{"title":"Determining pediatric nurses' anxiety levels, concerns, and metaphor perceptions towards artificial intelligence technologies: A mixed-method study","authors":"Şerife Tutar , Hande Özgörü , Züleyha Ögür","doi":"10.1016/j.pedn.2025.09.005","DOIUrl":"10.1016/j.pedn.2025.09.005","url":null,"abstract":"<div><h3>Aim</h3><div>This study was conducted to determine the anxiety levels, concerns, and metaphor perceptions of pediatric nurses towards artificial intelligence (AI) technologies.</div></div><div><h3>Design and methods</h3><div>A mixed-method research design was used in this study. This study was conducted with 422 pediatric nurses in Turkey. The data were collected through an “Introductory Information Form”, the “Artificial Intelligence Anxiety Scale”, and a “Semi-Structured Interview Form” via face-to-face interviews.</div></div><div><h3>Results</h3><div>A total score of 48.29 ± 13.53 was obtained from the Artificial Intelligence Anxiety Scale applied to the participants. In order to gain deeper insight into their perspectives, participants were also asked the open-ended question: “What do you think about the use of AI in pediatric nursing practices?” When the sentiment analysis of the answers to this question was examined, it was seen that 30.5% of pediatric nurses evaluated the use of AI positively, and 69.5% had a negative perspective. Additionally, to explore specific concerns, the participants were asked: “What are you most concerned about the use of AI in pediatric nursing practices?” When the sentiment analysis distributions of the answers given to this question were examined, it was determined that 5.1 % were positive and 94.9 % negative.</div></div><div><h3>Conclusions</h3><div>This study shows that pediatric nurses, despite recognizing AI's potential to reduce workload, errors, and improve care, largely perceive it negatively due to concerns about empathy, role shifts, ethics, credibility, technical issues, privacy, and malpractice.</div></div><div><h3>Practice implications</h3><div>Addressing nurses' knowledge gaps through training is key to safe and effective AI use in pediatric care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 441-450"},"PeriodicalIF":2.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048339","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}
Yanchao Wu , Zishen Wang , Dandan Song , Jennifer Hong , Zirong Tian , Xuan Zhou , Qiaohong Guo
{"title":"Growing through experience: A phenomenological study of pediatric healthcare providers' experience of caring for terminally ill children in mainland China","authors":"Yanchao Wu , Zishen Wang , Dandan Song , Jennifer Hong , Zirong Tian , Xuan Zhou , Qiaohong Guo","doi":"10.1016/j.pedn.2025.09.003","DOIUrl":"10.1016/j.pedn.2025.09.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Caring for terminally ill children is highly demanding and emotionally challenging for healthcare providers. Understanding their experiences is crucial for identifying their needs, thereby providing appropriate support. However, limited research has explored their experiences in caring for dying children in mainland China, where the death taboo culture runs deep. This study aims to elucidate pediatric healthcare providers' experience of caring for terminally ill children in mainland China.</div></div><div><h3>Methods</h3><div>This is a descriptive phenomenology. Semi-structured interviews were utilized to explore the views of a purposive sample of 19 healthcare providers recruited from five general hospitals and a pediatric palliative care institution in northern China. Data were analyzed using Colaizzi's seven-step analysis method.</div></div><div><h3>Results</h3><div>Five themes were identified: (1) Cultural and ethical tensions in pediatric end-of-life care; (2) Care reflecting cultural humility; (3) Holistic care practices for terminally ill children and their families; (4) Emotional and affective responses; (5) Multifaceted growth and transformation.</div></div><div><h3>Conclusions</h3><div>Caring for terminally ill children challenges pediatric healthcare providers emotionally and culturally, while also fostering personal and professional growth by offering deeper insights into life and death as well as the meaning of work.</div></div><div><h3>Implications for practice</h3><div>Pediatric healthcare providers should receive training with a focus on managing emotional distress, enhancing communication skills on death and dying topics, and fostering cultural humility.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 424-432"},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048336","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 instructional therapeutic play on emotional responses in children undergoing nasopharyngeal swabbing: A randomised controlled trial","authors":"Melisa Şengül MSc, BSN , Zeynep Erkut PhD, MSc, BSN","doi":"10.1016/j.pedn.2025.09.004","DOIUrl":"10.1016/j.pedn.2025.09.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to determine the effect of instructional therapeutic play given before nasopharyngeal swabbing on emotional responses in children aged 3–6 years.</div></div><div><h3>Methods</h3><div>This was a randomised, controlled experimental study. The population covered children presenting to the outpatient paediatric unit of a hospital in Istanbul, Türkiye, for nasopharyngeal swabbing between January–March 2024. The study included 68 children who met the sample selection criteria (therapeutic play group: 34, control group: 34). Data were collected using the Information Form, the Children's Emotional Manifestation Scale (CEMS), and Instructional Therapeutic Play Guide for Nasopharyngeal Swab Procedure. Children in the therapeutic play group received instructional therapeutic play. For this intervention, the swabbing procedure was demonstrated on a doll before nasopharyngeal swabbing. Children in the control group were only explained the swabbing procedure as in routine practice. Two nurse observers independently rated each child's emotional responses one minute before, during, and one minute after the procedure.</div></div><div><h3>Results</h3><div>During the procedure, mean CEMS scores were significantly lower in the therapeutic play group (9.8 ± 3.8) than in the control group (15 ± 6.1) (<em>p</em> = 0.000). After the procedure, the mean CEMS score of the therapeutic play group (6.7 ± 2.4) was significantly lower than that of the control group (11.2 ± 5.8) (<em>p</em> = 0.000).</div></div><div><h3>Conclusions</h3><div>This study determined that demonstrating nasopharyngeal swabbing using the instructional therapeutic play method effectively and positively influenced the emotional responses of preschool children.</div></div><div><h3>Clinical implications</h3><div>The therapeutic play can be used as an effective paediatric nursing intervention to manage the negative effects of painful and/or stressful procedures on children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 433-440"},"PeriodicalIF":2.3,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048338","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":"Quantum touch for reducing transfer anxiety in pediatric emergency admissions: A randomized controlled trial","authors":"Özlem İbrahimoğlu RN, PhD , Özlem Akarsu RN, PhD , Eda Polat RN, PhD , Derya Kilinç RN, PhD , Özlem Akkaya RN","doi":"10.1016/j.pedn.2025.08.021","DOIUrl":"10.1016/j.pedn.2025.08.021","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to evaluate the effectiveness of Quantum Touch in reducing transfer anxiety among children and their parents during admission from the emergency department to inpatient units.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 60 children aged 5 to 10 years and their parents in a pediatric emergency department of a training and research hospital in Turkey. Data were collected using the “Information Form”, “Children's Anxiety Meter-State”, “Children's Fear Scale” “Visual Analog Scale” and “State and Trait Anxiety Inventory”.</div></div><div><h3>Results</h3><div>Children and parents in the Quantum Touch group exhibited significantly lower levels of anxiety, fear, and pain following the intervention compared to the control group. Within-group analysis showed a marked reduction in all outcome measures in the Quantum Touch group, while only minimal improvements were observed in the control group receiving standard care.</div></div><div><h3>Conclusion</h3><div>Quantum Touch is an effective non-pharmacological intervention for alleviating transfer related anxiety, fear, and pain in children and their parents during the hospital admission process from the emergency department. These findings support its integration into pediatric nursing practice as a complementary therapy.</div></div><div><h3>Application to practice</h3><div>In pediatric emergency departments, Quantum Touch may help manage children's anxiety, fear, and pain during the transfer process, supporting emotional comfort through a non-invasive method.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 404-411"},"PeriodicalIF":2.3,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019094","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}
Sevil Çınar Özbay , Remziye Semerci Şahin , Aslı Akdeniz Kudubeş , Selma Durmuş Sarıkahya , Handan Boztepe
{"title":"Which factor ımpacts medical traumatic stress for pediatric patients: Scoping review","authors":"Sevil Çınar Özbay , Remziye Semerci Şahin , Aslı Akdeniz Kudubeş , Selma Durmuş Sarıkahya , Handan Boztepe","doi":"10.1016/j.pedn.2025.09.001","DOIUrl":"10.1016/j.pedn.2025.09.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The objective of this scoping review was to systematically map, categorize, and synthesize the existing research identifying the factors associated with the development of medical traumatic stress in pediatric patients receiving clinical care.</div></div><div><h3>Methods</h3><div>This review followed the methodological framework proposed by Booth et al. (2021) and adhered to the PRISMA-ScR guidelines. Six electronic databases (PubMed, Web of Science, Cochrane Library, MEDLINE, CINAHL, and Scopus) were systematically searched until December 12, 2024.</div></div><div><h3>Results</h3><div>Fourteen primary studies were included, covering diverse pediatric populations exposed to surgical procedures, intensive care admissions, chronic illnesses, oncological treatments, and severe infections. PMTS symptom frequency among pediatric patients ranged from 8.6 % to 60 % across studies. Key child-related risk factors included younger age, pre-existing emotional difficulties, hospitalization-related anxiety, and fear of death. Family-related factors such as parental PTSD symptoms, caregiver stress, and poor family functioning significantly influenced outcomes. Medical-related factors such as perceived life threat, emergency surgeries, repeated interventions, and hospitalization duration heightened PMTS risk. Socio-environmental influences, including low socioeconomic status, minority background, pandemic-related isolation, and social disruptions, further exacerbated vulnerability.</div></div><div><h3>Conclusion</h3><div>Pediatric medical traumatic stress arises from a complex interplay of psychological, familial, medical, and socio-environmental factors. The findings highlight the critical need for trauma-informed, family-centered care approaches in pediatric healthcare settings.</div></div><div><h3>Clinical implications</h3><div>The multidimensional nature of PMTS risk factors emphasizes the urgent need for early screening, trauma-informed pediatric care, and family-centered interventions tailored to the child's developmental, psychological, and sociocultural context.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 412-423"},"PeriodicalIF":2.3,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019096","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 life management skills scale for children with type 1 diabetes","authors":"Adnan Batuhan Coşkun , Nermin Olgun , Nuran Tosun , Hakan Dokumuş , Nimet Barna , Erhan Elmaoğlu , Nurdan Yildirim","doi":"10.1016/j.pedn.2025.09.002","DOIUrl":"10.1016/j.pedn.2025.09.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to develop and psychometrically evaluate the Life Management Skills Scale (LMSS-T1D), designed to assess coping and self-management skills in children with Type 1 Diabetes Mellitus (T1DM).</div></div><div><h3>Methods</h3><div>A methodological and correlational study was conducted between May and December 2024 with 367 children aged 10–18 years. Content validity was assessed by expert review (CVI: 0.80–1.00). Construct validity was tested via exploratory and confirmatory factor analyses. Internal consistency was measured with Cronbach's alpha; test-retest reliability was assessed using Pearson correlation.</div></div><div><h3>Results</h3><div>The scale revealed a two-factor structure “Diabetes Coping Skills” and “Diabetes Management Knowledge” explaining 70.9 % of the total variance. Factor loadings ranged from 0.832 to 0.963. Confirmatory factor analysis indicated a good model fit (χ<sup>2</sup>/df = 1.683, RMSEA = 0.069, CFI = 0.968). Cronbach's alpha was 0.980 for the total scale; 0.971 for the “Diabetes Coping Skills” subscale and 0.984 for the “Diabetes Management Knowledge” subscale. Item-total correlations were significant (<em>r</em> = 0.823–0.904). Test-retest reliability was high (<em>r</em> = 0.979–0.988), and no significant differences were found between applications (<em>p</em> > 0.05).</div></div><div><h3>Conclusion</h3><div>The LMSS-T1D is a valid and reliable instrument for evaluating life management skills in children with T1DM. It offers a structured framework for assessing coping and self-management capabilities and may support individualized interventions.</div></div><div><h3>Implications for practice</h3><div>The scale may assist healthcare providers in identifying strengths and weaknesses in pediatric diabetes management, guiding personalized care plans.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 397-403"},"PeriodicalIF":2.3,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019093","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}
Kalpana Subasinghe , Helen Petsky , Amy E. Mitchell , Karin Plummer
{"title":"Experiences of siblings of children with chronic health conditions: A qualitative study in the Australian context","authors":"Kalpana Subasinghe , Helen Petsky , Amy E. Mitchell , Karin Plummer","doi":"10.1016/j.pedn.2025.08.019","DOIUrl":"10.1016/j.pedn.2025.08.019","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Siblings of children with chronic health conditions face unique psychosocial challenges, yet their voices remain underrepresented in research. While existing studies primarily rely only on parental proxy reports of sibling well-being or focus on experiences of older siblings or are confined to specific conditions like cancer, there is limited understanding of siblings' experiences more broadly from their voice. This study investigated the experiences of siblings of children with chronic health conditions in Australia from both sibling and parental perspectives.</div></div><div><h3>Design and methods</h3><div>A descriptive qualitative study using purposive sampling was employed to recruit siblings (aged 5–12 years) of children with chronic health conditions and their parents. Families were recruited through schools, non-profit organizations, and private practitioners, and data were collected using online semi-structured interviews based on the Sibling Embedded Systems Framework. Framework Analysis was used following the deductive-inductive approach.</div></div><div><h3>Results</h3><div>The sample included 14 parents and 9 siblings. Emerging themes highlighted that siblings experience mixed emotions when navigating changes in their lives related to their brother's or sister's chronic health condition. They often develop responsible and caring behaviors, but also negative interpretations over time. Siblings expect timely and age-appropriate illness-related information and communications.</div></div><div><h3>Conclusions and implications</h3><div>Data suggests that siblings' adjustment and coping in the context of a pediatric chronic health condition might be influenced by their involvement in caregiving and decision-making related to the disease condition, which needs to be studied further. Findings will guide the health service delivery to enhance siblings' well-being and improve family outcomes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 378-387"},"PeriodicalIF":2.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010424","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":"Validity and reliability study of the Turkish version of the children's comfort daisies and comfort behaviors checklist","authors":"Tülay Kuzlu Ayyıldız , Müge Seval , Emine Uzuntarla Güney , Merve Yanık","doi":"10.1016/j.pedn.2025.08.020","DOIUrl":"10.1016/j.pedn.2025.08.020","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the validity and reliability of the Turkish adaptations of the Children's Comfort Daisies (CCD) and the Children's Comfort Behavior Checklist (CCBC), developed by Kolcaba & DiMarco in 2005, which have been culturally adapted into only one other language.</div></div><div><h3>Design</h3><div>This methodological study followed pediatric research guidelines using the Child-Centred Research Checklist from the EQUATOR Network.</div></div><div><h3>Methods</h3><div>The study was conducted between November 1, 2024, and February 1, 2025, in a pediatric ward in northwestern Turkey. It included 151 patients aged 0–18 without analgesics or sedatives within the past four hours. Content validity was assessed using the Davis technique, and construct validity was evaluated by factor analysis. Internal consistency was measured with Cronbach's alpha, inter-rater reliability with Cohen's kappa, and test-retest reliability by evaluating scores 15 min before and after an invasive procedure. The correlation between CCBC and CCD was analyzed using Spearman's Rho.</div></div><div><h3>Results</h3><div>The mean age of participants was 7.11 ± 4.92 years, with 60.9 % being male. The CBC, which has 30 items with five categories, demonstrated an appropriate factor structure, valid content, good internal consistency, and acceptable inter-rater reliability. The visually scored CCD demonstrated acceptable goodness-of-fit indices. A strong correlation and high agreement were found between the two scales.</div></div><div><h3>Conclusions</h3><div>The Turkish versions of CCBC and CCD are valid and reliable scales for assessing comfort in children with acute illnesses. This study addresses the current lack of culturally adapted comfort assessment scales in Turkey by developing and validating the Turkish versions of the CCBC and CCD.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 388-396"},"PeriodicalIF":2.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019092","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":"Validity and reliability of the pediatric pressure ulcer prediction and evaluation tool in the Turkish population: Comparison with Braden QD-T","authors":"Erhan Elmaoğlu , Zerrin Çiğdem","doi":"10.1016/j.pedn.2025.08.015","DOIUrl":"10.1016/j.pedn.2025.08.015","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the validity and reliability of the Pediatric Pressure Ulcer Prediction and Evaluation Tool (PPUPET) in the Turkish population and compare it with Braden QD-T.</div></div><div><h3>Materials and methods</h3><div>The study was conducted methodologically to test the validity and reliability of PPUPET in Turkish on 228 pediatric patients hospitalized in the pediatric intensive care unit of a public hospital in the Southeastern Anatolia Region of Turkey. Data were collected from pediatric patients and their files who were hospitalized in the pediatric intensive care unit of the hospital under investigation for at least 3 days between July 2023 and October 2023, and using a Personal Information Form, PPUPET, and the Braden QD-T Scale. Kaiser-Meyer-Olkin (KMO) analysis, exploratory factor analysis, and confirmatory factor analysis (CFA) were performed, and CFA fit indices were evaluated to assess the construct validity of the scale. Internal consistency (item-total correlation coefficient and Cronbach alpha value) and interobserver consistency were evaluated as reliability analyses using the parallel form method and ROC curve analysis to evaluate the discriminative feature. Guidelines for reporting reliability and agreement studies (GRRAS) were adhered to in the study.</div></div><div><h3>Results</h3><div>Half (50.9 %) of the children included in the study were male, 66.7 % were not at risk of pressure injuries according to the Braden QD-T Scale, and 64.9 % were not at risk of pressure injuries according to PPUPET. The content validity index of the scale items for which language validity was evaluated using the Davis method ranged between 0.80 and 1.00, and the content validity ratio was found as 0.92. The KMO coefficient was found as 0.791 and the Bartlett sphericity test χ<sup>2</sup> value was 226.354 (<em>p</em> < 0.001). In our study, the Cronbach alpha reliability coefficient was 0.835 and the internal consistency coeffiecient value between observers was 0.992.</div></div><div><h3>Conclusion</h3><div>In the study, it was determined that PPUPET was a valid and reliable assessment tool for the Turkish population.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 370-377"},"PeriodicalIF":2.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996496","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}
Ming-Yi Shen , Chiao-Fan Chiu , Mei-Yen Chen , Lan-Yan Yang , Chizimuzo T.C. Okoli , Ying-Mei Liu
{"title":"The relationship between health literacy and medical decision conflict among parents of children newly diagnosed with central precocious puberty","authors":"Ming-Yi Shen , Chiao-Fan Chiu , Mei-Yen Chen , Lan-Yan Yang , Chizimuzo T.C. Okoli , Ying-Mei Liu","doi":"10.1016/j.pedn.2025.08.017","DOIUrl":"10.1016/j.pedn.2025.08.017","url":null,"abstract":"<div><h3>Purpose</h3><div>Parents of children newly diagnosed with central precocious puberty often face emotional stress and time-sensitive treatment decisions, highlighting the importance of family-centered care. This cross-sectional study examined the relationship between parental health literacy and medical decision conflict.</div></div><div><h3>Methods</h3><div>A total of 65 parents of children newly diagnosed with central precocious puberty were recruited. Participants completed questionnaires measuring health literacy and medical decision conflict. Predictors were examined using multiple linear regression.</div></div><div><h3>Results</h3><div>More than half of the participants had limited health literacy. Parental health literacy significantly predicted medical decision conflict in the simple linear regression analysis (<em>β</em> = −0.45, <em>T</em> = −4.03, <em>p</em> < .001), indicating that higher overall health literacy was associated with lower decisional conflict. Specifically, a one-point increase in total health literacy score corresponded to a 0.68-point reduction in conflict. Furthermore, correlation analyses revealed that parental literacy in the communication and interaction domains was particularly associated with lower levels of decision conflict, suggesting that these domains may play a critical role in supporting effective parental decision-making.</div></div><div><h3>Conclusions</h3><div>Limited parental health literacy is common among families with children newly diagnosed with central precocious puberty. Notably, deficiencies in communication and interaction skills are associated with increased medical decision conflict.</div></div><div><h3>Clinical implications</h3><div>The results emphasise the need for healthcare professionals to actively assess and support parents' communicative and interpersonal health literacy skills. Equipping clinicians with tools for identifying literacy-related barriers and tailoring information accordingly can facilitate shared decision-making and promote confident, informed parental participation in care decisions.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 362-369"},"PeriodicalIF":2.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925812","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}