MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Pediatric Nursing' source. Wed, 08 Feb 2012 21:54:50 +0100 http://www.medworm.com/index.php?rid=5562344&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006671%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562344 Fri, 06 Jan 2012 02:27:01 +0100 5562344 http://www.medworm.com/index.php?rid=5562343&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006683%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562343 Fri, 06 Jan 2012 02:27:01 +0100 5562343 http://www.medworm.com/index.php?rid=5562342&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006695%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562342 Fri, 06 Jan 2012 02:27:01 +0100 5562342 http://www.medworm.com/index.php?rid=5562341&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006579%2Fabstract%3Frss%3Dyes Although hypoglycemia is a medical diagnosis, it is generally a sign of an underlying disorder of fasting adaptation. In the normal process of fasting, the body has several mechanisms for keeping blood glucose from dropping too low. First, there is a breakdown of glycogen stores (glycogenolysis) in the liver to release glucose. This process occurs about 2 to 3 hours after eating. When the glycogen stores are used up, fatty acid oxidation and ketogenesis, which produce free fatty acids and ketones, occur. The timing for this process varies from 8 to 12 hours after eating. Anyone who fasts long enough will eventually develop hypoglycemia. Glucose fuels brain metabolism, and free fatty acids and ketones fuel muscle. Ketones can also be used as an alternative fuel for the brain during prolonge... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562341 Fri, 06 Jan 2012 02:27:01 +0100 5562341 http://www.medworm.com/index.php?rid=5562340&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006610%2Fabstract%3Frss%3Dyes Most of us view policies, procedures, and guidelines as boring, regimented, unnecessary pieces of paper. Some, however, are required for hospitals by the Center for Medicare/Medicaid and The Joint Commission. They should be useful to bedside caregivers assisting them to provide safe quality care for patients. The purpose of this article was to discuss and present a model of change that was used by one hospital's Patient Service's division to improve their policy, procedure, and guideline system. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562340 Fri, 06 Jan 2012 02:27:01 +0100 5562340 http://www.medworm.com/index.php?rid=5562339&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006646%2Fabstract%3Frss%3Dyes Research is conducted to identify best practices and improve the quality of nursing care—to perfect clinical practice. To improve the quality of nursing practice, clinical problems are identified from practice, then programs are developed to address these clinical problems, and the effectiveness of these programs is tested through research. This systematic research process generates new evidence that is translated back to clinical practice with the goal of improving the quality of nursing care. Thus, this interrelationship between clinical practice and nursing research is critical to the establishment of best practices. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562339 Fri, 06 Jan 2012 02:27:01 +0100 5562339 http://www.medworm.com/index.php?rid=5562338&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006385%2Fabstract%3Frss%3Dyes MEANINGFUL USE HAS become the newest buzzword in health care, particularly within the context of electronic health records (EHRs). Physicians and hospitals have been very engaged in the conversation, but nurses seem to have taken a backseat, not seeming to realize the critical role that they play in achieving the objectives of the Health Information Technology for Economic and Clinical Health (HITECH) Act. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562338 Fri, 06 Jan 2012 02:27:01 +0100 5562338 http://www.medworm.com/index.php?rid=5562337&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006634%2Fabstract%3Frss%3Dyes Additional Resources EPA publications to help protect children from pesticides including a Play it Safe: Reduce Your Child's Chances of Pesticide Poisoning, Citizen's Guide to Pest Control and Pesticide Safety and a Pesticide Poisoning Prevention Checklist (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562337 Fri, 06 Jan 2012 02:27:01 +0100 5562337 http://www.medworm.com/index.php?rid=5562336&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006580%2Fabstract%3Frss%3Dyes ACCORDING TO , the estimated incidence of priapism related to sickle cell disease (SCD) is 35% to 89%. Medical management is required for these patients to minimize ischemia caused by low-flow priapism and is considered a urological emergency. Without immediate intervention, or a regimen for reoccurrence, long-term erectile dysfunction can occur, which contributes to the health challenges and difficulties in the psychosocial and mental well-being of men with SCD. Therapeutic management of priapism includes medications, such as pseudoephedrine, to diminish the vasoocclusive crisis associated with this issue in patients with SCD. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562336 Fri, 06 Jan 2012 02:27:01 +0100 5562336 http://www.medworm.com/index.php?rid=5562328&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006567%2Fabstract%3Frss%3Dyes In the October 2011 issue (26/5) of Journal of Pediatric Nursing, in the Child Health Policy Column article by Niki Fogg and colleagues entitled “Pediatric Nurses Address Children and the Economy Part 2” [Fogg, N., Sterling, Y.M., & Welsh, D. (2011). Pediatric nurses address children and the economy part 2. Journal of Pediatric Nursing, 26, 489-493; doi:10.1016/j.pedn.2011.06.008], the affiliation of the first author, Niki Fogg, MS, RN, CPN, was incorrectly acknowledged. The full affiliation is as follows: Texas Woman’s University, Dallas, TX. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562328 Fri, 06 Jan 2012 02:27:01 +0100 5562328 http://www.medworm.com/index.php?rid=5562325&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006609%2Fabstract%3Frss%3Dyes Recently, I was asked to give a presentation, entitled “Where We Need to Go: Priorities in the Next Five Years,” on futuristic visions pertaining to health care transitions (HCTs) at the 12th Annual Chronic Illness and Disability Conference: Transition from Pediatric to Adult Based Care (). I accepted the invitation because it was a unique opportunity to share thoughts about my specialty area of practice and expertise that was not predicated on more traditional practice topics. My comments were based upon an evolving body of science of this nascent field of practice that is becoming ever more prominent and recognized given the growing number of youth and emerging adults who are transitioning to adulthood and transferring from pediatric to adult health care. This developing practice fie... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562325 Fri, 06 Jan 2012 02:27:01 +0100 5562325 http://www.medworm.com/index.php?rid=5562324&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311007081%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562324 Fri, 06 Jan 2012 02:27:01 +0100 5562324 http://www.medworm.com/index.php?rid=5390436&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005999%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390436 Thu, 10 Nov 2011 15:58:03 +0100 5390436 http://www.medworm.com/index.php?rid=5390435&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006002%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390435 Thu, 10 Nov 2011 15:58:03 +0100 5390435 http://www.medworm.com/index.php?rid=5390434&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006014%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390434 Thu, 10 Nov 2011 15:58:03 +0100 5390434 http://www.medworm.com/index.php?rid=5390432&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005902%2Fabstract%3Frss%3Dyes A core curriculum for the nursing care of children and their families was published in 1999 (). This document was based on the Standards and Guidelines for Pre-licensure and Early Professional Education for the Nursing Care of Children and Families, which represented the culmination of a 5-year effort by pediatric academic and clinical educators to draft guidelines for pediatric nursing education. The core curriculum sought to “acknowledge the fact that the nature of care and where it is delivered had shifted” (pp vii). Pediatric nursing education should be based on three curriculum strands: child, family, and society factors; specific clinical problems or areas; and care delivery. Even 20 years ago, those authors clearly identified a shift in provision of care for children with acute ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390432 Thu, 10 Nov 2011 15:58:03 +0100 5390432 http://www.medworm.com/index.php?rid=5390431&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005975%2Fabstract%3Frss%3Dyes EXCELLENCE IN PEDIATRIC nursing practice is created by translating research evidence into best clinical practices to improve the quality of pediatric nursing care for children and their families (). Clinical nursing research involves systematic inquiry conducted to develop, refine, and expand nursing knowledge to guide nursing practice and improve health and quality of life of clients (). This integration of research evidence with clinical expertise and decision making results in best clinical practices that improve the quality of care (). Best clinical practices identified from clinical experiences provide essential evidence that is tested through research and then translated into practice. In this way, translational research completes the process by creating evidence-based practice based... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390431 Thu, 10 Nov 2011 15:58:03 +0100 5390431 http://www.medworm.com/index.php?rid=5390427&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005938%2Fabstract%3Frss%3Dyes Research and recommendations substantiating the value of child care health consultants () have been circulating in the form of professional articles, research papers, and policy initiatives for over two decades. A CCHC is a health professional with experience in pediatric care and knowledge in resources and regulations related to the care of children in day care settings (. According to the , 24% of children aged 0–4 years spend most of the time in a center-based setting, such as a day care, nursery schools, preschools, and Head Start (http://www.childstats.gov/americaschildren/famsoc3.asp). With a significant amount of the pediatric population enrolled in center-based settings, the CCHC has the knowledge and expertise to impact the health status of this population. In the current era of... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390427 Thu, 10 Nov 2011 15:58:03 +0100 5390427 http://www.medworm.com/index.php?rid=5390412&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005914%2Fabstract%3Frss%3Dyes Our occupational status is an important determinant in defining who we are as individuals; it is closely aligned with our socioeconomic status and our spheres of influence. Occupational status is an elemental component of demographic data collected by governmental agencies, commercial and academic institutions, research scientists, and our social networks. What we do as adults is quickly established in our interactions with others, as occupational status is one of those initial queries asked of one another. Identification of our occupational status is an interpersonal conversational pivot to exploring mutual areas of similarities and differences. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390412 Thu, 10 Nov 2011 15:58:03 +0100 5390412 http://www.medworm.com/index.php?rid=5390411&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311006026%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390411 Thu, 10 Nov 2011 15:58:03 +0100 5390411 http://www.medworm.com/index.php?rid=5390428&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005926%2Fabstract%3Frss%3Dyes A 4-year-old girl presented to a clinic with polydipsia, polyuria, and polyphagia. After obtaining the results from a quick urine dipstick test, a diagnosis of Type 1 diabetes was confirmed. An extensive laboratory evaluation confirmed that her blood glucose level was stable enough to allow her to go home with her parents and be managed as an outpatient. The patient came in daily for a week with her parents for proper education of management of the disease. After receiving the diagnosis, the parents left the office with distress and a daughter who would daily face the struggles of a disease without a cure for the rest of her life. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390428 Thu, 29 Sep 2011 04:00:00 +0100 5390428 http://www.medworm.com/index.php?rid=5240302&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005434%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240302 Thu, 22 Sep 2011 15:27:23 +0100 5240302 http://www.medworm.com/index.php?rid=5240301&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005446%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240301 Thu, 22 Sep 2011 15:27:23 +0100 5240301 http://www.medworm.com/index.php?rid=5240300&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005458%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240300 Thu, 22 Sep 2011 15:27:23 +0100 5240300 http://www.medworm.com/index.php?rid=5240299&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005318%2Fabstract%3Frss%3Dyes This article will use monogenic diabetes as an example to describe the genetic aspect of a common disorder to engage pediatric nurses in genetics and to illustrate how nurses can incorporate basic genetic skills into their daily nursing assessments. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240299 Thu, 22 Sep 2011 15:27:23 +0100 5240299 http://www.medworm.com/index.php?rid=5240297&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005379%2Fabstract%3Frss%3Dyes OBESITY IN CHILDREN and adolescents is now considered to be an epidemic in the United States and a critical health priority, according to the World Health Organization (WHO) (), Institute of Medicine (), U.S. Surgeon General (, , Centers for Disease Control and Prevention (), , , and the American Dietetic Association (). Indeed, obesity rates for children and adolescents have increased threefold to fourfold over the last 40 years (). The prevalence of obesity in American's children between ages 2 and 19 years is 16.9% (), and when combined, the prevalence of overweight (body mass index [BMI] ≥85th to 94th percentile on age- and gender-specific CDC growth charts) and obese (BMI ≥95th percentile) children is 31.9% (). Moreover, when the combined prevalence rates are examined by age group... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240297 Thu, 22 Sep 2011 15:27:23 +0100 5240297 http://www.medworm.com/index.php?rid=5240296&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005367%2Fabstract%3Frss%3Dyes DO YOU CONSIDER yourself to be a “techno-savvy” nurse, one who is a willing pioneer in the use of new technology? Or do you feel as if you are on information overload and on the brink of “digital distress” ()? The environment within which pediatric nurses work is continually changing, and technology is a major factor impacting nursing practice. Some nurses welcome the change that technology brings, whereas others cringe at the thought of having to learn something new. Regardless of individual opinion, nurses may have little input into what technology will be used in the workplace, the timing of its implementation, and how technology education will be delivered. described a phenomenon called complexity compression, “…the expectation that nurses will assume additional, unplanned ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240296 Thu, 22 Sep 2011 15:27:23 +0100 5240296 http://www.medworm.com/index.php?rid=5240295&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002788%2Fabstract%3Frss%3Dyes Resources • AAP Internet safety resources site, http://safetynet.aap.org • CDC Social Media Tools Guidelines & Best Practices site, http://www.cdc.gov/SocialMedia/Tools/guidelines/ • Common Sense Media (2010). Advice for Parents. http://www.commonsensemedia.org/advice-for-parents. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240295 Thu, 22 Sep 2011 15:27:23 +0100 5240295 http://www.medworm.com/index.php?rid=5240294&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005410%2Fabstract%3Frss%3Dyes ALTHOUGH THE CLINICAL use of acetaminophen dates as far back as 1887, it was not until the mid 1950s that it was widely marketed in the United States (). It is recognized as one of the safest and most effective drugs to date and is available in more than 600 pharmaceutical products (). Used as an analgesic and antipyretic, acetaminophen is most commonly available in oral and suppository formulations (). Marketed as the first and only IV form of acetaminophen available in the United States, in January 2011, Cadence Pharmaceuticals launched OFIRMEV. In use in Europe since 2002, the safety and effectiveness of IV acetaminophen are well established. Recognized as “the market leader among all injectable analgesics,” Perflagan, OFIRMEV's European counterpart, has become Europe's drug of choi... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240294 Thu, 22 Sep 2011 15:27:23 +0100 5240294 http://www.medworm.com/index.php?rid=5240293&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005148%2Fabstract%3Frss%3Dyes THIS ARTICLE IS based on the authors' preconference presentations at the 2010 Society of Pediatric Nurses (SPN) National Convention in Orlando, FL (). In this article, the authors present overviews of (a) the impact of the economy on the management of children with special health care needs, (b) the manifestation of adolescent high-risk behaviors, and (c) the economics of natural disasters. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240293 Thu, 22 Sep 2011 15:27:23 +0100 5240293 http://www.medworm.com/index.php?rid=5240291&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005355%2Fabstract%3Frss%3Dyes Motivational interview techniques combined with an evidence-based guideline provide valuable tools for the treatment of childhood obesity. The National Association of Pediatric Nurse Practitioners' Healthy Eating and Activity Together guidelines were adopted in a rural pediatric office. After a 6-month pilot, effectiveness of treatment was evaluated with a retrospective chart review. The results suggest that children were motivated for healthy lifestyle changes but had difficulty maintaining motivation and compliance with healthy change choices after 1–2 months; however, with consistent use of motivational interviewing techniques combined with diet and exercise counseling, there was a trend toward lowered body mass index and waist measurements. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240291 Thu, 22 Sep 2011 15:27:23 +0100 5240291 http://www.medworm.com/index.php?rid=5240289&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005252%2Fabstract%3Frss%3Dyes The relationships among weight, mental health, social competence, healthy lifestyle beliefs, choices, and behaviors in overweight and obese school-age children (9 to 12 years) who were participating in a pilot Healthy Choices Intervention Program were examined using a descriptive correlational design. Results indicated that the children's weight negatively correlated with the children's self-concept, social skills, and, most importantly, healthy lifestyle choices. Their healthy lifestyle beliefs demonstrated positive correlations with their intentions to choose a healthy lifestyle. The children's healthy lifestyle beliefs and choices also were associated with increased cooperation and empathy behaviors. A positive self-concept was associated with decreased anxiety and depressive symptomolo... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240289 Thu, 22 Sep 2011 15:27:23 +0100 5240289 http://www.medworm.com/index.php?rid=5240282&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100532X%2Fabstract%3Frss%3Dyes As we all know, childhood overweight and obesity have become a major public health concern as recent data from the National Health and Nutrition Examination Survey reveal that 17% of children in the United States are obese (). Nationwide, concerted efforts to reduce the number of children who are overweight and obese currently exist; however, evidence-based approaches are needed to effectively address this national dilemma. In response to this concern, we have published a special issue of eight articles on childhood overweight and obesity. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240282 Thu, 22 Sep 2011 15:27:23 +0100 5240282 http://www.medworm.com/index.php?rid=5240281&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100546X%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240281 Thu, 22 Sep 2011 15:27:23 +0100 5240281 http://www.medworm.com/index.php?rid=5390433&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005896%2Fabstract%3Frss%3Dyes Cystic fibrosis (CF) is the most common life-threatening autosomal recessive genetic disease in the United States with an incidence of 1 in 3,500 live births. According to the Cystic Fibrosis Foundation's (CFF) patient registry, approximately 30,000 children and adults in the United States are affected. In the 1950s, a diagnosis of CF resulted in a life expectancy of only 15 years; however, with advances in medical and nutritional management, life expectancy has improved significantly. The CFF now reports a life expectancy of 37.4 years. In addition, more than 45% of patients living with CF are older than 18 years. Improved life expectancy is a positive outcome, although it has led to a need to address previously overlooked complications and comorbities. Infertility, bone disease, depressi... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390433 Wed, 21 Sep 2011 04:00:00 +0100 5390433 http://www.medworm.com/index.php?rid=5390430&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005884%2Fabstract%3Frss%3Dyes HOSPITAL-ACQUIRED SKIN INJURY (HASI) is a serious, often preventable complication. There is an abundance of literature documenting pressure injury in the adult population. In contrast, limited documentation of skin injury can be found for the hospitalized pediatric population (). Capturing the scope of this issue is challenging and has led these authors to investigate methods to improve this process. Therefore, the purpose of this article is to discuss how technology can aid in data collection for skin injury prevalence in a large tertiary care children's hospital. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390430 Wed, 21 Sep 2011 04:00:00 +0100 5390430 http://www.medworm.com/index.php?rid=5562335&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004854%2Fabstract%3Frss%3Dyes The Synergy Model for Patient Care is a framework for professional nursing practice that emphasizes the unique relationship between patients and clinicians, which can result in optimal outcomes for both. Integrating this model into contemporary nursing practice at a freestanding children's hospital was accomplished by “backing into the model” and developing the “tools” that encompassed both the patient characteristics and the clinician competencies. In addition to creative educational activities for the staff, leadership support and communication strategies were paramount to effective implementation. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562335 Wed, 07 Sep 2011 04:00:00 +0100 5562335 http://www.medworm.com/index.php?rid=5390420&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005161%2Fabstract%3Frss%3Dyes This article describes the development and implementation of a framework for nursing practice in a freestanding children's hospital and the subsequent improvement process used to transition that framework into a robust professional practice model (PPM). The development of a PPM encompassing all aspects of nursing in all clinical settings is an important milestone on a successful Magnet journey. Strategies for linking the PPM to core processes and structures of nursing are shared. Plans for further study to demonstrate the relationship of a PPM to patient outcomes are discussed. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390420 Fri, 26 Aug 2011 04:00:00 +0100 5390420 http://www.medworm.com/index.php?rid=5562334&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310002320%2Fabstract%3Frss%3Dyes The objective of this study was to test the impact of online social support for these youth. Three months of support was provided using weekly synchronous chat sessions. Online sessions were facilitated by trained peer mentors (older youth with asthma and/or allergies) and health professionals. Youth could also e-mail one another between chat sessions and post messages on an electronic community bulletin board. Twenty-eight adolescents across Canada participated. Social isolation and loneliness were significantly reduced. Youth reported gaining confidence and a sense of normality. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562334 Thu, 25 Aug 2011 04:00:00 +0100 5562334 http://www.medworm.com/index.php?rid=5240298&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002855%2Fabstract%3Frss%3Dyes In a preceding article, pediatric nurses were introduced to the new Patient Protection and Affordable Care Act (PPAC; Public Law. No. 111-148). Essential to PPAC will be the transformation from the current inefficient and expensive health care system into a more evidence-based effective system of care. Integration of evidence can be complex and involve multiple systems for successful use of evidence. Strategically, nurses are on the forefront for being a part of the solution for transforming the health care delivery system. However, as previously discussed, nurses face many barriers to the implementation of evidence in their work. This current article will explore strategies for facilitating changes in organizational and individual nurse behaviors toward a context of promoting a more evide... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240298 Wed, 20 Jul 2011 04:00:00 +0100 5240298 http://www.medworm.com/index.php?rid=5240292&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311003289%2Fabstract%3Frss%3Dyes This article describes the first formative year experience of a research council in a children's hospital within a Magnet-designated hospital system. The vision, transformational leadership structure, and implementation strategies used during the first year of formation of a Nursing Research and Evidence-Based Practice Council (NREBPC) are delineated and reflect Magnet components and sources of evidence (American Nurses Credentialing Center [ANCC], 2008). The use of the nursing excellence framework (ANCC, 2008) coupled with principles of adult learning to expand the knowledge and skills of nurses on the NREBPC are described and examples provided. Initial outcomes in terms of nurses' leadership for research studies and planned documentation of additional metrics that have the potential to i... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240292 Wed, 20 Jul 2011 04:00:00 +0100 5240292 http://www.medworm.com/index.php?rid=4994740&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002880%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994740 Mon, 04 Jul 2011 16:20:19 +0100 4994740 http://www.medworm.com/index.php?rid=4994739&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002892%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994739 Mon, 04 Jul 2011 16:20:19 +0100 4994739 http://www.medworm.com/index.php?rid=4994738&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002909%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994738 Mon, 04 Jul 2011 16:20:19 +0100 4994738 http://www.medworm.com/index.php?rid=4994737&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002715%2Fabstract%3Frss%3Dyes Thyroid nodules are relatively uncommon in the pediatric patient. Estimates are that 1%–1.8% of pediatric-aged patients will be found to have a thyroid nodule(s) based on physical examination (), although up to 18% will be found to have a thyroid abnormality incidentally discovered during non-thyroid-related imaging of the head and neck (). Although nodules are relatively uncommon when compared with the adult population, there is an increased risk that nodules diagnosed in a pediatric-aged patient will ultimately be found to be malignant, 5%–10% compared with 26.4%, respectively (). In addition, since 1973, the annual incidence has increased by 1.1% per year with thyroid cancer, now the second most common malignancy diagnosed in Caucasian girls between 15 and 19 years of age (). (Sourc... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994737 Mon, 04 Jul 2011 16:20:19 +0100 4994737 http://www.medworm.com/index.php?rid=4994736&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005136%2Fabstract%3Frss%3Dyes The purpose of this project was to exemplify the roles and responsibilities of a nurse by synthesizing both community health and pediatric nursing principles. As student nurses, we sought to epitomize the apsects of leadership, education, and professional partnerships. The caloric intake and total amount of sugar ingested by children is a commonly overlooked crisis that families take for granted. Primary prevention has been the focus of community health care for families of all socioeconmic levels. Unfortunately, families at or below the accepted poverty line lack both the knowledge of and access to proper nutrition. As a result, such families make common preventable mistakes, which have detrimental repercussions to their health. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994736 Mon, 04 Jul 2011 16:20:18 +0100 4994736 http://www.medworm.com/index.php?rid=4994735&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005124%2Fabstract%3Frss%3Dyes To provide an educational program for families and patients with pectus excavatum including pre/postoperative care, management of constipaton, and management of pain medications. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994735 Mon, 04 Jul 2011 16:20:18 +0100 4994735 http://www.medworm.com/index.php?rid=4994734&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005112%2Fabstract%3Frss%3Dyes Explore the development and improvement process of a pediatric certification review course. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994734 Mon, 04 Jul 2011 16:20:18 +0100 4994734 http://www.medworm.com/index.php?rid=4994733&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005100%2Fabstract%3Frss%3Dyes Describe the process used to validate a pediatric medical/surgical nurse's competency of current cardiopulmonary arrest procedures and documentation. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994733 Mon, 04 Jul 2011 16:20:18 +0100 4994733 http://www.medworm.com/index.php?rid=4994732&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005094%2Fabstract%3Frss%3Dyes Participation in this session will enable attendees to: Describe innovative approaches to mentoring and development of new graduate nurses (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994732 Mon, 04 Jul 2011 16:20:17 +0100 4994732 http://www.medworm.com/index.php?rid=4994731&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005082%2Fabstract%3Frss%3Dyes Promote a safe transfer to the magnetic resonance imaging (MRI) enviroment (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994731 Mon, 04 Jul 2011 16:20:17 +0100 4994731 http://www.medworm.com/index.php?rid=4994730&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005070%2Fabstract%3Frss%3Dyes Identify common issues affecting discharge planning for nurses. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994730 Mon, 04 Jul 2011 16:20:17 +0100 4994730 http://www.medworm.com/index.php?rid=4994729&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005069%2Fabstract%3Frss%3Dyes Describe the process used to improve medication administration error rates. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994729 Mon, 04 Jul 2011 16:20:17 +0100 4994729 http://www.medworm.com/index.php?rid=4994728&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005057%2Fabstract%3Frss%3Dyes Describe the application of the Evidence-Based Practice Conceptual Framework: Context of Caring (Melnyk & Fineout-Overholt, 2005) for investigating the evidence. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994728 Mon, 04 Jul 2011 16:20:17 +0100 4994728 http://www.medworm.com/index.php?rid=4994727&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005045%2Fabstract%3Frss%3Dyes To develop evidence-based care for the assessment and treatment of obese preschool children. Families with young children diagnosed with obesity are often unable to complete the assessment, consults, testing, and treatment in an outpatient setting. Families frequently no-show for visits and can be lost to follow-up. Inpatient admissions have been utilized to facilitate the assessment and initial treatment, which seems to improve adherence to ongoing treatment. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994727 Mon, 04 Jul 2011 16:20:17 +0100 4994727 http://www.medworm.com/index.php?rid=4994726&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005033%2Fabstract%3Frss%3Dyes Identify strategies to engage staff nurses in a shared governance scholarly inquiry council. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994726 Mon, 04 Jul 2011 16:20:17 +0100 4994726 http://www.medworm.com/index.php?rid=4994725&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005021%2Fabstract%3Frss%3Dyes An effective way to reduce the stress of parents of hospitalized critically ill children has long been a concern of the pediatric nursing community. Although there is abundant information in the literature, it is unclear what is considered “best practices.” (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994725 Mon, 04 Jul 2011 16:20:17 +0100 4994725 http://www.medworm.com/index.php?rid=4994724&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100501X%2Fabstract%3Frss%3Dyes Describe a research project aimed at improving understanding of the impact of surgical management of gastroesophageal reflux (GER) on quality of life (QOL) of children and their caregivers. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994724 Mon, 04 Jul 2011 16:20:17 +0100 4994724 http://www.medworm.com/index.php?rid=4994723&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311005008%2Fabstract%3Frss%3Dyes Facilitating effective clinical learning for pediatric nursing students is becoming increasingly challenging. Traditional hospital settings are oversaturated, progressively more restrictive on student activities, and limited in opportunities to experience global growth and development concepts. Only 18% of the pediatric population is hospitalized, so opportunities to interact and communicate with children and their families are more prevalent in alternate settings. Professional nursing organizations encourage nurse educators to be creative in finding alternative clinical experiences that support classroom knowledge. Yet, hospital leaders are concerned about the critical thinking and prioritization skills of new graduates. Many believe that inpatient clinical experiences are the only way to... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994723 Mon, 04 Jul 2011 16:20:16 +0100 4994723 http://www.medworm.com/index.php?rid=4994722&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004994%2Fabstract%3Frss%3Dyes Discuss an evidence-based process for implementing a change in practice. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994722 Mon, 04 Jul 2011 16:20:16 +0100 4994722 http://www.medworm.com/index.php?rid=4994721&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004982%2Fabstract%3Frss%3Dyes Discuss how technology and a simulated setting can be used to facilitate nursing education. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994721 Mon, 04 Jul 2011 16:20:16 +0100 4994721 http://www.medworm.com/index.php?rid=4994720&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004970%2Fabstract%3Frss%3Dyes After viewing the poster, the participant will be able to describe the rationale for developing a trach care video. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994720 Mon, 04 Jul 2011 16:20:16 +0100 4994720 http://www.medworm.com/index.php?rid=4994719&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004969%2Fabstract%3Frss%3Dyes Describe the basics of evidence-based practice (EBP)—starting with introducing the frequently used terminology and covering each step in the process including applying the evidence to clinical practice and evaluation. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994719 Mon, 04 Jul 2011 16:20:16 +0100 4994719 http://www.medworm.com/index.php?rid=4994718&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004957%2Fabstract%3Frss%3Dyes Describe basic concepts and methodologies of Lean Six Sigma (LSS). (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994718 Mon, 04 Jul 2011 16:20:16 +0100 4994718 http://www.medworm.com/index.php?rid=4994717&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004945%2Fabstract%3Frss%3Dyes Participants will be able to identify two benefits of transitioning the care of the medically ventilated patient from the intensive care unit (ICU) setting to the medical–surgical setting. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994717 Mon, 04 Jul 2011 16:20:16 +0100 4994717 http://www.medworm.com/index.php?rid=4994716&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004933%2Fabstract%3Frss%3Dyes The learner will be able to describe two techniques used in a pediatric radiology department to reduce the need for sedation. During 2005, there was an increase in the number of requests for sedation during imaging procedures at our institution. Along with this issue came the risks of sedation, a need for additional staffing, and an increase of time spent in the hospital for families and patients. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994716 Mon, 04 Jul 2011 16:20:16 +0100 4994716 http://www.medworm.com/index.php?rid=4994715&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004921%2Fabstract%3Frss%3Dyes Identify how an evidence-based practice (EBP) process was used to determine the best practice for managing peripheral intravenous (PIV) extravasation wounds in the neonate. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994715 Mon, 04 Jul 2011 16:20:15 +0100 4994715 http://www.medworm.com/index.php?rid=4994714&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100491X%2Fabstract%3Frss%3Dyes The hospital practice for central venous catheter (CVC) injection cap disinfection consisted of a 15-second 70% alcohol wipe scrub followed by a 15-second dry time. As part of the initiative to reduce central line-associated blood stream infections (CLA-BSI), the organization wanted to determine the best practice for injection cap disinfection. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994714 Mon, 04 Jul 2011 16:20:15 +0100 4994714 http://www.medworm.com/index.php?rid=4994713&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004908%2Fabstract%3Frss%3Dyes Describe the literature findings and evidence-based recommendations to improve communication between nurse and physicians. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994713 Mon, 04 Jul 2011 16:20:15 +0100 4994713 http://www.medworm.com/index.php?rid=4994712&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100460X%2Fabstract%3Frss%3Dyes Although literature on pediatric procedural distress has grown considerably, this knowledge has not been widely applied in practice. Collaboration between nurses and other health care professionals is an integral aspect of procedural management. This project assesses the implementation of LEAPP, an evidence-based multidisciplinary approach to pediatric procedural management that uses a protocol, procedure planning tools, and education for nurses and physicians. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994712 Mon, 04 Jul 2011 16:20:15 +0100 4994712 http://www.medworm.com/index.php?rid=4994711&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004593%2Fabstract%3Frss%3Dyes To describe our institution's Pediatric Early Warning Score (PEWS) tool. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994711 Mon, 04 Jul 2011 16:20:15 +0100 4994711 http://www.medworm.com/index.php?rid=4994710&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311004581%2Fabstract%3Frss%3Dyes Describe how sleep during hospitalization differs from sleep at home for pediatric inpatients and their parents. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994710 Mon, 04 Jul 2011 16:20:15 +0100 4994710 http://www.medworm.com/index.php?rid=4994709&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002843%2Fabstract%3Frss%3Dyes The Patient Protection and Affordable Care Act (PPAC; Public Law. No. 111-148) addresses the need for the use of scientific evidence within health care initiatives. Integration of evidence can be complex and involve multiple systems for successful application of evidence-based decision making. As pediatric health care professionals begin to understand how the PPAC will impact the care we provide to our patients and families, it is essential that nurses are aware of the issues and possible implications to clinical practice. In this initial article, definitions and relationships between evidence-based practice (EBP), public policy, and the new organizational paradigm will be explored. In addition, issues and barriers relevant and critical to evidence use within health care organizations are ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994709 Mon, 04 Jul 2011 16:20:15 +0100 4994709 http://www.medworm.com/index.php?rid=4994708&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002818%2Fabstract%3Frss%3Dyes EDUCATIONAL INTERVENTIONS FOR children, parents, and families are critical for improving the health of children and their families, as well as improving pediatric nursing practice (). Health education involves promoting health by teaching about healthy lifestyle behaviors and changing unhealthy behaviors (). Yet, it is essential to evaluate the learning outcomes of educational interventions to determine whether programs are effective in promoting an increase in knowledge and behavior change. Moreover, best practices identified in clinical experiences, evaluated and tested through research, and translated into practice provide essential evidence for improving the quality of pediatric nursing practice (). Evaluation of the effectiveness of theory-based interventions determines the intended i... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994708 Mon, 04 Jul 2011 16:20:14 +0100 4994708 http://www.medworm.com/index.php?rid=4994707&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002703%2Fabstract%3Frss%3Dyes NANOTECHNOLOGY, A SMALL innovation with a big punch, is an emerging technology used by scientist in many different disciplines such as magnetics, optics, informatics, and biomedicine (). Biochemical engineering wizards have produced an array of nanoparticles or devices with various compositions. Nano refers to a phenomenon at the nanometer or molecular level, which is a device so tiny that it requires a special molecular scale and measure: nanometers (nm; ). Nanopatricles measure 1–100 nm and consist of organic and inorganic materials such as ceramics, metals, polymers, and other composites (). They are smaller than human cells and similar in size to enzymes and receptors molecules in the body (). A nanoparticle's size is similar to a hemoglobin molecule, which measures 5 nm in diameter,... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994707 Mon, 04 Jul 2011 16:20:14 +0100 4994707 http://www.medworm.com/index.php?rid=4994706&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003817%2Fabstract%3Frss%3Dyes DON'T BE FOOLED by the common perception that eating disorders only occur among affluent, White females, cautions a new report out by David S. Rosen, of the American Academy of Pediatrics' Committee on Adolescence (AAP). Children with eating disorders in the United States are increasingly males, minority populations, and progressively younger children according to the new report published in the December 2010 issue of Pediatrics (). Hospitalizations for eating disorders in children younger than 12 years have increased by 119% from 1999 to 2006 according to a recent analysis by the , which provided the background for the report. The new AAP guidelines noted that the prevalence of eating disorders is estimated to be between 0.8% and 14%, depending on the definition used, and that an estimate... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994706 Mon, 04 Jul 2011 16:20:14 +0100 4994706 http://www.medworm.com/index.php?rid=4994705&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002727%2Fabstract%3Frss%3Dyes This article presents the best-evidence findings and recommendations supported by SPN with regard to NGT placement verification. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994705 Mon, 04 Jul 2011 16:20:13 +0100 4994705 http://www.medworm.com/index.php?rid=4994704&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002685%2Fabstract%3Frss%3Dyes The objectives of the presentations were to describe the impact of poverty on children and families, describe the impact of the economy on society and child-serving institutions, analyze nursing interventions to address issues related to children and families in poverty, and identify short- and long-term strategies to implement individually and in groups. Here, we will describe the impact of poverty on children and families in the United States, examine factors affecting children's health and well-being, and discuss ways in which pediatric nurses can address the challenges facing impoverished children and families. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994704 Mon, 04 Jul 2011 16:20:13 +0100 4994704 http://www.medworm.com/index.php?rid=4994693&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002867%2Fabstract%3Frss%3Dyes Recently, the Elsevier Foundation awarded funds to the Sigma Theta Tau International (STTI) Foundation for the Nurse Faculty Leadership Academy (NFLA). This partnership underscores Elsevier’s commitment to strengthening and expanding the profession of nursing. NFLA is a career-changing, experiential learning program for new nurse faculty members who are committed to developing their leadership skills as they transition to the faculty role. The 2011-13 mentored leadership academy will build on the success of the current Nurse Faculty Mentored Leadership Development program. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994693 Mon, 04 Jul 2011 16:20:10 +0100 4994693 http://www.medworm.com/index.php?rid=4994692&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002417%2Fabstract%3Frss%3Dyes Cyberbullying involving youth has become a major public health concern. Its prominence was recently highlighted at the hosted by President Obama and First Lady Michelle Obama. Despite its prevalence, it is a widespread health issue wherein victims and offenders alike may not be fully cognizant of the nature of the problem itself. That is, youth who are cyberbullies may not realize that their actions are offensive to their victims; likewise, victims of cyberbullying may not be cognizant that the disturbing electronic communication they receive is a form of bullying (. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994692 Mon, 04 Jul 2011 16:20:10 +0100 4994692 http://www.medworm.com/index.php?rid=4994691&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002910%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4994691 Mon, 04 Jul 2011 16:20:10 +0100 4994691 http://www.medworm.com/index.php?rid=5390429&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100279X%2Fabstract%3Frss%3Dyes This article focuses on the findings and recommendations of the , which were released late last year. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390429 Mon, 04 Jul 2011 04:00:00 +0100 5390429 http://www.medworm.com/index.php?rid=5390423&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001850%2Fabstract%3Frss%3Dyes This study tested the Theory of Reasoned Action to examine the prediction of early sexual behavior among African American young teen girls. Baseline data from a longitudinal randomized clinical trial were used. Between 2001 and 2005, 198 middle-school girls aged 11 to 14 years were recruited. As girls aged, they held more permissive attitudes toward engaging in early sexual behavior and had a higher intention to engage in early sexual behavior. Intention was a significant predictor to explain sexual behavior among the girls. There is a need to develop strategies that promote intention related to delay and prevention of early sexual behavior. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390423 Mon, 04 Jul 2011 04:00:00 +0100 5390423 http://www.medworm.com/index.php?rid=5240290&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002478%2Fabstract%3Frss%3Dyes This article provides a concept analysis of the term obesity in relation to children using a Wilsonian approach. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5240290 Mon, 04 Jul 2011 04:00:00 +0100 5240290 http://www.medworm.com/index.php?rid=5390425&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001837%2Fabstract%3Frss%3Dyes This pilot study examined the relationship between youth and care provider self-reports of depressive symptoms assessed through the Patient Health Questionnaire and reports of youth physical and psychosocial functioning assessed by PedsQL4.0 in a rural outpatient overweight pediatric population (N = 66 child and care provider pairs). The relationship between youth body mass index (BMI), youth and care provider depression, youth quality of life (QOL), care provider perception of youth QOL, and youth and care provider congruence of QOL perceptions was examined. Paired t tests were completed to assess the differences between QOL scores for youth and care providers for subgroups based on age, age and gender, and age and race. The mean age of youth participants was 11.9 years; youth BMI ranged ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390425 Thu, 09 Jun 2011 04:00:00 +0100 5390425 http://www.medworm.com/index.php?rid=5390422&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001667%2Fabstract%3Frss%3Dyes Sleep disturbances are commonly reported by children receiving chemotherapy for leukemia. Sleep patterns before diagnosis and during induction chemotherapy were evaluated in 38 children (7 to 18 years old). Child Sleep Assessment (CSA) was used to evaluate sleep patterns prior to diagnosis. Sleep diaries and actigraphy were used during chemotherapy. Adolescents went to bed later and awakened later than school-age children before diagnosis and during chemotherapy. During chemotherapy, children averaged 60 minutes of nighttime wake time. The early recognition of sleep problems associated with disease, treatment, and age is important for school-age children and adolescents with leukemia. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390422 Mon, 06 Jun 2011 04:00:00 +0100 5390422 http://www.medworm.com/index.php?rid=4844279&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001941%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844279 Fri, 20 May 2011 20:14:33 +0100 4844279 http://www.medworm.com/index.php?rid=4844278&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001953%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844278 Fri, 20 May 2011 20:14:33 +0100 4844278 http://www.medworm.com/index.php?rid=4844277&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001965%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844277 Fri, 20 May 2011 20:14:33 +0100 4844277 http://www.medworm.com/index.php?rid=4844276&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100265X%2Fabstract%3Frss%3Dyes Growth deficiency in pediatric patients is treated with growth hormone (GH) therapy using a range of treatment regimens that vary in dose and dosing frequency. Although many published studies have focused on self-reported data, there have been no quantitative studies of the impact of GH dose, adherence, and dosing frequency on growth rate using specialty pharmacy data. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844276 Fri, 20 May 2011 20:14:33 +0100 4844276 http://www.medworm.com/index.php?rid=4844275&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002648%2Fabstract%3Frss%3Dyes Our Southern California endocrinology practice treats pediatric patients with diabetes, ages 1–21 years, and has a specialized insulin pump training program for children and adolescents. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844275 Fri, 20 May 2011 20:14:33 +0100 4844275 http://www.medworm.com/index.php?rid=4844274&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002636%2Fabstract%3Frss%3Dyes Recombinant human growth hormone (rhGH) is used to treat children with a variety of growth disorders. Although there has been some effort to assess satisfaction with the outcomes of rhGH therapy, there has been little effort to assess satisfaction with the delivery of rhGH, including the devices used and the procedures required. Each of the rhGH manufacturers offers a different injection device, yet there is currently no objective tool to measure satisfaction with these devices. In other therapeutic areas (e.g., diabetes), device satisfaction is associated with willingness to initiate, persist in, and adhere to injection therapy. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844274 Fri, 20 May 2011 20:14:33 +0100 4844274 http://www.medworm.com/index.php?rid=4844273&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002624%2Fabstract%3Frss%3Dyes Since 1985, recombinant human growth hormone (rhGH) has been used to treat disorders of stature in children with a variety of growth disorders. All seven rhGH brands currently available in the United States offer injection devices. Manufacturers continue to improve the design and add features, yet there is no objective tool to measure satisfaction with these devices. In other therapeutic areas (e.g., diabetes), device satisfaction is associated with willingness to initiate and maintain therapy. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844273 Fri, 20 May 2011 20:14:33 +0100 4844273 http://www.medworm.com/index.php?rid=4844272&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002612%2Fabstract%3Frss%3Dyes The Increlex Growth Forum Database (IGFD) Registry is an observational, multicenter, open-label study monitoring the long-term safety and efficacy of Increlex (mecasermin [rDNA origin] injection) replacement therapy in children and adolescents with growth failure. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844272 Fri, 20 May 2011 20:14:33 +0100 4844272 http://www.medworm.com/index.php?rid=4844271&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002600%2Fabstract%3Frss%3Dyes Growth hormone (GH) is administered by daily subcutaneous injection. Failure to comply with treatment is costly and associated with reduced efficacy. Improved injection devices may enhance treatment compliance. NordiFlex PenMate is designed for use with Norditropin NordiFlex, whereas a newly developed system, FlexPro PenMate, is an automatic needle inserter designed for use with Norditropin FlexPro (both systems manufactured by Novo Nordisk A/S, Denmark). Both PenMate devices hide the needle during injection. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844271 Fri, 20 May 2011 20:14:33 +0100 4844271 http://www.medworm.com/index.php?rid=4844270&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002594%2Fabstract%3Frss%3Dyes In this study, we compare the intuitiveness and ease of use of three GH injection devices: Norditropin FlexPro, Saizen Easypod, and Genotropin pen. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844270 Fri, 20 May 2011 20:14:33 +0100 4844270 http://www.medworm.com/index.php?rid=4844269&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002582%2Fabstract%3Frss%3Dyes Recombinant human growth hormone (rhGH) is beneficial to patients with growth hormone disorders. Several injection devices exist for daily treatment with varying attributes. The study assesses patient and caregiver practices and perceptions associated with reconstitution and storage options. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844269 Fri, 20 May 2011 20:14:33 +0100 4844269 http://www.medworm.com/index.php?rid=4844268&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002570%2Fabstract%3Frss%3Dyes The morbid obesity commonly seen in patients with Prader-Willi Syndrome is treated only by enforcing strict dietary intakes, with daily caloric values of commonly less than 1,000 kcal/day, putting patients at risk for nutrient deficiency. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844268 Fri, 20 May 2011 20:14:33 +0100 4844268 http://www.medworm.com/index.php?rid=4844267&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002569%2Fabstract%3Frss%3Dyes Turner syndrome (TS) is a female disorder characterized by partial or complete absence of an X chromosome. Ovarian failure is a cardinal manifestation of TS. More than 90% of affected girls require hormone replacement therapy (HRT) for the initiation of puberty, secondary sexual development, uterine maturation, and bone mineral accrual (1,2). In 2007, the TS Consensus Study Group determined that the timing, form, and dosing of estrogen replacement regimens should reflect normal pubertal process (3). Oral conjugated equine estrogens (CEE) historically have been the most commonly prescribed estrogen for the induction of puberty in TS (4). However, current studies indicate a shift in practice from oral to transdermal HRT since the establishment of the guidelines. (Source: Journal of Pediatric... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844267 Fri, 20 May 2011 20:14:32 +0100 4844267 http://www.medworm.com/index.php?rid=4844266&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002557%2Fabstract%3Frss%3Dyes Vitamin D deficiency is markedly prevalent among U.S. youth. According to the National Health and Nutrition Examination Survey 2001–2004, vitamin D deficiency (defined in this study as 25-hydroxyvitamin D (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844266 Fri, 20 May 2011 20:14:32 +0100 4844266 http://www.medworm.com/index.php?rid=4844265&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002545%2Fabstract%3Frss%3Dyes A.S. is a 17-year-old Caucasian female. A.S. presented to the clinic with net weight gain of 10 kg in 2 years, hair loss, fatigue, severe salt cravings, and daily headaches. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844265 Fri, 20 May 2011 20:14:32 +0100 4844265 http://www.medworm.com/index.php?rid=4844264&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002533%2Fabstract%3Frss%3Dyes The patient is a 20-year-old Caucasian female with Turner syndrome. The patient presented with hyperlipidemia and type 2 diabetes at 17 years 4 months of age with height 1.445 m (0.22% compared to all girls and 75% on Turner syndrome chart), weight 54.7 kg (46%), and body mass index (BMI) 26.23 kg/m2 (88.05%). (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844264 Fri, 20 May 2011 20:14:32 +0100 4844264 http://www.medworm.com/index.php?rid=4844263&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002521%2Fabstract%3Frss%3Dyes The patient is an 18-year-old Caucasian male. C.M. was admitted to the hospital with persistent nausea, abdominal pain, and hyponatremia. Pediatric endocrinology was consulted for concerns of Addison's disease. He was diagnosed with Addison's disease and being at risk for diabetes in the hospital. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844263 Fri, 20 May 2011 20:14:32 +0100 4844263 http://www.medworm.com/index.php?rid=4844262&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100251X%2Fabstract%3Frss%3Dyes B.L. is a 15-year-old Native American/Caucasian female diagnosed with type 2 autoimmune polyglandular syndrome (APS-2). B.L., a patient with known type 1 diabetes, presented at age 12 years with increased skin pigmentation on sun exposure. An increased adrenocorticotropic hormone (ACTH) Level l (3,024 ng/ml) and elevated thyroid-stimulating hormone (10.16 mIU/ml); low free T4 (0.94 ng/ml) revealed diagnosis of Addison's disease and Hashimoto's thyroiditis, respectively. She was prescribed hydrocortisone 12 mg/m2 per day (25 mg in divided doses), fludrocortisone 0.1 mg daily, and levothyroxine 100 μg daily. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844262 Fri, 20 May 2011 20:14:32 +0100 4844262 http://www.medworm.com/index.php?rid=4844261&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002508%2Fabstract%3Frss%3Dyes The patient is a 9-year-6-month-old Caucasian female. The patient has been followed in endocrine clinic for several years since the diagnosis of diabetes insipidus and pituitary tumor. The patient has been maintained on a stable dose of oral brand-name desmopressin with few changes in dosage required over the previous 3 years. The patient has deficiencies in antidiuretic hormone and growth hormone (GH). (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844261 Fri, 20 May 2011 20:14:32 +0100 4844261 http://www.medworm.com/index.php?rid=4844260&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311002491%2Fabstract%3Frss%3Dyes Congenital adrenal hyperplasia (CAH) is a genetic condition affecting the adrenal glands. Patients with CAH lack an enzyme needed to produce the stress hormone cortisol and make extra testosterone. CAH can lead to life-threatening adrenal crises and is the leading cause of genital ambiguity in infants with a 46,XX karyotype. The Lawson Wilkins Pediatric Endocrine Society called for the use of multidisciplinary teams to provide comprehensive care for this population in its 2002 consensus statement on the management of CAH. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844260 Fri, 20 May 2011 20:14:32 +0100 4844260 http://www.medworm.com/index.php?rid=4844259&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100248X%2Fabstract%3Frss%3Dyes Diabetic peripheral neuropathy (DPN) is a devastating, long-term complication causing significant morbidity and mortality in adults. Few studies of DPN in children have been done in the United States. Clinicians believe neuropathy to be rare in youth, occurring only in an older population, after many years of diabetes and poor control. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844259 Fri, 20 May 2011 20:14:32 +0100 4844259 http://www.medworm.com/index.php?rid=4844257&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001813%2Fabstract%3Frss%3Dyes Contents Section 1. Introduction 1107 (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844257 Fri, 20 May 2011 20:14:31 +0100 4844257 http://www.medworm.com/index.php?rid=4844256&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001825%2Fabstract%3Frss%3Dyes Food allergy is an important public health problem that affects children and adults and may be increasing in prevalence. Despite the risk of severe allergic reactions and even death, there is no current treatment for food allergy: The disease can only be managed by allergen avoidance or treatment of symptoms. The diagnosis and management of food allergy also may vary from one clinical practice setting to another. Finally, because patients frequently confuse nonallergic food reactions, such as food intolerance, with food allergies, there is an unfounded belief among the public that food allergy prevalence is higher than it truly is. In response to these concerns, the National Institute of Allergy and Infectious Diseases, working with 34 professional organizations, federal agencies, and pati... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844256 Fri, 20 May 2011 20:14:31 +0100 4844256 http://www.medworm.com/index.php?rid=4844255&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001801%2Fabstract%3Frss%3Dyes The Journal of Pediatric Nursing is pleased to publish the abstract of the National Institute of Allergy and Infectious Diseases, “Guidelines for the Diagnosis and Management of Food Allergy.” The executive summary is available on the journal Web site (www.pediatricnursing.org) and can also be located at www.jacionline.org. The Society of Pediatric Nurses was one of more than 30 professional organizations, advocacy groups, and federal agencies invited to participate in a Coordinating Committee. The Coordinating Committee established a multidisciplinary panel of experts, including Kathleen McCall RN, BSN, a member of the Society of Pediatric Nurses Board of Directors. The resulting clinical practice guideline was rigorously developed by the panel of experts based upon the best available... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844255 Fri, 20 May 2011 20:14:31 +0100 4844255 http://www.medworm.com/index.php?rid=4844254&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001679%2Fabstract%3Frss%3Dyes THE SCOPE OF pediatric nursing is broad, spanning developmental age groups from neonates, infants, and children to adolescents across the health and illness continuum, as well as within a variety of settings, including hospital, primary care and specialty clinics, home, school, and community. Children's developmental needs are interrelated with their psychosocial needs, and both are influenced by the demands of illness. Moreover, pediatric nursing has a dual focus on children and on their parents and families because children are dependent upon them to provide nurturance and care. This complex interplay of developmental and psychosocial needs with the demands of illness creates the context for pediatric nursing care. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844254 Fri, 20 May 2011 20:14:31 +0100 4844254 http://www.medworm.com/index.php?rid=4844253&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001631%2Fabstract%3Frss%3Dyes UNDOUBTEDLY, IMPLEMENTING VARIOUS health information technologies designed to support, improve, and transform the care of patients is here to stay. The federal government's financial investment into electronic medical record adoption incentives, demonstrates the critical role that health information technology (HIT) will have in the future of health care. What is not clear, however, is whether these technologies will be readily accepted and used to their greatest capacity by clinicians, particularly by nurses. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844253 Fri, 20 May 2011 20:14:30 +0100 4844253 http://www.medworm.com/index.php?rid=4844252&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001643%2Fabstract%3Frss%3Dyes Food allergy (FA) is an important public problem that affects children and may be increasing in prevalence. Despite the risk of severe allergic relations and even death, there is no current treatment for FA: The disease can only be managed by allergen avoidance or treatment of symptoms. The diagnosis and management of FA may also vary from one clinical setting to another. Finally, because patients frequently confuse nonallergic food reactions, such as food intolerance, with food allergies, there is an unfounded belief among the public that FA prevalence is higher than it truly is. In response to these concerns, the National Institute of Allergy and Infectious Diseases, working with 34 professional organizations, federal agencies, and patient advocacy groups, led the development of clinical... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844252 Fri, 20 May 2011 20:14:30 +0100 4844252 http://www.medworm.com/index.php?rid=4844251&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001795%2Fabstract%3Frss%3Dyes THE USE OF restraints has become a high-priority issue to assure appropriateness of treatment and protect patient rights (). The term restraint is defined in the literature as referring to the physical restriction of movement that may involve restraining all limbs (). Restraints may be an intervention for children and adolescents to reduce the risk of treatment interference or to prevent abrupt discontinuation of medical devices used for diagnosis or monitoring. Restraints are also used to prevent patients from harming themselves or others (). The Centers for Medicare and Medicaid's requires that all clinical staff with direct patient contact have ongoing education and training in the proper and safe use of restraints. Performance improvement processes through education of staff allow for ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844251 Fri, 20 May 2011 20:14:30 +0100 4844251 http://www.medworm.com/index.php?rid=4844238&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001977%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844238 Fri, 20 May 2011 20:14:28 +0100 4844238 http://www.medworm.com/index.php?rid=5390424&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001874%2Fabstract%3Frss%3Dyes Congenital adrenal hyperplasia (CAH) is a rare disorder characterized by cortisol deficiency, with/without aldosterone deficiency, and androgen excess. The purposes of this descriptive, exploratory study were to assess caregiver knowledge of CAH, adrenal crisis, and stress dosing of hydrocortisone during times of acute illness and to assess caregivers' self-efficacy in managing adrenal crisis and stress dosing of children with CAH. A survey was distributed that collected information about child and family demographics and about caregiver knowledge of the disorder and stress dosing instruction history and evaluated their self-efficacy. Caregivers of children with CAH (N = 60) have a solid knowledge base of the disorder and maintain a reasonably high degree of self-efficacy of stress dosing.... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5390424 Thu, 12 May 2011 04:00:00 +0100 5390424 http://www.medworm.com/index.php?rid=4646705&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311001680%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646705 Tue, 29 Mar 2011 20:24:52 +0100 4646705 http://www.medworm.com/index.php?rid=4646704&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000546%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646704 Tue, 29 Mar 2011 20:24:52 +0100 4646704 http://www.medworm.com/index.php?rid=4646703&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000479%2Fabstract%3Frss%3Dyes The hospital peripheral intravenous (PIV) infiltration and extravasation protocol was developed in 2005 and outlined clear guidelines for treatment, assessment, and documentation requirements. The care of infiltration/extravasation wounds primarily resulting from Stage 3–4 infiltrations was identified as being inconsistent. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646703 Tue, 29 Mar 2011 20:24:52 +0100 4646703 http://www.medworm.com/index.php?rid=4646702&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000467%2Fabstract%3Frss%3Dyes Nurses in pediatric intensive care units (PICUs) frequently provide care to children at the end of life. Evidence-based interventions, such as peer-based support programs, are needed to help nurses cope with end-of-life events and overwhelming case experiences. The purpose of this project was to develop and evaluate a peer support intervention to help PICU staff cope with end-of-life and other stressful events. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646702 Tue, 29 Mar 2011 20:24:52 +0100 4646702 http://www.medworm.com/index.php?rid=4646701&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000455%2Fabstract%3Frss%3Dyes The hospital practice for central venous catheter (CVC) injection cap disinfection consisted of a 15-second 70% alcohol wipe scrub followed by a 15-second dry time. As part of the initiative to reduce central line-associated blood stream infections (CLA-BSI), the organization wanted to determine the best practice for injection cap disinfection. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646701 Tue, 29 Mar 2011 20:24:52 +0100 4646701 http://www.medworm.com/index.php?rid=4646700&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000443%2Fabstract%3Frss%3Dyes Describe our institution's Pediatric Early Warning Score (PEWS) tool. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646700 Tue, 29 Mar 2011 20:24:52 +0100 4646700 http://www.medworm.com/index.php?rid=4646699&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000431%2Fabstract%3Frss%3Dyes A change was needed on a 20-bed pediatric cardiology unit that was starting to see decreased patient satisfaction scores and discord among staff with regard to communication. The goal was to create a patient handoff method that increases communication and understanding of care between nurses and patient/families, decreases the incidence of medication/laboratory/order/patient errors (while simultaneously encouraging reporting of errors), and allows for more thorough and accurate communication from nurse to nurse. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646699 Tue, 29 Mar 2011 20:24:52 +0100 4646699 http://www.medworm.com/index.php?rid=4646698&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100042X%2Fabstract%3Frss%3Dyes Communication influences patient safety outcomes and job satisfaction. During transition in leadership, pediatric cardiac intensive care nurses voiced concerns about ineffective communication between nurses and physicians. A team investigated evidence-based recommendations to increase collaboration and improve communication. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646698 Tue, 29 Mar 2011 20:24:51 +0100 4646698 http://www.medworm.com/index.php?rid=4646697&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000418%2Fabstract%3Frss%3Dyes In June 2008, the first publication of the Pediatric Nursing: Scope & Standards of Practice was published. The collaborative expertise of the American Nurses Association, the National Association of Pediatric Nurse Practitioners, and the Society of Pediatric Nurses developed the guide to pediatric practice. Unfortunately, many pediatric nurses are unaware of these standards specific to the profession of pediatric nursing. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646697 Tue, 29 Mar 2011 20:24:51 +0100 4646697 http://www.medworm.com/index.php?rid=4646696&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000406%2Fabstract%3Frss%3Dyes An effective way to reduce the stress of parents of hospitalized critically ill children has long been a concern of the pediatric nursing community. Although there is abundant information in the literature, it is unclear what is considered “best practices.” (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646696 Tue, 29 Mar 2011 20:24:51 +0100 4646696 http://www.medworm.com/index.php?rid=4646695&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100039X%2Fabstract%3Frss%3Dyes The purpose of this pilot project was to increase family knowledge and support after pediatric traumatic brain injury (TBI). A multidisciplinary team was assembled to develop a notebook designed to provide families with a resource for education about TBI in children during and after hospitalization. Families of a child experiencing a TBI not only face a lengthy hospital course but also often extended rehabilitation after discharge. This time can be frightening and confusing for families as they receive large volumes of information with complicated medical terminology pertaining to the child's condition. The ultimate goal for this project is to provide better patient and family support and education about TBI and in turn improve their overall outcomes. The purpose of this poster presentatio... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646695 Tue, 29 Mar 2011 20:24:51 +0100 4646695 http://www.medworm.com/index.php?rid=4646694&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000388%2Fabstract%3Frss%3Dyes Pediatric bowel preparations are frequently lengthy, uncomfortable, and invasive and cause patients and their parents to lose sleep. The purpose of this evidence-based practice (EBP) project is to determine whether dietary restrictions prior to admission result in a faster, less-invasive, and more satisfactory cleanout. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646694 Tue, 29 Mar 2011 20:24:51 +0100 4646694 http://www.medworm.com/index.php?rid=4646693&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000376%2Fabstract%3Frss%3Dyes Although literature on pediatric procedural distress has grown considerably, this knowledge has not been widely applied in practice. Collaboration between nurses and other health care professionals is an integral aspect of procedural management. This project assesses the implementation of LEAPP, an evidence-based multidisciplinary approach to pediatric procedural management that uses a protocol, procedure planning tools, and education for nurses and physicians. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646693 Tue, 29 Mar 2011 20:24:51 +0100 4646693 http://www.medworm.com/index.php?rid=4646692&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000364%2Fabstract%3Frss%3Dyes The purpose of this education initiative was to create a formalized tool for patients and families to ensure adequate education prior to discharge home from the hospital with a new medical device (e.g., peripherally inserted central catheter, gastrostomy tube). This tool, known as a verification sheet, provides families with a step-by-step check off list of all education required prior to discharge. The verification sheets also promote early education to decrease anxiety, increase confidence, and ensure safe care in the home setting. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646692 Tue, 29 Mar 2011 20:24:51 +0100 4646692 http://www.medworm.com/index.php?rid=4646691&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000352%2Fabstract%3Frss%3Dyes Staff on a specialized 21-bed cardiac/renal unit were concerned with an increased incident of “code blues” (cardiopulmonary arrests). Because “normal” parameters of this special population can be different than the general medical–surgical patient, it was unknown if use of a standardized early warning tool would be effective. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646691 Tue, 29 Mar 2011 20:24:50 +0100 4646691 http://www.medworm.com/index.php?rid=4646690&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000340%2Fabstract%3Frss%3Dyes The pain associated with an injection is a source of anxiety and fear for children receiving the injection, for parents, and for the nurse who must administer the injection. Children are routinely held down on a stretcher, with a fellow staff member holding their legs still. The parent is instructed to hold the child's hands and talk to him or her. Presently, the Research and Evidence-Based Committee is evaluating a change in this practice. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646690 Tue, 29 Mar 2011 20:24:50 +0100 4646690 http://www.medworm.com/index.php?rid=4646689&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000339%2Fabstract%3Frss%3Dyes Nursing research is designed to validate and improve existing knowledge, generate new ideas, and address questions of importance to the nursing profession. Nurses today are questioning their professional practice and looking for the most recent scientific evidence while considering patient preferences. A nursing research shared governance council promotes autonomy, competence, and accountability and provides a formal vehicle to enhance professional collaboration. In a research council, nurses are challenged and asked how to improve patient care and outcomes. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646689 Tue, 29 Mar 2011 20:24:50 +0100 4646689 http://www.medworm.com/index.php?rid=4646688&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003830%2Fabstract%3Frss%3Dyes CURRENTLY, IN THE United States, the prevalence of Type 1 diabetes in children is approximately 1.82 in 1,000 (). Type 1 diabetes is an autoimmune disease and is associated with a number of other autoimmune disorders. The association of Type 1 diabetes and autoimmune thyroiditis has been well described in the literature and is well known to most pediatric nurses who care for these children. Type 1 diabetes is also associated with celiac disease and Addison's disease (). These comorbidities, although well described in the literature, are less familiar to health care providers. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646688 Tue, 29 Mar 2011 20:24:50 +0100 4646688 http://www.medworm.com/index.php?rid=4646687&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003787%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646687 Tue, 29 Mar 2011 20:24:50 +0100 4646687 http://www.medworm.com/index.php?rid=4646686&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000327%2Fabstract%3Frss%3Dyes THE HALLMARK OF excellence in pediatric nursing is the use of research and evidence-based practice as the foundation for quality care for children and their families. Creating a culture and an organizational environment focused on quality and safety outcomes leads to improved accountability and excellence in nursing practice. The American Nurses Credentialing Center (ANCC) Magnet-recognition program recognizes quality patient care outcomes, nursing excellence, and innovations in professional nursing practice within organizational environments that are designed to improve the quality and safety of nursing practice (). (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646686 Tue, 29 Mar 2011 20:24:50 +0100 4646686 http://www.medworm.com/index.php?rid=4646685&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003829%2Fabstract%3Frss%3Dyes IN RECENT MONTHS in the streets of Philadelphia, several incidents of spontaneous teen gatherings occurred causing mass chaos and, in some cases, violence. Similar incidents occurred in Boston, South Orange, Kansas City, and Brooklyn (). These spontaneous uprisings, better known as flash mobs, occur when adolescents broadcast impromptu events via online social networks or mobile devices. Densely populated cities are ideal locations for flash mobs because there is the potential for more participants and more witnesses to the events (). Witnesses to such events report streets and intersections being “concert packed” with teenagers (). Often, people are injured, and multiple law enforcement officials are needed for crowd control. Teenagers, thinking they are joining in on innocent fun, ma... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646685 Tue, 29 Mar 2011 20:24:49 +0100 4646685 http://www.medworm.com/index.php?rid=4646684&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003866%2Fabstract%3Frss%3Dyes THE ASSOCIATION BETWEEN viewing aggression and violence on television and violent or antisocial behavior has been reported by many studies. Children can be exposed to more than 40,000 commercials per year. A recent study looked at commercials on children's television channels and found that many contained some form of violent, disturbing, or sexual behavior. The researchers looked at the morning and afternoon commercials on three children's television channels (the Disney Channel, Nickelodeon, and the Cartoon Network) for negative content (violent behaviors, disturbing behaviors, negative modeling, and sexual behavior), positive content (positive role modeling and interactions, encouraging statements, and health benefits), mixed content, and neutral content during a 3-month period in 2006.... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646684 Tue, 29 Mar 2011 20:24:49 +0100 4646684 http://www.medworm.com/index.php?rid=4646683&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631000374X%2Fabstract%3Frss%3Dyes This descriptive, correlational research study applied a business mentoring model, the Mutual Benefits Model (M. G. Zey, 1991), to explore relationships among mentoring quality, mentoring quantity, mentoring type, length of employment, and mentoring benefits among pediatric staff nurse protégés in a single Midwestern, Magnet-designated, freestanding children's hospital. Results support the hypothesis that the linear combination of quality of mentoring and length of employment explained 40% of the variance in mentoring benefits, more than any one factor alone (R = .63, p = .01). Nurse mentoring, conceptually and experientially, demonstrates the Magnet model components and provides implications for the Magnet Journey. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646683 Tue, 29 Mar 2011 20:24:49 +0100 4646683 http://www.medworm.com/index.php?rid=4646682&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003738%2Fabstract%3Frss%3Dyes This article describes a process by which nurses at the Children's Hospital Boston increased error reporting and used knowledge gained from event reports to provide education and implement practice changes. The medical and surgical units experienced a 35% increase in reported events and a decrease in the severity level of events over a 2-year period. Meaningful data from event reporting systems are critical in helping nurses develop interventions to prevent errors. The Magnet Model components are illustrated in the steps of this project. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646682 Tue, 29 Mar 2011 20:24:49 +0100 4646682 http://www.medworm.com/index.php?rid=4646681&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003763%2Fabstract%3Frss%3Dyes Peripheral intravenous catheter (PIV) insertion is a traumatic experience for children and should not be repeated more frequently than necessary. Proper securement of pediatric IVs can preserve catheter life; however, little evidence is available to describe optimal methods. Pediatric nurses at a 246-bed, community-owned district hospital observed they were frequently attempting to rescue or restart PIVs prematurely. In the context of exemplary professional practice, an exploratory evidence-based practice project was designed to increase knowledge about the best practices in maintaining and preserving pediatric PIVs. Data collection and analysis determined that practices were inconsistent and more research is needed to determine the optimal securement practices. (Source: Journal of Pediatr... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646681 Tue, 29 Mar 2011 20:24:48 +0100 4646681 http://www.medworm.com/index.php?rid=4646680&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003702%2Fabstract%3Frss%3Dyes This article focuses on the history and emerging role of the AC PNP in the context of the Magnet component of transformational leadership, the physician/nurse practitioner collaborative practice, and the development of the AC PNP role in cardiothoracic surgery at the Children's Hospital Los Angeles. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646680 Tue, 29 Mar 2011 20:24:48 +0100 4646680 http://www.medworm.com/index.php?rid=4646679&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003775%2Fabstract%3Frss%3Dyes The development and execution of a nurse peer review program to evaluate nursing practice associated with significant adverse events has resulted in systemic changes. Descriptive analyses were conducted for 23 peer-reviewed cases involving 41 RNs and 2 advanced practice nurses from 14 specialties over a 4-year period. Thematic analysis revealed four common event categories: assessment and monitoring, team communication, skin integrity, and vascular access. This approach demonstrates the impact of professional nurse accountability for improving the quality of care and may serve as an exemplar for professional practice. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646679 Tue, 29 Mar 2011 20:24:48 +0100 4646679 http://www.medworm.com/index.php?rid=4646678&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003751%2Fabstract%3Frss%3Dyes This article will present the efforts taken by Magnet Children's hospitals to establish valid pediatric screening tools and benchmark inpatient pediatric falls. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646678 Tue, 29 Mar 2011 20:24:48 +0100 4646678 http://www.medworm.com/index.php?rid=4646677&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003714%2Fabstract%3Frss%3Dyes The purposes of this descriptive study were to evaluate pediatric professional staffs' perceptions of evidence-based practice (EBP), to identify individual and organizational barriers experienced when applying EBP into practice, and to determine differences in perceptions by those attending and not attending an EBP education series. A total of 486 pediatric health care professionals, 56 of whom attended all of the sessions, completed an anonymous online survey. Professional staff participated in and valued EBP activities but identified barriers to full implementation. Participants in the EBP series were significantly different in several positive ways. Implications for further education and research are delineated based on survey results. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646677 Tue, 29 Mar 2011 20:24:48 +0100 4646677 http://www.medworm.com/index.php?rid=4646676&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003726%2Fabstract%3Frss%3Dyes This clinical paper presents the evolution of a Point of Care Scholars (POCS) program, which embodies three components of the Magnet model: exemplary professional practice, new knowledge, innovations, and improvements, and empirical outcomes. The drive to achieve Magnet designation and redesignation provides a focused approach on innovation. The innovative POCS program is structured to introduce new knowledge to point-of-care staff with improvements that will lead to quality outcomes. Empirical outcomes of the POCS program include practice and policy changes, improved safety, program cost, dissemination, professional advancement, and program satisfaction. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646676 Tue, 29 Mar 2011 20:24:48 +0100 4646676 http://www.medworm.com/index.php?rid=4646675&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596311000297%2Fabstract%3Frss%3Dyes We are very pleased to publish this special issue on Magnet® Innovations and Outcomes in Children’s Healthcare. We extend a special thank you to Dr. Cox for serving as Guest Editor and Dr. Drenkard for her collaboration. Cecily Betz, PhD, RN, FAAN and Angela Green, PhD, APN (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646675 Tue, 29 Mar 2011 20:24:47 +0100 4646675 http://www.medworm.com/index.php?rid=4646674&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100176X%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4646674 Tue, 29 Mar 2011 20:24:47 +0100 4646674 http://www.medworm.com/index.php?rid=4844258&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259631100162X%2Fabstract%3Frss%3Dyes Osteoporosis affects children worldwide. These children are at increased risk of fractures from activities of daily living and may be restricted in their play secondary to this. Parents live in fear of causing a fracture during routine activities, and they worry about their children's future bone health. As nurses, we can make a difference at many levels in the lives of these children, their families, and other caregivers. We first need to understand what osteoporosis is, potential prevention strategies, and risk factors. We can then help to identify the child at high risk, educate them and their family, and be a resource for other caregivers and health professionals who are less familiar with childhood osteoporosis. From prevention to diagnosis, treatment and safe handling practices, pedi... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=4844258 Fri, 25 Mar 2011 00:00:00 +0100 4844258 http://www.medworm.com/index.php?rid=5562331&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310003015%2Fabstract%3Frss%3Dyes The Essentials of Baccalaureate Education for Professional Nursing Practice [American Association of Colleges of Nursing. (2008, October 8). Retrieved September 11, 2009, from http://www.aacn.nche.edu/Education/pdf/BaccEssentials08.pdf] addresses the importance of health promotion at the individual level across the lifespan to effect optimal population health. This qualitative study explores senior baccalaureate nursing students' perceptions (n = 85) of the teaching and learning experience related to health promotion during their pediatric clinical rotation. Four distinct learning factors of student, client, learning process, and subject matter emerged. Knowledge was enhanced, and students identified that the format of presentation influenced the quality of participant learning. Students'... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=5562331 Thu, 24 Mar 2011 04:00:00 +0100 5562331