[Perspectives of nurses on barriers of parental participation in pediatric care: a qualitative study]

Parental participation in pediatric nursing is not ideally done due to several barriers. This qualitative study aimed to explore the barriers of parental participation in pediatric care during 2011-2012. This qualitative study was carried out using content analysis approach. Data were gathered through face to face semi-structured interviews with a sample of pediatric nurses [n=11] who were recruited through purposeful sampling from a pediatric hospital in Tehran. After gaining data saturation, data were analyzed using content analysis method. Four main themes were emerged as barriers of parental participation in pediatric care including mutual motivation and interest in both parties [motivation and attitudes of nurses and interest in parents], management [lack of support for nurses, nursing shortage, nurses' workload, and poor teamwork between nurses and physicians], confidence in the nursing profession, and finally undefined role for mothers. Findings revealed the barriers of parental participation in caring for their hospitalized children. Managers and nurses can take advantages of these findings to improve and strengthen parental participation in pediatric care units during hospitalization

[Survey condition regarding self- caring of children suffering from diabetes type 1 and it's relation with family reaction]

Diabetes type 1 is a chronic disease in children during their childhood, which may have unfavorable effects on children, family and society. By enhancing self- care in children having diabetes type 1, we can reduce these effects. Self- care in children also can be affected by factors such as family reaction. The purpose of this research is to determine the relationship between self-care in diabetic children and their family's reaction. This research is a non- experimental and correlative study which determines and specifies the relationship between diabetic self- care in children, who are affected by diabetes and their family's reaction. 133 children between the ages of seven to fourteen suffering from diabetes type 1 were chosen with above continuous method for two months from selected centers. Collecting information, observation and questionnaire forms were used. The results obtained from this study, showed there is a meaningful relationship between child's self- care and reaction of their family [p=0.000]. Variants such as age, sex, rank of birth and length of disease period are not considered as an interfering element in relation between self caring and family reaction. The results from this research reveal that the self caring of children in an average level has a direct influence and relationship with family reaction and at the same time, the direct and strong correlation with the diabetic child's knowledge regarding their functions and performances. We suggest that educational programs should be provided for these children and their families, in order to promote self caring of children and their family's reaction. We also propose conducting similar research, by using case- control method, to identify other factors in this regard