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1.
J Clin Nurs ; 29(1-2): 107-118, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31531995

RESUMO

AIMS AND OBJECTIVES: To develop and evaluate the psychometric properties of a self-report instrument measuring 6- to 12-year-old children's own experiences of participation in health care. BACKGROUND: Validated measures to evaluate children's participation in health care can play a critical role in strategic work towards supporting children's participation at an individual level and in working towards quality improvements at an organisational level. There are, however, no available instruments to achieve this. METHODS: An instrument development design was used, together with the TRIPOD checklist. Item construction was based on research about children's perspectives on participation in health care and Shier's model for participation. The face and content validity was evaluated by 14 healthy children, 9 paediatric nurses and 8 children with different diseases. The construct validity, internal consistency and stability reliability were evaluated based on data from 138 children visiting a paediatric clinic. RESULTS: The testing of the face and content validity resulted in an instrument with child-friendly language, additional instructions and visual attractive presentation. The principle component analysis resulted in the four-factor solution: "To be included," "To trust professionals," "To take control," and "To understand information." Internal consistency and intraclass correlation coefficients were acceptable. CONCLUSION: We conclude that the child participation in health care (ChiPaC) instrument has adequate reliability and validity when used to evaluate children's participation in health care. The involvement of children in the development of ChiPaC resulted in a brief, colourful and user-friendly instrument for use in paediatric health care. RELEVANCE TO CLINICAL PRACTICE: This new questionnaire, ChiPaC, is adapted for children between 6-12 years measuring participation in health care from a child perspective. ChiPaC can be used in the practical work of supporting individual children's participation in health care as well as in the strategical work towards quality improvements on an organisational level.


Assuntos
Participação do Paciente , Autorrelato/normas , Adolescente , Criança , Feminino , Humanos , Masculino , Enfermagem Pediátrica/métodos , Psicometria/instrumentação , Reprodutibilidade dos Testes , Inquéritos e Questionários
2.
Zhonghua Shao Shang Za Zhi ; 35(8): 624-625, 2019 Aug 20.
Artigo em Chinês | MEDLINE | ID: mdl-31474048

RESUMO

Children with burns often have uncooperative behaviors such as crying and struggling when changing dressing because of pain and fear, which affects dressing change of medical staff and increases the psychological burden of the family members of children and dressing change personnel. In order to solve the above problems, the author's team designs and makes the mobile soothing screen for pediatric dressing change. Dressing change personnel are isolated from the children's sight through the screen's shielding function, and the children's favorite program showed on the tablet computer attracts the children's attention. The wound dressing change is completed by using the disposal window on the screen, which has good clinical application effects.


Assuntos
Bandagens , Queimaduras , Enfermagem Pediátrica/métodos , Criança , Desenho de Equipamento , Medo , Humanos , Dor Processual/prevenção & controle , Cooperação do Paciente
4.
Rev Bras Enferm ; 72(2): 531-540, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31017219

RESUMO

OBJECTIVE: to identify, in scientific productions, nursing interventions in palliative care in children and adolescents with cancer. METHOD: integrative review of the literature through the databases: CINAHL, MEDLINE, IBECS, LILACS and SCIELO, carried out in October and November 2017. RESULTS: we analyzed 18 articles that met the inclusion criteria. The results showed that, among the articles selected, Brazil is the country with the largest number of publications and that interventions such as music therapy, massage, ludic application, early consultation of palliative care, social interventions and physical exercises aimed at the resolution of a specific symptom obtained better results when compared to interventions that aimed at the comprehensiveness of palliative care. FINAL CONSIDERATION: we conclude that greater emphasis should be given to palliative care in academic and professional training and that further studies in search of the best evidence should be conducted to support nursing Evidence-Based Practices.


Assuntos
Cuidados de Enfermagem/métodos , Cuidados Paliativos/métodos , Prática Clínica Baseada em Evidências/métodos , Humanos , Cuidados de Enfermagem/normas , Enfermagem Oncológica/métodos , Enfermagem Oncológica/normas , Cuidados Paliativos/normas , Enfermagem Pediátrica/métodos , Enfermagem Pediátrica/normas
8.
J Pediatr Nurs ; 44: 50-55, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30683281

RESUMO

PROBLEM: Cardiovascular disease (CVD) is the leading cause of death in the U.S. and in most Western countries. Early identification and treatment of individuals with elevated levels of atherogenic cholesterol, a major contributor to CVD, have been shown to be effective and safe in reducing premature morbidity and mortality, especially in familial hypercholesterolemia (FH). Cholesterol screening of youth also provides a unique means of identifying affected family members through reverse cascade screening (RCS). ELIGIBILITY CRITERIA: A PubMed review of all relevant articles from 2000 to 2016 was conducted of familial hypercholesterolemia and cholesterol screening of youth. RESULTS: We provide an overview of cholesterol screening, outline the role of the pediatric nurse in the lipid clinic, and discuss effectiveness and potential barriers, including cost and confidentiality considerations of RCS. CONCLUSIONS: Early identification and effective intervention of youth with FH, including adoption of a heart-healthy lifestyle, has the potential of 1) markedly reducing or eliminating atherosclerotic cardiovascular disease and related events in future generations and 2) provides a unique means of identifying affected family members. IMPLICATIONS: Pediatric nurses play a vital role in the education and care coordination of children diagnosed with FH and screening of relatives. Identification of a child with FH with effective screening of relatives combines the benefits of universal and cascade screening, and has the potential of detecting all living cases of FH. While potentially providing significant benefit to those at risk for premature CVD, a RCS program needs to carefully consider ethical, psychological, and financial implications as well.


Assuntos
Diagnóstico Precoce , Predisposição Genética para Doença/epidemiologia , Hiperlipoproteinemia Tipo II/diagnóstico , Hiperlipoproteinemia Tipo II/epidemiologia , Programas de Rastreamento/métodos , Adolescente , Fatores Etários , Doenças Cardiovasculares/prevenção & controle , Criança , Feminino , Seguimentos , Testes Genéticos/métodos , Humanos , Hiperlipoproteinemia Tipo II/genética , Incidência , Masculino , Programas de Rastreamento/enfermagem , Papel do Profissional de Enfermagem , Enfermagem Pediátrica/métodos , Medição de Risco , Fatores Sexuais
9.
Scand J Caring Sci ; 33(3): 609-620, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30628722

RESUMO

BACKGROUND: Cultural sensitivity is a core concept to establish awareness and knowledge about various ethnicities, cultures, genders and additional diversity characteristics to understand individual's requests and respond appropriately to them. A need for further development of the concept is warranted, especially in the context of paediatric nursing. AIMS: The purpose of this paper was to determine the main elements of cultural sensitivity in the context of paediatric nursing in Iran. METHODS: The Hybrid method was implemented consisting of three phases: theoretical, fieldwork and final analysis. In the theoretical phase, articles from 2007 to 2017 were reviewed for relevance. In the phase of fieldwork, 25 nurses and nine parents were interviewed to explore the aspects of cultural sensitivity in paediatric nursing. The interviews were transcribed, and content analysis was conducted. In the final phase, an overall analysis of the two previous phases was performed. RESULTS: In the theoretical phase, the following attributes were determined: cultural encounter and awareness, acceptance of cultural diversity and designing programmes in accordance with family culture. The fieldwork phase explored three themes of intercultural encounters, intercultural communication and adapting the care plan with family culture. The final synthesis yielded that sensitivity to family requests and beliefs, effective intercultural communication and integration of family culture with the care plan are the main elements of cultural sensitivity in Iranian paediatric nursing. CONCLUSION: With a deeper understanding of the term cultural sensitivity, nurses will have a foundation to improve paediatric nursing care and align the care plan with the patient's culture to provide trust, child/parent participation, secure care, effective communication and satisfaction. Since the concepts are the building blocks that underpin theory, the present concepts identified can help to serve as the foundation for the development of a theoretical model.


Assuntos
Atitude do Pessoal de Saúde/etnologia , Competência Cultural/psicologia , Enfermagem Familiar/métodos , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Pediátrica/métodos , Enfermagem Pediátrica/estatística & dados numéricos , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
10.
Compr Child Adolesc Nurs ; 42(3): 203-221, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29771160

RESUMO

The Japanese nursing education system only requires a general nursing qualification. After graduation, many Japanese nurses work within pediatric departments where they receive specialized training in pediatric care. An intervention program for promoting ethical nursing practices among patients and their families was implemented for pediatric nurses with 0-5 years pediatric nursing experience. The objective of this study was to clarify changes in nurses' recognition and behaviors, as well as the intervention's post-initiation durability. The pediatric nursing care model (PNCM), defining 24 nursing approaches, was developed to show simple examples of ethical nursing practices for pediatric patients and their families. An intervention program included an initial session that consisted of a 30-minute mini-lecture. Nurses also described details of approaches previously performed and conducted a peer-review. Concerning the PNCM, the frequency of implementing each approach was examined using a 4-point Likert scale both before and at 2-month post-intervention initiation. Recognition of intervention feasibility was evaluated using a 4-point Likert scale at the end of the first session. Furthermore, during the second month, reflection and outcome content was evaluated by examining approaches the nurses performed and described. During the third month, the nurses were asked to describe changes in their behavior in terms of ethical nursing practices, along with those observed by patient and family responses, and any recognition of future challenges. Regarding the care model items, feasible practices were recognized immediately post-intervention, and 18 of 24 items (75.0%) revealed significant improvement. Implementation frequency for 10 out of 18 items (55.6%) was higher than before the intervention, and there was a significant difference among four items. The intervention program led to improvements in highly feasible and basic ethical nursing practices, including an increase in greetings and self-introductions, verbal explanations for children, quantitative and qualitative alterations in order to improve children's coping behaviors, changes in nurses' active attitudes for reducing children's fear and attitudes for feasible future implementation. Changes in practices at 3-month post-initiation corresponded to the four components of "child assent" or the final three goals of our conceptual framework.


Assuntos
Ética em Enfermagem/educação , Educação de Pacientes como Assunto/métodos , Relações Profissional-Família , Humanos , Enfermagem Pediátrica/métodos
11.
Compr Child Adolesc Nurs ; 42(1): 71-84, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29293023

RESUMO

Children's nurses require a wide range of skills and knowledge to enable them to provide the best care for children and families, thus nurse educators must continually strive to ensure they create appropriate and meaningful learning for students in their journey to become children's nurses. Museum visits have been utilized previously within nurse education, but no evidence as to any added value of such visits on the learning of children's nursing students has been reported. This article highlights an innovative teaching strategy that was introduced to a group of year 1 children's nursing students-a field visit to the Museum of Childhood in London-and demonstrates the potential value to their learning. Students worked together in small groups within the museum exploring topics relevant to children's nursing. They had an opportunity to reflect and research further and then worked together to present their learning to their peers. Subsequent evaluation of both the visit and the presentation helped unravel the extent of student learning and highlighted that a range of different learning had taken place. Not without its challenges, the museum visit seemed to provide a meaningful learning experience for students, and suggestions for improving the learning for future similar groups have been explored.


Assuntos
Museus , Estudantes de Enfermagem/psicologia , Ensino/normas , Bacharelado em Enfermagem , Humanos , Aprendizagem , Londres , Enfermeiras Pediátricas/educação , Enfermeiras Pediátricas/psicologia , Enfermagem Pediátrica/métodos , Aprendizagem Baseada em Problemas/métodos , Aprendizagem Baseada em Problemas/normas , Pesquisa Qualitativa , Ensino/psicologia
12.
Burns ; 45(1): 190-198, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30249435

RESUMO

BACKGROUND AND AIM: Pediatric burn injury is a traumatic experience which affects the child both physically and psychologically. Following the burn injury, repetitive dressing changes are one of the main problems, and to manage the level of distress caused this procedure, various distraction strategies are being used. However, the effect of hospital clown during burn dressing change among children has not been studied before. Therefore, the present study aimed to investigate the effect of hospital clown-nurse on children's compliance to burn dressing change. METHODS: This randomized controlled experimental study was conducted with 50 children between 3-7years. There were 25 children in the experimental group and 25 children in the control group. In the intervention group, clown-nurse accompanied the child during burn dressing change while the children in the control group received standard care without hospital clown. Children's behavioral reactions were observed during dressing change. CONCLUSIONS: Children in the intervention group had better compliance to burn dressing change, in other words, they cried and/or yelled less, they were more active, had better mood, better communication and interaction with the accompanying parent and the nurse. In addition, older children in the experimental group had better compliance to the burn dressing change.


Assuntos
Bandagens , Queimaduras/enfermagem , Cooperação do Paciente , Enfermagem Pediátrica/métodos , Assistência Ambulatorial , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Dor Processual , Turquia
13.
Nurs Ethics ; 26(3): 663-673, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-28766394

RESUMO

BACKGROUND: Moral distress is a very common experience in the nursing profession, and it is one of the main reasons for job dissatisfaction, burnout, and quitting among nurses. For instance, morally difficult situations in taking care of child patients who are severely ill may lead to moral distress for nurses. However, most of the studies about moral distress have been conducted on nurses of special wards and adult medical centers with much focus on developed countries. Subsequently, little has been researched on this topic among nurses in other nations such as Iran, and most certainly, there has been hardly any such research involving Iranian pediatric nurses. AIM/OBJECTIVES: This study was conducted to evaluate moral distress among nurses in selected pediatric hospitals in Tehran, Iran. RESEARCH DESIGN: This cross-sectional study was conducted on eligible nurses who were selected through proportional stratified sampling and who completed demographic characteristics and the pediatric version of Moral Distress Scale-Revised questionnaires. Data were analyzed using descriptive statistics, t test, one-way analysis of variance, and Pearson correlation coefficient. PARTICIPANTS AND RESEARCH CONTEXT: In total, 195 pediatric nurses working at three selected children's specialized university hospitals in Tehran participated in this study. ETHICAL CONSIDERATIONS: This study was evaluated and approved by the institutional review board of Tehran University of Medical Sciences. FINDINGS: The mean and standard deviation of total score of moral distress was 106.41 ± 61.64 within a range of 10-257. Also, the difference between the mean score of moral distress of the group who had not quitted their position and those who have quit in the past was statistically significant (p = 0.043). The situation that was associated with the highest moral distress was "observing medical students performing painful procedures on patients just to gain some skill." Total score of moral distress was significantly higher among male nurses (p = 0.014), while nurses with a master's degree experienced just a higher intensity of moral distress compared to those who had a bachelor's degree (p = 0.006). CONCLUSION: Since many pediatric nurses clearly face moral distress while taking care of children, it is necessary to consider measures for preventing or decreasing situations that would lead to this distress.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Enfermagem Pediátrica/normas , Transtornos de Estresse Pós-Traumáticos/etiologia , Adulto , Atitude do Pessoal de Saúde , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Estudos Transversais , Feminino , Humanos , Irã (Geográfico) , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Enfermagem Pediátrica/métodos , Psicometria/instrumentação , Psicometria/métodos , Transtornos de Estresse Pós-Traumáticos/psicologia , Inquéritos e Questionários , Carga de Trabalho/psicologia , Carga de Trabalho/normas , Local de Trabalho/psicologia , Local de Trabalho/normas
14.
J Pediatr Nurs ; 44: e66-e71, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30503155

RESUMO

PURPOSE: The focus of this paper is to identify the unmet family needs during children's hospitalization for cancer treatment. DESIGN AND METHODS: Qualitative interviews were carried out with five fathers and fourteen mothers purposively sampled from four pediatric oncology departments in Mainland China from September 2013 to March 2014. Audiotaped interviews were transcribed verbatim, and data in transcripts were coded and analyzed by qualitative content analysis. RESULTS: The identified unmet family needs pertaining to healthcare service during a child's hospitalization for cancer treatment were unmet need for warm and supportive attitudes; competent care; adequate information; a comfortable environment; and catering support. CONCLUSIONS: The results showed that families with children hospitalized for cancer treatment have a variety of unmet needs related to healthcare service. These identified unmet family needs have already shed light on areas for healthcare service improvement. PRACTICE IMPLICATIONS: This study have reminded nurses' to become more concerned about unmet family needs instead of only focusing on the hospitalized child in clinical settings. Healthcare professionals can assist in promoting family adaptation to children's hospitalization by satisfying their unmet family needs.


Assuntos
Serviços de Saúde da Criança/organização & administração , Efeitos Psicossociais da Doença , Assistência à Saúde/organização & administração , Necessidades e Demandas de Serviços de Saúde , Neoplasias/terapia , Adulto , Criança , Pré-Escolar , China , Feminino , Hospitalização/economia , Hospitalização/estatística & dados numéricos , Humanos , Entrevistas como Assunto , Masculino , Neoplasias/diagnóstico , Neoplasias/economia , Neoplasias/enfermagem , Papel do Profissional de Enfermagem , Enfermagem Pediátrica/métodos , Pesquisa Qualitativa , Fatores Socioeconômicos
15.
J Pediatr Nurs ; 44: e98-e106, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30503254

RESUMO

PURPOSE: The aims of the study are 1) to gain knowledge of parents' and professionals' perceptions about cancer stricken children's resources, burdens, and ability to pretend play, and 2) to prepare the initiation of a pretend play intervention based on children's needs and included parents' and professionals' feedback. DESIGN AND METHODS: Qualitative design using semi-structured interviews with 13 parents of children diagnosed with leukemia and 15 professionals in the field of pediatric oncology. Themes were derived with content analysis via deductive and inductive coding. RESULTS: Analysis resulted in five topics. (1) Ability to play in the context of leukemia (2) ways of coping with leukemia (3) difficulty in transition to normality (4) parental quality of life and parents' needs (5) perceptions of the potential of pretend play. CONCLUSION: Study results indicate the potential of pretend play interventions for young cancer patients and the need for additional professional support of parents. PRACTICE IMPLICATIONS: Pretend play is a tool children carry with them regardless of their circumstances. If we can enhance their ability to play, doing so should give them an advantage in creative problem solving and creative expression as they deal with a life threatening disease.


Assuntos
Adaptação Psicológica/fisiologia , Ludoterapia/métodos , Leucemia-Linfoma Linfoblástico de Células Precursoras/psicologia , Leucemia-Linfoma Linfoblástico de Células Precursoras/reabilitação , Centros Médicos Acadêmicos , Adolescente , Adulto , Criança , Feminino , Seguimentos , Alemanha , Humanos , Entrevistas como Assunto , Masculino , Papel do Profissional de Enfermagem , Relações Pais-Filho , Enfermagem Pediátrica/métodos , Projetos Piloto , Leucemia-Linfoma Linfoblástico de Células Precursoras/diagnóstico , Pesquisa Qualitativa , Resultado do Tratamento
16.
J Pediatr Nurs ; 43: 62-68, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30473158

RESUMO

PURPOSE: The primary goal of this study was to test the feasibility of an educational online self-assessment of burnout, resilience, trauma, depression, anxiety, and common workplace stressors among nurses working in a pediatric intensive care unit or neonatal intensive care unit setting. The secondary, exploratory objectives were to estimate the prevalence of psychiatric symptoms in this sample and to identify those variables that most strongly predict burnout. DESIGN AND METHODS: Data from optional and anonymous online measures were analyzed for 115 nurses (67.9% aged 25-44; 61.7% Caucasian) working in an urban children's hospital pediatric or neonatal ICU. Multiple linear regressions identified demographic variables and workplace stressors that significantly predicted each of three components of burnout. RESULTS: Most respondents found the educational assessment and feedback to be helpful. Choosing nursing as a second career was associated with better resilience. Having worked in ICU settings longer and being older were both linked to lower levels of anxiety. Predictors of burnout varied across the three burnout subscales. CONCLUSIONS: Implementation of an online self-assessment with immediate educational feedback is feasible in critical care settings. The variability of predictors across the three burnout subscales indicates the need for tailored interventions for those at risk. Future research may include follow-up of nurses to examine changes in scores over time and expansion of the tool for other medical personnel. PRACTICE IMPLICATIONS: An educational online self-assessment can be a helpful tool for pediatric critical care nurses experiencing varying degrees of burnout and distress.


Assuntos
Esgotamento Profissional/psicologia , Cuidados Críticos/métodos , Saúde Mental , Comportamento de Redução do Risco , Autoavaliação , Adulto , Pré-Escolar , Educação a Distância , Estudos de Viabilidade , Retroalimentação , Feminino , Hospitais Pediátricos , Humanos , Lactente , Unidades de Terapia Intensiva Neonatal , Unidades de Terapia Intensiva Pediátrica , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Enfermagem Neonatal/métodos , Enfermagem Pediátrica/métodos , Projetos Piloto , Qualidade de Vida , Estados Unidos , Adulto Jovem
17.
J Pediatr Nurs ; 43: 9-15, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30473162

RESUMO

PURPOSE: Parents' and nurses' expectations about pain control and comfort in children after heart surgery were explored to contribute to evidence-based family-centered interventions. DESIGN AND METHODS: 20 nurses and 23 parents from a tertiary pediatric center in the Pacific Northwest, were interviewed about their expectations of children's pain control and comfort experience in the hospital after heart surgery. In this descriptive study, data were collected from semi-structured recall interviews and analyzed using content analysis. RESULTS: Most parents expected their child be medicated at a level of not feeling any pain. Many expected their child to remain in a heavily sedated state after the surgery. A few parents did not know what to expect. In contrast, nurses expected children to have controlled pain with intermittent discomfort, yet, tolerating recovery activities. CONCLUSIONS: Although both parents and nurses expect to partner in the comfort care of the child, there is variation on the expectations around the nurse-parent relationship and the operational definition of pain management and comfort. PRACTICE IMPLICATIONS: Awareness of parents' expectations about pediatric post-operative comfort present an opportunity for the development of interventions aimed to enhance alignment of nurse and family strategies for children after heart surgery. Pre-operative preparation for families specific to post-operative recovery and pain management of children hospitalized for heart surgery is needed.


Assuntos
Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Procedimentos Cirúrgicos Cardíacos/métodos , Manejo da Dor/métodos , Dor Pós-Operatória/terapia , Pais/psicologia , Enfermagem Pediátrica/métodos , Adulto , Atitude do Pessoal de Saúde , Criança , Pré-Escolar , Feminino , Hospitais Pediátricos , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Medição da Dor , Dor Pós-Operatória/diagnóstico , Relações Pais-Filho , Conforto do Paciente , Complicações Pós-Operatórias/fisiopatologia , Complicações Pós-Operatórias/terapia , Prognóstico , Medição de Risco , Inquéritos e Questionários
18.
J Pediatr Nurs ; 43: 97-103, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30473163

RESUMO

PURPOSE: Secondary traumatic stress affects many in the helping professions, and has been identified in many nursing specialty areas. The purpose of this study was to expand the knowledge of secondary traumatic stress in pediatric nursing by examining the statistical relationships between secondary traumatic stress, age of the nurse, and years of nursing experience, and coping responses. DESIGN AND METHODS: A convenience sample of Certified Pediatric Nurses (n = 338) were surveyed using the Secondary Traumatic Stress Scale, the Brief COPE, the Marlowe-Crowne Social Desirability-Short Form, and a demographics form. Hierarchical multiple linear regression and descriptive statistics were utilized to examine secondary traumatic stress and the other variables of interest. RESULTS: Secondary traumatic stress affected more than half of pediatric nurses surveyed. Age and years of experience did not predict secondary traumatic stress. Looking at coping responses pediatric nurses with higher emotional support and instrumental support scores also demonstrated higher secondary traumatic stress scores. Denial and behavioral disengagement were also associated with an increase in secondary traumatic stress scores. CONCLUSION: Secondary traumatic stress impacts many pediatric nurses. Further research is needed to determine which factors predispose pediatric nurses to secondary traumatic stress and which coping responses help pediatric nurses best manage this stress. PRACTICE IMPLICATIONS: Acknowledging secondary traumatic stress in this population by promoting awareness, and providing educational programs will help to protect nurses' psychological health, and may prevent nurses from leaving the profession due to work-related stress.


Assuntos
Esgotamento Profissional/epidemiologia , Fadiga por Compaixão/epidemiologia , Enfermeiras Pediátricas/psicologia , Saúde do Trabalhador , Estresse Psicológico/complicações , Adaptação Psicológica , Adulto , Esgotamento Profissional/prevenção & controle , Criança , Fadiga por Compaixão/fisiopatologia , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Saúde Mental , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Pediátrica/métodos , Valor Preditivo dos Testes , Medição de Risco , Inquéritos e Questionários
19.
J Pediatr Nurs ; 42: 34-38, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30219297

RESUMO

PURPOSE: The purpose of this study was to examine the association between pain sensitivity, central sensitization, and functional disability in adolescents with joint hypermobility. DESIGN AND METHODS: A cross-sectional descriptive design was utilized for this study. A sample of 40 adolescents being evaluated for chronic pain and autonomic nervous system dysfunction were recruited. Subjects were evaluated for pain, function, central sensitization, and sensitivity on pain and touch sensory nerve fiber types. Data were analyzed to detect associations between variables. RESULTS: Joint hypermobility had a moderately significant correlation with central sensitization measured by the Central Sensitization Inventory, as well as increased pain sensitivity as evidenced by hypersensitivity of Aδ sensory nerve fibers. The presence of central sensitization was also positively associated with level of functional disability. CONCLUSIONS: Findings implicate joint hypermobility as a possible antecedent to pain hypersensitivity and central sensitization syndromes that when recognized and addressed effectively may reduce functional disability in those affected. PRACTICE IMPLICATIONS: It is important for pediatric nurses that work with adolescents that have chronic pain to understand variables that may impact pain and functional disability in order to develop methods to increase function, reduce pain, and increase perceived quality of life.


Assuntos
Sensibilização do Sistema Nervoso Central/fisiologia , Dor Crônica/enfermagem , Instabilidade Articular/enfermagem , Medição da Dor/enfermagem , Enfermagem Pediátrica/métodos , Adolescente , Dor Crônica/psicologia , Feminino , Humanos , Instabilidade Articular/psicologia , Masculino , Avaliação em Enfermagem , Qualidade de Vida
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