PH ORIGINAL ARTICLE C and may take many forms (eg, sending letters to policy makers, testifying at legislative hearings, providing community education, and writing newsletters). Graduate education PNP preparation in primary care, enhanced by education in family systems theory, chronicity, and community health, makes PNPs ideally suited to care for CSHCN and their families. PNPs can function autonomously, prescribe, make referrals, carry out research, and work with health care team members to effectively use each member’s time and skills. PNPs with knowledge of interagency communication, program planning, health policy, and passion for improving the lives of children and families are well prepared for new advocacy and caregiving roles with CHSCN and their families. We wish to acknowledge the support of the Maternal Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services.
Lindeke, Krajicek, & Patterson
REFERENCES Betz, C. (1998). Adolescent transitions: A nursing concern. Pediatric Nursing, 24, 23-28. Blum, R. (1995). Transition to adult health care: Setting the stage. Journal of Adolescent Health, 17, 3-5. Brady, M., & Neal, J. (2000). Role delineation study of pediatric nurse practitioners: A national study of practice responsibilities and trends in role functions. Journal of Pediatric Health Care, 14, 149-159. Chafey, K., Reah, M., Shannon, A., & Spencer, S. (1998). Characterization of advocacy by practicing nurses. Journal of Professional Nursing, 14, 43-52. Dunn, A. (1997). 1997 NAPNAP membership survey. Journal of Pediatric Health Care, 12, 203-210. Hamric, A., Spross, J., & Hanson, C. (1996). Advanced nursing practice: An integrative approach. Philadelphia: Saunders. Jackson, P., & Kennedy, C. (2000). Employment roles and activities of pediatric nurse practitioners three years post-graduation. Unpublished study, University of California at San Francisco. Jackson, P., & Vessey, J. (2000). Primary care of the child with a chronic condition (3rd ed.). St. Louis: Mosby. Kini, N., & Timberlake, R. (1997). Implications of managed care denials for pediatric inpatient care. The American Journal of Managed Care, 3, 99-103. Lee, G., & Presler, B. (Eds.). (1994). Standards of nursing practice for the care of children and adolescents with special health and developmental needs.
Washington, DC: National Maternal & Child Health Clearinghouse. Lindeke, L., & Block, D. (1998). Maintaining professional integrity in the midst of interdisciplinary collaboration. Nursing Outlook, 46, 213-218. Lindeke, L., & Chesney, M. (1999). Reimbursement realities for advanced practice nurses. Nursing Outlook, 47, 248-251. Lindeke, L., Hauck, M., & Tanner, M. (1998). Creating spaces that enhance nurse practitioner practice. Journal of Pediatric Health Care, 12, 125-129. Mears, P. (1994). Healthcare teams: Building continuous quality improvement. Louisville, KY: St. Lucie Press. Newacheck, P., & Stoddard, J. (1994). Prevalence and impact of multiple childhood chronic illnesses. Journal of Pediatrics, 124, 40-48. Pitts, J., & Seimer, B. (1998). The use of nurse practitioners in pediatric institutions. Journal of Pediatric Health Care, 12, 67-72. Reynolds, M. (1994). Child disabilities: Who’s in, who’s out. Journal of School Health, 64, 238-241. Uzark, K., LeRoy, S., Callow, L., Cameron, J., & Rosenthal, A. (1994). The pediatric nurse practitioner as case manager in the delivery of services to children with heart disease. Journal of Pediatric Health Care, 8, 74-78.
Pediatric Pearl Soothing red, irritated eyes after swimming To help relieve eyes that are irritated and red after being exposed to the chlorine in a swimming pool, instruct parents to follow this simple step after their child has been swimming: Pour pasteurized milk into the eyepieces of goggles and have the child carefully place the goggles on his or her face. Have the child open his or her eyes, exposing them to the milk. The alkaline nature of the milk helps neutralize the chlorine’s acidity and soothes the burning and redness that so many children experience after swimming. Christine Wheatley, MS, RN, PNP Former PNP Student at Ohio State University Dublin, Ohio
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