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- Creators: Arizona State University
- Creators: Jacobson, Diana
parents has focused largely on the trauma that results from losing a parent to incarceration. Little research has been dedicated to examining the pre-existing trauma and negative life experiences these children are exposed to prior to parental incarceration. Using cross-sectional data on children (N = 1,221) from a representative study of Arizona Department of Corrections inmates, the present study examines the relationships among children who have contact with Child Protective Services (CPS) prior to parental incarceration and: (1) parental substance abuse, (2) exposure to violence and (3) parental mental illness. Nearly a quarter of all children whose inmate parents were interviewed were contacted by CPS before experiencing parental incarceration. Children whose inmate parents reported being unemployed or less involved in the lives of their children and children who were reportedly exposed to violence were significantly more likely to have been contacted by CPS prior to experiencing parental incarceration as were younger children. The children of incarcerated mothers were more likely to have been contacted by CPS than were the children of incarcerated fathers. This effect remained even after controlling for additional parent, child and family risk factors for CPS contact such as prior history of incarceration and race.
Design: Using an established program for health literacy education, a Doctor of Nursing Practice project was implemented. The effect the program had on increasing the health literacy of participants over a period of 4 weeks was examined. The predominately, Latina participants received three hours of instruction based upon the health literacy book “What to do When Your Child Gets Sick”.
Setting and Subjects: The educational program took place in a large, urban county in the Southwestern United States with 24 parents of preschool age children in Head Start.
Intervention: The educational program contained three hours of classroom instruction utilizing PowerPoint® presentation, demonstration, and teach-back techniques on how to care for a child’s healthcare needs.
Measures and Analysis: Pre-, post- and telephone surveys were used to assess the impact of the health literacy educational program. Wilcoxon and Freidman tests were used to interpret the results.
Results: Despite no significant increases in health literacy post implementation, participants’ remarked that they felt the class was helpful and wanted to share the information with friends and family. They appreciated the program and wanted more educational opportunities.
Conclusion: Advanced practice nurses must acquire understanding, cultural sensitivity, and assess the needs of the community when implementing health literacy educational projects.
There is an increased risk of misdiagnosis of Attention Deficit Hyperactivity Disorder (ADHD)
in preschoolers due to the lack of validated diagnostic tools and provider knowledge of normal behavior and development. The goal of this project was to standardize the diagnostic process by adopting an evidence-based ADHD algorithm protocol for preschoolers (3-5 years). In an urban military pediatric clinic, five pediatric care clinicians were provided with an educational ADHD algorithm.
Pre/posttest surveys were used to assess provider knowledge and perceptions of care. Chart audits determined preschooler ADHD diagnosis prevalence pre- and post-implementation of the algorithm. The rate of ADHD diagnosis in preschoolers reduced significantly from 78.6% pre-audit to 22.6% post-audit. In addition, providers improved their accuracy in diagnosing alternative disorders and behaviors that mimic the symptomology of ADHD (Z=-2.0, p=0.046). The rate of misdiagnosis of ADHD in preschoolers decreased because of the use of an evidence-based ADHD algorithm.
Aim: The purpose of this project was to determine if educating elementary school personnel would improve their knowledge and self-efficacy in caring for students with Cystic Fibrosis (CF) and improve the health and educational outcomes of students with this disease.
Background: Evidence suggests that teachers play a big role in the management of students with chronic illnesses. However, current literature indicates that teachers lack basic knowledge about childhood chronic illnesses and how to manage students with chronic illnesses. Synthesis of evidence indicated that an online CF educational intervention would improve knowledge and self-efficacy among school personnel, thereby improving the health and educational outcomes of students with CF.
Methods: Elementary school personnel in Southern Arizona were asked to do an online pre-survey to evaluate knowledge and self-efficacy, view a short presentation on cystic fibrosis, and complete a post-survey. Parents of students with CF were asked to track 504 plan use and CF related absences. Frequencies were used to evaluate participant demographic data and survey data. The McNemar and Wilcoxon Signed Test were used to analyze survey data.
Results: Analysis showed a statistically significant improvement in perceived knowledge (p = .024) and self-efficacy scores (p = .034). Although survey scores showed an average score improvement between pre-survey and post-survey total scores (p = .212), it was not statistically significant.
Conclusion: Results showed an overall improvement in CF knowledge and self-efficacy among elementary school personnel. These results may provide an opportunity for CF healthcare providers and schools to promote the health and education of students with CF.
In this study I present and analyze the cases of nine participants who attended an after-school care program at a homeless shelter for families in the southwestern United States. Participants were 8 to 12 years old and represented diverse ethnicities and genders. Data were gathered over a period of two to eight months, depending on participant, via interviews, music and art making, and observations. Research questions in this study included: What are the relationships, as experienced in, through, and around music, in the lives of children experiencing homelessness; and, What do music experiences tell us about the lives of children experiencing homelessness?
Some children experienced fractured music relationships and could not continue to engage with music in comparison to their lives before homelessness. Some children continued to make music regularly before and during their shelter stay. A few children discovered new connections through music interactions at the shelter and hoped to engage with music in new ways in their new homes. Multiple children faced barriers to music making in their respective school music programs. Children preferred to engage in music consistent with current popular culture, accessed through the radio, smart phone, and computer. Use of hands-on activities that fostered active engagement engendered the most participation and connection to music.
Recommendations include examination of current procedures and practices to ensure alignment with the McKinney-Vento Homeless Act federal mandate, development of a supportive environment to foster social and emotional growth, facilitating communication with parents, and the inclusion of music from the child’s background in the classroom repertoire. Performance and interactive music opportunities can mitigate the effects of homelessness and restore a sense of dignity, relationship, and autonomy. All stakeholders in the wellbeing of children should include conversations about student experience of homelessness in current dialogue on educational policy and practice.