Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 141
Filtrar
1.
Mem. Inst. Invest. Cienc. Salud (Impr.) ; 17(3): 34-40, dic.2019. tab, ilus
Artigo em Espanhol | LILACS, BDNPAR | ID: biblio-1047781

RESUMO

El dolor es una experiencia sensorial y emocional desagradable producida por daño tisular potencial o real y descrito de esta forma por el individuo que lo padece. Sin embargo, los recién nacidos no lo pueden comunicar, esto significa que la experiencia de dolor es subjetiva e implica la expresión de un componente emocional. El estrés es una amenaza real o percibida como tal, provocando una alteración del equilibrio dinámico entre el organismo y el medio. El estudio tuvo por objetivo determinar conocimiento e intervenciones no farmacológicas del profesional de enfermería para reducir dolor y estrés neonatal en el Hospital de Clínicas - Paraguay en el 2016. La investigación fue observacional, descriptiva, corte transversal, con enfoque cuantitativo. La población constó de 36 licenciados en enfermería seleccionados mediante muestreo no probabilístico por conveniencia. El método fue la encuesta, empleando como técnica la entrevista, el instrumento fue el cuestionario. Los datos fueron tabulados en planillas electrónicas Microsoft Excel 2010, interpretados por Epi Info 7.2.0.1., a partir de los resultados se construyeron tablas y gráficos elaborados en Microsoft Excel. La mayoría tenía entre 31 y 40 años de edad, predominaba el sexo femenino, y tenía una antigüedad de entre 1 a 10 años. Se identificó que un reducido grupo conocía las intervenciones no farmacológicas para reducir el dolor y el estrés, y la gran mayoría las realizaba. Estos resultados reflejan la carencia en la base de los conocimientos y la adquisición empírica de las prácticas(AU)


Pain is a disgusting sensorial and emotional experience, produced by potential or real tissue damage, and described in that way by the person who suffers. Nevertheless, newborns cannot communicate it. This means that pain experience is subjective and implies the expression of an emotional component. Stress is a real threat or perceived as such, provoking a disturbance on the dynamic equilibrium between the organism and the medium. The study had as objective to determinate the knowledge and non-pharmacological interventions of the professional nurse in order to reduce neonatal pain and stress at the Hospital de Clínicas in Paraguay during 2016. This was an observational, descriptive, cross-sectional study with quantitative approach. The population consisted of 36 nurses which were selected by non-probabilistic convenience sampling. The method was the survey, using the interview and the questionnaire as the instrument. The data was tabulated on Microsoft Excel 2010 electronic spreadsheets and analyzed by Epi Info 7.2.0.1. Then, tables and graphics were developed from the results elaborated in Microsoft Excel. The majority was between 31 and 40 years old, females predominated and has between 1 to 10 year careers. It was identified that a reduced group knew non-pharmacological interventions and a high percentage practiced them. These results reflect knowledge deficiency and empirical acquisition of practices(AU)


Assuntos
Humanos , Recém-Nascido , Dor , Recém-Nascido , Conhecimento , Profissionais de Enfermagem Pediátrica
2.
Nephrol Nurs J ; 46(4): 413-445, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31490051

RESUMO

Pediatric patients with chronic kidney disease (CKD) have an increased risk of developing vaccine-preventable diseases due to reduced immunization coverage. Studies have demonstrated that reduced immunization coverage in this population is related to barriers, such as frequent hospitalization, lack of knowledge, and concerns about safety and efficacy. This article examines a nurse practitioner-led quality improvement project (QIP) conducted in an outpatient pediatric nephrology clinic. The QIP focused on educating pediatric providers related to age-appropriate immunizations for children with CKD or nephrotic syndrome, and those who are renal transplant candidates and recipients. A process is now in place to review immunization records upon initial visit and annually, and to notify primary care providers of current recommendations for this population.


Assuntos
Imunização/normas , Transplante de Rim , Síndrome Nefrótica , Insuficiência Renal Crônica , Criança , Humanos , Profissionais de Enfermagem Pediátrica , Guias de Prática Clínica como Assunto , Melhoria de Qualidade , Literatura de Revisão como Assunto
3.
BMC Oral Health ; 19(1): 170, 2019 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-31370848

RESUMO

BACKGROUND: Interprofessional education (IPE) is an important part of the landscape of modern education. However, there is a significant deficiency of studies that evaluate IPE in dentistry. The aim of this article is to evaluate the effects of an oral health educational program on the dental knowledge, awareness, attitude, confidence, and behavior of pediatric nurse practitioner (PNP) students and to emphasize the importance of IPE for PNP. METHODS: First-year pediatric nurse practitioners from Northeastern University participated in an IPE oral health education seminal and practical session as a pilot study. Several tests were used to evaluate the effectiveness of the educational program. The post-test assessed the knowledge, awareness, attitude, confidence, and behavior of the students immediately after attending the lecture; again immediately after hands on experience; and finally at a follow-up approximately a month after attending the training module. The training module consists of prevention and anticipatory guidance; caries process and management; trauma and dental emergencies. Differences in score items were evaluated between 4 time points. Friedman's, Wilcoxon signed-rank and McNemar's tests were used to analyze the results. RESULTS: Knowledge score was determined based on the number of correct responses to seven questions, while awareness score was based on the median of eight questions. Fifteen confidence, attitude, and behavior questions were used. The total sample size was 16 students with a mean age 33.31 ± 7.52. The majority were females (87.5%). Significant improvement was seen in all subjects' overall knowledge of oral health topics. The confidence, attitude, and behavior scores were differed by time of test (P < 0.01). It was the highest after post-test and the lowest in pre-test. CONCLUSION: Our study suggests that introducing an Interprofessional education program for pediatric nurse practitioner students can provide them with adequate knowledge, awareness, confidence, and attitude regarding oral health issues. It also can help them in changing behavior, prevention and ongoing dental surveillance.


Assuntos
Saúde Bucal , Profissionais de Enfermagem Pediátrica , Adulto , Atitude do Pessoal de Saúde , Criança , Feminino , Humanos , Relações Interprofissionais , Projetos Piloto , Estados Unidos , Universidades
4.
Br J Nurs ; 28(9): 560-564, 2019 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-31070976

RESUMO

Cases of children presenting with limb or joint pain are relatively common and are due mainly to benign conditions. Early diagnosis will help reduce unnecessary invasive investigations so, although a relatively rare condition, benign acute childhood myositis (BACM), which presents with acute lower limb pain and an isolated rise in creatine kinase, should be considered. BACM is characterised by an infiltration of viruses into calf muscle fibres, which may cause a subsequent inflammatory response leading to calf-muscle pain. Symptomatic and supportive management, along with explanation and reassurance, is all that is required in managing this condition. This article discusses the management of a 10-year-old boy with a classical presentation of BACM, alongside differentials and management for clinician consideration.


Assuntos
Miosite/enfermagem , Diagnóstico de Enfermagem , Profissionais de Enfermagem Pediátrica , Doença Aguda , Criança , Diagnóstico Precoce , Humanos , Masculino
6.
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 718-724, abr.-maio 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-988020

RESUMO

Objective: This study's aim has been to identify the coping strategies used by nurses in pediatric oncology in face of the patient's death. Methods: This integrative review was carried out using the following databases: VHL, MEDLINE/PubMed, and Google Scholar, from April 1st to May 3rd, 2017. The following descriptors were used: death, nursing, child, health pediatrics, oncology, cancer, and coping. The final sample consisted of ten scientific papers. Results: The following coping strategies identified: psychological support from other professionals and from the institution; institutional training on death and the dying process; exchange of experiences among professionals; sports practice; and religion and faith. These strategies were carried out according to individual characteristics and the work environment. Conclusion: It was concluded that the strategies lead to supportive attitudes according to the needs of professionals, alleviating their suffering and improving their care process


Objetivo: Identificar as estratégias de enfrentamento utilizadas por profissionais de enfermagem que atuam na oncologia pediátrica diante da morte do paciente. Métodos: Revisão integrativa da literatura realizada nas fontes de informação: BVS, MEDLINE/PubMed e no Google Scholar, no período de 01 de abril a 03 de maio de 2017. Utilizou-se os descritores: death, nursing, child, health pediatrics, oncology, cancer, coping. A amostra final foi constituída por dez artigos científicos. Resultados: Estratégias de enfrentamento identificadas: apoio psicológico de outros profissionais e da instituição; capacitação institucional sobre a morte e o processo de morrer; troca de experiências entre profissionais; prática de esportes; religião e fé. As estratégias ocorrem de acordo com as características individuais e do ambiente de trabalho. Conclusão: Concluiu-se que as estratégias levam a atitudes auxiliadoras nas necessidades do profissional, amenizando seu sofrimento e melhorando seu processo de cuidar


Objetivo: Identificar las estrategias de enfrentamiento utilizadas por profesionales de enfermería que actúan en la oncología pediátrica ante la muerte del paciente. Métodos: Revisión integrativa de la literatura realizada en las siguientes fuentes de información: BVS, MEDLINE/PubMed y en Google Scholar, en el período del 01 de abril al 03 de mayo de 2017. Se utilizaron los descriptores: death, nursing, child, health pediatrics, oncology, cancer, coping. La muestra final fue constituida por diez artículos científicos. Resultados: Estrategias de enfrentamiento identificadas: apoyo psicológico de otros profesionales y de la institución; Capacitación institucional sobre la muerte y el proceso de morir; Intercambio de experiencias entre profesionales; Práctica de deportes; Religión y fe. Las estrategias ocurren de acuerdo con las características individuales y del ambiente de trabajo. Conclusión: Se concluyó que las estrategias llevan a actitudes auxiliares en las necesidades del profesional, amenizando su sufrimiento y mejorando su proceso de cuidar


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adaptação Psicológica , Profissionais de Enfermagem Pediátrica/psicologia , Sobreviventes de Câncer , Enfermagem Oncológica , Morte
7.
Nurse Pract ; 44(3): 44-49, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30789532

RESUMO

Pediatric acute-onset neuropsychiatric syndrome (PANS) can be caused by infectious and noninfectious triggers. NPs can help children with PANS recover from their symptoms and prevent future recurrences by appropriately screening, recognizing, and diagnosing the clinical presentation of PANS. PANS treatment includes pharmacologic therapies as well as cognitive behavioral therapy.


Assuntos
Transtornos Mentais/enfermagem , Profissionais de Enfermagem Pediátrica , Doença Aguda , Criança , Humanos , Diagnóstico de Enfermagem , Síndrome
8.
Arch Dis Child ; 104(6): 588-595, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30737262

RESUMO

OBJECTIVE: To explore the factors contributing to prescribing error in paediatric intensive care units (PICUs) using a human factors approach based on Reason's theory of error causation to support planning of interventions to mitigate slips and lapses, rules-based mistakes and knowledge-based mistakes. METHODS: A hierarchical task analysis (HTA) of prescribing was conducted using documentary analysis. Eleven semistructured interviews with prescribers were conducted using vignettes and were analysed using template analysis. Contributory factors were identified through the interviews and were related to tasks in the HTA by an expert panel involving a PICU clinician, nurse and pharmacist. RESULTS: Prescribing in PICU is composed of 30 subtasks. Our findings indicate that cognitive burden was the main contributory factor of prescribing error. This manifested in two ways: physical, associated with fatigue, distraction and interruption, and poor information transfer; and psychological, related to inexperience, changing workload and insufficient decision support information. Physical burden was associated with errors of omission or selection; psychological burden was linked to errors related to a lack of knowledge and/or awareness. Social control through nursing staff was the only identified control step. This control was dysfunctional at times as nurses were part of an informal mechanism to support decision making, was ineffective. CONCLUSIONS: Cognitive burden on prescribers is the principal latent factor contributing to prescribing error. This research suggests that interventions relating to skill mix, and communication and presentation of information may be effective at mitigating rule and knowledge-based mistakes. Mitigating fatigue and standardising procedures may minimise slips and lapses.


Assuntos
Prescrições de Medicamentos/normas , Unidades de Terapia Intensiva Pediátrica/normas , Erros de Medicação/estatística & dados numéricos , Criança , Competência Clínica , Cuidados Críticos/métodos , Cuidados Críticos/normas , Prescrições de Medicamentos/estatística & dados numéricos , Inglaterra , Pesquisa sobre Serviços de Saúde/métodos , Humanos , Unidades de Terapia Intensiva Pediátrica/estatística & dados numéricos , Corpo Clínico Hospitalar/psicologia , Corpo Clínico Hospitalar/normas , Erros de Medicação/prevenção & controle , Erros de Medicação/psicologia , Sistemas de Medicação no Hospital/organização & administração , Profissionais de Enfermagem Pediátrica/psicologia , Profissionais de Enfermagem Pediátrica/normas , Preparações Farmacêuticas/administração & dosagem , Pesquisa Qualitativa
9.
Adv Neonatal Care ; 19(3): 236-243, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30664521

RESUMO

BACKGROUND: Premature infants experience stressors such as external stimulation with sounds, light, touch, and open positioning in NICU that negatively affect outcomes. PURPOSE: The purpose of this study was to measure the effectiveness of a developmental positioning intervention on length of stay, weight gain, and tone/flexion compared with neonates without structured positioning. METHODS: Study design was quasi-experimental with nonequivalent groups. A retrospective chart review of 50 neonates with the inclusion criteria of 34 weeks of gestation or less and no anomalies provided a preintervention sample. After the education in-service on positioning, a convenience sample of 27 infants was enrolled. Infant Position Assessment Tool was used as a visual guide for positioning and scoring by the researcher for intervention fidelity. Hammersmith scoring was completed by the occupational therapist prior to discharge. FINDINGS: The postintervention group was younger and sicker than the control group (P < .05). The postintervention sample (M = 7.05 where 7 = 29 to <30 weeks of gestation) was younger than the preintervention sample (M = 7.22). The postintervention sample was smaller (M = 1302.15 g) than the preintervention sample (M = 1385.94 g). Results showed that the postintervention group had clinically significant weight gain and mean Hammersmith score (3.28) was higher showing positioning positively affected tone and flexion scores. IMPLICATIONS FOR PRACTICE: With greater structure and consistent attention to developmental positioning, outcomes are positively affected. IMPLICATIONS FOR FUTURE RESEARCH: Further research with larger sample sizes will identify stronger associations and relationships between positioning and outcome measures.


Assuntos
Tempo de Internação/estatística & dados numéricos , Tono Muscular , Enfermagem Neonatal/métodos , Posicionamento do Paciente/métodos , Ganho de Peso , Feminino , Estudo Historicamente Controlado , Humanos , Lactente Extremamente Prematuro , Recém-Nascido , Recém-Nascido Prematuro , Capacitação em Serviço , Unidades de Terapia Intensiva Neonatal , Masculino , Enfermagem Neonatal/educação , Terapeutas Ocupacionais/educação , Profissionais de Enfermagem Pediátrica/educação , Projetos Piloto , Melhoria de Qualidade
10.
J Pediatr ; 206: 113-118, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30573213

RESUMO

OBJECTIVES: To assess the impact of participation in an educational presentation on electrocardiogram (ECG) interpretation in children on pediatric practitioners' ability to accurately interpret ECGs. STUDY DESIGN: Pediatric healthcare providers at a pediatric clinic with >65 000 visits/year were eligible to participate. A 1-hour ECG educational module that provided a systematic approach to ECG interpretation was presented to 8 providers who consented (6 pediatricians, 2 pediatric nurse practitioners). A test on 11 ECGs (normal, normal-variant, and abnormal ECGs) was given before and 2 weeks after the educational module. Outcomes included correct interpretation of each ECG as normal or abnormal and correct identification of specific ECG findings. Data analysis was descriptive and included χ2 and Student t test. RESULTS: Mean score (SD) for correct interpretation of ECGs as normal or abnormal improved from 35% (48%) (95% CI 25.0-45.4) to 77% (42%) (95% CI 68.3-86.2) after the ECG educational module (P < .001). Mean (SD) pretest score for correct identification in the normal ECG category improved from 45% (50%) (95% CI 28.9-61.1) to 68% (47%) (95% CI 52.3-82.7) (P= .003). In the abnormal ECG category, correct identification improved from 31% (47%) (95% CI 17.6-44.9) to 83% (5%) (95% CI 72.4-94.3) after the module (P < .001). CONCLUSIONS: Education of pediatric practitioners on ECG interpretation significantly improves their ability to distinguish normal from abnormal and to identify specific abnormalities. Limitations included small sample size and short-term follow-up.


Assuntos
Cardiologia/métodos , Cardiologia/normas , Eletrocardiografia , Pediatria , Arritmias Cardíacas/diagnóstico , Criança , Competência Clínica , Morte Súbita Cardíaca/prevenção & controle , Estudos de Viabilidade , Feminino , Humanos , Capacitação em Serviço , Masculino , Variações Dependentes do Observador , Profissionais de Enfermagem Pediátrica , Estudos Prospectivos , Reprodutibilidade dos Testes
12.
Nurse Pract ; 43(9): 28-37, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30134435

RESUMO

Focal segmental glomerulosclerosis (FSGS) is a pattern of kidney damage that can occur in individuals at any age, including children. Pediatric patients with FSGS require medication monitoring, growth, and psychological health. This article discusses the NP's role in the clinical presentation, diagnostic workup, and treatment of FSGS in pediatric patients.


Assuntos
Glomerulosclerose Segmentar e Focal/enfermagem , Profissionais de Enfermagem Pediátrica , Enfermagem de Atenção Primária , Criança , Humanos , Papel do Profissional de Enfermagem , Diagnóstico de Enfermagem
13.
Nurse Pract ; 43(8): 36-43, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30028771

RESUMO

Although anxiety is the most common mental health condition among adolescents in the United States, the current standards of practice for treatment are expensive, may be difficult to obtain, and potentially harmful. Although mind and body practices show great promise in the treatment of adolescent anxiety, financial constraints, lack of education, and structural barriers can hinder the integration of these practices into primary care.


Assuntos
Ansiedade/terapia , Terapias Mente-Corpo/enfermagem , Profissionais de Enfermagem Pediátrica , Adolescente , Humanos
14.
J Pediatr Health Care ; 32(5): 481-484, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29941234

RESUMO

INTRODUCTION: Youth and children in agriculture are highly vulnerable to the health hazards associated with agricultural work and the rural environment. METHODS: The purpose of this study was to conduct a national needs assessment for developing a continuing education unit that increases the knowledge of pediatric nurse practitioners (PNPs) on safety in an agricultural environment using the Google family of products. This was a cross-sectional, one-group design descriptive-correlational study. RESULTS: Surveys were received from 315 participants. On Day 1, 57% of responses were received, and 91% were received within Week 1. DISCUSSION: The use of the free Google Forms and Google Sheets facilitated this researcher to obtain a sample size, saving research expense dollars, and entering data file into SPSS. In addition, a pattern of survey return rates was demonstrated. Second, clinical implications indicate that agricultural safety is missing from PNP curricula: PNPs are not knowledgeable about existing resources and would be interested in a continuing education unit.


Assuntos
Agricultura , Saúde do Trabalhador , Profissionais de Enfermagem Pediátrica/estatística & dados numéricos , Criança , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Determinação de Necessidades de Cuidados de Saúde , Saúde do Trabalhador/estatística & dados numéricos , Profissionais de Enfermagem Pediátrica/educação , Profissionais de Enfermagem Pediátrica/psicologia , Ferramenta de Busca , Inquéritos e Questionários
15.
J Pediatr Health Care ; 32(4): 399-408, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29957450

RESUMO

Despite generations of doubt about the true impact of bullying, it is now clear that childhood bullying can have significant lifelong consequences for victims and bullies alike. Recent school shootings and suicides by students who have been victims of bullying have helped to solidify public awareness of the gravity of the problem of childhood bullying. Adults who were frequently bullied in childhood have an increased frequency of psychiatric disorders, including anxiety, depression, and suicidality, extending into middle age (Arseneault, 2017). In fact, frequent bullying in childhood may impact victims similar to experiencing multiple adverse childhood experiences (Takizawa, Maughan, & Arseneault, 2014). Bullying also has a detrimental effect on young perpetrators (Zuckerman, 2016). Bullying is clearly a pediatric health care problem. This continuing education article will explore bullying in terms of definitions, epidemiology, types, risk factors, resilience factors, consequences, and implications for practice.


Assuntos
Bullying/psicologia , Bullying/estatística & dados numéricos , Vítimas de Crime/psicologia , Crime/psicologia , Depressão/diagnóstico , Profissionais de Enfermagem Pediátrica , Estudantes/psicologia , Suicídio/psicologia , Adolescente , Criança , Depressão/epidemiologia , Feminino , Pesquisa sobre Serviços de Saúde , Humanos , Internet , Masculino , Determinação de Necessidades de Cuidados de Saúde/organização & administração , Papel do Profissional de Enfermagem , Profissionais de Enfermagem Pediátrica/educação , Fatores de Risco , Estudantes/estatística & dados numéricos , Suicídio/estatística & dados numéricos
16.
Nurse Pract ; 43(7): 31-35, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29927814

RESUMO

Primary care providers frequently encounter children with an intoed gait. Intoeing is most often a normal variation of development that resolves without treatment. The well-informed primary care NP can identify the small subset who need referral through child and/or family history, physical exam, and identification of red flags.


Assuntos
Deformidades do Pé/enfermagem , Profissionais de Enfermagem Pediátrica , Enfermagem de Atenção Primária , Criança , Humanos
17.
Adv Neonatal Care ; 18(5): 386-392, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29889727

RESUMO

BACKGROUND: Neonatal nurse practitioner (NNP) procedural competence is essential. Procedural simulation provides opportunity to practice high-risk, low-frequency procedures and helps improve skill retention. A formal procedural simulation experience was created in an attempt to provide sufficient experience for NNPs. While preparing for the simulation experience, the group recognized the lack of validated competency metrics for most neonatal intensive care unit (NICU) procedures. PURPOSE: The purpose of this study was to create and validate procedural checklists measuring competence of NNPs participating in simulated performance of 9 high-risk NICU procedures. METHODS: IRB approval was obtained and NNPs agreed to data collection. A self and peer assessment tool was developed and distributed to NNPs, nurses, and neonatologists to gather a baseline perception of procedural competency. Procedural checklists were then developed to measure/assess individual skills against a standard. Benchmark videos were created to demonstrate the standard approach to procedural performance. Each procedural skill performed by the NNP participant was scored by 3 individual evaluators: once in real time and twice by video recording analysis. FINDINGS/RESULTS: A Cronbach α was used to measure the reliability and validity of the procedural checklists. Comparison was made between live grading and video-based grading scores using analysis of variance. Difference between grading modalities was less than 3% and nonsignificant for 8 of 9 procedures. No significant difference was found between individual graders for any of the skills being evaluated and suggested high interrater reliability of the checklists. IMPLICATIONS FOR PRACTICE: Objective, standardized procedural checklists are valid tools to evaluate NNP procedural skills in simulation. Procedural simulation experiences help strengthen skills, improve performance, and possibly improve patient outcomes.


Assuntos
Lista de Checagem/métodos , Competência Clínica/normas , Enfermagem Neonatal/normas , Profissionais de Enfermagem Pediátrica/normas , Benchmarking , Lista de Checagem/normas , Simulação por Computador , Humanos , Reprodutibilidade dos Testes , Treinamento por Simulação
18.
J Pediatr Health Care ; 32(6): 536-547, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29804658

RESUMO

Vitamin D deficiency and insufficiency is a pandemic problem in children and adolescents in the United States. The problem may be aggravated by the inconsistent implementation of current clinical practice guidelines for vitamin D management by pediatric primary care providers. This study examines the relationship between primary care providers' prescribing vitamin D to children ages 1 through 18 years and their practice actions and knowledge. A descriptive correlation design was used. Participants were recruited from a purposive sample of pediatricians and pediatric nurse practitioners through an online invitation to participate in a survey. Reliability and validity was established for the survey developed by the principal investigator using a web-based Delphi technique. Results from this study indicate that although most providers are aware that vitamin D insufficiency and deficiency are problems, fewer than half currently recommend 600- to 1,000-IU supplementation to their patients ages 1 through 18 years.


Assuntos
Técnica Delfos , Padrões de Prática Médica/estatística & dados numéricos , Deficiência de Vitamina D/sangue , Vitamina D/uso terapêutico , Adolescente , Criança , Pré-Escolar , Suplementos Nutricionais , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Lactente , Masculino , Profissionais de Enfermagem Pediátrica , Reprodutibilidade dos Testes , Estados Unidos/epidemiologia , Vitamina D/sangue , Deficiência de Vitamina D/tratamento farmacológico , Deficiência de Vitamina D/epidemiologia
19.
Br J Nurs ; 27(7): 410-411, 2018 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-29634330
20.
Adv Neonatal Care ; 18(2): 88-97, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29465446

RESUMO

BACKGROUND: Excessive supplemental oxygen exposure in the neonatal intensive care unit (NICU) can be associated with oxygen-related toxicities, which can lead to negative clinical consequences. Use of inhaled nitric oxide (iNO) can be a successful strategy for avoiding hyperoxia in the NICU. iNO selectively produces pulmonary vasodilation and has been shown to improve oxygenation parameters across the spectrum of disease severity, from mild to very severe, in neonates with hypoxic respiratory failure associated with persistent pulmonary hypertension of the newborn. PURPOSE: An online survey was conducted among members of the National Association of Neonatal Nurse Practitioners to gain insight into the level of understanding and knowledge among neonatal nurse practitioners (NNPs) about optimizing supplemental oxygen exposure and the use of iNO in the NICU setting. RESULTS: Of 937 NNP respondents, 51% reported that their healthcare team typically waits until the fraction of inspired oxygen level is 0.9 or more before adding iNO in patients not responding to oxygen ventilation alone. Among respondents with 1 or more iNO-treated patients per month, only 35% reported they know the oxygenation index level at which iNO should be initiated. Less than 20% of NNPs reported perceived benefits associated with early initiation of iNO for preventing progression to use of extracorporeal membrane oxygenation or reducing the length of hospital stay, and about one-third of respondents reported they believe early iNO use minimizes hyperoxia. IMPLICATIONS FOR PRACTICE: More education is needed for NNPs regarding the negative effects of oxidative stress in neonates. IMPLICATIONS FOR RESEARCH: Additional clinical trials investigating the most beneficial strategies for avoiding neonatal hyperoxia are warranted.


Assuntos
Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Óxido Nítrico/uso terapêutico , Enfermeiras Neonatologistas/psicologia , Síndrome do Desconforto Respiratório do Recém-Nascido/tratamento farmacológico , Vasodilatadores/uso terapêutico , Administração por Inalação , Broncodilatadores/administração & dosagem , Broncodilatadores/uso terapêutico , Humanos , Hiperóxia/prevenção & controle , Hipertensão Pulmonar , Hipóxia , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Enfermagem Neonatal/métodos , Óxido Nítrico/administração & dosagem , Profissionais de Enfermagem Pediátrica , Sociedades de Enfermagem , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA