Jeannie Rodriguez, Theresa Motley, Stacy B Buchanan
{"title":"Preclinical Didactic Content Coupled with Simulation Improves Pediatric Nurse Practitioner Student Clinical Confidence and Ensures Obtainment of Beginning-Level Competencies Prior to Initiation of Clinical Rotations.","authors":"Jeannie Rodriguez, Theresa Motley, Stacy B Buchanan","doi":"10.1016/j.pedhc.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.004","url":null,"abstract":"<p><strong>Introduction: </strong>The National Task Force on Nurse Practitioner Quality Education recommends nurse practitioner students meet national competencies before beginning clinical experiences in their nurse practitioner program. This initiative aimed to create a preclinical preparatory program for pediatric nurse practitioner students to boost clinical confidence and document competency achievement.</p><p><strong>Method: </strong>Using a backward design, coursework, and simulations were developed for students to master preclinical competencies. At semester's end, students underwent a summative assessment simulating pediatric primary care scenarios aimed at documenting competency mastery.</p><p><strong>Results: </strong>Students reported increased confidence and preparedness for clinical settings.</p><p><strong>Discussion: </strong>This qualty improvement preparatory program sets students up for success in their first clinical rotation. Further work is planned to link this semester's outcomes with nurse practitioner student clinical performance.</p>","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":"143674898","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}
Alina Roštšinskaja, Marianne Saard, Liisa Korts, Christen Kööp, Kätlin Kits, Triinu-Liis Loit, Johanna Juhkami, Anneli Kolk
{"title":"Unlocking the Potential of Social Robot Pepper: A Comprehensive Evaluation of Child-Robot Interaction.","authors":"Alina Roštšinskaja, Marianne Saard, Liisa Korts, Christen Kööp, Kätlin Kits, Triinu-Liis Loit, Johanna Juhkami, Anneli Kolk","doi":"10.1016/j.pedhc.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.010","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the child-robot interaction characteristics relevant to the use of robot Pepper as a new tool in neurorehabilitation.</p><p><strong>Method: </strong>The study was conducted at the Children's Clinic of Tartu University Hospital and involved 89 children (aged 4-16 years): 39 healthy children and 50 children with neurological disorders. Forty-nine children interacted with Pepper directly, whereas 40 interacted via video. Interaction was assessed through therapists' observations, self-ratings, and a survey based on four sociocultural concepts.</p><p><strong>Results: </strong>Children quickly engaged with Pepper (M = 2.0 s), and 93.8% maintained eye contact throughout the entire interaction. The children found the robot friendly, thoughtful, intelligent, and safe. Children with neurological disorders perceived Pepper as twice as safe and more anthropomorphic. Communication via video showed less gesticulation and more static postures compared with those of direct interaction (55.9% vs. 80%, respectively).</p><p><strong>Discussion: </strong>Pepper's anthropomorphic design enhances acceptance and is a potential tool for developing children's social skills.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606978","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}
Taylor N Richardson, Melissa C Kay, Amy Corneli, Janna B Howard, Carrie Dombeck, Eliana M Perrin, Charles Wood
{"title":"Barriers and Facilitators Influencing Parents' Willingness to Follow Healthcare Provider Guidance for Addressing Behaviors Linked to Early Childhood Obesity Risk: A Qualitative Descriptive Study.","authors":"Taylor N Richardson, Melissa C Kay, Amy Corneli, Janna B Howard, Carrie Dombeck, Eliana M Perrin, Charles Wood","doi":"10.1016/j.pedhc.2025.02.002","DOIUrl":"10.1016/j.pedhc.2025.02.002","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to assess parents' willingness to modify behaviors associated with obesity risk upon a provider's recommendation in the first six months of life among non-Hispanic Black and Hispanic families.</p><p><strong>Method: </strong>Twenty parents completed a survey about their current infant feeding, sleep, and nutritional behaviors that guided a tailored semistructured interview.</p><p><strong>Results: </strong>Barriers to parents' willingness to modify behaviors associated with obesity risk in infancy included prioritizing perception of infant hunger and relying on parental intuition. Facilitators included understanding the provider's reasoning and trusting the provider's motivations.</p><p><strong>Discussion: </strong>Health care providers are considered trusted sources by most parents and parents are willing to follow professional advice if providers share detailed explanations on the reasoning for behavior change recommendations. Future interventions created by trusted sources, like pediatric primary care providers, offer a promising mechanism for providing education on early life obesity prevention that is tailored to individual family needs.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606972","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}
Ji-Mei Wu, Ji-Hong Wu, Dan Liu, Xia Qin, Tu-Hong Yang
{"title":"A Retrospective Cohort Study Using Latent Growth Curve Models for Children With a Diagnosis of Asthma.","authors":"Ji-Mei Wu, Ji-Hong Wu, Dan Liu, Xia Qin, Tu-Hong Yang","doi":"10.1016/j.pedhc.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.02.003","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined lung function trajectory (FEV1 % predicted) in children with asthma and explored the influence of sex and asthma control on these trajectories.</p><p><strong>Methods: </strong>A retrospective cohort study used a latent growth curve model (LGCM) to analyze the FEV1 trajectory in children with asthma.</p><p><strong>Results: </strong>FEV1 followed a quadratic trajectory with significant individual variability. Males exhibited a significantly slower rate of FEV1 change compared to females (estimate = -1.029, p < .001) but a higher acceleration rate (estimate = 0.269, p < .001). Improved asthma control was associated with a significant enhancement in FEV1 over time (p < .01).</p><p><strong>Discussion: </strong>FEV1 growth followed a curvilinear trajectory, marked by gradual deceleration. Males had slower initial growth but greater acceleration. Asthma control significantly influenced lung function improvement.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587892","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 a Brief Educational Intervention on Breastfeeding Knowledge and Intention for Pediatric Primary Care Clinicians.","authors":"Haley Harger, Diana Cartagena","doi":"10.1016/j.pedhc.2025.01.008","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.008","url":null,"abstract":"<p><strong>Introduction: </strong>Pediatric primary care clinicians are ideally situated to support breastfeeding but may lack knowledge and confidence. This study evaluates the impact of a brief educational program on clinicians' breastfeeding knowledge and intention to implement breastfeeding support.</p><p><strong>Methods: </strong>Pre- and post-test study design using a convenience sample of pediatric primary care clinicians (n = 26), who participated in a 25-minute educational program. Paired t-test was used to compare breastfeeding knowledge and intention before and after the program.</p><p><strong>Results: </strong>Breastfeeding knowledge was significantly higher after participation in the program (p < .05). There was no significant change in intention to implement breastfeeding support, perhaps due to high clinician intention prior to participation.</p><p><strong>Discussion: </strong>Findings demonstrate that a brief educational program can increase clinicians' breastfeeding knowledge, which is important for improving evidence-based breastfeeding practices and decreasing disparities. Findings highlight the need for further research into barriers to improving clinicians' intention to implement breastfeeding support and alternative methods to overcome them.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587928","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":"Respiratory Viral Infection Unmasking Congenital Heart Disease.","authors":"Sarah Keaney","doi":"10.1016/j.pedhc.2025.01.004","DOIUrl":"10.1016/j.pedhc.2025.01.004","url":null,"abstract":"<p><p>Congenital heart disease affects nearly 1% of all live births or 40,000 infants each year. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart defect that constitutes 0.25% to 0.50% of all congenital cardiac diseases. If left untreated, infant mortality is as high as 90%. The following is a case report of a 4-month-old infant presenting with respiratory viral illness and a chest radiograph demonstrating cardiomegaly. Echocardiography revealed possible ALCAPA with severe left ventricular (LV) dysfunction. The diagnosis was confirmed using gated computed tomography angiography (CTA). The patient required urgent surgical correction and post-operative circulatory support for myocardial rest in the setting of severe left ventricular dysfunction.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450827","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}
Eric W Glissmeyer, Carole H Stipelman, Zi Sheng He, Alexis R Olivas, Jason M Fox, Jennifer M Rigby, Spencer S Cannon, Emily Winn, Justin Alvey, Howard Kadish
{"title":"Improving Same-Day Access in Pediatric Primary Care-A Patient-Centered and Timeliness Quality Improvement Initiative.","authors":"Eric W Glissmeyer, Carole H Stipelman, Zi Sheng He, Alexis R Olivas, Jason M Fox, Jennifer M Rigby, Spencer S Cannon, Emily Winn, Justin Alvey, Howard Kadish","doi":"10.1016/j.pedhc.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.001","url":null,"abstract":"<p><strong>Introduction: </strong>Preventive care visits have increased for United States children, shifting access for problem-based visits and shifting same-day availability to other venues.</p><p><strong>Problem description: </strong>Prior to this initiative we lacked sufficient same-day visits in pediatric primary care. We aimed to increase same-day slots and fill >75% of them within 3 months.</p><p><strong>Methods: </strong>Quality improvement initiative utilizing an inbound and centralized call center model.</p><p><strong>Interventions: </strong>We iteratively modified scheduling efforts to achieve this goal and identified call-center scheduling efficiencies for fill rate optimization when visits were scheduled under individual providers names added to the general pediatric scheduling department.</p><p><strong>Results: </strong>This initiative exceeded the aim of filling >75% of same-day slots within 3 months and demonstrated increased access for urgent illness or injury, hospital follow-up, and newborn management via in-house collaboration with pediatric emergency medicine providers and advance practice providers within primary care.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411360","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":"Simulation-Based Education for Caregivers of Infants with Shunt-Dependent Cardiac Physiology: Decreasing Caregiver Anxiety.","authors":"Brittany Dahlen, Heidi Shafland, Jocelyn Berbee, Jamie Heil, Samreen Vora","doi":"10.1016/j.pedhc.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.01.003","url":null,"abstract":"<p><strong>Background: </strong>Home monitoring programs for infants with shunt-dependent cardiac physiology have significantly reduced mortality, but they demand extensive caregiver education and vigilance before and after hospital discharge.</p><p><strong>Local problem: </strong>Caregivers in the home monitoring program face complex tasks that can lead to anxiety and decreased confidence.</p><p><strong>Methods: </strong>This quality improvement project aimed to implement a modified simulation-based mastery learning (SBML) curriculum to improve confidence in home monitoring skills and decrease caregiver anxiety. The State Trait Anxiety Index for Adults short form Y was used to assess the impact.</p><p><strong>Interventions: </strong>The SBML intervention allowed caregivers to learn and demonstrate all home monitoring program skills in a simulated environment.</p><p><strong>Results: </strong>All participants met the minimum passing standards during the simulation. State anxiety decreased in 9 of 10 measures, and caregiver confidence increased.</p><p><strong>Conclusions: </strong>The modified SBML intervention effectively decreased caregiver anxiety and increased confidence in home monitoring skills. This is the first intervention of its kind and may improve patient outcomes during this tenuous stage.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411363","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(25)00010-0","DOIUrl":"10.1016/S0891-5245(25)00010-0","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Page A8"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348302","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":"Information for Readers","authors":"","doi":"10.1016/S0891-5245(25)00011-2","DOIUrl":"10.1016/S0891-5245(25)00011-2","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 2","pages":"Page A10"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348303","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}