{"title":"Misdiagnosed Scrotal Arteriovenous Malformation and the Role of Clinical Assessment: A Case Report","authors":"Meryem Hamam MBBS, Atilla Adnan Eyuboglu MD, Mustafa Tonguc Isken MD","doi":"10.1016/j.pedhc.2024.11.002","DOIUrl":"10.1016/j.pedhc.2024.11.002","url":null,"abstract":"<div><div>Vascular anomalies usually present at the beginning of life and vary in their course of progression and treatment. The pinpoint diagnosis of each lesion is often misdirected, owing to the complexity surrounding the classification. At the broadest level, differentiation between tumoral structures such as hemangiomas and other vascular malformations is required to not only select the correct procedure, but more importantly determining whether treatment is necessary.</div><div>A 3-year-old patient presented to our institution with a vascular lesion in the scrotum, which had been labeled as a hemangioma. The unusual prognosis and continuous growth of the lesion suggested otherwise. Comprehensive clinical assessment was conducted, and the physical examination allowed for the accurate diagnosis of an arteriovenous malformation. The lesion was successfully excised without harm to the underlying structures. The authors uphold that misdiagnosis across vascular lesions is preventable through the correct clinical approach.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 673-677"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733746","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}
Crystal S. Lim PhD, ABPP, Dustin E. Sarver PhD, Dustin C. Brown PhD, Russell McCulloh MD, Lacy Malloch, Tre D. Gissandaner PhD, Robert D. Annett PhD
{"title":"Caregiver Willingness to Participate in Pediatric Clinical Research During COVID-19","authors":"Crystal S. Lim PhD, ABPP, Dustin E. Sarver PhD, Dustin C. Brown PhD, Russell McCulloh MD, Lacy Malloch, Tre D. Gissandaner PhD, Robert D. Annett PhD","doi":"10.1016/j.pedhc.2024.12.001","DOIUrl":"10.1016/j.pedhc.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Understanding caregiver willingness to participate in pediatric clinical research is needed. We examined caregiver perceptions of pediatric clinical research during COVID-19 and examined research attitudes and sociodemographic factors as predictors of willingness.</div></div><div><h3>Methods</h3><div>A cross-sectional telephone survey was administered to caregivers of children from August 2020 to April 2021. We examined caregiver willingness to participate in the following research modalities during COVID-19: telehealth, in-person, and vaccine-focused.</div></div><div><h3>Results</h3><div>Participants included 600 caregivers (52.8% non-Hispanic White; Child Age <em>M</em> = 9.3 years; 50.0% from rural areas). Caregivers reported more willingness to participate in nonvaccine research (64.0% telehealth, 59.4% face-to-face) compared to vaccine research (22.1%). Different predictors were found for caregivers living in rural and nonrural areas and specific research attitudes predicted willingness.</div></div><div><h3>Discussion</h3><div>Caregiver willingness to participate in pediatric clinical research during COVID-19 differed by modality and research attitudes predicting willingness differed by geography. Surveillance regarding pediatric vaccine and clinical research hesitancy broadly should continue.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 531-540"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903453","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":"Preclinical Didactic Content Coupled with Simulation Improves Pediatric Nurse Practitioner Student Clinical Confidence and Ensures Obtainment of Beginning-Level Competencies Prior to Initiation of Clinical Rotations","authors":"Jeannie Rodriguez PhD, RN, CPNP-PC, CHSE, Theresa Motley DNP, MPH, CPNP-AC/PC, Stacy B. Buchanan DNP, RN, CPNP-PC","doi":"10.1016/j.pedhc.2025.02.004","DOIUrl":"10.1016/j.pedhc.2025.02.004","url":null,"abstract":"<div><h3>Introduction</h3><div>The National Task Force on Nurse Practitioner Quality Education recommends nurse practitioner students meet national competencies before beginning clinical experiences in their nurse practitioner program. This initiative aimed to create a preclinical preparatory program for pediatric nurse practitioner students to boost clinical confidence and document competency achievement.</div></div><div><h3>Method</h3><div>Using a backward design, coursework, and simulations were developed for students to master preclinical competencies. At semester's end, students underwent a summative assessment simulating pediatric primary care scenarios aimed at documenting competency mastery.</div></div><div><h3>Results</h3><div>Students reported increased confidence and preparedness for clinical settings.</div></div><div><h3>Discussion</h3><div>This qualty improvement preparatory program sets students up for success in their first clinical rotation. Further work is planned to link this semester's outcomes with nurse practitioner student clinical performance.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 605-610"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674898","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}
Jenna E. Bednarski DNP, MSN, RN, CPNP-PC, CNE-cl, Jennifer Coddington DNP, MSN, RN, CPNP-PC, Margaret Sorg DNP, MSN, RN, CPNP-PC, Shelley MacDermid Wadsworth PhD, MBA, MS
{"title":"National Guard and Reserve Families: A Parent-Led Educational Intervention","authors":"Jenna E. Bednarski DNP, MSN, RN, CPNP-PC, CNE-cl, Jennifer Coddington DNP, MSN, RN, CPNP-PC, Margaret Sorg DNP, MSN, RN, CPNP-PC, Shelley MacDermid Wadsworth PhD, MBA, MS","doi":"10.1016/j.pedhc.2025.03.006","DOIUrl":"10.1016/j.pedhc.2025.03.006","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 550-561"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","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}
{"title":"Simulation-Based Education for Caregivers of Infants with Shunt-Dependent Cardiac Physiology: Decreasing Caregiver Anxiety","authors":"Brittany Dahlen MSN, RN, CHSE, NPD-BC, CPN, Heidi Shafland MSN, APRN, ACCNS-P, CCRN, Jocelyn Berbee MSN, APRN, CPNP, PHN, Jamie Heil BSN, RN, CCRN, CBC, Samreen Vora MD, MHAM, FACEP, CHSE","doi":"10.1016/j.pedhc.2025.01.003","DOIUrl":"10.1016/j.pedhc.2025.01.003","url":null,"abstract":"<div><h3>Background</h3><div>Home monitoring programs for infants with shunt-dependent cardiac physiology have significantly reduced mortality, but they demand extensive caregiver education and vigilance before and after hospital discharge.</div></div><div><h3>Local Problem</h3><div>Caregivers in the home monitoring program face complex tasks that can lead to anxiety and decreased confidence.</div></div><div><h3>Methods</h3><div>This quality improvement project aimed to implement a modified simulation-based mastery learning (SBML) curriculum to improve confidence in home monitoring skills and decrease caregiver anxiety. The State Trait Anxiety Index for Adults short form Y was used to assess the impact.</div></div><div><h3>Interventions</h3><div>The SBML intervention allowed caregivers to learn and demonstrate all home monitoring program skills in a simulated environment.</div></div><div><h3>Results</h3><div>All participants met the minimum passing standards during the simulation. State anxiety decreased in 9 of 10 measures, and caregiver confidence increased.</div></div><div><h3>Conclusions</h3><div>The modified SBML intervention effectively decreased caregiver anxiety and increased confidence in home monitoring skills. This is the first intervention of its kind and may improve patient outcomes during this tenuous stage.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 623-632"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411363","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":"Leading Through Uncertainty","authors":"Felesia R. Bowen PhD, DNP, PPCNP-BC, FADLN, FAAN","doi":"10.1016/j.pedhc.2025.04.004","DOIUrl":"10.1016/j.pedhc.2025.04.004","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Page 525"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514448","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}
Kristina L. Banks DNP, APRN, CPNP-PC, Carol L. Savrin DNP, APRN, CPNP, R, FNP-BC, FAANP, FANP
{"title":"A Novel Approach to Competency-Based Education for Pediatric Nurse Practitioners: Bringing Clarity to Competencies","authors":"Kristina L. Banks DNP, APRN, CPNP-PC, Carol L. Savrin DNP, APRN, CPNP, R, FNP-BC, FAANP, FANP","doi":"10.1016/j.pedhc.2025.01.007","DOIUrl":"10.1016/j.pedhc.2025.01.007","url":null,"abstract":"<div><h3>Introduction</h3><div>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) <em>The Essentials: Core Competencies for Professional Nursing Education</em> (“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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>The crosswalk provides CBE implementation support for PNP educators.</div></div><div><h3>Discussion</h3><div>The authors introduce <em>Clarity to Competencies</em>, an innovative exercise adapted from <em>Madness to Methods,</em> based on the NONPF to AACN crosswalk, to provide novel methods for teaching and assessing PNP competencies.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 591-604"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","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}
{"title":"NAPNAP Position Statement on Communicable Disease Prevention through Immunization","authors":"","doi":"10.1016/j.pedhc.2025.03.005","DOIUrl":"10.1016/j.pedhc.2025.03.005","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 695-697"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514425","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":"Political Chaos in the World of Vaccines Must Be Stopped: Vaccines Save Lives!","authors":"Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN","doi":"10.1016/j.pedhc.2025.04.003","DOIUrl":"10.1016/j.pedhc.2025.04.003","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 523-524"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514447","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}
Jessica Peck DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN, Anna Kletzli DNP, RN, Sarah Kletzli DNP, RN, Jason Spees MSN, MaOM, APRN, L.Ac, FNP-C, Dipl. Ac. C.H.
{"title":"Prevention, Recognition, and Response to Human Trafficking: Practical Application for Pediatric Clinical Environments","authors":"Jessica Peck DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN, Anna Kletzli DNP, RN, Sarah Kletzli DNP, RN, Jason Spees MSN, MaOM, APRN, L.Ac, FNP-C, Dipl. Ac. C.H.","doi":"10.1016/j.pedhc.2025.03.004","DOIUrl":"10.1016/j.pedhc.2025.03.004","url":null,"abstract":"<div><div>Human trafficking (HT) is a proliferating criminal industry that adversely impacts mental and physical health for exploited individuals, especially children, adolescents, and young adults. Yet HT often goes undetected in the clinical setting. Clinicians are not immune to common misconceptions associated with sociodemographic constructs precluding identification of risk and pediatric patients often will not self-disclose victimization. National Association of Pediatric Nurse Practitioners Partners has published an online evidence-based, survivor-informed, trauma-informed, and culturally responsive HT toolkit for pediatric healthcare providers. The toolkit aims to provide practical guidance addressing unique needs of pediatric patients who present in clinical settings at risk for or experiencing HT. This article highlights the HT toolkit components and discusses practical application in the healthcare setting.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 646-657"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057283","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}