Evaluation of a Coping Kit for Children With Challenging Behaviors In a Pediatric Hospital
Jennifer Drake, Norah Johnson, Alice V. Stoneck, Deb M. Martinez, Megan Massey
This study attempted to answer the question, "Do nurses perceive coping kits to
be effective at meeting the needs of hospitalized children with developmental disabilities
who are at increased risk for challenging behaviors?" A cross-sectional
post-test survey study design was used, with a convenience sample of 24 registered
nurses at a Midwestern free-standing children's hospital. A coping kit with
simple communication cards, social script book, and distraction items (toys) was
developed to enhance communication and distract children with developmental
disabilities (including autism spectrum disorder) undergoing procedures in the
hospital. A modified version of Hudson's (2006) intervention effectiveness survey
was used to measure the nurse's perception of the effectiveness of the coping
kit. Nurses perceived the coping kits to be effective for decreasing their patient's
anxiety, calming the child's behavior, and increasing cooperation during procedures.
The nurse can develop a plan of care that includes a coping kit to help gain
cooperation with the hospitalized child with challenging behaviors.