Journal of Pediatric Health Care最新文献_第5页

Excess Body Weight Screening in Children: Evidence-Based Quality Improvement Initiative 儿童超重筛查：循证质量改进倡议。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-05-01 DOI: 10.1016/j.pedhc.2025.11.024

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

{"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}

引用次数: 0

Heart Palpitations and Lifestyle Habits Among Jordanian School Children: A Cross-Sectional Study 约旦学龄儿童心悸和生活习惯：一项横断面研究。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-03-02 DOI: 10.1016/j.pedhc.2026.01.005

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}

引用次数: 0

Necrotizing Enterocolitis as a Rare Complication of Severe RSV Bronchiolitis in a Term Neonate: A Case Report With Narrative Review 坏死性小肠结肠炎是足月新生儿严重呼吸道合胞病毒细支气管炎的罕见并发症：1例报告并叙述回顾。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-03-26 DOI: 10.1016/j.pedhc.2026.02.007

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}

引用次数: 0

Orbital Cellulitis: An Uncommon Complication of Sinusitis 眼眶蜂窝织炎：一种罕见的鼻窦炎并发症。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-02-04 DOI: 10.1016/j.pedhc.2025.12.024

Kathryn N. Nelson DNP, APRN, CPNP-AC/PC, PMHS

引用次数: 0

Relationship Between Mental Health and Protective Health Behaviors in Adolescents: A Secondary Data Analysis 青少年心理健康与保护性健康行为关系的二次数据分析

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-06-26 DOI: 10.1016/j.pedhc.2026.05.012

Ganga Mahat EdD, RNBC, Peijia Zha PhD, MA

{"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}

引用次数: 0

Telehealth - A Clinical Practice Initiative in Pediatrics 远程医疗-儿科临床实践倡议。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-04-16 DOI: 10.1016/j.pedhc.2026.02.005

Juliana Helena Zamariola MSc, Maria Angela Bellomo-Brandão PhD, Adriana Gut Lopes Riccetto PhD, Maria Ângela Reis De Góes Monteiro Antonio PhD, Elizete Aparecida Lomazi PhD

{"title":"Telehealth - A Clinical Practice Initiative in Pediatrics","authors":"Juliana Helena Zamariola MSc, Maria Angela Bellomo-Brandão PhD, Adriana Gut Lopes Riccetto PhD, Maria Ângela Reis De Góes Monteiro Antonio PhD, Elizete Aparecida Lomazi PhD","doi":"10.1016/j.pedhc.2026.02.005","DOIUrl":"10.1016/j.pedhc.2026.02.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric gastroenterology centers consistently receive high volume of referrals from primary health care (PHC) for diagnostic and management clarification.</div></div><div><h3>Methods</h3><div>We present a telehealth program that connects PHC pediatric nurse practitioners with a tertiary team of pediatric gastroenterologists. During weekly virtual meetings over a four-month period, the health professionals discussed data from 121 referred patients.</div></div><div><h3>Results</h3><div>The telehealth program enabled 55% of patients to schedule timely appointments at the tertiary outpatient clinic. Approximately 20% of patients were advised to remain at the PHC for management as recommended by specialists virtually. Approximately 25% of referral forms were sent back for clarification. Pediatric Nurse Practitioners (PNPs) played a central role in managing diagnostic methods, treatment decisions, and follow-up calls.</div></div><div><h3>Discussion</h3><div>PNPs connected primary and tertiary care, thereby improving the effectiveness of patient care. The telehealth program reduced waiting times for specialist assessments, and it provided online therapeutic orientation for one-quarter of the patients discussed.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages e231-e236"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700575","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

Augmenting Pediatric Care With Artificial Intelligence: Opportunities and Responsibilities for Nurse Practitioners 用人工智能增强儿科护理：护士从业人员的机会和责任。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-06-26 DOI: 10.1016/j.pedhc.2026.06.003

Richard Ricciardi PhD, CRNP

{"title":"Augmenting Pediatric Care With Artificial Intelligence: Opportunities and Responsibilities for Nurse Practitioners","authors":"Richard Ricciardi PhD, CRNP","doi":"10.1016/j.pedhc.2026.06.003","DOIUrl":"10.1016/j.pedhc.2026.06.003","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) is emerging as a critical tool for nurse practitioners delivering pediatric and adolescent and young adult (AYA) care across primary, acute, and community settings.</div></div><div><h3>Search Source</h3><div>This narrative review used targeted searches of PubMed, CINAHL, and policy reports (2020–2026) focused on AI, pediatrics, clinical decision support, digital health, and AYA care.</div></div><div><h3>Results</h3><div>AI is positioned to personalize education, strengthen clinical decision support, improve immunization outreach, support triage and antimicrobial stewardship, and enable proactive asthma monitoring. For AYA, AI may also support confidential reproductive health education, contraception and STI prevention reminders, and mental health screening when developmentally calibrated and clinically supervised.</div></div><div><h3>Conclusions</h3><div>AI can enhance the reach, precision, and effectiveness of NP practice while advancing patient and family-centered care; however, implementation requires pediatric and AYA specific validation, equity-centered design, transparent governance, privacy safeguards, and clinician oversight.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"40 5","pages":"Pages 712-718"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340899","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 AI Era in Nursing: Persistent Challenges from Education, Practice, and Research to the Editor’s Desk 护理中的人工智能时代：从教育、实践和研究到编辑台的持续挑战。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-09-01 Epub Date: 2026-07-13 DOI: 10.1016/j.pedhc.2026.06.009

Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN

引用次数: 0

Breathe Easy: A Quality Improvement Project to Enhance Pediatric Asthma Care Using Spirometry Protocol and Education. 轻松呼吸：使用肺活量测定法和教育提高儿童哮喘护理质量的改进项目。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-08-19 DOI: 10.1016/j.pedhc.2026.07.003

Lauren Faris, Elishia Featherston, Jenilea Thomas

{"title":"Breathe Easy: A Quality Improvement Project to Enhance Pediatric Asthma Care Using Spirometry Protocol and Education.","authors":"Lauren Faris, Elishia Featherston, Jenilea Thomas","doi":"10.1016/j.pedhc.2026.07.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2026.07.003","url":null,"abstract":"<p><strong>Background: </strong>Asthma is the most common childhood chronic disease in the United States and imposes a significant health care burden. Spirometry is a lung function test recommended routinely at well-child checks to assess asthma control.</p><p><strong>Problem: </strong>Despite national guidelines recommending routine spirometry, it remains underutilized in primary care.</p><p><strong>Methods: </strong>A quality improvement initiative integrated a spirometry eligibility protocol and provided education to APRNs and staff on spirometry administration and interpretation to improve its appropriate use among children with asthma.</p><p><strong>Results: </strong>Spirometry utilization among eligible patients increased from 0% to 25.9% (χ<sup>2</sup> [1, 100] = 12.78, p < .001), protocol adherence rate was 12.1%, and APRN perspective survey results increased by 14.8% (median = 20.25 [n = 4] vs. median = 23.25 [n = 4]; Z = -0.730, p = .465).</p><p><strong>Conclusions: </strong>Spirometry education and protocol integration increased spirometry utilization in primary care and improved APRNs' understanding of its role in pediatric asthma management.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801024","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 Impact of Social Deprivation on Pediatric Orthopedic Care: A Scoping Review of Disease Burden, Access, and Outcomes. 社会剥夺对儿童骨科护理的影响：疾病负担、获取和结果的范围审查。

IF 2 4区医学

Journal of Pediatric Health Care Pub Date : 2026-08-17 DOI: 10.1016/j.pedhc.2026.07.004

Prabhjot Singh, Julian Javier, Luca M Valdivia, Charu Jain, Isaac Bediako, John Corvi, Salvatore Capotosto, Sheena Ranade

{"title":"The Impact of Social Deprivation on Pediatric Orthopedic Care: A Scoping Review of Disease Burden, Access, and Outcomes.","authors":"Prabhjot Singh, Julian Javier, Luca M Valdivia, Charu Jain, Isaac Bediako, John Corvi, Salvatore Capotosto, Sheena Ranade","doi":"10.1016/j.pedhc.2026.07.004","DOIUrl":"https://doi.org/10.1016/j.pedhc.2026.07.004","url":null,"abstract":"<p><strong>Background: </strong>Social deprivation has been linked to disparities in adult orthopedic care, but its impact in pediatric orthopedics remains less well characterized. We conducted a scoping review to evaluate how multidimensional deprivation indices (e.g., Area Deprivation Index, Child Opportunity Index) have been used to assess disparities in pediatric orthopedic care.</p><p><strong>Methods: </strong>PubMed, Embase, MEDLINE, and Scopus were searched for English-language studies evaluating social deprivation in pediatric orthopedic populations. Outcomes were categorized into three domains: (1) disease prevalence/risk (2) access to care, and (3) clinical outcomes.</p><p><strong>Results: </strong>Of 41 included studies most found that greater social deprivation was associated with increased disease prevalence and severity, delayed treatment, reduced follow-up, lower use of nonoperative care, poorer clinical outcomes, higher injury severity, recurrence, and poorer psychosocial PROMs. Disparities were frequently compounded by race, insurance status, and geography.</p><p><strong>Conclusion: </strong>Social deprivation is associated with increased disease prevalence, delayed access, and worse outcomes in pediatric orthopedic care.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761440","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