Paper
Wednesday, July 21, 2004
9:30 AM - 10:00 AM
Wednesday, July 21, 2004
2:30 PM - 3:00 PM
This presentation is part of :
PostersImplementing Evidence-Based Practice in Pediatric Ambulatory Care Centers
Donna M. Hallas, PhD, APRN, BC, CPNP, Lienhard School of Nursing, Pace University, Pleasantville, NY, USA and Mary Beth Koslap-Petraco, MS, APRN, BC, CPNP, Pediatrics, Department of Health Services Suffolk County, Lindenhurst, NY, USA.
| Learning Objective #1: Describe the process for searching for best clinical evidence for an identified problem in pediatric ambulatory health care. |
| Learning Objective #2: Compare evidence-based practice in the pediatric ambulatory care settings to implementation in a variety of pediatric health care settings. |
Objective: An analysis of the current best evidence for advanced nursing practice for children who received their primary health care in pediatric ambulatory care centers was performed. Design: A retrospective review of the medical records of children who received their primary health care in ambulatory centers was completed. Following data analysis, a search for the best clinical evidence was conducted for each identified health care need. Population: The study population consisted of two hundred children. Sampling: Random sampling technique was used. Setting: An urban and a suburban ambulatory center were used for this study. Methods: Data collection included assessment of anthropometric measurements, immunization status, medical diagnosis, screening and laboratory results, types of visits and referrals, and information related to compliance in following the recommendations of the pediatric nurse practitioners. Data were analyzed using the Statistical Package for Social Science 11.5. Frequency distributions and summary data distributions were compared by chi-square and t test analysis between the two groups of children. Upon completion of data analysis, the health care needs of the children were identified and a search for best evidence for pediatric nurse practitioner clinical practice was conducted to formulate evidence-based interventions for pediatric primary health care practice. Findings: The major health care needs identified for the children included management of obesity, immunization assessments, and episodic care that included URI’s, fever, asthma, anemia, ADHD, and high risk behaviors in the adolescent population whether the children resided in the urban or suburban population. Conclusions: Advanced practice that is based on best clinical evidence provides a consistency in the delivery of quality care from pediatric nurse practitioners to children from a variety of socioeconomic backgrounds. Implications:An analysis of the health care needs of children is the foundation for the implementation of evidence-based practice in all pediatric health care settings.
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Sigma Theta Tau International
July 21, 2004