Journal of Pediatric Health Care最新文献_第3页

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

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":"Introduction: 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.Method: A qualitative descriptive study was completed with 11 parental caregivers interviewed.Results: 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.Discussion: 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.","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

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

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":"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.","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

Caregiver Willingness to Participate in Pediatric Clinical Research During COVID-19. COVID-19期间护理人员参与儿科临床研究的意愿

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-30 DOI: 10.1016/j.pedhc.2024.12.001

Crystal S Lim, Dustin E Sarver, Dustin C Brown, Russell McCulloh, Lacy Malloch, Tre D Gissandaner, Robert D Annett

{"title":"Caregiver Willingness to Participate in Pediatric Clinical Research During COVID-19.","authors":"Crystal S Lim, Dustin E Sarver, Dustin C Brown, Russell McCulloh, Lacy Malloch, Tre D Gissandaner, Robert D Annett","doi":"10.1016/j.pedhc.2024.12.001","DOIUrl":"10.1016/j.pedhc.2024.12.001","url":null,"abstract":"Introduction: 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.Methods: 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.Results: Participants included 600 caregivers (52.8% non-Hispanic White; Child Age M = 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.Discussion: 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.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-30","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}

引用次数: 0

Screening for Depression in Caregivers of Children with Developmental Disabilities: A Quality Improvement Initiative. 发育障碍儿童照顾者抑郁症筛查：质量改进倡议。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-20 DOI: 10.1016/j.pedhc.2024.11.014

Mae Yue Tan, Shang Chee Chong, Amutha Chinnadurai, Sangeetha Guruvayurappan

{"title":"Screening for Depression in Caregivers of Children with Developmental Disabilities: A Quality Improvement Initiative.","authors":"Mae Yue Tan, Shang Chee Chong, Amutha Chinnadurai, Sangeetha Guruvayurappan","doi":"10.1016/j.pedhc.2024.11.014","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.014","url":null,"abstract":"Introduction: Screening for depression in caregivers of children with developmental disabilities is not routine, representing missed opportunities for support.Method: A quality improvement project was initiated in our pediatric clinic. Root causes of limited screening included unclear guidelines for support, caregiver perception that help is unavailable, and lack of a quick screening tool. A clinical pathway was constructed and integrated into existing practice using quality improvement methodology.Results: Baseline screening rate was 5%-10%. During the 12-week pilot, weekly rates ranged from 46.0% to 91.0% (mean 70.2%). Monthly rates subsequently averaged 55.0%. Approximately 20% had a positive screen; over half were caregivers of children with autism. About 5% had moderate depression, of whom 40% required referral to social workers.Discussion: Structured depression screening of caregivers of children with developmental disabilities is feasible and sustainable in a busy clinic. Further research is needed to measure the impact on child and family outcomes.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873413","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":"Background: Uncontrolled pediatric asthma leads to poorer outcomes; school-based telehealth (SBTH) is an opportunity to intervene.Local problem: 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.Method: 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.Interventions: SBTH providers were trained to complete a 3-question checklist on referral orders for all patients treated for an asthma exacerbation.Results: 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.Conclusions: PCP connection can be increased; however, automation is needed for sustainability. Additionally, SBTH may increase access to asthma medication.","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

The Relationship Between Screen Use and preschoolers' Social-Emotional Problems Among Highly Educated Migrant Families: A One-Year Follow-Up Study. 高学历流动家庭屏幕使用与学龄前儿童社会情绪问题的关系：一项为期一年的随访研究。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-13 DOI: 10.1016/j.pedhc.2024.11.009

Meixiu Xu, Shaoying Liu, Jingwen Xu, Yanqing Zhou, Luxin Xu

{"title":"The Relationship Between Screen Use and preschoolers' Social-Emotional Problems Among Highly Educated Migrant Families: A One-Year Follow-Up Study.","authors":"Meixiu Xu, Shaoying Liu, Jingwen Xu, Yanqing Zhou, Luxin Xu","doi":"10.1016/j.pedhc.2024.11.009","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.11.009","url":null,"abstract":"Introduction: The present study investigated the relationship between screen use and social-emotional problems in preschoolers aged 46 to 72 months from migrant families.Methods: The parents of 427 children completed the Ages and Stages Questionnaire: Social Emotional II (ASQ: SE II) and the survey on screen use at two time points (T1 and T2) with one-year interval.Results: There were no significant changes in preschoolers' social-emotional problems and screen use over one year. Preschoolers who exceeded 1 hr per day on screens at T1 increased the risk for social-emotional problems at T2. Those who had parental involvement at T1 reduced the risk for social-emotional problems at T2. Those who viewed educational content at T1 reduced the risk for social-emotional problems between T1 and T2.Discussion: These findings highlight the protective and risk factors of screen use independently predicted children's social-emotional problems from highly educated migrant families.","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830672","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

Practical Application of Nirsevimab Recommendations for Infants and Toddlers. 婴儿和学步儿童Nirsevimab推荐的实际应用。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2024-12-12 DOI: 10.1016/j.pedhc.2024.11.005

Carol Risko Radcliffe, Gabriella Akkawi, Rebecca A Carson

引用次数: 0