Pediatric Nursing Commons^™

Historical Development Of Vaccines And The Public's Response, Kristen Montgomery, Samantha Prince Bsn, Rn, Melissa Ealey Bsn, Rn, Jarrad Morelock Bsn, Rn, Shelby Johnson Bsn, Rn, Kokeshia Crosby Bsn, Rn, Stephanies Himes Bsn, Rn, Theresia Hinton Bsn, Rn

Epsilon Sigma at-Large Research Conference

Purpose: Vaccines, which have become one of the most important medical accomplishments in the prevention of communicable diseases, have a history that dates to the use of variolation as early as the 11th century. The purpose of this study is to explore the historical development of vaccines and to determine the characteristics that emerged when new vaccines were developed.

Aims: The specific aim of this study is to understand if all vaccines have been received about the same by the general public or if there are certain different or diverse characteristics associated with the introduction of different vaccines.

Methods: A …

Mindfulness-Based Therapy For The Treatment Of Anxiety In Adolescents, Alicia Lemaster

Epsilon Sigma at-Large Research Conference

Abstract

Adolescent anxiety disorders represent a significant and growing public health concern, with increasing prevalence and associated functional impairment. Traditional treatments, including cognitive behavioral therapy (CBT) and pharmacologic interventions, are effective but often limited by barriers such as access, stigma, and adherence. Mindfulness-based interventions (MBIs) have emerged as a promising alternative or adjunctive approach to address anxiety symptoms in adolescents. The purpose of this literature review is to evaluate the effectiveness of structured mindfulness-based therapy programs in reducing anxiety symptoms among adolescents compared to usual care. A systematic literature search was conducted using databases including PubMed, CINAHL, and PsycINFO, focusing …

Implementation Of No Wake Times, Chloe Martin, Drew Mullinax

Scholars Week

Hospitalized patients frequently experience poor sleep quality due to clinical activities that occur during typical sleeping hours such as vital sign checks and medication administration. These nighttime disruptions negatively impact patient recovery times and decrease patient satisfaction. This evidence-based practice evaluated if restructuring nighttime clinical activities would minimize sleep disturbances and improve sleep quality in hospitalized patients. Patient surveys were used to assess the frequency of nighttime awakenings as well as the different sources of these awakenings. Interventions included moving nighttime clinical activities (blood pressure checks and medication administrations) to not be done during the hours of 10pm to 5am …

Reducing Pediatric Procedural Pain Using Virtual Reality, Emily Davis, Carmen Bandy

Scholars Week

Above all else, children require stability in their lives in order to develop a healthy perspective of the world. Feelings of instability can come from something as small as a change in schools. In the practice of pediatric medicine it is especially important to avoid these feelings of instability, which can lead children to develop healthcare-anxiety. Healthcare settings can be exceptionally emotionally taxing to children, because the children have a complete lack of control over their environment. This lack of control combined with fear and potentially pain can be incredibly distressing. While it is easy to disregard a child’s anxiety …

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.

Implementing Music As A Distraction To Reduce Pain And Anxiety In Pediatrics, Marcanah Frye

Scholars Week

Music therapy is a safe and inexpensive intervention that can be used to reduce pain and anxiety in pediatric patients. There are several research articles that have proven that music therapy can positively affect patients. Various factors, like pain and anxiety scores, heart and respiratory rates, blood pressure, and oxygen saturation levels were observed throughout the study to help base the decision on whether or not music therapy was effective at reducing pain and anxiety. This therapy can be based upon the nursing theory of comfort by Katharine Kolcaba. Her goal for this theory of comfort was to put comfort …

Integrating Autism-Specific Care Plans For Pediatrics: Increasing Satisfaction, Madison S. Vandiver

Scholars Week

Abstract

Recent studies have explored the importance on integrating Autism-Specific Care Plans (ACP) into practice. These care plans provide patients with Autism Spectrum Disorder (ASD) or their caregivers the opportunity to identify individualized needs that are imperative for healthcare providers to provide personalized care and accommodations. These ACPs identify baseline characteristics, behavior patterns, communication techniques and management strategies for the patient with ASD during hospitalization. The focus of the ACP is to recognize patient needs and make those available to those providing care. Understanding the patient’s normal behavior variations can alert providers to a problems or stressors of the patient …

The Association Between Electronic Cigarettes And Traditional Cigarettes In The Youth: An Integrative Literature Review, Anam Hussain

Grace Peterson Nursing Research Colloquium

Abstract

Background: Electronic cigarettes or e-cigarettes are seen as a “healthy” alternative in comparison to traditional cigarettes. However, the increased use of e-cigarettes as a new trend among the youth, may serve as a gateway to traditional cigarette use.

Objective: The integrative literature review aimed to provide a comprehensive review of current research on the association of e-cigarettes with the use of traditional cigarettes in the youth.

Method: An integrative literature review was used to examine and summarize previous research on the correlation between the use of electronic cigarettes and traditional cigarette in the youth population.

Findings/Results: The analysis revealed …

The Transition Of Juvenile Rheumatoid Arthritis Patients From Pediatric To Adult Services, Irena Haghighi

Grace Peterson Nursing Research Colloquium

Background: The transition from pediatric to adult care in the JIA population is currently in need of refinement so that adolescents undergoing the transition may be more successful in their adult care programs. JIA has a large group of patients crossing over from pediatrics to adult care, and thus needs to have a more structured and appropriate approach to providing care in this transition.

Objectives: To understand how transition from pediatric to adult services in the JIA population is defined, and identify elements that may be implemented to facilitate better transitional programs.

Method: An integrative literature review was conducted using …

Use Of Beneficial Complementary And Alternative Medicine For Children With Autism And Attention Deficit Hyperactive Disorder (Adhd), Jaskirin Mand

Grace Peterson Nursing Research Colloquium

Background: In disorders such as autism and attention deficit hyperactivity disorder (ADHD), parents are more likely to choose unreported complementary and alternative medicine (CAM) therapies such as vitamin therapy, physical therapy, music therapy and yoga. CAM treatments are starting to become more popular in the pediatric population. However, it’s not a discussion that most parents have with their doctor.

Objective: This study is an integrative literature review looking at the effectiveness of CAM therapies on autism and ADHD. The therapies that are focused on are music therapy for autism and physical therapy and elimination diets in children with ADHD. As …

Parental Knowledge And Perceptions Of Hpv Vaccines Among Korean American Parents, Veronica Ross, Serik Tursunaliev

Grace Peterson Nursing Research Colloquium

Abstract

Title: Parental Knowledge and Perceptions of HPV Vaccines among Korean American Parents

Author: Young-Me Lee

Affiliation: School of Nursing, DePaul University, Chicago

Background: Given significant concerns about HPV infection, lower immunization rates, and higher cervical cancer risks facing KAs, limited attention has been paid to the specific concerns of KA parents and barriers that underlie parental reluctance to vaccinate their children.

Purpose: The purpose of this study was to examine Korean-Americans parents’ level of knowledge of the HPV vaccine, explore their perceptions of the HPV vaccination for their children, and identify the difference in parental knowledge and perceptions of …

Exploring Reasons For Opting Out Of Hpv Vaccination Among Patients And Health Care Providers, Megan Masters

Grace Peterson Nursing Research Colloquium

Background: Human Papillomavirus (HPV) is a virus that can infect both males and females, potentially causing genital warts, vaginal, cervical, anal, and vulvar cancers. According to CDC guidelines, the HPV vaccine can be given to boys and girls age 9 to 26 (CDC, 2017). Although cases of HPV have dropped as the number of HPV vaccinations rise, vaccine rates are still far below the Health People 2020 target of 80% coverage. With current rates of 49.5% coverage in females, and 37.5% in males through 2017, it is evident that current routes of vaccine education are not adequate (CDC, 2017).

Objective: …

Exploring The Need Of Hpv Education Programs In Korean American Communities, Emilia Mondragón, Young-Me Lee

Grace Peterson Nursing Research Colloquium

Aim: 1) To identify cultural influences and other barriers affecting HPV vaccination decisions, 2) To identify educational methods that can deliver HPV related information to Korean American (KA) parents effectively

Background: Given significant concerns about HPV infection, lower immunization rates, and higher cervical cancer risks facing Korean Americans, it is imperative to better understand the barriers to vaccination. Currently, there is no HPV-focused education program that considers the linguistic and cultural barriers of the KA community. Additionally, there is a lack of effective educational content and methods available to reach KA parents.

Methods: An exploratory, qualitative design was conducted. Content …

Effects Of Chronic Illness On Self-Image In Adolescents, Krista Stillson

Grace Peterson Nursing Research Colloquium

EFFECTS OF CHRONIC ILLNESS ON SELF-IMAGE IN ADOLESCENTS:

AN INTEGRATIVE LITERATURE REVIEW

Krista Stillson

Abstract

Background: Chronic illness can pose more than just pathological effects on an individual. During the vulnerable developmental stage of adolescence, the psychological effects of disease can be equally as damaging. In adolescence, manifestations of chronic illness can cause a distorted self-image which may potentiate negative outcomes such as depression, anxiety and low self-esteem. For this reason, it is important for nurses to be aware of the broad impact that can accompany disease and use interventions to counteract such effects. Implementation of coping interventions can help …

Effective Coping Methods For Pediatric Nurses Working With Terminally Ill Patients: A Literature Review, Jenna Gatziolis

Grace Peterson Nursing Research Colloquium

EFFECTIVE COPING MECHANISMS FOR PEDIATRIC NURSES WORKING WITH CRITICALLY AND TERMINALLY ILL PATIENTS: A LITERATURE REVIEW

Jenna Gatziolis

Faculty Sponsor: Dr. Kim Amer, PhD, RN

Background: One of the hardest aspects of pediatric nursing is dealing with the death of young and sick children. Because the death of a child is a traumatic event, special consideration must be taken into account as to how pediatric nurses are able to effectively cope with the death of a child. Oftentimes the emotional needs for nurses are overlooked and not discussed leading to poor personal and career related outcomes for the nurse.

Objectives: …

Maine's Breastfeeding Gap: How Initiation And Duration Differ By Socioeconomic Status, Zoe Miller

Thinking Matters Symposium Archive

The preventive health benefits of breastfeeding for both mothers and children are widely recognized. Leading health authorities recommend exclusive breastfeeding for the first six months of life.

Though breastfeeding rates in the United States have been increasing for the past decade, significant disparities continue across race and socioeconomic status.

Outpatient Medication Error Improvement, Savannah M. Klinginsmith

Master's Projects and Capstones

Patient Safety Initiative -Improving Medication Administration (Outpatient Care)

SPECIFIC AIM: We aim to Improve the medication administration process and involve all staff within 6 months

In the microsystem consisting of 14 family practice and urgent care clinics, there is not a standard process based on evidence based practices for medication administration. With and estimated of 400-600 medications (immunizations included) being administered per day, without a standard of care protocol, the risk for medication errors is evident.

Objectives and changes anticipated based on implementation of the project is to engage staff in support for improving medication administration standard of care based …

Understanding Autism, Kaileigh J. Sweeney

Senior Honors Projects

Understanding Autism

Kaileigh Sweeney

Faculty Sponsor: Carolyn Hames

Autism spectrum disorders are greatly misunderstood in today’s society.  In the United States, it is estimated that 1 in 110 children are diagnosed with an autism spectrum disorder.  Despite this high prevalence, a great deal of the population is under the impression that a diagnosis of autism is straight forward and indicative of one set of devastating signs and symptoms.  However, the severity of this disorder can range from mild to severe. According to the National Institute of Health, an autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders characterized …