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Biomedical subjects

J R Boyd

Publications and source records attributed to J R Boyd.

11 recordsLinked to original sources
PubMed2001

A process for delivering bad news: supporting families when a child is diagnosed.

A process for delivering bad news to families of children with a neurodegenerative disorder was developed to enhance the families' coping abilities and to lessen the impact of the devastating news. Its creation was guided by a review of the literature on parental satisfaction with and preferences for diagnosis delivery, published guidelines for breaking bad news, and the concepts of coping, grief, support, hope, and family-centered care. Nurses play a collaborative role in the implementation of this process that remains sensitive to the needs of each family. Their influence on how the interaction takes place and their support of the family both during and after they receive bad news are pivotal. Research to formally evaluate the outcomes of the interventions and strategies within the process is necessary.

Adaptation, Psychological↗
PubMed2000

Multiple sclerosis in childhood: understanding and caring for children with an "adult" disease.

Multiple sclerosis (MS) is rare in childhood but may occur more frequently than originally believed. In light of the complex nature of MS, the expanding availability of new MS treatments, and the developmental needs of pediatric patients, multidisciplinary care of pediatric patients with MS is a necessity. Our review of MS in childhood aims to increase the awareness of neuroscience nurses about MS in children and adolescents, and to expand the knowledge of pediatric nurses concerning this "adult" disease. Our experience in developing a multidisciplinary pediatric MS clinic that addresses both health and developmental needs of children with MS is presented and discussed. The nurse's role in the care of these children and their families through assessment, support, education, advocacy, referral and coordination of care is emphasized.

Adolescent↗
PubMed1998

Chronically ill children coping with repeated hospitalizations: their perceptions and suggested interventions.

This qualitative research study used grounded theory methodology to learn from chronically ill children who are repeatedly hospitalized how they cope and how they feel others can assist them to cope with their recurrent hospital experiences. Six hospitalized children, ages 10 to 13 years, with various chronic conditions participated in an audiotaped interview, completed a drawing and kept a journal. The subjects identified their perceived stressors of hospitalization; revealed their use of both cognitive and behavioral coping strategies; described how hospital personnel, family, and friends enhanced their coping; and illustrated the impact of the hospital environment on their coping process. From comparison of the data, it is theorized that chronically ill children who are repeatedly hospitalized become adept at identifying and implementing a repertoire of coping strategies, accessing family and friends as resources in the coping process, developing patterns of coping with their parents, and utilizing the hospital environment to promote coping. Their coping is enhanced by familiarity and knowledge and by the respect and patience of gentle, supportive, and competent health care professionals.

Adaptation, Psychological↗