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

The Independent and Cumulative Effects of Screen Exposure on Suicidal Ideation in Chinese Adolescents with Depressive Symptoms 屏幕暴露对中国抑郁症状青少年自杀意念的独立和累积影响

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-10 DOI: 10.1016/j.pedhc.2024.09.009

Xinran Xie BSc, Xiangyu Zhao BSc, Feng Zhuo BSc, Jingya Li PhD, Dandan Song PhD, Ying Yang MD, Linghua Kong MD

{"title":"The Independent and Cumulative Effects of Screen Exposure on Suicidal Ideation in Chinese Adolescents with Depressive Symptoms","authors":"Xinran Xie BSc, Xiangyu Zhao BSc, Feng Zhuo BSc, Jingya Li PhD, Dandan Song PhD, Ying Yang MD, Linghua Kong MD","doi":"10.1016/j.pedhc.2024.09.009","DOIUrl":"10.1016/j.pedhc.2024.09.009","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to examine the independent and cumulative effects of unhealthy screen exposure on suicidal ideation (SI) in Chinese adolescents with depressive symptoms.</div></div><div><h3>Method</h3><div>A total of 350 adolescents (33.7% males; ages 10–19) completed the Screen Exposure Questionnaire, the Children's Depression Inventory, and the Ottawa Self-Injury Scale. Binary logistic regression analysis models were used to analyze the independent risk effect of screen exposure on SI. A cumulative risk model for screen exposure to SI in adolescents was constructed using restricted cubic splines.</div></div><div><h3>Results</h3><div>Adolescents who experienced excessive screen time and frequency, mealtime exposure, bedtime exposure, and early screen exposure were significantly associated with the occurrence of SI, and the risk increased nonlinearly with the number of exposures (<em>P</em><sub>nonlinear</sub> = .03).</div></div><div><h3>Discussion</h3><div>Efforts should be made to reduce adolescents’ screen exposure to prevent SI.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 206-216"},"PeriodicalIF":2.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966796","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

Look for the Helpers 寻找帮手。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-10 DOI: 10.1016/j.pedhc.2024.10.018

Beth Heuer DNP, CRNP, CPNP-PC, PMHS, FAANP

引用次数: 0

Preventing Suicide Through Lethal Means Restriction in Pediatric Care 在儿科护理中通过限制致命手段预防自杀。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-10 DOI: 10.1016/j.pedhc.2024.09.004

Shawna M. Sisler PhD, MS, MA, MAPP, APRN, CPNP-PC, Sara Hart PhD, RN, Jennifer Hamilton DNP, APRN, CPNP-PC, PMHS, Naomi A. Schapiro PhD, RN, CPNP-PC

{"title":"Preventing Suicide Through Lethal Means Restriction in Pediatric Care","authors":"Shawna M. Sisler PhD, MS, MA, MAPP, APRN, CPNP-PC, Sara Hart PhD, RN, Jennifer Hamilton DNP, APRN, CPNP-PC, PMHS, Naomi A. Schapiro PhD, RN, CPNP-PC","doi":"10.1016/j.pedhc.2024.09.004","DOIUrl":"10.1016/j.pedhc.2024.09.004","url":null,"abstract":"<div><div>Suicidal ideation in the pediatric population has increased by 50% over the last decade. Suicide is the primary contributor to violent deaths and ranks as the second leading cause of mortality within the 10–24-year-old age group. The lethality of the methods selected notably elevates the likelihood of children and adolescents dying by suicide. Awareness of the commonly chosen means of suicide at each developmental stage and understanding their respective lethality are vital in developing prevention strategies.</div><div>Lethal means safety counseling is a specific evidence-based suicide prevention strategy that pediatric providers can use during patient encounters to help mitigate the risk of self-inflicted injuries and suicide. Providers are well-positioned to integrate discussions of lethal means restriction with patients and their families into their protocols for suicide prevention, screening, and assessment.</div><div>This article explores the data and practice evidence for lethal means restriction and counseling, focusing on clinical strategies and policy changes to reduce access to lethal means. Emphasis is given to how pediatric providers speak with parents about the importance of restricting access when developing a safety plan.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 308-317"},"PeriodicalIF":2.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967397","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

Implementation of an Anxiety Management Process in Pediatric Primary Care: An Evidence-Based Practice Quality Improvement Initiative 在儿科初级保健中实施焦虑管理过程：循证实践质量改进倡议。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-09 DOI: 10.1016/j.pedhc.2024.11.016

Jennifer Uzzell APRN, MSN, CPNP-PC, PMHS, EBP-C, Jayne Jennings Dunlap DNP, FNP-C, EBP-C, Jennifer Wilson DNP, CPN, Cheryl Thaxton DNP, APRN, CPNP, FNP-BC, FAANP

{"title":"Implementation of an Anxiety Management Process in Pediatric Primary Care: An Evidence-Based Practice Quality Improvement Initiative","authors":"Jennifer Uzzell APRN, MSN, CPNP-PC, PMHS, EBP-C, Jayne Jennings Dunlap DNP, FNP-C, EBP-C, Jennifer Wilson DNP, CPN, Cheryl Thaxton DNP, APRN, CPNP, FNP-BC, FAANP","doi":"10.1016/j.pedhc.2024.11.016","DOIUrl":"10.1016/j.pedhc.2024.11.016","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric anxiety is rapidly increasing, and in 2022, the US Preventive Services Task Force recommended universal anxiety screening using a validated tool for children 8–18 years.</div></div><div><h3>Method</h3><div>This evidence-based practice quality improvement initiative integrated an educational process, a validated anxiety screening tool, and a Caregiver Satisfaction Survey into all primary care wellness visits for patients aged 8–18 years.</div></div><div><h3>Results</h3><div>Significant increases in screening and referrals for mental healthcare were observed postinitiative implementation, especially in ages 8–11 years. Anxiety diagnosis and referral for treatment increased from 6.1% to 21.3%, demonstrating the importance of screening and early action at a younger age than previously recommended. However, many telephone follow-ups to caregivers for mental health referrals were unanswered.</div></div><div><h3>Discussion</h3><div>Integrating mental health services within pediatric primary care settings is recommended to increase timely treatment accessibility. Results from this initiative may be transferable to other primary care practices.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 255-264"},"PeriodicalIF":2.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966798","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

Neuropsychiatric Stabilization in Youths on the Autism Spectrum in the Pediatric Emergency Department: A Call for Practice Standardization

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-07 DOI: 10.1016/j.pedhc.2024.11.011

Lauren Decker DNP, APRN, CPNP, CPMHS, Julee Waldrop DNP, APRN, FNP-BC, PNP-PC, EBP-C FAANP, FAAN, Anne Derouin DNP, APRN, PNP-PC, PMHS, FAANP, ANEF

{"title":"Neuropsychiatric Stabilization in Youths on the Autism Spectrum in the Pediatric Emergency Department: A Call for Practice Standardization","authors":"Lauren Decker DNP, APRN, CPNP, CPMHS, Julee Waldrop DNP, APRN, FNP-BC, PNP-PC, EBP-C FAANP, FAAN, Anne Derouin DNP, APRN, PNP-PC, PMHS, FAANP, ANEF","doi":"10.1016/j.pedhc.2024.11.011","DOIUrl":"10.1016/j.pedhc.2024.11.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Children and adolescents with neurodevelopmental and psychiatric comorbidities, particularly autism spectrum disorder and developmental delays (ASD/DD), present unique challenges in pediatric emergency department (PED) settings. Youths with ASD/DD are prone to sensory overload and frequently exhibit agitation and/or aggression, necessitating specialized interventions. However, PEDs lack standardized protocols for managing behavioral dysregulation in this vulnerable population, often relying on anecdotal treatment approaches that hinder the provision of safe, effective and individualized care.</div></div><div><h3>Methods</h3><div>A review of the literature and current agitation guidelines was conducted and analyzed inform the development of a clinical pathway tailored to the specific neuropsychiatric needs of youths with ASD/DD in the PED.</div></div><div><h3>Results</h3><div>A comprehensive clinical pathway was formulated to equip healthcare teams with safe and effective prevention, de-escalation and impact mitigation strategies, including environmental modifications, behavioral interventions, caregiver engagement and evidence-based pharmacologic guidelines.</div></div><div><h3>Discussion</h3><div>Implementing this standardized framework will enhance patient outcomes, improve safety, and ensure compassionate, patient-centered care in PEDs.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Pages 276-281"},"PeriodicalIF":2.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349113","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

Supporting Primary Care Providers to Improve Adolescent Behavioral and Mental Health 支持初级保健提供者改善青少年行为和心理健康。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-03 DOI: 10.1016/j.pedhc.2024.11.018

Naomi A. Schapiro PhD, CPNP-PC, Claire D. Brindis DrPH, MPH

引用次数: 0

Implementing the 2017 NIAID Peanut Guidelines into a Pediatric Primary Care Provider Setting: A real-world experience. 在儿科初级保健提供者环境中实施2017年NIAID花生指南：真实世界的经验。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-03 DOI: 10.1016/j.pedhc.2024.12.002

Sydney Borg, Ashley Marass, Ejaz Yousef

{"title":"Implementing the 2017 NIAID Peanut Guidelines into a Pediatric Primary Care Provider Setting: A real-world experience.","authors":"Sydney Borg, Ashley Marass, Ejaz Yousef","doi":"10.1016/j.pedhc.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.pedhc.2024.12.002","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Aim statement: </strong>This quality improvement study aimed to enhance understanding among PCPs and caregivers about evidence-based guidelines for early PP introduction in infants' diets.</p><p><strong>Methods: </strong>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 RESULTS: The N = 22 PCPs pre-education test score had an average of 61.11% and noted N = 21 PCPs posteducation test score average to increase to 84.09%. The N = 68 caregivers completed the PEMAT survey, with results indicating enhanced caregiver knowledge. Infant participation in PP introduction was tracked, alongside ingestion frequency.</p><p><strong>Conclusions: </strong>Findings in this study underscore the value of education in fostering proactive counseling and informed practices in clinical settings.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","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}

引用次数: 0

Female Genital Mutilation and Cutting: Essentials for Pediatric Nurse Practitioners 切割女性生殖器：儿科执业护士必读》。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-01 DOI: 10.1016/j.pedhc.2024.07.010

Gail Hornor DNP, CPNP, SANE-P

{"title":"Female Genital Mutilation and Cutting: Essentials for Pediatric Nurse Practitioners","authors":"Gail Hornor DNP, CPNP, SANE-P","doi":"10.1016/j.pedhc.2024.07.010","DOIUrl":"10.1016/j.pedhc.2024.07.010","url":null,"abstract":"<div><div>Female genital mutilation and cutting (FGM/C) is a serious global public health problem, violating the basic human rights of girls and women. FGM/C is a form of child maltreatment. According to the World Health Organization 200 million girls and women have undergone FGM/C in thirty countries in Africa, the Middle East, and Asia. FGM/C is also a concern in the United States (U.S.). Approximately 513,000 girls and women living in the U.S. are at risk for FGM/C or its consequences, representing a 4-fold increase within a decade. FGM/C places victims at risk for significant physical and psychological trauma and also results in a substantial cost to society. Studies indicate that healthcare professionals, including nurses and advanced practice registered nurses, report a lack of knowledge and comfort related to the identification and clinical management of FGM/C. It is critical that all healthcare professionals, including pediatric nurse practitioners (PNP), possess a thorough understanding of FGM/C and intervene appropriately. This continuing education article will define FGM/C, describe cultural implications, discuss possible short- and long-term consequences, and explore implications for practice.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 112-121"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824621","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

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-01 DOI: 10.1016/j.pedhc.2024.08.003

Maria Francesca Gicchino MD, PhD, Giusy Capasso MD, Alessia Amodio MD, Emanuele Miraglia del Giudice Full Professor, Alma Nunzia Olivieri MD, Anna Di Sessa MD, PhD

{"title":"Biosimilars Versus Originators in Children With Juvenile Idiopathic Arthritis: A Real-World Experience","authors":"Maria Francesca Gicchino MD, PhD, Giusy Capasso MD, Alessia Amodio MD, Emanuele Miraglia del Giudice Full Professor, Alma Nunzia Olivieri MD, Anna Di Sessa MD, PhD","doi":"10.1016/j.pedhc.2024.08.003","DOIUrl":"10.1016/j.pedhc.2024.08.003","url":null,"abstract":"<div><h3>Introduction</h3><div>We aimed to evaluate the efficacy, safety, and immunogenicity profile of Etanercept (ETA) and Adalimumab (ADA) biosimilars (BIOs) compared to their originators in children with juvenile idiopathic arthritis (JIA).</div></div><div><h3>Method</h3><div>Eighty-one JIA children treated with ETA or ADA originators or BIOs were examined at baseline (T0) and after 3- (T1), 6- (T2), 12- (T3), and 24-(T4) months after starting treatment.</div></div><div><h3>Results</h3><div>Lower Juvenile Arthritis Disease Activity Score 10 (JADAS-10) scores were reported at T1, T2, T3, and T4 in JIA children treated with BIOs than originators (all p < 0.05). At T1 and T3, anti-drugs antibodies levels were lower in children receiving BIOs than originators (p = 0.04 and p = 0.0007, respectively), even after adjustments (both p < 0.05). Relapses were lower for BIOs compared to originators (p < 0.001). Safety profile was comparable between the groups (p > 0.05).</div></div><div><h3>Discussion</h3><div>A better overall profile of BIOs than originators was demonstrated in JIA children, but larger confirmatory studies are needed.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 88-92"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114307","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

Burnout and Mental Health in Working Parents: Risk Factors and Practice Implications 在职父母的职业倦怠与心理健康：风险因素和实践意义。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-01-01 DOI: 10.1016/j.pedhc.2024.07.014

Kate Sustersic Gawlik DNP, Bernadette Mazurek Melnyk PhD, Alai Tan PhD

{"title":"Burnout and Mental Health in Working Parents: Risk Factors and Practice Implications","authors":"Kate Sustersic Gawlik DNP, Bernadette Mazurek Melnyk PhD, Alai Tan PhD","doi":"10.1016/j.pedhc.2024.07.014","DOIUrl":"10.1016/j.pedhc.2024.07.014","url":null,"abstract":"<div><h3>Introduction</h3><div>Burnout and mental health disorders in parents can have significant implications for families. Little is known about these conditions in working parents. The purpose of this study was to identify the prevalence and mental health risk factors for working parent burnout.</div></div><div><h3>Method</h3><div>De-identified data were collected on a convenience sample of 1285 working parents through an online survey.</div></div><div><h3>Results</h3><div>Sixty-five percent of working parents reported burnout. Depression, anxiety, attention deficient hyperactivity disorder, abuse, or history of a mental health disorder in the parent were significantly correlated with parental burnout. Anxiety, attention deficient hyperactivity disorder, presence of a mental health disorder in the child, or if parents thought their child might have a mental health disorder were significantly correlated with parent burnout. Parental burnout was significantly associated with greater risk of child maltreatment.</div></div><div><h3>Discussion</h3><div>This study provides insight into the prevalence and mental health risk factors for parental burnout specific to the working parent.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 1","pages":"Pages 41-50"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299703","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