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Implementation of an Evidence-Based Childhood Obesity Toolkit in a Rural Pediatric Clinic in Cookeville, TN: A Quality Improvement ProjectJohnson, Dawn 20 April 2023 (has links)
Implementation of an Evidence-Based Childhood Obesity Toolkit in a Rural Pediatric Clinic in Cookeville, TN: A Quality Improvement Project
Dawn G. Johnson, MSN, APRN, FNP-BC
Tennessee Technological University
Nursing 6802 – DNP Project Development
Dr. Victoria Pope & Dr. Candice Short
March 23, 2022
Author Note
Dawn G. Johnson https://orcid.org/0000-0002-7090-8036
College of Nursing, Tennessee Technological University
There are no conflicts of interest to disclose.
Correspondence concerning this manuscript should be addressed to Dawn G. Johnson, Tennessee Technological University, 248 Haven Lane, Algood, TN 38506
Email: djohnson@tntech.edu
Abstract
Purpose: The purpose of this quality improvement project is to increase the early identification of overweight or obese children in the primary care setting and provide education through the implementation of an evidence-based childhood obesity toolkit.
Aims: This project aims to implement the Healthy Care for Healthy Kids Physical Activity and Nutrition Survey Management Plan to educate patients and parents about childhood obesity. The Healthy Care for Healthy Kids Physical Activity and Nutrition Survey Management Plan is an evidence-based questionnaire and action plan used by healthcare providers in the prevention and treatment of childhood obesity.
Processes: Nurses will provide the toolkit to children ages 5-18 who present to the clinic for well-child examinations and have a BMI classified as overweight or obese. Providers will then review the screening toolkit with the patient and family and make a corrective plan of action. The screening tool will then be signed by the patient, caregiver, and provider and placed in the child’s electronic medical record.
Results: To be determined after project implementation is complete. Results are anticipated to be that more overweight and obese children are identified by the clinic and proper education is provided to the patient and family.
Limitations: The study is limited to one location and only available to the providers who perform well-child examinations.
Conclusions: Implementation of an evidence-based childhood obesity toolkit in the pediatric setting with increase the early identification of overweight and obese children.
Keywords: childhood obesity, pediatric obesity, toolkit, obesity, overweight
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Planned nursing intervention directed toward the mother and her failure-to-thrive childBigger, Sally Ann, Isberg, JoAnn, Kruger, Irene Jane, Moran, Kathleen, Rosenthal, Elizabeth Ann, Russell, Mary Veronica, Williams, Susan Elizabeth, Ziedins, Ievina January 1965 (has links)
Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2031-01-01
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The Effect of Race on Parents' Intent to Vaccinate Their Children Against Human PapillomavirusRuiz Aguilar, Ariana L 01 January 2018 (has links)
Human papillomavirus (HPV) is a sexually transmitted disease that often presents as genital warts, but may also lead to cancers, including those of the vagina, penis, mouth and tonsils. Despite three vaccines being currently available to prevent HPV, the HPV vaccine retains a low national average vaccination rate when compared to the Tetanus-Diptheria- Pertussis (Tdap) vaccine. Considering the need for improvement it is important to identify factors that may be contributing to this low national immunization rate, one of them being parental race. The purpose of this literature review is to identify whether race affects parents' intent to vaccinate their children against HPV. A database search of CINAHL Plus with Full Text, MEDLINE, and PsycINFO was conducted and a total of 13 articles were reviewed based on the relevance to the purpose of the literature review. While racial differences were noted, there were other factors that also affect a parent's intent to vaccinate their children against HPV. There is more research to be done when looking at how race may independently affect a parent's intent to vaccinate their children against HPV.
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The development of a pediatric patient classification system submitted ... in partial fulfillment ... Master of Hospital Administration /Roberts, Frank E. January 1971 (has links)
Thesis (M.H.A.)--University of Michigan, 1971.
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The development of a pediatric patient classification system submitted ... in partial fulfillment ... Master of Hospital Administration /Roberts, Frank E. January 1971 (has links)
Thesis (M.H.A.)--University of Michigan, 1971.
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Nursing performance of pediatric CPR a method for improvement : a report submitted in partial fulfillment ... for the degree of Master of Science, Parent-Child Nursing ... /Schuster, Michelle L. January 1997 (has links)
Thesis (M.S.)--University of Michigan, 1997. / Includes bibliographical references.
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Nursing performance of pediatric CPR a method for improvement : a report submitted in partial fulfillment ... for the degree of Master of Science, Parent-Child Nursing ... /Schuster, Michelle L. January 1997 (has links)
Thesis (M.S.)--University of Michigan, 1997. / Includes bibliographical references.
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CHIILDHOOD BULLYING: ASSESSMENT PRACTICES AND PREDICTIVE FACTORS ASSOCIATED WITH ASSESSING FOR BULLYING BY HEALTH CARE PROVIDERSHensley, Vicki 01 January 2015 (has links)
Childhood bullying affects over 25% of today’s youth and causes up to 160,000 missed school days per year. Bullying causes short and long term adverse effects to both mental and physical health. Many organizations encourage healthcare providers to take an active role in bullying prevention. However, there has been little research into the role of primary healthcare providers regarding childhood bullying and the effectiveness of different approaches to screening and management.
Therefore the purposes of this dissertation were to a) explore childhood bullying and the role of the healthcare provider in bullying prevention, b) develop and evaluate the psychometric properties of Hensley’s Healthcare Provider’s Practices, Attitudes, Self-confidence, & Knowledge Regarding Bullying Questionnaire. Pediatric healthcare providers were asked to participate in this study if they conducted well-child exams on a weekly basis. Information on the provider’s current bullying assessment practices, attitudes, self-confidence, and knowledge regarding bullying was gathered. Results indicated that approximately one-half (46.6%, n=55) of the healthcare providers reported assessing their patients for bullying behaviors during well-child exams. The strongest predictor of positively assessing for bullying was attitudes, recording an odds ratio of 1.24. This indicated for every one-unit increase in attitudes score, the odds of assessing for bullying will be 24% higher. The odds ratio of self-efficacy or self-confidence was 1.18, indicating that for every one-unit increase in self-efficacy score, the odds of assessing for bullying will be 18% higher.
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Evaluation of the standards of nursing care in pediatric wards in referral hospitals in SwazilandMhlongo, Zanele Claudia 03 1900 (has links)
Thesis (MCur)--Stellenbosch University, 2000. / ENGLISH ABSTRACT: Recent escalation of medical costs, cost containment and decreasing public
funds, drew attention to the importance of formulation and evaluation of
standards of nursing care.
Practice experience and consultations with nurse managers indicated a great
need for standards to evaluate the quality of care in the pediatric units of the big
hospitals in Swaziland.
A non-experimental, explorative and descriptive study was conducted in the four
regional hospitals in Swaziland. Checklists were developed by the researcher to
evaluate standards of care relating to the structure, process and outcome
dimension of care.
Structure standards refer to minimum requirements regarding the facilities,
equipment, supplies, and availability of generic documents and staff.
Process standards are mainly concerned with the specific nursing procedures
and practices, while the
Outcome standards evaluate the parents' satisfaction with the nursing care of
their child, the amount of information received prior to discharge and the level of
communication between the parents and the nursing staff.
The most important results are:
.:. None of the hospitals met the pre-set requirement to be considered as
delivering a satisfactory level of care for any of the three dimensions of care .
•:. Critical nursing procedures were often performed ineffectively and
inefficiently .
•:. Most parents viewed their communication with the nursing staff negatively. Recommendations include the development and implementation of a formalized
quality improvement programme on all levels of care, auditing of records and
patient care and in-service education for all personnel regarding quality care.
Keywords: Quality care, formulation and evaluation of standards - pediatric
patients / AFRIKAANSE OPSOMMING: Die onlangse verhoging in mediese koste, kostebesparings en verminderde
openbare fondse, het die aandag gevestig op die belang van formulering en
evaluering van standaarde vir verpleegsorg.
Praktykervaring en konsultasies met verpleegbestuurders het aangedui dat daar
'n groot behoefte bestaan vir standaarde om die gehalte van verpleegsorg in
pediatriese eenhede in die groot hospitale van Swaziland, te evalueer.
'n Nie-eksperimentele, verkennende en beskrywende studie is onderneem in die
vier streekshospitale in Swaziland. Kontrolelyste is deur die navorser ontwikkel
om standaarde van sorg te evalueer ten opsigte van die struktuur-, proses-, en
uitkomsdimensie van sorg.
Struktuurstandaarde verwys na die minimum vereistes ten opsigte van die
fasiliteite, toerusting en voorrade, die beskikbaarheid van generiese
dokumentasie en die personeel.
Prosesstandaarde hou hoofsaaklik verband met spesifieke verpleegprosedures
en praktyke terwyl
Uitkomsstandaarde die ouers se tevredenheid met die verpleging van hulle kind,
die hoeveelheid inligting ontvang voor ontslag en die vlak van kommunikasie
tussen die ouers en die verpleegpersoneel evalueer.
Die belangrikste resultate is:
.:. Geen hospitaal het ten opsigte van enige van die drie dimensies van sorg,
aan die voorafbepaalde vereiste voldoen om beskou te word dat hulle 'n
bevredigende vlak van sorg lewer nie .
•:. Kritiese verpleegprosedures is dikwels oneffektief en ondoeltreffend
uitgevoer. .:. Die meeste ouers het fn negatiewe siening gehad ten opsigte van die
kommunikasie met die verpleegpersoneel.
Aanbevelings sluit in die ontwikkeling en implementering van fn geformaliseerde
gehalte verbeteringsprogram op alle vlakke van sorg, oudit van rekords en
pasiëntsorg en indiensopleiding vir alle personeel ten opsigte van gehaltesorg.
Sleutelwoorde: Gehaltesorg, formulering en evaluering van standaarde -
pediatriese pasiënte
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PEDIATRIC NURSES' PERCEPTIONS OF OCCUPATIONAL HEALTH HAZARDS.Farley, Margaret Gracemarie. January 1982 (has links)
No description available.
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