Christine A. Schindler PhD, DNP, RN, CPNP-AC/PC, Theresa G. Schnable PhD, RN, CNE, Emily Knurek MSN, RN, ACNP-AG
{"title":"Improving Pediatric Nurse Practitioner Students’ Knowledge, Comfort, and Skill in Firearm Safe Storage Counseling Through Simulation","authors":"Christine A. Schindler PhD, DNP, RN, CPNP-AC/PC, Theresa G. Schnable PhD, RN, CNE, Emily Knurek MSN, RN, ACNP-AG","doi":"10.1016/j.pedhc.2026.06.010","DOIUrl":"10.1016/j.pedhc.2026.06.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Firearm injury is the leading cause of death among children and adolescents in the United States. Pediatric nurse practitioners are positioned to counsel families regarding safe firearm storage; however, many reports inadequate preparation for these conversations.</div></div><div><h3>Methods</h3><div>The intervention included two standardized patient simulations, structured debriefing, and a faculty-led educational session on firearm safe storage and counseling strategies. Outcome measures included a knowledge quiz, Likert scale self-efficacy survey, simulation performance rubric, and reflective writing assignments.</div></div><div><h3>Results</h3><div>Significant improvements were observed in perceived knowledge, comfort, and skill. Qualitative analysis revealed increased confidence, improved communication strategies, and greater clarity regarding the pediatric nurse practitioner role in firearm injury prevention.</div></div><div><h3>Discussion</h3><div>This model offers a feasible and scalable framework for integrating firearm injury prevention into graduate pediatric nursing curricula.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages 738-743"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431095","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":"Society Page","authors":"","doi":"10.1016/S0891-5245(26)00237-3","DOIUrl":"10.1016/S0891-5245(26)00237-3","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Page A8"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856441","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}
Steven H. Yale MD, MACP, Halil Tekiner PhD, Eileen S. Yale MD
{"title":"Clinical Value of Trousseau and Chvostek Signs in Pediatric Hypocalcemia","authors":"Steven H. Yale MD, MACP, Halil Tekiner PhD, Eileen S. Yale MD","doi":"10.1016/j.pedhc.2026.02.003","DOIUrl":"10.1016/j.pedhc.2026.02.003","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages 644-645"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856444","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}
April A. Braswell PhD, APRN, CPNP-PC, CNE, FAAN (Associate Professor of Nursing), Diane L. Parker DNP, APRN, FNP-BC (Clinical Assistant Professor of Nursing), Kris L. Hohn PhD, MSSW (Associate Professor of Social Work)
{"title":"“Treat Me Like a Human:” A Qualitative Study of Holistic Health and Healthcare in Marginalized Adolescents Experiencing Inequities","authors":"April A. Braswell PhD, APRN, CPNP-PC, CNE, FAAN (Associate Professor of Nursing), Diane L. Parker DNP, APRN, FNP-BC (Clinical Assistant Professor of Nursing), Kris L. Hohn PhD, MSSW (Associate Professor of Social Work)","doi":"10.1016/j.pedhc.2026.06.001","DOIUrl":"10.1016/j.pedhc.2026.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Nursing is a discipline heavily revolving around the implementation of holistic care. However, evidence to support the understanding of holistic health and healthcare needs of sexual and gender marginalized youth (SGM) from advanced practitioners is poorly understood. We present the results of a national qualitative study centered on the exploration of whole-person health and health needs for SGM adolescents.</div></div><div><h3>Methods</h3><div>Using a qualitative descriptive approach grounded in naturalistic inquiry and Kolcaba’s holistic comfort theory, we conducted semi-structured interviews and analyzed transcripts from 12 SGM youth (<em>n =</em> 12) in middle and late adolescence.</div></div><div><h3>Results</h3><div>Four overarching themes with 10 corresponding categories were interpreted. Findings support the presence of holistic health and healthcare needs in the physical, psychospiritual, sociocultural, and environmental context.</div></div><div><h3>Discussion</h3><div>This paper adds new inductive evidence and beginning theoretical foundations centered on the exploration and provision of “whole-person” care with a focus on strength-building opportunities for practitioners.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages 701-711"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370491","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}
{"title":"Excess Body Weight Screening in Children: Evidence-Based Quality Improvement Initiative","authors":"Cheryl R. Abersold DNP, FNP-C, RN, Cindy Zellefrow DNP, MSEd, RN, EBP-C, Joni Tornwall PhD, RN, ANEF, Todd Tussing DNP, RN, CENP, NEA-BC, EBP-C, FNAP","doi":"10.1016/j.pedhc.2025.11.024","DOIUrl":"10.1016/j.pedhc.2025.11.024","url":null,"abstract":"<div><h3>Background</h3><div>Adiposity trends in pediatrics are increasing, escalating the risk for chronic diseases, psychological disorders, and adulthood obesity; creating more complex patients at younger ages.</div></div><div><h3>Problem</h3><div>Organizations struggle with excess body weight (EBW) screening and follow-up compliance due to a misunderstanding of the problem, provider bias, discomfort discussing weight-related topics, and improper data collection and recording.</div></div><div><h3>Methods</h3><div>An evidence-based quality improvement (EBQI) initiative, following the Johns Hopkins Nursing Evidence-Based Practice model and Plan-Do-Study-Act, was undertaken in a private, for-profit, pediatric primary care organization, measuring screening and quarterly follow-up scheduling rates.</div></div><div><h3>Interventions</h3><div>Processes and structures for conducting EBW screening and follow-up appointments were reviewed and amended based on the literature. A university hospital endocrinology department educated participants on the impact of EBW in pediatric patients, proper screening, diagnosis, and follow-up.</div></div><div><h3>Results</h3><div>Implementation of this EBQI initiative resulted in average increases of 56% for body mass index (BMI) screenings and 1,100% in BMI follow-up visits scheduled compared to baseline data.</div></div><div><h3>Conclusions</h3><div>EBQI initiatives that promote BMI screening and follow-up compliance positively impact organizational outcomes and ultimately patient outcomes.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages e199-e206"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823040","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}
Hamzeh Almomani MBBS (Assistant Professor), Abedulrhman S. Abdelfattah MD (Assistant Professor), Salma Burayzat MBBS (Associate Professor), Tamara Kufoof MBBS (Assistant Professor), Fatima Abdallh MD, Mohammad Alzu’bi MD, Rand Maloul MD, Sadeel Abu Sharib MD, Shaima Mohammad Aburahma MD, Nour Aldeen Gwareaq MD, Zaid Alshraiedeh MD, Waed Hani Abu selah MD, Saif Addeen Abu Yahia MD, Nada Bani Ahmad MD, Bashar M. Al Zoubi, Hazim Alkousheh MD
{"title":"Heart Palpitations and Lifestyle Habits Among Jordanian School Children: A Cross-Sectional Study","authors":"Hamzeh Almomani MBBS (Assistant Professor), Abedulrhman S. Abdelfattah MD (Assistant Professor), Salma Burayzat MBBS (Associate Professor), Tamara Kufoof MBBS (Assistant Professor), Fatima Abdallh MD, Mohammad Alzu’bi MD, Rand Maloul MD, Sadeel Abu Sharib MD, Shaima Mohammad Aburahma MD, Nour Aldeen Gwareaq MD, Zaid Alshraiedeh MD, Waed Hani Abu selah MD, Saif Addeen Abu Yahia MD, Nada Bani Ahmad MD, Bashar M. Al Zoubi, Hazim Alkousheh MD","doi":"10.1016/j.pedhc.2026.01.005","DOIUrl":"10.1016/j.pedhc.2026.01.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Palpitations, although often benign, can be distressing to adolescents and occasionally indicate underlying cardiac disease. Lifestyle factors such as sleep, caffeine, energy drinks, and screen time are potential contributors, but their impact hasn’t been studied in Jordan.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study of 779 Jordanian schoolchildren aged 12–18 years using a structured questionnaire assessing palpitations and lifestyle habits. Associations were analysed with chi-square tests and t-tests.</div></div><div><h3>Results</h3><div>Palpitations were reported by 43% of participants and were more common in females. Significant associations were observed with gender (<em>p</em> < .001), sleep duration and timing (both <em>p</em> < .001), caffeine (<em>p</em> = .014), energy drink consumption (<em>p</em> = .005), internet use (<em>P</em> < .001), and video gaming (<em>p</em> = .005). No associations were found with smoking-related factors.</div></div><div><h3>Conclusion</h3><div>Palpitations in Jordanian adolescents were associated with modifiable behaviours. Interventions addressing sleep, stimulant, and screen time use may reduce long-term cardiovascular risk.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages 660-667"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327425","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}
Paulo Sérgio Lucas da Silva MD, MSc, Emerson Yukio Kubo MD, Marcelo Cunio Machado Fonseca MD, PhD
{"title":"Necrotizing Enterocolitis as a Rare Complication of Severe RSV Bronchiolitis in a Term Neonate: A Case Report With Narrative Review","authors":"Paulo Sérgio Lucas da Silva MD, MSc, Emerson Yukio Kubo MD, Marcelo Cunio Machado Fonseca MD, PhD","doi":"10.1016/j.pedhc.2026.02.007","DOIUrl":"10.1016/j.pedhc.2026.02.007","url":null,"abstract":"<div><div>Respiratory syncytial virus (RSV) bronchiolitis is a leading cause of hospitalization in early infancy, whereas necrotizing enterocolitis (NEC) is rare in term neonates without risk factors. We report a previously healthy, full-term 24-day-old neonate admitted with severe RSV bronchiolitis who developed sudden deterioration with abdominal distension, metabolic acidosis, septic shock, and imaging consistent with advanced NEC, ultimately resulting in death despite intensive medical and surgical management. To contextualize this association, we conducted a narrative review of case reports and small series describing NEC during RSV infection. Available evidence suggests that RSV-associated NEC is uncommon but highly morbid, typically arising during critical illness and often after initiation of enteral feeding. Although causality remains uncertain, systemic inflammation and gut–lung axis interactions may contribute to pathogenesis. This case highlights the need for heightened vigilance for gastrointestinal complications in infants with severe RSV who develop abdominal signs or unexplained hemodynamic instability.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages 749-753"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516232","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":"Orbital Cellulitis: An Uncommon Complication of Sinusitis","authors":"Kathryn N. Nelson DNP, APRN, CPNP-AC/PC, PMHS","doi":"10.1016/j.pedhc.2025.12.024","DOIUrl":"10.1016/j.pedhc.2025.12.024","url":null,"abstract":"<div><div>This case study describes a school-age child who developed orbital cellulitis following an upper respiratory infection. Orbital cellulitis is an infection of the orbital space, typically caused by an extension of an infection in the sinuses. While complications of upper respiratory infections are rare, they can be serious, and advanced practice nurses need to be alert for signs and symptoms that may indicate a complication.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages 744-748"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120877","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}
{"title":"Relationship Between Mental Health and Protective Health Behaviors in Adolescents: A Secondary Data Analysis","authors":"Ganga Mahat EdD, RNBC, Peijia Zha PhD, MA","doi":"10.1016/j.pedhc.2026.05.012","DOIUrl":"10.1016/j.pedhc.2026.05.012","url":null,"abstract":"<div><h3>Purpose</h3><div>Evidence highlights rising mental health concerns among youth. This study investigated the relationship between protective behaviors, including physical activity, regular breakfast, sleep, and parental monitoring, and adolescent mental health<strong>.</strong></div></div><div><h3>Methods</h3><div>Using the 2023 youth risk behavior surveillance system (YRBSS) dataset (N = 20,103, ages 12–18+), bivariate and logistic regression analyses examined the associations between mental health, protective behaviors, and parental monitoring.</div></div><div><h3>Results</h3><div>One quarter (28.5%) of participants reported poor mental health most or all the time. While most ate breakfast regularly (82.1%) and experienced parental monitoring (84%), fewer engaged in regular physical activity (46.3%) or got adequate sleep (23.2%). Better mental health was significantly associated with breakfast, physical activity, and sleep, whereas parental monitoring was not significantly associated with mental health. Additionally, parental monitoring did not significantly moderate these associations.</div></div><div><h3>Discussion</h3><div>The findings highlight that physical activity, breakfast, and sleep support adolescent mental health. These insights can guide interventions and future research on cultural and socioeconomic influences.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages 690-700"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340989","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}