Grounded theory methodology has guided the grounded theory methods used to explore the acute care paediatric nurses' perspective of what they do when a child has had a severe accident. The research was initiated from the experience of nursing children in the context of a rehabilitation centre and wondering how acute care nurses promoted a child's recovery after a severe unintentional injury.Many avenues were used to search international and New Zealand literature but the scarcity of literature related to what acute care paediatric nurses do was evident. Therefore this research has the potential of informing the speciality practice of acute care pediatric nursing.Nursing children in the acute care ward after a severe accident is complex. It encompasses nursing the family when they are experiencing a crisis. It is critical that the acute care nurse monitors and ensures the child's physiological needs are met, and the nurse "works with" the child to maintain and advance medical stability. Nursing interactions are an important part of "working with", communication is the essence of nursing. This research has focussed on the nurses' social processes whilst caring for the physical needs of the child and interacting with the family and multidisciplinary team when appropriate.An effective working-relationship with a nurse and family is founded on trust. Trust is an accepted part of our day-to-day lives and how to develop a trusting working-relationship with the child and family has not been explored prior to this research. Grounded theory methods supported the process of exploring the social processes of "building trust" whilst "working with" families in a vulnerable position. Nurses rely on rapport to be invited into a family's space to "work with" and support the re-establishment of the parenting role. The "stepping in and out" of an effective working-relationship with a family is reliant on trust. Nurses build trust by spending time to "be with", using chat to get to know each other, involving and supporting the family to parent a "different" child and reassuring and giving realistic hope to help the child and parents cope with their changed future.A substantive theory of the concept of "building trust to work with" has been developed using grounded theory methods. The theory has been conceptualized using the perspective of seven registered nurses working in paediatric acute care wards that admit children who have had a severe traumatic accident.

Thesis (Ph. D.)--University of New South Wales, 2004. / Also available online.

Thesis (MHSc--Health Science) -- Auckland University of Technology, 2004. / Also held in print (156 leaves, ill., 30 cm.) in North Shore Theses Collection. (T 618.920028 HAL)

Thesis (M.S.)--University of Wisconsin--Madison, 1968. / Typewritten. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 86-89).

Thesis (M.A.)--Northern Kentucky University, 2009. / Made available through ProQuest. Publication number: AAT 1465598. ProQuest document ID: 1824562501 Includes bibliographical references (p. 52-54)

Thesis (MA)--University of Chicago. / Includes bibliographical references.

Thesis (M.S.)--University of Wisconsin--Madison. School of Nursing, 1968. / Typewritten. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 42-43).

Research suggests that infants with poor neck and upper torso muscle tone experience lateral slouching and a compromised airway when placed in the semi-upright seating position. Studies reveal that 4-60% of premature infants (born at less than 3-7 weeks gestation) may experience oxygen desaturation events when in their child safety seats (CSS), potentially resulting in adverse neurodevelopmental outcomes. Therefore, the American Academy of Pediatrics recommends that premature infants be tested in their CSS prior to hospital discharge. However, neonatal healthcare providers are concerned that this method of testing might not be reliable. No formal studies have investigated the outcomes of repeat testing of premature infants, and little is known about the risk factors for oxygen desaturation events. Therefore, the purpose of this descriptive, non-experimental, observational study was to explore the stability of the one-point Infant Car Seat Challenge (ICSC) and risk factors that may be associated with oxygen desaturation events. A sample of 49 premature infants was used to explore the following variables: 1) pass/fail rates following two (ICSC) observation points, 2) oxygen saturation and desaturation patterns, sleep/wake activity, and a measure of head lag (using the pull-to-sit maneuver) during two ICSCs, and 3) the association between head lag, chronological age, time spent sleeping in the CSS and oxygen desaturation events. Data were analyzed by descriptive and nonparametric statistical tests. This study's findings indicated that 86% of premature infants had stable results, 8% passed rcsc 1 but not ICSC 2, and 6% failed ICSC l and passed ICSC 2. In addition the odds for oxygen desaturation events increased in infants that are born at a gestational age ≤ 34 weeks, were discharged home at a chronological age of > 7 days and had a corrected gestational age of ≤ 37 weeks. Neither head lag or sleep time influenced the ICSC outcomes. Furthermore the ICSC success rate for identifying at risk infants was equal to or better than that of other screening tests for newborn medical conditions. These findings will assist neonatal healthcare providers in making appropriate recommendations for safe travel.

Aim: To describe nursing students experiences of caring for hospitalized children between 0-5 years old.  Background: Child mortality is most common in the ages between 0-5 years old. Despite the positive development in Vietnam during the last years, children are still a vulnerable group. Studies show that there are challenges in pediatric nursing in Vietnam and research is required to highlight the experiences to increase awareness of pediatric nursing and child mortality. Method: Semi-structured interviews were conducted with ten nursing students who had practice with children between 0-5 years old. The data were analyzed by qualitative content analysis with an inductive approach.  Results: The students felt gratefulness when they could support the children and the parents of the children. The students received new knowledge about specific tasks and described parents as essential and supporting in the care. Conclusion: It appeared that pediatric nursing is challenging and generates different emotions. An important factor in pediatric nursing is to involve parents.

Thesis (M.S.)--Boston University