{"title":"The Impact of Firearm Safety Training on Pediatric Healthcare Providers’ Screening and Counseling Practices: An Integrative Review","authors":"Gretchen S. Goldman MSN, RN, Alison Colbert PhD, PHCNS-BC, FAAN, Angela Karakachian PhD, RN, Jayna Moceri-Brooks PhD, RN, FAAN","doi":"10.1016/j.pedhc.2025.09.023","DOIUrl":"10.1016/j.pedhc.2025.09.023","url":null,"abstract":"<div><h3>Introduction</h3><div>Firearm injuries are the leading cause of death among children in the United States, with over 2,500 pediatric deaths annually. Approximately 4.6 million children live in homes with unsecured firearms. Despite recommendations for routine firearm safety screening and counseling, many pediatric healthcare providers lack training and confidence. This integrative review examines the effect of firearm safety training on pediatric providers’ screening and counseling practices.</div></div><div><h3>Method</h3><div>Guided by Whittemore and Knafl’s framework, a comprehensive search of studies published between 2019 and 2024 was conducted. Nine studies evaluating firearm safety training for pediatric healthcare providers were thematically analyzed.</div></div><div><h3>Results</h3><div>Training improved provider screening behaviors. Most interventions target physicians and residents, with minimal inclusion of other healthcare providers. Generalizability was limited, and few studies assessed long-term outcomes.</div></div><div><h3>Discussion</h3><div>Future research should engage interdisciplinary teams, address developmental considerations, evaluate sustainability, and use standardized approaches to strengthen firearm safety interventions in pediatric care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 364-375"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439847","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}
Fatih Durak MD, Emine Pinar Kulluoglu MD, Gokcen Ozcifci MD, Yusuf Alper Kara MD
{"title":"Spontaneous Gastric Rupture: A Case of a Toddler","authors":"Fatih Durak MD, Emine Pinar Kulluoglu MD, Gokcen Ozcifci MD, Yusuf Alper Kara MD","doi":"10.1016/j.pedhc.2025.07.008","DOIUrl":"10.1016/j.pedhc.2025.07.008","url":null,"abstract":"<div><div>Spontaneous gastric rupture is a rare but potentially fatal condition in the pediatric population, with most cases occurring during the neonatal period. The exact etiology remains unclear, and the underlying mechanism has yet to be definitively established. Through this case, we aim to emphasize the possibility of spontaneous gastric perforation occurring in a child without preexisting comorbidities and to highlight the importance of prompt recognition and management of spontaneous gastric rupture.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 430-433"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976820","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}
{"title":"Missing the Malignancy in Primary Care: A Case Study on Pediatric Osteosarcoma","authors":"Marissa Chen MSN, APRN, PNP, Neesha Ramchandani PhD, PNP, CDCES","doi":"10.1016/j.pedhc.2025.11.026","DOIUrl":"10.1016/j.pedhc.2025.11.026","url":null,"abstract":"<div><div>Osteosarcoma is the most common malignant bone tumor in pediatric and adolescent patients. Typical symptoms include nonspecific localized bone pain often occurring during the adolescent growth spurt. The timing and presentation of symptoms frequently lead primary care providers to associate them with benign conditions such as growing pains or sports-related injuries. As a result, diagnosis is frequently delayed. This case study examines a 14-year-old female whose persistent leg pain was initially misdiagnosed in a primary care setting, resulting in a delayed diagnosis of osteosarcoma. Despite normal initial imaging and examination, the patient later presented with worsening symptoms and neurological deficits, prompting advanced imaging and biopsy that confirmed malignancy. This case highlights the diagnostic challenges in primary care and the need for increased clinical awareness, standardized guidelines, and structured follow-up in pediatric patients presenting with unexplained, unilateral bone pain.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages e149-e153"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145829071","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}
Thi My Thuc Luu PhD , Thi Thu Lieu Nguyen RD , Thu Huyen Doan BS , Thi Phuong Duong MD, MS , Thi Huong Le PhD , Thi Thanh Xuan Le PhD
{"title":"Validation of Four Malnutrition Risk Screening Tools (PNST, PYMS, STAMP, and STRONGkids) for Hospitalized Children","authors":"Thi My Thuc Luu PhD , Thi Thu Lieu Nguyen RD , Thu Huyen Doan BS , Thi Phuong Duong MD, MS , Thi Huong Le PhD , Thi Thanh Xuan Le PhD","doi":"10.1016/j.pedhc.2025.09.021","DOIUrl":"10.1016/j.pedhc.2025.09.021","url":null,"abstract":"<div><h3>Introduction</h3><div>Early detection of malnutrition in hospitalized children is crucial for reducing hospital stays and improving outcomes. This study evaluates the effectiveness of four pediatric nutritional screening tools—PNST, PYMS, STAMP, and STRONGkids—in a pediatric hospital setting.</div></div><div><h3>Methods</h3><div>A cross-sectional study assessed 200 pediatric patients, comparing each tool against SGNA and AND/ASPEN criteria.</div></div><div><h3>Results</h3><div>STAMP demonstrated the highest sensitivity (91.3%) and specificity (76.3%), with strong predictive values. It also had the highest agreement rate (86.5%) and a Kappa value of 0.7. STRONGkids followed with a 78% agreement and a Kappa value of 0.6, while PNST and PYMS showed lower agreement (75%, Kappa = 0.5).</div></div><div><h3>Discussion</h3><div>STAMP is the most effective tool for detecting undernutrition in pediatric patients, supporting timely interventions and improved health outcomes. Integrating STAMP into pediatric care can enhance nutritional management and reduce hospital stays.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 385-394"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543685","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}
{"title":"Caring for Girls With Salt-Wasting Congenital Adrenal Hyperplasia: A Qualitative Study From Central Java, Indonesia","authors":"Joni Indah Sari MBioMed, Ardita Hartanti Pramudani SM, Annastasia Ediati PhD, Agustini Utari MD, PhD","doi":"10.1016/j.pedhc.2025.09.024","DOIUrl":"10.1016/j.pedhc.2025.09.024","url":null,"abstract":"<div><h3>Introduction</h3><div>Congenital adrenal hyperplasia (CAH) imposes significant lifelong challenges, yet existing policies and the implementation of healthcare systems in Indonesia have not fully addressed the needs of affected families.</div></div><div><h3>Methodology</h3><div>This qualitative descriptive phenomenology study employed Braun and Clarke’s inductive thematic analysis to explore the main challenges faced by 13 parents of female children aged 0–18 years old with salt-wasting CAH in Central Java, Indonesia. Reporting followed the Consolidated Criteria for Reporting Qualitative Research (COREQ).</div></div><div><h3>Results</h3><div>Four major challenges reported by the parents were: financial burdens, public stigma, limited genetic literacy, and concerns regarding children’s mental health.</div></div><div><h3>Discussion</h3><div>Drawing on parental testimonies, we propose policy and practical recommendations to improve CAH care, particularly within Indonesia’s healthcare context.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages e38-e47"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439810","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}
{"title":"Considering the Role of Anxiety in Patients With Food Allergies: A Case Study","authors":"Katie Siegel MSN, MS Ed, APRN, CPNP-PC , Neesha Ramchandani PhD, PNP, CDCES","doi":"10.1016/j.pedhc.2025.11.011","DOIUrl":"10.1016/j.pedhc.2025.11.011","url":null,"abstract":"<div><div>One in 13 children in the United States have diagnosed food allergies, the most severe of which result in anaphylaxis. These reactions are trauma inducing, and can invoke a generalized level of anxiety for those affected by these allergies. For children, this fear is often realized through accidental exposures to allergens, or during regular oral food challenges that result in anaphylaxis. These concerns are then reinforced by tireless caregiver surveillance. This case study examines the experience of a preschool-aged child during an oral food challenge, and the anxiety that she and her caregiver experience relative to her food allergies.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages e135-e141"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670568","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}
{"title":"Use of Atypical Antipsychotics in Pediatric Populations","authors":"Beth Heuer DNP, APRN-CNP, CPNP-PC, PMHS, FAANP , Teresa Whited DNP, APRN-CNP, CPNP-PC","doi":"10.1016/j.pedhc.2025.12.020","DOIUrl":"10.1016/j.pedhc.2025.12.020","url":null,"abstract":"<div><div>Atypical antipsychotic medications have served as mainstays in the treatment of pediatric-onset bipolar disorder and schizophrenia and are typically prescribed by psychiatric providers. These medications also have an important role in treating specific behaviors associated with other pediatric diagnoses, including autism spectrum disorder, disruptive behavior disorders, and tic disorders. Nurse practitioners play an important role in initiating treatment in children who require these drugs and monitoring those who are already prescribed these medications by psychiatric professionals. The pharmacokinetics, pharmacodynamics, and pharmacogenomic implications for aripiprazole, olanzapine, quetiapine, and risperidone are described. This article reviews appropriate approaches to prescribing, monitoring for efficacy and side effects, and considerations when tapering or discontinuing antipsychotic medications.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 464-474"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960743","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}
Kristin H. Gigli , Andrew Dierkes , Janette Dill , Grant Martsolf
{"title":"Corrigendum to Opportunities to Diversify the Pediatric Nursing Workforce: A Focus on Male Nurses [Journal of Pediatric Health Care, Volume 38, Issue 2, March–April 2024, Pages 260-269]","authors":"Kristin H. Gigli , Andrew Dierkes , Janette Dill , Grant Martsolf","doi":"10.1016/j.pedhc.2025.11.008","DOIUrl":"10.1016/j.pedhc.2025.11.008","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Page 363"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999744","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}
{"title":"The Experiences of Mothers Feeding Their Infants Later Diagnosed With Autism Spectrum Disorder: Bottle Feeding and Complementary Feeding Challenges","authors":"Amy Campbell PhD, RN, CPNP-PC, Julie Barroso PhD, RN, ANP, Amy Weitlauf PhD, Sharon Karp PhD, APRN, CPNP-PC, Mulubrhan Mogos PhD, MSc","doi":"10.1016/j.pedhc.2026.01.004","DOIUrl":"10.1016/j.pedhc.2026.01.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Children diagnosed with Autism Spectrum Disorder (ASD) more commonly experience feeding difficulty than their neurotypical (NT) peers, although less is known about how the feeding behaviors present during infancy.</div></div><div><h3>Methods</h3><div>Twenty-four mothers participated in interviews exploring their experiences feeding their autistic and NT children during the first year of life and the context behind feeding practices that may also contribute to feeding difficulty in autistic children during infancy.</div></div><div><h3>Results</h3><div>Thematic analysis identified four main themes: (1) bottle feeding and cup behaviors, (2) challenges in complementary food introduction, (3) continuing difficulty with complementary feeding, and (4) bottle feeding and complementary feeding in the NT sibling.</div></div><div><h3>Conclusions</h3><div>Infant feeding behaviors during bottle feeding and complementary feeding may be indicative of early signs of ASD, including repetitive and restrictive interests, social communication differences, and sensory sensitivities.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 405-413"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151159","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}
Yeliz Suna Dağ PhD, Mürşide Zengin PhD, Emriye Hilal Yayan PhD, Erdoğan Suna MD
{"title":"From Trauma to Recovery: A Phenomenological Insight into Pediatric Fasciotomy and Caregiver Experiences After an Earthquake","authors":"Yeliz Suna Dağ PhD, Mürşide Zengin PhD, Emriye Hilal Yayan PhD, Erdoğan Suna MD","doi":"10.1016/j.pedhc.2026.01.003","DOIUrl":"10.1016/j.pedhc.2026.01.003","url":null,"abstract":"<div><h3>Aims</h3><div>This study was conducted to provide a phenomenological perspective on pediatric fasciotomy and carers’ experiences following the earthquake.</div></div><div><h3>Background</h3><div>Children can be severely affected by an earthquake, and this can have a lifelong impact on their lives.</div></div><div><h3>Method</h3><div>This study was conducted as a phenomenological study with 10 children and their parents/caregivers who underwent fasciotomy surgery in the Kahramanmaraş earthquake between January and March 2024.</div></div><div><h3>Results</h3><div>It was found that 50% of the children who participated in our study were female, and their mean age was 14.60 ± 2.54 years. It was found that all the children’s houses were destroyed in the earthquake, they were trapped under the rubble, and they experienced losses in their family members and relatives. Three main themes and 9 sub-themes emerged from the analysis of the data.</div></div><div><h3>Conclusion</h3><div>Our study found that destructive disasters such as earthquakes have long-term emotional and psychological effects with feelings of fear, loneliness, helplessness, and hopelessness beyond physical injuries in children who underwent fasciotomy surgery. Similarly, it has been observed that parents/carers also experience feelings of helplessness, loneliness, and hopelessness in this process, and their efforts to support their children also affect their own emotional processes.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 3","pages":"Pages 414-423"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488207","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}