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Journal of Pediatric Health Care

Gretchen Rudell, Regena Spratling
No abstract text is available yet for this article.
November 7, 2017: Journal of Pediatric Health Care
Frances DiAnna Kinder
INTRODUCTION: The purpose of this study was to explore reasons why parents may refuse administration of the human papillomavirus vaccine to their children. The data from this multisite study will contribute to our understanding of why parents may refuse administration of the vaccine. METHODS: This mixed-methods study took place in several pediatric settings after a pilot study was completed. After a health visit in which the vaccine was refused, a survey was provided to the parent in a private room...
November 7, 2017: Journal of Pediatric Health Care
Emily Schumacher
No abstract text is available yet for this article.
November 7, 2017: Journal of Pediatric Health Care
Mark G Gabriel, Claire E Wakefield, Janine Vetsch, Jonathan S Karpelowsky, Anne-Sophie E Darlington, David M Grant, Christina Signorelli
INTRODUCTION: Surgery in children can be difficult for patients and parents. We aimed to summarize pediatric patients' and parents' psychosocial experiences and needs in surgery. METHOD: We used the Ovid search engine and screened 877 abstracts across three databases to extract data on pediatric patients' and parents' surgical experiences. RESULTS: Our search yielded 11 eligible studies representing 1,307 children undergoing surgery and their parents...
October 21, 2017: Journal of Pediatric Health Care
Kathleen F Gaffney, Albert V Brito, Deborah A Kermer, Panagiota Kitsantas
INTRODUCTION: This study examined the association between early weight gain (0-6 months) and risk for overweight, as defined by the Institute of Medicine, at 1 year among infants of low-income Hispanic immigrant mothers. METHOD: Weight-for-age data were extracted from electronic medical records of 335 infants with gestations of 37 weeks or longer and birthweights appropriate for gestational age and without medical problems likely to interfere with growth or feeding...
October 19, 2017: Journal of Pediatric Health Care
Jiwon Lee, Regena Spratling, Ashley Helvig
Impaired sleep can contribute to conditions such as cardiometabolic disorders, depression, and decreased immune function. Mothers of children with developmental disabilities (DDs) may be at greater risk for impaired sleep due to the sleep problems of their children. This cross-sectional study described the self-reported sleep characteristics of mothers of children (ages 6-12) with DDs by using a sleep diary and the Pittsburgh Sleep Quality Index (PSQI) as quantitative and qualitative measures of sleep in these mothers...
October 19, 2017: Journal of Pediatric Health Care
Anne T Magpuri, Jane K Dixon, Ruth McCorkle, Angela A Crowley
INTRODUCTION: The purposes of this project were (a) to examine criteria derived from evidence-based pediatric acute asthma exacerbation assessment tools, asthma scores, and the acute asthma prediction rule validated and used in the emergency department and (b) to adapt these criteria for pediatric primary care. METHOD: The three stages of the project included (a) identification of criteria in a literature review, (b) validation of the criteria by an expert panel, and (c) adaptation of the criteria in the design of an assessment tool...
September 16, 2017: Journal of Pediatric Health Care
Kristin Vollrath, Susan Thul, Jenny Holcombe
Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and is a well-known cause of oropharyngeal, cervical, vaginal, vulvar, penile, and anal cancers. Despite the proven efficacy of the HPV vaccine, vaccination rates remain persistently low. Much literature has focused on attitudes toward the HPV vaccine; however, researchers have also investigated strategies clinicians can use to improve vaccination attitudes and acceptance. Such strategies include provider education, vaccine reminder/recall, and chart audit and feedback...
September 14, 2017: Journal of Pediatric Health Care
Judith S Shaw, Susan E Varni, Elizabeth Cheng Tolmie, Mary Kate Mohlman, Valerie S Harder
Health care reform in Vermont promotes patient-centered medical homes (PCMH) and multi-disciplinary community health teams to support population health. This qualitative study describes the expansion of Vermont's health care reform efforts, initially focused on adult primary care, to pediatrics through interviews with project managers and facilitators, CHT members, pediatric practitioners and care coordinators, and community-based providers. Analyses used grounded theory, identifying themes confirmed by repeat occurrence across respondents...
September 12, 2017: Journal of Pediatric Health Care
Julianne Nemes Walsh, Margaret Knight, A James Lee
INTRODUCTION: The purpose of our study was to determine the impact of an educational program on a provider's knowledge related to diagnostic errors and diagnostic reasoning strategies. METHODS: A quasi-experimental interventional study with a multimedia approach, case study discussion, and trigger-generated medical record review at two time points was conducted. Measurement tools included a test developed by the National Patient Safety Foundation, Reducing Diagnostic Errors: Strategies for Solutions Quiz, additional diagnostic reasoning questions, and a trigger-generated process to analyze medical records...
September 12, 2017: Journal of Pediatric Health Care
Randi A Bates, Lisa M Blair, Emma C Schlegel, Colleen M McGovern, Marliese Dion Nist, Stephanie Sealschott, Kimberly Arcoleo
Despite the lifecourse focus of nursing clinical care, nursing research largely remains cross-sectional or process-oriented within silos determined by patient characteristics such as age, acuity, or disease process. Incorporating interdisciplinary lifecourse theory into pediatric nursing research provides the opportunity to expand nursing theories and research beyond practice, age, and disease silos. One such theory is the Lifecourse Health Development (LCHD) framework. LCHD takes a more expansive view of health development from preconception through old age based on the premise that health is a consequence of transactions between genetic, biological, behavioral, social, and economic contexts that change as a child develops over time (Halfon & Hochstein, 2002)...
September 7, 2017: Journal of Pediatric Health Care
Caitlyn M Alvar, Jennifer A Coddington, Karen J Foli, Azza H Ahmed
Depression is a common comorbid condition experienced by children with type 1 diabetes that, if undiagnosed, can lead to deterioration in glycemic control and other serious health complications. Although it is documented that children with type 1 diabetes experience high rates of depression, a comprehensive clinical guide does not exist to help direct the pediatric provider on how to best care for these children. The purpose of this article is to synthesize current evidence to aid the pediatric primary care provider in the detection and management of depression in the school-aged child with type 1 diabetes...
September 1, 2017: Journal of Pediatric Health Care
Wendy S Looman, Robyn L Hullsiek, Lyndsay Pryor, Michelle A Mathiason, Stanley M Finkelstein
The purpose of this study was to explore health-related quality of life (HRQL) and family impact in the context of an advanced practice registered nurse-delivered telehealth care coordination intervention for children with medical complexity (CMC). This was a secondary outcomes analysis of a randomized controlled trial with 163 families of CMC in an existing medical home. HRQL and family impact were measured using the PedsQL measurement model. Bivariate and analysis of covariance analyses were conducted to explore associations at baseline and the intervention effect over 2 years...
September 1, 2017: Journal of Pediatric Health Care
Barbara K Giambra, Stephen M Haas, Maria T Britto, Ellen A Lipstein
INTRODUCTION: The purpose of this study was to explore the communication behaviors demonstrated by parents of children with chronic conditions and provider team members when communicating about the child's care in outpatient clinics using concepts from the Theory of Shared Communication (TSC). METHODS: This was a secondary data analysis of 30 previously recorded pediatric clinic visits. Communication among parents and provider team members was analyzed using a researcher-developed coding scheme based on the TSC...
August 30, 2017: Journal of Pediatric Health Care
Mary L Chesney, Karen G Duderstadt
No abstract text is available yet for this article.
November 2017: Journal of Pediatric Health Care
Katryn Remler
Hip pain in children can present a diagnostic challenge for the pediatric primary care provider. This case study examines an otherwise healthy 3-year-old girl with unilateral hip pain and intermittent refusal to bear weight on the affected side. Through history and physical examination, the provider was able to appropriately diagnose transient synovitis. This case study will summarize the care for hip pain in a child, including potential causes, a focused history and physical examination, appropriate diagnostic testing, and recommendations for home care and follow-up...
November 2017: Journal of Pediatric Health Care
Martha K Swartz
No abstract text is available yet for this article.
November 2017: Journal of Pediatric Health Care
Carol Greene-Roethke
Incontinentia pigmenti is a rare neuroectodermal dysplasia caused by a defect in the IKBKG gene (formerly known as NEMO). There are 27.6 new cases per year worldwide; 65% to 75% are sporadic mutations, and 25% to 35% are familial. It is usually lethal in males, but females survive because of X-inactivation mosaicism. The disorder is typically identified by unique skin findings, a series of four stages that emerge throughout the first year of life. The central nervous system manifestations in the eye and in the brain cause the most disability...
November 2017: Journal of Pediatric Health Care
Gail Hornor, Deborah Bretl, Evelyn Chapman, Pamela Herendeen, Nancy Mitchel, Barbara Mulvaney, Saribel Garcia Quinones, Brigit VanGraafeiland
INTRODUCTION: Given the number of children affected by child maltreatment and the dire consequences that can develop, prompt identification of child maltreatment is crucial. The purpose of this study was to describe pediatric nurse practitioner (PNP) practice behaviors related to screening and providing anticipatory guidance for child maltreatment and its psychosocial risk factors. METHOD: The Risk Assessment Survey was developed for this study by 12 PNPs, all of whom were members of NAPNAP's Child Maltreatment Special Interest Group to ensure face validity; all 12 PNPs were content experts in child maltreatment...
November 2017: Journal of Pediatric Health Care
Rosemary Johnston, Beth A DelConte, Libby Ungvary, Richard Fiene, Susan S Aronson
INTRODUCTION: Many families enroll their infants and toddlers in early education and child care programs. The Pennsylvania Chapter of the American Academy of Pediatrics recruited 32 child care centers that care for infants and toddlers to be linked with a child care health consultant (CCHC). METHOD: Project staff assigned the centers alternately to an immediate intervention or a 1-year delayed intervention (contrast) group. At entry into the project, and then 1 and 2 years later, an evaluator assessed center compliance with 13 standards for infants and toddler care selected from Caring for Our Children: National Health and Safety Performance Standards (3rd ed...
November 2017: Journal of Pediatric Health Care
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