Journal of Pediatric Health Care最新文献

{"title":"Mentorship Among Pediatric Nurse Practitioners: A Nationwide Survey","authors":"Rachel Swerdlin DNP, APRN, CPNP-PC,&nbsp;Christina Calamaro PhD PPCNP-BC, FAANP, FAAN,&nbsp;Margaret Johnson BSN, RN,&nbsp;Susan Brasher PhD, RN, CPNP-PC, FAAN","doi":"10.1016/j.pedhc.2025.07.014","DOIUrl":"10.1016/j.pedhc.2025.07.014","url":null,"abstract":"<div><h3>Category/Date</h3><div>Clinical Research Podium Presentations: <strong><em>NAPNAP Research Agenda Priority Topics: Mental Health, Pediatric Workforce and Infectious Disease Prevention.</em></strong> Presented at NAPNAP’s 46^th National Conference on Pediatric Health Care, March 11, 2025.</div></div><div><h3>Background &amp; Significance</h3><div>As pediatric nurse practitioners (PNPs) enter the workforce, there is a period of role transition that occurs when leaving the role of registered nurse to PNP. Struggles endured during this time have been linked to decreased job satisfaction, productivity and poorer patient outcomes, resulting in turnover. In contrast, positive experiences during transition have been noted to increase confidence and job satisfaction, which may improve retention.</div></div><div><h3>Purpose/ Aims</h3><div>The purpose of this study was to determine the effect of mentorship on PNPs during their role transition.</div></div><div><h3>Methods</h3><div>This study was IRB-approved. A 27-question survey was created in REDCap consisting of open-and closed-ended questions and emailed to the Pediatric Nurse Certification Board listserv of 11,345 PNPs. Survey included demographics, length of time in first PNP role, and mentorship experiences. Descriptive statistics characterized NPs age, employment length, and mentorship variables. Qualitative software MaxQDA used to organize, code, and analyze open-ended questions using qualitative inductive and deductive descriptive coding approach.</div></div><div><h3>Results</h3><div>834 PNPs completed the survey, including 454 (54.4%) who had a mentor in their first role and 380 (45.6%) who reported no mentor. Mentorship was seen to have a significant impact on staying in their first position longer than those without(p&lt;0.0001). Mentorship was further delineated as formal mentors for 107 (23.73%) versus informal for 344 (76.2%). Those with mentors reported the importance of mentorship to be highly beneficial (97.10%). Analysis of open-ended questions revealed mentorship to have the following positive impact: feeling supported, strong foundation, professional growth over time, strong advocacy for self and patients, and job satisfaction.</div></div><div><h3>Discussion and Conclusions</h3><div>Data from this study demonstrated a positive association between mentorship and job retention in the first PNP role. Providing mentorship to new PNPs could have a significant impact both short- and long-term. Further research is warranted to understand how informal/formal mentorship influences new PNPs’ practice and retention.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 854-855"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922252","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":"Trends in Pediatric Clinician Wellbeing During and Immediately After the COVID-19 Pandemic","authors":"Elisabeth Kahl DiPietro MD,&nbsp;Margaret Fry MD,&nbsp;Heather J. Walter MD, MPH,&nbsp;Jonathan Hatoun MD, MPH, MS,&nbsp;Emily T. Correa MPH, MS,&nbsp;Scarlette Pikul MSN, MBA,&nbsp;Louis Vernacchio MD, MSc","doi":"10.1016/j.pedhc.2025.04.005","DOIUrl":"10.1016/j.pedhc.2025.04.005","url":null,"abstract":"<div><h3>Objective</h3><div><span><span>To evaluate the level of burnout (BO) and clinician wellbeing across a large network of </span>pediatric<span> primary care clinicians (PCCs) at the start of the COVID-19 pandemic, identify </span></span>risk factors for BO, and to guide potential interventions.</div></div><div><h3>Method</h3><div>An electronic, confidential survey assessing wellbeing and demographics was sent to all participating PCCs yearly, beginning in 2020.</div></div><div><h3>Results</h3><div>BO peaked among PCCs in 2021 and then declined annually as the pandemic receded.</div></div><div><h3>Conclusions</h3><div>Peak BO in PCCs was linked to the height of the COVID-19 pandemic. Interventions to more rapidly address BO in pediatric PCCs during public health emergencies are needed.</div></div><div><h3>WHAT’S NEW</h3><div>Pediatric PCCs practicing in independent private practices experienced peak BO in 2021 with gradual improvement in the immediate postpandemic years.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 820-824"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250587","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":"Information for Readers","authors":"","doi":"10.1016/S0891-5245(25)00214-7","DOIUrl":"10.1016/S0891-5245(25)00214-7","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Page A10"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922428","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":"Dispositional Gratitude in Adolescents with Type 1 Diabetes","authors":"Rebecca Koerner PhD, PNP-BC,&nbsp;Kaitlyn Rechenberg PhD, MPH, PNP-BC,&nbsp;Laura Szalacha EdD","doi":"10.1016/j.pedhc.2025.07.013","DOIUrl":"10.1016/j.pedhc.2025.07.013","url":null,"abstract":"<div><h3>Category/Date</h3><div>Clinical Research Podium Presentations: <strong><em>NAPNAP Research Agenda Priority Topics: Mental Health, Pediatric Workforce and Infectious Disease Prevention.</em></strong> Presented at NAPNAP’s 46^th National Conference on Pediatric Health Care, March 11, 2025.</div></div><div><h3>Background &amp; Significance</h3><div>Type 1 diabetes (T1D) is a chronic condition requiring intensive, complex daily management. T1D negatively affects psychological well-being and is associated with increased anxiety symptoms. A grateful disposition and the daily practice of gratitude is associated with better psychological well-being in the general population. However, dispositional gratitude and psychological well-being among adolescents with T1D is not well understood.</div></div><div><h3>Purpose/Aims</h3><div>We aimed to examine associations between dispositional gratitude and anxiety symptoms in adolescents with T1D.</div></div><div><h3>Methods</h3><div>After obtaining IRB approval, we recruited adolescents 12-19 years of age, who could speak and read English fluently, and who were diagnosed with T1D for at least 6 months. We collected demographic data, measured anxiety symptoms (Generalized Anxiety Disorder-7), and gratitude (Gratitude Questionnaire-Six Item Form). We conducted descriptive statistics and Pearson correlations.</div></div><div><h3>Results</h3><div>Participants (n = 30) were mostly white (n=19, 63.3%), non-Hispanic (n=28, 93.3%), and female (n=20, 66.7%). Most participants had diabetes for greater than 5 years (n = 20, 66.7%) and used insulin pumps (n=29, 96.7%). Participants had a mean gratitude score of 34.57 (± 6.43), indicating high levels of gratitude, and a GAD-7 score of 7.17 (±5.07), indicating mild anxiety symptoms. Anxiety and gratitude were negatively correlated (-0.47, p=0.004). The impact of anxiety on daily life was negatively correlated with gratitude (-0.69, p &lt; 0.001).</div></div><div><h3>Discussion &amp; Conclusion</h3><div>Adolescents with T1D who have lower dispositional gratitude have higher anxiety symptoms. The practice of gratitude may be a modifiable factor through which to improve psychological wellbeing in this vulnerable population.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Page 854"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922356","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":"Trauma Exposure in Migrant Children: Implications for Mental and Physical Health","authors":"Gail Hornor DNP, CPNP, SANE-P,&nbsp;Ellen M. Chiocca PhD, CPNP-PC","doi":"10.1016/j.pedhc.2025.05.002","DOIUrl":"10.1016/j.pedhc.2025.05.002","url":null,"abstract":"<div><div>Global migration is a public health crisis of epidemic proportions. Migrants are at risk for a variety of physical and mental health concerns, while having limited access to healthcare. Migrant children are especially vulnerable to experiencing significant trauma, both physical and emotional. Children comprise less than one-third of the global population, yet nearly half of migrants are children less than 18 years of age. The United States is home to a significant number of migrant children. Migrant children have a unique set of educational, health, and emotional needs. Given the sheer number of migrant children living in the United States, pediatric nurse practitioners must understand their unique needs and provide evidence-based interventions to help meet these needs. This continuing education article will discuss migrant children in terms of understanding migration, trauma exposure and resultant impact on psychological and physical health, and implications for practice.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 836-847"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922352","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":"Improving Social Determinants of Health Screening in Schools with Group Concept Mapping","authors":"Vera Borkowski PhD, APRN, FNP-C,&nbsp;Alvin Jeffery PhD, RN-BC, CCRN-K, FNP-BC,&nbsp;Marianna LaNoue PhD, MS","doi":"10.1016/j.pedhc.2025.07.010","DOIUrl":"10.1016/j.pedhc.2025.07.010","url":null,"abstract":"<div><h3>Category/Date</h3><div>Clinical Research Poster presented at NAPNAP’s 46^th National Conference on Pediatric Health Care, <em>Posters on the Move</em>, March 10, 2025</div></div><div><h3>Introduction</h3><div>We sought feedback from key stakeholders regarding social determinants of health in school-based health centers, using asthma as our clinical condition, given exacerbations are preventable, costly, and a common cause of school absenteeism.</div></div><div><h3>Method</h3><div>Using group concept mapping, we interviewed families/caregivers, school nurses, school staff, and school-based health center providers (N=31). We elicited information regarding conditions relevant to asthma exacerbations. Participants prioritized the concepts identified as most impactful and feasible to address.</div></div><div><h3>Results</h3><div>Our participants produced 84 statements grouped into 10 clusters. The highest rated clusters were Exposure to smoking/vaping and Caregiver/Child lack of asthma education. Complex, compounding factors can be highly impactful yet not as feasible to address.</div></div><div><h3>Discussion</h3><div>Stakeholders identified salient social determinants of health to address in schools. Clinical implications include development of informatics resources to improve social risk screening, ultimately to decrease suffering for children with chronic conditions like asthma.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Page 852"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922354","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":"Pediatric Expert Researchers for JPHC","authors":"","doi":"10.1016/S0891-5245(25)00212-3","DOIUrl":"10.1016/S0891-5245(25)00212-3","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Page A7"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922426","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":"Implementing Quality Improvement Changes to a Free Sports Physical Program in a Rural Community","authors":"Mat Burton DNP, APRN, FNP-C, CDCES,&nbsp;Trina Aguirre PhD, RN, CFNC, AADP-BC,&nbsp;Kelly J. Betts EdD, RN, APRN, CPNP-PC, CNE,&nbsp;Kristine Benda MSN, RN, APRN-NP, CPNP-PC/AC","doi":"10.1016/j.pedhc.2025.04.002","DOIUrl":"10.1016/j.pedhc.2025.04.002","url":null,"abstract":"<div><h3>Background</h3><div><span>Populations living in rural communities face significant barriers to accessing health care services. The faculty at a Midwest university previously partnered with regional </span>school nurses<span> to offer free, after-hours preparticipation physical examinations to encourage a healthy lifestyle.</span></div></div><div><h3>Local Problem</h3><div>Obesity rates are high, and physical activity<span>, essential for adolescent health, is disproportionately low in this region.</span></div></div><div><h3>Methods</h3><div>The examinations included medical histories<span>, visual acuities<span>, heights and weights, blood pressures, and blood glucose levels; students with abnormal findings were referred to a local medical home for additional care.</span></span></div></div><div><h3>Interventions</h3><div>We implemented quality improvement changes to this process by expanding hours, increasing the number of volunteers, and obtaining information releases from participants so that results could be sent directly to school nurses in the community.</div></div><div><h3>Results</h3><div>The number of participants and their satisfaction were improved from prior years.</div></div><div><h3>Conclusions</h3><div>These changes further address health care barriers to working families and increase participation in school activities.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 762-767"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042819","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":"Pediatric Cholesteatoma: A Case Report","authors":"Nicole Pennington DNP, APRN, FNP-BC,&nbsp;Molly Johnson DNP, APRN, CPNP-PC","doi":"10.1016/j.pedhc.2025.06.002","DOIUrl":"10.1016/j.pedhc.2025.06.002","url":null,"abstract":"<div><div>Pediatric<span> cholesteatoma<span><span> is a rare, nonneoplastic, congenital, or acquired, collection of keratinizing squamous epithelium<span><span> in the middle ear or mastoid. As the collection of epithelium grows in the ear, it can damage the bones of the ears leading to loss of hearing, dizziness<span>, balance problems, ear drainage, and other serious health implications such as cerebrospinal fluid leaks, infection of the </span></span>central nervous system, and cranial nerve defects. Surgical intervention is required to avoid the harmful effects and prevent permanent further damage from the growing mass. This case study focuses on the presentation of a 7-year-old male who was diagnosed with a congenital cholesteatoma following a failed school </span></span>hearing screening<span>. The case emphasizes the importance of pediatric hearing screening by primary care providers.</span></span></span></div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 790-794"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545861","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":"Suicide Behavior Disorder: A Retrospective Study Supporting DSM-5 in Adolescents","authors":"Melike Kevser Gul MD,&nbsp;Salih Gunes MD,&nbsp;Esra Demirci MD,&nbsp;Sevgi Ozmen MD","doi":"10.1016/j.pedhc.2025.05.005","DOIUrl":"10.1016/j.pedhc.2025.05.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study was to evaluate the clinical data of adolescents who attempted suicide, including comorbidities.</div></div><div><h3>Method</h3><div><span><span>183 adolescents aged 12-18 years with suicide attempt consulted from inpatient and emergency departments of the hospital and evaluated by </span>child and adolescent psychiatry<span> department between March 2019 and March 2023 were included in this study by retrospective review of hospital records. Age, gender, suicide method, DSM-5 diagnoses, previous </span></span>psychiatric history, and attendance to follow-up examination were recorded.</div></div><div><h3>Results</h3><div>The mean age of adolescents who attempted suicide was 15.09±1.57, 154 were female and 29 were male. Adjustment disorder was the most common DSM-5 diagnosis (22.4%). The majority of the cases, 49.7%, did not have any DSM-5 diagnosis.</div></div><div><h3>Discussion</h3><div>The fact that no diagnosis was detected in almost half of the patients in our study supports that it can be considered as a separate diagnosis as suggested by DSM-5.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 713-718"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561791","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}