Issues in comprehensive pediatric nursing
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Issues Compr Pediatr Nurs · Dec 2013
Home oxygen therapy for infants and young children with acute bronchiolitis and other lower respiratory tract infections: the HiTHOx program.
Acute lower respiratory tract infection (LRTI) including bronchiolitis, is one of the leading causes of pediatric hospital admissions worldwide. Recent studies have demonstrated that some children with acute bronchiolitis can be successfully managed using home oxygen therapy. ⋯ The HiTHOx program provides an alternative model of care for infants and young children with acute LRTI. Implementation of models of care similar to that of the HiTHOx program in other pediatric health services may have the potential to create additional bed capacity, at the time of year when it is most needed.
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Issues Compr Pediatr Nurs · Dec 2013
Randomized Controlled TrialThe effectiveness of a storybook in lessening anxiety in children undergoing tonsillectomy and adenoidectomy in Northern Ireland.
This study aimed to assess the effectiveness of a storybook, entitled, The Tale of Woody's Tonsils, written by Anne Marie Tunney, on reducing the level of anxiety of children aged 5-11 years who were undergoing tonsillectomy and adenoidectomy in one hospital in Northern Ireland. BACKGROUND/LITERATURE REVIEW: Psychological preparation of children for surgery impacts coping. There is evidence, in both adult and pediatric studies, that effective psychological preparation for a surgical procedure has an impact on the individuals' coping ability with reduced levels of anxiety leading to better post-operative outcome, faster recovery and a reduction in long term sequelae associated with admission to hospital. A storybook, as a method of preparation, has been recommended by a number of researchers but the effectiveness of this in reducing anxiety has not yet been investigated in the UK. Previous studies have mainly used only one research instrument for anxiety measurement and child self-report is not a commonly used feature of such research. ⋯ The storybook was found to be effective in reducing pre-operative anxiety and was found to be particularly effective for females and in the 7-year-old age group. Practice Implications; This study demonstrates the storybook's effectiveness for alleviating anxiety and advocates the use of child focused anxiety measurement tools. It reinforces the need for pre assessment to include exploration of anxiety triggers so that preoperative preparation and nursing care can be individualized for each child.