Journal of Pediatric Health Care最新文献_第9页

A Retrospective Cohort Study Using Latent Growth Curve Models for Children With a Diagnosis of Asthma 使用潜在生长曲线模型对诊断为哮喘的儿童进行回顾性队列研究。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-07-01 DOI: 10.1016/j.pedhc.2025.02.003

Ji-Mei Wu MSN, RN, Ji-Hong Wu MSN, RN, Dan Liu MD, Xia Qin BSN, RN, Tu-Hong Yang BSN, RN

引用次数: 0

Editorial Board Page 编委会页面

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-07-01 DOI: 10.1016/S0891-5245(25)00138-5

引用次数: 0

Acute Pancreatitis: A Case Report 急性胰腺炎：病例报告

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-07-01 DOI: 10.1016/j.pedhc.2024.12.006

Mary Jean Ohns DNP, APRN, CPNP-AC/PC, CCRN

引用次数: 0

Impact of a Brief Educational Intervention on Breastfeeding Knowledge and Intention for Pediatric Primary Care Clinicians 简短教育干预对儿科初级保健临床医生母乳喂养知识和意向的影响。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-07-01 DOI: 10.1016/j.pedhc.2025.01.008

Haley Harger DNP, RN, CPNP-PC, Diana Cartagena PhD, RN, CPNP

{"title":"Impact of a Brief Educational Intervention on Breastfeeding Knowledge and Intention for Pediatric Primary Care Clinicians","authors":"Haley Harger DNP, RN, CPNP-PC, Diana Cartagena PhD, RN, CPNP","doi":"10.1016/j.pedhc.2025.01.008","DOIUrl":"10.1016/j.pedhc.2025.01.008","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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 <em>t</em>-test was used to compare breastfeeding knowledge and intention before and after the program.</div></div><div><h3>Results</h3><div>Breastfeeding knowledge was significantly higher after participation in the program (<em>p</em> < .05). There was no significant change in intention to implement breastfeeding support, perhaps due to high clinician intention prior to participation.</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 585-590"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","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}

引用次数: 0

Mastering the BASICS: Essential Components of a Lactation Curriculum for Healthcare Professionals 掌握基础知识：保健专业人员哺乳课程的基本组成部分。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-07-01 DOI: 10.1016/j.pedhc.2025.04.001

Deborah W. Busch PhD, DNP, CPNP-PC, IBCLC, CNE, FAANP, FAAN, Nadine Wodwaski DNP, MSN-ed, ACNS, RN, Elaine Webber DNP, PPCNP-BC, IBCLC, JoAnne Silbert Flagg DNP, CPNP, IBCLC, CNE, FAAN, FAANP

{"title":"Mastering the BASICS: Essential Components of a Lactation Curriculum for Healthcare Professionals","authors":"Deborah W. Busch PhD, DNP, CPNP-PC, IBCLC, CNE, FAANP, FAAN, Nadine Wodwaski DNP, MSN-ed, ACNS, RN, Elaine Webber DNP, PPCNP-BC, IBCLC, JoAnne Silbert Flagg DNP, CPNP, IBCLC, CNE, FAAN, FAANP","doi":"10.1016/j.pedhc.2025.04.001","DOIUrl":"10.1016/j.pedhc.2025.04.001","url":null,"abstract":"<div><div>The BASICS curriculum equips educators of healthcare professionals, including pediatric nurse practitioner students, with evidence-based skills to support, promote, and sustain breastfeeding in the healthcare setting. Aligned and mapped to the AACN Essentials (2021), it integrates foundational and advanced lactation knowledge through a competency-based educational design. The curriculum prepares learners to provide best-practice, inclusive, and ethically grounded breastfeeding support, guided by standards from LEAARC (2018), AAP (2024a), and ABM (2025). Several key resources are provided for educators, including a course blueprint to help educators address the complex needs of breastfeeding families. The curriculum identifies the critical lactation topics and activities to prepare future healthcare providers for real-world clinical challenges by aligning them with national health recommendations, professional guidelines, and public health priorities.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 4","pages":"Pages 611-622"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057162","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

Sedation-Free Facial Laceration Repair in Young Children: Lessons from a Case Report. 儿童面部撕裂伤的无镇静修复：来自一个病例报告的经验教训。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-06-30 DOI: 10.1016/j.pedhc.2025.05.007

Rebecca A Carson

引用次数: 0

Critical Care Advanced Practice Providers as Partners in Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment. 作为推进儿科重症监护病房护理知识的合作伙伴的重症监护高级实践提供者：需求评估。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-06-16 DOI: 10.1016/j.pedhc.2025.05.003

Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A Schindler

{"title":"Critical Care Advanced Practice Providers as Partners in Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment.","authors":"Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A Schindler","doi":"10.1016/j.pedhc.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.pedhc.2025.05.003","url":null,"abstract":"<p><strong>Background: </strong>Critical care advanced practice providers (APPs) are frontline providers in many pediatric intensive care units (PICUs). From 2020 to 2022, there was a significant downward shift in nursing experience level in the PICU at the authors' institution. APPs may help provide additional in situ education.</p><p><strong>Methods: </strong>Data were collected using role-specific needs assessment of PICU nursing staff and providers, assessing concept related to knowledge and job stress.</p><p><strong>Results: </strong>Findings overwhelmingly demonstrated desire for more APP-led education. Overall, 27% of nurse respondents strongly agreed that current knowledge was adequate to provide safe and best care for their patients, and 47% expressed neutrality to discomfort with their knowledge of patient-specific pathophysiology. Provider questionnaires demonstrated confidence in the bedside nursing knowledge \"about half the time\" (70%).</p><p><strong>Discussion: </strong>This needs assessment demonstrates an opportunity for an APP-led intervention to potentially increase nursing knowledge, decrease stress, and increase confidence in the nursing care provided.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318545","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

Cerebral Venous Sinus Thrombosis Pediatric Case Report. 脑静脉窦血栓形成儿童病例报告。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-21 DOI: 10.1016/j.pedhc.2025.04.006

Tori Cooke, Theresa Motley

{"title":"Cerebral Venous Sinus Thrombosis Pediatric Case Report.","authors":"Tori Cooke, Theresa Motley","doi":"10.1016/j.pedhc.2025.04.006","DOIUrl":"10.1016/j.pedhc.2025.04.006","url":null,"abstract":"<p><p>A cerebral venous sinus thrombosis (CVST) is an obstruction of the dural venous sinuses caused by a thrombus. The dural sinuses drain into the brain, and when there is a blockage, it can increase the risk of cerebral ischemia or hemorrhage. CVST is very rare in the pediatric population, with only seven cases per million reported each year. This case describes a 2-year-old male who was transferred from a referral hospital with a possible diagnosis of anemia and worsening clinical status. After multiple tests revealed no probable cause for the patient's declining clinical status, a magnetic resonance imaging (MRI) and computed tomography (CT) scan were performed. These studies revealed a sinus venous thrombosis. The patient was transferred to the pediatric intensive care unit and a high-dose heparin infusion was initiated. CVST presents with vague symptoms, which can often delay the diagnosis. Patients may present with a variety of symptoms including seizures, decreased level of consciousness, nausea and vomiting, headache, ataxia, speech impairment, cranial nerve palsies, and hemiparesis. CVST is typically diagnosed using MRI and CT scan. CVST is acutely treated with an anticoagulant such as unfractionated heparin or low molecular weight heparin and in severe cases a mechanical thrombectomy might be necessary. CVST has a significant morbidity and mortality rate, so prompt diagnosis is crucial to the patient's overall outcome. In this case, the patient's CVST was due to iron deficiency anemia, which is rare, and the patient made a full recovery without requiring surgical intervention.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112621","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

Closing Pediatric Asthma Care Gaps Through School-Based Telehealth: A Quality Improvement Initiative 通过校本远程保健缩小小儿哮喘护理差距：质量改进计划。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.11.003

Amanda K. Vickers DNP, RN, CPNP-PC, PMHS, Robert Darzynkiewicz MD, Kelli Garber DNP, APRN, PPCNP-BC, FAANP, FAAN, Michael Maymi DNP, APRN, CPNP-AC, CCRN-P, CNE

{"title":"Closing Pediatric Asthma Care Gaps Through School-Based Telehealth: A Quality Improvement Initiative","authors":"Amanda K. Vickers DNP, RN, CPNP-PC, PMHS, Robert Darzynkiewicz MD, Kelli Garber DNP, APRN, PPCNP-BC, FAANP, FAAN, Michael Maymi DNP, APRN, CPNP-AC, CCRN-P, CNE","doi":"10.1016/j.pedhc.2024.11.003","DOIUrl":"10.1016/j.pedhc.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Uncontrolled pediatric asthma leads to poorer outcomes; school-based telehealth (SBTH) is an opportunity to intervene.</div></div><div><h3>Local Problem</h3><div>The connection rate to primary care after SBTH visits for asthma exacerbations was below organizational goals. Additionally, there was a gap in assessing SBTH's role in providing access to rescue medication.</div></div><div><h3>Method</h3><div>A 3-month plan-do-study-act design was used to improve SBTH referral rates among SBTH providers. Data was collected via EHR reports and chart reviews.</div></div><div><h3>Interventions</h3><div>SBTH providers were trained to complete a 3-question checklist on referral orders for all patients treated for an asthma exacerbation.</div></div><div><h3>Results</h3><div>Chi-square analysis showed a statistically significant increase (<em>p</em> < .001) in the “Connect to PCP” rate, 21% to 71%. Additionally, 86% of eligible participants had access to rescue medication at school, with one-third requiring SBTH to bridge a gap.</div></div><div><h3>Conclusions</h3><div>PCP connection can be increased; however, automation is needed for sustainability. Additionally, SBTH may increase access to asthma medication.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 444-452"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830648","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 Effect of the Vaccine Education Program Prepared Using The Integrated Change Model on Mothers' Vaccine Advocacy and Vaccine Literacy: A Waitinglist Randomized Controlled Trial 采用综合变革模式编制的疫苗教育计划对母亲疫苗宣传和疫苗知识的影响：候补名单随机对照试验》。

IF 2.5 4区医学

Journal of Pediatric Health Care Pub Date : 2025-05-01 DOI: 10.1016/j.pedhc.2024.11.012

Deniz Sümeyye Yorulmaz-Demir PhD, Deniz Kocoglu-Tanyer PhD

{"title":"The Effect of the Vaccine Education Program Prepared Using The Integrated Change Model on Mothers' Vaccine Advocacy and Vaccine Literacy: A Waitinglist Randomized Controlled Trial","authors":"Deniz Sümeyye Yorulmaz-Demir PhD, Deniz Kocoglu-Tanyer PhD","doi":"10.1016/j.pedhc.2024.11.012","DOIUrl":"10.1016/j.pedhc.2024.11.012","url":null,"abstract":"<div><h3>Introduction</h3><div>The study evaluated the effect of the vaccine education program developed using the Integrated Change Model on mothers' vaccine literacy and advocacy.</div></div><div><h3>Methods</h3><div>The study is a parallel design randomized controlled trial with a waiting-list. Seventy-four mothers were enrolled in the study. In the study, the experimental group received a four-session vaccine education program, one week apart. The study used mixed ANOVA to explore the interaction between time and group. Effect sizes were interpreted using partial eta squared.</div></div><div><h3>Results</h3><div>Vaccine literacy increased significantly in the intervention group in the post-test, and the intervention had a large effect size. In addition, it was found that vaccine knowledge increased with a large effect size in the intervention group, positive changes in vaccine attitudes, and vaccine advocacy intentions increased.</div></div><div><h3>Discussion</h3><div>The Integrated Change Model vaccine education program can be used to reduce maternal and community vaccine hesitancy and increase vaccine acceptance.</div></div><div><h3>Reporting Method</h3><div>The CONSORT-Outcomes 2022 Extension.</div></div><div><h3>Protocol Registration</h3><div>ClinicalTrials NCT05929053.</div></div>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":"39 3","pages":"Pages 424-435"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076152","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