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Journal articles on the topic 'Pediatric healthcare'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Maiga, G., and P. L. Mutuwa. "An Integrating Model of Knowledge Management for Improved Pediatric Healthcare Practice." Journal of Information & Knowledge Management 14, no. 02 (June 2015): 1550001. http://dx.doi.org/10.1142/s021964921550001x.

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Pediatric care practitioners are faced with increasing amounts of data that is not matched by an equivalent ability to manage and apply it for improved healthcare. Contributing to this are lack of tools and systems to aid in knowledge management. This paper presents the results of a study on a model that focusses on integrating the Knowledge management processes that contribute to improved pediatric care delivery in the context of Uganda. A field survey was conducted to empirically test the model of knowledge management in Pediatric Healthcare (PHC). The requirements were used to extend existing Knowledge management models in order to describe one suitable for pediatrics knowledge management and practice. The study identified technology, People, Storage and pediatrics knowledge integration as important requirements for successful implementation of Knowledge management in PHC practice. Regression analysis was done to show the relationships in the proposed mode and the results indicate its suitability for knowledge management in pediatric practice.

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Krepper, Rebecca, Anne Yong, and Evonne Cumming. "Pediatric Home Healthcare A Paradox." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 12, no. 4 (July 1994): 15–19. http://dx.doi.org/10.1097/00004045-199407000-00003.

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Rizzolo, Denise, and Jonathan Bowser. "Update on pediatric oral healthcare." Journal of the American Academy of Physician Assistants 29, no. 8 (August 2016): 52–53. http://dx.doi.org/10.1097/01.jaa.0000484312.96684.d7.

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Stern, Molly. "Perspectives of LGBTQ Youth and Pediatricians in the Primary Care Setting: A Systematic Review." Journal of Primary Care & Community Health 12 (January 2021): 215013272110443. http://dx.doi.org/10.1177/21501327211044357.

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Objectives: Conduct a systematic review designed to determine needs and experiences of LGBTQ adolescents in the pediatric primary care setting and to the ability of primary care practitioners to provide the most inclusive care to LGBTQ adolescents. Methods: PubMed, CINAHL, and Embase searches using the following keywords: LGBTQ, Adolescents, Pediatrics, Sexual-Minority, Gender-Identity, and primary care, to identify peer-reviewed publications from 1998 to 2017 that focused on stigma in the healthcare setting related to LGBTQ youth and the knowledge of healthcare providers on enhancing care for their sexual and gender minority patients. Article inclusion criteria include: primary research studies conducted in a pediatric primary care describing LGBTQ patients, pediatric patients as described by the American Academy of Pediatrics (AAP), and written in the English language. Articles were excluded if they used inaccurate definitions for LGBTQ identity, inappropriate patient ages outside of those defined by the AAP, and studies not in a pediatric primary care setting. Results: Four articles were identified for the review. Of the included articles, the majority of LGBTQ adolescents experience stigma in the healthcare setting. A limited number of physicians providing care to LGBTQ adolescents felt equipped to care for their sexual-minority patients due to lack of education and resources. Conclusions: The education of physicians should include a more detailed approach to providing care to the LGBTQ population, particularly to those training to become pediatricians. A standard guide to treating LGBTQ adolescents could eliminate stigma in the healthcare setting.

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Trotochaud, Karen, Joyce Ramsey Coleman, Nicolas Krawiecki, and Courtney McCracken. "Moral Distress in Pediatric Healthcare Providers." Journal of Pediatric Nursing 30, no. 6 (November 2015): 908–14. http://dx.doi.org/10.1016/j.pedn.2015.03.001.

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Madigan, Elizabeth A., JoAnne Youngblut, and Clara Haruzivishe. "Pediatric Home Healthcare: Patients and Providers." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 17, no. 11 (November 1999): 699–706. http://dx.doi.org/10.1097/00004045-199911000-00005.

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Stabouli, Stella, Lazaros Sideras, Georgia Vareta, Marianna Eustratiadou, Nikoleta Printza, John Dotis, Vasilios Kotsis, and Fotios Papachristou. "Hypertension screening during healthcare pediatric visits." Journal of Hypertension 33, no. 5 (May 2015): 1064–68. http://dx.doi.org/10.1097/hjh.0000000000000505.

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Branch, Carole, and Dean Klinkenberg. "Compassion Fatigue Among Pediatric Healthcare Providers." MCN, The American Journal of Maternal/Child Nursing 40, no. 3 (2015): 160–66. http://dx.doi.org/10.1097/nmc.0000000000000133.

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&NA;. "Compassion Fatigue Among Pediatric Healthcare Providers." MCN, The American Journal of Maternal/Child Nursing 40, no. 3 (2015): E13—E14. http://dx.doi.org/10.1097/nmc.0000000000000158.

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Podila, Pradeep S. B., Vikki Nolan, Anjelica Christina Saulsberry, Sheila Anderson, Jason R. Hodges, Jerlym Porter, and Jane S. Hankins. "Interruption in Care Continuity during Healthcare Transition from Pediatric to Adult Care Increases Acute Care Utilization." Blood 132, Supplement 1 (November 29, 2018): 2226. http://dx.doi.org/10.1182/blood-2018-99-115789.

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Abstract Background: Among youth with sickle cell disease (SCD), morbidity and mortality substantially increase following departure from pediatric care. Care continuity following transfer from pediatric to adult-centered care is paramount to ensure maintenance of health care delivery and reduce the risk of poor clinical outcomes. The American Academy of Pediatrics recommends matriculation in adult care within 6 months from leaving pediatric care for patients with special health care needs. Failure to transition from pediatric to adult care among youth with SCD may contribute to frequent disease complications and early death. No formal analysis has been conducted to quantify the risk of care interruption as youth transition from pediatric to adult care on the rate of acute health care utilization. We tested the hypothesis that patients who interrupted care for more than 6 months as they moved from the pediatric to the adult-centered care setting would have higher frequency of acute health care utilization. Methods: With IRB approval, we conducted a retrospective review of the rate of acute care utilization among patients with SCD who were transitioned from the pediatric sickle cell program at St. Jude Children's Research Hospital to the adult sickle cell program at Methodist University Hospital, Memphis TN between January 2014 and December 2017. We compared the rates of emergency department (ED) and inpatient utilization among those who established care >6 months from completing pediatric care (interrupted care continuity) and those who established adult care within 6 months from completing pediatric care (uninterrupted care continuity). We used person-time rates to compare the rates of emergency department and inpatient encounters per patient between the two care continuity groups. Results: Between January 2014 and December 2017 there were 172 patients with SCD who completed pediatric care and established adult care: 63 of them had a latency time from pediatric to adult care >6 months and 109 had a latency time from pediatric to adult care ≤6 months. Their follow-up since matriculation in adult care was 2245 and 2197 person-years for interrupted and uninterrupted care continuity groups, respectively The median (range) age upon establishing adult care was 20 (range, 20 to 24) years and 18 (range, 18 to 19) years for the interrupted and uninterrupted care continuity groups, respectively. Patients who interrupted care >6 months after leaving pediatric care had an incidence rate of 0.18 ED visits/person-year compared to 0.09 ED visits/person-year among those who completed the first visit within 6 months from leaving pediatric care (IRR 0.48, 95%CI 0.40-0.57, p<0.0001) (Figure panels A and B). Patients who interrupted care >6 months after leaving pediatric care had an incidence rate of 0.09 inpatient visits/person-year compared to 0.04 inpatient visits/person-year among those who completed the first visit within 6 months from leaving pediatric care (IRR 0.42 (95%CI 0.32-0.54, p<0.0001) (Figure panels C and D). Conclusions: The latency time from pediatric to adult care may impact the frequency of acute care utilization among youth with SCD. Patients who do not establish adult care within 6 months from leaving pediatric care, as recommended by the American Academy of Pediatrics, are at risk of experiencing greater ED and inpatient visits than those who establish care within 6 months from leaving pediatric care. Efforts to avoid care interruptions during the health care transition period are important to ensure optimal health outcomes among youth with SCD. Disclosures Hankins: NCQA: Consultancy; bluebird bio: Consultancy; Novartis: Research Funding; Global Blood Therapeutics: Research Funding.

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Lake, Jason G., Lindsey M. Weiner, Aaron M. Milstone, Lisa Saiman, Shelley S. Magill, and Isaac See. "Pathogen Distribution and Antimicrobial Resistance Among Pediatric Healthcare-Associated Infections Reported to the National Healthcare Safety Network, 2011–2014." Infection Control & Hospital Epidemiology 39, no. 1 (December 18, 2017): 1–11. http://dx.doi.org/10.1017/ice.2017.236.

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OBJECTIVETo describe pathogen distribution and antimicrobial resistance patterns for healthcare-associated infections (HAIs) reported to the National Healthcare Safety Network (NHSN) from pediatric locations during 2011–2014.METHODSDevice-associated infection data were analyzed for central line-associated bloodstream infection (CLABSI), catheter-associated urinary tract infections (CAUTI), ventilator-associated pneumonia (VAP), and surgical site infection (SSI). Pooled mean percentage resistance was calculated for a variety of pathogen-antimicrobial resistance pattern combinations and was stratified by location for device-associated infections (neonatal intensive care units [NICUs], pediatric intensive care units [PICUs], pediatric oncology and pediatric wards) and by surgery type for SSIs.RESULTSFrom 2011 to 2014, 1,003 hospitals reported 20,390 pediatric HAIs and 22,323 associated pathogens to the NHSN. Among all HAIs, the following pathogens accounted for more than 60% of those reported: Staphylococcus aureus (17%), coagulase-negative staphylococci (17%), Escherichia coli (11%), Klebsiella pneumoniae and/or oxytoca (9%), and Enterococcus faecalis (8%). Among device-associated infections, resistance was generally lower in NICUs than in other locations. For several pathogens, resistance was greater in pediatric wards than in PICUs. The proportion of organisms resistant to carbapenems was low overall but reached approximately 20% for Pseudomonas aeruginosa from CLABSIs and CAUTIs in some locations. Among SSIs, antimicrobial resistance patterns were similar across surgical procedure types for most pathogens.CONCLUSIONThis report is the first pediatric-specific description of antimicrobial resistance data reported to the NHSN. Reporting of pediatric-specific HAIs and antimicrobial resistance data will help identify priority targets for infection control and antimicrobial stewardship activities in facilities that provide care for children.Infect Control Hosp Epidemiol 2018;39:1–11

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Silva, André Ricardo Araujo da, Cristina Vieira de Souza, Mario Eduardo Viana Guimarães, Guilherme Sargentelli, and Marisa Zenaide Ribeiro Gomes. "Incidence Rates of Healthcare-Associated Infection in a Pediatric Home Healthcare Service." Infection Control & Hospital Epidemiology 33, no. 8 (August 2012): 845–48. http://dx.doi.org/10.1086/666627.

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We describe the incidence rates of home healthcare-associated infections (HHAIs) in a pediatric home healthcare service (PHHCS). The overall incidence density of HHAIs was 11.1 infections per 1,000 patient-days. Average incidence density of ventilator-associated pneumonia (VAP) was 6.8 per 1,000 ventilator-days. Strategies for control of VAP should be prioritized in PHHCSs.

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Ejike, J. Chiaka, Jennifer Newcombe, Joanne Baerg, Khaled Bahjri, and Mudit Mathur. "Understanding of Abdominal Compartment Syndrome among Pediatric Healthcare Providers." Critical Care Research and Practice 2010 (2010): 1–6. http://dx.doi.org/10.1155/2010/876013.

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Background. The sparse reporting of abdominal compartment syndrome (ACS) in the pediatric literature may reflect inadequate awareness and recognition among pediatric healthcare providers (HCP).Purpose. To assess awareness of ACS, knowledge of the definition and intraabdominal pressure (IAP) measurement techniques used among pediatric HCP.Method. A written survey distributed at two pediatric critical care conferences.Results. Forty-seven percent of 1107 questionnaires were completed. Participants included pediatric intensivists, pediatric nurses, and others. Seventy-seven percent () of participants had heard of ACS. Only 46.8% defined ACS correctly. The threshold IAP value used to define ACS was variable among participants. About one-quarter of participants (83/343), had never measured IAP.Conclusion. Twenty-three percent of HCP surveyed were unaware of ACS. Criteria used to define ACS were variable. Focused education on recognition of ACS and measuring IAP should be promoted among pediatric HCP.

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Weiner-Lastinger, Lindsey M., Sheila Abner, Andrea L. Benin, Jonathan R. Edwards, Alexander J. Kallen, Maria Karlsson, Shelley S. Magill, et al. "Antimicrobial-resistant pathogens associated with pediatric healthcare-associated infections: Summary of data reported to the National Healthcare Safety Network, 2015–2017." Infection Control & Hospital Epidemiology 41, no. 1 (November 25, 2019): 19–30. http://dx.doi.org/10.1017/ice.2019.297.

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AbstractObjective:To describe common pathogens and antimicrobial resistance patterns for healthcare-associated infections (HAIs) among pediatric patients that occurred in 2015–2017 and were reported to the Centers for Disease Control and Prevention’s National Healthcare Safety Network (NHSN).Methods:Antimicrobial resistance data were analyzed for pathogens implicated in central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated pneumonias (VAPs), and surgical site infections (SSIs). This analysis was restricted to device-associated HAIs reported from pediatric patient care locations and SSIs among patients <18 years old. Percentages of pathogens with nonsusceptibility (%NS) to selected antimicrobials were calculated by HAI type, location type, and surgical category.Results:Overall, 2,545 facilities performed surveillance of pediatric HAIs in the NHSN during this period. Staphylococcus aureus (15%), Escherichia coli (12%), and coagulase-negative staphylococci (12%) were the 3 most commonly reported pathogens associated with pediatric HAIs. Pathogens and the %NS varied by HAI type, location type, and/or surgical category. Among CLABSIs, the %NS was generally lowest in neonatal intensive care units and highest in pediatric oncology units. Staphylococcus spp were particularly common among orthopedic, neurosurgical, and cardiac SSIs; however, E. coli was more common in abdominal SSIs. Overall, antimicrobial nonsusceptibility was less prevalent in pediatric HAIs than in adult HAIs.Conclusion:This report provides an updated national summary of pathogen distributions and antimicrobial resistance patterns among pediatric HAIs. These data highlight the need for continued antimicrobial resistance tracking among pediatric patients and should encourage the pediatric healthcare community to use such data when establishing policies for infection prevention and antimicrobial stewardship.

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Sharif, Rabeea, Muhammad Aamir, Faisal Shakeel, Shah Faisal, and Jamshaid Ali Khan. "Pharmacoepidemiological assessment of off-label drug use in pediatric ambulatory departments at four tertiary care hospital in Pakistan." Tropical Journal of Pharmaceutical Research 19, no. 10 (November 26, 2020): 2219–25. http://dx.doi.org/10.4314/tjpr.v19i10.28.

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Purpose: To assess the frequency and possible predictors of off-label drug use in ambulatory pediatric units of four tertiary healthcare institutions in a Pakistani city.Methods: A prospective study was conducted at the pediatric ambulatory department of four tertiary care hospitals of Peshawar, Pakistan. A total 1589 patients were included in the study which to evaluate their prescriptions for off-label drug use with the aid of Thomson Healthcare Micromedex DRUGDEX database.Results: A total of 79 different drugs were prescribed 5668 times to pediatric patients. A high rate of offlabel drug use (71.8 %) was observed in this study. Compared to corresponding reference categories, infants (OR 4.134, 95 % CI 2.076-8.235) and children (OR 1.857, 95 % CI 0.967-3.568) were more likely to receive off-label prescriptions. However, pediatric patients receiving less than four drugs (OR 0.414, 95 % CI 0.312-0.548) were less likely to receive off-label prescriptions.Conclusion: A high incidence of off-label drug use has been observed in the ambulatory pediatric population studied, especially in infants. More research is needed to identify and evaluate the contributory factors to off-label use of drugs in ambulatory pediatric population in developing countries to achieve optimal drug therapy for pediatrics. Keywords: Pediatric population, Ambulatory, Off-label drug use

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Farrakhov, A. Z. "Pediatric health care modernization in the Republic of Tatarstan: first results." Kazan medical journal 94, no. 2 (April 15, 2013): 145–51. http://dx.doi.org/10.17816/kmj1578.

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Aim. To summarize the first results of pediatric healthcare modernization in the Republic of Tatarstan. Methods. Analytical, expert, comparison and systematic approaches were used as a research methods. Results. The obtained results vividly depict the main goal of the modernization performed - to improve the pediatric healthcare on the basis of the innovative medical and management technologies. Modernization is understood as a process of current healthcare facilities enhancement and renovation, bringing them in line with new requirements, norms, technical regulations, healthcare quality measurement tools and qualification of healthcare professionals. The main attention is devoted to healthcare management, computerization of healthcare facilities, modern training technologies, interdepartmental integration. Modernization priorities are shared by the whole country, however, their implementation depends on intra- and off-system healthcare features in subjects of Russian Federation. It is useful to unite the efforts of the healthcare system in the process of modernization in terms of healthcare management based on territorial responsibility of high medical technologies centers and development of governmental-private partnerships. Conclusion. One of the priority trends of prevention service of pediatric healthcare in the Republic of Tatarstan is to form the prevention policies by introduction of a new functional structure - pediatric healthcare centers. The important role should be given to quality assessment of the introduced innovations by statistical, quantitative and qualitative assessments, showing the effectiveness of the healthcare.

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Bartman, Thomas, Bobbie Carroll, Evaline Alessandrini, and Nathaniel R. Payne. "Transparency in Pediatric Outcomes Reporting—Reducing Knowledge Asymmetries in Pediatric Healthcare." Current Treatment Options in Pediatrics 1, no. 4 (October 8, 2015): 320–33. http://dx.doi.org/10.1007/s40746-015-0029-1.

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Lerwick, Julie L. "Minimizing pediatric healthcare-induced anxiety and trauma." World Journal of Clinical Pediatrics 5, no. 2 (2016): 143. http://dx.doi.org/10.5409/wjcp.v5.i2.143.

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Sinclair, Shane, Jane Kondejewski, Fiona Schulte, Nicole Letourneau, Susan Kuhn, Shelley Raffin-Bouchal, Gregory M. T. Guilcher, and Douglas Strother. "Compassion in Pediatric Healthcare: A Scoping Review." Journal of Pediatric Nursing 51 (March 2020): 57–66. http://dx.doi.org/10.1016/j.pedn.2019.12.009.

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Findlen, Ursula M., Prashant S. Malhotra, and Oliver F. Adunka. "Parent perspectives on multidisciplinary pediatric hearing healthcare." International Journal of Pediatric Otorhinolaryngology 116 (January 2019): 141–46. http://dx.doi.org/10.1016/j.ijporl.2018.10.044.

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Apkon, Michael. "Using the Value Equation—Improving Pediatric Healthcare in Publicly Funded Healthcare Systems." Current Treatment Options in Pediatrics 3, no. 4 (November 7, 2017): 353–61. http://dx.doi.org/10.1007/s40746-017-0104-x.

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Khunlertkit, Adjhaporn (Nana), Shanqing Yin, A. Joy Rivera, Patrice Tremoulet, James Won, Grace Tran, and Laurie Wolf. "Human Factors in the Wild Delivering Safety in the Pediatric World (Discussion Panel)." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 61, no. 1 (September 2017): 620–24. http://dx.doi.org/10.1177/1541931213601640.

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The pediatric healthcare environment is arguably more complex than the general, adult, healthcare settings (e.g., weight based dosing, caring for patients who cannot advocate for themselves, etc.). These complexities and the ever-changing dynamics of the pediatric patient population and their families increase risk of healthcare professionals committing errors that may result in patient harm. Moreover, due to their physiologic state, when pediatric patients incur such errors their impact is exacerbated due to the fact that children are often less capable of recovering from such events. Human Factors Engineering can help promote a culture of safety and high reliability by using proven techniques to understand human fallibility and help prevent or mitigate human error in healthcare. This panel invites six diverse healthcare HF practitioners from different organizations to share their experiences, contributions, and the impacts they have made to improve pediatric patient safety. Our panel will provide a unique lens on the application of HF approaches, and what sensitive factors toned to be considered to successfully enhance pediatric patient safety.

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Wright, Shelton W., Andrew P. Steenhoff, Okan Elci, Heather A. Wolfe, Mark Ralston, Thandie Kgosiesele, Ishmael Makone, Loeto Mazhani, Vinay M. Nadkarni, and Peter A. Meaney. "Impact of contextualized pediatric resuscitation training on pediatric healthcare providers in Botswana." Resuscitation 88 (March 2015): 57–62. http://dx.doi.org/10.1016/j.resuscitation.2014.12.007.

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Laronne, Anat, Leeat Granek, Lori Wiener, Paula Feder-Bubis, and Hana Golan. "Organizational and individual barriers and facilitators to the integration of pediatric palliative care for children: A grounded theory study." Palliative Medicine 35, no. 8 (July 5, 2021): 1612–24. http://dx.doi.org/10.1177/02692163211026171.

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Background: Pediatric palliative care has established benefits for children with cancer and their families. Overcoming organizational and healthcare provider barriers have been demonstrated as central for the provision of palliative care in pediatric oncology. A deeper understanding is needed of the influence of these barriers and the interactions between them, specifically in primary palliative care in hospital settings. Aim: To identify the organizational and healthcare provider barriers to the provision of primary pediatric palliative care. Design: This study utilized the grounded theory method. Semi-structured interviews were conducted and analyzed line by line, using NVivo software. Setting/participants: Forty-six pediatric oncologists, nurses, psychosocial team members, and other healthcare providers from six academic hospital centers participated in the research. Results: Organizational and healthcare provider factors were identified, each of which acted as both a barrier and facilitator to the provision of pediatric palliative care. Organizational barriers included lack of resources and management. Facilitators included external resources, resource management, and a palliative care center within the hospital. Individual barriers included attitudes toward palliative care among pediatric oncologists, pediatric oncologists’ personalities, and the emotional burden of providing palliative care. Facilitators include dedication and commitment, initiative, and sense of meaning. Provider facilitators for palliative care had a buffering effect on organizational barriers. Conclusion: Organizational and healthcare provider factors influence the quality and quantity of palliative care given to children and their families. This finding has implications on interventions structured to promote primary palliative care for children, especially in healthcare systems and situations where resources are limited.

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Valiullina, S. A., and L. A. Doronina. "Children’s republican clinical hospital - a 40-year-long path in the history of pediatric healthcare in Tatarstan." Kazan medical journal 98, no. 3 (June 5, 2017): 468–75. http://dx.doi.org/10.17750/kmj2017-468.

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Children’s republican clinical hospital of the Republic of Tatarstan has undergone a forty-year-long path in its development. Today it is a modern medical institution uniting a high-tech hospital, an emergency hospital and an organizational and methodological center. It is also a coordinator of pediatric healthcare in Tatarstan. However, it all began with the Government’s decision to build a modern pediatric republican center on the outskirts of the city. The article describes in detail how the hospital was built, how surgical and pediatric services were created and developed, how the staff was trained, how modern technologies were introduced, how the hospital was modernized to solve strategic tasks, what role the Departments of pediatrics and pediatric surgery have played and still play. History is made by people, so the article contains the detailed description of formation of the hospital staff and reflects the role of its first Chief physician E.V. Karpukhin who took an active part in hospital’s construction, in creation of its services and headed this hospital for 33 years. The efforts of the large team have made the Children’s republican clinical hospital one of the best among children’s hospitals in Russia.

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Araújo, C., R. Gonçalves, J. M. V. D. Ferreira, S. Pedroso, C. Pinho, S. Silva, and M. J. Brito. "Burnout in pediatric oncology healthcare providers: Protection and vulnerability." European Psychiatry 33, S1 (March 2016): S389. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1402.

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IntroductionBurnout is a condition characterized by emotional exhaustion, depersonalization and reduced personal accomplishment, resulting from the inability to cope with chronic job stress. Healthcare providers at pediatric oncology units, who care for children with life-threatening illnesses, are exposure to high levels of stress, which increases the risk for developing burnout, with consequences in their personal health and quality of patient care.ObjectiveTo assess the prevalence and sources of burnout on a multidisciplinary team of a pediatric oncology unit.MethodsParticipants were a convenience sample of 16 pediatric oncology professionals, including medical, nursing, and related health staff from a Portuguese pediatric oncology center. Participants completed the Portuguese version of the Copenhagen Burnout Inventory.ResultsAll three subscales that compose this Inventory were found to have burnout below normal levels (cut-off ≥ 50 points). However, personal and work-related subscales showed mean values in the superior limit of normality (48 ± 14, 18 points and 49, 48 ± 12, 23 points, respectively). Nevertheless, when analyzed the patient-related subscale, we found low levels of burnout in the majority of responders. These findings are similar to the existing literature, which suggests that patient care and interactions with children are the least stressful aspect of working in this specialty.ConclusionDespite the high levels of stress exposure in pediatric oncology units, results suggest that the majority of professionals are not actually in burnout. However, the obtained values advice for the need of prevention and workplace approaches to staff's well-being and stress reduction, in order to avoid burnout development.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Merianos, Ashley L., Roman A. Jandarov, Judith S. Gordon, Michael S. Lyons, and E. Melinda Mahabee-Gittens. "Healthcare resources attributable to child tobacco smoke exposure." PLOS ONE 16, no. 2 (February 23, 2021): e0247179. http://dx.doi.org/10.1371/journal.pone.0247179.

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Background Tobacco smoke exposure (TSE) places an economic toll on the U.S. healthcare system. There is a gap in the literature on pediatric emergency department (ED) and urgent care related healthcare costs and utilization specific to tobacco smoke-exposed patients. The objectives were to assess pediatric ED visits, urgent care visits and hospital admissions longitudinally, and baseline visit costs among tobacco smoke-exposed children (TSE group) relative to unexposed children (non-TSE group). Methods and findings We conducted a retrospective study using electronic medical records of 380 children ages 0–17 years in the TSE group compared to 1,140 in the non-TSE group propensity score matched via nearest neighbor search by child age, sex, race, and ethnicity. Linear and Poisson regression models were used. Overall, children had a mean of 0.19 (SE = 0.01) repeat visits within 30-days, and 0.69 (SE = 0.04) pediatric ED visits and 0.87 (SE = 0.03) urgent care visits over 12-months following their baseline visit. The percent of children with ≥ 1 urgent care visit was higher among the TSE group (52.4%) than the non-TSE group (45.1%, p = 0.01). Children in the TSE group (M = $1,136.97, SE = 76.44) had higher baseline pediatric ED visit costs than the non-TSE group (M = $1,018.96, SE = 125.51, p = 0.01). Overall, children had 0.08 (SE = 0.01) hospital admissions over 12-months, and the TSE group (M = 0.12, SE = 0.02) had higher mean admissions than the non-TSE group (M = 0.06, SE = 0.01, p = 0.02). The child TSE group was at 1.85 times increased risk of having hospital admissions (95% CI = 1.23, 2.79, p = 0.003) than the non-TSE group. Conclusions Tobacco smoke-exposed children had higher urgent care utilization and hospital admissions over 12-months, and higher pediatric ED costs at baseline. Pediatric ED visits, urgent care visits, and hospitalizations may be opportune times for initiating tobacco control interventions, which may result in reductions of preventable acute care visits.

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Ferrer, PhD, Rizaldy R., Marizen Ramirez, PhD, MPH, Kori Sauser, MD, Ellen Iverson, MPH, and Jeffrey S. Upperman, MD, FACS, FAAP. "Emergency drills and exercises in healthcare organizations: Assessment of pediatric population involvement using after-action reports." American Journal of Disaster Medicine 4, no. 1 (January 1, 2009): 23–32. http://dx.doi.org/10.5055/ajdm.2009.0004.

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Background: Although the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires healthcare organizations to demonstrate disaster preparedness through the use of disaster exercises, the evaluation of pediatric preparations is often lacking. Our investigation identified, described, and assessed pediatric victim involvement in healthcare organizations’ disaster drills and exercises using data from after-action reports.Methods: Following the IRB approval, the authors reviewed the after-action reports generated by healthcare organizations after a disaster drill and exercise, as a self-assessed reporting tool for JCAHO regulations. Forty-nine of these reports that were voluntarily supplied to the emergency medical services agency were collected. The authors analyzed the data using quantitative and qualitative analytic approaches.Results: Only nine reports suggested pediatric involvement. Hospitals with large bed capacity (M = 465.6) tended to include children in exercises compared with smaller facilities (M = 350.8). Qualitative content analysis revealed themes such as lack of parent–child identification and family reunification systems, ineffective communication strategies, lack of pediatric resources and specific training, and unfamiliarity with altering standards of pediatric care during a disaster.Conclusions: Although many organizations are performing disaster exercises, most are not including pediatric concerns. Further work is needed to understand the basis for this gap in emergency preparedness. Overall, pediatric emergency planning should be a high priority for this vulnerable population.

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Bernardo, Lisa Marie, and Paul Kapsar. "Pediatric implications in bioterrorism: education for healthcare providers." Disaster Management & Response 1, no. 2 (April 2003): 52–53. http://dx.doi.org/10.1016/s1540-2487(03)00002-6.

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Jabbour, Jad, Thomas Robey, and Michael J. Cunningham. "Healthcare disparities in pediatric otolaryngology: A systematic review." Laryngoscope 128, no. 7 (November 20, 2017): 1699–713. http://dx.doi.org/10.1002/lary.26995.

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Arkans, Howard D. "Pediatric Perspective on the Changing Healthcare Delivery System." Pediatric Annals 27, no. 4 (April 1, 1998): 205–8. http://dx.doi.org/10.3928/0090-4481-19980401-08.

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Herndon, Jill Boylston, James J. Crall, Krishna Aravamudhan, Frank A. Catalanotto, I.-Chan Huang, Nancy Rudner, Scott L. Tomar, and Elizabeth A. Shenkman. "Developing and testing pediatric oral healthcare quality measures." Journal of Public Health Dentistry 75, no. 3 (February 13, 2015): 191–201. http://dx.doi.org/10.1111/jphd.12087.

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Cervasio, Kathleen. "The Role of the Pediatric Home Healthcare Nurse." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 28, no. 7 (July 2010): 424–31. http://dx.doi.org/10.1097/nhh.0b013e3181e32522.

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GuardiaLaBar, Lilly, Anne Owen, Tracy Lee, Kathleen Harriman, and Ann Petru. "Healthcare Worker Pertussis Cases in a Pediatric Hospital." American Journal of Infection Control 39, no. 5 (June 2011): E198—E199. http://dx.doi.org/10.1016/j.ajic.2011.04.026.

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Garcia∗, R., L. Jendresky, A. Maher, J. Landeman, and E. Santos-Cruz. "Pertussis (Whooping Cough) Exposure in Pediatric Healthcare Workers." American Journal of Infection Control 32, no. 3 (May 2004): E62. http://dx.doi.org/10.1016/j.ajic.2004.04.093.

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Green Corkins, Kelly, Michelle A. Miller, John R. Whitworth, and Carol McGinnis. "Graduation Day: Healthcare Transition From Pediatric to Adult." Nutrition in Clinical Practice 33, no. 1 (January 24, 2018): 81–89. http://dx.doi.org/10.1002/ncp.10050.

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Borrelli, Diana, and Keith Klostermann. "Pediatric behavioral healthcare: the case for integrated services." Journal of Psychology and Clinical Psychiatry 9, no. 6 (December 8, 2018): 693–94. http://dx.doi.org/10.15406/jpcpy.2018.09.00618.

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Campbell, Christopher T., Margaret Oates Poisson, and Elizabeth Oates Hand. "An Updated Review of Clostridium difficile Treatment in Pediatrics." Journal of Pediatric Pharmacology and Therapeutics 24, no. 2 (March 1, 2019): 90–98. http://dx.doi.org/10.5863/1551-6776-24.2.90.

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Clostridium difficile infection (CDI) continues to have clinical and economic impact across all health care settings. Pediatrics accounts for a small percentage of worldwide infection; however, screening and diagnosis are confounded by asymptomatic colonization in young infants. Metronidazole and oral vancomycin have historically been the agents used to manage CDI in both pediatrics and adults. Newer agents and alternative therapies, such as fecal microbiota transplantation, may offer additional benefit. Recent guidelines updates from the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America separate pediatric and adult recommendations for epidemiology, diagnosis, and treatment. This review will discuss the risk factors, management, prevention, and updated guideline recommendations for CDI in the pediatric population.

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Lombart, Bénédicte, Carla De Stefano, Didier Dupont, Leila Nadji, and Michel Galinski. "Caregivers blinded by the care: A qualitative study of physical restraint in pediatric care." Nursing Ethics 27, no. 1 (April 11, 2019): 230–46. http://dx.doi.org/10.1177/0969733019833128.

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Background: The phenomenon of forceful physical restraint in pediatric care is an ethical issue because it confronts professionals with the dilemma of using force for the child’s best interest. This is a paradox. The perspective of healthcare professional working in pediatric wards needs further in-depth investigations. Purpose: To explore the perspectives and behaviors of healthcare professionals toward forceful physical restraint in pediatric care. Methods: This qualitative ethnographic study used focus groups with purposeful sampling. Thirty volunteer healthcare professionals (nurses, hospital aids, physiotherapists, and health educators) were recruited in five pediatric facilities in four hospitals around Paris, France, from March to June 2013. The data were processed using NVIVO software (QSR International Ltd. 1999–2013). The data analysis followed a qualitative methodological process. Ethical Considerations: The research was conducted in compliance with the Declaration of Helsinki. Written informed consent was collected systematically from participants. Findings: This study provides elements to help understand why restraint remains common despite its contradiction with the duty to protect the child and the child’s rights. All participants considered the use of forceful physical restraint to be a frequent difficulty in pediatrics. Greater interest in the child’s health was systematically used to justify the use of force, with little consideration for contradictory or ethical aspects. Raising the issue of forceful restraint always triggered discomfort, unease and an outpour of emotions among healthcare professionals. The findings have highlighted a form of hierarchy of duties that give priority to the execution of the technical procedure and legitimize the use of restraint. Professionals seemed to temporarily suspend their ability to empathize in order to apply restraint to carry out a technical procedure. This observation has allowed us to suggest the concept of “transient empathic blindness.” Conclusion: Using physical restraint during pediatric care was considered a common problem by participants. This practice must be questioned, and professionals must have access to training to find alternatives to strong restraint. Conceptualizing this phenomenon with the concept of “transient empathic blindness” could help professionals understand what happens in their minds when using forceful restraint.

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Ahmed Alomi, Yousef, Hussam Saad Almalki, Aisha Omar Fallatah, Awatif Faraj Alshammari, and Nesreen Al-Shubbar. "Pediatrics’ Total Parenteral Nutrition: Initiative and implementation of standardized formulation in Saudi Arabia." Research in Pharmacy and Health Sciences in Volume 4, Issue 3: July 2018- September 2018 4, no. 3 (September 30, 2018): 492–96. http://dx.doi.org/10.32463/rphs.2018.v04i03.16.

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The national total parental nutrition program with an emphasis on pediatrics started before several ago at Ministry of health hospitals In Kingdom of Saudi Arabia. The program covered several regions and consisted from the foundation of Intravenous Admixture and preparation of pediatric parenteral nutrition to administration and follow up of patients outcomes. In addition to the prior system, the new initiative project with the standardized formulation of pediatric’s parenteral nutrition is the complementary project of the parental nutrition for pediatrics. The project initiated to prevent drug-related problems of parental nutrition, improve patient clinical outcome and reduce the unnecessary economic burden on the healthcare system. It is the new system in the Middle East and Gulf counties in additional to Saudi Arabia. The initiatives are the systemic implementation of standardized pediatrics formulation using management project tools of starting new idea until finding in the ground.

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Fisher, PhD, RN, PPCNP-BC, Deborah, and Suzanne W. Ameringer, PhD, RN. "Survey of opioid tapering practices of pediatric healthcare providers: A national perspective." Journal of Opioid Management 13, no. 1 (January 1, 2017): 59. http://dx.doi.org/10.5055/jom.2017.0368.

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Objective: The purpose of this study was to describe the current opioid tapering practice.Design: Cross-sectional, online, survey research.Participants: Pediatric healthcare providers from a national sample of practicing nurse practitioners, physician assistants, and physicians who participate in five different pediatric pain and/or palliative care list serves.Results: One hundred four participants responded to the survey. The respondents were predominantly physicians (n = 58, 62 percent). The majority of respondents worked in an academic children's medical center (n = 50, 52 percent). The average number of years in pediatric practice was 16 (mean = 16.33, range of 0-45 years). Of the 104 respondents, only 22 (27 percent) had a written protocol for opioid tapering. Use of expert consultants such as pharmacists or pediatric pain management teams varied. The majority of respondents (n = 46, 44 percent) seldom or never consult a pharmacist. Only 22 percent (n = 17) almost always or always consult a pediatric pain team. There was a wide range of personal tapering rate preferences. Conclusions: This study provided a baseline assessment of pediatric opioid tapering practices by pediatric healthcare providers. Results revealed a marked variation in practice patterns that may indicate deficits in the assessment and management of opioid withdrawal in children. The need for the development of assessment-based opioid tapering guidelines for the pediatric population is long overdue.

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Phillips, Susan K. Jaskowski. "Pediatric Liver Transplantation." Progress in Transplantation 12, no. 2 (June 2002): 136–56. http://dx.doi.org/10.1177/152692480201200209.

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Pediatric liver transplantation is a fast-growing and challenging field. Healthcare providers must stay informed of advancements in the management of liver transplant candidates and recipients. The goal of this paper is to provide nurses who care for pediatric liver transplant candidates and recipients with a review of the basic medical management of these patients, from the preoperative evaluation to postoperative care.

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Hobart, Catherine B., and Hanna Phan. "Pediatric-to-adult healthcare transitions: Current challenges and recommended practices." American Journal of Health-System Pharmacy 76, no. 19 (September 16, 2019): 1544–54. http://dx.doi.org/10.1093/ajhp/zxz165.

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Abstract Purpose An overview of the pediatric-to-adult healthcare transition (HCT) process, including stakeholders, challenges, and fundamental components that present opportunities for pharmacists and pharmacy technicians, is provided. Summary Pediatric-to-adult HCT programs should be longitudinal in nature, be patient focused, and be coproduced by patients, caregivers, and care team members. Educational components of HCT programs should include knowledge and skills in disease state management and self-care; safe and effective use of medications, as well as other treatment modalities; and healthcare system navigation, including insurance issues. Interprofessional involvement in HCT is encouraged; however, roles for each discipline involved are not clearly delineated in current guidelines or literature. Possible influencing elements in achieving successful pediatric-to-adult HCT outcomes include those that are related to patient and/or caregiver factors, clinician awareness, availability of resources, and ability to achieve financial sustainability. Conclusion The use of structured pediatric-to-adult HCT programs is currently recommended to optimize patient and health-system outcomes. Given the importance of medication-related knowledge and healthcare system navigation skills to successful care transitions, there are opportunities for pharmacists and pharmacy technicians to contribute to HCT programs.

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Albitskiy, V. Yu, and N. V. Ustinova. "Social pediatrics: scientometric analysis." Kazan medical journal 95, no. 1 (February 15, 2014): 103–7. http://dx.doi.org/10.17816/kmj1467.

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Aim. To identify trends of further development, priorities, challenges and vectors of further research in social pediatrics. Methods. Interpretive content analysis of dissertations in the field of public health and healthcare for the period from 1991 to 2012 was performed. 4194 items were analyzed. Results. At the first stage of the research, it was found that 14.8% of public health dissertations presented during the research period addressed pediatric problems. The next stage included qualitative and quantitative analysis of top-priority topics of social pediatrics in public health dissertations. The analysis of social pediatrics areas included the following categories: (1) studies of social (psychosocial) determinants of children’s health; (2) studies of health condition of children and adolescents in a stressful situation; (3) organization of medical and social aid to children. Studies of social (psychosocial) determinants of children’s health were the most common (35.9 %). Studies of health status of vulnerable children and adolescents had a share of 15% of all studies. 7.6% of studies were devoted to pediatric medical and social aid organization. Conclusion. It is important to facilitate the research in social pediatrics to optimize the scientific data and improve pediatric medical and social aid.

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Aley, Kristen E. "Developmental Approach to Pediatric Transplantation." Progress in Transplantation 12, no. 2 (June 2002): 86–91. http://dx.doi.org/10.1177/152692480201200203.

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Children who need or who have received an organ transplant endure many hospitalizations, procedures, and surgeries. These experiences are often traumatic for children, repeatedly causing intense fear and anxiety. How stressful situations are perceived and responded to by children depend on their cognitive, physical, emotional, and social development. Alternatively, the introduction and repetition of stressful hospitalizations and medical experiences can delay development in any of these areas. It is important that healthcare professionals recognize potentially stressful situations and know how to introduce appropriate interventions to ease anxiety and facilitate each child to reach his or her developmental potential. Healthcare professionals should also have an understanding of child development and the effect it has on the child's understanding and reaction to transplantation.

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Siddiqui, Naveed ur-Rehman, Rabia Wali, Anwar ul Haque, and Zehra Fadoo. "Healthcare-associated infections among pediatric oncology patients in Pakistan: risk factors and outcome." Journal of Infection in Developing Countries 6, no. 05 (December 13, 2011): 416–21. http://dx.doi.org/10.3855/jidc.1705.

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Introduction: Pediatric oncology patients are at increased risk of contracting healthcare-associated infections (HAIs), which are responsible for increased morbidity and mortality rates as well as treatment costs. This study aimed to identify the frequency of HAIs among pediatric oncology patients and their outcome. Methodology: Pediatric oncology patients admitted between January 2009 and June 2010 in a pediatric ward at Aga Khan University Hospital, Karachi, Pakistan, who developed HAIs, were analyzed. Results: A total of 90 HAIs were identified in 32 patients in 70 admissions. The HAI rate among pediatric oncology patients was 3.1/100 admission episodes. Bloodstream infections (63 episodes, 90.0%) were the most common, followed by urinary tract infection (two episodes, 2.9%). Gram-positive infections were seen in 54 (60%) patients, followed by Gram-negative infection in 34 (37.8%), and fungi in 2 (2.8%) cases. Coagulase negative staphylococci was the most common Gram-positive and Escherichia coli and Pseudomonas aeruginosa were most common Gram-negative infections. Mortality rate among pediatric oncology patients who developed HAIs was 12.5% (4/32). Total parental nutrition use and length of stay longer than 30 days were the identified risk factors associated with increased mortality among pediatric oncology patients who developed HAIs. Conclusion: We report an HAI rate among pediatric oncology patients of 3.1/100 admission episodes with a mortality rate of 12.5% in Pakistan. Further studies should be done, especially in the developing world, to identify the risk factors associated with increased mortality among pediatric oncology patients so that adequate measures can be taken to reduce the mortality among these patients.

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Dhari, Ranjit, Maura MacPhee, and Matthew Pixton. "Social pediatrics in a baccalaureate nursing curriculum." Journal of Nursing Education and Practice 11, no. 7 (March 18, 2021): 32. http://dx.doi.org/10.5430/jnep.v11n7p32.

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This paper describes the use of social pediatrics in one baccalaureate nursing curriculum. Social pediatrics is a conceptual model that considers health as physical health and the social determinants of health. Social pediatrics focuses on community-based primary healthcare services for at-risk children and their families. The social pediatrics model is used by community early childhood education StrongStart sites in one Canadian province; these sites are collaborations between early childhood educators and public health nursing teams for children from infancy through five years of age. Acute care clinical placements are becoming too complex and limited in number to accommodate large undergraduate nursing cohorts. Our undergraduate nursing program recently shifted acute care pediatric placements to StrongStart sites, combining community pediatric and public health nursing learning objectives and learning activities that foreground social pediatrics. The acute care component of pediatric nursing includes classroom theory, clinical laboratory and virtual simulations. This paper describes social pediatrics integration within our undergraduate curriculum between 2018-2019; and a qualitative evaluation of our social pediatrics approach in 2019-2020. We used content analysis to identify common themes from interviews with key actors, including students’ clinical instructors, StrongStart sites’ early childhood educators and managers, and public health nurse managers affiliated with StrongStart sites. Common themes were related to social pediatrics learning opportunities and drawbacks; social pediatrics knowledge, skills and attitudes; and recommendations for curriculum enhancement.

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Weeks, Kerri, Kari Harris, Ragneel R. Bijjula, and Carolyn R. Ahlers-Schmidt. "Pediatric Resident Knowledge, Confidence, and Experience in Transitioning Youth with Special Healthcare Needs." Kansas Journal of Medicine 7, no. 2 (May 22, 2014): 46–49. http://dx.doi.org/10.17161/kjm.v7i2.11484.

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Background. The transition from pediatric to adult healthcare is vital to the 17% of adolescents with special healthcare needs (SHCN). Barriers to successful transition exist. The purpose of this study was to assess the baseline knowledge, confidence, and experience of pediatric residents in our state on transitioning adolescents with SHCN from pediatric to adult-oriented health care. Methods. An anonymous, voluntary, self-report survey was distributed electronically via Survey Monkey® to 2011-2012 pediatric residents in the state of Kansas (n = 39). Results. Of 39 pediatric residents, 21 (54%) completed the survey. Most (71%) had two or fewer adolescents with SHCN on their patient panel. Overall, the majority categorized their knowledge (71%) and experience (81%) transitioning adolescents with SHCN as minimal or very minimal. Conclusions. Pediatric residents report a general lack of knowledge, confidence, and experience in transitioning youth with SHCN. Additional training opportunities are needed to overcome the barriers in successful transition planning.

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Ladd, Mitchell R., Nicholas M. Pajewski, Robert D. Becher, John M. Swanson, Jared R. Gallaher, Thomas Pranikoff, and Lucas P. Neff. "Delays in Treatment of Pediatric Appendicitis: A More Accurate Variable for Measuring Pediatric Healthcare Inequalities?" American Surgeon 79, no. 9 (September 2013): 875–81. http://dx.doi.org/10.1177/000313481307900919.

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Racial and socioeconomic factors may cause barriers to healthcare access that result in delayed treatment. Because perforated appendicitis (PA) in children is thought to result from delays in treatment, it is often used as an index of barrier to access. Recent literature suggests that PA is not an inevitable consequence of delayed treatment, so it may not be the best marker for evaluating such barriers. Therefore we investigated whether racial and socioeconomic factors led directly to delays in treatment. We performed a retrospective study of 667 children undergoing appendectomy in a tertiary care center over 12.5 years. Univariate and multivariable regression analyses were used to determine if racial and socioeconomic variables were associated with increased risk of PA and increased risk of symptom duration greater than 48 hours. Hispanic children have higher rates of PA regardless of delays in treatment whereas Black children had higher PA rates likely due to delays in treatment. These differences were not from socioeconomic factors in our cohort. PA, a heterogeneous disease whose course is determined by multiple factors, is not a good metric for evaluation healthcare disparities in the pediatric population. Delays in treatment may be a more appropriate measure of healthcare inequalities in children.

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Afanasyev, D., O. Kaminskyi, O. Kopylova, I. Chikalova, I. Muraveva, K. Vakoluk, O. Pronin, et al. "Initial healthcare to pediatric population under the radiation events." Проблеми радіаційної медицини та радіобіології = Problems of Radiation Medicine and Radiobiology 21 (2016): 21–44. http://dx.doi.org/10.33145/2304-8336-2016-21-21-44.

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