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

{"title":"Impact of Nirsevimab immunoprophylaxis on professional exhaustion during two epidemics of respiratory syncytial virus","authors":"Ana Barrés-Fernández ,&nbsp;Caterina Calderon ,&nbsp;Susana Ferrando-Monleón ,&nbsp;Silvia Castillo-Corullón ,&nbsp;Ana Ventura-Navarro ,&nbsp;Maravillas Fullana-Tur ,&nbsp;Sergio Iniesta González ,&nbsp;José Vicente Arcos-Machancoses","doi":"10.1016/j.pedn.2025.05.018","DOIUrl":"10.1016/j.pedn.2025.05.018","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to assess the impact of introducing immunoprophylaxis against respiratory syncytial virus in infants (healthy infants up to 6 months of age and vulnerable children up to 24 months) on the professional quality of life of pediatric healthcare providers, and to analyze its association with factors such as sex, age, work experience, workplace setting, professional role, and involvement in pediatric emergency departments.</div></div><div><h3>Methods</h3><div>We conducted an observational, analytical, cross-sectional, multicenter study in Valencia and Castellon Health Departments. The Professional Quality of Life Scale (ProQOL-21) was used to assess compassion satisfaction, burnout, and secondary traumatic stress, the latter two being components of compassion fatigue. Data were collected during two bronchiolitis periods: 2022–2023 (pre-Nirsevimab) and 2023–2024 (post-Nirsevimab). These three dimensions were analyzed across both periods and in relation to demographic and professional variables.</div></div><div><h3>Results</h3><div>A total of 213 surveys were collected (113 pre-Nirsevimab and 100 post-Nirsevimab). The results revealed a significant decrease in burnout and secondary traumatic stress, along with an increase in compassion satisfaction. Improvements were particularly notable among professionals working in emergency departments, hospitals, those under 35 years of age, women, and those with less than 10 years of work experience. No significant improvements were observed in men or residents across any of the dimensions.</div></div><div><h3>Implications for practice</h3><div>The implementation of immunoprophylaxis against respiratory syncytial virus has not only improved patient outcomes but has also positively impacted the emotional well-being of pediatric healthcare providers, highlighting the importance of implementing preventive strategies to support healthcare professionals.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 82-87"},"PeriodicalIF":2.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131153","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":"Efficacy of resilience-based intervention on psychological capital and satisfaction with life among mothers of children with autism spectrum disorders","authors":"Mahmoud Abdelwahab Khedr ,&nbsp;Basma Abd ElMajid Adly ,&nbsp;Rasha Mohammed Hussein","doi":"10.1016/j.pedn.2025.05.020","DOIUrl":"10.1016/j.pedn.2025.05.020","url":null,"abstract":"<div><h3>Purpose</h3><div>Examine the impact of a resilience-focused intervention on psychological capital and overall life satisfaction of mothers who provide care to children with autism spectrum disorders.</div></div><div><h3>Design and methods</h3><div>A quasi-experimental design was executed at the Abdullah Altamimi Centre in Unaizah City, Qassim region. Eighty mothers of children with autism spectrum disorders participated, divided into intervention and control groups. Participants completed self-administered questionnaires, including the 24-item Psychological Capital Questionnaire and the five-item Satisfaction with Life Scale. The intervention consisted of eight weekly sessions on building resilience and psychological capital.</div></div><div><h3>Results</h3><div>The results revealed significant improvements in psychological capital and life satisfaction among mothers in the intervention group (<em>p</em> = 0.000). Specifically, mean scores for overall psychological capital increased from 62.7 to 100.7, while life satisfaction scores rose from 12.8 to 28.3. Additionally, strong correlations were found between psychological capital and life satisfaction post-intervention (<em>p</em> &lt; 0.001), indicating that enhanced psychological resources were associated with improved life satisfaction.</div></div><div><h3>Conclusion</h3><div>The study found that resilience-based training can improve psychological capital and life satisfaction among mothers of children with autism spectrum disorder. This cost-effective method provides essential tools and resources for parents, particularly mothers, who play a vital role in their children's development.</div></div><div><h3>Practice implications</h3><div>By enhancing psychological capital—encompassing optimism, hope, self-efficacy, and resilience—healthcare providers can equip these mothers with effective coping strategies to manage caregiving challenges. Nurses and mental health professionals should consider developing tailored training sessions and support groups that focus on building resilience, which can significantly improve the well-being and life satisfaction of caregivers.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 88-96"},"PeriodicalIF":2.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131154","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":"Development and psychometric evaluation of the father-preterm infant bonding scale","authors":"Uğur Gül PhD ,&nbsp;Emine EFE PhD ,&nbsp;Murat Bektaş PhD","doi":"10.1016/j.pedn.2025.05.010","DOIUrl":"10.1016/j.pedn.2025.05.010","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to describe the development process of the Father-Preterm Infant Bonding Scale (F-PIBS) and to report the results of its psychometric evaluation.</div></div><div><h3>Methods</h3><div>A methodological, correlational, comparative, and cross-sectional design was employed. The study was conducted between June 2023 and September 2024 and included 182 fathers with preterm infants hospitalized in the Neonatal Intensive Care Unit (NICU). Exploratory and confirmatory factor analyses were performed to evaluate the reliability of the scale, and validity was tested using Cronbach's alpha reliability coefficient, split-half reliability, item-total correlations, and Hotelling's T-squared test.</div></div><div><h3>Results</h3><div>The scale comprises 10 items distributed across two sub-dimensions. The content validity ratios of the scale items ranged from 0.80 to 1.00. Cronbach's alpha values for the total scale and sub-dimensions were 0.878, 0.796, and 0.845, respectively.</div></div><div><h3>Conclusion</h3><div>F-PIBS is reliable, valid, and appropriate for evaluating father-preterm newborn bonding levels in the NICU.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 57-65"},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108175","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":"Oncoped: A mobile application for health promotion in children and adolescents undergoing antineoplastic treatment","authors":"Gabriele Cassiano de Almeida ,&nbsp;Juliana Andreia de Souza Fernandes ,&nbsp;Sheila Milena Pessoa dos Santos Fernandes ,&nbsp;Giseli Cassiano de Almeida ,&nbsp;Abigail Victória de Sousa Biró ,&nbsp;Muanna Jéssica Batista Ludgério","doi":"10.1016/j.pedn.2025.05.011","DOIUrl":"10.1016/j.pedn.2025.05.011","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a mobile application for health promotion and prevention of adverse outcomes in children and adolescents undergoing antineoplastic treatment.</div></div><div><h3>Methods</h3><div>This is a methodological study focused on the technological development of a mobile application using the Contextualized Instructional Design framework, comprising five stages: analysis, design, development, implementation, and evaluation. During the analysis phase, a scoping review was conducted to establish the theoretical foundation, in the design phase, the application layout was created and content and appearance validation was carried out by experts. The development was carried out using the TypeScript programming language. In the implementation phase, the application was made available for free download. In the evaluation phase, a usability assessment was conducted with the target audience. The usability evaluation study was carried out between September 2022 and September 2023 at the Alcides Carneiro University Hospital, in Campina Grande, Paraíba, Brazil, with the participation of children and adolescents undergoing antineoplastic treatment and their caregivers.</div></div><div><h3>Results</h3><div>The OncoPed app features an attractive layout, accessible language, and comprises 34 mobile screens divided into two navigable sections, encompassing three subsections. Expert validation yielded a Content Validation Index (CVI) of 0.97, indicating satisfactory outcomes and readiness for implementation. Usability evaluations by patients and their caregivers classified the application as “acceptable,” with an average SUS (System Usability Scale) score of 83.6.</div></div><div><h3>Conclusion</h3><div>The OncoPed app provides information about antineoplastic treatment and represents an innovative proposal in the field of health and technology. It is user-friendly, engaging, and accessible to its target audience. The integration of the application into healthcare services can be achieved through outreach strategies, such as training the team to incorporate it into health education routines. This technology transfer promotes the expansion of patient-centered care by integrating digital innovation into healthcare practices in an ethical, accessible, and safe manner.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 66-73"},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108176","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":"Children living with end stage renal disease: A qualitative study from the perspectives of the children, mothers, and HCPs","authors":"Maha Atout PhD, MSN, RN","doi":"10.1016/j.pedn.2025.05.008","DOIUrl":"10.1016/j.pedn.2025.05.008","url":null,"abstract":"<div><h3>Aim</h3><div>To understand the illness/ caring experience of Jordanian children with End-Stage Renal Disease (ESRD), from the perspectives of the children, their mothers, and the healthcare professionals (HCPs.) involved in their care.</div></div><div><h3>Method</h3><div>A descriptive qualitative study using individual, semi-structured interviews conducted with four children living with ESRD, eight mothers caring for a child with the condition, and four physicians and five nurses involved in the children's care. The interviews were conducted in several pediatric units in two hospitals in Amman, Jordan. The SRQR guidelines for reporting this qualitative study were followed.</div></div><div><h3>Findings</h3><div>The interview data were organized and contextualized into three major themes reflecting the most significant experiences of the participants: (1) challenges faced by children, including the suffering caused by dialysis, dietary restrictions, extended hospital admissions, and distruptions in education; (2) challenges faced by mothers, including financial challenges, the effect on other siblings, and feeling restricted; (3) challenges faced by HCPs, including the reactions on the initial diagnosis, and parental blame and conflict with healthcare Professionals.</div></div><div><h3>Conclusion</h3><div>Children with ESRD, their mothers, and the HCPs involved experience severe challenges. A primary responsibility of HCPs is to steadfastly advocate for children with ESRD and their families and to devise strategies for implementing tailored interventions that help these families cope with their distressing and complex circumstances.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 39-48"},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108172","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 ShotBlocker on pain and satisfaction during measles-rubella-mumps vaccination: A randomized controlled trial","authors":"Veysel Can ,&nbsp;Nesrullah Ayşin ,&nbsp;Mehmet Bulduk ,&nbsp;Jiyan Tan Ayşin ,&nbsp;Yusuf Dilbilir","doi":"10.1016/j.pedn.2025.05.015","DOIUrl":"10.1016/j.pedn.2025.05.015","url":null,"abstract":"<div><h3>Aim</h3><div>The study aim to evaluate the effect of shotblocker on pain and satisfaction during measles-mumps-rubella vaccination among infants.</div></div><div><h3>Method</h3><div>A randomized controlled experimental design was used. The study was conducted between August and October 2024 at a Family Health Centre under the Public Health Directorate in eastern Turkey. The sample consisted of 60 infants receiving MMR vaccination, divided into two groups: the ShotBlocker group (<em>n</em> = 30) and the control group (n = 30). Infants in the ShotBlocker group were vaccinated using the ShotBlocker device, while those in the control group underwent routine vaccination without additional intervention. Data were collected using the FLACC Pain Scale and the Newcastle Satisfaction with Nursing Care Scale (NEW-SNCS). Ethical principles were strictly followed.</div></div><div><h3>Results</h3><div>Observations by mothers and nurses indicated significantly lower pain scores during and after vaccination in the ShotBlocker group compared to the control group (<em>p</em> &lt; 0.001). Mothers' satisfaction scores with nursing care were significantly higher in the ShotBlocker group (p &lt; 0.001). Additionally, pulse rates following vaccination were lower in the ShotBlocker group, reflecting reduced physiological stress responses (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>ShotBlocker effectively reduces vaccination pain, improves maternal satisfaction, and lessens physiological stress. Its low cost and ease of use support its potential for routine immunization. Further studies are needed to assess its effectiveness across different age groups and clinical contexts.</div></div><div><h3>Practice implications</h3><div>ShotBlocker is a simple, low-cost, and effective method to reduce pain and improve parental satisfaction during vaccination, supporting its broader use in practice.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 49-56"},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108174","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":"Are parents aware of the danger of cyberbullying? Cross-sectional investigation of the relationship between parents' cyberbullying awareness and digital parent self-efficacy","authors":"Dilek Uludaşdemir ,&nbsp;Şahin Bayzan","doi":"10.1016/j.pedn.2025.05.006","DOIUrl":"10.1016/j.pedn.2025.05.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the variables that affect parents' cyberbullying awareness and digital parenting self-efficacy levels.</div></div><div><h3>Methods</h3><div>This study was conducted with parents (<em>n</em> = 9405) in Türkiye. Data were collected with the parent data collection form, the Parental Awareness and Supervision in Cyberbullying Prevention Scale (PASS-PC), and the Digital Parenting Self-Efficacy Scale (DPSES). A <em>t</em>-test, One-Way ANOVA, Pearson Correlation test and a simple linear regression test were used to analyses the data. The significance level was accepted as <em>p</em> &lt; .05.</div></div><div><h3>Results</h3><div>It was determined that parents with high income levels, female, 30–35 years of age, living in the urban, with a daily internet usage time of 5.1 h or more, a daily internet and social media usage time of their child between 0 and 1 h, having one child, and monitoring their child's posts on social media accounts had higher scores on the PASS-PC and DPSES scales. A positive and moderately significant relationship was found between parental awareness in preventing cyberbullying and digital parenting self-efficacy. The level of parental awareness and control of parents in preventing cyberbullying explains 26 % of the change in the digital parenting self-efficacy level.</div></div><div><h3>Conclusion</h3><div>It was determined that parents with high digital parenting self-efficacy had high levels of cyberbullying awareness and control, and that the sociodemographic characteristics of parents also affected these levels.</div></div><div><h3>Practice implications</h3><div>Supporting parents' digital parenting skills will contribute to the prevention of cyberbullying in children and adolescents by increasing parental awareness and control.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 30-38"},"PeriodicalIF":2.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144088704","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":"Medication errors at home in the pediatric population: An assessment from a parent's perspective","authors":"Ayten Doğan Keskin ,&nbsp;Gül Kadan ,&nbsp;Neriman Aral ,&nbsp;Serkan Yılmaz","doi":"10.1016/j.pedn.2025.05.012","DOIUrl":"10.1016/j.pedn.2025.05.012","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study is to examine the frequency of medication errors made by parents while administering medication to their children at home, and explore the relationship and associated variables with these errors.</div></div><div><h3>Materials and method</h3><div>The study utilized a screening model to explore medication administration patterns among parents of children aged 0–12 years in Türkiye. Data were collected through an online survey using a snowball method, with 730 parents participating. Information was gathered using a General Information Form and a Survey Form, and the responses were analyzed using SPSS and RStudio. Chi-square tests and multiple regression analyses were performed to assess relationships between variables and medication errors. Data collection occurred between July 2022 and July 2023.</div></div><div><h3>Results</h3><div>The study found a 15.9 % rate of medication errors among parents administering medication to their children. The analysis of medication errors revealed that missed drug doses were the most frequent error, accounting for 60.3 % of cases. This was followed by the administration of lower drug doses (19.8 %), non-adherence to storage instructions (8.6 %), administration of excessively higher drug doses (7.8 %), and misuse of medications (3.4 %). Chi-square tests revealed significant relationships between medication errors and various factors, such as challenges during administration, support received, and the use of telephone consultations. Multiple regression analysis identified difficulty in administering medication and the use of telephone consultations as factors significantly associated with medication error.</div></div><div><h3>Conclusion</h3><div>The results highlight the need for increased support and education for parents to reduce errors during medication administration.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 15-22"},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072169","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":"Quality of pediatric nursing care is effective in reducing fears of nursing interventions and materials used in hospitalized children: Results of a clinic-based study","authors":"Nimet Karataş ,&nbsp;Meltem Gürcan ,&nbsp;Ayla Kaya ,&nbsp;Zahide Iyi Altinişik ,&nbsp;Ayşegül Işler","doi":"10.1016/j.pedn.2025.05.007","DOIUrl":"10.1016/j.pedn.2025.05.007","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the relationship between the perceived quality of nursing care and levels of fear in hospitalized children regarding nursing interventions and materials.</div></div><div><h3>Design and methods</h3><div>The study was conducted with 182 hospitalized children between January and September 2024 at two regional hospitals in Antalya, Türkiye. Data were collected using a descriptive information form, the Scale Evaluation Quality of Care from Children's Point of View and, Scale Development of Fear in Children Against Nursing Interventions and Used Materials<em>.</em> Descriptive statistical methods were applied for data analysis. Regression analysis was used to identify the predictors of quality of nursing care. This cross-sectional study followed the STROBE checklist.</div></div><div><h3>Results</h3><div>This study revealed that children's perception of quality of care was moderate (44.15 ± 8.95), while their fear of nursing interventions and used materials was below average (32.88 ± 10.50). Children hospitalized for 10 days or more reported significantly higher perceptions of the quality of nursing care (48.13 ± 9.70, F = 7.696, <em>p</em> = 0.001). A significant negative correlation was found between the quality of nursing care and children's fear of interventions and used materials (<em>r</em> = −0.362, p = 0.001).</div></div><div><h3>Conclusion</h3><div>The findings suggest a moderate relationship between quality of nursing care and children's fear of nursing interventions and used materials.</div></div><div><h3>Practice implications</h3><div>From the perspective of hospitalized children, high perceived quality of nursing care and longer hospital stays (10 days or more) were associated with reduced fear of nursing interventions and used materials.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 8-14"},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072078","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 using an adhesive remover spray and squeezing a stress ball on pain and fear of pain during peripheral intravenous cannula removal in children aged 6–9 years: A randomized controlled trial","authors":"Ozlem Guzel Polat ,&nbsp;Guzide Ugucu ,&nbsp;Derya Akdeniz Uysal ,&nbsp;Nardane Polat ,&nbsp;Ozlem Tuzun ,&nbsp;Duygu Sonmez Duzkaya ,&nbsp;Ayda Celebioglu","doi":"10.1016/j.pedn.2025.05.009","DOIUrl":"10.1016/j.pedn.2025.05.009","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the effects of using an alcohol-free, silicone-based adhesive remover spray and squeezing a stress ball on pain and fear of pain during the removal of peripheral intravenous cannulas and fixation materials (acrylate-based hypoallergenic adhesives) in children aged 6–9 years.</div></div><div><h3>Design and methods</h3><div>This trial was structured as a randomized controlled parallel-group experimental study at a single-center. This study was conducted with 90 children aged 6–9 years (routine care group = RCG; <em>n</em> = 30, adhesive remover spray group = ARSG; n = 30, ball squeezing + adhesive remover spray group = BS + ARGS; n = 30) admitted to the pediatrics service of a university hospital between May and July 2024. The Wong-Bakers FACES® Pain Rating Scale and the Children's Fear Scale were used as data collection tools. The children's pain and fear of pain were assessed 2 min before, during and 2 min after the procedure.</div></div><div><h3>Results</h3><div>The mean age of the children (<em>N</em> = 90) was 8.28 ± 1.70 years. The pain scores of the RCG were higher than those of the BS + ARSG and ARSG. The fear of pain scores of the BS + ARSG were lower than for RCG.</div></div><div><h3>Conclusions</h3><div>Using an alcohol-free, silicone-based adhesive remover spray with ball squeeze to remove peripheral intravenous cannula and fixation material was found to be effective in shortening procedure time and reducing pain and fear of pain in children.</div></div><div><h3>Practice implications</h3><div>Using an alcohol-free, silicone-based adhesive remover spray during peripheral intravenous cannula removal in children reduces pain and fear of pain in children and increases their comfort. It reduced the nurses' workload by reducing the time spent on the procedure.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 23-29"},"PeriodicalIF":2.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072170","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}