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Development Of An Evidence-Based Clinical Practice Guideline On Linear Growth Measurement Of Children, Jan Foote, L. Brady, A. Burke, J. Cook, M. Dutcher, K. Gradoville, J. Groos, K. Kinkade, R. Meeks, P. Mohr, D. Schultheis, B. S. Walker, K. Phillips
Development Of An Evidence-Based Clinical Practice Guideline On Linear Growth Measurement Of Children, Jan Foote, L. Brady, A. Burke, J. Cook, M. Dutcher, K. Gradoville, J. Groos, K. Kinkade, R. Meeks, P. Mohr, D. Schultheis, B. S. Walker, K. Phillips
Jan M. Foote
Growth is an important indicator of child health; however, measurements are frequently inaccurate and unreliable. This article reviews the literature on linear growth measurement error and describes methods used to develop and evaluate an evidence-based clinical practice guideline on the measurement of recumbent length and stature of infants, children, and adolescents. Systematic methods were used to identify evidence to answer clinical questions about growth measurement. A multidisciplinary team critically appraised and synthesized the evidence to develop clinical practice recommendations using an evidence-based practice rating scheme. The guideline was prospectively evaluated through internal and external reviews and a pilot study to …
Proposed Perioperative Nurse Translation Of The Federal Clinical Practice Guidelines. Association Of Operating Room Nurses, S. Moorhead, M. Golas, S. Kleinbeck, L. Reehling, Victoria Steelman, D. Wahoff-Stice, M. Weisbrich, D. Fogg
Proposed Perioperative Nurse Translation Of The Federal Clinical Practice Guidelines. Association Of Operating Room Nurses, S. Moorhead, M. Golas, S. Kleinbeck, L. Reehling, Victoria Steelman, D. Wahoff-Stice, M. Weisbrich, D. Fogg
Victoria J. Steelman
No abstract provided.
Nurse Practitioner-Patient Interactional Analyses During Well-Child Visits, C. Webster-Stratton, J. Glascock, Ann Mccarthy
Nurse Practitioner-Patient Interactional Analyses During Well-Child Visits, C. Webster-Stratton, J. Glascock, Ann Mccarthy
Ann Marie McCarthy
No abstract provided.
A Descriptive Study Of Individuals With Membranoproliferative Glomerulonephritis, Der-Fa Lu, Anne Mccarthy, L. Lanning, C. Delaney, C. Porter
A Descriptive Study Of Individuals With Membranoproliferative Glomerulonephritis, Der-Fa Lu, Anne Mccarthy, L. Lanning, C. Delaney, C. Porter
Ann Marie McCarthy
OBJECTIVE: Membranoproliferative Glomerulonephritis (MPGN) is one of a group of glomerulonephritides that often begins in childhood and progresses to renal failure. The purpose of this paper is to describe the initial results of a patient-driven database on individuals with MPGN. SAMPLE/SETTING: Patients with MPGN Types I, II, and III and their family members were recruited to this survey study. DESIGN: A population survey design was used. METHODS: A survey was developed for this study that obtained information from the individual with MPGN or a guardian on: patient information, family/patient health history, history of PGN, medications, course of MPGN, history of …
Family Perceptions Of Medication Administration At School: Errors, Risk Factors, And Consequences, D. Clay, K. Farris, Ann Mccarthy, M. Kelly, R. Howarth
Family Perceptions Of Medication Administration At School: Errors, Risk Factors, And Consequences, D. Clay, K. Farris, Ann Mccarthy, M. Kelly, R. Howarth
Ann Marie McCarthy
Medications are administered every day in schools across the country. Researchers and clinicians have studied school nurses' and educators' experiences with medication administration, but not the experiences of children or their parents. This study examined medication administration from the child and parent perspectives to (a) determine problems children experience with medicines at school, (b) clarify risk factors for medication errors, and (c) examine the perceived impact of medication errors on school performance and social relationships. Participants included children ages 8 to 18 years (n=157) being treated at a large Midwestern Children's Hospital in diabetes, asthma, and Attention Deficit Hyperactivity Disorder …
Factors Explaining Children's Responses To Intravenous Needle Insertions, Ann Mccarthy, Charmaine Kleiber, Kirsten Hanrahan, M. Zimmerman, N. Westhus, S. Allen
Factors Explaining Children's Responses To Intravenous Needle Insertions, Ann Mccarthy, Charmaine Kleiber, Kirsten Hanrahan, M. Zimmerman, N. Westhus, S. Allen
Ann Marie McCarthy
BACKGROUND: Previous research shows that numerous child, parent, and procedural variables affect children's distress responses to procedures. Cognitive-behavioral interventions such as distraction are effective in reducing pain and distress for many children undergoing these procedures. OBJECTIVES: The purpose of this report was to examine child, parent, and procedural variables that explain child distress during a scheduled intravenous insertion when parents are distraction coaches for their children. METHODS: A total of 542 children, between 4 and 10 years of age, and their parents participated. Child age, gender, diagnosis, and ethnicity were measured by questions developed for this study. Standardized instruments were …
Psychological Screening Of Children For Participation In Nontherapeutic Invasive Research, Ann Mccarthy, L. Richman, R. Hoffman, L. Rubenstein
Psychological Screening Of Children For Participation In Nontherapeutic Invasive Research, Ann Mccarthy, L. Richman, R. Hoffman, L. Rubenstein
Ann Marie McCarthy
BACKGROUND: The need for children to participate in research has raised concerns about ethical issues surrounding their participation. OBJECTIVES: To describe a protocol of preresearch psychological screening and postresearch outcomes and to present the results of the screening process for a nontherapeutic, invasive research study. DESIGN AND SETTING: Descriptive study carried out at The University of Iowa Hospitals and Clinics, Iowa City. PARTICIPANTS: Twenty-eight children (mean age, 10.6 years) were screened, with 4 not completing the research study and another 4 unavailable for psychological follow-up. MAIN OUTCOME MEASURES: Prescreening interviews with parent and child and screening measures of appropriate child …
Development Of The Distraction Coaching Index, Charmaine Kleiber, Ann Mccarthy, Kirsten Hanrahan, L. Myers, N. Weathers
Development Of The Distraction Coaching Index, Charmaine Kleiber, Ann Mccarthy, Kirsten Hanrahan, L. Myers, N. Weathers
Ann Marie McCarthy
Children's distress during medical procedures can be decreased when professionals or parents provide distraction coaching, but the quality of distraction may contribute to the variation in the results. This article describes the development of the Distraction Coaching Index (DCI), a tool for measuring the quality and frequency of distraction coaching. Nominal group technique and consensus agreement were used for concept clarification and development of behavioral indicators and descriptors. Videotapes of untrained parents, trained parents, and expert professional coaches, who provided distraction to children (4-10 years old) undergoing peripheral intravenous catheter insertion, were used to assess interrater reliability and construct validity. …
Chronic Headaches In Children, Ann Mccarthy
Normative Salivary Cortisol Values And Responsivity In Children, Ann Mccarthy, Kirsten Hanrahan, Charmaine Kleiber, M. Zimmerman, S. Lutgendorf, E. Tsalikian
Normative Salivary Cortisol Values And Responsivity In Children, Ann Mccarthy, Kirsten Hanrahan, Charmaine Kleiber, M. Zimmerman, S. Lutgendorf, E. Tsalikian
Ann Marie McCarthy
This was a descriptive study on normative salivary cortisol values and responsivity to a hospital clinic visit and an intravenous (IV) procedure in children. The study presented was a subproject of a primary research study that examined parents coaching their children requiring an IV placement in the use of distraction. One measure of child response in the primary study, salivary cortisol, was included to further our understanding of children's physiologic response to stressful and painful stimuli. Salivary cortisol samples were obtained from 384 children aged between 4 and 10 years upon arrival to the clinic and 20 minutes after their …
Predictors Of Topical Anesthetic Effectiveness In Children, Charmaine Kleiber, D. Schutte, Ann Mccarthy, M. Floria-Santos, J. Murray, Kirsten Hanrahan
Predictors Of Topical Anesthetic Effectiveness In Children, Charmaine Kleiber, D. Schutte, Ann Mccarthy, M. Floria-Santos, J. Murray, Kirsten Hanrahan
Ann Marie McCarthy
Some children report significant pain with peripheral intravenous catheter (IV) insertion, despite the appropriate use of topical lidocaine anesthetics. This analysis of data from an existing study identified factors related to variation in topical anesthetic effectiveness used for IV insertion. The children (n = 218) in this investigation were 4 to 10 years old and undergoing a scheduled IV insertion. Inclusion criteria were (1) topical anesthetic was used according to manufacturer's recommendations, (2) DNA material was available, and (3) child completed a self-report measure of pain intensity (Oucher scale). Low pain phenotype was defined as a pain intensity score of …
Migraine Headaches In Children: Treatment, Ann Mccarthy, J. Mehegan
Migraine Headaches In Children: Treatment, Ann Mccarthy, J. Mehegan
Ann Marie McCarthy
No abstract provided.
The Child With Leukemia: In A Special Hematology Clinic, G. Foley, Ann Mccarthy
The Child With Leukemia: In A Special Hematology Clinic, G. Foley, Ann Mccarthy
Ann Marie McCarthy
No abstract provided.
Impact Of Parent-Provided Distraction On Child Responses To An Iv Insertion, Ann Mccarthy, Charmaine Kleiber, Kirsten Hanrahan, M. Zimmerman, N. Westhus, S. Allen
Impact Of Parent-Provided Distraction On Child Responses To An Iv Insertion, Ann Mccarthy, Charmaine Kleiber, Kirsten Hanrahan, M. Zimmerman, N. Westhus, S. Allen
Ann Marie McCarthy
This study evaluates the impact of parent-provided distraction on children's responses (behavioral, physiological, parent, and self-report) during an IV insertion. Participants were 542 children, 4 to 10 years old, randomized to an experimental group that received a parent distraction coaching intervention or to routine care. Experimental group children had significantly less cortisol responsivity (p = .026). Children that received the highest level of distraction coaching had the lowest distress on behavioral, parent report, and cortisol measures. When parents provide a higher frequency and quality of distraction, children have lower distress responses on most measures.
A Healthy Lifestyle Program: Promoting Child Health In Schools, A. Wehling Weepie, Ann Mccarthy
A Healthy Lifestyle Program: Promoting Child Health In Schools, A. Wehling Weepie, Ann Mccarthy
Ann Marie McCarthy
The problem of overweight children is an increasing public health concern in the United States. Many children today consume diets that are high in fat, lack regular physical activity, and receive minimal amounts of nutrition education at school. School-based education about nutrition and healthy lifestyles provides an opportunity for intervention with all children. A program for 4th- and 5th-grade students was designed to increase the student's knowledge about nutrition and healthy lifestyles. After implementation of the program, there was a significant increase in student knowledge of nutrition and healthy lifestyles as determined by a pretest and posttest evaluation. The results …
Cognitive Behavioral Pain And Anxiety Interventions In Pediatric Oncology Centers And Bone Marrow Transplant Units, Ann Mccarthy, V. Cool, M. Petersen, D. Bruene
Cognitive Behavioral Pain And Anxiety Interventions In Pediatric Oncology Centers And Bone Marrow Transplant Units, Ann Mccarthy, V. Cool, M. Petersen, D. Bruene
Ann Marie McCarthy
Although research conducted on the treatment of pain and anxiety in children has found a number of cognitive behavioral interventions to be effective, it is not known to what extent this research has been put into practice. The purpose of this project was to obtain information on the use of cognitive behavioral interventions to help children and families cope with the pain and anxiety experienced during lumbar punctures and bone marrow aspirations. In this descriptive study, 15 Pediatric Bone Marrow Transplant Units and 32 Pediatric Hematology/Oncology Centers from across the country were surveyed using a questionnaire developed to obtain information …
Effects Of Diabetes On Learning In Children, Ann Mccarthy, S. Lindgren, M. Mengeling, E. Tsalikian, J. Engvall
Effects Of Diabetes On Learning In Children, Ann Mccarthy, S. Lindgren, M. Mengeling, E. Tsalikian, J. Engvall
Ann Marie McCarthy
OBJECTIVE: Subtle neuropsychological deficits have been found in some children with type 1 diabetes. However, these data have been inconsistent, and it is not clear what the impact of these deficits might be on the learning of children with diabetes over time. The purpose of this study was to determine whether type 1 diabetes significantly interferes with the development of functional academic skills. It was hypothesized that 1) children with type 1 diabetes would demonstrate deficits in academic performance and behavior when compared with sibling or classmate control subjects and 2) that academic performance in children with type 1 diabetes …
Medication Administration Practices Of School Nurses, Ann Mccarthy, M. Kelly, D. Reed
Medication Administration Practices Of School Nurses, Ann Mccarthy, M. Kelly, D. Reed
Ann Marie McCarthy
This study assessed the medication administration practices of school nurses. From a random sample of 1,000 members of the National Association of School Nurses, 649 (64.9%) completed the survey developed for the study. These school nurses report that during a typical day, 5.6% of children receive medication in school, with 3.3% receiving medications for ADHD. Almost all the school nurses follow written guidelines for administering medication. Potential problems were identified in documenting side effects of medications, storage of medications, student self-administration practices, and appropriate authorization of nonprescription drug use. Most nurses (75.6%) delegate medication administration to unlicensed assistive personnel (UAP), …
Cognitive Behavioral Interventions For Children During Painful Procedures: Research Challenges And Program Development, Ann Mccarthy, V. Cool, Kirsten Hanrahan
Cognitive Behavioral Interventions For Children During Painful Procedures: Research Challenges And Program Development, Ann Mccarthy, V. Cool, Kirsten Hanrahan
Ann Marie McCarthy
The purpose of this report is to describe a pilot program designed to introduce the use of cognitive behavioral interventions for painful pediatric procedures at a university hospital, and to discuss the challenges that occurred during this process. Participants in the program included ten parents and their children who were newly diagnosed with leukemia, and staff who provided treatment for these children. Measures included direct videotaped observations of the children, perceptions of pain and anxiety completed by children, parents, and staff, and parent and staff ratings of satisfaction with the program. Results indicated strong acceptance of the interventions. This report …
Parent Behavior And Child Distress During Urethral Catheterization, Charmaine Kleiber, Ann Marie Mccarthy
Parent Behavior And Child Distress During Urethral Catheterization, Charmaine Kleiber, Ann Marie Mccarthy
Charmaine Kleiber
ISSUES AND PURPOSE: Researchers need a clear understanding of the natural behaviors parents use to help their children cope. This study describes the relationships between naturally occurring parent behaviors and child distress behaviors during urethral catheterization. DESIGN AND METHODS: In this descriptive study, researchers videotaped the behaviors of parent-child interactions during urethral catheterization. RESULTS: Parents used distraction to maintain calm behavior during the first part of the procedure and used more reassurance when the children started to become distressed. Seven of the nine children displayed calm behavior at least half the time following distraction. Parental reassurance did not decrease distress …
Exclusion Of The Branchio-Oto-Renal Syndrome Locus (Eya1) From Patients With Branchio-Oculo-Facial Syndrome, A. Lin, E. Semina, Sandra Daack-Hirsch, E. Roeder, C. Curry, K. Rosenbaum, D. Weaver, J. Murray
Exclusion Of The Branchio-Oto-Renal Syndrome Locus (Eya1) From Patients With Branchio-Oculo-Facial Syndrome, A. Lin, E. Semina, Sandra Daack-Hirsch, E. Roeder, C. Curry, K. Rosenbaum, D. Weaver, J. Murray
Sandra Daack-Hirsch
In addition to craniofacial, auricular, ophthalmologic, and oral anomalies, the distinctive phenotype of the branchio-oculo-facial (BOF) syndrome (MIM 113620) includes skin defects in the neck or infra/supra-auricular region. These unusual areas of thin, erythematous wrinkled skin differ from the discrete cervical pits, cysts, and fistulas of the branchio-oto-renal (BOR) syndrome (MIM 113650). Although the BOF and BOR syndromes are sufficiently distinctive that they should not be confused, both can be associated with nasolacrimal duct stenosis, deafness, prehelical pits, malformed pinna, and renal anomalies. Furthermore, a reported father and son [Legius et al., 1990, Clin Genet 37:347-500] had features of both …
Mutations In Bmp4 Are Associated With Subepithelial, Microform, And Overt Cleft Lip, S. Suzuki, M. Marazita, M. Cooper, N. Miwa, A. Hing, A. Jugessur, N. Natsume, K. Shimozato, N. Ohbayashi, Y. Suzuki, T. Niimi, K. Minami, M. Yamamoto, T. Altannamar, T. Erkhembaatar, H. Furukawa, Sandra Daack-Hirsch, J. L'Heureux, C. Brandon, S. Weinberg, K. Neiswanger, F. Deleyiannis, J. De Salamanca, A. Vieira, A. Lidral, J. Martin, J. Murray
Mutations In Bmp4 Are Associated With Subepithelial, Microform, And Overt Cleft Lip, S. Suzuki, M. Marazita, M. Cooper, N. Miwa, A. Hing, A. Jugessur, N. Natsume, K. Shimozato, N. Ohbayashi, Y. Suzuki, T. Niimi, K. Minami, M. Yamamoto, T. Altannamar, T. Erkhembaatar, H. Furukawa, Sandra Daack-Hirsch, J. L'Heureux, C. Brandon, S. Weinberg, K. Neiswanger, F. Deleyiannis, J. De Salamanca, A. Vieira, A. Lidral, J. Martin, J. Murray
Sandra Daack-Hirsch
Cleft lip with or without cleft palate (CL/P) is a complex trait with evidence that the clinical spectrum includes both microform and subepithelial lip defects. We identified missense and nonsense mutations in the BMP4 gene in 1 of 30 cases of microform clefts, 2 of 87 cases with subepithelial defects in the orbicularis oris muscle (OOM), 5 of 968 cases of overt CL/P, and 0 of 529 controls. These results provide confirmation that microforms and subepithelial OOM defects are part of the spectrum of CL/P and should be considered during clinical evaluation of families with clefts. Furthermore, we suggest a …
President's Message. Remembering, Patricia Clinton
President's Message. Remembering, Patricia Clinton
Patricia K. Clinton
No abstract provided.
President's Message. Rediscovering The Magic, Patricia Clinton
President's Message. Rediscovering The Magic, Patricia Clinton
Patricia K. Clinton
No abstract provided.
Where Are All The Pnps? Pediatric Nurse Practitioner Practice Opportunities And Challenges, D. Loman, Patricia Clinton
Where Are All The Pnps? Pediatric Nurse Practitioner Practice Opportunities And Challenges, D. Loman, Patricia Clinton
Patricia K. Clinton
No abstract provided.
Incidence Of Constipation And Abdominal Pain Following Spinal Fusion For Idiopathic Scoliosis, Mary Berg, Charmaine Kleiber
Incidence Of Constipation And Abdominal Pain Following Spinal Fusion For Idiopathic Scoliosis, Mary Berg, Charmaine Kleiber
Mary Berg
No abstract provided.
Pain-Sensitive Temperament And Postoperative Pain, Charmaine Kleiber, M. Suwanraj, L. Dolan, Mary Berg, A. Kleese
Pain-Sensitive Temperament And Postoperative Pain, Charmaine Kleiber, M. Suwanraj, L. Dolan, Mary Berg, A. Kleese
Mary Berg
PURPOSE: To describe the relationship between pain-sensitive temperament and self-report of pain intensity following surgery. DESIGN AND METHODS: Fifty-nine adolescents and young adults (average age 14 years) undergoing spinal fusion for adolescent idiopathic scoliosis completed the Sensitivity Temperament Inventory for Pain-Child version (STIP-C). The Pearson correlation between STIP-C scores and the highest pain intensity for each of the first three postoperative days was investigated. RESULTS: There was a small but significant correlation between the Perceptual Sensitivity and Symptom Reporting subscales of the STIP-C and pain intensity measured on the third postoperative day. PRACTICE IMPLICATIONS: Aspects of the pain-sensitive temperament may …
Family Response To A Child's Chronic Illness: A Description Of Major Defining Themes, K. Knafl, A. Gallo, B. Breitmayer, L. Zoeller, Lioness Ayres
Family Response To A Child's Chronic Illness: A Description Of Major Defining Themes, K. Knafl, A. Gallo, B. Breitmayer, L. Zoeller, Lioness Ayres
Lioness Ayres
No abstract provided.
Learning From Stories: Parents' Accounts Of The Pathway To Diagnosis, K. Knafl, Lioness Ayres, A. Gallo, L. Zoeller, B. Brietmayer
Learning From Stories: Parents' Accounts Of The Pathway To Diagnosis, K. Knafl, Lioness Ayres, A. Gallo, L. Zoeller, B. Brietmayer
Lioness Ayres
Although the diagnosis of a child's chronic illness is typically a stressful time for parents, the events leading up to it vary considerably across families. As part of a larger study that addressed the experience of living with chronic illness, an analysis was undertaken to identify major themes in parental reports of the events preceding their child's diagnosis of chronic illness. Data are based on accounts given by parents in 63 families from three health science centers in the midwestern United States. Narrative analysis techniques were used to identify 5 major pathways to diagnosis (direct, delay, detour, quest, ordeal) and …
Within-Case And Across-Case Approaches To Qualitative Data Analysis, Lioness Ayres, K. Kavanaugh, K. Knafl
Within-Case And Across-Case Approaches To Qualitative Data Analysis, Lioness Ayres, K. Kavanaugh, K. Knafl
Lioness Ayres
The generalizations developed by qualitative researchers are embedded in the contextual richness of individual experience. Qualitative data management strategies that depend solely on coding and sorting of texts into units of like meaning can strip much of this contextual richness away. To prevent this, some authors have recommended treating individual accounts as whole cases or stories, but whole cases are difficult to compare with one another when the goal of the research is to develop generalizations that represent multiple accounts. In this article, the authors describe the ways in which three different qualitative researchers combined across-case coding and sorting with …