Journal of pediatric nursing
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Review
Family presence during pediatric resuscitation: an integrative review for evidence-based practice.
Many pediatric health care institutions lack guidelines to address the presence of family members during resuscitation activities. This integrative literature review was used to establish an evidence-based approach that would compliment our institution's philosophy of "family centered care." The evidence supports a partnering with the families: Hospital staff ask families whether they want to be present during life-saving interventions by health care professions. ⋯ No literature was found to support beliefs that family member presence is harmful to the family or the institution. A practice policy is provided that respects family choice and presence during life-saving measures in pediatric care facilities.
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When parents apply religious or cultural beliefs concerning spiritual healing, faith healing, or preference for prayer over traditional health care for children, concerns develop. Medical care is considered one of the most basic of all human needs, and yet parents may elect to apply religious or cultural beliefs in place of traditional Western medical care for their children. Because memberships in religious groups that have beliefs concerning prayer and health care for children are increasing, the topic is of great importance for pediatric health professionals. This article describes parental refusal of medical care, and it discusses the legal, ethical, and clinical implications.
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To improve acute pain management for children with systematic assessment and appropriate analgesia. ⋯ Using a social ecology approach that focused simultaneously on the environment (ward, medical center, and national scene) and relationships among the clinical team improved pain management practices. These changes took place over 2 years and were sustained 2 years after the intense intervention.
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Although it has become common practice for parents to stay with their sick child in hospital, most hospitals lack routines and staff guidelines for involving parents in care processes and decisions. ⋯ Clinical practices regarding parental involvement need to be established to optimize the hospital care of chronically ill children.
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The purpose of this study was to examine the relationships among temperament, self-reported pain, parent's report of children's pain behavior and pain intensity, amount of pain medication received, and parents' attitudes toward use of analgesics in 3- to 7-year-old children undergoing tonsillectomy. Sixty-eight child/parent dyads participated in the study. Correlations were found between some temperamental factors and child's self-reported pain intensity in the hospital and at home as well as parents' report of pain behavior at home. There was a significant positive relationship between the child's self-reported pain intensity and analgesic administration in the hospital and at home.