Sharon Juszli, Robyn Stamm, David Karas
INTRODUCTION: Children with elevated body mass index (BMI) do not consistently receive recommended laboratory screenings. This project aimed to increase provider screening rates and knowledge of screening guidelines for this population. METHOD: This project utilized the Rosswurm and Larrabee evidence-based practice model. Providers completed education with pretest and posttest design. Laboratory screening rates were measured with retrospective chart reviews, and a project satisfaction survey was conducted...
November 7, 2023: Journal of Pediatric Health Care
Jessica Chubak, Amanda Adler, Jennifer F Bobb, Rene J Hawkes, Rebecca A Ziebell, Gaia Pocobelli, Evette J Ludman, Danielle M Zerr
INTRODUCTION: Evidence about the effectiveness and safety of dog visits in pediatric oncology is limited. METHOD: We conducted a randomized controlled trial (n=26) of dog visits versus usual care among pediatric oncology inpatients. Psychological functioning and microbial load from hand wash samples were evaluated. Parental anxiety was a secondary outcome. RESULTS: We did not observe a difference in the adjusted mean present functioning score (-3...
November 4, 2023: Journal of Pediatric Health Care
Valerie Boebel Toly, Jaclene A Zauszniewski, Ming Wang, Katie N Russell, Kristie Ross, Carol M Musil
INTRODUCTION: Parent caregivers of children who require lifesaving medical technology (e.g., mechanical ventilation, feeding tubes) must constantly maintain vigilance. Poor physical and psychological health can negatively impact their ability to do so. METHOD: A two-arm randomized controlled trial was conducted with 197 parent caregivers of technology-dependent children (aged < 18 years) to test the efficacy of Resourcefulness Training1 , a cognitive-behavioral intervention that teaches social (help-seeking) and personal (self-help) resourcefulness skills, in improving key outcomes including mental health-related quality of life (HRQOL), depressive cognitions and symptoms, perceived and physiological chronic stress, burden, and physical HRQOL at five-time points...
October 26, 2023: Journal of Pediatric Health Care
Hui Shi, Jian-Li Qiu, Yan Xu, Lu-Lu Yang
Kawasaki disease, or mucocutaneous lymph node syndrome, is an acute systemic vasculitis involving small and medium-sized vessels. It can be complicated by varying degrees of cardiac damage, especially coronary artery disease. The disease mainly occurs in children aged < 5 years, with rarer cases in older children and adults. Intravenous immunoglobulin combined with aspirin is the widely accepted treatment regimen in the acute phase, but the dosage recommended by the American Heart Association guidelines is not suitable for heavier children...
October 25, 2023: Journal of Pediatric Health Care
Caleb E Ward, Judith Singletary, Justin Zaslavsky, Claire Boogaard, Veronica Campanella, Joelle N Simpson
INTRODUCTION: Many emergency medical services (EMS) agencies have implemented alternative disposition programs for low-acuity complaints, including transportation to clinics. Our objectives were to describe pediatric primary care providers' views on alternative EMS disposition programs. METHOD: We conducted virtual focus groups with pediatric primary care providers. A hybrid inductive and deductive analytical strategy was used. Codes were grouped into themes by consensus...
October 25, 2023: Journal of Pediatric Health Care
Maoting Tang, Haiyang Zhang, Xianliang Liu, Na Li, Xihui Sun, Xia Zhang
INTRODUCTION: This study investigated the current quality of life (QOL) status and related influencing factors in children with heart failure in the pediatric intensive care unit (PICU). METHOD: One hundred eighty-three children admitted to the PICU with heart failure were consecutively sampled. They were assessed 3 months after discharge and compared with a control group of 160 healthy individuals. The Pediatric Quality of Life Inventory (version 4.0) and Children's Revised Impact of Event Scale were completed, and factors influencing QOL were analyzed...
October 18, 2023: Journal of Pediatric Health Care
Fatma Sargin, Ebru Buldu
INTRODUCTION: Although third-hand smoke (THS) is a relatively new concept, it emerges as an important health problem. This study evaluated the beliefs of Turkish Pediatricians about THS. METHOD: The survey, designed to be self-filled by pediatricians, provided information on demographic data, lifestyle factors, and beliefs about THS. Participant beliefs about THS were evaluated using the Beliefs About Third-Hand Smoke scale. This study was conducted by applying a web-based survey to pediatricians in Turkey...
October 12, 2023: Journal of Pediatric Health Care
Sarah Rust-Overman, Jacqueline Hoying, Loraine Sinnott, Rosie Zeno, Janine Overcash
INTRODUCTION: This project aimed to enhance access to pediatric mental primary health care. METHOD: The Keep Your Children/Yourself Safe and Secure (KySS) training was offered to a multidisciplinary team at a Federally Qualified Health Clinic in the Midwest United States. Confidence was measured using the Healthcare Provider Confidence Scale (HPCS). Frequencies of visits and mental health referrals were compared preintervention/postintervention. HPCS scores were compared using Wilcoxon rank-sum and Cohen's d...
October 6, 2023: Journal of Pediatric Health Care
Vicki R Voskuil, Johanna Emmanuel, Claire Magnuson, Marisa Guidone
INTRODUCTION: This pilot study evaluated the feasibility and preliminary effectiveness of the Intervention to Support Physical Activity Independence and Routine Everyday program. METHOD: This quasi-experimental single-group pretest/posttest study included adolescent girls (n = 15) who received a Fitbit Inspire 2 wearable activity tracker and participated in the seven-week Intervention to Support Physical Activity Independence and Routine Everyday program on a college campus in the Midwest...
September 23, 2023: Journal of Pediatric Health Care
Rada Artzi-Medvedik, Lyudmyla Tsikholska, Ilana A Chertok
INTRODUCTION: With the continued armed conflict impacting Ukrainian families, it is important to understand the influence of escape, displacement, and relocation on the disruption to daily life, particularly on young child feeding. METHOD: A phenomenological study explored 16 refugee mothers' experiences and perceptions of feeding young children since the onset of the conflict and following relocation to America or Israel. RESULTS: Four themes were identified from the narratives: culturally-based perceptions of young child nutrition; breastfeeding during the conflict and relocation; challenges with accessing nutritious food during the conflict and relocation; and food adaptation on relocation...
September 23, 2023: Journal of Pediatric Health Care
Vanessa C Fong, Jennifer Baumbusch, Koushambhi Khan
INTRODUCTION: The rapid and widespread shift to virtual care during COVID-19 created new opportunities and unique challenges for families of children with medical complexity (CMC). However, few studies have examined perceptions of virtual care during the pandemic in this population. METHOD: To address this gap, the current study used a qualitative approach and semistructured interviews via Zoom to explore parent perspectives of virtual care. Purposive sampling was used to recruit 30 parents residing with their CMC (aged 0-18 years) in British Columbia, Canada...
September 18, 2023: Journal of Pediatric Health Care
Shayleigh Dickson Page, Margaret C Souders, Subhash Aryal, Jennifer A Pinto-Martin, Janet A Deatrick
INTRODUCTION: This cross-sectional study aimed to (1) compare family management between families of children with autism spectrum disorder (ASD) or Down syndrome and (2) evaluate the contribution of the child (ASD behaviors, feeding difficulties, sleep disturbances), caregiver (mental health) and family (social support) factors to the caregiver's perceived condition management ability and effort. METHOD: Eighty-five caregivers (56 ASD, 29 Down syndrome) completed quantitative instruments online...
September 18, 2023: Journal of Pediatric Health Care
Jennifer Sonney, Jessica L Peck
INTRODUCTION: This study reexamined the holistic impacts of COVID-19 on the pediatric advanced practice registered nursing (APRN) workforce two years after the 2020 assessment. METHOD: This cross-sectional descriptive study used a convenience sample of pediatric APRNs affiliated with the National Association of Pediatric Nurse Practitioners (NAPNAP). A modified NAPNAP survey explored numerous impacts of COVID-19 on the pediatric APRN workforce. RESULTS: Study participants (n = 1,087) reported widespread pandemic impacts across personal and professional domains...
September 16, 2023: Journal of Pediatric Health Care
Timothy James Kilkelly, Joshua Palmer, Lisa Kreashko
INTRODUCTION: In the wake of the cultural and mental health consequences that arose since the COVID-19 pandemic, primary care providers must be able to assess and initiate treatment of anxiety disorders in the pediatric population. Only 59% of children with a diagnosable anxiety disorder are identified and receive treatment. This quality improvement project aimed to evaluate the implementation of universal anxiety screening using the General Anxiety Disorder-7 tool in pediatric primary care...
September 15, 2023: Journal of Pediatric Health Care
Abdurrahman Cahid Orengul, Yavuz Meral, Hulya Goker, Melike Sena Orem, Aziz Zorlu, Hediye Hilal Ozkececi Cifterler
INTRODUCTION: The present study examines bullying and its psychological consequences in school age children with and without attention deficit hyperactivity disorder (ADHD). METHOD: The sample consisted of 34 children with ADHD and 36 children without ADHD. Continuity of bullying and victimization and their relationship with psychological problems and quality of life (QoL) were examined at two time points (T1 and T2) with one-year interval. RESULTS: Children with ADHD experienced significantly more bullying and victimization than controls at both times...
September 14, 2023: Journal of Pediatric Health Care
Teresa Bates, Patricia C Clark, Jessica Marcus, Regena Spratling
Health care clinicians, educators, and students who plan and implement quality improvement (QI) projects must know reporting guidelines for successful project planning and publication. We aimed to identify QI guidelines, which authors can locate, and highlight how best to use them for manuscript preparation. We also address guidelines for educational QI projects. Because of the increasing number of Doctor of Nursing Practice projects generated, these students and their mentors must be familiar with commonly used guidelines for reporting QI projects to facilitate peer review, demonstrate quality and rigor of work, reduce revisions, and potentially accelerate a paper's acceptance for publication...
September 11, 2023: Journal of Pediatric Health Care
Semra Köse, Raheleh Sabetsarvestani, Emine Geçkil, Elanur Kaleci, Hatice Dönmez
BACKGROUND: Children with primary immunodeficiency disorder have begun receiving subcutaneous immunoglobulin (SCIg) instead of intravenous immunoglobulin (IVIg). So, we aim to explore the experiences of primary immunodeficiency children with regard to receiving SCIg instead of IVIg. METHOD: We adopted a phenomenological approach in 2022 in Turkey using semi-structured interviews. We recruited 15 participants using the purposive sampling method. RESULTS: The main theme was the sweetness and bitterness of living with SCIg...
September 11, 2023: Journal of Pediatric Health Care
Ashley N Gyura, Julie M Buser, Heather Keesing, Laura Nelsen, Grace E Marx, Alison F Hinckley, Caroline Seman, Christina A Nelson
INTRODUCTION: Lyme disease (LD) is a major public health problem in the United States. Given its incidence and geographic expansion, nurse practitioners (NPs) will likely encounter patients with this condition. METHOD: NPs were invited to participate in an electronic survey via email, newsletter, and social media posts. The 31-question survey collected information on provider characteristics, clinical scenario decisions, resources used, and vaccine sentiment for LD...
September 11, 2023: Journal of Pediatric Health Care
Anne Rubenstrunk, Anne-Laure Gagez, Claire-Hélène Hoeusler, Elodie Demol, Isabelle Mahieux, Florian Lavedrine, Fleur Raff, Julien Vuylsteke, Jérôme Mazure, Rémi Lecouffe
No abstract text is available yet for this article.
September 7, 2023: Journal of Pediatric Health Care
Samantha Greuel, Traci R Snedden
Propelled by immigration, language diversity is increasing in the United States, and more young children are exposed to two or more languages at home from birth. Known as dual language learners (DLLs), the benefits of this exposure include multilingual and multiliterate outcomes. However, DLLs introduce complexity for the pediatric provider's assessment of language development, identification of potential language delays, and timely referrals. If language delays are not promptly identified and followed with early intervention, they can persist and lead to poor outcomes across multiple domains...
September 6, 2023: Journal of Pediatric Health Care
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