Pediatric Nursing Commons^™

Adult Qdts, Urdu, Marianne E. Weiss, Ambreen Gowani

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Ob Qdts, Chinese, Marianne E. Weiss, Lili Wei

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Caregiver Qdts, Korean, Marianne E. Weiss, Heui-Kyeong Kwon

Quality of Discharge Teaching Scale

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Uncontrolled Asthma In Pediatrics, Lydia M. Chapa-Wilson

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Asthma tends to be underdiagnosed and undertreated. Several studies concluded that asthma was poorly managed among pediatric care providers. To address the patient/problem, intervention, comparison, outcome, and setting (PICOTS) question: Among the pediatric providers at a primary care clinic in an urban Texas city, what was the effect of administering asthma control tests (ACT/C-ACT) on modifying the care plan of pediatric patients diagnosed with uncontrolled asthma? The purpose of this evidence-based practice (EBP) project was to evaluate the association between the test scores and the provider’s decision whether to change the patient’s care plan, and ultimately to bring the clinic …

Development Of A Positive Urinalysis Criteria Using A Machine Learning Approach, Kari Flicker, Jessica Parrott, Tammy Speerhas, Turaj Vazifedan, Theresa Guins, Jeffrey Bobrowtiz, Anne Mcevoy, Jade Eves, Debra Conrad, Benjamin Klick

Ellmer School of Nursing Faculty Publications

Background: Urinary tract infections (UTIs) are a commonly encountered diagnosis at pediatric urgent care (UC) centers. The urinalysis (UA) is usually the initial study in UC settings used to guide decisions regarding initiating empiric antibiotics and/or pursuing urine culture. However, studies in pediatric UC settings examining the ideal threshold for a positive result are lacking.

Methods: UA result data were extracted from the records of 6,327 pediatric patients, which were collected as part of a previous QI project. Logistic regression was used to determine the predictors of positive urine cultures. Decision trees for a positive UA result for both clean …

Guideline For Breastfeeding Difficulty, Collin Naugher

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background

The American Academy of Pediatrics recommends exclusive breastfeeding for all infants until six months of age. In the United States, the exclusive breastfeeding rate is 52%, with a goal of 73% by Healthy People 2030 at six weeks of age. Breastfeeding difficulty will occur 70% of the time in mother-baby dyads, requiring some intervention by the primary care provider during the breastfeeding course. This study aims to build a clinical practice guideline that can guide interventions to improve successful breastfeeding rates in a birthing center.

Methods

The literature search was performed and condensed to an evidence table where studies …

Post-Discharge Malaria Chemoprevention In Children Admitted With Severe Anaemia In Malaria-Endemic Settings In Africa: A Systematic Review And Individual Patient Data Meta-Analysis Of Randomised Controlled Trials, Kamija Phiri, Carole Khairallah, Titus Kwambai, Kalifa Bojang, Aggrey Dhabangi, Robert Opoka, Richard Idro, Kasia Stepniewska, Michael Boele Van Hensbroek, Chandy C John

Paediatrics and Child Health, East Africa

Background: Severe anaemia is associated with high in-hospital mortality among young children. In malaria-endemic areas, surviving children also have an increased risk of mortality or readmission after hospital discharge. We conducted a systematic review and individual patient data meta-analysis to determine the efficacy of monthly post-discharge malaria chemoprevention in children recovering from severe anaemia.

Methods: This analysis was conducted according to PRISMA-IPD guidelines. We searched multiple databases on Aug 28, 2023, without date or language restrictions, for randomised controlled trials comparing monthly post-discharge malaria chemoprevention with placebo or standard of care among children (agedyears) admitted with severe anaemia in malaria-endemic …

Chronic Atopic Dermatitis: Symptom Management Using Moisturizers Among Asian American Pediatrics, Ethan J. Brillantes

Nursing | Senior Theses

Background: Atopic Dermatitis (AD), also commonly known as eczema, affects 31.6 million (10%) of the United States Population, with 13% being Asian American or Pacific Islander. A cure is not present for AD; however, the best way to treat AD is with symptom management. While there are many pharmacological treatments that aid with symptom management such as topical or oral corticosteroids, there are also non pharmacological treatments such as moisturizers that can aid with symptom relief of AD as well. Objective: The literature review explores moisturizer use and other non pharmacological methods for symptom management of AD and provides understanding …

The Effects Of Music Therapy On Pediatric Patients With Congenital Heart Defects In The Pre And Postoperative Setting, Janelle Marie Choy

Nursing | Senior Theses

Congenital heart defects is a prominent medical occurrence especially in pediatrics. These defects often require surgeries and extensive treatment plans. These treatment plans often include invasive surgeries and extensive treatment plans which can require long recovery times along with potential surgical complications. This study aims to evaluate the effectiveness of music therapy on pediatric patients with congenital heart defects in the pre and postoperative setting and how music therapy can be implemented in treatment plans to yield effective recovery results for these patients. This research is significant as elevated vital signs and preoperative anxiety are associated with an increased need …

A Pulse For Progress – Examining The Efficacy Of Best Nursing Developmental Care Practices For Children With Congenital Heart Disease At Risk For Developmental Delay In The Pcicu: A Prospective Quasi-Experimental Cohort Study, Jasmyn Jansen

Nursing | Senior Theses

Emerging advances in pediatric cardiovascular surgery have significantly decreased the mortality rates in infants born with critical congenital heart disease (CHD), in turn, leading to increasing prevalence in adolescence and adulthood. At the same time, developmental delays (DD) are on the rise among children with CHD. Recent research suggests that prolonged exposure to the pediatric cardiac intensive care unit (PCICU), with its environmental stressors, negatively implicates neurodevelopment raising the question, and risk, of DD. In January 2023, the American Heart Association (AHA) issued a scientific advisory calling hospitals to implement developmental care practices for hospitalized infants and young children with …

Enhancing Athletic Participation: Continuous Glucose Monitoring For Pediatric Type 1 Diabetes Athletes, Danielle Santiago

Nursing | Senior Theses

The difficulties that children and teenagers with Type 1 Diabetes Mellitus (T1DM) encounter are discussed in this thesis, with a focus on how fear of hypoglycemia (FOH) and actual hypoglycemia associated with this chronic illness affects their ability to engage in physical activities, especially organized sports. A common challenge for children diagnosed with T1DM is meeting the daily recommendation of 60 minutes of daily moderate to vigorous physical activity. The purpose of the proposed study is to evaluate if participation in structured exercise (physical education classes and after-school sports) increases among school-aged children who wear continuous glucose monitors (CGM) when …

Unveiling New Realities: An In-Depth Analysis Of Virtual Reality's Impact On Postoperative Adolescents, Julia Tolentino

Nursing | Senior Theses

The traditional approach to postoperative pain management heavily relies on opioids, but there’s been a surge in their misuse and adverse effects, leading to a significant public health concern. This has led healthcare providers to incorporate a multimodal approach aimed at reducing opioid dependence. This proposal introduces an immersive component, virtual reality (VR), not as a replacement for opioids but as a complementary tool offering distinct advantages for enhancing postoperative pain management. By immersing patients in a virtual environment, VR effectively distracts them from pain and discomfort, allowing for reduced opioid dosages and mitigating the risk of opioid misuse. Additionally, …

Unleashing Wellness: Exploring The Impact Of Pet Therapy On Anxiety Reduction, Quality Of Life, And Treatment Adherence In Pediatric Oncology Patients, Karina Brouwer

Nursing | Senior Theses

Pet therapy is a complementary intervention that involves the interaction between a person and animal, with the focus of improving psychological well-being within diverse populations. In particular, children with oncological disorders have increases in anxiety and stress levels, therefore it is imperative to study the impact of animal interventions within this population. This literature critique explores the impact of pet therapy interventions on anxiety, stress, and quality of life perceptions in pediatric oncology patients. This research proposal will investigate how animal therapy interactions within pediatric oncology patients influence their anxiety levels and perceptions of quality of life and how these …

Reducing Emergency Department Visits For Children With Autism Spectrum Disorder: Nurse-Led Home Interventions, Teri Nguyen

Nursing | Senior Theses

In the realm of pediatric healthcare, children diagnosed with Autism Spectrum Disorder (ASD) face unique challenges alongside their caregivers. Caregivers face challenges in accessing appropriate support and resources to effectively address the needs of children with ASD. Children with ASD struggle with sensory sensitivities, impaired safety awareness, and difficulties perceiving potential dangers which put them at greater risk for injuries. As a result, children with autism have higher rates of emergency department visits compared to their neurotypical peers. This research aims to assess the effectiveness of nurse-led home injury prevention and education in reducing emergency department visits for children with …

Medical Cannabis In Pediatric Chronic Pain And Diseases, Marissa Colombo

Nursing | Senior Theses

Background: Pediatric chronic pain has seen a disturbing rise which ends up affecting the child’s routine and impacting their family’s lives. Medical cannabis has Food and Drug Administration-approved derivatives, yet the studies that focus on medical cannabis do not discuss targeting pain in pediatric patients. Children who experience chronic diseases and treatment-resistant pain are not normally offered medical cannabis as a treatment option which needs to change. Objective: The purpose of this paper is to explore the impact of medical cannabis within the pediatric population. If children experience pain that is similar to adults, withholding techniques that can help alleviate …

Telehealth: A Rising Intervention For Latina Mothers Experiencing Prenatal And Postpartum Depression, Britney Gutierrez

Nursing | Senior Theses

Background: Postpartum depression (PPD) is high among Latina women but often goes unrecognized and untreated. Recognition and management of PPD in this population is crucial as PPD contributes to negative health effects on the mother and infant. Purpose: This research aims to look into telehealth to improve screening methods and treatment for Latina mothers through a Spanish mobile health application that will provide screening and education on PPD. Method: This mixed-method quality improvement study will include 300 participants from an OB-GYN and Pediatrics community clinic, > 18 years old, of Hispanic/Latino ethnicity, Spanish speaking, currently pregnant, or had a child within …

Developmental Effects Of Child Abuse: The Relevance Of Timing, Laura Luz Alvarez Pineda, Karla Susana Saldaña

Nursing | Senior Theses

Background: Early physical, sexual, and emotional child abuse has been associated with long-life cognitive, emotional, and physical health repercussions. Purpose: The current paper, in addition to a literature review, proposes a research design to examine the emotional outcomes of physical, emotional, and sexual child abuse on Hispanics when a psychosocial therapy program is implemented. Methods: Participants will be recruited from children’s hospitals, daycares, and preschools around the Bay Area. Parental-informed consent will be obtained prior to participation. This longitudinal quantitative quasi-experimental study will be comprised of three phases to measure posttraumatic stress and depression symptoms, and suicidal ideation. Results: Multivariate …

Advancing School Nursing Practice: A Novel Approach To Screening For Gastrointestinal Disorders In Children, Ashley Bunting, Isabella Cavlan

Nursing | Senior Theses

Background: Currently, mandated health screenings in California schools are limited to vision, hearing, and scoliosis; this leaves several other body systems unmonitored during the crucial years of childhood development. One such system is the gastrointestinal (GI) system, which plays a vital role in the normal growth, nutrition status, development, and overall health of children. Objective: By developing and implementing a GI-specific screening tool in the outpatient school setting, this research aims to increase the detection of GI disorders in children. Not only that, but school nurses can use this novel screening tool to promote early diagnosis, intervention, and …

ผลของโปรแกรมการส่งเสริมสุขภาพโดยใช้เกมเป็นสื่อต่อพฤติกรรมการมีกิจกรรมทางกายและเปอร์เซ็นต์ไขมันของวัยรุ่นที่มีภาวะเริ่มอ้วนและอ้วน, กมลทิพย์ รุยแก้ว

Chulalongkorn University Theses and Dissertations (Chula ETD)

งานวิจัยกึ่งทดลองวัดก่อนและหลังมีกลุ่มเปรียบเทียบนี้ มีวัตถุประสงค์เพื่อศึกษาผลของโปรแกรมการส่งเสริมสุขภาพโดยใช้เกมเป็นสื่อต่อพฤติกรรมการมีกิจกรรมทางกายและเปอร์เซ็นต์ไขมันของวัยรุ่นที่มีภาวะเริ่มอ้วนและอ้วน อายุ 13-18 ปี จำนวน 30 คน โดยแบ่งเป็นกลุ่มที่ได้รับการดูแลตามปกติ 15 คน และกลุ่มที่ได้รับโปรแกรมการส่งเสริมสุขภาพโดยใช้เกมเป็นสื่อ 15 คน เครื่องมือที่ใช้ประกอบด้วย 1) แบบสอบถามการรับรู้ประโยชน์ของการมีกิจกรรมทางกาย 2) แบบสอบถามการรับรู้อุปสรรคของการมีกิจกรรมทางกาย 3) แบบสอบถามการรับรู้สมรรถนะตนเองในการทำกิจกรรมทางกาย และ 4) แบบสอบถามพฤติกรรมการมีกิจกรรมทางกาย โดยมีค่าความตรงเชิงเนื้อหา เท่ากับ 1.0, 1.0, 1.0, และ 0.83 ตามลำดับ ค่าสัมประสิทธิ์แอลฟาของครอนบาค เท่ากับ 0.78 , 0.86, 0.66 และ 0.68 ตามลำดับ วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนาและสถิติทดสอบที (t-test) ผลการวิจัย พบว่า วัยรุ่นที่มีภาวะเริ่มอ้วนและอ้วนหลังจากได้รับโปรแกรมการส่งเสริมสุขภาพโดยใช้เกมเป็นสื่อ มีพฤติกรรมการมีกิจกรรมทางกายสูงกว่าก่อนได้รับโปรแกรมฯ และสูงกว่ากลุ่มที่ได้รับการดูแลตามปกติ อย่างมีนัยสำคัญทางสถิติ (t = -3.51, t= -2.91; p < .05) แต่เปอร์เซ็นต์ไขมันภายหลังได้รับโปรแกรมฯ และระหว่างกลุ่มไม่แตกต่างกัน

ผลของโปรแกรมการฟังเสียงของมารดาต่อการตอบสนองของทารกแรกเกิดก่อนกำหนดและความผูกพันของมารดาต่อทารกในหอผู้ป่วยวิกฤตทารกแรกเกิด, ชนัญชิตา จุลเกาะ

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษานี้เป็นการวิจัยกึ่งทดลองแบบข้ามสลับในกลุ่มเดียว แบบสองระยะไขว้กัน (Single-group, two-sequence crossover design) เพื่อศึกษาผลของโปรแกรมการฟังเสียงของมารดา ต่อการตอบสนองของทารกแรกเกิดก่อนกำหนด และความผูกพันของมารดาต่อทารก กลุ่มตัวอย่างประกอบด้วยมารดาและทารกเกิดก่อนกำหนด จำนวน 16 คู่ ซึ่งมีอายุครรภ์ระหว่าง 32–36 สัปดาห์ โดยผู้เข้าร่วมถูกสุ่มเข้าสู่สองลำดับ ได้แก่ ลำดับที่ 1 ทารกได้รับโปรแกรมการฟังเสียงของมารดา เป็นเวลา 4 วัน ตามด้วยระยะพัก 1 วัน และจากนั้นได้รับการพยาบาลตามปกติอีก 4 วัน และลำดับที่ 2 ทารกได้รับการพยาบาลตามปกติ 4 วัน ตามด้วยโปรแกรมการฟังเสียงของมารดาอีก 4 วัน การตอบสนองของทารกถูกบันทึกด้วยวิดีโอ ในช่วงก่อน ระหว่าง และหลังการฟังเสียงของมารดา ทั้งการตอบสนองของทารกและความผูกพันของมารดาต่อทารก ได้รับการประเมินโดยใช้แบบประเมินการตอบสนองของทารก (Infant Response Assessment Tool) และแบบสอบถามความผูกพันของมารดาต่อทารก (Mother-to-Infant Attachment Questionnaire) ซึ่งเครื่องมือทั้งสองมีค่าความตรงและความเที่ยง เท่ากับ 0.8, 88.58%, 0.8–1 และ 0.89 ตามลำดับ ข้อมูลทั่วไปวิเคราะห์ด้วยสถิติเชิงพรรณนา การตอบสนองของทารกเกิดก่อนกำหนดวิเคราะห์โดยใช้การวิเคราะห์ความแปรปรวนทางเดียวแบบวัดซ้ำ (One-way repeated measures ANOVA) และความผูกพันของมารดาต่อทารกวิเคราะห์โดยใช้สถิติ paired t-test ผลการวิจัยพบว่า (1) มารดาในกลุ่มตัวอย่างมีอายุเฉลี่ย 31.25 ปี ส่วนใหญ่อยู่ในครรภ์ที่สอง (ร้อยละ 56.25) และสำเร็จการศึกษาระดับปริญญาตรี (ร้อยละ 43.75) ทารกเพศชายร้อยละ 56.25 และเพศหญิงร้อยละ 43.75 อายุครรภ์เฉลี่ย 33.25 สัปดาห์ น้ำหนักแรกเกิดเฉลี่ย 1,967.88 กรัม ทารกส่วนใหญ่ (ร้อยละ 56.25) มีภาวะหายใจลำบาก และได้รับออกซิเจน (ร้อยละ 62.5) โดยมีค่า Apgar score …