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Implementing an Adverse Childhood Experiences Screening Tool With Migrant Children: A Quality Improvement Project Using the PEARLS Screening Tool. 对移民儿童实施童年不良经历筛查工具：使用 PEARLS 筛查工具的质量改进项目。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-04 DOI: 10.1016/j.pedhc.2024.08.014
Natasha J Fevry, Sean Convoy, Melinda Teague, Tracey Taldon, Julee Waldrop
{"title":"Implementing an Adverse Childhood Experiences Screening Tool With Migrant Children: A Quality Improvement Project Using the PEARLS Screening Tool.","authors":"Natasha J Fevry, Sean Convoy, Melinda Teague, Tracey Taldon, Julee Waldrop","doi":"10.1016/j.pedhc.2024.08.014","DOIUrl":"10.1016/j.pedhc.2024.08.014","url":null,"abstract":"<p><strong>Background: </strong>Immigrants, asylum seekers, and refugees live with extreme stress, consistent vulnerability, and life-long health consequences. Children in these populations face an increased risk of poor mental health because of adverse childhood experiences (ACEs).</p><p><strong>Aim: </strong>To implement an ACE screening questionnaire for all migrant children aged < 19 years in a community shelter.</p><p><strong>Method: </strong>The Model for Improvement.</p><p><strong>Intervention: </strong>The Pediatric ACEs and Related Life Events Screener was implemented over 10 weeks in a community shelter.</p><p><strong>Results: </strong>All children screened had at least 1 ACE. Initiation of screening led to the recognition of adverse experiences, thus allowing for mental health support and referrals to mental health specialists.</p><p><strong>Conclusions: </strong>This quality improvement project supports screening for ACEs in migrant children to uncover potential mental health concerns and provide targeted support, recognizing the long-term effects of trauma on their well-being.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"69-75"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373411","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
Early Education Suspension and Expulsion: Newly Released AAP Policy Guidelines. 早期教育停学和开除：新发布的 AAP 政策指南。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-15 DOI: 10.1016/j.pedhc.2024.09.006
Erika Handley, Heide S Temples
{"title":"Early Education Suspension and Expulsion: Newly Released AAP Policy Guidelines.","authors":"Erika Handley, Heide S Temples","doi":"10.1016/j.pedhc.2024.09.006","DOIUrl":"10.1016/j.pedhc.2024.09.006","url":null,"abstract":"<p><p>Childcare and early educational programs provide children with the opportunities to learn and develop social skills prior to being introduced into the academic system. Suspension and expulsion from childcare and early education programs occur in high numbers and can cause life-long detrimental effects for children. Federal and state legislation has made advances over the years, but further development and implementation of universal policies are needed in order to reduce the number of young children being suspended and expelled. Pediatric nurse practitioners have a unique role in screening, identifying, and intervening when children are at risk or have experienced exclusionary discipline tracts.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"130-135"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479389","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
Increasing Screening for Sexually Transmitted Infections Among Adolescents and Young Adults Diagnosed With Sickle Cell Disease: A Quality Improvement Project. 在确诊患有镰状细胞病的青少年中加强性传播感染筛查：质量改进项目。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI: 10.1016/j.pedhc.2024.09.008
Myckayla Ashlee Perry
{"title":"Increasing Screening for Sexually Transmitted Infections Among Adolescents and Young Adults Diagnosed With Sickle Cell Disease: A Quality Improvement Project.","authors":"Myckayla Ashlee Perry","doi":"10.1016/j.pedhc.2024.09.008","DOIUrl":"10.1016/j.pedhc.2024.09.008","url":null,"abstract":"<p><strong>Background: </strong>Sexually transmitted infections (STIs) affect 20 million adolescents and young adults in the United States annually.</p><p><strong>Local problem: </strong>In a pediatric outpatient sickle cell disease clinic in the southeastern United States, 16% (43/272) of patients aged 16-24 years had a documented sexual health history, and 12% (4/77) completed STI screenings. The clinic aimed to increase sexual health assessment, STI screenings, diagnosis, and treatment.</p><p><strong>Methods: </strong>Using process redesign, a standardized sexual health and STI screening process at routine visits was implemented to increase the completion of sexual health histories and STI screening.</p><p><strong>Results: </strong>Sexual health history collection rates increased from 16% (43/272) pre-intervention to 92% (107/116) pos-tintervention. The rate of STI testing offered increased from 12% (5/43) preintervention to 100% (116/116) postintervention. The STI testing rates increased 22.5% from 40% (2/5) pre-intervention to 49% (20/41) post-intervention.</p><p><strong>Conclusions: </strong>Evidence-based standardized interventions can successfully be used to assist in sexual health documentation and STI screening.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"51-57"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479391","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
An Exploration of the Understanding and Experiences of Health in Urban Dominican American Adolescents. 探索多米尼加裔美国城市青少年对健康的理解和体验。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-02 DOI: 10.1016/j.pedhc.2024.08.013
Jennifer Dean Durning, Jennifer Yost, Elizabeth B Dowdell
{"title":"An Exploration of the Understanding and Experiences of Health in Urban Dominican American Adolescents.","authors":"Jennifer Dean Durning, Jennifer Yost, Elizabeth B Dowdell","doi":"10.1016/j.pedhc.2024.08.013","DOIUrl":"10.1016/j.pedhc.2024.08.013","url":null,"abstract":"<p><strong>Introduction: </strong>This study explored the understanding and experiences related to health among Dominican American adolescents in an urban setting in the northeastern United States.</p><p><strong>Method: </strong>A qualitative descriptive study was conducted, applying thematic analysis to focus group interview data from 23 students.</p><p><strong>Results: </strong>Five themes emerged: (1) Health is All About Healthy Eating, (2) Sugarcoating, (3) Dynamics Affecting Adherence, (4) Dominican Cultural Influences on Health, and (5) Toll of the Immigrant Life.</p><p><strong>Discussion: </strong>Cultural expectations, particularly deference to family members, substantially impact health care providers' interactions with Dominican American adolescents. Limited communication hinders discussion on topics like healthy eating and mental health. Parental reliance on home remedies over seeking professional care adds another layer of complexity. This study establishes a foundational understanding of Dominican American adolescents' health experiences, highlighting areas where pediatric nurse practitioners can target interventions to support Dominican American adolescents' health journeys.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"33-40"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373408","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
Lack of Immediate Diagnosis and Appropriate Intervention Leads to Malnutrition in an Infant With Cleft Palate. 缺乏及时诊断和适当干预导致腭裂婴儿营养不良。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-07-22 DOI: 10.1016/j.pedhc.2024.07.004
Jessica L Williams, Megan Halvorson, Katelyn J Kotlarek
{"title":"Lack of Immediate Diagnosis and Appropriate Intervention Leads to Malnutrition in an Infant With Cleft Palate.","authors":"Jessica L Williams, Megan Halvorson, Katelyn J Kotlarek","doi":"10.1016/j.pedhc.2024.07.004","DOIUrl":"10.1016/j.pedhc.2024.07.004","url":null,"abstract":"<p><p>This case report describes a full-term infant with a cleft palate who experienced malnutrition because of the delayed introduction of a cleft-adapted bottle and identifies potential areas for improvement in clinical practice. The infant's weight for age z-score at birth was 0.05 and dropped to -1.45 by 2 months of age, indicating mild malnutrition. The infant established care with a cleft team and a cleft-adapted bottle was recommended as the primary feeding method. Feeding time subsequently decreased from 60 minutes per feeding to 20 minutes. The infant presented for palate repair at 9 months of age, and his z-score was -0.01, indicating he was no longer malnourished. Cleft-adapted bottles aid in feeding efficiency in infants with cleft palate, which may subsequently impact weight gain. Appropriate weight gain is essential to receive timely cleft palate repair and support healing.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"101-106"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11646187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753168","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}
引用次数: 0
A Qualitative Descriptive Study Exploring the Systemic Challenges of Caring for Children With Medical Complexity at Home. 一项定性描述性研究，探索在家中照顾病情复杂儿童所面临的系统性挑战。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-05 DOI: 10.1016/j.pedhc.2024.08.010
David Geyer, Jane M Flanagan, Brittney van de Water, Susan McCarthy, Judith A Vessey
{"title":"A Qualitative Descriptive Study Exploring the Systemic Challenges of Caring for Children With Medical Complexity at Home.","authors":"David Geyer, Jane M Flanagan, Brittney van de Water, Susan McCarthy, Judith A Vessey","doi":"10.1016/j.pedhc.2024.08.010","DOIUrl":"10.1016/j.pedhc.2024.08.010","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study is to explore challenges within the home care system encountered by parental caregivers of children with medical complexity in Massachusetts.</p><p><strong>Method: </strong>A qualitative descriptive study was completed with 11 parental caregivers interviewed.</p><p><strong>Results: </strong>Using conventional content analysis of transcripts, three themes emerged: (1) lack of discharge preparedness causes emotional distress, (2) care becomes increasingly complex creating new unanticipated challenges, and (3) psychological toll of parents assuming provider role.</p><p><strong>Discussion: </strong>Navigating a variety of complex systemic challenges with minimal preparation or support contributes to an overall feeling of parental caregiver burnout. Additionally, mental health supports for parental caregivers are lacking, further exacerbating the negative impact of these challenges. Future work should focus on research, advocacy, and system reform that ensures parental caregivers receive necessary supports to care for children within a sustainable and supportive home care model. Nurses across the profession are in unique position to facilitate this change.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"24-32"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382202","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
Advanced Practice Nursing in Pediatrics and Child Health: A New Hope in Europe. 儿科和儿童保健高级实践护理：欧洲的新希望。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-29 DOI: 10.1016/j.pedhc.2024.10.003
Sébastien Colson
{"title":"Advanced Practice Nursing in Pediatrics and Child Health: A New Hope in Europe.","authors":"Sébastien Colson","doi":"10.1016/j.pedhc.2024.10.003","DOIUrl":"10.1016/j.pedhc.2024.10.003","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"22-23"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548580","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
Corrigendum to: Health Equity and Children with Medical Complexity/Children and Youth with Special Health Care Needs: A Scoping Review [Journal of Pediatric Health Care 38/2 (2024) 210-218]. 健康公平与医疗复杂性儿童/有特殊健康护理需求的儿童和青少年：范围审查》[《儿科保健杂志》38/2 (2024) 210 - 218]。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-10-30 DOI: 10.1016/j.pedhc.2024.10.020
Elizabeth A Flasch
{"title":"Corrigendum to: Health Equity and Children with Medical Complexity/Children and Youth with Special Health Care Needs: A Scoping Review [Journal of Pediatric Health Care 38/2 (2024) 210-218].","authors":"Elizabeth A Flasch","doi":"10.1016/j.pedhc.2024.10.020","DOIUrl":"10.1016/j.pedhc.2024.10.020","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"139"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548581","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
Take a Closer Look: Considerations for Autism Spectrum Disorder Assessment in Female Children and Adolescents. 仔细观察：评估女性儿童和青少年自闭症谱系障碍的注意事项。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-01-01 Epub Date: 2024-08-10 DOI: 10.1016/j.pedhc.2024.07.008
Daphna Shaw Zack, Bridgette Carroll, Amy Magallanes, Veronica Bordes Edgar
{"title":"Take a Closer Look: Considerations for Autism Spectrum Disorder Assessment in Female Children and Adolescents.","authors":"Daphna Shaw Zack, Bridgette Carroll, Amy Magallanes, Veronica Bordes Edgar","doi":"10.1016/j.pedhc.2024.07.008","DOIUrl":"10.1016/j.pedhc.2024.07.008","url":null,"abstract":"<p><p>Assessment for autism spectrum disorder (ASD) in the pediatric female population entails unique diagnostic complexities. Females are often misdiagnosed, undiagnosed, or receive an ASD diagnosis at a later age than males. Male bias in ASD, masking behaviors, cultural norms, and overlapping neurodevelopmental comorbidities (such as attention deficit/hyperactivity disorder and intellectual disability) contribute to this phenomenon. The authors present two clinical cases evaluated in an interdisciplinary developmental behavioral pediatrics (DBP) team to highlight these considerations. Cases describe adolescent and school aged females with medical complexity who did not initially appear to have ASD symptoms but later were diagnosed with ASD. Patient anonymity is preserved. Best practice recommendations are discussed. Shared decision making, intentional history taking, thorough observation of behavior and restrictive/repetitive/sensory interests in multiple settings, and attention to social communication in the context of cognitive capacity are essential for ASD assessment in pediatric females.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"107-111"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914460","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 : 2024-12-14 DOI: 10.1016/j.pedhc.2024.11.003
Amanda K Vickers, Robert Darzynkiewicz, Kelli Garber, Michael Maymi
{"title":"Closing Pediatric Asthma Care Gaps Through School-Based Telehealth: A Quality Improvement Initiative.","authors":"Amanda K Vickers, Robert Darzynkiewicz, Kelli Garber, Michael Maymi","doi":"10.1016/j.pedhc.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.003","url":null,"abstract":"<p><strong>Background: </strong>Uncontrolled pediatric asthma leads to poorer outcomes; school-based telehealth (SBTH) is an opportunity to intervene.</p><p><strong>Local problem: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Interventions: </strong>SBTH providers were trained to complete a 3-question checklist on referral orders for all patients treated for an asthma exacerbation.</p><p><strong>Results: </strong>Chi-square analysis showed a statistically significant increase (p < .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.</p><p><strong>Conclusions: </strong>PCP connection can be increased; however, automation is needed for sustainability. Additionally, SBTH may increase access to asthma medication.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-14","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
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