ISSN:0273-9615    

DOI:10.1207/s15326888chc2201_1

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1993

数据来源: Taylor

摘要:

The purpose of this naturalistic study was to describe the play of children in hospital playrooms and to determine whether the type of child life program focus (i.e., playroom/group vs. nonplayroom/individual) impacts on the frequency and types of play behaviors exhibited. Despite differences in hours of availability, length of experience of staff, complexity of play spaces, and number of activities, the type of program focus was not found to affect significantly play frequency or type. There were, however, trends for more educative and therapeutic play to occur in the playroom-focused setting. Instead, child variables of gender and length of hospitalization were related to types of play exhibited, and the type of illness and whether the child was previously hospitalized were related to certain nonplay behaviors. Implications are drawn for additional study of play in child life contexts.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2201_2

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1993

数据来源: Taylor

摘要:

The provision of family-centered care in the hospital arena has become a national commitment. Recognizing and supporting the family's role means evaluating whether attitudes, policies, and practices address the immediate and the long-term needs of the total family rather than just the current needs of the child. Results of a study to determine parents' perceptions of supportive services available in the hospital immediately following the birth of their child with special health care needs are reported. In-depth interviews with mothers living in rural areas were conducted. Mothers emphasized the importance of access to their child; the need for timely, honest, straightforward information about their child's condition and progress; the intense emotional reaction to the intensive care environment; and the importance of an early link to community-based early intervention services. Overall, parents conveyed the importance of recognizing the family as an integral part of the child. Implications and recommendations for family-centered services are discussed.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2201_3

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1993

数据来源: Taylor

摘要:

This study was designed to assess the effect of incorporating parents in the process of evaluating the behavior of their preterm infant. Administration of the Neurobehavioral Assessment of the Preterm Infant (NAPI) in the presence of the parents was performed with 17 infants, and the impact on the parents' perception of their infant was quantified. The extent to which parents validated their observations and developed confidence in their infant's competence as a result of observing changes in their infant's behavior was evaluated. We concluded that parental presence during the administration of the NAPI has potential educational benefits and can offer reassurance and enhance parental awareness.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2201_4

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1993

数据来源: Taylor

摘要:

We examined nurses' assumptions concerning children and analgesia that have been hypothesized to explain the differential medication of postoperative child and adult patients. One hundred fourteen nurses from various pediatric and adult inpatient units of a large, urban teaching hospital were included in the study. A questionnaire consisting of four vignettes describing two hypothetical postoperative situations involving a child and adult patient, questions concerning choice of analgesic and assessment of pain for the hypothetical patients, and questions concerning the nurses' assumptions about children and analgesia was distributed to each nurse. The findings illustrate a pattern of differential medication of hypothetical child relative to hypothetical adult postoperative patients. The belief that children feel less pain than adults and concern about respiratory depression were associated with nurses' analgesia decisions.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2201_5

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1993

数据来源: Taylor

摘要:

Fifty-six children with isolated growth hormone deficiency (IGHD) and their families completed self-report instruments about behavioral, social, and emotional adjustment of the children. Results show that children with IGHD may experience significant behavioral and social adjustment problems. Social and emotional adjustment was best predicted by the relative height discrepancy between an individual and their normal-sized peers. Adjustment varied depending on the type of adjustment under consideration, the relative height discrepancy of the individual, the age and gender of the child, and the amount of time in treatment. Discussion addresses the need for an interdisciplinary approach to effective patient management of children with IGHD.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2201_6

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1993

数据来源: Taylor

摘要:

Data from a random survey of North Carolina day care centers (n = 77) and family day care homes (n = 71) are presented to describe accidental injuries that occurred among the children enrolled. Injury rates, cause, place, type of injury, and the body part injured are described. The incidence of injury is compared according to age and sex of the victim. The findings of this study are compared with previous reports on accidental injuries in day care centers and homes, and recommendations for further research and the prevention of accidental injuries are presented.

ISSN:0273-9615    

DOI:10.1207/s15326888chc2201_7

出版商:Lawrence Erlbaum Associates, Inc.    

年代:1993

数据来源: Taylor