Pediatric Nursing Commons^™

Owning Your Practice Through Evidence-Based Practice (Ebp) - Transformational Leadership Strategies That Create The Foundation For Ebp Enculturation, Sara Moore, Kathleen Ellis, Zara Sajwani-Merchant, Lindsey Patton

2024

INNOVATION

Background: Nursing Research and Evidence-Based Practice (NREBP) is central to advancing nursing science and integrating nursing practices supported by scientific inquiry to improve health outcomes and quality of care^1,4. The gap between what nurses know and what they do can have life-altering consequences^2,7 . The degree to which nurses base their practice behaviors on research, EBP competence, and use of EBP skills is sub-optimal and is directly influenced by organizational and institutional barriers³. Common barriers to implementing EPB behavior change include organizational culture, leadership, networks and communication, resources, evaluation, monitoring and feedback, and availability …

Midline Catheter Implementation: Expanding Vascular Access Options In A Level Iv Nicu To Decrease Vascular Injury, Kymeyone Lanehart, Rebecca Palmer, Jeri Tidwell, Sushmita Yallapragada, Courtney Campbell, Lebanon David, Katie Doerge

2024

EBP

Background: PIV catheters are the most placed device in the NICU requiring frequent attempts, with a brief duration due to complications which indicate removal before completion of treatment. PIVs used for treatment have a patient safety risk of PIVIE; the severity can be mild, moderate, or severe depending on the swelling and tissue damage. PIVIE rates are one of the patient quality outcomes and are increasing in the NICU. Considering the increased risks of long-term consequences from tissue injury associated with PIVs, MCD may improve quality and patient outcomes.

Problem: PICOT question: (P)For eligible neonates in a level IV …

Optimized Pain Management Protocol For Pediatric Needlestick Procedures: Boosting Team Coordination And Pain Relief, Dhanu N. Bhandari

2024

EBP

PICOT Question:Among clinical staff in the Integrated Therapy Unit (ITU), how does the implementation and education of a standardized set of topical anesthetic agents affect staff consistency with the new pain management procedure over six months compared to existing inconsistent practices?

Background:Effective pain management during pediatric needlestick procedures is critical but often neglected, leading to immediate distress and long-term issues like needle phobia. Research shows that proper pain management not only reduces pain but also improves patient satisfaction and clinical outcomes. However, inconsistent use of strategies like topical anesthetics has hindered optimal care. This project aimed to …

Administration Of Naxitamab In High-Risk Neuroblastoma Patients To Manage Adverse Reactions, Lauren Brown, Nikki Marshall, Diamond Wright

2024

INNOVATION

Neuroblastoma is the most common extracranial solid tumor in children with approximately 700 cases diagnosed yearly. Children treated with traditional therapies experience a recurrence rate over 50%, increasing the chances of poor clinical outcomes. Integrating anti-disialoganglioside-2 (GD2) monoclonal antibodies like Naxitimab have significantly improved patient outcomes. However, there is no standardized process between pediatric institutions to administer the drug while managing adverse drug reactions. Naxitimab received accelerated approval from the US Food and Drug Administration for children over age one with relapsed/refractory high-risk Neuroblastoma. Approximately half of the patients receiving Naxitimab encountered acute adverse events (AEs). Different institutions manage …

Exploration Of Decedent Care Practices Among Pediatric Hospitals In The United States, Mayra Garcia, Kim Mccarthy, Kiele Samuel, Kathleen Ellis, Lisa Jones, Joe Don Cavender, Ryan Campbell, Chelsea Reynolds, Jesse Leos, Pauline Chen

2024

RESEARCH

Purpose:
Pediatric deaths in hospitals profoundly affect both staff and families, underscoring the need for clear decedent care processes and specialized training to navigate emotional and procedural challenges. Cooling rooms and reflection spaces, which provide families with more time for memory-making and help ease the emotional burden of separation, have been shown to offer significant support. However, these facilities are less common in the U.S., highlighting the necessity for further research in this area. The purpose of this study was to explore the decedent care (DC) practices in pediatric hospitals in the United States.

Methods:
Participants were recruited via …

From Identification To Action: Nurses Respond To Human Trafficking, Misty Daugherty, Jill Hanks, Alison Kell, Annie Tolliver, Katie Fields, Lily Velez

2024

INNOVATION

Background: In 2022, nurses from a pediatric healthcare system hosted a Human Trafficking Conference to educate healthcare providers on the identification of human trafficking victims. In post-conference surveys, participants reported a gap in their ability to respond once a human trafficking victim was identified. The conference planning committee reconvened in 2023 to address this gap and shifted from a didactic presentation to application and simulation.

Purpose: Research shows in our home state, there are about 313,000 people being trafficked, up to 50% of them being youth. It is estimated that up to 88% of human trafficking victims encounter healthcare …

The Use Of Storybook Implementation For Patient Education Tools, Jennifer Brown

2024

EBP

Practice Problem: For children with growth delay and their parents, how can implementation of storybooks with images, compared to disease specific handouts, increase understanding and knowledge of the disease and treatment as well as decrease anxiety? It was identified that parents and patients coming to the Endocrine Clinic for growth delay, did not always fully understand the reasons for the growth evaluation or causes of growth delay.

Literature/Evidence: Literature was retrieved, appraised, and synthesized to define best practices to create storybooks. Best practices included, using storybooks that include images, co-creation with intended audience. Using storybooks for patient education …

We All Fall Down - Fall Prevention On An Inpatient Pediatric Unit, Jennifer Watt

EBP Fellowship

No abstract provided.

Using Storybooks With Images To Improve Diagnosis Understanding And Decrease Anxiety Among Patients And Parents, Jennifer Brown

EBP Fellowship

No abstract provided.

Training Nurses To Practice Within A Wellness Model - A Rn’S Role In Using Social Determinants Of Health To Improve Patient Outcomes, Brittney Saldierna

EBP Fellowship

No abstract provided.

Remain Calm - Decreasing Perceived Stress Levels Through Implementation Of A Quiet Room, Chelsea Reynolds

EBP Fellowship

No abstract provided.

Reduce Unplanned Extubations In Seven Questions Or Less, Leslie Huntington

EBP Fellowship

No abstract provided.

Preventing Patient Deterioration And Increasing Family Satisfaction By Creating A Reassessment And Escalation Process For The Emergency Department Waiting Room, Virginia Elizondo

EBP Fellowship

No abstract provided.

Ironing Out The Details - Early Detection And Treatment Of Iron Deficiency In A Level 4 Nicu, Rachel Mills

EBP Fellowship

No abstract provided.

Implementation Of A Standardized Pre- Procedure Pain Management Agents, Dhanu N. Bhandari

EBP Fellowship

No abstract provided.

Identify Best Preceptor Strategies For New Graduate Pediatric Float Pool Nurses With Learning Disabilities, Janna Berg

EBP Fellowship

No abstract provided.

From Hospital To Home - Health Literacy Champions Empowering Caregivers Of Medically Complex Children, Sarah Clark

EBP Fellowship

No abstract provided.

Fall Prevention Strategies In A Pediatric Epilepsy Monitoring Unit, Bailey Cochrum

EBP Fellowship

No abstract provided.

Empowering Unit Council Leaders To Expand Professional Governance Engagement - An Ebp Project, Misty Daugherty

EBP Fellowship

No abstract provided.

Emergent Medication Labels In The Pediatric Intensive Care Unit, Christine Hajovsky

EBP Fellowship

No abstract provided.