The death of a child has been described as
A qualitative method was used to study hospitalized young children's perceptions of their pain experiences. Participating were 11 children (ages 2 1/2 to 6 1/2 years) who had received surgical intervention. Participant observation and interviews were used to study the children's pain experiences. Each child also participated in a formal interview that combined play or drawing with a semistructured interview format. Data analysis occurred concurrently with data collection, consistent with the grounded theory technique. Findings revealed that the children experienced many different types of pain, which they defined as "my hurts." Their hurts were all perceived as "bad." Preferred care practices were also identified. Information from this investigation will help sensitize professionals to how to better care for young children in pain.
Learning about the historical and current context of Indigenous peoples’ lives and building campus communities that value cultural safety remains at the heart of the Canadian educational agenda and have been enacted as priorities in the Manitoba Collaborative Indigenous Education Blueprint. A participatory approach informed by forum theater and Indigenous sharing circles involving collaboration between Indigenous and non-Indigenous health care professionals ( n = 8) was employed to explore the above priorities. Through the workshop activities, vignettes were created and performed to an audience of students and educators ( n = 7). The findings emerging from the workshop illuminated that Indigenous people in nursing and higher education face challenges with negotiating their identity, lateral violence and struggle to find safe spaces and people due to tokenism and a paucity of physical spaces dedicated to Indigenous students. This study contributed to provoking a greater understanding of Indigenous experiences in higher education and advancing reconciliation.
Background: Findings reported in this article emerged from the study titled "Youth's Voices: Their Lives and Experiences of Living with an Anxiety Disorder." Though the initial focus of this study was not on the pain experiences of youth living with an anxiety disorder, it became apparent from the very first interviews that pain and suffering was key in the youth lived experience, permeating their everyday lives and impeding their participation and functioning in the world. Aims: The aim of this article is to highlight the ways in which pain is a central experience for young people living with an anxiety disorder. Methods: The study was approached from the qualitative research design of hermeneutic phenomenology. Fifty-eight young people who were living with anxiety disorders and their parents participated in the study. Youth took part in multiple qualitative open-ended interviews and the participatory arts-based method of photovoice. Themes were developed using van Manen's method of data analysis. Results: The overall theme emerged as "anxiety is very much about pain." The four subthemes are (1) embodied experience of anxiety: physical pain; (2) a prominent symptom of anxiety: mentalemotional pain; (3) difficult interpersonal relationships: social pain; and (4) articulating their pain. Conclusions: Use of qualitative, arts-based methodologies provided the opportunity and space for youth with anxiety to articulate their multifaceted experience with pain in their own words. This work reinforces the need for use of qualitative approaches to understanding pain experiences in young people. RÉSUMÉ Contexte: Les conclusions présentées dans ce document sont issues de l'étude intitulée « La voix des jeunes : Leurs vies et leurs expériences de la vie avec un trouble anxieux ». Bien que l'objectif initial de cette étude n'était pas de s'intéresser aux expériences de douleur des jeunes vivant avec un trouble anxieux, il est apparu dès les premiers entretiens que la douleur et la souffrance étaient des éléments clés de l'expérience vécue par les jeunes, qui imprégnaient leur vie quotidienne et entravaient leur participation et leur fonctionnement dans le monde. Objectifs: Le présent document vise à mettre en lumière les façons dont la douleur constitue une expérience de premier plan pour les jeunes vivant avec un trouble anxieux. Méthodes: L'étude a été abordée à partir de la conception de la recherche qualitative de la phénoménologie herméneutique. Cinquante-huit jeunes vivant avec des troubles d'anxiété et leurs parents ont participé à l'étude. Les jeunes ont pris part à de multiples entretiens qualitatifs ouverts et à la méthode participative Photovoice, fondée sur les arts. Les thèmes ont été déterminés en utilisant le processus d'analyse des données inspiré de van Manen. Résultats: Le thème général qui s'est dégagé est le suivant : « L'anxiété est essentiellement liée à la douleur ». Les quatre sous-thèmes sont les suivants : (1) L'expérience de l'angoisse incarnée : La douleur physique ; (2) Un symptôme important de l'...
Despite strong evidence of negative developmental outcomes resulting from the use of physical (or corporal) punishment with children, its use by parents and other caregivers is common. Such negative outcomes include child aggression, mental health issues, and physical abuse. Health care providers have a responsibility to promote disciplinary strategies that facilitate positive parent-children relationships and keep children's self-esteem and bodies healthy and intact. The incidence, factors, and outcomes associated with parental use of physical punishment are reviewed and useful advice for parents and age-appropriate disciplinary strategies and resources are outlined for the various stages of child development from infancy to school age.
Families experiencing childhood cancer are confronted with many stressors throughout the course of illness. For children with cancer, such stressors may be especially challenging. The extent to which they are able to deal with such challenges appears to be partly contingent on the support available from others. Positive social relations are considered to improve the quality of life of individuals in general and to help protect or buffer them from stressful life events such as cancer. This article presents a critical review and synthesis of research examining social support in children with cancer. Recommendations for research that will provide a foundation for understanding social support in children with cancer are outlined. These recommendations include the need to investigate (a) social support as a guiding, central construct, (b) social support from a family socio-cultural perspective, (c) social support from a developmental perspective, and (d) social support as a process. Implications for pediatric oncology nursing practice are discussed.
Climate change has become a reality for many people across Canada. Environmental changes occurring in Canadian ecoregions include: increasing temperature, more severe storms, increasing wildfire occurrence, and decreasing sea ice thickness and duration. These events are impacting mental health due to the psychological experience of grieving and loss associated with climate change. In this study, we use the term ‘climate grief’ to describe the feelings connected to both the experienced and anticipated loss due to climate change. The purpose of this study was to explore the different ways that Canadian’s express and process climate grief. A scoping review was conducted to create a typology of existing vocabularies and rituals for expressing and processing climate grief. The results of the typology found that the primary types included peer-reviewed research, media, religious/spiritual practices, education, mental health support, social action gatherings, grey literature, guiding frameworks, and artistic expression. Secondary types included 25 subtypes and 37 tertiary types/approaches. It is important for governments and medical boards to have a proactive and not a reactive position in regard to mental and physical health effects from climate change. The way that people express and process feelings associated with climate change can provide important insights for developing climate change policy and programs. Furthermore, climate change strategies should include recognition of psychological wellbeing.
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