title: Problems expressed by caregivers of children with fetal alcohol spectrum disorder.
abstract: OBJECTIVE
  The purpose of this study was to determine if use of a standardized classification system could help identify potential nursing sensitive problems for caregivers of children with fetal alcohol spectrum disorder (FASD).
  
  
  METHODS
  This study is a secondary analysis of data obtained from transcripts of public testimonies. Content analysis was conducted using a standardized classification system. The sample consisted of 376 statements from electronic transcripts of first person testimonies given by 48 caregivers of children with FASD in four states.
  
  
  RESULTS
  Forty-eight caregivers expressed a total of 53 signs and symptoms. The majority was in the problem areas: communication with community resources, caretaking/parenting, mental health, and income. CONCLUSIONS AND IMPLICATIONS FOR NURSING PRACTICE: Using a nursing classification system, investigators were able to identify nursing sensitive problems expressed by caregivers of children with FASD. The information from this study can be used in future studies to confirm or revise the signs/symptoms identified in this study.
authors.affiliation: University at Buffalo, School of Nursing, State University of New York, Buffalo, New York, USA. lcaley@buffalo.edu
authors.forename: Linda M
authors.initials: LM
authors.lastname: Caley
authors.forename: Theresa
authors.initials: T
authors.lastname: Winkelman
authors.forename: Kathleen
authors.initials: K
authors.lastname: Mariano
mesh_terms: D000223:Adaptation, Psychological; D001294:Attitude to Health; D017028:Caregivers / Q000193:education / Q000523:psychology*; D002648:Child; D003144:Communication Barriers; D003153:Community Health Services / Q000458:organization & administration; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000517:prevention & control*; D006801:Humans; D007182:Income; D008297:Male; D008603:Mental Health; D020380:Needs Assessment; D009730:Nursing Assessment; D009733:Nursing Diagnosis / Q000145:classification* / Q000706:statistics & numerical data; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D016487:Parenting; D010290:Parents / Q000193:education / Q000523:psychology*; D011247:Pregnancy; D014481:United States