Paediatrics & child health最新文献_第7页

Healthy childhood development through outdoor risky play: Navigating the balance with injury prevention. 通过户外冒险游戏促进儿童健康成长：平衡与预防伤害之间的关系。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-07-22 eCollection Date: 2024-07-01 DOI: 10.1093/pch/pxae016

Emilie Beaulieu, Suzanne Beno

{"title":"Healthy childhood development through outdoor risky play: Navigating the balance with injury prevention.","authors":"Emilie Beaulieu, Suzanne Beno","doi":"10.1093/pch/pxae016","DOIUrl":"10.1093/pch/pxae016","url":null,"abstract":"Free play is essential for children's development and for their physical, mental, and social health. Opportunities to engage in outdoor free play-and risky play in particular-have declined significantly in recent years, in part because safety measures have sought to prevent all play-related injuries rather than focusing on serious and fatal injuries. Risky play is defined by thrilling and exciting forms of free play that involve uncertainty of outcome and a possibility of physical injury. Proponents of risky play differentiate \"risk\" from \"hazard\" and seek to reframe perceived risk as an opportunity for situational evaluation and personal development. This statement weighs the burden of play-related injuries alongside the evidence in favour of risky play, including its benefits, risks, and nuances, which can vary depending on a child's developmental stage, ability, and social and medical context. Approaches are offered to promote open, constructive discussions with families and organizations. Paediatricians are encouraged to think of outdoor risky play as one way to help prevent and manage common health problems such as obesity, anxiety, and behavioural issues.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 4","pages":"255-269"},"PeriodicalIF":1.8,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Skin-to-skin care (SSC) for term and preterm infants. 为足月儿和早产儿提供皮肤护理（SSC）。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-07-22 eCollection Date: 2024-07-01 DOI: 10.1093/pch/pxae015

Gabriel Altit, Danica Hamilton, Karel O'Brien

{"title":"Skin-to-skin care (SSC) for term and preterm infants.","authors":"Gabriel Altit, Danica Hamilton, Karel O'Brien","doi":"10.1093/pch/pxae015","DOIUrl":"10.1093/pch/pxae015","url":null,"abstract":"Skin-to-skin care (SSC) is an important part of parent and infant care during the neonatal period and into infancy. SSC should be initiated immediately after birth and practiced as a standard of care in all settings, as well as in the home. There is strong evidence that SSC has a positive effect on breastfeeding and human milk feeding in both term and preterm infants, as well as on mortality, cardiopulmonary stability, and thermoregulation. SSC reduces pain and infant stress, enhances parent-infant bonding, has neurodevelopmental benefits, and has positive effects on parental mental health. The safety and feasibility of providing SSC has been established in term and preterm infants, and SSC is recommended as best practice for all infants. The benefits of SSC outweigh the risks in most situations, and despite challenges, care providers should implement procedures and accommodations to ensure that SSC occurs as a safe and positive experience for the parent, family, infant, and health care team. This statement includes all families as defined and determined by themselves, and recognizes that health communication, language, and terminology must be individualized to meet specific family needs by the health care team.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 4","pages":"238-254"},"PeriodicalIF":1.8,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving the care of children with autism and related neurodevelopmental disorders in emergency department settings: Understanding the knowledge-to-practice continuum of emergency department providers. 改善儿童自闭症和相关神经发育障碍在急诊科设置的护理：了解急诊科提供者的知识到实践的连续性。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-07-06 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxae030

Julia Niro, Mohammad S Zubairi, James S Leung

{"title":"Improving the care of children with autism and related neurodevelopmental disorders in emergency department settings: Understanding the knowledge-to-practice continuum of emergency department providers.","authors":"Julia Niro, Mohammad S Zubairi, James S Leung","doi":"10.1093/pch/pxae030","DOIUrl":"10.1093/pch/pxae030","url":null,"abstract":"Objectives: Emergency department (ED) healthcare providers (HCPs) frequently describe a lack of knowledge in caring for children with autism spectrum disorder (ASD) and related neurodevelopmental disorders (NDD). Our primary objective is to explore gaps in training and clinical exposure reported by ED HCPs caring for children with ASD/NDD.Methods: A two-phase, mixed-methods cross-sectional study was conducted. In phase 1, an interprofessional sample of tertiary care paediatric ED HCPs (physicians, nurses, social workers, and child life specialists) were surveyed about their experiences and perceived gaps in managing children with ASD/NDD. These responses informed phase 2, where six semi-structured interviews were conducted. Interview transcripts were analyzed to determine themes around the discomfort of ED HCPs caring for children with ASD/NDD.Results: The majority, 54/78 (69%) of eligible staff completed the survey. A minority (42.5%) of HCPs had mandatory training on ASD/NDD, and 80% would value continuing education. Some ED HCPs (41.2%) had previous personal or professional experiences with children with ASD/NDD that facilitated deeper empathy and awareness of system challenges. Interviews revealed four themes of ED HCP discomfort with this population: 1) added considerations of interacting with children and families with ASD/NDD; 2) the ED as a single touch point in complex and limited healthcare systems; 3) recognizing comfort in discomfort; and 4) the need to implement practical interventions to improve care.Conclusions: ED HCPs are motivated to improve care for children with ASD/NDD. Alongside broader systems interventions, future educational interventions can narrow ED HCP gaps identified through this work.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 2","pages":"60-67"},"PeriodicalIF":1.8,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating intersectionality into child health research: Key considerations 将交叉性纳入儿童健康研究：主要考虑因素

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-06-28 DOI: 10.1093/pch/pxae033

Bukola Salami, Aleem Bharwani, Nicole Johnson, Tehseen Ladha, Michael Hart, Jaya Dixit, Susanne Benseler

{"title":"Integrating intersectionality into child health research: Key considerations","authors":"Bukola Salami, Aleem Bharwani, Nicole Johnson, Tehseen Ladha, Michael Hart, Jaya Dixit, Susanne Benseler","doi":"10.1093/pch/pxae033","DOIUrl":"https://doi.org/10.1093/pch/pxae033","url":null,"abstract":"Child health inequities persist in Canada, particularly among sovereignty-deserving First Nations, Métis and Inuit groups and equity-deserving communities. We argue for a fundamental shift in research to remedy these inequities, via an intersectional lens that highlights how social identities and systems of power contribute to disparities. Specifically, we suggest (a) integrating intersectionality, from research conceptualization to results dissemination; (b) respectfully and reciprocally engaging with communities; (c) respectfully collecting and reporting data; (d) recognizing and explicating the diversity within social categories; (e) applying intersectional analytical approaches, and (f) using diverse, participatory and inclusive dissemination strategies. We further underscore the importance of researchers acknowledging their positionalities and their role in promoting reflexivity, as well as using equity, diversity and inclusion principles throughout the research process. We call for a collective commitment to adopt intersectional and EDI approaches in paediatric research, paving the way towards a more equitable health landscape for all children.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"25 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141507278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the Editor: Canadian Developmental Paediatrics Workforce Survey. 致编辑的信：加拿大发育儿科劳动力调查。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-06-28 eCollection Date: 2024-07-01 DOI: 10.1093/pch/pxae032

Sabrina H Y Eliason, Iskra T Peltekova

引用次数: 0

Implementation of standardized patient safety and quality improvement rounds in a tertiary care paediatric centre 在一家三级儿科医疗中心实施标准化患者安全和质量改进巡视

IF 1.9 4区医学

Paediatrics & child health Pub Date : 2024-06-26 DOI: 10.1093/pch/pxae008

Kiersten D Pianosi, Brianna L McKelvie, Jennifer Kilgar, Farah Abdulsatar, Julie E Strychowsky

{"title":"Implementation of standardized patient safety and quality improvement rounds in a tertiary care paediatric centre","authors":"Kiersten D Pianosi, Brianna L McKelvie, Jennifer Kilgar, Farah Abdulsatar, Julie E Strychowsky","doi":"10.1093/pch/pxae008","DOIUrl":"https://doi.org/10.1093/pch/pxae008","url":null,"abstract":"Introduction Patient safety is increasingly becoming a major priority for healthcare institutions, and various models of these rounds exist. The Ottawa M&M Model (OM3) is a structured and standardized approach to patient safety and quality improvement rounds that has been implemented at other institutions across Canada with good success. Methods This quality improvement project invited divisions within the Children’s Hospital in London, Ontario to participate in the implementation of the OM3 for M&M rounds. The project aligned with the Institute for Health Improvement’s Model for Improvement. Baseline needs assessments and facilitator training were performed. The main outcome was implementation of a version of the OM3 for PSQI rounds, action items generated from these rounds, and systemic hospital changes. Results The baseline needs assessment showed that 18 (66.7%) respondents were members of divisions with pre-existing M&M rounds. Most found their rounds at least valuable, but only two-thirds found that action items were generated following each meeting. After implementation of the OM3, 58.3% (21 of 36) of action items submitted to the CH-QCC were partially or completed actioned by the end of 2022. A post-implementation survey showed that of the 11 division representatives who responded, 7 (64%) were still participating in PSQI rounds and using the new OM3 format, which they agreed was more organized. Conclusions We were able to successfully implement a new standardized approach to Patient Safety and Quality Improvement Rounds that has led to systemic changes within the paediatrics hospital and continues to be used today.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"16 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141507279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A quality improvement evaluation of a standardized intervention for children with medical complexity transitioning to adult care. 对医疗复杂的儿童过渡到成人护理的标准化干预进行质量改进评估。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-06-19 eCollection Date: 2024-08-01 DOI: 10.1093/pch/pxae027

Kayla Esser, Sherri Adams, Christopher Chung, Taylor McKay, Clara Moore, Hayley Wagman, Stephanie Lee, Julia Orkin

{"title":"A quality improvement evaluation of a standardized intervention for children with medical complexity transitioning to adult care.","authors":"Kayla Esser, Sherri Adams, Christopher Chung, Taylor McKay, Clara Moore, Hayley Wagman, Stephanie Lee, Julia Orkin","doi":"10.1093/pch/pxae027","DOIUrl":"10.1093/pch/pxae027","url":null,"abstract":"Children with medical complexity have medical fragility, chronic disease, technology dependence, and high healthcare use. Their transition to adult health care at age 18 involves medical and social elements and follows no standardized process. Our goal was to improve transition readiness in children with medical complexity using a transition intervention within a Complex Care program. All children with medical complexity aged 14 to 18 were included in this quality improvement (QI) project (n = 54). We conducted a pre- and post-intervention chart review to assess transition outcomes and implemented a transition intervention for 6 months, which included an age-stratified checklist, charting template, and transition rounds. Before the intervention, 72% of 17- to 18-year-old patients had documented transition discussions, which increased to 86%. Patients with a family physician increased as well (61% to 73% for 17- to 18-year-olds). Three transition education rounds were held. The intervention increased transition readiness, provided tools to facilitate transition, and created a forum for conversation.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"29 5","pages":"274-279"},"PeriodicalIF":1.8,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11398935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practical Tips for Paediatricians: When is an eye turn more than just an eye turn. 儿科医生实用小贴士：何时转眼不仅仅是转眼。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-06-19 eCollection Date: 2024-08-01 DOI: 10.1093/pch/pxae034

Caberry W Yu, Mohamed R Gemae, Jenna Cranmer, Santa Heede, Kourosh Sabri

引用次数: 0

Autism and immigration, is there a link? Results from a Manitoba Study. 自闭症和移民之间有联系吗？马尼托巴研究的结果。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-06-19 eCollection Date: 2025-05-01 DOI: 10.1093/pch/pxae031

M Florencia Ricci, Ryan Phung, Lonnie Zwaigenbaum, Ana Hanlon-Dearman, Jessy Burns, Stefanie Narvey, Marcelo L Urquia

{"title":"Autism and immigration, is there a link? Results from a Manitoba Study.","authors":"M Florencia Ricci, Ryan Phung, Lonnie Zwaigenbaum, Ana Hanlon-Dearman, Jessy Burns, Stefanie Narvey, Marcelo L Urquia","doi":"10.1093/pch/pxae031","DOIUrl":"10.1093/pch/pxae031","url":null,"abstract":"Objectives: To examine a possible association between parental immigration and autism spectrum disorder (ASD) in Manitoba, Canada.Methods: Electronic medical records of children diagnosed with ASD between 2016 and 2021 at Manitoba's only publicly funded referral site for ASD evaluation in children ≤6 years of age were reviewed. Children born in or outside of Canada whose parents/guardians (one or both) were foreign-born were identified to have 'immigrant' parents. The proportion of Manitoba's immigrant population (including non-permanent residents) was obtained from 2016 to 2021 Census data and compared to the proportion of children diagnosed with ASD who had immigrant parent(s). Descriptive statistics were used to compare the characteristics of children with ASD born to immigrants versus non-immigrant parents.Results: Among 1858 children diagnosed with ASD during the study period, 669 (36%) had immigrant parents. This proportion was greater than the proportion of immigrants (and non-permanent residents) living in Manitoba in 2016: 243,835/1,278,365 (19%, P < 0.001) and 2021: 291,910/1,342,153 (21.7%, P < 0.001). Those with immigrant parents had a lower rate of family history of ASD (16.3% versus 33.3% P < 0.001), and associated neurologic comorbidities (4.2% versus 6.4% P: 0.047). There were no statistical differences in rates of preterm birth (15.5% versus 12.36 P: 0.152) or use of Autism Diagnostic Observation Schedule-2 in diagnostic approach (30.3% versus 33% P: 0.321) between groups.Conclusions: There is an over-representation of immigrant families among young children diagnosed with ASD in Manitoba. Further studies are needed to understand mechanisms that may play a role in this association.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 2","pages":"68-72"},"PeriodicalIF":1.8,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric critical care capacity in Canada. 加拿大儿科重症监护能力。

IF 1.8 4区医学

Paediatrics & child health Pub Date : 2024-06-07 eCollection Date: 2025-02-01 DOI: 10.1093/pch/pxae024

Saptharishi Lalgudi Ganesan, Daniel Garros, Jennifer Foster, Tanya Di Genova, Patricia S Fontela, Srinivas Murthy

{"title":"Pediatric critical care capacity in Canada.","authors":"Saptharishi Lalgudi Ganesan, Daniel Garros, Jennifer Foster, Tanya Di Genova, Patricia S Fontela, Srinivas Murthy","doi":"10.1093/pch/pxae024","DOIUrl":"10.1093/pch/pxae024","url":null,"abstract":"Objectives: Pediatric intensive care unit (PICU) capacity is a current and future health system challenge. Despite experiencing two pandemics in as many decades and surges every winter, we have little to no information on PICU capacity in Canada. Our objective was to characterize the bed capacity of Canadian PICUs and their ability to accommodate surges in demand.Methods: We conducted a cross-sectional survey to gather information from Canadian PICUs regarding funded/physical beds, unit characteristics, medical staffing, therapies provided, and challenges related to surge management. The survey was completed by a representative from each PICU and validated by PICU Directors. Quantitative survey results were summarized as counts and proportions, while the free-text response was summarized using inductive content analysis.Results: Representatives from all 19 Canadian PICUs located in 17 hospitals completed the survey and reported having 275 (217 level 3 and 58 level 2) funded beds and 298 physical bed spaces. Of these, 47 beds (35 level 3 and 12 level 2) are in two specialized cardiac PICUs. Roughly 13,385, 13,419, 11,430, and 12,315 children were admitted in the years 2018, 2019, 2020, and 2021, respectively. During a surge, PICUs reported being able to add 5.9 ± 3.4 beds per unit totaling up to 108 temporary surge beds. Several barriers for the successful implementation of surge plans were identified.Conclusions: Canadian pediatric critical care capacity is comparable to that in many other high-income countries, though our ability to respond to a pandemic/epidemic with significant pediatric critical illness may be limited.","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"30 1","pages":"30-39"},"PeriodicalIF":1.8,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0