Journal of Child and Adolescent Psychiatric Nursing最新文献

{"title":"Playing the Admission Game: Young People and Their Parents Negotiating Access or Discharge to Adolescent Inpatient Mental Health Services","authors":"Anna Sydor,&nbsp;Rhiannon Lane,&nbsp;Nicola Evans","doi":"10.1111/jcap.70006","DOIUrl":"10.1111/jcap.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Only children and young people with the highest need for mental health care or support are admitted to an inpatient setting. There has been a recent shift in emphasis with the aim of inpatient care being short and focussed, care is transferred back to the community on discharge. Little is known about what young people and their parents understand about admission and discharge criteria to these inpatient facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This exploratory study aimed to explore the perspectives of young people (aged 18–25) and parents of young people regarding the reasons for their past admissions (or nonadmission) to inpatient child and adolescent mental health services (CAMHS), including beliefs concerning the reasons for subsequent discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Data were conducted in various ways according to participant preference either in person telephone or written interview. Participants were young people (<i>n</i> = 5) or parents of young people (<i>n</i> = 5). Thematic analysis was used to identify emerging themes collaboratively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Based on the three themes that were identified: power control and choice, seeking knowledge and taking control, and conflicting notions of recovery and health we found that young people and their patents were engaged in a complex interaction in which they played the admission game; negotiating admission or discharge through behaviors and counterbalancing risks and benefits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Understanding the complexity of this interaction may help professionals, including nurses to support patients and their families during the admission, care planning or discharge process and to recognize risks to prevent them escalating.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitude, and Stigma Among Adolescents: Effect of Mental Health Awareness and Destigmatisation (MHAD) Program","authors":"Abhirami S. Manjari,&nbsp;N. T. Sudhesh","doi":"10.1111/jcap.70003","DOIUrl":"https://doi.org/10.1111/jcap.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stigma against mental health problems is a common issue for adolescents aged 14–18 years. However, comprehensive programs that simultaneously address awareness and stigma reduction tailored to the specific needs of this age group are lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study investigated the effectiveness of the Mental Health Awareness and Destigmatisation Program (MHAD) in reducing stigma and improving knowledge and attitudes towards peers with mental health problems. A quasi-experimental pre-post design was employed among adolescents aged 14–18 years from an educational institution in Bangalore. After excluding those with high baseline mental health symptoms (PSC-17 &gt; 20), a preassessment was conducted on adolescents' knowledge, attitude, and stigma (<i>n</i> = 52) using the Mental Health Knowledge Schedule, Self-structured Case Vignettes, and Peer Mental Health Stigmatization Scale. After completing the 6-week program, three participants were excluded from the post-assessment, as their attendance was less than 50%. A total of 49 (mean age = 16 years) adolescents were included in the post-assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The paired sample <i>t</i>-test revealed significant improvements in all stigma scores. The Wilcoxon signed-rank test indicated a significant improvement in Recognition of Mental Illness scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings showed that MHAD, an education-based program, was effective in reducing adolescents' stigma towards peers with mental health problems and improving their overall recognition of mental health symptoms. Research across larger adolescent populations is essential to enhance these interventions' long-term impact and sustainability. By closely monitoring and expanding research efforts, we can gain deeper insights into how these programs foster self-awareness, a crucial factor in recognizing mental health needs, challenging stigma, and promoting help-seeking behaviors among adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychoses in Pediatric-Onset Multiple Sclerosis: A Case Report and Systematic Review","authors":"Emna Ellouz,&nbsp;Imen Ketata,&nbsp;Wafa abbes,&nbsp;Hend Gargouri,&nbsp;Sondes Bader","doi":"10.1111/jcap.70005","DOIUrl":"10.1111/jcap.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>The association of pediatric-onset multiple sclerosis (POMS) and psychosis remains rare and unclear in the literature. We aim to elucidate the association between POMS and psychosis across case reports.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We report a case of schizophrenia (SCZ) revealing POMS. We conducted a systematic review of case reports adhered to PRISMA 2020. We searched PubMed, Google Scholar, Web of Science, and Cochrane for case reports describing psychoses in POMS cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>We presented a 21-year-old male who developed psychotic symptoms at 16 and was diagnosed with SCZ at 18. Regarding the treatment-resistant SCZ, neurological assessment led to POMS. The patient had a favorable outcome after POMS management. Moreover, our systematic review of nine cases revealed that most psychoses began before or concomitant to the POMS diagnosis, highlighting a delay in identifying POMS. SCZ and BP were the most common types of psychosis observed. We observed a predominance of males with a median age at psychosis onset was 15 years (12.5–16.5 years). Treatment-resistant SCZ was noted in one study along aside with our case. All cases had a good evolution after POMS management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study suggested a critical link between POMS and psychosis emphasizing the need for thorough evaluation, early diagnosis, and prompt management. This association highlights the importance of recognizing psychotic symptoms as potential indicators of POMS, particularly in males.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calm Before the Storm: Support of Pain and Anxiety Reduction Strategies for the Pediatric Patient","authors":"Molly A. Renaud,&nbsp;Brenda Happell","doi":"10.1111/jcap.70001","DOIUrl":"10.1111/jcap.70001","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Internet and Social Media Addiction Levels in Adolescents Aged 12−18 Years by Nurses: A Multicenter Cross-Sectional Study","authors":"Aydın Avcı,&nbsp;Ayşe Sevim Ünal","doi":"10.1111/jcap.70004","DOIUrl":"10.1111/jcap.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This was a cross-sectional and descriptive study to determine the social media and Internet addiction levels of adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>The data were collected between September and December 2023. A sociodemographic data collection form, The Social Media Addiction Scale for Adolescents, and The Internet Addiction Scale for Adolescents were used to collect data. An independent sample <i>t</i>-test was used to compare the mean differences between the two groups. A one-way ANOVA test was used to compare mean differences between multiple groups, and Pearson's correlation analysis was used to examine the relationships between quantitative variables and scale scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No significant relationship was found between adolescents' gender and age and addiction levels (<i>p</i> &gt; 0.05). On the other hand, addiction levels differed significantly by school type and district (<i>p</i> &lt; 0.05). Students in selective schools and secondary schools had lower addiction levels, and those in open-admission high schools had higher addiction levels (<i>p</i> &lt; 0.05). The highest level of addiction was found in Çankaya district and the lowest in Altındağ district. Daily online time and social media time increased addiction (<i>p</i> &lt; 0.05). Safe Internet use and receiving support from nurses affected addiction levels (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results show that adolescents aged 12−18 years are at significant risk of social media and Internet addiction. Therefore, it is recommended that nurses support these young people, assess their risks, and identify specific tasks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Wildfires on the Mental and Physical Health of School-Age Children in North America: A Scoping Review","authors":"Sarah Oerther,&nbsp;Sarah Manspeaker,&nbsp;Alison Wix,&nbsp;Daniel Oerther,&nbsp;Carmen Marsit","doi":"10.1111/jcap.70002","DOIUrl":"10.1111/jcap.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Wildfires are occurring more often and with greater intensity, leading to longer and harsher fire seasons. As a result, children are more frequently exposed to wildfire smoke, which increases their risk of mental and physical health effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of our scoping review is to explore the current literature on what is known about the direct and indirect impacts of wildfires on the mental and physical health of school-age children in North America (5 to 18-year-olds).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A health sciences librarian-assisted literature search, with input from the research team, was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 16 studies were selected. Common mental health symptoms such as anxiety, depression, suicidal thinking, and post-traumatic stress disorder have been identified. The findings of this review are in line with recent studies showing a connection between adult wildfire exposure and respiratory conditions; however, no cardiovascular health effects in children were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The available studies in our review demonstrate that wildfires do increase the impacts on both mental and physical health postexposure in school-age children. Future research should specifically include larger samples, more qualitative and longitudinal studies that can more effectively analyze the effects of wildfire events on psychological factors over time, conceptual frameworks, and exposure metrics specific for PM_2.5 from wildfire smoke.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Social Media Addiction and Perceived Stress in Adolescents","authors":"Arzu Sarialioğlu,&nbsp;Tuğba Oluç","doi":"10.1111/jcap.70000","DOIUrl":"10.1111/jcap.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The study was conducted to determine the relationship between social media addiction and perceived stress in adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study was conducted in a descriptive and cross-sectional design between September and December 2022 in secondary education institutions of the Provincial Directorate of National Education in a city center in eastern Turkey. The sample of the study consisted of a total of 716 adolescents who were studying in the ninth grade (145), 10th grade (198), 11th grade (216), and 12th grade (157) who met the inclusion criteria of the study at the time the study was conducted. The sample comprised individuals with diverse sociodemographic characteristics, including ages, genders, school success levels, parents’ education levels, parents’ job status, socioeconomic status, time spent on daily social media, and purposes of social media use of the adolescents. The “Sociodemographic Characteristics Form,” “Social Media Addiction Scale for Adolescents (SMASA),” and “Perceived Stress Scale (PSS)” were used as the data collection tools. Ethical principles were fulfilled in the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>It was found that the average age of the adolescents who participated in the study was 15.71 ± 1.22, 58.1% were females, 41.1% had good school success, 90.5% had a mobile phone, 90.2% used WhatsApp, 56.8% said that their daily social media use time was between 1 and 3 h, and 64% said that their purpose of using social media was for entertainment and leisure. The mean SMASA score was 18.49 ± 6.98, and the mean PSS score was 42.11 ± 7.54. It was found in the study that the mother's employment status, phone ownership status, use of Instagram, Facebook, Twitter, WhatsApp, Snapchat, YouTube, TikTok, and LinkedIn accounts, daily social media use, time and purposes of using social media affected the mean SMASA score. Age, gender, school success, use of Instagram and Snapchat accounts, daily social media use time, and purposes of using social media affected the mean PSS score (<i>p</i> &lt; 0.05). As a result of the study, a positive and low-level significant relationship was detected between social media addiction and perceived stress levels (<i>p</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>As the levels of social media addiction increase in adolescents, the perceived stress levels also increase. It was also found that some variables affected the social media addiction and perceived stress levels of adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Youth mental health crisis: What's next?","authors":"Kathleen R. Delaney PhD, APRN, PMH-NP, FAAN","doi":"10.1111/jcap.12480","DOIUrl":"10.1111/jcap.12480","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health conditions of Colombian adolescent population: An approach to risk","authors":"Consuelo V. Álvarez,&nbsp;Oscar M. C. Ramírez,&nbsp;Natalia S. Palacio","doi":"10.1111/jcap.12479","DOIUrl":"https://doi.org/10.1111/jcap.12479","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine the mental health conditions of adolescents in the city of Manizales, Colombia, and explore risk regarding gender-based differences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Quantitative, nonexperimental, descriptive research with associative scope. A total of 316 adolescents were assessed using five scales to evaluate mental health conditions: the Perceived Stress Scale, Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale, Penn Alcohol Craving Scale and The Substance Dependence Severity Scale. Univariate and bivariate analysis was performed, Chi square and Odds Ratio were tested.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings indicated that being female is a risk factor for high levels of perceived stress, depressive episodes and anxiety. Additionally, adolescents who are not attending school are at higher risk for dependence and abuse of psychoactive substances. Conversely, being female acts as a protective factor against dependence on psychoactive substances.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings suggest a higher tendency among the participants towards experiencing depressive episodes. Regarding perceived stress, 71.5% of the participants fell into the low category, while 70.6% experienced a current episode of generalized anxiety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Soothing venipuncture: Bubble blowing and ball squeezing in reducing anxiety, fear, and pain in children","authors":"Abdullah Sarman RN, PhD,&nbsp;Suat Tuncay RN, PhD","doi":"10.1111/jcap.12478","DOIUrl":"10.1111/jcap.12478","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>The objective of this study was to investigate the impact of bubble-blowing and ball-squeezing interventions on children's levels of anxiety, fear, and pain during venipuncture procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was designed as a randomized controlled trial. Out of 108 children aged 5−10 years, 72 were allocated to the two experimental groups, while 36 were assigned to the control group. The levels of anxiety, fear, and pain experienced by the children were assessed using the “Wong-Baker FACES® Pain Rating Scale,” “Child Anxiety Scale-State,” and “Child Fear Scale,” respectively. Intergroup comparisons were analyzed using one-way ANOVA, while intragroup comparisons were conducted using Wilks' Lambda analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>It was observed that 50% of the children in the control group, 47.2% in the bubble-blowing group, and 47.2% in the ball-queezing group did not receive information about the painful procedure. Anxiety, fear, and pain scores of all groups were statistically similar in the initial measurement without any intervention. Children in the bubble-blowing and ball-squeezing groups experienced lower anxiety, fear, and pain during and at the end of the painful procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study discovered that interventions involving bubble blowing and ball squeezing significantly decreased children's levels of anxiety, fear, and pain both during and after intravenous procedures. Information on procedures, alongside interactive techniques like bubble blowing and ball squeezing, helps pediatric nurses calm children, easing anxiety, fear, and pain. Implementing these strategies enhances treatment experiences and confidence in healthcare.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}