Effects of a child bereavement training program for teachers

Abstract

A quasi-experimental design was used to evaluate a child bereavement training program for elementary and preschool teachers. The treatment group (n ? 10) received a four-hour workshop based on a model by Corr (1). When compared to a control group (n = 10), the treatment group gained significantly more knowledge of children's grief children's conceptions of death, and an awareness of teaching resources. No significant differences in comfort in discussing death with children was found between the two groups. Workshops that include skills training as well as knowledge were proposed as a way to increase teacher's comfort in discussing death with children.     

Effects of a bereavement intervention program in middle-aged widows in Korea

Dan-jeon is a meditative practice composed of both breathing and stretching exercises causing life energies to circulate blood throughout the body. Following a bereavement intervention program composed of Dan-jeon breathing sessions, a self-help group activity, and a health check, an experimental group showed significantly greater decrements in grief levels and symptoms of stress over a control group who received only a health check. Among the participants, there were no significant differences in immune response, percentages of T lymphocytes, helper T lymphocytes (Th), suppressor T lymphocytes (Ts), B lymphocytes, natural killer cells, monocytes, and Th:Ts ratios.     

手术室护理师资岗位培训项目的构建研究

目的构建手术室护理师资岗位培训项目。方法通过文献回顾和对12名专家进行小组访谈编制手术室护理师资岗位培训项目的框架,应用德尔菲法对15名专家进行2轮咨询,最终确立培训项目,同时明确培训项目涵盖的具体内容、学时和授课方式。结果设置的4个培训项目分别是职业素养、教学能力、专业知识和研究能力,涵盖了20项具体的培训内容,共计40个学时,培训方式为讲座、床旁教学、回复示教、情境模拟、小组案例讨论。结论手术室护理师资培训项目具有较好的科学性,能为规范培训工作、提升师资队伍胜任力提供依据。     

基于胜任力的临床护理带教师资培训大纲的构建1）

[目的]以胜任力理论为指导,构建系统、规范的临床护理带教师资培训大纲。[方法]在初步编制的培训大纲的基础上,运用德尔菲专家咨询法进行研究。[结果]基于临床护理带教教师胜任力的培训大纲包含4个培训项目21项培训内容以及相应的培训方式和培训学时。[结论]培训大纲为进一步加强临床护理带教师资培训基地建设、完善临床护理规范化培训带教管理体系、提高带教师资水平提供了参考依据。     

Development of a bereavement program in a tertiary medical center

Despite the fact that our institution has approximately 40 inpatient deaths per month, until recently virtually no support was provided to families/friends of the deceased. We developed and implemented a comprehensive bereavement program to prepare individuals for the loss and also to support them through the grieving process.     

Preliminary evaluation of bereavement experiences in a hospice program

The purpose of this study was to determine how the services of a bereavement program could be more helpful to survivors following the death of a spouse and/or significant other. Ninety-seven bereaved individuals were interviewed thirteen months after the death over a period of two years. The results of this pilot study revealed that most of the subjects were managing their lives and coping with their loss without undue stress. Overall, subjects were satisfied with the services of the hospice program and were experiencing recovery. Implications for further study and practice are discussed.     

Parents' and children's perspectives of a children's hospice bereavement program

The provision of some form of bereavement services is an integral part of any pediatric hospice program. The Canuck Place hospice program has offered bereavement services since it began in 1995. A mixed-method evaluation of the impact of the Canuck Place program on the families it served during its first two-and-a-half years of operation was conducted. The bereavement services reviewed included follow-up care for families, and bereavement support groups for children and their parents. Eight children were interviewed in the initial phase, and nine completed a survey questionnaire; 28 parents rated their level of satisfaction with various aspects of their experience with the parent support group. Findings indicated that the follow-up component of the program was well-received by family members. When assessing their group experiences, children and parents most appreciated the support and understanding they received, the freedom to express themselves, a diminished sense of isolation, and the normalization of their emotions. Practical considerations when offering bereavement support groups are discussed in this paper.     

Developing a bereavement program in the newborn intensive care unit

The mortality rate for newborns in the United States is 4.56 per 1000 live births. Newborn intensive care unit staff is an integral part in helping families deal with bereavement over the loss of their child. This article describes how one newborn intensive care unit worked through the process to develop a comprehensive program to help families in their time of grief. On the basis of personal experiences shared by families and staff, the current practice was updated. Presented also will be 2 case studies and photos of the bereavement materials used.     

Differences in bereavement reactions within couples following death of a child

Differences in distress within couples who have experienced the sudden death of a child were examined. Results from two independent samples (N = 50 couples and N = 60 couples) were compared. The SCL-90-R and the BSI were used to measure global psychological distress and distress in nine symptom dimensions. Paired t tests revealed similar findings in the two samples: Within couples, women had significantly greater global distress than men and significantly greater distress than men in most symptom dimensions. Hostility scores within couples were similar and indicated a high level of hostility. The findings may explain relational problems observed within bereaved couples. Interventions designed to help couples cope with their differences and their hostility may decrease relational problems. © 1996 John Wiley & Sons, Inc.     

Implementation of a strength training program for a 5-year-old child with poor body awareness and developmental coordination disorder

BACKGROUND AND PURPOSE: This case report describes how a strength (muscle force-generating capacity) training program was associated with changes in muscle strength, motor function, and proprioceptive position sense in a young child with poor body awareness and a diagnosis of developmental coordination disorder. CASE DESCRIPTION: Assessment of a prekindergarten child referred for physical therapy because of behaviors compatible with poor body awareness revealed muscle weakness, poor performance on the Bruininks-Oseretsky Test of Motor Proficiency, and poor proprioception. Physical therapy testing done when the child was 5 years of age contributed to a pediatrician-assigned diagnosis of developmental coordination disorder. A 12-week strength training program was initiated. OUTCOMES: Improvements were noted in muscle strength, gross motor function, and proprioception. DISCUSSION: Research indicates that muscles provide information about joint position. Evidence suggests that muscle strength gains seen in children are the result of neuromuscular learning and neural adaptations; therefore, a structured strength training program may have contributed to proprioceptive changes in this child.     

Effects of an educational bereavement program on health care professionals' perceptions of perinatal loss

BACKGROUND: The purpose of this study was to examine the differences in health care professionals' perceptions of perinatal loss situations before and after an educational program on perinatal bereavement. METHOD: A quasi-experimental design was used in a pretest and posttest format. RESULTS: Scores were significantly higher (p = .000) on each of the posttest vignettes. Overall scores were lowest for the miscarriage pretest, whereas scores for the pretest vignettes for the stillbirth and neonatal loss were similar. A similar pattern occurred in the posttest vignette scores. CONCLUSION: Health care professionals' perceptions of the emotional care needs of families experiencing perinatal loss were significantly increased after an educational program. The miscarriage vignette had the largest change score and the lowest mean scores on the pretest and posttest, which indicates professionals do not view miscarriage as significant a loss as stillbirth and neonatal loss.     

Description of a multifaceted rehabilitation program including overground gait training for a child with cerebral palsy: A case report

ABSTRACT

This case describes the outcomes of a multifaceted rehabilitation program including body weight-supported overground gait training (BWSOGT) in a nonambulatory child with cerebral palsy (CP) and the impact of this treatment on the child's functional mobility. The patient is a nonambulatory 10-year-old female with CP who during an inpatient rehabilitation stay participated in direct, physical therapy 6 days per week for 5 weeks. Physical therapy interventions included stretching of her bilateral lower extremities, transfer training, bed mobility training, balance training, kinesiotaping, supported standing in a prone stander, two trials of partial weight-supported treadmill training, and for 4 weeks, three to five times per week, engaged in 30 minutes of BWSOGT using the Up n' go® gait trainer, Lite Gait Walkable^TM, and Rifton Pacer gait trainer. Following the multifaceted rehabilitation program, the patient demonstrated increased step initiation, increased weight bearing through bilateral lower extremities, improved bed mobility, and increased participation in transfers. The child's Gross Motor Functional Measure (GMFM) scores increased across four dimensions and her Physical Abilities and Mobility Scale (PAMS) increased significantly. This case report illustrates that a multifaceted rehabilitation program including BWSOGT was an effective intervention strategy to improve functional mobility in this nonambulatory child with CP.     

Endurance training for fitness--role of individualized training program

There are many different aspects that should be taken into account when exercise counselling of trained and untrained persons is required. Factors to be considered include the endurance capacity (EC), the general sport skills and the goals of the individual willing to start a training program. First the advisor should try to characterize the EC of the person by estimating or measuring EC. Based on this information, advice for an individual training programme can be given. As a principle for cardio-respiratory fitness training, a person should at least practise three times per week 20-30 minutes in a moderate exercise intensity to achieve a sufficient training effect. When training more than three times/week people should vary the mode of exercise and training intensity to improve the quality of training and to avoid overcharge symptoms. After a certain duration of the training cycle, the plans should be adapted to new or changed conditions. A distinct improvement of EC can be expected after 8-12 weeks of regular training. The article gives an overview of the possibilities for testing and the planning of training, should help the reader either to start his own training program or to give appropriate advice to an athlete requiring training counselling.