Reflections [Complete issue : Second Quarter 1997, Vol. 23, 2]

Publishing History: Print issues of Reflections magazine were published from 1975 to 1999 and its successor, Reflections on Nursing Leadership (RNL) began publication in 2000. RNL migrated to an online format, http://www.reflectionsonnursingleadership.org, in 2006 and continues today. RNL is a member benefit of the Honor Society of Nursing, Sigma Theta Tau International (STTI). The historical print issues have been made openly available. Publishing Frequency: Quarterly until its transition to online. It’s now updated virtually every day. Format: Print, 1975 - 2005; Online, 2006 - present Feature Articles in this Issue: Think and Act Both Locally and Globally Working Together for Change Celebrating Diversity Spreading Comfort Around the World From Wealth of Oil to Wealth of Health Care Education for Today...and the Future Listen to the Music Creating Culturally Competent Professionals Encouraging Out of the Box Thinking Collaborations, Chains, and Circles The Sights...The Sounds...The Smells... Global Nursing Collaborations This issue of Reflections is thirty-eight pages in length and contains information of interest to STTI members

Maternal distress and perceptions of infant development following extracorporeal membrane oxygenation and conventional ventilation for persistent pulmonary hypertension

Neurodevelopmental outcome and concurrent maternal distress were examined for infants who suffered persistent pulmonary hypertension at birth and were treated with either extracorporeal membrane oxygenation (ECMO) ( n = 19) or conventional ventilation (CV) ( n = 15). Mothers were asked to complete inventories assessing their infant's (mean age 8.74 months) developmental growth as well as their own psychological health. Relevant sociodemographic and treatment parameters were also entered into the analysis. The results indicated that ECMO and CV infants did not differ on developmental indices and impairment rates were 15–23% respectively, similar to previous reports, in addition, ECMO and CV mothers did not differ in their reports of psychological distress. Correlational analyses revealed that length of treatment for ECMO but not CV infants significantly predicted developmental delay and maternal distress. For CV mothers, maternal distress was associated with the perception of delayed language. The results are discussed in terms of the limited morbidity associated with ECMO and CV interventions and the possible role of a ‘vulnerable child syndrome’ in understanding the maternal-infant relationship following ECMO therapy.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73367/1/j.1365-2214.1995.tb00410.x.pd

The Efficacy of Early Intervention

Although data concerning the efficacy of early intervention have been available for more than two decades, questions concerning the effectiveness of these programs continue to be raised. This paper examines four basic assumptions of intervention programs that must be clarified before the global question of efficacy can be meaningfully addressed: the implicit theory of human development, the conceptualization of the specific interventions, how developmental change is measured, and the strategies used for selecting program participants. A final discussion highlights the role played by the child's family in effective intervention programs.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68911/2/10.1177_027112148500500202.pd