Implementation of Robert's Coping with Labor Algorithm in a large tertiary care facility.

Objective: to implement use of Roberts' Coping with Labor Algorithm (CWLA) with laboring women in a large tertiary care facility.

Design: this was a quality improvement project to implement an alternate approach to pain assessment during labor. It included system assessment for change readiness, implementation of the algorithm across a 6-week period, evaluation of usefulness by nursing staff, and determination of sustained change at one month.

Adaptive functioning in children with seizures: impact of maternal anxiety about epilepsy.

This study evaluated the impact of maternal anxiety about a child's epilepsy on parental overprotection and the child's adaptive functioning. Specific maternal and family characteristics that contribute to elevated maternal anxiety about epilepsy were also studied over a year's time in a group of 56 mothers with children recently diagnosed with epilepsy. Overall, the primary predictor of maternal anxiety about epilepsy was the mother's level of coping resources, although family stress aggravated anxiety at the initial time point.