<h3>Background</h3> Children being cared for in hospital undergo multiple painful procedures daily. However, little is known about the frequency of these and associated interventions to manage pain. We undertook this study determine, children Canadian hospitals, procedures, types pain management with influence type unit on procedural management. <h3>Methods</h3> reviewed medical charts infants up 18 years age who had been admitted 32 inpatient units at eight pediatric hospitals between...

BACKGROUND: Published reports of substantial rates moderate to severe pediatric inpatient pain tend overlook lower‐intensity that may be clinically significant. OBJECTIVE: To document the prevalence significant in inpatients by considering threshold at which each child desires intervention, and assess sources pain, assessment relationships among demographic medical variables reported pain. METHODS: Inpatients or their parents on four hospital units during nonconsecutive days were eligible...

Abstract Preterm neonates hospitalized in the neonatal intensive care unit undergo frequent painful procedures daily, often without pain treatment, with associated long-term adverse effects. Maternal-infant skin-to-skin contact, or kangaroo (KC), and sweet-tasting solutions such as sucrose are effective strategies to reduce during a single procedure; however, evidence of sustained efficacy over repeated is limited. We aimed determine relative maternal KC, administered alone combination 24%...

The aim of this study is to explore advanced practice nurses' perceptions their leadership capabilities.A qualitative descriptive methodology informed by a well-established framework was used leadership.Purposive sampling nurses working in tertiary acute care facilities Eastern Canada employed. Data sources included face-to-face interviews and document analysis. Fourteen participated two audio-taped semi-structured from March 2013-January 2014. were transcribed analysed using NVIVO 10...

Gilin oore d., leblanc day a., leiter m.p., laschinger h.s., price s.l. & latimer m. (2010) Journal of Nursing Management 18, 878–888When respect deteriorates: incivility as a moderator the stressor–strain relationship among hospital workers Aim To test whether at work exacerbates between stressors and strain for workers. Background A climate disrespect colleagues was expected to heighten impact on mental physical health care providers. Methods Members 17 care-providing units from five...

Abstract Background Mental health disorder (MHD) prevalence is high among people with HIV (PWH) and linked to poor outcomes, including non-suppression. Despite recommendations for routine mental screening in care settings, uptake remains low. The brief Patient Health Questionnaire-2 (PHQ-2) Generalized Anxiety Disorder-2 (GAD-2) are validated screeners depression anxiety symptoms potential integration into care. This study evaluates the accuracy of PHQ-2 GAD-2 detecting PWH co-occurring MHD...

Skin-to-skin contact (SSC) between mother and infant, commonly referred to as Kangaroo Mother Care (KMC), is recommended an intervention for procedural pain. Evidence demonstrates its consistent efficacy in reducing pain a single painful procedure. The purpose of this study examine the sustained KMC, provided during all routine procedures duration Neonatal Intensive Unit (NICU) hospitalization, diminishing behavioral response preterm neonates. KMC alone will be compared standard care 24%...

Background: Skin-to-skin contact between mother and infant, commonly referred to as Kangaroo Care (KC), has demonstrated efficacy a pain-relieving strategy for infants, yet, it remains underutilized in clinical practice. Purpose: To evaluate changes neonatal intensive care unit staff nurse beliefs, utilization, challenges related practice change implementing KC an intervention management of procedural pain preterm infants 2 time points. Methods: Nurses who participated larger trial examining...

Abstract Purpose This study was an in‐depth examination of pediatric postoperative pain care. Design and Methods Participant observational data were collected on the care 10 children. Particular attention paid to actions when scores ≥5 relationship between medications administered. Results A pattern emerged giving regularly even if they prescribed pro re nata . Actions varied. Recorded rarely guided treatment choices. Practice Implications The use guide choices needs further debate. Future...

SUMMARY The subjective nature of pain renders its perception in others a challenge for clinicians and informal caregivers responsible assessment relief. Adequate others' relies on different behavioral neurophysiological mechanisms. Several individual, relational contextual factors can influence the way brain reacts to this pain. This article focuses recent psychological evidence that characterizes these factors, discusses their potential impact caregiving context. Factors influencing are...

Indigenous children and youth may be quiet about the way they express their pain hurt which is in contrast to how health professionals are trained assess it.The aim was understand from 4 First Nation communities using narratives art-based methods inform culturally appropriate assessment treatment.This qualitative investigation used a community-based participatory action methodology recruit 42 between 8 17 years of age share perspectives ethnographic techniques including Talking Circle...

<h3>BACKGROUND:</h3> Indigenous youth have higher rates of chronic health conditions interfering with healthy development, including high ear, dental, chest and musculoskeletal pain, as well headache, arthritis mental issues. This study explores differences in pain-related diagnoses First Nations non–First children. <h3>METHODS:</h3> Data from a population age- sex-matched children were accessed specific region Atlantic Canada. The primary objective the was to compare diagnosis painful...

To achieve health, Indigenous people seek a life that balances mental, spiritual, emotional, and physical wellness, yet the scope of these four dimensions is not typically considered in Western-based health system. experience ongoing pain hurt all as result colonial legacy persists current-day policy care contexts. Exploring ways to support embrace being well reducing chronic has been priority area research. This community-based, qualitative study First Nations communities involved...

To determine if differences exist between paediatric intensive care nurses and allied health professionals in empathy, secondary trauma, burnout, pain exposure ratings of self others. Early late career were also examined.Nurses are routinely exposed to patient expression. This work context may make them vulnerable adverse outcomes such as desensitization or a compromise personal well-being.Cross-sectional study.Data collected from convenience sample (n = 27) 24), September 2014-June 2015, at...

First Nation children have the highest rates of pain-related conditions among Canadian children, yet there is little research on how this population expresses its pain or and whether successfully treated. The aim study was to understand Mi'kmaq express others interpret it.We conducted a qualitative ethnographic in large community using interviews conversation sessions. Participants included youth (n = 76), parents 12) teachers 7), elders 6) health care professionals 13).Interpretive...

Children with acute lymphoblastic leukemia experience pain from the disease, treatment, and procedures. Parents can be effective in managing their child’s pain, but little is systematically known about how they do this. Appreciative inquiry was used to frame study within a strengths-based lens interpretive descriptive methods were describe sources, parents’ care role, key structures supporting parents involvement. Eight paediatric oncology clinic nurses 10 participated. Six themes per group...

Etuaptmumk or Two-Eyed Seeing (E/TES) is foundational in ensuring that Indigenous ways of knowing are respected, honoured, and acknowledged health research practices with Peoples Canada. This paper will outline new knowledge gleaned from the Canadian Institute Health Research Chronic Pain Network funded Aboriginal Children's Hurt & Healing (ACHH) Initiative embraces E/TES for respectful research. We share ACHH exemplar to show how community partners take lead address their priorities by...