@Article{info:doi/10.2196/59191,
author="Delaney, Tessa
and Jackson, K. Jacklyn
and Brown, L. Alison
and Lecathelinais, Christophe
and Wolfenden, Luke
and Hudson, Nayerra
and Young, Sarah
and Groombridge, Daniel
and Pinfold, Jessica
and Craven, David Paul
and Redman, Sinead
and Wiggers, John
and Kingsland, Melanie
and Hayes, Margaret
and Sutherland, Rachel",
title="Perceived Acceptability of Technology Modalities for the Provision of Universal Child and Family Health Nursing Support in the First 6-8 Months After Birth: Cross-Sectional Study",
journal="JMIR Pediatr Parent",
year="2024",
month="Sep",
day="24",
volume="7",
pages="e59191",
keywords="maternal",
keywords="postnatal",
keywords="postpartum",
keywords="acceptability",
keywords="technology",
keywords="digital health",
keywords="first 2000 days",
keywords="child health",
keywords="experience",
keywords="experiences",
keywords="attitude",
keywords="attitudes",
keywords="opinion",
keywords="perception",
keywords="perceptions",
keywords="perspective",
keywords="perspectives",
keywords="acceptance",
keywords="cross sectional",
keywords="survey",
keywords="surveys",
keywords="questionnaire",
keywords="questionnaires",
keywords="pediatric",
keywords="pediatrics",
keywords="infant",
keywords="infants",
keywords="infancy",
keywords="baby",
keywords="babies",
keywords="neonate",
keywords="neonates",
keywords="neonatal",
keywords="newborn",
keywords="newborns",
keywords="nurse",
keywords="nurses",
keywords="nursing",
abstract="Background: Child and Family Health Nursing (CFHN) services provide universal care to families during the first 2000 days (conception: 5 years) to support optimal health and developmental outcomes of children in New South Wales, Australia. The use of technology represents a promising means to encourage family engagement with CFHN services and enable universal access to evidenced-based age and stage information. Currently, there is little evidence exploring the acceptability of various models of technology-based support provided during the first 2000 days, as well as the maternal characteristics that may influence this. Objective: This study aims to describe (1) the acceptability of technology-based models of CFHN support to families in the first 6 months, and (2) the association between the acceptability of technology-based support and maternal characteristics. Methods: A cross-sectional survey was undertaken between September and November 2021 with women who were 6-8 months post partum within the Hunter New England Local Health District of New South Wales, Australia. Survey questions collected information on maternal demographics and pregnancy characteristics, perceived stress, access to CFHN services, as well as preferences and acceptability of technology-based support. Descriptive statistics were used to describe the characteristics of the sample, the proportion of women accessing CFHN services, maternal acceptability of technology-based support from CFHN services, and the appropriateness of timing of support. Multivariable logistic regression models were conducted to assess the association between maternal characteristics and the acceptability of technology-based CFHN support. Results: A total of 365 women participated in the study, most were 25 to 34 years old (n=242, 68\%), had completed tertiary level education or higher (n=250, 71\%), and were employed or on maternity leave (n=280, 78\%). Almost all (n=305, 89\%) women reported accessing CFHN services in the first 6 months following their child's birth. The majority of women (n=282-315, 82\%-92\%) ``strongly agreed or agreed'' that receiving information from CFHN via technology would be acceptable, and most (n=308) women ``strongly agreed or agreed'' with being provided information on a variety of relevant health topics. Acceptability of receiving information via websites was significantly associated with maternal employment status (P=.01). The acceptability of receiving support via telephone and email was significantly associated with maternal education level (adjusted odds ratio 2.64, 95\% CI 1.07-6.51; P=.03 and adjusted odds ratio 2.90, 95\% CI 1.20-7.00; P=.02, respectively). Maternal age was also associated with the acceptability of email support (P=.04). Conclusions: Technology-based CFHN support is generally acceptable to mothers. Maternal characteristics, including employment status, education level, and age, were found to modify the acceptability of specific technology modalities. The findings of this research should be considered when designing technology-based solutions to providing universal age and stage child health and developmental support for families during the first 2000 days. ",
doi="10.2196/59191",
url="https://pediatrics.jmir.org/2024/1/e59191",
url="http://www.ncbi.nlm.nih.gov/pubmed/39316424"
}


@Article{info:doi/10.2196/37297,
author="Ezenwa, Nkolika Beatrice
and Umoren, Rachel
and Fajolu, Bamikeolu Iretiola
and Hippe, S. Daniel
and Bucher, Sherri
and Purkayastha, Saptarshi
and Okwako, Felicitas
and Esamai, Fabian
and Feltner, B. John
and Olawuyi, Olubukola
and Mmboga, Annet
and Nafula, Concepta Mary
and Paton, Chris
and Ezeaka, Chinyere Veronica",
title="Using Mobile Virtual Reality Simulation to Prepare for In-Person Helping Babies Breathe Training: Secondary Analysis of a Randomized Controlled Trial (the eHBB/mHBS Trial)",
journal="JMIR Med Educ",
year="2022",
month="Sep",
day="12",
volume="8",
number="3",
pages="e37297",
keywords="virtual reality",
keywords="mobile learning",
keywords="Helping Babies Breathe",
keywords="neonatal resuscitation",
keywords="mobile Helping Babies Survive powered by District Health Information Software 2",
keywords="neonatal mortality",
keywords="digital education",
keywords="health care education",
keywords="health care worker",
keywords="medical education",
keywords="digital intervention",
abstract="Background: Neonatal mortality accounts for approximately 46\% of global under-5 child mortality. The widespread access to mobile devices in low- and middle-income countries has enabled innovations, such as mobile virtual reality (VR), to be leveraged in simulation education for health care workers. Objective: This study explores the feasibility and educational efficacy of using mobile VR for the precourse preparation of health care professionals in neonatal resuscitation training. Methods: Health care professionals in obstetrics and newborn care units at 20 secondary and tertiary health care facilities in Lagos, Nigeria, and Busia, Western Kenya, who had not received training in Helping Babies Breathe (HBB) within the past 1 year were randomized to access the electronic HBB VR simulation and digitized HBB Provider's Guide (VR group) or the digitized HBB Provider's Guide only (control group). A sample size of 91 participants per group was calculated based on the main study protocol that was previously published. Participants were directed to use the electronic HBB VR simulation and digitized HBB Provider's Guide or the digitized HBB Provider's Guide alone for a minimum of 20 minutes. HBB knowledge and skills assessments were then conducted, which were immediately followed by a standard, in-person HBB training course that was led by study staff and used standard HBB evaluation tools and the Neonatalie Live manikin (Laerdal Medical). Results: A total of 179 nurses and midwives participated (VR group: n=91; control group: n=88). The overall performance scores on the knowledge check (P=.29), bag and mask ventilation skills check (P=.34), and Objective Structured Clinical Examination A checklist (P=.43) were similar between groups, with low overall pass rates (6/178, 3.4\% of participants). During the Objective Structured Clinical Examination A test, participants in the VR group performed better on the critical step of positioning the head and clearing the airway (VR group: 77/90, 86\%; control group: 57/88, 65\%; P=.002). The median percentage of ventilations that were performed via head tilt, as recorded by the Neonatalie Live manikin, was also numerically higher in the VR group (75\%, IQR 9\%-98\%) than in the control group (62\%, IQR 13\%-97\%), though not statistically significantly different (P=.35). Participants in the control group performed better on the identifying a helper and reviewing the emergency plan step (VR group: 7/90, 8\%; control group: 16/88, 18\%; P=.045) and the washing hands step (VR group: 20/90, 22\%; control group: 32/88, 36\%; P=.048). Conclusions: The use of digital interventions, such as mobile VR simulations, may be a viable approach to precourse preparation in neonatal resuscitation training for health care professionals in low- and middle-income countries. ",
doi="10.2196/37297",
url="https://mededu.jmir.org/2022/3/e37297",
url="http://www.ncbi.nlm.nih.gov/pubmed/36094807"
}


@Article{info:doi/10.2196/33158,
author="Chaudhari, Hanu
and Schneeweiss, Michelle
and Rebinsky, Reid
and Rullo, Enrico
and Eltorki, Mohamed",
title="An Advanced Nursing Directive for Children With Suspected Appendicitis: Protocol for a Quality Improvement Feasibility Study",
journal="JMIR Res Protoc",
year="2021",
month="Oct",
day="20",
volume="10",
number="10",
pages="e33158",
keywords="quality improvement",
keywords="pediatric",
keywords="nursing",
keywords="medical directive",
keywords="appendicitis",
keywords="emergency department flow",
keywords="nursing directive",
abstract="Background: Pediatric appendicitis accounts for an estimated 7\% to 10\% of abdominal pain cases in the emergency department (ED). The diagnosis is time-consuming, and the investigative process depends on physician assessment, resulting in delays in diagnosis and therapeutic management. The utility of an advanced nursing directive (AND) to expedite this process is unclear and needs further exploration. Objective: This study aims to describe key components of ED flow in patients with suspected appendicitis seen at a pediatric ED and pilot a directive that allows ED nurses to perform an order set that includes blood work, urine tests, analgesics, fluids, and an abdominal-pelvis ultrasound prior to physician assessment. Methods: This study involves conducting a retrospective chart review alongside a quality improvement initiative to compare key ED flow metrics before and after AND implementation. Primary outcome measures include median time from ED triage assessment to ultrasound completion, analgesia administration, blood work results, and time to disposition (consult or discharge), alongside other key ED flow metrics for suspected appendicitis. Secondary outcomes will involve patient and caretaker satisfaction surveys. Descriptive statistics will be used to summarize the data. For differences in proportions, a chi-square test will be used. The Student t test will be used for continuous variables. A variable-controlled run chart will be performed to assess impact on ED flow metrics. Patient and family satisfaction surveys are administered immediately after the directive encounter and 7 days afterward. Results: There are currently 3900 patients who have been screened, 344 patients who have been enrolled, and 90 patients who have received the medical directive since implementation in June 2020. Interim results on reduction of time to diagnostic and therapeutic ED flow parameters and satisfaction surveys are expected to be published in February 2022. The final study endpoint will be in June 2022. Conclusions: This study proposes a novel protocol for improving the diagnosis and treatment of suspected pediatric appendicitis through implementation of an evidence-based AND. This model may provide a standardized, international pathway for management of common pediatric and adult emergencies. International Registered Report Identifier (IRRID): RR1-10.2196/33158 ",
doi="10.2196/33158",
url="https://www.researchprotocols.org/2021/10/e33158",
url="http://www.ncbi.nlm.nih.gov/pubmed/34668867"
}


@Article{info:doi/10.2196/16545,
author="Berbyuk Lindstr{\"o}m, Nataliya
and Rodr{\'i}guez Pozo, Roc{\'i}o",
title="Perspectives of Nurses and Doulas on the Use of Information and Communication Technology in Intercultural Pediatric Care: Qualitative Pilot Study",
journal="JMIR Pediatr Parent",
year="2020",
month="Mar",
day="17",
volume="3",
number="1",
pages="e16545",
keywords="child care",
keywords="migrant mother",
keywords="nurse",
keywords="doula",
keywords="smartphone",
keywords="mobile phone",
keywords="Google Translate",
keywords="internet, mHealth",
keywords="digital health",
keywords="intercultural communication",
abstract="Background: Sweden is rapidly becoming an increasingly multicultural and digitalized society. Encounters between pediatric nurses and migrant mothers, who are often primary caregivers, are impeded by language problems and cultural differences. To support mothers, doulas, who are women having the same linguistic and cultural backgrounds, serve as cultural bridges in interactions with health care professionals. In addition, information and communication technology (ICT) can potentially be used to manage interactions owing to its accessibility. Objective: The objective of this study was to investigate the role of ICT in managing communicative challenges related to language problems and cultural differences in encounters with migrant mothers from the perspectives of Swedish pediatric nurses and doulas. Methods: Deep semistructured interviews with five pediatric nurses and four doulas from a migrant-dense urban area in western Sweden were audio recorded, transcribed, and analyzed using thematic content analysis. Results: The results showed that ICT contributes to mitigating communicative challenges in interactions by providing opportunities for nurses and migrant mothers to receive distance interpreting via telephones and to themselves interpret using language translation apps. Using images and films from the internet is especially beneficial while discussing complex and culturally sensitive issues to complement or substitute verbal messages. These findings suggest that ICT helps enable migrant mothers to play a more active role in interactions with health care professionals. This has important implications for their involvement in other areas, such as child care, language learning, and integration in Sweden. Conclusions: The findings of this study suggest that ICT can be a bridging tool between health care professionals and migrants. The advantages and disadvantages of translation tools should be discussed to ensure that quality communication occurs in health care interactions and that health information is accessible. This study also suggests the development of targeted multimodal digital support, including pictorial and video resources, for pediatric care services. ",
doi="10.2196/16545",
url="http://pediatrics.jmir.org/2020/1/e16545/",
url="http://www.ncbi.nlm.nih.gov/pubmed/32181748"
}