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1

Bumgarner, D., K. Owens, J. Correll, W. T. Dalton, and Jodi Polaha. "Primary Behavioral Health Care in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6597.

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Polaha, Jodi. "Practice Transformation in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/6665.

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This session will describe the evolution of the Pediatric Primary Behavioral Health Model in one clinic including the integration of behavioral health and social services into a residency training clinic. The implementation strategy used to develop this model will be described.
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Polaha, Jodi. "Postpartum Depression in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6677.

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Palmer, Alexandra Marie. "Pathway into care for pediatric asthma." Thesis, Boston University, 2012. https://hdl.handle.net/2144/12579.

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Thesis (M.A.)--Boston University PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.<br>Studies have demonstrated that patients may not adhere to the treatment prescribed by the physician because their respective models of the disease are different. Studies have also demonstrated that the patient m
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Powell, Cindy M. "Parental perception of pediatric emergency care /." Staten Island, N.Y. : [s.n.], 1997. http://library.wagner.edu/theses/nursing/1997/thesis_nur_1997_powel_paren.pdf.

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Dyer, Halie, Byron Brooks, Karen Schetzina, and Jodi Polaha. "Behavioral Health Referrals in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6624.

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Integrated care is rapidly becoming the new paradigm of healthcare and with the transition into integrated practice, many providers from various disciplines must determine how best to work as a team to improve patient outcomes. One particular setting where the logistics of integrated practice must be scrutinized is pediatric primary care, specifically in rural areas, as many psychological problems are presented in pediatric primary care, and rural children are at greater risk for engaging in unhealthy behaviors, such as sedentary lifestyle, poorer nutrition, and greater substance use. All of t
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Krishna, Shilpa. "Pediatric Pal." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10635704.

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<p> Global explosion of mobile technology has engendered a new instrument to address the challenges in public health and to revolutionize the paradigm of healthcare access and delivery system. Today mobile phone coverage has increased to a significant 90% of the world&rsquo;s population. The rising ubiquity and infiltration of mobile phones has kindled the beginning of a new era in healthcare, mobile health (mHealth). mHealth is the amalgamation of mobile telecommunication and multimedia into an on the go mobile health care delivery system. </p><p> Pediatric Pal is a mHealth application targ
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Jaishankar, Gayatri, Deborah Thibeault, and Matthew Tolliver. "Team Based Care for Toxic Stress in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8854.

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Toxic stress in childhood starts the trajectory toward complex health and social health needs in adulthood. In this breakout, a long-standing team (social work, behavioral health, and medicine) describe their efforts to systematically address toxic stress in pediatric primary care.
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Matias, Erica Oliveira. "Nursing practice assessment in the process of pediatrics intravenous drug administration." Universidade Federal do CearÃ, 2015. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=13393.

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The delivery process of the intravenous (IV) medication, one of the activities of greater responsibility of the nursing team, has a high incidence in child care in urgent and emergency situation. This process is considered highly complex and when not planned, controlled and monitored through indicators is exposed to unpredictable results affecting the quality of care. The objective was to evaluate the nursing practice in drug administration in child trough IV. Exploratory, descriptive, observational, quantitative study. It was developed in the urgency and emergency department in a pediatric re
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Polaha, Jodi, and Karen Schetzina. "A Collaborative Practice Model for Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6670.

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Jarek, Holly Elaine. "Administrative changes in pediatric long-term care." Thesis, The University of Alabama at Birmingham, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10105905.

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<p> This research used a Delphi methodology to solicit challenges that significantly impact the operational success of pediatric long-term care facilities. Further, this study sought to understand the ability of pediatrics administrators to impact, affect, overcome, or resolve these challenges. Round 1 accomplished the desired goal of eliciting a substantial amount of new qualitative information regarding administrative challenges in pediatric long-term care, which previously had been extant in the literature. In Round 2, data were distilled into categories and unique exemplars which in turn w
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Manson, Leslie, Tawnya Meadows, Jodi Polaha, et al. "Toolkit for PCBH in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6660.

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Jaishankar, Gayatri Bala, Jodi Polaha Jones, Deborah Thibeault, et al. "A Team Care Screening Tool to Address Social Determinants of Health in a Pediatric Primary Care Clinic." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/5034.

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Polaha, Jodi, William T. III Dalton, and Suzanne Allen. "The Prevalence of Psychosocial Concerns in Pediatric Primary Care Serving Rural Children in Pediatric Primary Care Serving Rural Children." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/6745.

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Objectives: To examine the prevalence of parent-reported emotional and behavior problems in pediatric primary care clinics serving rural Appalachia using methods commensurate with studies of broader samples. Methods: Parents presenting to pediatric primary care clinics completed a rating scale (Pediatric Symptom Checklist) of psychosocial problems for their child. Results: Approximately 21% of all rating scales were in the clinically significant range. Across all parents, 63% identified the child’s physician as their most common source of help. In contrast, mental health professionals had been
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Crockett, Lisa. "Palliative care needs of pediatric patients & their families : a phenomenological study of multidisciplinary pediatric palliative care team experiences." Thesis, University of Liverpool, 2015. http://livrepository.liverpool.ac.uk/2008831/.

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In the United States, more than 1 million children may be suffering from a life-limiting condition (Ruston and Catlin, 2002, p. 57) for which there is no reasonable hope for cure or long-term survival (Fraser et al, 2012, p. 923). However, less than one percent of these children and their families benefit from the provision of pediatric palliative care (Stayer, 2012, p. 350), which is an innovative health care model designed to address their physical, emotional, psychosocial and spiritual needs from diagnosis through end-of-life. During the last decade, pediatric palliative care has begun to s
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Gill, Fenella. "Paediatric intensive care nursing behaviours to reduce parental stress." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1028.

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A child's admission to a paediatric intensive care unit (PICU) is stressful for the family. Parental presence and involvement with their child in hospital have been recognised as important in reducing their stress. Several studies have identified parental needs in the PICU. Nurses have reported that they felt inadequately prepared to meet those needs. Although principles to guide nursing strategies have been identified, contextual behaviours of PICU nurses to reduce parental stress have not A qualitative study, using an ethnographic approach, was designed to describe contextual behaviours of e
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Whitted, Briana, Victoria Morris, Victoria Wells, et al. "A Team Care Screener to Address Social Determinants of Health in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6618.

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Health encompasses our lives in various ways; where we live, how we work, and how we play. These differentiating factors, or “social determinants”, may impact physical and mental health in a prominent manner. Screening for social determinants of health in pediatric primary care may help to identify important areas to intervene with families to address barriers to receiving care and improve health outcomes. East Tennessee State University (ETSU) Pediatrics aimed to find the prevalence of varying social determinants in their patient population through a 6-item screening tool—the Team Care screen
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Smith, S. C., Jodi Polaha, Deborah A. Thibeault, Debra Q. Mills, and Gayatri Jaishankar. "Team-Based Care for Postpartum Depression in a Pediatric Clinic." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6572.

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The aim of this presentation is to describe the development, implementation, and one-year outcomes of a team-delivered, evidence-based protocol to identify and address postpartum depression in a pediatric primary care clinic. The presentation will include: 1) a description of the development process based on implementation science, 2) engaging activities for the audience such as a video illustration of the protocol itself, and providing an opportunity to learn and practice administering the Ecomap, an evidence-based assessment for social determinants of health, and 3) data from a records revie
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Tolliver, Sarah, Sara Reed, Robert Matthew Tolliver, Jodi Polaha Jones, and Karen E. Schetzina. "Assessing For and Treating Postpartum Depression in a Pediatric Primary Care Setting Using a Stepped-Care Model: Is It Feasible?" Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/5073.

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Postpartum Depression (PPD) occurs in 10-20% of new mothers. PPD can lead to serious health risks to both the mother and infant, increase the risk of complications during birth, and cause lasting effects on the development and wellbeing of the child. Many mothers suffering from PPD do not receive treatment due to fear of being stigmatized, lack of education, or not being able to access mental health services. High prevalence of PPD, along with the negative and lasting effects it can cause point to the importance of developing an effective and feasible method of assessing and treating this diso
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Kallio, M. (Merja). "Neurally adjusted ventilatory assist in pediatric intensive care." Doctoral thesis, Oulun yliopisto, 2014. http://urn.fi/urn:isbn:9789526206349.

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Abstract Guidelines and instructions derived from adult randomized controlled trials are generally followed in pediatric ventilation, as there have been no large trials of this kind in children. Current treatment strategies aim at preventing ventilator-induced lung injury by avoiding too large tidal volumes, supporting patient's spontaneous breathing and preventing lung collapse with positive end-expiratory airway pressure. Neurally adjusted ventilatory assist (NAVA) is a novel ventilation mode that provides respiratory support proportional to the electrical activity of the diaphragm (Edi). Th
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Rashotte, Judith Mary. "Pediatric intensive care nurses and their grief experiences." Thesis, University of Ottawa (Canada), 1996. http://hdl.handle.net/10393/10425.

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While the phenomenon of grief has received considerable attention and has been researched at length, there is a paucity of literature that has focused on health care professionals' experience of grief. The purpose of this study was to investigate the grief experience of pediatric intensive care nurses when their patients die. A phenomenological method was used in this study in order to obtain rich descriptions of nurses' experience of grief within their workplace. The purposive sample consisted of six registered nurses employed in an intensive care unit in a university-teaching pediatric hospi
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MacKay, Lyndsay Jerusha, and University of Lethbridge Faculty of Health Sciences. "Exploring family-centered care among pediatric oncology nurses." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2009, 2009. http://hdl.handle.net/10133/2483.

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Family-centered care (FCC) is important within the practice of pediatric oncology nurses. Such nurses face challenges and barriers when attempting to provide FCC. The purpose of this study was to understand the experiences of pediatric oncology nurses in relation to FCC; identify how pediatric oncology nurses implemented FCC into their practice; identify what facilitated and enabled pediatric oncology nurses to implement FCC; and discern the barriers and challenges that were present in their setting when implementing FCC. A qualitative approach utilizing person-centered interviewing was used t
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Koontz, Victoria S. "Parental satisfaction in a pediatric intensive care unit." Huntington, WV : [Marshall University Libraries], 2003. http://www.marshall.edu/etd/descript.asp?ref=346.

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Mattila, Marja-Leena. "Quality-related outcome of pediatric dental health care." Turku : Turun Yliopisto, 2001. http://catalog.hathitrust.org/api/volumes/oclc/48714198.html.

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Haidar, Samer. "The pediatric neurofeedback therapy center." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10105253.

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<p> This business plan proposes a neurofeedback therapy clinic to treat children diagnosed with Attention-deficit/hyperactivity disorder (ADHD) and are in search of a non-pharmaceutical intervention. ADHD is the most commonly diagnosed disorder among children between the ages 4-18. By stimulating arousal in the frontal portion of the brain through neurofeedback therapy, the symptoms of ADHD can be regulated. This proposal includes a market analysis, a feasibility and SWOT analysis, a review of legal and regulatory issues, and finally, a financial analysis.</p>
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Shellhorn, Wendy Lauran Struchen. "Maternal interaction style, reported experiences of care, and pediatric health care utilization." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001478.

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Quizhpi, Cristian, Karen Schetzina, and David Wood. "Breaking the Cycle of Childhood Adversity Through Pediatric Primary Care Screening and Interventions: A Pilot Study." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7660.

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Johnson, Kiana. "Pediatric Lupus Transitional Care: An Interactive Experience. A Fly on the Wall: Youth and Young Adult Perspectives." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7019.

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Polaha, Jodi, Karen E. Schetzina, Katie Baker, and Diana Morelen. "Adoption and Reach of Parent Management Interventions in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2018. https://doi.org/10.1037/fsh0000380.

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Introduction: The field of implementation science provides the variables adoption and reach, which can be used to evaluate aspects to access, a primary incitement for integrated care. This study compared two integrated models: In Year 1, behavioral health consultants worked collaboratively with pediatricians to provide brief on-the-spot consultations to patients with behavioral concerns, and in Year 2, a structured, evidence-based treatment (EBT), the Family Check-Up, was developed to be delivered in conjunction with the existing collaborative model. Method: A chart review revealed the number
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Tolliver, Robert Matthew, Deborah Thibeault, Gayatri Bala Jaishankar, Karen E. Schetzina, and Jodi Polaha. "Linking Families to Resources: Assessing Social Determinants of Health in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/5033.

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Background/Rationale: The American Academy of Pediatrics recommends universal surveillance of social determinants of health in primary care. Addressing these determinants is likely crucial to reducing extant health disparities. Such screening in urban pediatric primary care has been shown to increase access to relevant resources for families when combined with provider training in using a community resource binder (Garg et al., 2007). However, resources in more rural areas are often scarce and helping families navigate a complex resource system often requires a more individualized approach. Ad
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Santos, Kristopher B. dos. "The Huggable : a socially assistive robot for pediatric care." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/78205.

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Thesis (S.M.)--Massachusetts Institute of Technology, School of Architecture and Planning, Program in Media Arts and Sciences, 2012.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 79-81).<br>The purpose of this thesis is to present the design and evaluation of a new type of socially assistive robot, one that can interact with people and collect various types of sensory input while being small enough to hold in one's arms. This project is a completely new revision of the Huggable project created by Dan Stiehl and Cynthia Breazeal, which features a new mechan
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Polaha, Jodi, W. T. III Dalton, S. Allen, A. Enlow, N. Bagwell, and S. Cumpston. "Pediatric Wellness and Integrated Health Care in Rural Appalachia." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/6610.

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Calloway, J., and Jodi Polaha. "Training Pediatric Residents in ADHD Management in Primary Care." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6637.

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Ratliff, Jeremy. "Pediatric ICU Nurses' Suggestions forImproving End-of-Life Care." BYU ScholarsArchive, 2016. https://scholarsarchive.byu.edu/etd/6438.

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Of the 34,000 children who die annually, over 28,000 are four years old or younger. Nurses working in pediatric intensive care units (PICU) provide end of life (EOL) care before, during, and after death of these children. The purpose of this study was to determine thesuggestions PICU nurses have for improving EOL care for dying pediatric patients and their families. A sample of 1047 PICU nurses, who were members of the American Association of Critical-Care Nurses (AACN), were sent a 70-item questionnaire. One open ended item asked nurses to offer a suggestion for improving EOL care for dying P
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Polaha, Jodi, Karen Schetzina, and Katie Baker. "A Collaborative Practice Training Model for Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/ijhse/vol3/iss2/6.

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Mansky, Nicole Rae. "Enhancing Comfort Care Techniques in the Pediatric Inpatient Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6612.

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The benefits of pharmacological and nonpharmacological interventions for children undergoing painful medical procedures are well documented in extant nursing literature; however, such techniques continue to be underused in practice. Improving comfort during medical procedures is necessary to enhance the patient and family experience. The purpose of this project was to provide education to nursing staff about pediatric pain theories and evidence-based practice recommendations that support the use comfort interventions for pediatric patients of all ages. The practice-focused question addressed t
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Quizhpi, Cristian, Karen Schetzina, Gayatri Jaishankar, et al. "Breaking the Cycle of Childhood Adversity Through Pediatric Primary Care Screening and Interventions: A Pilot Study." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/7687.

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Prentiss, Andrea S. "Hearing the Child's Voice: Their Lived Experience in the Pediatric Intensive Care Unit." FIU Digital Commons, 2014. http://digitalcommons.fiu.edu/etd/1633.

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Background: More than 200,000 children are admitted annually to Pediatric Intensive Care Units (PICUs) in the US. Research has shown young children can provide insight into their hospitalization experiences; child reports rather than parental reports are critical to understanding the child’s experience. Information relating to children’s perceptions while still in the PICU is scarce. Aims: The purpose of this qualitative study was to investigate school age children’s and adolescents’ perceptions of PICU while in the PICU; changes in perceptions after transfer to the General Care Unit (GCU); di
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Shoemaker, Griffin, Gloria Kwak, Gayatri Bala Jaishankar, and Karen E. Schetzina. "Prenatal Drug and Related Exposures in Infant Patients at Northeast Tennessee Pediatric Primary Care Clinic." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5032.

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Conte, Tania. "The influence of a pediatric palliative care program on health care utilization and costs." Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/51351.

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Pediatric palliative care program (PPCP) is believed to increase system efficiency. British Columbia (BC) relies on a free-standing hospice-based PPCP, and its effects on health care utilization and costs remain an outstanding question. This study aimed to gather evidence in a combined analysis of data from literature and BC PPCP. A systematic review was conducted through an electronic search of Medline, Embase, CINAHL, LILACS, and grey literature. Comparative studies reporting admissions, length of stay, and health care costs between PPCP users and usual care were included. Additionally, a s
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Ygge, Britt Marie. "Parental Involvement in Pediatric Hospital Care-Implications for Clinical Practice and Quality of Care." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4010.

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Smith, Sarah C. "Evaluating a Stepped Care Protocol for Postpartum Depression in a Pediatric Primary Care Clinic." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etd/3277.

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Postpartum depression (PPD) is a prevalent, complex illness impacting 10% to 20% of mothers and their families. Treatments for PPD, such as medication and psychotherapy, are effective at reducing the severity of symptoms and generally improving quality of life for new mothers and their families. Unfortunately, many mothers with PPD go unrecognized due to a lack of standardized screening methods. Further, mothers regularly encounter barriers to accessible, evidence-based follow-up care to treatment even when symptoms of PPD are detected. The use of a stepped care protocol, set in a pediatric pr
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Menchaca, Renajia LaShea'. "The effect of early dental care on pediatric patient behavior." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469195794.

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Davidson, Lindy Grief. "Spiritual Frameworks in Pediatric Palliative Care: Understanding Parental Decision-making." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6216.

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Parents of seriously ill children are charged with making complicated medical decisions, and many of those decisions are made during their children’s hospitalizations. As medical staff seek to support parents, it is important for them to understand what resources parents are drawing upon for decision-making. This project explored parental decision-making by examining the following research questions: RQ1: What resources do parents draw upon to make medical decisions for their seriously ill children? RQ2: How do parents enact their spiritual or religious frameworks in clinical settings when fac
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Palmer, Lydia Helmick. "Prevention of Skin Breakdown in the Pediatric Intensive Care Unit." Thesis, University of South Carolina, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3561837.

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<p> Skin breakdown occurs when one or more layers of the skin have been disrupted (McLane et al., 2004; National Pressure Ulcer Advisory Panel, 2007). While some literature uses the terms skin breakdown and pressure ulcer interchangeably, these are actually two distinct conditions and pressure ulcers are encompassed in the definition of skin breakdown (Kuller, 2001; Lund, 1999; Suddaby et al., 2006). The consequences of skin breakdown in the pediatric population can include increased cost of treatment, infection, increased morbidity and mortality as well as psychological consequences from re
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Kvederienė, Rūta. "The impact of emergency care on severe pediatric trauma outcomes." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2012. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2012~D_20121227_085948-00813.

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Trauma is the main cause of death in paediatric population worldwide. Lithuania has the highest trauma-related mortality in the European Union (EU). Lithuanian standardised injury death rate is 150.9 per 100000 inhabitants while in comparison the mean standardised injury death rate in the EU is 41.4, and the lowest one is in the Netherlands (26.4 injury death rate per 100000 inhabitants). The aim of this study was to analyze the impact of pre-hospital and in-hospital emergent trauma care on severe pediatric trauma outcomes, performing a prospective observational clinical trial in the Vilnius U
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Owens, K., D. Bumgarner, B. Lund, W. T. III Dalton, and Jodi Polaha. "Behavioral Health Consulting in Pediatric Primary Care in Southern Appalachia." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6596.

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Evans, J. H., R. J. Valleley, and Jodi Polaha. "Integrating Pediatric Behavioral Health Into Rural Primary Care: Research Findings." Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/6617.

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Petgrave, Dannel K., Kayla McCarter, Courtney Lilly, Natasha Gouge, and Jodi Polaha. "Managing Multiple Concerns in Pediatric Primary Care: Impact on Time." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6632.

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Behavioral problems in children are common concerns in pediatric primary care. Time is an important factor for primary care providers (PCP) and it has been shown that pediatricians spend approximately five minutes longer providing care when behavioral concerns are presented, reducing the number of patients for which they can provide care. To date, no research has looked at the relationship between the quantity of behavioral concerns and PCP time demands, which is the aim of the present study. Using a sample of 516 children at a pediatric setting in rural southwest Virginia, data was recoded to
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Polaha, Jodi. "The Management of Common Sleep Problems in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6694.

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