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

{"title":"Assessing the use of the distress and discomfort assessment tool (DisDAT) in a pediatric population","authors":"Rachel Parks ,&nbsp;Jeannette Meyer ,&nbsp;Grace Sund ,&nbsp;Tara Lam ,&nbsp;Laila Ramji ,&nbsp;Daniel Karlin","doi":"10.1016/j.pedn.2025.04.026","DOIUrl":"10.1016/j.pedn.2025.04.026","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study is to assess the effectiveness and usefulness of the DisDAT form in a pediatric population.</div></div><div><h3>Design and methods</h3><div>This is a mixed-methods study using content analysis of completed DisDAT forms as well as thematic analysis of semi-structured interviews to assess the use of the DisDAT to identify signs of distress across multiple domains of patient behavior and appearance.</div></div><div><h3>Results</h3><div>We found that, regardless of the perceived difficulty of using the form, caregivers universally found it to be worthwhile and useful. Based on interview findings, caregivers felt that the DisDAT enhanced their ability to communicate with healthcare providers. Quantitative analysis found that the DisDAT was equally effective at prompting cues associated with contentment and with distress.</div></div><div><h3>Conclusions</h3><div>Building on prior research conducted in adults, the DisDAT is an effective tool to communicate distress signals for nonspeaking pediatric patients.</div></div><div><h3>Practice implications</h3><div>The DisDAT is a useful adjunct to clinical practice in pediatric patients with severe communication impairments.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"83 ","pages":"Pages 140-145"},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143908287","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":"Preoperative nursing care before separation surgery in a case of symmetrical abdominal conjoined twins: A single case study","authors":"Feixiang Luo ,&nbsp;Meiqin Sun ,&nbsp;Chendi Jin ,&nbsp;Yuding Shou ,&nbsp;Jihua Zhu ,&nbsp;Zheng Chen","doi":"10.1016/j.pedn.2025.04.031","DOIUrl":"10.1016/j.pedn.2025.04.031","url":null,"abstract":"<div><h3>Objective</h3><div>This case report details the preoperative nursing care for a pair of premature symmetrical abdominal conjoined twins, highlighting the specialized strategies employed for successful separation surgery and postoperative recovery.</div></div><div><h3>Case summary</h3><div>The conjoined twins, born with a complex congenital condition, required tailored nursing interventions. Key aspects included bed unit planning, body temperature maintenance, identification protocols to prevent errors, and positioning management to reduce disturbances. Infection control was enhanced due to the shared anatomy, and accurate weight measurement was critical for nutritional management and medication dosing.</div></div><div><h3>Outcomes</h3><div>The twins underwent separation surgery on hospital day 41. Postoperative recovery was smooth, with Twin A discharged on day 8, and Twin B following a procedure on postoperative day 7 and discharged on day 41.</div></div><div><h3>Conclusion</h3><div>The case illustrates the importance of comprehensive and individualized preoperative nursing care for conjoined twins. The successful outcome underscores the need for specialized protocols and highlights the potential for the specific nursing strategies we used to improve outcomes in similar clinical scenarios.</div></div><div><h3>Implications to practice</h3><div>The implications to practice highlight the need for individualized preoperative care for conjoined twins. Nursing practice should focus on creating specialized protocols, enhancing interdisciplinary collaboration, and providing training for staff. Additionally, family-centered support services are essential for addressing emotional challenges.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"83 ","pages":"Pages 114-117"},"PeriodicalIF":2.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900357","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":"Educational strategies and technologies for promoting knowledge, attitude, and practice of children on cardiopulmonary resuscitation: A systematic review","authors":"Glaubervania Alves Lima ,&nbsp;Maria Williany Silva Ventura ,&nbsp;Thaís Aquino Carneiro ,&nbsp;Francisca Elisângela Teixeira Lima ,&nbsp;Paula Renata Amorim Lessa Soares ,&nbsp;Samila Gomes Ribeiro ,&nbsp;Mariana Cavalcante Martins ,&nbsp;Luis Angel Cendejas Medina ,&nbsp;Ángel López González","doi":"10.1016/j.pedn.2025.04.032","DOIUrl":"10.1016/j.pedn.2025.04.032","url":null,"abstract":"<div><h3>Problem</h3><div>Early training in cardiopulmonary resuscitation (CPR), particularly when directed at children, is crucial due to its potential to improve community responsiveness in emergency situations. This review aims to examine the impact of educational strategies and technologies used to promote children's knowledge, attitude, and practice (KAP) regarding CPR.</div></div><div><h3>Eligibility criteria</h3><div>Primary studies involving children up to 12 years of age; no restrictions on language or publication period. Databases consulted: SCOPUS, MEDLINE/PubMed, WoS, LILACS, EMBASE, COCHRANE, and Google Scholar.</div></div><div><h3>Sample</h3><div>Following the screening of titles and abstracts, 35 articles were selected for full-text analysis. A critical review led to the exclusion of 18 articles, resulting in the inclusion of 17 studies.</div></div><div><h3>Results</h3><div>The effects of educational strategies and technologies on children's KAP regarding CPR were predominantly positive, with the exception of one study that demonstrated only a moderate impact on attitude. Some studies indicated a decline in effectiveness over time; however, post-intervention results remained superior to baseline levels.</div></div><div><h3>Conclusions</h3><div>Educational strategies and technologies adapted to different age groups have a positive impact on children's KAP regarding CPR. Training during childhood enhances response capabilities and contributes to a more prepared and responsible society when facing medical emergencies involving cardiac arrest.</div></div><div><h3>Implications</h3><div>The findings of this review can guide the selection of effective strategies and technologies that improve children's KAP, thereby increasing adherence to CPR education in schools and other settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"83 ","pages":"Pages 118-128"},"PeriodicalIF":2.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900358","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 psychological resilience and care burden of parents caring for children with special healthcare needs in Turkey: A cross-sectional study","authors":"Ali Ceylan ,&nbsp;Ertuğrul Demirdel","doi":"10.1016/j.pedn.2025.04.022","DOIUrl":"10.1016/j.pedn.2025.04.022","url":null,"abstract":"<div><h3>Aim</h3><div>The study was planned to investigate the resilience and care burden of caregiving parents in Turkey.</div></div><div><h3>Methods</h3><div>Demographic and descriptive characteristics were recorded. Psychological resilience was assessed using the Brief Resilience Scale (BRS) and caregiving burden was assessed using the Zarit Caregiving Burden Scale (ZCBS). Independent Sample <em>t-</em>test and ANOVA Mann-Whitney U and Kruskall Wallis tests were used to analyze the data.Multivariate variance analysis was performed with post-hoc tests to determine the differences between the groups. Significance <em>p</em> &lt; 0.05 was accepted.</div></div><div><h3>Results</h3><div>A total of 112 caregivers, 97 of whom were women, with a mean age of 39.84 ± 10.73 years, participated in the study. The mean age of with children with special healthcare needs was 10.83 ± 8.56 years, 61.6 % were male, and 42.9 % had both physical and mental disabilities. In children with special health needs, 41.1 % had mobility limitations, 43.8 % had communication problems, 44.6 % had learning problems and 31.3 % had nutritional problems. The level of mobility limitation, communication, learning and nutrition problems in children with special healthcare needs and the presence of chronic disease or musculoskeletal system problems in caregivers were found to be associated with care burden (<em>p</em> &lt; 0.05). Psychological resilience of caregivers of those with moderate care burden was lower than those with mild care burden (p &lt; 0.05). There was a negative, moderately significant relationship between caregivers' psychological resilience and care burden (<em>r</em> = −0.356; <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>New strategies should be developed to increase psychological resilience and reduce the burden of care in caregivers of complex children with special healthcare needs.</div></div><div><h3>Implications to practice</h3><div>The lived experience of caregivers who support children with special healthcare needs can be improved with psychological and practical care support from health professionals.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"83 ","pages":"Pages 106-113"},"PeriodicalIF":2.1,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894830","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":"Association between psychosocial barriers, family-centered care, and caregiver presence at the bedside in a pediatric post-acute care hospital: A qualitative study","authors":"Isabella Sereno M.A ,&nbsp;Gregory Young Ph.D. ,&nbsp;Mary Laurette Hughes Ph.D., RN ,&nbsp;Maria Harsvik B.S. ,&nbsp;Jessica Edwards George Ph.D.","doi":"10.1016/j.pedn.2025.03.023","DOIUrl":"10.1016/j.pedn.2025.03.023","url":null,"abstract":"<div><h3>Purpose</h3><div>Children with medical complexities are often in need of prolonged admissions to post-acute care hospitals. Caregiver presence at the bedside has been associated with improved outcomes for pediatric patients and caregivers. Ecological barriers have been found to impact caregiver presence at the bedside during pediatric admissions. While caregiver mood, coping, and family-centered care have been associated with caregiver presence in neonatal and pediatric intensive care units, less is known about post-acute admissions. The present qualitative study explored caregivers' psychosocial barriers to presence at the bedside and the role of family-centered care in a pediatric post-acute care hospital.</div></div><div><h3>Design and methods</h3><div>Semi-structured interviews were completed by a convenience sample of 10 self-identified caregivers of children admitted to post-acute care. Data was analyzed through a deductive content analysis process.</div></div><div><h3>Results</h3><div>Four key themes emerged: ecological barriers to caregiver presence at the bedside, leading to difficult decision-making needs; pediatric admissions and decision-making impact caregiver mood; utilization of meaning-centered, action-oriented, and social coping; and family-centered care as a facilitator of presence and reduction of burden.</div></div><div><h3>Conclusions</h3><div>Barriers to presence at the bedside seem to increase existing caregiver distress and burden. The role of family-centered care, namely hospital support and caregiver-staff collaboration, serves as a moderator between psychosocial barriers and presence at the bedside.</div></div><div><h3>Practice implications</h3><div>Targeted training in family-centered care for nurses and other providers involved in the day-to-day management of patients and caregivers is warranted to increase visitation rates and improve the mental health of caregivers during pediatric post-acute care admissions.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages e84-e90"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928440","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":"Board of Directors","authors":"","doi":"10.1016/S0882-5963(25)00136-8","DOIUrl":"10.1016/S0882-5963(25)00136-8","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Page vi"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928652","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 BA ,&nbsp;Jing Zeng MD ,&nbsp;Qingxiang Zheng MD ,&nbsp;Longsheng Huang PhD ,&nbsp;Guihua Liu PhD ,&nbsp;Xiaojuan Zhou BA ,&nbsp;Mingyu Song BA ,&nbsp;Shengbin Guo BA","doi":"10.1016/j.pedn.2025.03.021","DOIUrl":"10.1016/j.pedn.2025.03.021","url":null,"abstract":"<div><h3>Purpose</h3><div>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).</div></div><div><h3>Design and methods</h3><div>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 (<em>n</em> = 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.</div></div><div><h3>Results</h3><div>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 (<em>p</em> &lt; 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 <em>p</em> &lt; 0.05). Participant satisfaction data indicated 86.6 % of mothers reported extremely satisfaction with the program, with 93.3 % of dyads maintaining &gt;90 % participation adherence.</div></div><div><h3>Conclusion</h3><div>The WeChat-based PCCAT program effectively improved parent-child relationships, reduced maternal anxiety and depression, and enhanced posttraumatic growth.</div></div><div><h3>Practice implications</h3><div>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.</div></div><div><h3>Trial registration</h3><div>Chinese Clinical Trials Registry, ChiCTR2200062598. Registration date: 13/08/2022.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages e75-e83"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","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":"The application of targeted psychological care during perioperative period on children with facial trauma undergoing plastic surgery: A retrospective study","authors":"Meiyu Xie,&nbsp;Biyu Wu,&nbsp;Qiuyan Xu,&nbsp;Qizhi Lai,&nbsp;Xueping Cai","doi":"10.1016/j.pedn.2025.03.017","DOIUrl":"10.1016/j.pedn.2025.03.017","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Implications to practice</h3><div>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.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages e50-e56"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","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":"Carney complex: A rare diagnosis at hand","authors":"Meg F. Keil PhD, CRNP, FAAN","doi":"10.1016/j.pedn.2025.04.002","DOIUrl":"10.1016/j.pedn.2025.04.002","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 178-179"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928999","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 “The effect of motivational interviewing techniques on the knowledge level of asthma control among mothers of children with allergic asthma” [Journal of Pediatric Nursing, 78 (2024) 44–50]","authors":"Esra Ruşen Karhan,&nbsp;Pınar Soylar","doi":"10.1016/j.pedn.2025.04.001","DOIUrl":"10.1016/j.pedn.2025.04.001","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Page 187"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929021","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}