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Evaluation of the Pat -Pettit.pdf (3.23 MB)

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Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients

Pettit, Cynthia S., Pettit
http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837

Abstract Details

2018, Doctor of Nursing Practice Degree Program in Population Health Leadership DNP, Xavier University, Nursing.
Psychosocial risks factors have been identified as having an impact on pediatric surgical health outcomes. Risk stratification is one methodology used in medical care to identify those patients requiring intensive interventions. Stratifying patients with psychosocial risk factors and applying appropriate interventions may be a modality to improve health outcomes. There are few tools in the literature to assess for psychosocial risk in for pediatric patients but the Psychosocial Assessment Tool (PAT) appears to be a promising tool. The PAT evaluates and stratifies psychosocial risk of the child from the perspective of a family dynamic. This DNP project is a feasibility pilot project using a convenience sample of potential pediatric tonsillectomy patients. The purpose of this project was to assess the feasibility of the use of the PAT in this population. The PAT was tested against the current practice of assessment for psychosocial risk to determine if there was an improvement in identification of psychosocial risk in potential and to determine if its use was feasible in an outpatient surgical clinic setting. Feasibility was determined by time to complete and impact to flow. The completion time for this population took longer than other reported studies, which was cited with completions between five to ten minutes. In this DNP project, only 60% of the participants completed the PAT in under ten minutes. Negative impact to flow occured 51.4% of the time. The PAT was more effective than the current assessment in identifying psychosocial risk. The differences in proportions of the paired samples were determined to be statistically significant utilizing the McNemar’s nonparametric test for differences in proportions at al level of significance p<0.05, with p= .022. In light of the impact of psychosocial risks and their relationship to poor health outcomes and the information gained by the PAT, future projects or studies are needed to address the issue of impact to flow, such as adapting the tool to reduce the length of completion.
Susie Allen , PhD., RN-BC (Committee Chair)
Kimberly Toole , DNP., APRN-CNP (Committee Co-Chair)
132 p.
Health Care; Nursing
psychosocial risk; Psychosocial Assessment tool; pediatric surgical patients

Recommended Citations

Citations

  • Pettit, Pettit, C. S. (2018). Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients [Doctoral dissertation, Xavier University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837

    APA Style (7th edition)

  • Pettit, Pettit, Cynthia. Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients . 2018. Xavier University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837.

    MLA Style (8th edition)

  • Pettit, Pettit, Cynthia. "Evaluation of Use of the Psychosocial Assessment Tool (PAT) with Pediatric Surgical Patients ." Doctoral dissertation, Xavier University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1524410057142837

    Chicago Manual of Style (17th edition)

xavier1524410057142837
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This open access ETD is published by Xavier University and OhioLINK.