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• W3111580119 abstract "In the near future, pediatric and child health nursing organizations will be drafting new research priorities that will serve to guide the direction of not only future studies but quality improvement projects, and scholarship efforts conducted in the field. Future research priorities are likely to be shaped by a myriad of developments and changes that have transpired since the publications of previous pediatric nursing research priorities (Brenner et al., 2014Brenner M. Hilliard C. Regan G. Coughlan B. Hayden S. Drennan J. Kelleher D. Research priorities for children's nursing in Ireland: A Delphi study.Journal of Pediatric Nursing. 2014; 29: 301-308https://doi.org/10.1016/j.pedn.2014.01.003Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar; Broome et al., 1996Broome M.E. Woodring B. O’Connor-Von S. Research priorities for nursing of children and their families: A Delphi study.Journal of Pediatric Nursing. 1996; 11: 281-287Abstract Full Text PDF PubMed Scopus (22) Google Scholar; Green et al., 2014Green A. Gance-Cleveland B. Smith A. Boebel Toly V. Ely E. &McDowell, B. M. Charting the course of pediatric nursing research: The SPN Delphi study.Journal of Pediatric Nursing. 2014; 29: 401-409Abstract Full Text Full Text PDF PubMed Scopus (15) Google Scholar; McDowell and Pasek, 2020McDowell B.M. Pasek T.A. Midpoint follow-up of the 2012 SPN Delphi study.Journal of Pediatric Nursing. 2020; 50: 134-137https://doi.org/10.1016/j.pedn.2019.10.011Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar; Schmidt et al., 1997Schmidt K. Montgomery L.A. Bruene D. Kenney M. Determining research priorities in pediatric nursing: A Delphi study.Journal of Pediatric Nursing. 1997; 12: 201-207https://doi.org/10.1016/S0882-5963(97)80002-4Abstract Full Text PDF PubMed Scopus (26) Google Scholar; Wilson et al., 2010Wilson S. Ramelet A.S. Zuiderduyn S. Research priorities for nursing care of infants, children and adolescents: A West Australian Delphi study.Journal of Clinical Nursing. 2010; 19: 1919-1928https://doi.org/10.1111/j.1365-2702.2009.03025.xCrossref PubMed Scopus (27) Google Scholar). These changes involve the population trends, policy initiatives, practice advances, technological and treatment developments, and generational changes associated with the pediatric and adolescent populations (Cilluffo and Cohn, 2019Cilluffo A. Cohn D. 6 demographic trends shaping the U.S. and the world in 2019.https://www.pewresearch.org/fact-tank/2019/04/11/6-demographic-trends-shaping-the-u-s-and-the-world-in-2019/Date: April 11, 2019Google Scholar; McCrindle, 2020McCrindle M. Understanding generation alpha.https://mccrindle.com.au/insights/blog/gen-alpha-defined/Date: 2020Google Scholar; Smiley et al., 2018Smiley R.A. Lauer P. Bienemy C. Berg J.G. Shireman E. Reneau K.A. Alexander M. The 2017 national nursing workforce survey.Journal of Nursing Regulation. 2018; 9: S1-S88https://doi.org/10.1016/S2155-8256(18)30131-5Abstract Full Text Full Text PDF Scopus (133) Google Scholar; Stechyson, 2020Stechyson N. What is generation alpha? Everything to know about the kids of millennials. Huff Post, 2020https://www.huffingtonpost.ca/entry/what-is-generation-alpha_ca_5dde809ae4b0913e6f7719c8Google Scholar). Pediatric nurses are now and will continue to provide care to populations of children and adolescents who have distinct generational differences from those of the past (Adamson et al., 2018Adamson M.A. Chen H. Kackley R. Micheal A. For the love of the game: Game- versus lecture-based learning with generation Z patients.Journal of Psychosocial Nursing and Mental Health Services. 2018; 56: 29-36https://doi.org/10.3928/02793695-20171027-03Crossref PubMed Scopus (9) Google Scholar; Betz, 2019Betz C.L. Generation X, Y, and Z.Journal of Pediatric Nursing. 2019; 44: A7-A8https://doi.org/10.1016/j.pedn.2018.12.013Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar; Pew Research Center, 2018Pew Research Center Early benchmarks show ‘post-millennials’ on track to be most diverse, best-educated generation yet.http://www.pewsocialtrends.org/2018/11/15/early-benchmarks-show-postmillennials-on-track-to-be-most-diverse-best-educated-generation-yet/Date: 2018Google Scholar). Generation Z (1995 to 2009) and the Alpha Generation (2010 to 2024) have been raised and immersed in the world of technology that influences and permeates their lived experiences unlike previous generations. These generations of children and adolescents are technology savvy and accustomed to different styles and patterns of communication such as staccato messaging (i.e. texting) and information conveyed in dynamic, sophisticated graphic designs and artwork (McCrindle, 2020McCrindle M. Understanding generation alpha.https://mccrindle.com.au/insights/blog/gen-alpha-defined/Date: 2020Google Scholar; Stechyson, 2020Stechyson N. What is generation alpha? Everything to know about the kids of millennials. Huff Post, 2020https://www.huffingtonpost.ca/entry/what-is-generation-alpha_ca_5dde809ae4b0913e6f7719c8Google Scholar). Other distinctive characteristics of Generations Z and Alpha are its members are more culturally diverse, better educated and are projected to be involved with multigenerational arrangements for longer periods of time as compared to previous generations (Arnett, 2000Arnett J.J. Emerging adulthood. A theory of development from the late teens through the twenties.American Psychologist. 2000; 55: 469-480Crossref PubMed Scopus (7440) Google Scholar; McCrindle, 2020McCrindle M. Understanding generation alpha.https://mccrindle.com.au/insights/blog/gen-alpha-defined/Date: 2020Google Scholar; Stechyson, 2020Stechyson N. What is generation alpha? Everything to know about the kids of millennials. Huff Post, 2020https://www.huffingtonpost.ca/entry/what-is-generation-alpha_ca_5dde809ae4b0913e6f7719c8Google Scholar). The generational differences of Generation Z and the Alpha Generation will require careful consideration when formulating future pediatric nursing research priorities to appropriately address their needs for services and supports. Recently, Healthy People 2030 was released, which addresses national public health concerns of the American public across the life span (United States Department of Health and Human Services. Office of Disease Prevention and Health Promotion, 2020United States Department of Health and Human Services. Office of Disease Prevention and Health Promotion Healthy People 2030: Building a healthier future for all.https://health.gov/healthypeopleDate: 2020Google Scholar). Of especial pertinence to pediatric nurses are those of infant, child and adolescent health concerns. The new objectives provide updated and current concerns pertaining to preventive and developmental care, equitable access to care and social determinants of health, issues pertaining to vulnerable populations that include the children and adolescents with chronic illnesses as well as transgender and lesbian, gay and bisexual adolescents. Other issues identified pertain to mental health concerns such as suicide and serious emotional illness. Healthy lifestyles are addressed in terms of the need to promote more nutritious eating practices and greater levels of physical activity. School issues include those pertaining to students with chronic conditions. Selected public health issues identified in Healthy People 2030 have been longstanding concerns and continue to be contemporary health care challenges for children and adolescents. More specifically, among the health concerns affecting children and adolescents identified in the Healthy People 2030 objectives are those pertaining to childhood obesity. One in five children and adolescents, ages 2 to 19 years old are obese. Since 1999–2000 to 2015–2016, the prevalence of obesity has increased from 13.9% to 18.5% (Hales et al., 2017Hales C.M. Carroll M.D. Fryar C.D. Ogden C.L. Prevalence of obesity among adults and youth: United States, 2015–2016. National Center for Health Statistics Data Brief, 2017https://www.cdc.gov/nchs/data/databriefs/db288.pdfGoogle Scholar). Rates of unvaccinated and incompletely vaccinated children continue to be a public health concern. According to the most recent National Immunization Survey – Child, United States, 2017–2019, 1.2% of children 24 months and younger had not been vaccinated. The percentage of unvaccinated children in this age group varied according to health insurance coverage-4.9% of children with no health insurance compared to those with private insurance (0.8%) (Hill et al., 2020Hill H.A. Yankey D. Elam-Evans L.D. Singleton J.A. Pingali S.C. Santibanez T.A. Vaccination coverage by age 24 months among children born in 2016 and 2017 — national immunization survey-child, United States, 2017–2019.MMWR. Morbidity and Mortality Weekly Report. 2020; 69: 1505-1511https://doi.org/10.15585/mmwr.mm6942a1externaliconCrossref PubMed Google Scholar). Although human papillomavirus (HPV) vaccination rates continue to improve, now estimated at 54.2%, adolescents who live in poverty and outside of major metropolitan areas had lower rates of vaccination (Elam-Evans et al., 2020Elam-Evans L.D. Yankey D. Singleton J.A. Sterrett N. Markowitz L.E. Williams C.L. Stokley S. National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years — United States, 2019.Morbidity and Mortality Weekly Report. 2020; 69: 1109-1116https://doi.org/10.15585/mmwr.mm6933a1externaliconCrossref PubMed Scopus (0) Google Scholar). Other public health needs identified are teen birth rates. The U.S. teen birth rate of adolescents, 15 to 19 years declined by 7% to 17.4 births per 1000 females in 2018 from the 2017 rates (18.8 birth rate). However, the 2018 birth rates for non-Hispanic black adolescents (26.3 birth rate) and Hispanic adolescents (26.7 birth rate) although declined from 2017 rates, their birth rates continue to be higher than the national birth rates (Hamilton, 2020Hamilton B.E. State teen birth rates by race and Hispanic origin: United States, 2017–2018.National Vital Statistics Reports. 2020; 69 (Hyattsville, MD: National Center for Health Statistics)Google Scholar). Access to care for specialized populations are prominent among the public health issues identified in Healthy People 2030. Increasing access to early intervention services for children with autism spectrum disorder and health care transition services for youth with and without special health care needs are significant public health issues that warrant national attention. Healthy People 2030 provides a template for consideration as do other sources of the empirical and grey literature as pediatric nurse leaders and constituents prepare to formulate the research priorities of the future. Pediatric nurses have been in the forefront of addressing the comprehensive needs of children, adolescents and their families as evidenced by their introduction of clinical innovations into nursing practice nearly fifty years ago. These foundational concepts of pediatric care include family-centered care (Barnsteiner, 2008Barnsteiner J.H. Letter to the editor.Journal of Pediatric Nursing. 2008; 24: 446https://doi.org/10.1016/j.pedn.2008.03.003Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar; Beatty, 1972Beatty A. Symposium on family-centered care in a pediatric setting.Nursing Clinics of North America. 1972; 7: 1-3PubMed Google Scholar), care coordination (Adair, 1969Adair V.S. Patient care–coordination or fragmentation?.NLN Publications. 1969; 45: 6-9Google Scholar), and primary nursing (Ciske, 1974Ciske K.L. Primary nursing: An organization that promotes professional practice.Journal of Nursing Administration. 1974; 4: 28-31Crossref PubMed Scopus (35) Google Scholar). Now, pediatric nurses have moved into new realms of innovative practice with the development of nurse-led/nurse directed programs (Betz et al., 2016Betz C.L. Smith K.A. Van Speybroeck A. Hernandez F.V. Jacobs R.A. Movin’ on up: An innovative nurse-led interdisciplinary health care transition program.Journal of Pediatric Health Care. 2016; 30: 323-338https://doi.org/10.1016/j.pedhc.2015.08.005Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar; Breneol et al., 2018Breneol S. Hatty A. Bishop A. Curran J.A. Nurse-led discharge in pediatric care: A scoping review.Journal of Pediatric Nursing. 2018; 41 (S0882-5963(17)30622-X. Advance online publication): 60-68https://doi.org/10.1016/j.pedn.2018.01.014Abstract Full Text Full Text PDF Scopus (3) Google Scholar; Isik et al., 2019Isik E. Fredland N.M. Freysteinson W.M. School and community-based nurse-led asthma interventions for school-aged children and their parents: A systematic literature review.Journal of Pediatric Nursing. 2019; 44: 107-114https://doi.org/10.1016/j.pedn.2018.11.007Abstract Full Text Full Text PDF PubMed Scopus (12) Google Scholar; Moreno and Peck, 2020Moreno L. Peck J.L. Nurse practitioner-led telehealth to improve outpatient pediatric tracheostomy management in South Texas.Journal of Pediatric Health Care. 2020; 34: 246-255https://doi.org/10.1016/j.pedhc.2019.11.008Abstract Full Text Full Text PDF PubMed Scopus (7) Google Scholar). The advances in the development and implementation of innovative practice models of care warrant attention when drafting pediatric nursing research priorities in the future. Innovations in practice and advances in quality improvement and research have been fostered, championed and celebrated internationally through the American Nurses Credentialing Center (ANCC) Magnet Recognition Program® (https://www.nursingworld.org/organizational-programs/magnet/). The Magnet Recognition Program® has been an unquestionable catalyst for promoting excellence in patient care and advancement of nursing practice and science. Our specialty associations such as the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society here in the U.S. and those worldwide such as the Association of British Pediatric Nurses, Pediatric Nursing Associations of Europe and International Association of Paediatric Nursing provide its members and our specialty field with needed leadership and direction in advancing practice and research. These organizational resources not only foster excellence in our specialty field, they are pivotal in charting the vision and direction for the future of pediatric nursing. In previous editorials, the biopsychosocial pediatric care needs affecting children and adolescents not only in the United States but worldwide have been discussed as well the challenges facing pediatric and child health nurses globally in the spheres of practice, research and policymaking (Betz, 2017aBetz C.L. Challenges facing pediatric nursing.Journal of Pediatric Nursing. 2017; 32: 1-2https://doi.org/10.1016/j.pedn.2016.12.008Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar, Betz, 2017bBetz C.L. Call to action: Addressing the challenges facing pediatric nursing.Journal of Pediatric Nursing. 2017; 33: 1-2https://doi.org/10.1016/j.pedn.2017.02.029Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar). Of relevance to pediatric and child health nursing practice and research is the broadening of our understanding and appreciation of our global nursing community (Mott et al., 2018Mott S. Fogg N. Foote N. Hillier M. Lewis D.A. McDowell B.M. Vann-Patterson A. Society of pediatric nurses’ core competencies for the pediatric nurse.Journal of Pediatric Nursing. 2018; 38: 142-144https://doi.org/10.1016/j.pedn.2017.11.006Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar). It is relevant to consider the contributions of science and practice models that are being widely reported in the pediatric literature as efforts are undertaken to search for evidence and create visions for the future with the development of research priorities. A recent article published in this Journal, entitled, A Scoping Review of Nursing Research Priorities in Pediatric Care (Mörelius et al., 2020Mörelius E. Foster M. Gill F.J. A scoping review of nursing research priorities in pediatric care.Journal of Pediatric Nursing. 2020; 52: e57-e69https://doi.org/10.1016/j.pedn.2020.01.006Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar) based on the analysis of eight studies revealed the research priority areas clustered according to four main themes: evidenced-based care, pediatric context, child and family-centered care and pediatric nursing. Of interest was the universal clustering of themes based upon a global perspective. That is, despite the differences in systems of care, cultures, models of care, and nursing education and practice, there is universality in the evidence needed to be generated to support practice and contribute to pediatric nursing science. As has been suggested, it would be timely and appropriate to include the input of caregivers, children and adolescents with the development of research, quality improvement and evidence based practice priorities (Mörelius et al., 2020Mörelius E. Foster M. Gill F.J. A scoping review of nursing research priorities in pediatric care.Journal of Pediatric Nursing. 2020; 52: e57-e69https://doi.org/10.1016/j.pedn.2020.01.006Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar). Pediatric and child health nursing has long promoted and advocated family and child-centered approaches in the provision of care. Is it not time to engage families, children and adolescents as to what their views are? Perhaps it would be worthwhile to consider mixed methods approach with the development of pediatric/child health research priorities that include both participatory action research and consensus methodologies. Importantly as well, it is essential that pediatric nursing specialty experts are included in the development of research priorities although they may not be formally engaged as members of professional pediatric nursing associations. As with any significant endeavor, it is not only important but essential to seek the input of pediatric nursing experts to provide the insights and knowledge needed in specialized areas of pediatric nursing practice and research. Important tasks lie ahead for pediatric nursing leaders and invested members of the pediatric nursing community to draft new research priorities that will influence the direction of pediatric nursing research. Cecily L. Betz, PhD, RN, FAAN. Editor-in-Chief. [email protected]" @default.
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• W3111580119 title "Time Again? Research Priorities in Pediatric Nursing" @default.
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