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

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Mothers' awareness of autism and psychosocial status of their children 母亲对自闭症的认知与孩子的社会心理状况
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-10 DOI: 10.1016/j.pedn.2025.09.028
Elvan Emine Ata , Nadire Ercan Toptaner , Elif Dönmez , Eda Aktaş , Merve Saritaş
{"title":"Mothers' awareness of autism and psychosocial status of their children","authors":"Elvan Emine Ata ,&nbsp;Nadire Ercan Toptaner ,&nbsp;Elif Dönmez ,&nbsp;Eda Aktaş ,&nbsp;Merve Saritaş","doi":"10.1016/j.pedn.2025.09.028","DOIUrl":"10.1016/j.pedn.2025.09.028","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to examine the autism awareness of mothers with children aged 3–6 years and the psychosocial status of their children.</div></div><div><h3>Design and methods</h3><div>The descriptive cross-sectional study was conducted with 532 mothers who presented between May and July 2022 to family health centers in Turkey. Data were collected using a personal information form, the Autism Awareness of Mothers Scale, and the Psychosocial Status Scale for Children Aged 3–6 Years-Parent Form.</div></div><div><h3>Results</h3><div>The mothers in the study had a mean age of 32 years, the most and least used sources of information about autism were the internet and scientific resources. On the Autism Awareness of Mothers Scale, the mothers' mean scores were 66.60 total, 44.02 on the behavioral patterns' subscale, and 22.58 on the communication and interaction with the environment subscale. The mean Psychosocial Status Scale for Children Aged 3–6 Years–Parent Form score was 26.23. Mean Autism Awareness of Mothers Scale total scores were significantly higher among mothers who were university graduates, were employed, had higher economic status, had someone with autism in their immediate social circles, and used other information sources besides television (<em>p</em> &lt; 0.05). The study found no relationship between mothers' autism awareness and their children's psychosocial status (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>In this study, we determined that most mothers used the internet, television, and social media as sources of information about autism, while fewer received information from healthcare professionals and scientific resources.</div></div><div><h3>Practice implications</h3><div>We recommend training programs to raise parental awareness, especially among mothers with lower education and socioeconomic status. Primary healthcare professionals and public service announcements can help spread awareness effectively.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 656-662"},"PeriodicalIF":2.3,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265839","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
Prevalence and factors associated with prolonged length of stay at pediatric emergency department, Southwest Ethiopia: A cross-sectional study 埃塞俄比亚西南部儿科急诊科住院时间延长的患病率和相关因素:一项横断面研究
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-09 DOI: 10.1016/j.pedn.2025.10.001
Fidu Tasisa Olana , Misganu Diriba , Lencho Kajela Solbana , Abdisa Eba Tucho , Ebissa Bayana Kebede
{"title":"Prevalence and factors associated with prolonged length of stay at pediatric emergency department, Southwest Ethiopia: A cross-sectional study","authors":"Fidu Tasisa Olana ,&nbsp;Misganu Diriba ,&nbsp;Lencho Kajela Solbana ,&nbsp;Abdisa Eba Tucho ,&nbsp;Ebissa Bayana Kebede","doi":"10.1016/j.pedn.2025.10.001","DOIUrl":"10.1016/j.pedn.2025.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Prolonged stay in the pediatric emergency department negatively affects patient outcomes and increases the risk of nosocomial infections, morbidity, and mortality. There is limited information on the length of stay in pediatric emergency departments in Ethiopia. Therefore, this study aimed to assess the prevalence and factors associated with length of stay among pediatric patients who visited the emergency department of Jimma Medical Center (JMC).</div></div><div><h3>Methods</h3><div>An institution-based cross-sectional study with 464 participants selected through systematic random sampling. Data were entered into Epidata version 4.6 and exported to SPSS version 26.0 for analysis. Bivariate and multivariate logistic regression were used to identify factors associated with length of stay at a significance level with a 95 % confidence interval.</div></div><div><h3>Results</h3><div>The extent of prolonged stay was 61.90 % (95 % CI, 57.5–66.4). Patients triaged as red (AOR, 2.67; 95 % CI, 1.37–5.22) and yellow (AOR, 3.91; 95 % CI, 2.25–6.77), those arriving at night (AOR, 2.32; 95 % CI, 1.08–5.01), not having health insurance (AOR, 1.92; 95 % CI, 1.18–3.13), those who did not receive all prescribed drugs from the hospital pharmacy (AOR, 4.17; 95 % CI, 2.49–6.95), and patients with preexisting comorbidities (AOR, 2.05; 95 % CI, 1.12–3.78) showed significant associations with prolonged stay in the pediatric emergency department.</div></div><div><h3>Conclusion</h3><div>Most of the patients had prolonged lengths of stay in the pediatric emergency department of the JMC. It was significantly associated with the classification as red or yellow, without health insurance, arriving at night, having preexisting comorbidities, requesting imaging tests, and not getting all prescribed drugs from the hospital pharmacy.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 663-670"},"PeriodicalIF":2.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265221","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
Beliefs about complementary and alternative medicine and asthma medication among Hispanic/Latinx and Black adolescents in New York City 纽约市西班牙裔/拉丁裔和黑人青少年对补充和替代医学和哮喘药物的看法。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-08 DOI: 10.1016/j.pedn.2025.09.029
Celine R. Esguerra, Aisha Naseem, Maya R. Castiblanco, Yihong Zhao PhD, Maureen George PhD, RN, AE-C, FAAN, Jean-Marie Bruzzese PhD
{"title":"Beliefs about complementary and alternative medicine and asthma medication among Hispanic/Latinx and Black adolescents in New York City","authors":"Celine R. Esguerra,&nbsp;Aisha Naseem,&nbsp;Maya R. Castiblanco,&nbsp;Yihong Zhao PhD,&nbsp;Maureen George PhD, RN, AE-C, FAAN,&nbsp;Jean-Marie Bruzzese PhD","doi":"10.1016/j.pedn.2025.09.029","DOIUrl":"10.1016/j.pedn.2025.09.029","url":null,"abstract":"<div><h3>Background</h3><div>Complementary and alternative medicine (CAM) beliefs and negative beliefs regarding inhaled corticosteroids (ICS) are each associated with poor asthma control. CAM use and ICS beliefs are well studied among minority adults; little is known about minority adolescents' CAM and ICS beliefs. We describe CAM and ICS beliefs among urban Hispanic/Latinx and Black adolescents with uncontrolled asthma and explore differences by race and ethnicity.</div></div><div><h3>Methods</h3><div>This cross-sectional study is a secondary analysis of baseline data from a trial testing an asthma intervention in adolescents with uncontrolled asthma in New York City (<em>n</em> = 212). Adolescents completed the Conventional and Alternative Management for Asthma (CAM-A) questionnaire. Regression analyses explored relationships between CAM and ICS beliefs and race and ethnicity.</div></div><div><h3>Results</h3><div>Most adolescents endorsed at least one CAM belief (mean = 4.41 of 9 items, SD = 1.83). Among adolescents who reported taking an ICS, most (67.3 %) endorsed two or fewer negative ICS beliefs (mean = 1.93 of 6 items, SD = 1.47). Compared to adolescents who identified as both Hispanic/Latinx and Black, those who identified solely as Hispanic/Latinx had higher odds of believing Vicks VapoRub™ is beneficial (OR = 3.44, 95 % CI = 1.55, 7.64), while those who identified solely as Black had higher odds of expressing negative beliefs about ICS (OR = 1.90, 95 % CI = 1.08, 3.34).</div></div><div><h3>Conclusion</h3><div>Hispanic/Latinx and Black adolescents believe that CAM can help their asthma. They also hold similar negative beliefs regarding ICS.</div><div><em>Implications for Practice:</em> Findings underscore the importance of nurses addressing CAM and ICS beliefs with adolescents during asthma-related healthcare visits and supporting culturally responsive, evidence-based asthma education and management strategies.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 646-651"},"PeriodicalIF":2.3,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259391","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
Construct of self-efficacy in mothers of highly complex chronic children: A qualitative study 高度复杂慢性儿童母亲自我效能感的建构:一项质性研究。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-08 DOI: 10.1016/j.pedn.2025.09.026
Paula Vega-Vega , Claudia Miranda-Castillo , Maria Teresa Urrutia-Soto
{"title":"Construct of self-efficacy in mothers of highly complex chronic children: A qualitative study","authors":"Paula Vega-Vega ,&nbsp;Claudia Miranda-Castillo ,&nbsp;Maria Teresa Urrutia-Soto","doi":"10.1016/j.pedn.2025.09.026","DOIUrl":"10.1016/j.pedn.2025.09.026","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Currently, a great number of parents of children with complex chronic diseases care for them at home, facing important challenges. This study aims to describe the process of building self-efficacy in mothers who provide direct care to children with complex, chronic illnesses.</div></div><div><h3>Method</h3><div>A descriptive qualitative study was conducted using Krippendorff's content analysis. The purposive sample of 32 mothers was contacted through their children's health care teams. The inclusion criteria were to be a mother over 18 years of age, caring at home for a child under 10 years of age with a complex chronic illness, and living in the Metropolitan Region of Chile. Data collection was undertaken through semi-structured audio-recorded interviews, after consent was given. The transcribed interviews were analyzed separately by each researcher to triangulate the findings and identify categories, ultimately achieving data saturation.</div></div><div><h3>Results</h3><div>Mothers build their self-efficacy based on Intrinsic factors: 1) Personal strength, 2) Confidence in their abilities, 3) Motivation to care, and 4) Satisfaction with providing good care, and Extrinsic factors: 1) Support from others, 2) Accompaniment from professional teams, 3) Connection with the spiritual, and 4) Link with their children.</div></div><div><h3>Conclusions</h3><div>Mothers develop their self-efficacy over time, enabling them to provide quality, timely, and safe care, as well as to face complex situations. In terms of implications for practice, health teams, particularly nurses, should educate and support them in home care, prioritizing their well-being. The primary nursing model would be a relevant strategy to implement and favor accompaniment.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 639-645"},"PeriodicalIF":2.3,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259404","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
Risk factors for development of medical device-related pressure ulcers associated with nasotracheal intubation in pediatric patients 儿科患者鼻气管插管相关医疗器械压疮发生的危险因素
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-08 DOI: 10.1016/j.pedn.2025.09.031
Tomohiro Wakabayashi MD , Soichiro Tanimura MD , Ryoko Nariai MD , Saki Nakazono RN , Setsu Sato RN , Hiromi Okuda RN , Kentaro Ide MD, PhD , Nao Nishimura MD , Shotaro Matsumoto MD, PhD
{"title":"Risk factors for development of medical device-related pressure ulcers associated with nasotracheal intubation in pediatric patients","authors":"Tomohiro Wakabayashi MD ,&nbsp;Soichiro Tanimura MD ,&nbsp;Ryoko Nariai MD ,&nbsp;Saki Nakazono RN ,&nbsp;Setsu Sato RN ,&nbsp;Hiromi Okuda RN ,&nbsp;Kentaro Ide MD, PhD ,&nbsp;Nao Nishimura MD ,&nbsp;Shotaro Matsumoto MD, PhD","doi":"10.1016/j.pedn.2025.09.031","DOIUrl":"10.1016/j.pedn.2025.09.031","url":null,"abstract":"<div><h3>Objective</h3><div>Risk factor analyses of medical device-related pressure ulcers associated with nasotracheal intubation in pediatric patients remain limited. Therefore, this clinical study aimed to identify the potential risk factors of nasal pressure injuries (NPI) caused by nasotracheal intubation.</div></div><div><h3>Methods</h3><div>We conducted a retrospective observational cohort study of critically ill children who underwent mechanical ventilation via nasotracheal intubation at a single tertiary care center in Japan. Demographic data and device-related factors were analyzed using multivariate logistic regression.</div></div><div><h3>Results</h3><div>Pediatric patients who received mechanical ventilation via nasotracheal intubation were included. Of the 3015 patients, 642 who were receiving nasotracheal intubation were analyzed. In total, 75 (12 %) patients developed NPI. Based on the univariate analysis, younger age (20 vs. 36 median months; <em>p</em> = 0.0042), longer length of pediatric intensive care unit stay (5 vs. 4 median days; <em>p</em> = 0.0035), trisomy 21 (5 % vs. 0.4 %; <em>p</em> &lt; 0.001), cyanotic congenital heart disease (28 % vs. 4 %; <em>p</em> &lt; 0.001), and post-living donor liver transplantation (LDLT) status (12 % vs. 2 %; <em>p</em> &lt; 0.001) were significantly associated with NPI. Among these factors, trisomy 21, cyanotic congenital heart disease, and post-LDLT remained significantly associated with NPI in the multivariate analysis.</div></div><div><h3>Conclusions</h3><div>Trisomy 21, cyanotic congenital heart disease, and post-LDLT are risk factors of NPI in pediatric patients receiving nasotracheal intubation.</div></div><div><h3>Implications to practice</h3><div>These findings underscore the critical role of pediatric nursing in implementing tailored prevention strategies—such as routine skin assessments, meticulous device fixation, and interdisciplinary collaboration—to reduce the risk of nasal pressure injuries in high-risk pediatric populations.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 652-655"},"PeriodicalIF":2.3,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259439","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
Examination of pediatric nurses' attitudes on shared decision making with children and parents in Dutch hospitals, a cross-sectional study 荷兰医院儿科护士对与儿童和家长共同决策的态度的调查,一项横断面研究。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-06 DOI: 10.1016/j.pedn.2025.09.024
Merel Van Bakel MSc , Olaf Gerdes MSc , Bregje Raap-Van Sleuwen PhD , Heleen Westland PhD , Stefanie Van Den Broek MSc , Reinier Akkermans MSc , Maud Heinen PhD
{"title":"Examination of pediatric nurses' attitudes on shared decision making with children and parents in Dutch hospitals, a cross-sectional study","authors":"Merel Van Bakel MSc ,&nbsp;Olaf Gerdes MSc ,&nbsp;Bregje Raap-Van Sleuwen PhD ,&nbsp;Heleen Westland PhD ,&nbsp;Stefanie Van Den Broek MSc ,&nbsp;Reinier Akkermans MSc ,&nbsp;Maud Heinen PhD","doi":"10.1016/j.pedn.2025.09.024","DOIUrl":"10.1016/j.pedn.2025.09.024","url":null,"abstract":"<div><h3>Purpose</h3><div>Shared decision making (SDM) is a fundamental aspect of healthcare, with nurses playing an important role. SDM in pediatric care requires a distinct approach by nurses due to the unique characteristics of pediatric care. In order to refine the implementation of SDM, it is crucial to understand the attitudes of pediatric nurses towards SDM. In this study, the primary objective was to describe and evaluate pediatric nurses' attitudes towards SDM with children, compared to SDM with parents in nursing care at Dutch hospitals. The secondary objective was to evaluate the association between pediatric nurses' demographic characteristics and nurses' attitudes towards SDM with children or parents.</div></div><div><h3>Method</h3><div>An observational, cross-sectional study was conducted where data was collected using a convenience sample of pediatric nurses working in Dutch hospitals from January 2024 to June 2024. At two hospitals, 136 nurses were invited to complete the Dutch Nursing Shared Decision Making Attitude instrument. In addition, pediatric nurses were invited to participate through the Dutch Nursing Association and social media.</div></div><div><h3>Results</h3><div>A total of 125 nurses responded to the instrument, of which 103 were included in the analysis. Primary, all pediatric nurses reported positive attitudes towards SDM, and their attitude scores were significantly higher for SDM with children compared to SDM with parents. Secondary, no association was found between pediatric nurses' attitudes and nurses' demographic characteristics.</div></div><div><h3>Conclusion</h3><div>Pediatric nurses are positive towards the use of SDM in clinical pediatric care, which is an important step towards the implementation of SDM in pediatric healthcare.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 631-638"},"PeriodicalIF":2.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245598","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 effect of virtual reality on pain and fear levels of children with primary immunodeficiency applying intravenous immunoglobulin during intravenous access: A crossover randomized controlled trial 虚拟现实对原发性免疫缺陷儿童静脉注射免疫球蛋白的疼痛和恐惧水平的影响:一项交叉随机对照试验。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-06 DOI: 10.1016/j.pedn.2025.09.025
Hatice Dönmez , Tuba Arpaci , İsmail Reisli
{"title":"The effect of virtual reality on pain and fear levels of children with primary immunodeficiency applying intravenous immunoglobulin during intravenous access: A crossover randomized controlled trial","authors":"Hatice Dönmez ,&nbsp;Tuba Arpaci ,&nbsp;İsmail Reisli","doi":"10.1016/j.pedn.2025.09.025","DOIUrl":"10.1016/j.pedn.2025.09.025","url":null,"abstract":"<div><h3>Purpose</h3><div>This study investigated the effects of watching Epic Roller Coasters with virtual reality (VR) or a tablet on pain, fear, and emotional behaviors related to peripheral venous catheterization in children before intravenous immunoglobulin (IVIG) administration.</div></div><div><h3>Design and methods</h3><div>A crossover randomized controlled study was conducted with children aged 4–12 years who had primary immunodeficiency disorder (PID). Participants were randomized into two groups: VR/tablet group (<em>n</em> = 15) and Tablet/VR group (<em>n</em> = 16). Pain was measured during the procedure. Fear and emotional appearance were measured at 3 time points (before catheter insertion, during catheter insertion/during interventions, post-intervention).</div></div><div><h3>Results</h3><div>In the VR/Tablet group, 46.7 % (<em>n</em> = 7) and in the Tablet/VR group, 50 % (<em>n</em> = 8) of the children were female. In both groups, the mean pain was lower in those who underwent VR and higher in those who used tablets (F = 26.44, <em>p</em> &lt; 0.001). While the fear (F = 14.58, <em>p</em> &lt; 0.001) and emotional appearance (F = 8.312, <em>p</em> &lt; 0.001) scale scores increased when switching from VR to tablet, the fear scores decreased when switching from tablet to VR. While the fear and emotional appearance scale scores were lower in the VR group, the scores were higher in the tablet group (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>VR application was more effective than tablets in reducing pain, fear, and negative emotional behaviors related to IV catheterisation in children with PID.</div></div><div><h3>Practice implications</h3><div>VR was more effective than tablet use in reducing pain, fear, and negative emotions during IV access in children with PID. It is a practical non-pharmacological application in the nursing care of children with PID.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 623-630"},"PeriodicalIF":2.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245623","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
Are disaster support measures for children with medical complexities in depopulated areas adequate? A pediatric nursing perspective based on a local government survey 在人口稀少地区,对患有复杂医疗问题的儿童采取的灾害支助措施是否足够?基于地方政府调查的儿科护理观点
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-03 DOI: 10.1016/j.pedn.2025.09.023
Hiroyuki Ogihara , Yuka Watanabe
{"title":"Are disaster support measures for children with medical complexities in depopulated areas adequate? A pediatric nursing perspective based on a local government survey","authors":"Hiroyuki Ogihara ,&nbsp;Yuka Watanabe","doi":"10.1016/j.pedn.2025.09.023","DOIUrl":"10.1016/j.pedn.2025.09.023","url":null,"abstract":"<div><h3>Purpose</h3><div>We aimed to clarify differences in disaster support measures for children with medical complexities (CMCs) and their families in depopulated areas and highlight the need for continuous support in pediatric nursing from local governments.</div></div><div><h3>Methods</h3><div>From November 2021 to February 2022, municipal disaster prevention officials in 650 depopulated areas across northern, eastern, and western Japan completed questionnaires. Data from 296 respondents were analyzed.</div></div><div><h3>Results</h3><div>By our estimate, over approximately 589 CMCs live in depopulated areas. Depopulated areas in western Japan had an approximately 10 % higher disaster experience rate than general depopulated areas. Despite municipalities recognizing the severity of the CMCs' needs, the evacuation support plan development and evacuation drill performance rates for them remained low.</div></div><div><h3>Conclusion</h3><div>Disaster preparedness in depopulated areas requires a robust network of municipalities and medical institutions that support CMCs and their families. Pediatric nurses must implement standardized, evidence-based disaster protocols to ensure the safety of CMCs and their families.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 607-615"},"PeriodicalIF":2.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145220162","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
Bedside support practices for hospitalized children 住院儿童的床边支持实践
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-03 DOI: 10.1016/j.pedn.2025.09.020
Oguz Emre , Aysegul Keskinkilic , Sibel Aydın , Zekeriya Arslan , Fatmanur Çaler
{"title":"Bedside support practices for hospitalized children","authors":"Oguz Emre ,&nbsp;Aysegul Keskinkilic ,&nbsp;Sibel Aydın ,&nbsp;Zekeriya Arslan ,&nbsp;Fatmanur Çaler","doi":"10.1016/j.pedn.2025.09.020","DOIUrl":"10.1016/j.pedn.2025.09.020","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to investigate the opinions of mothers and their hospitalized children regarding play activities at the bedside.</div></div><div><h3>Method</h3><div>This research is qualitatively designed. Thirty-three children aged six to twelve years, who were admitted to the Pediatric Surgical Ward in March and May of 2024, and their mothers, comprised the study group. A semi-structured interview form was used to gather study data. The content analysis method was used to analyze the data.</div></div><div><h3>Results</h3><div>The mothers and their children who participated in the study reported that bedside activities were crucial in lowering worry, fear, and stress associated with pediatric medical procedures in the hospital. Bedside support activities have been identified as the primary needs of hospitalized children. Individual play activities are considered important due to the risk of infection. Furthermore, the view that regular play activities for children during hospitalization should be planned by healthcare personnel is emerging.</div></div><div><h3>Discussion</h3><div>Bedside activities help reduce the anxiety and fear of the sick child, thus allowing them to adapt to the hospital and minimizing the stress level caused by the illness. Bedside activities have a healing power on the sick child. In addition, as a non-pharmacological intervention within the scope of bedside support practices in pediatric surgery wards, play activity has a pain-relieving role in children. For sick children to have a joyful and active treatment process, bedside activities that meet their interests, desires, and needs should be carried out at regular intervals.</div></div><div><h3>Practice implications</h3><div>Board games and similar activities have been identified as crucial components of bedside support practices, particularly in pediatric settings. Implementation of these interventions by healthcare professionals will positively impact the recovery of children undergoing painful procedures in the hospital setting.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 616-622"},"PeriodicalIF":2.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145220163","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
Applications of artificial intelligence in emotion recognition in pediatrics health care: Scoping review 人工智能在儿科卫生保健情感识别中的应用:范围综述。
IF 2.3 4区 医学
Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-09-30 DOI: 10.1016/j.pedn.2025.09.017
Ana Rita Figueiredo, António Pereira, Francisca Frias, Luíza Moura Dias Rodrigues, Paula Diogo
{"title":"Applications of artificial intelligence in emotion recognition in pediatrics health care: Scoping review","authors":"Ana Rita Figueiredo,&nbsp;António Pereira,&nbsp;Francisca Frias,&nbsp;Luíza Moura Dias Rodrigues,&nbsp;Paula Diogo","doi":"10.1016/j.pedn.2025.09.017","DOIUrl":"10.1016/j.pedn.2025.09.017","url":null,"abstract":"<div><h3>Background</h3><div>The use of artificial intelligence in healthcare is growing rapidly. In pediatrics, artificial intelligence technologies have been applied to early diagnosis, treatment, increased precision in care, and recognition of emotions. This will provide new opportunities to overcome the difficulties that may have developed in children's ability to express emotions due to cognitive, physical, or emotional reasons.</div></div><div><h3>Aim</h3><div>To review the existing literature on the application of artificial intelligence to emotion recognition in children and adolescents, and to evaluate its applicability in clinical settings.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the Joanna Briggs Institute methodology. Searches were conducted in PubMed, Scopus, CINAHL Ultimate, MEDLINE Ultimate, IEEE Xplore and Wiley Online Library. A total of 136 records were initially identified, and 23 studies met the inclusion criteria. Data were analyzed and summarized narratively.</div></div><div><h3>Results</h3><div>The studies varied in methodology and scope, and included the use of artificial intelligence for facial, voice, and drawing-based emotion recognition, with applications in various domains. Artificial intelligence-based tools showed promising levels of accuracy, particularly in improving emotion identification, supporting early diagnosis, and informing clinical decision-making.</div></div><div><h3>Conclusion</h3><div>Artificial intelligence has the potential to transform pediatric healthcare by improving the identification and management of emotional states, particularly in vulnerable populations. Despite challenges, integrating technology into clinical practice is a promising strategy to promote personalized and emotional care.</div></div><div><h3>Implications</h3><div>By recognizing and responding to emotional needs, artificial intelligence in pediatric nursing practice can enhance the personalization of care and create therapeutic environments that are emotionally sensitive, promoting the humanization and effectiveness of interventions.</div><div>Scoping review registration: doi:<span><span>10.17605/OSF.IO/NXMH7</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 593-606"},"PeriodicalIF":2.3,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208142","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
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