Issues in Comprehensive Pediatric Nursing (Issues Compr Pediatr Nurs)

Publisher: Informa Healthcare

Journal description

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.

Current impact factor: 0.00

Impact Factor Rankings

Additional details

5-year impact 0.00
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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 0146-0862
OCLC 2851873
Material type Series, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details

Informa Healthcare

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 12 months embargo
  • Conditions
    • On author's personal website or institution website
    • Publisher copyright and source must be acknowledged
    • Non-commercial
    • Must link to publisher version
    • Publisher's version/PDF cannot be used
    • NIH funded authors may post articles to PubMed Central for release 12 months after publication
    • Wellcome Trust authors may deposit in Europe PMC after 6 months
  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    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. DOI:10.1080/01460860590950845
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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. DOI:10.3109/01460868309057050
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    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. DOI:10.1080/014608600265200
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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. DOI:10.1080/014608698265429
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    ABSTRACT: A qualitative study is presented following the hybrid model of concept development to examine the emotions present in mothers who care for their chronically ill children at home. In particular the study attempts to examine the presence or nonpresence of chronic sorrow in three mothers through the use of observation and intensive interview techniques and by following the Schatzman and Strauss (1973) method of field research. The population for this study varied in diagnosis, sex, age, prognosis, and family structure. The commonalities included an uncertain future, a significantly changed life-style as a result of the child's illness, and the presence of nursing care in the home. The emotion called chronic sorrow, introduced in 1962 by Olshansky, has had limited exposure in the literature. The concept was originally intended for examinations of parents of severely mentally retarded children. Recently it has been examined in varied populations. Although many different reactions have been presented in the literature regarding the emotions of parents of chronically ill children, chronic sorrow has not been one of them. The examination of this emotion has been disease specific. The presence of this emotion in this population has implications for nurses working in all care settings.
    Issues in Comprehensive Pediatric Nursing 07/2009; 14(2):111-20. DOI:10.3109/01460869109009757
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    ABSTRACT: Parents frequently identify the need for support while their infant is in the Neonatal Intensive Care Unit (NICU), however, they may simultaneously distance themselves from traditional family and friend support. Recognizing this, many NICUs provide additional nonmedical support services such as social workers, chaplains/religious counselors, and support groups. This article, part of a larger research study, suggests an inverse relationship between social support and the use of supportive services. In addition, parents in this study appear to use support services less often than would be anticipated based on their reports of utility. Suggestions are provided to potentially improve desirability/accessibility of these services.
    Issues in Comprehensive Pediatric Nursing 07/2009; 28(4):257-73. DOI:10.1080/01460860500396922
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    ABSTRACT: The study evaluated the effects of an AIDS prevention program on 179 high school students' sexual risk-taking behavior. Young actors role modeled behaviors to reduce the risk of AIDS. Sexual risk-taking behavior was assessed prior to and 3 months after attending the program. The pre-test mean sexual risk-taking score was 1.8 (SD = 3.5) with 0 to 30 as the potential range. There were significant differences between pre- and post-test sexual risk-taking behavior for the low-risk group (< or = 1.8), Wilcoxon (127) = -4.5, p = .000, and high-risk group (> 1.8), Wilcoxon (52) = -2.2, p = .03. Findings suggest support for role modeling strategies in decreasing sexual risk-taking behavior among high school students.
    Issues in Comprehensive Pediatric Nursing 07/2009; 20(1):25-34. DOI:10.3109/01460869709026875
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    ABSTRACT: The administration of baclofen by intrathecal pump is a new technique used to reduce spasticity for individuals with upper motor neuron system injuries. Children with cerebral palsy often have difficulty in mobility because of this form of spasticity. The purpose of this study was to assess the functional outcomes of intrathecal baclofen pump therapy with spasticity in children with cerebral palsy. A retrospective review of medical records for pediatric cerebral palsy patients receiving intrathecal baclofen for intractable spasticity was performed. Of 23 sequential medical records meeting requirements for inclusion in the study, 17 subjects had sufficient recorded data to be included in the study. Data from the medical records included Ashworth scores, therapy complications, and changes in mobility and independence. Although no significant changes in the upper extremities with intrathecal baclofen occurred at one and three months, the trial bolus showed statistically significant changes in mean Ashworth scores. The pre- and posttrial bolus Ashworth scores for the lower extremities showed statistically significant decreases in the posttrial scores and at one and three months when compared with the pretrial scores (p < .001). Complications were resolved with conservative management without long-term sequelae. No infections, respiratory depressions, or deaths occurred as a result of intrathecal baclofen therapy in this study. Although intrathecal baclofen had a significant effect in reducing lower extremity spasticity in children with cerebral palsy, further prospective studies are needed to determine the effects of intrathecal baclofen on such indicators as activities of daily living.
    Issues in Comprehensive Pediatric Nursing 07/2009; 21(1):49-61. DOI:10.1080/01460869808951127

  • Issues in Comprehensive Pediatric Nursing 07/2009; 18(4):299-318. DOI:10.3109/01460869509087278
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    ABSTRACT: Pediatric health care providers are concerned with the physical health, growth, and development of youth. The U.S. Public Health Service has recommended that children's mental status be reviewed during routine assessments, and the promotion of mental health is one of the priorities set by Healthy People 2000. Pediatric nurses must be able to assess mental status, including depression, in children and adolescents, and to identify pathology early. This paper presents an overview of depression, historical perspectives, risk factors, a developmental approach to assessment, common treatment regimens, and nursing implications for this mental health concern in children and adolescents.
    Issues in Comprehensive Pediatric Nursing 07/2009; 19(4):275-90. DOI:10.3109/01460869609026870
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    ABSTRACT: Sickle cell anemia is a chronic disease characterized by intermittent, acute crises of varying frequency and severity. It is an illness without a cure and without a predictable course. This combination of chronicity and acute illness presents a unique challenge in pediatric nursing care. A discussion of the pathophysiologic and clinical manifestations of sickle cell anemia in children is presented, followed by aqn update in medical treatement and a generalized plan for nursing management.
    Issues in Comprehensive Pediatric Nursing 07/2009; 6(5-6):295-306. DOI:10.3109/01460868309059844
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    ABSTRACT: Society in the United States is becoming increasingly culturally diverse. In 1996, almost 1 in 10 people living in the United States was a foreign-born immigrant and the number of foreign-born in the population exceeded 25 million. However, the lack of mutual understanding between health care providers and immigrants, particularly children and adolescents, has impeded progress in research and practice for this population. To facilitate nurses' understanding of immigrant adolescents' unique experiences, this article explores the concept of cultural marginality. Cultural margin ality is defined by the author as "situations and feelings of passive betweeness when people exist between two different cultures and do not yet perceive themselves as centrally belonging to either one." Using Walker and Avant's (1995) method as a framework, my article identifies attributes, antecedents, and consequences of cultural marginality in the context of immigrant adolescents' experiences. To clarify the abstract concept, cases are provided that distill meanings of the concept in life. A conceptual model has been synthesized to illustrate relationships among attributes, antecedents, and consequences and to highlight areas for further inquiry. Concept analysis is a critical step for the develop ment of nursing knowledge. The process of concept analysis is demonstrated through clarification of the concept of cultural marginality, which offers guidance for nursing research and practice within the immigrant adolescent population.
    Issues in Comprehensive Pediatric Nursing 07/2009; 24(3):193-206. DOI:10.1080/014608601316942559
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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. DOI:10.1080/01460860490497903
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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. DOI:10.3109/01460868309059842
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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. DOI:10.3109/01460868309057046
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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. DOI:10.3109/01460869209078255