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

{"title":"Effect of empowering mothers of children with nocturnal enuresis on knowledge, practices and quality of life.","authors":"Manal Mohamed Elsawy, Eman A Shokr, Mona Sayed Atress, Mohammad Faisal Al Ali, Loai M Zabin, Khadraa Mohamed Mousa","doi":"10.1016/j.pedn.2026.10.035","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.035","url":null,"abstract":"<p><strong>Background: </strong>Nocturnal enuresis adversely affects school-aged children and family quality of life.</p><p><strong>Aim: </strong>To evaluate the effect of the empowerment program on mothers' knowledge, self-reported practices, and quality of life.</p><p><strong>Design: </strong>Two-arm randomized controlled trial with assessments at baseline, four weeks, and three months post-intervention.</p><p><strong>Methods: </strong>At the outpatient urinary incontinence clinic of the Center for Social and Preventive Medicine, Cairo University, Egypt, 200 purposively recruited mothers were randomly assigned 1:1 using a computer-generated sequence with allocation concealed in numbered, sealed envelopes. Outcomes were assessed using two researcher-developed, content-validated instruments and a modified Arabic Pediatric Enuresis Module on Quality of Life, Short Form. Linear mixed models compared groups over time.</p><p><strong>Results: </strong>Groups were comparable at baseline. Group × time interactions favored the intervention for knowledge (F(2, 396) = 124.5), practices (F(2, 396) = 68.9), and quality of life (F(2, 396) = 92.3); all p < 0.001. At three months, improvements in intervention versus control groups were 8.23 versus 1.30 points for knowledge, 3.84 versus 0.72 for practices, and 19.9 versus 3.5 for quality of life. Between-group effect sizes were large (Cohen's d = 2.12, 1.17, and 1.78, respectively).</p><p><strong>Conclusion: </strong>The program improved mothers' knowledge, self-reported practices, and quality of life, with effects maintained at three months. These mother-reported outcomes do not demonstrate improvement in children's enuresis.</p><p><strong>Recommendations: </strong>The program may be considered an adjunct to standard care in outpatient settings. Multicenter trials with longer follow-up and objective child outcomes are needed before routine implementation.</p><p><strong>Trial registration: </strong>ClinicalTrials.govNCT07753304 (retrospectively registered).</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"92 ","pages":"96-104"},"PeriodicalIF":2.6,"publicationDate":"2026-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301379","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}

{"title":"The mediating role of perceived social support in the relationship between perceived stress and sleep disorders in mothers of children with food allergies.","authors":"Mehmet Emin Düken, Dilara Keklik, Zeynep Tütüncü, Ramazan Tütüncü, Hamit Boloğur","doi":"10.1016/j.pedn.2026.10.014","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.014","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to examine the mediating role of perceived social support in the relationship between perceived stress and sleep disturbances in mothers of children with food allergies.</p><p><strong>Method: </strong>This study was conducted as a descriptive-cross-sectional study. \"DASS-21 Scale,\" \"Basic Scale of Insomnia Complaints and Sleep Quality,\" and \"Multidimensional Scale of Perceived Social Support\" were used to collect the research data. The study included 89 mothers. A Structural Equation Model (SEM) was established, and the mediating model was analyzed by using the PROCESS macro (Model 3).</p><p><strong>Results: </strong>The results demonstrated that maternal perceived stress significantly and negatively predicted perceived social support scores (β = -0.258, p = 0.012), while it positively predicted insomnia complaints and significantly worsened sleep quality (β = 0.813, p < 0.001). It was found that mothers' perceived levels of social support negatively predicted insomnia and sleep quality (β₁ = -0.205; p < 0.001). According to the results of the model, mothers' perceived social support scores explained 36.6% of the variance in their stress scores (R² = 0.366).</p><p><strong>Conclusion: </strong>It was found that social support plays a mediating role in the relationship between the stress perceived by mothers and insomnia and sleep quality.</p><p><strong>Practice implications: </strong>During routine clinical check-ups for children diagnosed with food allergies, not only the child's physical health but also the mother's psychological state should be assessed. Considering that perceived stress in mothers directly and strongly affects sleep quality, pediatric nurses and physicians should be encouraged to use brief stress and sleep screening tools.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"92 ","pages":"87-95"},"PeriodicalIF":2.6,"publicationDate":"2026-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301471","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}

{"title":"Exploring playful nursing care in pediatric wards: A qualitative study using participant observation and interview.","authors":"Ai Tokumura, Miyuki Muramoto, Mayumi Morisaki-Nakamura, Minae Fukui, Iori Sato, Noyuri Yamaji, Mari Ikeda","doi":"10.1016/j.pedn.2026.10.015","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.015","url":null,"abstract":"<p><strong>Background: </strong>Previous research has mainly focused on procedure-based play, and nurses' daily practices of playfulness remain underexplored. We aimed to explore the daily practices and underlying meanings of playful nursing care in pediatric wards to construct a conceptual model.</p><p><strong>Methods: </strong>Participant observations and semi-structured interviews were conducted with pediatric nurses at the pediatric medical center of a university hospital from July 2024 to August 2025. Observations covered all interactions with hospitalized children aged 0-12 years, while interviews captured the nurses' attitudes, perceptions, and emotions during the observed scenes. The data were analyzed using Braun and Clarke's Reflective Thematic Analysis.</p><p><strong>Results: </strong>Four themes and 13 subthemes were identified: 1. Immersing in the child's world with the belief that hospital experiences can be transformed into strength; 2. Ensuring the child's daily playful life to foster their development; 3. Capturing the child's heart to support adaptation to the unfamiliar and challenging hospital life; 4. Building a supportive circle to encourage the child, with everyone working together. Theme 1 formed the core, Themes 2 and 3 demonstrated specific practices, and Theme 4 involved comprehensive support from multidisciplinary teams, families, and peers.</p><p><strong>Conclusion: </strong>Playful nursing care is an everyday ethical practice sustained by nurses' commitment to entering the child's world, ensuring daily playful life and supporting adaptation to hospital life. Supported by multidisciplinary, family, and peer collaboration, this practice holds the potential to transform hospitalization into a positive opportunity for children's holistic development.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301579","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}

{"title":"Therapeutic play in pediatric nursing: a bibliometric map of a persistent core and diversifying research fronts.","authors":"Imas Mulyani, Harwina Widya Astuti, Sri Hunun Widiastuti, Sahrudi Sahrudi","doi":"10.1016/j.pedn.2026.10.041","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.041","url":null,"abstract":"<p><strong>Purpose: </strong>To map research performance, collaboration structure, intellectual foundations, conceptual themes, research fronts, and recent thematic signals of therapeutic play research in pediatric nursing using Scopus data.</p><p><strong>Design and methods: </strong>A descriptive bibliometric analysis used a final Scopus search on 27 August 2026. After eligibility screening and removal of one duplicate/versioned record, 145 unique articles and reviews published from 1974 to 2026 were analyzed. Performance indicators and VOSviewer 1.6.21 were used to examine collaboration, cited-reference co-citation, keyword co-occurrence, and document bibliographic coupling. A post-hoc descriptive analysis compared keyword prevalence across three periods.</p><p><strong>Results: </strong>The corpus comprised 145 publications, including 71 (49.0%) published during 2020-2026; the 2026 count was partial. Institutional and country collaboration showed limited connectivity. Intellectual and conceptual structures remained centered on therapeutic play, pediatric nursing, perioperative preparation, coping, and psychosocial adaptation. Bibliographic coupling identified eight research fronts spanning procedural, family-related, educational, self-management, professional, implementation, and nursing-application domains. Therapeutic play remained a persistent core. Fear and pain showed the clearest recent thematic intensification, whereas anxiety was already established.</p><p><strong>Conclusion: </strong>Therapeutic-play research in pediatric nursing shows continuity alongside diversification around a persistent core.</p><p><strong>Practice implications: </strong>This map can help pediatric nurses and researchers identify established and developing research areas, prioritize cross-setting and implementation research, and distinguish bibliographic prominence from evidence of clinical effectiveness.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"92 ","pages":"71-79"},"PeriodicalIF":2.6,"publicationDate":"2026-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301479","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}

{"title":"Effects of swaddling and holding on comfort and physiological parameters during body weight measurement in healthy term neonates.","authors":"Guzide Ugucu, Ozlem Guzel Polat, Derya Akdeniz Uysal, Uğur Gül, Ozlem Tuzun, Melike Adak","doi":"10.1016/j.pedn.2026.10.030","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.030","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to compare the effects of swaddling, holding, and combined swaddling and holding, and routine care during body weight measurement in healthy term neonates on comfort levels, heart rate (HR), and peripheral oxygen saturation (SpO₂).</p><p><strong>Methods: </strong>This single-center, parallel-arm RCT was conducted in the neonatal follow-up clinic of a tertiary referral university hospital in Türkiye from February 13 to March 3, 2026. Ninety-six healthy neonates meeting the inclusion criteria were randomly assigned to four intervention groups using block randomization: Routine Care (n = 24), Swaddling (n = 24), Holding (n = 24), Swaddling + Holding (n = 24). Data were collected using the Information and Observation Form and the COMFORTneo Scale. Comfort and physiological variables were assessed 2 min before, during, and 1 and 2 min after the procedure.</p><p><strong>Results: </strong>Comfort scores were lowest in the Swaddling group (F(9,276) = 77.80, p < 0.001, η_p² = 0.72). Routine Care had the highest mean HR, while Swaddling and Swaddling + Holding had lower HR values (F(9,276) = 33.66, p < 0.001; η_p² = 0.52). The Swaddling group had the highest mean SpO₂ (F(9,276) = 17.11, p < 0.001; η_p² = 0.36).</p><p><strong>Conclusion: </strong>Within this single-center sample of healthy term neonates, swaddling was associated with higher comfort and smaller changes in HR and SpO₂ during body weight measurement than routine care or parental holding.</p><p><strong>Practice implication: </strong>Nurses may consider implementing a standardized swaddling protocol during routine weighing of healthy term neonates while ensuring airway visibility, thermal stability, and accurate adjustment for the weight of the wrapping material.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"92 ","pages":"63-70"},"PeriodicalIF":2.6,"publicationDate":"2026-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301390","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}

{"title":"The effects of wrist and elbow restrictions on vascular complications and agitation in mechanically ventilated children: a randomized crossover trial.","authors":"Reyhaneh Shokati Shishavan, Mahnaz Jabraeili, Azizeh Farshbaf Khalili, Mahni Rahkar Farshi","doi":"10.1016/j.pedn.2026.10.011","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.011","url":null,"abstract":"<p><strong>Background: </strong>Physical restraints are required in pediatric intensive care units, with wrist restraints commonly used for mechanically ventilated children. However, they may contribute to pressure-related complications and agitation. This study compared the effects of wrist and elbow restraints on vascular complications and agitation in mechanically ventilated children.</p><p><strong>Methods: </strong>A randomized crossover clinical trial was conducted between August 2022 and May 2023 in a PICU. Mechanically ventilated children aged 6 months to 7 years were randomly assigned to two groups. Group A received elbow followed by wrist restraint, whereas Group B received the reverse sequence. Palm temperature, radial pulse rate, hand edema, erythema, and agitation were assessed before, during, and after each intervention. Data were analyzed using SPSS; p<0.05 was considered statistically significant.</p><p><strong>Results: </strong>Forty-eight children were included. Elbow restraint resulted in a greater reduction in hand edema than wrist restraint (p=0.008). During the first intervention period, palm temperature was higher and hand edema and erythema were lower with elbow restraint (p<0.05). Overall, no significant differences were observed between restraint types in palm temperature, erythema, radial pulse rate, or RASS scores (p>0.05).</p><p><strong>Conclusion: </strong>Elbow restraint may be a suitable alternative to wrist restraint for short-term use in mechanically ventilated children. Further research is needed to establish the safest restraint practices for prolonged use.</p><p><strong>Implications for practice: </strong>Elbow restraint may be considered when upper-limb restraint is required without restricting trunk movement. Alternating restraint sites may help limit local tissue effects but requires further evaluation.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301552","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}

{"title":"An interpretive perspective on the childhood experiences of individuals born preterm: A meta-ethnographic synthesis.","authors":"Mehmet Emin Çay, Osman Tayyar Çelik, Mehmet Sağlam, Davut Acar, Yasin Tok","doi":"10.1016/j.pedn.2026.10.038","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.038","url":null,"abstract":"<p><strong>Background: </strong>This study aims to understand the childhood experiences of individuals born preterm by examining qualitative studies within an interpretive and comparative framework.</p><p><strong>Method: </strong>To develop a synthesis that interpretively integrates the subjective experiences of individuals born prematurely, search were conducted in the MEDLINE, Web of Science, Scopus, CINAHL, PsychINFO, and EMBASE databases, yielding 2433 studies. Following screening based on the inclusion and exclusion criteria, six studies were included in the meta-ethnography.</p><p><strong>Results: </strong>The analyses identified six themes reflecting the experiences of individuals born preterm from childhood through adulthood. These themes were: (1) family dynamics and interactions, (2) growing up with a fragile body, (3) falling behind in school and academic burden, (4) social exclusion, bullying, and the experience of being different, (5) a crisis of self-esteem and emotional burden, and (6) resilience and protective experiences.</p><p><strong>Discussion: </strong>These themes demonstrate that prematurity is experienced not merely as a medical event or an overcome challange, but as a multifaceted experience involving difficulties, identity formation, and resilience processes that become visible in specific domains and across different stages of life. Our findings indicate that individuals born preterm may experience academic, social, psychological, and health-related challenges, and that prematurity may shape their development. In this context, comprehensive and lifelong supportive approaches beginning at birth are recommended.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"92 ","pages":"35-46"},"PeriodicalIF":2.6,"publicationDate":"2026-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301355","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}

{"title":"The relationship between caregiver burden and psychological resilience among parents of children with transfusion-dependent thalassemia: A cross-sectional study.","authors":"Betül Kaplan, Selver Güler, İhsan Güzel","doi":"10.1016/j.pedn.2026.10.034","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.034","url":null,"abstract":"<p><strong>Background: </strong>Thalassemia requires lifelong transfusion and chelation therapy, imposing substantial caregiving demands on parents. Evidence linking caregiver burden, psychological resilience, and information source remains limited.</p><p><strong>Purpose: </strong>To examine the association between caregiver burden and psychological resilience in parents of children with transfusion-dependent thalassemia, and the role of clinical and information-source variables.</p><p><strong>Design and methods: </strong>A cross-sectional study (N=100) was conducted in a pediatric hematology unit in Türkiye. Parents completed the Zarit Burden Interview (ZBI) and Brief Resilience Scale (BRS). Analyses included t-tests, Mann-Whitney U tests, correlations, and hierarchical regression (n=95); effect sizes are reported with 95% confidence intervals (CIs). Reporting followed the EQUATOR-endorsed STROBE guideline.</p><p><strong>Results: </strong>Mean ZBI was 36.57±10.86 and mean BRS 15.16±3.99. Burden and psychological resilience were inversely associated (r=-0.236, CI [-0.413, -0.041], p=0.018). The largest group difference was daily-life restriction (d=0.90, CI [0.49, 1.32], p<0.001). Among 10 parents informed mainly by a nurse, resilience was higher (d=0.70, p=0.040) and burden lower (r=0.21, p=0.043); both estimates were imprecise. Covariates explained 31.7% of burden variance; adding resilience gave a small increment (ΔR²=0.034; B=-0.562, CI [-1.086, -0.038], p=0.036).</p><p><strong>Conclusions: </strong>Psychological resilience was independently associated with caregiver burden, though the incremental variance was small. The nurse-information finding is exploratory, requiring replication.</p><p><strong>Practice implications: </strong>Findings support evaluation of caregiver burden and resilience screening, and randomized trials of nurse-led family-centered education.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"92 ","pages":"53-62"},"PeriodicalIF":2.6,"publicationDate":"2026-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301458","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}

{"title":"Investigation of sleep patterns in pediatric liver transplant patients.","authors":"Erdem Sönmez, Şüheyda Kaplan, Yeliz Suna Dağ, Emriye Hilal Yayan","doi":"10.1016/j.pedn.2026.10.033","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.033","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to evaluate the sleep patterns of pediatric patients who had undergone liver transplants.</p><p><strong>Design and methods: </strong>This descriptive study involving 60 children was conducted between April and August 2025 at the Liver Transplantation Clinic of İnönü University. The research data were collected using demographic and clinical information forms and actigraph devices.</p><p><strong>Results: </strong>Half of the children were girls, 38.3% were aged 7-12years, and 43.3% had undergone organ transplantation within the first 6months after transplantation. A sleep assessment revealed that the children slept for an average of 6.25±2.25h per day, achieved a sleep efficiency of 74.6±13.2%, experienced an average of 62.5±39.2min of wakefulness during sleep, and awoke an average of 40.4±19.6 times per night. Furthermore, a negative correlation was found between children's age and both the duration of awakenings (r=-0.322, p=0.012) and the number of awakenings (r=-0.279, p=0.031) during sleep. It was also found that children who complained of itching had significantly shorter sleep durations (U=99.000, Z=-2.370, p=0.018).</p><p><strong>Conclusion: </strong>This study shows that children who have undergone liver transplantation generally sleep for shorter periods and that this is more pronounced in those who experience itching.</p><p><strong>Practice implications: </strong>Nurses should routinely assess sleep in pediatric liver transplant recipients and implement personalized sleep hygiene interventions. Particular attention should be given to managing pruritus to improve sleep and recovery outcomes.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"92 ","pages":"47-52"},"PeriodicalIF":2.6,"publicationDate":"2026-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301372","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}

{"title":"Validation of the Arabic Smartphone Addiction Inventory (SPAI-A) among Jordanian adolescents: a psychometric study.","authors":"Fatimah S Tarawneh, Maha Atout, Alaa Abuattallah, Firas Mahasneh, Latefa Ali Dardas","doi":"10.1016/j.pedn.2026.10.039","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.10.039","url":null,"abstract":"<p><strong>Background: </strong>Smartphone addiction is a behavioral health issue prevalent worldwide, especially among adolescents. Although the Smartphone Addiction Inventory (SPAI) is commonly used, its psychometric characteristics have not been determined among Arab adolescents. This study examined the psychometric characteristics of the SPAI among Jordanian adolescents, particularly its internal consistency, construct validity, and factor structure.</p><p><strong>Methods: </strong>A cross-sectional survey involved 960 high school students aged 13-17years. Respondents were randomly assigned to two subsamples. Latent structure was tested using exploratory factor analysis (EFA, n=480) and model fit using confirmatory factor analysis (CFA, n=480). Internal consistency was evaluated using Cronbach's alpha and McDonald's omega. Convergent and discriminant validity were tested through average variance extracted (AVE), composite reliability (CR), and heterotrait-monotrait ratios (HTMT).</p><p><strong>Results: </strong>EFA supported a four-factor structure comprising tolerance, withdrawal, compulsive behavior, and functional impairment. CFA indicated acceptable model fit, χ²(146)=288.73, CFI=0.943, TLI=0.933, RMSEA=0.045, and SRMR=0.041. AVE values were below the conventional threshold of 0.50 across all four domains, while HTMT ratios showed good discriminant validity.</p><p><strong>Conclusion: </strong>The findings support the multidimensional structure of the SPAI-A and provide evidence of its psychometric properties among Jordanian adolescents. The SPAI-A may be useful for assessing problematic smartphone use; however, further research is needed to establish its clinical screening performance and applicability in pediatric nursing practice.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"92 ","pages":"28-34"},"PeriodicalIF":2.6,"publicationDate":"2026-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149301396","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}