Changing Hospital Environments for Children

Abstract

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Patient- and Family-Centered Care and the Pediatrician's Role

“…[14][15][16][17][18][19][20][21][22][23][24] Much of the early work focused on hospitals; for example, as research emerged about the effects of separating hospitalized children from their families, many institutions adopted policies that welcomed family members to be with their child around the clock and also encouraged their presence during medical procedures. The Maternal and Child Health Bureau of the Health Resources and Service Administration played an active role in furthering the involvement of families and the support of family issues and service needs.…”

Self-Care in Health

“…Placed within the context of the health care system, differences in expecta tions vis-a-vis self-care between patient and professional will force consider ation of accommodation in the interest of both lay people and service providers. There is a common ground of interest, for example, in "humaniz ing" professional services (105), reducing iatrogenic effects, sensitizing insti tutional environments (106,107), improving productivity of services, and contributing to the quality of health care generally. At the same time, institutional accommodation to public interest in nonprofessional care strategies and environments will respond to economic incentives, to capture new markets for service [offering risk reduction and wellness programs (108)] or to hold on to old markets ("birthing" rooms which simulate homeyness).…”

Behavioral Assessment for Pediatric Intensive Care Units1

“…This research is a joint effort of the Department of Pediatrics, the Child Life Department, and the Behavioral Medicine Center of the Johns Hopkins University School of Medicine. For reprints, write "Reprint Request", Department of Behavioral Psychology, John F. Kennedy Institute, 707 North Broadway, Baltimore, Maryland 21205. traumatic and unfamiliar environment may result in a decrease of age-appropriate behaviors and an increase in problem behaviors, making good medical care harder to provide and transition to home more difficult (Haller, Talbert, and Dombro, 1967;Lindheim, Glaser, and Coffin, 1972). Despite the importance of the nonmedical problems associated with intensive care, very few studies deal with pediatric populations.…”