Journal of Pediatric Health Care最新文献

Critical Care Advanced Practice Providers as Partners in Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment. 作为推进儿科重症监护病房护理知识的合作伙伴的重症监护高级实践提供者：需求评估。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-06-16 DOI: 10.1016/j.pedhc.2025.05.003

Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A Schindler

{"title":"Critical Care Advanced Practice Providers as Partners in Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment.","authors":"Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A Schindler","doi":"10.1016/j.pedhc.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.05.003","url":null,"abstract":"Background: Critical care advanced practice providers (APPs) are frontline providers in many pediatric intensive care units (PICUs). From 2020 to 2022, there was a significant downward shift in nursing experience level in the PICU at the authors' institution. APPs may help provide additional in situ education.Methods: Data were collected using role-specific needs assessment of PICU nursing staff and providers, assessing concept related to knowledge and job stress.Results: Findings overwhelmingly demonstrated desire for more APP-led education. Overall, 27% of nurse respondents strongly agreed that current knowledge was adequate to provide safe and best care for their patients, and 47% expressed neutrality to discomfort with their knowledge of patient-specific pathophysiology. Provider questionnaires demonstrated confidence in the bedside nursing knowledge \"about half the time\" (70%).Discussion: This needs assessment demonstrates an opportunity for an APP-led intervention to potentially increase nursing knowledge, decrease stress, and increase confidence in the nursing care provided.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318545","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

Trends in Pediatric Clinician Wellbeing During and Immediately After the COVID-19 Pandemic. 2019冠状病毒病大流行期间和之后儿科临床医生的健康趋势

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-06-07 DOI: 10.1016/j.pedhc.2025.04.005

Elisabeth Kahl DiPietro, Margaret Fry, Heather J Walter, Jonathan Hatoun, Emily T Correa, Scarlette Pikul, Louis Vernacchio

引用次数: 0

Prevalence of Vitamin D Deficiency in Children and the Relationship of Vitamin D Levels With Allergic and Rheumatological Diseases. 儿童维生素D缺乏症患病率及维生素D水平与过敏性和风湿病的关系

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-22 DOI: 10.1016/j.pedhc.2025.04.007

Hilal Koyuncu, Ayşe Tolunay Oflu, Aysun Soyugüzel, Nur Önen, Yiğit Şenol, Ayşegül Bükülmez, Ahmet Afşin Kundak

{"title":"Prevalence of Vitamin D Deficiency in Children and the Relationship of Vitamin D Levels With Allergic and Rheumatological Diseases.","authors":"Hilal Koyuncu, Ayşe Tolunay Oflu, Aysun Soyugüzel, Nur Önen, Yiğit Şenol, Ayşegül Bükülmez, Ahmet Afşin Kundak","doi":"10.1016/j.pedhc.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.04.007","url":null,"abstract":"Introduction: This study aimed to determine the prevalence of vitamin D deficiency in children and compare vitamin D levels between healthy children and children with various health problems, including allergic, rheumatic and infectious diseases.Method: Children who were admitted to our center for any reason between June 2022 and June 2023 and had a vitamin D level check were included in the study. Vitamin D levels were examined by age, sex, season, reason for admission and final diagnosis.Results: The mean 25-OH vitamin D level of 3,532 children was 23 ± 12.5 ng/mL. It was insufficient in 28.4% of the cases and deficient in 18.2%. Factors associated with the highest risk of vitamin D deficiency were female sex, adolescent age, and spring season (p < .000). By diagnostic group, the mean vitamin D level in healthy children was 22.0 ng/mL. The groups with the lowest vitamin D levels were obesity (16.1 ng/mL) and rheumatic disease (18.1 ng/mL).Discussion: This study showed that vitamin D deficiency is quite common in children, and the most important risk factors are female gender, adolescent age group and winter-spring season. Although routine vitamin D screening is not recommended, testing may be performed in children with a history of allergies, rheumatic diseases, or frequent infections. It may be recommended to extend vitamin D prophylaxis to obese individuals and adolescents.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128694","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

Cerebral Venous Sinus Thrombosis Pediatric Case Report. 脑静脉窦血栓形成儿童病例报告。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-21 DOI: 10.1016/j.pedhc.2025.04.006

Tori Cooke, Theresa Motley

{"title":"Cerebral Venous Sinus Thrombosis Pediatric Case Report.","authors":"Tori Cooke, Theresa Motley","doi":"10.1016/j.pedhc.2025.04.006","DOIUrl":"10.1016/j.pedhc.2025.04.006","url":null,"abstract":"A cerebral venous sinus thrombosis (CVST) is an obstruction of the dural venous sinuses caused by a thrombus. The dural sinuses drain into the brain, and when there is a blockage, it can increase the risk of cerebral ischemia or hemorrhage. CVST is very rare in the pediatric population, with only seven cases per million reported each year. This case describes a 2-year-old male who was transferred from a referral hospital with a possible diagnosis of anemia and worsening clinical status. After multiple tests revealed no probable cause for the patient's declining clinical status, a magnetic resonance imaging (MRI) and computed tomography (CT) scan were performed. These studies revealed a sinus venous thrombosis. The patient was transferred to the pediatric intensive care unit and a high-dose heparin infusion was initiated. CVST presents with vague symptoms, which can often delay the diagnosis. Patients may present with a variety of symptoms including seizures, decreased level of consciousness, nausea and vomiting, headache, ataxia, speech impairment, cranial nerve palsies, and hemiparesis. CVST is typically diagnosed using MRI and CT scan. CVST is acutely treated with an anticoagulant such as unfractionated heparin or low molecular weight heparin and in severe cases a mechanical thrombectomy might be necessary. CVST has a significant morbidity and mortality rate, so prompt diagnosis is crucial to the patient's overall outcome. In this case, the patient's CVST was due to iron deficiency anemia, which is rare, and the patient made a full recovery without requiring surgical intervention.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112621","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

Impact of Preterm Birth on Feeding and Growth Patterns at 3 to 4 Years Old. 早产对3 - 4岁儿童喂养和生长模式的影响。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-21 DOI: 10.1016/j.pedhc.2025.04.008

Ana Valdés-Bécares, Ana Fernández-Feito, Alberto Lana

引用次数: 0

Coaching Family-Based Method for Anorexia Nervosa Experienced by Adolescents and Parents in Primary Care: A Qualitative Descriptive Study. 青少年和父母在初级保健中经历神经性厌食症的辅导家庭方法：一项定性描述性研究。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-20 DOI: 10.1016/j.pedhc.2025.04.009

Minna Pääaho, Heli Kerimaa, Jaana Ronkainen, Jukka Ronkainen, Tarja Pölkki

{"title":"Coaching Family-Based Method for Anorexia Nervosa Experienced by Adolescents and Parents in Primary Care: A Qualitative Descriptive Study.","authors":"Minna Pääaho, Heli Kerimaa, Jaana Ronkainen, Jukka Ronkainen, Tarja Pölkki","doi":"10.1016/j.pedhc.2025.04.009","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.04.009","url":null,"abstract":"Introduction: The aim of this study was to describe the experiences of previously healthy adolescents, and their parents regarding anorexia nervosa (AN) outpatient treatment using the coaching family-based method (cFBM).Method: A qualitative descriptive study design was used to collect data from adolescents (n=23), along with their parents, who had undergone family-based treatment for anorexia nervosa in primary care in 2022. Data consisted of open-ended questions and were analyzed using inductive content analysis.Results: According to the adolescent's experiences, the cFBM helped with weight gain, but inadequate psychological treatment affected the durability of the results. Based on the parents' (n=13) experiences, cFBM practices guided facilitation of the treatment. Adolescents' suggestions for improving AN treatment were related to commitment and individualized treatment on the part of health care providers.Discussion: The cFBM is useful, but attention should be paid to the therapeutic relationship and the continuity of somatic and psychological treatment.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112622","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 Novel Approach to Competency-Based Education for Pediatric Nurse Practitioners: Bringing Clarity to Competencies. 一种以能力为基础的儿科护士从业教育的新方法：使能力清晰。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-17 DOI: 10.1016/j.pedhc.2025.01.007

Kristina L Banks, Carol L Savrin

{"title":"A Novel Approach to Competency-Based Education for Pediatric Nurse Practitioners: Bringing Clarity to Competencies.","authors":"Kristina L Banks, Carol L Savrin","doi":"10.1016/j.pedhc.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.007","url":null,"abstract":"Introduction: Guidance for Pediatric Nurse Practitioner (PNP) competency-based education (CBE) is provided by the National Organization of Nurse Practitioner Faculties (NONPF) and the American Association of Colleges of Nursing (AACN) The Essentials: Core Competencies for Professional Nursing Education (\"Essentials\"). The 2021 AACN Essentials update prompted a significant shift from traditional to (CBE)for Nurse Practitioner (NP) faculty. NONPF has responded, updating its NP Role Core Competencies and domains to be congruent with the AACN 2021 Essentials, but NONPF's population-specific competencies remain unchanged since 2013.Methods: Two PNP faculty conducted a multistep crosswalk between the NONPF 2013 population-based competencies for Primary and Acute Care PNPs to the AACN Essentials competencies.Results: The crosswalk provides CBE implementation support for PNP educators.Discussion: The authors introduce Clarity to Competencies, an innovative exercise adapted from Madness to Methods, based on the NONPF to AACN crosswalk, to provide novel methods for teaching and assessing PNP competencies.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087034","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 Child With Moyamoya Disease-A Case Study. 一个患有烟雾病的孩子——个案研究。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-11 DOI: 10.1016/j.pedhc.2025.03.010

Swathi Ganesan, Ratnamani Kesineni, Nayan Lath, Sangeetha Geminiganesan

{"title":"A Child With Moyamoya Disease-A Case Study.","authors":"Swathi Ganesan, Ratnamani Kesineni, Nayan Lath, Sangeetha Geminiganesan","doi":"10.1016/j.pedhc.2025.03.010","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.010","url":null,"abstract":"Pediatric palliative care is a narrow subspeciality dealing with specialized comprehensive care approach for children living with chronic life-limiting illness and their families. Moyamoya disease with extracranial involvement is one such rare disease, where the most appropriate curative treatment is not yet determined. It is a vaso-occlusive disorder affecting intracranial vessels commonly, and rarely extracranial vessels. It is considered as one of the infrequent causes of acute stroke in children. We report a severe case of Moyamoya disease in a child, affecting both cerebral and extra-cranial vessels. The child had renal vessel involvement, which led to renovascular hypertension and end-stage renal disease. Considering the intricacies of complicated transplant outcomes, parents opted for pediatric palliative care. Bearing in mind the poor outcome of the extensive disease and need for regular follow-up, periodic counselling is imperative in successful management of children with Moyamoya disease. Given the progressive and relentless nature of the child's disease, a coordinated, multifaceted management is required to optimize the physical, psychological and social functioning of these children and their families.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054414","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

Assessing Utilization of Spirometry Among Pediatric Primary Care Providers. 评估肺活量测定法在儿科初级保健提供者中的应用。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-11 DOI: 10.1016/j.pedhc.2025.03.007

Quinn Taylor, Jennifer Sonney, Mayumi Willgerodt

{"title":"Assessing Utilization of Spirometry Among Pediatric Primary Care Providers.","authors":"Quinn Taylor, Jennifer Sonney, Mayumi Willgerodt","doi":"10.1016/j.pedhc.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.007","url":null,"abstract":"Background: Asthma is the most common chronic respiratory disease in childhood, affecting 6.5% of children in the United States. Spirometry is the gold standard objective measure when diagnosing and managing asthma, yet it is underutilized in primary care.Aim statement: The purpose of this quality improvement project was to assess pediatric primary care provider use of spirometry and perceived barriers to use.Methods: The Knowledge-to-Action framework informed this quality improvement project. A focused review of current evidence was completed, and a survey was conducted to assess current spirometry practices and provider perspectives about spirometry.Results: The majority of respondents (n = 37) reported that they diagnose and manage asthma regularly (mean = 4.08/5 ± 0.72) but do not use spirometry regularly (mean = 2.22/5 ± 0.98). The top reported barriers to spirometry utilization included availability, time, and training.Conclusions: NPs can improve asthma care by advocating for spirometry in primary care. This manuscript provides strategies for incorporating spirometry into primary care practice.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062963","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

Case Study of Group A Streptococcal Bacteremia With Simultaneous Viral Co-Infections. A群链球菌菌血症并发病毒共感染病例研究。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-08 DOI: 10.1016/j.pedhc.2025.03.011

Rebecca A Carson

引用次数: 0