Medical College of Wisconsin
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Children with developmental disabilities at a pediatric hospital: staff education to prevent and manage challenging behaviors. J Pediatr Nurs 2012 Dec;27(6):742-9



Pubmed ID




Scopus ID

2-s2.0-84867898429 (requires institutional sign-in at Scopus site)   27 Citations


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.

Author List

Johnson NL, Lashley J, Stonek AV, Bonjour A


Norah Johnson PhD Assistant Professor in the College ofnursing department at Marquette University

MESH terms used to index this publication - Major topics in bold

Child Behavior Disorders
Child, Hospitalized
Child, Preschool
Developmental Disabilities
Disease Management
Medical Staff, Hospital
Nurse's Role
Nurse-Patient Relations
Nursing Staff, Hospital
Patient Care Team
Pediatric Nursing
Pilot Projects
Severity of Illness Index