title: Children with developmental disabilities at a pediatric hospital: staff education to prevent and manage challenging behaviors.
abstract: Children with developmental disabilities may get frustrated in unpredictable hospital environments. Frustration may escalate to challenging behaviors, which are a safety concern and may contribute to staff and patient injuries, use of restraints, and procedure delay or cancelations. The purpose of this article was to describe a pilot staff education program on preventing and managing challenging behaviors of children with developmental disabilities at a pediatric hospital. The 2-hour-long education (1 hour on-line and 1 hour instructor led) content focused on family-centered care and communication skills, including verbal judo™ modified for use in the health care setting. Participants in the instructor-led sessions reported improved knowledge and decreased fear about caring for children with developmental disabilities. Relationships of the education and fewer staff injuries, fewer canceled procedures, and decreased use of restraints merit further study.
authors.affiliation: Children's Hospital of Wisconsin, Milwaukee, WI, USA. njohnson@chw.org
authors.forename: Norah L
authors.initials: NL
authors.lastname: Johnson
authors.forename: Joel
authors.initials: J
authors.lastname: Lashley
authors.forename: Alice V
authors.initials: AV
authors.lastname: Stonek
authors.forename: Annette
authors.initials: A
authors.lastname: Bonjour
mesh_terms: D002648:Child; D002653:Child Behavior Disorders / Q000209:etiology* / Q000451:nursing* / Q000503:physiopathology; D002673:Child, Hospitalized / Q000523:psychology*; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000150:complications / Q000175:diagnosis / Q000523:psychology*; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education*; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital / Q000193:education; D010348:Patient Care Team / Q000458:organization & administration; D010371:Pediatric Nursing / Q000193:education; D010865:Pilot Projects; D012720:Severity of Illness Index