Introduction: Sexual and gender minority (SGM) adolescents are at higher risk for adverse health outcomes compared to their cisgender and heterosexual peers.

Methods: Guided by the EPQA standardized reporting system, we implemented an evidence-based practice (EBP) initiative centered on affirmative healthcare for adolescents in two pediatric primary care sites. This initiative revolved around: (1) provider training on healthcare needs of SGM adolescents, (2) the use of two new EHR charting tools for SGM needs, and (3) examination of the EBP initiative using quantitative and qualitative analyses.

Results: Quick-texts tools were used 165 times in 3 months (20.4% compliance). Findings also show providers screened Hispanic patients at a proportionately lower rate (p = .043) as compared to other races and ethnicity. Providers perceived the EBP initiative as informative, feasible, without workflow disruption with suggestions for improvement.

Discussion: This EBP initiative has implications for advanced nursing practice, organizational policy, and health equity.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pedhc.2024.02.004DOI Listing

Publication Analysis

Top Keywords

ebp initiative
16
sexual gender
8
gender minority
8
sgm adolescents
8
initiative
5
optimizing sexual
4
minority adolescent
4
adolescent health
4
health putting
4
putting evidence
4

Similar Publications

Article Synopsis
  • The study aimed to investigate the emotional behavioral problems (EBP) related to learning burnout (LB) in returned migrant middle school students, focusing on the roles of internet addiction (IA) and social support (SS) as mediators.
  • Data was collected from 2020 returned migrant students in Guizhou Province, China, utilizing various scales to assess EBP, LB, IA, and SS, along with advanced statistical analysis to explore mediation effects.
  • Results indicated that a significant portion of the students faced EBP, and the mediation analysis revealed that both IA and SS significantly influenced the relationship between LB and EBP, suggesting that reducing internet addiction and increasing social support could help alleviate these issues.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates why some physiotherapists prefer non-academic sources for clinical information and how personal factors like age, recent graduation, and education level impact this preference.
  • A survey of 610 physiotherapists revealed that nearly 25% prefer non-academic sources, particularly those over 34 years old who feel unable to apply scientific findings.
  • The findings suggest a need for improved training in evidence-based practice to boost confidence and competency in utilizing academic resources in patient care.
View Article and Find Full Text PDF

Three evidence-based psychotherapies for depression (D-EBPs)-cognitive behavioral therapy for depression, acceptance and commitment therapy for depression, and interpersonal psychotherapy-are available in Veterans Health Administration (VHA) through its training initiative. However, training initiatives are not sufficient to move effective treatments into routine practice. Patient and clinic factors can impact evidence-based psychotherapies use.

View Article and Find Full Text PDF

National, regional and provincial prevalence of childhood hypertension in China in 2020: a systematic review and modelling study.

Lancet Child Adolesc Health

December 2024

Center for Clinical Big Data and Statistics of the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; School of Public Health, Zhejiang University School of Medicine, Hangzhou, China. Electronic address:

Article Synopsis
  • Childhood hypertension is increasingly recognized as a significant health issue in China, necessitating accurate prevalence estimates for effective management.
  • The study conducted a systematic review and meta-analysis of literature from various databases, analyzing data from over 22 million children to estimate blood pressure-related health concerns.
  • In 2020, the study found that 3.11% of Chinese children aged 6-18 were hypertensive, which translates to approximately 6.8 million affected children nationwide.
View Article and Find Full Text PDF

Developing tailored implementation strategies to increase the use of evidence-based practice (EBP) requires accurate identification of predictors of their use. However, known difficulties with measuring EBP use complicates interpretation of the extant literature. In this proof-of-concept study, we examined whether the same predictors of use of cognitive behavioral therapy (CBT) are identified when CBT use is measured with clinician self-report compared to direct observation.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!