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| 2. |
- Edwinson Månsson, Marie, et al.
(författare)
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Children Need to Know : A Follow-Up Study Two Decades Later on Informing and Preparing Children for Clinical Examinations and Procedures
- 2023
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Ingår i: Pediatric Nursing. - : Jannetti Publications. - 0097-9805. ; 49:1, s. 32-
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To describe the current practice of how children and their parents are informed and prepared for medical procedures at Swedish pediatric units, and to follow up on practices reported previously in 17 units.Design and Methods: A cross-sectional survey using a semi-structured questionnaire was performed in 2000, defined as Trial 1 (T1), with 58 responses, and repeated from 2017 to 2018, defined as Trial 2 (T2), with 26 responses. Potential differences between T1 and T2 were calculated with Pearson's Chi-square, and open-ended question responses were subjected to content analysis.Results: In T1, 95% of respondents reported regular preparation services and 65% reported this in T2; most practices were equal between T1 and T2. However, prior to admission, conversations with nurses (p < 0.05) and video shows on the Internet or web-based programs (p < 0.001) were more frequently reported in T2 than in T1. Additionally, written information about psychological needs at discharge (p < 0.001) and communication with nurses and physicians increased in the present study (p < 0.01). Checking the child's level of understanding was reported less in T2 (p < 0.01). Open-ended responses gave the impression that the units had ambition to inform and prepare children properly but were hindered because of time constraints, a strained staff situation, and lack of routines.Conclusions: In Swedish Pediatric Care, preparation services are emphasized; however, increased outpatient care and decreased hospital stays challenged the practice of preparation and information. The child's perspective of preparation and information needs further illumination.
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| 3. |
- Edwinson Månsson,, Marie, et al.
(författare)
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Children Need to Know: A Follow-Up Study Two Decades Later on Informing and Preparing Children for Clinical Examinations and Procedures
- 2023
-
Ingår i: Pediatric nursing. - : Jannetti Publications. - 0097-9805. ; 49:1, s. 32-
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: To describe the current practice of how children and their parents are informed and prepared for medical procedures at Swedish pediatric units, and to follow up on practices reported previously in 17 units.Design and Methods: A cross-sectional survey using a semi-structured questionnaire was performed in 2000, defined as Trial 1 (T1), with 58 responses, and repeated from 2017 to 2018, defined as Trial 2 (T2), with 26 responses. Potential differences between T1 and T2 were calculated with Pearson's Chi-square, and open-ended question responses were subjected to content analysis.Results: In T1, 95% of respondents reported regular preparation services and 65% reported this in T2; most practices were equal between T1 and T2. However, prior to admission, conversations with nurses (p < 0.05) and video shows on the Internet or web-based programs (p < 0.001) were more frequently reported in T2 than in T1. Additionally, written information about psychological needs at discharge (p < 0.001) and communication with nurses and physicians increased in the present study (p < 0.01). Checking the child's level of understanding was reported less in T2 (p < 0.01). Open-ended responses gave the impression that the units had ambition to inform and prepare children properly but were hindered because of time constraints, a strained staff situation, and lack of routines.Conclusions: In Swedish Pediatric Care, preparation services are emphasized; however, increased outpatient care and decreased hospital stays challenged the practice of preparation and information. The child's perspective of preparation and information needs further illumination.
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| 4. |
- Edwinson Månsson, Marie, et al.
(författare)
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Children's and parent's perceptions of a magnetic resonance imaging examination
- 2014
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Ingår i: Journal of Radiology Nursing. - : Elsevier BV. - 1546-0843. ; 33:1, s. 30-34
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe children’s and parents’ perceptions after a magnetic resonance imaging (MRI) examination. Semistructured interviews with eight children and eight parents were conducted. The interviews were analyzed using a phenomenographical approach. Both children and parents perceived a sense of security when they received preparation/information. The children perceived that it was positive to have their parents present. Children and parents also felt a sense of security from the positive attitude of the health professionals. They perceived anxiety if they felt that the preparation/information they were given was insufficient. The MRI scanner caused anxiety because of its size, design, and sound, and they were anxious about the risk of a failed examination. The children talked much about the difficulty of lying still. The parents perceived that more information about the MRI examination should be offered. By having the knowledge of how children and their parents perceive an MRI examination could help and guide health professionals for better understanding and high-quality care.
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| 5. |
- Edwinson Månsson, Marie, et al.
(författare)
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Practices for preparing children for clinical examinations and procedures in Swedish pediatric wards.
- 2004
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Ingår i: Pediatric nursing. - 0097-9805. ; 30:3, s. 7-229
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Tidskriftsartikel (refereegranskat)abstract
- This study sought to elucidate Swedish pediatric wards concerning the practice of informing children and their parents about clinical examinations and procedures. A semi-structured questionnaire was distributed to all 36 pediatric departments in Sweden, comprising of 83 wards. Fifty-eight (70%) of the wards responded. The results showed that 55 (95%) of the wards provided regular planned information programs. Twenty-seven (47%) of the wards had formulated quality goals for their information program, but in only nine (16%) of the wards were the goals quality assured. Although the results showed that most pediatric wards in Sweden inform children about hospitalization, formulated quality goals remain uncommon. In some wards, economic cutbacks had led to reduction of information for preparation. Despite obstacles, nurses try to give priority to the giving of information. Further studies should focus on children's and parents' experience and satisfaction.
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| 7. |
- Edwinson Månsson, Marie, et al.
(författare)
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The effect of preparation for lumbar puncture on children undergoing chemotherapy
- 1993
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Ingår i: Oncology Nursing Forum. - 0190-535X. ; 20:1, s. 39-45
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Tidskriftsartikel (refereegranskat)abstract
- At the University Hospital in Lund, Sweden, a preparation program was developed for children undergoing lumbar punctures (LPs) during chemotherapy for leukemia or lymphoma. Subsequently, a study was initiated to determine whether a preparation program for children prior to treatment would reduce their anxiety and improve their cooperation. This study also was undertaken to examine whether reinforcing the preparation information prior to each LP would be beneficial. The 30 children who participated in the study were divided into three groups: a control group whose members did not receive preparation and two other groups whose members were exposed to different numbers of preparation programs. The parents and the nurse in charge evaluated the children's reactions during treatment using two 6-point rating scales: an anxiety scale and a noncooperation behavior scale. Two unbiased, trained observers later viewed video recordings of the children's reactions and evaluated them using the same tools. In addition, each child rated his or her experience of pain on a 10 cm visual analogue scale. Based on these ratings, the groups were analyzed to determine if within-group differences existed from one treatment to the next and to determine if between-group differences existed at the various times of treatment. Few statistically significant differences were found, but the results indicate that the children in the most informed group exhibited sustained reductions in their perceptions of pain. This may signify that reinforcing the preparation information before each of the LPs enabled these children to cope with the pain more effectively.
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| 8. |
- Edwinson Månsson, Marie
(författare)
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The value of informing Children prior to examination and procedures
- 1992
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The value of infoming children about impending medical procedures was investigated, particularly in ægard to possible effects on anxiety, fear, noncooperation and distress in specific clinical situations: urological investigation, heart catheterization, lumbar puncture, acute appendectomy. The use of a preparatory infonnation program was compared with conventional verbal infomation and pharmacological premedication. Pain, anxiety and noncooperative behaviour were measured using establish scales of subjective measurement and analyses of physiological measures: pulse, blood pressure and stress horrnones. The preparation program consisted of a demonstration of the planned procedure to the child using, according to the child's age, a doll, play interaction, a photo album and/or verbal inforrnation. Parents were usually present. Ourstudies demonstrate the following findings: a preparation program reduced the number of anxious children needing premedication befor uroradiological examination; preparation compared favourably to pharmacological premedication; children with acute appendicitis indicated less anxiety after the preparation program and were comparable to controls who had received pharmacological premedication; children who had been prepared prior to heart catheterization also showed less anxiety prior to the procedure; at long terrn follow-up, recollection of the hospitalization apparendy had been effected by the preparation program, possibly due to a more effective handling of anxiety and fear while still in hospital; perception of pain in a prepared group undergoing lumbar punctures showed anxiety reduction during repeated procedures.When the children's anxiety and noncooperation were rated by independent adults, including parents, a surprising degree of agreement was seen. Adults as a group, however, tended consistently to use low ratings for anxiety-noncooperation compared to tie child self rating of pain. Present findings are compared to those of other authors and are generally in agreement where similar questions have been posed. Further research and refinement ofmethods for the delivery ofpreparatory inforrnation to children facing painful or frightening medical procedures is, however, needed.
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| 9. |
- Edwinson Månsson, Marie, et al.
(författare)
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Use of clowns to aid recovery in hospitalised children.
- 2013
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Ingår i: Nursing children and young people. - : RCN Publishing Ltd.. - 2046-2336 .- 2046-2344. ; 25:10, s. 26-30
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Tidskriftsartikel (refereegranskat)abstract
- Aim To examine how children in hospital perceive their meetings with clowns. Methods An interview study with ten children and an observation study of 12 children were carried out at two different hospitals employing clowns in southern Sweden. Findings Analyses of the interviews produced four main thematic categories: the clowns' attributes, feelings that the clowns provoked, children's thoughts about the clowns' visit, and one negative experience. Analyses of the observations produced two main categories: clowns' interplay based on initiatives from children, and children's reactions to the event. The children experienced their hospital stay as being fun, which helped them feel more at home. A visit from the clowns was evidently important for the children. Conclusion The clowns brought play and humour into the hospital and this gave children the opportunity to focus on something other than their illness, aiding their wellbeing and recovery.
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| 10. |
- Forsner, Maria, 1954-, et al.
(författare)
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Omvårdnad vid procedurer
- 2023. - 3
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Ingår i: Pediatrisk omvårdnad. - Stockholm : Liber. - 9789147146017 ; , s. 129-147
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Bokkapitel (refereegranskat)
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