2,398 results match your criteria Journal of Pediatric Health Care[Journal]


LGBT Youth, Sex Trafficking, and the Nurse Practitioner's Role.

J Pediatr Health Care 2019 Mar 29. Epub 2019 Mar 29.

Sex trafficking is one of the most profitable forms of transnational crimes (U.S. Department of Homeland Security, 2018). Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.02.005DOI Listing
March 2019
2 Reads

Case Report: Neuropsychiatric Symptoms in PKU Disease.

J Pediatr Health Care 2019 Mar 28. Epub 2019 Mar 28.

Phenylketonuria is a rare inborn error of metabolism. The build-up of phenylalanine in the blood and body tissues can have significant impact on the brain's development. High phenylalanine levels have been shown to be associated with an increase in neuropsychiatric symptoms, including mood, anxiety, and attention problems; decreased social competence; and low self-esteem. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.02.007DOI Listing
March 2019
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Nurse-Led Telephone Follow-Up to Improve Parent Promotion of Healthy Behaviors in Young Children With Motivational Interviewing Techniques.

J Pediatr Health Care 2019 Mar 27. Epub 2019 Mar 27.

Introduction: The American Academy of Pediatrics (AAP) recommends primary care-based health promotion for obesity prevention at all visits, focusing on nutrition and activity.

Methods: In this quality improvement project, a primary care innovation was developed to support parents in promoting healthy habits in their children ages 2 to 5years old. Nurse-led telephone support using motivational interviewing was implemented during two follow-up phone calls aimed at helping parent-child dyads reach self-created activity or nutrition goals. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.02.003DOI Listing

Outcomes of a Brief Cognitive Skills-Based Intervention (COPE) for Adolescents in the Primary Care Setting.

J Pediatr Health Care 2019 Mar 20. Epub 2019 Mar 20.

Introduction: Approximately 25% of adolescents have behavioral disorders, yet few receive treatment. Primary care (PC) screening for depression and anxiety is recommended; however treatments, such as cognitive behavioral therapy (CBT), are rarely available in PC settings. Our aim was to determine whether the use of a CBT-based intervention (COPE for Teens) is associated with improved outcomes on measures of depression and anxiety, and to understand the patient experience. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.12.001DOI Listing
March 2019
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Traditional and Nontraditional Collaborations to Improve Population Health Using Geospatial Information SystemMaps: Analysis of the Opioid Crisis.

J Pediatr Health Care 2019 Mar 19. Epub 2019 Mar 19.

Introduction: The study aims were to analyze interprofessional practice collaborations among traditional and nontraditional health care providers and to educate nurse practitioner preceptors and students on population health, specifically, implementation of geospatial information system (GIS) maps and the correlation with the opioid crisis.

Methods: A descriptive analysis was used to examine New York State data on the opioid crisis in comparison to outcome data from GIS maps of opioid use in two boroughs in New York City. Web-based modules were designed for analysis of GIS maps of opioid use near practice settings. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.10.006DOI Listing
March 2019
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The Pediatric Procedural Holistic Comfort Assessment: A Feasibility Study.

J Pediatr Health Care 2019 Mar 18. Epub 2019 Mar 18.

Introduction: Holistic comfort is an essential component of pediatric procedural care. However, a main gap in the literature is the ability to measure this. In this study, researchers report the feasibility of implementing a newly developed psychosocial measurement instrument in clinical practice. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.01.006DOI Listing

Screening for the Social and Behavioral Determinants of Health at a School-Based Clinic.

J Pediatr Health Care 2019 Mar 19. Epub 2019 Mar 19.

Introduction: Screening and providing interventions for adverse social and behavioral determinants of health (SBDOHs) can potentially improve health outcomes. The purpose of this project was to evaluate the feasibility of screening for SBDOHs during an episodic visit at a school-based clinic and to evaluate whether it increased identification of and intervention for adverse SBDOHs.

Methods: Common adverse SBDOHs were identified through stakeholder focus groups, a community assessment report, and interviews. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.02.002DOI Listing
March 2019
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Relationships Between Adolescent Stress, Depressive Symptoms, and Sexual Risk Behavior in Young Adulthood: A Structural Equation Modeling Analysis.

J Pediatr Health Care 2019 Mar 18. Epub 2019 Mar 18.

Introduction: This study examined longitudinal associations between stressful life events and depressive symptoms, assessed during two time points of adolescence, and sexual risk behavior, assessed during young adulthood.

Methods: Structural equation modeling was conducted with three waves of data from the National Longitudinal Study of Adolescent to Adult Health.

Results: Analyses revealed bidirectional relationships between stressful life events and depressive symptoms during the two time points of adolescence. Read More

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March 2019
1.970 Impact Factor

An Examination of Factors Affecting Quality of Life for Children With Asthma and Their Caregivers in Southeastern Georgia.

J Pediatr Health Care 2019 Mar 13. Epub 2019 Mar 13.

Introduction: Despite effective treatments and interventions, asthma continues to affect children's health-related quality of life (QOL). This study explored factors affecting QOL of children with asthma and their caregivers.

Methods: A mixed-model design was used. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.01.008DOI Listing

The Developmental Screening Behaviors, Skills, Facilitators, and Constraints of Family Nurse Practitioners in Primary Care: A Qualitative Descriptive Study.

J Pediatr Health Care 2019 Mar 13. Epub 2019 Mar 13.

Introduction: Researchers have found that many primary care providers are not following developmental screening recommendations. Few studies exist on the screening behaviors of advanced practice nurses.

Methods: A qualitative descriptive study explored the screening behaviors, skills, and environmental facilitators/constraints of 24 family nurse practitioners (FNPs) who cared for pediatric patients from birth to 5years of age in primary care settings. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.01.004DOI Listing

A Primer on Understanding Pediatric Health Care Quality Measurement.

J Pediatr Health Care 2019 Mar 13. Epub 2019 Mar 13.

Advanced practice registered nurses implement evidence-based care guidelines and assess the quality of care delivered to pediatric and adolescent populations to ensure that the highest standards of care are provided to the patients and their families. Standardized health care quality measures allow for assessment of clinical competence, monitoring of equitable health care distribution, improvement of provider/institutional accountability, development of standards for accreditation and certification, informing of quality improvement efforts, and creation of criteria for provider incentive payments. The purpose of this article is to explain why health care quality measures are established, what agencies oversee the development of meaningful pediatric quality measures, and how these measures inform and improve the care provided by pediatric-focused advanced practice registered nurses. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.02.001DOI Listing

What Is the Best Treatment for a Subperiosteal Abscess? A Case Report in a Pediatric Patient.

J Pediatr Health Care 2019 Mar 11. Epub 2019 Mar 11.

Subperiosteal abscess is a condition that typically presents as collection of pus in the space between the periorbital and the lamina papyracea as a result of the migration and spread of an infection, such as sinusitis and ethmoiditis. The low incidence requires a high index of suspicion to be considered in the differential diagnosis when encountering this life-threatening illness. This case highlights the significance of a prompt and accurate diagnosis for this infrequent condition, because it may progress to blindness, meningitis, intracranial abscess, and death. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.01.003DOI Listing
March 2019
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Critiquing Research Evidence for Use in Practice: Revisited.

J Pediatr Health Care 2019 Mar 11. Epub 2019 Mar 11.

Nurse practitioners need to critically appraise the abundance of research evidence and clinical practice guidelines to make astute decisions about the implementation of the best available evidence to clinical practice. There are numerous ways to appraise research and practice guidelines that are designed to inform clinical practice with the overall goals of improving patient outcomes. This article presents existing tools to appraise the research evidence in addition to a guide for providers on critical appraisal of a research study. Read More

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Providing Supportive Hospital Environments to Promote the Language Development of Infants and Children Born Prematurely: Insights From Neuroscience.

J Pediatr Health Care 2019 Mar 11. Epub 2019 Mar 11.

Introduction: Rapid neural development occurs beginning in utero and extending throughout a child's first years of life, shaped by environmental input, which is essential for language learning. If this development is disrupted by premature birth and/or related repeated hospitalizations, atypical language development may result even in the absence of severe neurologic damage.

Method: This narrative review describes typical neurodevelopment associated with language and the atypical neurodevelopment often experienced by children born prematurely that can adversely affect their language development. Read More

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http://dx.doi.org/10.1016/j.pedhc.2019.01.007DOI Listing

Setting Kids Up for Success (SKUFS): Outcomes of an Innovation Project for Promoting Healthy Lifestyles in a Pediatric Patient-Centered Medical Home.

J Pediatr Health Care 2019 Mar 5. Epub 2019 Mar 5.

Introduction: The greatest increase in childhood obesity prevalence occurs from preschool to school-age (SA). Evidence supports a family-centered approach to promote healthy lifestyle behaviors and weight management among SA children. The purpose of this study was to establish a healthy weight management support group in a pediatric patient-centered medical home. Read More

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March 2019
9 Reads

Frequency, Severity, and Distress Associated With Physical and Psychosocial Symptoms at Home in Children and Adolescents With Cancer.

J Pediatr Health Care 2019 Mar 4. Epub 2019 Mar 4.

Malignancy- and cancer-related treatments lead to multiple symptoms. Although treatments focus on cure, few research studies have examined the symptoms that accompany these aggressive and complicated treatments. The purpose of the study was to evaluate the symptoms experienced by children at home. Read More

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Perspectives From Nurses and Physicians on Training Needs and Comfort Working With Transgender and Gender-Diverse Youth.

J Pediatr Health Care 2019 Feb 28. Epub 2019 Feb 28.

Introduction: Nurses and physicians receive minimal training about providing competent care to transgender and gender-diverse (TGD) patients, and training specific to TGD youth is particularly lacking. This qualitative study examined health care providers' experiences and attitudes about working with TGD youth to identify specific training needs.

Method: Semistructured interviews were conducted with 14 nurses and physicians who work with adolescents. Read More

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February 2019
1 Read

Stress, Depression, and Quality of Life Among Caregivers of Children With Osteogenesis Imperfecta.

J Pediatr Health Care 2019 Mar 1. Epub 2019 Mar 1.

Introduction: The purpose of this study was to evaluate stress, depressive symptoms, and quality of life (QOL) among caregivers of children with osteogenesis imperfecta (OI) and to determine if associations exist with patient disease-related characteristics.

Methods: Psychosocial outcomes were evaluated in 33 caregivers of 31 patients with OI using the Pediatric Inventory for Parents (assessing stress), PedsQL Family Impact Module (assessing QOL), and Center for Epidemiologic Studies Depression Scale (assessing depressive symptoms).

Results: Higher levels of patient pain and lower patient physical functioning were significantly associated with both higher caregiver stress and poorer QOL (p < . Read More

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March 2019
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Implementing an Evidence-Based, Asthma Decision Support Tool for Children Younger Than 5 Years Old.

J Pediatr Health Care 2019 Feb 27. Epub 2019 Feb 27.

Cheryl Oetjen, Assistant Professor and Assistant Dean for MSN and DNP Programs in the School of Nursing, George Mason University, School of Nursing, Fairfax, VA.. Electronic address:

Introduction: Asthma is underdiagnosed, particularly for children younger than 5 years old. Clinical practice guidelines have been shown to improve asthma diagnosis and management, but are underutilized. This evidence-based practice project aimed to develop, implement, and evaluate a three-page decision support tool (DST) to improve the asthma diagnosis process among children younger than 5 years old. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.10.003DOI Listing
February 2019

Caring for Gender-Diverse Children and Youth.

Authors:
Martha K Swartz

J Pediatr Health Care 2019 Mar - Apr;33(2):127-128

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http://dx.doi.org/10.1016/j.pedhc.2019.01.002DOI Listing
January 2019

Associations Between Maternal Caregiving and Child Indicators of Toxic Stress Among Multiethnic, Urban Families.

J Pediatr Health Care 2019 Jan 22. Epub 2019 Jan 22.

Introduction: Our purpose was to examine associations between maternal caregiving and child indicators of toxic stress among multiethnic, urban families with children of early school age.

Method: We conducted an exploratory cross-sectional analysis of 54 maternal-child dyads. Mothers reported on parenting behaviors and parental reflective functioning (PRF). Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.12.002DOI Listing
January 2019
2 Reads

A Job Task Analysis of the Expanding Role of the Pediatric Mental Health Specialist and the Nurse Practitioner in Pediatric Mental Health.

J Pediatr Health Care 2019 Jan 22. Epub 2019 Jan 22.

Lack of access to support, services, and providers for children and adolescents with mental health conditions is a serious problem in the United States. Fewer than half of the children who need services obtain them. To meet this demand, the Pediatric Nursing Certification Board launched a new specialty certification in 2011 for advanced practice registered nurses called the pediatric primary care mental health specialist (PMHS). Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.11.001DOI Listing
January 2019
1 Read

Challenges in the Treatment of Iron Deficiency Anemia in a Child With Autism Spectrum Disorder: A Case Study.

J Pediatr Health Care 2019 Jan 22. Epub 2019 Jan 22.

Children with autism spectrum disorder (ASD) face many challenges, including feeding problems due to behavioral issues and food aversions. Therefore, pediatric nurse practitioners need to assess for different mineral deficiencies, including iron deficiency anemia (IDA). The following case study describes a 4-year-old with ASD with persistent IDA despite typical recommendation of oral iron supplementation. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.11.010DOI Listing
January 2019
8 Reads

Patient-Delivered Expedited Partner Therapy for Chlamydia trachomatis Infection Among Female Adolescents Using School-Based Health Centers.

J Pediatr Health Care 2019 Jan 22. Epub 2019 Jan 22.

Introduction: Expedited partner therapy (EPT) may reduce Chlamydia trachomatis reinfection. This pilot study was conducted to determine if female adolescents with C. trachomatis accept and deliver EPT to male sexual partners and whether it is associated with decreased C. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.11.008DOI Listing
January 2019
1 Read

Problematic Sexual Behavior in Children.

J Pediatr Health Care 2019 Jan 17. Epub 2019 Jan 17.

It is important for health care professionals to have a strong knowledge base of childhood sexual development, to know how to differentiate between problematic and normative sexual behaviors, and counsel parents accordingly given their assessment of the behaviors. A review of the literature suggests that sexual behaviors are a common occurrence in childhood, though some behaviors are rare regardless of age. Frequency of the behavior, developmental considerations, and the level of harm may help health care professionals assess whether the sexual behavior is typical or problematic. Read More

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January 2019
13 Reads

Parent- and Child-Reported Asthma Responsibility in School-Age Children: Examining Agreement, Disagreement, and Family Functioning.

J Pediatr Health Care 2019 Jan 17. Epub 2019 Jan 17.

Introduction: The school-age years represent a critical time for children to begin assuming shared asthma management responsibility. This study aimed to describe parent- and child-reported asthma responsibility, examine agreement and disagreement, and explore family functioning as a predictor of agreement/disagreement.

Methods: Twenty children (age range = 6-11 years) and one of their parents participated in this cross-sectional study. Read More

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January 2019
7 Reads
1.970 Impact Factor

Somnolence-Producing Agents: A 5-Year Study of Prescribing for Medicaid-Insured Children With Attention Deficit Hyperactivity Disorder.

J Pediatr Health Care 2019 Jan 7. Epub 2019 Jan 7.

Introduction: Researchers evaluated the prescribing of medications that induce somnolence to children with attention deficit hyperactivity disorder (ADHD) insured by Medicaid.

Method: An observational study of prescription claims for children ages 3-18 with ADHD-associated ICD 9 diagnoses filled between January 1, 2012 and December 31, 2016 in Oregon.

Results: There were 14,567 prescriptions written for a 30-day supply of sleep medication for 2,518 children. Read More

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January 2019
2 Reads

Child Sexual Abuse and Differential Diagnoses: A Case Report.

Authors:
Moriah Freeman

J Pediatr Health Care 2019 Mar - Apr;33(2):201-205. Epub 2019 Jan 5.

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January 2019
1 Read

Atypical or Incomplete Kawasaki Disease in a Young Child: A Case Report.

J Pediatr Health Care 2018 Dec 26. Epub 2018 Dec 26.

Catherine Frank, Assistant Professor, Xavier University School of Nursing, and Acute Care Nurse Practitioner, Mercy Health Emergency Departments, Cincinnati, OH.

This case report describes an atypical or incomplete presentation of Kawasaki Disease. Kawasaki Disease is an inflammatory process that can affect all blood vessels and result in cardiac complications; particularly coronary artery aneurysms. Patients are typically young children, usually younger than 5 years of age, who initially present with a high fever and nonspecific rash. Read More

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December 2018
4 Reads

Adolescent Preexposure Prophylaxis Administration: An Education Curriculum for Health Care Providers.

J Pediatr Health Care 2018 Dec 26. Epub 2018 Dec 26.

On May 15, 2018, the Federal Drug Administration amended the approval of preexposure prophylaxis (PrEP) to include minors (> 35 kgs). Adolescent providers are now in need of access to a comprehensive education curriculum on the administration of PrEP to adolescents. This paper outlines such a curriculum with the goal of reaching adolescent providers unfamiliar with PrEP assessment, administration, and monitoring. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.09.007DOI Listing
December 2018
2 Reads

The Use of Codeine and Tramadol in the Pediatric Population-What is the Verdict Now?

J Pediatr Health Care 2019 Jan;33(1):117-123

Codeine and tramadol are opioid analgesics approved for the management of pain in the United States. Both agents are metabolized in the liver to active compounds via the cytochrome P450 2D6 enzyme. Case reports of pediatric patients with overactive CYP2D6 enzymes have been reported. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.04.016DOI Listing
January 2019
12 Reads

Nursing Now: A Global Campaign.

Authors:
Martha K Swartz

J Pediatr Health Care 2019 Jan;33(1):1-2

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January 2019
1 Read

Cystic Fibrosis: Advancing Along the Continuum.

J Pediatr Health Care 2018 Oct 24. Epub 2018 Oct 24.

Cystic fibrosis (CF) is an autosomal recessive genetic disorder resulting from a mutation in the gene which encodes a cellular transmembrane protein channel known as the CF transmembrane conductance regulator. Located systemically on the surface of numerous cells, these altered channels yield multisystem dysfunction. Typical manifestations seen are chronic, progressive, obstructive lung disease, pancreatic insufficiency, CF-related diabetes mellitus, malabsorption and malnutrition, liver disease, and infertility. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.08.008DOI Listing
October 2018
4 Reads

Perceptions of Gastrostomy Buttons Among Caregivers of Children With Special Health Care Needs.

J Pediatr Health Care 2018 Nov 26. Epub 2018 Nov 26.

Introduction: Children with special health care needs (CSHCN) have chronic conditions that generally are classified as developmental disabilities. Children with developmental disabilities are at high risk of malnutrition. Gastrostomy buttons are frequently used to provide enteral nutrition for children with developmental disabilities. Read More

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November 2018
2 Reads

Simulation Training Improves Resuscitation Team Leadership Skills of Nurse Practitioners.

J Pediatr Health Care 2018 Nov 27. Epub 2018 Nov 27.

Introduction: In the current era of limited physician trainee work hours, limited nurse practitioner orientation times, and highly specialized care settings, frontline providers have limited opportunities for mentored resuscitation training in emergency situations. We aimed to evaluate the effectiveness of a pilot program to improve resuscitation team leadership skills of nurse practitioners using simulation-based training.

Methods: Seven nurse practitioners underwent a 4-hour simulation course in pediatric cardiac emergencies. Read More

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November 2018
11 Reads

The Evaluation and Treatment of Tall Stature in Preadolescent Girls: A Case Report.

J Pediatr Health Care 2018 Nov 26. Epub 2018 Nov 26.

Families may approach primary care providers for advice and treatment for tall stature (height more than two standard deviations above the mean height for a given age) in pre-pubertal children. The following case report describes an 11-year-old girl who was referred to an endocrinology specialist for familial tall stature. Potential pathological causes for tall stature are reviewed. Read More

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November 2018
1 Read

Watch Me Grow: A Well-Child Examination Protocol to Improve Preventive Care in Dominican Children.

J Pediatr Health Care 2018 Nov 22. Epub 2018 Nov 22.

Ashley D. Marass, Assistant Professor and Certified Pediatric Nurse Practitioner, University of South Alabama, Mobile, AL.

Introduction: Morbidity and mortality rates among Dominican children are a serious health concern worsened by a lack of preventive care that hinders early identification and avoidance of illnesses. The purpose of this study was to improve health outcomes in Dominican children by implementing a well-child examination (WCE) protocol entitled "Watch Me Grow."

Methods: A quantitative, descriptive methodology was used. Read More

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November 2018
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Syncope in the Pediatric Patient: A Case Report.

Authors:
Alexa Beversdorf

J Pediatr Health Care 2018 Nov 21. Epub 2018 Nov 21.

Alexa Beversdorf, Doctorate of Nursing Practice Student, University of Wisconsin-Madison, 701 Highland Ave., Madison, WI.. Electronic address:

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November 2018
2 Reads

Adolescent Infertility: A Case Report.

J Pediatr Health Care 2019 Mar - Apr;33(2):206-209. Epub 2018 Nov 22.

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http://dx.doi.org/10.1016/j.pedhc.2018.08.009DOI Listing
November 2018
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Sleep Evaluation in the Assessment of Pediatric Attention Deficit Disorders.

J Pediatr Health Care 2018 Nov 19. Epub 2018 Nov 19.

Introduction: Examining the impact of appropriate sleep evaluation on diagnosis of attention deficit disorders can improve the standard of care in pediatrics. This quality improvement project examined current practice and subsequent implementation of a validated standardized sleep evaluation tool in the assessment of children with symptoms of attention deficit.

Methods: Retrospective chart review and implementation of the Children's Sleep Habits Questionnaire (CSHQ) for children 6 to 14 years old with attention deficit symptoms. Read More

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November 2018
18 Reads

Infant Immunizations in Pediatric Critical Care: A Quality Improvement Project.

J Pediatr Health Care 2019 Mar - Apr;33(2):195-200. Epub 2018 Nov 16.

Introduction: Infants with congenital heart disease can be critically ill; prolonged hospitalization is common. The purpose of this project was to create and then evaluate the efficacy of education programs for staff nurses and medical providers aimed at improving infant immunization administration during hospitalization for congenital heart disease.

Methods: This project used pre- and post-education program chart review to evaluate infant immunization rates at discharge. Read More

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November 2018
14 Reads

Pediatric Delirium: Early Identification of Barriers to Optimize Success of Screening and Prevention.

J Pediatr Health Care 2018 Nov 15. Epub 2018 Nov 15.

Introduction: Pediatric delirium has a 25% prevalence rate in the pediatric intensive care unit. The purpose of this project was to evaluate the impact/effect of implementing nonpharmacologic nursing bundles on the incidence of pediatric delirium. It is not yet known whether or not bundles consistently reduce the incidence of delirium. Read More

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November 2018
1 Read

Satisfaction With Care Coordination for Families of Children With Disabilities.

J Pediatr Health Care 2018 Nov 16. Epub 2018 Nov 16.

Introduction: Children with disabilities have significant health care needs, and receipt of care coordinator services may reduce caregiver burdens. The present study assessed caregivers' experience and satisfaction with care coordination.

Method: Caregivers of Medicaid-enrolled children with disabilities (n = 2,061) completed a survey (online or by telephone) collecting information on the caregivers' experiences and satisfaction with care coordination using the Family Experiences with Coordination of Care questionnaire. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.08.010DOI Listing
November 2018
15 Reads

Novel Withdrawal Symptoms of a Neonate Prenatally Exposed to a Fentanyl Analog.

J Pediatr Health Care 2019 Jan 8;33(1):102-106. Epub 2018 Nov 8.

Neonatal abstinence syndrome (NAS) is a withdrawal syndrome observed in neonates exposed to drugs in utero, typically opioids, which is associated with symptoms affecting the central and autonomic nervous systems and the gastrointestinal system. West Virginia, particularly the southeastern region of the state, has remarkably higher rates of NAS than similar communities. Our facility is increasingly faced with complex cases of NAS caused by in utero exposure to multiple substances. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.08.014DOI Listing
January 2019
2 Reads

Review of Tools for Measuring Exposure to Adversity in Children and Adolescents.

J Pediatr Health Care 2018 Nov - Dec;32(6):564-583. Epub 2018 Jun 29.

Exposure to childhood adversity can result in negative behavioral and physical health outcomes due to potential long-term embedding into regulatory biological processes. Screening for exposure to adversity is a critical first step in identifying children at risk for developing a toxic stress response. We searched PubMed, PsycArticles, and CINAHL for studies published between January 1, 2012, and December 31, 2016, as well as other sources, to identify potential tools for measuring cumulative adversity in children and adolescents. Read More

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http://dx.doi.org/10.1016/j.pedhc.2018.04.021DOI Listing
June 2018
21 Reads