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Journal of Child and Adolescent Psychiatric Nursing

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https://www.readbyqxmd.com/read/29992678/reducing-pediatric-psychiatric-hospital-readmissions-and-improving-quality-care-through-an-innovative-readmission-risk-predictor-tool
#1
Helen Ramsbottom, Lisa Collier Farmer
PROBLEM: Less than 30-day readmission has become a national problem. This pediatric medical center discovered that the primary diagnosis of Mood Disorder, not otherwise specified, was the third most common readmission diagnosis hospital-wide. Administration actively sought a resolution to less-than-30-day readmissions because All-Patient-Refined-Diagnostic-Related Groups would soon include pediatric hospitals with reimbursement impact. METHODS: The Iowa Model for evidence-based practice framed the work of case management to identify readmission risk, reduce readmissions, and improve patient quality...
July 10, 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29974565/factors-associated-with-mental-health-among-high-school-students-in-iran-does-mobile-phone-overuse-associate-with-poor-mental-health
#2
Hassan Mahmoodi, Haidar Nadrian, Abdolreza Shaghaghi, Mohammad Asghari Jafarabadi, Asad Ahmadi, Galavidj Sharifi Saqqezi
PROBLEM: Mobile phone (MP) overuse is extensively rising among high school students in developing countries. Our aim in this study is to investigate the association between MP overuse and mental health, in the presence of other determinant factors, among high school students in Iran. METHODS: We recruited a clustered random sample of 1,034 high school students in Saqqez County, Iran, to complete a self-administered questionnaire with three sections: a sociodemographic questionnaire, Mobile Phone Addiction Index, and General Health Questionnaire...
July 4, 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29961978/integrating-behavioral-health-in-the-pediatric-medical-home
#3
Joy A Lauerer, Kimbi G Marenakos, Kathy Gaffney, Christina Ketron, Kara Huncik
TOPIC: Behavioral health disorders (psychiatric illness and substance abuse disorders) represent a significant burden across the nation's health care system. The number of children and adolescents requiring behavioral health care has increased while at the same time the behavioral health workforce continues to experience a shortage of providers. The current model of care is failing to meet the behavioral health needs of children and adolescents. Initiatives are underway that call for improved integration of behavioral health services into primary care...
July 1, 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30230141/how-can-nurses-reclaim-the-inpatient-research-agenda
#4
Kathleen R Delaney
No abstract text is available yet for this article.
February 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30160075/community-based-mealtime-management-for-adolescents-with-anorexia-nervosa-a-qualitative-study-of-clinicians-perspectives-and-experiences
#5
Jaclyn Watt, Geoffrey L Dickens
BACKGROUND AND OBJECTIVE: Community-based mealtime management is an intensive, focused, and time-limited intervention for young people with an eating disorder which aims to support refeeding at home and thus prevent hospital admission. Little is known about clinicians' experiences of delivering this intervention. We aimed to explore mental health clinicians' perspectives on community mealtime management with children and adolescents diagnosed with an eating disorder. METHODS: A qualitative design was used...
February 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30156364/early-childhood-behavioral-features-that-discriminate-autism-from-other-developmental-problems-in-japan
#6
Midori Okuno, Toru Uehara
PROBLEM: The criteria for early detection of autism spectrum disorder (ASD) and its discrimination from other developmental problems (ODP) are not clear. The Social Attention and Communication Study, which identified methods for early identification of ASD in community settings, was modified to the Japanese situation, and we examined its discriminant validity. METHODS: This study followed a cohort of newborns in one town for 4 years. Structured behavioral assessments were added to the standardized health examination and performed five times during toddlerhood...
February 2018: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30129245/sustaining-a-culture-of-practice-development-in-an-acute-adolescent-inpatient-mental-health-unit
#7
Natalie Vella, Laura Page, Clair Edwards, Timothy Wand
TOPIC: It is recognized that facilitating change in workplace culture is a significant challenge in healthcare service delivery. Practice development strategies and principles provide a framework for initiating and sustaining programs focused on enhancing patient-centered care by concentrating on the therapeutic attributes of nursing. However, little literature exists on explicating "what worked" in practice development programs. PURPOSE: This paper details the processes, people, resources, and relationships that enabled the successful implementation, and led to the sustainability, of a practice development program employed in an acute adolescent mental health unit in Sydney, Australia...
November 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30129244/effectiveness-of-six-core-strategies-based-on-trauma-informed-care-in-reducing-seclusions-and-restraints-at-a-child-and-adolescent-psychiatric-hospital
#8
MuhammadWaqar Azeem, Akashdeep Aujla, Michelle Rammerth, Gary Binsfeld, Robert B Jones
OBJECTIVE: The purpose of the study was to determine the effectiveness of six core strategies based on trauma informed care in reducing the use of seclusion and restraints with hospitalized youth. METHODS: The hospital staff received training inMarch 2005 in six core strategies that are based on trauma informed care. Medical records were reviewed for youth admitted between July 2004 andMarch 2007. Data were collected on demographics, including age, gender, ethnicity,number of admissions, type of admissions, length of stay, psychiatric diagnosis, number of seclusions, and restraints...
November 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30129243/improving-the-culture-of-safety-on-a-high-acuity-inpatient-child-adolescent-psychiatric-unit-by-mindfulness-based-stress-reduction-training-of-staff
#9
Ilze S Hallman, Nancy O'Connor, Susan Hasenau, Stephanie Brady
PROBLEM: The purpose of this study was to reduce perceived levels of interprofessional staff stress and to improve patient and staff safety by implementing a brief mindfulness-based stress reduction (MBSR) training program on a highacuity psychiatric inpatient unit. METHODS: A one-group repeated measure design was utilized to measure the impact of the (MBSR) training program on staff stress and safety immediately posttraining and at 2 months. Two instruments were utilized in the study: the Toronto Mindfulness Scale and the Perceived Stress Scale...
November 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30129242/the-concept-of-patient-satisfaction-in-adolescent-psychiatric-care-a-qualitative-study
#10
Páll Biering, Valgerdur H Jensen
PROBLEM: Few studies have asked how adolescents perceive the quality of psychiatric care. Therefore, the aim of the study was to explore adolescents' perception of quality of care and of satisfying treatment outcomes. METHODS: Fourteen adolescents participated in this hermeneutic study. FINDINGS: Several concepts describing adolescents' perspective of quality of care were found: secure place, tough love, peer solidarity, self-expression, and person not patient...
November 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30129241/special-edition-on-inpatient-treatment-a-new-annual-tradition
#11
EDITORIAL
Kathleen R Delaney
No abstract text is available yet for this article.
November 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30129240/assessing-the-educational-needs-of-mental-health-nurses-working-in-an-adolescent-inpatient-psychiatric-ward-in-japan
#12
Masue Inoue, Letitia Del Fabbro, Marion Mitchell
PROBLEM: In Japan, preregistration education is not sufficient to prepare nurses to work as child adolescentmental health nurses. METHODS: Nominal group technique (NGT) using focus group discussions, and Knowles' Adult Learning Theory, were used to examine the continuing educational needs of nurses in a Japanese adolescentmental health unit. FINDINGS: Nurses caring for adolescent patients with mental health issues need continuing education...
November 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30129239/nursing-in-child-psychiatric-milieus-what-nurses-do-an-update
#13
Kathleen R Delaney
In 1992, a paper published in the Journal of Child and Adolescent Psychiatric Nursing detailed the work of psychiatric nursing staff on inpatient child/adolescent psychiatric units. The paper was organized around five therapeutic processes seen to organize nursing interventions into the essential functions of a therapeutic milieu. This paper updates that scheme as well as the nursing interventions that operationalize these therapeutic processes. The model is now organized according to four therapeutic categories: Safety, Structure, Support, and Self-Management...
November 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/30129238/paradigm-shifts-in-inpatient-psychiatric-care-of-children-approaching-child-and-family-centered-care
#14
Kathleen M Regan, Carol Curtin, Lee Vorderer
TOPIC: This article describes the components of child- and family-centered care, including a review of the literature about the delivery of family-centered care and the barriers that often prevent the provision of such care. The article describes an inpatient child psychiatric unit that has implemented an approach to care that embraces these principles. The changes in structures and policies that the unit adopted are described, with specific examples cited as illustrations of the components of this care...
November 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29602191/perinatal-substance-use-residential-instability-and-negative-behavioral-outcomes-among-adolescents-lessons-from-the-maternal-lifestyle-study
#15
Brandi P Cotton, Matthew C Lohman, Jessica M Brooks, Linda L LaGasse
PROBLEM: Both housing instability and prenatal substance use are known risk factors for behavioral problems among adolescents. METHODS: The purpose of this study was to investigate the association between residential instability (residential mobility and homelessness) and delinquent behaviors among adolescents enrolled in the maternal lifestyle study (MLS), a 16-year research study that explored short-term and long-term effects of in-utero exposure to cocaine and/or opiates (N = 736)...
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29504643/feasibility-of-an-emotional-health-curriculum-for-elementary-school-students-in-an-underserved-hispanic-community
#16
Yuqing Guo, Julie Rousseau, Patricia Renno, Priscilla Kehoe, Monique Daviss, Sara Flores, Kathleen Saunders, Susanne Phillips, Mindy Chin, Lorraine S Evangelista
PROBLEM: Hispanic children have greater mental health challenges but fewer received mental health services than other ethnic groups. A classroom-based Emotional Health Curriculum (EHC) was developed to address mental health disparities in an underserved Hispanic community. METHODS: A quasi-experimental design with one group pre- and post-intervention was used to test the feasibility of an 8-week EHC for one hundred 3rd and 4th grade children in a dual-immersion Spanish-English elementary school...
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29460989/attitudes-toward-adolescent-self-harm-and-its-prevention-the-views-of-those-who-self-harm-and-their-peers
#17
Louise Doyle
PROBLEM: Adolescent self-harm is a common phenomenon; however, little is known about young peoples' attitudes toward self-harm and what they believe can be done to prevent it. This study aimed to identify adolescents' attitudes about self-harm and their perspectives on preventing it. METHODS: A cross-sectional anonymous survey was administered to 856 post-primary school students across 11 schools in Dublin, Ireland. Attitudes toward self-harm were captured through a five-item scale and views on prevention of self-harm were captured through an open-ended survey question...
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29460988/monitoring-the-future-survey-important-messages-for-nursing-practice
#18
EDITORIAL
Kathleen R Delaney
No abstract text is available yet for this article.
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/29349890/case-report-cytochrome-p450-implications-for-comorbid-adhd-and-ocd-pharmacotherapy
#19
Michaela K Hogan, Nikhil P Rao
TOPIC: This case report details the treatment of an early adolescent already receiving treatment for attention-deficit hyperactivity disorder who presents with recurrent obsessive-compulsive disorder. Potential atomoxetine (Strattera) and fluoxetine (Prozac) interactions via Cytochrome P450 (CYP450) pathways are examined and alternate therapies are recommended. PURPOSE: Provide a discussion of psychopharmacogenomics, especially in the case of combining medications, CYP450 enzymes, and clinical implications in the context of the burgeoning field of precision medicine...
August 2017: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/28983997/cosleeping-sleep-disturbances-children-s-behavioral-problems-and-parenting-self-efficacy-among-korean-american-families
#20
Eunjung Kim, Rachel Lee, Kevin C Cain
The purpose of this study was to compare sleep disturbances of children and their mothers, children's behavioral problems, and parenting self-efficacy between Korean American families who coslept and those who did not cosleep. Forty-eight mothers of children between 3 and 8 years of age completed the following surveys: Children's Sleep Habits Questionnaire, Pediatric Symptom Checklist, Pittsburgh Sleep Quality Index, Parenting Self-Efficacy Questionnaire, and Acculturation Rating Scale for Mexican Americans II...
May 2017: Journal of Child and Adolescent Psychiatric Nursing
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