Hospitals and Children: A Parent's-Eye View: A Review of Letters from Parents to the Observer and the BBC

PEDIATRICS ◽  
1963 ◽  
Vol 31 (2) ◽  
pp. 225-225
Author(s):  
RUSTIN MCINTOSH

The Tavistock Institute of Human Relations, in which Mr. Robertson carries out research in child development, has long been known for its emphasis on the risk of inflicting serious and lasting damage on the personality of a young child by separating him from his accustomed home environment, especially during hospitalization. Many pediatricians in this country have seen the film "A Two-Year-Old Goes to Hospital," and not a few have been privileged to hear Dr. Bowlby or Mr. Robertson plead eloquently for acceptance of the mother into the hospital setting when a patient younger than 5 years of age is admitted.

2014 ◽  
Author(s):  
Yukiko Mochizuki ◽  
Emiko Tanaka ◽  
Yoko Onda ◽  
Etsuko Tomisaki ◽  
Ryoji Shinohara Shinohara ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Fatori ◽  
Pedro Fonseca Zuccolo ◽  
Elizabeth Shephard ◽  
Helena Brentani ◽  
Alicia Matijasevich ◽  
...  

AbstractTo test the efficacy of a nurse home visiting program (HVP) on child development, maternal and environmental outcomes in the first years of life. We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse HVP for adolescent mothers living in a poor urban area of São Paulo, Brazil. Eighty adolescent mothers were included and randomized to receive either Primeiros Laços (intervention group, n = 40) or healthcare as usual (control group, n = 40). Primeiros Laços is a home visiting intervention delivered by trained nurses that starts during the first 16 weeks of pregnancy and continues to the child’s age of 24 months. Participants were assessed by blind interviewers at 8–16 weeks of pregnancy (baseline), 30 weeks of pregnancy, and 3, 6, 12, and 24 months of child’s age. We assessed oscillatory power in the mid-range alpha frequency via electroencephalography when the children were aged 6 months. Child development was measured by the Bayley Scales of Infant Development Third Edition (BSID-III). Weight and length were measured by trained professionals and anthropometric indexes were calculated. The home environment and maternal interaction with the child was measured by the Home Observation and Measurement of the Environment. Generalized estimating equation models were used to examine intervention effects on the trajectories of outcomes. Standardized effect sizes (Cohen’s d) were calculated using marginal means from endpoint assessments of all outcomes. The trial was registered at clinicaltrial.gov: NCT02807818. Our analyses showed significant positive effects of the intervention on child expressive language development (coefficient = 0.89, 95% CI [0.18, 1.61], p = 0.014), maternal emotional/verbal responsivity (coefficient = 0.97, 95% CI [0.37, 1.58], p = 0.002), and opportunities for variety in daily stimulation (coefficient = 0.37, 95% CI [0.09, 0.66], p = 0.009). Standardized effect sizes of the intervention were small to moderate. Primeiros Laços is a promising intervention to promote child development and to improve the home environment of low-income adolescent mothers. However, considering the limitations of our study, future studies should be conducted to assess Primeiros Laços potential to benefit this population.Clinical Trial Registration: The study was registered at clinicaltrial.gov (Registration date: 21/06/2016 and Registration number: NCT02807818).


2018 ◽  
Vol 25 (3) ◽  
pp. 459-472 ◽  
Author(s):  
Emma Waight ◽  
Kate Boyer

In this article, we argue that the non-human plays a vital role within networks of care. We do this through a consideration of the forms of work done by baby things in the giving and receiving of young-child care. We extend existing understandings of human–non-human relations by arguing that beyond the work of warming babies’ bodies and providing comfort, baby things function within care assemblages as both a means and a metric of parental care. Within the consumption literature, the work of home provisioning (typically undertaken by mothers) has been cast as an expression of love for others. We build on this by exploring the forms of participation and ‘caring capacities’ of matter itself – objects such as blankets, soft-toys and pacifiers – in the caring-for of babies and young children. We attend to the flows and stoppages of baby things across networks of early childhood caregiving to consider what these patterns of movement suggest about how such artefacts participate within relations of care, and how they are used as a means to reflect on the care practices of others. Analysis is based on 30 interviews with mothers and ethnographic and survey work at 14 children’s clothing exchanges in different parts of England and Scotland. Drawing on scholarship from the New Materialism as well as Mary Douglas’s conceptual work on dirt and cleanliness,1 we advance conceptual work within and beyond Cultural Geography by arguing that analytical attention to the role of the more than human leads to richer and more nuanced understandings of how care relations work.


2014 ◽  
Vol 13 (4) ◽  
pp. 1005-1011 ◽  
Author(s):  
Gabrielle Silver ◽  
Julia Kearney ◽  
Chani Traube ◽  
Margaret Hertzig

AbstractObjective:The recently validated Cornell Assessment for Pediatric Delirium (CAPD) is a new rapid bedside nursing screen for delirium in hospitalized children of all ages. The present manuscript provides a “developmental anchor points” reference chart, which helps ground clinicians' assessment of CAPD symptom domains in a developmental understanding of the presentation of delirium.Method:During the development of this CAPD screening tool, it became clear that clinicians need specific guidance and training to help them draw on their expertise in child development and pediatrics to improve the interpretative reliability of the tool and its accuracy in diagnosing delirium. The developmental anchor points chart was formulated and reviewed by a multidisciplinary panel of experts to evaluate content validity and include consideration of sick behaviors within a hospital setting.Results:The CAPD developmental anchor points for the key ages of newborn, 4 weeks, 6 weeks, 8 weeks, 28 weeks, 1 year, and 2 years served as the basis for training bedside nurses in scoring the CAPD for the validation trial and as a multifaceted bedside reference chart to be implemented within a clinical setting. In the current paper, we discuss the lessons learned during implementation, with particular emphasis on the importance of collaboration with the bedside nurse, the challenges of establishing a developmental baseline, and further questions about delirium diagnosis in children.Significance of Results:The CAPD with developmental anchor points provides a validated, structured, and developmentally informed approach to screening and assessment of delirium in children. With minimal training on the use of the tool, bedside nurses and other pediatric practitioners can reliably identify children at risk for delirium.


1993 ◽  
Vol 38 (3) ◽  
pp. 225-233 ◽  
Author(s):  
Yvon Gauthier

Recent research on child development and on infant-mother psychotherapy is reviewed. The problem of continuity or discontinuity of early patterns is thus brought out, as well as the possibility of change under the influence of environmental modifications or in psychotherapy. After briefly presenting the most often proposed mechanisms to explain change, the possibility is suggested that such change could be better conceptualized by using fundamental modes of development that can be particularly observed in mother-infant or parent-young child interaction.


Author(s):  
Kathryn Hale ◽  
Truls Østbye ◽  
Bilesha Perera ◽  
Robert Bradley ◽  
Joanna Maselko

The context in which dependents, regardless of age, receive care affects their health. This study adapted the Home Observation for Measurement of the Environment (HOME) Inventory, originally designed for child development research, to assess the quality of stimulation and support available to elders in their habitual households in Sri Lanka. Whether the adapted domains correlated with indicators of health and well-being in ways consistent with the child development literature was then examined. Through mixed-methods research based on 248 household surveys, four focus groups, and 15 interviews, three domains emerged: Physical Environment, Variety of Stimulation, and Emotional and Verbal Responsiveness. Regression modeling revealed that a higher quality physical home environment correlated with two measures of cognitive function after adjusting for covariates, but no consistent association with two psychological well-being scales. In contrast, higher Variety of Stimulation scores correlated with better cognitive function and lower psychological distress. There was no consistent correlation between Responsiveness and selected health outcomes. Qualitative data indicate that elders are active household contributors who strive to achieve harmonious relations with coresident kin. These findings reveal notable synergies between early and late life efforts to improve cognitive and psychological health, and highlight household considerations for future healthy aging research.


2007 ◽  
Vol 33 (6) ◽  
pp. 728-737 ◽  
Author(s):  
I. O. Ertem ◽  
G. Atay ◽  
D. G. Dogan ◽  
A. Bayhan ◽  
B. E. Bingoler ◽  
...  

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