Deborah W Busch, Nadine Wodwaski, Elaine Webber, JoAnne Silbert Flagg
{"title":"Mastering the BASICS: Essential Components of a Lactation Curriculum for Healthcare Professionals.","authors":"Deborah W Busch, Nadine Wodwaski, Elaine Webber, JoAnne Silbert Flagg","doi":"10.1016/j.pedhc.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.04.001","url":null,"abstract":"<p><p>The BASICS curriculum equips educators of healthcare professionals, including pediatric nurse practitioner students, with evidence-based skills to support, promote, and sustain breastfeeding in the healthcare setting. Aligned and mapped to the AACN Essentials (2021), it integrates foundational and advanced lactation knowledge through a competency-based educational design. The curriculum prepares learners to provide best-practice, inclusive, and ethically grounded breastfeeding support, guided by standards from LEAARC (2018), AAP (2024a), and ABM (2025). Several key resources are provided for educators, including a course blueprint to help educators address the complex needs of breastfeeding families. The curriculum identifies the critical lactation topics and activities to prepare future healthcare providers for real-world clinical challenges by aligning them with national health recommendations, professional guidelines, and public health priorities.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057162","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, 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}
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}
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}
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}
{"title":"Redefining Social Norms With Firearm Safety in Children: A Framework to Influence Change","authors":"Elizabeth G. Choma DNP, MSN, CPNP-PC","doi":"10.1016/j.pedhc.2024.10.009","DOIUrl":"10.1016/j.pedhc.2024.10.009","url":null,"abstract":"<div><div>Pediatric firearm violence is the number one cause of death in all children and a threat that must be addressed. Applying a harm reduction framework to this growing crisis recognizes that firearms exist and incorporates evidence-based practice actionable strategies for pediatric-focused Advanced Practice Registered Nurses (APRNs) to follow to address this public health crisis. This harm reduction framework encompasses several strategies, including an understanding of the physical and mental health care impact that pediatric firearm violence has on survivors, as well as recognizing the inherent health inequities associated with it. This framework also includes strategies to implement firearm safety education at the community level, discusses key laws and policies that pediatric-focused APRNs can advocate for to effect change, and raises awareness of accessible resources and funding for pediatric-focused APRNs to utilize.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 515-518"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584559","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}
Mia Roberts PhD, CPNP, Rachel Johnson-Koenke PhD, MSW, LCSW, Scott Harpin PhD, MPH, RN, APHN-BC, FNAP, Amy J. Barton PhD, RN, FAAN, ANEF
{"title":"Optimizing Adolescent Mental Health Treatment: A Study of the Warm Handoff","authors":"Mia Roberts PhD, CPNP, Rachel Johnson-Koenke PhD, MSW, LCSW, Scott Harpin PhD, MPH, RN, APHN-BC, FNAP, Amy J. Barton PhD, RN, FAAN, ANEF","doi":"10.1016/j.pedhc.2024.11.010","DOIUrl":"10.1016/j.pedhc.2024.11.010","url":null,"abstract":"<div><h3>Introduction</h3><div>The purpose of this study was to describe the warm handoff (WH) and to evaluate its use and impact with adolescents.</div></div><div><h3>Methods</h3><div>A case study design utilized a parallel convergent mixed-methods approach. Chi Square analysis and logistic regression examined the association between type of referral and attendance at the initial behavioral health appointment among other variables. Qualitative analysis of semi-structured interviews with adolescents and clinical staff members occurred.</div></div><div><h3>Results</h3><div>A relationship was found between referral type and frequency of attendance (<em>X<sup>2</sup> = 6.06, df =</em> 2, <em>N</em> = 145, <em>p =</em> .049)<em>.</em> Referral type was a significant predictor of attendance with decreased odds of attendance with an in-person WH compared to a traditional in-house referral. (<em>OR</em> = 0.340, 95% CI [0.132, 0.880], <em>p</em> = .026). Qualitative interviews suggest that WHs are more than a referral mechanism, supporting adolescents’ needs.</div></div><div><h3>Discussion</h3><div>Findings support the use of WHs in clinics to address adolescent behavioral health needs. Future research is needed to evaluate long-term outcomes and feasibility.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 396-407"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076149","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":"Diagnosis and Management of Pediatric Allergic Rhinoconjunctivitis in the US","authors":"Karen Rance DNP, CPNP, Nancy Banasiak DNP, PNP, APRN , Amanda Filippelli MPH, MSN, APRN, PPCNP-BC, AE-C , Sarah Heinonen DNP, APRN, CPNP-AC/PC","doi":"10.1016/j.pedhc.2024.07.012","DOIUrl":"10.1016/j.pedhc.2024.07.012","url":null,"abstract":"<div><div>Allergic rhinoconjunctivitis (AR/C) is a common pediatric condition. The physical, emotional, and social burden of AR/C in children highlights the need for accurate diagnosis with optimal treatment. This review provides practical information on the diagnosis and management of pediatric AR/C. Key features of the patient history and physical exam needed to diagnose seasonal and perennial AR/C are covered. Various AR/C treatment options are reviewed such as allergen avoidance, pharmacotherapies, and allergy immunotherapy (both subcutaneous injections and sublingual tablets) as well as their mode of action, side effects, and their role in guideline-recommended therapy. Practical information such as pollen calendars, management algorithms, and treatment product characteristics have also been included in this review.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 489-502"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366398","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":"Refractory Kawasaki Disease With a Giant Aneurysm Successfully Treated With Infliximab and Enoxaparin: A Case Report","authors":"Zhe-Jia Liu, Wan-Fu Hsu MD","doi":"10.1016/j.pedhc.2024.09.001","DOIUrl":"10.1016/j.pedhc.2024.09.001","url":null,"abstract":"<div><div>Kawasaki disease (KD) is the most common vasculitis in children, and can result in the development of coronary artery aneurysms (CAAs) if not properly managed. While intravenous immunoglobulin (IVIG) and aspirin are standard first-line treatments, refractory KD may develop, increasing the risk of coronary complications. Herein, we report the case of a young girl with KD who initially responded to IVIG, but later developed a giant CAA, despite additional treatments. Infliximab stabilized her condition, and one year later, the CAA remained stable without thrombus formation. This case demonstrates that clinical appearance, particularly fever, may not fully reflect the patient's condition, as fever can subside immediately after treatment, but may relapse days later, underscoring the need for vigilant monitoring.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 459-465"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512100","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}
Sydney Borg DNP, APRN, PNP-BC, Ashley Marass DNP, CPNP, SANE, Ejaz Yousef MD
{"title":"Implementing the 2017 NIAID Peanut Guidelines into a Pediatric Primary Care Provider Setting: A real-world experience","authors":"Sydney Borg DNP, APRN, PNP-BC, Ashley Marass DNP, CPNP, SANE, Ejaz Yousef MD","doi":"10.1016/j.pedhc.2024.12.002","DOIUrl":"10.1016/j.pedhc.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Primary care physicians (PCPs) and nurse practitioners play a key role in guiding caregivers on early peanut protein (PP) introduction, yet many lack adequate knowledge.</div></div><div><h3>Aim Statement</h3><div>This quality improvement study aimed to enhance understanding among PCPs and caregivers about evidence-based guidelines for early PP introduction in infants' diets.</div></div><div><h3>Methods</h3><div>Using the Stetler Model, PCP knowledge was evaluated through pre-test, educational video and some posttest material. Caregivers completed the Patient Education Materials Assessment Tool (PEMAT) survey after reviewing an educational handout</div></div><div><h3>Results</h3><div>The <em>N =</em> 22 PCPs pre-education test score had an average of 61.11% and noted <em>N = 21</em> PCPs posteducation test score average to increase to 84.09%. The <em>N =</em> 68 caregivers completed the PEMAT survey, with results indicating enhanced caregiver knowledge. Infant participation in PP introduction was tracked, alongside ingestion frequency.</div></div><div><h3>Conclusions</h3><div>Findings in this study underscore the value of education in fostering proactive counseling and informed practices in clinical settings.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 436-443"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933407","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}