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Paediatrics and Child Health - Mon, 04/01/2019 - 00:00
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Outcomes of a Brief Cognitive Skills-Based Intervention (COPE) for Adolescents in the Primary Care Setting

Journal of Pediatric Health Care - Wed, 03/20/2019 - 00:00
Approximately 25% of adolescents have behavioral disorders, yet few receive treatment. Primary care (PC) screening for depression and anxiety is recommended; however treatments, such as cognitive behavioral therapy (CBT), are rarely available in PC settings. Our aim was to determine whether the use of a CBT-based intervention (COPE for Teens) is associated with improved outcomes on measures of depression and anxiety, and to understand the patient experience.
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The Pediatric Procedural Holistic Comfort Assessment: A Feasibility Study

Journal of Pediatric Health Care - Tue, 03/19/2019 - 00:00
Holistic comfort is an essential component of pediatric procedural care. However, a main gap in the literature is the ability to measure this. In this study, researchers report the feasibility of implementing a newly developed psychosocial measurement instrument in clinical practice.
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Relationships Between Adolescent Stress, Depressive Symptoms, and Sexual Risk Behavior in Young Adulthood: A Structural Equation Modeling Analysis

Journal of Pediatric Health Care - Tue, 03/19/2019 - 00:00
This study examined longitudinal associations between stressful life events and depressive symptoms, assessed during two time points of adolescence, and sexual risk behavior, assessed during young adulthood.
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Traditional and Nontraditional Collaborations to Improve Population Health Using Geospatial Information SystemMaps: Analysis of the Opioid Crisis

Journal of Pediatric Health Care - Tue, 03/19/2019 - 00:00
The study aims were to analyze interprofessional practice collaborations among traditional and nontraditional health care providers and to educate nurse practitioner preceptors and students on population health, specifically, implementation of geospatial information system (GIS) maps and the correlation with the opioid crisis.
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Screening for the Social and Behavioral Determinants of Health at a School-Based Clinic

Journal of Pediatric Health Care - Tue, 03/19/2019 - 00:00
Screening and providing interventions for adverse social and behavioral determinants of health (SBDOHs) can potentially improve health outcomes. The purpose of this project was to evaluate the feasibility of screening for SBDOHs during an episodic visit at a school-based clinic and to evaluate whether it increased identification of and intervention for adverse SBDOHs.
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Respiratory support in children

Paediatrics and Child Health - Fri, 03/15/2019 - 00:00
Respiratory failure is defined by the inability of the respiratory system to adequately deliver oxygen or remove carbon dioxide from the pulmonary circulation resulting in hypoxemia, hypercapnia or both. A wide variety of disease processes can lead to respiratory failure in children. Multiple interventions can support the paediatric patient with respiratory failure, from simple oxygen delivery devices to high frequency oscillatory ventilation and extracorporeal membrane oxygenation. This article will review available devices to improve oxygenation and ventilation, their advantages and disadvantages, and help guide physicians in the management of children with respiratory failure.
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White Paper: Critical Shortage of Pediatric Nurse Practitioners Predicted

Journal of Pediatric Health Care - Thu, 03/14/2019 - 00:00
Pediatric health care providers play an essential role in the attainment of optimal child health. Ensuring that children have access to qualified pediatric health care providers is as important in improving outcomes as other variables contributing to child health outcomes (Children's Hospital Association, n.d.; Institute for Healthcare Improvement, 2019). Pediatric nurse practitioners (PNPs) are uniquely qualified advanced practice registered nurses (APRNs) with specialized education and focused clinical practice dedicated to the care of all children (American Nurses Association [ANA], 2015).
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The Developmental Screening Behaviors, Skills, Facilitators, and Constraints of Family Nurse Practitioners in Primary Care: A Qualitative Descriptive Study

Journal of Pediatric Health Care - Thu, 03/14/2019 - 00:00
Researchers have found that many primary care providers are not following developmental screening recommendations. Few studies exist on the screening behaviors of advanced practice nurses.
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An Examination of Factors Affecting Quality of Life for Children With Asthma and Their Caregivers in Southeastern Georgia

Journal of Pediatric Health Care - Thu, 03/14/2019 - 00:00
Despite effective treatments and interventions, asthma continues to affect children's health-related quality of life (QOL). This study explored factors affecting QOL of children with asthma and their caregivers.
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A Primer on Understanding Pediatric Health Care Quality Measurement

Journal of Pediatric Health Care - Thu, 03/14/2019 - 00:00
Advanced practice registered nurses implement evidence-based care guidelines and assess the quality of care delivered to pediatric and adolescent populations to ensure that the highest standards of care are provided to the patients and their families. Standardized health care quality measures allow for assessment of clinical competence, monitoring of equitable health care distribution, improvement of provider/institutional accountability, development of standards for accreditation and certification, informing of quality improvement efforts, and creation of criteria for provider incentive payments.
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Critiquing Research Evidence for Use in Practice: Revisited

Journal of Pediatric Health Care - Tue, 03/12/2019 - 00:00
Nurse practitioners need to critically appraise the abundance of research evidence and clinical practice guidelines to make astute decisions about the implementation of the best available evidence to clinical practice. There are numerous ways to appraise research and practice guidelines that are designed to inform clinical practice with the overall goals of improving patient outcomes. This article presents existing tools to appraise the research evidence in addition to a guide for providers on critical appraisal of a research study.
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Providing Supportive Hospital Environments to Promote the Language Development of Infants and Children Born Prematurely: Insights From Neuroscience

Journal of Pediatric Health Care - Mon, 03/11/2019 - 00:00
Rapid neural development occurs beginning in utero and extending throughout a child's first years of life, shaped by environmental input, which is essential for language learning. If this development is disrupted by premature birth and/or related repeated hospitalizations, atypical language development may result even in the absence of severe neurologic damage.
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What Is the Best Treatment for a Subperiosteal Abscess? A Case Report in a Pediatric Patient

Journal of Pediatric Health Care - Mon, 03/11/2019 - 00:00
Subperiosteal abscess is a condition that typically presents as collection of pus in the space between the periorbital and the lamina papyracea as a result of the migration and spread of an infection, such as sinusitis and ethmoiditis. The low incidence requires a high index of suspicion to be considered in the differential diagnosis when encountering this life-threatening illness. This case highlights the significance of a prompt and accurate diagnosis for this infrequent condition, because it may progress to blindness, meningitis, intracranial abscess, and death.
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Long-term ventilation in children

Paediatrics and Child Health - Thu, 03/07/2019 - 00:00
Long-term ventilation (LTV) is now an accepted treatment for children with a wide variety of conditions. Respiratory support can be delivered via a mask or a tracheostomy and can range from CPAP to treat obstructive sleep apnoea, to 24 hour a day sophisticated invasive ventilation. Patient numbers are increasing out of proportion to population growth, suggesting that more children are being supported due to changes in societal expectation, improved survival in PICU, and the availability of more advanced ventilators.
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Setting Kids Up for Success (SKUFS): Outcomes of an Innovation Project for Promoting Healthy Lifestyles in a Pediatric Patient-Centered Medical Home

Journal of Pediatric Health Care - Tue, 03/05/2019 - 00:00
The greatest increase in childhood obesity prevalence occurs from preschool to school-age (SA). Evidence supports a family-centered approach to promote healthy lifestyle behaviors and weight management among SA children. The purpose of this study was to establish a healthy weight management support group in a pediatric patient-centered medical home.
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Frequency, Severity, and Distress Associated With Physical and Psychosocial Symptoms at Home in Children and Adolescents With Cancer

Journal of Pediatric Health Care - Tue, 03/05/2019 - 00:00
Malignancy- and cancer-related treatments lead to multiple symptoms. Although treatments focus on cure, few research studies have examined the symptoms that accompany these aggressive and complicated treatments. The purpose of the study was to evaluate the symptoms experienced by children at home. Children (n = 25) and adolescents (n = 33) diagnosed with cancer completed the Memorial Symptoms Assessment Scale during the 5 days at home after discharge from the hospital. The most frequent physical symptoms were fatigue (52.1%), nausea (50.7%), lack of appetite (43.7%), and pain (42.3%).
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Editorial Board

Paediatrics and Child Health - Fri, 03/01/2019 - 00:00
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Stress, Depression, and Quality of Life Among Caregivers of Children With Osteogenesis Imperfecta

Journal of Pediatric Health Care - Fri, 03/01/2019 - 00:00
The purpose of this study was to evaluate stress, depressive symptoms, and quality of life (QOL) among caregivers of children with osteogenesis imperfecta (OI) and to determine if associations exist with patient disease-related characteristics.
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The young athlete with dyspnoea

Paediatrics and Child Health - Fri, 03/01/2019 - 00:00
Problematic dyspnoea in young athletes is most commonly due to either exercise induced asthma, exercise induced laryngeal obstruction or a breathing pattern disorder. Pathologies that affect the physiological processes involved in the transport of oxygen from ambient air through to the working muscles can also cause dyspnoea. Other factors including psychology, environmental and sport specific factors can contribute. This review highlights the value of a systematic approach to a young person with difficulty in breathing as a result of exercise.
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