Date of Award

2025

Document Type

Project

College/School

School of Health Sciences

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Bonnie Bowie

Readers

Elizabeth Gallagher

Abstract

Background: Violence between siblings is prevalent and can have lasting adverse effects, including lowered self-esteem, anxiety, depression, and poor peer relationships.

Aim: Assess feasibility of implementing a sibling aggression tool in pediatric primary care settings and provide resources for support.

Methods: A quality improvement project design, including an educational brief for providers, implementation of the Sibling Aggression Screening Tool, compiled resources for support, and a Post Implementation Provider Survey to collect provider feedback.

Intervention: A Sibling Aggression Screening Tool was implemented over a one-week period with consolidated resources provided for support.

Results: Fifty percent of the providers agreed that it would be feasible to implement sibling aggression screening into well child examinations.

Conclusions: Based on provider feedback, the screening tool could be improved by utilizing an age-specific flow-chart design with re-implementation for a longer period to increase screenings performed.

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