Journal of Pediatric Health Care最新文献

{"title":"Society Page","authors":"","doi":"10.1016/S0891-5245(25)00213-5","DOIUrl":"10.1016/S0891-5245(25)00213-5","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Page A8"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922427","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":"Impact of Preterm Birth on Feeding and Growth Patterns at 3 to 4 Years Old","authors":"Ana Valdés-Bécares PhD,&nbsp;Ana Fernández-Feito PhD,&nbsp;Alberto Lana PhD","doi":"10.1016/j.pedhc.2025.04.008","DOIUrl":"10.1016/j.pedhc.2025.04.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Feeding difficulties during childhood are one of the most frequent problems in children born prematurely. The aim of this study was to determine the impact of preterm birth (PTB) on the feeding pattern at 3 to 4 years of age.</div></div><div><h3>Methods</h3><div>A retrospective cohort study on 89 PTB children matched by date of birth and sex with 178 children born full term (FTB). At 3 to 4 years of age, feeding behaviors and parental coping were measured with the Behavioral Pediatrics Feeding Assessment Scale.</div></div><div><h3>Results</h3><div>Total 6.7% of PTB and 7.9% of FTB children presented relevant feeding disorders (<em>p</em> = .742). Parental coping was similar between groups, with an altered pattern in 20.2% of PTB and 19.1% of FTB children (<em>p</em> = .827). No differences were found in the growth patterns.</div></div><div><h3>Discussion</h3><div>The feeding and growth patterns of PTB children was comparable to that of their FTB peers at 3 to 4 years of age.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 703-712"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112623","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":"Navigating Foster Care: A Practical Guide for Advanced Practice Registered Nurses","authors":"Tracy W. Halasz DNP, APRN, CPNP-PC, PMHS,&nbsp;Paula Barbel PhD, CPNP-PC,&nbsp;Alexandra Armstrong MSN, CRNP, CPNP-AC,&nbsp;Kathleen Carr DNP, MBA, APRN, CPNP-PC, FNP-C,&nbsp;Brigit VanGraafeiland DNP, CPNP-PC, CNE, FAAN, FAANP","doi":"10.1016/j.pedhc.2025.03.009","DOIUrl":"10.1016/j.pedhc.2025.03.009","url":null,"abstract":"<div><div>Children and adolescents in foster care are a vulnerable population with known fragmented care, racial disparities, medical complexities, and trauma histories. Providing comprehensive and trauma-informed care can be challenging for advanced practice registered nurses (APRNs). The National Association of Pediatric Nurse Practitioners Partners for Vulnerable Youth Alliance for Children in Foster Care created a foster care toolkit for APRNs. The foster care toolkit was created to equip APRNs with the resources to increase knowledge and confidence in caring for youth in foster care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 782-789"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052313","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":"Iatrogenic Epinephrine Overdose Resulting in Transient Cardiac Dysfunction in a Pediatric Patient","authors":"Bita Salamat DO,&nbsp;Joseph Burns MD,&nbsp;Alan Riley MD,&nbsp;Matthew J. Campbell MD","doi":"10.1016/j.pedhc.2025.03.012","DOIUrl":"10.1016/j.pedhc.2025.03.012","url":null,"abstract":"<div><div><span>Iatrogenic epinephrine overdose and subsequent development of transient myocardial dysfunction have been reported in the adult literature, though to a far lesser extent in children. The aim of this report is to describe a reversible, transient cardiac functional impairment in an otherwise healthy 13-year-old adolescent male after inadvertent intravenous epinephrine administration for anaphylaxis. Following epinephrine administration, the patient presented with hypotension and respiratory failure, with electrocardiographic changes suggestive of </span>ischemia<span> and depressed cardiac function on echocardiogram<span><span>. The patient’s symptoms resolved within 24 hours without need of pharmaceutical therapies, and the comprehensive work-up failed to identify other contributory etiologies. His myocardial function improved in follow-up. Although rare, this case illustrates the importance of careful administration of high-risk medications and close monitoring of critical </span>side effects such as cardiac dysfunction following epinephrine administration in pediatric patients.</span></span></div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 805-810"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055632","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":"Coaching Family-Based Method for Anorexia Nervosa Experienced by Adolescents and Parents in Primary Care: A Qualitative Descriptive Study","authors":"Minna Pääaho RN, MHSc,&nbsp;Heli Kerimaa RN, PhD,&nbsp;Jaana Ronkainen MD, PhD,&nbsp;Jukka Ronkainen MD, PhD,&nbsp;Tarja Pölkki RN, PhD","doi":"10.1016/j.pedhc.2025.04.009","DOIUrl":"10.1016/j.pedhc.2025.04.009","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study was to describe the experiences of previously healthy adolescents, and their parents regarding anorexia nervosa (AN) outpatient treatment using the coaching family-based method (cFBM).</div></div><div><h3>Method</h3><div>A qualitative descriptive study design was used to collect data from adolescents (n=23), along with their parents, who had undergone family-based treatment for anorexia nervosa in primary care in 2022. Data consisted of open-ended questions and were analyzed using inductive content analysis.</div></div><div><h3>Results</h3><div>According to the adolescent’s experiences, the cFBM helped with weight gain, but inadequate psychological treatment affected the durability of the results. Based on the parents’ (n=13) experiences, cFBM practices guided facilitation of the treatment. Adolescents' suggestions for improving AN treatment were related to commitment and individualized treatment on the part of health care providers.</div></div><div><h3>Discussion</h3><div>The cFBM is useful, but attention should be paid to the therapeutic relationship and the continuity of somatic and psychological treatment.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 737-749"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112622","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":"Exploring Condom Intentions and Sexual Risk Behaviors Among Urban Black Emerging Adult Males: The Role of Nurse Practitioners","authors":"Jade C. Burns PhD, RN, CPNP-PC,&nbsp;Loretta Sweet-Jemmott PhD, RN, FAAN,&nbsp;Lynae Darbes PhD,&nbsp;Lloyd M. Talley PhD,&nbsp;Damali M. Wilson PhD, RN, CPNP,&nbsp;Rob Ploutz-Snyder PhD, PStat,&nbsp;John B. Jemmott III PhD","doi":"10.1016/j.pedhc.2025.07.015","DOIUrl":"10.1016/j.pedhc.2025.07.015","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Category/Date&lt;/h3&gt;&lt;div&gt;Clinical Research Podium Presentations: &lt;strong&gt;&lt;em&gt;NAPNAP Research Agenda Priorities: Mental Health, Pediatric Workforce and Infectious Disease Prevention.&lt;/em&gt;&lt;/strong&gt; Presented at NAPNAP’s 46&lt;sup&gt;th&lt;/sup&gt; National Conference on Pediatric Health Care, March 11, 2025.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background &amp; Significance&lt;/h3&gt;&lt;div&gt;Sexually transmitted infections (STIs) disproportionately impact young Black emerging adult men (BEAMs) in the United States, showcasing high STI rates and risky sexual behavior. Understanding the factors influencing condom use intentions among BEAMs is crucial in developing effective sexual health interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose/Aims&lt;/h3&gt;&lt;div&gt;This analysis focuses on identifying risk factors that influence condom use intentions among Black emerging adult males (BEAMs) in urban settings and investigates the challenges BEAMs face in making condom use decisions during the critical developmental stage of 18 to 24 years of age. This age group is of particular significance due to its association with key transitional factors, including the shift from pediatric to adult care, low rates of health insurance coverage, and growing independence. Despite the importance of this stage, there is a notable lack of targeted health agendas addressing the sexual and reproductive health needs of young men. By analyzing existing best practices and identifying areas for improvement, this research aims to inform more effective, tailored strategies and clinical discussion to support the sexual and reproductive health of BEAMs in urban communities such as Detroit.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Findings were reported from the Philadelphia Barbershop Study - Shape Up! Barbers Build Better Brothers, an HIV risk reduction intervention, a cross-sectional data set. Risk factors were examined impacting intentions to use condoms among Black emerging adult males ages 18-24 (N=618) in urban settings. The study analyzes factors including demographics, past sexual history, hypermasculinity, manhood stress, and Black manhood vulnerability to understand behaviors promoting condom use intentions within this demographic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The regression analysis revealed that higher subjective norm (β = 0.16, p &lt;.001), descriptive norm (β = 0.08, p &lt;.01), attitudes about using condoms (β = 0.30, p &lt;.001), self-efficacy (confidence) (β = 0.41, p &lt;.001), and hypermasculinity (e.g. protecting one’s manhood) (β = 0.06, p &lt;.01) were associated with greater condom use intention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion &amp; Conclusions&lt;/h3&gt;&lt;div&gt;The findings are crucial for addressing public health efforts to prevent the spread of HIV and STIs. It is important to understand the intentions and motivations related to condom use at the time of sexual activity, especially among Black emerging adult males, to promote positive sexual reproductive health and reduce risk behaviors. Advanced Practice Regi","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Page 855"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922253","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":"Development Process of a Learning Program to Improve Health Literacy in Social Eating Situations for Adolescents With Food Allergies","authors":"Miho Hashimoto PhD, RN,&nbsp;Nobue Nakamura PhD, RN, PHN,&nbsp;Naho Sato PhD, RN, PHN","doi":"10.1016/j.pedhc.2025.02.005","DOIUrl":"10.1016/j.pedhc.2025.02.005","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to use the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model to clarify the process of developing a learning program for adolescents with food allergies to increase their health literacy in social eating situations.</div></div><div><h3>Method</h3><div>The procedure for developing instructional materials followed the first three stages (Analysis, Design, Development) of the ADDIE model.</div></div><div><h3>Results</h3><div>The need to promote the ability of adolescents with food allergies to build relationships in various dining environments and to utilize and share knowledge about their own condition was analyzed. Subsequently, three units and their lesson plans, as well as teaching materials, were designed. The sub-items of “attention,” “relevance,” “confidence,” and “satisfaction” in the ARCS model had an average score of 1.0–5.0 each.</div></div><div><h3>Discussion</h3><div>This learning program may help adolescents with allergies to build relationships, acquire skills to communicate about food allergy, and promote health literacy in social dining situations.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 750-761"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804636","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":"Multisystem Inflammatory Syndrome in Children: A Case Report on Increased Intracranial Pressure","authors":"Rachel Collins DNP, CPNP-AC,&nbsp;Theresa Motley DNP, MPH, CPNP-AC/PC","doi":"10.1016/j.pedhc.2025.03.001","DOIUrl":"10.1016/j.pedhc.2025.03.001","url":null,"abstract":"<div><div>This case study examines the uncommon complication of increased intracranial pressure (ICP) in refractory multisystem inflammatory syndrome in children (MIS-C). Due to the rare condition, there are few cases and randomized control trials that report on the association with increased ICP. This case report discusses the importance of monitoring for symptoms of increased ICP and adverse effects of cyclosporine A, as this agent has been used in some cases of refractory MIS-C. Ultimately the patient in this case study experienced no significant long-term complications. Current clinical recommendations include intravenous immunoglobulins and corticosteroids as the first-line therapy and adding biologic therapies for refractory cases. Patients should be screened for obesity, as it is a risk factor for intracranial hypertension. Lastly, invasive ICP monitoring can be used for severe cases of intracranial hypertension.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 801-804"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788915","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":"Defining Priorities for Canadian PICU Family Presence Policies Under Changing Contexts: A Qualitative Focus Group Study","authors":"Karla D. Krewulak PhD,&nbsp;Jennifer R. Foster MD,&nbsp;Laurie A. Lee NP, MN, PhD,&nbsp;Molly J. Ryan MPH,&nbsp;Dana Rhyno BA,&nbsp;Violetta Reznikov MPH,&nbsp;Daniel Garros MD,&nbsp;Jamie A. Seabrook PhD,&nbsp;Janet Curran RN, PhD,&nbsp;Corey Slumkoski PhD,&nbsp;Martha Walls PhD,&nbsp;Kirsten M. Fiest PhD,&nbsp;Canadian Critical Care Trials Group RFP-PICU research collaboration","doi":"10.1016/j.pedhc.2025.03.002","DOIUrl":"10.1016/j.pedhc.2025.03.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Recognizing the importance of parental presence for seriously ill children's well-being, many pediatric intensive care units (PICUs) have adopted policies encouraging family presence. However, PICU family presence policies remain varied, with gaps in policy development and implementation across Canadian hospitals. We aimed to determine patient, family, clinician, and policymaker-identified priorities for family presence policies under baseline and emergency (e.g., pandemics, disease outbreaks) contexts.</div></div><div><h3>Methods</h3><div>Between January and August 2023, we conducted focus groups with PICU youth, families, clinicians, and policymakers. Using the Theoretical Domains Framework (TDF) and inductive analysis, we explored key themes.</div></div><div><h3>Results</h3><div>Seven focus groups included youth (<em>n</em> = 4), family members (<em>n</em> = 7), clinicians (<em>n</em> = 14), and policymakers (<em>n</em> = 4). Nearly all TDF domains were significant, leading to three primary categories: policy development (e.g., transparency, adaptability), implementation (e.g., communication, roles), and future lessons.</div></div><div><h3>Discussion</h3><div>Key priorities included bedside access for two people, sibling presence, and flexible, equitable policies developed with diverse community engagement.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 825-835"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755561","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":"Transitioning to Online Journal Only While Supporting Our Commitment to Research, Clinical Excellence, and Evidence-Based Practice","authors":"Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN","doi":"10.1016/j.pedhc.2025.06.004","DOIUrl":"10.1016/j.pedhc.2025.06.004","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 5","pages":"Pages 699-700"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602146","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}