Pediatric Nursing Commons^™

Evaluation Of A Behavioral Response Team To Decrease Use Of Violent Restraint, Katherine Skrade

Dissertations

Abstract Introduction: The purpose of this Quality Improvement project was to evaluate the implementation of the Behavioral Assessment and Response Team (BART) and evaluate its effect on occurrence and duration of violent restraints on non-psychiatric floors in a pediatric hospital. This QI project also aimed to correlate the use of the Broset Violence Checklist (BVC) to the utilization of the BART as a means of predicting patient escalation, as well as to assess the effect of booster education on the BVC and BART on bedside staff confidence in utilization of these resources.

Methods: Data was collected across three time periods: …

Bowel Regimen Protocol Implementation For Pediatric Patients Following Cardiac Surgery, Eryn Watson

Dissertations

Problem: Pediatric patients with congenital heart disease (CHD) are at an increased risk of constipation following cardiac surgery, which contributes to complications and delays in recovery. Standardized protocols are effective tools for prophylactic management of constipation. However, there is no current standardized protocol in place for postoperative bowel management in a pediatric cardiac intensive care unit (CICU).

Method: This quality improvement project (QI) used a descriptive design with pre- and post-implementation data collection to evaluate the effects of a postoperative bowel regimen protocol on constipation rates and compliance with ordering prophylactic bowel regimens. Convenience sampling was used to identify patients …

Implementing Behavioral Management And Social Skills Training For Pediatric Patients With Adhd And Their Caregivers, Meagan A. Conwell

Dissertations

Problem: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that affects 11.4% of children in the United States. Patients diagnosed with ADHD struggle with focus, hyperactivity, and impulsivity, resulting in executive and emotional dysfunction, poor social skills and quality of relationships, and poor school performance.

The American Academy of Pediatrics guidelines recommend that school-age children diagnosed with ADHD should receive both medication management and behavioral management training (BMT) for the best treatment outcomes. Research over the last decade has found that combining social skills training (SST) with BMT results in even better outcomes for these patients. Less than half of pediatric …

Care Coordination In Pediatric Primary Care, Alyssa K. Durzo

Dissertations

No central documentation of care plans exists for children with special healthcare needs (CSHCN) in the electronic health record (EHR). Providers of a large pediatric primary care office in St. Louis Missouri were asked to identify CSHCN in the practice. Clinic nurses completed a comprehensive chart review of the patients identified and constructed care coordination documents using a pre-established smart-text phrase. Subsequently, these were documented centrally in the EHR under the Problem List.

Likert score data was obtained from providers on the acceptability, appropriateness, and feasibility of the intervention through the verified tools: Acceptability of Intervention Measure (AIM), Intervention Appropriateness …

Screen Foundations: How Pediatric Nurse Practitioners Can Implement ‘Family Media Use Plans’ In Primary Care To Reduce Pediatric Behavior Concerns, Katie Anderson

Dissertations

Abstract for:

Screen Foundations: How Pediatric Nurse Practitioners Can Implement ‘Family Media Use Plans’ in Primary Care to Reduce Pediatric Behavior Concerns

Problem: Parents of children 2-5 years-old increasingly reach out to PCPs for escalating behavior concerns, including when the child doesn’t listen well, is inattentive, having tantrums, meltdowns, hitting, yelling, etc. Referrals to psychiatry and/or play therapy result in long waits, or referrals not accepted. Coincidingly, toddler and preschool aged children continue to exceed daily screen time recommendations. This results in a gap of care for families with young children and externalizing behavior.

Methods: This quality improvement project addressed …

Evidence-Based Pain Management Bundle For Pediatric Postoperative Orthopedic Patients, Samantha Firmstone

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Postoperative pain management in pediatric orthopedic patients is often inconsistent due to variability in provider practices and a lack of standardized protocols. At a Central Texas pediatric orthopedic clinic, all patients received opioid prescriptions post-knee surgery regardless of procedure severity, leading to frequent caregiver calls for clarification. This practice revealed a critical gap in preoperative education and multimodal pain management strategies, contributing to patient safety concerns and increased clinic workload.

Aim of the Project: The primary aim of the project was to improve pain control, reduce opioid reliance, and decrease postoperative pain-related follow-up calls by implementing a standardized, evidence-based …

Integrating Kangaroo Care Into Cesarean Delivery Practices: A Pathway To Enhanced Health Outcomes, Julia Swords

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Cesarean deliveries often interrupt early mother-infant bonding, delaying the initiation of breastfeeding and limiting opportunities for skin-to-skin contact. Despite national guidelines promoting immediate postpartum contact, cesarean-born infants receive kangaroo care (KC) at significantly lower rates than those born vaginally. Prior to this project, only 2% of cesarean births at the project site received KC, highlighting a significant gap in care delivery.

Aim of the Project: The aim was to evaluate the feasibility and impact of implementing kangaroo care during cesarean deliveries in a community hospital to improve neonatal outcomes and adherence to evidence-based postpartum practices.

Review of the Evidence: …

Did You Clean It? - An Evidence-Based Project To Improve Environmental High Touch Area Cleaning Practices, Lauren Hagglund, Hailey Holt, Ainsley Ingebrigtsen, Emily Keller, Stuti Khadka, Kit Mallari, Gavin Martinez, Sahira Monroy, Hannah Pendarvis, T.A. Stockton

2024

No abstract provided.

Yucky Mouth? Clean It Up., Alexandra Thomson, Catherine Barry, Katie Spallo, Sabreen Al Bashiti, Chandler Conerly, Linda Smith

2024

No abstract provided.

Fostering Bright Beginnings: Exploring The Impact Of Cycled Ambient Lighting On Neurological Outcomes Of Infants In A Level Iv Nicu, Julie Acton, Cameron Hartnett, Abeni Kratzmeyer, Grace Madrinan, Elicha Saunders, Alexis Serrano, Morgan Van Der Weert, Erin Wood

2024

No abstract provided.

Do You Have A Second? Nurse Interruptions And Medication Errors, Beaux Brownlow, Camryn Fleming, Sarah Jermstad, Lydia Moore, Nicole Rickert, Sydney Snyder

2024

No abstract provided.

Increasing Safe Sleep Compliance Among Caregivers & Staff, Alexandra Dyer, Rupanpreet Kaur, Hannah Mueller, Alexis Olivares, Haley Payne, Nancy Silva, Julianna Sicilian, Krista Valencia

2024

No abstract provided.

Burning Questions: All About Fevers, Lauren Bowen, Julia Dyer, Janeth Castillo Hernandez, Coral Lucas

2024

No abstract provided.

The Effects Of Bedside Handoff In The Pediatric Emergency Department, Kristina Aryee, Haleigh Hogan, Ainsley Knight, Kelsey Matas, Garrett Matlock

2024

No abstract provided.

Rolling With The Bss: Standardizing Stool Assessments In Pediatric Care, Herlinda Cardenas Arce, Allison Hoffman, Hannah Holmes, Sierrah Martinez, Cinthya Mondragon

2024

No abstract provided.

Implementation Of I-Shaped Nursing Hand-Off To Improve Nurse Hand-Off Satisfaction, Layla Awad, Denise Hood, Octavia Sandifer

2024

No abstract provided.

Preventing Nurse Burnout And Improving Retention Rates, Abigail Rannow, Kayla Bernius, Camellia Le, Stephanie Cardenas Parra, Cesar Lopez

2024

No abstract provided.

No More Line Mix-Ups: The Label Solution, Alexis Spain, Holly Mckeethan, Lindsey Garvey, Molly Andersen, Natalie Romei, Catherine Fritz, Abigail Munoz, Kc Chamberlain

2024

No abstract provided.

Improving Ambulation And Safety Related To Complex Medical Equipment In Inpatient Settings, Kellie Chin, Allie Fox, Destiny Gaines, Luke Hernandez, Natalie Kauppila, Taylor Potraza

2024

No abstract provided.

From Bed To Better: An Interdisciplinary Approach To Establish Early Mobility & Routine Among Pediatric Hematology Oncology Patients, Emerson Emerson, Kayla Boxer, Kennedi Mcclain, Kylie Hollander, Mckenna Landon, Shannon Wheeler

2024

No abstract provided.