Empowering School Nurses to Lead Vaping-Prevention Efforts: A Study of Barriers and Opportunities.

E-cigarette use among adolescents is rapidly increasing, presenting a significant public health challenge despite the known health risks. This study examines barriers to effective vaping intervention in high schools and explores the pivotal role of school nurses in addressing these challenges. Using a survey of school staff conducted in two rural Title I high schools in Eastern Virginia, the study identifies key obstacles including a lack of preparedness, exclusion from job roles, fear of retaliation, and insufficient administrative support.

Impact of the TeleECHO model: Rapid identification and treatment of syphilis.

Syphilis is a growing concern globally, affecting adult men and women as well as the fetus of infected mothers. Nationally, syphilis disproportionately affects Black and Hispanic women compared with White women, and younger women are reported to experience a disproportionate burden of syphilis with the highest disparities. Syphilis can be difficult to diagnose, particularly if the health care provider is not well-versed in risk factors and signs and symptoms of the disease.

Closing Pediatric Asthma Care Gaps Through School-Based Telehealth: A Quality Improvement Initiative.

Background: Uncontrolled pediatric asthma leads to poorer outcomes; school-based telehealth (SBTH) is an opportunity to intervene.

Local Problem: The connection rate to primary care after SBTH visits for asthma exacerbations was below organizational goals. Additionally, there was a gap in assessing SBTH's role in providing access to rescue medication.

Perspectives on Telehealth Use with the Neonatal Population: Policy, Practice, and Implementation Considerations.

Telehealth has proven to be a valuable approach to providing care to the neonatal population, including supporting families during the transition to home, facilitating remote monitoring of fragile neonates, and connecting neonatal experts with infants and caregivers in underserved or remote communities. Clinicians engaging in telehealth need to be aware of policies and regulations that govern practice as well as the potential health equity issues that may present themselves.

Telehealth Policy and the Advanced Practice Nurse.

Telehealth is an efficient and effective method of care delivery used by advance practice registered nurses (APRNs) nationally, especially in the wake of the coronavirus disease 2019 pandemic. With the ever-changing rules and regulations governing telehealth practice, the APRN may struggle to keep abreast. Telehealth is governed by legislation and regulation in addition to telehealth-specific laws.

Identifying Congenital Heart Block in Primary Care.

Congenital heart block is a rare disease characterized by electrical conduction abnormalities of the heart in patients with both structural and without structural abnormalities. The most common cause of congenital heart block is autoimmune related, but other potential causes exist. Treatment for congenital heart block is determined by the severity of the disease and presenting symptoms.

Telehealth Education: Impact on Provider Experience and Adoption.

Background: COVID-19 propelled telehealth to the forefront of health care, forcing many advanced practice registered nurses (APRNs) to incorporate telehealth into their practice without sufficient education. Lack of training has been cited as a barrier to telehealth adoption.

Purpose: This study evaluated provider adoption of telehealth based on the type of telehealth education received.

Telehealth Educational Resources for Graduate Nurse Faculty.

Background: The rapid acceleration of virtual health care delivery, telehealth, has underlined the pressing need for graduate nursing students to gain skills and competencies that will ensure effective and efficient delivery of telehealth care in future generations.

Problem: There is a need for graduate nursing students to be prepared to use telehealth, but few nursing programs offer this training. Barriers to this implementation may be due to lack of faculty knowledge, telehealth resources, or telehealth opportunities.

Pediatrician Attitudes Toward and Experiences With Telehealth Use: Results From a National Survey.

Background: The American Academy of Pediatrics 2015 policy statement on telehealth proposed that telehealth could increase access to high-quality pediatric care and that pediatricians should work to reduce barriers to telehealth for their patients. However, little is known about pediatricians' experiences with and attitudes toward telehealth.

Methods: Data from a nationally representative survey of American Academy of Pediatrics postresidency US member pediatricians in 2016, restricted to respondents providing direct patient care (n = 744; response rate = 48.

Implementing school based telehealth for children with medical complexity.

Purpose: This quality improvement project aimed to improve parental experiences with healthcare delivery and collaborative health care offered at a school serving children with medical complexity (CMC) by implementing telehealth services.

Methods: Parents of students at an urban public charter school for CMC were surveyed before and after telehealth was implemented at the school for two months, and again one year later, using the Measure of Processes of Care (MPOC-20).

Results: Parental scores on the MPOC-20 were generally high both before and after the implementation of telehealth.