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| Titre : | Journal of Pediatric Health Care |
| Type de document : | Périodique |
| Editeur : | Issy-les-Moulineaux : Elsevier Masson |
| ISBN/ISSN/EAN : | 0891-5245 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Pédiatrie ; Soins de l'enfant |
| Disponible en ligne : | Non |
Liste des numéros ou bulletins :
Paru le : 01/01/2019
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Titre : Gasping for a Diagnosis: Pediatric Vocal Cord Dysfunction (2019) Auteurs : Marie Wenzel Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 5-13 Note générale : https://doi.org/10.1016/j.pedhc.2018.03.002 Langues: Anglais Descripteurs : HE Vinci
Asthme ; Dysfonction des cordes vocales ; Enfant (6-12 ans)Résumé : Vocal cord dysfunction is an obstruction of the upper airway, primarily on inspiration, due to the paradoxical adduction of the vocal cords. Vocal cord dysfunction continues to be underdiagnosed as its own entity. The lack of diagnosis can be attributed to the overlap of symptoms between asthma and exercise-induced bronchospasm. It is possible for patients diagnosed with asthma and/or exercise-induced bronchospasm to have underlying vocal cord dysfunction, which needs to be considered when prescribing asthma medications. This article will review the history of vocal cord dysfunction, the differential diagnosis, diagnostic testing, and the role of the nurse practitioner in caring for these patients. Disponible en ligne : Non Exemplaires (1)
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Titre : Bell Ringers: Factors Related to Concussive Events in Children Playing Tackle Football (2019) Auteurs : Rayna B. Hirst ; Amie L. Haas ; Anna M. Teague ; L. Taighlor Whittington ; Eric Taylor Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 14-25 Note générale : 10.1016/j.pedhc.2018.05.009 Langues: Anglais Descripteurs : HE Vinci
Athlètes ; Blessure ; Commotion de l'encéphale ; Enfant (6-12 ans) ; Évaluation des symptômesRésumé : ntroduction
Sports-related concussion is a significant pediatric health risk, given the number of children involved in sports and the vulnerability of developing brains. Although most research has focused on high school/college athletes, these findings may not be applicable to younger athletes.
Method
A mixed-methods analysis examined concussion incidence and sequelae in a cohort of 8- to 13-year-old males (N = 31) playing youth football and their parents. Parents provided background information and completed mood/behavioral questionnaires, and each athlete completed a neuropsychological battery.
Results
Eight athletes (26%) had a history of concussion before assessment. Concussion risk was related to lack of medical evaluation in prior concussions, tackling exposure (in both offensive and defensive positions), and multisport participation. There were no cognitive or psychological differences based on concussion history.
Discussion
Findings identify factors that may contribute to concussion risk in children and show the need for further research in this understudied population.Disponible en ligne : Non Exemplaires (1)
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Titre : Weight Loss in Adolescents After Bariatric Surgery: A Systematic Review (2019) Auteurs : Danielle Karasko Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 26-34 Note générale : 10.1016/j.pedhc.2018.05.010 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Chirurgie bariatrique ; ObésitéRésumé : Introduction
Bariatric surgery is a treatment option for the obese adolescent. There are three primary surgical procedures: the bypass, sleeve gastrectomy, and lap band. The most recent literature was reviewed to examine changes in weight, comorbidities, and complications after bariatric surgery in the adolescent.
Method
A systematic search was performed to identify original research articles published in the United States between the years of 2000 and 2017 with patients between the ages of 11 and 21 years that provided greater than 30 days of results.
Results
A total of 23 articles were identified. Weight loss, improvement in comorbidities, and complications after all procedures were reported.
Discussion
Outcomes were not reported in a standardized fashion, creating much difficulty in interpreting and comparing results. The sleeve gastrectomy is increasing in incidence, whereas the lap band is decreasing. Further research is needed to draw more definitive conclusions regarding long-term results in the adolescent undergoing bariatric surgery.Disponible en ligne : Non Exemplaires (1)
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Titre : Early Life Factors for Overweight Risk Among Infants of Hispanic Immigrant Mothers (2019) Auteurs : Kathleen F. Gaffney ; Deborah A. Kermer ; Panagiota Kitsantas ; Albert V. Brito ; Katya M. Ramos ; Graciela Pereddo ; Luisa Villatoro Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 35-41 Note générale : 10.1016/j.pedhc.2018.05.011 Langues: Anglais Descripteurs : HE Vinci
Emigrants et immigrants ; Enfant (6-12 ans) ; Obésité ; Troubles nutritionnels du nourrissonRésumé : Introduction
This study examined postpartum depression, food insecurity, and underestimation of infant size as potential early life factors for overweight risk at 12 months among infants of Hispanic immigrant mothers.
Method
Weight-for-length (WFL) measurements and face-to-face interviews were completed during well child visits. Regression models estimated the impact of early life factors (0-6 months) on overweight risk at 1 year.
Results
WFL ≥ 85th percentile was found among 2.4% at birth and 42.7% at 1 year. Most mothers (78.6%) experienced food insecurity, a factor that increased the likelihood of infant overweight risk by 2.29 times (1.03–5.09). Maternal underestimation of infant size increased the likelihood of overweight risk 5.07 times (2.57–9.99). Postpartum depression risk did not contribute to infant weight status.
Discussion
Assessment for maternal food insecurity and underestimation of infant weight status during early infancy may help reduce overweight risk and subsequent obesity for this vulnerable population.Disponible en ligne : Non Exemplaires (1)
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Titre : Expanding Concepts of Youth Adversity: Relationships With a Positive Patient Health Questionnaire–2 (2019) Auteurs : Naomi N. Duke Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 42-52 Note générale : 10.1016/j.pedhc.2018.05.012 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Dépression ; Événements de vie ; Santé mentaleRésumé : Introduction
Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey.
Methods
Logistic regression was used to determine whether 10 types of conventional ACEs and 11 types of additional ACEs were associated with the odds of youth meeting cutoff scores for a positive Patient Health Questionnaire–2 (PHQ-2) after adjustment for demographic covariates and known mental health problems.
Results
Individual and cumulative measures for conventional and expanded ACEs were significantly associated with youth odds of meeting criteria for a positive PHQ-2. Increasing frequency of bullying harassment was associated with a 1.5- to 5-fold increase in the odds of a positive PHQ-2.
Discussion
Findings support consideration of broad concepts for adversity as relevant for youth mental health.Disponible en ligne : Non Exemplaires (1)
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Titre : Unique Factors Affecting the Management and Prevention of Caries in the Childhood Cancer Survivor (2019) Auteurs : Abbey J. Horner ; Donna G. Nativio Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 53-57 Note générale : 10.1016/j.pedhc.2018.06.002 Langues: Anglais Descripteurs : HE Vinci
Caries dentaires ; Soins de santé primaires ; Survivants ; TumeursRésumé : Childhood cancer survivors are at high risk for a myriad of complications secondary to oncologic treatment regimens. Caries is one of the major sequela of oncologic treatment that place the childhood cancer survivor at risk for complications in adulthood. Dental caries can be prevented with optimum dental care, early identification, and patient education. A barrier to their prevention is the lack of routine dental care received by this population. Health care providers are in a prime position to remedy this problem through their frequent contact with the childhood cancer survivor during sick and well-child office visits. The purpose of this article is to convey information and tools related to dental caries in the pediatric cancer survivor younger than 18 years to enhance primary care providers’, acute care pediatric nurse practitioners’, and oncology providers’ knowledge of risk stratification, early identification, and treatment regimens for caries in the childhood cancer survivor. Disponible en ligne : Non Exemplaires (1)
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Titre : Effect of Facilitated Discharge in Pediatric Orthopedic Patients at an Academic Medical Facility (2019) Auteurs : Sheila L. Mason ; Katherine E. Chike-Harris ; Bettina M. Gyr ; Emily Johnson Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 58-63 Note générale : 10.1016/j.pedhc.2018.06.003 Langues: Anglais Descripteurs : HE Vinci
Centres hospitaliers universitaires ; Enfant (6-12 ans) ; Infirmières praticiennes ; Orthopédie ; Pédiatrie ; Sortie du patientRésumé : Introduction
Because health care reimbursement is being linked to discharge quality and patient satisfaction, this quality improvement initiative reviewed the outcomes of embedding a pediatric nurse practitioner within the resident team at an academic medical facility.
Methods
The project was completed at a pediatric orthopedic unit at a large Southeastern U.S. academic medical facility. During the intervention, the pediatric nurse practitioner student completed daily rounds, communicated with the resident team, assessed readiness for discharge, provided patient education, and ensured that comprehensive discharge materials were completed.
Results
Analyses were completed for 219 patients (pre-intervention, n = 116; post-intervention, n = 103). Patient satisfaction was measured for provider communication and discharge. All areas experienced improvement, with provider communication benchmarks obtained. Ambulatory call volume decreased from 97 to 45 calls/100 patients.
Discussion
This study shows that embedding a pediatric nurse practitioner into the resident team helped improve patient satisfaction and reduce ambulatory workload by decreasing call volume.Disponible en ligne : Non Exemplaires (1)
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Titre : Missed Opportunities in the Outpatient Pediatric Setting to Support Breastfeeding: Results From a Mixed-Methods Study (2019) Auteurs : Mary M. Ramos ; Rachel A. Sebastian ; Emilie Sebesta ; Adrienne E. McConnell ; Courtney R. McKinney Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 64-71 Note générale : 10.1016/j.pedhc.2018.06.004 Langues: Anglais Descripteurs : HE Vinci
Allaitement naturel ; Education pour la santé ; Patients ; Personnel de santéRésumé : Introduction
Outpatient pediatric providers play a crucial role in the promotion of breastfeeding. We conducted a mixed methods study to measure provider knowledge, attitudes, and current practices around breastfeeding counseling.
Method
In New Mexico in 2016 and 2017, we conducted a knowledge, attitudes, and practice survey of outpatient pediatric providers (i.e., nurse practitioners, physicians, and physician assistants) and conducted focus groups with outpatient pediatric providers.
Results
Seventy-seven providers responded to the survey, and 17 participated in three focus groups. Fewer than half of providers surveyed reported asking how long mothers plan to breastfeed at initial well-baby examinations. One quarter of participants (28.2%) erroneously reported that hepatitis C was an absolute contraindication to breastfeeding. Just half of respondents had received continuing education within the past 3 years about managing common breastfeeding problems.
Discussion
We identified missed opportunities for outpatient pediatric providers to support breastfeeding and a need for continuing provider education.Disponible en ligne : Non Exemplaires (1)
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Titre : Developing, Implementing, and Evaluating Personalized Education for Pediatric Patients Diagnosed With Asthma on an Observation Unit (2019) Auteurs : Lauren Davis ; Lisa M. Kreashko ; Virginia Allison Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 72-79 Note générale : 10.1016/j.pedhc.2018.06.005 Langues: Anglais Descripteurs : HE Vinci
Asthme ; Education pour la santé ; Enfant (6-12 ans) ; Observance par le patientRésumé : Introduction
A quality improvement project was commenced to determine if personalized, patient-specific education can increase parent/guardian knowledge and reduce subsequent emergency department (ED) visits and inpatient admissions secondary to asthma.
Method
Pre- and post-education survey scores were analyzed for a change in knowledge. A retrospective electronic health record (EHR) chart review was performed one year following the education to determine if the patients had additional ED visits or inpatient admissions.
Results
A statistically significant increase in post-education survey scores (p = 0.004) and decrease in post-education inpatient admissions was found (p = 0.005). There was no significant difference between the number of pre- and post-education ED visits.
Discussion
Asthma is a chronic medical condition that often requires life-long home management. These results revealed that parent/guardian knowledge regarding asthma can be increased and optimal home management improved by personalized, patient-specific education.Disponible en ligne : Non Exemplaires (1)
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Titre : Examining Childhood Obesity From Infancy: The Relationship Between Tummy Time, Infant BMI-z, Weight Gain, and Motor Development—An Exploratory Study (2019) Auteurs : Aina Koren ; Linda Kahn-D'angelo ; Susan M. Reece ; Rebecca Gore Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 33, n° 1, January/February 2019) Article en page(s) : p. 80-91 Note générale : 10.1016/j.pedhc.2018.06.006 Langues: Anglais Descripteurs : HE Vinci
Développement de l'enfant ; Enfant (6-12 ans) ; Indice de masse corporelle ; Psychomotricité ; RepasRésumé : Introduction
This exploratory study investigated the infant time spent in tummy time (TT) in relation to body mass index z score (BMI-z), weight gain, and motor development in infants from birth to 4 months.
Method
Mothers and their infants were telephone surveyed at 2 and 4 months. Mother demographics; TT; feeding practices; and infant length, and height, and development were collected each time.
Results
Results from Cochran–Mantel–Haenszel and single logistic regression showed a significant association between development, level of BMI-z, and time spent in TT at 2 months of age (p Discussion
Study outcomes suggest that infant positioning and time in TT promote infant motor development and may moderate rapid infant weight gain.Disponible en ligne : Non Exemplaires (1)
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Paru le : 01/11/2018
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Titre : Vitamin D Prescribing Practices in Primary Care Pediatrics : Underpinnings From the Health Belief Model and Use of Web-Based Delphi Technique for Instrument Validity (2018) Auteurs : Nancy N. Delgiudice ; Nancy Street ; Ronald J. Torchia ; et al. ; Ronald J. Torchia ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 536-547 Langues: Anglais Descripteurs : HE Vinci
Carence en vitamine D ; Enfant (6-12 ans) ; Etats-Unis ; Guide de bonnes pratiques ; Méthodes ; Recommandations ; Vitamine DMots-clés: Méthode de Delphes Résumé : Vitamin D deficiency and insufficiency is a pandemic problem in children and adolescents in the United States. The problem may be aggravated by the inconsistent implementation of current clinical practice guidelines for vitamin D management by pediatric primary care providers. This study examines the relationship between primary care providers' prescribing vitamin D to children ages 1 through 18 years and their practice actions and knowledge. A descriptive correlation design was used. Participants were recruited from a purposive sample of pediatricians and pediatric nurse practitioners through an online invitation to participate in a survey. Reliability and validity was established for the survey developed by the principal investigator using a web-based Delphi technique. Results from this study indicate that although most providers are aware that vitamin D insufficiency and deficiency are problems, fewer than half currently recommend 600- to 1,000-IU supplementation to their patients ages 1 through 18 years. Disponible en ligne : Non Exemplaires (1)
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Titre : Parenting Intervention to Improve Nutrition and Physical Activity for Preschoolers with Type 1 Diabetes : A Feasibility Study (2018) Auteurs : Carry Tully ; Eleanor Mackey ; Laura Aronow Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 548-556 Langues: Anglais Descripteurs : HE Vinci
Acceptation des soins par les patients ; Comportement alimentaire ; Consommation alimentaire ; Diabète de type 1 ; Enfant d'âge préscolaire (2-5 ans) ; Etudes de faisabilité ; Exercice physique ; Nutrition ; PédiatrieRésumé : OBJECTIVE : This study reports the feasibility and acceptability of a healthy eating and physical-activity-focused behavioral intervention for parents of young children with type 1 diabetes (T1D).
METHODS : Ten parents of young children (age 2-5 years) with T1D enrolled. The intervention included six behavioral sessions (five by telephone), diabetes nursing consultation, parent coach contact, text messages, and a study website. Analyses explored feasibility, acceptability, and preliminary findings.
RESULTS : There was evidence of high acceptability (mean parent satisfaction = 1.11, very satisfied). Although most participants completed all of the assessments, there were some barriers to data collection devices. The number of participants within the American Diabetes Association recommended glycemic range doubled; there was no significant change in hemoglobin A1c, diet, or physical activity.
CONCLUSION : There was evidence of feasibility and acceptability and initial evidence of change in hypothesized directions. Minor changes were made for the larger randomized controlled trial.Disponible en ligne : Non Exemplaires (1)
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Titre : Primary Care Provider Knowledge and Practice Patterns Regarding Childhood Obesity (2018) Auteurs : Ashley M. Busch ; Andrea Hubka ; Brian A. Lynch ; Brian A. Lynch Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 557-563 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Education thérapeutique ; Enfant (6-12 ans) ; Obésité ; Obésité pédiatrique ; PédiatrieMots-clés: premiers soins Résumé : Background :We aimed to evaluate current childhood obesity management by providers and improve management of pediatric obesity through a provider-focused educational intervention.
Methods : We surveyed family medicine and pediatric providers regarding documentation and intervention, knowledge gaps, and educational needs for childhood obesity. An educational program was implemented regarding detection, documentation, and follow-up/referral of pediatric obesity and comorbid conditions. We reviewed charts for 50 overweight or obese children before and after intervention.
Results : The survey identified lack of time (73%) and perception of parents (77%) as the most frequent provider barriers to pediatric obesity care. Provider referrals increased from 6% to 16% after intervention, and laboratory testing increased from 14% to 26%. No changes were noted in discussion of weight status, diagnosis/documentation, or billing.
Conclusion : Provider education can improve appropriate ordering of laboratory studies and referrals for overweight children. Different intervention approaches may improve billing and documentation practices for pediatric obesity.Disponible en ligne : Non Exemplaires (1)
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Titre : Review of Tools for Measuring Exposure to Adversity in Children and Adolescents (2018) Auteurs : Debora Lee Oh ; Petra Jerman ; Sukhdip K. Purewal Boparai Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 564-583 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Enfant (6-12 ans) ; Evaluation ; Événements de vie ; Maltraitance ; Psychologie ; Violence domestiqueMots-clés: Adversité Résumé : Exposure to childhood adversity can result in negative behavioral and physical health outcomes due to potential long-term embedding into regulatory biological processes. Screening for exposure to adversity is a critical first step in identifying children at risk for developing a toxic stress response. We searched PubMed, PsycArticles, and CINAHL for studies published between January 1, 2012, and December 31, 2016, as well as other sources, to identify potential tools for measuring cumulative adversity in children and adolescents. We identified 32 tools and examined them for adversity categories, target population, administration time, administration qualifications and method, and reliability and validity. We also created a list of recommended tools that would be feasible for use by pediatric practitioners in most types of practice. This review provides a starting point for mobilizing screening in pediatric settings, highlighting the challenges with existing tools, and potential issues in the development and evaluation of future tools. Disponible en ligne : Non Exemplaires (1)
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Titre : Collaborative Care of Attention Deficit Hyperactivity Disorder : An Innovative Partnership to Serve Rural Pediatric Patients (2018) Auteurs : Annie D. Imboden ; Karla K. Fehr Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 584-590 Langues: Anglais Descripteurs : HE Vinci
Acceptation des soins par les patients ; Comportement ; Enfant (6-12 ans) ; Etudes de faisabilité ; Milieu rural ; Pédiatrie ; Thérapie comportementale ; Trouble déficitaire de l'attention avec ou sans hyperactivité ; Troubles mentauxRésumé : Attention deficit hyperactivity disorder (ADHD) is a common behavioral health disorder in childhood that causes significant impairments in quality of life, home relationships, and school success. Despite a substantial evidence base and corresponding practice guidelines established by the American Academy of Pediatrics that support use of behavioral therapy to treat ADHD, affected patients infrequently receive therapy. This article will review the causes of underuse of behavioral therapy and methods to overcome these barriers such as integrating behavioral health care, thereby creating a pediatric patient–centered medical home. Additionally, a novel practice model of a behavioral health care collaboration being piloted in a rural pediatric office will be presented, including methods to screen, assess, and treat ADHD patients and families within the comfort of the primary care office. Disponible en ligne : Non Exemplaires (1)
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Titre : Implementation of the Asthma Control Test in Primary Care to Improve Patient Outcomes (2018) Auteurs : Nancy Cantey Banasiak ; Nancy Cantey Banasiak Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 591-599 Langues: Anglais Descripteurs : HE Vinci
Asthme ; Démographie ; Diagnostic ; Enfant (6-12 ans) ; Infirmiers pédiatriques ; Modèles de pratique infirmière ; Pédiatrie ; Pratique factuelle (EBP) ; Soins de santé primairesMots-clés: Premiers soins ; Test de Contrôle de l'Asthme Résumé : Background : Asthma is one of the major chronic diseases in the pediatric population, affecting 9.5% of children. The National Heart, Lung, and Blood Institute recommends the use of the Asthma Control Test (ACT) for periodic assessment of asthma control. The purpose of this evidence-based project was to implement the Asthma Control Test screening tool into the primary care practice to improve management of patients with asthma by more accurately addressing asthma control.
Methods : The project was a pre- and post-implementation study comparing two different groups of patients with asthma seen at the clinic over 5-week periods.
Results : After the implementation of the educational program and project, 82.6% of advanced practice registered nurses and 30.7% of pediatric resident physicians used an Asthma Control Test, resulting in identification of 9 (21%) patients who were considered not well-controlled. All (100%) of those children identified as not well-controlled through the Asthma Control Test received an adjustment in their medication therapy.
Conclusions : The Childhood ACT and ACT are simple, self-administered, validated questionnaires that can easily be incorporated into a primary care practice to assess the level of asthma control and to identify patients with asthma that is not well controlled.Disponible en ligne : Non Exemplaires (1)
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Titre : The Relationship Between Neighborhood Safety and Children's Asthma : An Integrative Review (2018) Auteurs : Kelli DePriest ; Arlene Butz ; Roland J. Thorpe Jr. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 600-611 Langues: Anglais Descripteurs : HE Vinci
Asthme ; Bases de données comme sujet ; Déterminants sociaux de la santé ; Enfant (6-12 ans) ; Prédisposition génétique à une maladie ; Sécurité ; Soins infirmiers ; Stress psychologiqueMots-clés: Sécurité du quartier ; Pubmed Résumé : Introduction : There is a growing body of research analyzing the relationships between neighborhood safety and children's asthma prevalence and control. There are several inconsistencies in concepts and methods that have led to mixed results. The purpose of this review is to critically evaluate the current evidence analyzing neighborhood safety and childhood asthma and identify nursing research and policy implications.
Method : An integrative review was conducted by searching the PubMed, CINAHL, EMBASE, and PsychINFO databases to identify peer-reviewed articles published between 2010-2017. Fourteen studies met inclusion criteria.
Results : Overall, there was evidence pointing to associations among neighborhoods being unsafe and higher asthma prevalence and/or poorer asthma control.
Discussion : The association between neighborhood safety and children's asthma warrants further research with universal definitions for neighborhood safety and multi-level modelling. The review also supports the “Health in All Policies” approach as safety is one of several social determinants of health that influence children's asthma.Disponible en ligne : Non Exemplaires (1)
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Titre : Provider Counseling About Secondhand Smoke Exposure for Urban Children With Persistent or Poorly Controlled Asthma (2018) Auteurs : Maria Fagnano ; Stefanie Thorsness ; Arlene Butz Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 612-619 Langues: Anglais Descripteurs : HE Vinci
Asthme ; Enfant (6-12 ans) ; Exposition par inhalation ; Fumée ; Fumeurs ; Milieu rural ; Personnel de santé ; Pollution de l'air ; TabagismeMots-clés: Tabagisme passif ; Assistance Résumé : Urban children continue to be exposed to secondhand smoke (SHS), and this is particularly concerning for children with asthma. The objective of this study is to describe SHS exposure among urban children with asthma and assess SHS counseling delivered at primary care visits. We interviewed caregivers of 318 children (2–12 years) with persistent asthma at the time of a health care visit and reviewed medical records. We found that one third (32%) of children lived with a caregiver who smoked and that 15% lived with other smokers. Children whose caregivers smoked had the lowest prevalence of home smoking bans compared with homes with other smokers and no smokers (65% vs. 72% vs. 95%, respectively). Overall, 67% of caregivers received some SHS counseling. Providers most often counseled caregiver smokers; counseling occurred less frequently for caregivers in homes with other or no smokers. Further efforts to improve provider SHS counseling for all children with asthma are needed. Disponible en ligne : Non Exemplaires (1)
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Titre : Cost–Benefit Analysis of Providing Fluoride Varnish in a Pediatric Primary Care Office (2018) Auteurs : Jennifer A. Sibley Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 620-626 Langues: Anglais Descripteurs : HE Vinci
Analyse coût-bénéfice ; Fluor ; PédiatrieMots-clés: Premiers soins ; Duraflor Résumé : Introduction : The American Academy of Pediatrics and the U.S. Preventive Services Task Force, among others, call for the provision of fluoride varnish in the pediatric primary care setting, but many barriers exist to the implementation of such a service in this setting. Knowledge of costs and benefits is one such barrier.
Methods : A cost–benefit analysis of the implementation of a fluoride varnish program in a pediatric primary care office located in Volusia County, Florida was conducted with the assistance of the office manager and a nurse practitioner using data retrieved from the electronic health record program.
Results : Microsoft Excel was used to calculate estimated mean reimbursement data from the top insurers in this office for this service, and the data show a positive annual net income of $4,498 to $26,775, with an average potential annual net income of $15,637.
Conclusions : The data from this cost–benefit analysis show a positive financial benefit as an incentive to implement a fluoride varnish program in this primary care pediatric office and serve as a solid foundation for a future quality improvement project to implement such a program.Disponible en ligne : Non Exemplaires (1)
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Titre : Celiac Disease in the Pediatric Population (2018) Auteurs : Jessica Durham ; Heide S. Temples Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 627-633 Langues: Anglais Descripteurs : HE Vinci
Antigene ; Dermatite ; Diagnostic ; Enfant (6-12 ans) ; Maladie coeliaque ; Pédiatrie ; Prévention ; Régime sans gluten ; Syndromes de malabsorptionMots-clés: Dermatite herpétiforme ; Antigènes HLA Résumé : Celiac disease is an autoimmune disorder in which the lining of the gastrointestinal tract is damaged by an immune-mediated response to gluten proteins ( Allen, 2015 ). It is a polygenetic disease that only appears in genetically susceptible individuals ( Newton & Singer, 2012 ). It is a worldwide concern, with North America having a high prevalence rate ( Liu et al., 2017 ). Celiac disease can present in a spectrum of manifestations, making it difficult to identify and diagnosis ( Reilly & Green, 2012 ). High-risk populations include those with a positive family history as well as individuals with other autoimmune disorders ( Newton & Singer, 2012 ). Screening and diagnosis are completed with a blood test followed by a biopsy of the small intestinal lining ( Zevit & Shamir, 2014 ). Currently, the only treatment for celiac disease is a strict, gluten-free diet. Further research is warranted in areas of environmental risk factors and treatments ( Allen, 2015; Newton & Singer, 2012 ). Disponible en ligne : Non Exemplaires (1)
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Titre : Impact of Parental Military Service on the Health of Military-Connected Children : A Case Study (2018) Auteurs : LaChiana Hamilton ; Catherine Ling ; Alicia Gill Rossiter Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 634-638 Langues: Anglais Descripteurs : HE Vinci
Anciens combattants ; Diagnostic ; Douleur nociceptive ; Enfant (6-12 ans) ; Famille de militaire ; Parents ; Trouble déficitaire de l'attention avec ou sans hyperactivité ; Troubles mentauxMots-clés: Parents militaires: Enfants de militaires ; I serve 2 Résumé : More than 2.1 million children have had at least one parent deploy in support of Operation Enduring Freedom and/or Operation Iraqi Freedom. A total of 58% of enlisted personnel (active duty, reserve, or National Guard) have families, and 40% have two or more children (Brendel, Maynard, Albright, & Bellomo, 2014). Seventeen years of sustained military involvement in Iraq and Afghanistan has placed an increased physical and emotional burden on military-connected children. Many dependent children are living with a service member parent who suffers from the physical and or psychological wounds of war (e.g., polytrauma, amputations, traumatic brain injury, posttraumatic stress disorder). Disponible en ligne : Non Exemplaires (1)
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Titre : Understanding Masturbation in the Pediatric Patient (2018) Auteurs : Brooke Wilkinson ; Rita Marie John Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 639-643 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Infractions sexuelles ; Masturbation ; Psychologie ; Troubles sexuels et troubles de l'identité sexuelle ; Violence sexuelle chez l'enfantRésumé : Childhood masturbation is not included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013). The topic of hypersexuality was proposed but rejected for inclusion in the fifth edition by the American Psychiatric Association because it is not considered an unhealthy behavior (Kafka, 2010). The World Health Organization does not have a specific code for childhood masturbation. It is categorized under the coding title “Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence” (F98.8) in the International Statistical Classification System of Diseases and Related Health Problems, 10th edition (World Health Organization, 2004; Mallants & Casteels, 2008). Disponible en ligne : Non Exemplaires (1)
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Titre : Access to Maternal Mental Health Services : Trends in State Legislation (2018) Auteurs : My Hanh Nguyen ; Karen G. Duderstadt Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 6, November/December 2018) Article en page(s) : p. 644-647 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Dépression du postpartum ; Législation ; Mères ; Périnatalité ; Période du postpartum ; Politique de santé ; Santé mentale ; Troubles anxieuxRésumé : Postpartum depression is the most common but underrecognized medical complication of childbearing, and 10% to 15% of pregnant and postpartum women will experience depression. Currently, only 30.8% of women with postpartum depression are identified, and only 6.3% receive adequate treatment (Cox, Sowa, Meltzer-Brody, & Gaynes, 2016). Given this disparity in detection and treatment, women who suffer maternal mental health disorders need effective health policies to increase access to mental health services. Disponible en ligne : Non Exemplaires (1)
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| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
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Titre : Caring for Military Children: Implications for Nurse Practitioners (2018) Auteurs : Jaime Panton Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : p. 435-444 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.02.007 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Famille de militaire ; Fragilité ; Infirmières praticiennes ; PédiatrieRésumé : Nearly two million American children belong to a military family. Armed Forces families are located in almost every state and around the globe. Military children are a unique and at times vulnerable population. Military children and adolescents may face significant stressors throughout their lives compared to their civilian counterparts. Military families encounter frequent moves and over half of these children have encountered at least one parental deployment since September 11th, 2001. Civilian health care providers often care for military children and adolescents. The purpose of this article is to provide pediatric providers with an understanding of the deployment cycle and how it relates to childhood development, to discuss common military stressors and their impact on the family, and to describe strategies and resources pediatric providers can utilize to care for this unique population Disponible en ligne : Non Exemplaires (1)
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Titre : Student and Parent Perspectives on Severe Food Allergies at College (2018) Auteurs : Anne Ersig L. ; Janet Williams Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : p. 445-454 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.03.006 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Hypersensibilité alimentaire ; Interaction parent-enfant ; StressMots-clés: Passage à l'âge adulte Résumé : Introduction
Constant vigilance to manage severe food allergies (FAs) can lead to high stress. Additional stress may develop during life-course transitions, such as the transition to college. However, few studies have evaluated everyday and FA-related stress in college students with FA and their parents. This analysis examined experiences of 26 college students with FA and their parents.
Methods
Students and parents completed online surveys in a mixed-methods exploratory study of everyday and FA-related stressors, potential contributing factors, and FA management.
Results
FA affected nearly all areas of students' lives. Management required constant vigilance because of issues of trust in others. However, nearly 40% of students did not consistently carry emergency medication to counteract reactions. Parents worried from a distance while learning to trust their child's FA management capabilities.
Discussion
Additional preparation and support for college students with severe FA and their parents may help improve stress and FA management.Disponible en ligne : Non Exemplaires (1)
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Titre : Mindfulness-Based Interventions Among Adolescents With Chronic Diseases in Clinical Settings : A Systematic Review (2018) Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : 455-472 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.04.001 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Maladie chronique ; Pleine conscience (Mindfulness) ; Revue systématiqueRésumé : Introduction
We aimed to determine the benefits/efficacy of mindfulness-based interventions (MBIs) implemented among adolescents with chronic diseases in clinical settings.
Methods
An electronic search of PubMed, CINAHL, and PsycINFO databases was conducted in November 2017 to identify studies in which mindfulness was the primary intervention delivered for adolescents with chronic diseases to improve psychological and physical health.
Results
Nineteen eligible studies were included in this review. Fifteen studies included adolescents with psychiatric or pain disorders, and four included adolescents with a chronic physical disorders. Psychological outcomes and pain were examined in most studies with effect sizes for MBIs ranging from small to large.
Discussion
MBI studies conducted in clinical settings mainly engaged adolescents with psychiatric or pain disorders. The effectiveness of MBIs on improving psychological outcomes were inconsistent. Large randomized trials are needed to examine the effectiveness of MBIs and should expand to include adolescents with chronic physical diseases.Disponible en ligne : Non Exemplaires (1)
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Titre : Factors Associated With Healthy Lifestyle Behaviors Among Adolescents (2018) Auteurs : Colleen McGovern ; Lisa K. Militello ; Kimberly Arcoleo ; Bernadette M. Melnyk Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : p. 473-480 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.04.002 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Comportement ; Mode de vie sain ; Santé mentaleRésumé : Objective
Guided by cognitive theory, this study tested an explanatory model for adolescents' beliefs, feelings, and healthy lifestyle behaviors and sex differences in these relationships.
Methods
Structural equation modeling evaluated cross-sectional data from a healthy lifestyle program from 779 adolescents 14 through 17 years old.
Results
Theoretical relationships among thoughts, feelings, and behaviors were confirmed and sex differences identified. Thoughts had a direct effect on feelings and an indirect effect through feelings on healthy behaviors for both sexes. A direct effect from thoughts to behaviors existed for males only.
Discussion
Findings provide strong support for the thinking–feeling–behaving triangle for adolescents. To promote healthy lifestyle behaviors in adolescents, interventions should incorporate cognitive behavioral skills–building activities, strengthening healthy lifestyle beliefs, and enhancing positive health behaviors.Disponible en ligne : Non Exemplaires (1)
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Titre : Comprehensive Infant Clinic for Sickle Cell Disease: Outcomes and Parental Perspective (2018) Auteurs : Brenda M. Martin ; Lisa N. Thaniel ; Barbara Speller-brown ; Deepika S. Darbari Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : p. 485-489 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.04.018 Langues: Anglais Descripteurs : HE Vinci
Education ; Parents ; Trait drépanocytaireRésumé : Introduction
Comprehensive care for children with sickle cell disease (SCD) includes penicillin prophylaxis, pneumococcal immunization, hydroxyurea therapy, and transcranial Doppler screening for stroke prevention. Along with caregiver education, these strategies have been shown to be effective in reducing early morbidity and mortality in this population. The subspecialty Infant Sickle Cell Clinic was initiated to improve access, education, patient outcomes, and family satisfaction.
Method
Telephone surveys were conducted with parents to assess satisfaction with the Infant Sickle Cell Clinic, compliance with guidelines, and comfort level with managing their child's SCD.
Results
This quality improvement project reported high levels of parent satisfaction and improved outcomes with the proposed approach but also presents areas for improvement.
Discussion
Our report presents a unique model of providing care to families with infants newly diagnosed with SCD. The group format serves as a useful model to allow families an interactive educational session with guest speakers.Disponible en ligne : Non Exemplaires (1)
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Titre : A Case Study of a Child With Mitochondrial Disease (2018) Auteurs : Brenda A. Senger ; Deborah W. Smith Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : p. 494-499 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.05.002 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Maladies mitochondriales ; Prescription ; Présentations de casRésumé : A 4-year-old girl recently diagnosed with epilepsy presented to her pediatric advanced practice registered nurse (APRN) in a primary care clinic with 2 weeks of increased seizure activity after a medication change from carbamazepine to valproic acid. Symptoms also included a sudden increase in lethargy, ataxia, and drowsiness. She is co-managed by a pediatric neurologist for seizure control who was currently away from the office. Associated test results included a normal valproic acid level, elevated ammonia and liver function (Table 1), and an abnormal electroencephalogram reading; indicating a generalized process with ongoing focal-like features. Disponible en ligne : Non Exemplaires (1)
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Titre : Feasibility of Providing Pediatric Neurology Telemedicine Care to Youth with Headache (2018) Auteurs : Amy Vierhile ; Jane Tuttle ; Heather Adams ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : p. 500-506 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.02.004 Langues: Anglais Descripteurs : HE Vinci
Céphalées ; Enfant (6-12 ans) ; Neurologie ; Pédiatrie ; Présentations de cas ; TélémédecineRésumé : Telemedicine has been described as use of electronic communication between two sites to deliver medical information to improve a patient's clinical health status (American Telemedicine Association, 2010). It has been widely used since the 1990s in remote areas such as Alaska and the upper reaches of Canada in addition to other rural parts of the United States (Gifford, Niles, Rivkin, Koverola, & Polaha, 2012). The American Academy of Pediatrics (2015) has supported telemedicine as a way to deliver both primary care and certain specialty areas with provider shortages. Disponible en ligne : Non Exemplaires (1)
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Titre : Skin Deep: Simplifying Practice Guidelines for Children With Atopic Dermatitis (2018) Auteurs : Kathleen A. Kent ; Carol A. Clark Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : p. 507-513 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.06.001 Langues: Anglais Descripteurs : HE Vinci
Dermatologie ; Eczema atopique ; Enfant (6-12 ans) ; Pédiatrie ; RecommandationsRésumé : Atopic dermatitis (AD) is a common chronic inflammatory skin disorder in children. Often called eczema, AD is a papulosquamous eruption often characterized by pruritus and then the typical distribution and morphology of the rash (Saavedra et al., 2013). Thus, an idiom often used by health care professionals to describe AD is “the itch that rashes.” Two leading organizations jointly authored an update on AD in 2012 (Schneider et al., 2013), and a third published several guidelines for the management of AD (Eichenfield et al., 2013, 2014, 2015; Sidbury et al., 2014). Disponible en ligne : Non Exemplaires (1)
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Titre : Juvenile Idiopathic Arthritis: A Focus on Pharmacologic Management (2018) Auteurs : Jessica L. Jacobson ; Jennifer T. Pham Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 5, September/October 2018) Article en page(s) : p. 515-528 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.02.005 Langues: Anglais Descripteurs : HE Vinci
Arthrite juvénile ; Pédiatrie ; Traitement médicamenteuxRésumé : Juvenile idiopathic arthritis is a chronic condition that affects many pediatric patients. It is a prevalent disease and has become the most common rheumatologic disease of childhood. The condition encompasses multiple different forms of chronic arthritides classified based on the location and number of joints affected as well as the presence or lack of a number of different inflammatory markers. The exact etiology is unknown but is thought to be multifactorial with genetic, humoral, and environmental factors playing a key role. Many pharmacologic agents are available for use in the treatment of juvenile idiopathic arthritis, with management involving the use of symptom-reducing agents and disease-modifying antirheumatic drugs. Treatment is not without adverse events, with many of the agents require monitoring regimens and patient education. Without treatment, the progression and chronicity of the disease can result in significant morbidity, with the potential for devastating consequences on the child's quality of life. Disponible en ligne : Non Exemplaires (1)
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| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
Paru le : 01/07/2018
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Titre : Decreasing Caregivers' Positive Attitudes Toward Spanking (2018) Auteurs : Michele Knox ; Kimberly Hunter ; Michele Knox ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 4, July-August 2018) Article en page(s) : p. 333-339 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.11.007 Langues: Anglais Descripteurs : HE Vinci
Aidants ; Prévention ; Violence domestiqueMots-clés: Fessee Résumé : The Play Nicely program is a multimedia training program designed to teach caregivers and health care professionals how to manage early childhood aggression and to use positive parenting practices. The aim of this article is to help the practicing clinician determine whether the Play Nicely program should be incorporated into his/her practice and to evaluate whether the program is effective at decreasing positive attitudes toward spanking in a socioeconomically disadvantaged population in both a resident pediatric clinic and a community center. Thirty-three caregivers of children aged 2 to 5 years viewed the Play Nicely program and completed pre- and post-training questionnaires. Decreased positive attitudes toward spanking were reported after training. Favorable attitudes toward spanking were associated with increased use of harsher discipline and higher child externalizing behavior. This study provides support that this brief intervention is effective in a socioeconomically disadvantaged population, is portable, and can be used in a group setting. This program may serve as a prevention and population-based approach to addressing the adverse childhood experience of spanking. Disponible en ligne : Non Exemplaires (1)
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Titre : “It's a Long-Term Process”: Description of Daily Family Life When a Child Has a Feeding Disorder (2018) Auteurs : Hayley Henrikson Estrem ; Suzanne M. Thoyre ; Kathleen Knafl ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 4, July-August 2018) Article en page(s) : p. 341-347 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.12.002 Langues: Anglais Descripteurs : HE Vinci
Croissance ; Enfant (6-12 ans) ; Famille ; Troubles des conduites alimentairesRésumé : Pediatric feeding problems occur in 25% of the general pediatric population and up to 80% of those who have developmental delays. When feeding problems place the child at nutritional risk, families are typically encouraged to increase their child's intake. Family mealtime can become a battle, which further reinforces problematic feeding behaviors from the child and intensifies well-intentioned but unguided parental mealtime efforts. Family has an essential influence on feeding; however, studies to date neglect to address the family context of feeding difficulty. In this study we describe, in the context of everyday life, family management of feeding when a child had a significant feeding problem. Parents of children with feeding problems were interviewed with the Family Management Style Framework components as a guide. Twelve parents participated, representing nine families of children with feeding disorder. Description of family management of feeding provides a foundation for development of family feeding interventions. Disponible en ligne : Non Exemplaires (1)
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Titre : Parental Perspectives of the Impact of Epilepsy and Seizures on Siblings of Children with Epilepsy (2018) Auteurs : Barbara L. Kroner ; Mary-Anne Ardini ; Adrian Bumbut ; William D. Gaillard Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 4, July-August 2018) Article en page(s) : p. 348-355 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.12.004 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Douleur ; Enfant (6-12 ans) ; Épilepsie ; Fratrie ; StressRésumé : Introduction
To assess parental perspectives of the impact of epilepsy and seizures on siblings of children in the Seizures and Outcomes Study.
Methods
Parents completed surveys about their child with epilepsy, their own health and well-being, and the impact of epilepsy on unaffected siblings.
Results
The most common parental responses about the sibling were witnessing a seizure, protectiveness of the child with epilepsy, worry about seizures, belief that seizures cause pain, and pride toward the child with epilepsy. Embarrassment and keeping epilepsy a secret were rare. Parent reports supported that siblings that worried were more likely to have witnessed a seizure, feel sad or angry, think seizures cause pain, and have a parent with anxiety disorder.
Discussion
Some siblings of children with epilepsy are at risk for psychosocial problems. Primary and specialty care providers are well positioned to identify and monitor these children through evaluations and referrals as necessary.Disponible en ligne : Non Exemplaires (1)
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Titre : Oral Health Knowledge and Practices of Pediatric and Family Nurse Practitioners (2018) Auteurs : Deborah Mattheus ; Maureen Shannon ; Krupa Gandhi Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 4, July-August 2018) Article en page(s) : p. 356-362 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.12.005 Langues: Anglais Descripteurs : HE Vinci
Education ; Infirmières praticiennes ; Pédiatrie ; Santé buccodentaireRésumé : Introduction
The purpose of the study was to assess the relationship between oral health educational activities of NPs and their current oral health knowledge and practices.
Method
An online survey was distributed to practicing NPs and members of the NAPNAP organization.
Results
The study results from n = 147 NPs indicated an association between oral health CE attendance and knowledge on the age to initiate fluoride toothpaste, age for an initial dental visit, as well as NPs comfort in educating about oral hygiene, diets to reduce caries, bacterial transmission and caries development, in addition to the NPs comfort in performing a risk assessment, oral exam, and identifying decay and other oral pathology compared to NPs that had not attended a CE course.
Discussion
The study findings demonstrate the importance of CE courses for NPs on the latest oral health guidelines and practices beyond their traditional academic education, in order to improve oral health outcomes among children.Disponible en ligne : Non Exemplaires (1)
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Titre : Improving Care of Inner-City Children with Poorly Controlled Asthma: What Mothers Want You to Know (2018) Auteurs : Melissa Bellin ; Angelica Newsome ; Cassie Lewis-Land ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n° 4, July-August 2018) Article en page(s) : p. 387-398 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.12.009 Langues: Anglais Descripteurs : HE Vinci
Aidants ; Asthme ; Pauvreté ; Prise en charge de la maladie ; StressRésumé : Introduction
Low-income caregiver perspectives on asthma management are understudied but may illuminate strategies to improve care delivery and child outcomes.
Method
Purposive sampling methods were used to recruit 15 caregivers of children with frequent asthma emergency department visits. Interviews explored how poverty and stress affect asthma management. Grounded theory coding techniques were used to analyze the data.
Results
Participants were the biological mother (100%) and were poor (75% had mean annual income ≤ $30,000). Their children (mean age = 6.9 years) were African American (100%), enrolled in Medicaid (100%), and averaged 1.5 emergency department visits over the prior 3 months. Four themes emerged: (a) Deplorable Housing Conditions, (b) Allies and Adversaries in School-Based Asthma Management, (c) Satisfaction With Asthma Health Care Delivery, and (d) Prevalent Psychological Distress.
Discussion
Impoverished caregivers of children with frequent asthma emergency department visits describe stress that is multifaceted, overwhelming, and difficult to eradicate. Their experiences underscore the need for improved school-based asthma management and family-centered approaches to health care delivery.Disponible en ligne : Non Exemplaires (1)
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Titre : Transitioning Pediatric Patients to Adult Health Care : A Quality Improvement Needs Assessment (2018) Auteurs : Nichole D. Benson ; Craig Cunningham ; Lisa Braun ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 216-222 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.09.014 |
Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Démarche qualité ; Pédiatrie ; Soins de transitionRésumé : Advances in medicine have decreased childhood morbidity and mortality, enabling an increasing number of adolescents to reach adulthood (Centers for Disease Control and Prevention, 2016). Currently, there are more than 18 million adolescents and young adults (AYA) in the United States who receive caregiver-directed medical health care services (American Academy of Pediatrics, American Academy of Family Physicians, and American College of Physicians, Transitions Clinical Report Authoring Group, 2011; Gottransition.org, 2017a; Sable et al., 2011). Disponible en ligne : Non Exemplaires (1)
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Titre : Opioid Use Dependency in the Mother Who Desires to Breastfeed Her Newborn : A Case Study (2018) Auteurs : Deborah Busch ; JoAnne Silbert-flagg Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 223-230 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.10.001 Langues: Anglais Descripteurs : HE Vinci
Allaitement naturel ; Analgésiques morphiniques ; Dépendance ; MèresRésumé : The number of infants born to mothers with opioid dependence is increasing at an alarming rate, indicating a 5-fold increase for women using opiates and a 3-fold increase in infants born with neonatal abstinence syndrome (NAS; Tsai & Doan, 2016 ). Pediatric Nurse Practitioners providing primary care, who lack experience with this clinical presentation, require evidence-based knowledge to provide the appropriate care to infants born with neonatal abstinence syndrome. Mothers with opioid dependence often desire to breastfeed their newborns, and the PNP may unknowingly discourage them from breastfeeding. In this case discussion, we describe how breastfeeding is possible and is beneficial. Current evidence-based practice recommendations and resources are included demonstrating that human breast milk has the potential to substantially improve health outcomes for all mothers and their newborns, especially this unique dyad ( Tsai & Doan, 2016; Reece-Stremtan & Marinelli, 2015 ). Disponible en ligne : Non Exemplaires (1)
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Titre : Acceptability and Feasibility of Examining Physical Activity in Young Children with Type 1 Diabetes (2018) Auteurs : Carrie B. Tully ; Miriam Toaff ; Linda Herbert ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 231-235 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.10.004 Langues: Anglais Descripteurs : HE Vinci
Diabète de type 1 ; Etudes de faisabilité ; Exercice physique ; Jeune enfant ; Méthodologie ; RechercheRésumé : Physical activity is important but may be difficult to evaluate in young children (YC) with Type 1 diabetes (T1D) because of parents' fears of hypoglycemia, difficulties engaging YC in physical activity, and use of assessment devices. This study aimed to explore the acceptability and feasibility of an in-lab exercise session for YC with T1D. Ten YC ages 3 through7 years with T1D participated in a 20-minute exercise session while wearing blinded continuous glucose monitors and accelerometers. High acceptability was found for participation in the exercise session; high feasibility and acceptability were reported for the assessments. Although most children completed the session, it did not produce moderate to vigorous physical activity. YC were found to spend most of their day sedentary, and they had frequent blood glucose excursions. Findings support the feasibility of conducting a more extensive examination of the relationship among blood glucose levels and physical activity in YC with T1D. Disponible en ligne : Non Exemplaires (1)
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Titre : Breastfeeding Practices and Opinions of Latina Mothers in an Urban Pediatric Office : A Focus Group Study (2018) Auteurs : Elizabeth Sloand ; Victoria Lowe ; Amy Pennington ; Linda Rose Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 236-244 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.11.001 Langues: Anglais Descripteurs : HE Vinci
Allaitement naturel ; Evaluation de la pratique ; Groupes focalisés ; Nouveau-né ; Recherche qualitative ; Soins de l'enfantRésumé : Introduction
The purpose of this qualitative study was to explore beliefs about breastfeeding among Latina mothers. The focus groups were part of a sequential mixed methods study.
Methods
Two focus groups were conducted. Participants were Spanish-speaking mothers with infants younger than 12 months. Focus groups were conducted in Spanish and audiorecorded. The researchers performed open coding of the data, compared and converged codes, and identified common themes and relationships among the themes.
Results
Mothers described concerns about adequacy of breastfeeding for their infants' needs, the continued goodness of breast milk, and weaning. They expressed lack of knowledge about using breast pumps and other assists that could help them breastfeed.
Discussion
Culturally tailored breastfeeding education and support have not been adequately implemented in this urban clinic and likely in other similar settings. More targeted attention to this population could improve exclusive breastfeeding of infants and ultimately result in better child health.Disponible en ligne : Non Exemplaires (1)
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Titre : Depressive Symptoms in the Young Athlete after Injury : Recommendations for Research (2018) Auteurs : Allison R. Palisch ; Lisa Schaeg Merritt Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 245-249 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.11.003 Langues: Anglais Descripteurs : HE Vinci
Athlètes ; Blessure ; Dépression ; Enfant (6-12 ans) ; Recommandations ; Signes et symptômes ; SportsRésumé : It has been well documented that a serious injury to an athlete can cause psychological symptoms such as depression. However, much of the literature focuses on the collegiate athlete. Little is known about the prevalence of depressive symptoms in the young athlete who experiences an injury that adversely affects the ability to compete in his/her selected sport or may end athletic participation altogether. As sports specialization becomes increasingly widespread and age of participation becomes younger, depressive symptoms may be found in child and adolescent athletes. The purpose of this article is to examine the existing literature on depressive symptoms in young athletes who experience sports injuries and increase the awareness of the potential psychological concerns. More research is needed to examine depressive symptoms in the young athlete after a debilitating sports injury. Disponible en ligne : Non Exemplaires (1)
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Titre : Commercial Sexual Exploitation of Children : Health Care Use and Case Characteristics (2018) Auteurs : Gail Hornor ; Jennifer Sherfield Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 250-262 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.11.004 Langues: Anglais Descripteurs : HE Vinci
Abus sexuel ; Enfant (6-12 ans) ; Soins de l'enfant ; Trafic d'êtres humainsRésumé : Objective
The purpose of this study was to describe pediatric health care utilization, familial psychosocial factors, child sexual abuse case characteristics, and patient demographic characteristics of adolescents prior to or at the time of their most recent identification as a victim of commercialized sexual exploitation of children (CSEC).
Methods
A retrospective chart review was conducted for the above detailed information of all adolescents presenting to the Emergency Department (ED) or Child Advocacy Center (CAC) of a pediatric hospital with concerns of suspected CSEC.
Results
Sixty-three adolescents were referred to the ED or CAC for CSEC concerns in the eighteen-month period. Nearly all (52, 82.5%) adolescents identified as potential CSEC victims received care at the pediatric hospital within one year of the CSEC concern being identified.
Conclusions
Pediatric health care providers, including pediatric nurse practitioners, need to be more skilled in the prevention and identification of CSEC.Disponible en ligne : Non Exemplaires (1)
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Titre : Pediatric Nurse Practitioners' Perspectives on Health Care Transition From Pediatric to Adult Care (2018) Auteurs : Lisa Lestishock ; Alison Moriarty Daley ; Patience White Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 263-272 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.11.005 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Adulte (19-44 ans) ; Besoins et demandes de services de santé ; Infirmière pédiatrique ; Infirmières praticiennes ; Sante (centre) ; Transition aux soins pour adultesRésumé : Introduction
This study examined the perspectives of pediatric nurse practitioners (PNPs) regarding the needs of adolescents, parents/caregivers, clinicians, and institutions in the health care transition (HCT) process for adolescents/young adults.
Methods
PNPs (N = 170) participated in a luncheon for those interested in transition at an annual conference. Small groups discussed and recorded their perspectives related to health care transition from adolescent to adult services. Content analysis was used to analyze responses (Krippendorff, 2013).
Results
Four themes, Education, Health care system, Support, and Communication, emerged from the data analysis. PNPs identified health care informatics and adolescents' use of technology as additional critical aspects to be considered in health care transition.
Discussion
Opportunities and challenges identified by the PNPs are discussed to improve the quality and process of transitioning adolescents to adult services. This report will help National Association of Pediatric Nurse Practitioners formulate a new Health Care Transition Policy Statement for the organization.Disponible en ligne : Non Exemplaires (1)
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Titre : Newborn Screening for Lysosomal Storage Disorders (2018) Auteurs : Sharon Anderson Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 285-294 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.04.016 Langues: Anglais Descripteurs : HE Vinci
Cystinose ; Dépistage néonatal (DSN) ; Nouveau-néRésumé : Lysosomal storage disorders (LSDs) are a heterogeneous group of approximately 50 rare inherited metabolic conditions that result from enzyme deficiencies that interfere with lysosome function. Although often grouped together, there is great variability regarding age of onset, severity, treatment, and outcomes for each disorder and subtype. Currently, laboratory methods are available to test newborns for seven of these conditions. Although newborn screening programs remain state-based, each at a different phase of condition review and implementation, if newborn screening for LSDs has not yet been adopted by the state within which you practice, it likely will. Given the extremely low prevalence and limited provider familiarity with these conditions, this article provides an overview of LSDs and the seven conditions for which newborn screening is available. It offers information about each of the conditions including enzyme deficiency, mode of inheritance, incidence rates, types, clinical course, and available as well as potential treatment options. Disponible en ligne : Non Exemplaires (1)
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Titre : Pulmonary Emboli and Deep Venous Thrombosis during Adolescence (2018) Auteurs : Celeste Schultz ; Rebecca Doran Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 298-301 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2017.09.016 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Embolie pulmonaire ; Présentations de cas ; Thrombose veineuseRésumé : Pulmonary emboli (PE) and deep venous thrombus (DVT) are two conditions considered to affect primarily adults. These conditions, however, can and do affect neonates, toddlers, school-age children, and adolescents. Factors contributing to the development of PE and DVT are often associated with genetic mutations in Antithrombin III, Protein C, and Protein S. This article presents a primary care case study of an adolescent who was diagnosed with and underwent treatment for bilateral PE and a DVT, and reviews the underlying primary genetic mutations, diagnostic workup, and management of his clinical condition. Disponible en ligne : Non Exemplaires (1)
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Titre : Perioperative Pain Assessment in a 14-Year-Old Boy with Lumbar Disc Herniation (2018) Auteurs : Catherine E. Ferland ; Diana-Luk Ye ; Jean A. Ouellet Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°3, May/June 2018) Article en page(s) : p. 302-307 Note générale : DOI: https://doi.org/10.1016/j.pedhc.2018.01.001 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Chirurgie ; Douleur chronique ; Hernie discale lombaire ; Présentations de casRésumé : This case report illustrates the value of a comprehensive perioperative pain assessment composed of quantitative sensory testing and self-reported measures that highlight the impact of pain experienced by a 14-year-old boy suffering from chronic low back pain and sciatica. Before surgery, the pain assessment revealed inefficient endogenous inhibitory pain control with presence of temporal summation of pain. The severe pain was constant and lasted for 18 months. The patient was in a high-anxiety state, and reported significant functional disability and poor sleep quality. Six months after surgery, the patient was pain free. Quantitative sensory testing showed an improvement in his inhibitory pain control with the absence of temporal summation of pain. The patient was no longer anxious, was back to normal functional abilities, and reported good sleep quality. By including neurophysiology and other pain measures, the clinical application of a comprehensive pain assessment can provide objective measurements of treatment efficacy. Disponible en ligne : Non Exemplaires (1)
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Titre : Meaningful Methods for Increasing Human Papillomavirus Vaccination Rates: : An Integrative Literature Review (2018) Auteurs : Kristin Vollrath ; Susan Thul ; Jenny Holcombe Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 119-132 Note générale : https://doi.org/10.1016/j.pedhc.2017.07.005 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Infections à papillomavirus ; Maladies sexuellement transmissibles ; Revue de la littérature ; VaccinationMots-clés: Absorption du vaccin Résumé : 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. The purpose of this integrative review is to uncover the best evidence-based practice interventions, with the aim of improving HPV knowledge, patient–provider conversations, and immunization uptake. This integrative review concludes that multicomponent interventions have a synergistic effect, resulting in increased provider vaccine support, improved patient/parental attitudes toward HPV vaccination, and increased immunization uptake. Such strategies hold much promise for today's pediatric providers as they work to combat current vaccination disparities. Disponible en ligne : Non Exemplaires (1)
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Titre : The Psychosocial Experiences and Needs of Children Undergoing Surgery and Their Parents : A Systematic Review (2018) Auteurs : Mark G. Gabriel ; Claire E. Wakefield ; Janine Vetsch ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 133-149 Note générale : https://doi.org/10.1016/j.pedhc.2017.08.003 Langues: Anglais Descripteurs : HE Vinci
Besoin ; Chirurgie ; Enfant (6-12 ans) ; ParentsMots-clés: Expérience psychosociale Résumé : 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. Children's adverse experiences included psychological and behavioral changes before, during, and after surgery (e.g., anxiety, eating disturbances). Parents commonly experienced psychological distress. Children's needs related to medical and health care services, whereas parents had high information needs.
Discussion
Children's adverse experiences can negatively affect medical outcomes. Children's experiences are inextricably linked to their parents' and can become negatively affected by their parents' adverse experiences. Patients and parents with previous hospitalizations and surgeries had worse surgical experiences, highlighting further research in the context of chronic illness.Disponible en ligne : Non Exemplaires (1)
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Titre : Parental Refusal of Human Papillomavirus Vaccine : Multisite Study (2018) Auteurs : Frances DiAnna Kinder Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 150-156 Note générale : https://doi.org/10.1016/j.pedhc.2017.09.003 Langues: Anglais Descripteurs : HE Vinci
Infections à papillomavirus ; Parents ; Refus du traitementRésumé : 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. The survey was kept confidential and anonymous.
Results
There were 72 surveys completed. Demographic data were reported. Data were analyzed for descriptive statistics, and themes were extracted. Overall, 58% of parents refused the vaccine because it was too new, and 50% believed the vaccine required more research.
Discussion
The data from this study correlated with the pilot study regarding parental perceptions of the vaccine; however, it appears that with new public campaigns and education, parents' perceptions are improving. Nurse practitioners are in an excellent position to clarify information about human papillomavirus vaccination.Disponible en ligne : Non Exemplaires (1)
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Titre : Effectiveness of Implementing Initial Education Strategies to Promote Awareness and Healthy Habits in Childhood Obesity : A Quality Improvement Project (2018) Auteurs : Anastacia Jester ; Kathryn Evans Kreider ; Richard Ochberg ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 157-162 Note générale : https://doi.org/10.1016/j.pedhc.2017.09.006 Langues: Anglais Descripteurs : HE Vinci
Efficacité ; Enfant (6-12 ans) ; Obésité ; Pédiatrie ; Promotion de la santé ; SurpoidsMots-clés: Stratégie éducative Résumé : Background
Rising incidence and prevalence of childhood obesity and related costly health consequences suggest the need for an effective training tool at the primary care level. Evidence-based studies show how a healthy diet and physical activity help reduce the incidence of obesity.
Methods
The objective for this quality improvement project was to evaluate the effectiveness of an evidence-based educational tool in improving healthy eating and physical activity habits among overweight and obese children in a primary care setting over 3 months.
Results
There was a positive statistically significant change in behavior in eating more fruits and vegetables and decreased intake of sugary drinks and sedentary habits (p Conclusion
After receiving education on the importance of healthy lifestyle changes with regard to nutrition and physical activity, pediatric patients adopted better diet and physical activity habits. However, there was little effect on reducing body mass index in a 3-month timeframe.Disponible en ligne : Non Exemplaires (1)
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Titre : “I Just Want to Do Everything Right:” Primiparous Women's Accounts of Early Breastfeeding via an App-Based Diary (2018) Auteurs : Jill Demirci ; Erin Caplan ; Nora Murray ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 163-172 Note générale : https://doi.org/10.1016/j.pedhc.2017.09.010 Langues: Anglais Descripteurs : HE Vinci
Allaitement naturel ; Applications mobiles ; Primipare ; Recherche qualitativeRésumé : Introduction
Our objective was to describe the early breastfeeding experience of primiparous women.
Methods
Healthy, primiparous women intending to exclusively breastfeed downloaded a commercial infant feeding mobile application (app) during their postpartum hospitalization. Women free-texted breastfeeding thoughts and experiences through 8 weeks postpartum in the app's diary. Diary content was qualitatively coded.
Results
Thirty-five participants completed diaries and were included in analyses. The overarching theme was Seeking sustainability and validation. Mothers felt overwhelmed, anxious, and frustrated with the intensity and unpredictability of breastfeeding and inconsistent professional breastfeeding support. The ability to exclusively breastfeed was seen as a bellwether of maternal competence. Breastfeeding progress was primarily measured through external feedback (e.g., weight checks) and managed through strict adherence to provider feeding plans. As breastfeeding problems and intensity abated, women exhibited optimism and assumed greater independence in feeding decisions.
Discussion
The primiparous breastfeeding experience is fraught with internally imposed and externally reinforced pressure to produce and persevere despite inadequate breastfeeding support infrastructure.Disponible en ligne : Non Exemplaires (1)
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Titre : Expanding Access to Clinical Services for Toddlers with Autism Spectrum Disorders (2018) Auteurs : Therese L. Mathews ; Ashley M. Lugo ; Melissa L. King ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 173-183 Note générale : https://doi.org/10.1016/j.pedhc.2017.09.011 Langues: Anglais Descripteurs : HE Vinci
Accès aux soins ; Enfant (6-12 ans) ; Trouble autistiqueRésumé : Autism spectrum disorder (ASD) is a neurodevelopmental disorder typically diagnosed in the toddler and preschool years. Intensive early intervention (EI) using applied behavior analytic procedures is the evidenced-based intervention most effective in improving developmental outcomes. Unfortunately, there are numerous barriers to accessing EI services for toddlers with ASD. This article addresses (a) the process of developing an EI program using primarily applied behavior analytic services with multidisciplinary health care providers, (b) a description of the service delivery provided, (c) educational and training programs to increase qualified staff, and (d) advocacy efforts to improve community capacity. The EI program has sustained growth, improved child developmental outcomes, served as a training ground for EI providers, and yielded high parent satisfaction ratings. Suggestions for continued advocacy, education, research, and policy development related to the lack of access to EI for children with ASD is offered for pediatric health care providers. Disponible en ligne : Non Exemplaires (1)
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Titre : An Integrated Nurse Practitioner–Run Subspecialty Referral Program for Incontinent Children (2018) Auteurs : Kimberly S. Jarczyk ; Pam Pieper ; Lori Brodie ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 184-194 Note générale : https://doi.org/10.1016/j.pedhc.2017.09.015 Langues: Anglais Descripteurs : HE Vinci
Encopresie ; Enfant (6-12 ans) ; Enuresie ; IncontinenceMots-clés: Incontinence infantile ; Infirmière praticienne Résumé : Introduction
Evidence suggests that urinary and fecal incontinence and abnormal voiding and defecation dynamics are different manifestations of the same syndrome. This article reports the success of an innovative program for care of children with incontinence and dysfunctional elimination. This program is innovative because it is the first to combine subspecialty services (urology, gastroenterology, and psychiatry) in a single point of care for this population and the first reported independent nurse practitioner–run specialty referral practice in a free-standing pediatric ambulatory subspecialty setting. Currently, services for affected children are siloed in the aforementioned subspecialties, fragmenting care.
Methods
Retrospective data on financial, patient satisfaction, and patient referral base were compiled to assess this program.
Results
Analysis indicates that this model is fiscally sound, has similar or higher patient satisfaction scores when measured against physician-run subspecialty clinics, and has an extensive geographic referral base in the absence of marketing.
Discussion
This model has potential transformative significance: (a) the impact of children achieving continence cannot be underestimated, (b) configuration of services that cross traditional subspecialty boundaries may have broader application to other populations, and (c) demonstration of effectiveness of non-physician provider reconfiguration of health care delivery in subspecialty practice may extend to the care of other populations.Disponible en ligne : Non Exemplaires (1)
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Titre : Transitional Care for Young Adults With Congenital Heart Disease : A Case Study (2018) Auteurs : Jenna A. Larson ; Elizabeth A. Doyle Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 195-200 Note générale : https://doi.org/10.1016/j.pedhc.2017.10.005 Langues: Anglais Descripteurs : HE Vinci
Adulte (19-44 ans) ; Cardiopathies ; Maladie congénitaleMots-clés: Soins de transition Résumé : Congenital heart defects, any of myriad innate problems with the structure and function of the heart, affect nearly 1% of births in the United States annually (Centers for Disease Control and Prevention, 2016). Historically, a congenital heart defect was regarded as an inevitable fatality. However, immense strides in diagnosis, operative techniques, and critical care over the past 60 years have increased an infant's chance of survival into adulthood to 85% to 90% (Gurvitz et al., 2016). In fact, adults account for two-thirds of the overall congenital heart disease (CHD) population (Jacobs et al., 2015). Disponible en ligne : Non Exemplaires (1)
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Titre : Pediatric Bipolar Disorder : A Case Presentation and Discussion (2018) Auteurs : Gretchen Weeks ; Regena Spratling Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 201-206 Note générale : https://doi.org/10.1016/j.pedhc.2017.09.001 Langues: Anglais Descripteurs : HE Vinci
Comportement ; Dépression ; Pédiatrie ; Présentations de cas ; Trouble bipolaireRésumé : Bipolar disorder is a mood disorder characterized by periods of mania, hypomania, and depression that interfere with the child's daily functioning (American Psychiatric Association, 2013; Birmaher, 2013). There are subtypes of bipolar disorder, such as bipolar I disorder, bipolar II disorder, cyclothymic disorder, and other specified bipolar and related disorders (American Psychiatric Association, 2013; Birmaher, 2013). Pediatric bipolar disorder has a more tenuous disease course compared with adult onset disorder with many associated comorbidities (Frías, Palma, & Farriols, 2015; Post et al., 2017). Disponible en ligne : Non Exemplaires (1)
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Titre : Disaster Preparedness: Meeting the Needs of Children (2018) Auteurs : Nancy Blake ; Eileen Fry-Bowers Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : p. 207-210 Note générale : https://doi.org/10.1016/j.pedhc.2017.12.003 Langues: Anglais Descripteurs : HE Vinci
Catastrophes ; Enfant (6-12 ans) ; Planification des mesures d'urgence en cas de catastropheMots-clés: Besoins des enfants ; Urgence Résumé : Children in communities throughout the United States have been increasingly affected by natural disasters and disasters of human origin. During a 3-month period in 2017, the pediatric population was affected by Hurricane Harvey in Texas and Louisiana; Hurricane Irma in Florida, Georgia, and South Carolina; and the devastation of Hurricane Maria in Puerto Rico. Uncontrolled wildfires in both Northern and Southern California devastated families and communities. Mass casualty shootings at a concert in Las Vegas, Nevada, and a church in Sutherland Springs, Texas, coincided with or quickly followed these disasters. Disponible en ligne : Non Exemplaires (1)
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Titre : Pathophysiology and Management of Mild to Moderate Pediatric Atopic Dermatitis (2018) Auteurs : Kammi Yap Sayaseng ; Peggy Vernon Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°2, March/April 2018) Article en page(s) : s2-s12 Note générale : https://doi.org/10.1016/j.pedhc.2017.10.002
s2 à s12 se trouve en fin de ce bulletinLangues: Anglais Descripteurs : HE Vinci
Dermatite atopique ; EczémaMots-clés: Immunomodulateur topique ; Corticostéroïdes ; Barrière cutanée Résumé : Atopic dermatitis (AD), or eczema, is a chronic inflammatory skin condition characterized by relapsing pruritic and dry, scaly lesions. AD affects 10% to 20% of children in the United States and significantly affects the quality of life of patients and their families. Primary care providers (PCPs) are often the first point of contact for the management of AD symptoms. As many as 70% of patients with mild to moderate disease can be managed by a PCP, underscoring the need for these providers to understand basic AD pathophysiology and current standards of care. This article will discuss the basic principles of AD diagnosis and management that PCPs need to optimize patient care, including AD pathogenesis, appropriate use of currently available topical therapies, basic skin care practices, and patient/caregiver counseling points. This article is sponsored by Spire Learning and supported by an educational grant from Pfizer Inc. Disponible en ligne : Non Exemplaires (1)
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Titre : The Financial Impact of a Hospital-Based Care Coordination Program for Children With Special Health Care Needs (2018) Auteurs : Janine Petitgout Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 3-9 Langues: Anglais Descripteurs : HE Vinci
Coordination ; Enfant (6-12 ans) ; Financement ; Pédiatrie ; TrachéostomieMots-clés: Programme de coordination de soins hospitaliers ; Besoins particuliers en matière de soins de santé Résumé : Care coordination programs are important in caring for medically complex pediatric patients, particularly for children with special health care needs. This study is a retrospective financial analysis of a hospital-based care coordination program involving one procedural subgroup of children with special health care needs: those receiving pediatric tracheostomy. Hospital records were reviewed for patients who received a tracheostomy at a large Midwestern U.S. hospital from 1999 through 2015. The population was divided into two subgroups: patients who received a tracheostomy before the development of a care coordination program and patients who received a tracheostomy after enrollment in the care coordination program. Patient records were reviewed for length of stay, readmissions related to respiratory and tracheostomy management, and total hospital charges. Enrollment in a care coordination program for the pediatric tracheostomy patient resulted in a decrease in mean length of stay and reduced hospital charges and a slight increase in readmissions. Further analysis using larger sample sizes and multiple centers is necessary to determine whether such outcomes are the direct result of enrollment in a care coordination program. Disponible en ligne : Non Exemplaires (1)
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Titre : Adapting an Evidence-Based Pediatric Acute Asthma Exacerbation Severity Assessment Tool for Pediatric Primary Care (2018) Auteurs : Anne T. Magpuri ; Jane K. Dixon ; Ruth McCorckle ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 10-20 Langues: Anglais Descripteurs : HE Vinci
Asthme ; Evidence-based nursing ; Médecine factuelle ; Pédiatrie ; Soins de santé primairesMots-clés: Outil d'évaluation Résumé : 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.
Results
The criteria were validated and adapted in the design of The Pediatric Acute Asthma Exacerbation Severity Assessment and Disposition Decision-Making Tool for Pediatric Primary Care.
Discussion
The adaptation of criteria derived from the evidence and validated by an expert panel will inform and guide clinicians in assessing severity and support decision making in determining disposition of pediatric patients presenting with an acute asthma exacerbation in primary care.Disponible en ligne : Non Exemplaires (1)
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Titre : Exploration of Parent–Provider Communication During Clinic Visits for Children With Chronic Conditions (2018) Auteurs : Barbara K. Giambra ; Stephen M. Haas ; Maria T. Britto ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 21-28 Langues: Anglais Descripteurs : HE Vinci
Communication ; Maladie chronique ; VisiteMots-clés: Relation soignant-parents ; Visite clinique des enfants en unité de soins pédiatriques Résumé : 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.
Results
Provider team members dominated communication during clinic visits, showing more frequent use of asking, explaining, advocating, and negotiating behaviors than parents. Parents were engaged in communication with frequent asking, explaining, and advocating behaviors.
Discussion
Parents of children with chronic conditions and multidisciplinary providers demonstrated the communication behaviors of the TSC in an outpatient clinic setting. Provider dominance of communication in the clinic setting may disempower parents and impair relationships.Disponible en ligne : Non Exemplaires (1)
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Titre : Increasing Parental Knowledge Related to the Human Papillomavirus (HPV) Vaccine (2018) Auteurs : Joseph J. Cipriano ; Robert Scoloveno ; Angela Kelly Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 29-35 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Education à la santé ; Education thérapeutique ; Infections à papillomavirus ; Pédiatrie ; VaccinationMots-clés: Éducation à la santé des parents Résumé : Introduction
The purposes of this study were to evaluate parental attitudes toward general vaccination protocols and increase parental knowledge of the human papilloma virus (HPV) vaccine.
Methods
A nonprobability convenience sample (N = 75) using a pre-/postintervention study design was conducted in a pediatric office in southern New Jersey. The Parental Attitudes Module measured the general disposition toward having children receive any type of vaccine. The HPV Knowledge Survey was a second tool used to specifically measures knowledge of the HPV vaccine. A self-directed computer-based learning was part of the educational intervention.
Results
A paired t test showed that HPV Knowledge Survey postintervention scores were significantly higher than HPV Knowledge Survey preintervention scores (t = −10.585, p Discussion
In the 10 years since the HPV vaccine has been on the market, there is a continued need to increase parental knowledge about the HPV vaccine to close the gap on vaccine nonadherence. A self-directed, computer-based learning tablet appears to be an effective tool to educate parents or legal guardians about the purpose, efficacy, and safety of the HPV vaccine.Disponible en ligne : Non Exemplaires (1)
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Titre : Using a Parent Coordinator to Support the Role of the Pediatric Nurse Practitioner in Care Coordination (2018) Auteurs : Anna-Lisa Bentti Vockell ; Janet Wimberg ; Maria T. Britto ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 36-42 Langues: Anglais Descripteurs : HE Vinci
Maladie chronique ; Rôle propre infirmierMots-clés: Relation soignant-parent ; Infirmière praticienne ; Coordination des soins ; Parent coordinateur de soins Résumé : The role of the pediatric nurse practitioner is becoming more complex with time. Both patients and the health care system are becoming more intricate. Effective support of the PNP can consist of a nonclinical professional who is a parent of a chronically ill child. Support including data entry, preclinic planning, self-management support, appointment scheduling, research, and between-visit follow-up can be provided from the perspective of a parent. This article will describe the role of a parent coordinator who was hired in part to provide support for a pediatric nurse practitioner in a primary care clinic for patients with asthma. Disponible en ligne : Non Exemplaires (1)
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Titre : Depression in the School-Aged Child With Type 1 Diabetes : Implications for Pediatric Primary Care Providers (2018) Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 43-52 Langues: Anglais Descripteurs : HE Vinci
Dépression ; Diabète de type 1 ; Enfant (6-12 ans) ; Personnel de santé ; Soins de santé primairesRésumé : 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. Disponible en ligne : Non Exemplaires (1)
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Titre : Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care (2018) Auteurs : Julianne Nemes Walsh ; Margaret Knight ; James Lee Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 53-62 Langues: Anglais Descripteurs : HE Vinci
Diagnostic infirmier ; Pédiatrie ; Prise de décision ; Sécurité ; Soins de santé primairesMots-clés: Erreur de diagnostic Résumé : 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.
Results
Knowledge related to diagnostic errors statistically improved from the pretest to posttest scores with sustained 60-day differences (p Discussion
Providers developed an increased awareness of the presence of diagnostic errors in the primary care setting, the contributing risk factors for a diagnostic error, and possible strategies to reduce diagnostic errors. These factors had an unexpected impact on changing the primary care practice model to enhance the continuity of patient care.Disponible en ligne : Non Exemplaires (1)
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Titre : Health-Related Quality of Life Outcomes of a Telehealth Care Coordination Intervention for Children With Medical Complexity : A Randomized Controlled Trial (2018) Auteurs : Wendy S. Looman ; Robyn L. Hullsiek ; Lyndsay Pryor ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 63-75 Langues: Anglais Descripteurs : HE Vinci
Coordination ; Enfant (6-12 ans) ; Essai clinique ; Qualité de vie ; Soins infirmiers auprès des familles ; TélémédecineMots-clés: Essai contrôlé randomisé ; Coordination des soins ; Pratique infirmière avancée ; Complication médicale Résumé : 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. Significant predictors of Year 2 child HRQL were baseline HRQL and the presence of both neurologic impairment and technology dependence. There was no significant intervention effect on child HRQL or family impact after 24 months. Care coordination interventions for CMC may need to incorporate family system interventions for optimal outcomes in a range of quality of life domains. Disponible en ligne : Non Exemplaires (1)
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Titre : Sensitive Timing for Risk of Overweight Among Infants of Low-Income Hispanic Immigrants (2018) Auteurs : Kathleen F. Gaffney ; Albert V. Britto ; Deborah A. Kermer ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 76-82 Langues: Anglais Descripteurs : HE Vinci
Emigrants et immigrants ; Enfant migrant ; Facteurs de risque ; Pauvreté ; SurpoidsMots-clés: Poids de l'enfant ; Migrant d'origine hispanique Résumé : 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. Logistic regression models were constructed to examine the impact of early weight changes on weight status at 1 year.
Results
By 12 months, 36.7% of infants had crossed weight-for-age of 84.1% or greater on World Health Organization growth charts. In adjusted models, infants had 20.8 (95% confidence interval = [19.8, 44.0]) times the odds of reaching this benchmark at 1 year for each z score increase at 0 to 6 months.
Discussion
The study highlights a time-sensitive opportunity for interventions to reduce risk for overweight for this vulnerable population.Disponible en ligne : Non Exemplaires (1)
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Titre : Pediatric Headache : A Case Study (2018) Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 83-87 Langues: Anglais Descripteurs : HE Vinci
Migraines ; Pédiatrie ; Présentations de cas ; Soins de santé primairesMots-clés: Mal de tête Disponible en ligne : Non Exemplaires (1)
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Titre : Complex Pediatric Constipation : A Case Study of a Child With a Malone Appendicostomy (2018) Auteurs : Lisa C. Witte ; Michelle Tate Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 88-91 Langues: Anglais Descripteurs : HE Vinci
Constipation ; Enfant (6-12 ans) ; Famille ; Pédiatrie ; Présentations de cas ; Qualité de vieMots-clés: Appendicostomie (Procédure Malone) Disponible en ligne : Non Exemplaires (1)
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Titre : Nursing Across the Lifespan: Implications of Lifecourse Theory for Nursing Research (2018) Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 92-97 Langues: Anglais Descripteurs : HE Vinci
Soins infirmiers ; ThéorieMots-clés: Développement en santé ; Théorie du cycle de la vie ; Recherche en soins infirmiers Disponible en ligne : Non Exemplaires (1)
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Titre : Practice Guidelines for Peanut Allergies (2018) Auteurs : Celeste Sitton ; Heide S. Temples Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 98-102 Langues: Anglais Descripteurs : HE Vinci
Anaphylaxie ; Hypersensibilité alimentaire ; Immunothérapie ; Pédiatrie ; RecommandationsMots-clés: Cacahuètes Résumé : This article reviews the latest recommendations and clinical practice guidelines for peanut allergies among the pediatric population. Recommendations in this paper were compiled using information collected from a variety of publications of accredited professional organizations. Peanut allergies are the body's response to what it sees to be an unwanted substance in the body. This article focuses on the causes, signs and symptoms, prevention, diagnosis, and management of peanut allergies. Disponible en ligne : Non Exemplaires (1)
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Titre : Management of Childhood Functional Constipation (2018) Auteurs : Lisa Philichi Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 32, n°1, January/February 2018) Article en page(s) : p. 103-111 Langues: Anglais Descripteurs : HE Vinci
Constipation ; Enfant (6-12 ans) ; Evidence-based nursing ; Gestion de la douleur ; PharmacologieMots-clés: Constipation fonctionnelle Résumé : Constipation is a common problem during childhood, and 0.7% to 29.6% of children are constipated worldwide (Mugie, Benninga, & Di Lorenzo, 2011). This condition accounts for 3% to 5% of pediatric primary care visits and up to 25% of gastroenterology consultations (Di Lorenzo, 2000, Youssef, Di Lorenzo, 2001). Children presenting to the emergency department with abdominal pain are most often diagnosed with constipation (Caperell, Pitetti, & Cross, 2013). Constipated children have more outpatient and emergency department visits, and their overall annual medical cost is approximately twice as much as that of children without constipation (Choung et al., 2011). Nearly all childhood constipation is functional, but 5% to 10% is due to an organic cause (Youssef & Di Lorenzo, 2001). In contrast to organic causes, functional constipation is not a result of a structural or biochemical abnormality (Lewis, Palsson, Whitehead, & van Tilburg, 2016). Disponible en ligne : Non Exemplaires (1)
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Titre : Developing a Transition Care Coordination Program for Youth With Spina Bifida (2017) Auteurs : Amanda Seeley ; Linda L. Lindeke Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p.627-633 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Spina bifidaMots-clés: Soins de transition ; Complication médicale ; Coordination des soins Résumé : Introduction
This quality improvement pilot study focused on developing and facilitating readiness for transition in youth with spina bifida. The results contribute to a broader institution-wide initiative at a subspecialty pediatric organization.
Methods
The clinical roles of six nurse care coordinators were restructured to add responsibility for transition care coordination. Together, parents, youth, and nurse transition care coordinators created and implemented individualized family-centered care plans focused on improving self-management and readiness for transition to adulthood. The Transition Readiness Assessment Questionnaire was administered before and after intervention initiation.
Results
Fourteen youth–parent pairs participated in this study. Postintervention Transition Readiness Assessment Questionnaire results indicated that both parents and youth perceived improvement in transition readiness. Youth perceived more improvement than did parents.
Discussion
This pilot study showed that budget-neutral processes can be systematically implemented to facilitate transition preparation from pediatric to adult health care services for youth with spina bifida and their families.Disponible en ligne : Non Exemplaires (1)
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Titre : The Effect of a Comprehensive Care Transition Model on Cost and Utilization for Medically Complex Children With Cerebral Palsy (2017) Auteurs : Steven W. Howard ; Zidong Zhang ; Paula Buchanan ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 634-647 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; FinancementMots-clés: Modèle de soins de transition ; Complexité médicale ; Évaluation financière ; Paralysie cérébrale Résumé : Introduction
Our aim was to evaluate cost and acute care utilization related to an organized approach to care coordination and transitional care after major acute care hospitalization for children with medical complexities, including cerebral palsy.
Methods
A retrospective cohort of 32 patients from Ranken Jordan Pediatric Bridge Hospital (RJPBH) who received the Care Beyond the Bedside model was compared with 151 patients receiving standard care elsewhere across Missouri. Claims data (2007–2012) were obtained from MoHealthNet, Missouri's Medicaid program, for all children with moderate to severe cerebral palsy (defined using approximated Gross Motor Function Classification System levels) who had at least one hospital visit during the study period (N = 183). Risk-adjusted linear and Poisson regression models were used to analyze per-member–per-month costs and three indicators of acute care utilization (emergency department visits, readmissions, and inpatient days).
Results
RJPBH patients were associated with statistically significant reductions in per-member–per-month costs (−21%), hospital readmissions (−66%), and inpatient days (−57%).
Discussion
RJPBH's enhanced interprofessional medical home-like model, including intense care coordination, psychosocial therapy, family and caregiver empowerment, and transitional care, may be keys to reducing cost and unnecessary hospital use for children with medical complexities with cerebral palsy who receive Medicaid.Disponible en ligne : Non Exemplaires (1)
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Titre : Evaluating the Use of a Stability Guideline for Long-Term Ventilator–Dependent Children Discharging to Home : A Quality Improvement Project (2017) Auteurs : Jacquie Hanks ; Catherine A. Carrico Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 648-653 Langues: Anglais Descripteurs : HE Vinci
Démarche qualité ; Enfant (6-12 ans) ; Evaluation ; Maladie chronique ; Poumon ; Recommandations ; Ventilation artificielleRésumé : Introduction
Defining stability before discharge for children with severe chronic lung disease requiring home ventilation has historically been dependent on an individual provider's opinion.
Methods
An institutional guideline based on expert opinion was used for patients who were first discharged home on mechanical ventilation. A retrospective review determined if the guideline was used. Electronic medical record changes were initiated to improve compliance with the guideline.
Results
The retrospective review showed that the guideline is documented in less than one third of patients, and 36% of patients met the requirements of the guideline before discharge. Following these results, electronic medical record documentation was changed.
Discussion
Results showed a low utilization rate for the discharge home guideline for patients receiving long-term ventilation. Utilization of electronic medical record charting can improve the tracking of stability guidelines and provide the opportunity to further define stability in ventilator-dependent children.Disponible en ligne : Non Exemplaires (1)
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Titre : Predicting Health Care Utilization for Children With Respiratory Insufficiency Using Parent-Proxy Ratings of Children's Health-Related Quality of Life (2017) Auteurs : Angie Mae Rodday ; Robert J. Graham ; Ruth Ann Weidner ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 354-362 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Insuffisance respiratoire ; Maladie chronique ; Pédiatrie ; Qualité de vieRésumé : Introduction
Children with chronic respiratory insufficiency and mechanical ventilation often experience acute illnesses requiring unscheduled hospitalizations. Health-related quality of life (HRQL) may predict future health care utilization.
Methods
Participants were 30 days to 22 years old with chronic respiratory insufficiency (N = 120). Parent-proxies completed global HRQL and general health measures. Outcomes were total health care (emergency department, outpatient, inpatient) and inpatient days over 6 months. Adjusted negative binomial regression estimated the effects of global HRQL and general health on utilization.
Results
Three quarters of children had any utilization; 32% had hospitalizations. Children with poor/fair global HRQL had 3.7 times more health care days than those with very good/excellent global HRQL. Children with poor/fair global HRQL had 6.3 times more inpatient days than those with very good/excellent global HRQL. Similar relationships existed between general health and utilization.
Discussion
HRQL was associated with health care and inpatient days. Clinical teams can use HRQL as a marker for utilization risk, enabling potentially earlier intervention, better outcomes, and lower costs.Disponible en ligne : Non Exemplaires (1)
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Titre : Mapping Geospatial Gaps in Early Identification of Children With Autism Spectrum Disorder (2017) Auteurs : Pamela B. DeGuzman ; Page Altrui ; Marcus Allen ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 663-670 Langues: Anglais Descripteurs : HE Vinci
Accès aux soins ; Enfant (6-12 ans)Mots-clés: Troubles du spectre autistique ; Infirmière praticienne en pédiatrie Résumé : Despite the known developmental benefits of early intervention for autism spectrum disorder (ASD), diagnosis before age 5 years is often not achieved. Research suggests that lack of health insurance and living in rural areas and areas of severe provider shortages contribute significantly to these delays. The purpose of this project was to conduct a geospatial evaluation of potential gaps in early ASD diagnosis of uninsured children in Virginia. A secondary purpose was to show the use of geospatial analysis by pediatric nurse practitioners for policy advocacy. We mapped data from a statewide provider of ASD evaluative services associated with the Virginia Department of Health and found several communities with high numbers of uninsured children where children may not be receiving early diagnostic services. Pediatric nurse practitioners can help address community-level gaps in early identification of ASD for uninsured young children living in rural areas by conducting outreach programs to providers and families within rural communities and concurrently partnering with nurse–scientists to develop visually impactful geospatial analyses to educate legislators and further advocate for policy positions. Disponible en ligne : Non Exemplaires (1)
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Titre : Thoracostomy Tube Removal: Implementation of a Multidisciplinary Procedural Pain Management Guideline (2017) Auteurs : Lisa M. Ring ; Anne Watson Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 671-683 Langues: Anglais Descripteurs : HE Vinci
Gestion de la douleur ; Interdisciplinarité ; Pédiatrie ; Recommandations ; Soins postopératoiresMots-clés: Thoracostomie Résumé : Objective
Thoracostomy tubes are placed following cardiothoracic surgery for the repair or palliation of congenital heart defects. The aim of this project was to develop and implement a clinical practice guideline for the provision of optimal analgesia during removal of thoracostomy tubes in pediatric postoperative cardiothoracic surgery patients.
Methods
Methods used include a nonexperimental design utilizing chart audits to determine baseline documentation as well as procedure note evaluation to determine both baseline documentation and compliance with the new guideline. A convenience sample of unit-based nurses completed a knowledge test and a post-implementation survey.
Results
There was a significant increase in nursing knowledge related to the clinical practice guideline education and implementation. Documentation compliance was observed. Nursing satisfaction and feasibility of the new guideline was demonstrated.
Discussion
This project was successful in increasing nursing knowledge of available resources for optimal procedural pain management in pediatric patients requiring thoracostomy tube removal on one in-patient acute care unit.Disponible en ligne : Non Exemplaires (1)
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Titre : Child Care Health Consultation Improves Infant and Toddler Care (2017) Auteurs : Rosemary Johnston ; Beth A. DelConte ; Libby Ungvary ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 684-694 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Nourrisson ; Pédiatrie ; Santé ; SécuritéRésumé : 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.). Project staff linked the Immediate Intervention centers with a CCHC in Year 1. In Year 2, in a crossover comparison, project staff linked Contrast centers with a CCHC.
Results
Working with a CCHC effectively improved compliance with some selected health and safety standards.Disponible en ligne : Non Exemplaires (1)
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Titre : Parental Opioid Abuse: Barriers to Care, Policy, and Implications for Primary Care Pediatric Providers (2017) Auteurs : Michelle K. Spehr ; Jennifer A. Coddington ; Azza H. Ahmed ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 695-702 Langues: Anglais Descripteurs : HE Vinci
Dépendance ; Drogue ; Parents ; Politique de santéMots-clés: Opioïdes ; Obstacle aux soins Résumé : Parental opioid use is affecting the physical, developmental, and mental health of the pediatric population nationwide and raises questions of safety when these children remain in the care of opioid-addicted parents. Pediatric providers face many barriers to identifying and caring for children beyond the neonatal period who have been affected by parental opioid abuse both in utero and in the home. These barriers include communication between providers and services, identification of intrauterine exposure, parental opioid abuse screening, and knowledge of child protective services involvement. In addition, understanding current state and national health policy regarding parental opioid abuse helps providers navigate these barriers. The purpose of this article is to identify barriers to care of children affected by parental opioid abuse both in utero and in the home, to discuss current health policy surrounding the issue, and to identify implications for the care of these children in the primary care pediatric setting. Disponible en ligne : Non Exemplaires (1)
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Titre : Association of Asthma Illness Representations and Reported Controller Medication Adherence Among School-Aged Children and Their Parents (2017) Auteurs : Jennifer Sonney ; Kathleen C. Insel ; Chris Segrin ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 703-712 Langues: Anglais Descripteurs : HE Vinci
Adhésion au traitement médicamenteux ; Asthme ; Enfant (6-12 ans) ; Observance par le patient ; ParentsMots-clés: This study examined the relationship between asthma illness representations and reported controller medication adherence of school-aged children (6–11 years) with persistent asthma and their parents. Thirty-four parent–child dyads independently reported on asthma controller medication adherence and asthma illness representations. Hierarchical regression analyses were used to test parent and child illness representation domain variables as predictors of reported medication adherence. Parent beliefs about medication necessity versus concerns was a significant predictor of parent-reported adherence (β ; = .55, p ; = − ; .50, p ; = .50, p Résumé : This study examined the relationship between asthma illness representations and reported controller medication adherence of school-aged children (6–11 years) with persistent asthma and their parents. Thirty-four parent–child dyads independently reported on asthma controller medication adherence and asthma illness representations. Hierarchical regression analyses were used to test parent and child illness representation domain variables as predictors of reported medication adherence. Parent beliefs about medication necessity versus concerns was a significant predictor of parent-reported adherence (β = .55, p Disponible en ligne : Non Exemplaires (1)
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Titre : Pediatric Hip Pain: A Case Study (2017) Auteurs : Katryn Remler Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 713-716 Langues: Anglais Descripteurs : HE Vinci
Douleur ; Enfant (6-12 ans) ; Hanche ; Présentations de casRésumé : 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. Disponible en ligne : Non Exemplaires (1)
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Titre : A Case Report and Review of Postural Orthostatic Syndrome in an Adolescent (2017) Auteurs : Lynn D. Mohr Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 717-723 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Maladies gastro-intestinales ; Présentations de casMots-clés: Syndrome orthostatique postural Résumé : Because there are many young women between the ages of 12 and 25 years who have been diagnosed with postural orthostatic syndrome (POTS), with the time to the diagnosis of about 5 years, it is important for health care providers to have an understanding of the clinical presentation of POTS to manage the diagnosis appropriately. The purpose of this article is to present a case study review of an adolescent woman who experienced POTS syndrome at age 16 years and to provide a clinical overview of POTS in the adolescent population. Disponible en ligne : Non Exemplaires (1)
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Titre : States' Progress Toward Nurse Practitioner Full Practice Authority : Contemporary Challenges and Strategies (2017) Auteurs : Mary L. Chesney ; Karen G. Duderstadt Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 724-728 Langues: Anglais Descripteurs : HE Vinci
Accès aux soinsMots-clés: Modèle ; Infirmière praticienne Disponible en ligne : Non Exemplaires (1)
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Titre : Pediatric Nurse Practitioners in the Emergency Department : Implications for Education and Research (2017) Auteurs : Tasha R. Rutledge ; Lisa Schaeg Merritt Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°6, November/December 2017) Article en page(s) : p. 729-733 Langues: Anglais Descripteurs : HE Vinci
Education ; Pédiatrie ; RechercheMots-clés: Infirmière praticienne en pédiatrie ; Service hospitalier d'urgence Résumé : The use of pediatric nurse practitioners in emergency departments is common in the United States. Defining competencies that are specific to the wide span of urgent and emergent pediatric conditions, along with a recognized practice standard for education and specialty certification for pediatric nurse practitioners practicing in emergency care, is needed. Pediatric emergency departments require a team of providers with a skill set that aligns with each patient's needs. The use of qualified pediatric nurse practitioners on these teams, both primary care and acute care certified, to provide care to these children is expanding, with implications for education and research. Disponible en ligne : Non Exemplaires (1)
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Titre : Expedited Partner Therapy: A Review for the Pediatric Nurse Practitioner (2017) Auteurs : Lauren Hopson Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 525-535 Langues: Anglais Descripteurs : HE Vinci
Interdisciplinarité ; Maladies sexuellement transmissibles ; Pédiatrie ; Prévention ; ThérapeutiqueMots-clés: Infirmière praticiennes Résumé : The rate of sexually transmitted infections in the United States increased in 2015 for the second year in a row. Adolescents bear an undue portion of this burden because of increased physiologic susceptibility, higher rates of reinfection, and developmental age. Despite expedited partner therapy (EPT) being legalized in 39 states, health care providers still report infrequently providing EPT to their adolescent patients. Patients who benefit most from EPT include those with high-risk sexual behavior, a steady relationship status, higher education level, or an established relationship with the provider. This article will review the barriers to providing EPT and factors associated with patient acceptance or refusal, highlight current legal issues, and discuss the role of the pediatric nurse practitioner addressing specific strategies for implementation in practice. EPT is a valuable tool for the pediatric nurse practitioner to promote treatment and prevent reinfection with sexually transmitted infections. Disponible en ligne : Non Exemplaires (1)
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Titre : “I Didn't Even Know You Cared About That Stuff”: Youths' Perceptions of Health Care Provider Roles in Addressing Bullying (2017) Auteurs : Judith A. Vessey ; Rachel L. DiFazio ; Tania D. Strout Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 536-545 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Perception ; Pratique infirmière avancée ; Relations entre professionnels de santé et patientsMots-clés: Groupes focalisés ; Infirmières praticiennes ; Intimidation des jeunes Résumé : Introduction
Youth bullying is a critical public health problem, with those exposed to bullying at risk for development of serious sequelae lasting into adulthood. The purpose of this study was to explore youths' perceptions regarding the role that advanced practice nurses and physicians play in addressing bullying.
Methods
A qualitative descriptive approach was used; focus groups were used to generate study data. Twenty-four adolescents participated in focus groups centered on exploring health care providers' roles in addressing bullying.
Results
Three themes emerged through qualitative analysis: (a) Not sure that's part of their job, (b) That's way too personal, and (c) They couldn't help anyway. Participants described a very limited role for health care providers in addressing bullying.
Discussion
Youths recognized a narrow role for health care providers in addressing bullying, characterizing bullying as a school- or-community-related issue rather than one influencing health.Disponible en ligne : Non Exemplaires (1)
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Titre : Maintaining the Gift of Life: Achieving Adherence in Adolescent Heart Transplant Recipients (2017) Auteurs : Rachael Steuer ; Sabrina Opiola McCauley Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 546-554 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Pédiatrie ; Transplantation cardiaqueMots-clés: Receveur (greffe) ; Observance ; Adhérence chirurgicale Résumé : Since the beginning of United Network of Organ Sharing data collection in 1987, a total of 8,333 pediatric patients have received a heart transplant in the United States. Because these patients now have longer graft success with improved care and immunosuppression, many of them are entering adolescence and young adulthood. Primary care pediatric nurse practitioners need to be alert to the prevalence of noncompliance with treatment in heart transplant patients, which continues to be highest in adolescence. Low compliance in adolescence increases morbidity, contributes to decreasing quality of life, and is the leading reason for graft failure and mortality in this age group. This article will review common barriers to treatment adherence in the adolescent heart transplant patient, discuss the role of the primary care pediatric nurse practitioner in preventing noncompliance, and review strategies that the primary care pediatric nurse practitioner can implement to improve compliance in this patient population. Disponible en ligne : Non Exemplaires (1)
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Titre : Stakeholders' Perceptions of Care Coordination : A Participatory Process (2017) Auteurs : Annmarie A. Lyles ; Penny Morgan Overgaard ; G. Caputo ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 555-559 Langues: Anglais Descripteurs : HE Vinci
Coordination ; Enfant (6-12 ans) ; Groupe ; Participation des patients ; PédiatrieMots-clés: Besoins spécifiques (soins)Élaboration d'un modèle de soins pédiatriques Résumé : Objective
Children with special health care needs or chronic conditions are more likely to have unmet health needs than other children. The purpose of this study was to use a community engagement research strategy to assess the essential elements of care coordination that can serve as the foundation for a system-wide care coordination model for children with special health care needs.
Study Design
As part of a summit designed to review the status of pediatric care coordination within the state of Arizona and a call to action, a qualitative descriptive study was conducted to solicit anonymous feedback from 104 stakeholders (family, health care provider, or community entity) on the strengths and areas of improvement in the current system that provides care to Arizona children with special health care needs. Data were analyzed using inductive content analysis.
Results
Five essential categories crucial to building an effective and seamless care coordination model were extracted from the data: Communication, Insurance, Health Care Capacity, Provider Knowledge, and Family Education.
Conclusions
The results from this study can serve as the working foundation to build a system-wide model for pediatric care coordination throughout the state. Providing care coordination services involves many activities across a wide range of organizations and locations. Research that is inclusive of community stakeholders can determine essential components for building a foundation for care coordination.Disponible en ligne : Non Exemplaires (1)
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Titre : Management of Childhood Congenital Adrenal Hyperplasia : An Integrative Review of the Literature (2017) Auteurs : Louise Fleming ; Marcia Van Riper ; Kathleen Knafl Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 560-577 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Maladie congénitale ; Pédiatrie ; Prise en charge de la maladie ; Revue de la littérature ; Système génitalMots-clés: Hyperplasie surrénale congénitale ; Organes génitaux atypiques Résumé : Congenital adrenal hyperplasia (CAH) is an endocrine condition that requires parents to administer steroids up to three times daily, supplementing maintenance doses with oral or injectable doses during times of illness. The purpose of this integrative review was to explore the management, care, and associated health issues for children with CAH and the family response to the condition. Four literature indexes were searched, with 39 articles included. Four themes emerged: (a) Health- and Development-Related Issues, (a) Effects of Excess Androgens, (c) Life Experience of CAH, and (d) Managing and Averting Adrenal Crisis. Families having a child with CAH face complex concerns related their child's growth, the fear of adrenal crisis events, and the consequences of atypical genitalia for affected girls. Future studies should focus on interventions that provide guidelines to increase parental preparedness in managing adrenal crises and creating support systems for affected girls. Disponible en ligne : Non Exemplaires (1)
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Titre : Improving the Sexual Health of Young People With Mobility Impairments : Challenges and Recommendation (2017) Auteurs : Molly Secor-Turner ; Barbara J. McMorris ; Peter Scal Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 578-587 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Education sexuelle ; RecommandationsMots-clés: Catalepsie ; Troubles de la mobilité ; Santé reproductive Résumé : Introduction
This mixed-method study (a) describes challenges to providing sexual health services to youth with mobility impairments from the perspective of health care providers and experts and (b) describes and compares sexual health–related experiences of youth with mobility impairments.
Method
Secondary data analysis of My Path, a study focused on the transition to adulthood for youth with mobility impairments. Using an exploratory sequential design, qualitative data (n = 10) were analyzed using systematic content analysis followed by quantitative analysis of survey data (N = 337).
Results
Challenges included not talking about sex, managing sexual development, adaptation and instruction, parent roles, and safety. Survey data showed that youth with mobility impairments are diverse in their experiences with sexual behavior and sources of sexual health information. Although connected with primary care providers, few received information about sexual health.
Discussion
Interventions to improve youths' well-being should include comprehensive care and education that promotes and supports healthy sexual development.Disponible en ligne : Non Exemplaires (1)
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Titre : Is a Chest Radiograph Required After Removal of Chest Tubes in Children? (2017) Auteurs : Ellen McGrath ; Lee Ranstrom ; Debra Lajoie ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 588-593 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Radiographie ; ThoraxMots-clés: Ablation des tubes thoraciques ; Pneumolyse Résumé : Our objective was to determine the clinical value of obtaining a chest radiograph after removal of a chest tube. We conducted a retrospective chart review of pediatric general surgical patients with a chest tube in place after a thoracic procedure over a 3-year time period. Postremoval films were considered to be of value if they led to a change in clinical management. Of 468 patients who had a thoracic procedure, 281 patients had a chest tube and a postremoval film. In 263 patients (93.6%) there was no change in the postremoval film result compared with baseline. Only two patients (0.7%) required an intervention based on symptoms, not based on the postremoval film. Eliminating routine postremoval radiographs after chest tube removal in pediatric patients will lessen radiation exposure and provide cost savings with no adverse impact on outcome. Disponible en ligne : Non Exemplaires (1)
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Titre : Fetal Alcohol Spectrum Disorders: What Pediatric Providers Need to Know (2017) Auteurs : Angela Nash ; Leah Davies Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 594-606 Langues: Anglais Descripteurs : HE Vinci
Développement ; Pédiatrie ; Troubles du spectre de l'alcoolisation foetaleMots-clés: Exposition prénatale à l'alcool ; Lésion axonale diffuse Résumé : Prenatal alcohol exposure is the cause of fetal alcohol spectrum disorders (FASDs), the prevalence of which is similar to that of other developmental disabilities like Down syndrome and autism. Children, adolescents, and adults who live with the disabilities associated with prenatal alcohol exposure face extraordinary challenges throughout their lives. Pediatric providers need to be able to identify patients with FASD because early recognition and intervention is known to improve life outcomes for affected individuals. The purposes of this continuing education activity are to report what is known about the prevalence of FASDs; to detail the spectrum of problems experienced by affected individuals; and to suggest specific strategies for preventing, identifying, and managing FASDs in clinical practice. Disponible en ligne : Non Exemplaires (1)
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Titre : Marfan Syndrome (MFS): Visual Diagnosis and Early Identification (2017) Auteurs : Heide S. Temples ; Curtis R. Rogers ; Deborah Willoughby ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 609-617 Langues: Anglais Descripteurs : HE Vinci
Anévrisme ; Aorte ; Diagnostic ; Présentations de cas ; Syndrome de MarfanRésumé : Case Presentation
A 14-year-old White adolescent boy presented to our pediatric primary care office for an initial well-child examination and sports physical examination. He stated that the high school coach was recruiting him to play basketball because he was tall and had long arms and large hands, which allowed him to “easily recover rebounds.” On the preparticipation physical examination form (American Academy of Family Physicians et al., 2010), he denied syncopal episodes, chest pain or pressure with exercise, palpitations, or shortness of breath, and he did not have a past medical history of heart problems or seizures. He did, however, have a positive family history of two relatives dying suddenly from “heart problems” in their 40s. His family did not know any details of their family's heart problems and was unaware of any genetic diseases in the family.Disponible en ligne : Non Exemplaires (1)
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Titre : Eosinophilic Esophagitis: A Case Study of a 12-Year-Old Boy (2017) Auteurs : Katherine Kiely Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°5, September/October 2017) Article en page(s) : p. 618-622 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Oesophagite ; Présentations de casRésumé : Eosinophilic esophagitis is an underrecognized chronic condition in which symptoms of gastroesophageal reflux are accompanied by eosinophilia in the esophagus. This disorder affects both children and adults and is associated with a history of other atopic disorders, particularly food allergies. This case study discusses the epidemiology of eosinophilic esophagitis and the proper procedures for diagnosis, referral, and management using the dietary restrictions and pharmacologic treatment included in the clinical recommendations issued by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition; the American Academy of Allergy, Asthma, and Immunology; and the American College of Gastroenterologists. Disponible en ligne : Non Exemplaires (1)
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Titre : Separation Anxiety Disorder in School-Age Children : What Health Care Providers Should Know (2017) Auteurs : Jerrica Vaughan ; Jennifer A. Coddington ; Azza Ahmed ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 433-440 Langues: Anglais Descripteurs : HE Vinci
Anxiété ; Ecole ; Enfant (6-12 ans) ; PédiatrieRésumé : Separation anxiety disorder (SAD) is the most common childhood anxiety disorder, and it has many consequences, particularly for school-age children. These consequences include excessive worry, sleep problems, distress in social and academic settings, and a variety of physical symptoms that, left untreated, can cause social and academic decline. Pediatric providers routinely see children in the primary care office and have the unique opportunity to diagnose, treat, and manage children with SAD. Despite this, SAD continues to be underdiagnosed and undertreated because of a gap in the literature regarding evidence-based practice guidelines for pediatric providers. The purpose of this article is to discuss the diagnosis and management of SAD in school-age children and highlight the role of pediatric providers in managing separation anxiety. Disponible en ligne : Non Exemplaires (1)
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Titre : Driving After Adolescent Concussion: Advice From Nurse Practitioners in the Absence of Standardized Recommendations (2017) Auteurs : Tracy A. Klein ; Janessa M. Graves ; Jasmine Y. Graham Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 441-451 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Commotion cérébrale ; Conduite automobile ; Recommandations ; TraumatismeMots-clés: Infirmières praticiennes Résumé : Introduction
Nurse practitioners (NPs) are authorized to manage concussion recovery. Common adolescent activities, like driving, are omitted from guidelines. We investigated NP driving guidance and its clinical basis for restriction or limitation following adolescent concussion.
Method
NPs completed a web-based questionnaire after viewing a scripted video scenario of an adolescent describing symptoms of concussion occurring 72 hours prior. Driving recommendations were collected using an open-ended query, then coded and categorized by type, characteristic, and basis.
Results
1,051 (20%) responded to the question of interest. The majority (93.8%) provided driving recommendations: 32.6% based on time, 49.8% based on symptoms, and 28.5% based on health care utilization. 5.3% mentioned fatigue and sleep symptoms. 1% advised use of a standardized assessment tool.
Discussion
Symptomatology, examination, and time were key factors in clinical decision-making for post-concussion driving, rather than use of standardized tools. Persistent symptoms that can impact driving, such as sleep and visual disturbances, may warrant consideration.Disponible en ligne : Non Exemplaires (1)
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Titre : The Impact of Telehealth and Care Coordination on the Number and Type of Clinical Visits for Children With Medical Complexity (2017) Auteurs : Holly D. McKissick ; Rhonda G. Gady ; Wendy S. Looman ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 452-458 Langues: Anglais Descripteurs : HE Vinci
Complications ; Coordination ; Enfant (6-12 ans) ; Pédiatrie ; Télémédecine ; VisiteMots-clés: Pratique infirmière avancée Résumé : Introduction
The purpose of this analysis was to evaluate the effects of an advanced practice nurse–delivered telehealth intervention on health care use by children with medical complexity (CMC). Because CMC account for a large share of health care use costs, finding effective ways to care for them is an important challenge requiring exploration.
Method
This was a secondary analysis of data from a randomized clinical trial with a control group and two intervention groups. The focus of the analysis was planned and unplanned clinical and therapy visits by CMC over a 30-month data collection period. Nonparametric tests were used to compare visit counts among and within the three groups.
Results
The number of unplanned visits decreased over time across all groups, with the greatest decrease in the video telehealth intervention group. Planned visits were higher in the video telehealth group across all time periods.
Discussion
Advanced practice registered nurse–delivered telehealth care coordination may support a shift from unplanned to planned health care service use among CMC.Disponible en ligne : Non Exemplaires (1)
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Titre : Kawasaki Disease With Coronary Artery Aneurysms : Psychosocial Impact on Parents and Children (2017) Auteurs : Nita Chahal ; Ahlexxi Jelen ; Janet Rush ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 459-469 Langues: Anglais Descripteurs : HE Vinci
Anévrisme ; Anxiété ; Enfant (6-12 ans) ; Parents ; Pédiatrie ; Vaisseaux coronairesMots-clés: Maladie de Kawasaki ; Impacts psychosociaux Résumé : Introduction
For those living with Kawasaki disease and coronary artery aneurysms, little is known about the psychosocial burden faced by parents and their children.
Methods
Exploratory, descriptive, mixed-methods design examining survey and interview data about health-related uncertainty, intrusiveness, and self-efficacy.
Results
Parents' uncertainty was associated with missed diagnosis, higher income, and maternal education. Higher uncertainty scores among children were associated with absence of chest pain and lower number of echocardiograms. High intrusiveness scores among parents were associated with previous cardiac catheterization, use of anticoagulants, lower parent education and income, and missed diagnosis. High intrusiveness scores among children were associated with high paternal education. Children's total self-efficacy scores increased with chest pain and larger aneurysm size. Qualitative analysis showed two central themes: Psychosocial Struggle and Cautious Optimism.
Discussion
Negative illness impact is associated with a more intense medical experience and psychosocial limitations. Timely assessment and support are warranted to meet parents' and children's needs.Disponible en ligne : Non Exemplaires (1)
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Titre : The Identification of Psychosocial Risk Factors Associated With Child Neglect Using the WE-CARE Screening Tool in a High-Risk Population (2017) Auteurs : Stephanie Zielinski ; Heather A. Paradis ; Pamela Herendeen ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 470-475 Langues: Anglais Descripteurs : HE Vinci
Dépistage systématique ; Facteurs de risque ; Pédiatrie ; PopulationMots-clés: Facteurs de risque psychosociaux ; Outil de dépistage ; Négligence ; Faute professionnelle Résumé : Introduction
Neglect accounts for over 70% of child maltreatment and carries significant sequelae. Identification of psychosocial determinants of health may allow pediatric providers to ameliorate precursors of child neglect.
Methods
Data were collected 1 month before and after implementation of the Well-Child Care Visit, Evaluation, Community Resources, Advocacy, Referral, Education (i.e., WE-CARE) screen at all well-child visits. Social workers recorded number and types of referrals, and providers completed surveys.
Results
Analysis of 602 completed screens (75% capture rate) showed 377 families (63%) with at least one need and 198 (33% overall, 53% of those with positive results) indicating a desire to discuss. Of families requesting assistance, 122 (62%) connected with a social worker, and total referrals increased after implementation. Provider surveys supported an increased frequency of and comfort with assessing families for certain risk factors, and screening was not perceived to interrupt clinic flow.
Conclusion
Standardized screening identifies families at risk for neglect, improves provider comfort, and minimally affects flow. Identification of psychosocial needs should be part of routine preventive care.Disponible en ligne : Non Exemplaires (1)
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Titre : Utilization of the Premature Birth Knowledge Scale to Assess Pediatric Provider Knowledge of Neurodevelopmental Outcomes (2017) Auteurs : Michelle M. Kelly ; Spencer Dean Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 476-483 Langues: Anglais Descripteurs : HE Vinci
Echelle d'évaluation ; Enfant (6-12 ans) ; Etats-Unis ; PédiatrieMots-clés: Naissancep rématurée,Développement neurologique Résumé : Introduction
Prematurity affects a significant portion (10–12%) of children in the Unites States, with potential for physical, psychological, neurodevelopmental, and behavioral impairments continuing long past the neonatal period. The specific aim of this research was to evaluate pediatric primary and specialty care providers' knowledge and understanding of neurodevelopmental outcomes of children born prematurely.
Methods
Pediatric nurse practitioner (PNP) members of the National Association of Pediatric Nurse Practitioners participated in an online survey using the 33-item Premature Birth Knowledge Scale (PB-KS) to assess their knowledge of current neurodevelopmental outcomes of children born prematurely.
Results
Neither years of practice as a registered nurse nor as a PNP predicted performance on the PB-KS. The mean score on the PB-KS in the PNP sample was 17.8 (possible score = 0–33), with a mean accuracy of 53.9%. Higher scores on the PB-KS were correlated with higher perceived level of preparation to care for children born prematurely.
Discussion
To our knowledge, this is the first study to use the PB-KS with pediatric primary and specialty providers. PNPs are uniquely situated to educate and support families facing the long-term consequences of premature birth; to do so they must maintain accurate understanding of current outcomes.Disponible en ligne : Non Exemplaires (1)
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Titre : Characteristic Differences Between School-Based Health Centers With and Without Mental Health Providers : A Review of National Trends (2017) Auteurs : Satu Larson ; Joanne Spetz ; Claire D. Brindis ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 484-492 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Enfant (6-12 ans) ; Sante (centre) ; Santé mentale ; TraumatismeMots-clés: Centre de santé scolaire ; Inégalité des soins de santé Résumé : Background
Minority racial/ethnic pediatric populations and those living in poverty are at greater risk of exposure to trauma, development of mental health disorders, and school failure yet are less likely to have access to mental health services (MHS). School-based health centers (SBHCs) staffed with mental health providers may be one strategy for decreasing health care disparities.
Methods
Secondary analysis of the cross-sectional School-Based Health Alliance Census School Year 2010–2011 Report was conducted. Descriptive statistics and chi-square analysis were used to describe differences between SBHCs with and without onsite MHS.
Results
A total of 70% of SBHCs offered MHS. SBHCs with more resources, more students, a longer history, and state funding were more likely to offer MHS, and geographic location had no impact on service availability.
Conclusion
Reviewing SBHC characteristics that enable inclusion of MHS may help stakeholders expand this model of care to address exposure to chronic childhood trauma.Disponible en ligne : Non Exemplaires (1)
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Titre : The Power of Language Nutrition for Children's Brain Development, Health, and Future Academic Achievement (2017) Auteurs : Lauren Head Zauche ; Ashley E. Darcy Mahoney ; Taylor A. Thul ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 493-503 Langues: Anglais Descripteurs : HE Vinci
Cerveau ; Développement ; Ecole ; Enfant (6-12 ans) ; Nutrition ; SantéRésumé : Language Nutrition, a term created to describe language exposure that is rich in quality and quantity and delivered in the context of social interactions, is crucial for a child's development and is strongly associated with his/her future literacy, academic achievement, and health. However, significant differences in children's early language environments contribute to disparities in their educational and health trajectories. Interventions, including book distribution programs, coaching parents to enrich their child's language environment, and public awareness campaigns, have all been shown to positively influence a child's access to language-rich interactions. Incorporating Language Nutrition coaching and literacy promotion into pediatrics is a promising platform for building the capacity of parents to provide language exposure to their children. By teaching parents both how and why to treat their child as a conversational partner and by modeling such interactions, pediatric health care providers can help parents set their children on a pathway toward literacy, educational success, and health. Disponible en ligne : Non Exemplaires (1)
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Titre : Congenital Glucose–Galactose Malabsorption : A Case Report (2017) Auteurs : Sharon Anderson ; Soula Koniaris ; Baozhong Xin Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : p. 506-510 Langues: Anglais Descripteurs : HE Vinci
Diarrhée ; Galactosemie ; Glucose ; Maladie congénitale ; Syndromes de malabsorptionDisponible en ligne : Non Exemplaires (1)
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Titre : A Case Study of a Preadolescent With Osteopathia Striata With Cranial Sclerosis (2017) Auteurs : Doreen W. Ng Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°4, July/August 2017) Article en page(s) : P. 511-516 Langues: Anglais Descripteurs : HE Vinci
Densite osseuse ; Dysplasie ; Ostéopathie ; Présentations de cas ; Sclerose cerebraleMots-clés: Ostéopathie Striata Résumé : A 12-year-old Chinese American girl presented to a primary care clinic for a well-child examination. Her physical examination was significant for macrocephaly, hypertelorism, and downward slanting palpebral fissures. She had a right cleft lip nasal deformity and a surgical scar on the right philtrum and lip. Her voice was hypernasal with articulation difficulties. Disponible en ligne : Non Exemplaires (1)
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Titre : Maternal Attitudes, Normative Beliefs, and Subjective Norms of Mothers of 2- and 3-Year-Old Children (2017) Auteurs : Angela A. Northrup ; Arlene Smaldone Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 262-274 Langues: Anglais Descripteurs : HE Vinci
Education ; Enfant (6-12 ans) ; Obésité ; Recommandations ; Relations mère-enfantMots-clés: Compétence informationnelle en santé Résumé : Introduction
This exploratory study examined maternal attitudes, normative beliefs, subjective norms, and meal selection behaviors of mothers of 2- and 3-year-old children.
Methods
Guided by the Theory of Reasoned Action, we had mothers complete three surveys, two interviews, and a feeding simulation exercise. Data were analyzed using descriptive and bivariate statistics and multivariate linear regression.
Results
A total of 31 mothers (50% Latino, 34% Black, 46.9% ≤ high school education, 31.3% poor health literacy) of 32 children (37.5% overweight/obese) participated in this study. Maternal normative beliefs (knowledge of U.S. Department of Agriculture recommendations) did not reflect actual U.S. Department of Agriculture recommendations. Collectively, regression models explained 13% (dairy) to 51% (vegetables) of the variance in behavioral intent, with normative belief an independent predictor in all models except grain and dairy.
Discussion
Meal selection behaviors, on average, were predicted by poor knowledge of U.S. Department of Agriculture recommendations. Dietary guidance appropriate to health literacy level should be incorporated into well-child visits.Disponible en ligne : Non Exemplaires (1)
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Titre : Acute Rheumatic Fever: Global Persistence of a Preventable Disease (2017) Auteurs : Francine Bono-Neri Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 275-284 Langues: Anglais Descripteurs : HE Vinci
Bactéries ; Maladie de Bouillaud ; Myocardite ; PharyngiteRésumé : The persistence of acute rheumatic fever continues to be seen globally. Once thought to be eradicated in various parts of the world, the disease came back with a vengeance secondary to a lack of diligence on the part of providers. Today, the global burden of group A streptococcal infection, the culprit of the numerous sequelae manifested in acute rheumatic fever, is considerable. Although a completely preventable disease, rheumatic fever continues to exist. It is a devastating disease that involves long-term, multisystem treatment and monitoring for patients who were unsuccessful at eradicating the precipitating group A streptococcal infection. Prevention is the key to resolving the dilemma of the disease's global burden, yet the method to yield its prevention still remains unknown. Thus, meticulous attention to implementing proper treatment is the mainstay and remains a top priority. Disponible en ligne : Non Exemplaires (1)
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Titre : Parental Reflections on the Diagnostic Process for Duchenne Muscular Dystrophy : A Qualitative Study (2017) Auteurs : Roxanna M. Bendixen ; Amy Houtrow Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 285-292 Langues: Anglais Descripteurs : HE Vinci
Diagnostic ; Dystrophie musculaire ; Maladies rares ; Parentalité ; Prise de décisionRésumé : Purpose
Duchenne muscular dystrophy (DMD) is a rare neuromuscular disease with no known cure. We sought to update over 30 years of research reporting on the diagnostic delays in DMD.
Methods
Through personal interviews, this study qualitatively explored parents' experiences regarding receipt of the DMD diagnosis and the guidance for care provided. Thematic analysis identified themes and provided answers to the research questions being addressed.
Results
Four themes emerged: (a) Dismissive illustrates little consideration of parent concern in the diagnostic process; (b) Limited Knowledge describes misunderstandings about clinical signs, recommended screenings, and testing to achieve a diagnosis of DMD; (c) Careless Delivery reports on the manner in which the diagnosis was given; and (d) Lack of Guidance describes the follow-up that occurred after the diagnosis.
Conclusion
Despite marked medical progress over the past several decades, substantial barriers to arriving at the diagnosis of DMD and the provision of care guidance remain.Disponible en ligne : Non Exemplaires (1)
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Titre : Predictors of Short- and Long-Term Attrition From the Parents as Agents of Change Randomized Controlled Trial for Managing Pediatric Obesity (2017) Auteurs : Nicholas D. Spence ; Amanda S. Newton ; Rachel A. Keaschuk ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 293-301 Langues: Anglais Descripteurs : HE Vinci
Famille ; Obésité ; Pédiatrie ; Thérapie cognitiveMots-clés: Indice de masse corporelle (IMC) ; Essai contrôlé randomisé Résumé : Introduction
Attrition in pediatric weight management is a substantial problem. This study examined factors associated with short- and long-term attrition from a lifestyle and behavioral intervention for parents of children with overweight or obesity.
Method
Fifty-two families with children ages 6 to 12 years old and body mass index at or above the 85th percentile participated in a randomized controlled trial focused on parents, comparing parent-based cognitive behavioral therapy with parent-based psychoeducation for pediatric weight management. We examined program attrition using two clinical phases of the intervention: short-term and long-term attrition, modeled using the general linear model. Predictors included intervention type, child/parent weight status, sociodemographic factors, and health of the family system.
Results
Higher self-assessed health of the family system was associated with lower short-term attrition; higher percentage of intervention sessions attended by parents was associated with lower long-term attrition.
Discussion
Different variables were significant in our short- and long-term models. Attrition might best be conceptualized based on short- and long-term phases of clinical, parent-based interventions for pediatric weight management.Disponible en ligne : Non Exemplaires (1)
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Titre : The Effect of a Youth-Centered Sexual Risk Event History Calendar (SREHC) Assessment on Sexual Risk Attitudes, Intentions, and Behavior (2017) Auteurs : Michelle L. Munro-Kramer ; Nicole M. Fava ; Tanima Banerjee ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 302-313 Langues: Anglais Descripteurs : HE Vinci
Comportement ; Risque ; SexualitéMots-clés: Jeunesse ; Calendrier Résumé : Introduction
The purpose of this study was to examine the effect of a youth-centered assessment, the Sexual Risk Event History Calendar (SREHC), compared with the Guidelines for Adolescent Preventive Services (GAPS) assessment, on sexual risk attitudes, intentions, and behaviors.
Methods
The Interaction Model of Client Health Behavior guided this participatory research-based randomized control trial. Youth participants recruited from university and community clinics in the Midwestern United States were randomized to a health care provider visit using either the SREHC or GAPS and completed surveys at baseline, postintervention, and 3, 6, and 12 months.
Results
Participants included 181 youth (15–25 years old) and nine providers. Findings showed that youth in the SREHC group reported stronger intentions to use condoms compared with those in the GAPS group. Age and race were also significant predictors of sexual experience.
Discussion
This study highlights the importance of using a youth-centered, systematic approach in the assessment of sexual risk behaviors.Disponible en ligne : Non Exemplaires (1)
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Titre : Evaluation of a Self-Instructional CPR Program for Parents With Children Enrolled in Community Swim Lessons (2017) Auteurs : Rachel McCarrison ; Dianxu Ren ; Gail Ratliff Woomer ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 314-319 Langues: Anglais Descripteurs : HE Vinci
Apprentissage ; Evaluation ; Groupe ; SportsMots-clés: Natation Résumé : Introduction
This project evaluated an evidence-based self-instructional program aimed at improving cardiopulmonary resuscitation (CPR) knowledge and confidence in parents with children in swim lessons.
Method
A prospective, repeated-measures design evaluated the CPR Anytime Child program. Twenty-nine parents completed questionnaires before, immediately after, and 1 month after the program.
Results
Knowledge and confidence scores improved significantly over time. Compared with a baseline knowledge mean score of 47.3%, mean score immediately after the program was 93.5% (t = −12.176, p Discussion
The CPR Anytime Child program had a significant sustained effect on improving knowledge and confidence in parents of children in swim lessons. The simplicity of this program makes it replicable and sustainable in this setting.Disponible en ligne : Non Exemplaires (1)
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Titre : Relationship Between Meal Plan, Dietary Intake, Body Mass Index, and Appetitive Responsiveness in College Students (2017) Auteurs : Robyn Gonzales ; Jennifer S. Laurent ; Rachel Johnson K. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 320-326 Langues: Anglais Descripteurs : HE Vinci
Ecole ; Politique de santé ; Régime alimentaireMots-clés: Indice de masse corporelle (IMC) ; Comportement appétitif Résumé : Introduction
One third of the approximately 23,000 undergraduates in the United States are overweight or obese. College students appear to be more vulnerable to disproportionate weight gain during this time.
Method
Cross-sectional. Diet, body mass index, and appetitive responsiveness were assessed in 80 undergraduates enrolled in three different meal plans, unlimited access, points, and none.
Results
Appetitive responsiveness was positively correlated with fat (r = 0.34, p = .002) but not added sugars across groups. Unlimited access-plan students had higher fat consumption than no-plan students, regardless of appetitive responsiveness. Unlimited access-plan students had higher fruit and vegetable consumption and higher dairy consumption than point-plan students. There were no group differences for body mass index. All groups were below the U.S. Department of Agriculture guidelines for dairy and fruit and vegetable intake.
Discussion
Optimizing the college campus food environment toward healthful, affordable choices is likely to improve dietary habits and might minimize college weight gain.Disponible en ligne : Non Exemplaires (1)
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Titre : Disordered Eating Behaviors in Emerging Adults With Type 1 Diabetes (2017) Auteurs : Elizabeth A. Doyle ; Sheila M. Quinn ; Jodie M. Ambrosino ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 327-333 Langues: Anglais Descripteurs : HE Vinci
Diabète de type 1 ; MétabolismeMots-clés: Troubles de l'alimentation ; Jeune adulte Résumé : Introduction
Emerging adults (EA) with disordered eating behaviors (DEBs) and Type 1 diabetes (T1D) are at increased risk for severe complications of T1D, and these behaviors have been reported in EA women with T1D. Few studies, though, have included men. This study assessed the prevalence of DEB in both EA men and women with T1D.
Methods
DEB was measured with the diabetes-specific Diabetes Eating Problem Survey–Revised (DEPS-R); scores of 20 or greater indicate need for further evaluation for DEB.
Results
A total of 27 women and 33 men (age range = 21 ± 2.5 years) completed the DEPS-R; 27% of women and 18% of men had scores of 20 or greater (p = .23). Hemoglobin A1c level was significantly higher in subjects with elevated DEPS-R scores (10.4 ± 2.1% vs. 7.8 ± 1.3%; p Discussion
Clinicians should assess for DEB in both male and female emerging adults with T1D, especially overweight patients with poor glycemic control.Disponible en ligne : Non Exemplaires (1)
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Titre : Closing in on Crisis : Informing Clinical Practice Regarding Nonsuicidal Self-Injury in Youth (2017) Auteurs : Cara C. Young ; Amanda J. Simonton ; Stephanie Key ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 334-341 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Blessure ; Facteurs de risque ; MutilationMots-clés: Pratique clinique Résumé : Nonsuicidal self-injury (NSSI) in youth is a major public health concern. A retrospective chart review was conducted within a hospital system to examine (a) youth self-reports of reasons for engaging in NSSI and (b) additional contextual circumstances that may contribute to youth NSSI. Detailed history, physical examination, and treatment/discharge data were extracted by thoroughly reviewing all electronic documents in each medical record. The final sample (N = 135) were predominantly female (71.1%), and well over half (63.8%) reported Medicaid or uninsured status. Qualitative content analysis of youth self-reports and hospital progress notes showed that NSSI served as an emotional and functional coping mechanism. Five primary themes characterized the contextual influences on youth engaging in NSSI: (1) Personal Emotions, (2) Trauma, (3) Relationship Quality, (4) Sense of Loss, and (5) Risk Behaviors. Practical clinical practice suggestions for working with youth are discussed using these themes as a template for assessing risk and protective factors. Disponible en ligne : Non Exemplaires (1)
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Titre : Provider Perspectives on Adding Biomarker Screening for Tobacco Smoke Exposure to Lead Screening at Well-Child Visits (2017) Auteurs : Winta Ghidei ; Gail Brottman ; Eline Lenne ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 342-349 Langues: Anglais Descripteurs : HE Vinci
Exposition environnementale ; Marqueurs biologiques ; Pédiatrie ; TabagismeMots-clés: Tabagisme passif ; Premiers soins Résumé : Introduction
Measurement of cotinine, a biomarker of tobacco smoke exposure, can accurately identify children at risk of health consequences from secondhand smoke. This study reports perspectives from pediatric health care providers on incorporating routine cotinine screening into well-child visits.
Methods
Key informant interviews (N = 28) were conducted with pediatric primary care providers: physicians, nurse practitioners, and registered nurses.
Results
Themes identified in the interviews included the following: (a) Cotinine screening would assess children's exposure to tobacco smoke more reliably than parental report; (b) Addressing positive cotinine screening results might require additional resources; (c) Wheezing and a history of emergency department visits increased the salience of cotinine screening; and (d) A better understanding of the significance of specific cotinine test values would improve utility.
Discussion
Pediatric providers see advantages of biomarker screening for tobacco smoke exposure at well-child visits, especially for children with wheezing, but have concerns about limited capacity for follow-up with parents.Disponible en ligne : Non Exemplaires (1)
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Titre : Clinic Personnel, Facilitator, and Parent Perspectives of eHealth Familias Unidas in Primary Care (2017) Auteurs : Lourdes Molleda ; Monica Bahamon ; Sara M. St. George ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 350-361 Langues: Anglais Descripteurs : HE Vinci
Famille ; Recherche qualitative ; Soins de santé primaires ; TélémédecineRésumé : Introduction
The purpose of this qualitative study was to understand the feasibility and acceptability of implementing eHealth Familias Unidas, an Internet-based, family-based, preventive intervention for Hispanic adolescents, in primary care.
Methods
Semistructured individual interviews with clinic personnel and facilitators (i.e., physicians, nurse practitioners, administrators, and mental health workers; n = 9) and one focus group with parents (n = 6) were audiorecorded, transcribed verbatim, and analyzed using a general inductive approach.
Results
Nine major themes emerged, including recommendations to minimize disruption to clinic flow, improve collaboration and training of clinic personnel and the research team, promote the clinic as a trusted setting for improving children's behavioral health, and highlight the flexibility and convenience of the eHealth format.
Discussion
This study provides feasibility and acceptability findings, along with important considerations for researchers and primary care personnel interested in collaborating to implement an eHealth preventive intervention in pediatric primary care.Disponible en ligne : Non Exemplaires (1)
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Titre : Asthma Home Management in the Inner-City : What can the Children Teach us? (2017) Auteurs : Melissa Bellin ; Angelica Newscome ; Cassie Land ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 362-371 Langues: Anglais Descripteurs : HE Vinci
Asthme ; Enfant (6-12 ans) ; Soins à domicileMots-clés: Groupes focalisés Résumé : Objective
Knowledge of asthma home management from the perspective of poor, minority children with asthma is limited.
Method
Convenience sampling methods were used to recruit families of low-income children who are frequently in the emergency department for uncontrolled asthma. Thirteen youths participated in focus groups designed to elicit reflections on asthma home management. Data were analyzed using grounded theory coding techniques.
Results
Participants (Mean age = 9.2 years) were African American (100%), enrolled in Medicaid (92.3%), averaged 1.4 (standard deviation = 0.7) emergency department visits over the prior 3 months, and resided in homes with at least 1 smoker (61.5%). Two themes reflecting multifaceted challenges to the development proper of self-management emerged in the analysis.
Discussion
Findings reinforce the need to provide a multipronged approach to improve asthma control in this high-risk population including ongoing child and family education and self-management support, environmental control and housing resources, linkages to smoking cessation programs, and psychosocial support.Disponible en ligne : Non Exemplaires (1)
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Titre : American Parents' Attitudes and Beliefs About Corporal Punishment: : An Integrative Literature Review (2017) Auteurs : Ellen M. Chiocca Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 372-383 Langues: Anglais Descripteurs : HE Vinci
Education ; Etats-Unis ; Interaction parent-enfant ; Parents ; ViolenceMots-clés: Punition corporelle ; Comportement parental Résumé : Research on American parents' beliefs about the use of corporal punishment (CP) shows widespread approval of this child-rearing practice. This review integrated 25 research articles to gain a better understanding of what American parents believe about the use of CP as a method of child-rearing, where they get their information about CP, and if American parents' beliefs about CP translate to the actual use of CP. The results showed that the main factors that influence a parent's endorsement of CP is the belief that CP is normative and expected when raising a child; is a necessary part of parenting, even for infants; and that certain stressors involving interactions between the parent, child, and environment can elicit the use of CP. Further research is needed to determine what methods are effective in changing parents' attitudes and beliefs about the use of CP. Disponible en ligne : Non Exemplaires (1)
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Titre : Resilience (2017) Auteurs : Gail Hornor Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 384-390 Langues: Anglais Descripteurs : HE Vinci
Résilience psychologique ; Stress ; TraumatismeRésumé : Every child is a unique individual. This individuality is evident in children exposed to psychosocial trauma or adverse childhood experiences. There exists wide variation in the way children respond to toxic stressors in their lives. Some children appear to be relatively unaffected, while others develop a variety of psychological, behavioral, and physical consequences. What is the explanation for this phenomenon? Resiliency has been suggested to explain this variation in pathology expressions in trauma-exposed children. It is vital for pediatric nurse practitioners to understand the concept of resilience. This continuing education offering will define concepts of resilience and stress, explore the neurobiology of resilience, and examine interventions that promote resilience in children. Disponible en ligne : Non Exemplaires (1)
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Titre : Complementary and Alternative Medicine in the School-Age Child With Autism (2017) Auteurs : Debdeep Nath Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 393-397 Langues: Anglais Descripteurs : HE Vinci
Constipation ; Sécurité ; Thérapies complémentaires ; Trouble autistiqueRésumé : This case study examines some common complementary and alternative treatments used in the management of behavioral and gastrointestinal symptoms associated with autism including food selectivity, abdominal pain, nausea, gastroesophageal reflux, constipation, and diarrhea. The current literature on the safety and efficacy of these treatments for pediatric patients is reviewed. This study examines therapies including gluten-free and casein-free diet, probiotics, vitamin B12, omega-3 fatty acid supplementation, chelation therapy, acupuncture, and chiropractic manipulations used in treating these core symptoms of autism. Disponible en ligne : Non Exemplaires (1)
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Titre : Dandy-Walker Malformation : A Case Study of an Infant With an Increasing Head Circumference and Delayed Developmental Milestones (2017) Auteurs : Marlena Leigh Sherman ; Sharron Close ; Brad Weselman Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 398-403 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Malformations ; Présentations de casMots-clés: Excroissance de la tête ; Retard de développement Disponible en ligne : Non Exemplaires (1)
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Titre : Reflections on Incorporating a Behavioral Intervention into a Busy Pediatric Subspecialty Clinic (2017) Auteurs : Sarah L. Tsai ; Mark A. Clements ; Timothy Apodaca Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 404-408 Langues: Anglais Descripteurs : HE Vinci
Diabète de type 1 ; Entretien ; PédiatrieDisponible en ligne : Non Exemplaires (1)
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Titre : Practice Guideline: Contraception for Adolescents with Chronic Illness (2017) Auteurs : Taylor N. Hall ; Elizabeth K. Rende Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°3, May/June 2017) Article en page(s) : p. 409-420 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Contraception ; Maladie chronique ; RecommandationsDisponible en ligne : Non Exemplaires (1)
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Titre : Primary and Secondary Stroke Prevention in Children With Sickle Cell Disease (2017) Auteurs : Kyle A. Mack ; Alexis A. Thompson Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 145-154 Langues: Anglais Descripteurs : HE Vinci
Drépanocytose ; Echographie-doppler ; Enfant (6-12 ans) ; Infarctus cerebral ; Prévention ; RechercheRésumé : Children with sickle cell disease (SCD) have numerous acute and chronic complications, including central nervous system (CNS) disease, which can be debilitating over their life span. Recognition of risk factors for CNS disease and overt CNS disease should be properly identified by primary care providers, including physicians, physician assistants, and nurse practitioners. Here, we discuss an emerging and important early indicator of CNS disease in the form of silent cerebral infarcts and review overt stroke in patients with SCD. We also discuss transcranial Doppler ultrasonography, when and how often transcranial Doppler ultrasounds should be performed, and management of abnormal results. Lastly, we review the clinical data for the management and prevention of silent cerebral infarcts and overt stroke in children with SCD. Disponible en ligne : Non Exemplaires (1)
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Titre : Using Technology to Affect Influenza Vaccine Coverage Among Children With Chronic Respiratory Conditions (2017) Auteurs : Sarah L. Bay ; Daniel J. Crawford Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 155-160 Langues: Anglais Descripteurs : HE Vinci
Grippe humaine ; Maladie chronique ; Maladies de l'appareil respiratoire ; Pédiatrie ; Prévention ; Recherche ; Technologie ; VaccinationRésumé : Introduction
Influenza presents additional burdens for children with chronic respiratory conditions. Influenza vaccinations may reduce complications, yet approximately half of children remain unprotected. Evidence supports integration of text and e-mail into multicomponent strategies to increase influenza vaccination rates among children with chronic respiratory conditions.
Methods
A single text and e-mail message was sent to those with enabled preferences in the patient portal. A follow-up survey assessed aspects of message receipt. Surveys were completed without collection of demographics.
Results
A total of 3,206 messages were successfully delivered. Surveys were initiated by 107 recipients. Frequency analysis showed that text and e-mail messages were preferred forms of communication. A statistically significant relationship was found between receiving a message and receiving an influenza vaccination (p = .027).
Discussion
Text and e-mail messaging are cost effective and well received, and they can be easily integrated into existing systems. These methods are translatable across populations and can convey various types of messages.Disponible en ligne : Non Exemplaires (1)
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Titre : Tobacco Smoke Exposure–Related Ilnesses Among Pediatric Emergency Department Patients (2017) Auteurs : Ashley L. Merianos ; Cinnamon A. Dixon ; Melinda Mahabee-Gittens Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 161-166 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Recherche ; Soins d'urgence ; Soins de l'enfant ; Tabagisme ; Unité de soinsMots-clés: Pollution par la fumée de tabac Résumé : Introduction
This study aimed to determine the relationship between patients presenting to the pediatric emergency department (PED) and potential tobacco smoke exposure (TSE)–related illnesses.
Methods
A retrospective review of electronic medical records of pediatric emergency department patients (N = 116,084) was conducted. Sociodemographic characteristics, TSE-related illnesses, and TSE documentation were extracted. Logistic regression analyses were performed.
Results
More than one fifth (21.7%) of patients had TSE-related illnesses. Patients who were younger, male, non-White, or Hispanic; had Medicaid/Medicare insurance, had low triage acuity; or were admitted to any non–intensive care unit or intensive care unit were significantly more likely to have TSE-related illnesses. Twenty-eight percent of patients with TSE documentation had positive TSE status. Although regression models for positive TSE indicated similar findings, no difference was found based on ethnicity.
Discussion
Pediatric emergency departments, especially those that care for large numbers of children, should offer tobacco interventions that target at-risk populations and caregivers who are most likely not receiving interventions in other health care settings.Disponible en ligne : Non Exemplaires (1)
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Titre : Research Participation Decision-Making Among Youth and Parents of Youth With Chronic Health Conditions (2017) Auteurs : Jesica Pagano-Therrien ; Susan Sullivan-Bolyai Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 167-177 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Maladie chronique ; Parents ; Pédiatrie ; Prise de décision ; RechercheRésumé : The aims of this qualitative descriptive study were to describe how past experiences with research (including communication, information, values, and support) may contribute to research fatigue among youth and parents of youth with HIV, cystic fibrosis, and Type 1 diabetes. Eighteen parents and youth were purposively recruited from outpatient subspecialty clinics at a major academic medical center. They took part in qualitative interviews and completed a demographics form and the Decisional Conflict Scale. Youth participants also completed the Erikson Psychosocial Stage Inventory. Two major themes emerged: Blurred Lines and Hope for the Future. Research fatigue was not found in this sample. Results point to challenges with informed consent in settings where research and clinical care are integrated and suggest that protective factors allow for continued participation without excess burden on youth and parents. Strategies to minimize research fatigue and support engagement in research are offered. Disponible en ligne : Non Exemplaires (1)
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Titre : Postpartum Depression Screening at Well-Child Appointments: A Quality Improvement Project (2017) Auteurs : Sarah Mgonga ; Anne Schoening Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 178-183 Langues: Anglais Descripteurs : HE Vinci
Démarche qualité ; Dépistage systématique ; Dépression du postpartum ; Recherche ; Recommandations ; Signes et symptômesRésumé : Introduction
The purpose of this quality improvement project was to implement and evaluate a postpartum depression screening program using the Edinburgh Postnatal Depression Scale (EPDS) during well-child appointments up to 1 year of age at a private, faith-based primary care clinic.
Method
The Plan–Do–Study–Act framework was used in this quality improvement project. The EPDS was administered to mothers ages 19 years and older at their infants' well-child appointments at a faith-based clinic in the Midwest. A score of 10 or higher was considered a positive result. The results were reviewed, and protocol changes were implemented every 2 weeks using the Plan–Do–Study–Act framework.
Results
A total of 35 mothers completed the EPDS during the 9-week implementation period. Of 37 mothers asked to participate, nearly all agreed (97.3%); there was one refusal (2.7%). Staff compliance rate with administering the EPDS was 78.7%; there were 10 missed opportunities (21.3%). There were five positive EPDS results (14.3%). Mothers who screened positive were between the ages of 20 and 44 years. Infant ages were between 2 weeks and 12 months.
Discussion
Screening mothers at well-child appointments can identify women with postpartum depression. Not doing so is a missed opportunity. The results of this project support the identification of postpartum depression by screening using the EPDS during well-child appointments up to 1 year of age.Disponible en ligne : Non Exemplaires (1)
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Titre : Impact of an Educational Intervention to Improve Antibiotic Prescribing for Nurse Practitioners in a Pediatric Urgent Care Center (2017) Auteurs : Gina Weddle ; J. Goldman ; Angela Myers Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 184-188 Langues: Anglais Descripteurs : HE Vinci
Antibiotique ; Education thérapeutique ; Pédiatrie ; Prescription ; RechercheMots-clés: Infirmière praticienne ; Établissement de soins ambulatoires Résumé : Background
Up to 21% of pediatric visits result in an antibiotic prescription, and a large portion of these are unnecessary.
Objective
To determine if educational sessions would reduce inappropriate antibiotic use.
Methods
Intervention study evaluating antibiotic prescribing following educational sessions for urinary tract infection, skin and soft tissue infection, pharyngitis, upper respiratory tract infection, acute otitis media, and acute bacterial sinusitis.
Results
A total of 26 out of 43 (60%) nurse practitioners in 4 urgent care centers were enrolled in the study. The rate of inappropriate antibiotic use among all conditions was 10% before and 8% after the intervention (p = .02). A decrease in inappropriate antibiotic prescribing was seen after the educational session (p
Conclusions
Educational sessions led to improvement in overall inappropriate antibiotic use. Additional stewardship interventions are needed to further reduce unnecessary antibiotic use.Disponible en ligne : Non Exemplaires (1)
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Titre : Breastfeeding Curricular Content of Family Nurse Practitioner Programs (2017) Auteurs : Elaine Webber ; Mary Serowoky Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 189-195 Langues: Anglais Descripteurs : HE Vinci
Allaitement naturel ; Famille ; Recherche ; Recommandations ; Relations entre professionnels de santé et patientsMots-clés: Infirmières praticiennes Résumé : Introduction
Health care provider support is essential for breastfeeding success. Family Nurse Practitioners (FNP) are in a unique position to promote and manage breastfeeding. There is a gap in the literature regarding the amount and type of breastfeeding curricular content in FNP programs.
Method
An online survey of FNP programs was conducted. Data collection included program descriptors, didactic breastfeeding coursework, and clinical breastfeeding opportunities available to students.
Results
No programs offered courses specific to breastfeeding: 82% of programs devoted 1 to 2 hours of didactic lactation content. More than three quarters of the programs offered students breastfeeding counseling opportunities; no programs, however, identified specific breastfeeding clinical competencies.
Discussion
FNPs can play an integral role in breastfeeding promotion and counseling. There appears to be a lack of education provided to FNPs regarding breastfeeding management. Creative approaches that incorporate lactation education into FNP programs may increase FNPs' breastfeeding knowledge and enhance their ability to provide support to breastfeeding families.Disponible en ligne : Non Exemplaires (1)
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Titre : Preventing Long-Term Cardiac Damage in Pediatric Patients With Kawasaki Disease (2017) Auteurs : Kelly Williams Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 196-202 Langues: Anglais Descripteurs : HE Vinci
Fièvre ; Fistule artérioveineuse ; Pédiatrie ; Prévention ; RechercheMots-clés: Maladie de Kawasaki Résumé : Kawasaki disease is currently the leading cause of long-term cardiac damage in pediatric patients in the United States. Kawasaki disease is diagnosed based on symptomatology and by ruling out other etiology. There is a significant need for an improved, standardized treatment protocol for patients diagnosed with Kawasaki disease and a more rapid initiation of treatment for these patients. Decreasing the cardiac damage caused by Kawasaki disease with timely diagnosis and treatment needs be a principal goal. Disponible en ligne : Non Exemplaires (1)
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Titre : Association of Healthy Home Environments and Use of Patient-Centered Medical Homes by Children of Low-Income Families (2017) Auteurs : Xin Hu ; Victoria L. Phillips ; Laura M. Gaydos ; et al. Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 203-214 Langues: Anglais Descripteurs : HE Vinci
Aide sociale ; Enfant (6-12 ans) ; Famille ; Pauvreté ; Recherche ; Sante (centre)Mots-clés: Medicaid (USA) Résumé : Abstract
Introduction
Medicaid agencies have been promoting the patient-centered medical home (PCMH) model. Most caregivers choose physician practices for their children, and we hypothesized that those following healthier childrearing practices are more likely to seek care in a PCMH.
Method
We selected children with public insurance plans (n = 20,801) from the 2011–2012 National Survey of Children's Health. We used generalized ordinal logistic regression with state fixed effects to assess the association between home environments and children's use of PCMHs.
Results
Children living in the healthiest homes were 1.33 times (p = .001) more likely to receive care from the highest level of PCMH. In states with early PCMH implementation, the odds increased to 2.11 times (p = .001).
Discussion
Our results show a significant, sizeable relationship between healthier home environments and the use of PCMH by children from low-income families. They provide implications for assessing the effect of PCMH use on health outcomes and use patterns.Disponible en ligne : Non Exemplaires (1)
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Titre : Implementation of a Diabetes Transition of Care Program (2017) Auteurs : Jeanne M. Little ; Janice A. Odiaga ; Carla Z. Minutti Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 215-221 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Diabète de type 1 ; Famille ; Programme ; Recherche ; Services de santéMots-clés: Soins de transition Résumé : For adolescents with diabetes, ineffective health care transition to adult health services may result in suboptimal adherence to medical supervision, leading to poor glycemic control, increased diabetes complications, and hospitalization. Despite national recommendations, few youth receive the needed preparation to transition to adult health services. A data transition registry was created at a large Midwest urban academic medical center to identify patients 14 years and older with Type 1 diabetes. Thirty-nine patients with Type 1 diabetes were identified, and 33 were eligible to begin transition planning. Baseline Transition Readiness Assessment Questionnaires (TRAQs) were completed in 21 (64%) of the 33 identified patients, with a mean TRAQ skill score of 66.62 out of 100. There was no correlation between better TRAQ scores and hemoglobin A1c level. Participants had lower baseline TRAQ scores for appointment keeping and tracking health issues. Participants were confident managing daily activities, talking with providers, and managing medications. Disponible en ligne : Non Exemplaires (1)
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Titre : Sexually Transmitted Infections and Children: What the PNP Should Know (2017) Auteurs : Gail Hornor Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 222-229 Langues: Anglais Descripteurs : HE Vinci
Abus sexuel ; Enfant (6-12 ans) ; Infections ; Maladies sexuellement transmissibles ; Pédiatrie ; RecommandationsRésumé : Sexual abuse is a problem of epidemic proportions in the United States. In their practice, pediatric nurse practitioners will likely encounter children who have experienced sexual abuse—both those who have and have not previously been identified as victims. Sexually transmitted infections (STIs) are rare in sexually abused children and adolescents. However, when present, they can be crucial to making the diagnosis of sexual abuse and protecting children. This continuing education article will assist the pediatric nurse practitioner in interpreting the relationship between STIs and sexual abuse, correctly testing for STIs, and treating STIs in children and adolescents. Disponible en ligne : Non Exemplaires (1)
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Titre : Rickets: Not Just a Disease Caused by Vitamin D Deficiency (2017) Auteurs : Lauren Head Zauche Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 235-240 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Maladies de carence ; Présentations de cas ; Rachitisme ; Vitamine DDisponible en ligne : Non Exemplaires (1)
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Titre : Advocating for Childcare Employee Single-Dose Tdap Vaccination to Combat Infant Pertussis (2017) Auteurs : Jeanette L. H. Parker ; Ruth S. Conner Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 241-245 Langues: Anglais Descripteurs : HE Vinci
Coqueluche ; Enfant (6-12 ans) ; Pédiatrie ; VaccinationMots-clés: Plaidoyer Résumé : Incidence rates of pertussis have been higher over the past 5 years than at any time since the first pertussis vaccine became widely available, with infants younger than 12 months old being particularly vulnerable. Once infected, infants may experience severe respiratory symptoms and incur high rates of hospitalization, and they account for the vast majority of pertussis-related deaths each year. With the diminished effectiveness of herd immunity, experts increasingly rely on cocooning to protect at-risk populations against infectious diseases such as pertussis. Cocooning calls for vaccination of all close contacts of vulnerable individuals, including childcare employees. Despite government recommendations, only 11 states address employee tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination in their childcare regulations. Advanced practice nurses can play a significant role in protecting infants younger than 12 months old through initiating and supporting advocacy efforts at the state level for childcare employee Tdap vaccination. This article explores initial advocacy steps to be taken by advanced practice registered nurses to address this important issue. Disponible en ligne : Non Exemplaires (1)
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Titre : Methicillin-Resistant Staphylococcus aureus: A Pharmacotherapy Primer (2017) Auteurs : Leah Molloy Type de document : Article Dans : Journal of Pediatric Health Care (Vol. 31, n°2, March/April 2017) Article en page(s) : p. 246-256 Langues: Anglais Descripteurs : HE Vinci
Résistance microbienne aux médicaments ; Staphylococcus aureusMots-clés: Pharmacothérapie Disponible en ligne : Non Exemplaires (1)
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