background and purpose: considering the obstacles against the implementation of ethical decisions by nurses, experiencing moral distress is one of the major issues in this profession. moral distress could have negative effects on the physical and mental health of nurses, quality of patient care and performance of health organizations. given the importance of addressing moral distress in working...

Evaluated distress during invasive procedures in childhood leukemia. Child and parent distress, assessed by questionnaires and ratings, were compared in two arms of a randomized, controlled prospective study, one a pharmacologic only (PO) (n = 45) and the other a combined pharmacologic and psychological intervention (Cl) (n = 47), at 1, 2, and 6 months after diagnosis. The cross-sectional contr...

OBJECTIVE To examine the efficacy of training children to cope with immunization pain without the assistance of trained coaches and determine whether untrained parents or nurses are more effective at decreasing children's distress. METHODS We compared the procedural coping and distress behavior of 31 3- to 7-year-old children trained in coping skills to 30 who did not receive training. The be...

OBJECTIVE Voiding cystourethrography (VCUG) is a commonly performed radiologic procedure in children that can be both painful and frightening. Given the distress that some children experience during the VCUG and the need for children to be alert and cooperative during the procedure, finding a psychological intervention that helps children to manage anxiety, distress, and pain is clearly desirab...

normal 0 false false false en-us x-none ar-sa background: reforms in inpatient care are critical for the enhancement of the efficiency of health systems. it still remains the main costly sector of the health system, accounting for more than 60% of all expenditures. inappropriate and ineffective use of the hospital infrastructure is also a big issue. we aimed to analyze statistical data on healt...

Moral distress is defined as knowing the right thing to do when policy constraints do not allow for appropriate choices. The purpose of the current study was to explore the existence of moral distress in oncology nurses with a cross-sectional survey completed by nurses working on inpatient units at a midwestern cancer hospital. Investigators distributed the Moral Distress Scale-Revised to all d...

The present study aimed to examine the associations between pain experiences in children with respect to selfperceptions and mother perceptions and stress indicators. The study sample included 30 hospitalized children of 6-12 years of age and the children’s mothers. The Faces Scale-Revised, Child Stress Scale, and Inventory of Stress Symptoms for Adults instruments were used. A data analysis is...

The 1983–1996 period saw enormous expansions in access to public health insurance for lowincome children. We explore the impact of these expansions on child hospitalizations. While greater access to inpatient care may increase hospital utilization, improved efficiency of care for children who are also newly eligible for primary care could lower hospitalization rates. We use a large sample of ch...