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

{"title":"Investigation of the effect of fathers' postnatal feelings of security on father-infant attachment","authors":"Şükrü Can Karaman ,&nbsp;Esra Ünal ,&nbsp;Hünkar Demir","doi":"10.1016/j.pedn.2025.09.022","DOIUrl":"10.1016/j.pedn.2025.09.022","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the fathers' postnatal sense of security in the postnatal period and examine the effect of this feelings on father-infant attachment.</div></div><div><h3>Methods</h3><div>This cross-sectional and correlational study was conducted in Turkey with 296 fathers who accompanied their wives to the Obstetrics and Gynaecology Outpatient Clinic of a state hospital during the postpartum period. Data was collected between February and August 2024 using a demographic information form, the Fathers' Postnatal Feelings of Security Scale (FPFSS), and the Postnatal Paternal-Infant Attachment Questionnaire (PPAQ).</div></div><div><h3>Results</h3><div>A positive and significant relationship was found between fathers' postnatal sense of security and father-infant attachment (<em>r</em> = 0.287, <em>p</em> &lt; 0.001). In addition, it was determined that a one-unit increase in the FPFSS score provided a 0.371-unit increase in the father-infant attachment scale score. In the regression model predicting attachment, the variables of fathers' age, number of children, place of residence, quality of the relationship with spouse, readiness to become a father and FPFSS explained 39.6 % of the total variance in father-infant attachment.</div></div><div><h3>Conclusion</h3><div>These findings reveal that fathers' sense of security in the postnatal period strengthens father-infant attachment and point to the need for early assessment and development of supportive interventions for fathers in this area.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 586-592"},"PeriodicalIF":2.3,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187403","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 effect of toy-figure nebulizer along with amigurumi-based therapeutic play, and auditory stimulus reduction during inhalation therapy in children: A randomized controlled trial","authors":"Gamzegül Altay ,&nbsp;Mehtap Metin Karaaslan ,&nbsp;Yasin Yildiz ,&nbsp;Ezgi Demir","doi":"10.1016/j.pedn.2025.09.021","DOIUrl":"10.1016/j.pedn.2025.09.021","url":null,"abstract":"<div><h3>Purpose</h3><div>This study evaluated the effects of therapeutic play using an amigurumi toy and a toy-figure nebulizer, along with inhalation therapy involving reduced auditory stimuli, on fear levels, emotional responses, and physiological parameters in children undergoing treatment in a pediatric emergency department.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 90 children aged 3–6 years who received inhalation therapy at the Pediatric Emergency Department of a state hospital between June –December 2023. Data were collected using a Descriptive Information Form, the Children's Fear Scale (CFS), the Children's Emotional Manifestation Scale (CEMS) and Physiological parameter monitoring form.</div></div><div><h3>Results</h3><div>Children in both the therapeutic play and reduced auditory stimulus groups demonstrated significantly lower mean scores on the CFS and CEMS, as well as lower respiratory rates during inhalation therapy, than their pre-intervention values and those of the control group (<em>p</em> = 0,012, <em>p</em> &lt; 0.001, p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Therapeutic play and auditory stimulus reduction during inhalation therapy in the pediatric emergency department were found to significantly reduce children's fear levels and negative emotional indicators. Additionally, children in the intervention groups exhibited lower respiratory rates than those receiving routine care.</div></div><div><h3>Practice implications</h3><div>Incorporating therapeutic play with an amigurumi toy and using a toy-figure nebulizer, with auditory stimulus reduction, represents a practical and effective approach to minimizing fear and negative emotional responses in children undergoing inhalation therapy in pediatric emergency settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 577-585"},"PeriodicalIF":2.3,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187339","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":"Measurement tools for assessing nausea, vomiting, and retching in pediatric populations: A scoping review","authors":"Remziye Semerci Şahin RN, PhD ,&nbsp;Aycan Kucukkaya BSN, RN ,&nbsp;Gökçe Naz Çakır BSN, RN ,&nbsp;Aslı Akdeniz Kudubeş RN, PhD ,&nbsp;Polat Goktas BSc, MSc, PhD","doi":"10.1016/j.pedn.2025.09.019","DOIUrl":"10.1016/j.pedn.2025.09.019","url":null,"abstract":"<div><h3>Background</h3><div>Nausea, vomiting, and retching are distressing symptoms in pediatric patients, yet their assessment remains inconsistent due to a lack of standardized, age-appropriate tools aligned with children's developmental needs.</div></div><div><h3>Aim</h3><div>This scoping review aimed to identify, map, and evaluate the tools currently used to measure nausea, vomiting, and retching in pediatric populations, specifically focusing on their psychometric properties, applicability, and limitations in clinical and research settings.</div></div><div><h3>Method</h3><div>The review followed the PRISMA-ScR and Joanna Briggs Institute guidelines. A comprehensive search was conducted across six databases (PubMed, Web of Science, Cochrane Library, MEDLINE, CINAHL, and Scopus) up to January 2025.</div></div><div><h3>Results</h3><div>A total of 14 studies met the inclusion criteria, covering 14 measurement tools. Most tools (<em>n</em> = 14) were developed for self-report use, while 10 incorporated proxy-report methods. Tools varied in their focus, with several designed for oncology settings (e.g., BARF Scale, PeNAT, NVTS, SSPedi), while others addressed gastrointestinal disorders, chronic kidney disease, or brain tumors. Outcomes assessed included nausea intensity, vomiting, retching, pain, dietary intake, functional impairment, and emotional symptoms.</div></div><div><h3>Practice implications</h3><div>Existing tools provide useful insights into pediatric nausea and vomiting but differ widely in design and applicability. Standardized, age-appropriate, and culturally adaptable tools are urgently needed for accurate assessment in pediatric patients.</div></div><div><h3>Conclusion</h3><div>Most tools demonstrated acceptable reliability and validity; limited sensitivity for younger children, proxy-report variability, and cultural adaptation were noted. Current tools offer valuable insights into pediatric nausea and vomiting but vary significantly in design, scope, and applicability.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 567-576"},"PeriodicalIF":2.3,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158065","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":"Intervention adherence and its predictors among parents of children with autism spectrum disorder","authors":"Mengyu Cai ,&nbsp;Yushen Dai ,&nbsp;Mengqi Duan ,&nbsp;Miaoying Chen ,&nbsp;Yan Ji ,&nbsp;Linlin Zhou ,&nbsp;Lu Chen ,&nbsp;Lifeng Zhang","doi":"10.1016/j.pedn.2025.09.015","DOIUrl":"10.1016/j.pedn.2025.09.015","url":null,"abstract":"<div><h3>Aims</h3><div>To investigate the intervention adherence among parents of children with Autism Spectrum Disorder (ASD) and explore its predictors.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, a total of 209 parents of children with ASD were recruited from a tertiary hospital in Guangzhou, China, from September 2022 to August 2023. Treatment Compliance Scale (TCS), Autism Behavior Checklist (ABC), Parenting Sense of Competence Scale (PSOC), and Parenting Stress Index-Short Form (PSI-SF) were used for data collection. Multiple linear regression analysis was performed to explore the predictors of intervention adherence.</div></div><div><h3>Results</h3><div>The TCS score was 60.18 ± 12.81, and the item mean scores of professional treatment, family intervention and regular follow-up were 3.73 ± 1.02, 2.98 ± 0.80 and 3.65 ± 0.93, respectively. Multiple linear regression analysis showed that fathers' educational level (<em>β</em> = 0.272, <em>P</em> &lt; 0.01), mothers' daily time with children (<em>β</em> = 0.257, <em>P</em> &lt; 0.05), sensory domain in ABC (<em>β</em> = 0.146, <em>P</em> &lt; 0.05), parenting self-efficacy (<em>β</em> = 0.229, <em>P</em> = 0.001) and parenting satisfaction (<em>β</em> = 0.152, <em>P</em> &lt; 0.05) statistically significantly predicted TCS, accounting for 24.7 % of the variance [<em>F</em> (<em>P</em>) = 6.256, <em>P</em> &lt; 0.001].</div></div><div><h3>Conclusion</h3><div>Intervention adherence among parents of children with ASD was at a moderate level. Parenting confidence (self-efficacy and satisfaction), fathers' education level, mothers' daily time with children, and children's sensory processing abnormalities significantly predicted adherence. These findings suggest that targeted interventions focusing on enhancing parental confidence and providing tailored support based on family characteristics may improve parents' intervention adherence.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 549-557"},"PeriodicalIF":2.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158063","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":"Promoting children's wellbeing: Professionals' experiences and views on early identification","authors":"Karin Pernebo ,&nbsp;Mats Anderberg ,&nbsp;Pamela Massoudi","doi":"10.1016/j.pedn.2025.09.016","DOIUrl":"10.1016/j.pedn.2025.09.016","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to investigate how professionals working with infants and preschoolers perceive the concept of early identification of children in need of support due to developmental, behavioral, or emotional concerns, which children should be identified and offered support or intervention, and why this should be done. Concerns can typically be associated to risk factors such as, parental mental health problems, relational challenges, or child abuse and neglect. The study was performed in municipalities implementing models inspired by the Getting It Right for Every Child (GIRFEC) framework with the aim of systematically identifying risk factors during the early years and offering preventive and indicated interventions to families. GIRFEC involves a broad collaborative approach including tools and a structure for meetings with both families and professionals.</div></div><div><h3>Design</h3><div>The study used an exploratory qualitative design with an inductive approach.</div></div><div><h3>Method</h3><div>Data was collected via semi-structured interviews. Individual face-to-face interviews were conducted with 14 participants from three municipalities and seven organisations or workplaces. The interviews were analysed using thematic analysis.</div></div><div><h3>Results</h3><div>The analysis resulted in five main themes: ‘It's about the parents’, ‘Focus on child behaviour and development’, ‘The impact of the relationship’, ‘Understanding young children is detective work’, and ‘Consequences of early identification’.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that professionals are convinced of the meaningfulness of early identification and support, have a strong focus on the child-parent relationship, consider parents the primary road to identifying children at risk and in need of support, and believe that understanding young children calls for interprofessional collaboration.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 558-566"},"PeriodicalIF":2.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158064","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":"“Weighing is annoying” – Weighing of higher-weight children between discomfort, discrimination, and potential for change","authors":"Lucie Schröder,&nbsp;Sandra Fahrenkrog,&nbsp;Laura Klüpfel,&nbsp;Judith Stumm","doi":"10.1016/j.pedn.2025.09.018","DOIUrl":"10.1016/j.pedn.2025.09.018","url":null,"abstract":"<div><h3>Objective</h3><div>Weighing is part of medical care. Still, little is known about the relationship between weight stigma, discriminatory behavior by health professionals, and the weighing situation of higher-weight children. This study explored the weighing situation of higher-weight children with the aim of identifying important setting factors and discriminatory behaviors, thus providing opportunities for a weight-sensitive approach.</div></div><div><h3>Methods</h3><div>Qualitative study-arm within a mixed methods design in 4 rehabilitation centers in Germany specialized in outpatient rehabilitation programs for children diagnosed with “obesity”. Semi-structured telephone interviews with 19 health professionals and 19 parents, and 6 semi-structured focus groups with a total of 35 children were conducted. Data analysis followed the framework analysis.</div></div><div><h3>Results</h3><div>Several themes surrounding the weighing situation were highlighted, including uncomfortable feelings, and the risk of developing eating disorders. The number of people in attendance, being forced to undress, or the gender and weight of the doctor were mentioned as influencing setting factors. Discriminatory behavior by health professionals could cause discomfort and avoidance of the healthcare system. Several children suggested having fewer people around, deciding on who weighs them, and keeping their clothes on. Children asked for sensitive responses after the weighing and to decide when the weighing takes place.</div></div><div><h3>Conclusions</h3><div>Weighing is highly sensitive, with a great need for awareness and a weight-sensitive approach. These findings underline the requirement for training of health professionals in weight-sensitive assessment and treatment.</div></div><div><h3>Practical implications</h3><div>These findings provide important instructions for clinicians on weight-sensitive weighing and offer suggestions to improve the practice of weighing.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 541-548"},"PeriodicalIF":2.3,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157930","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 the relationship between mothers' phubbing behaviors and taking safety precautions for home accidents: A cross-sectional correlational study","authors":"Sinem Yalnızoğlu Çaka ,&nbsp;Sümeyra Topal","doi":"10.1016/j.pedn.2025.08.010","DOIUrl":"10.1016/j.pedn.2025.08.010","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the relationship between the safety measures taken by mothers against home accidents and phubbing behavior.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted between March and May 2025. The study was completed with 390 mothers. Mothers with preschool children aged 3–5 years living in Kahramanmaraş province completed the Sociodemographic and Social Support Perception Questionnaire, Scale of Diagnosing the Safety Precautions for Home Accidents of Mothers with 0–6 Age Group Children and the Generic Scale of Phubbing (GSP). Multivariate regression analysis modeling was applied to test the mediating effect of different sociodemographic and social support questions on the relationship between mothers' phubbing behavior and their safety precautions for home accidents.</div></div><div><h3>Results</h3><div>The mean age of the mothers included in the study was 36.51 ± 5.78 years. Analysis identified a significant strong negative correlation between mothers' phubbing behavior and the safety measures they took to counter home accidents. In the regression model mothers' employment status, receiving support for child care (financial and support from friends, neighbors, caregivers, etc.) and nomophobia, one of the GSP sub-dimensions, explained 78.1 % of their behavior when taking safety measures against home accidents (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>These results suggest that parents' phubbing behavior may increase the likelihood of children having home accidents.</div></div><div><h3>Implications to practice</h3><div>Pediatric nurses can provide interventions to reduce mothers' nomophobia and contribute to changing families' phubbing behaviors.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 533-540"},"PeriodicalIF":2.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151623","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":"Parents' perspectives on decisional conflict, anxiety, and perceived care involvement upon their children's cancer diagnosis: A longitudinal study","authors":"Li-Min Wu RN., PhD ,&nbsp;Shyh-Shin Chiou PhD, MD ,&nbsp;Pei-Chin Lin PhD, MD ,&nbsp;Yu-Mei Liao PhD, MD ,&nbsp;Wan-Yi Hsu MD ,&nbsp;Hsiu-Lan Su RN, MSN, NP","doi":"10.1016/j.pedn.2025.09.014","DOIUrl":"10.1016/j.pedn.2025.09.014","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine (1) relationships among parents' decisional conflict, anxiety, and perceived care involvement; (2) the longitudinal trajectories of each variable following their children's cancer diagnosis.</div></div><div><h3>Design and methods</h3><div>A prospective longitudinal study included parents (&gt; 20 years) of children had been newly diagnosed with cancer within one month of enrollment.</div><div>Decisional conflict, perceived care involvement, and anxiety were measured at diagnosis and 1, 3, and 6 months thereafter. Generalized estimating equation and Spearman correlation were used to analyze time effects and their relationship.</div></div><div><h3>Results</h3><div>86.7 % of parents had anxiety scores greater than 41 at diagnosis. Anxiety decreased significantly at 3 (<em>β</em> = −5.88, <em>p</em> &lt; .01), and 6 (<em>β</em> = −6.88, <em>p</em> ≤0.01) months. No significant change in decisional conflict or perceived care involvement was observed, except the effective decision score was higher at 1 month than at diagnosis (<em>β</em> = 9.38, p &lt; .01). Higher anxiety at diagnosis correlated significantly with 1-, 3-, and 6-month scores for anxiety (all <em>p</em> &lt; .05) and decisional conflict (all p &lt; .05). Perceived care involvement correlated negatively with decisional conflict across timepoints but showed no link to anxiety.</div></div><div><h3>Conclusions</h3><div>Parental anxiety significantly decreased over time, but 57.1 % of parents were still anxious at 6 months, while decisional conflict and perceived care involvement remained unchanged. Initial anxiety linked to later levels of anxiety and decisional conflict, and more parental perceived care involvement reduced decisional conflict.</div></div><div><h3>Practice implications</h3><div>Highlight parents' anxiety and decision-making challenges during their children's cancer treatment. Early and ongoing psychological and decisional support for these parents is recommended.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 524-532"},"PeriodicalIF":2.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118022","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 effect of using a kaleidoscope on pain levels during invasive procedures in children aged 4 to 12 years: A systematic review","authors":"Aylin Arıkan PhD, RN ,&nbsp;Figen Işık Esenay PhD, RN","doi":"10.1016/j.pedn.2025.09.011","DOIUrl":"10.1016/j.pedn.2025.09.011","url":null,"abstract":"<div><h3>Background</h3><div>Invasive procedures are a major source of procedural pain in pediatric patients. Although pharmacological methods are routinely used, non-pharmacological approaches such as visual distraction techniques are gaining prominence in childcentered care.</div></div><div><h3>Purpose</h3><div>This systematic review aimed to evaluate the effectiveness of kaleidoscope use in reducing procedural pain among children aged 4 to 12 years undergoing invasive interventions.</div></div><div><h3>Materials and methods</h3><div>A systematic literature search was conducted in six electronic databases (PubMed, Web of Science, Scopus, WILEY Online Library, Medline, and ScienceDirect) from inception to November 2024. Randomized controlled trials (RCTs) published in English that investigated kaleidoscope use during invasive procedures in children were included. Methodological quality was assessed using standardized tools, and data were independently extracted by two reviewers. The review followed the PRISMA 2020 guidelines and was registered in PROSPERO (CRD42025630649).</div></div><div><h3>Results</h3><div>From 153 identified articles, nine RCTs met the inclusion criteria, comprising a total of 1460 children. All studies reported a statistically significant reduction in procedural pain among children who used a kaleidoscope during the invasive interventions.</div></div><div><h3>Conclusion</h3><div>Kaleidoscopes represent an effective, non-invasive, and low-cost tool for pediatric pain management during invasive procedures.</div></div><div><h3>Practical implications</h3><div>Incorporating kaleidoscopes into routine pediatric care may improve children's experiences during medical procedures and support holistic, evidence-based nursing practice.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 511-516"},"PeriodicalIF":2.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104887","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":"Parental perspectives on pain detection, assessment, and management in their highly dependent children with cerebral palsy: A cross-sectional study","authors":"Amy Solnica MSN ,&nbsp;Rony Schenker PhD ,&nbsp;Laura Rosenberg PhD ,&nbsp;Caryn Andrews PhD ,&nbsp;Barbara Medoff-Cooper PhD ,&nbsp;Rachel Yaffa Zisk-Rony PhD","doi":"10.1016/j.pedn.2025.09.009","DOIUrl":"10.1016/j.pedn.2025.09.009","url":null,"abstract":"<div><div>Parents understand their children's pain, which is vital for effective management. Nurses play a significant role in providing parents with pain education. This study aimed to examine the practices and challenges that parents of highly dependent children with cerebral palsy (CP) face when managing pain at home.</div></div><div><h3>Design</h3><div>A cross-sectional study of ninety-eight parents of children, adolescents and young people with CP completed questionnaires exploring pain intensity, home management, and their knowledge and perceptions.</div></div><div><h3>Results</h3><div>Parents reported past moderate pain and mild present pain in their children (mean = 4.17 ± 2.8; 2.01 ± 2.79 out of 10, respectively). Parents exhibited moderate knowledge and misconceptions (mean = 27.5 ± 13.5 out of 64). Most utilized numerous non-pharmacological modalities (mean = 9.64 ± 3.7) and found them to be, at most, moderately effective (mean = 6.9 ± 3.2; 0–10). Almost all provided over-the-counter (OTC) analgesics (96 %), and 25 offered prescription analgesics. A moderation model revealed that parents who received pain education were more likely to provide prescription analgesics (OR = 14, 95 % CI 2.21–276.4), but only in parents of fully verbal children (<em>p</em> = 0.02).</div></div><div><h3>Conclusions</h3><div>Parents often utilize a multimodal approach to managing their children's pain at home; however, their children frequently remain in pain. This may stem from parental knowledge gaps regarding pain detection and management.</div></div><div><h3>Implications for practice</h3><div>Effective nursing practice involves a collaborative partnership that integrates parents' knowledge with nurses' specialized skills and current evidence-based practices. Such a partnership can ensure that parents receive reliable information, personalized education, and support to provide their children with CP pain relief measures tailored to their needs.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 517-523"},"PeriodicalIF":2.3,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104890","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}