Enhancing Paediatric Deterioration Assessment Across Diverse Skin Tones: Insights and Future Directions.

IF 3.5 3区医学 Q1 NURSING

Journal of Clinical Nursing Pub Date : 2025-09-09 DOI:10.1111/jocn.70105

Tianji Zhou, Xiangling Dong, Hanyang Su

引用次数: 0

Abstract

Background: Skin tone can affect clinical signs and device accuracy in paediatric anaemia and deterioration detection, creating risks of inequity.

Key issues: Studies show disparities in diagnostic accuracy across different skin tones, supported by community-based evidence.

Recommendations: (1) Build multicenter networks with standardised skin-tone data. (2) Validate devices across varied skin tones. (3) Train clinicians in dark-skin sign recognition. (4) Include equity metrics in paediatric quality indicators.

Conclusion: Reducing skin-tone bias is essential for equitable paediatric care. Collaborative research across diverse regions is needed.

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加强不同肤色的儿科恶化评估：见解和未来方向。

背景：肤色可影响儿科贫血和恶化检测的临床体征和设备准确性，造成不公平的风险。关键问题：研究表明，不同肤色的诊断准确性存在差异，这得到了社区证据的支持。建议：(1)建立多中心网络，使用标准化肤色数据。(2)验证不同肤色的设备。(3)对临床医生进行深色皮肤体征识别培训。(4)在儿科质量指标中纳入公平指标。结论：减少肤色偏倚对公平的儿科护理至关重要。需要在不同地区进行合作研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.