Randomized trial of two parent-training programs for families with conduct-disordered children.
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Biomedical subjects
Publications and source records attributed to C Webster-Stratton.
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The scope of the problem in regard to childhood aggression or conduct disorders is large and far exceeds the resources for dealing with them. Moreover, such children are at high risk for developing serious adolescent and adult psychological problems. Nurse practitioners are placed in strategic positions to be able to screen for, identify and treat early signs of conduct disorders in young children. This review describes assessment procedures and the essential components of a parent training program designed to help families reduce childhood aggression. By intervening with families early, nurse practitioners may be able to design effective preventive programs and improve the prognosis for these children.
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The nursing and medical literature reveals considerable debate over whether graduate or continuing education is the appropriate level for nurse practitioner preparation. These arguments have been rhetorical since the research literature lacks data on the scope of practice of master's- and nonmaster's-prepared nurse practitioners. The purpose of this study was to examine possible differences between the two types of practitioners in one area--well-child care provided by pediatric nurse practitioners (PNPs). A total of 236 master's- and nonmaster's-prepared PNPs completed a background questionnaire and checklists of nursing activities involving infant and preschool well-child care. Analysis of study results showed that master's PNPs performed more activities involving (1) assessment of physical and cognitive development of infants (p less than .003); (2) assessment of personality and socialization of preschool children (p less than .05); and (3) counseling and guidance involving the physical and cognitive development of infants (p less than .01). Master's PNPs also appeared to benefit more from their years in practice both in terms of the number of assessment activities (p less than .04) and management activities (p less than .06) they performed. Finally, master's PNPs engaged in more leadership activities than nonmaster's PNPs (p less than .005).