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Effects of digital game addiction on cardiovascular health behavior on secondary school students during the COVID-19 pandemic
Children and adolescents continue to be exposed to early work in brazil.
The efficacy of honey or olive oil on the severity of oral mucositis and pain compared to placebo (standard care) in children with leukemia receiving intensive chemotherapy: A randomized controlled trial (RCT)
Stories of restitution: family experiences of diagnosis and help-seeking for a child with cerebral palsy, issue highlights.
Introduction of a conversation starter tool to improve health habits in young children
The SPN Pediatric Nursing Excellence Model: Differentiating pediatrics
Variability in qualifications for principal investigator status in research studies by nurses: a call for clarification, parental experience of hypoglossal nerve stimulator implantation in adolescents with down syndrome and obstructive sleep apnea, journal of pediatric nursing: nursing care of children and families, our editors, research guidelines.
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The Journal of Pediatric Nursing is the official journal of the Society of Pediatric Nurses.
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The Journal of Pediatric Nursing is the official journal of the Pediatric Endocrinology Nursing Society.
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Immunizations – nursing interventions to enhance vaccination rates.
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The effect of buzzy and cold spray on pain, anxiety, and fear of children during venipuncture in pediatric emergency department in Turkey; A randomized controlled study
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Journal of Pediatric Nursing
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The most downloaded articles from Journal of Pediatric Nursing in the last 90 days.
Nursing interventions to reduce medication errors in paediatrics and neonates: Systematic review and meta-analysis
Takawira C. Marufu, Rachel Bower, Elizabeth Hendron, Joseph C. Manning February 2022
Impact of social support for mothers as caregivers of cerebral palsy children in Japan
Mutsuko Moriwaki, Hitomi Yuasa and 3 more Open Access April 2022
Centeredness in Healthcare: A Concept Synthesis of Family-centered Care, Person-centered Care and Child-centered Care
Imelda Coyne, Inger Holmström, Maja Söderbäck October 2018
How to support fathers of preterm infants in early parenthood – An integrative review
Kristina Garne Holm, Hanne Aagaard and 10 more Open Access December 2022
Measuring family communication in pediatric nursing: Psychometric properties of the Parent-Child Communication Scale – Child Report (PCCS-CR)
Stian Orm, Yngvild B. Haukeland, Torun Vatne, Krister Fjermestad Open Access February 2022
Mothers' and children's thoughts on COVID-19: A qualitative study
Kübra Gökalp, Ayşegül Sarioglu Kemer December 2022
Does Access to Green Space Impact the Mental Well-being of Children: A Systematic Review
Rachel McCormick December 2017
Compassion fatigue and burnout in Turkish pediatric emergency nurses during the COVID-19 pandemic
Aylin Arıkan, Figen Işık Esenay November 2022
Experiences, emotions, and expectations of nurse mothers during the COVID-19 process
Gamze Tınmaz, Sebahat Altundağ December 2022
Trauma-informed care for the pediatric nurse
Anna Goddard, Erin Janicek, LuAnn Etcher February 2022
The Effect of a Pet Therapy and Comparison Intervention on Anxiety in Hospitalized Children
Katherine Hinic, Mildred Ortu Kowalski, Kristin Holtzman, Kristi Mobus June 2019
Using a robotic exoskeleton at home: An activity tolerance case study of a child with spinal muscular atrophy
Elena Garces, Gonzalo Puyuelo and 8 more Open Access December 2022
Psychometric properties of a self-assessment fear scale in children aged 4 to 12 years. Scary Scale
S. Thurillet, C. Bahans and 7 more Open Access August 2022
Caring for sick kids: An integrative review of the evidence about the prevalence of compassion fatigue and effects on pediatric nurse retention
Lori A. Forsyth, Sandra Lopez, Kimberly A. Lewis Open Access April 2022
Relationship Between Parenting Practices and Children's Screen Time During the COVID-19 Pandemic in Turkey
Aslihan Ozturk Eyimaya, Aylin Yalçin Irmak February 2021
The COVid-19 pandemic through the eyes of pediatric nurses: A qualitative study
Margaret Malague MacKay, Kelly Powers, Kathleen Jordan February 2023
Youth survivor perspectives on healthcare and sex trafficking
Lisa Murdock, Candice Hodge-Williams, Kaitlin Hardin, Corey J. Rood Open Access October 2022
Supporting girls with painful menstruation - A qualitative study with school nurses in Sweden
Charlotte Angelhoff, Hanna Grundström Open Access February 2023
Are emotional intelligence and compassion associated with nursing safety and quality care? A cross-sectional investigation in pediatric settings
Chani Gelkop, Ilya Kagan, Violetta Rozani February 2022
Danish translation and cultural adaptation of the ‘What do you think of hospital’ patient reported experience measure for children and adolescents in outpatient settings
Anne Marie Ryberg, Pia Bonde Nielsen and 4 more Open Access February 2023
Effects of Animal-Assisted Therapy on Hospitalized Children and Teenagers: A Systematic Review and Meta-Analysis
Yongshen Feng, Yeqing Lin and 3 more October 2021
The impact of therapeutic recreation camps in the United Kingdom on the wellbeing of youth with serious illness and disability: A qualitative investigation
Jacquelyn Yang, Roz Shafran and 3 more Open Access December 2022
Everyday life with childhood functional constipation: A qualitative phenomenological study of parents' experiences
Gunilla Flankegård, Evalotte Mörelius, Patrik Rytterström Open Access December 2022
Impact of the coronavirus disease 2019 pandemic on obesity, internet addiction, and sleep quality in adolescents
Fatma Daşdemir, Dilek Orbatu, Murat Bektaş, Behzat Özkan October 2022
Fear, isolation and the importance of support: A qualitative study of parents' experiences of feeding a child born with esophageal atresia
Vuokko Wallace, Kirsi Honkalampi, Maija Korhonen Open Access December 2022
MCN: The American Journal of Maternal/Child Nursing
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Journal logo, mcn the american journal of maternal child nursing editorial fellowship.
We’re excited to offer a 12-month editorial fellowship to learn about the journal publishing process that includes the online manuscript submission system, peer review, revisions, editing, publication decisions, preparing each issue, and selecting paper of the year winners. The MCN fellow will work with the Editor-in-Chief and Associate Editor to get exposure to the behind the scenes workings of a nursing journal. This opportunity is ideal for early-career nursing scholars. Click here to read the full description and requirements.
- Feature Articles
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OB HUB: Remote Electronic Fetal Monitoring Surveillance
Lowery, Deb; De Leon, Betsy; Krening, Cynthia; More
Lowery, Deb; De Leon, Betsy; Krening, Cynthia; Dempsey, Amy; Dwork, Peter; Brou, Lina; Tynes, John; Thompson, Lisa Less
Perinatal leaders in two maternity services describe their experiences with implementing a remote electronic fetal monitoring system including artificial intelligence software and nurse experts dedicated to fetal monitoring data interpretation. Experienced labor and birth nurses continuously observed electronic fetal monitoring tracings and followed an established protocol on when to notify bedside labor nurses of potentially concerning fetal heart rate tracings. The goal was to improve perinatal outcomes. When comparing 6 months pre- and 6 months post-implementation data including 4,989 births, there were no significant differences in neonatal outcomes. A larger sample may be needed to evaluate potential benefits of remote electronic fetal monitoring surveillance systems.
Experiences of Postpartum Depression in Women of Color
Beck, Cheryl Tatano
Beck, Cheryl Tatano Less
In this integrative review, cultural stigma of mental illness plus lack of knowledge of postpartum depression were found to be strong barriers to women of color seeking timely professional mental health care. Nurses can share information about perinatal mental illness to help decrease stigma and increase mental health literacy. All health care providers and policy makers must focus attention on the impact that women of color's economic and social stressors have on their postpartum depression.
A Multimodal Protocol to Limit Opioid Exposure and Effectively Manage Postoperative Cesarean Birth Pain
Harden, Ronda; Dawkins, Denise; Stallings-Saints, Keya; More
Harden, Ronda; Dawkins, Denise; Stallings-Saints, Keya; Hampton, Michelle DeCoux; DeLilly, Carol Less
Implementation of a multimodal protocol to manage post-operative cesarean birth pain during the postpartum hospitalization was associated with decreased use of opioids among patients who had a cesarean birth compared with patients who had a cesarean birth before the protocol was in place.
Parental Participation in Preterm Infant Feeding in the Neonatal Intensive Care Unit
Nist, Marliese Dion; Robinson, Audrey; Pickler, Rita H.
Nist, Marliese Dion; Robinson, Audrey; Pickler, Rita H. Less
In this secondary data analysis of 87 preterm infants using data from a randomized controlled trial of patterned tactile experience provided during gavage and oral feeding on infant neurobehavior and clinical outcomes, parental involvement in infant feeding in the neonatal intensive care unit was low. Parental participation in feeding can decrease the time required for infants to achieve feeding milestones, possibly leading to decreased length of hospitalization. Nurses should encourage parents to participate in caregiving for their preterm infants. Interventions are needed to remove barriers to parental participation in caregiving.
Engagement in Online Communities by New Mothers in Recovery from Opioid Use Disorder
Mattson, Nicole M.; Ohlendorf, Jennifer M.
Mattson, Nicole M.; Ohlendorf, Jennifer M. Less
In this qualitative study, new mothers in recovery from opioid use disorder share their experiences with participation in on-line communities. Engagement in online communities can be a meaningful adjunct or replacement for in-person support. Online spaces are available 24/7 and allow people to join a community where they will not experience stigma and can find support tailored to their needs. Nurses could extend their care for mothers affected by opioid use disorder by referring them to online communities for support of recovery self-management efforts.
Comparing Experiences of Women Who Were Direct Breastfeeding and Women Who Used Expressed Breast Milk to Feed Their Infants
Anders, Lisa A.; Robinson, Karen; Ohlendorf, Jennifer M.; More
Anders, Lisa A.; Robinson, Karen; Ohlendorf, Jennifer M.; Hanson, Lisa Less
In this qualitative study, 15 women shared their personal accounts of breast milk feeding. Mothers who provide breast milk share common experiences and feelings of satisfaction. Expressed breast milk feeding offers some women a way to provide the benefits of breast milk while preserving a balance between maternal and infant physical and mental health needs. Understanding the different ways in which women manage breast milk feeding while balancing maternal and infant needs can prepare nurses to discuss various methods of breast milk feeding and provide individualized support.
Effect of the COVID-19 Pandemic on Maternal Health in the United States
Simpson, Kathleen Rice
Simpson, Kathleen Rice Less
The COVID-19 pandemic is responsible for over 1 million deaths in the United States. More than 500 of those deaths were among pregnant and postpartum women. The recent United States Government Accounting Office report on the effects the pandemic on maternal health is summarized. While the efforts in reporting these data in detail are appreciated, it is past time for taking action to prevent preventable maternal deaths in the United States including the racial and ethnic disparities these deaths represent rather than gathering information about them each year.
Hot Topics in Maternity Nursing
Evidence-based guidelines for labor support that promote vaginal birth.
Bernstein, Samantha L.
Bernstein, Samantha L. Less
The Association of Women' Health, Obstetric and Neonatal Nurses has published evidence-based clinical practice guidelines Labor support for intended vaginal birth to support nurses who care for patients during labor and birth. Our maternity nursing expert, Dr. Bernstein, summarizes the guidelines.
Hot Topics in Pediatric Nursing
American academy of pediatrics commits to promoting food security for all children.
Beal, Judy A.
Beal, Judy A. Less
Food insecurity is a significant problem for many families with children in the United States and has worsened during the COVID-19 pandemic. Our pediatric nursing expert, Dr. Beal, explains some of the initiatives from the American Academy of Pediatrics to promote food security for all children and their families and the role of nurses in identification and resource referrals.
Breastfeeding
Why breastfeed until age two.
Spatz, Diane L.
Spatz, Diane L. Less
The American Academy of Pediatrics has recommended breastfeeding be continued until age two or more, consistent with the World Health Organization. Our breastfeeding expert, Dr. Spatz, explains the benefits and the 2022 American Academy of Pediatrics' position statement on Breastfeeding and the Use of Human Milk.
Global Health and Nursing
Food insecurity has increased around the world.
Callister, Lynn Clark
Callister, Lynn Clark Less
Food insecurity has increased around the world. Our global health and nursing expert, Dr. Callister, reviews several recent international reports of food insecurity and world hunger and highlights efforts by multiple organizations to help with this crisis that affects millions of families, women, and children.
Toward Evidence-Based Practice
Rohan, Annie; Elliot, Gail; Guo, Yuqing; More
Rohan, Annie; Elliot, Gail; Guo, Yuqing; Koenig, Mary Dawn Less
Experts suggest how 6 research articles can be used in nursing practice.
Perinatal Patient Safety
March of dimes report on access to maternity care in the united states.
In October 2022, the March of Dimes released an updated report on maternity care in the United States focusing on access: Nowhere to Go: Maternity Care Deserts Across the U.S. These data do not reflect favorable conditions for being pregnant, giving birth, or during the first year postpartum in our country. Access to maternity care continues to be a challenge for a significant portion of the childbearing population. A summary of the report is presented. The entire report should be of interest to all who care involved in maternity care in the United States including clinicians, scientists, policymakers, and advocates.
Experiences of Postpartum Depression of Women of Color
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Pediatric Nursing
Hence, the field of pediatric nursing is rife with opportunity to lead the way in the development, evaluation and application of tools, services and care delivery systems that provide screening, referral and interventions to address the SDOH risks of vulnerable children and families.
From: Journal of Pediatric Nursing , 2017
Related terms:
- Integrative Medicine
- Pediatrics Patient
- Health Care Personnel
- Quality of Life
- Pediatric Hospital
- Diabetes Mellitus
- Pediatric Nurse
- Pediatric Intensive Care Unit
Evolution of critical care nursing
Jerry J. Zimmerman MD, PhD, FCCM , in Fuhrman and Zimmerman's Pediatric Critical Care , 2022
Certification in pediatric nursing and pediatric critical care nursing
In 1975, the AACN Certification Corporation was established to formally recognize the professional competence of critical care nurses. The mission of the AACN Certification Corporation is to certify and promote critical care nursing practice that optimally contributes to desired patient outcomes. The program establishes the body of knowledge necessary for critical care registered nurse (CCRN) certification, tests the common body of knowledge needed to function effectively within the critical care setting, recognizes professional competence by granting CCRN status to successful certification candidates, and assists and promotes the continual professional development of critical care nurses.
In 1997, the unique competencies of pediatric, neonatal, and adult critical care nurses were rearticulated using the Synergy Model 2 as a conceptual framework. In order to ensure that the certification reflects current practice, the AACN completes a job analysis at least every 5 years and revises the test plan as needed. The most recent test plan was revised in 2019 ( Box 6.2 ). To date, more than 6400 pediatric critical care nurses hold CCRN-Pediatric certification, and nearly 300 hold the Pediatric CCRN-K. 38 The AACN also provided a clinical nurse specialist certification in pediatric critical care, but the examination for new applicants was retired in 2015 and a new Acute Care Clinical Nurse Specialist (CNS)-Pediatric was developed that complies with the Consensus Model for Advanced Practice Registered Nurse (APRN) Regulation. More information about these certifications can be found at https://www.aacn.org/certification/get-certified . 39
In addition to certification by the AACN, pediatric critical care nurses may choose to be certified by the Pediatric Nursing Certification Board (PNCB). Originally established in 1975 to develop a program to certify primary care pediatric nurse practitioners (CPNP-PC), the PNCB has expanded to certification of acute care pediatric nurse practitioners and pediatric nurses. In 1989, the PNCB launched the Certified Pediatric Nurse (CPN) examination; while CPNs work in a variety of settings, many CPNs work in pediatric critical care today ( www.pncb.org/about ). 40 In 2005, the PNCB launched the only certification examination for acute care pediatric nurse practitioners (CPNP-AC); many currently are practicing in pediatric critical care.
Developmentally Based Office: Setting the Stage for Enhanced Practice
Martin T. Stein , in Encounters with Children (Fourth Edition) , 2006
HEALTHY STEPS.
Healthy Steps is an organized approach to primary care for children from birth to 3 years of age. The goal is to increase a clinician's ability to address behavioral, emotional and cognitive development. To achieve this goal and create a strong bond between clinicians and parents, a Healthy Steps specialist (trained in pediatric nursing , early childhood education or social work) is available to the practice to ensure enhanced well-child care, home visits, child development/family health checkups, availability of written materials, access to a child development telephone information line, links to community resources and parent groups. The Healthy Steps specialist performs a standardized developmental screening test at targeted times and meets with parents during well-child visits to discuss behavioral and developmental issues. Teachable moments in the office encounter are emphasized. Research has demonstrated that parents in the program acquire more knowledge about child development/behavior and are better able to use community recourses than parents exposed to traditional pediatric care.
Measurement and Assessment of Pediatric Pain
Stephen B. McMahon FMedSci, FSB , in Wall & Melzack's Textbook of Pain , 2013
Self-report measures of pain have been developed and well validated in children. Behavioral measures are becoming more widely used and well validated. Physiological measures are not well validated except for short, sharp pain. Only a few instruments for the measurement of specific types of behavior or activity that are restricted because of pain or measures of role restriction have been developed and validated.
The references for this chapter can be found at www.expertconsult.com .
Strategies to Enhance Developmental and Behavioral Services in Primary Care
MARTIN T. STEIN , in Developmental-Behavioral Pediatrics , 2008
Healthy Steps
An innovative form of co-locating care is the Healthy Steps model. The goal of this system of care is to increase a clinician's ability to address behavioral, emotional, and cognitive development in early childhood. To achieve this goal and create a strong bond between clinicians and parents, a specialist in child development—trained in pediatric nursing , early childhood education, or social work—is added to the practice staff to provide enhanced well-child care. 32 In this model, the child development specialist is an additional staff member whose role supplements those of the pediatrician and the office nurse. Her or his activities may include the following:
Making home visits to the family, starting in the child's neonatal period.
Focusing on promotion of children's development, including strategies to improve “the goodness of fit” between parent and child; paying closer attention to parental questions and concerns.
Meeting with parents before, during, and after well-child visit to discuss behavioral and developmental concerns.
Performing standardized developmental and behavioral screening tests.
Providing written materials.
Being accessible for questions and concerns through a child development telephone information line.
Providing links to community resources.
Initiating and managing parent groups to discuss common concerns.
Coordinating early detection of substance abuse and domestic violence.
An evaluation of Healthy Steps included 5565 children and their parents at 15 sites. 28 Research demonstrated that parents in the program acquired more knowledge about child development and behavior and were better able to use community resources than control parents, who used traditional pediatric care. Families involved in the Healthy Steps program received significantly more preventive and developmental services than did families in the control group. They were more likely than nonparticipating families to
Discuss with someone in the practice the importance to children of routines, discipline, language development, temperament, and sleeping patterns.
Have greater adherence to visits, nutritional guidelines, developmental stimulation, and use of appropriate discipline techniques.
Be highly satisfied with their care.
Ensure that infants slept on their backs, to help reduce the risk of sudden infant death syndrome.
Receive timely well-child visits and vaccinations.
Be more sensitive to their child's signals during play and more likely to match their interactions to their child's developmental level, interests, and capabilities.
The positive effects of the program were identified for all parents regardless of their income, parity, or maternal age. On the other hand, other measured outcomes showed no significant differences between the groups; these outcomes included initiation or duration of breastfeeding, child development knowledge, sense of competence, self-report of nurturing behavior and expectation of children, reports of children's language development at 2 years of age, and safety practices. 28
Pediatric Palliative Care
Robert M. Kliegman MD , in Nelson Textbook of Pediatrics , 2020
Care Settings
Pediatric palliative care should be provided across settings, including hospital, outpatient, and home, as well as pediatric nursing facilities and sometimes inpatient hospice houses. Home care for the child with a life-threatening illness requires 24 hr/day access to experts in pediatric palliative care, a team approach, and an identified coordinator who serves as a link among hospitals, the community, and specialists and who may assist in preventing or arranging for hospital admissions, respite care, and increased home care support as needed. Adequate home care support and respite care, although sorely needed, is often not readily available because staffing or the high-tech skill required to care for these children is lacking. Furthermore, families may view using respite care as a personal failure, or they may worry that others cannot adequately care for their child's special needs or potential rapid escalation of symptoms.
At the end of life, children and families may need intensive support. About half of pediatric deaths occur in acute care hospitals, and end-of-life care may thus be provided in the home, hospital, pediatric nursing facility, or hospice house. Families need to feel safe and well cared for and given permission, if possible, to choose location of care. In tertiary care hospitals, most children die in the neonatal and pediatric intensive care units (ICUs). In some instances, when death at home for a child in the ICU is preferred, transport and even extubation at home may be possible, if clinical and logistical circumstances permit it.
The philosophy of palliative care can be successfully integrated into any hospital setting, including the ICU, when the focus of care also includes the prevention or amelioration of suffering and improving comfort and quality of life. All interventions that affect the child and family need to be assessed in relationship to these goals. This proactive approach asks the question, “What can we offer that will improve the quality of this child's life and provide the most meaning and sense of control and choice for their family?” instead of, “What therapies are we no longer going to offer this patient?” Staff may benefit from education, support, and guidance because pediatric palliative care, as with other types of intensive care, is an area of specialty. Regardless of the care setting, comprehensive palliative care requires an interdisciplinary approach that may include nurses, physicians, psychologists, psychiatrists, social workers, chaplains/clergy, child life specialists, and trained volunteers.
Blood and marrow transplant organizations
Armand Keating , ... Daniel Weisdorf , in Hematopoietic Stem Cell Transplantation in Clinical Practice , 2009
European group for bone marrow transplantation
Over the past three decades the EBMT has grown from a small group of enthusiasts to a society representing more than 500 teams from 57 countries.
In 1975, teams from Paris, Leiden, London and Basel met for the first time to discuss general problems and individual patients, and to draw up protocols with a view to improving results. They continued to meet regularly in the Swiss or French Alps and the group, then called the European Co-operative Group for Bone Marrow Transplantation, attracted an ever-increasing number of participants. In 1979, the European Foundation for Bone Marrow Transplantation (EBMT) was formally established with legal status in Leiden, in The Netherlands. Four working parties were created, each with its own registry: Aplastic Anemia, Acute Leukemia, Inborn Errors and Transplantation Immunology. In 1989, a new constitution created the European Group for Bone Marrow Transplantation, the abbreviation EBMT being retained. Subsequently, the working parties were restructured and new ones added, i.e. Acute Leukemia, Aplastic Anemia, Autoimmune Disease, Chronic Leukemia, Immunobiology, Inborn Errors, Infectious Diseases, Late Effects, Lymphoma, Nursing, Pediatrics and Solid Tumors. In 1995 the name of the group was changed once more to the European Group for Blood and Marrow Transplantation, though the acronym EBMT again remained.
Each year an annual meeting is organized, the main purpose of which is to provide a forum for interaction, presentation of data, discussion of future projects and exchange of personal experiences. Most recently, the EBMT has developed a critical role as a stakeholder and advisor to national and international regulatory authorities as the field of transplantation has become subject to increasing scrutiny and legislation.
The overall objective of the EBMT is to improve the outcome of hemopoietic stem cell transplantation (HSCT) by a number of connected activities. The most long-standing of these activities is the collection, validation and analysis of outcome data of all transplants performed by member teams. However, the work of the group has expanded to include accreditation, education and outreach, prospective clinical trials and regulatory affairs.
EBMT members may be full members, associate members, individual members or corporate patrons. Full and associate memberships are granted to teams rather than individuals. EBMT members have the right to propose and elect office holders, stand for election, attend annual meetings and participate in the working parties and EBMT studies. Full membership implies a duty to report individual transplant data to the EBMT registries.
Organizational structure
The EBMT Board is composed of elected individuals including the president, secretary, treasurer and the working party chairpersons. The Board co-ordinates EBMT activities and is responsible for the budget. The major part of the work of the EBMT is performed by the working parties which are the heart of the EBMT, performing retrospective and prospective studies relating to their particular disease or other interest. However, the Board of the EBMT has long recognized the need for activities that cross working party activities. This led to the development of EBMT committees. Unlike the working party chairs, who are elected by the member centers and who have permanent positions on the EBMT Board, the chairs of the committees are appointed by the Board. They do not have positions or voting rights on the Board but are asked to report their activities and suggestions for Board approval. Committees are designed to be responsive to the needs of the organization and can be dissolved when there is no longer any requirement for the particular activity.
The current committees are shown in Table 50.1 . The work of some of these committees will be discussed in more detail below.
Education and outreach
The Education Committee was established in 1995 with the intention of providing a more structural approach to training in HSCT. Together with the European School for Haematology (ESH), it has successfully organized the annual residential training course in which senior transplant physicians and scientists interact in formal and informal settings with less experienced colleagues. This course is regularly oversubscribed and has been successful in obtaining central funding from the European Commission to support scholarships in conjunction with the course. The committee has issued an ESH-EBMT transplant manual, now in its third edition.
Most recently, this committee has taken the initiative in the development of an outreach project to assist transplant units in economically disadvantaged countries. The EBMT is not alone in this concept and is actively integrating its ideas with the ESH, and is aware of similar programs within the American Society of Hematology (ASH), CIBMTR, the European Haematology Association (EHA) and the World Health Organization (WHO). This project supports educational initiatives including training courses in clinical and laboratory techniques, exchange programs, fellowships, clinical trial participation and twinning programs.
Prospective clinical trials
This committee was established in 2003 to assist the EBMT in its progress from a retrospective study organization to a prospective clinical trials group. The EBMT exploits its role as a data collection agency but feels that many unanswered questions in transplantation are best served by prospective studies. The introduction into European legislation of the EU Directive on Clinical Trials (2001/20/EC) has highlighted the necessity of creating an appropriate infrastructure for the conduct of these trials. Initial areas of discussion include the development of ProMISe-2 to develop an internet-based reporting system for clinical trials, compliance with data protection, formalizing insurance coverage, and addressing issues of ‘sponsorship’ and ‘data monitoring’.
Accreditation
The Accreditation Committee has a number of diverse functions which have developed over many years. The committee was originally responsible for a simple form of accreditation for allogeneic sibling transplantation in which centers requested accreditation on the basis of performance of a minimum number of transplants annually. This process then necessitated annual audits of individual centers for the purposes of data and center validation. At the start of each year, one-third of centers are chosen at random and are alerted to the possibility of an audit. Later, a proportion of these centers are visited by senior transplant physicians and data are checked at source.
One of the most valuable activities of this committee and indeed of the EBMT is also one of the simplest. In 1990, Professor Alois Gratwohl began to collect information relating to the annual transplant activity of all transplant centers in Europe (including those centers that are not EBMT members). As a result, the EBMT now holds important data relating to activity, geographic variation, changing trends and the development of new technologies. Activity is published annually and has proven invaluable to the funding agencies (public and private) in identifying transplant needs.
More recently, the bulk of the work of the Accreditation Committee has been the development and introduction of the JACIE Accreditation Program for all transplant units. The Joint Accreditation Committee of ISCT-EBMT (JACIE) is a non-profit body established for the purposes of assessment and accreditation in the field of hematopoietic cell transplantation. The committee was founded in 1998 by the EBMT and the International Society for Cellular Therapy (ISCT), the two leading scientific organizations involved with HSCT in Europe. The JACIE modeled itself on the US-based Foundation for the Accreditation of Cellular Therapy (FACT), established in 1996 by the ISCT and the ASBMT. The JACIE actively collaborates with the FACT in establishing standards for the provision of quality medical and laboratory practice in HSC transplantation. The JACIE conducts inspections, accredits programs and encourages health institutions and facilities performing HCT to voluntarily meet these standards in order to demonstrate their high levels of quality of care. The organizational structure ensures wide consultation, with 20 European countries now represented on the Board in addition to nursing, pediatrics and cord blood representatives.
The primary aim of the JACIE is to improve the quality of HCT in Europe by providing a means whereby transplant centers, HSC collection facilities and processing facilities can demonstrate high-quality practice. This is supported by co-ordinating training courses in quality management for applicant centers and courses for inspectors. An additional and wider aim is to ensure harmonization between JACIE standards and other national and international standards, including the EU Tissues and Cells Directive (Directive 2004/23/EC) and the related implementing directives.
Since its inception, the essence of the EBMT has been to evaluate and optimize the outcome of patients treated by stem cell transplantation. In order to do this, it was always deemed necessary to collect patient data and so the EBMT registry was formed. Currently, the registry holds information on over 265,000 transplants performed by the member teams, and this has proven an invaluable resource in the analysis of factors affecting transplant outcome, in identifying complications and their optimal treatment, in determining trends in management and in evaluating new technologies.
Member teams are required to report all their transplant activity. ‘Minimal essential data’ (MED) are collected on a number of different forms. MED-A data form the basis of the registry. Relatively simple and limited data collected in this way allow the analyses of overall survival, disease-free survival, transplant-related mortality, and relapse risk. These data are identical to those collected by the CIBMTR on its Transplant Essential Data (TED) form, and the facility exists to allow cross-reporting to both registries.
More detailed information is collected on MED-B forms which relate to the specific disease and to the procedure (allograft and autograft). The submission of these data by members is voluntary, as opposed to MED-A data which are obligatory. Information relating to specific studies is collected via MED-C forms.
Until recently the term ‘form’ literally referred to hard copy in virtually all cases. Paper forms were sent to the EBMT and transcribed onto a central electronic database, but the complexity of the program and the relative lack of familiarity with computers at the time precluded widespread use of this approach. Over the past 10 years, Ronald Brand, based in the Department of Medical Biostatistics at the University of Leiden, has developed an on-line internet-based reporting system, Project Manager Internet Server or ProMISe. Data reported in this way are received simultaneously by the EBMT registries but can also be downloaded for local use. The second version of the system, ProMISe-2, was introduced in 2004. Added benefits include the ability to adapt the database for local, national and international prospective and retrospective studies. This system has revolutionized data reporting, with increasing numbers of centers adopting ProMISe. In 2006, 458 users from 364 centers accessed the database to enter data for more than 25,000 transplants.
Full member teams report their data via ProMISe but still have the facility to send paper forms. All Med-A and Med-B data are collated, transcribed if necessary and checked by the EBMT data office in Paris. The ProMISe helpdesk and database design activities are in London. Once the data are entered into ProMISe, they are immediately available to all EBMT registries currently based in Genoa, London, Leiden and Paris. In addition, the EBMT has welcomed the development of national transplant societies and has understood the desire of some of these groups to have their own national databases. In the past, for member centers in countries with national registries, data flowed from the center to the national registry and then to the EBMT. Centers in countries without a national registry reported directly to the EBMT. Now, if the center is utilizing ProMISe, the data are deposited simultaneously in the national and EBMT registries. The work of the registries is overseen and co-ordinated by one of the EBMT committees, the Registry Executive.
Abdominal Trauma
Frederick C. Blum MD , ... Arthur Cooper MD, MS , in Pediatric Emergency Medicine , 2008
Solid Organs
Modern management of nearly all solid organ injuries in childhood is nonoperative. Yet it is not nonsurgical, because operation is needed in a high proportion of pediatric trauma patients, and since, as with appendicitis, mature surgical judgment is required to decide whether, or when, operation may be indicated. 49, 50 As a general rule, children with liver, spleen, and kidney injuries will not require operative intervention for hemorrhage control unless the transfusion requirement exceeds half the blood volume (40 ml/kg) within the first postinjury day. However, this statement is somewhat misleading, since most patients who require operation declare themselves in the first few hours after injury, while patients whose transfusion requirement slowly approaches this limit 24 hours after injury are unlikely to rebleed later. This has led in recent years to reconsideration of the traditional approach to nonoperative management of solid organ injuries in childhood, such that extended stays in the pediatric intensive care unit are no longer the norm across North America, provided that nonoperative management is conducted in a hospital with a pediatric intensive care unit and ready access to a pediatric surgeon, a pediatric anesthesiologist, and ample blood products to ensure their availability when needed. 51–53
There is little doubt that general trauma surgeons with significant pediatric experience can successfully manage children with solid organ injuries using nonoperative treatment protocols. 54 However, neither a general trauma surgeon nor a pediatric trauma surgeon should attempt such management absent the availability of appropriate pediatric support, in terms of a pediatric intensive care unit and, most important, trained pediatric nursing . If these cannot be locally accomplished, and the injured child is stable enough for transfer to a pediatric-capable trauma center, transfer should be initiated as soon as possible after the primary survey has been completed, in accordance with preexisting transfer agreements well known to the treating physician. The time before transfer is effected is used to continue resuscitation, and to perform the secondary survey, without taking extra time to obtain imaging studies that will further delay transfer. However, if the child is unstable, operative management is appropriate. It is far better for such a child to safely remove a seriously damaged organ, even if likely salvageable under ideal circumstances, than to risk nonoperative management in an environment that is unprepared for it.
Liver injuries are suspected based upon clinical evaluation, and confirmed by abdominal CT. Upper abdominal tenderness, more right than left sided, may or may not be present. As stated, volume resuscitation is the foundation of early care, since nonoperative management will be successful in 90% of children with hepatic injuries. Operation is indicated in pediatric blunt trauma patients who are frankly hypotensive on arrival in the emergency department, or who respond only transiently to volume resuscitation, since patients with severe injuries, especially AAST OIS grade V injuries, have a poor outcome. 55 Urgent surgical consultation should be obtained on patient arrival in the emergency department, but in no case should it be delayed beyond definitive diagnosis by CT. It should also be obtained in patients who present after “successful” nonoperative management, since, as with splenic injuries, delayed bleeding is known to occur. 56 Operation is nearly always indicated in penetrating trauma.
Spleen injuries are likewise suspected based on clinical evaluation, and confirmed by abdominal CT. Left upper quadrant tenderness and left shoulder pain (Kehr's sign) may or may not be present. Once again, volume resuscitation is the foundation of early care, nonoperative management being successful in 95% of children with splenic injuries. The presence of a splenic blush on CT is not yet well studied in pediatric patients, but preliminary experience suggests that, as with FAST, it may add little to management of blunt trauma patients, since current treatment is physiologically based, and linked to transfusion requirement. 35 In the rare situation in which emergent operation is indicated, prior administration of multivalent pneumococcal vaccine could theoretically decrease the low incidence of overwhelming postsplenectomy infection, but there are no data proving this is so. Operation is nearly always indicated for penetrating trauma.
Kidney injuries are managed nonoperatively in virtually all instances. As with liver and spleen injuries, the diagnosis is suspected based on clinical evaluation, and confirmed by CT obtained on clinical grounds or for significant hematuria. 57 Renal injuries are typically minor, so volume resuscitation is needed only for severe injuries. This is also true of operative management, which is usually required for intraperitoneal leak from the collecting system, massive upper tract bleeding presenting as gross hematuria, severe disruption or shattering, and renal pedicle avulsion. Most blunt injuries with urinary leaks are managed nonoperatively, or by percutaneous nephrostomy, while most penetrating injuries with urinary leaks are managed by direct surgical repair. One-shot intravenous urography is mandatory whenever emergent surgical intervention is required and abdominal CT has not been, or should not, be obtained. Operation is needed in penetrating trauma only in severe cases (AAST OIS grade III-V).
Pancreatic injuries in children are also managed nonoperatively in virtually all instances. The diagnosis is suspected typically on clinical grounds, and confirmed by CT or ultrasonography and appropriate laboratory tests. Traumatic pancreatitis presents with epigastric pain, and is managed conservatively, giving nothing by mouth and administering intravenous fluids until pain disappears and biochemical abnormalities are resolved. Pancreatic pseudocysts present with soft but tender epigastric masses, and are also managed conservatively, substituting total parenteral nutrition for intravenous fluids if the pseudocyst is well established. Operative intervention is rarely required for blunt trauma, and is associated with complication rates that are significantly higher than nonoperative care, even in severe cases associated with transection of the pancreatic head, body, tail, or duct. 58–60 Operation is nearly always indicated for penetrating trauma.
Implementation of Simulated Learning Experiences for Baccalaureate Pediatric Nursing Students
Lauri A. Linder MS, APRN, CPON® , Nancy Pulsipher MS, RNC , in Clinical Simulation in Nursing , 2008
Pediatric nursing is recognized as a unique, multifaceted specialty, with care occurring in multiple specialty and generalist settings ( American Nurses Association, National Association of Pediatric Nurse Practitioners, & Society of Pediatric Nurses, 2008 ). In every aspect of providing care, nurses must incorporate principles of growth and development, including physiologic, cognitive, and psychosocial attributes. Detail in performing physical assessments and prioritizing nursing interventions is crucial because children's clinical conditions are more likely than adults' to deteriorate quickly. Likewise, careful attention to calculation of medication doses and volumes is essential to ensure safe medication administration.
A Scoping Review of Nursing Research Priorities in Pediatric Care
Evalotte Mörelius RN, PhD Mandie Foster RN, PhD Fenella J. Gill RN, PhD , in Journal of Pediatric Nursing , 2020
Priority setting for pediatric nursing is important to plan, coordinate and direct future research. The aim of this scoping review was to systematically identify and synthesise the nature, range and extent of published pediatric nursing research priorities.
Eligibility criteria
English language full text publications focusing generic nursing research priorities for the child or adolescent, indexed in CINAHL, EMBASE, The Cochrane Database of Systematic Reviews, AMED, MEDLINE and PsycINFO and published from 2008 to 2019.
A total of 789 citations were identified, 44 full text articles were retrieved and assessed for eligibility and eight studies were finally reviewed, quality assessed (CREDES) and synthesised.
All eight studies used a consensus building method to identify research priorities reported by nurses. Six used Delphi technique, one Nominal Group Technique (NGT) and one consensus workshop. CREDES score range was 10–14 of a possible 16. Synthesis of the 234 nursing research priorities generated four themes; evidenced-based practice, pediatric context, child and family-centered care; pediatric nursing , with 14 subthemes.
The nursing research priorities reported appear to be still current and important to nurses. There was a focus on acute care, with fewer priorities reflecting areas of child-, school-, or mental- health. Consumer and community priorities have not been reported.
Implications
These nursing research priorities can be used to inform the national or local research agenda, although there is a need to establish priorities from the perspective of all stakeholders and in particular, identify what is important to consumers.
Special Issue: Social Determinants of Health
Mary M. Tallon , ... Jeanine Young , in Journal of Pediatric Nursing , 2017
Implications for Pediatric Nursing Practice
The full scope of pediatric nursing practice includes care of the child and family. The literature suggests that many nurses are not currently practicing to their full potential with regard to talking to families about psychological and social issues. It is a small step forward to identify this problem, however, a giant leap will be required to translate this knowledge and understanding into routine clinical practice. We need to move our focus away from the barriers to this happening towards enablers of this. In an environment where practice standards are increasingly used to optimize safety and quality of care, there is little time to loose. For example, the Australian Commission of Safety and Quality in Healthcare has stated ten national standards for quality healthcare. National Standard Two is ‘Partnering with Consumers’ ( Australian Commission of Safety and Quality in Healthcare, 2011 ).
One important aspect of partnering with consumers is focusing attention on their needs; acknowledging the distress they experience and the level of resources they have access to. We believe the most appropriate way forward will be to empower nurses through the sharing of knowledge of the social determinants of health, the development of skills in relationship building and therapeutic communication, and the encouragement of mentorship in the provision of compassionate family-centered care.
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Popular Articles
Based on downloads in February 2023
Evidence-Based Skin Champion Program Reduces Pressure Injuries In A Pediatric Hospital , Alexandra Luton MN, RN, NCNS-BC, Mary D. Gordon PhD, RN, CNS-BC, Megnon Stewart MSN, RN, Ellena Steward-Scott MSN, RN, Joellan Mullen MSN, RN, CCRN-K, Angela Jones MN, RN, NE-BC, Joseph Hagan ScD Texas Children's Hospital
Evidence-Based Skin Champion Program Reduces Pressure Injuries In A Pediatric Hospital , Alexandra Luton Mn, Rn, Ncns-Bc, Mary D. Gordon Phd, Rn, Cns-Bc, Megnon Stewart Msn, Rn, Ellena Steward-Scott Msn, Rn, Joellan Mullen Msn, Rn, Ccrn-K, Angela Jones Mn, Rn, Ne-Bc, Joseph Hagan Scd
Journal of nursing & interprofessional leadership in quality & safety.
Prevention of pressure injuries (PIs) in pediatric patients is an important nurse-sensitive quality goal. The PI rate at a large urban pediatric hospital triggered a call to action by the Chief Nursing Officer to establish a Hospital Acquired PI (HAPI) Task Force which identified the Skin Champion program as a key improvement strategy. The goals of the Skin Champion program are to lower the rate of HAPIs, empower front line care providers to implement evidence-based care bundles, achieve consistency of practice, and provide resource availability at the point of care. The implementation of the Skin Champion quality improvement program achieved …
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Ethosuximide Induced Lupus-Like Syndrome In A 6-Year-Old: A Case Report. , Ruth Rosenblum SelectedWorks
Ethosuximide Induced Lupus-Like Syndrome In A 6-Year-Old: A Case Report. , Ruth Rosenblum
Ruth k. rosenblum.
Ethosuximide has been used as an effective anticonvulsant for absence seizures for a half century. Risk of development of drug-induced lupus-like syndrome with anticonvulsants is considered to be very low and has been seldom reported. We describe a 6-year-old girl with absence seizures who developed symptoms following 6 weeks of treatment with ethosuximide. Onset of symptoms, including arthralgia, myalgia, rash and fever, were initially diagnosed as parvovirus or chronic parvovirus. Serology subsequently indicated drug-induced lupus-like syndrome although a positive double strand DNA made the diagnosis more complex. Ultimately, the girl demonstrated a dramatic improvement in symptoms following discontinuation of the …
Breast Feeding Vs Bottle Feeding Effecting The Amount Of Hospitalizations In The First Year , Haley Maurer, Becca Young, Shelby Bohman Wright State University - Lake Campus
Breast Feeding Vs Bottle Feeding Effecting The Amount Of Hospitalizations In The First Year , Haley Maurer, Becca Young, Shelby Bohman
Lake campus research symposium abstracts and posters.
Breastfeeding and formula feeding are two ways to feed an infant after it is born. The importance of this is significant because of infections that children are suspectable to at such a young age. Children who breastfeed exclusively are shown to have lower infection/hospitalization rates than children who are formula-fed. Breastmilk has several qualities that help prevent infections in infants that formula does not. Formula is a good source of nutrients but it does not have the ability to stop infections from occurring. Infections can be very serious for infants especially if they are born preterm so having a way …
The Impact Of Bedside Reporting On Patient Safety Events, Patient Satisfaction, And Nurse Accountability In A Pediatric Unit , Ginger McEarl Arkansas Tech University
The Impact Of Bedside Reporting On Patient Safety Events, Patient Satisfaction, And Nurse Accountability In A Pediatric Unit , Ginger Mcearl
Theses and dissertations from 2019.
One of the fundamental elements of nursing practice is the transfer of patient information from one provider to another known as a bedside report. However, an unstructured bedside report that occurs away from the bedside, places patient safety, quality of patient care, and patient satisfaction in jeopardy. The purpose of this quality improvement (QI) project is to determine if the implementation of bedside reporting in an acute care pediatric unit will: decrease preventable errors reported through an event reporting system known as Safety Tracker, increase patient satisfaction in provider communication, and improve nurse accountability. The study included a convenience sample …
The Importance Of Family-Centered Care In Pediatric Nursing , Ashley Saleeba University of Connecticut School of Nursing
The Importance Of Family-Centered Care In Pediatric Nursing , Ashley Saleeba
School of nursing scholarly works.
The illness of a child can have a traumatic affect on both families and the child. Pediatric care has adopted the philosophy of a family-centered care approach in order to maximize the well being of pediatric patients. The philosophy is founded on the collaboration of the family, nurses and hospital staff to plan, provide, and evaluate care. The philosophy is grounded on several principles that revolve around the central idea that the family is the constant in a child’s life (Neal et al., 2007). Nurses must work with the family to develop the best plan of care for a child. …
Hospitalization And Child Development: Effects On Sleep, Developmental Stages, And Separation Anxiety , Vanessa Cahayag Dominican University of California
Hospitalization And Child Development: Effects On Sleep, Developmental Stages, And Separation Anxiety , Vanessa Cahayag
Nursing | senior theses.
Childhood development has been an important topic for those in the medical field, as well as parents. The way a child develops can determine the way they act, think, and mature. Hospitalizations, acute and chronic, may affect the process of proper child development. Literature is reviewed to support the presented pilot study that focuses on the immediate effects of hospitalization on a child’s sleep disturbances, regression to lower developmental stages, and separation anxiety. The collected data determined the need for refinement of the survey tool and presented with possible correlations between hospitalizations and childhood development.
Understanding Autism , Kaileigh J. Sweeney University of Rhode Island
Understanding Autism , Kaileigh J. Sweeney
Senior honors projects.
Understanding Autism
Kaileigh Sweeney
Faculty Sponsor: Carolyn Hames
Autism spectrum disorders are greatly misunderstood in today’s society. In the United States, it is estimated that 1 in 110 children are diagnosed with an autism spectrum disorder. Despite this high prevalence, a great deal of the population is under the impression that a diagnosis of autism is straight forward and indicative of one set of devastating signs and symptoms. However, the severity of this disorder can range from mild to severe. According to the National Institute of Health, an autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders characterized …
Minimizing Avoidable Interruptions During Medication Administration , Jaleel Anne Arnado University of San Francisco
Minimizing Avoidable Interruptions During Medication Administration , Jaleel Anne Arnado
Master's projects and capstones.
The objective of this CNL Internship Project is to improve patient outcomes and nurse satisfaction by minimizing the avoidable interruptions that occur during medication administration. The microsystem is a pediatric and adult medical-surgical overflow unit at a large, urban teaching hospital in Northern California. A series of surveys for nurses and patients and observations of medication administrations were conducted to assess barriers during mediation administration. It was determined phone calls interrupt a nurse the most during medication administration. Interruptions leave the medication administration process vulnerable to errors because it disrupts the nurse’s workflow and thought process. Because most pediatric medication …
The Negative Impact Of Excessive Screen Time On Language Development In Children Under 6-Years-Old: An Integrative Review With Screen Time Reduction Toolkit And Presentation For Outpatient Pediatric And Family Health Providers , Cristina Kuta University of Massachusetts Amherst
The Negative Impact Of Excessive Screen Time On Language Development In Children Under 6-Years-Old: An Integrative Review With Screen Time Reduction Toolkit And Presentation For Outpatient Pediatric And Family Health Providers , Cristina Kuta
Doctor of nursing practice (dnp) projects.
Background. Increased amounts of recreational screen time, defined as time watching television and DVDs, playing videogames, and using computers, tablets, and cellular phones without academic purpose, and the lack of effective media use assessment and patient education being done by primary care providers is associated with increased risk of language developmental delays for young children under 6-years-old.
Purpose. The purpose of this integrative review is to develop a toolkit that provides education for providers and families on the adverse effects of excessive screen time on language development in children younger than 6-years-old and evidence-based screen time reduction strategies that can …
The Impact Of Patient-Centered Care On Health Outcomes In Adolescents Living With Diabetes , Rashida Farhad Vasanwala Dr, Amos Lim, Lim Soo Ting, Lim Pei Kwee, Hui Yuen Ching, Tan Xiang Feng KK Women's and Children's Hospital
The Impact Of Patient-Centered Care On Health Outcomes In Adolescents Living With Diabetes , Rashida Farhad Vasanwala Dr, Amos Lim, Lim Soo Ting, Lim Pei Kwee, Hui Yuen Ching, Tan Xiang Feng
Patient experience journal.
There is increasing evidence from research studies that suggest patient-centered care has a relationship with good clinical outcomes. In Singapore, there are no studies done to assess and address the issue of patient-centered care and its association with the adolescent’s ability to manage their chronic medical condition, such as Type 1 Diabetes Mellitus. The relationship between the patient and clinicians has changed from a paternalistic form to a position which aims to foster patient-centered care. More importantly, this study aims to show the adolescent’s readiness and ability to assume a more mature role in management of their own medical condition. …
All Articles in Pediatric Nursing
891 full-text articles. Page 1 of 41 .
Evaluating Implementation And Barriers To Sustainability Of An Asthma Clinical Quality Improvement Project , Holly Uphold PhD, MS, Diane Liu MD, FAAP 2023 Utah Department of Health and Human Services
Evaluating Implementation And Barriers To Sustainability Of An Asthma Clinical Quality Improvement Project , Holly Uphold Phd, Ms, Diane Liu Md, Faap
Purpose and Objectives
Asthma is an important public health issue in Utah and quality asthma care is essential to addressing the burden of asthma. The purpose of this initiative was to evaluate clinical asthma quality improvement (QI) program delivery formats and identify barriers to sustaining QI processes.
Intervention Approach
The focus of the intervention was to improve clinical asthma care through reducing variation in clinician knowledge about recommended asthma care and facilitating process improvements in asthma care delivery using Academic Detailing (AD) and Learning Collaboratives (LC) QI delivery formats.
Evaluation Methods
A pre/post-test design was used to compare improvements between …
Pediatric Obesity In Primary Care , Lynne Liggins 2023 Abilene Christian University
Pediatric Obesity In Primary Care , Lynne Liggins
Electronic theses and dissertations.
The purpose of this evidence-based quantitative quasi-experimental research was to compare if providing the parents with information on the health risk associated with childhood obesity would cause the parents to make healthier food choices and encourage their children to be involved in a full hour of physical activity a day. Participants included parents and pediatric and adolescent children 5 to 18 years of age at a solo practice primary care office in a large city in Southern, California, which specializes in treating pediatric and adolescent patients. A pre- and postquantitative intervention design were used and analyzed using the paired t …
Effectiveness Of End-Of-Life Strategies To Improve Health Outcomes And Reduce Disparities In Rural Appalachia: An Analytic Codebook , Radion Svynarenko, Guoping Huang, Theresa L. Profant, Lisa C. Lindley 2023 University of Tennessee, Knoxville
Effectiveness Of End-Of-Life Strategies To Improve Health Outcomes And Reduce Disparities In Rural Appalachia: An Analytic Codebook , Radion Svynarenko, Guoping Huang, Theresa L. Profant, Lisa C. Lindley
Faculty publications and other works -- nursing.
Appalachia is one of the most medically underserved areas in the nation. The region has provider shortages and limited healthcare infrastructure. Children and adolescents in this area are in poor health and do not receive the needed quality care. Implementation of section 2302 of the 2010 Patient Protection and Affordable Care Act (ACA) enabled children enrolled in Medicaid/Children's Health Insurance Program with a terminal illness to use hospice care while continuing treatment for their terminal illness. In addition to being more comprehensive than standard hospice care, this relatively new type of care is more culturally congruent with the end-of-life values …
Screenings To Decrease Pediatric Suicide , Jordan Bridges, Dana Schildmeyer, Amanda Austin, Laura Boesken 2023 Northern Kentucky University
Screenings To Decrease Pediatric Suicide , Jordan Bridges, Dana Schildmeyer, Amanda Austin, Laura Boesken
Posters-at-the-capitol.
This project aimed to examine the current practice related to mental health and depression screenings in pediatric patients. The benefits of implementing screening in schools in identifying depression and suicide risks sooner were also considered. This project focused on the correlation between earlier mental health screening and identification of these mental health disorders earlier in the life of pediatric patients and suicide rates. Current, published literature notes mental health screening in the pediatric population in schools is an effective method to facilitate monitoring and early intervention in detecting a mental illness. Schools implementing mental health screenings can result in increased …
Medically Accurate Evidence-Based Sex Education And Abstinence-Only Sex Education: Impact On Teen Pregnancies In The United States , Nicole Chiu 2023 Dominican University of California
Medically Accurate Evidence-Based Sex Education And Abstinence-Only Sex Education: Impact On Teen Pregnancies In The United States , Nicole Chiu
The U.S. has funded abstinence-only programs to combat pregnancy rates for a long time. With numerous factors contributing to teen pregnancies, there have been a lot of ways that people have decided to try to decrease the number of teen pregnancies. For example, schools have either decided that they intend to fully educate their teenage students using medically accurate evidence-based sex education or come from a more conservative approach and give abstinence-only education. The objective of this investigation is to identify whether evidence-based sex education or abstinence-only sex education is more effective at combating teen pregnancy and abortion rates. This …
Using Family Focused-Care Solutions To Improve Child’S Quality Of Life , Joshua M. Del Sol 2023 Dominican University of California
Using Family Focused-Care Solutions To Improve Child’S Quality Of Life , Joshua M. Del Sol
Chronic illness in children impacts not only themselves but their families too. Everyone in the family supports each other and provides each other with pretty much all our physiological needs including our emotional needs. Parents/caregivers are the role models for their young children and really shape the person they become because basic values and their early relationships are formed. A family provides that consistent balance in our life that is the center of our life at a young age. When children are diagnosed with a chronic illness, parents may feel responsible, ashamed, guilty, or angry. Families may turn on each …
Educating School Nurses To Improve Bowel Continence In Children With Spina Bifida , McKinley J. Waugh, Tracy L. Brewer, Lisa Wagoner 2022 University of Tennessee, Knoxville
Educating School Nurses To Improve Bowel Continence In Children With Spina Bifida , Mckinley J. Waugh, Tracy L. Brewer, Lisa Wagoner
Graduate publications and other selected works - doctor of nursing practice (dnp).
Children born with spina bifida, a neural tube defect, can have associated loss of bowel control resulting in bowel incontinence. The National Patient Spina Bifida Registry found that 87% of those living with spina bifida had bowel incontinence, and less than 30% were bowel continent (Sawin et al., 2015; Wiener et al., 2017). Unfortunately, providers may never start a child living with spina bifida on a bowel management program. Evidence suggests that children with spina bifida should begin a bowel management program early, using a stepwise approach. School nurses, who interact with children living with spinal bifida while attending school, …
Effective Distraction Techniques During Immunizations For Pediatric Patients , Shae Eguchi 2022 Roseman University of Health Sciences
Effective Distraction Techniques During Immunizations For Pediatric Patients , Shae Eguchi
Master of science in nursing family nurse practitioner.
Purpose : Immunizations are the single most common painful procedure pediatric patients experience in the healthcare setting. The repeated pain experienced during immunizations potentiate negative, long-term sequelae for the patient. The primary aim of the literature review was to evaluate the effectiveness of distraction techniques for pain reduction during pediatric immunizations.
Designs and Methods : A literature search was completed to review studies evaluating the effectiveness of distraction techniques on pediatric pain scores as measured by the Wong-Baker FACES pain rating scale. A systematic and critical analyses was conducted on the results of seven randomized controlled trials.
Results : The …
Coping With Congenital Heart Disease: Implementation Of An Evidence-Based Intervention In A Pediatric Cardiac Intensive Care Unit , Victoria M. Raphael, Tracy L. Brewer, Sherry Pye 2022 University of Tennessee, Knoxville
Coping With Congenital Heart Disease: Implementation Of An Evidence-Based Intervention In A Pediatric Cardiac Intensive Care Unit , Victoria M. Raphael, Tracy L. Brewer, Sherry Pye
Caregivers are exposed to many stressors in the pediatric cardiac intensive care unit (CICU) setting. In caregivers of children diagnosed with congenital heart defects admitted to the CICU, symptoms of psychological distress are prevalent (Doherty et al., 2009). These symptoms include, but are not limited to, feelings of acute and chronic stress, worry, anxiety, and depression. Without intervention, these symptoms can negatively influence the health and behavioral outcomes of the admitted child (Commodari, 2010). Providing support for these caregivers during their child’s admission can reduce the significance of these adverse psychological symptoms and promote both patient and caregiver well-being (Melnyk …
Education Of Staff Nurses On The Implementation Of A Standardized Clinical Care Pathway For Patients Who Undergo Correction Of Pectus Excavatum , Amber Jones, Tracy Brewer, Sally McQuilkin 2022 University of Tennessee, Knoxville
Education Of Staff Nurses On The Implementation Of A Standardized Clinical Care Pathway For Patients Who Undergo Correction Of Pectus Excavatum , Amber Jones, Tracy Brewer, Sally Mcquilkin
Objective: Educate staff nurses on a new standardized clinical care pathway (SCCP) for Nuss Procedure patients to decrease the length of stay, decrease hospital costs, decrease postoperative complications, and improve pain control. Design: Evidence-based practice improvement initiative. Setting/Local Problem: An inpatient surgery unit at a local pediatric medical center with no previous standardized care plan for Nuss Procedure patients. Participants: All staff nurses working on the inpatient surgery unit of a pediatric medical center. Intervention/Measurements: An SCCP was created by a multidisciplinary care team. All staff nurses on the inpatient surgery unit at a local pediatric medical center were assigned …
Can Non-Pharmacological Interventions Effectively Reduce Anxiety And Pain In Chronic Pediatric Patients? , Kiara Harvey 2022 Kennesaw State University
Can Non-Pharmacological Interventions Effectively Reduce Anxiety And Pain In Chronic Pediatric Patients? , Kiara Harvey
Symposium of student scholars.
Pediatric anxiety and pain have been historically poorly managed. The failure of providers to adequately address medically-induced anxiety and pain in pediatric patients has been shown to prevent them from proactively seeking medical care in the future and has been linked with both altered brain development and increased risk of opioid abuse. Furthermore, poorly managed pain leads to sustained levels of cortisol and exposes patients to several long-term health risks like hypertension. Because non-pharmacological interventions are often preferred by providers, patients, and their caregivers, this research question poses an exploration of the efficacy of non-traditional methods in alleviating procedure-related …
Pediatric Spinal Cord Injury Spasticity Interventions , Zola Lopeman 2022 Kennesaw State University
Pediatric Spinal Cord Injury Spasticity Interventions , Zola Lopeman
Muscle spasticity is a common spinal cord injury sequela that causes muscle stiffness, spasms, and painful involuntary contractions. Spasticity can result in difficulty walking, deformed joints, lack of head control, and impairment performing activities of daily living. Spasticity is dynamic and often requires a multifaceted approach to manage symptoms and achieve patient goals. The leading treatment for spasticity is oral Baclofen. Additional treatment methods include electrical stimulation and phenol injections. Oral baclofen is frequently prescribed in combination with these.
Research suggests SCI induced spasticity can cause changes in the muscle. Thus, it is important to assess neural and muscle impacts …
High Anxiety In Pediatric Oncology Patients? What About Art Therapy? , Rebekah Love 2022 Kennesaw State University
High Anxiety In Pediatric Oncology Patients? What About Art Therapy? , Rebekah Love
Anxiety and depression are becoming more prevalent in the pediatric population today. In addition to the general pediatric population experiencing an increased risk of mental illness, children with an oncology related diagnosis have an even heightened risk. Most pediatric oncology patients reported fear or worry daily, which is cited to be most severe when they had an appointment or went to the hospital for a fever. It is imperative we discover interventions to lessen the anxiety and depression pediatric oncology patients experience daily. A literature review revealed conclusive interventions have not been determined. The purpose of this research is to …
Reducing Skin Injury And Breakdown In Neonatal Patients , Emily Herring 2022 Kennesaw State University
Reducing Skin Injury And Breakdown In Neonatal Patients , Emily Herring
The integumentary system is known for being the body’s largest organ, comprised of water, fats, protein, and minerals, for which composition plays a significant role in protecting the body against thermal, chemical, and microbial agents. However, the skin’s functionality is reduced in neonates as the stratum corneum is thin at birth due to diminished water-holding capacity (Oranges et al., 2015). The skin’s fragility is further stressed among preterm neonates and newborns in neonatal intensive-care units (NICU) due to medical status, procedures, and exposure to skin irritants (Visscher et al., 2009). Reduction in skin injury and breakdown in NICU patients …
Effectiveness Of Distraction Techniques In Reducing Pain And Anxiety During Pediatric Venipuncture , Gina Hernandez 2022 Kennesaw State University
Effectiveness Of Distraction Techniques In Reducing Pain And Anxiety During Pediatric Venipuncture , Gina Hernandez
Venipuncture is consistently identified as one of the most painful and feared experiences of hospitalized children, often resulting in traumatic memories and resistance to future procedures. Currently, standard practice for pediatric venipuncture involves physical restraint, either by another person or by utilizing a restrictive tool. This proposal will explore the efficacy of various distraction techniques in mitigating pain and anxiety experienced by pediatric patients undergoing venipuncture. Current research shows that procedural pain and anxiety can be significantly reduced by implementing distraction techniques such as bubble-blowing, deep breathing, audiovisual distraction, and immersive virtual reality. Effectiveness of each technique varies based …
Educating Parents On Infant Safe Sleep To Reduce Sleep-Related Deaths , Marleni Cervantes 2022 Kennesaw State University
Educating Parents On Infant Safe Sleep To Reduce Sleep-Related Deaths , Marleni Cervantes
During my pediatric clinical rotation, I saw parents practicing unsafe sleeping practices with their infants. Infants would sleep with their pillows, blankets and in non-supine positions. There are around 3000 sleep related infant deaths annually in the United States (Patrick et al., 2021). To combat this issue a safe sleep education program should be implemented in labor and delivery and NICU units to ensure parents are getting the proper training before discharge. Parents will attend an education program before discharging from the hospital. The program will be completed in 2 days to ensure the parents are able to ask questions …
Best Practice For Confirmation Of Nasogastric Tube Placement In Pediatric Patients , Joey Gondhalekar, Hannah Baines, Jacob Barcenas, Kaci Giles, Katie Crocker 2022 Kennesaw State University
Best Practice For Confirmation Of Nasogastric Tube Placement In Pediatric Patients , Joey Gondhalekar, Hannah Baines, Jacob Barcenas, Kaci Giles, Katie Crocker
Background: Nasogastric (NG) tubes are used to provide nutrition or charcoal to patients who cannot swallow or are intubated. For pediatric patients, auscultation confirmation is often used to confirm placement despite the evidence that x-ray confirmation is a more accurate way to confirm placement. Incorrect placement leads to incidents of higher rates of healthcare acquired infections, financial strain on the hospital, and longer lengths of stay for patients.
Objectives: The objective of this evidence-based review is to review relevant published studies in determining the best practice for confirmation of NG tubes in pediatric patients.
Methods: A database search was …
Decreasing Pain In Pediatric Patients During Intravenous Catheter Insertions On The Pediatric Inpatient Surgery Unit , Breonna Scott, Robert Cornette, Tammy Childers 2022 East Tennessee Children's Hospital
Decreasing Pain In Pediatric Patients During Intravenous Catheter Insertions On The Pediatric Inpatient Surgery Unit , Breonna Scott, Robert Cornette, Tammy Childers
As healthcare in the United States transforms, the voice of advocacy for pediatric patients is also evolving. The act of inserting a peripheral intravenous (IV) catheter for medical care of a pediatric patient is one of the most common invasive procedures in the healthcare industry. However, the preventable pain accompanying such a common procedure is often overlooked. Pediatric patients are different than adults due to the lack of physiological and psychological development. When a peripheral intravenous catheter is inserted without pain prevention interventions, there are long-term and short-term consequences for the patient and family. In turn, there are many …
The Emerging Epidemic Of Type 2 Diabetes And Obesity Amongst Young Children , Juliana Morales 2022 Dominican University of California
The Emerging Epidemic Of Type 2 Diabetes And Obesity Amongst Young Children , Juliana Morales
Background:
In the past years childhood obesity has increased tremendously and currently ⅓ of children in the United States are obese today. Obesity and Type 2 Diabetes are illnesses that can later on lead to more severe health complications when as a child enters adulthood. Children who are obese have a greater risk of developing Type 2 diabetes, and currently more than 80% of children who already are diagnosed with Type 2 diabetes are obese. In school and often by health care providers we are told daily physical activity and healthy diet are the best ways to maintain optimal health, …
Childhood And Adolescent Obesity: Related Comorbidities And Interventions , Jasmine Wong 2022 Dominican University of California
Childhood And Adolescent Obesity: Related Comorbidities And Interventions , Jasmine Wong
The prevalence of childhood and adolescent obesity in the United States has steadily risen over the years and has become a public health concern. Obesity is defined as a BMI at or above the 95th percentile for children and teens of the same age and sex. Obese children and adolescents are at risk for poor health and poor quality of life. Furthermore, there are numerous comorbidities associated with childhood and adolescent obesity. While some of the associated diseases are acute, others can become chronic and result in lifelong conditions.
The purpose of the present thesis is to explore …
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Evidence-based pediatric nursing: does it have to hurt?
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- 1 School of Nursing, University of California, San Francisco, USA.
- PMID: 11759431
- DOI: 10.1097/00044067-200111000-00016
Pediatric nursing is deeply rooted in tradition and ritual. Although many practices remain relevant, others do not stand up to the challenge of an evidence-based nursing practice. Though intuition and tradition are important aspects of professional nursing practice, their incorporation into clinical practice can vary among practitioners. Although ample evidence to guide the practice of pain assessment and pain management in children exists, children remain undermedicated when compared to adults. This article explores the influence of practice traditions, personal bias, and the persistence of myths regarding pain in children on the practice of pain relief.
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- Children and pain: easing the hurt. McCready M, MacDavitt K, O'Sullivan KK. McCready M, et al. Orthop Nurs. 1991 Nov-Dec;10(6):33-4, 39-42. Orthop Nurs. 1991. PMID: 1762826
- Dispelling modern day myths about children's pain. Twycross A. Twycross A. J Child Health Care. 1998 Spring;2(1):31-5. doi: 10.1177/136749359800200107. J Child Health Care. 1998. PMID: 10474406 Review.
- Pain management for children and infants. Atkinson L. Atkinson L. Contemp Nurse. 1996 Jun;5(2):64-70. Contemp Nurse. 1996. PMID: 8716848 Review.
- Knowledge, attitude and practice of pediatric critical care nurses towards pain: survey in a developing country setting. Mathew PJ, Mathew JL, Singhi S. Mathew PJ, et al. J Postgrad Med. 2011 Jul-Sep;57(3):196-200. doi: 10.4103/0022-3859.85203. J Postgrad Med. 2011. PMID: 21941056
- Evaluating comfort measures for commonly performed painful procedures in pediatric patients. Dastgheyb S, Fishlock K, Daskalakis C, Kessel J, Rosen P. Dastgheyb S, et al. J Pain Res. 2018 Jul 27;11:1383-1390. doi: 10.2147/JPR.S156136. eCollection 2018. J Pain Res. 2018. PMID: 30100753 Free PMC article.
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Journal of Nursing & Care
ISSN: 2167-1168
Pediatric Nursing Care
Pediatric nursing is the science of child care and scientific treatment of childhood. This branch of medical science deals with the care of children from conception to adolescence in health care. A pediatric nurse is a nursing professional that primarily works in the field of pediatrics. Pediatric nurses often work in a team of pediatric healthcare professionals. This includes pediatricians, pediatric specialists, and other pediatric nurses. They may assist pediatricians or work alongside them, providing their own care. Many pediatric nurses also responsible for administering vaccinations and immunizations, and keeping their patients’ vaccination schedules up to date. Pediatric nurses are very knowledgeable about growth and development as they adapt their interactions and care to the individual child’s developmental level. In addition, they acknowledge the expertise of the family and collaborate with them to provide care for the child.
Related Journals of Pediatric Nursing Pediatric Care & Nursing, Clinical Pediatrics & Dermatology, Interventional Pediatrics & Research, Journal of Pediatric Neurology and Medicine, Pediatric Emergency care and medicine- Open Access, Maternal and Pediatric Nutrition, Clinical Pediatrics: Open Access, Current Pediatrics, Issues in Comprehensive Pediatric Nursing, Journal of Pediatric Nursing, Journal of Pediatric Oncology Nursing, Journal for Specialists in Pediatric Nursing, Journal of Pediatric Health Care, Journal of Emergency Nursing, Clinical Pediatrics
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Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Thousand Oaks, CA: Sage.
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How Nurse Educators Cope with Incivility
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Pediatric ophthalmology, pediatric ophthalmology at stanford children's health.
The Pediatric Ophthalmology team at Lucile Packard Children’s Hospital at Stanford provides diagnostic and comprehensive evaluation and treatment for children with eye and visual problems. Our team places special emphasis on providing infant- and child-friendly exams.
Our Doctors
The best care for your child's eyes and vision.
At Pediatric Ophthalmology, located at Lucile Packard Children's Hospital, infants and children with congenital and acquired disorders of vision and the eye receive care from specialty trained pediatric ophthalmologists.
Patients are seen in three locations where specialized equipment is available for the unique conditions that can affect young children.
We are also a part of the Stanford Health Care Byers Eye Institute , which offers comprehensive vision care specialties including Neuro-Ophthalmology , Oculoplastic and Orbital Surgery , Ocular and Orbital Oncology , and Ophthalmic Pathology .
LEARN MORE ABOUT OUR LOCATIONS:
Mary Johnson Outpatient Clinic at Lucile Packard Children’s Hospital
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The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society.
The most downloaded articles from Journal of Pediatric Nursing in the last 90 days. Nursing interventions to reduce medication errors in paediatrics and neonates: Systematic review and meta-analysis Takawira C. Marufu, Rachel Bower, Elizabeth Hendron, Joseph C. Manning February 2022
The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society.
Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies.
Future issues of MCN will contain full length articles on the following topics and others: March/April 2023 Remote Electronic Fetal Monitoring Surveillance Pain Management after Cesarean Birth to Decrease Opioid Exposure Parental Participation in Preterm Infant Feeding Online Communities for New Mothers in Recovery from Opioid Use Disorder
Pediatric Nursing Hence, the field of pediatric nursing is rife with opportunity to lead the way in the development, evaluation and application of tools, services and care delivery systems that provide screening, referral and interventions to address the SDOH risks of vulnerable children and families. From: Journal of Pediatric Nursing, 2017
All Articles in Pediatric Nursing Follow Faceted Search 891 full-text articles. Page 1 of 41. Evaluating Implementation And Barriers To Sustainability Of An Asthma Clinical Quality Improvement Project , Holly Uphold PhD, MS, Diane Liu MD, FAAP 2023 Utah Department of Health and Human Services
This article examines the pediatric nursing research published in seven refereed nursing research journals and pediatric practice journals over the past decade. Of the 319 research articles published, 16.6% were intervention studies that evaluated the outcomes of nursing care.
Pediatric nursing is deeply rooted in tradition and ritual. Although many practices remain relevant, others do not stand up to the challenge of an evidence-based nursing practice. Though intuition and tradition are important aspects of professional nursing practice, their incorporation into clinical …
Mukesh Chandra Sharma. Terri Kyle. Susan Carman. The first south Asian edition ,based on 4th edition of Essential of Pediatric Nursing, helps students develop the clinical reasoning capabilities ...
Journal of Research in Nursing publishes quality research papers on healthcare issues that inform nurses and other healthcare professionals globally through linking policy, research and development initiatives to clinical and academic excellence. View full journal description. This journal is a member of the Committee on Publication Ethics (COPE).
Pediatrics Original Article Gene Therapy for Hemophilia B S.W. Pipe and Others An AAV5 vector containing the factor IX Padua allele was administered to 54 men with hemophilia B. Factor IX...
Nursing care for pediatric patients with autism spectrum disorders: A cross-sectional survey of perceptions and strategies. Wanda J. Mahoney PhD, ... How to Read a Research Article. Diane Hudson-Barr PhD, RN, Diane Hudson-Barr, Journal for Specialists in Pediatric Nursing; Pages: 70-72; First Published: 24 August 2004;
Clinical Nursing Research (CNR) is a peer-reviewed quarterly journal that addresses issues of clinical research that are meaningful to practicing nurses, providing an international forum to encourage discussion among clinical practitioners, enhance clinical practice by pinpointing potential clinical applications of the latest scholarly research, and disseminate research findings of particular ...
Pediatric nursing is the science of child care and scientific treatment of childhood. This branch of medical science deals with the care of children from conception to adolescence in health care. A pediatric nurse is a nursing professional that primarily works in the field of pediatrics.
Journal of Medical Case Reports, February 17, 2023. Cholesterol Lowering With Inclisiran. European Heart Journal, February 16, 2023. Using Thyroid Hormones in Hypothyroid and Euthyroid Patients ...
Background: Research has clearly defined the issue of nursing student incivility, with evidence that nursing students are engaging in uncivil behaviors on a routine basis [1,2,3,4].Stress, like that experienced with incivility, impacts an individual's perception of an uncivil encounter and has been linked to the development of negative coping responses [5].
The Pediatric Ophthalmology team at Lucile Packard Children's Hospital at Stanford provides diagnostic and comprehensive evaluation and treatment for children with eye and visual problems. Our team places special emphasis on providing infant- and child-friendly exams. Pediatric Ophthalmology at Stanford Children's Health.
Interpretive description: A noncategorical qualitative alternative for developing nursing knowledge. Research in Nursing & Health, 20(2), 169-177. Toma, J. D. (2006). Approaching rigor in applied qualitative research. In C. F. Conrad, & R. C. Serlin (Eds.), The SAGE handbook for research in education: Engaging ideas and enriching inquiry (pp ...
LVN or Registered Nurse - General Pediatrics - Full Time. Lucile Packard Children's Hospital 4.0. Pleasanton, CA 94588. Estimated $68.2K - $86.4K a year. Full-time. Packard Children's Health Alliance (PCHA) is a network associated with Lucile Packard Children's Hospital and the Stanford School of Medicine. Posted.