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Pediatric Nursing Commons

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Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller 2018 The University of San Francisco

Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller

Master's Theses

This research explores solutions for individualizing and improving care for pediatric patients with Autism Spectrum Disorder in the Perioperative Setting of an Outpatient Surgery Center. Specifically, it seeks to determine if providing parent and staff resources on Autism Spectrum Disorder is significantly helpful in increasing confidence in the staff by the parents and the staff themselves. Participants included thirty-five surveyed families who had pediatric patients visiting perioperative services and staff who work on the unit. Methods used include information dissemination with the use of printable and online evidence-based resources, an in-person education event for staff, and a pilot study of ...


Barriers To Providing Quality Care For Pediatric Patients With Autism Spectrum Disorder As Identified By Baccalaureate Prepared Registered Nurses: A Basis To Enhance Professional Practice, Ugo Ndubaku 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Barriers To Providing Quality Care For Pediatric Patients With Autism Spectrum Disorder As Identified By Baccalaureate Prepared Registered Nurses: A Basis To Enhance Professional Practice, Ugo Ndubaku

Doctoral Projects

The increased prevalence of autism spectrum disorder (ASD) foretells that this sector of the population will be accessing health care services in greater numbers; thus, it behooves healthcare providers to prepare for their impending needs. This qualitative study describes the experiences of baccalaureate prepared registered nurses caring for children and adolescents with ASD in order to identify challenges that hinder providing comprehensive and individualized care. A purposive sample of 10 baccalaureate degreed registered nurses (RNs) who have worked or work in the pediatric unit was used to gather rich descriptive experiences. The qualitative data analyses were based on an interpretive ...


Assessment Of Nurse Behaviors That Influence Care And Maintenance Of Pediatric Oncology Central Venous Catheters, Susan Elizabeth McKenna 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Assessment Of Nurse Behaviors That Influence Care And Maintenance Of Pediatric Oncology Central Venous Catheters, Susan Elizabeth Mckenna

Doctoral Projects

Central venous catheters (CVC) are devices necessary to medically treat pediatric patients diagnosed with conditions such as cancer. Central line associated bloodstream infection (CLABSI) is a complication associated with utilizing a central line. Nurses are responsible for maintaining and complying with strict prevention protocols. The aims of this quality improvement project are to: (a) gain an understanding of perceptions of CLABSI prevention, (b) observe adherence to the CLABSI prevention bundle, (c) measure adherence to the current CLASBI prevention bundle (post-training), (d) identify ways to improve adherence to the CLASBI bundle, and (e) ascertain potential strategies for further compliance efforts. Three ...


Perceptions Of Caring In The Pediatric Medically Complex Population, Ivette Becerra-Ortiz 2018 California State University, Northern California Consortium Doctor of Nursing Practice

Perceptions Of Caring In The Pediatric Medically Complex Population, Ivette Becerra-Ortiz

Doctoral Projects

In a hospital system that transitioned from a non-caring science model to a professional practice model based on the Theory of Human Caring/Caring Science, it is important to measure the outcomes of the care delivery transition. In a non-experimental, cross-sectional, correlational, quantitative study the aim was to compare a pre/post-Caring Science model implementation at a pediatric and obstetric medical center, by assessing perceptions of caring in the medically complex pediatric population and in the nurses that care for them.

This study used a convenience sample of 102 pediatric families enrolled in a complex care program, and 23 nurses ...


Attitudes Of Middle School Children Towards Mental Health Programs, Catherine Taylor 2018 University of Arkansas, Fayetteville

Attitudes Of Middle School Children Towards Mental Health Programs, Catherine Taylor

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Despite years of school mental health services, today’s youth remain in need of mental health resources. While schools provide a variety of services to help reduce mental health disparities, there is limited information concerning the success of services offered. The purpose of this study was to examine the attitudes of middle school children towards mental health programs offered at the selected study site. The design utilized was a cross sectional design using a convenience sample of middle school children in Northwest Arkansas. The results indicated that middle school children need a unique variety of programs offered to support ...


Yoga And Its Influence On Children's Behavior, Paige Sellen 2018 University of Arkansas, Fayetteville

Yoga And Its Influence On Children's Behavior, Paige Sellen

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This study looked at the impact ten minutes of daily yoga had on the behavior of elementary school children. Yoga was led by classroom teachers once daily for ten minutes over a sixteen-week period. At weeks one, eight, and sixteen, classroom teachers evaluated student behavior in six categories: personal awareness, attention, rapport with friends, rapport with teacher, following rules and transition between activities. The teachers rated the behaviors on a never, sometimes, mostly or always scale. The data was then analyzed and interpreted. Results revealed a significant difference in the attention, ability to follow rules, transition between activities, and personal ...


Elementary School Teachers’ Student Health Concerns And Knowledge Of Resources, Aubrey Gahagan 2018 University of Arkansas, Fayetteville

Elementary School Teachers’ Student Health Concerns And Knowledge Of Resources, Aubrey Gahagan

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Teachers are with their students an average of seven to 10 hours a day, five days a week. The substantial amount of time teachers spend with their students allows them to provide helpful insight into health problems children face. The purpose of this study was to identify elementary school teachers’ concerns for student health and to assess their knowledge of resources that address those health concerns. A convenient sample of 86 teachers from three elementary schools in Northwest Arkansas was surveyed. Surveys were used to identify the three main concerns teachers have for their students. A cross-sectional design was used ...


Development And Validation Of A Silhouette Scale To Measure African-American Mothers’ Perception Of The Body Size Of Their Two To Four Year Old Children, Joan Buckley 2018 The Graduate Center, City University of New York

Development And Validation Of A Silhouette Scale To Measure African-American Mothers’ Perception Of The Body Size Of Their Two To Four Year Old Children, Joan Buckley

All Dissertations, Theses, and Capstone Projects

Background: In the United States (U.S.), the Center for Disease Control (2011 – 2014) reported that one-third of adults and 17% of children between the ages of two and nineteen are obese. Obesity in the U.S. is higher in the African-American groups comprising 13.2 % of the U.S. population. With the link between obesity and chronic diseases, such as, diabetes, heart disease, stroke, and some cancers there is a necessity to understand and reverse the consequences of obesity. There is a need to change the development of obesity/adiposity from childhood to adulthood in African-Americans. Exploring the parent ...


Improving Patient Wait Times, Patient Satisfaction, Staff Satisfaction And Patient Reported Review Of Systems Completeness Through Increased Use Of Eclinicalworks Kiosk Technology In Pediatric Primary Care, Jessica Gatto 2018 University of Massachusetts Boston

Improving Patient Wait Times, Patient Satisfaction, Staff Satisfaction And Patient Reported Review Of Systems Completeness Through Increased Use Of Eclinicalworks Kiosk Technology In Pediatric Primary Care, Jessica Gatto

Jessica Gatto

Background: Timeliness of care is considered one of the core aspects to quality health care. Patient wait times that exceed 20 minutes may decrease the quality of care by decreasing patient satisfaction. Generally, previous quality improvement studies have been successful in reducing patient wait times and increasing patient satisfaction using a check-in kiosk.  

Local Problem: Patient wait times in a pediatric primary care setting were found to exceed 20 minutes. Additionally, an existing check-in kiosk was not being utilized 100% of the time during the patient check-in process, potentially leading to longer total patient wait times and corresponding decreased patient ...


Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup 2018 Liberty University

Maternal Obesity And Fetal Macrosomia: An Integrative Review Of The Literature Regarding Interventions, Charity Stalcup

Senior Honors Theses

Research suggests pre-pregnancy obesity is associated with an increased risk of macrosomia in the newborn. Since women are expected to gain weight during pregnancy, the standard recommendation of weight loss for obesity is not ideal for this population. In this systematic review of the literature regarding interventions for maternal obesity to reduce fetal macrosomia, 149 articles were screened using three different databases to identify recent randomized controlled trials related to this topic. A total of 11 full text articles were analyzed and included in the review. The articles addressed nutritional, lifestyle, and pharmacological interventions. The results indicated there is currently ...


The Effect Of Kinship Foster Care Compared To Non-Kinship Foster Care On Resiliency, Heidi M. Vizino, Alyssa B. Bergthold 2018 Cedarville University

The Effect Of Kinship Foster Care Compared To Non-Kinship Foster Care On Resiliency, Heidi M. Vizino, Alyssa B. Bergthold

The Research and Scholarship Symposium

An estimated 40% to 60% of children in foster care have clinically significant emotional or behavioral problems (US Public Health Service, 2000). Children in foster care experience a range of complex psychosocial issues due to a loss of stability in a foundational biological family unit. Research shows that placement type may have an impact on a child’s socioemotional resiliency and level of access to needed mental health services (Lynch, 2011; Smithgall, Yang, & Weiner 2013; Winokur, 2014). The purpose of this literature review was to evaluate the effect of foster home placement type, specifically kinship foster care compared to non-kinship foster care ...


Pediatric Experiences Of Ptsd Related To Natural Disasters, Victoria J. Denen, Julianna H. Ruckersfeldt, Wyatt S. Kyser 2018 Cedarville University

Pediatric Experiences Of Ptsd Related To Natural Disasters, Victoria J. Denen, Julianna H. Ruckersfeldt, Wyatt S. Kyser

The Research and Scholarship Symposium

Between 1994 and 2013, the International Disaster Database recorded 6,873 natural disasters worldwide, which claimed 1.35 million lives or almost 68,000 lives on average each year. In addition, an average of 218 million people were affected by natural disasters per year during this 20-year period (Centre for Research on the Epidemiology of Disasters, 2015). All disasters have the potential to affect psychological health (U.S. Department of Veteran Affairs, 2016) and children are especially vulnerable. The purpose of this review of literature was to answer the question, “How do children and adolescents who have survived a form ...


A Pediatric Respiratory Care Curriculum For Emergency Department Nurses, Luzmaria Alcala-Van Houten 2018 California State University, Northern California Consortium Doctor of Nursing Practice

A Pediatric Respiratory Care Curriculum For Emergency Department Nurses, Luzmaria Alcala-Van Houten

Doctoral Projects

As pediatric visits to community hospitals increase, the Institute of Medicine (IOM) and the Pediatric Emergency Care Network (PECARN) recommend that staff be provided improved education, protocols, and resources to improve patient outcomes (Emergency Medical Services for Children, n.d.). Acute respiratory disorders are the most commonly seen complaints in children aged 0–24 months, with an average of 2–4 visits a year. The purpose of this Doctor of Nursing Practice (DNP) project is to create a pediatric respiratory care curriculum for emergency department nurses in the Kaiser Permanente Central Valley Area (CVA) and to have it evaluated by ...


Pediatric Type Ii Diabetes Mellitus: Examining The Upward Trend, Allison Foering 2018 Liberty University

Pediatric Type Ii Diabetes Mellitus: Examining The Upward Trend, Allison Foering

Senior Honors Theses

In recent years, there has been a significant increase in pediatric onset of type II diabetes. This paper will examine elements contributing to this trend. Type II diabetes will be discussed, including related pathophysiology, manifestations, diagnosis, and complications, with differentiation between adult and pediatric onset. Possible prevention and treatment methods appropriate for pediatric patients will also be discussed, along with possible outcomes in pediatric patients that could result from this disease. Overall, this paper will provide insight on the causes of this growing trend, and ways to improve the risks imposed on pediatric patients.


Baby Got Bac, Tina Histand BSN, RN, Heidi Mustapich BSN, RN, Brittany Parks RN, Mallory Potter BSN, RN, Melanie Traynham RN 2018 Children's Mercy Hospital

Baby Got Bac, Tina Histand Bsn, Rn, Heidi Mustapich Bsn, Rn, Brittany Parks Rn, Mallory Potter Bsn, Rn, Melanie Traynham Rn

Presentations

PICO Statement

• Population: 6 Henson patients who qualify for Safe Sleep Practices according to the Safe Sleep Policy.
• Intervention: Signs will placed in high patient care areas to provide awareness and reminders to 6 Henson patient caregivers of correct safe sleep practices.
• Comparison: Current standard of care
• Outcomes: Increased compliance with safe to sleep practices

Aim Statement

The objective of this evidence based practice project is to increase Safe Sleep compliance on the 6 Henson unit by 10% by March of 2018


Abcs Of Safe Sleep, Alyson Hill RN, Jennifer Markey RN, Bailey Ritter RN, Ashley Smith RN, Aaron Smithson RN 2018 Children's Mercy Hospital

Abcs Of Safe Sleep, Alyson Hill Rn, Jennifer Markey Rn, Bailey Ritter Rn, Ashley Smith Rn, Aaron Smithson Rn

Presentations

PICO Question

Does education and teaching to parents and family regarding safe sleep practices increase the compliance of safe sleep for infants 0-12 months on 4 Sutherland compared to the current practice?

Aim Statement

The objective of the evidence based practice project is to increase Safe Sleep compliance by improving education given to parents and family from 20% to 90% by February 2018


Safe Baby, Hannah Burger BSN, RN, Samantha Cockrell BSN, RN, Shauni Lawrence BSN, RN, Shae McGinnis BSN, RN, Christina Montgomery RN, Elizabeth Taylor RN 2018 Children's Mercy Hospital

Safe Baby, Hannah Burger Bsn, Rn, Samantha Cockrell Bsn, Rn, Shauni Lawrence Bsn, Rn, Shae Mcginnis Bsn, Rn, Christina Montgomery Rn, Elizabeth Taylor Rn

Presentations

PICO Question

P: 4 Henson and 5 Sutherland patients who qualify for Safe Sleep Practices according to the Safe Sleep Policy.
I: Creating a useable checklist to be completed with each infant and each shift change
C: Current standard of care
O: Increased compliance with safe to sleep practices

Aim Statement

The objective of this evidence based practice project is to increase Safe Sleep compliance from 50% to 65% on 4 Henson and 5 Sutherland by February 1, 2018.


Picu Patient Satisfaction, Kaitlyn Enochs BSN, RN, Jonathan Foley BSN, RN, Tara Goodman BSN, RN, Abby Haupt BSN, RN, Chelsea Koerkenmeier BSN, RN, Allison Mills BSN, RN, Kara Mishler BSN, RN, Madison Myers BSN, RN, Michelle Noykhovich BSN, RN, Sophia Poplin BSN,RN, Austin Reyes BSN, RN, Kylie Stottlemyre BSN, RN, Sarah Swift BSN, RN, Danielle Warner BSN, RN, Emily Zimmerman BSN, RN, Brooke English MSN, RN, CCRN, Katherine Hoffman BSN, RN 2018 Children's Mercy Hospital

Picu Patient Satisfaction, Kaitlyn Enochs Bsn, Rn, Jonathan Foley Bsn, Rn, Tara Goodman Bsn, Rn, Abby Haupt Bsn, Rn, Chelsea Koerkenmeier Bsn, Rn, Allison Mills Bsn, Rn, Kara Mishler Bsn, Rn, Madison Myers Bsn, Rn, Michelle Noykhovich Bsn, Rn, Sophia Poplin Bsn,Rn, Austin Reyes Bsn, Rn, Kylie Stottlemyre Bsn, Rn, Sarah Swift Bsn, Rn, Danielle Warner Bsn, Rn, Emily Zimmerman Bsn, Rn, Brooke English Msn, Rn, Ccrn, Katherine Hoffman Bsn, Rn

Presentations

PICO

PICU secretaries and parents will be able to increase the number of completed parent satisfaction surveys compared to current actions and supports.

Aim Statement

  • To increase rate of completed parent survey by 5%, as measured by the number of surveys submitted each quarter by January 2018
  • To have 10% response rate to surveys for patients that have been in the PICU for 30 days or greater.


Chasing Never: Unplanned Extubation, LeeAnna Gaspers BSN,RN, Brittney Gerber BSN,RN, Madison Hersma BSN,RN, Erin Keith-Chancy BSN,CCRN, Audrey Knodell BSN,RN, Jordan Miller BSN,RN, Liz Morrow BSN,RN, Tara Otterson BSN,RNC, Chantal Rogers BSN,RN, Abby Slaven BSN,RN 2018 Children's Mercy Hospital

Chasing Never: Unplanned Extubation, Leeanna Gaspers Bsn,Rn, Brittney Gerber Bsn,Rn, Madison Hersma Bsn,Rn, Erin Keith-Chancy Bsn,Ccrn, Audrey Knodell Bsn,Rn, Jordan Miller Bsn,Rn, Liz Morrow Bsn,Rn, Tara Otterson Bsn,Rnc, Chantal Rogers Bsn,Rn, Abby Slaven Bsn,Rn

Presentations

PICO Question

• P:In the Intubated neonate
• I: can the bundling of potentially best practice recommendations (tube location documentation, 2-person handling, and management of positioning and secretions) and standardized hourly assessment with documentation of compliance
• C: current standard of practice
• O: decreased unplanned extubations

Aim Statement

Decrease the rate of unplanned extubations in the ICN from 1.38/100 ventilator days in 2016 to 1 event/100 ventilator days in 2017.


Icn Flu Vaccine Cocooning, Allison Bauer BSN, RN, Brittany Wolter BSN, RN, Jonathan Rind BSN, RN, Maggie Butaud BSN, RN, Sarah Dumovich BSN,RN, Tori Weishaar BSN, RN, Karli Wittenbach BSN, RN 2018 Children's Mercy Hospital

Icn Flu Vaccine Cocooning, Allison Bauer Bsn, Rn, Brittany Wolter Bsn, Rn, Jonathan Rind Bsn, Rn, Maggie Butaud Bsn, Rn, Sarah Dumovich Bsn,Rn, Tori Weishaar Bsn, Rn, Karli Wittenbach Bsn, Rn

Presentations

PICO Question

P (Population): Registered nurses in the CMH Intensive Care Nursery providing patient care.

I (Intervention): Electronic documentation of parent flu vaccine status. Include vaccine status reminder in pod huddle.

C (Comparison): Current practice

O (Outcome): Increase the percentage of families receiving the flu-vac

Aim Statement

The objective of this evidence based practice project is to increase the percentage of families receiving the flu vaccine from 83% to 85% by March of 2018


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