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. Sat, 20 Mar 2010 14:47:23 +0100 http://www.medworm.com/index.php?rid=3309198&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004138%2Fabstract%3Frss%3Dyes Adolescents report changes in sleep that include less night time sleep, later bedtimes, and day time sleepiness. These developmental changes in sleep have been reported to contribute to difficulty with morning waking, altered school performance, depression, obesity, and other aspects of well-being. There is a need to understand how developmental changes in sleep influence the health of this age group. Adolescents who recover at home following ambulatory surgery report sleep alterations related to pain, nausea, and vomiting. Parents may not awaken adolescents postoperatively to administer oral analgesics because of concerns about sleep interruption. With a limited knowledge about the health effects of developmental sleep changes during adolescence, it is unclear how pain and care interventi... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309198 Fri, 26 Feb 2010 14:57:48 +0100 3309198 http://www.medworm.com/index.php?rid=3309197&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004060%2Fabstract%3Frss%3Dyes Professional models of care define the framework for nursing practice whereas professional practice models define how nursing practice, policies, and procedures are developed and implemented. Defining such care models is key to achieving excellent nursing practice outcomes. The purpose of this project was to define the professional model of care and practice model for a large children's hospital. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309197 Fri, 26 Feb 2010 14:57:48 +0100 3309197 http://www.medworm.com/index.php?rid=3309196&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004059%2Fabstract%3Frss%3Dyes Chronic illnesses in the pediatric population are a growing problem and significantly impact quality of life. The Essentials of Baccalaureate Education for Professional Nursing Practice (The American Association of Colleges of Nursing, 2008) addresses the importance of health promotion at the individual level accross 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. Several themes emerged. Knowledge was enhanced related to patient and family understanding of basic issues as well as self-reflection of the student's perceptions, teaching styles, and understanding of essential concepts learned ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309196 Fri, 26 Feb 2010 14:57:48 +0100 3309196 http://www.medworm.com/index.php?rid=3309195&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004047%2Fabstract%3Frss%3Dyes The aims of this study were to understand the meaning of the experience of Brazilian families having a child experiencing pain due to juvenile idiopathic arthritis and to construct a theoretical model representing this experience. Grounded Theory and Symbolic Interactionism were used as methodological framework and theoretical framework, respectively. Data were collected by semistructured interviews with 12 families. Data analysis allowed for the construction of the theoretical model Caring for the child to grow despite the pain, which describes an experience based on motivational elements: wanting to see the child without pain and wanting to see the child live a normal life, reviewing how the family lives the transition in its development cycles, retaking and integrating them in the famil... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309195 Fri, 26 Feb 2010 14:57:48 +0100 3309195 http://www.medworm.com/index.php?rid=3309194&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004035%2Fabstract%3Frss%3Dyes The aims of this study were to understand the meaning that the hospitalized Brazilian child attributes to pain and hospitalization. Because methodological and theoretical framework were used the Grounded Theory and the Symbolic Interactionism, respectively. For the collection of data five interviews half-structuralized with Brazilian children in a pediatric unit of a public hospital of the city of Sao Paulo, Brazil had been conducted through, after the approval of the committee of ethics of the institution. The results showed three categories: having to be separate from family and friends during hospitalization; having to submit to the painful procedures and attributing two sides for hospitalization. It concluded that the arrival of an event in the life of the child causes a series of chan... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309194 Fri, 26 Feb 2010 14:57:48 +0100 3309194 http://www.medworm.com/index.php?rid=3309193&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004023%2Fabstract%3Frss%3Dyes Conclusions have shown that the use of the Pain Quality Cards has revealed itself successful and able to evaluate, discriminate, and measure the different dimensions of pain. Its use should be encouraged and accessible to health professionals, with a view to the qualitative evolution of care to children and adolescents in pain. This requires the insertion of the pain theme in the curricula of all medical, nursing, and paramedical schools. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309193 Fri, 26 Feb 2010 14:57:48 +0100 3309193 http://www.medworm.com/index.php?rid=3309192&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004011%2Fabstract%3Frss%3Dyes There is a paucity of literature that addresses the challenges associated with the medication reconciliation process and children. Family ability to participate in the process by providing complete and accurate medication information needs to be addressed across all points of entry into health care. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309192 Fri, 26 Feb 2010 14:57:47 +0100 3309192 http://www.medworm.com/index.php?rid=3309191&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900400X%2Fabstract%3Frss%3Dyes Clinical monitoring is a key tool for patient safety as it alerts clinicians to patient deviations from a predetermined “normal” status. However, when alerted excessively for clinically insignificant events, clinicians may ignore or silence the alarms. Results from an online survey for hospitals and clinicians, sponsored by the American College of Clinical Engineers, found that 77% of respondents felt that clinical alarms to disrupt patient care and 78% reported that the frequency of alarms can reduce trust in alarms and cause clinicians to disable them. Preliminary data collection at our organization in August 2007 indicated that a total of 8732 alarms occurred over a 10 day period; 51.25% of these alarms were heart rate alarms, 17.58% were pulse oximetry alarms, and 31.17% were arrhy... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309191 Fri, 26 Feb 2010 14:57:47 +0100 3309191 http://www.medworm.com/index.php?rid=3309190&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003996%2Fabstract%3Frss%3Dyes The study uses a phenomenological qualitative approach to better understand the experiences of student nurses in a pediatric rotation attending an overnight camp respite program to care for special needs children of military families. The findings can have an impact on pediatric clinical practice in several ways. First, depending on the responses of the students attending the experience, faculty may choose to include or not include similar pediatric experiences in their curricula. If nursing faculty includes such experiences in clinical rotations the frequency that respite care can be offered to parents of special needs children increases. Additionally, the feedback obtained from student responses can be used to make modifications and improvements for future students attending similar prog... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309190 Fri, 26 Feb 2010 14:57:47 +0100 3309190 http://www.medworm.com/index.php?rid=3309189&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003984%2Fabstract%3Frss%3Dyes The objective of this research is to inquire into the intrinsic appropriateness of questions as part of an incremental process developing a questionnaire regarding child autonomy toward minor surgery. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309189 Fri, 26 Feb 2010 14:57:47 +0100 3309189 http://www.medworm.com/index.php?rid=3309188&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003972%2Fabstract%3Frss%3Dyes Verbal abuse (VA) is the most common form of workplace violence that nurses experience (Cameron) and can result in psychological trauma, decreased morale, and decreased job satisfaction in nurses; can affect staff retention; and can negatively impact quality patient care. Research findings suggest that VA is a problem for nurses in all areas, including the pediatric setting (Pejic). No studies have been found that describe successful nurse interventions and strategies to prevent or reduce VA. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309188 Fri, 26 Feb 2010 14:57:47 +0100 3309188 http://www.medworm.com/index.php?rid=3309187&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003960%2Fabstract%3Frss%3Dyes Childhood obesity is a prevalent and significant problem in the United States demonstrated across all age groups, ethnicities, and educations levels. Childhood obesity puts children at greater risk for associated comorbidites such as heart disease, hypertension, diabetes, and cancer (). Management of childhood obesity continues to be problematic and challenging for both parents and health care providers. Self-perception of correct BMI should be considered when developing obesity treatment programs. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309187 Fri, 26 Feb 2010 14:57:47 +0100 3309187 http://www.medworm.com/index.php?rid=3309186&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003959%2Fabstract%3Frss%3Dyes Bronchiolitis is the leading cause of hospitalization of infants and toddlers up to age 15 months. The American Academy of Pediatrics has well-defined evidence-based recommendations for providing optimum care for this patient population, which is reflected in a care pathway developed and used at our hospital. Treatment for bronchiolitis is most often supportive care only. The bulk of care for bronchiolitis is done by parents after discharge as symptoms can continue for 3 to 4 weeks after hospitalization. Parents must feel confident in caring for their children at home. Little literature is available regarding best practice for family education and ongoing documentation of the education. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309186 Fri, 26 Feb 2010 14:57:47 +0100 3309186 http://www.medworm.com/index.php?rid=3309185&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003947%2Fabstract%3Frss%3Dyes Ventilator-associated pneumonia (VAP) is a leading nosocomial infection in pediatric intensive care units, affecting patient outcomes and hospital costs. Implementation of all or nothing evidence-based interventions (VAP bundle) has reduced VAP among ventilated adult patients. However, little research has investigated these VAP bundles in pediatric patients. Baseline data on the presence of VAP risk factors and current practices among ventilated pediatric patients is needed. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309185 Fri, 26 Feb 2010 14:57:47 +0100 3309185 http://www.medworm.com/index.php?rid=3309184&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003935%2Fabstract%3Frss%3Dyes The ANCC Magnet Recognition Program recognizes nursing excellence. Early in the journey toward Magnet recognition, a freestanding children's hospital developed a staff advisory council to advise the senior nursing leadership team. The council suggested focus groups to learn from nurses with work experience in a Magnet organization. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309184 Fri, 26 Feb 2010 14:57:47 +0100 3309184 http://www.medworm.com/index.php?rid=3309183&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003923%2Fabstract%3Frss%3Dyes This study examined the distinct behaviors of children with autism, community support for the family, and family adaptation and the relationships among these variables. Children with an autistic disorder present more socially unacceptable behaviors than other children their age including children with intellectual disabilities. Parents of children with autism have reported how they search for encouragement from friends, seek advice from other families with children diagnosed with autism, pursue support from agencies and programs, and place little emphasis on spiritual support. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309183 Fri, 26 Feb 2010 14:57:47 +0100 3309183 http://www.medworm.com/index.php?rid=3309182&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003911%2Fabstract%3Frss%3Dyes Secondhand smoke (SHS) exposure puts children at risk for asthma, infectious illness, and premature death (1–3), and results in an estimated 7,500 to 15,000 children being hospitalized per year (4–5). Among children 2 months to 2 years of age exposed to SHS, 40% to 60% of the cases of asthma, chronic bronchitis, and three or more episodes of wheezing were attributable to SHS exposure (6). Parents who smoke endanger themselves, put their children and spouses at risk for adverse health outcomes, and increase the chance that their children will become smokers (1). (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309182 Fri, 26 Feb 2010 14:57:47 +0100 3309182 http://www.medworm.com/index.php?rid=3309181&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900390X%2Fabstract%3Frss%3Dyes This study aimed to identify the coping strategies used by adolescents in their experience of having diabetes mellitus type 1. The research is a qualitative, exploratory–descriptive study. The Symbolic Interactionism and Ways of Coping Questionnaire by Folkman and Lazarus (1985) was chosen as the theoretical frameworks and the Grounded Theory as the methodological one. Data were collected by semistructured interviews, with 10 adolescents, 12 to 18 years old, with diabetes mellitus type 1, diagnosed at least a year before. The coping strategies are part of two phenomena that explain the adolescent illness experience: “being normal having diabetes” and “not being normal having diabetes.” The strategies identified belong to the following scales of the Ways of Coping Questionnaire: D... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309181 Fri, 26 Feb 2010 14:57:47 +0100 3309181 http://www.medworm.com/index.php?rid=3309180&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003893%2Fabstract%3Frss%3Dyes Pediatric oncology patients often require painful procedures during the course of their therapy. These procedures can be the source of great anxiety and stress for patients and families. Because of the painful nature of the procedures, most patients will receive either moderate sedation (MS) or general anesthesia (GA) for lumbar punctures, bone marrow aspirates, and bone marrow biopsies. The selection of MS or GA depends on several factors, decided on primarily by the patient's primary oncologist. To better understand the factors involved in decision making, clinicians were asked to participate in individual scripted interviews exploring their decision-making process leading to their sedation choices. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309180 Fri, 26 Feb 2010 14:57:47 +0100 3309180 http://www.medworm.com/index.php?rid=3309179&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003881%2Fabstract%3Frss%3Dyes Clinicians report that children with cancer experience sleep disturbances; however, empirical data are scarce. Optimal sleep is crucial for normal growth and development and emotional and physical health. Therefore, an understanding of the sleep patterns and disturbances experienced by this population as compared to the general pediatric population is necessary. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309179 Fri, 26 Feb 2010 14:57:47 +0100 3309179 http://www.medworm.com/index.php?rid=3309178&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900387X%2Fabstract%3Frss%3Dyes Advancement in pediatric access device (VAD) technology has allowed for customization of catheter length from access site to tip placement. Consequently, not all catheters have the same fill volume. The need to standardize appropriate heparin dosing volume relative to catheter type, luminal volume, and purpose was identified. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309178 Fri, 26 Feb 2010 14:57:47 +0100 3309178 http://www.medworm.com/index.php?rid=3309177&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003868%2Fabstract%3Frss%3Dyes Providing consistent preceptors for orientees is difficult at best. Common issues include the following: Preceptors believe that they have to restart at the preceptor transition. This restart creates frustration and delays progression. Educators found that preceptors were reluctant to express when a orientee was struggling to transition into the role. Novice preceptors often did not recognize that the orientee was not on target. Despite education and training for preceptors, it was a struggle to identify issues early. The delay in early detection created a difficult situation for educators to be able to provide opportunities for improvement. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309177 Fri, 26 Feb 2010 14:57:47 +0100 3309177 http://www.medworm.com/index.php?rid=3309176&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003856%2Fabstract%3Frss%3Dyes With varied work shifts, longer days, and shorter weeks, nursing staff expressed feeling overwhelmed with e-mail. With regular e-mail updates about the latest educational offering, standard changes, and regulatory requirements, many staff complained that compliance was impossible with so many pieces of information coming from many different areas that it was difficult to prioritize. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309176 Fri, 26 Feb 2010 14:57:47 +0100 3309176 http://www.medworm.com/index.php?rid=3309175&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003844%2Fabstract%3Frss%3Dyes Senior Nursing Students, during their child health rotation, researched and planned a field trip for fifth graders visiting the TWU Nursing campus. The purposes of the field trip were (a) to promote the profession of nursing as a viable career choice in the future, (b) to demonstrate how math is incorporated into nursing/medicine on a daily basis, and (c) to demonstrate the importance of accuracy when performing math operations, particularly in the medical field. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309175 Fri, 26 Feb 2010 14:57:46 +0100 3309175 http://www.medworm.com/index.php?rid=3309174&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003832%2Fabstract%3Frss%3Dyes Scenario simulation is becoming widely used as an effective teaching–learning strategy in undergraduate nursing education. This approach replicates real-life situations in a safe environment to provide consistent clinical experiences for all students. The purpose of this descriptive study was to evaluate the effect of scenario simulation on pediatric nursing students' knowledge of sickle cell disease. A pediatric scenario was developed to provide an opportunity for nursing students to enhance assessment skills, increase cultural awareness, and identify the need for developmentally appropriate interventions related to pain. A convenience sample of senior level baccalaureate nursing students (N = 40) participated in the pediatric scenario simulation. The data were collected using a pretest... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309174 Fri, 26 Feb 2010 14:57:46 +0100 3309174 http://www.medworm.com/index.php?rid=3309173&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003820%2Fabstract%3Frss%3Dyes Horizontal hostility must not be tolerated, especially in pediatrics. Hostile work environments are not conducive for nurses, whether in a hospital, a community setting, or even in a university setting. Come and learn why horizontal hostility is ubiquitous, how it effects all of us, and most importantly, how to stop it. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309173 Fri, 26 Feb 2010 14:57:46 +0100 3309173 http://www.medworm.com/index.php?rid=3309172&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003819%2Fabstract%3Frss%3Dyes A series of best practice templates that provide a brief description of the pathology, procedure performed, nursing care needs, possible complications, discharge criteria, and contact information for orders. The purpose was to provide quick and direct access to pertinent information, thereby increasing the comfort level and significant/specific knowledge for nurses unfamiliar with the diverse patient population or diagnoses. This inherently increases the nurse's confidence in her or his ability to provide patient care effectively and safely to the unit patient population and reinforces the physicians' confidence that patients were being well cared for by knowledgeable and capable staff. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309172 Fri, 26 Feb 2010 14:57:46 +0100 3309172 http://www.medworm.com/index.php?rid=3309171&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003807%2Fabstract%3Frss%3Dyes Applying patient care policy and procedure can be consistent in theory; however, access to resources and interpretation of procedure practice is as individual as the patient and challenges of health care staff in providing effective, uniform care. As technology improves, an increasing number of hospitals are making use of standardized media resources to educate staff and improve consistency. However, patient care policies and procedures differ from institution to institution, challenging even the most experienced nurse. One Midwestern pediatric Magnet facility addressed these concerns by implementing a Nursing Resource Guide (NRG): a pragmatic multimedia demonstration of patient care policy/procedure. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309171 Fri, 26 Feb 2010 14:57:46 +0100 3309171 http://www.medworm.com/index.php?rid=3309170&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003790%2Fabstract%3Frss%3Dyes An estimated 54% of pediatric adverse drug events are associated with pediatric IV infusions (Kaushal, Bates, & Landrigan, 2001). Literature supports that use of “smart pump” technology with medication safety software programs. The Institute for Safe Medication Practices adopted the term smart pumps for their ability to reduce medication errors and to gather quality improvement data from the pump or a database server. The Education Coordinator Nursing Products identified the need to increase direct care nurses' consistent utilization of large volume infusion pump medication safety programs in a Midwest freestanding pediatric facility. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309170 Fri, 26 Feb 2010 14:57:46 +0100 3309170 http://www.medworm.com/index.php?rid=3309169&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003789%2Fabstract%3Frss%3Dyes A large pediatric surgical/orthopedic unit recognized the need for a continuing education program specific to its highly specialized patient population. Having a large portion of staff attend education sessions disrupted staffing schedules. A program was conceived, developed, and presented by the staff working on the unit and presented on the unit. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309169 Fri, 26 Feb 2010 14:57:46 +0100 3309169 http://www.medworm.com/index.php?rid=3309168&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003777%2Fabstract%3Frss%3Dyes A partnership with Blue Cross and Blue Shield of Alabama and The Comprehensive Health Education Center for Kids (CHECK Center) at Children's Hospital support a health education and injury prevention exhibit called Body Trek. Body Trek is an interactive mobile unit designed for children in kindergarten through fifth grade. The program began in 1993 and has been visited by more than 96,000 children. The students learn about safety, healthy choices, and how the body works through interactive hands-on stations. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309168 Fri, 26 Feb 2010 14:57:46 +0100 3309168 http://www.medworm.com/index.php?rid=3309167&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003765%2Fabstract%3Frss%3Dyes Literature review shows using checklists can help reduce negative patient outcomes. A paper safety checklist at the time of bedside nursing report is currently used. A Peer Risk Management Liaison, a staff RN, reviews all safety reports on unit and follows up with the nurses from a peer perspective versus a supervisory perspective. In reviewing reports, the liaison noticed an increase in incorrect IV fluids, rates, and peripheral IV infiltrates. Fifty-two percent of patients on unit have some type of venous access device, 31% with peripheral IVs, and 20% with central access. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309167 Fri, 26 Feb 2010 14:57:46 +0100 3309167 http://www.medworm.com/index.php?rid=3309166&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003753%2Fabstract%3Frss%3Dyes Can Helen DeVos Children's Hospital reduce serious safety events by 2010? Helen DeVos Children's Hospital (HDVCH) hired a consultant to look at employee safety behaviors via a survey and interviews. The consultant came up with Scorecard Safety Metrics: Leading Measures, Real-Time Measures, and Lagging. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309166 Fri, 26 Feb 2010 14:57:46 +0100 3309166 http://www.medworm.com/index.php?rid=3309165&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003741%2Fabstract%3Frss%3Dyes Nursing care is an art that is multidimensional, complex, and essential. Nurses provide a magnitude of interventions for patients, ranging from caring for the intubated patient on a multitude of medications to caring for the patient receiving immunizations. Comfort should be our first and last consideration when caring for patients. It is an important aspect of care and provides strength and allows for optimal function, therefore increasing the quality of life. Comfort care should be delivered at all phases of illness but becomes especially important at end of life. This presentation will discuss Swanson's Structure of Caring and how this model applies not only to nursing care but can also be used by other disciplines. The many dimensions of caring will be identified, including the utiliza... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309165 Fri, 26 Feb 2010 14:57:46 +0100 3309165 http://www.medworm.com/index.php?rid=3309164&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900373X%2Fabstract%3Frss%3Dyes At British Columbia Children's Hospital it is a high priority to focus on pediatric nursing professional development to support a quality practice environment. A professional development plan was created through a competency-based education approach and implemented within a personal accountability framework. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309164 Fri, 26 Feb 2010 14:57:46 +0100 3309164 http://www.medworm.com/index.php?rid=3309163&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003728%2Fabstract%3Frss%3Dyes Transforming Care at the Bedside (TCAB) is a 2-year project funded by the Robert Wood Johnson Foundation and led by the American Organization of Nurse Executives. It was initiated to engage frontline care providers in implementing and evaluating changes intended to improve care delivery and patient outcomes. From simple implementations such as discharge follow-up telephone calls to more complex changes such as bedside report, TCAB has been an important mechanism to allow staff members the freedom and creativity to make changes that truly affect patient care. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309163 Fri, 26 Feb 2010 14:57:46 +0100 3309163 http://www.medworm.com/index.php?rid=3309162&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003716%2Fabstract%3Frss%3Dyes In pursuit of Nursing Excellence, CNMC nurses are seeking Magnet Recognition through the American Nurses Credentialing Center (ANCC). As part of the Magnet process, nurses strive to improve performance related to Nurse Sensitive Indicators (NSIs). NSIs reflect the structure, process, and outcomes of nursing care (ANA, 2003). The purpose of this project was to increase patient compliance with preprocedure preparation and to improve family satisfaction with the overall experience. Collectively, the ambulatory nurse selected procedural sedation in the neurology clinic as the NSI. This involves implementing preprocedural education via telephone interaction 24 hours prior to the scheduled appointment for anxiolysis. Historically, the neurology nurse noticed an increased trend in patients arrivi... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309162 Fri, 26 Feb 2010 14:57:46 +0100 3309162 http://www.medworm.com/index.php?rid=3309161&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003704%2Fabstract%3Frss%3Dyes A hospital-based sedation service has become a standard of care in many settings. In our outpatient pediatric radiology and painful procedure setting, patients are evaluated by the nurse practitioner (NP). The appropriateness of sedation is determined through assessment of the patient's medical condition, test to be completed, duration, and pain associated. A plan of care is developed and executed on the day of service by the sedation team. In our current practice model, the NP is the primary provider. In select cases, consultation with the collaborating sedation attending occurs. Care is provided by the sedation nurse with intervention as needed from the NP. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309161 Fri, 26 Feb 2010 14:57:46 +0100 3309161 http://www.medworm.com/index.php?rid=3309160&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003698%2Fabstract%3Frss%3Dyes Pediatric patients often require sedation or anesthesia for radiology imaging and intervention. At The Children's Hospital of Philadelphia, over 200,000 examinations are performed annually. The goal of the nurse triage role is to call scheduled pediatric patients to obtain accurate history and educate patients and families about what they could expect on the day of service. Planning care according to unique needs minimizes day of service delays and cancellations. Our experiences were such that patients were being cancelled because of npo violations, medical issues requiring anesthesia when sedation was scheduled, and consent issues. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309160 Fri, 26 Feb 2010 14:57:46 +0100 3309160 http://www.medworm.com/index.php?rid=3309159&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003686%2Fabstract%3Frss%3Dyes The use of normal saline or dilute heparin as a flush to maintain the patency of peripheral intermittent infusion devices (PIID) has been a controversy in medicine since the 1980s. Most children admitted to an acute health care facility require a PIID. Maintaining patency of the PIID is important to continue administration of intermittent IV medications, minimize number of IV catheter placements, and decrease number of supplies. Because of the side effects related to heparin use, it is important to evaluate the use of normal saline flushes as an alternative to heparin to maintain PIID patency in the pediatric population. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309159 Fri, 26 Feb 2010 14:57:46 +0100 3309159 http://www.medworm.com/index.php?rid=3309158&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003674%2Fabstract%3Frss%3Dyes As surgical care advanced to include more minimally invasive techniques, the surgical population at The Children's Hospital of Philadelphia (CHOP) has evolved from a traditional inpatient length of stay (LOS) of 3 to 7 days, to a significantly shorter LOS—23 hours or less. Data regarding surgical patients were analyzed from FY 2006 through FY 2008. Over this 3-year period, the short stay (SS) surgical population increased nearly 50%. Staffing and work design changes were indicated to keep up with this trend. In order to meet the needs of this changing surgical population, a work redesign project was developed. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309158 Fri, 26 Feb 2010 14:57:45 +0100 3309158 http://www.medworm.com/index.php?rid=3309157&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003662%2Fabstract%3Frss%3Dyes The purpose of the poster is to describe the quality improvement processes used to create and implement an evidence-based risk behaviors screening tool for adolescents aged 12–18 years admitted to the hospital and to report on pilot test outcomes relating to follow-up assessments, education, and referrals. In addition, the dimensions of inpatient risk assessments as guided by the literature review are presented, and the prevalence in the population overall for each area screened, as indicated by the literature search. Illness and injury associated with risk-taking behaviors comprise the area of highest mortality and morbidity for adolescents (CDC, 2006, 2008). In 2009, The Joint Commission (JCAHO, 2009) has identified a National Patient Safety Goal (#15), which requires health care organ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309157 Fri, 26 Feb 2010 14:57:45 +0100 3309157 http://www.medworm.com/index.php?rid=3309156&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003650%2Fabstract%3Frss%3Dyes Patients with tracheostomies are at risk for mucus plugging and accidental decannulation, thus requiring emergency suction and/or changing of the tracheostomy tube. These children are seen in many inpatient and outpatient areas of the hospital. The hospital implemented a standardized Go-Bag to ensure that patients with tracheostomies have the necessary emergency supplies with them at all times. We require the caregivers of patients with tracheostomy tubes to carry supplies that allow them to perform a tracheostomy tube change or suction should the child become distressed. We noticed caregivers carrying these supplies in plastic bags and having only some of the necessary supplies with them. Through a grant from the hospital, we were able to purchase bags and supplies. These Go-Bags are brig... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309156 Fri, 26 Feb 2010 14:57:45 +0100 3309156 http://www.medworm.com/index.php?rid=3309155&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003649%2Fabstract%3Frss%3Dyes Up to two decades may pass before the findings of original research become part of routine clinical practice. There are many strong EBP models available for initiating change in pediatric nursing practice, but the challenge remains how to sustain the change over time. The purpose of this EBP project was to identify the most effective concepts and strategies to sustain change from a variety of different disciplines and develop them into a framework for changing practice. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309155 Fri, 26 Feb 2010 14:57:45 +0100 3309155 http://www.medworm.com/index.php?rid=3309154&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003637%2Fabstract%3Frss%3Dyes Rising methamphetamine use in the United States contributes substantially to the dangers faced every day by drug endangered children (DEC). Methamphetamine exposure is associated with clusters of documented physical and behavioral cues. Symptom clusters may mimic other illnesses. Health care provider pattern recognition of symptom clusters is lacking. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309154 Fri, 26 Feb 2010 14:57:45 +0100 3309154 http://www.medworm.com/index.php?rid=3309153&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003625%2Fabstract%3Frss%3Dyes In a unique role developed at a large pediatric hospital, Evidence-Based Practice Mentors guide staff in implementation of the evidence-based practice (EBP) process. Mentors use a systems-wide approach to integrating evidence into practice. Development of processes, resources, and tools was essential to complete this work. Mentors work closely with staff engaged in EBP to disseminate findings through the development of evidence summaries, poster and podium presentations, and publications. In working with staff, mentors identify strengths and areas for growth as a way to advance staff personally and professionally. A formal program for immersing staff in EBP has also been developed. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309153 Fri, 26 Feb 2010 14:57:45 +0100 3309153 http://www.medworm.com/index.php?rid=3309152&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003613%2Fabstract%3Frss%3Dyes In small pediatric inpatient units and PICUs, despite high acuity, there is often a lack of frequency of patients experiencing deterioration. Concerns from PICU and pediatric nursing staff include a lack of experience in participation in patient codes and in their confidence levels in responding when patients are doing poorly. A review of the literature on both simulation and resuscitation reveals that the opportunity to practice in rapidly changing situations has been shown to improve performance at the “real” patient's bedside. In many institutions, code teams are already assembled, and staff participate in an identified position at each and every resuscitation. Based on this evidence and the formal code team experience, a description of roles during resuscitation was developed. Mult... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309152 Fri, 26 Feb 2010 14:57:45 +0100 3309152 http://www.medworm.com/index.php?rid=3309151&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003601%2Fabstract%3Frss%3Dyes Results from a hospital wide pain prevalence study indicated that patients were experiencing moderate to severe pain without adequate intervention. This motivated a group of nurses to develop a program to improve staff performance and compliance with pain management. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309151 Fri, 26 Feb 2010 14:57:45 +0100 3309151 http://www.medworm.com/index.php?rid=3309150&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003595%2Fabstract%3Frss%3Dyes Children often receive vaccines in multiple places: clinic visits, inpatient, health department, or “open vaccine” events. This may result in lost or scattered immunization records. As a result, using records from a single site may underestimate immunization rates. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309150 Fri, 26 Feb 2010 14:57:45 +0100 3309150 http://www.medworm.com/index.php?rid=3309149&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003583%2Fabstract%3Frss%3Dyes Handwashing has been shown to be the single most effective barrier to reducing the transmission of infections to patients and others in any setting. CDC guidelines for hand hygiene in health care settings (2002) state that based on extensive evidence, improved adherence to hand hygiene (i.e., handwashing or the use of alcohol-based hand rubs) has been shown to terminate infectious disease outbreaks in health care facilities, reduce transmission of antimicrobial resistant organisms, and reduce overall infection rates. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309149 Fri, 26 Feb 2010 14:57:45 +0100 3309149 http://www.medworm.com/index.php?rid=3309148&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003571%2Fabstract%3Frss%3Dyes The shift in our organizational culture surrounding nursing quality was ignited by increased focus on evidence-based nursing practice throughout the country, recent changes in the ANCC's Magnet Recognition Program emphasizing empirical outcomes, and a robust commitment from leaders within our organization to enhance the quality and safety programs. The potential for transitioning the nursing quality improvement model from one that emphasized data collection with minimal analysis to one that actively engaged clinical nurses and promoted sound action planning in response to data was viewed as an exciting opportunity for our staff. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309148 Fri, 26 Feb 2010 14:57:45 +0100 3309148 http://www.medworm.com/index.php?rid=3309147&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900356X%2Fabstract%3Frss%3Dyes The emergency department to Inpatient Transition Task Force is an institution-wide initiative. This task force receives significant support and collaboration from many disciplines including but not limited to administration, physicians, nursing, bed management, respiratory therapy, and environmental services. Improving patient flow from the emergency department to the inpatient unit is a significant issue in today's health care environment. Safe handoff of patient information is critical to this process while ensuring institutional quality and efficiency. The goal of the task force is to improve overall patient flow through the institution. With the support and collaboration of this task force, we were able to successfully implement “Fax and Go.” Fax and Go is the title of the nurse-to... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309147 Fri, 26 Feb 2010 14:57:45 +0100 3309147 http://www.medworm.com/index.php?rid=3309146&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003558%2Fabstract%3Frss%3Dyes Pectus Excavatum is an abnormal condition that occurs in 1 out of every 1,000 children, more so in males than females. This condition is corrected with either the minimally invasive Nuss procedure or the open technique of the Ravitch procedure. Focusing on the Nuss procedure, this poster will include an overview of the procedure, indications for surgery, postoperative nursing care, complications, and patient/family education. Pain management, often a challenge in these patients, will be highlighted. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309146 Fri, 26 Feb 2010 14:57:45 +0100 3309146 http://www.medworm.com/index.php?rid=3309145&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003546%2Fabstract%3Frss%3Dyes J pouch surgery has been a widely accepted surgical treatment for patients with ulcerative colitis as well as those who have been diagnosed with familial polyposis. Recent advances in surgical technique and minimally invasive technology have had a positive impact on the postoperative course of pediatric patients undergoing this procedure. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309145 Fri, 26 Feb 2010 14:57:45 +0100 3309145 http://www.medworm.com/index.php?rid=3309144&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003534%2Fabstract%3Frss%3Dyes Educating medical and nursing staff on the proper methods to assess and care for the pediatric skin associated with diaper dermatitis. Several nurses have questioned the Wound, Ostomy, and Continence Nurse (WOCN) on when, why, how, and what could they do to better assess their patients' incontinence-associated diaper dermatitis (IDD). After participating in an Evidence-Based Scholars program, we came up with guidelines for nurses as well as for parents to follow and to learn the proper method to caring for a child with IDD. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309144 Fri, 26 Feb 2010 14:57:44 +0100 3309144 http://www.medworm.com/index.php?rid=3309143&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003522%2Fabstract%3Frss%3Dyes Medication Preparation Distractions Data for First Floor Ambulatory The following baseline data were obtained initially for this project: (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309143 Fri, 26 Feb 2010 14:57:44 +0100 3309143 http://www.medworm.com/index.php?rid=3309142&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003510%2Fabstract%3Frss%3Dyes The estimated prevalence of hypertension in children is 2%–3% and is likely increasing with the growing obesity epidemic. Prompt detection and evaluation are important in order to decrease morbidity and properly diagnose the etiology of hypertension. Elevated blood pressure readings in childhood and adolescence can correlate to the development of adult hypertension. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309142 Fri, 26 Feb 2010 14:57:44 +0100 3309142 http://www.medworm.com/index.php?rid=3309141&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003509%2Fabstract%3Frss%3Dyes Evaluating the effectiveness of training to monitor both clinical decisions and customer service behaviors is essential. This evaluation process is used initially as a teaching tool to reinforce orientation information. Telephone triage orientation is accomplished using a resource and training manual created with screen shots of step-by-step procedures developed to standardize documentation. Current technology was developed to capture and mine data for each nurse, which is reviewed during monthly rounding sessions led by the clinical coordinator. Evaluation is ongoing for all telephone triage nurses for the purpose of quality assurance and improvement. Calls are evaluated by a customer service agent and by a registered nurse to evaluate clinical decision making, documentation, and utilizat... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309141 Fri, 26 Feb 2010 14:57:44 +0100 3309141 http://www.medworm.com/index.php?rid=3309140&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003492%2Fabstract%3Frss%3Dyes The LEAD (Liaison for Extra Admissions and Discharges) initiative was designed to facilitate the care of pediatric surgical/trauma patients throughout all nursing units at The Children's Hospital of Philadelphia. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309140 Fri, 26 Feb 2010 14:57:44 +0100 3309140 http://www.medworm.com/index.php?rid=3309139&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003480%2Fabstract%3Frss%3Dyes The cost associated with central line associated blood stream infection (CLABSI) is reported as $39,000–$46,000 per episode. Despite valiant efforts by clinicians across the hospital, CLABSI continues to present challenges. In October 2008, Children's Hospital of Philadelphia (CHOP) formed the BSI Advisory, with a goal to eliminate CLABSI and improve patient outcomes. This unique group includes senior leadership physicians and nurses as well as bedside clinicians from each unit: respiratory, infection control, supply chain, nursing education/practice, quality patient safety, radiology. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309139 Fri, 26 Feb 2010 14:57:44 +0100 3309139 http://www.medworm.com/index.php?rid=3309138&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003479%2Fabstract%3Frss%3Dyes Temperature monitoring is an essential component of vital signs in the hospitalized infant. Nurses are responsible for instituting an intervention when a temperature is not in appropriate thermal range. The purpose of our evidence-based review was to gather and critically appraise current literature on the use of tympanic thermometry in infants less than 6 months in order to make recommendations for practice. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309138 Fri, 26 Feb 2010 14:57:44 +0100 3309138 http://www.medworm.com/index.php?rid=3309137&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003467%2Fabstract%3Frss%3Dyes Medication noncompliance can be directly linked to a lack of understanding of medication usage. Because of the increasing population diversity, language barriers, and that most health information is written at a 12th grade reading level, many people may not understand the health information and medication regimen provided to them. Consequently, caregivers return to the emergency department for care because of a lack of understanding of how to take the medications. Thus, the purpose of this project was to implement interventions to increase medication adherence following discharge from an in-patient observational unit. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309137 Fri, 26 Feb 2010 14:57:44 +0100 3309137 http://www.medworm.com/index.php?rid=3309136&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003455%2Fabstract%3Frss%3Dyes Registered nurses, APNs, and student nurses. A total of 5.6 million children in the United States have health conditions associated with moderate to severe limitations in self-care. Historically, care was provided by hospitals and institutions, but nursing shortages, scarce resources, and in-home technology have shifted care to parents. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309136 Fri, 26 Feb 2010 14:57:44 +0100 3309136 http://www.medworm.com/index.php?rid=3309135&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003443%2Fabstract%3Frss%3Dyes Pediatric patients are more vulnerable to tissue and vein injury when receiving peripheral IV fluids than adult patients. A search of the literature revealed a lack of pediatric-specific assessment tools. To improve pediatric IV assessment, identification, and scoring of IV-related injuries, a pediatric specific instrument (PIE Tool) was developed. An investigation has been initiated to determine the validity, reliability, clinical utility, and responsiveness of the developed tool. The two-part investigation will occur on select acute care units of a freestanding pediatric hospital where care is provided to children of all ages. Part 1 involves a pre- and posttest administered to staff nurses. The tests will identify the clinical utility and responsiveness to the PIE Tool in comparison to ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309135 Fri, 26 Feb 2010 14:57:44 +0100 3309135 http://www.medworm.com/index.php?rid=3309134&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003431%2Fabstract%3Frss%3Dyes Self-scheduling is one way to provide nurses greater control over their work/life balance. Self-scheduling may have other benefits as well. Therefore, the clinical question asked was, “Among hospital staff nurses, does self-scheduling increase autonomy, job satisfaction and retention, enhance patient outcomes and/or reduce cost?” (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309134 Fri, 26 Feb 2010 14:57:44 +0100 3309134 http://www.medworm.com/index.php?rid=3309133&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900342X%2Fabstract%3Frss%3Dyes Increasing staff satisfaction is a common issue among nurse managers. The management team of a 40-bed pediatric medical unit noticed that staff morale began to decline. Management felt the mandatory on-call shifts and budget constraints with regard to staffing contributed to the low morale. The institution's nurse manager council submitted baseline data proving a significant number of mandatory on-call shifts were used to maintain staffing. Collection of the data led to the elimination of mandatory on-call shifts and increased FTEs. However, staff believed patient acuities were on a continuous rise, and these acuity levels were not reflected in staffing. As a result of these concerns, the management team felt it was time to change the working environment allowing for increased job satisfac... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309133 Fri, 26 Feb 2010 14:57:44 +0100 3309133 http://www.medworm.com/index.php?rid=3309132&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310000333%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309132 Fri, 26 Feb 2010 14:57:44 +0100 3309132 http://www.medworm.com/index.php?rid=3309131&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310000357%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309131 Fri, 26 Feb 2010 14:57:44 +0100 3309131 http://www.medworm.com/index.php?rid=3309130&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310000345%2Fabstract%3Frss%3Dyes The results of the 2009 Society of Pediatric Nurses (SPN) election are as follows. VICE-PRESIDENT (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309130 Fri, 26 Feb 2010 14:57:44 +0100 3309130 http://www.medworm.com/index.php?rid=3309127&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004084%2Fabstract%3Frss%3Dyes Over the past decade, health coverage for millions of low-income children and their families has been impacted by publicly funded programs such as the Children's Health Insurance Program and Medicaid. There are more than six million children currently eligible for coverage. The Obama administration increased funding for the program that allows coverage for additional enrollees. This comes at a critical time with economic downturn. Participation in professional organizations and attention to legislative reports by pediatric nurses are imperative to support legislation that continues to provide adequate funding for this program. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309127 Fri, 26 Feb 2010 14:57:43 +0100 3309127 http://www.medworm.com/index.php?rid=3309122&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003376%2Fabstract%3Frss%3Dyes The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) was piloted at one NICU. Staff perception of impact and the feasibility of applying the program was explored in a survey and a focus group interview. NIDCAP was perceived to impact positively on infant well-being and parents' way of caring. Although the influence of NIDCAP on staff working conditions and job perfomance was overall positive, their perceptions varied. Presence of the NIDCAP observer and empowerment of parents was challenging to some nurses, especially in terms of decision making in care. Conflicts of interest occurred between staff member need of light and infant need of light reduction. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309122 Fri, 26 Feb 2010 14:57:43 +0100 3309122 http://www.medworm.com/index.php?rid=3309119&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900339X%2Fabstract%3Frss%3Dyes I recently read the article “Parental preference or child well-being: An ethical dilemma” in the Journal of Pediatric Nursing. The analysis and resolution for the ethically complicated case reported by was very impressive. I am grateful to the author for sharing the case study that encourages nurses working with children and families to actively contribute to the coordination of care for children with diverse cultural backgrounds. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309119 Fri, 26 Feb 2010 14:57:43 +0100 3309119 http://www.medworm.com/index.php?rid=3309118&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596310000023%2Fabstract%3Frss%3Dyes Periodically, over the past 25 years since the first issue of the Journal of Pediatric Nursing (JPN) was published, the team of editors associated with the journal changes as members have determined that it is time to pursue other professional opportunities or seek respite from the very intense demands associated with an editorship. With the departure of long-standing professional associates comes the advent of partnerships with new team members of committed and outstanding professionals who are eager to share their expertise and fresh perspectives. I would like to announce the range of changes—the departures and the addition of new members of the JPN editorial team. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309118 Fri, 26 Feb 2010 14:57:43 +0100 3309118 http://www.medworm.com/index.php?rid=3147611&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003042%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147611 Thu, 07 Jan 2010 14:45:28 +0100 3147611 http://www.medworm.com/index.php?rid=3147610&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003030%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147610 Thu, 07 Jan 2010 14:45:28 +0100 3147610 http://www.medworm.com/index.php?rid=3147609&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003029%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147609 Thu, 07 Jan 2010 14:45:28 +0100 3147609 http://www.medworm.com/index.php?rid=3147608&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003017%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147608 Thu, 07 Jan 2010 14:45:28 +0100 3147608 http://www.medworm.com/index.php?rid=3147606&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309004072%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147606 Thu, 07 Jan 2010 14:45:28 +0100 3147606 http://www.medworm.com/index.php?rid=3147595&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309003352%2Fabstract%3Frss%3Dyes Editor's Note: I wish to extend my appreciation to Drs. Vessey and Turner-Henson for this issue's editorial regarding this important public health issue impacting children and their families. Cecily L. Betz, PhD, RN, FAAN (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147595 Thu, 07 Jan 2010 14:45:26 +0100 3147595 http://www.medworm.com/index.php?rid=3147594&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900308X%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147594 Thu, 07 Jan 2010 14:45:26 +0100 3147594 http://www.medworm.com/index.php?rid=3010618&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002899%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010618 Fri, 20 Nov 2009 14:45:00 +0100 3010618 http://www.medworm.com/index.php?rid=3010617&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002887%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010617 Fri, 20 Nov 2009 14:45:00 +0100 3010617 http://www.medworm.com/index.php?rid=3010616&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002863%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010616 Fri, 20 Nov 2009 14:45:00 +0100 3010616 http://www.medworm.com/index.php?rid=3010615&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002553%2Fabstract%3Frss%3Dyes A 6 1/2-year-old Caucasian female presents for her annual pediatric checkup with her mother. Her mother reports some increased moodiness, but otherwise, there are no complaints. The girl has always been tall for her age, but in the past 6 months, she has grown taller than her 8-year-old sister. The nurse practitioner notes the following on physical examination: height = 131 cm (>97th percentile), weight = 23 kg (75th percentile), Tanner I breasts, Tanner II pubic hair. Examination is otherwise normal. Looking at the growth chart, the nurse practitioner sees that the growth has accelerated from the 90th percentile to the 97th percentile for height. She orders a bone-age x-ray of the left hand and tells the mother that she is going to speak to an endocrinologist about this case. (Source: Jou... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010615 Fri, 20 Nov 2009 14:45:00 +0100 3010615 http://www.medworm.com/index.php?rid=3010614&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002620%2Fabstract%3Frss%3Dyes The Society of Pediatric Nurses (SPN) will celebrate its 20th anniversary at its annual convention being held on April 29–May 2, 2010, at the Hilton in the Walt Disney World Resort. Exhibit dates are April 29–30, 2010. Your company is invited to take advantage of the exhibit and sponsor opportunities at this special event and to become a corporate member; with benefits that extend throughout the year. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010614 Fri, 20 Nov 2009 14:45:00 +0100 3010614 http://www.medworm.com/index.php?rid=3010612&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900236X%2Fabstract%3Frss%3Dyes This study aimed to illuminate the meaning of being afraid when in contact with medical care, as narrated by children 7–11 years old. Nine children participated in the study, which applied a phenomenological hermeneutic analysis methodology. The children experienced medical care as “being threatened by a monster,” but the possibility of breaking this spell of fear was also mediated. The findings indicate the important role of being emotionally hurt in a child's fear to create, together with the child, an alternate narrative of overcoming this fear. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010612 Fri, 20 Nov 2009 14:45:00 +0100 3010612 http://www.medworm.com/index.php?rid=3010601&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002656%2Fabstract%3Frss%3Dyes A recent Associated Press–GfK poll () showed that a sizable percentage of parents, amounting to 38% of those surveyed, indicated that they would not permit their children to receive the H1N1 vaccination at school. Reasons offered by parents opposed or hesitant to allow their children to be vaccinated were fears associated with untoward side effects. Prominent among concerns was the fact that thimerosal, a mercury-based preservative is one of the ingredients of the injectable form of the vaccination; it is not in the FluMist spray (. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010601 Fri, 20 Nov 2009 14:44:59 +0100 3010601 http://www.medworm.com/index.php?rid=3010600&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002905%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010600 Fri, 20 Nov 2009 14:44:58 +0100 3010600 http://www.medworm.com/index.php?rid=3147607&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002644%2Fabstract%3Frss%3Dyes As a pediatric nurse, have you ever wondered whether you're missing the diagnosis of a patient? Have you cared for a young girl who has short stature and frequent ear infections or an adolescent girl without breast tissue? Would you be concerned? If so, would you consider the diagnosis of Turner syndrome? It may be problematic for the pediatric nurse to identify this condition due to the wide array of presentation and physical characteristics. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147607 Thu, 19 Nov 2009 00:00:00 +0100 3147607 http://www.medworm.com/index.php?rid=3309129&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002395%2Fabstract%3Frss%3Dyes This article presents the research process, the interventions employed, and family and staff perceptions of family and centered care pre and post intervention. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309129 Mon, 19 Oct 2009 00:00:00 +0100 3309129 http://www.medworm.com/index.php?rid=3147604&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002322%2Fabstract%3Frss%3Dyes We are in the midst of heated debates and deal-making by Congress and various stakeholders for a revised health care system in the United States, one which is expected to provide better access to resources, focus on prevention and outcomes, reduce waste, and cost less. Well, I sure hope so! We have witnessed the alarming upward spiral of health care costs with embarrassing statistics for the status of our population in comparison with other developed countries in the world. In a summary article about the possible consequences of reform (), the United States ranks 18th in preventable deaths among the industrialized nations of the world. With a shift to a Medicare-type system, insurance companies are likely to lose subscribers and hospitals, and physician providers would lose significant rei... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147604 Fri, 09 Oct 2009 00:00:00 +0100 3147604 http://www.medworm.com/index.php?rid=2837542&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002085%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2837542 Mon, 28 Sep 2009 17:07:54 +0100 2837542 http://www.medworm.com/index.php?rid=2837541&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002073%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2837541 Mon, 28 Sep 2009 17:07:54 +0100 2837541 http://www.medworm.com/index.php?rid=2837540&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001626%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2837540 Mon, 28 Sep 2009 17:07:54 +0100 2837540 http://www.medworm.com/index.php?rid=2837539&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002309%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2837539 Mon, 28 Sep 2009 17:07:53 +0100 2837539 http://www.medworm.com/index.php?rid=2837536&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596307001455%2Fabstract%3Frss%3Dyes The purpose of this study was to assess the quality of life of Greek survivors of childhood cancer by addressing the physical, psychological, spiritual, and social dimensions of their functioning. The SF-36 Health Survey and the Quality of Life Questionnaire, which was designed for this study, were used. Survivors' scores on most subscales of SF-36 were similar to those of controls, despite some difficulties in their daily activities. They perceived self as more susceptible to health problems, but also more mature and grounded. Generally, they seem to adapt well and focus on the positive aspects of their cancer experience, which enhances the meaning and quality of their life. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2837536 Mon, 28 Sep 2009 17:07:53 +0100 2837536 http://www.medworm.com/index.php?rid=2837528&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002012%2Fabstract%3Frss%3Dyes Curiously, the intense debate pertaining to health care reform has directed scant attention to the current and growing shortage of health care professionals, including registered nurses (RNs), to provide health care to the American public. This workforce shortage of RNs will surpass 1 million by 2016, just 7 years away. This labor crisis will be exacerbated with the projected extension of health care coverage to at least 15 million more Americans, with the goal of ensuring all Americans, estimated at 45.6 million, who do not currently have health insurance (). The has affirmed support for health reform, although currently it is not known what provisions would be contained in the final legislation. An early proposal draft from the House of Representatives contains provisions that include un... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2837528 Mon, 28 Sep 2009 17:07:52 +0100 2837528 http://www.medworm.com/index.php?rid=2837527&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309002139%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2837527 Mon, 28 Sep 2009 17:07:52 +0100 2837527 http://www.medworm.com/index.php?rid=3309128&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001699%2Fabstract%3Frss%3Dyes MANY OF US remember a time when mental retardation (MR) affected significant numbers of children and adults. Before the 1960s, phenylketonuria (PKU) and several other preventable causes of developmental delay severely disabled thousands of children each year. reported that between 1950 and 2000, detection and treatment programs for seven conditions associated with MR (congenital syphilis, Rh hemolytic disease of newborns, measles, Haemophilus influenzae B meningitis, congenital hypothyroidism, PKU, and congenital rubella syndrome) reduced their prevalence from 16.5% to 0.005% as causes of MR in the United States. Although this is an impressive drop, Brosco et al. noted that these conditions represent only a small part of the overall prevalence of MR today. Nevertheless, this valuable revie... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309128 Fri, 07 Aug 2009 00:00:00 +0100 3309128 http://www.medworm.com/index.php?rid=2643275&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001651%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643275 Tue, 28 Jul 2009 11:20:30 +0100 2643275 http://www.medworm.com/index.php?rid=2643274&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900164X%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643274 Tue, 28 Jul 2009 11:20:30 +0100 2643274 http://www.medworm.com/index.php?rid=2643273&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001638%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643273 Tue, 28 Jul 2009 11:20:30 +0100 2643273 http://www.medworm.com/index.php?rid=2643272&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001249%2Fabstract%3Frss%3Dyes I am honored to be the new editor of the Pediatric Endocrinology Nursing Society (PENS) Column. This column will publish articles authored by PENS members that are relevant to pediatric endocrine nurses and of interest to the readership in general. The article in this issue is an example of the vision for this column. Children with vitamin D deficiency may have an endocrine disorder or may simply have a dietary deficiency managed by primary care pediatric providers. I look forward to the future submissions from the PENS membership. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643272 Tue, 28 Jul 2009 11:20:28 +0100 2643272 http://www.medworm.com/index.php?rid=2643271&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001390%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643271 Tue, 28 Jul 2009 11:20:26 +0100 2643271 http://www.medworm.com/index.php?rid=2643258&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001687%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643258 Tue, 28 Jul 2009 11:20:21 +0100 2643258 http://www.medworm.com/index.php?rid=3010613&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001419%2Fabstract%3Frss%3Dyes Infants receive many painful immunizations before they are 2 years old. The purpose of this study was to evaluate if topical tetracaine reduces the pain of intramuscular palivizumab compared to placebo. There were two study injections, one with tetracaine and one with placebo. Pain was scored by their parents and a pediatric nurse. Topical tetracaine was not associated with a significant reduction in pain score, although it did lead to faster recovery times. Additional pain-reduction strategies are required. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010613 Fri, 10 Jul 2009 00:00:00 +0100 3010613 http://www.medworm.com/index.php?rid=3010611&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001201%2Fabstract%3Frss%3Dyes NOW'S THE TIME to be prepared for disasters, especially as we brace ourselves for another hurricane season, typically threatening U.S. southern coasts from June through November each year (http://www.nhc.noaa.gov/). We can all recall the devastation after the levees broke in the wake of Hurricane Katrina, now recognized at the most costly natural disaster to hit the United States (). According to the U.S. Department of Health and Human Services, more than 1,800 lives were lost and an estimated $81 billion in damages were incurred (http://www.hhs.gov/disasters/emergency/naturaldisasters/hurricanes/katrina/index.html). (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010611 Fri, 10 Jul 2009 00:00:00 +0100 3010611 http://www.medworm.com/index.php?rid=3147605&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001213%2Fabstract%3Frss%3Dyes An ethical dilemma that is not uncommon to encounter when caring for children occurs when parental preference does not appear to be in the child's best interest. Challenges facing the health care team are further amplified when the family's cultural background does not match that of the team. A case study will be used to illustrate the challenges of a pediatric palliative care ethical dilemma further complicated by cultural diversity. Review of the child's medical condition, patient/parent preferences, quality of life, and contextual features will be followed by an analysis and recommendations for resolution of this challenging situation. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147605 Fri, 03 Jul 2009 00:00:00 +0100 3147605 http://www.medworm.com/index.php?rid=2837538&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001225%2Fabstract%3Frss%3Dyes This article discusses some of the major concerns about vaccines, including their safety, immunogenicity, and the development of national immunization programs. It concludes that although vaccines are overwhelmingly safe, constant vigilance is required. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2837538 Sun, 21 Jun 2009 23:00:00 +0100 2837538 http://www.medworm.com/index.php?rid=3010607&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308003333%2Fabstract%3Frss%3Dyes The prevalence of overweight in adolescents with its associated outcomes continues to be a major public health concern. The purpose of this study was to assess whether adolescents perceived their weight accurately and to determine the relationships among perceived and actual weight, depression, anxiety, anger, disruptive behavior, and self-concept in minority adolescents. A descriptive, correlational design was conducted with 33 adolescents. Questions regarding weight perception, depression, anxiety, anger, disruptive behavior, and self-concept were correlated with body fat percentile, body mass index (BMI), and BMI percentile. Findings indicated that adolescent perception of overweight was positively related to actual weight and negatively related to self-esteem and disruptive behavior. ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010607 Thu, 18 Jun 2009 00:00:00 +0100 3010607 http://www.medworm.com/index.php?rid=3147602&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630800300X%2Fabstract%3Frss%3Dyes Conclusions: Differential effects of intervention on PA by gender and mother's psychological resources highlight the importance of subgroup analyses. Identification of groups most likely to benefit may lead to more successful interventions. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147602 Mon, 15 Jun 2009 00:00:00 +0100 3147602 http://www.medworm.com/index.php?rid=3147603&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308004089%2Fabstract%3Frss%3Dyes This cross-sectional study was designed to assess the predictors of coping behaviors of 147 Lebanese parents (101 mothers and 46 fathers) with a child with intellectual disability. It assessed the contribution of child's and parent's characteristics, informal social support, and stress on the coping behaviors of fathers and mothers. Multiple regression analysis confirmed that the father's education, informal social support, and stress were the best predictors of coping. The child's age, severity of illness, and parental health did not significantly contribute to predicting coping behaviors. Contrary to expectations in a Middle Eastern culture, both fathers and mothers reported similar levels of stress, perceived informal social support, and coping. Although informal social support cannot b... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147603 Wed, 10 Jun 2009 00:00:00 +0100 3147603 http://www.medworm.com/index.php?rid=3147599&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308003114%2Fabstract%3Frss%3Dyes IN A REVIEW of the empirical research on children's resilience, concluded that children's successful adaptation to circumstances that pose serious threats to their physical or psychological well-being are usually a function of normative developmental processes such as healthy, help-giving parent–child relationships. Increasing attention to the family/systems approach in pediatric medicine also has led to a greater appreciation of the roles of competent family functioning and parental support in children's adjustment to a broad range of pediatric conditions and experiences (). Unfortunately, parents' stress reactions to the diagnosis and treatment of pediatric illness, injury, or victimization as well as their increased involvement in the physical care of young patients may tax their copi... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147599 Thu, 04 Jun 2009 00:00:00 +0100 3147599 http://www.medworm.com/index.php?rid=3147596&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308003321%2Fabstract%3Frss%3Dyes Discussion: The results from this study indicate that binaural auditory beat stimulation did not significantly reduce the symptom of inattention in the experimental group. However, parents and adolescents stated that homework problems due to inattention improved during the 3-week study. Parents and participants stated that the modality was easy to use and helpful. Therefore, this modality should be studied over a longer time frame in a larger sample to further its effectiveness to reduce the symptom of inattention in those diagnosed with attention-deficit/hyperactivity disorder. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147596 Thu, 04 Jun 2009 00:00:00 +0100 3147596 http://www.medworm.com/index.php?rid=3309120&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308002972%2Fabstract%3Frss%3Dyes Conclusion: Complications of infection and granulation tissue occur frequently and likely are a cause of stress and increased burden of care for these children and families. Improved strategies for care are needed. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309120 Mon, 01 Jun 2009 00:00:00 +0100 3309120 http://www.medworm.com/index.php?rid=2434836&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000876%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434836 Wed, 27 May 2009 03:00:05 +0100 2434836 http://www.medworm.com/index.php?rid=2434835&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000864%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434835 Wed, 27 May 2009 03:00:03 +0100 2434835 http://www.medworm.com/index.php?rid=2434834&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000888%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434834 Wed, 27 May 2009 03:00:02 +0100 2434834 http://www.medworm.com/index.php?rid=2434833&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000578%2Fabstract%3Frss%3Dyes Noonan syndrome (NS) is characterized by short stature, dysmorphic facial features, and congenital heart defects. Its published incidence is 1:1000 to 1:2500 live births with an equal male-to-female ratio of occurrence. Although NS is transmitted as an autosomal dominant trait, 60% of known cases are sporadic. Mutations in specific genes of the RAS-MAPK pathway underlie the pathological cause of NS. Missense mutations in the protein tyrosine phosphatase, non-receptor-Type 11 gene (PTPN11) occur in approximately 50% of NS cases. NS may also involve mutations in the KRAS, SOS1, and RAF1 genes, with each mutation resulting in different features of the NS phenotype. These gene mutations account for only 65% of clinical cases of NS, making it necessary to diagnose NS according to clinical crite... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434833 Wed, 27 May 2009 02:59:37 +0100 2434833 http://www.medworm.com/index.php?rid=2434832&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000566%2Fabstract%3Frss%3Dyes Approximately 10% of children born small for gestational age (SGA) do not achieve catch-up growth. These children are also at risk for specific health issues, and recent literature has provided recommendations for the management of this patient population. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434832 Wed, 27 May 2009 02:59:29 +0100 2434832 http://www.medworm.com/index.php?rid=2434831&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000554%2Fabstract%3Frss%3Dyes Effective delivery of subcutaneous medication is vital for the health of children with disorders such as growth hormone deficiency and Type 1 diabetes. Current manufacturing technologies have enabled the production of needles that are thinner and shorter than previously possible. The purpose of this poster is increase awareness among pediatric endocrine nurses of specific concerns regarding injection practices of children who require daily injections. A review of the literature found no studies that focused on needle length or gauge and efficacy of delivery. Manufacturers “suggest” various needles for particular patients apparently based on thickness of skin or subcutaneous fat. Communications with Novo Nordisk (2007) did not reveal any internal testing of efficacy or pain of growth ho... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434831 Wed, 27 May 2009 02:59:04 +0100 2434831 http://www.medworm.com/index.php?rid=2434830&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000542%2Fabstract%3Frss%3Dyes Provocative stimulation is an important tool used to evaluate patients for certain endocrinopathies. Although there are many testing protocols and stimulating agents, the basic testing principle remains consistent. Most stimulation testing protocols require baseline blood sampling of hormones. The patient receives a stimulating agent by subcutaneous, intramuscular, or intravenous injection; and additional blood samples are collected at specified time intervals to measure the patient's hormonal response to the stimulus given. Stimulation testing is useful in diagnosing growth hormone deficiency, adrenal disorders, and pubertal disorders. Performing stimulation testing in the outpatient clinic has become increasingly difficult. The testing procedure has not changed, but other challenges have... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434830 Wed, 27 May 2009 02:58:44 +0100 2434830 http://www.medworm.com/index.php?rid=2434829&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000530%2Fabstract%3Frss%3Dyes As insurers tighten requirements to prove medical necessity and increasingly mandate product switching, health care providers carry the burden of assuring that patients receive prescribed care. This requires providers to support and track patients through an arduous and ongoing process to obtain and maintain access to Norditropin [somatropin (rDNA origin)]. The complexity is compounded by increasing patient loads and frequently shifting formularies. Convenient and effective support for this process is valued, especially when it can be personalized to fit the needs of individual health care providers. Norditropin requires a long-term commitment by the patient, caregiver(s), and health care providers, beginning with prior authorization and extending throughout the treatment process. This pro... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434829 Wed, 27 May 2009 02:58:15 +0100 2434829 http://www.medworm.com/index.php?rid=2434828&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000529%2Fabstract%3Frss%3Dyes An improved pen device with soft push technology for administering growth hormone (GH) NordiFlex (trademark of Novo Nordisk Health Care AG) has been developed. The aim of this study is to evaluate dose force improvements of NordiFlex (5, 10, and 15 mg) compared with the current version of Norditropin NordiFlex (registered trademark of Novo Nordisk Health Care AG; 5, 10, and 15 mg). (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434828 Wed, 27 May 2009 02:57:52 +0100 2434828 http://www.medworm.com/index.php?rid=2434827&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000517%2Fabstract%3Frss%3Dyes Eleven-year-old Caucasian boy. J.H. when 6 years old was diagnosed with Type 1 diabetes. He did well on Novolog insulin via insulin pump. His serum glucose levels for the most part remained in the target range, and he never required hospitalization for diabetic ketoacidosis. His HbA1c's ran between 6.0% and 7.4%. At 11 years of age, he presented in the diabetes clinic for routine follow-up. He complained of intermittent epigastric discomfort and also occasional loose stools. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434827 Wed, 27 May 2009 02:57:39 +0100 2434827 http://www.medworm.com/index.php?rid=2434826&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000505%2Fabstract%3Frss%3Dyes S.J. is a 10-year-old Caucasian boy with a history of precocious puberty. He has been followed in the endocrine clinic for 2 years. S.J. has a significant past history of neurofibromatosis Type 1 (NF1) and presented with signs and symptoms of early puberty manifesting as rapid linear growth, height above the 97% for age, and deepening of his voice, which had been noted by his primary care physician. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434826 Wed, 27 May 2009 02:57:24 +0100 2434826 http://www.medworm.com/index.php?rid=2434825&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000499%2Fabstract%3Frss%3Dyes A.S. is a 10-year-old Caucasian girl. A.S. was referred to the practice for possible diabetes with a history of positive urine glucose. She presented with a fasting blood glucose of 191 mg/dl; a HbA1C of 8.9%; a height of 160 cm (>97th percentile) and weight of 67.8 kg (>97th percentile). Because of her clinical presentation and elevated C-peptide level, a diagnosis of Type 2 diabetes was made. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434825 Wed, 27 May 2009 02:56:59 +0100 2434825 http://www.medworm.com/index.php?rid=2434824&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000487%2Fabstract%3Frss%3Dyes The patient is a African American boy aged 16 years 10 months residing in an inner city apartment with his mother and sister. He attends a special education class. Family history is significant for Type 2 diabetes mellitus in both maternal grandparents. Father's medical history is not known. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434824 Wed, 27 May 2009 02:56:44 +0100 2434824 http://www.medworm.com/index.php?rid=2434823&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000475%2Fabstract%3Frss%3Dyes N.S. is an 8 1/2-year-old boy with new-onset hypoglycemia and a suspected insulinoma. N.S. was referred to us with persistent hypoglycemia s/p resection of pancreatic head and Roux-en-Y anastomosis of the tail to the jejunum. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434823 Wed, 27 May 2009 02:56:35 +0100 2434823 http://www.medworm.com/index.php?rid=2434822&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000463%2Fabstract%3Frss%3Dyes AA is a 12-month-old Indian American female. AA was in her usual state of good health until she developed a vomiting illness. After 18 hours, she had tachypnea and decreased level of consciousness (LOC). In the emergency department on physical examination, she was unresponsive, tachypneic, and had hepatomegaly. Laboratory evaluation included the following: serum glucose (BG) = 13 mg/dl, urine ketones = +4, arterial pH = 6.85. Treatment included intravenous dextrose and sodium bicarbonate. BG improved rapidly, and her LOC improved within 12 hours. Metabolic acidosis persisted for 36 hours despite aggressive treatment. An etiology for the hypoglycemia and acidosis was not immediately identified. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434822 Wed, 27 May 2009 02:56:21 +0100 2434822 http://www.medworm.com/index.php?rid=2434821&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000451%2Fabstract%3Frss%3Dyes GH prescribing and monitoring practices have evolved based upon rhGH availability, hormonal assays, and treatment (Rx) experience with expanded indications. Debates regarding diagnostic and treatment paradigms emphasize lack of extensive evidence for current practices. Postmarketing surveillance rhGH databases (GH Registries) may provide evidence to guide future practice. Study coordinators, often nurses, play a vital role to assure data are complete and correct to maintain the integrity of a registry. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434821 Wed, 27 May 2009 02:56:06 +0100 2434821 http://www.medworm.com/index.php?rid=2434820&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630900044X%2Fabstract%3Frss%3Dyes Inappropriate puberty in the pediatric population is frequently controlled with the use of monthly intramuscular injections of depot GnRH agonist (GnRHa). Currently the gynecologic preparation of GnRHa (intramuscularly every three months) is not indicated by the Food and Drug Administration for the treatment of precocious puberty. There are limited clinical trials determining the efficacy of the three month form in pediatric patients for pubertal suppression. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434820 Wed, 27 May 2009 02:56:01 +0100 2434820 http://www.medworm.com/index.php?rid=2434819&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000621%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434819 Wed, 27 May 2009 02:56:00 +0100 2434819 http://www.medworm.com/index.php?rid=2434818&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000025%2Fabstract%3Frss%3Dyes We are optimistic in this new political era for greater protections and respect for our environments from industrial and governmental leaders. In 2001, the National Institutes of Health National Institute of Environmental Health Sciences (NIEHS) established the Toxicogenomics Research Constortium to coordinate the multiple efforts in toxicology using new gene-based technologies, specifically DNA chip technology to understand the harmful effects of environmental chemicals on human life (visit the NIEHS website, http://www.niehs.nih.gov/news/evetns/pastmtg/2004/cfitag/index.cfm). Up to that time and continuing today, cellular and computational technologies have allowed us to study the patterns of reactions that toxic substances have on human health. , writing in the New York Times explained ... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434818 Wed, 27 May 2009 02:55:34 +0100 2434818 http://www.medworm.com/index.php?rid=2434817&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308002996%2Fabstract%3Frss%3Dyes In families with children with genetic conditions, information management may influence how parents view their child; their reproductive decision making; and how, when, what, and why they communicate about the condition to other family members. The purpose of this study was to identify unique patterns of information management and to explore the relationship between these patterns and individual and family characteristics and functioning. The sample was composed of 142 parents in 86 families in which a child had a single-gene condition. Four distinct information management patterns were identified that varied in the parents' understanding of the genetic aspects of the condition: accurate understanding-open (35%, n = 30), accurate understanding-selective (24%, n = 21), discrepant understand... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434817 Wed, 27 May 2009 02:55:18 +0100 2434817 http://www.medworm.com/index.php?rid=2434816&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001237%2Fabstract%3Frss%3Dyes In the April issue of Journal of Pediatric Nursing (Journal of Pediatric Nursing 2009; 24:e1-18) two abstracts from the 2009 SPN Convention were omitted. A corrected version can be found online at www.pediatricnursing.org. We sincerely apologize for the error. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434816 Wed, 27 May 2009 02:55:13 +0100 2434816 http://www.medworm.com/index.php?rid=2434815&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309001092%2Fabstract%3Frss%3Dyes (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2434815 Wed, 27 May 2009 02:55:11 +0100 2434815 http://www.medworm.com/index.php?rid=3147600&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308002935%2Fabstract%3Frss%3Dyes This article will describe an innovative themed program that incorporates communication, teamwork, and fun into competency assessment. This technique allows for the tailoring of validation to the needs of the individual and the team. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3147600 Wed, 27 May 2009 00:00:00 +0100 3147600 http://www.medworm.com/index.php?rid=3010609&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308002960%2Fabstract%3Frss%3Dyes This study was undertaken to improve the cultural and linguistic sensitivity of an established parent-mentor training curriculum for Latino parents of young children newly diagnosed with type 1 diabetes. The cultural sensitivity of curriculum components was determined by interviewing four Latino mothers raising five children (aged 7 to 12 years) with type 1 diabetes. The mothers recommended offering resources in English and Spanish, including access to bilingual taxi service, providing access to family diabetes education on child development and preparation of healthy traditional cultural foods, and training for babysitting children with diabetes. They also suggested offering after-school and weekend diabetes clinics to decrease interference with work and school activities. (Source: Journa... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010609 Wed, 27 May 2009 00:00:00 +0100 3010609 http://www.medworm.com/index.php?rid=3010608&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308002662%2Fabstract%3Frss%3Dyes Although much has been written regarding ill adolescents, research has not described their spiritual response. The purpose of this descriptive phenomenological study was to describe the lived experiences of spirituality in adolescents with Duchenne muscular dystrophy using van Manen's phenomenological method. Findings from nine teens showed that the essential theme of spirituality was “longing,” the strong desire for something unattainable. Consistent with Reed's (1992) paradigm for understanding spirituality, participants mediated their longing through “Connecting with others, self, and beyond self.” These findings support the need for nursing to assess spirituality in teens and determine developmentally appropriate interventions to ameliorate longing. (Source: Journal of Pediatri... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010608 Wed, 27 May 2009 00:00:00 +0100 3010608 http://www.medworm.com/index.php?rid=3010605&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308002650%2Fabstract%3Frss%3Dyes The purpose of this descriptive phenomenological study was to describe homeless adolescent mothers' experiences of caring for their children while living in a shelter. Eight homeless adolescent mothers participated in the study. Data were analyzed using Colaizzi [Colaizzi, P. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King (Eds.) Existential Foundations of Psychology (chapter 3). New York, NY: Oxford University Press]. Five themes were generated: (a) tough and troubling times, (b) acting out, (c) wishing it undone, (d) hostile encounters, and (e) steering clear. Nurses working with homeless families may help these young mothers cope with the demands of shelter living while keeping in mind that distinctive support needs may arise during different tim... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010605 Fri, 15 May 2009 00:00:00 +0100 3010605 http://www.medworm.com/index.php?rid=3010604&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308002984%2Fabstract%3Frss%3Dyes Nurse researchers who seek to study the experiences of adolescents have limited resources to assist them with the process. Although some elements of interviewing are standard practice, special approaches are needed for the adolescent participating in research. Interviews are especially challenging. The purpose of this article is to present strategies to assist researchers as they engage this cohort in research. These strategies include evaluating the adolescent's developmental level, designing developmentally appropriate questions, and refining interviewing techniques to optimize the experience for the participants. Strategies presented are useful to clinicians who wish to establish a therapeutic rapport with young patients. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3010604 Fri, 15 May 2009 00:00:00 +0100 3010604 http://www.medworm.com/index.php?rid=3309123&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308003874%2Fabstract%3Frss%3Dyes Patient-handling tasks have historically been recognized as the primary cause for musculoskeletal disorders among the nursing workforce. Children's Hospitals and Clinics of Minnesota (Children's) implemented an innovative and industry-leading pediatric safe patient-handling program to minimize the frequency of occupational injuries associated with patient-handling tasks. An analysis of workers' compensation claims revealed that the rate of postimplementation incidents was reduced by 71.4% when compared with Children's preimplementation incidence rate. A review of risk perception surveys illustrated that most patient-handling tasks at Children's were perceived to be significantly less risky after implementation. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309123 Mon, 20 Apr 2009 00:00:00 +0100 3309123 http://www.medworm.com/index.php?rid=2643268&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000414%2Fabstract%3Frss%3Dyes The story of Exodus in the Bible describes the 10 plagues that visited the Pharaoh and the Egyptians. Moses, Aaron, and the Israelites escaped the destruction of the plagues as they begged for their freedom to return to their native land. The eighth plague, locusts, destroyed the crops and resulted in scarcities of grains for the population and livestock. Famine, extreme hunger due to shortage of food and adequate nutrition, is now seen is several areas of the world, particularly in Africa. The continuing political unrest, economic mismanagement, and growing population have combined to force farmers to cultivate nutrient-poor land on the edges of the rain forests (). If two thirds of the estimated 750 million people in Africa depend on agriculture for their livelihood and fertilizer is una... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643268 Tue, 14 Apr 2009 23:00:00 +0100 2643268 http://www.medworm.com/index.php?rid=2643267&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308003746%2Fabstract%3Frss%3Dyes Routine growth monitoring is crucial for all children. American Academy of Pediatrics guidelines state that children should be measured annually, but some children may not routinely be evaluated by primary care providers. Inpatient admissions provide the opportunity to identify growth disorders. The purpose of this study was to obtain data on the linear measuring practices in an urban children's hospital. Charts were reviewed from a random sample of 200 children who were admitted; 57% were measured, 42% had measurements plotted on growth charts, and 24% had measurements plotted correctly. Ongoing education is necessary for nursing staff to accurately obtain and plot measurements. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643267 Tue, 14 Apr 2009 23:00:00 +0100 2643267 http://www.medworm.com/index.php?rid=3309126&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000384%2Fabstract%3Frss%3Dyes Nursing research in adolescent health risk behavior is lacking because there are few comprehensive nursing models to guide it. Nurses need to understand what influences adolescents to engage in health risk behavior or to refrain from it. The Integrative Model of Adolescent Health Risk Behavior was developed to guide adolescent nursing research using existing theoretical and empirical data. Components include protective/escalatory factors, risk stimulus, maturity of judgment (as a meditational influence), and the risk decision (dichotomized into risk avoidance and taking). The model will facilitate development of nursing interventions to increase health protection by discouraging adolescents from making unhealthy choices. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309126 Mon, 13 Apr 2009 00:00:00 +0100 3309126 http://www.medworm.com/index.php?rid=3309124&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630800403X%2Fabstract%3Frss%3Dyes Continuous infusion medications are associated with fatal adverse events in pediatric intensive care units. The effect of computerized orders on detecting infusion pumps programming errors has never been studied. Using a crossover design, we examined the effect of using computerized orders for continuous infusions as compared with that of using handwritten orders on nurse ability to detect infusion pump programming errors, time required to verify pump settings, and user satisfaction. The computerized orders saved nurses time but did not improve their ability to detect infusion pumps programming errors. Nurses preferred computerized orders. High error rate was related to manual calculations and inconsistent use of computerized orders. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309124 Thu, 09 Apr 2009 00:00:00 +0100 3309124 http://www.medworm.com/index.php?rid=3309121&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596308003758%2Fabstract%3Frss%3Dyes In this article, the concept of intimacy is presented as developing concurrent with identity as the basis for exploring the foundations of intimate relationships in adolescents. Researchers explore intimacy as perceived by female adolescents aged 15–18 years regarding heterosexual dating relationships. Both the process toward intimate relationships and various forms are reported. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309121 Thu, 09 Apr 2009 00:00:00 +0100 3309121 http://www.medworm.com/index.php?rid=2643259&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS0882596309000840%2Fabstract%3Frss%3Dyes Tattoos or body art has become acceptable forms of body decoration in the popular culture. The social stigma associated with tattoos has diminished in younger generations. The current popular culture has glamorized the use of tattoos as exemplified by them being worn by high profile entertainment and sports figures. Yet despite the growing popularity of tattoos, the health risks associated with them are not widely known. More recently, prominent health experts, such as the former Director of the National Institutes of Health, Dr. , are speaking out about the risks of body art. In addition, evidence is beginning to accumulate demonstrating the untoward consequences of tattoos. (Source: Journal of Pediatric Nursing) Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=2643259 Wed, 08 Apr 2009 23:00:00 +0100 2643259 http://www.medworm.com/index.php?rid=3309125&cid=s_38525_27_f&fid=38525&url=http%3A%2F%2Fwww.pediatricnursing.org%2Farticle%2FPIIS088259630800376X%2Fabstract%3Frss%3Dyes The purpose of this study of school-age children was to estimate prevalence and interrelationships of overweight, central adiposity, and hypertension. It included 1,070 children in kindergarten through sixth grade (67% Hispanic, 26% African American, mean age = 8.9 years). Measures included body mass index (BMI), waist circumference (WC), systolic and/or diastolic hypertension identified by measurements on three separate occasions. Percentage overweight (BMI ≥95th percentile) was 28.7%, 17.9% were at risk of overweight, 28.8% had WC ≥90th percentile, and 9.4% had elevated (≥90th percentile) systolic and/or diastolic blood pressure (BP). If we had screened only for BMI and examined those with BMI ≥85th percentile or underweight for hypertension, we would have missed 26% of the child... Journal of Pediatric Nursing journals http://www.medworm.com/rss/comments.php?id=3309125 Wed, 08 Apr 2009 00:00:00 +0100 3309125