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

{"title":"Development and evaluation of an educational picture book targeted at perioperative psycho-behaviors among children undergoing tonsillectomy and adenoidectomy: A mixed-method study","authors":"Yao Tang MSN ,&nbsp;Ka Yan Ho PhD ,&nbsp;Jinlin Ye BSN ,&nbsp;Lei Yang MSN ,&nbsp;Yunfan Li BSN ,&nbsp;Xianhong Li PhD","doi":"10.1016/j.pedn.2025.12.024","DOIUrl":"10.1016/j.pedn.2025.12.024","url":null,"abstract":"<div><h3>Purpose</h3><div>This study developed an educational picture book for pediatric patients aged 6–12 undergoing tonsillectomy and/or adenoidectomy (T&amp;A) and evaluated its effectiveness in reducing perioperative psycho-behavioral responses.</div></div><div><h3>Design and methods</h3><div>Phase 1 used qualitative methods, including field observations, interviews with children, parents, and healthcare providers, and expert consultations, to inform the book's development. A multidisciplinary team incorporated elements promoting psychological well-being and coping skills into the storyline. In Phase 2, a non-randomized controlled study was conducted at a tertiary hospital from July to September 2022, involving 68 children. The intervention group read the picture book depicting a child protagonist using positive coping strategies during T&amp;A, while the control group received standard care.</div></div><div><h3>Results</h3><div>Outcomes included resilience, preoperative anxiety, anesthetic compliance, anesthesia emergence delirium, post-hospitalization behavioral changes, and acceptability, measured from the preoperative visit through one month postoperatively. Compared with controls, the intervention group showed significantly lower anxiety (<em>p</em> &lt; 0.001), better anesthetic compliance (<em>p</em> &lt; 0.05), higher resilience (<em>p</em> &lt; 0.05), fewer cases of anesthesia emergence delirium (<em>p</em> &lt; 0.05), and fewer behavioral changes three days after surgery (<em>p</em> &lt; 0.05). No significant group differences were observed at one month (<em>p</em> &gt; 0.05). The picture book demonstrated high acceptability, with a mean liking score of 9.56 out of 10.</div></div><div><h3>Conclusion</h3><div>The findings indicate that the picture book effectively helps prevent perioperative psycho-behavioral problems in pediatric T&amp;A patients.</div></div><div><h3>Practice implications</h3><div>The picture book provides a feasible, child-friendly educational tool that healthcare providers can integrate into routine perioperative care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 1-10"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145877091","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":"Navigating the storm: Parental experiences and needs in pediatric emergency surgery – A qualitative descriptive study","authors":"Hui Lu Lok ,&nbsp;Qian Wen Sng ,&nbsp;Lydia Yi Xin Chia ,&nbsp;Joanne Li Wee Liam ,&nbsp;Caroline Choo Phaik Ong","doi":"10.1016/j.pedn.2026.01.034","DOIUrl":"10.1016/j.pedn.2026.01.034","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the experiences, practical and informational needs of caregivers with children undergoing emergency surgery.</div></div><div><h3>Design and methods</h3><div>A qualitative descriptive study was conducted with ten caregivers of children undergoing emergency surgery at a public tertiary hospital. Participants were recruited by convenience sampling. Data collected through face-to-face semi-structured interviews were analyzed with thematic analysis.</div></div><div><h3>Results</h3><div>Four main themes emerged: (1) Factors affecting parental feelings about child's condition; (2) Parental understanding and behaviors; (3) Perception of care affected by prior experience and current hospital processes; and (4) Importance of resources and support systems. While parents expressed satisfaction with information provided by healthcare workers, many sought additional information from online resources, family and friends who have had similar experiences. Regular, clear and timely communication of information was pivotal in enhancing parental experience. Persistent pain or fever experienced while awaiting investigations or surgery was perceived as worsening of the medical condition caused by unnecessary delay. Alleviating the child's discomfort, providing emotional and practical caregiving support reduces parental anxiety. Trust in the hospital and healthcare team, influenced by past experiences, helped parents cope better.</div></div><div><h3>Conclusion</h3><div>The unpredictable nature of emergency surgery caused significant stress for parents, especially when the child experienced discomfort. Parental experience was improved when hospitals streamlined admission processes, enhanced interprofessional healthcare communication, provided personalized caregiver support, and ensured effective symptom management for children.</div></div><div><h3>Implications for practice</h3><div>Study findings can inform targeted interventions to enhance caregiver support, optimize healthcare processes, and address practical and informational gaps in pediatric emergency surgical care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 363-373"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121097","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":"Nurses' self-efficacy levels and influencing factors in the care of children with epilepsy","authors":"Dilek Demir Kösem PhD ,&nbsp;Şenay Demir PhD ,&nbsp;Murat Bektaş PhD","doi":"10.1016/j.pedn.2026.01.035","DOIUrl":"10.1016/j.pedn.2026.01.035","url":null,"abstract":"<div><h3>Aim</h3><div>This study investigated nurses' self-efficacy in caring for children with epilepsy and the factors influencing it.</div></div><div><h3>Method</h3><div>This descriptive-cross-sectional and correlational study was conducted with 135 nurses working in pediatric clinics at a university's medical faculty hospital. Data were collected between using a socio-demographic data collection form, the scale of self-efficacy in nursing care of children with epilepsy, the self-efficacy-sufficiency scale. Descriptive statistics and multiple linear regression analysis were used to analyze the data.</div></div><div><h3>Results</h3><div>Three models were created to analyze the relationships between the study variables and nurses' self-efficacy. The effect on nurses' self-efficacy levels in the care of children with epilepsy was explained by their descriptive characteristics at a rate of 27.8% in the first model, by the Self-Efficacy-Sufficiency Scale at a rate of 18.5% in the second model, and by their descriptive characteristics and self-efficacy at a rate of 35.5% in the third model. Age, number of children, having receivede ducation on children with epilepsy at school, and the total self-efficacy scale score were found to be relevant factors in predicting the self-efficacy of nurses in the care of children with epilepsy (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>It was determined that nurses' self-efficacy in caring for children with epilepsy was above average and that factors affected this level of self-efficacy.</div></div><div><h3>Implications for practice</h3><div>Nurses' high self-efficacy in caring for children with epilepsy increases the quality of care they provide. It is recommended that detailed evidence-based and case-based courses on childhood epilepsy management be offered both in in-service training and nursing curricula.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 416-423"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133352","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 professional values education's effect on pediatric nurses' perception of professional values, emotional labour behaviours and burnout levels: A randomised controlled trial","authors":"Nazmiye Yirik ,&nbsp;Şerife Tutar","doi":"10.1016/j.pedn.2025.12.030","DOIUrl":"10.1016/j.pedn.2025.12.030","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to examine the effects of professional values education on perceptions of professional values, emotional labor behaviours, and burnout levels among pediatric nurses.</div></div><div><h3>Method</h3><div>This randomised controlled trial was conducted between February 2024 and January 2025 at a city hospital in Turkey with 70 pediatric nurses. The intervention comprised a professional values education program implemented in two phases: preparation (literature review and development of educational content) and application (delivery to the intervention group). Data were collected using a Introductory Information Form, the Professional Values Scale for Nurses, the Emotional Labor Behaviour Scale of Nurses, and the Maslach Burnout Inventory. Analyses were performed with SPSS 27.0 (IBM Inc., Armonk, NY, USA).</div></div><div><h3>Results</h3><div>In the intervention group, the “Professional Values Scale for Nurses” score increased from 89.68 ± 16.46 (pre-test) to 118.82 ± 9.48 (pos<em>t</em>-test). The superficial behaviour subdimension score decreased from 22.22 ± 3.29 to 14.00 ± 4.15, while depth behaviour scores rose from 47.94 ± 7.27 to 57.62 ± 5.28, and sincere behaviour scores from 18.54 ± 2.83 to 23.05 ± 2.14. Burnout levels decreased, with emotional exhaustion dropping from 16.45 ± 7.13 to 8.80 ± 3.96, depersonalization from 6.12 ± 3.97 to 1.94 ± 1.86, and personal accomplishment increasing from 19.62 ± 3.14 to 26.25 ± 2.57.</div></div><div><h3>Conclusion</h3><div>Professional values education enhances pediatric nurses' professional values, fosters deeper and more sincere emotional labor behaviours, and reduces burnout.</div></div><div><h3>Practice implications</h3><div>Integrating structured professional values education into pediatric nursing practice may strengthen professional identity, promote emotional resilience, and improve the quality of care for children and families.</div><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Protocol: <span><span>NCT07016503</span><svg><path></path></svg></span></div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 99-110"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940154","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":"Predictive effect of having a child with primary immunodeficiency on resilience, self-efficacy and spiritual well-being of Turkish parents","authors":"Hatice Dönmez ,&nbsp;Tuba Arpaci ,&nbsp;Şükrü Nail Güner","doi":"10.1016/j.pedn.2025.12.027","DOIUrl":"10.1016/j.pedn.2025.12.027","url":null,"abstract":"<div><h3>Background</h3><div>The study aimed to examine the predictive effect of having a child with primary immunodeficiency (PID) on the psychological resilience, general self-efficacy, and spiritual well-being of parents.</div></div><div><h3>Methods</h3><div>A cross-sectional, correlational, and comparative study was conducted with parents of children with PID (<em>N</em> = 88) and healthy controls (<em>n</em> = 168) in Türkiye from June 2024 to February 2025. Study data were collected through the Connor-Davidson Resilience Scale Short Form, the General Self-Efficacy Scale, and the Spiritual Well-being Scale.</div></div><div><h3>Results</h3><div>The mean general self-efficacy of parents of children with PID was significantly lower than that of parents of healthy controls (<em>p</em> <em>&lt;</em> 0.05). However, no significant difference was found between the groups in psychological resilience or spiritual well-being <em>(p</em> <em>&gt;</em> 0.05). There were significant positive relationships among psychological resilience, general self-efficacy, and spiritual well-being among parents of children with PID (<em>p</em> <em>&lt;</em> 0.05). The disease has no statistically significant effect on spiritual well-being in parents (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>The mean general self-efficacy of parents of children with PID was lower than that of parents of healthy controls. Although no difference in psychological resilience was detected between the groups in the descriptive comparison, the multivariate analysis indicated that having a child with PID is a negative factor affecting parents' resilience. Having a child with PID also had a statistically significant effect on the general self-efficacy of parents.</div></div><div><h3>Practice implications</h3><div>The findings will guide the planning of family-centred nursing interventions to enhance the psychological resilience, general self-efficacy, and spiritual well-being of parents of children with PID.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 112-117"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953439","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":"Prevalence and factors associated with metabolic syndrome risk in Indonesian adolescents and young adults: A cross-sectional study","authors":"Oliva Suyen Ningsih ,&nbsp;Ferry Efendi ,&nbsp;Yulis Setiya Dewi ,&nbsp;Fadhaa Aditya Kautsar Murti ,&nbsp;Chong Mei Chan","doi":"10.1016/j.pedn.2026.01.017","DOIUrl":"10.1016/j.pedn.2026.01.017","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the prevalence and factors associated with metabolic syndrome (MetS) in adolescents and young adults in Indonesia.</div></div><div><h3>Design and methods</h3><div>Data were obtained from the Indonesian Health Survey 2023, conducted across 38 provinces using a cross-sectional design and stratified sampling. This study analyzed 2992 adolescents and young adults aged 16–24 with complete data on all variables. Data analysis used binary logistic regression and is presented as unadjusted odds ratio (OR) and adjusted odds ratio (AOR), with each variable and its 95% confidence interval (CI) shown.</div></div><div><h3>Results</h3><div>The prevalence of MetS among adolescents and young adults in Indonesia is 13.36%, as reported in a study of 2992 individuals in this age group. In the adjusted analysis, high-risk consumption behavior categorized as frequent (AOR 9.88, 95% CI 2.57–37.88, <em>P</em>-value 0.001) and a body mass index (BMI) classified as obese (AOR 15.60, 95% CI 11.30–21.53, <em>P</em>-value 0.000) were significantly associated with higher odds of MetS in this population.</div></div><div><h3>Conclusion</h3><div>High-risk consumption behavior and obesity are the main risk factors significantly associated with MetS in adolescents and young adults in Indonesia.</div></div><div><h3>Practical implications</h3><div>Health services for adolescents and young adults should include education on the prevention of MetS, focusing on obesity prevention, maintaining a balanced diet, and reducing high-risk consumption behaviors. Furthermore, early detection of MetS in this population should be a top priority in health services.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 227-235"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031582","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":"From adherence to sustainability: Why parental well-being matters in autism interventions","authors":"Ajeng Ayu Widiastuti ,&nbsp;Mozes Kurniawan ,&nbsp;Lanny Wijayaningsih ,&nbsp;Maria Melita Rahardjo ,&nbsp;Eunike Milasari Listyaningrum ,&nbsp;Trivena Dyah Wijayanti","doi":"10.1016/j.pedn.2026.01.043","DOIUrl":"10.1016/j.pedn.2026.01.043","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 400-401"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127001","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":"Impact of telenursing-based family empowerment program on self-efficacy and treatment adherence in children with cystic fibrosis “telenursing and CF”","authors":"Fatemeh Rameh ,&nbsp;Azam Shirinabadi Farahani ,&nbsp;Manijeh Nourian ,&nbsp;Seyyed Ahmad Tabatabayi ,&nbsp;Malihe Nasiri","doi":"10.1016/j.pedn.2025.12.028","DOIUrl":"10.1016/j.pedn.2025.12.028","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the impact of a telenursing-based family empowerment program on <!--> <!-->self-efficacy and treatment adherence in children with cystic fibrosis (CF).</div></div><div><h3>Design and methods</h3><div>This is a clinical trial study conducted on CF patients between 9 and 17 who were randomly assigned to two groups: an intervention group (received twelve-week telenursing training via the SendBig website and Skype messenger) or a control group (routine care). The child and caregiver demographic information questionnaire, Pediatric Rating of Chronic Illness Self-Efficacy, and Adherence to Treatment Questionnaire were evaluated before, immediately, and one month after the intervention. The results were analyzed using SPSS V26, considering a significant level.</div></div><div><h3>Results</h3><div>A total of 50 patients were recruited for this study (25 in each group). The results showed a significant difference in the mean total scores of self-efficacy and treatment adherence between the two groups, immediately and one month after the intervention (<em>P</em>-value &lt; 0.001). In addition, intra-group comparisons showed that the impact of time was significant in the intervention group (P-value &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Considering the improvement of self-efficacy and treatment adherence in the intervention group, it is recommended to use a telenursing-based family empowerment program for children with CF.</div></div><div><h3>Implications to practice</h3><div>The findings support the integration of telenursing-based family empowerment programs into routine nursing practice to promote long-term disease management and family-centered care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 66-71"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935670","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":"Lived experiences of adolescents with thalassemia major: A phenomenological study/ lived experiences in tm adolescents","authors":"Münevver Erkul ,&nbsp;Zeynep Öztürk","doi":"10.1016/j.pedn.2026.01.009","DOIUrl":"10.1016/j.pedn.2026.01.009","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored the lived experiences and coping processes of adolescents diagnosed with Thalassemia Major (TM) to inform the development of patient-centered and individualized care strategies.</div></div><div><h3>Methods</h3><div>A qualitative phenomenological design was employed. Between April and June 2024, purposive sampling was used to recruit ten adolescents (12–18 years) from the Thalassemia Unit of a public hospital in Antalya, Türkiye. Semi-structured interviews were conducted until data saturation was achieved. Ethical approval was obtained (TBAEK-199). Sociodemographic data were summarized using SPSS 22.0 as frequencies and percentages. Interview transcripts were analyzed using Colaizzi's seven-step method. Trustworthiness was ensured through independent double-coding, audit trail maintenance, and member checking.</div></div><div><h3>Results</h3><div>Six main themes emerged: (1) Acceptance and normalization (integrating illness into daily life; reframing TM as manageable); (2) Impact on schooling (absences due to transfusions or surgeries; academic and emotional strain; facilitative role of teacher support); (3) Peer and societal responses (misinformation, stigma, strategic disclosure, and peer support); (4) Family support and sibling dynamics (parental support enhancing adherence; protective bonds and ambivalence); (5) Treatment adherence and transplant pathway (burden of chronic transfusion and chelation; hope and hesitation regarding hematopoietic stem cell transplantation; donor availability and risk perception); and (6) Psychological processes and coping (anxiety, fear of death, body-image concerns, and active coping strategies such as social support, humor, positive reappraisal, and medication adherence).</div></div><div><h3>Conclusion</h3><div>Adolescents with TM experience multidimensional challenges affecting their educational, social, psychological, and treatment-related lives. A holistic and developmentally sensitive approach is essential to support long-term adaptation and well-being.</div></div><div><h3>Implications for practice</h3><div>Healthcare professionals should integrate routine psychosocial screening and counseling into standard care, strengthen family-centered practices to support treatment adherence, and collaborate with schools to promote flexible attendance policies. Awareness initiatives targeting peers and educators may reduce stigma, while structured, age-appropriate counseling can support informed decision-making regarding long-term treatment and transplantation options.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 118-125"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953245","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 effects of education program provided for healthcare professionals on their levels of knowledge and awareness about child abuse and neglect","authors":"Tuba Geçdi ,&nbsp;Derya Tanrıverdi","doi":"10.1016/j.pedn.2026.01.022","DOIUrl":"10.1016/j.pedn.2026.01.022","url":null,"abstract":"<div><h3>Background</h3><div>Child abuse and neglect harm children's development and can lead to long-term mental health issues. Challenges such as underreporting and diagnostic difficulties make early detection harder. Healthcare professionals are essential in recognizing and reporting such cases, but lack of awareness is a major barrier.</div></div><div><h3>Purpose</h3><div>This study examined the impact of a structured training program on healthcare professionals' knowledge and awareness of child abuse and neglect.</div></div><div><h3>Methods</h3><div>A quasi-experimental pretest-posttest control group design was used. Ninety-five healthcare professionals from a city and a university hospital were included. Participants were assigned to experimental and control groups. Data were collected via a Personal Information Form and the Scale for Recognizing the Symptoms and Risks of Child Abuse and Neglect. The experimental group received five weekly 30-min face-to-face training sessions.</div></div><div><h3>Results</h3><div>Both groups initially had moderate knowledge and awareness. Pretest scores showed no significant differences (<em>p</em> &gt; 0.05). Post-test results showed a statistically significant improvement in the experimental group's total knowledge and awareness scores related to the signs and risks of child abuse and neglect (<em>p</em> &lt; 0.001). No significant change was observed in the control group (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Structured training programs enhance healthcare professionals' knowledge and awareness of child abuse and neglect. Regular implementation and updates of such programs in healthcare institutions are recommended.</div></div><div><h3>Implications to practice</h3><div>This study demonstrates that structured training programmes increase healthcare professionals' knowledge and awareness of child abuse and neglect. Integrating evidence-based and regular programmes into in-service training can strengthen child protection practices by supporting early identification, appropriate reporting and effective intervention.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 330-337"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078315","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}