Workforce Concerns
Physician burnout is pervasive and takes a heavy toll on individuals and the healthcare system. Post-coronavirus disease 2019 the negative impact of organizational culture on physician burnout has been highlighted. Substantial research has accrued identifying steps organizations can take to pivot and develop leaders committed to physician well-being. Physicians can also proactively explore research in sleep, nutrition, physical activity, stress management, and social connections. Positive mindset has a powerful protective effect in medicine, especially in the emerging areas of self-valuation, self-compassion, and positive ...
Source: Pediatric Clinics of North America - April 6, 2024 Category: Pediatrics Authors: Hilary McClafferty Source Type: research
Pandemic —Proofing for the Future
For years, infectious disease experts warned that we were overdue for a pandemic. They were right. When COVID-19 struck, I recalled the Great Influenza Pandemic of 1918 (often mislabeled as the “Spanish flu”). There were four waves of recurrence through 1920, and it wasn’t until the mid-1920s that the pandemic was felt to be “over.” Naively, I assumed the COVID-19 pandemic wouldn’t last that long because we are smarter now and science has progressed! But we repeated many of the struggles faced during that historical episode, including denials about the seriousness of the situation and misinformation about cause...
Source: Pediatric Clinics of North America - April 6, 2024 Category: Pediatrics Authors: Tina L. Cheng Tags: Foreword Source Type: research
Vaccine Confidence as Critical to Pandemic Preparedness and Response
Vaccine confidence is a belief that vaccines work, are safe, and are part of a trustworthy medical system. The COVID-19 pandemic exposed the fragility of the public ’s confidence in vaccines and the vaccine enterprise, limiting the public health impact of vaccination. In this review, we examine the critical nature of vaccine confidence to pandemic preparedness and response. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - March 28, 2024 Category: Pediatrics Authors: Shannon H. Baumer-Mouradian, Annika M. Hofstetter, Sean T. O ’Leary, Douglas J. Opel Source Type: research
Understanding Pediatric Surge in the United States
The concepts of pediatric surge in the United States continue to evolve from a theoretic framework to practical implementation. As disasters become more frequent, ranging from natural to human-caused, children remain a vulnerable population. The coronavirus disease 2019 pandemic and the 2022 to 2023 tripledemic respiratory surge revealed advances and continued challenges in our ability to care for a large influx of pediatric patients. Understanding pediatric surge through the framework of the 4 S ’s (space, staff, stuff, and systems/structures) can identify gaps at multiple levels. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - March 23, 2024 Category: Pediatrics Authors: Anna Lin, Sarita Chung Source Type: research
Pandemic Planning, Response, and Recovery for Pediatricians
This article summarizes how pediatricians may be uniquely positioned to mitigate the long-term trajectory of COVID-19 on the health and wellness of pediatric patients especially with regard to screening for social determinants of health that are recognized drivers of disparate health outcomes. Health inequities, that is, disproportionately deleterious health outcomes that affect marginalized populations, have been a major source of vulnerability in past public health emergencies and natural disasters. Recommendations are provided for pediatricians to collaborate with disaster planning networks and lead strategies for publi...
Source: Pediatric Clinics of North America - March 23, 2024 Category: Pediatrics Authors: Joelle N. Simpson, Joseph L. Wright Source Type: research
Infection Prevention and Control Implications of Special Pathogens in Children
Special pathogens are broadly defined as highly transmissible organisms capable of causing severe disease in humans. Children ’s hospital healthcare personnel (HCP) should be prepared to identify patients possibly infected with a special pathogen, isolate the patient to minimize transmission, and inform key infection prevention, clinical, and public health stakeholders. Effective preparedness requires resources and pract ice with attention to education, policies and procedures, drills and training, and supplies. Successfully preparing for special pathogens is an important measure toward keeping communities, HCP, and pati...
Source: Pediatric Clinics of North America - March 21, 2024 Category: Pediatrics Authors: Larry K. Kociolek, Andi L. Shane, Kari A. Simonsen, Danielle M. Zerr Source Type: research
Mental Health Impact of Pandemics and Other Public Health Emergencies in Children
Pediatric health care providers can provide universal support to children and families to mitigate potential risk factors to adjustment while fostering protective factors to promote resiliency in children and families. They can educate caregivers about ways to enhance recovery of their children by modifying expectations and addressing the special emotional and social needs of their children. Most public health emergencies evolve through stages across an extended time period, often taxing the personal resources of health care providers. This underscores the need for pediatric health care providers to integrate self-care str...
Source: Pediatric Clinics of North America - March 21, 2024 Category: Pediatrics Authors: David J. Schonfeld, Thomas Demaria Source Type: research
Strengthening Pediatric and Public Health Collaboration to Protect Children ’s Health During a Pandemic
This article examines lessons learned from previous pandemics, including the 2009 H1N1 influenza and the coronavirus disease 2019 pandemic. Pediatric providers have a unique and important role and strategies to improve collaboration and communication between public health and pediatric providers are essential during public health emergencies. A robust network of communication channels, effective public health messaging, and pediatric-focused disease related, and program outcome data are key to supporting a coordinated response to future pandemics. Critical issues include real-time communication with and engagement of pedia...
Source: Pediatric Clinics of North America - March 21, 2024 Category: Pediatrics Authors: Zanah K. Francis, Elizabeth M. Dufort, Bernadette A. Albanese, Wendy M. Chung, Ellen H. Lee, Zack Moore, Laurene Mascola, Erica Pan, Caitlin Pedati, George Turabelidze, Sarah Y. Park Source Type: research
Vaccine Development
This article considers ethical considerations surrounding pediatric vaccine development for pandemic preparedness, examines some historical cases of pediatric vaccines developed during past smallpox, influenza, and 2019 coronavirus disease pandemics, and discusses the current state of vaccine development for pandemic preparedness, including vaccines against smallpox/mpox, influenza, anthrax, and Ebola that are included in the US Strategic National Stockpile and vaccines being developed against priority pathogens identified by the World Health Organization. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - March 12, 2024 Category: Pediatrics Authors: Elizabeth A.D. Hammershaimb, James D. Campbell Source Type: research
Overcoming Vulnerabilities in Our Emergency Care System Through Pediatric Readiness
Although children account for 20% of all emergency department (ED) visits, the majority of children seek emergency care in hospitals that see fewer than 10 children per day. The National Pediatric Readiness Project has defined key system-level standards for all EDs to safely care for ill and injured children. High pediatric readiness is associated with improvement in mortality for critically ill and injured children. However, to improve readiness and sustain system-level changes, hospitals must invest in pediatric champions and empower them to engage in continuous quality improvement. Finally, incorporating pediatric readi...
Source: Pediatric Clinics of North America - March 9, 2024 Category: Pediatrics Authors: Sanyukta Desai, Katherine E. Remick Source Type: research
The Role of Clinic Preparedness to Support Patients and Strengthen the Medical System During and After a Pandemic
Pediatric clinic preparedness is essential to improve the care and health outcomes for children during a pandemic and to decrease the burden on hospital systems. Clinic preparedness is a process that involves a well thought out plan that includes coordination with staff, open communication between the clinic and patient families, and collaboration with community partners. Planning for disasters can decrease some of the risks for our most vulnerable patients, including children and youth with special health care needs. There are plans, coalitions, and community partners that can help clinics in their preparedness journey. (...
Source: Pediatric Clinics of North America - March 9, 2024 Category: Pediatrics Authors: Lesley A. Gardiner, Shana Godfred-Cato, Scott Needle Source Type: research
Impact of COVID-19 on the Health of Migrant Children in the United States
In this article, the authors provide an overview how the COVID-19 pandemic impacted the health and wellbeing of migrant children in conflict zones, in transit and post-settlement in the United States. In particular, the authors explore how policies implemented during the pandemic directly and indirectly affected migrant children and led to widening disparities in the aftermath of the pandemic. Given these circumstances, the authors provide recommendations for child health care providers caring for migrant children to mitigate and bolster resilience and health. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - March 9, 2024 Category: Pediatrics Authors: Shazeen Suleman, Lisa J. Chamberlain Source Type: research
Pediatric Management of Autism
PEDIATRIC CLINICS OF NORTH AMERICA (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - February 28, 2024 Category: Pediatrics Authors: Paul H. Lipkin, Joshua B. Ewen Source Type: research
Copyright
ELSEVIER (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - February 28, 2024 Category: Pediatrics Source Type: research
Contributors
TINA L. CHENG, MD, MPH (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - February 28, 2024 Category: Pediatrics Source Type: research
