Analysis and Application of a Clinical Practice Guideline: Child Passenger Safety Chamberlain College of Nursing
NR505 Advanced Research Methods
Analysis and Application of a Clinical Practice Guideline: Child Passenger Safety
Motor vehicle crashes are identified as the leading cause of death in children under 19 years of age across the United States (Sauber-Schatz, West, & Bergen, 2014). Due to the large number of child deaths that occur each year, education regarding the proper use of child passenger safety seats must be provided to families. According to Basco, Hletko, West, and Darden (2009), although death and injury caused by motor vehicle accidents are deemed accidental, they are preventable. Due to the fact that deaths and injuries that occur are accidental, The American Academy of Pediatrics recognized the need for standardization of recommendations for child passenger safety seats and initiated and funded the development of the Child Passenger Safety clinical practice guideline. Nurses and physicians working in the community and in the inpatient hospital environment have access to multiple resources that can aide in providing education to family members. Scope and Purpose
The purpose of the guideline was to standardized recommendations for pediatricians and parents to follow to optimize the safety of children from birth to adolescence when riding in passenger vehicles (Committee on Injury, Violence, and Poison Prevention, 2011). With the recommendations standardized, pediatricians are able to promote the safety of children through their daily practice in physician offices and hospitals. In addition the recommendations that were developed by the Committee on Injury, Violence, and Poison Prevention (2011), the guideline provided resources for physicians so that anticipatory guidance on passenger vehicle safety could be offered to families and provided direct resources for families to access so that the information was easy to obtain. The guideline aimed to focus on the safety of children from infancy to adolescent age when riding as a passenger in a vehicle. The following were considered during development of the guideline: the use of age appropriate seats, exposure to air bags, and safety considerations of children in vehicles, pick-up trucks, or on commercial airlines (Committee on Injury, Violence, and Poison Prevention, 2011). Stakeholder Involvement
The American Academy of Pediatrics initiated and funded guideline development. Authors of the guideline are physicians who are members of the Committee on Injury, Violence, and Poison Prevention. During guideline development members of the target population were not consulted by guideline authors. Prior to publishing the document conflicts were presented to the Board of Directors and a resolution process was completed. According to the Committee on Injury, Violence, and Poison Prevention (2011), authors of the document were required to file a conflict of interest statement with the American Academy of Pediatrics and commercial involvement was not accepted during guideline development. Rigor of Development
Guideline authors performed an initial search in May of 2009 using Medline through the OVID database. The following terms were utilized in the search: motor vehicle accidents, motor vehicle crashes, child passenger safety, booster seats, child safety seats, car seats, racial disparities, seat belt syndrome, seat belts and children, children and air bags, children, safety, and airplanes, and child restraint laws (Committee on Injury, Violence, and Poison Prevention, 2011). Search results were limited to articles published in the English language in peer-reviewed journals between the years of 1999 and 2009. The original number of articles that were yielded from the search was not identified, but a total of 131 articles were analyzed and utilize...
References: Basco, W.J., Hletko, P., West, L., & Darden, P. (2009). Determining the proportion of children too heavy for age-appropriate car seats in practice-based research network. Clinical Pediatrics, 48(1), 37-43. doi:10.1177/00009922808321676
Children’s Hospital of Illinois. (2014) Child Passenger Safety. Retrieved from http://www.childrenshospitalofillinois.org/different/advocacy/child-passenger-safety.html
Committee on Injury, Violence, and Poison Prevention. (2011, April). Child passenger safety. Retrieved from http://pediatrics.aappublications.org/content/127/4/e1050.full
Sauber-Schatz, E.K., West, B.A., & Bergen, G. (2014). Vital Signs: Restraint use and motor vehicle occupant death rates among children aged 0-12 years – United States, 2002-2011. MMWR Recommendations & Reports, 63(7), 113-118.
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