Practice-Based Models of Pediatric Mental Health Care.

Pediatric primary care is widely available in the United States and can help address the growing public health crisis in child and adolescent mental health by providing integrated behavioral health services. This article provides an overview of 3 common models of behavioral health integration in pediatric primary care settings: 1) the Child Psychiatry Access Program model, 2) the Primary Care Behavioral Health model, and 3) the Collaborative Care Model. Pediatric primary care practices may evaluate the different features of each model before adopting an approach for integration and consider tailoring it to their practice environments.

The benefits of initiating continuous renal replacement therapy after brain death in organ donors with oligoanuric acute kidney injury.

Acute kidney injury (AKI) in deceased organ donors is increasing due to the escalation in anoxic brain-deaths. The management of an organ donor with oligoanuric AKI is frequently curtailed due to hemodynamic and electrolyte instability. Although continuous renal replacement therapy (CRRT) corrects the effects of AKI, it is rarely started after the diagnosis of brain-death (BD).

Exploring a model to evaluate levels of reflection in baccalaureate nursing students' journals.

The purpose of this study was to use Mezirow's model to identify reflective levels among baccalaureate nursing students. This study examined the question, "Tb what extent and at what level is reflection-on-practice identified in the journals of junior baccalaureate nursing students?" Twenty nursing students wrote journals at three points during a health assessment course. This descriptive, non-experimental study used a classification system to quantify the amount of reflection present.