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Nursing Interventions That Address Barriers In The United States That Impact Neonatal Mortality, Victoria D. Sullivan, Ashton J. White 2019 Oral Roberts University

Nursing Interventions That Address Barriers In The United States That Impact Neonatal Mortality, Victoria D. Sullivan, Ashton J. White

Nursing Undergraduate Work

In 2016, four out of every 1000 babies born in the US died within one month of age. This systematic research review explored nursing interventions that addressed barriers that impact neonatal mortality. The most significant barriers nurses faced in reducing and preventing NM were maternal access to healthcare and education during pregnancy, which can be influenced by maternal age, low socioeconomic status, lack of familial support, poor health literacy, and geographic location. The articles examined included nursing interventions that were evidence-based and addressed barriers relating to NM. Interventions promoting the reduction of NM included education of women’s health and ...


The Lived Experiences Of Parenting Children With Food Allergies: A Phenomenological Study, Anne Zavell 2019 National Louis University

The Lived Experiences Of Parenting Children With Food Allergies: A Phenomenological Study, Anne Zavell

Dissertations

This phenomenological study focuses on five mothers' experiences of the phenomenon of living with a diagnosed food allergy in the family. Attention is given to the contexts or situations that have typically influenced or affected their experiences, including the impact of the diagnoses, travel and restaurants, friendships, sibling relationships, and anxiety. There is a major emphasis on these mothers' experiences advocating for the needs of their children in schools, including their strategies, concerns, and frustrations. Policies related to food allergies are reviewed from the contemporary and historical perspectives, with recommendations for policy change. The lived experiences of food allergy mothers ...


The Journey Of Implementing A Pediatric Essential Oil Program, Elizabeth Edmundson, Tiffany Kim 2019 Children's Mercy Hospital

The Journey Of Implementing A Pediatric Essential Oil Program, Elizabeth Edmundson, Tiffany Kim

Nurse Presentations

Describes use of essential oil patches for specific indications with pediatric patients greater than 3 years old or greater than 20 kilograms. Lavender, peppermint, mandarin, or spearmint inhalation patches are used.


Sepsis: Triage Triggers, Outcomes Quicker, Rylee Ainge, Mackenzie Flaws, Natalie Heim, Emily Herndon, Hayley Norris, Amy L. Scott 2019 Children's Mercy Hospital

Sepsis: Triage Triggers, Outcomes Quicker, Rylee Ainge, Mackenzie Flaws, Natalie Heim, Emily Herndon, Hayley Norris, Amy L. Scott

Posters

No abstract provided.


Limitations Of Sensory Systems (Loss) Assessment, Clarissa E. Steffen Ed.D. 2019 Pacific University

Limitations Of Sensory Systems (Loss) Assessment, Clarissa E. Steffen Ed.D.

Faculty Scholarship

This checklist is designed to assess the degree of loss in families with children who experience sensory system impairments and in specific issues with limitations to insight and awareness of self and others. There are 100 items in the checklist and the lower the score the higher degree of loss experienced. This is a pilot paper for this assessment of losses experienced within families who have children with sensory limitations, and it is designed to gather input on the following factors.

Construct, Trait, Skills or Competency

Primary Factor

  • Integrative Reason

Insight, awareness, clarity of thought

  • Eco-System Development

Individuation, environmental ...


Examining Nurse Resiliency & A Mindfulness-Based Stress Reduction Intervention To Prevent Nurse Burnout, Allegra Grannell 2019 Children's Mercy Hospital

Examining Nurse Resiliency & A Mindfulness-Based Stress Reduction Intervention To Prevent Nurse Burnout, Allegra Grannell

Posters

Nurses continually give of themselves at work, as well as outside of work. This results in extensive stress, physiological distress, and ultimately burnout for individuals in the nursing profession. Nurses that work in high-stress environments, such as critical care, pediatrics, and oncology, are at a significantly increased risk of manifesting physical and psychological symptoms of burnout syndrome, compassion fatigue, and post-traumatic stress disorder (PTSD). Many of these factors are leading to nurses leaving the profession prematurely, resulting in significantly high turnover rates. High burnout and turnover rates of nurses result in the lack of adequate nursing staff in hospitals, which ...


Développement Et Validation De L’Échelle D'Observation Comportementale Du Confort D'Enfants Brûlés (Occeb-Becco), Viviane Tremblay, Christelle Khadra, Ariane Ballard, Sylvie Charette, Christophe Fortin, Julie Paquette, Edith Villeneuve, Sylvie Le May 2018 Centre Hospitalier de l'Université de Montréal

Développement Et Validation De L’Échelle D'Observation Comportementale Du Confort D'Enfants Brûlés (Occeb-Becco), Viviane Tremblay, Christelle Khadra, Ariane Ballard, Sylvie Charette, Christophe Fortin, Julie Paquette, Edith Villeneuve, Sylvie Le May

Science of Nursing and Health Practices - Science infirmière et pratiques en santé

Introduction. Burn care causes children a great deal of pain and apprehension. Comfort, a concept referring as much to the absence of physical pain as to well-being, is a key consideration in assessing the quality of nursing care provided to young burn victims. However, no instrument existed to measure level of comfort of child burn victims during the delivery of painful care procedures. Objective. To develop and validate a scale to measure the comfort level of young child burn victims subjected to painful care procedures. Methods. Following a review of the literature, 38 items were generated to measure comfort in ...


Processus Décisionnel Du Consentement Aux Soins Chez L’Adolescent Atteint D’Un Cancer : Une Perspective Triadique, Joséanne Desrosiers, Christine Genest, Ariane Ballard, Sylvie Le May 2018 Université de Montréal

Processus Décisionnel Du Consentement Aux Soins Chez L’Adolescent Atteint D’Un Cancer : Une Perspective Triadique, Joséanne Desrosiers, Christine Genest, Ariane Ballard, Sylvie Le May

Science of Nursing and Health Practices - Science infirmière et pratiques en santé

Introduction. Obtaining consent to care in pediatric oncology is recognized as a complex decisional process on account of the multiple stakeholders involved. In Quebec, the process is complicated all the more by the fact that teenagers 14 years and over can, under certain circumstances, consent to care without parental approval. Objective. The aim of this study was to develop a conceptual model of the decisional process involved in obtaining consent to care for adolescents with cancer from the triadic perspective of adolescents, parents and pivot nurses. Method. Data were collected through individual semi-structured interviews and sociodemographic questionnaires. Interviews were transcribed ...


Implementation Of A Pediatric Post-Operative Hand-Off Tool: A Patient Safety Project, Kaye Remo 2018 The University of San Francisco

Implementation Of A Pediatric Post-Operative Hand-Off Tool: A Patient Safety Project, Kaye Remo

Master's Projects and Capstones

Abstract

Problem: The clinical nurse leader (CNL) performed a microsystem assessment using the Dartmouth assessment tool to evaluate the microsystem’s readiness to provide safe care for pediatric post-operative cardiovascular patients. The microsystem is a 12-bed unit caring for critically ill pediatric patients requiring intensive monitoring and therapy. The microsystem’s interdisciplinary team is comprised of medical doctors, nurses, respiratory therapists, social workers, nutritionists, child life specialists, and pharmacists. During assessment and gap analysis, the CNL identified gaps in nursing knowledge and skills to deliver safe care for this patient population during the immediate post-operative phase of recovery. There is ...


Construction And Nursing Students, Building A Playground For Bauer Family Services, Daphene Koch, Mary Erin Hoying, Deborah A. Spoerner, Rebecca C. Johnson, Abby Berg 2018 Purdue University

Construction And Nursing Students, Building A Playground For Bauer Family Services, Daphene Koch, Mary Erin Hoying, Deborah A. Spoerner, Rebecca C. Johnson, Abby Berg

Engagement & Service-Learning Summit: Connecting Through Listening & Scholarship

Poster Session


Reluctance Of Adolescents With Cerebral Palsy To Participate In An Online Intervention On Self-Management: Lessons Learned From A Randomized Control Trial, Cynthia T. Thompson 2018 University of Massachusetts Medical School

Reluctance Of Adolescents With Cerebral Palsy To Participate In An Online Intervention On Self-Management: Lessons Learned From A Randomized Control Trial, Cynthia T. Thompson

Graduate School of Nursing Dissertations

Purpose: Assess the effectiveness of an online intervention to encourage self-management in adolescents with cerebral palsy (CP).

Specific Aims: (a) assess effectiveness of an online intervention to promote readiness for self-management in adolescents with CP, (b) describe health literacy and associations with readiness to assume self-management, and (c) evaluate adolescents’ exposure to the online intervention.

Hypotheses: (a) intervention subjects would demonstrate improvement in self-management, and (b) subjects with higher health literacy would demonstrate higher self-management capabilities.

Framework: Transtheoretical Model of Health Behavior Change

Design: Randomized control trial, performed in a multidisciplinary CP clinic at a university based children’s hospital ...


Scientific Proceedings Of The Texas Children’S Hospital’S 17th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre BDS MPH, Kelly Wallin MS RN CHSE, Gertrude A. Leidich MBA, RN, Angelo P. Giardino MD, PhD 2018 Texas Children's Hospital

Scientific Proceedings Of The Texas Children’S Hospital’S 17th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre Bds Mph, Kelly Wallin Ms Rn Chse, Gertrude A. Leidich Mba, Rn, Angelo P. Giardino Md, Phd

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The Texas Children’s Hospital’s Advanced Quality Improvement and Patient Safety (AQI) Program is a six month mixed didactic and experiential learning experience designed to improve patient care, lower costs, change the culture, and develop quality leaders. As a part of AQI program participants are grouped into teams and each team completes a healthcare related Quality Improvement (QI) project. Each project demonstrates use of various QI tools including process maps, fishbone diagrams, and key driver diagrams. The projects use ‘Model for Improvement’ as the primary QI methodology to achieve their aim. Three or more Plan-do-study-act (PDSA) cycles are required ...


Scientific Proceedings Of The Texas Children’S Hospital’S 16th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre BDS, MPH, Kelly Wallin MS, RN, CHSE, Gertrude A. Leidich MBA, RN, Angelo P. Giardino MD, PhD 2018 Texas Children's Hospital

Scientific Proceedings Of The Texas Children’S Hospital’S 16th Session Of The Advanced Quality Improvement And Patient Safety Program, Arjun M. Dangre Bds, Mph, Kelly Wallin Ms, Rn, Chse, Gertrude A. Leidich Mba, Rn, Angelo P. Giardino Md, Phd

Journal of Nursing & Interprofessional Leadership in Quality & Safety

The Texas Children’s Hospital’s Advanced Quality Improvement and Patient Safety (AQI) Program is a six month mixed didactic and experiential learning experience designed to improve patient care, lower costs, change the culture, and develop quality leaders. As a part of AQI program participants are grouped into teams and each team completes a healthcare related Quality Improvement (QI) project. Each project demonstrates use of various QI tools including process maps, fishbone diagrams, and key driver diagrams. The projects use the IHI ‘Model for Improvement’ as the primary QI methodology to achieve their aim. Three or more Plan-do-study-act (PDSA) cycles ...


Needs Assessment For Palliative Care In Pediatric Oncology: An Integrative Literature Review, Tabitha Negrete 2018 DePaul University

Needs Assessment For Palliative Care In Pediatric Oncology: An Integrative Literature Review, Tabitha Negrete

Grace Peterson Nursing Research Colloquium

Abstract

Background: Cancer is the leading cause of non-accidental death in childhood. Cancer is the primary disease for which pediatric palliative care services are utilized worldwide. Improvement in pediatric palliative care has been identified as an ongoing research priority. There are still significant gaps in current knowledge of pediatric palliative care because education has not been integrated into curriculum and clinical experiences.

Objectives: The purpose of this integrative literature review aims to provide a comprehensive review of current research about the need of nursing education on palliative care for long-term care in pediatric oncology.

Methods: This integrative literature review focused ...


Evidence-Based Skin Champion Program Reduces Pressure Injuries In A Pediatric Hospital, Alexandra Luton MN, RN, NCNS-BC, Mary D. Gordon PhD, RN, CNS-BC, Megnon Stewart MSN, RN, Ellena Steward-Scott MSN, RN, Joellan Mullen MSN, RN, CCRN-K, Angela Jones MN, RN, NE-BC, Joseph Hagan ScD 2018 Texas Children's Hospital

Evidence-Based Skin Champion Program Reduces Pressure Injuries In A Pediatric Hospital, Alexandra Luton Mn, Rn, Ncns-Bc, Mary D. Gordon Phd, Rn, Cns-Bc, Megnon Stewart Msn, Rn, Ellena Steward-Scott Msn, Rn, Joellan Mullen Msn, Rn, Ccrn-K, Angela Jones Mn, Rn, Ne-Bc, Joseph Hagan Scd

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Prevention of pressure injuries (PIs) in pediatric patients is an important nurse-sensitive quality goal. The PI rate at a large urban pediatric hospital triggered a call to action by the Chief Nursing Officer to establish a Hospital Acquired PI (HAPI) Task Force which identified the Skin Champion program as a key improvement strategy. The goals of the Skin Champion program are to lower the rate of HAPIs, empower front line care providers to implement evidence-based care bundles, achieve consistency of practice, and provide resource availability at the point of care. The implementation of the Skin Champion quality improvement program achieved ...


Implementing Strategies To Reduce Central Line-Associated Blood Stream Infections On An Inpatient Pediatric Unit, Sherryann St. Pierre, Nicole Manchester, Jessica Howe, Melanie Lord, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks, Barbara Bush Children's Hospital 2018 Maine Medical Center

Implementing Strategies To Reduce Central Line-Associated Blood Stream Infections On An Inpatient Pediatric Unit, Sherryann St. Pierre, Nicole Manchester, Jessica Howe, Melanie Lord, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks, Barbara Bush Children's Hospital

Operational Excellence

STRATEGIES TO REDUCE CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS

Every central line associated bloodstream infection (CLABSI) leads to poor outcomes, increased mortality and increased healthcare costs. A pediatric care team in an academic tertiary medical center set a goal to reduce the number of these infections on their unit.

The team’s research showed that daily bathing greatly decreases CLABSI. Their baseline metrics demonstrated an unacceptable level of those with central lines being bathed. A root cause analysis revealed that patient and family refusal was the leading cause for those who did not bathe.

A performance improvement plan was initiated that ...


Consistently Using A Transportation Department For Patient Discharge To Sustain Nursing Staffing Levels, Victoria Boutin, Joseph East, Stephen Tyzik, Joy Moody, Mark Parker, Suneela Nayak, Ruth Hanselman, Amy Sparks 2018 Maine Medical Center

Consistently Using A Transportation Department For Patient Discharge To Sustain Nursing Staffing Levels, Victoria Boutin, Joseph East, Stephen Tyzik, Joy Moody, Mark Parker, Suneela Nayak, Ruth Hanselman, Amy Sparks

Operational Excellence

IMPROVING PATIENT FLOW BY UTILIZING A HOSPITAL TRANSPORTATION DEPARTMENT FOR DISCHARGES

Using a transportation department for transporting patients for discharge is the industry standard. At a large urban hospital, inconsistent use of this department has resulted in frontline caregivers (RNs) having to pick up this function, resulting in potentially unsafe staffing levels on the floor.

The goal of this quality improvement project was to improve the percent of discharges with the transport department from ≤10% to 70% by the end is fiscal year 2018 in an academic tertiary medical center.

Baseline metrics demonstrated the current state and a root cause ...


Improving Communication Between Child Life Services And Nursing On An Inpatient Pediatric Unit, Sherryann St. Pierre, Elizabeth Shaughnessy, Bethany Kay, Barbara Bush Children's Hospital, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks 2018 Maine Medical Center

Improving Communication Between Child Life Services And Nursing On An Inpatient Pediatric Unit, Sherryann St. Pierre, Elizabeth Shaughnessy, Bethany Kay, Barbara Bush Children's Hospital, Mark Parker, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks

Operational Excellence

IMPROVING COMMUNICATION BETWEEN CHILD LIFE SERVICES AND NURSING ON AN INPATIENT HOSPITAL UNIT

Effective communication between patient caregivers has been shown to reduce stress and trauma related to hospitalization and subsequent improved outcomes. An HCAHP score for a 30 bed acute inpatient pediatric unit illustrated the confusion faced by children as a result of nursing and care life specialists not working together as a team.

A root cause analysis identified a number of issues as to why patients were not benefitting fully from child life services. Several counter measures were instituted with the goals of improving the HCAHP score and ...


Improving Analgesia Administration For Pediatric Patients In A Rural Emergency Department, Alvin R. Walters 2018 The University of San Francisco

Improving Analgesia Administration For Pediatric Patients In A Rural Emergency Department, Alvin R. Walters

DNP Qualifying Manuscripts

When a child is in pain, parents often seek out treatment at an emergency department. After a detailed chart review it was determined that only 32.53% of the pediatric patients who present to a rural, northern California, ED in pain receive any documented form of analgesia during their time in the ED. A review of the literature revealed that triage nurse-initiated protocols can successfully manage to provide consistent and efficient analgesia to patients who present to an ED with pain. Therefore, a practice improvement project was undertaken to increase of the consistency and efficiency of analgesia administration for pediatric ...


Pediatric Primary Care Concussion Evaluation And Management, Kaitlyn Layman 2018 Liberty University

Pediatric Primary Care Concussion Evaluation And Management, Kaitlyn Layman

Graduate Student Projects and Scholarship

Concussions are an important and timely subject, especially within the pediatric population, as they are the most involved in extracurricular contact sports and are susceptible to concussions and their sequelae. The researcher performed a quasi-experimental pilot study in a pediatric primary care office where the researcher educated 15 providers on the HEADS UP concussion screening tool and management approach. The researcher gave providers pre- and post-intervention surveys to determine if providers’ comfort and knowledge regarding assessing and managing concussions within the pediatric primary care setting changed. Four providers participated in the study. The researcher conducted a chart review two months ...


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