{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T21:44:19Z","timestamp":1775511859818,"version":"3.50.1"},"reference-count":0,"publisher":"Springer Publishing Company","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Doct Nurs Pract"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is a disorder with symptoms of obsessive\u2013compulsive disorder and\/or tic disorders associated with group A streptococcal infection. PANDAS is considered a subtype of pediatric acute-onset neuropsychiatric syndrome (PANS), and both can cause disabling symptoms. The influence of PANS\/PANDAS on family function is significant, with parents reporting many adaptations and disruptions to the family, including extreme financial, emotional, and social impacts (Dolce et al., 2022; Tang et al., 2021). Despite the publication of evidential literature in 1998, there remains a lack of skilled providers who are confident in diagnosing and treating this disorder. Parents report that finding a skilled provider and confirming a timely diagnosis are significantly difficult. This can cause a treatment delay for years with indeterminate consequences (Tang et al., 2021).\n                    <jats:bold>Objective:<\/jats:bold>\n                    This quality improvement initiative aimed to assess changes in providers\u2019 awareness and comfort with diagnosing and treating PANDAS following an educational intervention implemented as part of a quality improvement effort.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Pretest\/posttest descriptive survey was used for providers participating in an educational intervention. The educational intervention was a recorded PowerPoint created using the published PANS\/PANDAS Diagnostic and Treatment Guidelines.\n                    <jats:bold>Results:<\/jats:bold>\n                    After completing the provider educational intervention, participants\u2019 comfort in diagnosing and treating PANDAS improved.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Access to a knowledgeable provider is a significant barrier for families of PANDAS patients. An educational intervention on PANDAS improved comfort in providing diagnoses and treatment in a small cohort of providers.\n                    <jats:bold>Implications for Nursing:<\/jats:bold>\n                    PANDAS education for providers may improve the comfort in diagnosing and treating PANDAS in primary care, thus positively impacting the quality of care families receive.\n                  <\/jats:p>","DOI":"10.1891\/jdnp-2025-0003","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T20:45:20Z","timestamp":1775508320000},"page":"JDNP-2025-0003.R1","source":"Crossref","is-referenced-by-count":0,"title":["Improving Provider Awareness and Comfort in Caring for PANDAS in the Outpatient Setting"],"prefix":"10.1891","author":[{"given":"Candice","family":"Brunger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Lemley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noelle","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie L.","family":"Russell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2026,4,6]]},"container-title":["Journal of Doctoral Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/JDNP-2025-0003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T20:45:20Z","timestamp":1775508320000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/JDNP-2025-0003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,6]]},"references-count":0,"alternative-id":["10.1891\/JDNP-2025-0003"],"URL":"https:\/\/doi.org\/10.1891\/jdnp-2025-0003","relation":{},"ISSN":["2380-9418","2380-9426"],"issn-type":[{"value":"2380-9418","type":"print"},{"value":"2380-9426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,6]]}}}