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

{"title":"Applying the DASA-YV for aggression risk reduction in pediatric acute care.","authors":"Grace Sund, Theresa Kirkpatrick, Kristen R Choi","doi":"10.1016/j.pedn.2025.03.013","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.013","url":null,"abstract":"<p><strong>Purpose: </strong>Pediatric nurses frequently face aggression from children and adolescents, posing risks to both staff and patients. The Dynamic Appraisal of Situational Aggression Youth Version (DASA-YV) assesses aggression in youth but has only been studied in inpatient psychiatry and certain institutional settings, such as juvenile justice and residential care.</p><p><strong>Design and methods: </strong>This study aimed to validate the DASA-YV in pediatric acute care settings, using an observational design across pediatric emergency, medical/surgical, and intensive care units at two academic medical centers in Southern California. The DASA-YV was administered to patients ages 6 to 17 years with a primary or secondary behavioral health diagnosis from 2022 to 2023.</p><p><strong>Results: </strong>The sample included 201 hospital encounters, of which 33 involved aggressive incidents (16.4 %). The most frequent DASA-YV indicators were outside stressors (39 %), anxiety (37 %), and irritability (29 %). Patients with a 'high' DASA-YV rating showed higher frequencies of overall aggression (P < .001), object aggression (P < .001), verbal aggression (P < .001), and aggression against people (P < .001). In adjusted models, older children and pediatric acute care encounters had a lower risk of aggression, while males had a higher risk. A medium DASA-YV risk rating was associated with an aggressive behavior incidence rate ratio (IRR) of 7.49, and a high rating had an IRR of 36.18. In ROC analysis, the AUC was 0.94, (95 % CI: 0.90-0.98) indicating strong model performance for classifying aggressive incidents.</p><p><strong>Conclusions and practice implications: </strong>The DASA-YV is a valuable tool for assessing aggression risk in pediatric acute care, enhancing patient and staff safety.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors and prevalence of medical device-related pressure injuries in pediatric intensive care.","authors":"Müge Seval, Emine Uzuntarla Güney, Tülay Kuzlu Ayyıldız, Nazife Şirin Kuzlu Alkan","doi":"10.1016/j.pedn.2025.03.014","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.03.014","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the incidence of pressure injuries (PI) in patients connected to medical devices during their treatment in the pediatric intensive care unit (PICU), the risk factors, and the most accurate scale that assesses PI.</p><p><strong>Methods: </strong>A cross-sectional study adhering to STROBE guidelines. It was carried out with 70 children connected to medical devices during their treatment in the PICU between 12.01.2023 and 06.30.2024. The PI development risk statuses of the patients associated with medical devices were evaluated using the Braden Q Scale, the BUCH Scale, the Glamorgan Pediatric PI Risk Assessment Scale, and an Injury Monitoring Form.</p><p><strong>Results: </strong>The incidence of medical device-related pressure injuries (MDPI) in the PICU was 12.8 %. MDPI developed the most frequently in the nasal and oral regions, and 61.5 % of these injuries were Stage 1. The equipment with the highest rates of contribution to PI included nasogastric tubes, orogastric feeding equipment, and oral intubation tubes. The Braden Q, BUCH, and Glamorgan Scales had AUC values of 0.91, 0.83, and 0.80, sensitivity values of 77 %, 77 %, and 66 %, and specificity values of 82 %, 69 %, and 62 %, respectively.</p><p><strong>Conclusions: </strong>The results of this study highlight that medical devices used to support the recovery of critically ill children in the PICU pose a significant risk for PI development.</p><p><strong>Implications for clinical practice: </strong>Determining incidence and risk factors is important to prevent PI. Appropriate protocols, interventions, and strategies can be developed to manage the identified MDPI risk factors.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating anxiety in pediatric primary care: A case report","authors":"Natalie Cheffer PhD., RN, PMHNP – BC, CPNP – PC ,&nbsp;Sahar Vann MSN, RN, CPNP – PC, PMHNP ,&nbsp;Jennifer Nunez MSN, RN, CPNP – PC","doi":"10.1016/j.pedn.2025.02.012","DOIUrl":"10.1016/j.pedn.2025.02.012","url":null,"abstract":"<div><div>Primary care pediatric health care providers have always supported the well-being of children and their families. In the past, the focus has been diagnosing and treating common pediatric physical diseases as well as anticipatory guidance and prevention of pathology through well child visits. Now with the growing mental health crisis impacting young people, identifying, and treating common mental health disorders has become a health care priority in the pediatric primary care setting. A case study format is used to illustrate the assessment, evaluation and management of an adolescent presenting with symptoms of anxiety and depression. Evidenced-based interventions are presented, and mental health resources are provided to assist the pediatric health care provider to confidently care for common mental health disorders in adolescents.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 170-173"},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family management of common sleep disturbances among children with autism: Implications for pediatric nursing research and practice","authors":"Shayleigh Dickson Page ,&nbsp;Lindsey Clark ,&nbsp;Margaret C. Souders ,&nbsp;Jennifer A. Pinto-Martin ,&nbsp;Janet A. Deatrick","doi":"10.1016/j.pedn.2025.03.006","DOIUrl":"10.1016/j.pedn.2025.03.006","url":null,"abstract":"<div><h3>Background</h3><div>Sleep disturbances are common among children with autism spectrum disorder (ASD) and can negatively impact the health and wellbeing of the child, caregiver, and family. Nurses are well-positioned to support families of children with ASD to improve sleep.</div></div><div><h3>Design &amp; purpose</h3><div>In this mixed methods study, we leveraged an existing dataset to 1) characterize qualitative descriptions of sleep disturbances experienced by children (4–10y) with ASD, 2) examine the convergence of qualitative descriptions of sleep disturbances with quantitative scores on the Children's Sleep Habits Questionnaire (CSHQ), and 3) explore strategies used to manage bedtime and sleep disturbances.</div></div><div><h3>Results</h3><div>In this sample (<em>n</em> = 30), 70 % of caregivers described that their child had one or more sleep disturbances, with night wakings (43.3 %), bedtime resistance (30 %), and sleep anxiety (30 %) being most common. Qualitative descriptions largely converged with the CSHQ scores; however, in 20 % of cases, the caregiver reported no concerns about sleep while the CSHQ score indicated a clinically significant sleep problem. Management of bedtime and sleep disturbances required significant effort and balancing of multiple domains, including the child's sleep needs, the sleep needs of the caregiver and other family members, the child's sleep environment preferences and daytime activities that promote or disrupt sleep.</div></div><div><h3>Conclusion &amp; implications to practice</h3><div>Sleep disturbances are prevalent, despite efforts to implement bedtime routines and manage sleep disturbances. Pediatric nurses play an integral role in screening for sleep disturbances, educating families, and providing guidance for implementing behavioral and environmental interventions. Implications for clinical practice and future research are discussed.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 160-169"},"PeriodicalIF":2.1,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of COVID-19 during the first two years: Giving voice to pediatric nurses","authors":"Karen S. Gralton PhD, RN, PCNS-BC ,&nbsp;Kathryn Malin PhD, RN, NNP-BC, APNP ,&nbsp;Eileen Sherburne PhD, RN, ACNS-BC, FNP-BC ,&nbsp;Danielle Smith MSN, RN, CNL ,&nbsp;Stacy Wenner MSN, RN, NEA-BC ,&nbsp;Julie Averbeck MSN, RN ,&nbsp;Amy Newman PhD, RN, CPNP-PC ,&nbsp;Anita Norton MSN, RN, CNS, CPNP-BC ,&nbsp;Genesee Hornung MSN, RN, CNS, CPNP-BC ,&nbsp;Karen Kavanaugh PhD, RN, FAAN","doi":"10.1016/j.pedn.2025.02.010","DOIUrl":"10.1016/j.pedn.2025.02.010","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to describe the experiences of pediatric nurses providing direct care in a variety of settings during the first two years of the COVID-19 pandemic.</div></div><div><h3>Design and methods</h3><div>This was a qualitative descriptive study. Donabedian's Quality Framework for the Evaluation of Healthcare was used to guide the design. Purposive sampling was used to recruit 24 direct care nurses from inpatient and outpatient settings within one healthcare system. Semi-structured, audio-recorded interviews were conducted in-person or via a virtual platform from November 2021 through March 2022.</div></div><div><h3>Results</h3><div>Four major themes were determined across all settings and included: 1) adapting to continuous change, 2) needing effective communication, 3) triggering moral distress, and 4) searching for relief. Fifteen subthemes emerged from the major themes.</div></div><div><h3>Conclusions</h3><div>The impact of the COVID-19 pandemic on pediatric nurses has been profound. Given the opportunity, pediatric nurses clearly articulated the personal and professional challenges they faced throughout the pandemic, how they navigated them, and how they hope healthcare systems will handle crises in the future.</div></div><div><h3>Practice implications</h3><div>The future of pediatric nursing depends on the engagement and support for direct care nurses to practice their profession and meet the needs of both patients and families. Leaders and nurses working together are integral to this future. Nurses want leaders to be present and listen, to value their opinions and to engage them in decision-making that impacts their practice. They need leaders at all levels to understand their work environment and to advocate and support their mental health through readily available resources.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 151-159"},"PeriodicalIF":2.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601723","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":"N95 mask usage in children with type 1 diabetes mellitus: Does it affect clinical outcomes?","authors":"Gül Trabzon ,&nbsp;Şeyma Demiray Güllü ,&nbsp;Şükrü Güngör ,&nbsp;Osman Fırat Çalışkan ,&nbsp;Hamdi Oğuzman ,&nbsp;Oğuzhan Özcan ,&nbsp;Ufuk Utku Güllü","doi":"10.1016/j.pedn.2025.03.004","DOIUrl":"10.1016/j.pedn.2025.03.004","url":null,"abstract":"<div><h3>Background</h3><div>The global COVID-19 pandemic has necessitated the widespread use of N95 masks, yet their impact on children with chronic conditions like type 1 diabetes (T1DM) remains underexplored.</div></div><div><h3>Objective</h3><div>This study investigates the effects of N95 mask usage on clinical outcomes in children with T1DM.</div></div><div><h3>Methods</h3><div>This study enrolled 34 children aged 10–18 with T1DM. Study participants' systemic symptoms and physiological parameters were assessed before and after wearing N95 masks for one hour. Blood glucose levels and capillary blood gas analyses were performed, and any symptoms reported were documented.</div></div><div><h3>Results</h3><div>Nearly half of the participants (47 %) experienced symptoms such as difficulty breathing (41.2 %), ear pain (26.5 %), and runny nose (20.6 %). Despite these symptoms, no significant changes were observed in laboratory values or vital signs, including blood glucose levels, pH, pCO2, HCO3, base excess, lactate, blood pressure, respiratory rate, pulse rate, and oxygen saturation.</div></div><div><h3>Conclusions</h3><div>The findings suggest that N95 masks may cause discomfort but do not adversely affect physiological parameters in children with T1DM. The study highlights the importance of balancing mask-related discomfort with the protective benefits of mask usage in this population. To confirm these findings, more extensive studies with extended mask use durations are needed.</div></div><div><h3>Practice implications</h3><div>Nurses are crucial in educating children and their families about proper mask usage, addressing potential discomfort, and implementing strategies to improve adherence. These may include ensuring an appropriate mask fit and advising on brief, safe breaks when needed.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 139-144"},"PeriodicalIF":2.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592319","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's fear, pain, and anxiety before and after enema: A descriptive, cross-sectional study","authors":"Figen Turk Dudukcu PhD ,&nbsp;Zeynep Padir MsC","doi":"10.1016/j.pedn.2025.03.007","DOIUrl":"10.1016/j.pedn.2025.03.007","url":null,"abstract":"<div><h3>Aims and objectives</h3><div>The study aimed to determine the fear, pain, and anxiety levels of children aged 7–18 years before and after enema.</div></div><div><h3>Method</h3><div>This descriptive and cross-sectional study was conducted between January 8 and May 3, 2024. STROBE guidelines were followed in the study. The sample of the study consisted of 160 children between the ages of 7–18 who underwent enema. The data were collected using the Children's Fear Scale (CFS), Wong-Baker FACES® Pain Rating Scale (WBS) and Children's Anxiety Meter-State (CAM<img>S) for Children. <em>p</em>-value less than 0.05 was considered statistically significant. Descriptive statistics tests, independent sample <em>t</em>-tests, and repeated measures ANOVA were used.</div></div><div><h3>Result</h3><div>Before the enema, children's fear (2.19 ± 1.09) and pain scores (2.94 ± 1.08) were high and anxiety scores (3.60 ± 1.81) were low. There was no statistical difference between fear, pain, and anxiety levels according to some sociodemographic and clinical characteristics (<em>p</em> &gt; 0.05). After the enema, children's fear (2.49 ± 1.34), pain (2.94 ± 1.35) and anxiety scores (3.88 ± 2.22) increased. However, only the increase in fear level was statistically significant (<em>p</em> &gt; 0.05). There was a negative correlation between the child's age and the level of fear, pain, and anxiety.</div></div><div><h3>Conclusions</h3><div>An enema is a medical procedure that causes negative emotions for children, such as fear and pain, before and after it is administered. Nursing interventions are needed before and during the enema.</div></div><div><h3>Practice implications</h3><div>The high levels of fear, pain, and anxiety associated with enemas suggest the need for routine assessment and nursing interventions to control these negative emotions.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 145-150"},"PeriodicalIF":2.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592383","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 troublesome bowel: A qualitative study of intensive care nurses' experiences with constipation in critically ill children in a pediatric intensive care unit","authors":"Marie Nordgaard ,&nbsp;Marianne Kjelsvik ,&nbsp;Vigdis Kvitland Schnell Husby","doi":"10.1016/j.pedn.2025.03.008","DOIUrl":"10.1016/j.pedn.2025.03.008","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to explore nurses' experiences and perceptions of constipation in a pediatric intensive care unit (PICU) in Norway.</div></div><div><h3>Design and methods</h3><div>A qualitative approach using a reflexive thematic analysis was employed. Two focus group interviews were conducted using a semi-structured interview guide.</div></div><div><h3>Results</h3><div>Three themes were identified: challenging individual assessment of bowel function, high responsibility and knowledge gaps in managing constipation for severely ill children, and challenges in maintaining dignity when a child requires assistance with bowel movements.</div></div><div><h3>Conclusion</h3><div>The study's most important findings were the uncertainty surrounding constipation treatment, the challenges nurses face with critically ill children that affect prevention and treatment, and the lack of timely treatment initiation.</div></div><div><h3>Practice implications</h3><div>Risk scoring and protocols for treating constipation in critically ill children should be established. Enhancing staff knowledge about constipation and the administration of various medications in the intensive care setting are essential.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 123-129"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' knowledge and attitudes about children maltreatment in Jordan: A cross-sectional study","authors":"Eman Abu Sabbah RN, Ph.D. ,&nbsp;Nadin M. Abdel Razeq Ph.D., RN, NIDCAP.","doi":"10.1016/j.pedn.2025.02.021","DOIUrl":"10.1016/j.pedn.2025.02.021","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine nurses' knowledge and attitudes, and the factors influencing them regarding managing child maltreatment in Jordan's acute and primary care settings.</div></div><div><h3>Methods</h3><div>This is a descriptive cross-sectional study. Nurses (<em>n</em> = 523, 84 % female) caring for children in Jordan's acute and primary healthcare settings completed the Child Abuse Report Intention Scale. Descriptive and inferential statistics were used to analyze the data.</div></div><div><h3>Results</h3><div>The mean total score of knowledge items was 4.9 (SD =2.6) out of 13. The mean total attitudes score towards protecting children from suspected maltreatment was 78.6 (SD = 12.27) out of 108. Only 42 % of the nurses intended to screen for child maltreatment in their practice, and 15 % did not consider children's physical punishment a form of maltreatment. Additionally, 66 % of nurses reported that each case of child maltreatment should be reported to the authorities, and 68 % indicated that they should advocate for abused children.</div></div><div><h3>Conclusion</h3><div>The significantly insufficient knowledge and fair attitude of nurses towards child maltreatment revealed by this study raises concerns regarding their preparedness for child protection in clinical practice.</div></div><div><h3>Practice implications</h3><div>The findings underscore the critical need for interventions to strengthen nurses' capacities to practice protective and advocacy roles in cases of child maltreatment in clinical settings. Such interventions have the potential to enhance child protection significantly. Stakeholders, such as healthcare administrators, play a key role in shaping the policies and practices. They can better address the limited nurses' knowledge and attitude issues and work towards fostering a safer environment for screening for and reporting child maltreatment.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 130-138"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592318","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":"Adolescent E-cigarette use and associated socio-contextual variables, psychological variables, and problem behaviors","authors":"Emily Battaglia PhD, RN ,&nbsp;Meredith MacKenzie Greenle PhD, RN, CRNP, CNE ,&nbsp;Elizabeth B. Dowdell PhD, RN, AFN-C, FAAN","doi":"10.1016/j.pedn.2025.02.014","DOIUrl":"10.1016/j.pedn.2025.02.014","url":null,"abstract":"<div><h3>Purpose</h3><div><em>E</em>-cigarette use by adolescents has reached epidemic proportions. This study's purpose was to explore adolescent e-cigarette use and dual use of e-cigarettes with other tobacco products and the relationships between socio-contextual variables (in-school/electronic bullying, threats with a weapon), psychological variables (sadness, suicide attempts) and problem behaviors (alcohol/marijuana use, sexual risk behavior, weapon carrying).</div></div><div><h3>Design and methods</h3><div>Cross-sectional descriptive study using secondary data from the 2019 Youth Risk Behavior Survey. Multiple logistic regression was used to examine the relationship between socio-contextual variables, psychological variables, problem behaviors and current adolescent e-cigarette use or dual use. <em>E</em>-cigarette users and dual users were examined in separate regression equations.</div></div><div><h3>Results</h3><div>Most adolescent e-cigarette users (59 %) and dual users (63 %) were white with e-cigarette only users being majority female (55 %) and dual users majority male (57 %). <em>E</em>-cigarette use was significantly correlated with experiencing electronic bullying, sadness, threats with a weapon, alcohol use, marijuana use, and sexual risk behaviors. Dual use was significantly correlated with experiencing electronic bullying, sadness, alcohol use, marijuana use, sexual risk behaviors, and weapon carrying.</div></div><div><h3>Implications to practice</h3><div>Problem behaviors, psychological variables, and socio-contextual variables are associated with e-cigarette use. It is imperative that adolescents are screened for use in addition to other behaviors.</div></div><div><h3>Conclusions</h3><div><em>E</em>-cigarette use and dual use of e-cigarettes and other tobacco products is linked to other problem behaviors and feelings of sadness, with dual users being at significantly higher risk. Adolescents should be screened for e-cigarette use and dual use at every health care visit.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"82 ","pages":"Pages 109-115"},"PeriodicalIF":2.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577583","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}