Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training eval...Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training evaluation study.Methods:A total of 31 pediatric outpatient nurses participated in the study,completing a self-designed 15-item questionnaire focused on clown therapy.The questionnaires were administered both before and after a structured training program.The assessment aimed to measure changes in nurses’knowledge and attitudes toward clown therapy.Results:The results indicated a statistically significant improvement in the nurses’cognition following the training(mean score post-training:8.55 vs pre-training:7.71,p=0.003).Conclusion:Notably,the training also eliminated the age-related differences in cognition observed prior to the intervention.Furthermore,nurses expressed more positive attitudes toward the clinical implementation of clown therapy post-training.展开更多
Economic growth and social stability in the late sixteenth century brought unprecedented prosperity to the city of London. As Thomas Platter observed in 1599, most of the inhabitants were employed in commerce, and mer...Economic growth and social stability in the late sixteenth century brought unprecedented prosperity to the city of London. As Thomas Platter observed in 1599, most of the inhabitants were employed in commerce, and merchants accumulated their wealth. After his accession to the throne, King James generously distributed honors to wealthy merchants and others. Titles became a salable commodity. The sale of honors impaired respect for the titles and aroused bitter feelings and contempt for knighthood and baronetage among citizens. Gentlemen and ladies who suddenly rose to dignity tried to act suitably in their new status and dressed themselves up; yet they often became the subject for laughter. These upstarts were represented in contemporary dramas as ridiculous, contemptuous, and ill-mannered. The fancifully-dressed “city clowns” who came into being in the first decades of the seventeenth century, were found not only on stage but also in and outside of theaters.展开更多
Background Medical clowning has been proven effective in reducing pain,anxiety,and stress in many sporadic,usually small-scale studies.Our meta-analysis aims to evaluate the efficiency of medical clowns in reducing pa...Background Medical clowning has been proven effective in reducing pain,anxiety,and stress in many sporadic,usually small-scale studies.Our meta-analysis aims to evaluate the efficiency of medical clowns in reducing pain and anxiety in hospitalized pediatric patients and their parents in different medical fields.Methods A thorough literature search was conducted from different databases,and only randomized controlled trials(RCTs)were included with children aged 0 to 18 years old.A total of 18 studies were included,and statistical analysis was performed on the combined data.Results A total of 912 children(14 studies)showed significantly reduced anxiety when procedures were performed with a medical clown compared with the controls(−0.76 on anxiety score,P<0.001).Preoperative anxiety was lower in 512 children(nine studies)with clown interventions than in the controls(−0.78,P<0.001).The pain scale was completed by 338 participants(six studies),indicating a trend toward reduced pain during procedures performed while the clown was acting compared to controls(−0.49,P=0.06).In addition,medical clown significantly(−0.52,P=0.001)reduced parental anxiety in 489 participants in ten studies;in six of the ten studies,with a total of 380 participants,medical clown significantly reduced parental preoperative anxiety(P=0.02).Conclusion Medical clowns have substantial positive and beneficial effects on reducing stress and anxiety in children and their families in various circumstances in pediatrics.展开更多
Chen Guangbiao is one of the world’s great eccentric multimillionaires.In fact,he is probably the world’s great eccentric multimillionaire—his philanthropic efforts stealing headlines everywhere from Ningbo to New ...Chen Guangbiao is one of the world’s great eccentric multimillionaires.In fact,he is probably the world’s great eccentric multimillionaire—his philanthropic efforts stealing headlines everywhere from Ningbo to New York.Indeed The Washington Post dubbed him'the most interesting man in China'.His business card alone lists him as the,wait for it:'Most Influential Person of China','Most展开更多
The international scientific literature presents still incipient results regarding the management of cancer symptom clusters by oncology nursing,especially in pediatric oncology.This is a promising field of investigat...The international scientific literature presents still incipient results regarding the management of cancer symptom clusters by oncology nursing,especially in pediatric oncology.This is a promising field of investigation for clinical nurses and researchers,and when it is subsidized by medium-range theories,they co-rroborate the diagnoses and interventions of nursing in oncology,enhancing the science of nursing care.This minireview article aims to discuss the utilizing the hospital clowns as a complementary therapy,to enhance quality of life and reduce stress and fatigue in pediatric cancer patients.Overall,the evidence presented so far pointed out that complementary therapy might help improve the quality of life of pediatric cancer patients,and that complementary therapy usage should be part of a health comprehensive care model,delivering therapeutic approaches that might enhance the mind-body during a pediatric cancer patients’life span.The results of scientific investigations by nurses,particularly those linked to the basic sciences,play a critical role in advancing personalized care in pediatric integrative oncology.展开更多
文摘Aim:To evaluate the impact of professional training on pediatric outpatient nurses’cognition and attitudes towards the use of clown therapy,and to assess its clinical applicability.Design:A pre-and post-training evaluation study.Methods:A total of 31 pediatric outpatient nurses participated in the study,completing a self-designed 15-item questionnaire focused on clown therapy.The questionnaires were administered both before and after a structured training program.The assessment aimed to measure changes in nurses’knowledge and attitudes toward clown therapy.Results:The results indicated a statistically significant improvement in the nurses’cognition following the training(mean score post-training:8.55 vs pre-training:7.71,p=0.003).Conclusion:Notably,the training also eliminated the age-related differences in cognition observed prior to the intervention.Furthermore,nurses expressed more positive attitudes toward the clinical implementation of clown therapy post-training.
文摘Economic growth and social stability in the late sixteenth century brought unprecedented prosperity to the city of London. As Thomas Platter observed in 1599, most of the inhabitants were employed in commerce, and merchants accumulated their wealth. After his accession to the throne, King James generously distributed honors to wealthy merchants and others. Titles became a salable commodity. The sale of honors impaired respect for the titles and aroused bitter feelings and contempt for knighthood and baronetage among citizens. Gentlemen and ladies who suddenly rose to dignity tried to act suitably in their new status and dressed themselves up; yet they often became the subject for laughter. These upstarts were represented in contemporary dramas as ridiculous, contemptuous, and ill-mannered. The fancifully-dressed “city clowns” who came into being in the first decades of the seventeenth century, were found not only on stage but also in and outside of theaters.
文摘Background Medical clowning has been proven effective in reducing pain,anxiety,and stress in many sporadic,usually small-scale studies.Our meta-analysis aims to evaluate the efficiency of medical clowns in reducing pain and anxiety in hospitalized pediatric patients and their parents in different medical fields.Methods A thorough literature search was conducted from different databases,and only randomized controlled trials(RCTs)were included with children aged 0 to 18 years old.A total of 18 studies were included,and statistical analysis was performed on the combined data.Results A total of 912 children(14 studies)showed significantly reduced anxiety when procedures were performed with a medical clown compared with the controls(−0.76 on anxiety score,P<0.001).Preoperative anxiety was lower in 512 children(nine studies)with clown interventions than in the controls(−0.78,P<0.001).The pain scale was completed by 338 participants(six studies),indicating a trend toward reduced pain during procedures performed while the clown was acting compared to controls(−0.49,P=0.06).In addition,medical clown significantly(−0.52,P=0.001)reduced parental anxiety in 489 participants in ten studies;in six of the ten studies,with a total of 380 participants,medical clown significantly reduced parental preoperative anxiety(P=0.02).Conclusion Medical clowns have substantial positive and beneficial effects on reducing stress and anxiety in children and their families in various circumstances in pediatrics.
文摘Chen Guangbiao is one of the world’s great eccentric multimillionaires.In fact,he is probably the world’s great eccentric multimillionaire—his philanthropic efforts stealing headlines everywhere from Ningbo to New York.Indeed The Washington Post dubbed him'the most interesting man in China'.His business card alone lists him as the,wait for it:'Most Influential Person of China','Most
基金Supported by the Coordination of Improvement of Higher Education Personnel(CAPES)and National Council for Scientific and Technological Development(CNPq),No.311427/2023-5.
文摘The international scientific literature presents still incipient results regarding the management of cancer symptom clusters by oncology nursing,especially in pediatric oncology.This is a promising field of investigation for clinical nurses and researchers,and when it is subsidized by medium-range theories,they co-rroborate the diagnoses and interventions of nursing in oncology,enhancing the science of nursing care.This minireview article aims to discuss the utilizing the hospital clowns as a complementary therapy,to enhance quality of life and reduce stress and fatigue in pediatric cancer patients.Overall,the evidence presented so far pointed out that complementary therapy might help improve the quality of life of pediatric cancer patients,and that complementary therapy usage should be part of a health comprehensive care model,delivering therapeutic approaches that might enhance the mind-body during a pediatric cancer patients’life span.The results of scientific investigations by nurses,particularly those linked to the basic sciences,play a critical role in advancing personalized care in pediatric integrative oncology.
