Journal of Pediatric Nursing RSS feed: Current Issue. The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing clinical, theory, programmatic and research papers on a variety of topics. JPN is the official journal of the Society of Pediatric Nurses and Pediatric Endocrinology Nursing Society. Papers are published covering the life span from birth to adolescence. Subject matter pertinent to the nursing care needs of healthy and ill infants, children and adolescents addressing their biopsychosocial needs is disseminated in the Journal. In addition, the Journal features regular columns to which authors are encouraged to submit brief papers and announcements. These columns include Child Health Policy, Clincial Practice, Hot Topics, Research Commentary, Technology, SPN News and PENS News. Also, as a special feature, selected articles exemplifying timely topics are published as an Editor's Choice selection. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor-in-Chief and Angela Green, PhD, APN is the Associate Editor. http://www.pediatricnursing.org/?rss=yesElsevier Inc.en © 2011 Published by Elsevier Inc. All rights reserved. Journal of Pediatric Nursing0882-5963271February 2012 © 2011 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.pediatricnursing.org/article/PIIS0882596311007081/abstract?rss=yesInformation for Authors10.1016/S0882-5963(11)00708-1Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6e1e1http://www.pediatricnursing.org/article/PIIS0882596311006609/abstract?rss=yesRecently, I was asked to give a presentation, entitled “Where We Need to Go: Priorities in the Next Five Years,” on futuristic visions pertaining to health care transitions (HCTs) at the 12th Annual Chronic Illness and Disability Conference: Transition from Pediatric to Adult Based Care (). I accepted the invitation because it was a unique opportunity to share thoughts about my specialty area of practice and expertise that was not predicated on more traditional practice topics. My comments were based upon an evolving body of science of this nascent field of practice that is becoming ever more prominent and recognized given the growing number of youth and emerging adults who are transitioning to adulthood and transferring from pediatric to adult health care. This developing practice field and emerging field of science is ideally suited for pediatric nurses who are professionally motivated and driven to address clinical challenges. One of the priorities that I identified was the need to develop, implement, and test HCT evidence-based models of care based upon best practices.Health Care Transitions: A Peek Into the FutureCecily L. Betz10.1016/j.pedn.2011.11.001Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6Editorial12http://www.pediatricnursing.org/article/PIIS0882596310003246/abstract?rss=yesThis systematic review examined the effectiveness of glucose in relieving needle-associated pain in infants. Meta-analysis was not undertaken, and there was variation in dose, administration method, concentration, and outcome measurement. Glucose was more effective than placebo in relieving infant pain as measured by behavioral outcomes, but there were mixed findings for physiological outcomes. Based on these findings, 25%–50% glucose appears effective for infant pain management.The Effectiveness of Glucose in Reducing Needle-Related Procedural Pain in InfantsManal Ibrahim Kassab, Jessica K. Roydhouse, Cathrine Fowler, Maralyn Foureur10.1016/j.pedn.2010.10.008Journal of Pediatric Nursing 27, 1 (2012)2011-02-04Journal of Pediatric Nursing2011-02-04271S0882-5963(11)X0007-6Articles317http://www.pediatricnursing.org/article/PIIS0882596310003283/abstract?rss=yesThe purpose of this study was to evaluate the effect of peak flow monitoring on asthma quality of life (QOL) for school-age children with asthma (N = 77) who participated in a 16-week asthma self-management program. QOL was measured using the Children's Health Survey for Asthma. Findings indicated significant improvement in asthma QOL from baseline to Week 16 and higher QOL scores for those with better asthma health outcomes.Effect of Peak Flow Monitoring on Child Asthma Quality of LifePatricia V. Burkhart, Mary Kay Rayens, Marsha G. Oakley10.1016/j.pedn.2010.11.001Journal of Pediatric Nursing 27, 1 (2012)2011-01-20Journal of Pediatric Nursing2011-01-20271S0882-5963(11)X0007-6Articles1825http://www.pediatricnursing.org/article/PIIS0882596311006567/abstract?rss=yesIn the October 2011 issue (26/5) of Journal of Pediatric Nursing, in the Child Health Policy Column article by Niki Fogg and colleagues entitled “Pediatric Nurses Address Children and the Economy Part 2” [Fogg, N., Sterling, Y.M., & Welsh, D. (2011). Pediatric nurses address children and the economy part 2. Journal of Pediatric Nursing, 26, 489-493; doi:10.1016/j.pedn.2011.06.008], the affiliation of the first author, Niki Fogg, MS, RN, CPN, was incorrectly acknowledged. The full affiliation is as follows: Texas Woman’s University, Dallas, TX.ErratumCecily Betz10.1016/j.pedn.2011.10.004Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6Articles2525http://www.pediatricnursing.org/article/PIIS0882596310003295/abstract?rss=yesUsing a shared governance model, a clinical nursing practice change was implemented to increase collaborative decision making among health care providers at morning rounds. The goal of this project was to improve nursing workflow at the beginning of the shift and improve patient flow by discharging patients earlier. By changing the time of morning vital signs and nursing assessments from 0800 to 0600, staff reported increased collaboration among the multidisciplinary team and improved nursing workflow.Time Changes for Scheduled Nursing Assessments: Impact on Clinical Decisions and Patient DischargeKathleen Monforto, Ana Figueroa-Altmann, Christine Stevens, Karen Thiele, Elizabeth Ely10.1016/j.pedn.2010.11.002Journal of Pediatric Nursing 27, 1 (2012)2011-01-03Journal of Pediatric Nursing2011-01-03271S0882-5963(11)X0007-6Articles2633http://www.pediatricnursing.org/article/PIIS0882596310002496/abstract?rss=yesThis study examined sibling relationships in families raising children with autism, Down syndrome, orthopedic conditions, and diabetes. Parents from 108 families independently completed the 28-item Schaefer Sibling Inventory of Behavior. Parents rated siblings as very empathetic, fairly often kind and involved, and rarely avoidant. Mothers rated sibling empathy higher than fathers did and older siblings more avoidant than younger siblings. Fathers rated male siblings kinder than female siblings; they also rated siblings of children with Down syndrome or autism more kind and involved than siblings of children with orthopedic conditions or diabetes. Sibling intervention efforts should consider these findings and be individualized according to the need of each child and family.Parental Perceptions of Sibling Relationships in Families Rearing a Child With a Chronic ConditionKrista Marie Nielsen, Barbara Mandleco, Susanne Olsen Roper, Amy Cox, Tina Dyches, Elaine S. Marshall10.1016/j.pedn.2010.08.009Journal of Pediatric Nursing 27, 1 (2012)2010-10-04Journal of Pediatric Nursing2010-10-04271S0882-5963(11)X0007-6Articles3443http://www.pediatricnursing.org/article/PIIS0882596310003015/abstract?rss=yesThe Essentials of Baccalaureate Education for Professional Nursing Practice [American Association of Colleges of Nursing. (2008, October 8). Retrieved September 11, 2009, from http://www.aacn.nche.edu/Education/pdf/BaccEssentials08.pdf] addresses the importance of health promotion at the individual level across the lifespan to effect optimal population health. This qualitative study explores senior baccalaureate nursing students' perceptions (n = 85) of the teaching and learning experience related to health promotion during their pediatric clinical rotation. Four distinct learning factors of student, client, learning process, and subject matter emerged. Knowledge was enhanced, and students identified that the format of presentation influenced the quality of participant learning. Students' perception of the importance of patient and family teaching evolved over the course of the semester and highlights the importance of providing students with the tools necessary to be effective teachers and change agents to promote healthy behaviors across the lifespan. Fink's Taxonomy of Significant Learning can be applied to facilitate integrated course design for a pediatric baccalaureate nursing curriculum.Age-Appropriate Health Promotion Education: Roots Firmly Established in Baccalaureate Nursing Pediatric RotationZepure Samawi, Mary S. Haras, Teresa L. Miller10.1016/j.pedn.2010.09.003Journal of Pediatric Nursing 27, 1 (2012)2011-03-24Journal of Pediatric Nursing2011-03-24271S0882-5963(11)X0007-6Articles4449http://www.pediatricnursing.org/article/PIIS0882596310003350/abstract?rss=yesThis pilot study compared two methods of tracheal suctioning in the same 18 children with chronic tracheostomies. Use of the American Thoracic Society (ATS) recommendations resulted in a significant increase in secretions obtained (t = −3.96; p = .001) when compared with traditional practice. The ATS-recommended method was also more efficient in children with secretions. When used first, no additional secretions were obtained after 90 minutes using the traditional method. Additional secretions were obtained with the ATS-recommended method when the traditional method was used first. Heart rate and oxygen saturation immediately and 1 minute after suctioning were not significantly different between methods.Tracheal Suctioning in Children With Chronic Tracheostomies: A Pilot Study Applying Suction Both While Inserting and Removing the CatheterElyse B. McClean10.1016/j.pedn.2010.11.007Journal of Pediatric Nursing 27, 1 (2012)2011-01-18Journal of Pediatric Nursing2011-01-18271S0882-5963(11)X0007-6Articles5054http://www.pediatricnursing.org/article/PIIS0882596310002356/abstract?rss=yesTeens with polycystic ovary syndrome have serious health issues that impact them on multiple levels—hormonal concerns affecting female health and fertility, disfiguring body changes causing self-image problems, and lifelong health consequences related to metabolic disorders. Health care providers are now beginning to understand underlying pathophysiologic processes and make earlier diagnoses in the 6%–10% of teens with this disorder. However, the profound psychological and social needs are often inadequately recognized by health care providers, causing many teens turn to peers and the Internet for guidance and support. More research is needed to identify and address the emotional aspects of this common disorder in healthcare settings.Emotional Needs of Teens With Polycystic Ovary SyndromeDiana Dowdy10.1016/j.pedn.2010.08.001Journal of Pediatric Nursing 27, 1 (2012)2010-10-27Journal of Pediatric Nursing2010-10-27271S0882-5963(11)X0007-6Articles5564http://www.pediatricnursing.org/article/PIIS0882596310002320/abstract?rss=yesYouth with asthma and allergies often feel isolated and different from their peers. The objective of this study was to test the impact of online social support for these youth. Three months of support was provided using weekly synchronous chat sessions. Online sessions were facilitated by trained peer mentors (older youth with asthma and/or allergies) and health professionals. Youth could also e-mail one another between chat sessions and post messages on an electronic community bulletin board. Twenty-eight adolescents across Canada participated. Social isolation and loneliness were significantly reduced. Youth reported gaining confidence and a sense of normality.Impact of Online Support for Youth With Asthma and Allergies: Pilot StudyNicole Letourneau, Miriam Stewart, Jeffrey R. Masuda, Sharon Anderson, Lisa Cicutto, Shawna McGhan, Susan Watt10.1016/j.pedn.2010.07.007Journal of Pediatric Nursing 27, 1 (2012)2011-08-25Journal of Pediatric Nursing2011-08-25271S0882-5963(11)X0007-6Articles6573http://www.pediatricnursing.org/article/PIIS0882596311004854/abstract?rss=yesThe Synergy Model for Patient Care is a framework for professional nursing practice that emphasizes the unique relationship between patients and clinicians, which can result in optimal outcomes for both. Integrating this model into contemporary nursing practice at a freestanding children's hospital was accomplished by “backing into the model” and developing the “tools” that encompassed both the patient characteristics and the clinician competencies. In addition to creative educational activities for the staff, leadership support and communication strategies were paramount to effective implementation.Integrating the Synergy Model for Patient Care at Children's Hospital of WisconsinKaren S. Gralton, Stacy A. Brett10.1016/j.pedn.2011.06.007Journal of Pediatric Nursing 27, 1 (2012)2011-09-07Journal of Pediatric Nursing2011-09-07271S0882-5963(11)X0007-6Magnet® Feature Article7481http://www.pediatricnursing.org/article/PIIS0882596311006580/abstract?rss=yesACCORDING TO , the estimated incidence of priapism related to sickle cell disease (SCD) is 35% to 89%. Medical management is required for these patients to minimize ischemia caused by low-flow priapism and is considered a urological emergency. Without immediate intervention, or a regimen for reoccurrence, long-term erectile dysfunction can occur, which contributes to the health challenges and difficulties in the psychosocial and mental well-being of men with SCD. Therapeutic management of priapism includes medications, such as pseudoephedrine, to diminish the vasoocclusive crisis associated with this issue in patients with SCD.The Use of Sudafed for Priapism in Pediatric Patients With Sickle Cell DiseaseMorgan Mocniak, Christina Marie Durkin, Kenneth Early10.1016/j.pedn.2011.10.006Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6Clinical Practice Column8284http://www.pediatricnursing.org/article/PIIS0882596311006634/abstract?rss=yesAdditional Resources EPA publications to help protect children from pesticides including a Play it Safe: Reduce Your Child's Chances of Pesticide Poisoning, Citizen's Guide to Pest Control and Pesticide Safety and a Pesticide Poisoning Prevention ChecklistPrenatal Pesticide Exposure Linked to Lower IQ in ChildrenDeborah L. McBride10.1016/j.pedn.2011.11.003Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6Hot Topics Column8587http://www.pediatricnursing.org/article/PIIS0882596311006385/abstract?rss=yesMEANINGFUL USE HAS become the newest buzzword in health care, particularly within the context of electronic health records (EHRs). Physicians and hospitals have been very engaged in the conversation, but nurses seem to have taken a backseat, not seeming to realize the critical role that they play in achieving the objectives of the Health Information Technology for Economic and Clinical Health (HITECH) Act.Finding Meaning in Meaningful Use: Understanding the Health Information Technology for Economic and Clinical Health Act and Its Impact on Nursing PracticeMaria Mihalko10.1016/j.pedn.2011.10.002Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6Technology Column8889http://www.pediatricnursing.org/article/PIIS0882596311006646/abstract?rss=yesResearch is conducted to identify best practices and improve the quality of nursing care—to perfect clinical practice. To improve the quality of nursing practice, clinical problems are identified from practice, then programs are developed to address these clinical problems, and the effectiveness of these programs is tested through research. This systematic research process generates new evidence that is translated back to clinical practice with the goal of improving the quality of nursing care. Thus, this interrelationship between clinical practice and nursing research is critical to the establishment of best practices.Practice Makes Perfect—Research Makes Perfect PracticeBecky J. Christian10.1016/j.pedn.2011.11.004Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6Research Commentary Column9091http://www.pediatricnursing.org/article/PIIS0882596311006610/abstract?rss=yesMost of us view policies, procedures, and guidelines as boring, regimented, unnecessary pieces of paper. Some, however, are required for hospitals by the Center for Medicare/Medicaid and The Joint Commission. They should be useful to bedside caregivers assisting them to provide safe quality care for patients. The purpose of this article was to discuss and present a model of change that was used by one hospital's Patient Service's division to improve their policy, procedure, and guideline system.Leading Change: A Patient Services Division's Journey Through the Computerization and Reorganization of their Policies, Procedures, and GuidelinesJoyce Arand, Patti Besuner10.1016/j.pedn.2011.11.002Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6SPN News Column9296http://www.pediatricnursing.org/article/PIIS0882596311006579/abstract?rss=yesAlthough hypoglycemia is a medical diagnosis, it is generally a sign of an underlying disorder of fasting adaptation. In the normal process of fasting, the body has several mechanisms for keeping blood glucose from dropping too low. First, there is a breakdown of glycogen stores (glycogenolysis) in the liver to release glucose. This process occurs about 2 to 3 hours after eating. When the glycogen stores are used up, fatty acid oxidation and ketogenesis, which produce free fatty acids and ketones, occur. The timing for this process varies from 8 to 12 hours after eating. Anyone who fasts long enough will eventually develop hypoglycemia. Glucose fuels brain metabolism, and free fatty acids and ketones fuel muscle. Ketones can also be used as an alternative fuel for the brain during prolonged fasting. Unrecognized, prolonged, or repeated episodes of hypoglycemia, particularly in infants and children, can lead to seizures, permanent brain damage, developmental delay, and death ().Hypoglycemia: Symptom or Diagnosis?Lori P. Halaby, Linda Steinkrauss10.1016/j.pedn.2011.10.005Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6PENS Column9799http://www.pediatricnursing.org/article/PIIS0882596311006695/abstract?rss=yesTable of Contents10.1016/S0882-5963(11)00669-5Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6FrontmatterA1A2http://www.pediatricnursing.org/article/PIIS0882596311006683/abstract?rss=yesEditorial Board10.1016/S0882-5963(11)00668-3Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6FrontmatterA4A4http://www.pediatricnursing.org/article/PIIS0882596311006671/abstract?rss=yesInformation for Readers10.1016/S0882-5963(11)00667-1Journal of Pediatric Nursing 27, 1 (2012)2012-02-01Journal of Pediatric Nursing2012-02-01271S0882-5963(11)X0007-6FrontmatterA6A6