Feasibility and effectiveness of a parenting programme for Mexican parents of children with acquired brain injury-Case report.

BACKGROUND: Acquired brain injury (ABI) during childhood typically causes behaviour problems in the child and high levels of stress in the family. OBJECTIVES: (1) To investigate the feasibility and effectiveness of a parenting programme to: improve behaviour and self-regulation (SR) in Mexican children with ABI, enhance parenting skills, and decrease parental stress in parents of children with ABI; (2) to explore the impact of parent SR on child. METHODS: Case study design with four participants post-ABI, aged 7-12 years, recruited in Mexico City. A parenting programme (Signposts for Building Better Behaviour) was delivered and provided parents with strategies to manage child behaviour. Child behaviour, child self-regulation, parental stress and parenting practices were measured before, immediately post-intervention, and three months post-intervention. RESULTS: At immediate and three months post-intervention improvements in parenting skills, reduction in parental stress, and improvement in child behaviour were identified. CONCLUSIONS: The programme is feasible in a Mexican population and was effective in improving parenting skills and reducing stress in parents of children with ABI, as well as improving child behaviour and behavioural SR. These domains continue improving three months after the intervention. The improvements in challenging behaviour at home did not transfer to the school environment.

Improvement of Patient- and Family-Specific Care for Children with Special Behavioral Needs in the Emergency Setting: A Behavioral Needs Education.

Improvements in staff training, identification, and treatment planning for children with special health care needs who have behavioral issues are routinely recommended, but a literature review revealed no coherent plans targeted specifically toward pediatric ED staff. METHODS: An educational module was delivered to emergency staff along with a survey before and after and 1 month after the intervention to examine comfort in working with children with behavioral special needs and the ability to deliver specialized care. Child life consultations in the pediatric emergency department were measured 3 months before and 3 months after the education was provided. RESULTS: A total of 122 staff participated and reported clinically significant improvements across all areas of care that were maintained at 1 month. IMPLICATIONS FOR PRACTICE: To the best of our knowledge, this project represents the first quality improvement project offering behavioral needs education to emergency staff at a large pediatric hospital with an examination of its impact on staff competence, comfort, and outcomes. A large-scale educational module is a practical option for improvement in pediatric ED staff competence in caring for patients with behavioral special needs.

Nursing outcomes for Brazilian pediatric patients hospitalized with deficient diversional activity.

PURPOSE: To validate the content of nursing outcomes for pediatric patients hospitalized with a nursing diagnosis of deficient diversional activity. METHODS: The nursing outcomes were evaluated by expert nurses from a Brazilian hospital; the nurses used a Likert-type scale. We considered those that had a weighted average of ≥0.80 as valid outcomes. FINDINGS: Eight (57.14%) nursing outcomes and 54 (45.38%) indicators were validated. CONCLUSIONS: The study suggests that nursing outcomes validated by the experts are pertinent for Brazilian pediatric patients hospitalized and diagnosed with deficient diversional activity. IMPLICATIONS FOR PRACTICE: Nursing Outcomes Classification is a viable alternative for the assessment of nursing care outcomes. Further studies should investigate the applicability of these data in clinical practice.