ingest cdrApp 2018-06-13T15:04:50.671Z 51cd2fe2-3fd7-401f-a923-a97bc3db68a2 modifyDatastreamByValue RELS-EXT fedoraAdmin 2018-06-13T15:27:02.622Z Setting exclusive relation addDatastream MD_TECHNICAL fedoraAdmin 2018-06-13T15:27:14.406Z Adding technical metadata derived by FITS addDatastream MD_FULL_TEXT fedoraAdmin 2018-06-13T15:27:26.977Z Adding full text metadata extracted by Apache Tika modifyDatastreamByValue RELS-EXT fedoraAdmin 2018-06-13T15:27:50.524Z Setting exclusive relation modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-07-16T21:39:08.135Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-07-18T17:12:15.269Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-08-22T15:55:57.538Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-09-28T18:43:39.310Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2018-10-12T17:34:04.382Z modifyDatastreamByValue MD_DESCRIPTIVE cdrApp 2019-03-22T20:54:37.256Z LinkedIn Russomagno Author School of Nursing Improving Postpartum Depression Screening and Referral in the Pediatric Setting Postpartum depression (PPD) affects up to 20% of American mothers and, if left untreated, can have serious, lifelong effects on women and their children (Earls, 2010). For the latter, PPD can negatively affect behavior, language and cognitive development, and physical health (O’Hara & McCabe, 2013). It is estimated that less than half of PPD cases are even identified—resulting from screening and treatment recommendation discrepancies from major domestic and international organizations (Gjerdingen & Yawn, 2007). Due to their longitudinal relationship with their patients and their patients’ families, pediatric providers are uniquely situated to effectively screen mothers for PPD while educating them on symptoms, treatments, and resources (Fernandez y Garcia et al., 2015). Therefore, the American Academy of Pediatrics recommends that pediatric practices screen for PPD at the one-, two-, four-, and six-month well child checks; however, few pediatric practices oblige (Earls, 2010). Using quality improvement methodologies and the Lewin Change Theory, this project standardized the PPD screening schedule and developed a novel referral algorithm that was concurrently implemented at a rural pediatric clinic in Virginia. The project significantly increased the clinic’s screening rate from 33% to 80% (p<0.001) and, although not statistically significant, improved referral rates from 66% to 79%. The referral algorithm was functional for providers and can be replicated by other pediatric practices. Effective PPD screening can take as little as one minute. This is the first study to study the effectiveness of a referral algorithm and one of only a handful of studies quantifying the effectiveness of standardizing screening schedules in pediatrics. By standardizing PPD screening and implementing a referral algorithm in the ambulatory pediatric setting, more PPD cases can be identified, further evaluated, and treated—ultimately improving maternal and infant health outcomes while demonstrating that the small changes the project represents can be duplicated by pediatric practices in any setting. Spring 2018 2018 Nursing pediatrics, perinatal depression, postpartum depression, referral, screening eng Thesis University of North Carolina at Chapel Hill Graduate School Degree granting institution Nursing Julee Waldrop Thesis advisor Amanda Davis Thesis advisor Senecca Kirkhart Thesis advisor text LinkedIn Russomagno Author School of Nursing Improving Postpartum Depression Screening and Referral in the Pediatric Setting Postpartum depression (PPD) affects up to 20% of American mothers and, if left untreated, can have serious, lifelong effects on women and their children (Earls, 2010). For the latter, PPD can negatively affect behavior, language and cognitive development, and physical health (O’Hara & McCabe, 2013). It is estimated that less than half of PPD cases are even identified—resulting from screening and treatment recommendation discrepancies from major domestic and international organizations (Gjerdingen & Yawn, 2007). Due to their longitudinal relationship with their patients and their patients’ families, pediatric providers are uniquely situated to effectively screen mothers for PPD while educating them on symptoms, treatments, and resources (Fernandez y Garcia et al., 2015). Therefore, the American Academy of Pediatrics recommends that pediatric practices screen for PPD at the one-, two-, four-, and six-month well child checks; however, few pediatric practices oblige (Earls, 2010). Using quality improvement methodologies and the Lewin Change Theory, this project standardized the PPD screening schedule and developed a novel referral algorithm that was concurrently implemented at a rural pediatric clinic in Virginia. The project significantly increased the clinic’s screening rate from 33% to 80% (p<0.001) and, although not statistically significant, improved referral rates from 66% to 79%. The referral algorithm was functional for providers and can be replicated by other pediatric practices. Effective PPD screening can take as little as one minute. This is the first study to study the effectiveness of a referral algorithm and one of only a handful of studies quantifying the effectiveness of standardizing screening schedules in pediatrics. By standardizing PPD screening and implementing a referral algorithm in the ambulatory pediatric setting, more PPD cases can be identified, further evaluated, and treated—ultimately improving maternal and infant health outcomes while demonstrating that the small changes the project represents can be duplicated by pediatric practices in any setting. Spring 2018 2018 Nursing pediatrics, perinatal depression, postpartum depression, referral, screening eng Thesis University of North Carolina at Chapel Hill Graduate School Degree granting institution Nursing Julee Waldrop Thesis advisor Amanda Davis Thesis advisor Senecca Kirkhart Thesis advisor text LinkedIn Russomagno Author School of Nursing Improving Postpartum Depression Screening and Referral in the Pediatric Setting Postpartum depression (PPD) affects up to 20% of American mothers and, if left untreated, can have serious, lifelong effects on women and their children (Earls, 2010). For the latter, PPD can negatively affect behavior, language and cognitive development, and physical health (O’Hara & McCabe, 2013). It is estimated that less than half of PPD cases are even identified—resulting from screening and treatment recommendation discrepancies from major domestic and international organizations (Gjerdingen & Yawn, 2007). Due to their longitudinal relationship with their patients and their patients’ families, pediatric providers are uniquely situated to effectively screen mothers for PPD while educating them on symptoms, treatments, and resources (Fernandez y Garcia et al., 2015). Therefore, the American Academy of Pediatrics recommends that pediatric practices screen for PPD at the one-, two-, four-, and six-month well child checks; however, few pediatric practices oblige (Earls, 2010). Using quality improvement methodologies and the Lewin Change Theory, this project standardized the PPD screening schedule and developed a novel referral algorithm that was concurrently implemented at a rural pediatric clinic in Virginia. The project significantly increased the clinic’s screening rate from 33% to 80% (p<0.001) and, although not statistically significant, improved referral rates from 66% to 79%. The referral algorithm was functional for providers and can be replicated by other pediatric practices. Effective PPD screening can take as little as one minute. This is the first study to study the effectiveness of a referral algorithm and one of only a handful of studies quantifying the effectiveness of standardizing screening schedules in pediatrics. By standardizing PPD screening and implementing a referral algorithm in the ambulatory pediatric setting, more PPD cases can be identified, further evaluated, and treated—ultimately improving maternal and infant health outcomes while demonstrating that the small changes the project represents can be duplicated by pediatric practices in any setting. Spring 2018 2018 Nursing pediatrics, perinatal depression, postpartum depression, referral, screening eng Thesis University of North Carolina at Chapel Hill Graduate School Degree granting institution Nursing Julee Waldrop Thesis advisor Amanda Davis Thesis advisor Senecca Kirkhart Thesis advisor text LinkedIn Russomagno Author School of Nursing Improving Postpartum Depression Screening and Referral in the Pediatric Setting Postpartum depression (PPD) affects up to 20% of American mothers and, if left untreated, can have serious, lifelong effects on women and their children (Earls, 2010). For the latter, PPD can negatively affect behavior, language and cognitive development, and physical health (O’Hara & McCabe, 2013). It is estimated that less than half of PPD cases are even identified—resulting from screening and treatment recommendation discrepancies from major domestic and international organizations (Gjerdingen & Yawn, 2007). Due to their longitudinal relationship with their patients and their patients’ families, pediatric providers are uniquely situated to effectively screen mothers for PPD while educating them on symptoms, treatments, and resources (Fernandez y Garcia et al., 2015). Therefore, the American Academy of Pediatrics recommends that pediatric practices screen for PPD at the one-, two-, four-, and six-month well child checks; however, few pediatric practices oblige (Earls, 2010). Using quality improvement methodologies and the Lewin Change Theory, this project standardized the PPD screening schedule and developed a novel referral algorithm that was concurrently implemented at a rural pediatric clinic in Virginia. The project significantly increased the clinic’s screening rate from 33% to 80% (p<0.001) and, although not statistically significant, improved referral rates from 66% to 79%. The referral algorithm was functional for providers and can be replicated by other pediatric practices. Effective PPD screening can take as little as one minute. This is the first study to study the effectiveness of a referral algorithm and one of only a handful of studies quantifying the effectiveness of standardizing screening schedules in pediatrics. By standardizing PPD screening and implementing a referral algorithm in the ambulatory pediatric setting, more PPD cases can be identified, further evaluated, and treated—ultimately improving maternal and infant health outcomes while demonstrating that the small changes the project represents can be duplicated by pediatric practices in any setting. Spring 2018 2018 Nursing pediatrics, perinatal depression, postpartum depression, referral, screening eng Thesis Nursing Julee Waldrop Thesis advisor Amanda Davis Thesis advisor Senecca Kirkhart Thesis advisor text University of North Carolina at Chapel Hill Degree granting institution LinkedIn Russomagno Creator School of Nursing Improving Postpartum Depression Screening and Referral in the Pediatric Setting Postpartum depression (PPD) affects up to 20% of American mothers and, if left untreated, can have serious, lifelong effects on women and their children (Earls, 2010). For the latter, PPD can negatively affect behavior, language and cognitive development, and physical health (O’Hara & McCabe, 2013). It is estimated that less than half of PPD cases are even identified—resulting from screening and treatment recommendation discrepancies from major domestic and international organizations (Gjerdingen & Yawn, 2007). Due to their longitudinal relationship with their patients and their patients’ families, pediatric providers are uniquely situated to effectively screen mothers for PPD while educating them on symptoms, treatments, and resources (Fernandez y Garcia et al., 2015). Therefore, the American Academy of Pediatrics recommends that pediatric practices screen for PPD at the one-, two-, four-, and six-month well child checks; however, few pediatric practices oblige (Earls, 2010). Using quality improvement methodologies and the Lewin Change Theory, this project standardized the PPD screening schedule and developed a novel referral algorithm that was concurrently implemented at a rural pediatric clinic in Virginia. The project significantly increased the clinic’s screening rate from 33% to 80% (p<0.001) and, although not statistically significant, improved referral rates from 66% to 79%. The referral algorithm was functional for providers and can be replicated by other pediatric practices. Effective PPD screening can take as little as one minute. This is the first study to study the effectiveness of a referral algorithm and one of only a handful of studies quantifying the effectiveness of standardizing screening schedules in pediatrics. By standardizing PPD screening and implementing a referral algorithm in the ambulatory pediatric setting, more PPD cases can be identified, further evaluated, and treated—ultimately improving maternal and infant health outcomes while demonstrating that the small changes the project represents can be duplicated by pediatric practices in any setting. Nursing pediatrics; perinatal depression; postpartum depression; referral; screening eng Masters Thesis Nursing Julee Waldrop Thesis advisor Amanda Davis Thesis advisor Senecca Kirkhart Thesis advisor text University of North Carolina at Chapel Hill Degree granting institution 2018 2018-05 LinkedIn Russomagno Author School of Nursing Improving Postpartum Depression Screening and Referral in the Pediatric Setting Postpartum depression (PPD) affects up to 20% of American mothers and, if left untreated, can have serious, lifelong effects on women and their children (Earls, 2010). For the latter, PPD can negatively affect behavior, language and cognitive development, and physical health (O’Hara & McCabe, 2013). It is estimated that less than half of PPD cases are even identified—resulting from screening and treatment recommendation discrepancies from major domestic and international organizations (Gjerdingen & Yawn, 2007). Due to their longitudinal relationship with their patients and their patients’ families, pediatric providers are uniquely situated to effectively screen mothers for PPD while educating them on symptoms, treatments, and resources (Fernandez y Garcia et al., 2015). Therefore, the American Academy of Pediatrics recommends that pediatric practices screen for PPD at the one-, two-, four-, and six-month well child checks; however, few pediatric practices oblige (Earls, 2010). Using quality improvement methodologies and the Lewin Change Theory, this project standardized the PPD screening schedule and developed a novel referral algorithm that was concurrently implemented at a rural pediatric clinic in Virginia. The project significantly increased the clinic’s screening rate from 33% to 80% (p<0.001) and, although not statistically significant, improved referral rates from 66% to 79%. The referral algorithm was functional for providers and can be replicated by other pediatric practices. Effective PPD screening can take as little as one minute. This is the first study to study the effectiveness of a referral algorithm and one of only a handful of studies quantifying the effectiveness of standardizing screening schedules in pediatrics. By standardizing PPD screening and implementing a referral algorithm in the ambulatory pediatric setting, more PPD cases can be identified, further evaluated, and treated—ultimately improving maternal and infant health outcomes while demonstrating that the small changes the project represents can be duplicated by pediatric practices in any setting. Spring 2018 2018 Nursing pediatrics, perinatal depression, postpartum depression, referral, screening eng Thesis University of North Carolina at Chapel Hill Graduate School Degree granting institution Nursing Julee Waldrop Thesis advisor Amanda Davis Thesis advisor Senecca Kirkhart Thesis advisor text LinkedIn Russomagno Creator School of Nursing Improving Postpartum Depression Screening and Referral in the Pediatric Setting Postpartum depression (PPD) affects up to 20% of American mothers and, if left untreated, can have serious, lifelong effects on women and their children (Earls, 2010). For the latter, PPD can negatively affect behavior, language and cognitive development, and physical health (O’Hara & McCabe, 2013). It is estimated that less than half of PPD cases are even identified—resulting from screening and treatment recommendation discrepancies from major domestic and international organizations (Gjerdingen & Yawn, 2007). Due to their longitudinal relationship with their patients and their patients’ families, pediatric providers are uniquely situated to effectively screen mothers for PPD while educating them on symptoms, treatments, and resources (Fernandez y Garcia et al., 2015). Therefore, the American Academy of Pediatrics recommends that pediatric practices screen for PPD at the one-, two-, four-, and six-month well child checks; however, few pediatric practices oblige (Earls, 2010). Using quality improvement methodologies and the Lewin Change Theory, this project standardized the PPD screening schedule and developed a novel referral algorithm that was concurrently implemented at a rural pediatric clinic in Virginia. The project significantly increased the clinic’s screening rate from 33% to 80% (p<0.001) and, although not statistically significant, improved referral rates from 66% to 79%. The referral algorithm was functional for providers and can be replicated by other pediatric practices. Effective PPD screening can take as little as one minute. This is the first study to study the effectiveness of a referral algorithm and one of only a handful of studies quantifying the effectiveness of standardizing screening schedules in pediatrics. By standardizing PPD screening and implementing a referral algorithm in the ambulatory pediatric setting, more PPD cases can be identified, further evaluated, and treated—ultimately improving maternal and infant health outcomes while demonstrating that the small changes the project represents can be duplicated by pediatric practices in any setting. 2018-05 2018 Nursing pediatrics; perinatal depression; postpartum depression; referral; screening eng Masters Thesis University of North Carolina at Chapel Hill Graduate School Degree granting institution Julee Waldrop Thesis advisor Amanda Davis Thesis advisor Senecca Kirkhart Thesis advisor text Russomagno_unc_0153D_17622.pdf uuid:18ce634c-aec2-4bbc-9f7b-4eb829dc0f47 2020-06-13T00:00:00 2018-04-04T18:45:16Z proquest application/pdf 570673