Pediatric nursing
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Randomized Controlled Trial Comparative Study Clinical Trial
Reducing one source of pediatric head injuries.
Evaluation of a school-based, bicycle helmet program was conducted using the PRECEDE model. The intervention targeted schools with low income, high minority, and nonurban fourth grade children. ⋯ Following the intervention, between 34% and 98% of intervention students reported helmet use, with the best results reported in schools with parental contact. This educational intervention coupled with the provision of bicycle helmets increased reported helmet use, especially when parental contact was added.
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Comparative Study
Assessment of the validity and reliability of the University of Wisconsin Children's Hospital Pain scale for Preverbal and Nonverbal Children.
This study tested the reliability and validity of a pain scale that was developed at University of Wisconsin Children's Hospital for the preverbal child (less than 3 years old) and the nonverbal child (children who cognitively were not able to communicate a pain rating on traditional pain scales). ⋯ Initial testing of the construct validity, internal reliability, and internal consistency of the UWCH Pain Scale for Preverbal and Nonverbal Children were acceptable. Parents provided ratings for most of the faces scale, which could account for the low correlation in the construct validity testing.
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We all want health care to be delivered in an atmosphere of utmost integrity. However, integrity only occurs where there is courage to do the right thing in very difficult situations. Leaders must be very courageous to be successful. ⋯ We are not born with courage. We learn courage by eventually mastering situations in which we can act with less and less fear. The leader's obligation is to assess the environment and build opportunities for staff to work courageously with less and less fear as they master more difficult situations in their everyday lives.
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Comparative Study
The pediatric critical care nurse practitioner: evolution and impact.
This nonexperimental, descriptive pilot study evaluated the role and impact of two pediatric critical care nurse practitioners (PCCNPs) in the pediatric intensive care unit (PICU) at a tertiary care children's hospital. Questions posed included: 1) Are parents satisfied with the care their child and family received from the PCCNP in the PICU?; 2) Are staff nurses satisfied with the role of the PCCNP in the PICU?; and 3) Is there a difference between the care delivered by the PCCNP and the pediatric resident staff in nutritional management and discharge planning? Study methodology included a retrospective chart review of 25 PCCNP and 25 pediatric resident staff patient charts and a questionnaire survey of a convenience sample of parents and staff nurses over a 6-month study period. Overall, parents reported that the care their children received from the PCCNP was adequate. ⋯ There were no significant differences in the nutritional management of the children cared for by residents and PCCNPs. However, the PCCNPs initiated documentation of discharge planning with a greater frequency and earlier in the child's hospitalization, as compared to medical staff practice. Study findings support the use of the PCCNP in the PICU as care is comparable to that of the pediatric resident staff.