International Journal of Pediatric Nursing

 Music Therapy is the clinical and evidence-based use of music to address the needs of patients and families within a therapeutic relationship. It is an established health profession in which music is used within a therapeutic relationship to address physical, emotional, cognitive, and social needs of individuals. After assessing the strengths and needs of each client, the qualified music therapist provides the indicated treatment including creating, singing, moving to, and/or listening to music. The review found some positive effects of music on anxiety, pain, mood, quality of life, heart rate, respiratory rate, and blood pressure and help patient with cancer. Music has mental, physical and emotional effect. Goal of music therapy is to calm a child’s fear and anxiety, easing a parent’s distress, allowing patients and families to express their feelings and reducing patient’s level of pain etc. Conditions like grief, chronic Pain, Autism, Schizophrenia, Alzheimer’s Disease, dementia and heart Disease can get benefit from music therapy. Music therapy is used in many settings, including schools, rehabilitation centers, hospitals, hospices, nursing homes, community centers, and sometimes even in the home. Music therapy is used in many settings, including schools, rehabilitation centers, hospitals, hospices, nursing homes, community centers, and sometimes even in the home. Music therapy has two types live and recorded music it can be implemented in active or passive form. Some of the techniques used to achieve this are singing, listening, instrumental music, composition, creative movement, guided imagery, and other methods as appropriate. Present review was undertaken to know the origin of visual imagery technique, existing practices/situation/knowledge/attitude, existing problems/ shortcoming, strategies to improve the situation/minimize or solve problems technique and nursing implications for music therapy.

 Primary tuberculosis is a bacterial infection caused by mycobacterium tuberculosis, one of the factors contributing to child mortality. Mother is an important primary care provider and therefore her education and access to information on care of children with primary tuberculosis will help her to provide adequate care and prevent complications. Aim: The aim of the study was to evaluate the effectiveness of structured teaching programme on the care of children with primary tuberculosis among mothers of under five children. Settings and Design: The study was conducted at K.C. General Hospital at Bangalore. Materials and Methods: An evaluative research with pre-experimental design with pretest and posttest was used for the study. The sample comprised of 100 mothers of underfive children was selected by using convenient sampling technique. Data was collected by using a structured interview schedule and analyzed by using descriptive and inferential statistics. Result: Knowledge score of mothers regarding care of children with primary tuberculosis showed that in the pretest (34.67%), whereas post-test score (80.03%). The mean difference between the posttest and pretest knowledge score was found to be significant (p< 0.001) Conclusion: The structured teaching programme on care of children with primary tuberculosis was highly effective in improving the knowledge of mothers regarding care of primary tuberculosis. 

Keywords: Primary Tuberculosis; Under Five Children; Teaching Programme

 WHO estimated that globally about 17 % of all live births are low birth weight babies. The incidence of low birth weight in India is 30-40% of all births [3]. Out of this 8-10 % are preterm and 20-30% is small for date. Low birth weight & prematurity are major contributor to infant mortality rate in India. These babies have major physiological handicaps and, therefore, are ill equipped for normal life Expert and skilled care is required for these babies to have hope for normal life (Singh, Meharban. 2004). Aim: “A study to assess the effectiveness of coconut oil massage in Low birth weight babies in terms of gain in weight in selected areas of Bhilai, Chhattisgarh”. Results: The mean Post test weight score (3317) was apparently higher than the Pre test weight score (3087). The mean difference (230), S.D. (±77.15) and computed “t” value (13.30) at the level of 0.001 showed that highly significant difference between the pre test and post test weight scores of experimental group. Findings of unpaired t test reveals that ‘t’ value for mean gain score of experimental and control group for weight (t =1.05) at the level of 0.001 shows that there is no significant difference between experimental and control group in terms of gain in weight. Conclusion: The present study shows significant increase in weight of low birth weight babies after coconut oil massage in experimental group than control group. Thus it is concluded that the coconut oil massage was an effective intervention in improving the weight of low birth weight babies. 

Keywords: Coconut Oil Massage; Weight

 Neonatal Mortality Rate Is Substantially High In India. Every year nearly 45% of all under 5 child deaths are among Newborn infants, babies in their first 28 days of life or the neonatal period. The main causes of newborn deaths are prematurity and low-birth-weight, infections, asphyxia (lack of oxygen at birth) and birth trauma. Under NRHM scheme GOI has introduced training for all health professionals of facility based newborn care in 2012. To support this training session present research work is thought of to be introduced among Staff nurses of newborn care unit. “A Study to Assess the Knowledge of Staff Nurses on FBNC (facility based new born care) by The Standardized Tool in selected hospitals of Gwalior, with a view to develop information booklet.” The Objectives of The study are To assess the knowledge of Staff nurses on certain selected aspects of FBNC (facility based new born care), To find out the association between demographic variables of staff nurses such as work experience in paediatricunit, age of staff nurse, educational qualification, training attended of FBNC, type of working institute, workshops attended, additional diploma in newborn care and their knowledge score in certain selected aspects of FBNC (facility based new born care), To compare the knowledge score of participants on FBNC during child birth and just after child birth. A descriptive research approach was used in the current study. The population compromised of StaffNurses working in governmental and non govt. Paediatric hospitals in Gwalior city of M.P. Purposive sampling technique was used to select a sample of 60 Staff Nurses. the findings of the study revealed that the Mean knowledge of participants about Newborn care during birth is found to be less than mean knowledge score of participants about Newborn care just after birth which is 6.867 and 8.983 resp. with a standard deviation of 1.589 and 1.01. Calculated Median of knowledge score 7 and 9. The information booklet is also provided to all selected participants after the assessment of knowledge deficit areas. 

Keywords: FBNC: Facility Based Newborn Care; SNCU: Sick Newborn Care Unit.

 Background and Objective: The purpose of the study was to assess the incidence of superficial thrombophlebitis among Pediatric patients and to identify the determinants associated with the development of superficial thrombophlebitis among pediatric patients. Material and Methods: The research design used in this study was a descriptive cross – sectional study. Population of the study comprised of all the children who are on intravenous therapy. Four hundred samples were selected by convenient sampling. Data collection proforma included subjective data sheet, visual infusion phlebitis (VIP) scale and questionnaire to determine the determinants of superficial thrombophlebitis. Results: The incidence of thromboplebitis was 80 .75 %. There was a significant association (p<0.05) between the incidence of thromboplebitis and site of cannulation, cannula size and cannulation duration. Conclusion: It was detected that the incidence of superficial thrombophlebitis was higher among hospitalised children receiving intravenous therapy in pediatric ward. Nurses need to be trained in skills required for cannulation. Early identification and prompt treatments are required to reduce the complications related to peripheral intravenous cannulation. Keywords: Visual Infusion Phlebitis (VIP); Thrombophlebitis.

ADHD is considered to be a 20th century phenomenon affecting mainly children from developed nations. The aim was to assess the effectiveness of nursing intervention package in improving the knowledge and reported practice of parents and attention, scholastic achievement & behavior of children with Attention Deficit Hyperactivity Disorder (ADHD). Quasi-experimental One group pre-test and post-test design was used. The study was conducted in selected schools of Kerala. There were 119 primary school children with ADHD between the age group of 5–12 years, their parents and teachers as study subjects. The tools were used are, Structured questionnaire to assess socio-demographic data and both knowledge and Reported Practice, Modified Vanderbilt assessment Scale (Parent & Teacher) Modified Home/School situations questionnaire (Parent & Teacher), Meditation Compliance Checklist, and Nursing intervention package. The study was carried out in 5 phases. Started the assessment with the first phase (Pre-test) and with the second phase the researcher conducted Posttest1followed by interventions as planned and continued till the 5th phase of intervention and Posttest 4. The results showed that the difference showed a marked improvement in the knowledge and practice score of parents. Regarding the effectiveness, in knowledge and practice score of the respondents before and after intervention is significantly different. There is a significant difference in the mean score & ‘t‘ value which reveals an increase in attention, scholastic achievement, and in behaviours the Home/ school assessment scale in children with ADHD. There is an association between reported practice of parents and demographic variables like sex, age in years, type of family and income per month. There is also an association between reported practice of parents and scholastic achievement. Scholastic achievement is increasing with increase in attention and scholastic achievement is decreasing with decrease in attention. The desired behavior is increasing with increase in attention and behavior is decreasing with decrease in attention in the child as per the teacher assessment. The result also showed that the meditation has great impact in different areas if thesubject is compliant to it. 

Keywords: ADHD; Scholastic Achievement; Behaviors; Attention; Meditation.