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Articles 31 - 50 of 50
Full-Text Articles in Medicine and Health Sciences
Migraine Headaches In Children: Treatment, Ann Mccarthy, J. Mehegan
Migraine Headaches In Children: Treatment, Ann Mccarthy, J. Mehegan
Ann Marie McCarthy
No abstract provided.
Evidence-Based Pediatric Pain Management In Emergency Departments Of A Rural State, Charmaine Kleiber, C. Jennissen, Ann Mccarthy, T. Ansley
Evidence-Based Pediatric Pain Management In Emergency Departments Of A Rural State, Charmaine Kleiber, C. Jennissen, Ann Mccarthy, T. Ansley
Ann Marie McCarthy
Evidence-based pediatric pain management (EBPPM) has been identified as a practice too often overlooked in Emergency Departments (EDs). Studies show EBPPM is practiced inconsistently in urban EDs, and even less is known about the practice in rural EDs. The objectives of this study were: A) Determine the frequencies with which specific EBPPM practices are used in EDs of a primarily rural state; and B) Explore the differences in EBPPM practice in Critical Access, rural, and urban hospital EDs. A web-based survey, measuring the use of 14 EBPPM practices, was offered to all licensed independent providers (Medical Doctors, Doctors of Osteopathy, …
Evidence-Based Practice And School Nursing, S. Adams, Ann Mccarthy
Evidence-Based Practice And School Nursing, S. Adams, Ann Mccarthy
Ann Marie McCarthy
School nurses need to demonstrate that their practice is based on the best evidence available, which is usually data obtained from research. Evidence-based practice involves combining the best evidence available with nursing expertise and patient and family preferences to determine optimum care. Evidence-based practice guidelines are developed by carefully reviewing the available evidence on a topic and synthesizing this information into recommendations for practice. This article defines evidence-based practice and best evidence, describes the development of evidence-based practice guidelines, discusses factors that affect the use of research and evidence-based practice guidelines in school nursing, and reviews current sources of evidence-based …
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.
A Conceptual Model Of Factors Influencing Children's Responses To A Painful Procedure When Parents Are Distraction Coaches, Ann Mccarthy, Charmaine Kleiber
A Conceptual Model Of Factors Influencing Children's Responses To A Painful Procedure When Parents Are Distraction Coaches, Ann Mccarthy, Charmaine Kleiber
Ann Marie McCarthy
The purpose of this article is to present a model of factors that may influence a child's response to a painful procedure when parents are distraction coaches during the procedure. Nonpharmacological interventions, in particular, distraction, and parents as coaches for their children during procedures are discussed. A conceptual model is presented that illustrates the multiple factors and their possible relationships. A selected review of studies is provided that supports the inclusion of these factors in the model. The model and literature review focus on three major areas: characteristics of the child, characteristics of the parent, and procedural variables. The model …
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 …
Racial Gaps In Child Health Insurance Coverage In Four South American Countries: The Role Of Wealth, Human Capital, And Other Household Characteristics, G. Wehby, J. Murray, Ann Mccarthy, E. Castilla
Racial Gaps In Child Health Insurance Coverage In Four South American Countries: The Role Of Wealth, Human Capital, And Other Household Characteristics, G. Wehby, J. Murray, Ann Mccarthy, E. Castilla
Ann Marie McCarthy
Objective. To evaluate the extent of racial gaps in child health insurance coverage in South America and study the contribution of wealth, human capital, and other household characteristics to accounting for racial disparities in insurance coverage. Data Sources/Study Setting. Primary data collected between 2005 and 2006 in 30 pediatric practices in Argentina, Brazil, Ecuador, and Chile. Design. Country-specific regression models are used to assess differences in insurance coverage by race. A decomposition model is used to quantify the extent to which wealth, human capital, and other household characteristics account for racial disparities in insurance coverage. Data Collection/Extraction Methods. In-person interviews …
School Nurses' Experiences With Medication Administration, M. Kelly, Ann Mccarthy, M. Mordhorst
School Nurses' Experiences With Medication Administration, M. Kelly, Ann Mccarthy, M. Mordhorst
Ann Marie McCarthy
This article reports school nurses' experiences with medication administration through qualitative analyses of a written survey and focus groups. From a random sample of 1000 members of the National Association of School Nurses, 649 (64.9%) school nurses completed the survey. The quantitative data from the survey were presented previously. However, 470 respondents provided written comments on the survey. Comments on the eight items that had the most written comments were qualitatively analyzed. In addition, to clarify information obtained from the surveys, two focus groups with local school nurses were conducted. A constant comparative method of analysis was used, and 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 …
Children's Responses To Sequential Versus Simultaneous Immunization Injections, M. Horn, Ann Mccarthy
Children's Responses To Sequential Versus Simultaneous Immunization Injections, M. Horn, Ann Mccarthy
Ann Marie McCarthy
INTRODUCTION: The purpose of this study was to compare distress behaviors and perceptions of distress in 4- to 6-year-old children who received two immunization injections simultaneously with those in children who received their immunizations sequentially. METHOD: This experimental study used a convenience sample of 46 children scheduled for pre-kindergarten examinations. The children were randomly assigned to either a sequential injection or a simultaneous injection group. Direct observation and videotapes were made of the children's behaviors before and after injection. Distress behaviors were analyzed with the Observation Scale of Behavioral Distress-Revised, and perceptions of distress were obtained from both children (with …
A Policy Change Strategy For Head Lice Management, K. Andresen, Ann Mccarthy
A Policy Change Strategy For Head Lice Management, K. Andresen, Ann Mccarthy
Ann Marie McCarthy
The purpose of this project was to formulate an effective change strategy for head lice management in a group of five separate school districts within one county. Despite a desire to use evidence to support their practice, school nurses often encounter educational system barriers that prevent independent management of health conditions. The use of collaborative community relationships, identification of underlying hierarchy structures in school policy development, and targeted system education were the catalysts for changing beliefs and ultimately policy within these school districts. The focus of this project was to develop a policy change strategy for head lice. The strategy …
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), …
School Nurses' Experiences With Children With Chronic Conditions, Janet Williams, Ann Mccarthy
School Nurses' Experiences With Children With Chronic Conditions, Janet Williams, Ann Mccarthy
Ann Marie McCarthy
No abstract provided.
Psychosocial Impact Of Growth Disorders., Ann Mccarthy, Janet Williams
Psychosocial Impact Of Growth Disorders., Ann Mccarthy, Janet Williams
Ann Marie McCarthy
No abstract provided.
Strategies For Salivary Cortisol Collection And Analysis In Research With Children, Kirsten Hanrahan, Ann Mccarthy, Charmaine Kleiber, S. Lutgendorf, E. Tsalikian
Strategies For Salivary Cortisol Collection And Analysis In Research With Children, Kirsten Hanrahan, Ann Mccarthy, Charmaine Kleiber, S. Lutgendorf, E. Tsalikian
Ann Marie McCarthy
Salivary cortisol has emerged in pediatric research as an easy-to-collect, relatively inexpensive, biologic marker of stress. Cortisol is highly variable and is responsive to a wide range of factors that should be considered when incorporating this measure into research with children. Strategies for sample collection include: (1) standardizing the time for sample collection, including baseline samples; (2) using consistent collection materials and methods; (3) controlling for certain drinks, foods, medications, and diagnoses; and (4) establishing procedures and protocols. Other strategies for laboratory analyses include: (1) selecting the appropriate assay and laboratory; (2) identifying units of measure and norms; and (3) …
Striving For Distraction. Interview By James M Stubenrauch, Ann Mccarthy, Charmaine Kleiber
Striving For Distraction. Interview By James M Stubenrauch, Ann Mccarthy, Charmaine Kleiber
Ann Marie McCarthy
As part of its Raise the Voice campaign, in November 2006 the American Academy of Nursing (AAN) named Ann marie McCarthy and Charmaine Kleiber as "Edge Runners"--nurses who identify new models of care that integrate the physical and mental health of patients and who make a "clear connection between research and practical solutions." Pat Fort-Rogner, chief executive officer of the AAN, says "We hope patient-advocacy groups and federal agencies like the Agency for Healthcare Research and Quality will take note."
Ptsd And Physical Comorbidity Among Women Receiving Medicaid: Results From Service-Use Data, J. Seng, M. Clark, Ann Mccarthy, D. Ronis
Ptsd And Physical Comorbidity Among Women Receiving Medicaid: Results From Service-Use Data, J. Seng, M. Clark, Ann Mccarthy, D. Ronis
Ann Marie McCarthy
Patterns of physicalcomorbidiry among women with posttraumatic stress disorder (PTSD) were explored using Michigan Medicaid claims data. PTSD-diagnosed women (n = 2,133) were compared with 14,948 randomly selected women in three health outcome areas: ICD-9 categories of disease, chronic conditions associated with sexual assault history in previous research, and reproductive health conditions. PTSD was associated with increased risk of all categories of diseases (OR range = 1.3-4.8), endometriosis (OR = 2.7), and dyspareunia (OR = 3.4). When PTSD was not complicated by other mental health conditions, odds ratios for chronic conditions ranged from 1. 9 for fibromyalgia to 4.3 for …
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 …