Mental Health Conditions and Symptoms in Pediatric Hospitalizations: A Single-Center Point Prevalence Study

<p>Objetivo: analisar as percepções e os desafios da equipe de enfermagem relacionados à assistência voltada a crianças hospitalizadas com Transtornos do Espectro do Autismo. Método: estudo descritivo, exploratório, de abordagem qualitativa realizado com 19 profissionais de enfermagem da Clínica Pediátrica de um Hospital de Ensino do Distrito Federal, Brasil. A coleta de dados ocorreu no período de setembro a dezembro de 2017, por meio de entrevistas semiestruturadas que, após transcrição, foram submetidas à análise de conteúdo temática. Resultados: desvelaram-se as seguintes categorias: Vivências no cuidado à criança com Transtornos do Espectro do Autismo; e Desafios para a melhoria da assistência a crianças hospitalizadas com Transtornos do Espectro do Autismo. Conclusão: os profissionais da equipe de enfermagem sentem-se inseguros e despreparados durante a assistência, devido à incipiência de conhecimento, o que gera uma dependência da família, para mediar o cuidado da criança com transtornos autísticos hospitalizada.</p><p>Descritores: Criança Hospitalizada. Transtorno Autístico. Equipe de Enfermagem.</p>

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“…(9) . Na apresentação dos resultados, utilizaram-se os termos "E" (Enfermeiros) e "TE" ( (11) . (13) .…”

Section: Introductionunclassified

Percepções E Desafios Da Equipe De Enfermagem Frente À Hospitalização De Crianças Com Transtornos Autísticos

Oliveira

Morais

Franzoi

2019

Rev. baiana enferm.

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“…[3][4][5][6] Hospitalized children with any psychiatric problem are at risk for worse outcomes than their peers, including longer hospitalizations, more complications, and higher risk of hospital readmissions. 7 Furthermore, children with psychiatric conditions are at risk for behavior-related safety events, including the need for physical restraint. 7 Children with mental health conditions are at risk for self-harm, including suicide attempts, nonsuicidal self-injury, and other forms of injury, including head-banging, biting, and skin-picking.…”

mentioning

confidence: 99%

Patient Risk Factors for Violent Restraint Use in a Children’s Hospital Medical Unit

Noah

Andrade²,

DeBrocco³

et al. 2021

Hospital Pediatrics

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BACKGROUND AND OBJECTIVES: To inform efforts to reduce violent restraint use, we examined risk factors for restraint use among hospitalized children with known behavior concerns. METHODS:We conducted a retrospective cross-sectional study of restraint events in all hospitalizations from 2017 to 2019 on a 10-bed medical-surgical unit with dedicated mental health clinician support. We examined characteristics of restraint events, used adjusted logistic regression models to identify independent risk factors for restraint use, and used an adjusted Poisson regression model to determine the adjusted rate of restraint events per hospital day. RESULTS:The sample included 1507 hospitalizations representing 1235 patients. Among included hospitalizations, 48% were for a psychiatric indication awaiting transfer to an inpatient psychiatric unit, and 52% were for a primary medical or surgical problem. Sixteen percent had a restraint event. Patient demographic characteristics were not associated with risk of a restraint event. Having a psychiatric indication for hospitalization was an independent risk factor for restraint use (odds ratio: 2.85; 95% confidence interval: 2.06-3.94). Rate of restraint use per day decreased as length of stay increased; hospitalizations lasting 9 days or longer had a 58% lower rate of restraint use per day than 1-to 2-day hospitalizations (P < .001). CONCLUSIONS:Interventions to reduce restraint use may benefit from incorporating information about a patient's psychiatric risk factors, including type and number of diagnoses and reason for hospitalization. Future efforts could investigate whether providing enhanced behavior supports during the first several days of a patient's hospitalization reduces violent restraint use.

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“…The Pediatric Symptom Checklist 17 (PSC-17) 6 asks parents to rate children on 17 symptoms using a 3-point scale and has been validated in psychiatric and primary care samples. 7,8 Based on normative data, 7 scores on the three scales (Internalizing, Attention, Externalizing) were categorized as "No," "Moderate," or "Significant" elevation. and "Other Problems" by rating each on a four-point scale of "None," "Minor," "Moderate," or "Severe" difficulty.…”

Section: Methodsmentioning

confidence: 99%

Evaluating the Brief Parental Intake Form (BPIF) for psychosocial difficulties in childhood cancer survivors

et al. 2020

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Mental Health Conditions and Symptoms in Pediatric Hospitalizations: A Single-Center Point Prevalence Study

Cited by 19 publications

References 31 publications

Percepções E Desafios Da Equipe De Enfermagem Frente À Hospitalização De Crianças Com Transtornos Autísticos

Percepções E Desafios Da Equipe De Enfermagem Frente À Hospitalização De Crianças Com Transtornos Autísticos

Patient Risk Factors for Violent Restraint Use in a Children’s Hospital Medical Unit

Evaluating the Brief Parental Intake Form (BPIF) for psychosocial difficulties in childhood cancer survivors

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