There is a lack of consistency globally on maternity leave length and workplace policy as determinants of sustained breastfeeding for employed mothers. A consistent approach is needed to achieve the goal of exclusive breastfeeding for infants.
Children with chronic heart disease (CHD) are often turned away from recreational summer overnight experiences because of complicated medical histories and medication regimens. The purpose of this qualitative study was to evaluate the psychosocial impact of a five-day overnight recreational experience for children with CHD and their parents. Thirty-six children with CHD between the age of 8 and 15 years and their parents participated in the study. Data were collected from the children using photovoice interviews. Parent data were collected using a post camp survey. Results included the following external outcome themes: inclusion in a peer group and the importance of friendship, fun, and safety. Internal or personal outcome themes included counselor as a role model, increased self-confidence, and the realization of life's possibilities. Parent themes included increased child independence, increased child confidence, and child feelings of normalcy related to belonging to a peer group. Findings from this study can be used to encourage families of children with CHD to allow participation in a well-supervised overnight recreational experience. Such an experience can foster the child's overall development, provide peer group support, and reduce parent anxiety about overnight separation from the child.
The concept of evidence-based practice (EBP) has continued to evolve in the nursing profession as the basis for clinical decision-making. Despite the evidence to support this practice, few nurses at the bedside have received instruction in how to develop a clinical practice question using EBP skills. The EBP Scholars Program was designed at a Midwest pediatric academic hospital to teach EBP skills to enable staff to conduct extensive evaluations of existing literature to improve pediatric patient care. The program provides a comprehensive overview of EBP and the essential components necessary for implementation of EBP in a clinical setting. The development and implementation of an innovative EBP program designed to empower nurses to improve patient outcomes, as well as the lessons learned, are described.
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