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Background:The parents of children with congenital heart disease (CHD) are faced with multiple needs such as home care of children and medicinal care after the child is discharged from hospital. Objectives:To assess the effect of consultancy on phone after hospital discharge on self-efficacy of mothers of children with CHD.Method: This is a quasi-experimental study in which 100 mothers were selected from among those whose children were hospitalized due to their CHD using a simple random sampling and randomly divided into control and intervention groups using block randomization: the intervention group on phone consultancy and the control group. Tools used for collecting data were the Demographic Information and General Self-Efficacy questionnaires. The principal researcher phoned mothers in the intervention group on the third and fifth days after hospital discharge and consulted with them about giving medications. Immediately after hospital discharge and one week later, questionnaires were filled out. Results:The mothers' self-efficacy score in the intervention group had a statistically significant difference immediately after hospital discharge and one week later (p=0.000, p<0.001). However, the difference in the mothers' self-efficacy score in the control group was not significant immediately after hospital discharge and one week later (p=0.421).

AbstractsChildren Clinic/Academic Medical Center in Amsterdam the Netherlands was a complicated process. Methods A multidisciplinary workgroup, 5 nurses, 5 neonatologists and a pharmacist composed a phased implementation procedure which consisted of the following activities:A multidisciplinary meeting before and 10 months after implementation; Existing protocols were made evidence based; Working visits were made; A centre of expertise was established; A group of experienced nurses and doctors were steered as leaders in the care; Clinics and workshops for leading nurses; Clinics for all professionals concerned; Sessions for nurses to reflect and learn from each other; Evaluation of the implementation; and an Inventory to readjust existing guideline. Results Due to media attention, an early start was forced. Protocols were not ready, material and equipment not available. The number of infants was higher than expected. The decision to perform the care for these infants by leading nurses resulted in agitation amongst other nurses. Their opinion was that complex nursing care should be performed by all experienced nurses. New rules resulted in a lack of clarity. Conclusions Well-considered choices were made, however it appeared that nurses were in need of training on the job instead of planned theoretical training in advance. STUDYING THE HOSPITALIZATION CAUSES OF NEONATES FROM FARS PROVINCE AT THE NURSERY WARDS Materials and MethodsThis study is a descriptive research. The samples were consisting of 60 immature neonates less than 37 weeks and weight of below 2500 grams who had been hospitalized at the nursery wards of Shiraz city. These neonates were selected by simple sampling method.Results The results of the study showed that, 53.5% of hospitalization causes of immature neonates at the hospital were affection to the Jaundice and Respiratory Distress Syndrome followed by Pneumonia which was the cause of 30.0% of cases. While, affection to the diseases like Sepsis, Hypoglycemia, Necrosing Enterocolitis, Metabolic disorders and Nosocomial infection were the cause of 8.3%, 5.0%, 3.3%, 1.7% and 1.7% of the hospitalization cases respectively. None of them were hospitalized due to the intra cerebral hemorrhage in this study. Discussion and conclusion In this study, Jaundice, RDS and Pneumonia are among the most prevalent causes of hospitalization of immature neonates in the hospital. It is recommended for the health care givers to have sufficient information in this regard and while facing immature neonates, pay more attention to their respiratory condition.

AbstractsIntroduction Prevalence estimates suggest that between 12% and 35% of women and between 4% and 9% of men report having experienced sexual abuse before 18 years of age. Although no sexual abuse-specific syndrome has been described, aggressive behaviour, social isolation, somatization, anxiety, depression, nightmares, inappropriate sexualized behaviours and symptoms of post-traumatic stress disorder (PTSD) are the most frequent sequelae reported. Methods The following sources were searched: Medline and hand searches of relevant journals from 1998-2009. Results The sequelae of child sexual abused indicates that children not only express short-term adaptation problems, but are also at risk of adolescence and adulthood revictimization, drug and alcohol abuse and a host of other symptoms. Vulnerability to victimization and varied outcomes are determined by interactions of three sets of mutually influential factors: personal variables, event factors, and environmental factors. Based on the literature, we predicted a high prevalence of psychiatric disturbance in these abused children (30% or greater). Children who have been both physically/sexually abused appear to be at highest risk of psychiatric disturbance. Results show that in the sexual abuse group, single-parent families were more frequent (53.7% versus 32.3%; P<0.01), mothers were less educated (10.8% versus 13.1%; P<0.0001) and socioeconomic level was lower (36.8% versus 47.9%; P<0.0001). Conclusions Child sexual abuse is a common problem in our society and medical professionals who provide evaluations of children who may have been abused need. JOB SATISFACTION SURVEY AMONG PEDIATRIC ONCOLOGY NURSES

Abstractshypertension. Its occurrence may significantly affect the postoperative disease course during the first 72 hours of PICU stay. Aim The provide insight into early recognition and management of pulmonary hypertension after cardiac surgery. Methods We have developed nursing protocols describing how to monitor and interpret haemodynamic parameters, and how to interpret laboratory and roentgenologic investigations. Special attention is paid towards the clinical appearance of the patient. Next to this, supportive tools such as nitric oxide and highfrequency oscillatory ventilation (HFOV) are inevitable. Results A protocolized approach allows us to recognize complications after paediatric cardiac surgery early during PICU stay. As a consequence, early management is possible.Nitric oxide and HFOV are used as a supportive intervention for managing pulmonary hypertension. Conclusion A protocolized approach allows us to recognize complications after paediatric cardiac surgery early during PICU stay. Congenital heart diseses, are chronic illness in infants & children. This research is a quasi-exprimental study investigating the impact of education on home care knowledge of sixty mothers with children undergoing heart surgery. Data collection consisted of a pretest, posttest and retentional questionnaire that contain of demographic data of mother & her baby and multiple choice test relate to heart diseases, surgical treatment, complication and home care of babies. The mothers gained a positive mark for true answer, a negative mark for a false answer and a zero mark for an unknown answer. Data collection was conducted in before admission of babies, one week and one month after discharge. As for the case group teaching programs consisted of educational vido films and a face to face teaching and educational booklet. For the data analysis a spss package & descriptive statistic were employed. To identify the level of mother's knowledge, mother's mark were classified as, good-moderate and weak. The result obtained showed that at pretest. the subjects in the case group did not have a good level. As for the control group only 6.7% were evaluated as good level at pretest. At posttest and retentional phases scors increased to 100 and 96.7% respectively for the case group. Regarding the control group 6.7% were evaluated as good and dropped to zero at the retentional stage. However, comparsion of the mean score at the posttest and retentional in both groups, showed a a decrease of knowledge overtime. In conclusion the results of the present study significantly supports the impact of education on improving the knowledge of mothers on providing a better home care for children undergoing heart surgery. THE EFFECTS OF TEACHING ON THE KNOWLEDGE OF MOTHER TO CARING FOR INFANT & CHILDREN AT HOME