Pediatric Nursing Commons^™

Increasing Comfort Of Mychart Patient Messaging In An Outpatient Oncology Clinic, Katherine Herdzik

Master of Science in Nursing Scholarly Project

Increasing Comfort of MyChart Patient Messaging in an Outpatient Oncology Clinic

Katherine Herdzik, BSN, RN

Abstract

Electronic patient portals have provided increased access to the electronic health record and patient information. A feature within the portal is a messaging system, creating a secure method of communication between and patient/family member and their care team. Scholarly literature has suggested that this method of communication helps to increase trust between the patient and providers, enhancing the healthcare experience. This study focuses on educational review to increase comfort with the MyChart messaging portal for care managers and nurse practitioners in an outpatient pediatric …

Improving The Quality Of Care For Pediatric Psychiatric Patients In The Emergency Department, Joseph L. Greene

Doctor of Nursing Practice Projects

Pediatric patients (17 years and younger) in mental health crisis are arriving in the emergency department in increasing numbers because there is a lack of mental health crisis care in the community setting. The emergency department is crowded, lacks a dedicated area for psychiatric patients that is quiet and safe, and staff are inadequately trained in psychiatric competencies. A quality improvement project was approved by Boise State IRB to train RNs in psychiatric competencies. Telepsychiatry provided timely evaluation by a qualified psychiatric provider. Patients’ perceived meaning of the ED visit was evaluated using the Patient Evaluation of Emotional Comfort Experienced …

Tracheostomy Education For Pediatric Patients And Parents, Jonathon Batts, Kendall Baker

Scholars Week

To begin this project, we found that this specific facility did not have proper education given to parents about pediatric tracheostomies. Pediatric patients with tracheostomies are a very delicate population that requires extensive, round the clock care. We were able to establish a theoretical framework with Orem’s Self-Care theory that matched very well with our topic, and finally we were able to find research articles that looked at this patient population specifically. The need for a tracheostomy in pediatric patients can lead to extreme anxiety in patients and parents. Our recommendations for this facility would be to implement the “Trach …

Joining Forces: A Response To Limited Clinical Sites During The Covid-19 Pandemic, Katherine Dixon, Leah Hawsey, Jan Shows, Candace Gandy

Journal of Interprofessional Practice and Collaboration

Students who are unable to attend Pediatric clinical during the COVID-19 Pandemic needed an alternative method to meet the clinical objectives of the nursing curriculum. Utilizing semester-five management students to implement a simulation activity with the semester three pediatric students allowed the opportunity to simulate clinical experiences and develop interpersonal, clinical, and professional skills. Allowing the semester five students to pre-brief, implement, debrief, educate and mentor the semester-three pediatric students allowed the students to meet their course objectives and develop skills in patient-centered care, safety, informatics, documentation, delegation, education, and mentoring.

Preventing Insulin Storage And Administration Errors, Makena Reddick

Scholars Week

■The research problem was discovered when nurses were observed storing and administering insulin improperly. The objectives of this project were to find the correct policies for these procedures, obtain research that backed these policies, and present this information to nurses to create a safer habit. In researching, it was found that reducing the physical distance between a person completing work and the materials required to do so increased compliance (Gibbs & McLernon, 2017). In a second study, the delivery of safe, effective and high-quality care for patients with diabetes in the community is dependent upon (district) nurses having appropriate knowledge …

Evidence-Based Practice: Delaying Infant Bathing, Gabrielle Wadle, Grace Frankland

Scholars Week

A hospital's policy regarding infant bathing is currently not congruent with best nursing practice. The hospital’s current policy is to bathe an infant once they are stable and their rectal temperature is at or above 98.6 °F. Although the infant may become stable within the first 24-hours of birth, the World Health Organization recommends that, “Bathing should be delayed until 24 hours after birth.” (2013, p. 4). Research has been completed to support delaying infant bathing until 24 hours post-delivery, suggesting potential modifications to current policy.

Parents' Experiences After The Death Of An Only Child In The U.S., Juanjuan Li

FIU Electronic Theses and Dissertations

There are more than 14,000 parents who lose their only child each year. Following the death of a child, recent studies found bereaved parents experienced a higher level of grief, family dysfunction, more physical and psychological problems. The loss of an only child is one of the risk factors related to parents’ poorer outcomes. In the last 20 years, all the studies about the death of an only child were conducted in China under the Chinese only child policy. According to the literature review, parents who lost an only child had more negative outcomes than parents who have surviving child(ren). …

Pediatric Wound Care: Establishing A Consensus Group To Develop Clinical Practice Guidelines, Ryan Krasnosky, Geran Barton, Linda Highfield, Sheila Martinez, Stephen Linder, Edward Buchanan, Angelo P. Giardino

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Introduction. Wound care practices for neonatal and pediatric patients have created a lack of standardized evidence-based guidelines for treatments in clinical practices. Unfortunately, published clinical guidelines for the evaluation and management of wounds in pediatric populations is limited. Consensus groups are used to develop clinical guidelines which define key aspects of the quality of health care, particularly appropriate indications for interventions. The aim of this initiative was to conduct the first two steps of the guideline development process, and to report on the findings from the expert consensus group for pediatric wound care.

Methods. The goal was to recruit a …

Program Evaluation Of Parent Engagement Activities In The Pediatric Cardiac Intensive Care Unit, Cheryl A. Bos

Doctoral Projects

Introduction: Leaders of a six-bed pediatric cardiac critical care unit identified the need to evaluate family engagement in patient care activities prior to implementing quality improvement initiatives. This program evaluation identified staff and family perception of barriers and facilitators to parent engagement in the Pediatric Cardiac Intensive Care Unit.

Methods: Data were collected through quantitative and qualitative methods. Surveys collected staff baseline and parent pre-/post-hospital perception of the role of family engagement in caring for the child.

Results: The Questionnaire of Factors That Influence Family Engagement survey of 58 registered nurses indicated the nurse workflow (τb = .579, p = …

Exploring Parent Perception Of Adverse Childhood Experiences Screening In Pediatric Primary Care: A Clinical Inquiry Project, Kathryn Stevens

The Eleanor Mann School of Nursing Student Works

This manuscript explores the incidence and implications of Adverse Childhood Experiences (ACEs) and outlines a project assessing parental perception of their own ACEs screening during their child’s wellness visit. ACEs are adversarial events occurring during childhood, which may be chronic or singular. Abuse, neglect, and household dysfunction result in negative outcomes, including compromised neurological development and cognitive behaviors, developmental delays, poor lifestyle choices, and reduced mental and physical health. Additionally, a growing body of literature supports the impaired parenting skills in those with a history of ACEs. This can perpetuate intergenerational trauma, deprived opportunities, and poor familial health. Despite the …

Connected Care: The Relationship Between Infant-Caregiver Interaction & Preterm Infant Development, Amelia G. Williams

University Honors Theses

This thesis encompasses how families and healthcare workers alike can uplift preterm infants’ development in the Neonatal Intensive Care Unit. The use of positive facial expressions, skin-to-skin contact, verbalizing with the infant, quality time, and focused attention are explored to promote the preterm infant’s positive development. Additionally, this thesis includes research on optimizing the transition from hospital to home for both parents and infants.

This thesis aims to gather information that caregivers can easily reference and put into action with preterm infants. At the end of each body paragraph, the reader can promptly locate summarizing bullet points of how caregivers …

Nurses' And Nurse Educators' Experiences Of A Pediatric Nursing Continuing Professional Development Program In Rwanda, Amy K. Olson

Electronic Thesis and Dissertation Repository

Excellence in pediatric nursing education and practice can significantly impact child health globally. Educated pediatric nurses form a strong foundation for healthcare systems globally. In 2016, a Pediatric Nursing Continuing Professional Development (PNCPD) program was created and implemented in Kigali, Rwanda, through the Training, Support, and Access Model (TSAM) for Maternal, Newborn, and Child Health (MNCH) project. This partnership project between Canada and Rwanda provided pediatric nursing education to forty-one Rwandan nurses and nurse educators in 2018 and 2019. An interpretive descriptive study was conducted to explore the experiences of fourteen nurses and nurse educators applying pediatric knowledge and skills …

The Impact Of A Pediatric Home Visit Program: A Quality Assessment Analysis, Jenna Durkee, Jean Pelski Phd

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Background: Bringing a newborn home from the hospital can be a time of excitement, but also stress for new parents. This can include financial strain, lack of sleep, and preparations necessary to care for their new arrival. During this transition time, home visit support has demonstrated decreased parental stress and increased confidence in their new parenting roles. In response to these benefits, a pediatric home visit program holds promise for new parents.

Purpose: This quality assessment project evaluated a pediatric office’s home visit program for parental role and pediatric office satisfaction. Based on the analysis, recommendations for improvement were provided. …

Improving Health Care Transition Planning In Pediatric Primary Care, Angela M. Brisson

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Background: For adolescents and young adults (AYAs), health care transition (HCT) is the purposeful and planned process of moving from pediatric, adult-supervised care to adult-oriented care. The use of evidence-based guidelines and interventions can ensure AYAs receive the services necessary to transition successfully.

Purpose: This project aimed to improve a pediatric office’s ability to educate AYAs and parents/caregivers on the practice’s approach to HCT and HCT planning (HCTP) by using Got Transition’s Six Core Elements of Health Care Transition™ 3.0 model to guide the development and dissemination of a Transition and Care Policy/Guide (TCP/G). The adoption of a TCP/G is …

Integrating Community Into Middle School Sexual Education, Sierra Miller, Margaret Aitken

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Problem Statement: Most middle school sexual education does not include parents or community members. Evidence shows family and community attitudes towards sex and sexuality are significant factors in adolescent risky sexual and health practices.

Background: Comprehensive sex education (CSE) reduces risky sexual practices and negative health outcomes. National and local organizations have identified CSE as a public health goal. CSE works best when culturally relevant and the community is involved.

Methods: Interviews with the health educator identified community needs. Resources were created in line with the current curriculum focusing on sex education, its importance, and how to talk about …

A Practice Innovation To Improve Staff Vaccination Knowledge And Skills, Ijeoma Ugochukwu

Nursing Posters

Abstract:

The practice improvement project explored the best practices for equipping CentraCare Health System's (CCHS) Licensed Practical Nurses (LPNs) and Certified Medical Assistants' (CMAs) with childhood vaccination knowledge and communication skills necessary to educate hesitant patients and parents about the benefits of vaccination compliance. Innovative computer-based education (CBE) was identified and developed to empower LPNs and CMAs working in the ambulatory setting with childhood vaccination knowledge and communication skills to improve their ability to educate hesitant patients and parents about the benefits of vaccination. The CBE module was guided by the Theory of Planned Behavior in identifying vaccination knowledge and …

Pediatric Emergency Department Nurse’S Knowledge And Attitudes Of Pediatric Fluid Resuscitation, Tannah Kimberly O'Brien, Kerry Nolte Phd, Fnp-C, Denise Downey Msn, Rn-Bc, Cpen, Debra Lajoie Jd, Phd, Msn, Rn, Esq., Allison Ivers Msn, Rn, Cnl, Kathleen Sultan Bsn, Rn, Cpen

Honors Theses and Capstones

Background: Rapid fluid resuscitation is essential to the management of pediatric shock, but there are many barriers to published guideline adherence. Limited evidence describing emergency department (ED) nurse’s knowledge and attitudes of fluid resuscitation exists. This study described pediatric ED nurse’s knowledge and attitudes of fluid resuscitation.

Methods: This single-site descriptive study used survey methodology. A 23-question survey was distributed to nurses in the ED at Boston Children’s Hospital. The survey measured nurse’s knowledge, attitudes, and perceived barriers to fluid resuscitation.

Results: Findings suggested gaps found between actual and perceived knowledge consistent with prior evidence. There was a 50.9% response …

Improving Early Autism Diagnosis In Underserved Communities Through The Use Of “Learn The Signs. Act Early.” Developmental Milestone Tracking Tool, Tamara L. Ellington

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Many children entering early childhood education programs have symptoms of autism spectrum disorder yet remain undiagnosed. Research suggests this is especially true for low-income and minority children who may not participate in regular pediatric check-ups, have parents with low health literacy, or who may experience provider bias. Thus, they are diagnosed at a later age compared to upper-class White children. Early autism-specific intervention services can have a profound and lasting impact on long-term developmental outcomes for children with autism. Identification of the symptoms of autism is key to triggering the autism evaluation process that leads to a formal autism diagnosis …

Nursing Student’S Expectancy-Value Regarding Sudden Infant Death Syndrome Knowledge Retention, Raquel Suba

Nursing | Student Research Posters

Sudden Infant Death Syndrome (SIDS) is a sudden and unexpected death within the first year of life, which is attributable to unexplained causes after autopsies and full case investigations are unable to resolve the reason for death. Annually in the United States, approximately 3,600 infants die unexpectedly and suddenly of Sudden Unexpected Infant Death (SUID) and in 2018, there were 1,300 infant deaths due to SIDS (CDC, 2018). Despite American Academy of Pediatrics (AAP) recommendations promoting the endorsement and modelling of SIDS risk-recommendations from birth, studies reveal that both nursing students and registered nurses have deficient knowledge in adequate SIDS …

Improving Human Papillomavirus Vaccination Rates Among Kentucky Adolescents, Cori Arena

DNP Projects

Background: The Human Papillomavirus (HPV) is a significant factor associated with the development of HPV-associated cancers in the United States. The administration of the HPV vaccination is a critical prevention strategy in reducing HPV-related cancers in the United States. The state of Kentucky has lower than average HPV vaccination rates compared to the national average. There is a significant amount of evidence exploring barriers and facilitators of the HPV vaccination administration. There are several multi-level barriers associated with low uptake of the HPV vaccination in adolescents. Multiple sources of evidence have indicated that parents who receive a provider recommendation are …