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Strategies to Improve Outcomes in Critical Care.

Technologic advances in recent years have increased the numbers of children hospitalized on neonatal intensive care units (NICUs) and pediatric intensive care units (PICUs). Hospitalization is a stressful experience for children and their families, but additional stressors are inherent in critical care. Knowledge of these stressors and selected strategies to address them can aid the pediatric nurse in assessing, planning, and implementing appropriate care.

This continuing education series features three articles that discuss strategies to improve outcomes for children and their families in the critical care environment. The first article discusses the effect of critical illness on young children and their families; outlines major sources of stress; identifies factors influencing coping outcomes; and describes a new, early intervention program for critically ill, young children and their families. The second article describes the practice of co-bedding of twins in neonatal intensive care and provides a guideline for safe and efficient implementation. The third article presents findings from a study on the effects of music and multimodal stimulation on physiologic and developmental responses of premature infants in neonatal intensive care.


Melnyk, B. (1998). The COPE program: A strategy to improve outcomes of critically ill, young children and their parents. Pediatric Nursing, 24(6), 521-527.

DellaPorta, K., Aforismo, D., & Butler-O'Hara, M. (1998). Co-bedding of twins in the neonatal intensive care unit. Pediatric Nursing, 24(6), 529-531.

Standley, J. (1998). The effect of music and multimodal stimulation on physiologic and developmental responses of premature infants in neonatal intensive care. Pediatric Nursing, 24(6), 532-538.


1. Discuss the unique stressors for children in critical care and their families.

2. Describe a newly devised early intervention program for critically ill young children and their parents.

3. List three issues to consider when co-bedding twins in neonatal intensive care.

4. Discuss the benefits of lullaby singing and multimodal stimulation on premature infants in neonatal intensive care.

5. Explore the pediatric nurse's role in improving short- and long-term outcomes for children who are critically ill and their families.

This offering for 3.0 contact hours is provided by Anthony J. Jannetti, Inc., which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditation (ANCC-COA). Anthony J. Jannetti, Inc. is an approved provider of continuing education by the California Board of Registered Nursing, CEP No. 5387.

Articles accepted for publication in the continuing education series are refereed manuscripts that are reviewed in the standard Pediatric Nursing review process with other articles appearing in the journal.

This test was reviewed and edited by Judy A. Rollins, MS, RN, Pediatric Nursing associate editor; Veronica D. Feeg, PhD, RN, FAAN, Pediatric Nursing editor; and Marion E. Broome, PhD, RN, a Pediatric Nursing editorial board member.

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No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1998 Gale, Cengage Learning. All rights reserved.

Article Details
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Publication:Pediatric Nursing
Geographic Code:1USA
Date:Nov 1, 1998
Previous Article:The Effect of Music and Multimodal Stimulation on Responses of Premature Infants In Neonatal Intensive Care.
Next Article:Routine Meconium Screening Versus Drug Screening Per Physician Order: Detecting the True Incidence of Drug-Exposed Infants.

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