摘要:

The Dosage Record Treatment Emergent Symptom Scale (DOTES) is a rating scale for measuring the presence and intensity of psychotropic medication side effects. Studies to evaluate its reliability have not been published. The purposes of this pilot study are to (1) develop a protocol for training raters to use the DOTES, (2) assess inter‐rater agreement, 3) examine the reasons for disagreement among raters to clarify training procedures and symptom definitions, and (4) further refine this instrument for use in clinical and research settings.Five nurses were trained to use the DOTES to rate the absence or presence and intensity of specific medication side effects. After training, Raters 1,2, and 3 watched a videotape of a nurse interviewing a 13‐year‐old child and completed the DOTES rating scale. There was agreement on the intensities of 6 (67%) of the 9 symptoms identified as present and agreement on 17 (89%) of the 19 symptoms identified as absent.Process tracings were conducted on the ratings of Nurses 4 and 5 to elicit the criteria they used to determine their ratings. The results of the process tracings were used to identify ambiguities that led to disagreement among raters so that the training protocol and interview could be imp

ISSN:1073-6077    

DOI:10.1111/j.1744-6171.1991.tb00509.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Although adolescents comprise only 1% of the diagnosed cases of acquired immune deficiency syndrome (AIDS), the risk of human immunodeficiency virus (HIV) infection among this group should not be underestimated. This article discusses how adolescents' behaviors place them at risk for HIV infection. One educational program is described that illustrates an innovative approach to use with adolescents. Nurses who use the Relationship Safety and Vigilance Plan can assist individual adolescents to assess their interpersonal relationship patterns to establish goals and reduce impulsive or destructive behaviors.SummaryHIV infection poses a real and personal threat to adolescents. Although the potential for high risk behaviors emerges from developmental tasks, adolescents can manage their growth and maturation safely. Nurses can provide pivotal assistance to reduce adolescent vulnerability to HIV infection. One intervention that can help individual adolescents to assess and plan for safe and satisfying interpersonal relationships is the Relationship Safety and Vigilance Plan. If not provided with preventive interventions, many adolescents will be vulnerable to HIV infection that may not be detected until years later, when they have become young adults.

ISSN:1073-6077    

DOI:10.1111/j.1744-6171.1991.tb00510.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This study investigates the relationship between the family's perception of the seriousness of a child's surgery and the level of family adaptability and cohesion before and after the surgical event. Research hypotheses are based on the Family Crisis and Circumplex models of marital and family systems. Forty‐one families were included in the pretest/posttest single group design in which a child underwent a tonsillectomy. Study findings do not consistently support the conceptual models, and implications for the testing of middle range family theories are describe

ISSN:1073-6077    

DOI:10.1111/j.1744-6171.1991.tb00511.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The purpose of this research study was to estimate the reliability and content validity of an instrument designed to measure risk‐taking in adolescents. Six subscales containing 69 items were developed to measure the adolescent's perception of risk‐taking. Subjects consisted of 75 male and female adolescents enrolled in a vocational training program. Support for reliability was obtained by the use of Chronbach's alpha correlation coefficient for the subscales and the Risk‐Taking Instr

ISSN:1073-6077    

DOI:10.1111/j.1744-6171.1991.tb00512.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This article gives an overview of individual play therapy and relates the concepts of individual play therapy to group play therapy. A new model of group play therapy, an interactional model, is introduced. The article provides basic guidelines for beginning play therapists. An actual group is described and specific interventions for problems are suggested.

ISSN:1073-6077    

DOI:10.1111/j.1744-6171.1991.tb00513.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Recent discoveries in the field of molecular biology and increased attention to genetic epidemiology have stimulated renewed interest in the genetics of psychiatric disorders. Tourette's syndrome, a neuropsychiatric disorder characterized by motor and phonic tics, is used as a model to describe the research strategies employed in the genetic epidemiology of child psychiatric disorders. The relevance of genetic research findings to child psychiatric nursing is also discussed.

ISSN:1073-6077    

DOI:10.1111/j.1744-6171.1991.tb00514.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Book Reviewed in this article:Body Image: Assessment and Treatment. J. Kevin Thompson. New York: Pergamon Press, 1990.Clinical Aspects of Child and Adolescent Development. Melvin Lewis&Fred R. Volkmar, 3rd ed. Philadelphia: Lea&Febiger, 1990.Clinical Hypnosis and Therapeutic Suggestion in Patient Care. Rothlyn P. Zahourek (Ed.), 2nd ed. New York: Brunner Mazel Publishers, 1990.When Children Kill. Charles Patrick Ewing. Lexington, MA: Lexington Books, 1990.

ISSN:1073-6077    

DOI:10.1111/j.1744-6171.1991.tb00515.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY