Behavioral assessment for pediatric intensive care units.

Abstract:

:Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.

journal_name

J Appl Behav Anal

authors

Cataldo MF,Bessman CA,Parker LH,Pearson JE,Rogers MC

doi

10.1901/jaba.1979.12-83

subject

Has Abstract

pub_date

1979-04-01 00:00:00

pages

83-97

issue

1

eissn

0021-8855

issn

1938-3703

journal_volume

12

pub_type

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