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

{"title":"Family of \"CARE\" program for maintaining family sanitation, family function, oral health, and nutritional status among stunting children: A quasi-experiment.","authors":"Tantut Susanto, Rizkiyani Istifada, Fahruddin Kurdi, Hanny Rasni, Latifa Aini Susumaningrum, Wenru Wang, Sugiyanta, Tantin Ermawati, Dhimas Rizky Handoko, Vigo Agustilano Salim","doi":"10.1016/j.pedn.2026.08.045","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.045","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effectiveness of the Family Program \"CARE\" (Caring, Assisted, Redesign, Education) in maintaining nutritional status, environmental sanitation, and family function with stunted children, with the primary outcome focused on improving the child's linear growth.</p><p><strong>Methods: </strong>This study used a quasi-experimental pre-post-test design with a control group among 56 children aged 12-60 months with stunting status (26 stunted children for intervention and 30 children in the control group). The research implemented the Family Program CARE (P-CARE) intervention for a period of 30 days. Parameters measured included environmental sanitation, family care function, oral health, and nutritional status. Data analysis was performed using a paired t-test to identify differences between the pre- and post-intervention periods.</p><p><strong>Results: </strong>Children who received the P-CARE intervention showed a mean increase in height (H) of 1.43 cm. Within-group analyses demonstrated a significant improvement in HAZ-Height-for-Age z-score (0.563 ± 1.903, p = 0.003), while favorable changes were also observed in WAZ-Weight-for-Age z-score (0.104 ± 1.385). However, adjusted ANCOVA analyses showed that HAZ and WAZ did not remain statistically significant after controlling for covariates. In contrast, the between-group comparison showed a significant difference in WHZ (Weight-for-Height Z-score) between the control and intervention groups (p < 0.001).</p><p><strong>Conclusion: </strong>The Family Program CARE (P-CARE) demonstrated promising improvements in several child and family health indicators among children with stunting. Although improvements were observed in selected outcomes, not all anthropometric indicators remained statistically significant after adjusted analyses. These findings support the potential role of family-centered, community-based interventions as a comprehensive strategy for addressing stunting in children.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"91 ","pages":"580-590"},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882302","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 invisible family dynamics of children with a sibling who has a tracheostomy: A qualitative study using drawings.","authors":"Serap Ozdemir, Aysegul Simsek, Erhan Elmaoglu","doi":"10.1016/j.pedn.2026.08.054","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.054","url":null,"abstract":"<p><strong>Aim: </strong>This study examines how children with a sibling who has a tracheostomy perceive family dynamics and express their emotional experiences through drawings.</p><p><strong>Method: </strong>A qualitative descriptive design using methodological triangulation was employed. Data were collected using an \"Information About the Child and The Drawing Form\", the Marmara Sibling Jealousy Scale-Short Form, and family drawings accompanied by narratives. Thematic analysis was conducted.</p><p><strong>Results: </strong>Fourteen children (mean age = 11.5 years) participated, and the mean scale score was 31 ± 8.3. Five themes were identified: meaning of colors, expression of the sick sibling, expression of family members, self-expression, and communication. Jealousy-related expressions were identified in 8 of 14 drawings, including some children with low scale scores, suggesting differences between quantitative and qualitative findings. Drawings and narratives reflected perceived exclusion, unmet needs for parental attention, communication difficulties, emotional distance, and a desire for greater family support and interaction. Fathers were frequently depicted as important family figures.</p><p><strong>Conclusion: </strong>Self-report measures alone may not fully capture the emotional experiences of healthy siblings. Combining drawings with narrative provided a broader understanding of children's perceptions of family relationships, communication, and sibling experiences in families of children with tracheostomy.</p><p><strong>Implications for practice: </strong>Healthy siblings' emotional needs may be overlooked in families of children with tracheostomy. Drawings can serve as supportive communication tools to explore feelings of exclusion, need for attention, communication difficulties, and sibling jealousy. Pediatric nurses should include healthy siblings in family-centered care and provide opportunities for emotional expression and psychosocial support.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"91 ","pages":"554-562"},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882348","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 symptom clusters and quality of life in pediatric liver transplant recipients.","authors":"Ying Long, Hong Chen, Chunyan Li, Yongyan Yan, Shuangzi Lizhang","doi":"10.1016/j.pedn.2026.08.049","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.049","url":null,"abstract":"<p><strong>Objective: </strong>To examine the associations between symptom clusters and quality of life (QoL) in pediatric liver transplant recipients.</p><p><strong>Design and methods: </strong>From June 2022 to June 2023, a cross-sectional study was conducted with 129 pediatric liver transplant recipients (mean age: 4.1 years old) at 3 tertiary hospitals in Guizhou Province, China. QoL and symptom clusters were measured using the validated Chinese version of Pediatric Quality of Life Inventory Measurement Models and the Modified Transplant Symptom Occurrence and Symptom Distress Scale, respectively. The data were analyzed using the Pearson correlation and linear regression.</p><p><strong>Results: </strong>The mean QoL score was 70.05 ± 19.37. Pearson correlation revealed that neurological system-related (r = -0.560 to -0.282, p < 0.05), digestive system-related (r = -0.522 to -0.160, p < 0.05), and medication-related (r = -0.648 to -0.344, p < 0.05) symptom clusters were negatively correlated with the overall QoL scores and all dimensions. Linear regression showed that the child's primary disease diagnosis (β = -0.157, p = 0.038) and neurological- (β = -0.436, p < 0.001), digestive- (β = -0.326, p < 0.001), and medication-related symptom clusters (β = -0.161, p = 0.025) were significant predictors of QoL (adjusted R² = 0.385, p < 0.001).</p><p><strong>Conclusions: </strong>The QoL of pediatric liver transplant recipients was sub-optimal and warranted clinical attention. The neurological-, digestive-, and medication-related symptom clusters are significant predictors of QoL. Nursing care including assessment and management of these key symptom clusters may be considered to improve the well-being of children after liver transplantation.</p><p><strong>Implications to practice: </strong>These findings highlight the need for routine screening of symptom clusters in pediatric liver transplant recipients and for developing targeted nursing interventions to manage co-occurring symptoms, thereby improving health-related quality of life in this population.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"91 ","pages":"574-579"},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882284","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":"Evaluation of good humanisation practices and organisational determinants in paediatric intensive care units: a multicentre observational study.","authors":"Javier García-Fernández, Marta Romero-García, Vanessa Segura-Encinas, Noemi Rosell-Ruiz, Laura Rodríguez-Salvador, Alejandra Pérez-Restrepo, Dayanna Andrea Tole-Barreto, M ª Mar Albujar-Font, Jordina Pelejero-Manzano, Omar Rodríguez-Forner, Francisco José Cambra, Gabriel Heras-La Calle, José Manuel Velasco-Bueno, Pilar Delgado-Hito","doi":"10.1016/j.pedn.2026.08.053","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.053","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate compliance with the Manual of Good Practices in Humanisation in Paediatric Intensive Care Units in Spain, identifying strengths and areas for improvement, and exploring the association between organisational determinants and the degree of implementation.</p><p><strong>Methods: </strong>Descriptive, cross-sectional and multicentre observational study conducted between January and September 2025 in four paediatric intensive care units in Catalonia (Spain), covering 83.9% of regional bed capacity. The manual comprises 132 items across seven strategic lines and three levels (basic, advanced, excellent). Adherence was assessed via observation, documentary review, and interviews as implemented, in progress, or not implemented. Data were analysed using descriptive statistics, the Mann-Whitney U test, and Spearman's correlation (p < .05).</p><p><strong>Results: </strong>Units implemented a median of 66.3% of practices (range: 54.5%-72.7%). Basic practices showed greater implementation (61.9%-75.0%) than advanced (45.2%-77.4%) or excellent (35.3%-58.8%). Care for staff (85.8%), infrastructure (84.8%), and end-of-life care (77.3%) showed the highest implementation; post-intensive care syndrome and discharge preparation, the lowest (4.2%). Overall implementation correlated with human resources (nurses, nursing assistants, doctors; ρ = 1.000, p < .001), with a trend toward structural capacity (ρ = 0.949, p = .051).</p><p><strong>Conclusions: </strong>This evaluation documents moderate, variable implementation across centres and strategic lines, with post-discharge monitoring as the key gap. Human resources were the main determinant, underscoring the importance of adequate staffing.</p><p><strong>Implications for practice: </strong>The manual is a diagnostic and monitoring tool that units can integrate into audit-and-feedback cycles to prioritise improvement and benchmark practice across centres.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"91 ","pages":"536-545"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876308","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 Turkish caring professional scale among mothers of hospitalized neonates: A psychometric study based on Swanson's theory of caring.","authors":"Harun Özbey, Sultan Beşiktaş, Meral Bayat","doi":"10.1016/j.pedn.2026.08.055","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.055","url":null,"abstract":"<p><strong>Introduction: </strong>The aim is to adapt the CPS into Turkish and evaluate its psychometric properties specifically among mothers of hospitalized neonates.</p><p><strong>Methods: </strong>This cross-sectional study included 149 mothers at a university hospital NICU. Cross-cultural adaptation followed Beaton et al.'s five-stage framework. Psychometric evaluation included internal consistency (Cronbach's α and McDonald's ω), confirmatory factor analysis (CFA) using both maximum likelihood on Pearson correlations and unweighted least squares on polychoric correlations, convergent and discriminant validity, and criterion-related validity with the Barrett-Lennard Relationship Inventory empathy subscale.</p><p><strong>Results: </strong>The Turkish CPS demonstrated excellent internal consistency (α = 0.961, ω = 0.911). The two-factor model showed excellent fit under polychoric-ULS estimation (CFI = 0.99, RMSEA = 0.001, SRMR = 0.046), and all standardized factor loadings exceeded 0.75. However, the one-factor and two-factor models showed almost identical fit, and the two subscales were highly overlapping, indicating that discriminant validity between them was not established. Significant positive correlations with empathy scores provided support for criterion validity.</p><p><strong>Conclusion: </strong>The Turkish CPS demonstrates strong internal consistency and provides initial evidence for model fit in the NICU; however, discriminant validity between the two subscales was not supported, and the total score may be more appropriate than subscale-level interpretation. The findings support the cross-cultural applicability of Swanson's Theory of Caring and emphasize the necessity of using polychoric-based CFA methods for ordinal nursing data.</p><p><strong>Implications to practice: </strong>The Turkish CPS provides pediatric nurses and researchers with a brief, theory-based tool to assess maternal perceptions of professional caring in the NICU.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"91 ","pages":"546-553"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876271","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":"Maternal rumination and well-being in Duchenne muscular dystrophy: Links to children's function and balance.","authors":"Orhan Öztürk, Merve Kurt Aydın, Yiğithan Güzin, Figen Baydan, Pınar Gençpınar, Nihal Olgaç Dündar, Derya Özer Kaya","doi":"10.1016/j.pedn.2026.08.044","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.044","url":null,"abstract":"<p><strong>Background: </strong>Rumination includes maladaptive forms, such as brooding, and potentially adaptive forms, such as positive rumination. Families navigating the chronic physical decline and lifelong rehabilitation needs of children with Duchenne muscular dystrophy (DMD) may be susceptible to such thought patterns. We examined associations between maternal rumination, maternal well-being, and children's motor function and balance.</p><p><strong>Methods: </strong>Forty-one children with DMD (6-17 years) and their mothers (24-43 years) participated. A consecutive convenience sampling strategy was used. Maternal rumination was measured with the Ruminative Responses Scale (RRS)-short form and the Positive and Negative Rumination Scale (PNRS); well-being with the Warwick-Edinburgh Mental Well-being Scale-short form. Child function and balance were assessed using the Motor Function Measure-32 and Pediatric Functional Reach Test.</p><p><strong>Results: </strong>Spearman correlations showed that maternal well-being was negatively associated with RRSsf Brooding and Total Rumination scores and positively associated with the PNRS Positive Rumination total score (p < 0.05). The PNRS Enjoy Happiness subscale was positively associated with children's motor function and balance (p < 0.05). A greater number of siblings with disabilities was associated with higher scores on the PNRS Negative Attribution subscale (p < 0.05).</p><p><strong>Conclusion: </strong>These cross-sectional findings indicate a dual pattern of associations between maternal cognitive strategies and study outcomes in DMD: maladaptive brooding was associated with lower maternal well-being and was more pronounced with longer caregiving duration, whereas positive rumination was associated with better mental well-being and with higher child motor function.</p><p><strong>Implications to practice: </strong>Given the correlational design, these associations underscore the potential value of integrating caregiver psychosocial screening into long-term rehabilitation models.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"91 ","pages":"529-535"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876245","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":"Effectiveness of tummy time exercise using playmat versus mattress on gross motor development in infants aged 0-6 months: A randomized controlled trial.","authors":"Vernando Yanry Lameky, Mevy Lilipory, Nenny Parinussa, Syulce Luselya Tubalawony","doi":"10.1016/j.pedn.2026.08.052","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.052","url":null,"abstract":"<p><strong>Background: </strong>Early infancy is a critical period for gross motor development. Although tummy time is widely recommended, evidence regarding whether the support surface influences its developmental benefits is limited.</p><p><strong>Methods: </strong>This randomized controlled trial included 30 healthy infants aged 0-6 months, who were randomly allocated to a playmat group (n = 15) or a mattress group (n = 15). Both groups performed supervised, age-adjusted tummy time three times daily for two weeks. Gross motor development was assessed before and after the intervention using the Denver Developmental Screening Test.</p><p><strong>Results: </strong>Gross motor scores significantly improved in both groups. The playmat group increased from 5.20 ± 1.14 to 7.13 ± 1.06, while the mattress group increased from 5.07 ± 1.16 to 6.80 ± 1.21. Between-group comparison showed a significantly greater improvement in the playmat group (mean difference = 0.20, 95% CI 0.01-0.39; p = 0.041; Cohen's d = 0.78).</p><p><strong>Conclusion: </strong>Structured tummy time improved gross motor development in infants aged 0-6 months, with greater improvement observed on a playmat than on a mattress.</p><p><strong>Implications for practice: </strong>Pediatric nurses should recommend supervised age-appropriate tummy time on firm, flat, and stable surfaces and provide practical guidance to parents regarding safe positioning, frequency, duration, and infant tolerance. This low-cost intervention can be integrated into infant developmental education in primary healthcare and home environments.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"91 ","pages":"513-522"},"PeriodicalIF":2.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867474","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 parental awareness of child abuse and abuse-related cognitions: A cross-sectional study.","authors":"İlknur Yıldız, Nurcan Karamercimek","doi":"10.1016/j.pedn.2026.08.051","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.051","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to examine the relationship between parents' levels of awareness of child abuse and their cognitions regarding abuse.</p><p><strong>Method: </strong>This descriptive study was conducted with 386 parents of children aged 4-6 years who visited 8 family health centers in Sivas province, Türkiye. Data were collected using the Demographic Information Form, the Child Neglect and Abuse Awareness Scale, and the Child Abuse Beliefs Scale, and were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson correlation analysis in SPSS 23.0.</p><p><strong>Results: </strong>While mothers constituted 80.8% of the participants, 70.5% of the parents had not previously received training on child neglect and abuse. The mean score on the Parental Abuse Awareness Scale was 53.69 ± 6.15, while the mean score on the Abuse-Related Cognitions Scale was 38.38 ± 8.93, indicating a moderate level. The awareness level showed a significant difference according to the number of children and place of residence, the cognition level showed a significant difference according to maternal and paternal educational status, the child's sex, income level, the mother's employment status, and previous training on child neglect and abuse (p < 0.05). Additionally, a weak positive significant correlation was found between awareness and cognition levels (r = 0.249; p < 0.001).</p><p><strong>Conclusion: </strong>It was determined that parents' child abuse awareness and cognition levels are affected by various factors, and as abuse awareness increases, cognitive distortion levels also increase.</p><p><strong>Practice implications: </strong>It is recommended to organize training programs aimed at improving parents' awareness and cognition levels regarding abuse and neglect.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"91 ","pages":"523-528"},"PeriodicalIF":2.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867479","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":"Translational research - Caring for caregivers: Reducing parental stress by meeting their needs for information and support.","authors":"Becky J Christian","doi":"10.1016/j.pedn.2026.08.013","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.08.013","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714247","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 update on healthcare legislation: Trends in pediatric endocrinology.","authors":"Mandi Cafasso","doi":"10.1016/j.pedn.2026.07.042","DOIUrl":"https://doi.org/10.1016/j.pedn.2026.07.042","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708249","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}