Factors associated with secondary traumatic stress and burnout in neonatal care staff: A cross‐sectional survey study

Introduction High rates of secondary traumatic stress and burnout have been found across nursing populations. However, few studies have focused on neonatal staff. Objective The objectives of this article are to explore the prevalence and severity of secondary traumatic stress (STS) and burnout in neonatal staff, and identify risk factors and protective factors for STS and burnout within this population with the aim of informing future staff support. Methods A quantitative, cross‐sectional study using a survey design was conducted; 246 neonatal staff reported measures of STS, burnout, self‐compassion and satisfaction with ward climate. Results Neonatal staff reported high rates of moderate–severe STS and burnout. STS and burnout were negatively associated with self‐compassion and satisfaction with ward climate, suggesting them to be protective factors against STS and burnout. STS was found to be a risk factor for burnout and vice versa. Conclusion Interventions that increase understanding of STS and burnout, nurture self‐compassion, provide support and enhance stress management could help mitigate the impact of STS and burnout amongst neonatal staff

Paediatric Psychology Network United Kingdom (PPN-UK): From Inception to the Current Day

This topical review aims to provide an overview of how a pediatric psychology network has affected pediatric psychology in the United Kingdom over the past 2 decades. Past and present Paediatric Psychology Network United Kingdom (PPN-UK) committee members reviewed documentation related to the work of the PPN-UK. From early beginnings to the current day, an outline is provided of how a professional network for psychologists working in pediatrics developed in the U.K. With a strategic aim to promote the development of pediatric psychology practice, descriptions are given of how the PPN-UK achieves this through the provision and support of continuing professional development and membership of pediatric psychology special interest groups. For this global special issue, an explanation of the U.K. training route for clinical psychologists is also outlined. Being child and family centered, the PPN-UK promotes the psychological and emotional well-being of children with physical health needs. Examples are provided of how the PPN-UK has influenced pediatric psychology service provision, policy, and practice to promote integrated health care for children and young people by sharing pediatric psychology knowledge and the evidence base. Finally, consideration is given to how the PPN-UK is going beyond national strategic influence to develop international links. The PPN-UK is an established network that has made significant contributions to the profession for the ultimate benefit of children, young people, and their families

Development and preliminary testing of the Brief Developmental Assessment: an early recognition tool for children with heart disease

Introduction: Neurodevelopmental abnormalities are common in children with CHD and are the highestpriority concerns for parents and professionals following cardiac surgery in childhood. There is no additional routine monitoring of development for children with CHD in the United Kingdom; hence, neurodevelopmental concerns may be detected late, precluding early referral and intervention. Methods: An early recognition tool – the “Brief Developmental Assessment” – was developed using quality improvement methodology involving several iterations and rounds of pilot testing. Our requirements were for a tool covering important developmental domains and practicable for use within inpatient and outpatient settings by paediatric cardiac health professionals who are nondevelopmental specialists, without specialised equipment and which involved direct observation, as well as parental report. Results: Items were included in the tool based on existing developmental measures, covering the domains of gross and fine motor skills, daily living skills, communication, socialisation, and general understanding. Items were developed for five age bands – 0–16 weeks, 17–34 weeks, 35–60 weeks, 15 months–2.9 years, and 3–4.9 years – and the final versions included a traffic light scoring system for identifying children with possible delay in any or all domains. Preliminary testing indicated excellent inter-rater reliability, an ability to detect children with a diagnosis known to be associated with developmental delay, and largely acceptable internal reliability. Conclusion: We report the evolution and preliminary testing of an early recognition tool for assessing the development of children with heart disease; this was encouraging and sufficiently good to support further validation in a larger study

Is mania a defence against depression?

SIGLEAvailable from British Library Document Supply Centre-DSC:DXN031504 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

On the manners and customs of the ancient Irish.

Includes bibliographical references.Mode of access: Internet

The impact and experience of debriefing for clinical staff following traumatic events in clinical settings:A systematic review

Health care professionals are more frequently exposed to potentially traumatic events than individuals in other professions. Repeated trauma exposure can significantly impact both physical and mental health. In clinical settings, the term “debriefing” refers to a group meeting during which clinical events and decision-making are reviewed and discussed to improve clinical practice. The present review investigated the use of debriefing for clinical staff in clinical settings following exposure to direct and vicarious trauma. We examined whether the use of posttrauma debriefing impacts symptoms of distress and explored how clinical staff experience debriefing; we also investigated the factors that influence this experience. A systematic search of five electronic databases was conducted between August 31 and September 2, 2019. Included articles (N = 13) described the use of debriefing in clinical settings with clinical staff following a traumatic event. We assessed methodological quality and performed a narrative synthesis. Four studies found some evidence of the benefits of debriefing for reducing psychological sequelae to traumatic events. Seven studies commented on factors that clinical staff perceived to be important for the debriefing to feel helpful, including the being given the opportunity for reflection, gaining a shared experience, and having the right peer facilitator. Some evidence suggests that debriefing with staff working in clinical settings can reduce posttraumatic distress symptoms, and subjective evidence suggests that clinical staff members perceive debriefing to be useful. Due to the limited literature, no firm conclusions could be drawn, and further methodologically sound research is required

Experimental Evidence on the Negative Effect of Product Features and Sales Promotions on Brand Choice

Sales promotions and product enhancements are commonly expected to increase a brand's sales, when they do not negatively impact its utility and cost. That is, the purchase probability of consumers who find the promotion or additional feature attractive will increase, whereas the purchase likelihood of other consumers will not be affected. In contrast, we propose that consumers, who perceive a new feature or promotion as providing little or no value, will be less likely to purchase the enhanced brand even when the added feature clearly does not diminish the value of the brand. Thus, a new product feature or promotion may decrease a brand's overall choice probability when the segment of consumers who perceive it as providing little or no value is large compared to the segment that finds the feature attractive. This prediction was supported in three studies using actual promotions that have been employed in the marketplace (e.g., a Doughboy Collector's Plate that buyers of Pillsbury cake mix had the option to purchase for $6.19). We examined five alternative explanations for this effect. The results suggest that, when consumers are uncertain about the values of products and about their preferences, such features and premiums provide reasons against buying the promoted brands and are seen as susceptible to criticism. We discuss the theoretical and practical implications of the findings for segmentation, product, promotional, and pricing strategies.brand choice, buyer behavior, product policy, promotion