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Add the result to your basketSpecial Issue on Social Determinants of Health in Journal of Pediatric Nursing, Vol.37 No.6 (Nov-Dec) 2017 ([03/29/2018])
Title : Special Issue on Social Determinants of Health Material Type: printed text Publication Date: 2018 Article on page: p.1-2 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.1-2Keywords: Social Determinants.Health. Abstract: The World Health Organization (WHO) defines social determinants of health as “the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life” (WHO, 2015). Social determinants of health account for over 75 percent of health outcomes (CDC, 2014). There are marked disparities in the health outcomes of children who are under-resourced and underserved. The disparities are most marked in children with acute and chronic conditions whose families are experiencing unmet social needs (Raphael, Rueda, Lion, & Giordano, 2013). Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27614 [article] Special Issue on Social Determinants of Health [printed text] . - 2018 . - p.1-2.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.1-2Keywords: Social Determinants.Health. Abstract: The World Health Organization (WHO) defines social determinants of health as “the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life” (WHO, 2015). Social determinants of health account for over 75 percent of health outcomes (CDC, 2014). There are marked disparities in the health outcomes of children who are under-resourced and underserved. The disparities are most marked in children with acute and chronic conditions whose families are experiencing unmet social needs (Raphael, Rueda, Lion, & Giordano, 2013). Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27614
Title : Does Access to Green Space Impact the Mental Well-being of Children : A Systematic Review Material Type: printed text Authors: McCormick, Rachel, Author Publication Date: 2018 Article on page: p.3-7 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.3-7Keywords: Green space, Access, Mental health, Stress, Children Abstract: Problem
An increasing body of research is showing associations between green space and overall health. Children are spending more time indoors while pediatric mental and behavioral health problems are increasing. A systematic review of the literature was done to examine the association between access to green space and the mental well-being of children.
Eligibility Criteria
Articles were limited to English language, ages 0–18 years, and publish date 2012–2017.
Sample
The search yielded 341 articles in Ovid, 81 in Pub Med and 123 in Scopus. Articles that were not original research and that were not a pediatric population were excluded. Twelve articles fit the selection criteria.
Results
Twelve articles relating to green space and the mental well-being of children were reviewed. Three articles outside the date criteria were included as they are cited often in the literature as important early research on this topic.
Conclusions
Access to green space was associated with improved mental well-being, overall health and cognitive development of children. It promotes attention restoration, memory, competence, supportive social groups, self-discipline, moderates stress, improves behaviors and symptoms of ADHD and was even associated with higher standardized test scores.
Implications
Scientific evidence demonstrating the mental health benefits of access to nature for children can guide policy and urban planning, while nursing interventions and initiatives can enhance health by promoting outdoor play, educating patients and families, advocating for recess times and green environments at school as well as healing gardens in hospital settings.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27615 [article] Does Access to Green Space Impact the Mental Well-being of Children : A Systematic Review [printed text] / McCormick, Rachel, Author . - 2018 . - p.3-7.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.3-7Keywords: Green space, Access, Mental health, Stress, Children Abstract: Problem
An increasing body of research is showing associations between green space and overall health. Children are spending more time indoors while pediatric mental and behavioral health problems are increasing. A systematic review of the literature was done to examine the association between access to green space and the mental well-being of children.
Eligibility Criteria
Articles were limited to English language, ages 0–18 years, and publish date 2012–2017.
Sample
The search yielded 341 articles in Ovid, 81 in Pub Med and 123 in Scopus. Articles that were not original research and that were not a pediatric population were excluded. Twelve articles fit the selection criteria.
Results
Twelve articles relating to green space and the mental well-being of children were reviewed. Three articles outside the date criteria were included as they are cited often in the literature as important early research on this topic.
Conclusions
Access to green space was associated with improved mental well-being, overall health and cognitive development of children. It promotes attention restoration, memory, competence, supportive social groups, self-discipline, moderates stress, improves behaviors and symptoms of ADHD and was even associated with higher standardized test scores.
Implications
Scientific evidence demonstrating the mental health benefits of access to nature for children can guide policy and urban planning, while nursing interventions and initiatives can enhance health by promoting outdoor play, educating patients and families, advocating for recess times and green environments at school as well as healing gardens in hospital settings.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27615
Title : Social Determinants of Overweight and Obesity Rates : Elementary School in a Predominantly Hispanic School District Material Type: printed text Authors: Santom, Richard, Author ; Huerta, Gabriel, Author ; Kark, Menuka, Author Publication Date: 2018 Article on page: p.8-12 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.8-12Keywords: Hispanics, Overweight and obesity, Social determinants, Elementary school Abstract: Objective
This study analyzes the social determinants associated with the overweight or obesity prevalence of 85 elementary schools during the 2010–11 academic year in a predominantly Hispanic school district.
Methods
A binomial logistic regression is used to analyze the aggregate overweight or obesity rate of a school by the percent of Hispanic students in each school, selected school and neighborhood characteristics, and its geographical location.
Results
The proportion of Hispanic enrollment more readily explains a school's aggregate overweight or obesity rate than social determinants or spatial location. Number of fast food establishments and the academic ranking of a school appear to slightly impact the aggregate prevalence rate. Spatial location of school is not a significant factor, controlling for other determinants.
Conclusions
An elementary school's overall overweight or obesity rate provides a valuable health indicator to study the social determinants of obesity among Hispanics and other students within a local neighborhood.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27616 [article] Social Determinants of Overweight and Obesity Rates : Elementary School in a Predominantly Hispanic School District [printed text] / Santom, Richard, Author ; Huerta, Gabriel, Author ; Kark, Menuka, Author . - 2018 . - p.8-12.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.8-12Keywords: Hispanics, Overweight and obesity, Social determinants, Elementary school Abstract: Objective
This study analyzes the social determinants associated with the overweight or obesity prevalence of 85 elementary schools during the 2010–11 academic year in a predominantly Hispanic school district.
Methods
A binomial logistic regression is used to analyze the aggregate overweight or obesity rate of a school by the percent of Hispanic students in each school, selected school and neighborhood characteristics, and its geographical location.
Results
The proportion of Hispanic enrollment more readily explains a school's aggregate overweight or obesity rate than social determinants or spatial location. Number of fast food establishments and the academic ranking of a school appear to slightly impact the aggregate prevalence rate. Spatial location of school is not a significant factor, controlling for other determinants.
Conclusions
An elementary school's overall overweight or obesity rate provides a valuable health indicator to study the social determinants of obesity among Hispanics and other students within a local neighborhood.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27616
Title : Sociocultural Considerations in Juvenile Arthritis : A Review Material Type: printed text Authors: Lewis, Kimberly A., Author ; Brown, Sharon A., Author Publication Date: 2018 Article on page: p.13-21 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.13-21Keywords: Pediatric rheumatology, Underserved population, Minority health, Social determinants of health, Disability outcome, Quality of life. Abstract: Problem
Juvenile Arthritis (JA) is one of the most common autoimmune diseases in children. A variety of sociocultural factors that influence health outcomes in children with JA have been examined in previous research. However, clinical guidelines to guide the care of these children lack support because this research has not been systematically examined and synthesized.
Eligibility Criteria
Primary research articles from five internet databases were included if they were peer-reviewed articles in English of studies conducted in the U.S. or Canada and referenced one or more determinants of health, quality of life, socioeconomic status, or health disparities in children with JA.
Sample
The final sample included 16 articles representing 2139 children and 939 parents.
Results
Topics covered in the studies included medication compliance, electronic medical records, environmental risk factors, economic hardship, parental coping, leisure activities, and their effects on patient outcomes including disability and quality of life. Patients with Medicaid experienced more severe outcomes than patients with private insurance despite equivalent levels of healthcare utilization. Other important topics, such as effects of the physical environment and alcohol use, were missing from the literature.
Conclusions
Five categories of health determinants were found to influence outcomes: biology, individual behaviors, social environment, physical environment, and health services. Disparities continue to exist for racial and ethnic minority children with JA and those of low socioeconomic status.
Implications
Sociocultural factors should be taken into consideration when developing care plans, research studies, and policies in order to remove barriers and promote the best outcomes for this vulnerable population.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27617 [article] Sociocultural Considerations in Juvenile Arthritis : A Review [printed text] / Lewis, Kimberly A., Author ; Brown, Sharon A., Author . - 2018 . - p.13-21.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.13-21Keywords: Pediatric rheumatology, Underserved population, Minority health, Social determinants of health, Disability outcome, Quality of life. Abstract: Problem
Juvenile Arthritis (JA) is one of the most common autoimmune diseases in children. A variety of sociocultural factors that influence health outcomes in children with JA have been examined in previous research. However, clinical guidelines to guide the care of these children lack support because this research has not been systematically examined and synthesized.
Eligibility Criteria
Primary research articles from five internet databases were included if they were peer-reviewed articles in English of studies conducted in the U.S. or Canada and referenced one or more determinants of health, quality of life, socioeconomic status, or health disparities in children with JA.
Sample
The final sample included 16 articles representing 2139 children and 939 parents.
Results
Topics covered in the studies included medication compliance, electronic medical records, environmental risk factors, economic hardship, parental coping, leisure activities, and their effects on patient outcomes including disability and quality of life. Patients with Medicaid experienced more severe outcomes than patients with private insurance despite equivalent levels of healthcare utilization. Other important topics, such as effects of the physical environment and alcohol use, were missing from the literature.
Conclusions
Five categories of health determinants were found to influence outcomes: biology, individual behaviors, social environment, physical environment, and health services. Disparities continue to exist for racial and ethnic minority children with JA and those of low socioeconomic status.
Implications
Sociocultural factors should be taken into consideration when developing care plans, research studies, and policies in order to remove barriers and promote the best outcomes for this vulnerable population.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27617
Title : An Integrative Review of Social Determinants of : Health Assessment and Screening Tools Used in Pediatrics Material Type: printed text Authors: Morone, Jennifer, Author Publication Date: 2018 Article on page: p.22-28 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.22-28Keywords: Social determinants, Pediatric, Social risks, Disparities. Abstract: Problem
Social and physical contexts which make up social determinants of health (SDOH) have tremendous impacts on youth development, health and well-being. Despite knowledge and evidence of these impacts, few pediatric SDOH screening tools are known. The purpose of this review was to identify and evaluate available pediatric SDOH screening tools.
Eligibility Criteria
Articles were limited to studies in the English language, with pediatric populations, conducted in the United States, and were peer-reviewed, primary studies.
Sample
Search of 3 databases (PsychInfo, CINAHL and PubMed) yielded 499 articles, 486 were excluded. Total of 13 articles were appraised and synthesized using the SDOH framework outlined by Healthy People 2020.
Results
Thirteen articles relevant to the assessment of SDOH domains were evaluated. Majority of studies were limited in both the number of SDOH domains screened and the depth of screening. Tools were heterogeneous in methods used to assess SDOH risks and few were validated. Limited number of studies included youth or families in the initial development of tools.
Conclusions
Despite growing recognition across healthcare that SDOH greatly influence pediatric health risks, management and outcomes, there is a dearth of available high quality, multidimensional, comprehensive screening tools for pediatric care professionals.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27618 [article] An Integrative Review of Social Determinants of : Health Assessment and Screening Tools Used in Pediatrics [printed text] / Morone, Jennifer, Author . - 2018 . - p.22-28.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.22-28Keywords: Social determinants, Pediatric, Social risks, Disparities. Abstract: Problem
Social and physical contexts which make up social determinants of health (SDOH) have tremendous impacts on youth development, health and well-being. Despite knowledge and evidence of these impacts, few pediatric SDOH screening tools are known. The purpose of this review was to identify and evaluate available pediatric SDOH screening tools.
Eligibility Criteria
Articles were limited to studies in the English language, with pediatric populations, conducted in the United States, and were peer-reviewed, primary studies.
Sample
Search of 3 databases (PsychInfo, CINAHL and PubMed) yielded 499 articles, 486 were excluded. Total of 13 articles were appraised and synthesized using the SDOH framework outlined by Healthy People 2020.
Results
Thirteen articles relevant to the assessment of SDOH domains were evaluated. Majority of studies were limited in both the number of SDOH domains screened and the depth of screening. Tools were heterogeneous in methods used to assess SDOH risks and few were validated. Limited number of studies included youth or families in the initial development of tools.
Conclusions
Despite growing recognition across healthcare that SDOH greatly influence pediatric health risks, management and outcomes, there is a dearth of available high quality, multidimensional, comprehensive screening tools for pediatric care professionals.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27618
Title : Dance for Health : An Intergenerational Program to Increase Access to Physical Activity Material Type: printed text Publication Date: 2018 Article on page: p.29-34 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.29-34Keywords: Intergenerational,Physical activity,Exercise,Dance,Community based participatory research, Community engagement. Abstract: Purpose
The purpose of this study was to evaluate Dance for Health, an intergenerational program to increase access to physical activity in an underserved, high risk urban community.
Design and Methods
Dance for Health was developed using community-based participatory research methods and evaluated using an observational study design. The program entailed two hour line dancing sessions delivered by trained dance instructors in the neighborhood recreation center. The weekly sessions were delivered for one month in the spring and one month in the fall from 2012–2016. Nurse practitioner students mentored local high school students to assess outcomes: achievement of target heart rate, Borg Rating of Perceived Exertion, number of pedometer steps during dance session, Physical Activity Enjoyment Scale, and adiposity. Analytic methods included descriptive statistics and mixed effects models.
Results
From 2012–2016, 521 participants ranging from 2–79 years attended Dance for Health. Approximately 50% of children and 80% of adults achieved target heart rate. Achievement of target heart rate was not related to perceived exertion, though it was related to pedometer steps in adults. All participants rated the program highly for enjoyment. There was no change in adiposity.
Conclusions
Dance for Health demonstrated high levels of community engagement and enjoyment. It led to adequate levels of exertion, particularly for adults. Our evaluation can inform program refinement and future intergenerational physical activity programs.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27619 [article] Dance for Health : An Intergenerational Program to Increase Access to Physical Activity [printed text] . - 2018 . - p.29-34.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.29-34Keywords: Intergenerational,Physical activity,Exercise,Dance,Community based participatory research, Community engagement. Abstract: Purpose
The purpose of this study was to evaluate Dance for Health, an intergenerational program to increase access to physical activity in an underserved, high risk urban community.
Design and Methods
Dance for Health was developed using community-based participatory research methods and evaluated using an observational study design. The program entailed two hour line dancing sessions delivered by trained dance instructors in the neighborhood recreation center. The weekly sessions were delivered for one month in the spring and one month in the fall from 2012–2016. Nurse practitioner students mentored local high school students to assess outcomes: achievement of target heart rate, Borg Rating of Perceived Exertion, number of pedometer steps during dance session, Physical Activity Enjoyment Scale, and adiposity. Analytic methods included descriptive statistics and mixed effects models.
Results
From 2012–2016, 521 participants ranging from 2–79 years attended Dance for Health. Approximately 50% of children and 80% of adults achieved target heart rate. Achievement of target heart rate was not related to perceived exertion, though it was related to pedometer steps in adults. All participants rated the program highly for enjoyment. There was no change in adiposity.
Conclusions
Dance for Health demonstrated high levels of community engagement and enjoyment. It led to adequate levels of exertion, particularly for adults. Our evaluation can inform program refinement and future intergenerational physical activity programs.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27619
Title : New Frameworks for Understanding Sudden Unexpected Deaths in Infancy (SUDI) in Socially Vulnerable Families Material Type: printed text Publication Date: 2018 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018]Keywords: Sudden unexpected death in infancy (SUDI), Sudden Infant Death Syndrome (SIDS), Disadvantage, Social determinants, Socially vulnerable. Abstract: Theoretical Principles
Sociological frameworks may enhance understanding of the complex and multidimensional nature of disadvantage, which is prevalent among families who experience Sudden Unexpected Death in Infancy (SUDI).
Phenomena Addressed
SUDI is the largest category of postneonatal death and largely associated with the social determinants of health. The highly successful ‘Back to Sleep’ campaign has resulted in a more than 85% decrease in SUDI. However, social inequalities have accompanied this decrease, and the burden of SUDI now lies with the most disadvantaged and socially vulnerable families. A considerable body of research on the phenomena of SUDI and disadvantage has been published over the last decade, demonstrating the widening social gradient in SUDI, and the importance in recognising structural factors and the multifactorial nature of disadvantage. Gaps in understanding of risk factors and scepticism about the received wisdom of health professionals have emerged as central themes in understanding why socially vulnerable families may adopt unsafe infant care practices. The direct impact of social disadvantage on infant care has also been recognised.
Research Linkages
The translation of epidemiological findings regarding SUDI risk into public health recommendations for health professionals and families alike has to date focused on eliminating individual level risk behaviours. Unfortunately, such a model largely ignores the broader social, cultural, and structural contexts in which such behaviours occur. Translating the new knowledge offered by sociological frameworks and the principles of behavioural economics into evidence based interventions may assist in the reduction of SUDI mortality in our most socially vulnerable families.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27620 [article] New Frameworks for Understanding Sudden Unexpected Deaths in Infancy (SUDI) in Socially Vulnerable Families [printed text] . - 2018.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018]Keywords: Sudden unexpected death in infancy (SUDI), Sudden Infant Death Syndrome (SIDS), Disadvantage, Social determinants, Socially vulnerable. Abstract: Theoretical Principles
Sociological frameworks may enhance understanding of the complex and multidimensional nature of disadvantage, which is prevalent among families who experience Sudden Unexpected Death in Infancy (SUDI).
Phenomena Addressed
SUDI is the largest category of postneonatal death and largely associated with the social determinants of health. The highly successful ‘Back to Sleep’ campaign has resulted in a more than 85% decrease in SUDI. However, social inequalities have accompanied this decrease, and the burden of SUDI now lies with the most disadvantaged and socially vulnerable families. A considerable body of research on the phenomena of SUDI and disadvantage has been published over the last decade, demonstrating the widening social gradient in SUDI, and the importance in recognising structural factors and the multifactorial nature of disadvantage. Gaps in understanding of risk factors and scepticism about the received wisdom of health professionals have emerged as central themes in understanding why socially vulnerable families may adopt unsafe infant care practices. The direct impact of social disadvantage on infant care has also been recognised.
Research Linkages
The translation of epidemiological findings regarding SUDI risk into public health recommendations for health professionals and families alike has to date focused on eliminating individual level risk behaviours. Unfortunately, such a model largely ignores the broader social, cultural, and structural contexts in which such behaviours occur. Translating the new knowledge offered by sociological frameworks and the principles of behavioural economics into evidence based interventions may assist in the reduction of SUDI mortality in our most socially vulnerable families.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27620
Title : How Early do Social Determinants of Health Begin to Operate? : Results From the Fragile Families and Child Wellbeing Study Material Type: printed text Publication Date: 2018 Article on page: p.42-50 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.42-50Keywords: Children, Social determinants of health, Self-rated health, Bullying, Social climate. Abstract: Purpose
From a life course perspective, important insights about how social determinants of health operate can be gained by analyzing the various forms that social climate can take in different life periods. For children, a critical aspect of social climate is exposure to bullying. Bullying can serve as a proxy for power imbalance and social exclusion analogous to adult social climate of discrimination and racism.
Design and Methods
We used the Year 9 follow-up data of the Fragile Families and Child Wellbeing Study (N = 3301) that, for the first time included interviews with the children. We drew on a national sample of children and their families, which allowed us to account for broader contextual variables and represented a broad range of geographic areas and schools. Multinomial logistic regression was used to estimate the effects of exposure to bullying on self-rated health among primarily 9- to 10-year-old children while controlling for socio-demographic and diagnosed health-conditions.
Results
Both frequency and forms of bullying were positively associated with lower odds of reporting excellent, very good or good health. The effect of forms of bullying on children's self-rated health fell on a gradient. Subgroup analysis indicated a significant effect on self-rated health for children who experienced peer rejection but not for those who experienced physical aggression.
Conclusions
The results of the study provide new evidence that the harmful health consequences of power imbalance and discriminatory practices may extend to children in early development. It also accentuates the need to study social determinants of health from both an ecological/contextual and a developmental angle.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27621 [article] How Early do Social Determinants of Health Begin to Operate? : Results From the Fragile Families and Child Wellbeing Study [printed text] . - 2018 . - p.42-50.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.42-50Keywords: Children, Social determinants of health, Self-rated health, Bullying, Social climate. Abstract: Purpose
From a life course perspective, important insights about how social determinants of health operate can be gained by analyzing the various forms that social climate can take in different life periods. For children, a critical aspect of social climate is exposure to bullying. Bullying can serve as a proxy for power imbalance and social exclusion analogous to adult social climate of discrimination and racism.
Design and Methods
We used the Year 9 follow-up data of the Fragile Families and Child Wellbeing Study (N = 3301) that, for the first time included interviews with the children. We drew on a national sample of children and their families, which allowed us to account for broader contextual variables and represented a broad range of geographic areas and schools. Multinomial logistic regression was used to estimate the effects of exposure to bullying on self-rated health among primarily 9- to 10-year-old children while controlling for socio-demographic and diagnosed health-conditions.
Results
Both frequency and forms of bullying were positively associated with lower odds of reporting excellent, very good or good health. The effect of forms of bullying on children's self-rated health fell on a gradient. Subgroup analysis indicated a significant effect on self-rated health for children who experienced peer rejection but not for those who experienced physical aggression.
Conclusions
The results of the study provide new evidence that the harmful health consequences of power imbalance and discriminatory practices may extend to children in early development. It also accentuates the need to study social determinants of health from both an ecological/contextual and a developmental angle.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27621
Title : Barriers to Addressing Social Determinants of Health in Pediatric Nursing Practice : An Integrative Review Material Type: printed text Publication Date: 2018 Article on page: p.51-56 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.51-56Keywords: Social determinants of health, Children and families, Family-centered care. Abstract: Problem
Despite a substantial body of knowledge regarding the importance of the social determinants of health, recognizing and responding to the psychosocial circumstances of seriously and chronically ill children and their families is not well established in routine pediatric nursing care.
Eligibility Criteria
the search process focused on psychological and social determinants and care in the healthcare setting. Searches were limited to research and review publications written in the English language. The quality of evidence was graded using the National Health and Medical Research Council evidence hierarchy.
Results
Thirteen publications were identified for inclusion. Healthcare providers do recognize emotional distress experienced by patients, but feel unable to address psychosocial issues due to the lack of time, a lack of confidence in their own communication skills, and the perception that patients and their families prioritize physical care over psychosocial care. For patients and their families the main issue was that the healthcare system was focused on physical care with little opportunity to talk about psychosocial concerns.
Conclusions
The greatest barrier to addressing the social determinants of health in the pediatric context is the dominance of the ‘medical model’ of care. Also, many healthcare providers believe that they lack the communication skills necessary to talk about psychosocial issues.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27622 [article] Barriers to Addressing Social Determinants of Health in Pediatric Nursing Practice : An Integrative Review [printed text] . - 2018 . - p.51-56.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.51-56Keywords: Social determinants of health, Children and families, Family-centered care. Abstract: Problem
Despite a substantial body of knowledge regarding the importance of the social determinants of health, recognizing and responding to the psychosocial circumstances of seriously and chronically ill children and their families is not well established in routine pediatric nursing care.
Eligibility Criteria
the search process focused on psychological and social determinants and care in the healthcare setting. Searches were limited to research and review publications written in the English language. The quality of evidence was graded using the National Health and Medical Research Council evidence hierarchy.
Results
Thirteen publications were identified for inclusion. Healthcare providers do recognize emotional distress experienced by patients, but feel unable to address psychosocial issues due to the lack of time, a lack of confidence in their own communication skills, and the perception that patients and their families prioritize physical care over psychosocial care. For patients and their families the main issue was that the healthcare system was focused on physical care with little opportunity to talk about psychosocial concerns.
Conclusions
The greatest barrier to addressing the social determinants of health in the pediatric context is the dominance of the ‘medical model’ of care. Also, many healthcare providers believe that they lack the communication skills necessary to talk about psychosocial issues.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27622
Title : Parents' Underestimations of Child Weight : Implications for Obesity Prevention Material Type: printed text Authors: Howe, Carol J., Author ; Alexande, Gina, Author ; Stevenson, Jada, Author Publication Date: 2018 Article on page: p.57-61 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.57-61Keywords: Childhood overweight, Childhood obesity, Parent perception of weight status, Health literacy Abstract: Purpose
Obesity prevention efforts may be ineffective if parents lack awareness of their children's overweight status.
This study examined the factors that predicted parents'underestimation of child weight status.
Design and Methods
Using a cross sectional design, researchers recruited children and parents in a local children's museum. Parents completed a demographic questionnaire, the Newest Vital Sign, and the Child Body Image Scale. Children's height and weight were measured to calculate child BMI. Random effects modeling examined the association between predictor variables (parent race/ethnicity, income, education, and health literacy, and child BMI percentile, gender, and age) and the dependent variable, parent underestimation of child weight status.
Results
Participants included 160 parents (213 children aged 7–12 years) representing a racially and ethnically diverse sample who were affluent, educated, and with 36.6% of parents assessed with limited health literacy. Although 45.1% of children were overweight/obese, only 7.5% of parents chose this weight status; 80% of parents underestimated the weight of their normal weight children, 96% underestimated their overweight children, and 72% underestimated their obese children. Parents were more likely to underestimate weight of older children and those under 81st percentile of BMI. No other predictors were significant.
Conclusions
Parent underestimation of child weight status appears to be a widespread phenomenon in this sample, regardless of race, ethnicity, income, education, and health literacy.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27624 [article] Parents' Underestimations of Child Weight : Implications for Obesity Prevention [printed text] / Howe, Carol J., Author ; Alexande, Gina, Author ; Stevenson, Jada, Author . - 2018 . - p.57-61.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.57-61Keywords: Childhood overweight, Childhood obesity, Parent perception of weight status, Health literacy Abstract: Purpose
Obesity prevention efforts may be ineffective if parents lack awareness of their children's overweight status.
This study examined the factors that predicted parents'underestimation of child weight status.
Design and Methods
Using a cross sectional design, researchers recruited children and parents in a local children's museum. Parents completed a demographic questionnaire, the Newest Vital Sign, and the Child Body Image Scale. Children's height and weight were measured to calculate child BMI. Random effects modeling examined the association between predictor variables (parent race/ethnicity, income, education, and health literacy, and child BMI percentile, gender, and age) and the dependent variable, parent underestimation of child weight status.
Results
Participants included 160 parents (213 children aged 7–12 years) representing a racially and ethnically diverse sample who were affluent, educated, and with 36.6% of parents assessed with limited health literacy. Although 45.1% of children were overweight/obese, only 7.5% of parents chose this weight status; 80% of parents underestimated the weight of their normal weight children, 96% underestimated their overweight children, and 72% underestimated their obese children. Parents were more likely to underestimate weight of older children and those under 81st percentile of BMI. No other predictors were significant.
Conclusions
Parent underestimation of child weight status appears to be a widespread phenomenon in this sample, regardless of race, ethnicity, income, education, and health literacy.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27624
Title : Intersecting Health Policy and the Social Determinants of Health in Pediatric : Type 1 Diabetes Management and Care Material Type: printed text Authors: Visekruna, Sanja, Author ; McGillis Hall, Linda, Author ; Parry, Monica, Author ; Spalding, Karen, Author Publication Date: 2018 Article on page: p.62-69 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.62-69Keywords: Type 1 diabetes, Health technology, Health policy, Government, Diabetes nurse educator. Abstract: Theoretical Principles
Type 1 diabetes health technologies are evolving. This is an expensive chronic condition to manage, hence a combination of public and private healthcare funding sources, as well as out-of-pocket payments support disease management. The aim of this paper is to describe two conceptual underpinnings, which can appropriately position the health policy and clinical context of pediatric type 1 diabetes management and care.
Phenomena Addressed
“The Main Determinants of Health” framework is used to position pediatric T1D management and care within the model's four interconnected layers: the structural environment, social and material conditions, support systems and individual health behaviors. A health policy in Ontario, Canada, the Assistive Devices Program for insulin pump therapy is also discussed relative to the model's outermost layer: the structural environment. Four dimensions of control, which characterize the “street-level bureaucrat” role including “distributing benefits and sanctions; structuring the context; teaching the client role; and, psychological benefits and sanctions” then position the policy context of the diabetes nurse educator role relative to the Assistive Devices Program policy.
Research Linkages
These conceptual underpinnings could extend beyond the pediatric T1D landscape to position global research in other nursing practice areas, as well as with other patient populations and professional disciplines such as social work and medicine.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27625 [article] Intersecting Health Policy and the Social Determinants of Health in Pediatric : Type 1 Diabetes Management and Care [printed text] / Visekruna, Sanja, Author ; McGillis Hall, Linda, Author ; Parry, Monica, Author ; Spalding, Karen, Author . - 2018 . - p.62-69.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.62-69Keywords: Type 1 diabetes, Health technology, Health policy, Government, Diabetes nurse educator. Abstract: Theoretical Principles
Type 1 diabetes health technologies are evolving. This is an expensive chronic condition to manage, hence a combination of public and private healthcare funding sources, as well as out-of-pocket payments support disease management. The aim of this paper is to describe two conceptual underpinnings, which can appropriately position the health policy and clinical context of pediatric type 1 diabetes management and care.
Phenomena Addressed
“The Main Determinants of Health” framework is used to position pediatric T1D management and care within the model's four interconnected layers: the structural environment, social and material conditions, support systems and individual health behaviors. A health policy in Ontario, Canada, the Assistive Devices Program for insulin pump therapy is also discussed relative to the model's outermost layer: the structural environment. Four dimensions of control, which characterize the “street-level bureaucrat” role including “distributing benefits and sanctions; structuring the context; teaching the client role; and, psychological benefits and sanctions” then position the policy context of the diabetes nurse educator role relative to the Assistive Devices Program policy.
Research Linkages
These conceptual underpinnings could extend beyond the pediatric T1D landscape to position global research in other nursing practice areas, as well as with other patient populations and professional disciplines such as social work and medicine.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27625
Title : ntegrating Faith-based and Community-based Participatory Research Approaches : to Adapt the Korean Parent Training Program Material Type: printed text Authors: Kim, Eunjung, Author ; Boutain, Doris, Author ; Kim, Sangho, Author ; Chun, Jin-Joo, Author ; Im, Hyesang, Author Publication Date: 2018 Article on page: p.70-78 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.70-78Keywords: Faith-based, CBPR, Health ministry, Korean Americans, Parent training Abstract: Purpose
Faith and community based inquiry approaches are rarely used to develop research interventions. The purpose of this article is to present how a research team worked with six Korean American Christian churches to revise the prototype Korean Parent Training Program (KPTP), based upon the Bright Futures Parenting Program. The collaboration was sought to better integrate and align the KPTP with Korean culture and faith. The KPTP was developed to promote positive parenting practices and decrease mental health disparities of Korean American children.
Design and Methods
Sixteen church participants completed a Delphi survey, a workshop series, Community Theaters, and focus groups.
Results
The participants suggested adding Korean traditional parenting virtues, Christian parenting principles, and revising the standardized parent training and program philosophy.
Conclusions
Revisions made KPTP sensitive to Korean culture and faith, and promoted program acceptability.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27628 [article] ntegrating Faith-based and Community-based Participatory Research Approaches : to Adapt the Korean Parent Training Program [printed text] / Kim, Eunjung, Author ; Boutain, Doris, Author ; Kim, Sangho, Author ; Chun, Jin-Joo, Author ; Im, Hyesang, Author . - 2018 . - p.70-78.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.70-78Keywords: Faith-based, CBPR, Health ministry, Korean Americans, Parent training Abstract: Purpose
Faith and community based inquiry approaches are rarely used to develop research interventions. The purpose of this article is to present how a research team worked with six Korean American Christian churches to revise the prototype Korean Parent Training Program (KPTP), based upon the Bright Futures Parenting Program. The collaboration was sought to better integrate and align the KPTP with Korean culture and faith. The KPTP was developed to promote positive parenting practices and decrease mental health disparities of Korean American children.
Design and Methods
Sixteen church participants completed a Delphi survey, a workshop series, Community Theaters, and focus groups.
Results
The participants suggested adding Korean traditional parenting virtues, Christian parenting principles, and revising the standardized parent training and program philosophy.
Conclusions
Revisions made KPTP sensitive to Korean culture and faith, and promoted program acceptability.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27628
Title : Recommendations for the Establishment of Disorders/Differences of : Sex Development Interdisciplinary Care Clinics for Youth Material Type: printed text Authors: Bakula, Dana M., Author ; Sharke, Christina M., Author ; Wolfe-Christense, Cortney, Author Publication Date: 2018 Article on page: p.79-85 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.79-85Keywords: Disorders/differences of sex development, DSD, Interdisciplinary care, Multidisciplinary care, Clinic development Abstract: Purpose
Provide recommendations for the development of an interdisciplinary care (IDC) clinic for the treatment of youth with disorders/differences of sex development (DSD). DSD consist of a group of complex congenital medical disorders in which the development of chromosomal, gonadal, or anatomical sex is atypical. Youth with DSD require care from multiple specialized healthcare disciplines, including several medical specialties, surgery, nursing, and mental health.
Method
Recommendations are based on an interdisciplinary care clinic model that allows for a team of relevant professionals who share knowledge, ideas, and responsibility of care. The framework established in this article is based largely on experiences at an established DSD clinic, as well as observations of multiple clinics across the United States.
Results
Preliminary outcome data on clinic adherence to treatment protocol under an IDC model are provided.
Conclusions
To meet the diverse healthcare needs of youth with DSD, comprehensive care clinics are recommended; however, few such clinics exist in the United States. Establishing new comprehensive DSD clinics can be challenging due to the highly unique treatment of DSD, but the current paper expands the literature available to guide clinic development in the United States.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27629 [article] Recommendations for the Establishment of Disorders/Differences of : Sex Development Interdisciplinary Care Clinics for Youth [printed text] / Bakula, Dana M., Author ; Sharke, Christina M., Author ; Wolfe-Christense, Cortney, Author . - 2018 . - p.79-85.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.79-85Keywords: Disorders/differences of sex development, DSD, Interdisciplinary care, Multidisciplinary care, Clinic development Abstract: Purpose
Provide recommendations for the development of an interdisciplinary care (IDC) clinic for the treatment of youth with disorders/differences of sex development (DSD). DSD consist of a group of complex congenital medical disorders in which the development of chromosomal, gonadal, or anatomical sex is atypical. Youth with DSD require care from multiple specialized healthcare disciplines, including several medical specialties, surgery, nursing, and mental health.
Method
Recommendations are based on an interdisciplinary care clinic model that allows for a team of relevant professionals who share knowledge, ideas, and responsibility of care. The framework established in this article is based largely on experiences at an established DSD clinic, as well as observations of multiple clinics across the United States.
Results
Preliminary outcome data on clinic adherence to treatment protocol under an IDC model are provided.
Conclusions
To meet the diverse healthcare needs of youth with DSD, comprehensive care clinics are recommended; however, few such clinics exist in the United States. Establishing new comprehensive DSD clinics can be challenging due to the highly unique treatment of DSD, but the current paper expands the literature available to guide clinic development in the United States.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27629
Title : National Testing of the Nursing-Kids Intensity of : Care Survey for Pediatric Long-term Care Material Type: printed text Publication Date: 2018 Article on page: p.86-90 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.86-90Keywords: Long-term care, Nursing intensity, Out-patient, Pediatric, Complex medical conditions, Instrument development. Abstract: Purpose
The purpose of this study is to test the Nursing–Kids Intensity of Care, a measure of the intensity of nursing care needs, defined as the quantity and type of direct and indirect care activities performed by caregivers in a national sample.
Design and Methods
A 40-item tool previously tested in a small sample was psychometrically tested on a sample of 116 children with complex medical conditions by 33 nurse raters across 11 pediatric sites.
Results
The Nursing-Kids Intensity of Care tool demonstrated components of usability, feasibility, inter-rater, test-retest and internal consistency reliability and construct validity in the national study sample.
Conclusions
Additional testing to further establish psychometric sufficiency and expanded use to quantify the intensity of nursing care needs of children with complex medical conditions in pediatric long-term care settings is recommended.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27631 [article] National Testing of the Nursing-Kids Intensity of : Care Survey for Pediatric Long-term Care [printed text] . - 2018 . - p.86-90.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.86-90Keywords: Long-term care, Nursing intensity, Out-patient, Pediatric, Complex medical conditions, Instrument development. Abstract: Purpose
The purpose of this study is to test the Nursing–Kids Intensity of Care, a measure of the intensity of nursing care needs, defined as the quantity and type of direct and indirect care activities performed by caregivers in a national sample.
Design and Methods
A 40-item tool previously tested in a small sample was psychometrically tested on a sample of 116 children with complex medical conditions by 33 nurse raters across 11 pediatric sites.
Results
The Nursing-Kids Intensity of Care tool demonstrated components of usability, feasibility, inter-rater, test-retest and internal consistency reliability and construct validity in the national study sample.
Conclusions
Additional testing to further establish psychometric sufficiency and expanded use to quantify the intensity of nursing care needs of children with complex medical conditions in pediatric long-term care settings is recommended.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27631
Title : Comparison of Children's Venipuncture Fear and Pain : Randomized Controlled Trial of EMLA® and J-Tip Needleless Injection System Material Type: printed text Publication Date: 2018 Article on page: p.91-96 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.91-96Keywords: Procedural pain management, Procedural fear, IV, EMLA® topical local anesthetic, J-Tip® Needle-free device. Abstract: Purpose
Needle procedures, like venipuncture and intravenous (IV) catheter insertion, are recognized as a common cause of pain and fear for children in hospitals and emergency departments. The purpose of this study was to compare children's self-reported pain and fear related to IV insertion with administration of either the topical local anesthetic EMLA® or 1% buffered lidocaine delivered with the J-Tip Needleless Injection System® (J-Tip®).
Design and Methods
In this prospective, randomized trial, 150 consecutive pediatric patients 8 to 18 years of age undergoing IV insertion were randomly assigned 1:1 to treatment group. Participants self-reported procedural pain using a Visual Analog Scale, and procedural fear using the Children's Fear Scale.
Results
Procedural pain scores were significantly lower in the EMLA® group (mean score 1.63 + 1.659) vs. the J-Tip® group (2.99 ± 2.586; p < 0.001). Post-procedure fear scores were significantly lower than pre-procedure fear scores in both treatment groups (p < 0.002), but there was no difference in fear scores between the two treatment groups (p = 0.314).
Conclusion
EMLA® provided superior pain relief for IV insertion compared to J-Tip®.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27632 [article] Comparison of Children's Venipuncture Fear and Pain : Randomized Controlled Trial of EMLA® and J-Tip Needleless Injection System [printed text] . - 2018 . - p.91-96.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.91-96Keywords: Procedural pain management, Procedural fear, IV, EMLA® topical local anesthetic, J-Tip® Needle-free device. Abstract: Purpose
Needle procedures, like venipuncture and intravenous (IV) catheter insertion, are recognized as a common cause of pain and fear for children in hospitals and emergency departments. The purpose of this study was to compare children's self-reported pain and fear related to IV insertion with administration of either the topical local anesthetic EMLA® or 1% buffered lidocaine delivered with the J-Tip Needleless Injection System® (J-Tip®).
Design and Methods
In this prospective, randomized trial, 150 consecutive pediatric patients 8 to 18 years of age undergoing IV insertion were randomly assigned 1:1 to treatment group. Participants self-reported procedural pain using a Visual Analog Scale, and procedural fear using the Children's Fear Scale.
Results
Procedural pain scores were significantly lower in the EMLA® group (mean score 1.63 + 1.659) vs. the J-Tip® group (2.99 ± 2.586; p < 0.001). Post-procedure fear scores were significantly lower than pre-procedure fear scores in both treatment groups (p < 0.002), but there was no difference in fear scores between the two treatment groups (p = 0.314).
Conclusion
EMLA® provided superior pain relief for IV insertion compared to J-Tip®.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27632
Title : Comparing Low-income Mothers' and Fathers' Concern for Young Children's Weight Material Type: printed text Authors: Vollme, Rachel L. V, Author ; Mobley, Amy R., Author Publication Date: 2018 Article on page: p.97-100 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.97-100Keywords: Pediatric obesity, Fathers, Weight perception, Body mass index, Preschool Abstract: Purpose
The objectives of this study were to compare the relationship of mother and father (1) perceived child weight and child body mass index (BMI) z-score, (2) concern for child's current weight and child BMI z-score, and (3) concern for child's future weight and child BMI z-score.
Design and Methods
This cross-sectional study included low-income mothers (n = 30) and fathers (n = 30) with a young child (3 to 10 years old) from the same household. Each parent completed select items from the Child Feeding Questionnaire (CFQ) with a trained interviewer. Child BMI z-score was calculated.
Results
There was a significant, positive relationship between fathers' perceived child weight and child BMI z-score (p = 0.006) and between fathers' concern for a child's future weight and child BMI z-score (p = 0.001) but not among mothers.
Conclusions
Cohabitating low-income parents of young children may have conflicting appraisals of their child's BMI z-score and concerns for their child's future weight, and low-income fathers may be more accurate and concerned about their children's weight.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27633 [article] Comparing Low-income Mothers' and Fathers' Concern for Young Children's Weight [printed text] / Vollme, Rachel L. V, Author ; Mobley, Amy R., Author . - 2018 . - p.97-100.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.97-100Keywords: Pediatric obesity, Fathers, Weight perception, Body mass index, Preschool Abstract: Purpose
The objectives of this study were to compare the relationship of mother and father (1) perceived child weight and child body mass index (BMI) z-score, (2) concern for child's current weight and child BMI z-score, and (3) concern for child's future weight and child BMI z-score.
Design and Methods
This cross-sectional study included low-income mothers (n = 30) and fathers (n = 30) with a young child (3 to 10 years old) from the same household. Each parent completed select items from the Child Feeding Questionnaire (CFQ) with a trained interviewer. Child BMI z-score was calculated.
Results
There was a significant, positive relationship between fathers' perceived child weight and child BMI z-score (p = 0.006) and between fathers' concern for a child's future weight and child BMI z-score (p = 0.001) but not among mothers.
Conclusions
Cohabitating low-income parents of young children may have conflicting appraisals of their child's BMI z-score and concerns for their child's future weight, and low-income fathers may be more accurate and concerned about their children's weight.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27633
Title : Impact of Non-medical Out-of-pocket Expenses on Families of Children : With Cerebral Palsy Following Orthopaedic Surgery Material Type: printed text Authors: Vessey Judith A., Author ; DiFazio, Rachel L., Author ; Strou, Tania D, Author ; Snyde, Brian D, Author Publication Date: 2018 Article on page: p.101-107 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.101-107Keywords: Non-medical out-of-pocket expenses, Cerebral palsy, Financial burden, Impact on Family Scale, Assessment of Caregivers Experience with Neuromuscular Disease (ACEND), Children with Special Health Care Needs. Abstract: Purpose
Limited research has been conducted on the non-medical out-of-pocket expenses (NOOPEs) incurred by families of children with chronic health conditions. The study objectives were to: 1) calculate the estimated NOOPEs incurred by families during hospitalization of their child, 2) identify predictors of high NOOPEs, and 3) assess the impact of the child's chronic health condition on the family's finances.
Design and Methods
Prospective observational study. Parents were included if their child was 3–20 years old, had severe, non-ambulatory cerebral palsy (CP), and scheduled for hip or spine surgery. Parents reported all NOOPEs incurred during their child's hospitalization using the Family Expense Diary. Families completed the subscales of the Impact on Family Scale and the Assessment of Caregivers Experience with Neuromuscular Disease. Descriptive and univariate and multiple hierarchical regression models were used in the analysis.
Results
Fifty two parents participated. The total NOOPEs ranged from $193.00 to $7192.71 (M = $2001.92) per hospitalization representing an average of 4% of the family's annual earned income. Caregiver age (F = 8.393, p < 0.001), income (F = 7.535, p < 0.001), and distance traveled to the hospital (F = 4.497, p = 0.039) were significant predictors of high NOOPEs. The subscale scores indicated that a child's chronic health condition had a significant impact on family finances.
Conclusions and Practice Implications
Hospitalization is associated with numerous NOOPEs that create additional financial demands for families caring for a child with severe CP. NOOPEs should be addressed when preparing families for their children's planned hospital admissions, especially those families of CSHCN who experience significant financial impacts secondary to their children's care.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27634 [article] Impact of Non-medical Out-of-pocket Expenses on Families of Children : With Cerebral Palsy Following Orthopaedic Surgery [printed text] / Vessey Judith A., Author ; DiFazio, Rachel L., Author ; Strou, Tania D, Author ; Snyde, Brian D, Author . - 2018 . - p.101-107.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.101-107Keywords: Non-medical out-of-pocket expenses, Cerebral palsy, Financial burden, Impact on Family Scale, Assessment of Caregivers Experience with Neuromuscular Disease (ACEND), Children with Special Health Care Needs. Abstract: Purpose
Limited research has been conducted on the non-medical out-of-pocket expenses (NOOPEs) incurred by families of children with chronic health conditions. The study objectives were to: 1) calculate the estimated NOOPEs incurred by families during hospitalization of their child, 2) identify predictors of high NOOPEs, and 3) assess the impact of the child's chronic health condition on the family's finances.
Design and Methods
Prospective observational study. Parents were included if their child was 3–20 years old, had severe, non-ambulatory cerebral palsy (CP), and scheduled for hip or spine surgery. Parents reported all NOOPEs incurred during their child's hospitalization using the Family Expense Diary. Families completed the subscales of the Impact on Family Scale and the Assessment of Caregivers Experience with Neuromuscular Disease. Descriptive and univariate and multiple hierarchical regression models were used in the analysis.
Results
Fifty two parents participated. The total NOOPEs ranged from $193.00 to $7192.71 (M = $2001.92) per hospitalization representing an average of 4% of the family's annual earned income. Caregiver age (F = 8.393, p < 0.001), income (F = 7.535, p < 0.001), and distance traveled to the hospital (F = 4.497, p = 0.039) were significant predictors of high NOOPEs. The subscale scores indicated that a child's chronic health condition had a significant impact on family finances.
Conclusions and Practice Implications
Hospitalization is associated with numerous NOOPEs that create additional financial demands for families caring for a child with severe CP. NOOPEs should be addressed when preparing families for their children's planned hospital admissions, especially those families of CSHCN who experience significant financial impacts secondary to their children's care.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27634
Title : Chronic Sorrow in Parents of Children with a Chronic Illness or Disability : An Integrative Literature Review Material Type: printed text Authors: Coughlin, Mary Beth, Author ; Sethares, Kristen A., Author Publication Date: 2018 Article on page: p.108-116 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.108-116Keywords: Chronic sorrow, Children, Chronic illness, Disability, Parents. Abstract: Problem
This integrative review aims to synthesize the findings of studies on chronic sorrow in parents, to analyze the findings along three specific research questions, and to identify areas for future research.
Eligibility Criteria
Studies of parents, mothers and/or fathers of non-adult children published in peer-reviewed journals that answered the research questions: 1) How does the experience of chronic sorrow differ between mothers and fathers? 2) What factors have been identified to impact the experience of chronic sorrow over time? 3) What strategies by health care providers for helping parents cope with chronic sorrow have been identified to be most and least helpful?
Sample
Nineteen studies from a literature search within the databases of CINAHL, MEDLINE, PsycINFO, Psycarticles and SocIndex were included in the review.
Results
Findings suggest that mothers experience more intense chronic sorrow compared with fathers. Health care crises and developmental milestones are potent triggers for resurgence of chronic sorrow. Helpful strategies by healthcare providers include providing information, helping to procure respite and being empathetic and compassionate.
Conclusions
Healthcare providers need to understand that chronic sorrow is a normal consequence of having a child with a chronic illness or disability.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27635 [article] Chronic Sorrow in Parents of Children with a Chronic Illness or Disability : An Integrative Literature Review [printed text] / Coughlin, Mary Beth, Author ; Sethares, Kristen A., Author . - 2018 . - p.108-116.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.108-116Keywords: Chronic sorrow, Children, Chronic illness, Disability, Parents. Abstract: Problem
This integrative review aims to synthesize the findings of studies on chronic sorrow in parents, to analyze the findings along three specific research questions, and to identify areas for future research.
Eligibility Criteria
Studies of parents, mothers and/or fathers of non-adult children published in peer-reviewed journals that answered the research questions: 1) How does the experience of chronic sorrow differ between mothers and fathers? 2) What factors have been identified to impact the experience of chronic sorrow over time? 3) What strategies by health care providers for helping parents cope with chronic sorrow have been identified to be most and least helpful?
Sample
Nineteen studies from a literature search within the databases of CINAHL, MEDLINE, PsycINFO, Psycarticles and SocIndex were included in the review.
Results
Findings suggest that mothers experience more intense chronic sorrow compared with fathers. Health care crises and developmental milestones are potent triggers for resurgence of chronic sorrow. Helpful strategies by healthcare providers include providing information, helping to procure respite and being empathetic and compassionate.
Conclusions
Healthcare providers need to understand that chronic sorrow is a normal consequence of having a child with a chronic illness or disability.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27635
Title : Coping with the Stress in the Cardiac Intensive Care Unit : Can Mindfulness Be the Answer? Material Type: printed text Authors: Golfenshtein, Nadya, Author ; Deatrick, Janet A, Author ; Lisanti, Amy J., Author ; Medoff-Cooper, Barbara, Author Publication Date: 2018 Article on page: p.117-126 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.117-126Keywords: Congenital heart disease, Parental stress, Coping, Emotion regulation, Mindfulness. Abstract: Background
Mothers of infants with complex congenital heart disease are exposed to increased stress which has been associated with numerous adverse health outcomes. The coping mechanisms these mothers use critically effect the familial illness adaptation and most likely infant outcomes. Currently no data-based strategies have been developed for mothers to facilitate their coping, and proactively promote their adaptation in the critical care settings. A potential strategy is mindfulness which is currently used in other clinical settings with stress-reduction effects.
Purpose
(1) To investigate coping mechanisms of mothers whose infant with complex CHD is admitted in the CICU, and (2) to explore the acceptability and feasibility of mindfulness as a potential stress-reduction intervention for these mothers.
Design and Methods
A descriptive qualitative study obtained perspectives from 14 mothers during three focus groups. A qualitative conventional content analysis was performed using ATLAS.ti.
Results
In congruence with the Stress and Coping framework, themes identified mostly emotion-regulatory coping mechanisms including both active and passive strategies such as positive thinking, denial, distraction, relying on support systems, and focusing on baby. Mindfulness was an acceptable and feasible approach for most participants, however, practice unfamiliarity, time and space concerns, and personal preferences were identified as potential barriers for future dissemination.
Conclusions
Mindfulness can potentially promote illness adaptation by utilization of active coping mechanisms. Early interventions can provide immediate, and potentially long-term stress relief. Intervention settings, format, and time-frame should be flexibly tailored to the trajectory of parental distress and familial adjustment.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27636 [article] Coping with the Stress in the Cardiac Intensive Care Unit : Can Mindfulness Be the Answer? [printed text] / Golfenshtein, Nadya, Author ; Deatrick, Janet A, Author ; Lisanti, Amy J., Author ; Medoff-Cooper, Barbara, Author . - 2018 . - p.117-126.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.117-126Keywords: Congenital heart disease, Parental stress, Coping, Emotion regulation, Mindfulness. Abstract: Background
Mothers of infants with complex congenital heart disease are exposed to increased stress which has been associated with numerous adverse health outcomes. The coping mechanisms these mothers use critically effect the familial illness adaptation and most likely infant outcomes. Currently no data-based strategies have been developed for mothers to facilitate their coping, and proactively promote their adaptation in the critical care settings. A potential strategy is mindfulness which is currently used in other clinical settings with stress-reduction effects.
Purpose
(1) To investigate coping mechanisms of mothers whose infant with complex CHD is admitted in the CICU, and (2) to explore the acceptability and feasibility of mindfulness as a potential stress-reduction intervention for these mothers.
Design and Methods
A descriptive qualitative study obtained perspectives from 14 mothers during three focus groups. A qualitative conventional content analysis was performed using ATLAS.ti.
Results
In congruence with the Stress and Coping framework, themes identified mostly emotion-regulatory coping mechanisms including both active and passive strategies such as positive thinking, denial, distraction, relying on support systems, and focusing on baby. Mindfulness was an acceptable and feasible approach for most participants, however, practice unfamiliarity, time and space concerns, and personal preferences were identified as potential barriers for future dissemination.
Conclusions
Mindfulness can potentially promote illness adaptation by utilization of active coping mechanisms. Early interventions can provide immediate, and potentially long-term stress relief. Intervention settings, format, and time-frame should be flexibly tailored to the trajectory of parental distress and familial adjustment.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27636
Title : Resilience in Families of : Children With Autism and Sleep Problems Using Mixed Methods Material Type: printed text Authors: Roberts, Cristine A., Author ; Hunter, ๋Jennifer, Author ; Cheng, An-Lin, Author Publication Date: 2018 Article on page: p.e2-e9 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.e2-e9Keywords: Children with autism, Sleep problems, Resilience, Family functioning, Mixed methods. Abstract: Purpose
About 80% of children with autism spectrum disorder (ASD) have sleep problems that may disrupt optimal family functioning. We explored the impact of sleep problems on families' resilience.
Design and Methods
An explanatory sequential mixed methods design was used to discern whether resilience differed between families whose children with ASD have or do not have sleep problems, to seek predictors for family hardiness/resilience, and to determine whether narrative findings support, expand, or conflict quantitative findings.
Results
Seventy complete surveys were returned from parents of children with ASD to compare sleep and family functioning. Fifty-seven children had sleep problems and six interviews regarding eight of these children were conducted. Parents of children with ASD and sleep problems had lower levels of resilience than those who slept well. Predictors of hardiness were social support, coping-coherence (stress management), and lower strain scores. Qualitative content analysis revealed a journey analogy with themes: finding the trailhead, dual pathways, crossing paths and choosing travel companions, forging new paths, resting along the way, and seeing the vistas.
Conclusions
Qualitative findings supported quantitative findings regarding the impact of sleep problems but also expanded them by illustrating how families' resilience and children's socialization improved over time. Social support predicted family hardiness. Parents revealed that sleep issues contributed to family strains and described their progression to resilience and embracing their child.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27637 [article] Resilience in Families of : Children With Autism and Sleep Problems Using Mixed Methods [printed text] / Roberts, Cristine A., Author ; Hunter, ๋Jennifer, Author ; Cheng, An-Lin, Author . - 2018 . - p.e2-e9.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.e2-e9Keywords: Children with autism, Sleep problems, Resilience, Family functioning, Mixed methods. Abstract: Purpose
About 80% of children with autism spectrum disorder (ASD) have sleep problems that may disrupt optimal family functioning. We explored the impact of sleep problems on families' resilience.
Design and Methods
An explanatory sequential mixed methods design was used to discern whether resilience differed between families whose children with ASD have or do not have sleep problems, to seek predictors for family hardiness/resilience, and to determine whether narrative findings support, expand, or conflict quantitative findings.
Results
Seventy complete surveys were returned from parents of children with ASD to compare sleep and family functioning. Fifty-seven children had sleep problems and six interviews regarding eight of these children were conducted. Parents of children with ASD and sleep problems had lower levels of resilience than those who slept well. Predictors of hardiness were social support, coping-coherence (stress management), and lower strain scores. Qualitative content analysis revealed a journey analogy with themes: finding the trailhead, dual pathways, crossing paths and choosing travel companions, forging new paths, resting along the way, and seeing the vistas.
Conclusions
Qualitative findings supported quantitative findings regarding the impact of sleep problems but also expanded them by illustrating how families' resilience and children's socialization improved over time. Social support predicted family hardiness. Parents revealed that sleep issues contributed to family strains and described their progression to resilience and embracing their child.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27637
Title : Nursing Staff's Perceptions of Quality of Care : for Children in Emergency Departments—High Respect, Low Resources Material Type: printed text Authors: Janhunen, Katja, Author ; Kankkunen, Päivi, Author ; Kvist, Tarja, Author Publication Date: 2018 Article on page: p.e10-e15 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.e10-e15Keywords: Quality of care, Emergency department, Pediatric emergency care. Abstract: Purpose
To describe the quality of care for children in emergency departments (ED) as perceived by the nursing staff, and to compare the quality of care for children in a pediatric ED and in a general ED and to identify care quality factors that predict nursing staff's satisfaction with pediatric care in an ED.
Design and Methods
A cross-sectional survey study was performed using the 41-item Children Revised Humane Caring Scale (CRHCS) to collect data (n = 147) from acute hospitals' pediatric EDs and general EDs in November 2015. The data were analyzed using descriptive statistics and multiple linear regression.
Results
Nurses evaluated the quality of professional practice to be high. Children were treated in a respectful and friendly fashion, and received help when needed. The nurses perceived a lack of human resources in the studied EDs. Nurses in pediatric EDs gave more positive evaluations of the quality of care for children than nurses in general EDs. Positive assessments of professional practice, interdisciplinary collaboration and human resources by nursing staff predicted higher satisfaction with the quality of ED care for children.
Conclusions
The quality of children's care seemed to be higher in the pediatric ED than in the general ED. Key predictors of quality in children's care are professional practices of nursing staff, interdisciplinary collaboration and adequate human resources.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27638 [article] Nursing Staff's Perceptions of Quality of Care : for Children in Emergency Departments—High Respect, Low Resources [printed text] / Janhunen, Katja, Author ; Kankkunen, Päivi, Author ; Kvist, Tarja, Author . - 2018 . - p.e10-e15.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.e10-e15Keywords: Quality of care, Emergency department, Pediatric emergency care. Abstract: Purpose
To describe the quality of care for children in emergency departments (ED) as perceived by the nursing staff, and to compare the quality of care for children in a pediatric ED and in a general ED and to identify care quality factors that predict nursing staff's satisfaction with pediatric care in an ED.
Design and Methods
A cross-sectional survey study was performed using the 41-item Children Revised Humane Caring Scale (CRHCS) to collect data (n = 147) from acute hospitals' pediatric EDs and general EDs in November 2015. The data were analyzed using descriptive statistics and multiple linear regression.
Results
Nurses evaluated the quality of professional practice to be high. Children were treated in a respectful and friendly fashion, and received help when needed. The nurses perceived a lack of human resources in the studied EDs. Nurses in pediatric EDs gave more positive evaluations of the quality of care for children than nurses in general EDs. Positive assessments of professional practice, interdisciplinary collaboration and human resources by nursing staff predicted higher satisfaction with the quality of ED care for children.
Conclusions
The quality of children's care seemed to be higher in the pediatric ED than in the general ED. Key predictors of quality in children's care are professional practices of nursing staff, interdisciplinary collaboration and adequate human resources.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27638
Title : Gender Differences in Sexual Behaviors in Korean Adolescents Material Type: printed text Authors: Hong, Eunyoung, Author ; Kang, Youngmi, Author Publication Date: 2018 Article on page: p.e16-e22 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.e16-e22Keywords: Adolescents, Sexual behavior, Gender differences, Contraception, Korea Abstract: Purpose
The purposes of this study were to identify whether there are gender differences in sexual behaviors among Korean adolescents and to explore the factors that influence safe sex practices across both sexes.
Methods
A secondary analysis was conducted using nationally representative data obtained from the 2014 Youth Risk Behavior Web-based Survey. Sample consisted of 3,210 adolescents who had experience of sexual intercourse. The dependent variable in this study was practicing safe sex. The independent variables included a range of individual, family, and school factors.
Results
Female adolescents were less likely to practice safe sex (i.e., always using a condom). Individual (smoking, no drinking before sexual intercourse), family (living with parents, higher allowance per week) and school factors (non-coeducational school students, had received school-based sex education) were significant predictors of practicing safe sex in males. In contrast, family (lower economic status) and school factors (middle school students) predicted practicing safe sex among female adolescents.
Conclusion
We demonstrated that gender plays an important role in the sexual behavior of adolescents. The findings of this study indicate a need to design and implement gender-specific interventions.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27639 [article] Gender Differences in Sexual Behaviors in Korean Adolescents [printed text] / Hong, Eunyoung, Author ; Kang, Youngmi, Author . - 2018 . - p.e16-e22.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.e16-e22Keywords: Adolescents, Sexual behavior, Gender differences, Contraception, Korea Abstract: Purpose
The purposes of this study were to identify whether there are gender differences in sexual behaviors among Korean adolescents and to explore the factors that influence safe sex practices across both sexes.
Methods
A secondary analysis was conducted using nationally representative data obtained from the 2014 Youth Risk Behavior Web-based Survey. Sample consisted of 3,210 adolescents who had experience of sexual intercourse. The dependent variable in this study was practicing safe sex. The independent variables included a range of individual, family, and school factors.
Results
Female adolescents were less likely to practice safe sex (i.e., always using a condom). Individual (smoking, no drinking before sexual intercourse), family (living with parents, higher allowance per week) and school factors (non-coeducational school students, had received school-based sex education) were significant predictors of practicing safe sex in males. In contrast, family (lower economic status) and school factors (middle school students) predicted practicing safe sex among female adolescents.
Conclusion
We demonstrated that gender plays an important role in the sexual behavior of adolescents. The findings of this study indicate a need to design and implement gender-specific interventions.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27639
Title : Struggling in the Dark to Help My Child: Parents' Experience in Caring for a Young Child : with Juvenile Idiopathic Arthritis Material Type: printed text Authors: Yuwen, Weichao, Author ; Lewis, Frances M., Author Publication Date: 2018 Article on page: p.e23-e29 Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.e23-e29Keywords: Chronic illness, Family caregivers, Juvenile idiopathic arthritis, Qualitative research. Abstract: Purpose
The purpose of this study is to describe parents' experiences in caring for 2–5-year-old children with juvenile idiopathic arthritis (JIA).
Design and methods
A qualitative study using single-occasion in-depth interviews was onducted. Nine parents (eight mothers and one father) were interviewed in-person or via telephone. Data were analyzed using inductive content analysis. Methods used to protect the trustworthiness of study results included maintenance of an audit trail, peer debriefing, and member checks.
Results
The core construct Struggling in the Dark to Help My Child explained parents' experience in six domains: not knowing, trying to reach out in the dark, feeling my child's pain, working out the kinks to stay on top to manage, feeling drained by the whole process, and being hard on the entire household. Parents struggled with the unknown, searched for resources, witnessed their child's suffering without knowing how to help, and tried every possible way to stay on top of the child's illness and treatment, even when they felt drained physically and emotionally. JIA not only consumed their lives, but also affected the entire family, including the siblings and spouse, and the relationships among family members.
Conclusion and implications
Findings highlight the day-to-day lived challenges parents face when caring for a young child with JIA. Healthcare providers including nurses need to assess the particular needs of an ill child and parents as well as the impact of the illness on the physical and psychosocial health of the entire family so that proper resources can be provided.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27640 [article] Struggling in the Dark to Help My Child: Parents' Experience in Caring for a Young Child : with Juvenile Idiopathic Arthritis [printed text] / Yuwen, Weichao, Author ; Lewis, Frances M., Author . - 2018 . - p.e23-e29.
Languages : English (eng) Original Language : English (eng)
in Journal of Pediatric Nursing > Vol.37 No.6 (Nov-Dec) 2017 [03/29/2018] . - p.e23-e29Keywords: Chronic illness, Family caregivers, Juvenile idiopathic arthritis, Qualitative research. Abstract: Purpose
The purpose of this study is to describe parents' experiences in caring for 2–5-year-old children with juvenile idiopathic arthritis (JIA).
Design and methods
A qualitative study using single-occasion in-depth interviews was onducted. Nine parents (eight mothers and one father) were interviewed in-person or via telephone. Data were analyzed using inductive content analysis. Methods used to protect the trustworthiness of study results included maintenance of an audit trail, peer debriefing, and member checks.
Results
The core construct Struggling in the Dark to Help My Child explained parents' experience in six domains: not knowing, trying to reach out in the dark, feeling my child's pain, working out the kinks to stay on top to manage, feeling drained by the whole process, and being hard on the entire household. Parents struggled with the unknown, searched for resources, witnessed their child's suffering without knowing how to help, and tried every possible way to stay on top of the child's illness and treatment, even when they felt drained physically and emotionally. JIA not only consumed their lives, but also affected the entire family, including the siblings and spouse, and the relationships among family members.
Conclusion and implications
Findings highlight the day-to-day lived challenges parents face when caring for a young child with JIA. Healthcare providers including nurses need to assess the particular needs of an ill child and parents as well as the impact of the illness on the physical and psychosocial health of the entire family so that proper resources can be provided.Link for e-copy: http://www.journals.elsevier.com/journal-of-pediatric-nursing/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27640
