Journal of child health care : for professionals working with children in the hospital and community
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J Child Health Care · Sep 2015
My dad's a 'barbie' man and my mum's the cooking girl: Boys and the social construction of food and nutrition.
Academics from a variety of disciplines claim that gender has an influence on men's and women's food choices and portion sizes at mealtime and snack time. While these socially constructed norms present health-related implications for both men and women, it is arguable that men have a greater risk of problems associated with overweight as a consequence of gendered food choices and dietary practices. ⋯ The voices of boys provide the opportunity to understand how gendered food choices, among males, emerge in contemporary Western culture. Such research can also potentially play a role in developing strategies to assist boys in making healthy food selection, which will ultimately assist their food-related health literacy as they move towards adolescence and adulthood.
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J Child Health Care · Jun 2015
Using appreciative inquiry to bring neonatal nurses and parents together to enhance family-centred care: A collaborative workshop.
Family-centred care (FCC) has been well recognised, accepted and reported in the literature as an optimised way of caring for hospitalised children. While neonatal units strive to adopt this philosophy, published research suggests there are difficulties implementing FCC principles in daily practice. Appreciative inquiry (AI) is a philosophy and methodology that offers a unique, strength-based approach to promoting organisational learning and positive organisational change. ⋯ Participants (n = 15) developed collaborative insights of optimal FCC that can be built upon to support neonates and their families in the future. Shared visions were formed, strategies identified and a development plan made for ongoing collaborations and partnerships. AI provides a flexible framework that enables the mandatory collaboration needed to develop action plans that can form the catalyst for organizational change in health-care research and practice.
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J Child Health Care · Sep 2014
Comparative StudyRelaxation and guided imagery used with 12-year-olds during venipuncture in a school-based screening study.
Needle-related procedures are reported to be problematic for children. In a school-based celiac disease screening, 12-year-olds' experiences with relaxation and guided imagery (R-GI) during venipuncture were investigated. One group tried nurse-led R-GI (n = 60) and another group received standard care (SC; n = 49). ⋯ VAS scores did not differ between the groups. The blood test was mostly experienced as unproblematic, and GI during venipuncture did not decrease pain or affect. However, the fact that a number of children scored high FAS indicates a need for effective methods to help children cope with needle-related school-based procedures.
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This study aims to analyze the epidemiological characteristics and predictors of mortality from burn injuries in childhood patients admitted to our hospital during an eight-year period. The medical records of acute childhood burn patients were reviewed retrospectively. All variables thought to be associated with mortality were entered in a multiple binary logistic regression model (method = stepwise). ⋯ According to the 1%-10% total body surface area (TBSA) burned group, mortality occurred 121.116 times more in the >41% TBSA burned group. Most burn injuries can be avoided by keeping children away from hazardous and dangerous environments. Also, requiring a multidisciplinary management in these patients, quality of care services given by physicians and nurses certainly will create a positive impact on patients' outcomes.
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J Child Health Care · Mar 2014
Underlying barriers to referral to paediatric palliative care services: knowledge and attitudes of health care professionals in a paediatric tertiary care centre in the United Kingdom.
Referrals to children's palliative care services typically occur late in the illness trajectory, with many children who would benefit not referred at all. Previous studies report health care professionals' (HCPs) assessment of various parent-related factors as barriers to referral. ⋯ Survey respondents evidenced good knowledge of the principles of palliative care in closed questions, but their attitudes expressed in open-text questions and reported reasons to refer to a palliative care service demonstrated an association of palliative care with death and dying. We suggest that the association of palliative care with end of life may be a modifiable factor relevant to late and non-referral and deserving of further investigation and attention in education and training.