Journal of Pediatric Health Care

Update on the Future of Nursing: Campaign for Action

Martha Kirk Swartz — 2012-05-01

In October 2010, the Institute of Medicine (IOM) released its report The Future of Nursing: Leading Change, Advancing Health, which was the result of a 2-year initiative launched by the IOM and the Robert Wood Johnson Foundation (RWJF) to produce a report that would make recommendations for an action-oriented blueprint for the future of the nursing profession (). One year later, in December 2011, members of the International Academy of Nursing Editors had an opportunity to participate in a telebriefing presented by members and staff of the original IOM Committee that provided some insight regarding where we now are in implementing the recommendations found in the initial report.

A Year of Reflection

Cheri Barber — 2012-05-01

Reflection of this past year as the President of the National Association of Pediatric Nurse Practitioners (NAPNAP) is bittersweet. I want to thank everyone who made this a wonderful year. First and foremost all of the staff in the national office; the directors; Jenn who kept me organized; Cathy who continued to give of herself and helped to make the transition with the new CEO run effortlessly, and has shown time and time again her fearless dedication to our organization; past presidents and mentors; the Executive Committee; and the Executive Board. To my family and coworkers I thank you for always being there for me. Last, but not least, to our new CEO Sandra Vassos and new Chief of Staff Michele Stickels for leading us into the next five to ten years with a new vision and strategic plan.

Medical Evaluation for Child Physical Abuse: What the PNP Needs to Know

Gail Hornor — 2012-05-01

Abstract: Physical abuse is a problem of epidemic proportions. Pediatric nurse practitioners (PNPs) will most likely encounter physically abused children in their practice. This continuing education offering will help PNPs develop the skills necessary to recognize an injury that raises the concern for abuse based on characteristics of the injury such as appearance, location, or severity and characteristics of the history given for the injury. The link between corporal punishment and physical abuse will be discussed. Cutaneous findings of abuse, oral injuries, skeletal injuries, abdominal trauma, and abusive head trauma will also be discussed.

Medical Evaluation for Child Physical Abuse: What the PNP Needs to Know

Gail Hornor — 2012-05-01

Are Urban Low-Income Children From Unplanned Pregnancy Exposed to Higher Levels of Environmental Tobacco Smoke?

Yuanjing Ren, Xinguang Chen, Bonita Stanton — 2010-09-20

Abstract: Introduction: The negative consequences of environmental tobacco smoke (ETS) in children have been well documented. Our objective is to assess whether children of unplanned pregnancies are at increased risk for ETS exposure.Method: Data were collected through interviews of mothers who accompanied their children to the Children’s Hospital of Michigan, Detroit, Michigan. Associations of ETS exposure with unplanned pregnancy were analyzed using the χ2 test and stratified by maternal smoking status. Results from the bivariate analysis were further verified using a multiple logistic regression method to control for significant covariates.Results: Among the sample of 399 children, 125 (31.3%) were born from unplanned pregnancies; 47.2% of the unplanned children and 25.6% of the planned children were exposed to ETS (χ2 = 18.4, p < .01). Unplanned children of non-smoking mothers also experienced higher levels of exposure to ETS compared with planned children (22.45% vs. 10.05%, χ2 = 5.50, p < .05). The association remained significant after controlling for covariates (adjusted odds ratio = 2.45; 95% confidence interval = 1.03, 5.84; p < .05).Discussion: Findings of this study suggest the importance of preventing ETS in urban children, particularly those from unplanned pregnancies.

Perspectives of Youths and Adults Improve the Care of Hospitalized Adolescents in Spain

Ana M. Ullán, Manuel H. Belver, Isabel Serrano, Juan Delgado, Marta Badía — 2010-09-20

Abstract: Purpose: The purpose of this study was to determine and compare the preferences and priorities of youths and adults about the best ways to improve hospitals to have an impact on the quality of life of hospitalized adolescents.Method: Participants in this study were 364 adolescents between 14 and 17 years of age (96 hospitalized) and 148 adults (96 parents of patients and 52 health professionals). All the participants completed a questionnaire about their preferences and priorities with regard to hospitalization.Results: A high degree of agreement among the youths and the adults was observed, especially regarding the importance assigned to agreeableness of clinical staff to improveadolescents’ experience of hospitalization. Some discrepancies also were observed. The youths granted more importance to issues related to filling in time, specifically to the leisure technology available for patients. The adults assigned more importance to the organization of the hospital stay, in particular, for adolescents to be admitted with patients of the same age and for them to receive academic support in the hospital.Conclusions: Adolescents express a coherent perspective about the aspects that may help them feel better in the hospital that in some ways is different from the perspective of the adults who care for them.

Bone Health in Children With Cerebral Palsy and Epilepsy

Elizabeth Aronson, Sharon B. Stevenson — 2010-10-04

Abstract: Children with disabilities that limit mobility are at increased risk for osteoporosis. In the United States, 10 million people have osteoporosis and 34 million people are estimated to be at risk of acquiring this condition. Typically, bone fragility and osteoporosis have been associated with older adults; however, these problems can also affect children. The childhood and adolescent years are critically important in producing healthy bone mass. Yet cerebral palsy and epilepsy, which are both chronic disorders that frequently coexist, are predictors of muscular and skeletal compromise. Nurse practitioners should be aware of recommendations for promoting and achieving optimal bone health in children with these disabilities and screening patients who are at risk of sustaining fractures.

Prophylactic Use of Antipyretic Agents With Childhood Immunizations and Antibody Response: Reason for Concern?

Michele N. Pedulla — 2011-02-28

Abstract: Introduction: In the pediatric primary care setting, well-child visits constitute over 50% of all encounters, treating over 24 million children annually. Anticipatory guidance topics vary based on different ages, but immunizations are a focal point of all well-child visits. This article addresses the prophylactic use of antipyretic agents with the administration of immunizations as a potential reason of concern.Methods: A literature review of the use of antipyretic agents in conjunction with immunizations and the effectiveness of treatment was performed.Results: Based on several studies, the standard recommendation of administering antipyretic agents with immunization administration was a routine. Twenty years later, the scientific evidence was questioned. A pivotal study questioned these standards, noting no benefit and potential decreased immune response.Discussion: Although the prophylactic use of antipyretics has been a standard in pediatrics, the lack of scientific support in the reduction of adverse effects of the vaccinations and the possibility of decreased immune response warrants further research.

Muscle Pain in the Emergency Department: A Case of Myositis

Rachael E. Bushman, Lucy K. Patterson — 2012-01-25

Karin Reuter-Rice, PhD, CPNP-AC, FCCM

Breaking the Ice: A Pre-Intervention Strategy to Engage Research Participants

Jill F. Kilanowski — 2012-02-24

Rita H. Pickler, PhD, RN, PNP-BC, FAAN

Environmental Toxicants: Lead and Mercury

Mikki Meadows-Oliver — 2012-03-23

Juanita Conkin Dale, PhD, RN, CPNP-PC

Acute and Non-Acute Lower Extremity Pain in the Pediatric Population: Part II

Allison D. Duey-Holtz, Sara L. Collins, Leah B. Hunt, Polly F. Cromwell — 2012-05-01

Robert J. Yetman, MD

The Acute Care Pediatric Nurse Practitioner: Curriculum Overview

2011-12-16

Andrea Kline Tilford, MS, RN, CPNP-PC/AC, FCCM

2012-05-01

Editorial Board Page

2012-05-01

Society

2012-05-01

Information for Readers

2012-05-01

NAPNAP Update

2012-05-01

Tresa Zielinski, DNP, RN, CPNP-PC

Journal of Pediatric Health Care

Update on the Future of Nursing: Campaign for Action

A Year of Reflection

Medical Evaluation for Child Physical Abuse: What the PNP Needs to Know

Medical Evaluation for Child Physical Abuse: What the PNP Needs to Know

Are Urban Low-Income Children From Unplanned Pregnancy Exposed to Higher Levels of Environmental Tobacco Smoke?

Perspectives of Youths and Adults Improve the Care of Hospitalized Adolescents in Spain

Bone Health in Children With Cerebral Palsy and Epilepsy

Prophylactic Use of Antipyretic Agents With Childhood Immunizations and Antibody Response: Reason for Concern?

Muscle Pain in the Emergency Department: A Case of Myositis

Breaking the Ice: A Pre-Intervention Strategy to Engage Research Participants

Environmental Toxicants: Lead and Mercury

Acute and Non-Acute Lower Extremity Pain in the Pediatric Population: Part II

The Acute Care Pediatric Nurse Practitioner: Curriculum Overview

Table of Contents

Editorial Board Page

Society

Information for Readers

NAPNAP Update