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Perceptions And Experiences Of Children Living With Type 1 Diabetes In A School Environment: An Integrative Literature Review, Michelle Gandhi 2017 DePaul University

Perceptions And Experiences Of Children Living With Type 1 Diabetes In A School Environment: An Integrative Literature Review, Michelle Gandhi

Grace Peterson Nursing Research Colloquium

Abstract

Background: Type 1 diabetes affects many children across the world. Many of these children spend majority of their time at school where they may not receive appropriate support from school staff and peers in order to better manage their condition. Examining school-aged children who are living with type 1 diabetes and their perceptions and experiences can help guide school staff in creating an appropriate environment to meet the children’s needs.

Objectives: The purpose of this literature review is to examine quantitative and qualitative studies that investigates common concepts that makes self-management of type 1 diabetes in children difficult ...


Effects Of Chronic Illness On Self-Image In Adolescents, Krista Stillson 2017 DePaul University

Effects Of Chronic Illness On Self-Image In Adolescents, Krista Stillson

Grace Peterson Nursing Research Colloquium

EFFECTS OF CHRONIC ILLNESS ON SELF-IMAGE IN ADOLESCENTS:

AN INTEGRATIVE LITERATURE REVIEW

Krista Stillson

Abstract

Background: Chronic illness can pose more than just pathological effects on an individual. During the vulnerable developmental stage of adolescence, the psychological effects of disease can be equally as damaging. In adolescence, manifestations of chronic illness can cause a distorted self-image which may potentiate negative outcomes such as depression, anxiety and low self-esteem. For this reason, it is important for nurses to be aware of the broad impact that can accompany disease and use interventions to counteract such effects. Implementation of coping interventions can help ...


Effective Coping Methods For Pediatric Nurses Working With Terminally Ill Patients: A Literature Review, Jenna Gatziolis 2017 DePaul University

Effective Coping Methods For Pediatric Nurses Working With Terminally Ill Patients: A Literature Review, Jenna Gatziolis

Grace Peterson Nursing Research Colloquium

EFFECTIVE COPING MECHANISMS FOR PEDIATRIC NURSES WORKING WITH CRITICALLY AND TERMINALLY ILL PATIENTS: A LITERATURE REVIEW

Jenna Gatziolis

Faculty Sponsor: Dr. Kim Amer, PhD, RN

Background: One of the hardest aspects of pediatric nursing is dealing with the death of young and sick children. Because the death of a child is a traumatic event, special consideration must be taken into account as to how pediatric nurses are able to effectively cope with the death of a child. Oftentimes the emotional needs for nurses are overlooked and not discussed leading to poor personal and career related outcomes for the nurse.

Objectives ...


Why American Parents Circumcise Their Sons: An Integrative Review Of Literature, Lacy Lauber 2017 DePaul University

Why American Parents Circumcise Their Sons: An Integrative Review Of Literature, Lacy Lauber

Grace Peterson Nursing Research Colloquium

Background: Since medical evidence supports both pros and cons of routine neonatal male circumcision, expectant and new parents are left to make the decision to circumcise their sons on their own. There is limited research as to why American parents choose to circumcise their newborn sons.

Objectives: The purpose of this integrative literature review is to identify the reasons behind parental decision making in neonatal male circumcision in the United States. Understanding motivating factors in parental decision-making can highlight areas of prenatal education for expectant parents.

Method: An integrative literature review was conducted utilizing these online databases: PubMed, The Cumulative ...


Association Of Teen Mothers' And Grandmothers' Parenting Capacities With Child Development: A Study Protocol., Damali Wilson, Deborah Gross, Stacy Hodgkinson, Kirby Deater-Deckard 2017 George Washington University

Association Of Teen Mothers' And Grandmothers' Parenting Capacities With Child Development: A Study Protocol., Damali Wilson, Deborah Gross, Stacy Hodgkinson, Kirby Deater-Deckard

Pediatrics Faculty Publications

Children born to teen mothers may experience less responsive and supportive parenting and are at heightened risk for a range of social, developmental, and health issues. There is literature to support the positive impact of grandmothers on teen parents and their children. However, what if the teen's mother is also limited in her parenting capacities? How do parenting capacities across these two generations of mothers affect the developing child? In this ongoing study we are examining two important aspects of parenting capacities, attachment quality and executive functioning, in teen mothers (TM) and their biological, co- residing mothers or grandmothers ...


Mālama Nā Makua I Nā Keiki Me Ka Hānō: Native Hawaiian Parents Caring For Their Children With Asthma, May K. Kealoha, Merle Kataoka-Yahiro 2017 Kapiolani Community College

Mālama Nā Makua I Nā Keiki Me Ka Hānō: Native Hawaiian Parents Caring For Their Children With Asthma, May K. Kealoha, Merle Kataoka-Yahiro

Asian/Pacific Island Nursing Journal

Native Hawaiian children have the highest prevalence rate of asthma among all ethnicities in the State of Hawai‘i. Literature is limited regarding native Hawaiian parents’ perception and experience caring for their children with asthma. The purpose of this study is to explore contemporary native Hawaiian parents’ perspective and experience of caring for their children with asthma in the context of uncertainty. We applied a descriptive qualitative approach by means of directed content analysis using focus groups. Directed content analysis applied Mishel’s Uncertainty in Illness Theory to guide data collection, organization, and analysis. We found that parents’ personal stories ...


Pots: Educating School Nurses, Stephanie Sherwood 2017 Liberty University

Pots: Educating School Nurses, Stephanie Sherwood

Graduate Student Projects and Scholarship

The project used educational modules as a means for providing knowledge about postural orthostatic tachycardia (POTS) to school nurses. It evaluated knowledge of symptoms and the referral process. A pre and post-test were used immediately prior to and following an educational module to determine gained knowledge about POTS. Participants completed a survey evaluating their perceived knowledge and comfort level to evaluate POTS symptoms and refer patients for further evaluation. One hundred percent of participants demonstrated improvement in their post-test score confirming knowledge gained in all participants. All participants reported that the modules helped them about POTS, and they felt confident ...


Child Labour: A Public Health Issue, S. A. Gulzar, Samina Vertejee, Laila Pirani 2017 Aga Khan University

Child Labour: A Public Health Issue, S. A. Gulzar, Samina Vertejee, Laila Pirani

Samina Vertejee

Child labour is a global practice and has many negative outcomes. According to International Labour Organization, child labour is the important source of child exploitation and child abuse in the world today. The Human Rights Commission of Pakistan has estimated the number of Pakistani working children to be around 11-12 millions, out of which, at least, half the children are under the age of ten years. It portrays the society's attitude towards child care. It is therefore, essential to break this vicious cycle and hence, enable the society to produce healthy citizens. This article analyzes the determinants of child ...


Interprofessional Rounds, Sarah Thompson, Haley Pelletier, Barbara Bush Children's Hospital-Inpatient, Maine Medical Center, Suneela Nayak, Ruth Hanselman, Stephen Tyzik 2017 Maine Medical Center

Interprofessional Rounds, Sarah Thompson, Haley Pelletier, Barbara Bush Children's Hospital-Inpatient, Maine Medical Center, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

Maine Medical Center

No abstract provided.


The Availability & Efficacy Of Non-Pharmacological Interventions For Pain Management For Children With Sickle Cell Disease: A Systematic Review Of The Literature, Uchenna Onyema-Jones 2017 DePaul University

The Availability & Efficacy Of Non-Pharmacological Interventions For Pain Management For Children With Sickle Cell Disease: A Systematic Review Of The Literature, Uchenna Onyema-Jones

Grace Peterson Nursing Research Colloquium

The Availability & Efficacy of Non-Pharmacological Interventions

For Pain Management for Children with Sickle Cell Disease:

A Systematic Review of the Literature

Uchenna N. Onyema-Jones

Faculty Sponsor: Tamara Poole, MS, APN, FNP-BC

Background: Pain is the leading cause of hospitalizations for many pediatric patients with sickle cell disease and unfortunately it is often sub-optimally managed by healthcare professionals with pharmacological interventions.

Objectives: The purpose of this systematic literature review was to examine the availability and efficacy of non-pharmacological interventions used to manage pain in pediatric patients with sickle cell disease.

Method: A systemic literature review was conducted using the databases of Cumulative Index of Nursing and Allied Health (CINAHL) Complete, ProQuest Nursing & Allied Health Source, and PubMed. The keywords used in this search included: sickle cell disease, child, pain, management, nursing, and interventions.

Results: From the extensive review of literature, four non-pharmacological pain interventions were deemed effective to reduce pain for pediatric patients with sickle cell disease. Those interventions included; guided imagery, massage therapy, use of video games as a distraction modality, and omega-3 supplementation.

Conclusion: Additional studies are needed to find more effective non-pharmacological interventions for pain in pediatric patients with sickle cell disease. Furthermore, nurses who care for these pediatric patients should be able to help them cope, recognize signs of complications, involve appropriate support agencies, but most importantly recognize, assess, and treat pain.


Cognitive Issues In Childhood Cancer Survivors And Related Parental Perceptions And Behaviors: An Integrative Review Of Literature, Brian DeCant, Joseph Tariman 2017 DePaul University

Cognitive Issues In Childhood Cancer Survivors And Related Parental Perceptions And Behaviors: An Integrative Review Of Literature, Brian Decant, Joseph Tariman

Grace Peterson Nursing Research Colloquium

Background: Survivorship of childhood cancer is often accompanied by neurocognitive late-effects (NCLE) related to the disease and/or it’s associated treatment regimes.

Objectives: The primary purpose of this integrative literature review was to examine NCLE in pediatric cancer survivors and identify parental perceptions and behaviors that correlated to cognitive dysfunction in their children.

Method: An integrative literature review was completed utilizing searches in PubMed, CINAHL Complete, and PsycINFO. Some search terms included “childhood cancer”, “survivor”, “cognition”, “cognitive disorder”, “neurocognitive”, “late-effects”, “child(ren)”, “parent(s)”, and “perception”.

Results: Analysis of ten predominant methods of neurocognitive evaluation yielded five major cognitive ...


Early Life Antibiotic Exposure And Its Association With Overweight/Obesity: An Integrative Review Of The Literature, Margaret Pfaff 2017 DePaul University

Early Life Antibiotic Exposure And Its Association With Overweight/Obesity: An Integrative Review Of The Literature, Margaret Pfaff

Grace Peterson Nursing Research Colloquium

Early Life Antibiotic Exposure and its Association with Overweight/Obesity: An Integrative Review of the Literature

Margaret Pfaff

Faculty Sponsor: Dr. Shannon Simonovich

Background: Prevention of or treatment for obesity could improve quality of life for many people. Infancy may be a critical period during which efforts should be focused to mitigate modifiable factors that may influence the risk for developing obesity.

Objectives: This integrative literature identified factors associated with greater incidence or effects of antibiotic exposure during infancy and examined the connection between early life antibiotic exposure and later in life overweight/obesity.

Method: This analysis followed the Whittemore ...


Resilience And Coping In The Adolescent And Young Adult With Type 1 Diabetes, Debra L. Messinger 2017 Seton Hall University

Resilience And Coping In The Adolescent And Young Adult With Type 1 Diabetes, Debra L. Messinger

Seton Hall University Dissertations and Theses (ETDs)

There is a need to understand the roles coping strategies play in enhancing resilience in adolescents and young adults with type 1 diabetes between the ages of 18-30. The purpose of this study was to examine the relationships between and among positive, protective coping strategies (courageous coping), negative coping strategies (defensive coping), and resilience. The Resilience in Illness Model (Haase, Kinter, Monahan, & Robb, 2014) was the theoretical model which guided this research.

A convenience sample was recruited via diabetes organizations’ Facebook and Forum pages, a College Diabetes Network chapter meeting, and Juvenile Diabetes Research Foundations’ (JDRF) sponsored events. Data were ...


Implementation Of The National Asthma Guidelines In A Residential Pediatric Clinic, Patricia A. Foster-Staples 2017 University of Missouri-St. Louis

Implementation Of The National Asthma Guidelines In A Residential Pediatric Clinic, Patricia A. Foster-Staples

Dissertations

Abstract

Purpose: Foster care children admitted to residential facilities are a unique and vulnerable group, many presenting with undiagnosed or poorly managed asthma. The alarming rate of residents admitted to a particular residential primary care clinic with a diagnosis of asthma led to the project question: “Based on record reviews, does staff education about the importance of utilizing the national guidelines for asthma education influence the implementation of such guidelines in a residential pediatric clinic?” The purpose of this quality improvement project was to implement a systematic process to influence practice change. The project was conducted over a period of ...


Exposure To Secondhand Smoke And The Development Of Childhood Caries: Nhanes (2011-2012), Deborah Mattheus PhD, MSN, PNP, Krupa Gandhi MPH, Eunjung Lim PhD, Maureen Shannon CNM, FNP, PhD 2017 University of Hawaii at Manoa, School of Nursing

Exposure To Secondhand Smoke And The Development Of Childhood Caries: Nhanes (2011-2012), Deborah Mattheus Phd, Msn, Pnp, Krupa Gandhi Mph, Eunjung Lim Phd, Maureen Shannon Cnm, Fnp, Phd

Journal of Health Disparities Research and Practice

Dental caries continue to plague young children worldwide with numerous adverse effects including pain, poor growth and development, decreased quality of life as well as the potential for the development of life threatening secondary infections. Factors associated with the development of childhood caries are complex as they relate to social, economic and/or cultural behaviors. Recent evidence has linked secondhand smoke to the development of childhood dental caries. The purpose of the study is to re-examine the association between the frequency and extent of exposure to secondhand smoke with the development of childhood caries in the United States. Cross-sectional data ...


Alternative Interventions For Children Coping With Chronic Conditions: A Critical Review Of The Literature, Nina M. Pelsi, Kim S. Amer 2017 DePaul University

Alternative Interventions For Children Coping With Chronic Conditions: A Critical Review Of The Literature, Nina M. Pelsi, Kim S. Amer

DePaul Discoveries

Reduction of stressors and anxiety levels in adolescents with chronic illnesses is a critical concept in pediatric health care in America today. The many stressors associated with chronic illness include displaying physical and mental differences, social stigma, financial difficulty, and family stress. These stressors may affect the adolescent’s ability to learn and cope in everyday life. The current research was a critical review of the literature examining studies done with adolescents coping with chronic diseases and illnesses. The aim was to analyze the most efficacious non-pharmacological methods for reducing stressors in adolescents with chronic illness. A critical review of ...


Interprofessional Collaboration To Support Children With Diabetes, Katie M. Polo, Susan M. Cahill 2017 University of Indianapolis

Interprofessional Collaboration To Support Children With Diabetes, Katie M. Polo, Susan M. Cahill

The Open Journal of Occupational Therapy

Background: The purpose of this study was to investigate school nurses’ perspectives related to interprofessional collaboration to support health promotion and development of self-management skills of students with diabetes.

Method: A link to an on-line survey was sent to 312 school nurses. The survey included 11 items pertaining to the nurses’ perceptions.

Results: The majority of the respondents (91.8%, n = 56) reported that instruction and maintenance of diabetes self-management skills would benefit from an interprofessional team. Few of the respondents (20.8%, n = 11) identified occupational therapy practitioners as possible collaborators. Nearly two-thirds (62.7%, n = 37) of the ...


Reducing Antibiotic Use In Pediatric Upper Respiratory Infection: A Multifaceted Parent-Clinician Approach, Sydnee H. Lucas DNP, APRN, Sydney Thompson DNP, ARNP, FNP-BC 2017 Texas Children's Hospital

Reducing Antibiotic Use In Pediatric Upper Respiratory Infection: A Multifaceted Parent-Clinician Approach, Sydnee H. Lucas Dnp, Aprn, Sydney Thompson Dnp, Arnp, Fnp-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The goal of this QI initiative was to decrease inappropriate antibiotic for the treatment of pediatric upper respiratory infection (URI) in the retail clinic setting. The approach included the use of a protocol to treat viral upper respiratory illness, a visual aid decision-making tool for guideline adherence, prescription pad for nonprescription remedies, and shared decision-making techniques for providers to involve patients and parents in management plans regarding nonprescription remedies, supportive treatment, and signs and symptoms that would warrant a return visit. An improvement trend during the first 3 months of the initiative showed a shift in antibiotic avoidance from a ...


I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam 2017 University of San Francisco

I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam

Master's Projects and Capstones

The title of the clinical nurse leader project is “I’m a Big Kid Now: Enhancing Transition RN Residents’ Confidence During Pediatric Patient Care”. The project aims to improve the support components for Transition RN residents during their Transition RN Residency at Children’s Hospital Los Angeles. The clinical leadership theme that correlates to this project is communication. The clinical nurse leader’s role is to act as an educator and a facilitator throughout this project. In examining the clinical nurse leader competencies, competencies “use performance measures to assess and improve the delivery of evidence-based practices and promote outcomes that ...


Pediatric Intensive Care Unit Skin-Care Team, Anna Therianos Konstantin 2017 usf

Pediatric Intensive Care Unit Skin-Care Team, Anna Therianos Konstantin

Master's Projects and Capstones

In the United States, pressure injuries (PIs) cost $9.1–$11.6 billion per year and claim more than 60,000 patient lives. The large Northern California hospital where this CNL project was conducted has had an 8.33% incidence of hospital-acquired PIs at or greater than stage two in the pediatric intensive care unit (PICU). Pressure injury prevention was not a high priority for the nursing staff; nurses were unaware of current PI prevention protocols or the PI prevalence in the PICU. The goals are to reduce PIs by 20% in 3 months, increase PI nursing education, and improve ...


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