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Watch Me Grow: A Well-Child Examination Protocol to Improve Preventive Care in Dominican Children.

Authors
  • Holley, Melanie A1
  • Wiley, Lanetra A2
  • Marass, Ashley D3
  • 1 Melanie A. Holley, Certified Pediatric Nurse Practitioner, Marysville Pediatric Clinic, Marysville, CA; and Certified Pediatric Nurse Practitioner, Gridley Pediatric Clinic, Gridley, CA.. Electronic address: [email protected]
  • 2 Lanetra A. Wiley, Registered Nurse, Lebonheur Children's Hospital, Memphis, TN.
  • 3 Ashley D. Marass, Assistant Professor and Certified Pediatric Nurse Practitioner, University of South Alabama, Mobile, AL.
Type
Published Article
Journal
Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
Publication Date
Jan 01, 2019
Volume
33
Issue
3
Pages
263–269
Identifiers
DOI: 10.1016/j.pedhc.2018.09.003
PMID: 30472029
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Morbidity and mortality rates among Dominican children are a serious health concern worsened by a lack of preventive care that hinders early identification and avoidance of illnesses. The purpose of this study was to improve health outcomes in Dominican children by implementing a well-child examination (WCE) protocol entitled "Watch Me Grow." A quantitative, descriptive methodology was used. Twelve adults involved in pediatric care with the Foundation for Peace organization in the Dominican Republic were designated to receive WCE protocol education, and 159 children received WCEs and health promotion teaching. No statistically significant improvement in WCE knowledge was noted. The most common abnormal findings were unhealthy weight (47.8%), dental caries (46.5%), low vision (17.0%), and elevated blood pressure (15.7%). The WCE protocol facilitated early identification of many pediatric health concerns and may help diminish the potential future impact of illnesses on Dominican children. Copyright © 2018 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

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