Child Life Quiz 1 Child Life Quiz 1, Exams of Psychology

Download Child Life Quiz 1 Child Life Quiz 1 and more Exams Psychology in PDF only on Docsity! Child Life Quiz 1 1) The growth and development of the profession 2)Professional issues, including the activities engaged in by Child Life Specialists (interventions) 3) Research describing and documenting the work done by CLS (qualitative study) 4) Addressing the efficacy of Child Life work (why it works and to improve o interventions) - Research specific to Child Life is in four principle areas Research is often done by other members of the health care team (nursing an psychology) because Child Life is a relatively new profession (many authors will not be child life specialists) - Who usually conducts child life research? Research is important because it justifies the need for Child Life Services and allow for the profession to grow, there is always a need - Why is research important? "Evidenced-based practice represents an integration of clinical experience, the best available research, and patient preference/needs. The Child Life Council supports this analysis of outcome research that specifically addresses child life practices in order to give child life professional the evidence they need to continually advance the quality of practice and to communicate with others about child life work" - What is an Evidence Based Practice Statement? Purpose of the EBP statement: to present empirical findings regarding the value of play for hospitalized children. Reviewed studies from 1960-2006- after compiling valid data, reviewed 10 studies. - Purpose of the EPB statement for play Statements like these are key for the justifications of Child Life Specialists - Why is this statement important- The Value of Play: In one meta-analysis of 800 studies, an author Fisher, 1992- "Play was found to significantly promote cognitive and social aspects of development and these effects were magnified when adults participated in play with children" developmentally supportive play that facilitates the emotional well-being and coping of a pediatric patient Therapeutic play is a less structured way to focus on the process of play as a mechanism for mastering developmental milestones and critical events such as hospitalizations - Define Therapeutic Play 1-the encouragement of emotional expression (medical play) 2- instructional play to educate children about medical experiences 3-physiologically enhancing play (ex. Blowing bubbles to improve breathing) - What 3 Types of Activites does Therapeutic Play include? addresses basic and persistent psychological issues associated with how a child may interact with his or her world - Define Play Therapy Decreasing anxiety Decreasing fears for children from time of admission to immediately after surgery and to time of discharge Increased cooperation during stressful procedures (play helps speed up procedures) Willingness to return to the hospital for further treatment Less physiological distress- ex. Lower blood pressure, palm sweating, or pulse rate - Name some Benefits of Therapeutic Play to present empirical findings regarding the components of effective psychological preparation for hospitalized children. Reviewed over 350 studies - after compiling valid data, reviewed 30 studies. Only 3 of the selected specifically looked at evaluation performed by Child Life Specialists. - What was the purpose of the EPB for preparation? Primary goal of preparation: "to reduce the fear and anxiety experienced by a child who is undergoing a medical procedure and to promote his or her long-term coping and adjustment to future health care challenges." - What is the primary goal of preparation? 1) Provision of Developmentally Appropriate Information: Clear and accurate communication about what will happen during the procedure and why it will happen. As well as providing coping techniques for individual child. Methods vary depending on age and developmental level Focus on sensory information Justififes why a Child Life Specialist is needed because trained for developmental qualities for each child 2) Opportunities for emotional Expressions: Stressors are anticipated and misconceptions and fears are addressed Children who ask questions tend to cope better and less distressed Want to give children the chance to ask questions 3) Establishing Trust with Members of the Pediatric Health Care Team: During preparation children can develop trusting relationship with their health care team. Children who received any form of preparation and supportive care were more satisfied with their experience then others. - Name the 3 Key Elements of Preparation : to present empirical findings regarding the variables with children's ability to cope with hospitalizations. Reviewed 150 studies - after compiling valid data, reviewed 26 studies. - What was the purpose of the EPB assessment statement? Assessment, Planning, Intervention, Evaluation - What does APIE Stand for? Child variables Family variables Illness variables Medical experiences - Name som key variables in assessment to associate with children and the way they may cope with hospitalization Need to adjust to a different work environment vs. the hospital setting Professional isolation from peers- seek opportunities to continue to connect with other specialists Training future CLS for this type of work outside of the hospital setting Leave comfort zone and challenging to start something on your own, seek opportunities to connect - What are some challenges to a new setting? Multiple possibilities with the way the individual looks at his/her skill set and how it can be applied successfully. Example-how to expand Child Life Specialists to expand to other areas of the hospital Use the Official Documents of the Child Life Council, to make sure the core competencies are addresses and followed, especially when proposing services to a new setting. - How can you diversely apply your child life skills? Assess and meaningful interact with infants, children, youth, and families Provide a safe, therapeutic, and healing environment for all children and families Assess children and families in coping with potentially stressful events Provide teaching that is specific to the population served, including preparation for potentially stressful life experiences Function as a member of a service team, most likely working with a multidisciplinary team Implement child life services within the structure and culture of the new work environment - Name how some Core Competencies are applicable to non-hospital settings Look to places or environments in which the health and well-being of children and families are affected. Focus on preparation for new life experiences New siblings, college, entering age group, etc Support and services that focus on the strength or resiliency of families and individuals can aid in coping with potentially stressful situations - Name some ways to brainstorm new environments for the field of Child LIfe Private practices (consulting), large pediatrician offices, ophthalmology practice or adult medical support services Program directors for nonprofit agencies and Web content developers Mental health treatment centers, early intervention programs, dental offices, victims' assistance programs, bereavement programs, camp programs, school systems, or court systems. Helping young adults prepare and transition for college Support and educate families as they bring new babies home Adoption support services for foster care agencies Book publishing or working with the entertainment industry to create appropriate programming for children - Name some examples that are Child Life areas of expansion Make sure that there is a need in the community Avoid duplication of services already provided Prepare to educate and advocate for the role of Child Life in each setting (do research yourself) Make contacts and allies within the community to support programming- as advocates and as Important to advocate what Child LIfe could bring in that's not already happening to increase the quality of care, possible referrals once the service is implemented - How does one expand to nontraditional areas? Required knowledge and expertise in both the clinical and business areas of service Appropriate credentials Ability to "sell" oneself and or project to others Ability to deliver services Passion and belief in the project A lot of people think can just go in and talk to child, but you need specific training and procedural support to make sure that something bad doesn't happen and it will be a positive experience - How does one assess themselves as child life specialists? Idea development Proposal or business plan writing(find someone to help you to improve concept and odds of success) Funding- grant writing Originality of the program idea Ability to solve a problem or eliminate a gap in services Timeliness (with technology-apps now!) Compelling need Outreach potential Feedback from other regarding value (testimonials form others and to create connections and open the door, create a team) - How does one plan to expand the child life services? Once funding is secured and service is approved, then the work begins. Continuous evaluation of services is important Child Life Specialists internal assessments Feedback from children and families served Feedback from collaborating professionals and agencies Document this with confidentiality - Name the qualities that come with Implementation and Evaluation 2 CLS wanted to provide individual and group support to children and families coping with chronic or life-threatening illnesses Success- incorporate the organization, obtain 501©3 status, begin raising ongoing funds - Explain Wonders and Worries (Children's Hospital of Philadelphia) Hospital: People, Places, and Packing Medical Library Fun and Games Credit - What is the Kids Health Galaxy? so can effectively communicate and bond with them (similar goals, can learn fro each other, work collaboratively and not flat out take someone else's role but enhance it) Occupational therapists has the closest ties to Child Life Important to work together and not compete - Why is it important for Child Life Speclialists to communicate with other health team members? Physicians (Fellows, Residents, Medical Students, Physician Assistants) Nurses (Nurse Practioners, RN, LPN, Nursing Assistants) Therapists (Physical Therapist, Occupational Therapists, Respiratory Therapist, Speech Therapist, Music Therapists, Therapeutic Recreation Specialist, Child Life Specialist) Multidisciplinary staff (social workers, chaplains, teachers, care coordinators) Administrators (CEO, etc) Volunteers Students - Name some other members of the health care team and their roles? There is a need for more research and education for the profession as well as the public- especially other health care providers to understand and advocate for the Child Life profession Always use caution and follow guidelines for ethical research on children - Describe the role of Ethical Research set guidelines on research called the "Common Rule" for regulations on human subject research Institutional Review Boards (IRB) oversees that these rules are abided by. Table 11.1 pg. 483 divides up the categories for research on children, looking at the risk being minimal on children Other groups that require a more in-depth look at circumstances are children with: (newly diangosed as brain dead. Emergency rooms, children that is dying/has died) Very hard to do ethical research on children - The Belmont report, 1978 1- understand the treatment/study- related information 2-Appreciation of the significance of the information for the patient's situation 3-Reasoning, which involves comparing alternatives and projecting what the impact could be on the patient's life 4-Expressing choice Assent-agree to terms and choose to do it Dissent-disagreement, choosing not to do it Sometimes parents can go over the dissent of the child if it it in their best interest. But try to make sure the patient can consent If there is a potential harm to the health of the child, there is no possibility to have parents go over a child's dissent If patient is over 18 they must sign consent form - What is informed consent? Autonomy-exercised by parent, related more for adults over 18 and under children often do autonomy as far as ethical decision making Beneficence-doing good and not causing harm Nonmaleficence- prevent harm do no harm Justice-how society allocates benefits and burdens No right or wong way for ethical decision making - Describe Principalism 1- the ability to sustain attention to the important issues under discussion 2-the ability to deliberate the issues Name some organizations that have grant writing To help children cope when a parent faces serious or life-threatening illness. Individual sessions usually involve six weekly sessions, followed by a parent consultation and further assessment of the child's need for support. Monthly support or intermittent support is available if needed after the initial six sessions. As with group sessions, individual sessions are individualized for each child, but focus on our copyrighted Illness Education and Coping Curriculum. These six sessions provide children and teens with a foundation to cope positively with the ups and downs that illness can bring by providing an age-appropriate understanding of the illness, its treatments and side effects; facilitating the expression of feelings related to changes in the family; and identifying individual coping skills to help ease feelings of sadness, anger and fear. ALSO DO parental support, group sessions, bereavement support - Explain what is Wonders and Worries One-person programs Multiple individuals Of a staff of 40+ Child Life Specialists Leadership- Child Life Leader, Self-directed leadership, and also CL who work under another discipline's leadership "Great efforts must be undertaken to educate families and healthcare professionals about the role of the Child Life Specialist as an essential member of the child's health care team" (Rollins, Bolig, and Mahan, 2005) pg. 201 - Name the different kinds of child life services Variety of Child Life Leadership director, manager, supervisor, coordinator, leader, or self-directed programs Departments where Child Life may be located: nursing, patient and family services, behavioral health, program teams, rehabilitation services and individual patient care units - Child life Administration and Supervision Mission, Vision, and Values Allign with the CLC, as well as with the organizations Healthcare Institutions required by JCAHO to have a mission statement in place Individual programs have a mission statement- ex. UIHC Program Operating Principles Policies Procedures Program Guidelines - Name Child Life Program Fundamentals Child Life staffing needs to be compatable with the hospitals delivery of care model Personal Qualities of the CLS Competancies of the CLS Education and Experience Professional Commitment Staffing needs: Needs of patients and families Volume of patients Number of CLS staff available Acceptance and understanding of CL services Recommended ration by the AAP- 1 CLS:15-20 pts. - Staffing Options for Child LIfe Where most challenging procedures and vulnerable age groups Severity of illness and length of hospitalization Degree to which illness and treatment are unfamiliar to children and families Identify families that can be most helped Continuity of care Priority and mission of the facility AAP recommends one CCLS to 15-20 patients - Name some factors to help prioritize Child LIfe staffing Child Life Specialist I- entry level, achieve certification, develop clinical skills Child Life Specialist II-1-2 yrs. of employment, meeting more core competancies, additional responsibilities- supervising interns, CLAs, advanced skills in working with kids and families Child Life Specialist III- 3-5 yrs of employment, advanced degree, presentations - Name the options for Clinical Advancement in Child LIfe "Supervision is, put simply, a two-way relationship between two workers in which the supervisor's goal within that relationship is to empower each worker- whether employees or volunteers- to be successful in his or her work" (Lee and Catagnus, 1999) pg. 206 Education Support Managerial - Supervision Sources: From the hospital operating budget Grants Endowments Donations Auxiliary organizations or telethons What Spend it on: Staff Salaries and fringe benefits (85-90%) Equipment (toys, games) Expendable art/craft materials Office supplies Funds for travel and conferences Telephone, printing, computers Dietary supplies Books, journals, teaching materials Misc. Expenses - Describe Budgets (sources, what to spend it on) By participating and planning events provide a fun environment for children and families, but also create a positive view of the CL program for the hospital and community Special programming- Camps, Closed Circuit TV, School Re-entry, Family Resource Library, Outdoor Play/Gardens, Pre- admission Tours, School, Sibling Care External organizations- websites listed on 217-218: Animal Assited-Therapy programs, Clown Care, Reach out and read, Sib Shops, Songs of Love, Starbright World, Wish Granting Agencies - Child LIfe Special Events and Projects 1- Getting started- Have a CLEARLY defined goal - What are the benefits? -Is there a need? 2-Identify and assess potential donors -Does the grant program match your organizations priorities? Identify your proposal- write the grant - Steps to write a Grant The Abstract Needs Assessment/ Problem Statement Objectives (should be measurable) Methods (Timetable, Staffing, Population served, scope of activities) Evaluation (Satisfaction Surveys, etc) Sustainability (Future Plans, future funding) Budget Budget Justification Supplementary Materials (ex. Letters of support) - Name the constructs that make up the anatomy of a propsal Ronald McDonald House Charities of Eastern Iowa (RMHC - EI) Grants Program aims to make an impact on children's lives by awarding grants to qualified non-profit organizations whose programs improve the quality of life for children and their families in Eastern Iowa - Describe the RMCH Grant Charity Ronald McDonald House Charities Children's Miracle Network University of Iowa Dance Marathon Target Walmart Kohls - Name some local grants in the Iowa City area Money fro hospital operating budget - What is hard money? Grants, endowments, donations, auxiliary organizations -