Journal of Pediatric Health Care最新文献

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Primary Care Clinicians’ Views of Parents’ Roles in Clinical Preventive Services for Adolescents 初级保健医生对家长在青少年临床预防服务中的作用的看法。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.11.019
Renee E. Sieving PhD, RN, FAAN, FSAHM, Yunqi He MA, Sydnee Lucas DNP, RN, FNP-BC, Pooja Brar PhD, CFLE-P, Janna R. Gewirtz O'Brien MD, MPH, FAAP, Amy L. Gower PhD, Shari Plowman MPH, Jill Farris MPH, Christina Ross RN, PhD, John Santelli MD, MPH, Christopher J. Mehus PhD
{"title":"Primary Care Clinicians’ Views of Parents’ Roles in Clinical Preventive Services for Adolescents","authors":"Renee E. Sieving PhD, RN, FAAN, FSAHM,&nbsp;Yunqi He MA,&nbsp;Sydnee Lucas DNP, RN, FNP-BC,&nbsp;Pooja Brar PhD, CFLE-P,&nbsp;Janna R. Gewirtz O'Brien MD, MPH, FAAP,&nbsp;Amy L. Gower PhD,&nbsp;Shari Plowman MPH,&nbsp;Jill Farris MPH,&nbsp;Christina Ross RN, PhD,&nbsp;John Santelli MD, MPH,&nbsp;Christopher J. Mehus PhD","doi":"10.1016/j.pedhc.2024.11.019","DOIUrl":"10.1016/j.pedhc.2024.11.019","url":null,"abstract":"<div><h3>Introduction</h3><div>This study examines primary care clinicians’ (PCCs) views of parents’ roles in adolescent preventive services, and strategies they use to engage with a wide range of parents.</div></div><div><h3>Method</h3><div>Using a generic qualitative approach, researchers conducted semistructured interviews with a purposive sample of PCCs (n = 25) from urban and rural Minnesota communities. Interviews explored PCCs’ experiences and perspectives on multiple topics, including parents’ roles in adolescent care. Researchers used thematic analysis to answer the question “How do PCCs view parents’ role(s) in adolescent health care?”</div></div><div><h3>Results</h3><div>Clinicians noted that parents (1) are interested, but not experts in adolescent health, (2) can be coached to be a source of support to teens, (3) can be a barrier to adolescent health and health care, (4) can facilitate adolescents’ health care. Specific types of PCC-parent interactions corresponded with each theme.</div></div><div><h3>Discussion</h3><div>Findings highlight multiple strategies for clinicians to work collaboratively with adolescents’ parents.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 377-386"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191233","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
Changes in Symptom Clusters Over the Course of Chemotherapy in Children With Acute Lymphoblastic Leukemia: A Longitudinal Survey 急性淋巴细胞白血病儿童化疗过程中症状群的变化:一项纵向调查。
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2025.01.009
Xi Wang BSN , Manyu Zhang BSN , Jixiu Liu BSN, Yixin Wang BSN, Qi Liu BSN, Hong Ye BSN
{"title":"Changes in Symptom Clusters Over the Course of Chemotherapy in Children With Acute Lymphoblastic Leukemia: A Longitudinal Survey","authors":"Xi Wang BSN ,&nbsp;Manyu Zhang BSN ,&nbsp;Jixiu Liu BSN,&nbsp;Yixin Wang BSN,&nbsp;Qi Liu BSN,&nbsp;Hong Ye BSN","doi":"10.1016/j.pedhc.2025.01.009","DOIUrl":"10.1016/j.pedhc.2025.01.009","url":null,"abstract":"<div><h3>Background</h3><div>Acute Lymphoblastic Leukemia (ALL) in children is associated with diverse symptoms affecting quality of life and treatment efficacy. This study aimed to evaluate symptom progression in children with ALL to inform targeted interventions.</div></div><div><h3>Methods</h3><div>We assessed children with ALL from January 2023 to June 2024 using the Memorial Symptom Assessment Scale for Children (MSAS-C) at different chemotherapy stages.</div></div><div><h3>Results</h3><div>A total of 102 children were included and they experienced an average of 15.52 symptoms. Initially, three symptom clusters predominated: emotional, gastrointestinal, and somatic. As chemotherapy advanced through induction and consolidation phases, the symptom profile expanded to include neurological, self-image disturbance, and skin and mucosal symptoms. During the maintenance phase, the clusters were emotional, gastrointestinal, somatic, neurological, and self-image disturbance.</div></div><div><h3>Conclusion</h3><div>Symptom clusters in pediatric ALL patients change dynamically with chemotherapy phases, highlighting the need for meticulous assessment tailored interventions to enhance clinical management and patient care.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 346-354"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587896","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
Online Announcement Full Page Ad - JPHC - B Version (1)
IF 2.5 4区 医学
Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/S0891-5245(25)00114-2
{"title":"Online Announcement Full Page Ad - JPHC - B Version (1)","authors":"","doi":"10.1016/S0891-5245(25)00114-2","DOIUrl":"10.1016/S0891-5245(25)00114-2","url":null,"abstract":"","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Page A12"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943734","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
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
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
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
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