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Implementing Quality Improvement Changes to a Free Sports Physical Program in a Rural Community. 农村社区免费体育项目质量改进改革的实施。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-30 DOI: 10.1016/j.pedhc.2025.04.002
Mat Burton, Trina Aguirre, Kelly J Betts, Kristine Benda
{"title":"Implementing Quality Improvement Changes to a Free Sports Physical Program in a Rural Community.","authors":"Mat Burton, Trina Aguirre, Kelly J Betts, Kristine Benda","doi":"10.1016/j.pedhc.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.04.002","url":null,"abstract":"<p><strong>Background: </strong>Populations living in rural communities face significant barriers to accessing health care services. The faculty at a Midwest university previously partnered with regional school nurses to offer free, after-hours preparticipation physical examinations to encourage a healthy lifestyle.</p><p><strong>Local problem: </strong>Obesity rates are high, and physical activity, essential for adolescent health, is disproportionately low in this region.</p><p><strong>Methods: </strong>The examinations included medical histories, visual acuities, heights and weights, blood pressures, and blood glucose levels; students with abnormal findings were referred to a local medical home for additional care.</p><p><strong>Interventions: </strong>We implemented quality improvement changes to this process by expanding hours, increasing the number of volunteers, and obtaining information releases from participants so that results could be sent directly to school nurses in the community.</p><p><strong>Results: </strong>The number of participants and their satisfaction were improved from prior years.</p><p><strong>Conclusions: </strong>These changes further address health care barriers to working families and increase participation in school activities.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042819","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
Iatrogenic Epinephrine Overdose Resulting in Transient Cardiac Dysfunction in a Pediatric Patient. 医源性肾上腺素过量导致儿科患者一过性心功能障碍。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-29 DOI: 10.1016/j.pedhc.2025.03.012
Bita Salamat, Joseph Burns, Alan Riley, Matthew J Campbell
{"title":"Iatrogenic Epinephrine Overdose Resulting in Transient Cardiac Dysfunction in a Pediatric Patient.","authors":"Bita Salamat, Joseph Burns, Alan Riley, Matthew J Campbell","doi":"10.1016/j.pedhc.2025.03.012","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.012","url":null,"abstract":"<p><p>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 ischemia and depressed cardiac function on echocardiogram. 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 side effects such as cardiac dysfunction following epinephrine administration in pediatric patients.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-29","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}
引用次数: 0
Navigating Foster Care: A Practical Guide for Advanced Practice Registered Nurses. 导航寄养：高级执业注册护士实用指南。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-16 DOI: 10.1016/j.pedhc.2025.03.009
Tracy W Halasz, Paula Barbel, Alexandra Armstrong, Kathleen Carr, Brigit VanGraafeiland
{"title":"Navigating Foster Care: A Practical Guide for Advanced Practice Registered Nurses.","authors":"Tracy W Halasz, Paula Barbel, Alexandra Armstrong, Kathleen Carr, Brigit VanGraafeiland","doi":"10.1016/j.pedhc.2025.03.009","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.009","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-16","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}
引用次数: 0
Reporting Guidelines Child Health Policy Perspective Manuscripts for the Journal of Pediatric Healthcare. 报告指南儿童健康政策观点手稿儿科保健杂志。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-15 DOI: 10.1016/j.pedhc.2025.03.003
Sally S Cohen, Donna Hallas
{"title":"Reporting Guidelines Child Health Policy Perspective Manuscripts for the Journal of Pediatric Healthcare.","authors":"Sally S Cohen, Donna Hallas","doi":"10.1016/j.pedhc.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.003","url":null,"abstract":"<p><p>The new health policy department for the Journal of Pediatric Health Care (JPHC) will be referred to as Child Health Policy Perspectives, and abbreviated as Policy Perspectives. A major goal for this new department is to invigorate JPHC readers as policy advocates for all pediatric populations and their families in government, community, healthcare delivery, education, research, and quality improvement projects. Another goal is for National Association of Pediatric Nurse Practitioner members and all pediatric-focused NPs to submit their policy analysis for publication in the JPHC. The U.S. Centers for Disease Control and Prevention's Policy Analytical Framework is the recommended framework for all manuscript submissions. The Centers for Disease Control and Prevention's Overview of Policy Process will be used to guide authors in developing health policy manuscripts. The intent is to publish health policy articles that improve the health of pediatric populations.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052318","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
Dissolved Bictegravir/Emtricitabine/Tenofovir Alafenamide Improves Medication Adherence. 溶解的比替格拉韦/恩曲他滨/替诺福韦阿拉芬胺改善药物依从性。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-15 DOI: 10.1016/j.pedhc.2025.03.008
Matthew J Grant
{"title":"Dissolved Bictegravir/Emtricitabine/Tenofovir Alafenamide Improves Medication Adherence.","authors":"Matthew J Grant","doi":"10.1016/j.pedhc.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.008","url":null,"abstract":"<p><p>The availability of single-tablet regimens for pediatric patients living with perinatally-acquired HIV continues to lag behind those in the adult population, presenting a unique challenge to providers, particularly in the setting of complex care needs. Presented is a 7-year-old male living with perinatally-acquired HIV complicated by developmental delay, seizure disorder, and oral-motor dysfunction. To support medication adherence, caregivers dissolved low-dose bictegravir/emtricitabine/tenofovir alafenamide, with follow-up showing maintenance of virologic suppression, no adverse side effects, and improved adherence to medication based on parental report and pharmacy refill history. This is the first known published case report of dissolved low-dose bictegravir/emtricitabine/tenofovir alafenamide in a pediatric patient.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042678","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
Development Process of a Learning Program to Improve Health Literacy in Social Eating Situations for Adolescents With Food Allergies. 一个学习计划的发展过程，以提高健康素养在社会饮食情况下的青少年食物过敏。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-08 DOI: 10.1016/j.pedhc.2025.02.005
Miho Hashimoto, Nobue Nakamura, Naho Sato
{"title":"Development Process of a Learning Program to Improve Health Literacy in Social Eating Situations for Adolescents With Food Allergies.","authors":"Miho Hashimoto, Nobue Nakamura, Naho Sato","doi":"10.1016/j.pedhc.2025.02.005","DOIUrl":"10.1016/j.pedhc.2025.02.005","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>The procedure for developing instructional materials followed the first three stages (Analysis, Design, Development) of the ADDIE model.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>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.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","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}
引用次数: 0
Caregiver Willingness, Pediatric Clinical Research and COVID-19. 护理人员意愿、儿科临床研究和 COVID-19。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-06 DOI: 10.1016/j.pedhc.2025.02.007
Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"Caregiver Willingness, Pediatric Clinical Research and COVID-19.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1016/j.pedhc.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.007","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796966","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
Multisystem Inflammatory Syndrome in Children: A Case Report on Increased Intracranial Pressure. 儿童多系统炎症综合征：颅内压增高1例报告。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-05 DOI: 10.1016/j.pedhc.2025.03.001
Rachel Collins, Theresa Motley
{"title":"Multisystem Inflammatory Syndrome in Children: A Case Report on Increased Intracranial Pressure.","authors":"Rachel Collins, Theresa Motley","doi":"10.1016/j.pedhc.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.001","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-05","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}
引用次数: 0
Defining Priorities for Canadian PICU Family Presence Policies Under Changing Contexts: A Qualitative Focus Group Study. 在变化的背景下确定加拿大PICU家庭存在政策的优先事项：一项定性焦点小组研究。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-04-01 DOI: 10.1016/j.pedhc.2025.03.002
Karla D Krewulak, Jennifer R Foster, Laurie A Lee, Molly J Ryan, Dana Rhyno, Violetta Reznikov, Daniel Garros, Jamie A Seabrook, Janet Curran, Corey Slumkoski, Martha Walls, Kirsten M Fiest
{"title":"Defining Priorities for Canadian PICU Family Presence Policies Under Changing Contexts: A Qualitative Focus Group Study.","authors":"Karla D Krewulak, Jennifer R Foster, Laurie A Lee, Molly J Ryan, Dana Rhyno, Violetta Reznikov, Daniel Garros, Jamie A Seabrook, Janet Curran, Corey Slumkoski, Martha Walls, Kirsten M Fiest","doi":"10.1016/j.pedhc.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.03.002","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Seven focus groups included youth (n = 4), family members (n = 7), clinicians (n = 14), and policymakers (n = 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.</p><p><strong>Discussion: </strong>Key priorities included bedside access for two people, sibling presence, and flexible, equitable policies developed with diverse community engagement.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","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}
引用次数: 0
Response to Letter to the Editor from the Authors of the published article, Caregiver Willingness, Pediatric Clinical Research and COVID-19. 对已发表文章《护理人员意愿、儿科临床研究和 COVID-19》作者致编辑的信的回复。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-03-19 DOI: 10.1016/j.pedhc.2025.02.006
Crystal S Lim, Dustin E Sarver, Dustin C Brown, Tre D Gissandaner, Robert D Annett
{"title":"Response to Letter to the Editor from the Authors of the published article, Caregiver Willingness, Pediatric Clinical Research and COVID-19.","authors":"Crystal S Lim, Dustin E Sarver, Dustin C Brown, Tre D Gissandaner, Robert D Annett","doi":"10.1016/j.pedhc.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.006","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673660","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
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