Journal of Pediatric Health Care最新文献

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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The crosswalk provides CBE implementation support for PNP educators.</p><p><strong>Discussion: </strong>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.</p>","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":"<p><p>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.</p>","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":"<p><strong>Background: </strong>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.</p><p><strong>Aim statement: </strong>The purpose of this quality improvement project was to assess pediatric primary care provider use of spirometry and perceived barriers to use.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>NPs can improve asthma care by advocating for spirometry in primary care. This manuscript provides strategies for incorporating spirometry into primary care practice.</p>","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

Mastering the BASICS: Essential Components of a Lactation Curriculum for Healthcare Professionals. 掌握基础知识：保健专业人员哺乳课程的基本组成部分。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-06 DOI: 10.1016/j.pedhc.2025.04.001

Deborah W Busch, Nadine Wodwaski, Elaine Webber, JoAnne Silbert Flagg

引用次数: 0

National Guard and Reserve Families: A Parent-Led Educational Intervention. 国民警卫队和预备役家庭：家长主导的教育干预。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-05 DOI: 10.1016/j.pedhc.2025.03.006

Jenna E Bednarski, Jennifer Coddington, Margaret Sorg, Shelley MacDermid Wadsworth

{"title":"National Guard and Reserve Families: A Parent-Led Educational Intervention.","authors":"Jenna E Bednarski, Jennifer Coddington, Margaret Sorg, Shelley MacDermid Wadsworth","doi":"10.1016/j.pedhc.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.006","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to evaluate the effectiveness of an educational module on improving parent's ability to identify National Guard and Reserve children at-risk for mental health abnormities.</p><p><strong>Methods: </strong>A pre-post study design was used. The sample consisted of 51 National Guard and Reserve parents. Participants were recruited online from a Military Ministry Network, email list servs, and social media. Baseline data was collected on the preintervention survey. The educational module included signs/symptoms of abnormal mental health in children and the Pediatric Symptom Checklist 35. Postintervention data collection included the same data collected at baseline except demographics.</p><p><strong>Results: </strong>The intervention increased parents' confidence and knowledge but failed to change the types of services parents used to access care. All children were at low-risk.</p><p><strong>Discussion: </strong>Parent-led education about mental health disorders, symptoms, causes, and treatments is an important first step in helping families take charge of treatment and management.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030503","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

Closing Pediatric Asthma Care Gaps Through School-Based Telehealth: A Quality Improvement Initiative 通过校本远程保健缩小小儿哮喘护理差距：质量改进计划。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.11.003

Amanda K. Vickers DNP, RN, CPNP-PC, PMHS, Robert Darzynkiewicz MD, Kelli Garber DNP, APRN, PPCNP-BC, FAANP, FAAN, Michael Maymi DNP, APRN, CPNP-AC, CCRN-P, CNE

{"title":"Closing Pediatric Asthma Care Gaps Through School-Based Telehealth: A Quality Improvement Initiative","authors":"Amanda K. Vickers DNP, RN, CPNP-PC, PMHS, Robert Darzynkiewicz MD, Kelli Garber DNP, APRN, PPCNP-BC, FAANP, FAAN, Michael Maymi DNP, APRN, CPNP-AC, CCRN-P, CNE","doi":"10.1016/j.pedhc.2024.11.003","DOIUrl":"10.1016/j.pedhc.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Uncontrolled pediatric asthma leads to poorer outcomes; school-based telehealth (SBTH) is an opportunity to intervene.</div></div><div><h3>Local Problem</h3><div>The connection rate to primary care after SBTH visits for asthma exacerbations was below organizational goals. Additionally, there was a gap in assessing SBTH's role in providing access to rescue medication.</div></div><div><h3>Method</h3><div>A 3-month plan-do-study-act design was used to improve SBTH referral rates among SBTH providers. Data was collected via EHR reports and chart reviews.</div></div><div><h3>Interventions</h3><div>SBTH providers were trained to complete a 3-question checklist on referral orders for all patients treated for an asthma exacerbation.</div></div><div><h3>Results</h3><div>Chi-square analysis showed a statistically significant increase (<em>p</em> < .001) in the “Connect to PCP” rate, 21% to 71%. Additionally, 86% of eligible participants had access to rescue medication at school, with one-third requiring SBTH to bridge a gap.</div></div><div><h3>Conclusions</h3><div>PCP connection can be increased; however, automation is needed for sustainability. Additionally, SBTH may increase access to asthma medication.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 444-452"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830648","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

The Effect of the Vaccine Education Program Prepared Using The Integrated Change Model on Mothers' Vaccine Advocacy and Vaccine Literacy: A Waitinglist Randomized Controlled Trial 采用综合变革模式编制的疫苗教育计划对母亲疫苗宣传和疫苗知识的影响：候补名单随机对照试验》。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.11.012

Deniz Sümeyye Yorulmaz-Demir PhD, Deniz Kocoglu-Tanyer PhD

{"title":"The Effect of the Vaccine Education Program Prepared Using The Integrated Change Model on Mothers' Vaccine Advocacy and Vaccine Literacy: A Waitinglist Randomized Controlled Trial","authors":"Deniz Sümeyye Yorulmaz-Demir PhD, Deniz Kocoglu-Tanyer PhD","doi":"10.1016/j.pedhc.2024.11.012","DOIUrl":"10.1016/j.pedhc.2024.11.012","url":null,"abstract":"<div><h3>Introduction</h3><div>The study evaluated the effect of the vaccine education program developed using the Integrated Change Model on mothers' vaccine literacy and advocacy.</div></div><div><h3>Methods</h3><div>The study is a parallel design randomized controlled trial with a waiting-list. Seventy-four mothers were enrolled in the study. In the study, the experimental group received a four-session vaccine education program, one week apart. The study used mixed ANOVA to explore the interaction between time and group. Effect sizes were interpreted using partial eta squared.</div></div><div><h3>Results</h3><div>Vaccine literacy increased significantly in the intervention group in the post-test, and the intervention had a large effect size. In addition, it was found that vaccine knowledge increased with a large effect size in the intervention group, positive changes in vaccine attitudes, and vaccine advocacy intentions increased.</div></div><div><h3>Discussion</h3><div>The Integrated Change Model vaccine education program can be used to reduce maternal and community vaccine hesitancy and increase vaccine acceptance.</div></div><div><h3>Reporting Method</h3><div>The CONSORT-Outcomes 2022 Extension.</div></div><div><h3>Protocol Registration</h3><div>ClinicalTrials NCT05929053.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 424-435"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076152","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

Evaluation of an Interactive, Educational Website Developed for Adolescents to Learn About Pediatric Clinical Trials: DigiKnowIt News

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.10.013

Alison E. Parker PhD , Tracy M. Scull PhD, Jada Green MPH, Kathryn N. Stump PhD

{"title":"Evaluation of an Interactive, Educational Website Developed for Adolescents to Learn About Pediatric Clinical Trials: DigiKnowIt News","authors":"Alison E. Parker PhD , Tracy M. Scull PhD, Jada Green MPH, Kathryn N. Stump PhD","doi":"10.1016/j.pedhc.2024.10.013","DOIUrl":"10.1016/j.pedhc.2024.10.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric clinical trials are important for advancing treatments for youth; however, recruitment remains a challenge. This study examines the effectiveness of DigiKnowIt News, a website designed to educate adolescents about clinical trials.</div></div><div><h3>Method</h3><div>Parent-adolescent pairs were randomly assigned to intervention (N = 83) or wait-list control (N = 96) groups. Pairs completed online pretest and posttest questionnaires related to knowledge and attitudes about research.</div></div><div><h3>Results</h3><div>Adolescents and parents in the intervention group, compared to the wait-list control, significantly increased in their familiarity with and positive attitudes toward clinical trials. Adolescents improved in their confidence for participating in clinical trials. Promising findings emerged with marginal increases in positive beliefs about clinical trials and likelihood of allowing an adolescent to participate. Participants reported high levels of satisfaction with DigiKnowIt News<em>.</em></div></div><div><h3>Discussion</h3><div>Providing adolescents and parents with information in fun, interactive, and engaging ways can inform their decision-making about clinical trials.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 335-345"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943751","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

Redefining Social Norms With Firearm Safety in Children: A Framework to Influence Change 重新定义儿童枪支安全的社会规范：影响变革的框架。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.10.009

Elizabeth G. Choma DNP, MSN, CPNP-PC

引用次数: 0