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

{"title":"Translational research – The challenges of caregiving and parental stress associated with children with chronic conditions and special needs","authors":"Becky J. Christian PhD, RN, FNAP, FAAN","doi":"10.1016/j.pedn.2025.07.031","DOIUrl":"10.1016/j.pedn.2025.07.031","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 427-430"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790499","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 impact of gender affirming care bans: The nurse's role in protecting our youth","authors":"Mandi Cafasso","doi":"10.1016/j.pedn.2025.07.032","DOIUrl":"10.1016/j.pedn.2025.07.032","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Pages 425-426"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849456","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":"Information for Readers","authors":"","doi":"10.1016/S0882-5963(25)00298-2","DOIUrl":"10.1016/S0882-5963(25)00298-2","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Page ix"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044425","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":"Winning Poster: Predicting and hiring for attrition, a best practice for recruitment and retention for pediatric nurse leaders","authors":"William T. Lecher DNP, MBA, RN, NE-BC","doi":"10.1016/j.pedn.2025.06.033","DOIUrl":"10.1016/j.pedn.2025.06.033","url":null,"abstract":"<div><div>In the year ending 2023, pediatric nurse turnover was 13.3 %, the average time to fill a nurse vacancy was 86 days and hospitals incurred a cost of $56,227 for each nurse who left (NSI Nursing Solutions, 2024). To ensure adequate staffing levels at the unit level, it is crucial to enhance recruitment and retention efforts. Increasing staffing levels has proven to be an effective strategy for reducing nurse turnover (Peng, Ding, &amp; Chandrasekaran, 2023). Staffing shortages are linked to greater burnout among pediatric nurses and poorer work outcomes, including nurse retention, overall well-being, interest in career changes, patient safety, and patient-family satisfaction (Buckley et al. 2020). Consequently, pediatric nursing leaders should focus on strengthening recruitment initiatives, managing vacancy rates, and enhancing retention strategies, with an emphasis on predicting and hiring for attrition as a best practice.The poster presentation aims to equip pediatric nursing leaders with a practical strategy to improve the recruitment and retention of pediatric nurses. Additionally, the poster is intended to provide pediatric clinical nurses with valuable information that they can present to their supervisors as a potential recruitment and retention opportunity. Implementing strategies for hiring for attrition in mind can streamline hiring processes, reduce costs, and enhance staffing, ultimately fostering better nurse retention. Attendees will gain insights into proactively predicting nurse attrition (including resignations and transfers) by leveraging departmental data and following the five-step process during the poster presentation to improve staffing effectiveness.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Page 420"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048693","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":"Winning Poster: Expect the unexpected: How emergency response simulation prepared an outpatient pediatric clinic","authors":"Renee McGinnis MSN, RN, CPN,&nbsp;Sarah DeJong MSN, RN, CPN","doi":"10.1016/j.pedn.2025.06.034","DOIUrl":"10.1016/j.pedn.2025.06.034","url":null,"abstract":"<div><div>This educational intervention was intended for all healthcare practitioners who work in a multidisciplinary pediatric specialty clinic within an academic medical center. This outpatient clinic hosts 22 pediatric specialties with approximately 75,000 patient visits annually, staffed by 10 different interdisciplinary roles. The gap was identified during debriefing following an emergency event in the clinic in 2022. Specifically, staff reported lack of comfort in early recognition of patient emergencies, role delegation, communication, and use and location of emergency equipment. The needs assessed during this event review were the catalyst for this work. Evidence was reviewed on best practices for emergency preparedness in the outpatient setting. Pediatric emergencies in the outpatient setting have been considered low- frequency and high- stakes events and pediatric emergency preparedness in this setting has been found to be suboptimal (Abulebda et al., 2021; Garrow et al., 2020). Simulation is a widely used education strategy, yet not commonly used in the outpatient setting (Carr and Gormley, 2022). Collaboration with the organization's simulation committee and the associated College of Nursing helped to design the simulation strategy. The in- situ simulation program focused on the first 5 min of a patient emergency, including a prebrief, scenario, and debrief. This intervention aimed to seek whether simulation in the outpatient setting would improve staff comfort, skill development, and communication during pediatric emergencies. Pre and post surveys were used to measure outcomes using a Likert scale and open-ended questions. Post- simulation surveys showed increase in confidence (8 %), comfort (4 %), and knowledge (10 %). Implications for this work have demonstrated that repeated exposure to emergency events, through simulation and real- time patient emergencies, have observable positive effects on staff response. This has improved patient safety and outcomes in this setting. While this work focused on nursing and support staff, future work includes further collaboration with a greater scope of multi-disciplinary healthcare practitioners.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Page 420"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048550","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":"Winning Poster: Transforming culture through a collaborative approach: Nurses and physicians dismantling bias to provide equitable care in a pediatric unit","authors":"Hannah Marshall RN, BSN, CPN,&nbsp;Azucena Sandoval RN, CPN,&nbsp;Amy Goldberg RN, MSN, CPNP, NE-BC, CPN","doi":"10.1016/j.pedn.2025.06.032","DOIUrl":"10.1016/j.pedn.2025.06.032","url":null,"abstract":"<div><div>Pediatric nurses are essential in advocating for equitable care for our diverse patient populations, including people of color, those with limited English proficiency, individuals with disabilities, patients experiencing poverty, and those who identify as LGBTQIA+. The 26-bed pediatric unit practices family-centered rounds, aiming to respect and provide equal experiences through transparency and collaboration with families. This approach empowers parents to engage in shared, informed decision-making with the medical team regarding their child's healthcare needs. To better meet the needs of our underserved patients, the physician team, in collaboration with nursing staff, developed the Health Equity Check-In Tool. This tool facilitates a pre-round meeting among Attending Physicians, Residents, Interns, and Charge RNs to discuss any potential barriers in providing equitable care. After family-centered rounds, the team reconvenes to discuss how to improve communication and education for all families. Before implementing this tool, unit leadership surveyed all charge nurses to evaluate their perceptions of how effectively equitable care was provided. In our pre-survey results, charge nurses felt that patients on our floor received equitable care occasionally or very frequently. When asked how comfortable charge nurses felt identifying and discussing health inequities the answers varied from extremely uncomfortable to extremely comfortable. When asked how comfortable nurses felt discussing health inequities in current roles, the answers varied from extremely uncomfortable to extremely comfortable. The goal in using the Health Equity Check-In Tool is to identify any potential implicit biases and manage those, focus on social determinants of health, and to provide medical updates in patients in their preferred spoken language. All patients and families deserve and need access to health care resources especially during a hospital stay. The plan is to continue using the Health Equity Check-In Tool daily in the unit and to conduct a post-survey for the charge nurses in January when unit leadership will collect and review our data.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"84 ","pages":"Page 419"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048692","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":"Turkish adaptation of the catheter assessment, management and performance scale for nurses: Validity, measurement invariance and reliability study","authors":"Cemal Özalp","doi":"10.1016/j.pedn.2025.08.016","DOIUrl":"10.1016/j.pedn.2025.08.016","url":null,"abstract":"<div><h3>Background</h3><div>Indwelling urinary catheter use is common in hospital settings, and its proper management is essential to prevent complications.</div></div><div><h3>Aim</h3><div>To evaluate the Turkish cultural and psychometric properties of the Catheter Assessment, Management, and Performance (CAMP) Scale for Nurses.</div></div><div><h3>Methods</h3><div>This methodological study was conducted in two stages: (1) translation and cultural adaptation of the original scale into Turkish; and (2) evaluation of validity, reliability, and measurement invariance. Data were collected from 460 nurses in two state hospitals in eastern Turkiye (January–April 2025). Psychometric testing included exploratory and confirmatory factor analyses, internal consistency, and test–retest reliability.</div></div><div><h3>Results</h3><div>The four-factor structure was confirmed with factor loadings &gt;0.40 and a total explained variance of 65.27 %. The Kaiser-Meyer-Olkin value was 0.902. Confirmatory factor analysis showed all item t-values &gt;1.96, indicating acceptable model fit. Cronbach's alpha was 0.927, item–total correlations were &gt;0.30, and test–retest correlation was 0.783 (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The Turkish version of the scale is valid and reliable for assessing nurses' performance in urinary catheter care.</div></div><div><h3>Practice implications</h3><div>This tool can be used in clinical practice and nursing education to evaluate and improve nurses' knowledge and skills in urinary catheter care, contributing to enhanced patient safety and reduced catheter-related complications.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 354-361"},"PeriodicalIF":2.3,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144916285","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":"Factors influencing the perception of shared decision-making among parents of children with type 1 diabetes mellitus: A cross-sectional study guided by the Ottawa Decision Support Framework","authors":"In Hyeong Choi ,&nbsp;In Young Cho","doi":"10.1016/j.pedn.2025.08.012","DOIUrl":"10.1016/j.pedn.2025.08.012","url":null,"abstract":"<div><h3>Background</h3><div>This study examined the effects of treatment-related decisional conflict, parental self-efficacy, and nursing support on parents' perceptions of shared decision-making for children with type 1 diabetes, using the ODSF (Ottawa Decision Support Framework). It also sought to provide foundational data for developing nursing interventions that enhance these perceptions</div></div><div><h3>Methods</h3><div>Data were collected with a structured questionnaire measuring <em>decisional conflict</em>, <em>parental self-efficacy</em>, <em>nurse–parent support</em>, and <em>shared decision-making</em>. Participants were 137 primary caregivers of children diagnosed with type 1 diabetes mellitus who were receiving outpatient or inpatient care. Participants were recruited from Chonnam National University Hospital in Gwangju Metropolitan City and from diabetes mellitus online community in South Korea. Data collection was conducted via online questionnaires from June through august 2024</div></div><div><h3>Results</h3><div>Factors that significantly affected perceptions of shared decision-making were having a college degree or higher (β = 0.23, <em>p</em> = 0.012), having only one child (β = −0.21, <em>p</em> = 0.026), and experiencing decisional conflict (β = −0.17, <em>p</em> = 0.036). The model explained 20.5 % of the variance in shared decision-making perceptions (adjusted R² = 0.205, F = 5.39, <em>p</em> &lt; 0.001)</div></div><div><h3>Conclusion</h3><div>Educational level, number of children, and decisional conflict influence how parents perceive shared decision-making in the management of type 1 diabetes mellitus. These perceptions may be enhanced by considering parental demographics and by implementing strategies that reduce decisional conflict</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 346-353"},"PeriodicalIF":2.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906665","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":"Corrigendum to “Disease perception of children with cystic fibrosis and the impact of the disease on their lives: A picture-analysis study” [Journal of Pediatric Nursing Volume 85 (2025), pages 275–284]","authors":"Selin Söyünmez ,&nbsp;Yağmur Sezer Efe ,&nbsp;Mehmet Köse","doi":"10.1016/j.pedn.2025.08.014","DOIUrl":"10.1016/j.pedn.2025.08.014","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Page 345"},"PeriodicalIF":2.3,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890073","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":"Determining the effect of therapeutic play on fear, anxiety levels, and behavioural responses ın children receiving high-flow nasal cannula oxygen treatment: A randomized controlled study","authors":"Kerime Deniz Kiliç Çetin MSN ,&nbsp;Didem Coşkun Şimşek RN, PhD","doi":"10.1016/j.pedn.2025.08.013","DOIUrl":"10.1016/j.pedn.2025.08.013","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to determine the effects of therapeutic play on the fear and anxiety levels and behaviours of children receiving high-flow nasal cannula oxygen therapy.</div></div><div><h3>Design and method</h3><div>This study was conducted as a pre-test - pos<em>t</em>-test randomized controlled study. The study was conducted in the Paediatric Intensive Care Unit of a state hospital located in a province of the Central Anatolia Region of Turkey between June and December 2024. The study was conducted with children aged between four to eight. Therapeutic play, involving amigurumi toys and illustrated colouring cards, was administered to children in the intervention group. Therapeutic session was started ten minutes before the high-flow nasal cannula oxygen treatment and continued throughout the procedure, lasting approximately 30 min in total. No intervention was provided to the children in the control group during the study. Data collection tools included the ‘Child and Parent Information Form’, ‘Children's Fear Scale’, ‘Child Anxiety Scale-State’ and ‘Child Observation Form’. were analysed using frequencies, percentages, means, standard deviations, Chi-Square Test, Fisher's Exact Test, Independent Samples <em>t</em>-test, and the General Linear Model.</div></div><div><h3>Results</h3><div>In the experimental group, 55.3 % of the children were 4 years old and 23.4 % were 5 years old, while in the control group, 43.8 % of the children were 4 years old and 25 % were 5 years old. The difference in age distribution between the groups was found to be statistically non-significant (<em>p</em> = 0.647). It was found that the mean score of the Children's Fear Scale and Children's Anxiety Scale-State in the experimental group was lower than in the control group and the difference between them was statistically significant. The children in the experimental group showed less crying, removing the nasal cannula and restlessness during the high-flow nasal cannula oxygen treatment compared to the control group (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Therapeutic play has been shown to have a positive effect on the behaviours of children receiving high-flow nasal cannula oxygen therapy by reducing their fear and anxiety levels.</div></div><div><h3>Practice implications</h3><div>Therapeutic play is safe and effective intervention that can be applied to children receiving high-flow nasal cannula oxygen therapy. Hospitals should ensure that materials for the use of therapeutic play are available, and paediatric nurses should use therapeutic play extensively to prepare children for medical procedures and during procedures.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 332-344"},"PeriodicalIF":2.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890072","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}