Issues in Comprehensive Pediatric Nursing (Issues Compr Pediatr Nurs )

Publisher: Taylor & Francis


Issues in Comprehensive Pediatric Nursing is an international refereed journal that contributes to the knowledge base of nurses and other health care professionals who care for children. Topics contained within the journal are those identified as issues currently being addressed within the specialty of pediatric health care, policy, and research. Content includes publications related to pediatric intervention, research dissemination and utilization, theory, health care policy, and related organizational and management concepts.

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  • Website
    Issues in Comprehensive Pediatric Nursing website
  • Other titles
    Issues in comprehensive pediatric nursing, Comprehensive pediatric nursing, Issues in comprehensive pediatric nursing
  • ISSN
  • OCLC
  • Material type
    Series, Internet resource
  • Document type
    Journal / Magazine / Newspaper, Internet Resource

Publisher details

Taylor & Francis

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Some individual journals may have policies prohibiting pre-print archiving
    • On author's personal website or departmental website immediately
    • On institutional repository or subject-based repository after either 12 months embargo for STM, Behavioural Science and Public Health Journals or 18 months embargo for SSH journals
    • Publisher's version/PDF cannot be used
    • On a non-profit server
    • Published source must be acknowledged
    • Must link to publisher version
    • Set statements to accompany deposits (see policy)
    • The publisher will deposit in on behalf of authors to a designated institutional repository including PubMed Central, where a deposit agreement exists with the repository
    • STM: Science, Technology and Medicine
    • SSH: Social Science and Humanities
    • Publisher last contacted on 25/03/2014
    • 'Taylor & Francis (Psychology Press)' is an imprint of 'Taylor & Francis'
  • Classification
    ​ green

Publications in this journal

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    [Show abstract] [Hide abstract]
    ABSTRACT: Clinical research conducted over the past 40 years has described adjustment difficulties healthy siblings face when they have a brother or sister with childhood cancer. Research on healthy siblings of children with pediatric malignancies has advanced over the past few years and has broadened from distinguishing psychosocial problems following the patient's death to identifying stressors during the illness experience. More recent research endeavors have focused on recognizing what behaviors or interventions health care providers understand to be most significant in promoting the patient's, parents', and siblings' coping efforts with childhood cancer and its treatment. In addition, descriptive research is exploring interventions used by pediatric oncology health care providers to render social support to siblings of children with cancer (Murray, 1999). Despite the growing body of literature on sibling adaptation to childhood cancer, an understanding of this experience from a developmental perspective is lacking. This lack of theoretical understanding may contribute to inadequate care of siblings of children with cancer. Understanding the meaning cancer has for well siblings is critical. This article discusses the theoretical framework of child development in relation to understanding sibling adaptation to the childhood cancer experience.
    Issues in Comprehensive Pediatric Nursing 07/2009; 23(1):39-47.
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    ABSTRACT: The purpose of this qualitative pilot study was to identify beliefs and self-care practices of adolescents with asthma in a private high school, where the incidence of asthma is nearly 20%. Analysis of the data from 10 individual audiotaped interviews, using a semistructured questionnaire, yielded major themes of knowledge acquisition, self-efficacy, and social support that are associated with behaviors that control asthma with better outcomes. Specifically, the greatest knowledge acquisition and symptom recognition were associated with exposure to multiple educators, especially school-based programs. High self-efficacy was facilitated through positive experiences--teens recognized that they had fewer asthma events and severity once they were in better physical condition, on preventive medicines, and/or used trigger avoidance success. Social support for teens was very helpful and included parents, family, friends, coaches and teachers, and healthcare providers. Implications for practice include the need for adolescent asthma-awareness training, as higher awareness of asthma conditions and triggers may provide peer support for teens with asthma in school.
    Issues in Comprehensive Pediatric Nursing 07/2009; 28(2):71-81.
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    ABSTRACT: This article was written by the mothers of two children who were in a renal failure program. It is a strong effective expression of the problems that families of children in renal failure face.
    Issues in Comprehensive Pediatric Nursing 07/2009; 6(2):141-6.
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    ABSTRACT: A review and analysis of 43 transition studies published from 1982 through 2003 was conducted. The studies reviewed represent the diverse purposes of international researchers for examining transition issues and questions. Findings of this literature review indicate that transition research is in early stages of development. A number of limitations were associated with these studies, including the lack of theoretical frameworks, the use of valid and reliable instruments, and research designs lacking adequate controls. Future research studies are needed that overcome the design limitations of past investigations.
    Issues in Comprehensive Pediatric Nursing 07/2009; 27(3):179-241.
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    ABSTRACT: The purpose of this descriptive, correlational study was to measure the relationship between self-concept and physical fitness, health indicators, and health habits in elementary-school-aged children. Instruments included the Martinek-Zaichowsky Self-Concept Scale for Children and a self-administered questionnaire for parents pertaining to family health habits and health history. Children (N = 61) were screened for health and fitness indicators: height, weight, body mass index, 1-mile walk-run time, shuttle run time, and number of curl-ups. Results showed a positive relationship between self-concept and regular exercise and between self-concept and curl-ups. No gender difference was noted in the relationship between self-concept and physical fitness.
    Issues in Comprehensive Pediatric Nursing 07/2009; 20(2):89-101.
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    ABSTRACT: Each year over 1 million children are affected by divorce. Although usually considered a sociological problem, divorce is a major crisis for those involved, and the effects clearly have implications for mental as well as physical health. For children, the changed relationships with both parents and altered support systems and lifestyle disrupt psychosocial development. Only in the past 10 years have researchers begun to study systematically the short- and long-term effects of divorce on children. This paper presents an overview of the current research literature on children and divorce and describes children's responses at various developmental stages, including acute reactions and effects over time. Awareness of these findings enables pediatric nurses to make appropriate assessments and interventions for children of divorce.
    Issues in Comprehensive Pediatric Nursing 07/2009; 6(2):91-106.
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    ABSTRACT: Scientific knowledge in the field of clinical genetics is increasing rapidly. To address the need for genetic information at the community level, the Michigan Department of Public Health coordinates a statewide program that provides genetic and newborn screening services. Services including genetic diagnosis, counseling, and outreach education are provided in five geographic regions by major genetic centers. Nurses in a variety of primary pediatric care settings also work with families affected by genetic disorders and birth defects; they serve as an important part of the team providing comprehensive genetic health care to children and their parents. For those families, the nurse must utilize a knowledge of genetics to provide appropriate family-centered assessment.
    Issues in Comprehensive Pediatric Nursing 07/2009; 15(4):219-37.
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    ABSTRACT: Anemia is the most common hematologic disorder found in pediatrics. Anemia may be either acute or chronic. Classification of anemia is based on physiology as well as morphology of the red blood cell and allows for precise diagnosis of the type of anemia and its underlying cause. Anemia is most commonly classified by the size, shape, and color of the red blood cell. Correct diagnosis can usually be established with a thorough history and physical and a few simple laboratory tests. Nurses can play an important role in the early detection, prevention, and treatment of all types of anemias found in children if they possess a current and complete knowledge of the disease process and its treatment.
    Issues in Comprehensive Pediatric Nursing 07/2009; 6(5-6):277-82.
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    ABSTRACT: The demands of cancer on children and their parents have been studied and understood for many years now. However, very little focus has been placed on one other very important part of the family system--the siblings. In the health care profession today, there is a growing awareness that the psychosocial needs of siblings of children with cancer are less adequately met than those of other family members. Research suggests that siblings are particularly vulnerable to adjustment difficulties (depression, anger, anxiety, feelings of guilt, and social isolation), and they experience similar stress to that of the ill child Siblings have been identified as the most emotionally neglected and unhappy of all family members during serious childhood illnesses. The purpose of this study was to gain a better understanding of the lived experience of one 14-year-old sibling's experience with childhood cancer. Through the qualitative research process of phenomenology, the researcher gained a greater understanding of the participant's experience and how the childhood cancer experiences affected her and her family. Themes that emerged through the process of content analysis included emotional intensity, increased empathy for others, personal growth, need for support, and desire to help others.
    Issues in Comprehensive Pediatric Nursing 07/2009; 21(4):217-27.
  • Issues in Comprehensive Pediatric Nursing 07/2009; 26(2):i-iii.
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    ABSTRACT: According to the Centers for Disease Control in 1997, approximately 25% of the estimated new human immunodeficiency virus (HIV) infections in the United States may occur in youths under 20 years. Based on the research regarding adolescents and HIV disease, it is clear that several issues need to be addressed. This article reviews adolescent HIV risks, behaviors, and knowledge and discusses the implications for prevention.
    Issues in Comprehensive Pediatric Nursing 07/2009; 21(4):203-16.
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    ABSTRACT: Postoperative nursing management of a child who has undergone surgery should be based on a thorough ongoing assessment. This article describes those areas of the assessment that are important while caring for the postoperative child. Key points to consider while assessing the child are also included. A flowsheet that is used consistently with each shift can aid the management. A flowsheet devised to be used by the nurse for the ongoing assessment process is provided.
    Issues in Comprehensive Pediatric Nursing 07/2009; 6(3):157-65.
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    ABSTRACT: Chronic illness affects over 1 million children in the United States annually. One such illness prominent in the African-American population is sickle cell disease (SCD), which affects approximately 1 in 375 African Americans in the United States. This potentially life-threatening disease requires caregivers to carefully monitor and supervise children with SCD. Monitoring and caring for children with SCD places heavy burdens, demands, and responsibilities on these caregivers. The psychological stressors and unpredictable nature of the disease could cause caregivers to experience a variety of emotions, with one being chronic sorrow. The purposes of this study were to examine the process of chronic sorrow in caregivers of school age children with SCD, identify the characteristics of chronic sorrow, and generate a substantive theory of chronic sorrow. The methodology used was grounded theory, and data were generated through two interview sessions, a demographic questionnaire, field notes, and memos. Data analyses were performed following the principles of grounded theory. Data suggested these caregivers move through three overlapping stages: learning about and incorporating SCD into their daily lives; experiencing the sorrow; and doing what one has to do and moving on. The diagnosis was the initial trigger to evoke feelings, including sorrow. As time progressed, other internal and external triggers began to evoke feelings of sorrow that eventually became chronic. A process of repatterning began as caregivers learned to live with the unpredictable consequences of SCD, which produced the feelings of chronic sorrow. Repatterning behaviors enabled caregivers to "do what you have to do and move on."
    Issues in Comprehensive Pediatric Nursing 07/2009; 23(3):141-54.
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    ABSTRACT: Pediatric cardiology clients, in various stages of diagnosis and repair, and their parents were observed during clinic visits, hospitalization for cardiac catheterization, and hospitalization for palliative surgical repair. In addition, the parents were interviewed and asked to identify factors they found overwhelming, frightening, or threatening. The stressors are identified and supported with examples of parent and client behavior. The nursing interventions utilized are identified and their effects exemplified through the use of case studies. A clinical specialist's role in pediatric cardiology is proposed.
    Issues in Comprehensive Pediatric Nursing 07/2009; 5(1):21-31.
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    ABSTRACT: This paper explores the viewpoint that, as a group, adolescents with diabetes are oppressed by health care professionals who use approaches to diabetes care delivery that are paternalistic in nature. These approaches can lead to negative health/diabetes outcomes in this age group. As inherent in oppressed group characteristics, adolescents with diabetes may not realize that they are being treated unfairly or that they have rights as patients. Nurses are in a unique position to advocate for these adolescents and to help them become advocates for themselves.
    Issues in Comprehensive Pediatric Nursing 07/2009; 22(4):143-52.
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    ABSTRACT: Physiologic and psychologic changes associated with sleep disturbance decrease the ability of a critically ill child to adapt to hospitalization and thus hamper recovery. Research demonstrates that intensive care settings interfere with sleep of adults, but little is known about the impact of these settings on children's sleep. An exploratory field study was conducted to describe the sleep-wake patterns of 1- and 2-year-old children in intensive care, identify intensive care environmental stimuli associated with sleep and waking states, compare the intensive care sleep-wake pattern to the pre-illness sleep-wake pattern, and determine the time required for children to return to their pre-illness sleep-wake pattern. Twelve children aged 13 to 35 months composed the sample for the study. Pre-illness and postdischarge sleep patterns, sleep patterns during a 12-hour night in the pediatric intensive care unit (PICU), and external and internal environmental stimuli were measured. Prior to hospitalization, subjects demonstrated sleep similar to that documented in healthy children. Children in the PICU experienced a significant loss of sleep, frequent awakenings, and a virtual rapid eye movement (REM) sleep deprivation. External environmental stimuli of light, noise, and caregiver activity were negatively correlated with sleep state. Pain and treatment with benzodiazepines were associated with sleep acquisition. Sleep changes persisted after discharge from the PICU and the hospital. Total sleep time recovered more rapidly than nighttime awakening. Parents perceived that their child's sleep remained different longer than total sleep time and night awakening values demonstrated.
    Issues in Comprehensive Pediatric Nursing 07/2009; 19(1):17-31.
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    ABSTRACT: A total of 214 children, 9–12 years of age, 100 hospitalized and 114 in school, participated in a study to describe their experience with pain. The children were asked to report what made them feel better when they had pain; 182 were able to identify at least one approach they used to cope with pain. Findings indicated that children could identify a variety of strategies for coping with pain. Girls more than boys and the school more than the hospitalized children reported a larger number and variety. There were also marked differences in the categories of coping strategies between the hospitalized and non-hospitalized and between boys and girls.
    Issues in Comprehensive Pediatric Nursing 07/2009; 5(5-6):351-9.
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    ABSTRACT: Pediatric nurse researchers take a serious risk when they design an intervention study with insufficient power. In an underpowered study, the researcher may be testing a genuinely effective treatment but fail to recognize its efficacy. In the first part of this article, the concept of power analysis and how to perform a statistical power analysis are addressed. The second half of this article includes a review of published nursing research studies for the past 5 years in three nursing research journals. Specific examples of pediatric nursing research are highlighted. This review revealed a neglect of power analysis. Nurse researchers need to pay greater attention to statistical power analysis. It is an essential procedure for researchers to use before conducting a study.
    Issues in Comprehensive Pediatric Nursing 07/2009; 17(2):73-80.
  • Issues in Comprehensive Pediatric Nursing 07/2009; 18(4):319-40.
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    ABSTRACT: Millions of American children are playing and competing on basketball, football, soccer, tennis, baseball, swim, and wrestling teams. Organized sports participation has become an integral part of a child's developmental experience. Children generally enjoy participating on teams, but injuries do occur. This article will focus on frequent sports injuries sustained by children during practice and competition, the injury potential of sports, and the etiology, prevention, and treatment of the injury. Items necessary for the “team medical bag” for initial treatment of sports injuries is also discussed.
    Issues in Comprehensive Pediatric Nursing 07/2009; 6(3):167-78.