Journal of Pediatric Health Care最新文献

{"title":"Lactation Curricular Content of Pediatric Nurse Practitioner Programs in the United States","authors":"Elaine Webber DNP, PPCNP-BC, IBCLC,&nbsp;Nadine Wodwaski DNP, MSN-ed, ACNS, RN,&nbsp;Deborah Busch DNP, CPNP-PC, IBCLC, FAANP","doi":"10.1016/j.pedhc.2024.06.011","DOIUrl":"10.1016/j.pedhc.2024.06.011","url":null,"abstract":"<div><h3>Category/Date</h3><p>Evidence-Based Practice, Quality Improvement, &amp; Practice Innovation Poster presented at NAPNAP's 45^th National Conference on Pediatric Health Care, <em>Posters on the Move</em>, March 14, 2024.</p></div><div><h3>Background</h3><p>Current research identifies the importance of comprehensive lactation knowledge among healthcare professionals to improve breastfeeding outcomes. There is a need for educational curricula to incorporate lactation content for student preparedness to provide competent care. PNPs are in a unique position to support, promote and manage lactation, however, it is unclear how they obtain the knowledge needed to support breastfeeding dyads.</p></div><div><h3>Purpose</h3><p>The aims of this study were to determine:</p><p>1. The amount and content of lactation education provided to PNP students in PNP-PC and PNP-AC/PC programs in the U.S.</p><p>2. The extent to which lactation education is included in clinical experiences.</p><p>3. Whether simulation is utilized to teach clinical lactation skills.</p></div><div><h3>Details</h3><p>A survey was deployed to PC and AC/PC Pediatric Nurse Practitioner programs in the U.S. using a LimeSurvey platform. The response completion rate was 44.7%. Data collection included program descriptors, lactation curricular volume, educational topics, faculty preparation, use of simulation, and clinical lactation experiences.</p></div><div><h3>Outcomes</h3><p>Analyses revealed significant variance among the programs regarding the volume of lactation content and clinical opportunities. Three programs offered specific lactation courses; 19% devoted 1-2 hours to didactic lactation content, 44% provided up to 3 hours. Students had the opportunity to practice lactation skills in 68% of programs; four offered lactation simulation. No programs report utilizing standardized lactation clinical competencies.</p></div><div><h3>Discussion</h3><p>The findings of this study indicate that although lactation education is provided within PNP curricula, the content of that education is varied and inconsistent. In addition, there is a lack of lactation competencies expected of students during their clinical practicums. Establishing clear lactation clinical competencies and threading of lactation content throughout PNP programs while incorporating use of simulation experiences is one approach to providing more a comprehensive base of lactation education for future PNPs.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 783-784"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001664/pdfft?md5=ffff6b7eebe55f0f5f53d03cd3f019f3&pid=1-s2.0-S0891524524001664-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164319","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":"Association Between Preterm Birth and Parent-Reported Health-Related Quality of Life During the Preschool Years: A Retrospective Matched Cohort Study","authors":"","doi":"10.1016/j.pedhc.2024.05.004","DOIUrl":"10.1016/j.pedhc.2024.05.004","url":null,"abstract":"<div><h3>Introduction</h3><p>This hospital-based retrospective matched cohort study explored the association between preterm birth (PB) and health-related quality of life (HRQoL) in preschool children.</p></div><div><h3>Method</h3><p>PB children were matched by sex and day of birth (1:2) with full-term birth (FTB) children (PB = 89, FTP = 178). The children's parent-reported HRQoL was assessed using the TNO-AZL Preschool Children Quality of Life Questionnaire. The association between PB and HRQoL was examined using conditional logistic regressions.</p></div><div><h3>Results</h3><p>PB children were mostly moderate-to-mild preterm (64%) and exhibited a lower probability of presenting an HRQoL below the median in the sleeping (OR = 0.46; 95% CI = 0.23–0.91) and behavior (OR = 0.46; 95% CI = 0.23–0.85) subscales. Conversely, this probability in communication HRQoL was higher in the PB group (OR = 1.91; 95% CI = 1.01–3.64).</p></div><div><h3>Discussion</h3><p>PB was associated to better sleeping and behavior HRQoL, but poorer communication HRQoL. These findings could imply a potential normalization of developmental outcomes in moderate-to-mild PB.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 658-665"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001032/pdfft?md5=752f64f2f9a1cb1c214d07274c90296c&pid=1-s2.0-S0891524524001032-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328055","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":"Editorial Board Page","authors":"","doi":"10.1016/S0891-5245(24)00192-5","DOIUrl":"10.1016/S0891-5245(24)00192-5","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages A7-A8"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001925/pdfft?md5=9b3674167be0c2c731144a11611899ba&pid=1-s2.0-S0891524524001925-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163716","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":"Examining Needs and Preferences for a Cooking Skills Education Program among Adolescents from Low-income Families","authors":"Cassandra Duran DNP, RN, FNP-BC,&nbsp;Sanghamitra Misra MD, MEd,&nbsp;Margaret Raber PhD","doi":"10.1016/j.pedhc.2024.06.014","DOIUrl":"10.1016/j.pedhc.2024.06.014","url":null,"abstract":"<div><h3>Category/Date</h3><p>Clinical Research Podium Presentations: <strong><em>Current Topics in Pediatric Research.</em></strong> Presented at NAPNAP's 45^th National Conference on Pediatric Health Care, March 14, 2024.</p></div><div><h3>Background</h3><p>Food and cooking skills are essential to putting dietary recommendations into practice, but modern teenagers have limited access to food and cooking education. Teens are a critical target for cooking and food skill development. The Texas Children's Mobile Clinic Program (TC-MCP) partnered with nutrition researchers to conduct a needs-based assessment of high school adolescents in a public charter school serving low-income students to understand needs and preferences for a healthy cooking and food skills intervention.</p></div><div><h3>Methods</h3><p>The study was conducted in southeast Houston, Texas. The research team developed a questionnaire from previously validated instruments examining student demographics, food insecurity, dietary intake, cooking self-efficacy, and preferences for intervention programming. The survey was distributed to all 11th and 12th graders via email or on paper.</p></div><div><h3>Results</h3><p>The survey was sent to 202 students, and 82 (41%) completed the survey. The majority of respondents were female (68.3%), just over 16 years old, and either Black/African American or Hispanic white (80.5%). The majority of students (70.7%) reported eating less than 1 cup of vegetables per day, and most (62.2%) reported eating fast food more than 2 times per week. Just over half (59.8%) reported eating more than 1 cup of fruit per day. Based on a 5-point Likert scale, respondents reported higher self-efficacy regarding their ability to cut up or prepare ingredients (mean=3.76) and shop or help shop for groceries (3.70), and lower self-efficacy regarding ability to cook without a recipe (3.11) and to make a meal for their family (3.13).</p></div><div><h3>Conclusions</h3><p>Students in low-income families face many health inequities. This project highlights the gaps in their food and cooking education. Mobile clinic collaboration with under-resourced schools may be key to addressing these types of issues among youth. However, more research is needed to understand how to optimize programs like this.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Page 782"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164317","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":"Utilization of Mobile Reminders in Improving the Completeness and Timeliness of Routine Childhood Immunization in Kano Metropolis, Nigeria: A Randomized Controlled Trial","authors":"","doi":"10.1016/j.pedhc.2024.03.002","DOIUrl":"10.1016/j.pedhc.2024.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>This study examined the effectiveness of mobile phone reminders in improving the completeness and timeliness of childhood immunization.</p></div><div><h3>Method</h3><p>We conducted a parallel arm cluster randomized controlled trial in four primary health care facilities in Nigeria. Reminders were sent to eligible participants in the intervention group at specific intervals when their children were scheduled to receive the vaccines administered at the sixth, 10, and 14 weeks after birth. Immunization records of all participants’ children were then tracked to assess their immunization status.</p></div><div><h3>Results</h3><p>The immunization status of the intervention (<em>n</em> = 275) and control (<em>n</em> = 261) arms was analyzed. Completeness and timeliness of the vaccine series were significantly higher (<em>p</em> &lt; .001) among children of participants in the intervention (<em>n</em> = 169, 61.5% and <em>n</em> = 138, 50.2%) than those in the control group (<em>n</em> = 35, 13.4% and <em>n</em> = 13, 5%) arm.</p></div><div><h3>Discussion</h3><p>Mobile phone reminders were established to be effective in increasing the completeness and timeliness of childhood immunization.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 727-736"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524000506/pdfft?md5=80143469cebed2700c007c6fd42b7ba3&pid=1-s2.0-S0891524524000506-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319738","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":"Referral Patterns and Diagnostic Concordance in Pediatric Skin Disorders","authors":"","doi":"10.1016/j.pedhc.2024.02.001","DOIUrl":"10.1016/j.pedhc.2024.02.001","url":null,"abstract":"<div><h3>Importance</h3><p>This study explores referral patterns in pediatric dermatology and assesses the diagnostic concordance between referring and dermatology providers.</p></div><div><h3>Method</h3><p>This retrospective cross-sectional study utilized referrals to an outpatient pediatric dermatology clinic. The review included patients referred between July 1, 2018 and June 30, 2019. Only patients who completed a clinic visit were included in the diagnostic concordance. Referral and first visit diagnoses were compared to determine concordance.</p></div><div><h3>Results</h3><p>A total of 8,682 charts were reviewed, and 3,738 completed a clinic visit. The most common referral diagnoses included atopic dermatitis, rash, lesion, melanocytic nevus, and warts. Physicians (78.5%) and APRNs (18.1%) most frequently referred patients. The diagnostic concordance of physicians was 67.1% vs 66.3% for APRNs.</p></div><div><h3>Conclusion</h3><p>Physicians and APRNs showed similar rates of diagnostic concordance, yet a large proportion of diagnoses were discordant. Primary care providers may benefit from focused education around the most commonly referred and missed diagnoses.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 651-657"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524000270/pdfft?md5=50084d1b634b94033bc42204ca7bb0f6&pid=1-s2.0-S0891524524000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328056","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":"Branching Path Simulation for Pediatric Nurse Practitioner Students to Promote Critical Thinking: A Quasi-Experimental Study","authors":"","doi":"10.1016/j.pedhc.2024.03.004","DOIUrl":"10.1016/j.pedhc.2024.03.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Branching path simulation (BPS) is an active learning pedagogy incorporating gaming principles in a low-stakes, safe environment. No study has explored the use of BPS in advanced practice nursing education. This study measured pediatric nurse practitioner students’ perception of the integration of BPS in one graduate-level course.</p></div><div><h3>Method</h3><p>This study used a one group, post-test only quasi-experimental design with a convenience sample of 22 pediatric nurse practitioner students over 2 years enrolled in a university in the Pacific Northwest United States.</p></div><div><h3>Results</h3><p>Responses to BPS were positive: design (<em>M</em> = 4.8; <em>SD</em> ± 0.4), usability (<em>M</em> = 4.3; <em>SD</em> ± 1.0), self-confidence (<em>M</em> = 4.2; <em>SD</em> ± 0.8) and satisfaction (<em>M</em> = 4.8; <em>SD</em> ± 0.4).</p></div><div><h3>Discussion</h3><p>BPS was well received by learners. It not only provides immediate feedback and encourages students to identify their clinical management weaknesses and strengths but it also can be customized to needs in a course at a significant cost saving.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 737-746"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089152452400052X/pdfft?md5=c36411e33c1a96172054e6860c4ed2c9&pid=1-s2.0-S089152452400052X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140841022","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":"NAPNAP Partners for Vulnerable Youth Position Statement on Trauma-Informed Care","authors":"","doi":"10.1016/j.pedhc.2024.06.007","DOIUrl":"10.1016/j.pedhc.2024.06.007","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 778-780"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163628","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":"Scholarly Writing: Preparing Your Work for a Successful Publication","authors":"Donna Hallas PhD, PPCNP-BC, CPNP, PMHS, FAANP, FAAN","doi":"10.1016/j.pedhc.2024.06.004","DOIUrl":"10.1016/j.pedhc.2024.06.004","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 637-638"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524001470/pdfft?md5=92647e1562d416e15f61a36af89c7e62&pid=1-s2.0-S0891524524001470-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163720","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":"Healthcare Interventions for Children Using Nonimmersive Virtual Reality: A Mixed Methods Systematic Review","authors":"","doi":"10.1016/j.pedhc.2024.01.008","DOIUrl":"10.1016/j.pedhc.2024.01.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Nonimmersive virtual reality (NIVR), a computer-generated virtual reality experience wherein users are not fully immersed, has been increasingly used in pediatric healthcare. This study aimed to identify the effects of NIVR-based interventions for children.</p></div><div><h3>Method</h3><p>A mixed methods systematic review of relevant studies published until December 2023 was conducted. We included samples of healthy children and those with chronic conditions or disabilities, findings related to self-management or social skills, and the NIVR interventions applied. A convergent-integrated design was used for the synthesis.</p></div><div><h3>Results</h3><p>This review included 22 studies, of which 15 examined children having autism spectrum disorders. Utilizing NIVR was found to be effective in enhancing social skills. Participating in virtual communities with peers having similar conditions was determined to facilitate social support and identity exploration.</p></div><div><h3>Discussion</h3><p>Healthcare interventions using NIVR need to be explored further to improve self-management and social skills in children with various conditions.</p></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"38 5","pages":"Pages 703-716"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891524524000257/pdfft?md5=6ec625cd8eeb651630a96060f38ac6b9&pid=1-s2.0-S0891524524000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095043","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}