Pediatric nursing
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Randomized Controlled Trial Clinical Trial
Therapeutic play for hospitalized preschoolers in Lebanon.
Therapeutic play in the form of an interactive puppet show was administered to 50 preschool children one day before surgery in a hospital in Lebanon. A control group of 50 preschool children received routine care but no therapeutic play. Physiological and behavioral measures were assessed on admission, at the time of a stressful procedure (preoperative injection), after surgery, and after discharge. ⋯ Following surgery, the experimental group took less time to void their bladders, another physiological indication of lower stress level. After hospital discharge, the children who had received therapeutic play had significantly lower scores on all six factors of the Post Hospital Behavior Questionnaire. This study demonstrates that therapeutic play is a valid means of reducing stressful responses to hospitalization and surgery among children in Lebanon.
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Family-centered care is increasingly considered "best practice." Yet, recent research points to a discrepancy between philosophy and practice (Bruce & Ritchie, 1997). To make family-centered care a full reality will require the examination of the assumptions underlying the practice of individual health care providers, agencies, and institutions. ⋯ Identifying them in practice will require a process of reflection. Once assumptions underlying the current practice of an individual or institution are made conscious, assumptions that interfere with family-centered practices can be identified.
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Noninvasive positive pressure ventilation by way of a mask, commonly known as BiPAP, has become a widely used procedure to support patients with respiratory failure, both in the chronic and the acute settings. Currently, this mode of ventilation has been extended to the pediatric population. This article focuses on the use of BiPAP in pediatric patients. Its purpose, potential situations for use, mode of functioning, and nursing implications will be discussed.
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Comparative Study Clinical Trial Controlled Clinical Trial
Infant physiological responses to noxious stimuli of circumcision with anesthesia and analgesia.
To compare the efficacy of dorsal penile nerve block (DPNB) and eutectic mixture of local anesthetic (EMLA) for attenuation of neonatal pain during circumcision. ⋯ There is a trend toward better pain control with the DPNB as compared to EMLA.
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Stress-point intervention by Nurses (SPIN) is a research-based intervention that can be used to assist families whose child has a chronic condition and is repeatedly hospitalized. The intervention addresses attendant family stressors, tasks, and concerns. SPIN incorporates parent-nurse contact before admission, during hospitalization, and after discharge. ⋯ Both studies found that families receiving SPIN interventions had better parental coping and family functioning, and there was less developmental regression in the child after hospitalization. SPIN can be used by nurses having experience working with families and children. A self-directed learning program assists with understanding of theoretical and practical aspects of SPIN.