{"title":"Branching Path Simulation for Pediatric Nurse Practitioner Students to Promote Critical Thinking: A Quasi-Experimental Study","authors":"","doi":"10.1016/j.pedhc.2024.03.004","DOIUrl":"10.1016/j.pedhc.2024.03.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Branching path simulation (BPS) is an active learning pedagogy incorporating gaming principles in a low-stakes, safe environment. No study has explored the use of BPS in advanced practice nursing education. This study measured pediatric nurse practitioner students’ perception of the integration of BPS in one graduate-level course.</p></div><div><h3>Method</h3><p>This study used a one group, post-test only quasi-experimental design with a convenience sample of 22 pediatric nurse practitioner students over 2 years enrolled in a university in the Pacific Northwest United States.</p></div><div><h3>Results</h3><p>Responses to BPS were positive: design (<em>M</em> = 4.8; <em>SD</em> ± 0.4), usability (<em>M</em> = 4.3; <em>SD</em> ± 1.0), self-confidence (<em>M</em> = 4.2; <em>SD</em> ± 0.8) and satisfaction (<em>M</em> = 4.8; <em>SD</em> ± 0.4).</p></div><div><h3>Discussion</h3><p>BPS was well received by learners. It not only provides immediate feedback and encourages students to identify their clinical management weaknesses and strengths but it also can be customized to needs in a course at a significant cost saving.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 737-746"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089152452400052X/pdfft?md5=c36411e33c1a96172054e6860c4ed2c9&pid=1-s2.0-S089152452400052X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140841022","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}
{"title":"NAPNAP Partners for Vulnerable Youth Position Statement on Trauma-Informed Care","authors":"","doi":"10.1016/j.pedhc.2024.06.007","DOIUrl":"10.1016/j.pedhc.2024.06.007","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 778-780"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163628","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}
Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN
{"title":"Scholarly Writing: Preparing Your Work for a Successful Publication","authors":"Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN","doi":"10.1016/j.pedhc.2024.06.004","DOIUrl":"10.1016/j.pedhc.2024.06.004","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 637-638"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001470/pdfft?md5=92647e1562d416e15f61a36af89c7e62&pid=1-s2.0-S0891524524001470-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163720","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}
{"title":"Healthcare Interventions for Children Using Nonimmersive Virtual Reality: A Mixed Methods Systematic Review","authors":"","doi":"10.1016/j.pedhc.2024.01.008","DOIUrl":"10.1016/j.pedhc.2024.01.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Nonimmersive virtual reality (NIVR), a computer-generated virtual reality experience wherein users are not fully immersed, has been increasingly used in pediatric healthcare. This study aimed to identify the effects of NIVR-based interventions for children.</p></div><div><h3>Method</h3><p>A mixed methods systematic review of relevant studies published until December 2023 was conducted. We included samples of healthy children and those with chronic conditions or disabilities, findings related to self-management or social skills, and the NIVR interventions applied. A convergent-integrated design was used for the synthesis.</p></div><div><h3>Results</h3><p>This review included 22 studies, of which 15 examined children having autism spectrum disorders. Utilizing NIVR was found to be effective in enhancing social skills. Participating in virtual communities with peers having similar conditions was determined to facilitate social support and identity exploration.</p></div><div><h3>Discussion</h3><p>Healthcare interventions using NIVR need to be explored further to improve self-management and social skills in children with various conditions.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 703-716"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524000257/pdfft?md5=6ec625cd8eeb651630a96060f38ac6b9&pid=1-s2.0-S0891524524000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095043","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}
{"title":"Challenges in Pediatric Diabetes Classification: A Case Report","authors":"","doi":"10.1016/j.pedhc.2023.11.008","DOIUrl":"10.1016/j.pedhc.2023.11.008","url":null,"abstract":"<div><p>Type 2 diabetes (T2DM) incidence and prevalence are increasing in pediatrics. All children aged > 10 years or postpubertal should be screened in primary care for T2DM if they are overweight with one risk factor or have signs of insulin resistance or associated conditions. Classifying pediatric diabetes is challenging. An accurate, timely diagnosis is critical to optimize care, as children with T2DM are at risk for more severe disease as adults. We describe a 10-year-old female referred to endocrine following abnormal laboratory results in primary care. Despite the initial presentation of diabetic ketoacidosis, the child was diagnosed with T2DM.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 751-757"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138717049","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}
Hinpetch Daungsupawong, Rujittika Mungmunpuntipantip, Viroj Wiwanitkit
{"title":"A Call to Action for Children in Hostile War-Torn Conflict Zones: Correspondence","authors":"Hinpetch Daungsupawong, Rujittika Mungmunpuntipantip, Viroj Wiwanitkit","doi":"10.1016/j.pedhc.2024.04.004","DOIUrl":"10.1016/j.pedhc.2024.04.004","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 641-642"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163722","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}
Melissa Christie MSN, CPNP-PC, Elizabeth B. Froh PhD, RN, Cynthia M. Kropp MSS, LCSW
{"title":"Adolescent Connectedness During the COVID-19 Pandemic","authors":"Melissa Christie MSN, CPNP-PC, Elizabeth B. Froh PhD, RN, Cynthia M. Kropp MSS, LCSW","doi":"10.1016/j.pedhc.2024.06.013","DOIUrl":"10.1016/j.pedhc.2024.06.013","url":null,"abstract":"<div><h3>Category/Date</h3><p>Clinical Research Podium Presentations: <strong><em>Current Topics in Pediatric Research.</em></strong> Presented at NAPNAP's 45<sup>th</sup> National Conference on Pediatric Health Care, March 14, 2024.</p></div><div><h3>Background</h3><p>Connectedness to adults, schools, and peers is a powerful protective factor for adolescent development. Unfortunately, the COVID-19 pandemic disrupted the environmental and social frameworks that adolescents historically used to connect with others in a pre-pandemic world. During this same time period, we have seen devastating effects on adolescent mental health. The emerging post-pandemic evidence base is limited to survey data and quantitative analysis. Very little data highlights the adolescent experience during the pandemic, in their own words.</p></div><div><h3>Aims</h3><p>This study aims to understand adolescents’ perceptions of their lived experiences of connectedness to others during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>Using a prospective qualitative descriptive study design, semi-structured 1:1 virtual interviews were conducted with adolescent participants. Inclusion criteria included: 1) age 12 through 15 years of age, 2) up-to-date on well child care at the study site, 3) parent/legal guardian permission to participate in the study, 4) access to WiFi or cellular service and hardware capable of videoconference, and 5) consent to audio-recording of the virtual interview. Potential participants were identified through EMR dataset query and were randomly recruited via email and telephone outreach. Interview data was analyzed using conventional content analysis with inductive and deductive coding to generate themes.</p></div><div><h3>Results</h3><p>Twelve adolescents participated in the study. Adolescents described connecting via both in-person and virtual means during the pandemic with household members, non-household relatives, and friends. Six themes describe adolescents’ perceptions of their connectedness to others during the pandemic: 1) “Stuck”, 2) “We couldn't do nothing because of COVID”, 3) “Game night”, 4) “Sometimes we Zoomed for almost like hours a day”, 5) “I begged my mom to not make me virtual”, and 6) “Closer”.</p></div><div><h3>Conclusions</h3><p>Findings from this study highlight adolescents’ voices as they share their perspectives on the impact of the pandemic on their connectedness to others. This data addresses a gap in the existing evidence of the adolescent experience of the pandemic, which has been largely quantitative thus far. By listening to adolescents’ voices, health care providers become closer to understanding the impact of the pandemic on adolescents and can utilize empathy to support adolescents’ resiliency moving forward.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 781-782"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164314","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":"Parental Concerns for Children With Cold-like Symptoms With Reduced Access to Evaluation in Primary Care Settings During the COVID-19 Pandemic: A Qualitative Study","authors":"","doi":"10.1016/j.pedhc.2024.05.007","DOIUrl":"10.1016/j.pedhc.2024.05.007","url":null,"abstract":"<div><h3>Introduction</h3><p>We aimed to explore the concerns of parents when their children had symptoms of infection during the COVID-19 pandemic.</p></div><div><h3>Method</h3><p>Two Norwegian internet forums were searched for parents’ experiences when their children had upper respiratory infection symptoms in 2020–2021. A total of 197 posts were included and analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>Parents described COVID-19-related and general worries regarding their children with upper respiratory infection symptoms. The first theme, “It is not ‘just a cold’ during the pandemic,” captures how infection control measures influenced parents’ concerns. The second theme, “Concerns and consequences of fever and cold symptoms,” describes general parental worries. Varying levels of worries regarding health care services, limitations of family life, and concerns for relatives were highlighted.</p></div><div><h3>Discussion</h3><p>Knowledge of parents’ concerns about cold symptoms may help primary health care providers target individual patient counseling and provide background information when policymakers develop information material for infection prevention and treatment.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 695-702"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001378/pdfft?md5=725a9bf656471421fcdc5e4b13a0745a&pid=1-s2.0-S0891524524001378-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433255","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}
{"title":"Genital Ulcers Are Not Always Because of Sexually Transmitted Infections: A Case Report of an Unusual Presentation of Fixed Drug Eruption in a Pediatric Patient","authors":"","doi":"10.1016/j.pedhc.2023.12.013","DOIUrl":"10.1016/j.pedhc.2023.12.013","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 758-760"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524523003759/pdfft?md5=86844ab3ef9735355f160be63ebf66cb&pid=1-s2.0-S0891524523003759-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522317","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}
{"title":"Risk Factors of Obstructive Sleep Apnea (OSA) in Pediatric Patients: A Systematic Review and Meta-analysis","authors":"","doi":"10.1016/j.pedhc.2024.05.008","DOIUrl":"10.1016/j.pedhc.2024.05.008","url":null,"abstract":"<div><h3>Introduction</h3><p>This review aimed to assess the risk factors of Obstructive Sleep Apnea (OSA) in pediatric children, a common condition with serious long-term sequela.</p></div><div><h3>Methods</h3><p>PubMed, CENTRAL, Scopus, and Google Scholar were searched using the keywords “Apnea”, “Obstructive Sleep” OR “Obstructive Sleep Apnea Syndrome” AND “Child” OR “Children” OR “Pediatrics”. Data from 35 studies involving 497,688 pediatric patients diagnosed with OSA using polysomnography were reviewed. Risk factors examined included sex, obesity, neck circumference, tonsillar/adenoid hypertrophy, respiratory infections, nasal stenosis, parental OSA/smoking, ethnicity, preterm birth, and breastfeeding history. Relative Risk (RR) with 95% Confidence Intervals (95% CI) were calculated, using Cochrane Q and I² statistics to estimate heterogeneity.</p></div><div><h3>Results</h3><p>Tonsillar hypertrophy (RR = 3.55), adenoid hypertrophy (RR = 1.63), respiratory tract infection (RR = 2.59), obesity (RR = 1.74), and family history of OSA (RR = 3.03) were significantly associated with pediatric OSA. White ethnicity was protective (RR = 0.77).</p></div><div><h3>Discussion</h3><p>Recognizing these risk factors aids in early diagnosis and treatment of pediatric OSA.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 717-726"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089152452400138X/pdfft?md5=e6e2bd0af75a663343918009bc3f43a9&pid=1-s2.0-S089152452400138X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560231","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}