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Research paper thumbnail of Factors Influencing Care Coordination in Children with Special Healthcare Needs

Research paper thumbnail of An analysis of factors influencing care coordination in children with special health care needs /

Typescript. Thesis (Ph. D.)--University of Maryland, Baltimore, 2005. Vita. Includes bibliographi... more Typescript. Thesis (Ph. D.)--University of Maryland, Baltimore, 2005. Vita. Includes bibliographical references (leaves 93-99). Thesis research directed by the School of Nursing.

Research paper thumbnail of Strategies from Bedside Nurse Perspectives in Conducting Evidence-based Practice Projects to Improve Care

Nursing Clinics of North America, 2013

Research paper thumbnail of Finding the Evidence to Change Practice for Assessing Pain in Children Who Are Cognitively Impaired

Journal of Pediatric Nursing, 2012

We report on a quality improvement project whose purpose was to systematically review behavioral ... more We report on a quality improvement project whose purpose was to systematically review behavioral pain assessment tools for children who are cognitively impaired, with the goal of identifying a valid and reliable tool for clinical practice. In addition, we sought to partner with parents and/or caregivers to expand their role in pain assessment. The project team conducted an extensive synthesis of the literature to examine the availability and quality of published pain assessment tools for use with children with cognitive impairment (CI) or developmental disability. Once completed, we identified 2 of the available 10 tools to test in the clinical setting. Data from this quality improvement project provided evidence to support the adoption of the revised Faces, Legs, Activity, Cry, and Consolability pain assessment tool for children with CI into clinical practice.

Research paper thumbnail of Optimizing the Assessment of Pain in Children Who Are Cognitively Impaired Through the Quality Improvement Process

Journal of Pediatric Nursing, 2012

Pain assessment in children with cognitive impairment (CI) is challenging. A quality improvement ... more Pain assessment in children with cognitive impairment (CI) is challenging. A quality improvement (QI) project involving evidence-based review of pain assessment tools, feedback from the Family Advisory Council, trialing of selected tools within clinical settings including obtaining feedback from nurses, and parents caring for nonverbal children with developmental delay was reported. Synthesized evidence supported the adoption of revised Faces, Legs, Activity, Cry, and Consolability pain assessment tool into clinical practice. Results of postimplementation audit and challenges of staff nurse involvement in the QI process were also discussed. The 24-month-long QI process and its impact on changing practice were described in detail.

Research paper thumbnail of 035 – An Evidence-Based Review of Standards for Inflammatory Bowel Disease Education Programs for Patients and Families

Journal of Pediatric Nursing, 2009

Research paper thumbnail of 034 – An Evidence-Based Review of Current Educational Strategies for the Novice Nurse

Journal of Pediatric Nursing, 2009

Research paper thumbnail of Caring for the Child With an Autism Spectrum Disorder in the Acute Care Setting

Journal for Specialists in Pediatric Nursing, 2010

PURPOSE. This article explores the challenges that patients with autistic spectrum disorders (ASD... more PURPOSE. This article explores the challenges that patients with autistic spectrum disorders (ASDs) face when hospitalized and provides assessment strategies and plan-of-care suggestions for nursing caregivers. CONCLUSIONS. With a high prevalence rate of medical comorbidities among this population, such as gastrointestinal complaints and seizures, nurses are likely to care for hospitalized patients with an ASD. PRACTICE IMPLICATIONS. For a child with an ASD, hospitalization can be an overwhelming sensory and cognitive experience. Nurses equipped with an understanding of the unique needs of a child with ASD can tailor the plan of care to reduce patient and family anxiety, optimize treatment goals, and reduce the stress of hospitalization.

Research paper thumbnail of Factors Influencing Care Coordination in Children with Special Healthcare Needs

Research paper thumbnail of An analysis of factors influencing care coordination in children with special health care needs /

Typescript. Thesis (Ph. D.)--University of Maryland, Baltimore, 2005. Vita. Includes bibliographi... more Typescript. Thesis (Ph. D.)--University of Maryland, Baltimore, 2005. Vita. Includes bibliographical references (leaves 93-99). Thesis research directed by the School of Nursing.

Research paper thumbnail of Strategies from Bedside Nurse Perspectives in Conducting Evidence-based Practice Projects to Improve Care

Nursing Clinics of North America, 2013

Research paper thumbnail of Finding the Evidence to Change Practice for Assessing Pain in Children Who Are Cognitively Impaired

Journal of Pediatric Nursing, 2012

We report on a quality improvement project whose purpose was to systematically review behavioral ... more We report on a quality improvement project whose purpose was to systematically review behavioral pain assessment tools for children who are cognitively impaired, with the goal of identifying a valid and reliable tool for clinical practice. In addition, we sought to partner with parents and/or caregivers to expand their role in pain assessment. The project team conducted an extensive synthesis of the literature to examine the availability and quality of published pain assessment tools for use with children with cognitive impairment (CI) or developmental disability. Once completed, we identified 2 of the available 10 tools to test in the clinical setting. Data from this quality improvement project provided evidence to support the adoption of the revised Faces, Legs, Activity, Cry, and Consolability pain assessment tool for children with CI into clinical practice.

Research paper thumbnail of Optimizing the Assessment of Pain in Children Who Are Cognitively Impaired Through the Quality Improvement Process

Journal of Pediatric Nursing, 2012

Pain assessment in children with cognitive impairment (CI) is challenging. A quality improvement ... more Pain assessment in children with cognitive impairment (CI) is challenging. A quality improvement (QI) project involving evidence-based review of pain assessment tools, feedback from the Family Advisory Council, trialing of selected tools within clinical settings including obtaining feedback from nurses, and parents caring for nonverbal children with developmental delay was reported. Synthesized evidence supported the adoption of revised Faces, Legs, Activity, Cry, and Consolability pain assessment tool into clinical practice. Results of postimplementation audit and challenges of staff nurse involvement in the QI process were also discussed. The 24-month-long QI process and its impact on changing practice were described in detail.

Research paper thumbnail of 035 – An Evidence-Based Review of Standards for Inflammatory Bowel Disease Education Programs for Patients and Families

Journal of Pediatric Nursing, 2009

Research paper thumbnail of 034 – An Evidence-Based Review of Current Educational Strategies for the Novice Nurse

Journal of Pediatric Nursing, 2009

Research paper thumbnail of Caring for the Child With an Autism Spectrum Disorder in the Acute Care Setting

Journal for Specialists in Pediatric Nursing, 2010

PURPOSE. This article explores the challenges that patients with autistic spectrum disorders (ASD... more PURPOSE. This article explores the challenges that patients with autistic spectrum disorders (ASDs) face when hospitalized and provides assessment strategies and plan-of-care suggestions for nursing caregivers. CONCLUSIONS. With a high prevalence rate of medical comorbidities among this population, such as gastrointestinal complaints and seizures, nurses are likely to care for hospitalized patients with an ASD. PRACTICE IMPLICATIONS. For a child with an ASD, hospitalization can be an overwhelming sensory and cognitive experience. Nurses equipped with an understanding of the unique needs of a child with ASD can tailor the plan of care to reduce patient and family anxiety, optimize treatment goals, and reduce the stress of hospitalization.

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