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Pediatric nurse vs registered nurse

Luisa Flohr, Shaylene Beaudry, K Taneille Johnson, Nicholas West, Catherine M Burns, J Mark Ansermino, Guy A Dumont, David Wensley, Peter Skippen, Matthias Gorges
The pediatric intensive care unit (ICU) is a complex environment, in which a multidisciplinary team of clinicians (registered nurses, respiratory therapists, and physicians) continually observe and evaluate patient information. Data are provided by multiple, and often physically separated sources, cognitive workload is high, and team communication can be challenging. Our aim is to combine information from multiple monitoring and therapeutic devices in a mobile application, the VitalPAD , to improve the efficiency of clinical decision-making, communication, and thereby patient safety...
2018: IEEE Journal of Translational Engineering in Health and Medicine
Elizabeth L Adams, Michele E Marini, Jennifer Stokes, Leann L Birch, Ian M Paul, Jennifer S Savage
BACKGROUND: Sedentary behaviors, including screen time, in childhood have been associated with an increased risk for overweight. Beginning in infancy, we sought to reduce screen time and television exposure and increase time spent in interactive play as one component of a responsive parenting (RP) intervention designed for obesity prevention. METHODS: The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study is a randomized trial comparing a RP intervention with a safety control intervention...
March 15, 2018: International Journal of Behavioral Nutrition and Physical Activity
Diane Wilson, Anuradha Kochar, Andrew Whyte-Lewis, Hilary Whyte, Kyong-Soon Lee
OBJECTIVE: We aimed to determine if the implementation of Situation, Background, Assessment, Recommendation (SBAR) training improved the quality of real-life telephone communication. We evaluated interfacility neonatal and pediatric transports performed by registered nurses, respiratory therapists, and physicians (MDs). METHODS: This was a quality improvement study performed to evaluate telephone communication before and after SBAR training. Training consisted of lectures, review of audio files, and simulated role-playing...
July 2017: Air Medical Journal
Eileen T Lake, Pamela B de Cordova, Sharon Barton, Shweta Singh, Paula D Agosto, Beth Ely, Kathryn E Roberts, Linda H Aiken
OBJECTIVES: A growing literature suggests that missed nursing care is common in hospitals and may contribute to poor patient outcomes. There has been scant empirical evidence in pediatric populations. Our objectives were to describe the frequency and patterns of missed nursing care in inpatient pediatric settings and to determine whether missed nursing care is associated with unfavorable work environments and high nurse workloads. METHODS: A cross-sectional study using registered nurse survey data from 2006 to 2008 was conducted...
July 2017: Hospital Pediatrics
Sharon E Jacob, Maria McGowan, Nanette B Silverberg, Janice L Pelletier, Luz Fonacier, Nico Mousdicas, Doug Powell, Andrew Scheman, Alina Goldenberg
Importance: Atopic dermatitis (AD) and allergic contact dermatitis (ACD) have a dynamic relationship not yet fully understood. Investigation has been limited thus far by a paucity of data on the overlap of these disorders in pediatric patients. Objective: To use data from the Pediatric Contact Dermatitis Registry to elucidate the associations and sensitizations among patients with concomitant AD and ACD. Design, Setting, and Participants: This retrospective case review examined 1142 patch test cases of children younger than 18 years, who were registered between January 1, 2015, and December 31, 2015, by 84 health care providers (physicians, nurse practitioners, physician assistants) from across the United States...
August 1, 2017: JAMA Dermatology
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...
July 17, 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
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