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

{"title":"The application of targeted psychological care during perioperative period on children with facial trauma undergoing plastic surgery: A retrospective study.","authors":"Meiyu Xie, Biyu Wu, Qiuyan Xu, Qizhi Lai, Xueping Cai","doi":"10.1016/j.pedn.2025.03.017","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.017","url":null,"abstract":"<p><strong>Background: </strong>Cosmetic debridement and suture techniques are commonly used to repair facial injuries. However, children with facial injuries often struggle to fully cooperate with surgeons due to fear and crying, which can result in a poorer cosmetic outcome.</p><p><strong>Methods: </strong>This retrospective study involved 106 children between June 2020 and June 2022, divided into two groups: the control group received routine postoperative care, while the intervention group received targeted psychological care.</p><p><strong>Results: </strong>The intervention group received targeted psychological care, including preoperative education, intraoperative support, postoperative intervention, psychological counseling, and skin care. During the one-month follow-up period, the children's anxiety, stress, and pain levels, along with wound healing, complications, and guardian satisfaction, were recorded and analyzed. The intervention group showed better wound recovery, fewer complications, and significant reductions in anxiety, pain, and stress levels compared to the control group. Additionally, the guardians of the children in the intervention group expressed higher satisfaction with the surgical outcome.</p><p><strong>Conclusions: </strong>Targeted psychological care during the perioperative period has a positive impact on children undergoing cosmetic surgery for facial trauma, facilitating faster wound recovery, reducing complications, and enhancing emotional well-being.</p><p><strong>Implications to practice: </strong>This study provides strong theoretical support for the clinical implementation of targeted psychological interventions in combination with standard preoperative and postoperative care. Such practices can improve both physical and emotional recovery in pediatric patients undergoing plastic surgery.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774814","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":"Harnessing technology in pediatric nursing: Balancing innovation, equity and sustainability.","authors":"Karin Plummer, Nicole Pope, Melissa D McCradden, Amanda J Ullman, Mandie Foster, Jennifer N Stinson, Bronwyn Griffin","doi":"10.1016/j.pedn.2025.03.019","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.019","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774812","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 a WeChat-based parent-child creative art therapy for mothers of children with autism spectrum disorder: A pilot randomized controlled trial.","authors":"Hao Lin, Jing Zeng, Qingxiang Zheng, Longsheng Huang, Guihua Liu, Xiaojuan Zhou, Mingyu Song, Shengbin Guo","doi":"10.1016/j.pedn.2025.03.021","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.021","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to evaluate the efficacy of a WeChat-based parent-child creative art therapy (PCCAT) program on child-parent relationships and psychological well-being in mothers of children with autism spectrum disorder (ASD).</p><p><strong>Design and methods: </strong>A two-arm randomized controlled trial was employed. Sixty-eight child-parent dyads were recruited and followed up in a special training school from August 2022 to March 2023. They were randomly assigned to either the intervention group (n = 34) receiving WeChat-based PCCAT plus online home visits or control group (n = 34) receiving online home visits alone. Outcomes were assessed using the Child-Parent Relationship Scale (C-PRS), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Posttraumatic Growth Inventory (PTGI) at baseline, 12-week (T1), and 24-week (T2) follow-ups.</p><p><strong>Results: </strong>Sixty dyads completed the 24-week protocol. Linear mixed model analyses revealed significant group×time interaction effects for C-PRS, SAS, SDS, and PTGI scores (p < 0.001). Pairwise comparisons demonstrated significantly lower anxiety (SAS) and depression (SDS) scores, alongside higher parent-child relationship (C-PRS) and posttraumatic growth (PTGI) scores in the intervention group versus controls (all p < 0.05). Participant satisfaction data indicated 86.6 % of mothers reported extremely satisfaction with the program, with 93.3 % of dyads maintaining >90 % participation adherence.</p><p><strong>Conclusion: </strong>The WeChat-based PCCAT program effectively improved parent-child relationships, reduced maternal anxiety and depression, and enhanced posttraumatic growth.</p><p><strong>Practice implications: </strong>This nurse-led intervention demonstrates feasibility for integration into ASD family management protocols. The program's digital delivery format suggests potential adaptability across comparable platforms, warranting implementation in broader clinical contexts.</p><p><strong>Trial registration: </strong>Chinese Clinical Trials Registry, ChiCTR2200062598. Registration date: 13/08/2022.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765514","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":"Turkish validity and reliability study of the parental cognitive perception inventory on the effects of disasters on children's well-being (PCP-DCWB).","authors":"Gonca Karayağız Muslu, Gülay Manav, Feyza Nazik","doi":"10.1016/j.pedn.2025.03.018","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.018","url":null,"abstract":"<p><strong>Background: </strong>Natural disasters have a devastating impact on children. Parents' perception and awareness of the symptoms of mental disorders in children following a disaster event is an important element for early diagnosis and treatment. The study focused on developing the Turkish version of the Parents' Cognitive Perception Inventory on the Effects of Disasters on Children's Well-Being (PCP-DCWB-TR), ensuring cultural and linguistic adaptation and maintaining its reliability and validity.</p><p><strong>Method: </strong>A methodological approach was adopted, and 213 parents were included in the study. Data collection was conducted online between March and June 2023 using the Socio-Demographic Characteristics Questionnaire and the PCP-DCWB-TR. Statistical analysis included descriptive statistics, and reliability was assessed using Cronbach's alpha, test-retest, and item-total score analysis.</p><p><strong>Results: </strong>Exploratory and confirmatory factor analyses were conducted and revealed 16 items in two subscales, explaining 55.43 % of the total variance. The scale showed high reliability with a Cronbach's alpha of 0.89, while confirmatory factor analysis confirmed the model with a mean error of approximation of 0.080. Test-retest results showed a strong correlation (Pearson correlation 0.78, p < 0.001).</p><p><strong>Conclusion: </strong>The adapted PCP-DCWB-TR is a valid and reliable instrument for assessing parents' cognitive perceptions of the impact of disasters on children's well-being in the context of Turkish society.</p><p><strong>Practice implications: </strong>All healthcare professionals can use this scale in interventional studies aiming at assessing parents' cognitive perceptions of the impact of disasters on children's well-being.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743852","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 impact of disease uncertainty on caregiving readiness among family caregivers of Chinese children with congenital cataracts: A multicenter cross-sectional survey.","authors":"Yaoyao Lin, Peng Zhong, Chunyan Li, Yuchen Du, Shuyu Han, Yanyan Chen, Xinwei Shi","doi":"10.1016/j.pedn.2025.03.011","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.011","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the factors associated with caregiving readiness among family caregivers of Chinese children with congenital cataracts, with a focus on the relationship with disease uncertainty.</p><p><strong>Design and methods: </strong>This multicenter cross-sectional approach included 129 family caregivers from three tertiary hospitals. Data were collected between January and June 2023. The Caregiver Readiness Scale, the Parental Illness Uncertainty Scale, and the General Information Questionnaire were used. Spearman correlation analysis was conducted to examine the relationship between disease uncertainty and caregiving readiness, followed by a generalized linear regression model to identify significant factors influencing caregiving readiness.</p><p><strong>Results: </strong>Caregivers were predominantly mothers (89.1 %), with an average readiness score of 15.39 ± 1.94. The disease uncertainty median was 74 (70, 78), indicating a significant negative correlation with readiness (r = -0.829, p < 0.001). Regression identified the caregiver's education, the child's age, and the ambiguity and lack of clarity dimensions of disease uncertainty as predictors of readiness.</p><p><strong>Conclusion: </strong>This study revealed that family caregivers of children with congenital cataracts experienced moderate levels of readiness, which was significantly associated with disease uncertainty. Nurses should screen for and support family caregivers who are less prepared, particularly those caring for younger children or those with lower educational levels. Interventions should address specific aspects of disease uncertainty to increase caregiving readiness among family caregivers.</p><p><strong>Implications for practice: </strong>This study underscores the importance of targeted education and support for family caregivers to reduce uncertainty and enhance readiness, ultimately improving home care outcomes for children with congenital cataracts.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743496","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":"Decreasing community acquired CLABSI: Creating a new infection prevention bundle for management of the pediatric patient discharged with a central line.","authors":"Jennifer Murray, Jeanmarie Pontieri, Patrick Yam, Kathleen Evanovich Zavotsky","doi":"10.1016/j.pedn.2025.03.012","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.012","url":null,"abstract":"<p><strong>Background: </strong>Central line-associated blood stream infections (CLABSIs) can contribute to significant morbidity and mortality. The aim of this improvement project was to decrease CLABSIs by creating an Outpatient Pediatric Central Line Education Bundle and standardizing the education and supplies needed for pediatric patients and families to safely be discharged home with an accessed central line.</p><p><strong>Methods: </strong>The Plan Do Study Act method of quality improvement was used for this project. Patient and family interviews were conducted, and the Family and Youth Advisory councils were consulted. Assessment surveys utilizing a 5-point Likert scale were given to patients before and after the implementation to evaluate the effectiveness of the intervention.</p><p><strong>Results: </strong>Following the implementation zero community CLABSIs have been reported.</p><p><strong>Discussion: </strong>This collaborative project provides the necessary education and resources to manage and streamline central line care in the home and may help prevent complications such as CLABSI.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732646","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":"Corrigendum to \"Understanding nurses' perspectives on electronic health records in Egypt: Insights from a cross-sectional study\" [Journal of Pediatric Nursing 80(2025) e255-e263].","authors":"Abdelaziz Hendy, Sally Mohammed Farghaly Abdelaliem, Yasmine M Osman, Zeinab Al-Kurdi, Ahmed Zaher, Ahmed Hendy, Abdulaziz Mofdy Almarwani, Sameer A Alkubati","doi":"10.1016/j.pedn.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.016","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732643","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":"Perceptions of pediatric nurses by mothers of children with hospitalization experience: A qualitative study.","authors":"Nuray Caner, Harun Ozbey, Yagmur Sezer Efe, Figen Turk Dudukcu, Meral Bayat, Firdevs Erdemir, Nurgun Platin","doi":"10.1016/j.pedn.2025.03.015","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.015","url":null,"abstract":"<p><strong>Introduction: </strong>A child's illness or hospitalization is a complex process experienced by the child, parents, and family members.</p><p><strong>Methods: </strong>The purpose of this study is to determine the perceptions of pediatric nurses by mothers of hospitalized children. It was conducted with 13 mothers of children with hospitalization experience. Semi-structured interviews and thematic analysis were performed. This study followed the COREQ checklist.</p><p><strong>Results: </strong>Four themes and seventeen subthemes emerged from the data. The themes consisted of the pediatric nurse through the eyes of mothers, mothers' positive experiences with pediatric nurses, mothers' negative experiences with pediatric nurses, and expectations from pediatric nurses.</p><p><strong>Discussion: </strong>Mothers' perceptions of pediatric nurses in the context of hospitalization experiences were influenced by their positive and negative communication experiences with the nurses. As a result of these experiences, expectations regarding the care they desired to receive from the nurses emerged.</p><p><strong>Implications for practice: </strong>The findings of this study provide insight into mothers' perceptions of nurses and nursing care. Mothers have fundamental expectations regarding enhancing nurses' communication and clinical care skills to ensure adequate support for their children and themselves throughout hospitalization.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722110","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":"Applying the DASA-YV for aggression risk reduction in pediatric acute care.","authors":"Grace Sund, Theresa Kirkpatrick, Kristen R Choi","doi":"10.1016/j.pedn.2025.03.013","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.013","url":null,"abstract":"<p><strong>Purpose: </strong>Pediatric nurses frequently face aggression from children and adolescents, posing risks to both staff and patients. The Dynamic Appraisal of Situational Aggression Youth Version (DASA-YV) assesses aggression in youth but has only been studied in inpatient psychiatry and certain institutional settings, such as juvenile justice and residential care.</p><p><strong>Design and methods: </strong>This study aimed to validate the DASA-YV in pediatric acute care settings, using an observational design across pediatric emergency, medical/surgical, and intensive care units at two academic medical centers in Southern California. The DASA-YV was administered to patients ages 6 to 17 years with a primary or secondary behavioral health diagnosis from 2022 to 2023.</p><p><strong>Results: </strong>The sample included 201 hospital encounters, of which 33 involved aggressive incidents (16.4 %). The most frequent DASA-YV indicators were outside stressors (39 %), anxiety (37 %), and irritability (29 %). Patients with a 'high' DASA-YV rating showed higher frequencies of overall aggression (P < .001), object aggression (P < .001), verbal aggression (P < .001), and aggression against people (P < .001). In adjusted models, older children and pediatric acute care encounters had a lower risk of aggression, while males had a higher risk. A medium DASA-YV risk rating was associated with an aggressive behavior incidence rate ratio (IRR) of 7.49, and a high rating had an IRR of 36.18. In ROC analysis, the AUC was 0.94, (95 % CI: 0.90-0.98) indicating strong model performance for classifying aggressive incidents.</p><p><strong>Conclusions and practice implications: </strong>The DASA-YV is a valuable tool for assessing aggression risk in pediatric acute care, enhancing patient and staff safety.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674632","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":"Risk factors and prevalence of medical device-related pressure injuries in pediatric intensive care.","authors":"Müge Seval, Emine Uzuntarla Güney, Tülay Kuzlu Ayyıldız, Nazife Şirin Kuzlu Alkan","doi":"10.1016/j.pedn.2025.03.014","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.014","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the incidence of pressure injuries (PI) in patients connected to medical devices during their treatment in the pediatric intensive care unit (PICU), the risk factors, and the most accurate scale that assesses PI.</p><p><strong>Methods: </strong>A cross-sectional study adhering to STROBE guidelines. It was carried out with 70 children connected to medical devices during their treatment in the PICU between 12.01.2023 and 06.30.2024. The PI development risk statuses of the patients associated with medical devices were evaluated using the Braden Q Scale, the BUCH Scale, the Glamorgan Pediatric PI Risk Assessment Scale, and an Injury Monitoring Form.</p><p><strong>Results: </strong>The incidence of medical device-related pressure injuries (MDPI) in the PICU was 12.8 %. MDPI developed the most frequently in the nasal and oral regions, and 61.5 % of these injuries were Stage 1. The equipment with the highest rates of contribution to PI included nasogastric tubes, orogastric feeding equipment, and oral intubation tubes. The Braden Q, BUCH, and Glamorgan Scales had AUC values of 0.91, 0.83, and 0.80, sensitivity values of 77 %, 77 %, and 66 %, and specificity values of 82 %, 69 %, and 62 %, respectively.</p><p><strong>Conclusions: </strong>The results of this study highlight that medical devices used to support the recovery of critically ill children in the PICU pose a significant risk for PI development.</p><p><strong>Implications for clinical practice: </strong>Determining incidence and risk factors is important to prevent PI. Appropriate protocols, interventions, and strategies can be developed to manage the identified MDPI risk factors.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671627","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}