A survey of disability management practitioners was conducted to delineate the knowledge and skills perceived by practitioners to be important in disability management service provision. This study explored the reported preparedness of disability management practitioners. Eight hundred participants received the Disability Management Skills Inventory (DMSI), which was developed for this investigation. A total of 311 individuals responded, for an overall response rate of 39.4%. Factor analysis of the DMSI revealed 94 knowledge and skill items distributed across three competency areas: (a) Fundamentals of Disability Management; (b) Elements of Vocational Rehabilitation; and (c) Elements of Facilitative Counseling and Advocacy. Multivariate and univariate analyses of variance revealed statistically significant differences in perceived importance of various knowledge and skill areas, depending on providers' setting and professional classification. In addition, statistically significant differences in reported preparedness in knowledge and skill areas by professional classification were found.
Children undergoing a surgical intervention may experience anxiety before anesthesia induction. This article reviews six research studies that examined the efficacy of parental presence during the induction of anesthesia. Study researchers compared the premedication midazolam, behavioral distraction, and parental presence as measures to lessen anxiety during anesthesia induction. The reviewed articles indicate that parental presence alone is the least effective means of decreasing a child's anxiety during the induction of anesthesia.
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