Publications by authors named "Elizabeth Charleston"

Since 2019, the number of children apprehended by the United States Custom and Border Patrol at the southern border continues to increase. Many of these children are fleeing violence and extreme poverty and qualify for several forms of humanitarian relief. Trained pediatric health professionals have an essential role to play in documenting evidence to support their petitions.

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to identify and describe the challenges faced by parents of children hospitalized in the Pediatric Intensive Care Unit (PICU), based on insights from family navigators.
  • Data was collected from 224 parents through qualitative analysis of open-response feedback during a randomized controlled trial in two university-affiliated PICUs in the Midwest.
  • Key challenges reported included home life, hospitalization stress, and concerns about diagnosis, with communication difficulties particularly noted by 8% of families, highlighting the need for improved communication strategies and resources.
View Article and Find Full Text PDF

The association between child maltreatment and intimate partner violence (IPV) is well supported. Universal IPV screening has been recommended by the American Academy of Pediatrics and the United States Preventative Task Force, and many children's hospitals have established screening protocols. However, the yield and best screening method in families undergoing a child physical abuse (PA) evaluation have not been fully explored.

View Article and Find Full Text PDF

Background: Survivors of child abuse experience high rates of adverse physical and mental health outcomes. Epigenetic alterations in the stress response system, the FKBP5 gene specifically, have been implicated as one mechanism that may link abuse to lifelong health issues. Prior studies primarily included older individuals with a remote history of maltreatment; our objective was to test for differential methylation of FKBP5 in children with abusive vs accidental injuries at the time of diagnosis.

View Article and Find Full Text PDF

Background: Social workers (SWs) and chaplains are trained to support families facing challenges associated with critical illness and potential end-of-life issues. Little is known about how parents view SW/chaplain involvement in care for critically ill children with cancer.

Methods: We studied parent perceptions of SW/chaplain involvement in care for pediatric intensive care unit (PICU) patients with cancer or who had a hematopoietic cell transplant.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to improve parent support and outcomes in pediatric intensive care units (PICUs) by comparing a navigator-based intervention called PICU Supports to a basic informational brochure.
  • In the randomized trial involving 382 families, parents receiving PICU Supports reported slightly higher satisfaction (60.4%) compared to those with the brochure (56.1%) regarding decision-making, but the difference was not statistically significant.
  • Secondary outcomes on parental psychological and physical well-being showed no significant differences between the two groups, indicating that the navigator intervention did not lead to improved communication or satisfaction outcomes.
View Article and Find Full Text PDF

Background: Communication in the pediatric intensive care unit (PICU) between families and the health care team affects the family experience, caregiver psychological morbidity, and patient outcomes.

Objective: To test the feasibility of studying and implementing a PICU communication intervention called PICU Supports, and to assess families' and health care teams' perceptions of the intervention.

Methods: This study involved patients requiring more than 24 hours of PICU care.

View Article and Find Full Text PDF

Objective: To determine whether parental resilience, measured at ICU admission, is associated with parent-reported symptoms of depression, anxiety, posttraumatic stress, and satisfaction with ICU care 3-5 weeks following ICU discharge.

Design: Planned prospective, observational study nested in a randomized comparative trial.

Setting: PICUs and cardiac ICUs in two, free-standing metropolitan area children's hospitals.

View Article and Find Full Text PDF

The aim of this study was to determine the demographic and associated characteristics of abusive burn injuries in children. Understanding the characteristics of burn injuries may help clinicians differentiate and recognize abusive injuries. We conducted a retrospective study of patients less than 5 years old admitted to an urban burn center from March 1999 to July 2013.

View Article and Find Full Text PDF