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| 1 | Using quality improvement methods to increase use of pain prevention strategies for childhood vaccination显示文摘AIM To increase evidence-based pain prevention strategy use during routine vaccinations in a pediatric primary care clinic using quality improvement methodology.METHODS Specific intervention strategies(i.e.,comfort positioning,nonnutritive sucking and sucrose analgesia,distraction) were identified,selected and introduced in three waves,using a Plan-Do-Study-Act framework.System-wide change was measured from baseline to post-intervention by:(1) percent of vaccination visits during which an evidence-based pain prevention strategy was reported as being used; and(2) caregiver satisfaction ratings following the visit.Additionally,self-reported staff and caregiver attitudes and beliefs about pain prevention were measured at baseline and 1-year post-intervention to assess for possible long-term cultural shifts.RESULTS Significant improvements were noted post-intervention.Use of at least one pain prevention strategy was documented at 99% of patient visits and 94% of caregivers were satisfied or very satisfied with the pain prevention care received.Parents/caregivers reported greater satisfaction with the specific pain prevention strategy used [t(143) = 2.50,P ≤ 0.05],as well as greater agreement that the pain prevention strategies used helped their children's pain [t(180) = 2.17,P ≤ 0.05] and that they would be willing to use the same strategy again in the future [t(179) = 3.26,P ≤ 0.001] as compared to baseline.Staff and caregivers also demonstrated a shift in attitudes from baseline to 1-year post-intervention.Specifically,staff reported greater agreement that the pain felt from vaccinations can result in harmful effects [2.47 vs 3.10; t(70) =-2.11,P ≤ 0.05],less agreement that pain from vaccinations is 'just part of the process' [3.94 vs 3.23; t(70) = 2.61,P ≤ 0.05],and less agreement that parents expect their children to experience pain during vaccinations [4.81 vs 4.38; t(69) = 2.24,P ≤ 0.05].Parents/caregivers reported more favorable attitudes about pain prevention strategies for vaccinations across a variety of areas,including safety,cost,time,and effectiveness,as well as less concern about the pain their children experience with vaccination [4.08 vs 3.26; t(557) = 6.38,P ≤ 0.001],less need for additional pain prevention strategies [3.33 vs 2.81; t(476) = 4.51,P ≤ 0.001],and greater agreement that their doctors' office currently offers pain prevention for vaccinations [3.40 vs 3.75; t(433) =-2.39,P ≤ 0.05].CONCLUSION Quality improvement methodology can be used to help close the gap in implementing pain prevention strategies during routine vaccination procedures for children. | Jennifer Verrill Schurman Amanda D Deacy Rebecca J Johnson Jolynn Parker Kristi Williams Dustin Wallace Mark Connelly Lynn Anson Kevin Mroczka | 2017 | World Journal of Clinical Pediatrics2017，6，1： | 3 |
| 2 | Glycosidase activity of enzyme preparations used in fruit juice processing显示文摘 | Ronald E Wrolstad Jolynne D Wightman Robert W Durst | 1994 | Food Tech1994，11，： | 1 |
| 3 | Improving chloramine residuals and minimizing nitrification显示文摘 | JOLYNN C STEVE L | 1999 | Florida Water Resources Journal1999，26，2： | 1 |
| 4 | Sex–related self–concepts, cognitive styles and cultural values of traditionality–modernity as predictors of general and domain–specific sexism显示文摘 | Jolynn C. X.Pek Frederick T. L.Leong | 2003 | Asian Journal of Social Psychology2003，，1： | 1 |
| 5 | Open hearts build lives: positive emotions,induced through loving - kindness meditation,build consequential personal resources显示文摘 | Fredrickson Barbara L Michael a Cohn Kimberly a Coffey Jolynn Pek Sandra M Finkel | | 0，，05： | 1 |
| 6 | Branched Chain Metabolic Support: A Prospective, Randomized, Double-Blind Trial in Surgical Stress显示文摘 | FRANK B. CERRA JOHN E. MAZUSKI EDMUND CHUTE NANCY NUWER KATHY TEASLEY JOLYNN LYSNE EVA P. SHRONTS FRANK N. KONSTANTINIDES | 1984 | Annals of Surgery1984，，3： | 1 |
| 7 | Some effects of processing enzymes on anthocyanins and phenolics in pinot noir and cabernet sauvignon wines显示文摘 | JOLYNNE D W STEVEN F P | 1997 | American Joural of Enology Viticulture1997，48，： | 1 |
| 8 | Glycosidase activity of enzyme preparations usedin fruitjuice processing显示文摘 | RonaldEWrolstad Jolynne D Wightman Robert W Durst | 1994 | Food Tech1994，11，： | 1 |
| 9 | Tai chi as a biobehavioral intervention for women with breast cancer显示文摘 | Sarah M.Rausch Jolynne Robins Jeanne M.Walter Nancy L.McCain | | 0，，03： | 1 |
| 10 | 路易斯爱运动显示文摘路易斯非常喜爱运动。虽然他本身不擅长运动,却下定决心想要找到一项适合他的运动。那么他成功了吗? | JoLynne Ricker Whalen | 2012 | 英语画刊(初一版)2012，，8： | 0 |
| 11 | Total Syntheses of Favolasins A,E,G and K,Polyketides Isolated from Cultures of the Basidiomycetes Fungi Favolaschia sp.BCC 18686 and Favolaschia calocera BCC 36684显示文摘The structures assigned to all four members,1-4,of the recently reported favolasin class of natural product have been prepared for the first time by chemical synthesis.Suzuki-Miyaura cross-coupling chemistry was used to establish the associated biaryl substructures.The key step used in preparing the 1,5-benzodioxepin ring system associated with compounds 3 and 4 was the acid-catalyzed 7-exo-tet cyclization of an appropriately substituted 2-(oxiran-2-ylmethoxy)phenol while a base-promoted 6-exo-tet cyclization of the same substrate was used to construct the 2,3-dihydrobenzo[b][1,4]dioxine core of target 2.The spectral data derived from the four synthetically-produced favolasins matched those reported for the corresponding natural products.Preliminary biological screening of compounds 1-3 as well as a suite of fourteen precursors reveal that they display no notable anti-bacterial,anti-fungal or anti-tumor activities but congener K(4)is active,in the mM range,against Plasmodium falciparum. | Bingbing Sheng Ping Lan Jolynn Kiong Zeinab G. Khalil Robert J. Capon Martin G.Banwell | 2023 | Chinese Journal of Chemistry2023，41，12： | 0 |
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