Search PubMed⌕ Search

Biomedical subjects

B C Woodring

Publications and source records attributed to B C Woodring.

18 recordsLinked to original sources

The changing role of grandparenthood.

For many grandparents in America, caring for grandchildren has become a full-time responsibility that has led to multiple stresses. Raising grandchildren may cause financial stress, cramped living quarters, role restriction, and social isolation among this group. However, advantages to this role among grandparents can include greater life satisfaction and a positive influence on the other generations within the family. Nurses and other health providers can play an essential role in assisting grandparents caring for grandchildren by strategically building family strengths and cohesiveness.

Adaptation, Psychological↗

Children should be seen and heard. Chronically ill children should have a voice in treatment decisions.

Traditionally, sick children have obeyed orders--the doctor's orders, their parents' orders. Father (mother, doctor, nurse) knows best. But indications are that in the future, chronically ill children will have some say in their own treatment decisions. And although few healthcare facilities today have any policies in place to ensure such participation, they may face increasing pressure to implement such policies. Both the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research and the American Academy of Pediatrics recommend that children actively participate in the consent-assent-dissent process for healthcare decisions. Children's participation need not be total or complete; it may involve only selected aspects. Participation will (1) increase their ownership of the decision and encourage them to obtain the necessary follow-up care, (2) increase their ability to make such decisions in the future, and (3) perhaps make healthcare less threatening and more attractive to them as future healthcare consumers. Providers could encourage a cautious, gradual increase in participation by chronically ill children and adolescents. It should start by involving them in concrete tasks (like setting dates and times) and lead to active negotiation with parents and healthcare workers regarding treatment.

Adolescent↗

Who's moving the children? Pediatric transport: selection, education, and management.

Moving patients through the maze of available services within the health care system is, at best, complex. When the patient is a child and that child is seriously ill, the situation progresses from complex to critical. The expeditious and safe transport of a seriously ill child is generally assigned to a specifically designated and trained group of health care professionals. Although such transport is essential, only a few sources could be found in the literature that described the role preparation, function, or management of a pediatric transport team. Therefore, this study was undertaken to collect information from institutions that provide transport services for neonatal and pediatric patients. The purpose was to identify national trends, describe the composition and functional aspects of the transport team, and identify criteria used for selection, orientation, and training of team members. Representatives of 56 geographical and administratively diverse institutions responded to a structured telephone interview. Findings revealed two functionally distinct types of transport teams: dedicated (N = 38) and unit based (N = 18). Included in the data obtained were types and numbers of patients transported, average response time and distance, personnel composition, and educational and experiential standards for staff and management.

Child↗

Are we really committed to lifelong education?

In this inaugural issue of JCFN, I wish to introduce a column that will appear in each issue. It is the intent of the editor to relate the contents of this column to current issues that have an impact on the nurses who care for children and their families. Your input is crucial if this goal is to be accomplished. I need to hear from you concerning the factors, forces, and foibles that are creating challenges in your practice.

Clinical Competence↗