Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献

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The effect of animal-assisted intervention on fear in children in the emergency department: A randomized controlled trial. 动物辅助干预对急诊科儿童恐惧的影响:随机对照试验
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-10-01 DOI: 10.1016/j.pedn.2024.09.017
Gulmelek Yilmaz, Mukaddes Demir Acar
{"title":"The effect of animal-assisted intervention on fear in children in the emergency department: A randomized controlled trial.","authors":"Gulmelek Yilmaz, Mukaddes Demir Acar","doi":"10.1016/j.pedn.2024.09.017","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.09.017","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to determine the effect of animal-assisted intervention on the fears of hospitalized children in the emergency department (ED).</p><p><strong>Materials and methods: </strong>The randomized controlled trial was conducted between April and June 2023 in the Central Black Sea Region of Turkiye. The study included 70 children aged 5 to 7 years old (the study group was 35, and the control group was 35). The study and control groups were randomly assigned to strata using simple randomization. While goldfish were used for animal-assisted intervention in the study group, routine care was continued in the control group. The \"Child Fear Scale\" and \"The Scale of Children's Fear of Nursing Interventions and Instruments Used in Hospital\" were used as data collection tools.</p><p><strong>Results: </strong>The mean score of the fear scale in the post-test scores of the study group children was significantly lower than the control group (p < 0.001). After the animal-assisted intervention, the mean fear scores of the children in the care study group toward nursing interventions and the materials used decreased significantly (p < 0.001). Furthermore, when the two groups were compared, the difference between the post-test scores was not significant (p > 0.05).</p><p><strong>Conclusion: </strong>Animal-assisted intervention was determined to be effective in decreasing the fear levels of the children in the study group.</p><p><strong>Practice implications: </strong>During hospitalization in the emergency department, methods appropriate to the child's developmental level and animal-assisted interventions were found to be effective in reducing children's fear levels.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The pediatric self-management model in asthma: A theory analysis and evaluation. 儿科哮喘自我管理模式:理论分析与评估。
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-10-01 DOI: 10.1016/j.pedn.2024.09.018
Aymee Steidl, Jennifer Sonney
{"title":"The pediatric self-management model in asthma: A theory analysis and evaluation.","authors":"Aymee Steidl, Jennifer Sonney","doi":"10.1016/j.pedn.2024.09.018","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.09.018","url":null,"abstract":"<p><strong>Theoretical principles: </strong>The Pediatric Self-management Model (PSMM) is a middle-range theory geared at understanding the relationship between factors influencing chronic illness management in children. PSMM is a family-centered model that focuses on the unique factors present in the pediatric population.</p><p><strong>Phenomena addressed: </strong>Pediatric asthma is a leading chronic respiratory illness in the United States, affecting over 4.6 million children in 2020. Over 40% of children with asthma will have at least one exacerbation per year. On average, a child with asthma will miss nine additional school days annually. Using the Walker and Avant framework for theory analysis, the PSMM is examined through the lens of pediatric asthma to evaluate its applicability to pediatric asthma shared management and adherence.</p><p><strong>Research linkages: </strong>The PSMM has been used as a framework for understanding the roles of managing chronic illness in children, but it has yet to be applied to pediatric asthma. Asthma outcomes inherently depend on preventative medicine and home care strategies for symptom management and response outside the healthcare facility. The PSMM is a new framework for understanding barriers and facilitators within pediatric asthma management and highlights the importance of the dyadic relationship between child and parent to successfully share healthcare responsibility.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and psychometric testing of the Pediatric Atraumatic Care Attitude Scale (PACAS) in pediatric nurses. 儿科护士创伤护理态度量表(PACAS)的开发和心理测试。
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-09-24 DOI: 10.1016/j.pedn.2024.09.015
Adnan Batuhan Coşkun, Erhan Elmaoğlu, Murat Bektaş
{"title":"Development and psychometric testing of the Pediatric Atraumatic Care Attitude Scale (PACAS) in pediatric nurses.","authors":"Adnan Batuhan Coşkun, Erhan Elmaoğlu, Murat Bektaş","doi":"10.1016/j.pedn.2024.09.015","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.09.015","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to develop and validate the Pediatric Atraumatic Care Attitude Scale (PACAS) for pediatric nurses, measuring attitudes toward atraumatic care practices.</p><p><strong>Methods: </strong>This methodological and correlational study included 336 pediatric nurses from various clinics in Turkey, between January and August 2024. Construct validity was evaluated using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Internal consistency was assessed through item-total score correlation, test-retest reliability, and Cronbach's α coefficients.</p><p><strong>Results: </strong>The content validity index (CVI) for PACAS items ranged from 0.84 to 1.00. The Kaiser-Meyer-Olkin (KMO) coefficient was 0.978, and Bartlett's test of sphericity was significant (χ<sup>2</sup> = 14,110.425, P < .001), supporting factor analysis. EFA revealed a two-factor structure with 31 items, explaining 76.7 % of the variance. The factors, \"Knowledge and Awareness\" and \"Practice and Family Involvement,\" had loadings between 0.716 and 0.901 and 0.751-0.962, respectively. CFA confirmed the model fit (χ<sup>2</sup>/df = 2.77, RMSEA = 0.073, NFI = 0.92, NNFI = 0.97, CFI = 0.94, GFI = 0.91). Cronbach's α was 0.985, with subscale coefficients of 0.978 and 0.983. Test-retest reliability showed strong correlations (r = 0.980, r = 0.985, r = 0.957), with no significant differences between test and retest scores (P > .05).</p><p><strong>Conclusions: </strong>PACAS is a reliable and valid tool for assessing pediatric nurses' attitudes toward atraumatic care, with the potential to enhance pediatric nursing practices by improving adherence to atraumatic care principles.</p><p><strong>Implications to practice: </strong>PACAS helps integrate atraumatic care into nursing, enhancing pediatric care quality and outcomes.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of adolescents' cardiovascular health behaviors and health literacy levels in Turkey. 评估土耳其青少年的心血管健康行为和健康知识水平。
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-09-20 DOI: 10.1016/j.pedn.2024.09.014
Aslihan Ozturk Eyimaya, Ayfer Tezel
{"title":"Evaluation of adolescents' cardiovascular health behaviors and health literacy levels in Turkey.","authors":"Aslihan Ozturk Eyimaya, Ayfer Tezel","doi":"10.1016/j.pedn.2024.09.014","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.09.014","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to examine the relationship between cardiovascular health behaviors and health literacy levels of adolescents.</p><p><strong>Design and methods: </strong>Cross-sectional design was used in this study. The sample consisted of 1228 students from two secondary schools in Turkey. The study data were collected in 2020. The data were collected via the Cardiovascular Health Behavior Scale and the The Health Literacy Scale.</p><p><strong>Results: </strong>Cardiovascular Health Behavior Scale for Children mean score was 56.07 ± 10.80. The Health Literacy Scale total mean score of the students was 30.93 ± 5.31. The mean scores of the Cardiovascular Health Behavior Scale for those who were 14 years old, female, studying in the 8th grade, whose parents were primary school graduates, and presence of a person who has had a heart attack in the family were found to be statistically significantly higher. The average health literacy score of students who were female, high income, and who had parents with a baccalaureate or graduate degree was found to be statistically significantly higher. The Cardiovascular Health Behavior Scale and The Health Literacy Scale showed a weak negative correlation.</p><p><strong>Conclusions: </strong>The cardiovascular health behaviors and health literacy of adolescents were found to be moderate. In order to improve adolescents' health literacy and help them develop good cardiovascular health habits from an early age, interventions should be planned and overseen in collaboration.</p><p><strong>Practice implications: </strong>Adolescent health promotion requires that nurses assess adolescents' cardiovascular health behaviors and health literacy levels. To achieve the objectives of enhanced cardiovascular health behaviors and better health literacy, parent cooperation is also required.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Seize the day: A quality improvement approach to support transition of care and decrease 30-day readmissions for pediatric patients with epilepsy 把握今天:支持护理过渡和减少儿科癫痫患者 30 天再入院率的质量改进方法。
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-09-20 DOI: 10.1016/j.pedn.2024.09.010
{"title":"Seize the day: A quality improvement approach to support transition of care and decrease 30-day readmissions for pediatric patients with epilepsy","authors":"","doi":"10.1016/j.pedn.2024.09.010","DOIUrl":"10.1016/j.pedn.2024.09.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Elevated rates of 30-day readmission for children with epilepsy were noted at a stand-alone pediatric acute care facility. To address this issue, a standardized pathway was created and implemented in 2017. The main objective was to ensure that patients with epilepsy and their families were adequately prepared for discharge and the transition to home.</div></div><div><h3>Design and methods</h3><div>Using a quality improvement (QI) approach, a standardized education pathway was developed and implemented to decrease unplanned 30-day readmissions of patients with a diagnosis of epilepsy from a specialized neurology unit. An interprofessional care team received training to ensure standardized communication around the pathway approach and components. All patients with a diagnosis of epilepsy and their families were educated using the pathway and guided through additional simulation and teach-back exercises.</div></div><div><h3>Results</h3><div>Analysis demonstrated a 27.6 % decrease in unplanned 30-day readmissions in the 6 years following implementation. An estimated $950,000 in cost savings was achieved secondary to program implementation.</div></div><div><h3>Conclusions</h3><div>Utilizing the pathway standardizes epilepsy management education and decreases unplanned 30-day readmissions for pediatric patients diagnosed with epilepsy. A standardized educational plan is an essential component of patient discharge teaching and proper home management of epilepsy.</div></div><div><h3>Practice implications</h3><div>For sustainability, education needs to be continuously refreshed and included in onboarding new nurses. To ensure health equity, translation of the pathway into multiple languages is needed.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of the effectiveness of three different distraction methods in reducing pain and anxiety during blood drawing in children: A randomized controlled study 比较三种不同分散注意力的方法对减轻儿童抽血过程中的疼痛和焦虑的效果:随机对照研究。
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-09-19 DOI: 10.1016/j.pedn.2024.09.009
{"title":"Comparison of the effectiveness of three different distraction methods in reducing pain and anxiety during blood drawing in children: A randomized controlled study","authors":"","doi":"10.1016/j.pedn.2024.09.009","DOIUrl":"10.1016/j.pedn.2024.09.009","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare professionals need to use effective pain and anxiety-relieving methods during blood drawing in children.</div></div><div><h3>Aim</h3><div>This study aimed to compare the effects of three different distraction methods (Virtual Reality Glasses, Kaleidoscope, and Distraction Cards) in reducing pain and anxiety during blood drawing in children.</div></div><div><h3>Methods</h3><div>This study was a randomized controlled study. The research was conducted on 400 children between the ages of 7 and 11 years who required blood for routine check-ups upon the doctor's request and who met the sample selection criteria. Children were randomized into four groups: Virtual Reality Glasses, Kaleidoscope, Distraction Cards, and Control Group. Data were collected using the Interview and Observation Form, Wong-Baker FACES Pain Rating Scale, and Children's Fear Scale. Wong-Baker FACES and Children's Fear Scale were assessed and reported by children, parent, and observer.</div></div><div><h3>Findings</h3><div>Pain assessments of the child, parent, and observer after the procedure, and anxiety assessments of the parent, and observer after the procedure in the Virtual Reality Glasses, Kaleidoscope, and Distraction Cards Group were significantly lower than the Control Group (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>All three methods applied to the child during blood drawing were effective in reducing the child's pain and anxiety level. However, it was found that the most effective method to relieve pain and anxiety is virtual reality glasses.</div></div><div><h3>Practice implications</h3><div>These results contribute to the pain and anxiety management of children during blood drawing.</div><div><strong>Clinical Trial Registration Number:</strong> NCT06192498.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of the Paternal Involvement in Early Infancy Scale (PEACE) for fathers in Singapore 为新加坡的父亲编制《父亲参与婴儿早期教育量表》(PEACE)
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-09-18 DOI: 10.1016/j.pedn.2024.09.013
{"title":"Development of the Paternal Involvement in Early Infancy Scale (PEACE) for fathers in Singapore","authors":"","doi":"10.1016/j.pedn.2024.09.013","DOIUrl":"10.1016/j.pedn.2024.09.013","url":null,"abstract":"<div><h3>Objectives</h3><p>To develop and validate a psychometrically sound self-reported Paternal involvement in Early InfAnCy ScalE (PEACE) for Asian fathers with infants aged 0–12 months old.</p></div><div><h3>Methods</h3><p>This study comprised of three phases: (1) Pilot test among 100 fathers, (2) Exploring and confirming the PEACE's multidimensional structure using exploratory factor analysis (EFA) (<em>n</em> = 200 fathers) and confirmatory factor analysis (CFA) (n = 200 fathers), and (3) Assessing one-month test-retest reliability of PEACE among 30 fathers. Data was collected from August 2022 to August 2023. The EFA was conducted using principal axis factoring and varimax rotation. The CFA confirmed the factor structure via goodness-of-fit statistics. To assess the PEACE's concurrent validity, paternal involvement was measured using a previously validated paternal involvement scale. Convergent validity was established by examining correlations between PEACE and theoretically related measures of parenting self-efficacy, parent-child bonding, parenting satisfaction, and depression. Test-retest reliability was examined using the intra-class correlation coefficient.</p></div><div><h3>Results</h3><p>The EFA and CFA results supported the five-factor 25-item PEACE. The five subscales were: i) Providing Tangible Support, ii) Meeting Basic Needs, iii) Bonding with Baby, iv) Decision-Making for Baby, and v) Sense of Responsibility and Accomplishment. All subscales reported good internal consistency and weak to moderate one-month test-retest reliability. Correlation coefficients between the PEACE and other scales supported the concurrent and convergent validity of the PEACE.</p></div><div><h3>Conclusion</h3><p>This study provided sufficient evidence to establish the initial reliability and validity of the five-factor 25-item PEACE.</p></div><div><h3>Implications to practice</h3><p>The PEACE could be used to quantitatively assess paternal involvement in infant care.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of virtual reality and stress ball distraction on procedure-related emotional appearance, pain, fear, and anxiety during phlebotomy in children: A randomized controlled study 虚拟现实和压力球分散对儿童抽血过程中与手术相关的情绪表现、疼痛、恐惧和焦虑的影响:随机对照研究
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-09-17 DOI: 10.1016/j.pedn.2024.08.029
{"title":"The effects of virtual reality and stress ball distraction on procedure-related emotional appearance, pain, fear, and anxiety during phlebotomy in children: A randomized controlled study","authors":"","doi":"10.1016/j.pedn.2024.08.029","DOIUrl":"10.1016/j.pedn.2024.08.029","url":null,"abstract":"<div><h3>Background</h3><p>Virtual reality (VR) and stress balls can be used during phlebotomy in school-age children.</p></div><div><h3>Objectives</h3><p>This randomized controlled study was conducted to evaluate the effect of distraction methods using VR and stress balls on the emotional behavior, pain, fear, and anxiety associated with phlebotomy in children aged 7–12.</p></div><div><h3>Methods</h3><p>A parallel trial with a three-arm design approach was adopted for this randomized controlled trial, guided by the CONSORT checklist. The study sample (<em>n</em> = 150) was divided into VR, stress ball, and control group using stratified randomization. The mean scores obtained from the Children's Emotional Manifestation Scale, Wong-Baker FACES Pain Rating Scale, Child Anxiety Scale-State, and Child Fear Scale were compared between the groups. Linear regression analysis and correlation analysis were performed.</p></div><div><h3>Results</h3><p>Significant differences were found in phlebotomy-related pain, fear, and anxiety. While there was no difference in emotional behavior before the phlebotomy, a significant difference was found after the phlebotomy. Being in the virtual reality group explained 30.8 % of the difference between the before and after phlebotomy-related-emotional behavior scores. A strong, positive, and significant relationship was found between emotional behavior scores after phlebotomy and phlebotomy-related fear, pain, and anxiety scores (<em>p</em> &lt; .01).</p></div><div><h3>Conclusion</h3><p>Virtual reality and stress ball distraction were found to be effective in reducing pain, fear, and anxiety during phlebotomy. Virtual reality distraction is effective in reducing negative emotional behaviors.</p></div><div><h3>Application to practice</h3><p>The VR distraction can be used in the pediatric population in pain, fear, anxiety, and emotional behavior management during phlebotomy.</p><p><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Identifier: <span><span>NCT05818761</span><svg><path></path></svg></span></p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A qualitative exploration of nurses' views on technology-based interventions in pediatric oncology care 护士对儿科肿瘤护理中基于技术的干预措施的定性研究
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-09-17 DOI: 10.1016/j.pedn.2024.09.011
{"title":"A qualitative exploration of nurses' views on technology-based interventions in pediatric oncology care","authors":"","doi":"10.1016/j.pedn.2024.09.011","DOIUrl":"10.1016/j.pedn.2024.09.011","url":null,"abstract":"<div><h3>Objectives</h3><p>Recent technological advancements offer tools for pediatric oncology care, but their integration into clnical practice is still under research. This study aimed to explore pediatric oncology nurses' perspectives on integrating technology-based interventions into care.</p></div><div><h3>Methods</h3><p>A descriptive phenomenological qualitative study was conducted with 13 pediatric oncology nurses. The focus groups were led by the research members, and each group included four to five participants. Nurses were asked to discuss their perceptions of the technology-based intervention, the type of technology used in the clinic, and the advantages and disadvantages of the technology. The focus groups were audio-recorded and professionally transcribed. The transcripts were analyzed thematically by two study team members using MAXQDA. The Consolidated Criteria for Reporting Qualitative Research were followed.</p></div><div><h3>Results</h3><p>The mean age of nurses was 38.46 ± 5.23 years and 92.3 % had more than 10 years of professional experience. As a result of the focus group interviews, three main themes and seven sub-themes were identified. These main themes included: (i) Need for competence and training for technology-based interventions, (ii) Effectiveness of technology-based interventions in pediatric patient care, and (iii) Challenges in integrating technology-based interventions into care.</p></div><div><h3>Conclusion</h3><p>The study found that from the perspective of pediatric oncology nurses, technology-based interventions have multifaceted benefits and are effective in improving patient outcomes and care; however, nurses' limited ability to use technology-based interventions restricts them from integrating their care.</p></div><div><h3>Implications to practice</h3><p>It is recommended that nurses should be trained on technology-based interventions and the safe use of these interventions.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Golden Breath: Feasibility and acceptability of a biofeedback-based virtual reality game on reducing children's needle-related pain and fear 金色呼吸基于生物反馈的虚拟现实游戏在减轻儿童针刺相关疼痛和恐惧方面的可行性和可接受性
IF 2.1 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-09-14 DOI: 10.1016/j.pedn.2024.09.008
{"title":"Golden Breath: Feasibility and acceptability of a biofeedback-based virtual reality game on reducing children's needle-related pain and fear","authors":"","doi":"10.1016/j.pedn.2024.09.008","DOIUrl":"10.1016/j.pedn.2024.09.008","url":null,"abstract":"<div><h3>Background</h3><p>Needle procedures can cause pain and fear in children. Current literature reports that biofeedback-based virtual reality applications may help alleviate children's pain and fear. This study aims to evaluate the feasibility, acceptability, and safety of the newly developed game Golden Breath, which uses biofeedback-based virtual reality to reduce children's needle-related pain and fear.</p></div><div><h3>Methods</h3><p>The development of Golden Breath includes; (1) development of the application's features based on needs assessment, (2) gamification of the application content based on literature, (3) development of the prototype, (4) expert evaluation and feedback on the application content, (5) usability testing by 11 children (4–12 years).</p></div><div><h3>Results</h3><p>Regarding acceptability, the expert evaluation showed a high usability of the system. All children provided positive feedback and reported high satisfaction with Golden Breath. The game was feasible and effective for reducing children's pain and fear levels during needle procedures. Golden Breath was deemed safe for children because it did not cause symptoms such as dizziness, vomiting, or nausea.</p></div><div><h3>Conclusion</h3><p>The expert evaluation, children's feedback, and pilot study results showed that the Golden Breath game is feasible, acceptable, and safe for children during the needle-related procedure. The pilot study revealed that the Golden Breath game effectively reduced pain and fear during blood sampling in children.</p></div><div><h3>Practice to implications</h3><p>It is recommended that healthcare professionals use Golden Breath to optimize the well-being of children receiving treatment for chronic and acute diseases.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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