Cecily Lynn Betz

Survey of sibling and peer visitation policies in southern California hospitals.

A survey of southern California hospitals identified current visitation policies and the rationale for the restrictions of siblings and peers. Questionnaires mailed to the nursing administrators of 212 hospitals having designated pediatric beds indicated that the majority allowed some form of sibling visitation. The rationales for restriction most frequently given were prevention of infection and spread of communicable disease. The results indicate a gap between sibling visitation research and the theoretical rationale given to support restrictive policies.

Psychiatric Hospitalization of Children

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Childhood Violence: A Nursing Concern

This article reviews the salient features of juvenile violence as they pertain to the factors contributing to the rise of violence and the impact of violence on public safety and health care. An overview of this pediatric health concern is addressed as well as its implications for pediatric nursing care and practice.

Incorporating Play into the Care of the Hospitalized Child

Play is a primary activity of childhood. It serves a variety of purposes that enhance both the physical growth and the psychosocial development of children. Just as the childs level of knowledge, social abilities, and physical capacities increase, so does the childs use of play. Knowledge of the therapeutic value of play is essential for pediatric nurses to incorporate it into their care plan to facilitate the childs adaptation to the illness and hospital experiences. The use of play during the hospital experience can be effective in reducing the childs anxiety and promoting a sense of mastery. This article explores these issues and provides selected clinical examples to illustrate how nurses can integrate therapeutic play experiences with the care of children.

Allaying the anxiety of hospitalized children using stress immunization techniques

Numerous aspects of hospitalization are inherently stressful to young children. The stress immunization techniques of systematic desensitization, cognitive rehearsal, and modeling can be used by nurses to promote behavioral and cognitive controls in pediatric patients, thereby reducing the childs level of stress.

Developmental Considerations of Adolescents with Developmental Disabilities

Adolescents with developmental disabilities have pertinent developmental and psychosocial needs that require consideration for optimal long-term planing and intervention. Unless the special needs of these adolescents are addressed, obstacles to living meaningful and satisfying lives will occur. This article examines the major issues facing adolescents with developmental disabilities. Nursing implications are discussed.

Use of Nursing Models in Pediatric Nursing Research: A Decade of Review

Systematic analysis of published nursing research is not new, but the incorporation of theory into research has not been separately evaluated, and pediatric nursing research has not been evaluated in its entirety for nearly two decades. A review of the use of nursing models in 302 pediatric nursing research articles published between 1980 and 1989 was conducted. Criteria developed by Silva (1986) to examine the theoretical basis of nursing practice research were used for this analysis. Nursing models were used as the theoretical framework in 17 investigations. According to Silvas criteria, the use of nursing models in these studies could be classified as follows: 6 minimal, 8 insufficient, and 3 adequate. This analysis produced results similar to those of previous analyses, finding that scant numbers of studies actually test nursing theory.