Pub Date : 2022-06-13DOI: 10.1097/jps.0000000000000358
Lauren E. Stoltzfus, Christina Von Colln-Appling, Megan A. Infanti Mraz
Abstract Testicular tuition is a genital urinary emergency that can lead to unfortunate patient outcomes. Care for these patients in a timely and effective manner will promote better patient outcomes. The purpose of this article is to discuss symptomology and clinical presentation of testicular torsion. Risk factors associated with testicular torsion and diagnostics are presented. Furthermore, emergent and effective nursing care in the preoperative, intraoperative, and postoperative processes is reviewed. Nursing implications as it relates to best practices and evidence-based care are presented for the nurse generalist and advanced practice nurse.
{"title":"Testicular Torsion","authors":"Lauren E. Stoltzfus, Christina Von Colln-Appling, Megan A. Infanti Mraz","doi":"10.1097/jps.0000000000000358","DOIUrl":"https://doi.org/10.1097/jps.0000000000000358","url":null,"abstract":"Abstract Testicular tuition is a genital urinary emergency that can lead to unfortunate patient outcomes. Care for these patients in a timely and effective manner will promote better patient outcomes. The purpose of this article is to discuss symptomology and clinical presentation of testicular torsion. Risk factors associated with testicular torsion and diagnostics are presented. Furthermore, emergent and effective nursing care in the preoperative, intraoperative, and postoperative processes is reviewed. Nursing implications as it relates to best practices and evidence-based care are presented for the nurse generalist and advanced practice nurse.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"11 1","pages":"126 - 129"},"PeriodicalIF":0.0,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46037207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-12DOI: 10.1097/jps.0000000000000350
R. H. Lao, Christina M. Theodorou, J. Kohler
{"title":"Name the Diagnosis","authors":"R. H. Lao, Christina M. Theodorou, J. Kohler","doi":"10.1097/jps.0000000000000350","DOIUrl":"https://doi.org/10.1097/jps.0000000000000350","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61624320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-05DOI: 10.1097/JPS.0000000000000343
Leslie Binford, M. Rice, Amy S Hamlin, D. Wilson
Abstract The diagnosis of cleft anomalies evokes many emotions for parents, creating a significant psychosocial burden and ripple effect on the family. Parents report feeling fearful after diagnosis and overwhelmed on how to care for their child. They feel unprepared to manage the social response to a visible congenital malformation such as cleft lip and palate. Parents of children born with congenital malformations such as cleft palate have many obstacles to overcome in their child's lifetime, but many do not even know where to begin. Support for parents of children with palate should begin at diagnosis, as it takes time for these families to process how their child's congenital malformation will affect the quality of life of the family and the child. This article reviews the ways healthcare teams can support parents through diagnosis, coping, feeding, and surgical experiences and provides resources for providing care for these families.
{"title":"Supporting Parents Through a Cleft Palate","authors":"Leslie Binford, M. Rice, Amy S Hamlin, D. Wilson","doi":"10.1097/JPS.0000000000000343","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000343","url":null,"abstract":"Abstract The diagnosis of cleft anomalies evokes many emotions for parents, creating a significant psychosocial burden and ripple effect on the family. Parents report feeling fearful after diagnosis and overwhelmed on how to care for their child. They feel unprepared to manage the social response to a visible congenital malformation such as cleft lip and palate. Parents of children born with congenital malformations such as cleft palate have many obstacles to overcome in their child's lifetime, but many do not even know where to begin. Support for parents of children with palate should begin at diagnosis, as it takes time for these families to process how their child's congenital malformation will affect the quality of life of the family and the child. This article reviews the ways healthcare teams can support parents through diagnosis, coping, feeding, and surgical experiences and provides resources for providing care for these families.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"11 1","pages":"106 - 114"},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46490039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-05DOI: 10.1097/jps.0000000000000344
Julie Barbanel-Yuni, J. Darcy
Introduction It was noted that caregivers of pediatric surgical patients are often not able to speak to the correct disposal of leftover narcotic pain medication. The purpose of this process improvement project was to increase the knowledge and use of activated-carbon-based deactivation kits during the discharge process to increase safe medication disposal. Methods A team was formed to increase safe disposal. The team developed a plan for the pharmacy to provide quick facts when dispensing narcotic pain medication, giving instructions to the parents about how to obtain an activated-carbon-based deactivation kit if they had unused narcotic medication. In addition, the dangers of incorrect disposal of narcotics were included. The nurses provided verbal education to the parents on the safe disposal at discharge to home. Furthermore, parents were reminded of the opportunity to utilize an activated-carbon-based deactivation kit provided from the hospital pharmacy to dispose of the narcotics during postsurgical follow-up call. Results The hospital pharmacy saw a sixfold increase in the dispensing of activated-carbon-based deactivation kits since the education was initiated. Caregivers noted a 68% increase in reporting of proper disposal of narcotics. Discussion Implementation of a standardized educational practice for the families of patients being discharged with narcotic medication resulted in an increased awareness of safe disposal of narcotics and an increase in dispensing of activated-carbon-based deactivation kits. Ultimately, this resulted in the families having a greater confidence in caring for their children at discharge as reported on patient satisfaction surveys.
{"title":"Prescription for Success","authors":"Julie Barbanel-Yuni, J. Darcy","doi":"10.1097/jps.0000000000000344","DOIUrl":"https://doi.org/10.1097/jps.0000000000000344","url":null,"abstract":"Introduction It was noted that caregivers of pediatric surgical patients are often not able to speak to the correct disposal of leftover narcotic pain medication. The purpose of this process improvement project was to increase the knowledge and use of activated-carbon-based deactivation kits during the discharge process to increase safe medication disposal. Methods A team was formed to increase safe disposal. The team developed a plan for the pharmacy to provide quick facts when dispensing narcotic pain medication, giving instructions to the parents about how to obtain an activated-carbon-based deactivation kit if they had unused narcotic medication. In addition, the dangers of incorrect disposal of narcotics were included. The nurses provided verbal education to the parents on the safe disposal at discharge to home. Furthermore, parents were reminded of the opportunity to utilize an activated-carbon-based deactivation kit provided from the hospital pharmacy to dispose of the narcotics during postsurgical follow-up call. Results The hospital pharmacy saw a sixfold increase in the dispensing of activated-carbon-based deactivation kits since the education was initiated. Caregivers noted a 68% increase in reporting of proper disposal of narcotics. Discussion Implementation of a standardized educational practice for the families of patients being discharged with narcotic medication resulted in an increased awareness of safe disposal of narcotics and an increase in dispensing of activated-carbon-based deactivation kits. Ultimately, this resulted in the families having a greater confidence in caring for their children at discharge as reported on patient satisfaction surveys.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"11 1","pages":"78 - 81"},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43695935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.1097/jps.0000000000000352
A. Catlin
{"title":"Issue on Safety","authors":"A. Catlin","doi":"10.1097/jps.0000000000000352","DOIUrl":"https://doi.org/10.1097/jps.0000000000000352","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43738728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-07DOI: 10.1097/JPS.0000000000000340
R. Dorman, Susan M. Ciurzynski, D. Wakeman
Supplemental digital content is available in the text. Introduction Successful resuscitation of pediatric trauma patients requires a team of individuals to come together to provide coordinated, efficient care to the injured child. Lack of specific education in team dynamics and trauma resuscitation skills, combined with a constantly changing membership of pediatric trauma teams, creates barriers to excellence in care delivery. Therefore, it is essential for teams to practice these high-risk, low-volume skills to establish and maintain competency. Methods An online educational program consisting of team dynamic training, hospital-specific trauma roles/responsibilities, and exposure to a trauma resuscitation checklist was delivered to 40 interprofessional participants who were representative of the pediatric trauma team. Team members then attended an in-situ simulation of two pediatric trauma resuscitation scenarios. Results Forty interprofessional team members participated in the program. Education and simulations were well received by the overwhelming majority of participants, with mean scores for achievement of program objectives ranging from 4.75 to 4.85 based on a Likert scale from 1 to 5. Logistical details such as scheduling, equipment setup and takedown, stakeholder buy-in, and validation for continued program funding were determined to be sustainable in that the overall program was not labor intensive, the scheduling system was user friendly, and the financial impact was minimal. Discussion This project provided participants with a baseline of education and the opportunity to practice pediatric trauma resuscitation using simulated scenarios that allowed for assessment of team functioning and clinical performance. The results reinforced the acceptance of interprofessional education and identified subject matter for future educational programs.
{"title":"Interprofessional Pediatric Trauma Resuscitation Simulation","authors":"R. Dorman, Susan M. Ciurzynski, D. Wakeman","doi":"10.1097/JPS.0000000000000340","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000340","url":null,"abstract":"Supplemental digital content is available in the text. Introduction Successful resuscitation of pediatric trauma patients requires a team of individuals to come together to provide coordinated, efficient care to the injured child. Lack of specific education in team dynamics and trauma resuscitation skills, combined with a constantly changing membership of pediatric trauma teams, creates barriers to excellence in care delivery. Therefore, it is essential for teams to practice these high-risk, low-volume skills to establish and maintain competency. Methods An online educational program consisting of team dynamic training, hospital-specific trauma roles/responsibilities, and exposure to a trauma resuscitation checklist was delivered to 40 interprofessional participants who were representative of the pediatric trauma team. Team members then attended an in-situ simulation of two pediatric trauma resuscitation scenarios. Results Forty interprofessional team members participated in the program. Education and simulations were well received by the overwhelming majority of participants, with mean scores for achievement of program objectives ranging from 4.75 to 4.85 based on a Likert scale from 1 to 5. Logistical details such as scheduling, equipment setup and takedown, stakeholder buy-in, and validation for continued program funding were determined to be sustainable in that the overall program was not labor intensive, the scheduling system was user friendly, and the financial impact was minimal. Discussion This project provided participants with a baseline of education and the opportunity to practice pediatric trauma resuscitation using simulated scenarios that allowed for assessment of team functioning and clinical performance. The results reinforced the acceptance of interprofessional education and identified subject matter for future educational programs.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"11 1","pages":"82 - 88"},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45215401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-25DOI: 10.1097/JPS.0000000000000339
Paige A. Domurat, Bonnie L. Nickasch
Introduction Despite the human papillomavirus (HPV) vaccine's ability to help prevent certain types of cancer, rates of vaccination against HPV remain low, and choosing to have a child receive the HPV vaccine has become a controversial topic. The primary objective of this quality improvement project was to increase HPV vaccination rates through creating and distributing an all-in-one education and reminder system to pediatric clinic patients and their families once patients are eligible to receive the HPV vaccination. Methods Three barriers to increasing rates of HPV vaccination were identified: cost, lack of knowledge, and lack of provider recommendation. A flyer system was implemented that addressed these barriers. This flyer was given to all patients ages 11–18 years, with a strong verbal provider recommendation. Results One-sample proportion tests were run to determine significance in the differing series completion rates in 2018, 2019, and 2020. The pediatric clinic's HPV vaccination series completion rates increased significantly from 2018 to 2019. During the implementation of this flyer system, which occurred during the COVID-19 pandemic, the vaccination series completion rates decreased, but this decrease was not statistically significant. Discussion As control is gained over the pandemic, it is anticipated that regular provider visits will increase back to normal and therefore vaccination rates will recover as well. The findings from this study can be used to create or modify current practices in clinics anywhere that the HPV vaccination is administered. Future studies and trials should be implemented for a longer period, and not during a pandemic, ideally to yield more statistically significant results.
{"title":"Overcoming Barriers to Human Papillomavirus Vaccination","authors":"Paige A. Domurat, Bonnie L. Nickasch","doi":"10.1097/JPS.0000000000000339","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000339","url":null,"abstract":"Introduction Despite the human papillomavirus (HPV) vaccine's ability to help prevent certain types of cancer, rates of vaccination against HPV remain low, and choosing to have a child receive the HPV vaccine has become a controversial topic. The primary objective of this quality improvement project was to increase HPV vaccination rates through creating and distributing an all-in-one education and reminder system to pediatric clinic patients and their families once patients are eligible to receive the HPV vaccination. Methods Three barriers to increasing rates of HPV vaccination were identified: cost, lack of knowledge, and lack of provider recommendation. A flyer system was implemented that addressed these barriers. This flyer was given to all patients ages 11–18 years, with a strong verbal provider recommendation. Results One-sample proportion tests were run to determine significance in the differing series completion rates in 2018, 2019, and 2020. The pediatric clinic's HPV vaccination series completion rates increased significantly from 2018 to 2019. During the implementation of this flyer system, which occurred during the COVID-19 pandemic, the vaccination series completion rates decreased, but this decrease was not statistically significant. Discussion As control is gained over the pandemic, it is anticipated that regular provider visits will increase back to normal and therefore vaccination rates will recover as well. The findings from this study can be used to create or modify current practices in clinics anywhere that the HPV vaccination is administered. Future studies and trials should be implemented for a longer period, and not during a pandemic, ideally to yield more statistically significant results.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"11 1","pages":"100 - 105"},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49460342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-18DOI: 10.1097/jps.0000000000000341
Katy R. Bayless
{"title":"Electronic Resources for Children Explaining COVID and Vaccinations","authors":"Katy R. Bayless","doi":"10.1097/jps.0000000000000341","DOIUrl":"https://doi.org/10.1097/jps.0000000000000341","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45227671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-18DOI: 10.1097/jps.0000000000000345
A. Catlin
{"title":"Welcome to 2022","authors":"A. Catlin","doi":"10.1097/jps.0000000000000345","DOIUrl":"https://doi.org/10.1097/jps.0000000000000345","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41937097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-15DOI: 10.1097/jps.0000000000000338
Christina Machuca
{"title":"Supportive Nursing Care for Transgender and Gender-Diverse Youth","authors":"Christina Machuca","doi":"10.1097/jps.0000000000000338","DOIUrl":"https://doi.org/10.1097/jps.0000000000000338","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43133380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：