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Pediatric nurse vs registered nurse

Shripada C Rao, Gayatri K Athalye-Jape, Girish C Deshpande, Karen N Simmer, Sanjay K Patole
CONTEXT: Late-onset sepsis (LOS) is a major cause of mortality and morbidity in preterm infants. Despite various preventive measures, its incidence continues to remain high, hence the urgent need for additional approaches. One such potential strategy is supplementation with probiotics. The updated Cochrane Review (2014) did not find benefits of probiotics in reducing the risk of LOS in preterm infants (19 studies, N = 5338). Currently there are >30 randomized controlled trials (RCTs) of probiotics in preterm infants that have reported on LOS...
March 2016: Pediatrics
Jenna O Miller, Satid Thammasitboon, Deborah C Hsu, Manish I Shah, Charles G Minard, Jeanine M Graf
OBJECTIVE: Research has shown that patients transported by nonpediatric teams have higher rates of morbidity and mortality. There is currently a paucity of pediatric standardized ongoing medical education for emergency medical service providers, thus we aimed to develop a model curriculum to increase their knowledge regarding pediatric respiratory distress and failure. METHODS: The curriculum was based on the Kolb Learning Cycle to optimize learning. Target learners were flight nurses (registered nurse) and emergency medical technicians of a private helicopter emergency transport team...
February 2016: Pediatric Emergency Care
Evelien de Vos-Kerkhof, Ruud G Nijman, Yvonne Vergouwe, Suzanne Polinder, Ewout W Steyerberg, Johan van der Lei, Henriëtte A Moll, Rianne Oostenbrink
OBJECTIVES: To assess the impact of a clinical decision model for febrile children at risk for serious bacterial infections (SBI) attending the emergency department (ED). METHODS: Randomized controlled trial with 439 febrile children, aged 1 month-16 years, attending the pediatric ED of a Dutch university hospital during 2010-2012. Febrile children were randomly assigned to the intervention (clinical decision model; n = 219) or the control group (usual care; n = 220)...
2015: PloS One
Robyn Richards, Jann P Foster, Kim Psaila
BACKGROUND: Gastro-oesophageal reflux disease is a particularly common condition in preterm and low birth weight infants. These infants are also more likely to have excessive regurgitation, as they do not have a fully developed antireflux mechanism. Preterm and low birth weight infants who are unable to suck oral feeds are required to be fed via an intragastric tube for varying lengths of time. Intragastric tube feeding can be delivered by the intermittent bolus or continuous feeding method...
2014: Cochrane Database of Systematic Reviews
Anne Watson, Chantel Skipper, Rachel Steury, Heather Walsh, Amanda Levin
Early warning scores calculated by registered nurses (RNs) are used in hospitals to enhance the recognition of and communication about patient deterioration. This study evaluated workflow variables surrounding calculation and documentation of one pediatric hospital's use of an early warning score. Results indicated that there were significant delays in documentation of early warning scores by RNs and inconsistencies between the early warning scores and vital signs collected and documented by non-RN personnel...
July 2014: Journal of Nursing Care Quality
Patricia M Smith, Michelle M Spadoni, Veronica M Proper
BACKGROUND: The types of pre-licensure clinical placements being used and by what health professions are becoming an important and pressing issue as concerns about clinical placement shortages and competition for placements increase. OBJECTIVE: This study was designed to address a gap in the literature by quantifying the range and specific types of pre-licensure clinical placements being used by nursing and other health professions. METHOD: This was a Canadian national online cross-sectional survey designed to create an inventory of the types of hospital, community, long-term care, and innovative settings being used for pre-licensure clinical placements by schools of nursing, licensed practical nursing, registered psychiatric nursing, midwifery, occupational therapy, physiotherapy, and medicine...
November 2013: Nurse Education Today
Rebecca S Cook, Gordon L Gillespie, Rebecca Kronk, Margot C Daugherty, Suzanne M Moody, Lesley J Allen, Kaaren B Shebesta, Richard A Falcone
BACKGROUND: Nurses are key providers in the care of children with mild traumatic brain injury (mTBI). New treatment recommendations emphasize symptom assessment and brain rest guidelines to optimize recovery. This study compared pediatric trauma core nurses' knowledge, degree of confidence, and perceived change in practice following mTBI education. METHODS: Twenty-eight trauma core nurses were invited to participate in this voluntary quasiexperimental, one-group pretest-posttest study...
April 2013: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
Terri Voepel-Lewis, Elsa Pechlavanidis, Constance Burke, Akke Neel Talsma
BACKGROUND: Insufficient monitoring, surveillance, and nurse staffing levels are system factors that may contribute to serious adverse events and deterioration in hospitalized patients. Limited data have examined the relationship between these factors and postoperative outcomes, particularly in the pediatric setting. OBJECTIVES: This retrospective, case-control study examined the relationship between surveillance, staffing, and serious adverse events in children on general care postoperative units...
July 2013: International Journal of Nursing Studies
Martin MacDowell, Michael Glasser, Michael Fitts, Kimberly Nielsen, Matthew Hunsaker
INTRODUCTION: Regional or state studies in the USA have documented shortages of rural physicians and other healthcare professionals that can impact on access to health services. The purpose of this study was to determine whether rural hospital chief executive officers (CEOs) in the USA report shortages of health professions and to obtain perceptions about factors influencing recruiting and retention. METHODS: A nationwide US survey was conducted of 1031 rural hospital CEOs identified by regional/state Area Health Education Centers...
July 2010: Rural and Remote Health
David L Olds, Harriet J Kitzman, Robert E Cole, Carole A Hanks, Kimberly J Arcoleo, Elizabeth A Anson, Dennis W Luckey, Michael D Knudtson, Charles R Henderson, Jessica Bondy, Amanda J Stevenson
OBJECTIVE: To test, among an urban primarily African American sample, the effects of prenatal and infancy home visiting by nurses on mothers' fertility, partner relationships, and economic self-sufficiency and on government spending through age 12 years of their firstborn child. DESIGN: Randomized controlled trial. SETTING: Public system of obstetric and pediatric care in Memphis, Tennessee. PARTICIPANTS: A total of 594 urban primarily African American economically disadvantaged mothers (among 743 who registered during pregnancy)...
May 2010: Archives of Pediatrics & Adolescent Medicine
Anne-Berit Fjelstad, Jorunn Hommelstad, Angelika Sorteberg
OBJECT: The purpose of this study was to determine the frequency of infection and to identify risk factors for infection in connection with the implantation of an intrathecal baclofen (ITB) pump. METHODS: This retrospective study included all pediatric and adult patients who received ITB at Rikshospitalet during the years 1999-2005. A database was created that included the following variables: patient age, sex, weight, diagnosis, surgical procedure performed, presence of a percutaneous endoscopic gastrostomy (PEG) tube, urinary as well as fecal incontinence, anesthetist's classification of patient status (American Society of Anesthesiologists grade), timing of antibiotics administration, surgeon, assisting nurse, and surgical procedure time...
November 2009: Journal of Neurosurgery. Pediatrics
Sven M Schulzke, Girish C Deshpande, Sanjay K Patole
OBJECTIVE: To systematically review observational studies reporting long-term neurodevelopmental outcomes in very low-birth-weight neonates surviving after necrotizing enterocolitis (NEC). DATA SOURCES: The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL (Cumulative Index to Nursing and Allied Health), and proceedings of the Pediatric Academic Societies (published in Pediatric Research since 1970) were searched in June and September 2006...
June 2007: Archives of Pediatrics & Adolescent Medicine
P Sanabria Carretero, E Rodríguez Pérez, E Jiménez Mateos, E Palomero Rodríguez, L Goldman Tarlousky, F Gilsanz Rodriguez, J García Caballeroa
OBJECTIVES: To determine the level of occupational exposure to anesthetic gases in the absence of an extractor during pediatric anesthesia and to assess the efficacy of a purpose-built extraction system. METHODS: The patients were 24 children undergoing tonsillectomy and adenoidectomy. Gases were extracted from the room for 1 group and were not extracted for the other group (n=12 in each group). Induction was with 8% sevoflurane, 60% nitrous oxide (N2O), 40% oxygen at a flow rate of 8 L x min(-1) through a Mapleson C circuit...
December 2006: Revista Española de Anestesiología y Reanimación
John M Welton, Lynn Unruh, Edward J Halloran
OBJECTIVE: This study describes the distribution of patient-to-registered nurse (RN) ratios, RN intensity of care, total staff intensity of care, RN to total staff skill mix percent, and RN costs per patient day in 65 acute community hospitals and 9 academic medical centers in Massachusetts. METHODS: We conducted a retrospective secondary analysis of the Patients First database published by the Massachusetts Hospital Association for planned nurse staffing in 601 inpatient nursing units in the state for 2005 using a multivariate linear statistical model controlling for hospital type and unit type...
September 2006: Journal of Nursing Administration
Seth L Toback, Melinda Fiedor, Brian Kilpela, Evelyn Cohen Reis
BACKGROUND: Previous studies have described that pediatric offices are ill-prepared for medical emergencies. Pediatric "mock codes" have been utilized to increase the emergency preparedness of inpatient medical units for several decades. These practice drills have been shown to both increase practitioners' confidence and decrease anxiety during actual resuscitations. Although the use of mock codes is recommended in the outpatient setting, these benefits have yet to be demonstrated for office-based practitioners...
June 2006: Pediatric Emergency Care
Ann Goldman, Martin Hewitt, Gary S Collins, Margaret Childs, Richard Hain
AIM: The purpose of this study was to survey symptoms in children/young people with progressive cancer and identify which are the most important and which are the most difficult to treat effectively. PATIENTS AND METHODS: This was a questionnaire survey of 22 United Kingdom Children's Cancer Study Group centers. Data were collected by clinical nurse specialists in pediatric oncology regarding children/young people between 0 and 20 years of age, using 2 questionnaires...
June 2006: Pediatrics
Robert P Olympia, Eric Wan, Jeffrey R Avner
OBJECTIVES: Because children spend a significant proportion of their day in school, pediatric emergencies such as the exacerbation of medical conditions, behavioral crises, and accidental/intentional injuries are likely to occur. Recently, both the American Academy of Pediatrics and the American Heart Association have published guidelines stressing the need for school leaders to establish emergency-response plans to deal with life-threatening medical emergencies in children. The goals include developing an efficient and effective campus-wide communication system for each school with local emergency medical services (EMS); establishing and practicing a medical emergency-response plan (MERP) involving school nurses, physicians, athletic trainers, and the EMS system; identifying students at risk for life-threatening emergencies and ensuring the presence of individual emergency care plans; training staff and students in first aid and cardiopulmonary resuscitation (CPR); equipping the school for potential life-threatening emergencies; and implementing lay rescuer automated external defibrillator (AED) programs...
December 2005: Pediatrics
M-N Lebras-Isabet, N Beydon, K Chevreul, V Marchand, O Corniou, M Koussou, G D'acremont, A Bourrillon
INTRODUCTION: Asthma, the most frequent chronic disease in childhood, is often treated by a continuous preventive treatment associated to the treatment of attacks. This therapeutic scheme fits well with educative skills. The Robert Debré's asthma school has been created in December 1999. Two nurses specialized in child asthma education are working in the school, helped by the pediatric pulmonologists. Children 6-year-old or more, that are treated in the hospital for asthma may be sent to the asthma school for education...
October 2004: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Uday C Mehta, Indubhai Patel, Frank V Castello
Seizures are reported to occur more frequently among children with diagnoses of autism and pervasive developmental disorder (PDD), and some reports indicate a frequency as high as 30%. Sedation is often necessary to perform diagnostic electroencephalograms (EEGs) in these children, who are known to be difficult to sedate with current available pediatric sedating agents, including chloral hydrate. We used clonidine as a sedative agent in children with autism and PDD, and our findings are presented. In a prospective study, 27 children with autism and PDD diagnoses underwent conscious sedation for EEG recording...
April 2004: Journal of Developmental and Behavioral Pediatrics: JDBP
W Clayton Bordley, Debbie Travers, Patricia Scanlon, Karen Frush, Sue Hohenhaus
OBJECTIVE: Many children enter the emergency medical system through primary care offices, yet these offices may not be adequately prepared to stabilize severely ill children. We conducted this study to evaluate the effectiveness of an office-based educational program designed to improve the preparation of primary care practices for pediatric emergencies. METHODS: A prospective, randomized, controlled trial was conducted of primary care practices (pediatric, family practice, and health departments) that were recruited from an existing database of North Carolina practices...
August 2003: Pediatrics
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