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Saquib SF, Slinkard-Barnum S, Navis IL, Chacon DW, Quinn KC, Palmieri TA, Newman A, Kuhls DA. Pediatric Burn Care: How Burn Camps Survived and Thrived During the Coronavirus Pandemic. J Burn Care Res 2022; 44:227-233. [PMID: 35986412 PMCID: PMC9383596 DOI: 10.1093/jbcr/irac035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Indexed: 12/24/2022]
Abstract
Burn camps play a vital role in the recovery of burn survivors by allowing them to develop the confidence and skill sets needed to reintegrate back into society. During the COVID-19 pandemic, burn camps across the United States and Canada could not hold any in-person activities. They had to either pause burn camps or quickly adapt to a virtual online platform. A 37-item electronic survey was developed and emailed to burn camp directors in the United States and Canada to determine what adaptations were necessary during the pandemic. This survey allowed directors to provide details on many facets such as camp format, successes observed, and challenges encountered. Twenty-one of 34 (62%) burn camp organizations completed the survey. Thirteen of the 21 (62%) respondents held virtual burn camps in 2020 while everyone else canceled their camps in 2020. The mean number of camps offered per organization decreased from 6.3 in 2019 to 4.7 in 2020. The average number of burn survivors and family members participating also dropped in that same period (2019 aggregate mean = 229.2 vs 2020 aggregate mean = 151.4). Components of virtual camp included video conferencing platforms, "camp-in-a-box" activities, and some prerecorded sessions. Most camp directors believed that their campers were satisfied with the virtual format. Factors allowing for a successful virtual camp included an effective online platform, scheduling adequate duration of programs, and appropriate staffing levels. Most common barriers to an effective virtual camp were participant engagement, special needs/accessibility concerns, and staff effectiveness in this format. While challenging, burn camps can be held in a virtual format successfully with proper planning, staff training, and support of campers and their families.
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Affiliation(s)
- Syed F Saquib
- Kirk Kerkorian School of Medicine at UNLV- Las Vegas, Nevada,University Medical Center Lions Burn Care Center- Las Vegas Nevada,Name for Correspondence: Syed F. Saquib, MD FACS, Kirk Kerkorian School of Medicine at UNLV , 1701 Charleston Blvd, #490, Las Vegas, NV 89102, , Phone: 702-671-2201, Fax: 702-671-2245
| | | | - Irene L Navis
- University Medical Center Lions Burn Care Center- Las Vegas Nevada,Western Regional Alliance for Pediatric Emergency Management-Nevada Coordinator
| | | | | | - Tina A Palmieri
- University of California Davis Shriners Hospital for Children Northern California- Sacramento, California
| | | | - Deborah A Kuhls
- Kirk Kerkorian School of Medicine at UNLV- Las Vegas, Nevada,University Medical Center Lions Burn Care Center- Las Vegas Nevada
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Hayun Y, Ben-Dror A, Schreuer N, Eshel Y, Ad-El D, Olshinka A. Camp "Sababa" (awesome) - The world of children with burns. Burns 2022; 48:413-419. [PMID: 34001386 DOI: 10.1016/j.burns.2021.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Revised: 03/21/2021] [Accepted: 04/18/2021] [Indexed: 12/14/2022]
Abstract
AIMS Camp "Sababa" operates in Israel through the Burn Advocate Network of New Jersey, to help children with burn injuries cope with consequences of injury. The study assessed adolescents' perceptions of their participation in the camp, and its effect on their self-esteem and quality of life. METHODS Ten adolescents from diverse cultural backgrounds attended Camp "Sababa" in 2017. All the participants and parents signed an informed consent form, responded to a demographics questionnaire, and participated in in-depth interviews and focus groups. Phenomenological analysis revealed three themes, reflecting the chronological sequence of rehabilitation: (1) coping with emotional and physical scars, (2) formulating coping strategies, (3) belonging to a group, and (4) implications of camp experience. RESULTS Social participation engendered a feeling of safety and trust, enabling adolescents to share their burn experiences, and thus cope better with the physical and emotional challenges of their injuries. Participation in camp activities strengthened their confidence and social bonding; and their return to typical adolescent behaviour while at camp, and ultimately in the community. CONCLUSIONS The positive results suggest that burn camps should be part of the rehabilitation process of adolescents with burn injury, with emphasis on challenging, age-appropriate activities, and peer group participation.
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Affiliation(s)
- Yehiel Hayun
- Department of Plastic Surgery & Burns, Rabin Medical Center, Petah Tikva 4941492 Israel, affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
| | - Anat Ben-Dror
- Occupational Therapy Unit, Schneider Children's Medical Center of Israel, Petah Tikva 4920235 Israel, affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Naomi Schreuer
- Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 31905, Israel
| | - Yuliana Eshel
- Occupational Therapy Unit, Schneider Children's Medical Center of Israel, Petah Tikva 4920235 Israel, affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Dean Ad-El
- Department of Plastic Surgery & Burns, Rabin Medical Center, Petah Tikva 4941492 Israel, affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Asaf Olshinka
- Department of Plastic Surgery & Burns, Rabin Medical Center, Petah Tikva 4941492 Israel, affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; Plastic Surgery & Burns Unit, Schneider Children's Medical Center of Israel, Petah Tikva 4920235 Israel, affiliated with Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
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3
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Won P, Bello MS, Stoycos SA, Carrera BT, Kurakazu DM, Briere J, Garner WL, Gillenwater J, Yenikomshian HA. The Impact of Peer Support Group Programs on Psychosocial Outcomes for Burn Survivors and Caregivers: A Review of the Literature. J Burn Care Res 2021; 42:600-609. [PMID: 33677491 DOI: 10.1093/jbcr/irab042] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Peer support group programs are often recommended for burn survivors as a way to facilitate their psychosocial recovery and reintegration into the community. Such programs provide opportunities for burn patients and their caretakers to access emotional and informational support from healthcare providers and other survivors in inpatient or outpatient settings. Despite their popularity, however, there is little information currently available on the efficacy of these groups. In response, we reviewed the existing literature on peer support group programs and their impacts on psychosocial outcomes for burn survivors and their caregivers. A systematic review of the literature utilizing PubMed, PsycINFO, and Medline databases was conducted for articles published between 1990 and 2018. Twenty-five articles including inpatient, outpatient, integrative peer support groups, and burn camps met our inclusion criteria. All inpatient peer support group program articles (n = 4) reported associations with psychosocial improvements. Integrative peer support group program articles (n = 2) reported associations with social integration and reduction in post-traumatic stress and anxiety. All outpatient peer support group program articles (n = 8) demonstrated associations with psychosocial outcomes involving life satisfaction, acceptance of self, and reduced levels of isolation. Findings were less consistent for burn camps: eight articles suggested improvements in psychological outcomes while three articles reported no significant psychosocial effects. Although these results are encouraging, further study is indicated both to replicate these findings, and to determine the optimal implementation of inpatient and outpatient peer support programs.
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Affiliation(s)
- Paul Won
- Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Mariel S Bello
- LAC+USC Hospital, University of Southern California, Los Angeles, CA, USA.,Department of Psychology, University of Southern California, Los Angeles, CA, USA
| | - Sarah A Stoycos
- LAC+USC Hospital, University of Southern California, Los Angeles, CA, USA.,Department of Psychology, University of Southern California, Los Angeles, CA, USA
| | - Brenda T Carrera
- LAC+USC Hospital, University of Southern California, Los Angeles, CA, USA
| | - Dawn M Kurakazu
- LAC+USC Hospital, University of Southern California, Los Angeles, CA, USA
| | - John Briere
- Department of Psychiatry and Behavioral Sciences, University of Southern California, Los Angeles, CA, USA
| | - Warren L Garner
- Division of Plastic Surgery, University of Southern California, Los Angeles, CA, USA
| | - Justin Gillenwater
- Division of Plastic Surgery, University of Southern California, Los Angeles, CA, USA
| | - Haig A Yenikomshian
- Division of Plastic Surgery, University of Southern California, Los Angeles, CA, USA
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4
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Kornhaber R, Visentin D, Kaji Thapa D, West S, Haik J, Cleary M. Burn camps for burns survivors-Realising the benefits for early adjustment: A systematic review. Burns 2019; 46:33-43. [PMID: 30638667 DOI: 10.1016/j.burns.2018.12.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Accepted: 12/10/2018] [Indexed: 10/27/2022]
Abstract
OBJECTIVES Child and adolescent burn survivors benefit from skills to cope with the physical and mental challenges associated with their injuries. Burn camps can offer an opportunity to build these skills. In this study, we systematically review the best available evidence on burn camps in order to better assess their impact on burn survivors. METHOD A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 815 articles on recreational therapeutic camps for burn survivors were retrieved from PubMed, PsycINFO, CINAHL and Scopus restricted to the English language and published before or by May 2018. Critical Appraisal Skills Programme (CASP) for Qualitative Studies Checklist and the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for non-randomized experimental studies were used to assess the methodological rigour of the quantitative studies. RESULTS Quantitative data did not support any long-lasting impacts on psychosocial wellbeing. Qualitative data showed children, parents and staff all perceived benefits from camp attendance, including companionship and belonging. CONCLUSION Further research is required to understand the lack on congruence between qualitative and quantitative data. Qualitative data suggests burn camps are beneficial for children with burn injuries.
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Affiliation(s)
- Rachel Kornhaber
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia; Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Israel
| | - Denis Visentin
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia
| | - Deependra Kaji Thapa
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia
| | - Sancia West
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia
| | - Josef Haik
- Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel; Adjunct Professor, School of Health Sciences, University of Tasmania, Sydney, Australia
| | - Michelle Cleary
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia.
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Egberts MR, Geenen R, de Jong AE, Hofland HW, Van Loey NE. The aftermath of burn injury from the child's perspective: A qualitative study. J Health Psychol 2018; 25:2464-2474. [PMID: 30270662 PMCID: PMC7583444 DOI: 10.1177/1359105318800826] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
A burn injury event and subsequent hospitalization are potentially distressing for children. To elucidate the child’s experience of pediatric burn injury, children’s reflections on the burn event and its aftermath were examined. Semi-structured interviews were conducted with eight children (12–17 years old). Using thematic analysis, interview transcripts were coded and codes were combined into overarching categories. Three categories were identified: vivid memories; the importance of parental support; psychosocial impact and coping. Implications for care are discussed in terms of assessing children’s appraisals, paying attention to the parent’s role, and preparing families for potential psychological barriers after discharge.
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Affiliation(s)
- Marthe R Egberts
- Association of Dutch Burn Centres, The Netherlands.,Utrecht University, The Netherlands
| | | | - Alette Ee de Jong
- Association of Dutch Burn Centres, The Netherlands.,Burn Centre Red Cross Hospital, The Netherlands
| | | | - Nancy Ee Van Loey
- Association of Dutch Burn Centres, The Netherlands.,Utrecht University, The Netherlands
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6
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Dekel B, van Niekerk A. Women's recovery, negotiation of appearance, and social reintegration following a burn. Burns 2018; 44:841-849. [PMID: 29395394 DOI: 10.1016/j.burns.2017.12.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Revised: 11/16/2017] [Accepted: 12/12/2017] [Indexed: 11/25/2022]
Abstract
The gendered nature of postburn coping has received scant research attention in South Africa, a country that has a high rate of burns with significant concentrations among women. In this study, narratives that emerged from in-depth interviews with seven women were examined. The narratives emphasized essential needs of these burn survivors for personal support, the complexities of negotiating intimate relationships, struggles with the humiliation from family and friends, in some instances strained relationships with children, the support found through religious beliefs and institutions, and often frustratingly slow psychological acceptance of scars. These difficulties faced by women survivors of burns have highlighted the need to include religion/spirituality, intimate male partners, and women's children into the psychological recovery process, in an attempt to assist women's journey to psychological and emotional healing after burn.
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Affiliation(s)
- Bianca Dekel
- Violence, Injury and Peace Research Unit, South African Medical Research Council, South Africa.
| | - Ashley van Niekerk
- Violence, Injury and Peace Research Unit, South African Medical Research Council, South Africa; Institute for Social and Health Sciences, University of South Africa, South Africa
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7
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Armstrong-James L, Cadogan J, Williamson H, Rumsey N, Harcourt D. An evaluation of the impact of a burn camp on children and young people's concerns about social situations, satisfaction with appearance and behaviour. Scars Burn Heal 2018; 4:2059513118816219. [PMID: 30574405 PMCID: PMC6295691 DOI: 10.1177/2059513118816219] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION This evaluation aimed to assess the impact of a burn camp on children and young people's concerns about social situations, satisfaction with appearance and behaviour. METHODS Young people completed the Perceived Stigmatisation Questionnaire (PSQ), Social Comfort Questionnaire (SCQ) and Satisfaction with Appearance Scale (SWAP) one month before camp (n=23), on the last day of camp (n=21) and at a three-month follow-up (n=13). Parents completed the Strengths and Difficulties Questionnaire (SDQ) one month before camp (n = 22) and at follow-up (n=12). Parents and young people also completed open-ended questions before camp and at the follow-up. RESULTS Results in this evaluation were mixed. While parents' reported scores on the SDQ were poorer after camp, young people's reported outcomes on all three measures improved at the end of camp. PSQ and SWAP scores were maintained and improved, respectively, at the follow-up. Qualitative responses were generally consistent with these scores. Significant improvements were found between the scores before camp and at the three-month follow-up for both the SWAP and PSQ. These results indicate that the burn camp may help to improve young people's satisfaction with their appearance and concerns about social situations. However, there was no comparison group and there was a significant loss of participants at follow-up. CONCLUSION Burn camps may therefore offer a range of psychosocial benefits to young people with burn injuries. This was the first evaluation to demonstrate a positive impact of a burn camp on satisfaction with appearance and concerns about social situations using outcome measures validated with the burns population.
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Affiliation(s)
- Laura Armstrong-James
- Centre for Appearance Research, Faculty of Health & Applied Science, University of the West of England, Coldharbour Lane, Bristol, UK
| | - Julia Cadogan
- Children’s Burns Research Centre, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol, UK
| | - Heidi Williamson
- Centre for Appearance Research, Faculty of Health & Applied Science, University of the West of England, Coldharbour Lane, Bristol, UK
| | - Nichola Rumsey
- Centre for Appearance Research, Faculty of Health & Applied Science, University of the West of England, Coldharbour Lane, Bristol, UK
| | - Diana Harcourt
- Centre for Appearance Research, Faculty of Health & Applied Science, University of the West of England, Coldharbour Lane, Bristol, UK
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8
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9
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Waqas A, Naveed S, Bhuiyan MM, Usman J, Inam-Ul-Haq A, Cheema SS. Social Support and Resilience Among Patients with Burn Injury in Lahore, Pakistan. Cureus 2016; 8:e867. [PMID: 28070467 PMCID: PMC5218893 DOI: 10.7759/cureus.867] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION Social support and ego resiliency play a great role in maintaining the physical and mental health of patients with burn injuries. The present study has been designed to compare ego resiliency levels and the degree of social support in patients with a burn injury and their healthy counterparts. METHODS This study was conducted in two teaching hospitals in Lahore, Pakistan from May 2015 to July 2015. A total of 80 burn patients presenting in outpatient departments of general surgery, plastic surgery, and burn centers of these hospitals were surveyed conveniently, and for comparison, 80 patients presenting in outpatient departments with minor ailments, for routine checkups or follow-ups were recruited. The questionnaire comprised three sections: demographics, the Urdu versions of the Ego Resiliency Scale (ER-89), and the Multidimensional Scale of Perceived Social Support (MSPSS). All data were analyzed in SPSS v. 20 (IBM Corp., Armonk, NY). RESULTS Patients with a burn injury were associated with lower scores on the social support scale as well as its subscales assessing support from the significant other, family and friends than their healthy counterparts. However, no significant differences in scores on the ego resiliency scale were reported between these two groups. CONCLUSION Patients with a burn injury perceived low social support levels from society, which negatively affects their health outcomes. However, their resilience levels were not significantly different from their healthy counterparts.
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Affiliation(s)
- Ahmed Waqas
- Final Year MBBS Student, CMH Lahore Medical College and Institute of Dentistry
| | | | - Mariam M Bhuiyan
- School of Medicine, The Johns Hopkins University School of Medicine
| | - Jawad Usman
- Department of Medicine, FMH College of Medicine and Dentistry, Lahore, Pakistan
| | - Ahmed Inam-Ul-Haq
- Department of Medicine, CMH Lahore Medical College and Institute of Dentistry
| | - Sara S Cheema
- Department of Medicine, CMH Lahore Medical College and Institute of Dentistry
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10
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Stergiou-Kita M, Grigorovich A, Gomez M. Development of an inter-professional clinical practice guideline for vocational evaluation following severe burn. Burns 2014; 40:1149-63. [DOI: 10.1016/j.burns.2014.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2013] [Revised: 12/31/2013] [Accepted: 01/04/2014] [Indexed: 01/09/2023]
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11
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Stergiou-Kita M, Grigorovich A. Guidelines for vocational evaluation following burns: integrated review of relevant process and factors. JOURNAL OF OCCUPATIONAL REHABILITATION 2013; 23:476-503. [PMID: 23423804 DOI: 10.1007/s10926-013-9428-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
PURPOSE A systematic literature review was undertaken to gather evidence to develop a guideline for vocational evaluation following burn injuries (BI). This review aimed to identify the key processes evaluators should follow and the key factors they should consider when completing such evaluations. METHODS Steps outlined in Cochrane Handbook of Systematic Review were followed including: development of review question; search strategies and selection criteria; quality appraisal; data extraction; analysis & synthesis; drawing conclusions. Four databases (Pubmed, Medline, CINHAL, PsycINFO) and 14 websites were searched for relevant articles and studies (quantitative, qualitative), reviews and guidelines. Two reviewers independently completed reviews, performed quality assessments and extracted data into evidence tables. Using the ICF model and directed content analysis, key processes and factors were analyzed and synthesized across the evidence. RESULTS A total of 138 articles were identified using the key words (e.g. burns, work). Studies, reviews and guidelines were retrieved if they focused on adults and discussed the processes relevant to vocational evaluation and/or factors associated with successful return to work (RTW) following a BI. Items were excluded if they did not address adults who had suffered a burn, the process of work or RTW, or challenges related to work after a BI. Using the above criteria 76 items were retrieved for full review. Fifty-six items remained after the quality appraisal. Results were integrated to develop the Evidence-based Framework for Vocational Evaluation Following Burn Injury. CONCLUSIONS This framework outlines 7 key processes relevant to vocational evaluation following burn injuries.
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Affiliation(s)
- Mary Stergiou-Kita
- Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada,
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12
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Burn-Injured Adolescents Report Gaining Multiple Developmental Benefits and Improved Life Skills as a Result of Burn Camp Attendance. J Burn Care Res 2012; 33:552-60. [DOI: 10.1097/bcr.0b013e318242ef11] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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13
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Impact of pediatric burn camps on participants’ self esteem and body image: An empirical study. Burns 2011; 37:1317-25. [DOI: 10.1016/j.burns.2011.01.009] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2010] [Revised: 12/13/2010] [Accepted: 01/10/2011] [Indexed: 11/21/2022]
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14
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Harrison S, Laforest ME. Unique children in unique places: innovative pediatric community clinical. J Pediatr Nurs 2011; 26:576-9. [PMID: 22055378 DOI: 10.1016/j.pedn.2010.08.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2009] [Revised: 08/19/2010] [Accepted: 08/24/2010] [Indexed: 10/18/2022]
Abstract
Pediatric nursing is a specialization that requires a particular set of skills and abilities. Most nurses seldom get the chance to interact with families who have children living with exceptionalities unless they choose to work in tertiary settings dealing exclusively with children. This article explores how one school of nursing in Canada offers its students two unique learning opportunities where they get the chance to work with children who have special needs in an interdisciplinary community-based setting. Shared statements from parents and students highlight the benefits to all those involved.
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Affiliation(s)
- Suzanne Harrison
- School of Nursing, Université de Moncton, Moncton, New Brunswick, Canada.
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15
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Lau U, van Niekerk A. Restorying the self: an exploration of young burn survivors' narratives of resilience. QUALITATIVE HEALTH RESEARCH 2011; 21:1165-1181. [PMID: 21490293 DOI: 10.1177/1049732311405686] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The results of this exploratory study reflect a shift from public health studies that aim to examine the risk and prevalence of burn injury, toward eliciting survivors' subjective meaning-making processes beyond the injury event. We drew on a narrative framework to explore how young survivors' experiences of burn injury led to reconstructions of self and shifts in thinking about others and the world. Although participants' narratives revealed elements of heightened self-awareness, need for acceptance, and desire for recognition, these stood alongside counter narratives denoting positive, transformative, and resilient aspects of healing that reflected a rebirth of the self, life having purpose, and psychospiritual growth. A multidimensional and relational framework for resilience acknowledges the "deficient," but also recognizes the pathways to growth, healing, meaning, and purpose. This shift toward person-centered meanings has value in informing interventions beyond the immediate "wound care," toward the survivors' lifelong (re)negotiation of identity, appearance, psychological adjustment, and social reintegration.
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Affiliation(s)
- Ursula Lau
- Institute for Social & Health Sciences, University of South Africa, Johannesburg, Gauteng, South Africa.
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16
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Abstract
The first summer camps for children with burn injuries started over 25 years ago, and as of 2008, there were 60 camps worldwide. This review examines the literature on summer pediatric burn camps. The authors describe common characteristics of burn camp structure, activities, and staffing and then examine the scientific evidence regarding the effect of burn camp programs on campers and camp staff volunteers. A search of Pubmed and Psychinfo databases from 1970 to 2008 for articles related to pediatric burn summer camps identified 17 articles, of which 13 fit the inclusion criteria. Existing literature consists primarily of qualitative studies, suggesting that burn camp can decrease camper isolation, improve self-esteem, and promote coping and social skills. Studies examining volunteer staff at burn camp have consistently found that there are both personal and professional benefits. Quantitative studies of self-esteem have yielded equivocal results. No studies have examined safety or the effect of burn camp on medical or rehabilitation outcomes. For the past 25 years, pediatric summer camps for children with burn injuries have played an important rehabilitation role and provided a strong community that benefits both campers and staff. Future research using more rigorous research methods and examining a broader range of outcomes (eg, safety and medical/rehabilitation outcomes) is recommended.
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17
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Badger K, Royse D. Adult burn survivors' views of peer support: a qualitative study. SOCIAL WORK IN HEALTH CARE 2010; 49:299-313. [PMID: 20379901 DOI: 10.1080/00981380903493095] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
This qualitative study examined 30 burn survivors' perceptions of the value of peer support in their own psychosocial rehabilitation. Little research is available that investigates the role of peer support in post-burn recovery in terms of perceived benefits and costs. Findings revealed strong positive views regarding the helpfulness of peer support. Burn survivors reported that peer supporters provided a sense of belonging and affiliation and gave hope and confidence. Two-thirds of the sample had served as peer supporters themselves after receiving their injuries, suggesting that mutual aid does involve reaching out to others. At the same time, survivors spoke of possible costs in helping others. Involving peer supporters in the psychological rehabilitation of burn survivors may be an important complement to the medical team.
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Affiliation(s)
- Karen Badger
- College of Social Work, University of Kentucky, Lexington, Kentucky, USA.
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18
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Badger K, Royse D. Helping others heal: burn survivors and peer support. SOCIAL WORK IN HEALTH CARE 2010; 49:1-18. [PMID: 20077316 DOI: 10.1080/00981380903157963] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Burns require psychosocial healing in addition to physical recovery as survivors face challenges such as scarring and altered appearance. An adjunct to interventions provided by social workers and other professionals is peer support from fellow burn survivors. But how do burn survivors view this intervention? This study examined a sample of burn survivors to learn about their views of peer support and the services of a national burn survivor organization. Outcome variables were explored relative to survivors' views of peer support to gauge its influence on psychosocial recovery. Findings suggest peer support is a promising resource in burn rehabilitation warranting further investigation.
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Affiliation(s)
- Karen Badger
- College of Social Work, University of Kentucky, Lexington, Kentucky 40506-0027, USA.
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