These posters have been presented at meetings in Children's Mercy and around the world. They represent research that was done at the time they were created, and may not represent medical knowledge or practice as it exists at the time viewers access these posters.
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Examining Nurse Resiliency & a Mindfulness-Based Stress Reduction Intervention to Prevent Nurse Burnout
Allegra Grannell
Nurses continually give of themselves at work, as well as outside of work. This results in extensive stress, physiological distress, and ultimately burnout for individuals in the nursing profession. Nurses that work in high-stress environments, such as critical care, pediatrics, and oncology, are at a significantly increased risk of manifesting physical and psychological symptoms of burnout syndrome, compassion fatigue, and post-traumatic stress disorder (PTSD). Many of these factors are leading to nurses leaving the profession prematurely, resulting in significantly high turnover rates. High burnout and turnover rates of nurses result in the lack of adequate nursing staff in hospitals, which in turn results in the inadequate ability to provide safe and effective care to patients. Resilience is a topic that has gained much discussion in recent years surrounding the significant burdens nurses are experiencing. Nurses with resilience exhibit a heightened awareness, internal stability, and flexibility that allow them to navigate high-stress situations. The goal of resilience training and education is to enable nurses to respond to clinically challenging situations in ways that will protect them against detrimental consequences. Mindfulness based stress reduction (MBSR) has gained significant headway in recent years as a valuable, evidence based intervention to increase resiliency in nurses, improve job satisfaction, and reduce burnout. The purpose of this quality improvement project was to implement a MBSR course for nursing staff to improve nurse resiliency in a mid-western freestanding Children’s hospital. This project examined nurse resiliency pre-intervention, and post-intervention utilizing the Connor-Davidson Resilience Scale, as well as compassion fatigue, compassion satisfaction, burnout, and secondary traumatic stress pre-intervention, and post-intervention using the Professional Quality of Life scale. Results of the project indicate that resilience scores improved, at a statistically significant level, from pre-intervention to post-intervention.
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Gastroenterology Elective in the Philippines
Katie Black and Jennifer Watts
Recounts learning experiences while working at the Philippines Children's Medical Center in Manila.
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General Philippine Hospital, Manila, Philippines
Cara Cecil
Describes her experience working in the Philippine General Hospital/University of the Philippines providing care in the pediatric ICU, neonatal ICU, and emergency department.
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Global Health Elective in Rural Guatemala
Kendall Burns
Describes pediatric resident's experience learning to translate evidence based medicine to resource-limited areas in rural Guatemala.
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Global Health Elective in San Pedro La Laguna, Guatemala
Page Pomo
Future outpatient general pediatrician serving bilingual populations describes working in rural Guatemala and opportunities to practice Spanish language skills.
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Global Health Elective, Philippine Children's Medical Center
Keith J. Martin
Describes a global health learning experience working in the Philippine Children's Medical Center in Quezon City, Metro Manila, Philippines.
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Global Health Elective: Santo Domingo, Dominican Republic
Joan Strong
Describes the experiences of a pediatric anesthesiology fellow's time working Medical Aid for Children of Latin America (MACLA) in Santo Domingo, Dominican Republic.
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Global Health Elective: Trujillo, Peru
Naseem Nikaeen
Describes pediatric resident's learning experiences to provide better medical care in low resource environments.
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Global Health Experience in Botswana
Sarah Bieser
Describes experience providing care at the Botswana-Baylor Children's Center of Excellence in Gabarone, Botswana and the Princess Marina Hospital.
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Global Health Experience in Botswana
Jared Willard
Describes a global health learning experience at the Botswana Baylor Center of Excellence with emphasis on treating pediatric HIV/AIDS patients.
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Global Health Experience in the Philippines
Nina Zanaboni
Describes experiences working in the Dr. Joe Fabella Memorial Hospital NICU and Philippine Children's Medical Center ER.
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Global Health Experience: Laos Friends Hospital for Children
Ashley Daniel
Outlines the learning experiences of a pediatric resident working within the Laos Friends Hospital for Children.
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Global Health Rotation Caring for Children with Medical Complexity in Russia
Irina G. Trifonova
Describes a global health learning experience in which a Russian-trained pediatrician completed a fellowship at Children's Mercy Kansas City and spent time at the City Children's Hospital #3 in Cheboksary, Russia to compare care models for children with medical complexity in Russia and the USA.
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Implementing the Summer Food Service Program within the Healthcare Setting
Laura M. Plencner, Margo Quiriconi, Sarah Sentmore, and Molly Krager
The Summer Food Service Program was established to ensure that children continue to receive adequate nutrition while school is out. This poster describes how the program was implemented in the Children's Mercy Kansas City healthcare system from 2016-2018.
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Panama: Exploration of Multiple Health Care Settings and Spanish Immersion
Danielle Gonzales
Details how the urban and rural settings of Panama offer an unique opportunity for Spanish immersion and disease pathology learning experiences.
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Pediatria en Panama: A Spanish International Health Experience
Vickie Blanco
Reports learning experiences while working with several pediatric care facilities in Panama.
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Philippine Children's Medical Center and Dr. Jose Fabella Memorial Hospital
Adam Grumke
Describes medical learning experiences of pediatric resident while working in two Philippine medical facilities.
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Sawubona from Swaziland! A Global Health View of the HIV/AIDS Epidemic in Swaziland
Abby Hardin
Describes a global health learning experience with Baylor International Pediatric AIDS Initiative in Swaziland.
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"Sterile Cockpit": How Utilizing Aviation Regulations Can Reduce Errors in ECMO Procedures
Sarah P. Jimenez, Johanna I. Orrick, Kari L. Davidson, and Debra E. Newton
The "Sterile Cockpit Rule," developed in 1981 as an aviation regulation, was adapted by the ECMO core team to promote a distraction-free environment during critical ECMO procedures. Upon review of the data including tracking of interruptions, errors, and staff experience, it is evident that the concept of Sterile Cockpit has streamlined procedure efficiency, as well as safety.
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The Lake Clinic Cambodia, A MedPeds Experience . . .
Jeremy Jennings and Jennifer Watts
Describes global health learning experience providing ambulatory care in Cambodia.
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Utility of Point-of-Care Beta-hydroxybutyrate Testing for Predicting Diabetic Ketoacidosis in the Pediatric Emergency Department
Michelle Knoll, Kelsee Halpin, and Ryan McDonough
The objective of our investigation was to describe the diagnostic characteristics of point-of-care capillary beta-hydroxybutyrate (BOHB) testing to predict diabetic ketoacidosis among pediatric patients presenting with hyperglycemia in the pediatric emergency department.
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Save the Pharmacy Piggy Bank: Managing Mega High-Cost Drugs
Richard K. Ogden Jr., Jerame Hill, and Sam Abdelghany
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Early Identification of Depression in Patients with Pediatric Epilepsy
Erin Fecske, Paul Glasier, Lines Vargas Collado, and Elizabeth Rende
Describes the use of the Neurological Disorders Depression Inventory-Epilepsy-Youth (NDDI-E-Y) in adolescent patients in a comprehensive epilepsy center to identify patients who need referral for mental health care.
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Developmental Intervention Patters in a Level IV Neonatal Intensive Care Unit (NICU)
Grace Winningham, Cy Nadler, Sarah Nyp, Eugenia K. Pallotto, and Ashley Sherman
Background: There are no evidence-based standards for if/when developmental interventions should be initiated while an infant is in the neonatal intensive care unit (NICU), or these services yield incremental benefit. To support future prospective studies evaluating the neurodevelopmental benefits of NICU-based services as well as standardizing protocols for developmental interventions in the NICU, a thorough descriptive investigation of current developmental intervention practices is necessary. Objective: To describe trends in the delivery of developmental interventions [physical therapy (PT), occupational therapy (OT), speech-language therapy (ST), child life (CL), and music therapy (MT)] in high-risk infants in a large level-IV NICU. Methods: Electronic records of infants discharged over a 30 month period were manually reviewed to extract demographic variables and therapy patterns. Results: Records for 449 extreme and very preterm infants (23 0/7 to 31 6/7 weeks gestation) were reviewed. Birth weights ranged from 0.340 kg to 2.570 kg. Overall, ST had the lowest rate (6.7%) and child life had the highest rate (73.3%); ST was started at the oldest postmenstrual age at 53 0/7 ± 8.4 weeks. Eight percent of the infants had a tracheostomy, 18.0% had a gastrostomy-tube. Infants with a tracheostomy or gastrostomy-tube were more likely to receive all of the interventions (p < 0.05). The tracheostomy infants receiving ST had a higher birth weight and a longer hospital stay (p’s < 0.05), irrespective of gestational age. For each developmental intervention, infants receiving the therapy had a longer hospital stay (p < 0.0001). There were no significant differences in use of any of the therapy types related to gender, race, or language. Conclusions: This study reveals varying rates of developmental interventions in < 32 week gestation infants, with longer hospital stays associated with higher rates of interventions. ST was the least utilized modality and initiated on average at the oldest postmenstrual age, possibly reflecting low provider familiarity with potential ST benefits. More trends on NICU-based services is needed to support prospective studies investigating the benefits.
