C., Silva, N., Moreira, H., Canavarro, M. C., Bullinger, M. Tags: Articles Source Type: research
Parental perceptions of child vulnerability in a community-based sample: Association with chronic illness and health-related quality of life
In conclusion, PPCV is associated with adjustment to chronic illness. More research is needed regarding the mechanisms through which PPCV affects HRQoL and to examine whether PPCV can be targeted in parenting interventions. (Source: Journal of Child Health Care)
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Houtzager, B. A., Möller, E. L., Maurice-Stam, H., Last, B. F., Grootenhuis, M. A. Tags: Articles Source Type: research
Young adults childhood experiences of support when living with a parent with a mental illness
This study highlights the need for support groups for children whose parents suffer from mental illness. (Source: Journal of Child Health Care)
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Nilsson, S., Gustafsson, L., Nolbris, M. J. Tags: Articles Source Type: research
Be my guest! Challenges and practical solutions of undertaking interviews with children in the home setting
This article aims to share critical debate on undertaking interviews with children in the home setting and draws on the authors’ extensive research fieldwork. The article focuses on three key processes: planning entry to the child’s home, conducting the interviews and exiting the field. In planning entry, we include children’s engagement and issues of researcher gender. In conducting the interviews, we consider issues such as the balance of power, the importance of building a rapport, the voluntary nature of consent and the need for a flexible interview structure. Finally, we address exiting from the chil...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Coad, J., Gibson, F., Horstman, M., Milnes, L., Randall, D., Carter, B. Tags: Articles Source Type: research
Its all about the six-pack: Boys bodies in contemporary Western culture
This is an article about boys and their construction of masculinities. It draws on 5 years of qualitative research data from the same group of boys from early childhood through to 10 years of age in an attempt to articulate the way in which boys come to view their bodies, and other male bodies, in contemporary Western culture. The research is based on focus groups and is a part of a longitudinal study with the same cohort of boys, at a school in Adelaide, Australia. The data were analysed using inductive thematic analysis to identify key emergent themes. The results indicate that there is an emerging trend among boys from ...
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Drummond, M., Drummond, C. Tags: Articles Source Type: research
Social relationships, loneliness and adolescence: The potential for disruption by chronic illness
(Source: Journal of Child Health Care)
Source: Journal of Child Health Care - December 29, 2015 Category: Pediatrics Authors: Carter, B., Qualter, P., Dix, J. Tags: Editorial Source Type: research
