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

{"title":"Virtual reality for pediatric procedural pain: An umbrella review and re-analysis of meta-analytic evidence","authors":"Çiğdem GÖK ,&nbsp;Pelin KARATAŞ","doi":"10.1016/j.pedn.2026.01.026","DOIUrl":"10.1016/j.pedn.2026.01.026","url":null,"abstract":"<div><h3>Background</h3><div>Needle-related medical procedures are among the most common sources of pain, fear, and anxiety in children. Negative procedural experiences may lead to behavioral distress, avoidance of future care, and reduced treatment compliance. Virtual reality (VR) has recently emerged as a promising non-pharmacological intervention that provides multisensory distraction, thereby reducing the perception of pain. However, inconsistencies across existing meta-analyses limit the generalizability of current evidence.</div></div><div><h3>Aim</h3><div>This umbrella review aimed to synthesize and re-analyze existing meta-analytic evidence on the effectiveness of VR in reducing pain and anxiety during needle-related procedures in children and adolescents.</div></div><div><h3>Methods</h3><div>A systematic search was performed across PubMed, Cochrane Database of Systematic Reviews, and Web of Science up to September 2025. Only meta-analyses of randomized controlled trials (RCTs) examining VR interventions for pediatric procedural pain were included. Two independent reviewers conducted study selection and data extraction. Methodological quality was assessed using AMSTAR 2 criteria. Heterogeneity (I²), standardized mean differences (SMD), and publication bias (Egger / Begg tests) were recorded.</div></div><div><h3>Results</h3><div>Six meta-analyses (<em>n</em> = 1450 children) met the inclusion criteria. VR interventions demonstrated significant reductions in pain across self-, parent-, and observer-reported measures (SMD range: −0.5 to −3.5). The strongest effects were observed for self-reported pain, indicating high clinical relevance. Despite high heterogeneity (I² = 81–100%), all analyses showed consistent effect directions favoring VR. Methodological quality was moderate to moderate-high, with limited protocol registration and publication bias analysis. Evidence overlap between studies was substantial (CCA = 15.8%).</div></div><div><h3>Conclusion</h3><div>VR significantly reduces needle-related pain in pediatric patients and demonstrates moderate-to-high reliability across studies. Despite methodological heterogeneity, findings strongly support integrating VR as a complementary tool in pediatric pain management.</div></div><div><h3>Implications for practice</h3><div>Nurses and clinicians can incorporate immersive VR interventions into routine pediatric care to minimize pain and anxiety during short invasive procedures, improving patient comfort and cooperation.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 297-305"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078433","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":"Journeying through the landscape of home-based pediatric cancer care: Needs and expectations from the perspectives of children and parents","authors":"Hazal Ozdemir Koyu PhD, RN,&nbsp;Ebru Kilicarslan PhD, RN","doi":"10.1016/j.pedn.2025.12.029","DOIUrl":"10.1016/j.pedn.2025.12.029","url":null,"abstract":"<div><h3>Purpose</h3><div>Children with cancer and their parents face multidimensional demands in home-based pediatric cancer care, spanning informational, practical, and psychosocial domains, often requiring acute decision-making at home. However, qualitative evidence integrating both children's and parents' perspectives remains limited. This study aimed to explore and understand the needs, expectations, and experiences of children with cancer and their parents during home-based care.</div></div><div><h3>Methods</h3><div>A qualitative dyadic child–parent study was conducted in a pediatric oncology ward of a university hospital. Purposeful sampling continued until thematic saturation. Data were collected using a researcher-developed Characteristics Information Form and semi-structured interviews informed by Empowerment Theory. Reflexive thematic analysis guided by theoretical frameworks was used. Ethical approval was obtained, and trustworthiness was ensured through strategies addressing credibility, dependability, transferability, and confirmability.</div></div><div><h3>Results</h3><div>Eighteen children and eighteen parents participated. Two overarching themes emerged: (1) Navigating Challenges in Home-Based Pediatric Cancer Care, encompassing physical, informational, clinical, emotional, and psychosocial difficulties; and (2) The Lighthouse of Empowerment: Guiding Support, highlighting the need for tailored, structured support mechanisms, including home-care education, symptom management guidance, coordinated communication pathways, digital tools, psychological support modules, and clear emergency roadmaps.</div></div><div><h3>Conclusion</h3><div>The study reveals complex challenges and empowerment needs of children with cancer and their parents during home-based care. Findings emphasize the importance of family-centered and child-focused, empowerment-oriented, and technology-supported approaches to enhance home-care competence and psychosocial well-being.</div></div><div><h3>Implications for practice</h3><div>Pediatric oncology nurses can enhance home-based care by providing structured education, individualized symptom guidance, empowerment-focused interventions, digital tools, clear communication, and emergency planning, thereby improving family confidence, continuity of care, and psychosocial outcomes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 11-19"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913409","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 tele-nursing application on metabolic control, self-efficacy, quality of life and anxiety level in adolescents with Type 1 diabetes: A randomized controlled trial","authors":"Emel Avçin PhD, RN (Corresponding Author, Assistant Professor) ,&nbsp;Ayfer Açıkgöz PhD, RN (Co-Author, Professor)","doi":"10.1016/j.pedn.2026.01.042","DOIUrl":"10.1016/j.pedn.2026.01.042","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of the study was to assess the influence of using tele-nursing application on metabolic control, self-efficacy, quality of life and anxiety in adolescents with Type 1 Diabetes Mellitus (T1DM).</div></div><div><h3>Methods</h3><div>This is a randomized control intervention study. The study included 67 adolescents aged 12–18 years with T1DM who were monitored at the Pediatric Endocrinology Outpatient Clinic. On enrolment, participant in all conditions received face-to-face training provided by the researchers. Thereafter, for 6 months educative and follow-up telephone calls were conducted in the intervention group to the adolescents and their parents but no intervention was made towards the control group. The study received approval (Decision no: 2020-14) and was registered in the registration number (<span><span>NCT05211479</span><svg><path></path></svg></span>).</div></div><div><h3>Results</h3><div>At the 6-month follow-up, the self-efficacy, quality of life, HbA1c, and anxiety levels of the adolescents in the intervention group were found to be better than those in the control group (<em>p</em> &lt;0.05). During the study period, no significant difference was found in HbA1c values, quality of life, self-efficacy, and anxiety levels over time in the control group (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Diabetes education and follow-up with tele-nursing improved self-efficacy and quality of life, as well as decreased HbA 1c and anxiety among adolescents with T1DM.</div></div><div><h3>Implications for practice</h3><div>Tele-nursing is an effective and accessible approach for achieving metabolic control, improving self-efficacy and quality of life, and reducing anxiety levels in adolescents with Type 1 Diabetes Mellitus (T1DM). Remote follow-up enables the adolescent to receive continuous support regarding diabetes management without disrupting their daily life.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 433-442"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138056","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":"Management of Type 1 diabetes in adolescents: Effectiveness of the remote personalized system of instruction model","authors":"Nebahat Bora Güneş ,&nbsp;Melike Taşdelen Baş ,&nbsp;Semra Çetinkaya ,&nbsp;Nurdan Yıldırım","doi":"10.1016/j.pedn.2026.01.012","DOIUrl":"10.1016/j.pedn.2026.01.012","url":null,"abstract":"<div><h3>Background and aim</h3><div>Type 1 Diabetes Mellitus (T1DM) is a common chronic condition in childhood and requires appropriate education and self-management skills. Structured education is key to improving glycemic stability and empowering adolescents. The Personalized System of Instruction (PSI), though effective in other fields, is underused in diabetes education. This study evaluated the impact of PSI-based structured ongoing education program among adolescents living with T1DM and with glycemic instability.</div></div><div><h3>Methods</h3><div>A randomized controlled trial with a pre-test/post-test comparison group design was conducted. Participants were adolescents aged 12–18 years with glycemic instability (glycated hemoglobin [HbA1c] ≥7%) and at least one weekly hypo‐hyperglycemic episode. Stratified randomization ensured group balance. The study included 60 adolescents with T1DM, evenly split between intervention and control groups. Validated instruments were used to assess cognitive knowledge, self-efficacy, glycemic episode frequency, and HbA1c levels. The intervention group received structured education based on the PSI model, while the comparison group received standard diabetes education.</div></div><div><h3>Results</h3><div>The intervention group showed significantly greater improvements than the comparison group in all outcomes. From the 3rd month, cognitive knowledge and self-efficacy increased, while HbA1c levels and glycemic episode frequency declined. Group-time interaction was significant, with sustained improvement in the PSI group up to 6 months. η² values indicated moderate to large effect sizes.</div></div><div><h3>Conclusion</h3><div>The PSI model is an effective strategy to enhance diabetes self-management and glycemic stability in adolescents with T1DM. Its structured, learner-centered design offers a promising alternative to traditional education methods in this population.</div></div><div><h3>Implications to practice</h3><div>The findings suggest that the PSI framework can be effectively integrated into pediatric nursing practice to support individualized, learner-centered diabetes self-management education for adolescents with T1DM, enhance skill acquisition and self-efficacy, and facilitate ongoing educational support within both in-person and digital care settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 181-189"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979323","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":"Middle school students' perceptions of peer bullying: A qualitative study","authors":"Esra Ünal Çelik ,&nbsp;Arzu Koçak Uyaroğlu ,&nbsp;Alime Selçuk Tosun","doi":"10.1016/j.pedn.2025.12.033","DOIUrl":"10.1016/j.pedn.2025.12.033","url":null,"abstract":"<div><h3>Aim</h3><div>This study examined middle school students' perceptions of peer bullying using qualitative methods.</div></div><div><h3>Background</h3><div>Peer bullying is a significant social problem that negatively affects children's physical, emotional, and social development. While many studies have explored its prevalence and consequences, most rely on quantitative data. Qualitative research is needed to capture students' lived experiences and to better understand the complex nature of bullying.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design supported by phenomenological elements was used with 27 middle school students between February and April 2025. Individual semi-structured interviews were conducted, and data were analyzed manually using thematic analysis.</div></div><div><h3>Results</h3><div>Four themes and 14 sub-themes were identified: Four themes and 14 sub-themes were identified: Types of Bullying (verbal, physical, psychological, and cyberbullying), Perceived Positive Meaning (academic achievement, social reputation, and empathy), Perceived Negative Meaning (impairment in social interaction, aggression, and feelings of revenge), and Coping with Bullying (raising awareness, peer support, collaboration with teachers, and sharing with family).</div></div><div><h3>Conclusions</h3><div>Bullying occurred in verbal, psychological, physical, and cyber forms, causing negative effects such as social difficulties and aggression. Some students reported positive outcomes, including increased empathy and academic achievement. Awareness, teacher support, and family involvement were important in coping with bullying.</div></div><div><h3>Implications for nursing and health policy</h3><div>School nurses and mental health professionals should take an active role in recognizing and preventing peer bullying. Implementing school-based awareness and support programs can strengthen students' coping skills and promote safer school environments.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 31-42"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935693","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":"Trust as the foundation to care: Parents of Medically Fragile Infants' experiences of developing trust with nurses","authors":"Lyndsay Jerusha MacKay RN, MN, PhD ,&nbsp;Emma Nickel RN ,&nbsp;Rubinder Bahia RN, MN ,&nbsp;Janice Kamke RN, MN ,&nbsp;Lily Ragan RN, MN ,&nbsp;Heather Meyerhoff RN, MN","doi":"10.1016/j.pedn.2026.01.030","DOIUrl":"10.1016/j.pedn.2026.01.030","url":null,"abstract":"<div><h3>Background</h3><div>Parents of hospitalized Medically Fragile Infants (MFI) experience high levels of stress and difficulty parenting their infant. They require support to help them navigate their new parenting role, which can be provided by nurses within relationships built on trust.</div></div><div><h3>Objective</h3><div>To explore how trust is established and maintained between parents of hospitalized MFI and nurses from the parents' perspective.</div></div><div><h3>Method</h3><div>Using a qualitative Interpretive Description study design, 15 parents of MFI from inpatient care units at a pediatric tertiary care hospital were recruited. MFI consisted of (a) one or more chronic medical illnesses, (b) reliance on medical technology, (c) &gt; 30-day hospitalization, and (d) discharge home with a chronic illness. Data were collected via semi-structured interviews, which were transcribed, coded, and analyzed.</div></div><div><h3>Results</h3><div>Parents described how parenting their MFI on inpatient care units was excruciatingly difficult. They had increased stress and struggled with their mental health. Parent-nurse trusting relationships led to a collaborative partnership, where they worked together to provide safe and nurturing care to MFI. Parents identified ten core elements that helped them develop trust with nurses. Mistrust could arise when the core elements were absent, medical mistakes occurred, or infants were transferred between hospital units.</div></div><div><h3>Conclusion</h3><div>The establishment of parents' trust in nurses was crucial for the delivery of high-quality Family-Centered Care to hospitalized MFI and their parents, thereby supporting parents in coping with their stress. Instructions on how to establish trust with parents of MFI should be included in the nursing curriculum for both nursing students and practicing nurses.</div></div><div><h3>Implications to practice</h3><div>Nurses can support parents of MFI in coping with their mental health and emotions by developing trusting relationships. When relationships are built on trust, collaborative partnerships between nurses and parents form, enabling them to work together to provide safe and nurturing care to MFI within the hospital setting. Nurses can engage in the 10 core elements to develop trust, thereby establishing trusting relationships with parents of MFI.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 381-391"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119612","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":"Who understands a child's pain better? A comparison of oncology and non-oncology nurses' knowledge and attitudes toward pediatric pain assessment and management","authors":"Mohammad Minwer Alnaeem PhD, RN ,&nbsp;Alaa A. Abuattallah PhD, RN ,&nbsp;Khaled H. Suleiman PhD, RN ,&nbsp;Majdi M. alzoubi ,&nbsp;Khalid Al-Mugheed ,&nbsp;Nadiah A. Baghdadi ,&nbsp;Sally Mohammed Farghaly Abdelaliem PhD, MSN, BSc, RN, FHEA","doi":"10.1016/j.pedn.2026.01.028","DOIUrl":"10.1016/j.pedn.2026.01.028","url":null,"abstract":"<div><h3>Background</h3><div>Comprehensive continuous assessment and effective pain management for pediatric pain are important.</div></div><div><h3>Purpose</h3><div>To assess the differences between oncology and non-oncology nurse knowledge and attitudes toward pediatric pain.</div></div><div><h3>Method</h3><div>A descriptive cross-sectional study was conducted in three public hospitals and included nurses who provided oncology and/or non-oncology care in pediatric departments. The sample included 207 nurses.</div></div><div><h3>Results</h3><div>More than half of nurses (<em>n</em> = 142, 68.6%) had not attended any workshop related to pediatric pain management. Both oncology and non-oncology nurses exhibited low mean of knowledge and attitude toward pediatric pain assessment and management, however, oncology nurses scored significantly higher (<em>t</em> = 12.13, <em>p</em> &lt; .001). Among oncology nurses, higher PNKAS scores were associated with younger age (ꞵ = −0.575, <em>p</em> = .003), longer nursing experience (ꞵ = 0.642, <em>p</em> = .016), having children (ꞵ = 0.402, <em>p</em> = .010), and reliance on child status (ꞵ = 0.206, <em>p</em> = .044) and parent verbalization (ꞵ = 0.236, <em>p</em> = .027).</div></div><div><h3>Conclusion</h3><div>Targeted educational interventions, particularly for non-oncology nurses focusing on child-centric assessment and supported by mentorship and clear clinical policies, are essential to bridge this knowledge-attitude gap and improve pediatric pain outcomes.</div></div><div><h3>Implications to practice</h3><div>This study underscores the critical need to implement standardized, mandatory pain management education for all pediatric nurses, with a focus on training in non-verbal pain assessment techniques. Findings emphasize that all nurses need to apply culturally sensitive approaches to overcome sociocultural barriers to effective pain relief.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 409-415"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127157","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":"Experiences and influencing factors of secondary traumatic stress in neonatal intensive care unit nurses: A mixed-methods study","authors":"Heemoon Lim ,&nbsp;Hyejung Lee ,&nbsp;Sue Kim ,&nbsp;Heejung Kim ,&nbsp;Changgi Park ,&nbsp;Youngjin Lee","doi":"10.1016/j.pedn.2026.01.046","DOIUrl":"10.1016/j.pedn.2026.01.046","url":null,"abstract":"<div><h3>Background</h3><div>Nurses in neonatal intensive care units witness the suffering of critically ill infants and the emotional distress of their families, which can lead to psychological strain.</div></div><div><h3>Objective</h3><div>This study examined individual and organizational factors contributing to secondary traumatic stress among neonatal intensive care unit and explored their experiences of this stress.</div></div><div><h3>Methods</h3><div>A convergent mixed-methods design was employed. A total of 147 nurses from Level III neonatal intensive care units across South Korea participated, and in-depth interviews were conducted with 13 nurses.</div></div><div><h3>Results</h3><div>Many nurses reported moderate to severe psychological stress related to repeated exposure to traumatic events. The emotional impact was influenced by both individual sensitivity and the organizational context of care.</div></div><div><h3>Conclusion</h3><div>Emotional challenges in neonatal intensive care units constitute both a psychological burden and an ethical complexity of nursing. Institutional support is essential to address these challenges, fostering nurses' emotional well-being and professional sustainability.</div></div><div><h3>Implication to practice</h3><div>Future strategies to reduce secondary traumatic stress should integrate individual-level coping and emotional regulation strategies. In addition, organizational approaches should address unit-specific traumatic events and promote trauma-informed work environments in neonatal intensive care units.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 443-450"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of perceived care burden and spiritual well-being on the quality of life of parents of children with special needs in Türkiye","authors":"Sinem Basdemir RN, MSc, PhD, Res. Asst.,&nbsp;Ilknur Bektas RN, MSc, PhD, Assoc. Prof.,&nbsp;Seyda Binay Yaz RN, MSc, PhD, Assoc. Prof.","doi":"10.1016/j.pedn.2026.01.005","DOIUrl":"10.1016/j.pedn.2026.01.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted to determine the predictive levels of care burden and spiritual well-being of parents of children with special needs in relation to their quality of life.</div></div><div><h3>Methods</h3><div>This descriptive, correlational, and cross-sectional study included 210 parents in Türkiye, and data were collected using the Burden Interview, the Spiritual Well-Being Scale, and the World Health Organization Quality of Life Short Form. The relationships between scores on the Spiritual Well-Being Scale, the Burden Interview, and the quality of life sub-dimensions were evaluated using Pearson correlation analyses, and the predictive impact of these scores on the quality of life sub-dimensions was assessed using multiple linear regression analyses.</div></div><div><h3>Results</h3><div>There was a low-level, significant negative correlation between the Burden Interview and the Quality of Life Scale sub-dimensions. Specifically, the caregiving burden and spiritual well-being levels of parents significantly predicted their quality of life (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>As parents' perceived care burden increased and their spiritual well-being decreased, their quality of life also declined.</div></div><div><h3>Implications for Practices</h3><div>Interventions aimed at reducing caregivers' perceived burden and enhancing their spiritual well-being may improve the overall quality of life of parents of children with special needs.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 173-180"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979324","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 effectiveness of a WhatsApp-based educational intervention aimed at improving mothers' fever management: A randomized controlled trial","authors":"Gamzegül Altay,&nbsp;Mehtap Metin Karaaslan,&nbsp;İsa Çelik","doi":"10.1016/j.pedn.2026.01.013","DOIUrl":"10.1016/j.pedn.2026.01.013","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to determine the effect of WhatsApp-based education on mothers' knowledge, attitude and practices regarding fever management at home.</div></div><div><h3>Method</h3><div>The study was conducted using a randomized controlled experimental design. It included 64 mothers (32 in the intervention group and 32 in the control group) who met the inclusion criteria. The intervention group received online fever management education via WhatsApp messages. Data were collected using the “Mother and Child Information Form”, “Parent Fever Management Scale”, “Fever Management Knowledge, Attitude and Practice Questionnaire” and “E-Health Literacy Scale.” Two-way mixed-design ANOVA was used to examine group, time, and group × time interactions.</div></div><div><h3>Results</h3><div>The intervention group demonstrated significantly higher scores compared to the control group, with the intervention having a large effect on fever management (<em>p</em> &lt; 0.001, η² = 0.320), fever knowledge, attitude and practice level (p &lt; 0.001, η² = 0.585), and e-health literacy level (p &lt; 0.001, η² = 0.215).</div></div><div><h3>Conclusion</h3><div>Online fever management education delivered via WhatsApp messages is effective in reducing mothers' fever-related care burdens, increasing fever knowledge, attitude and practice levels, and improving e-health literacy levels.</div></div><div><h3>Practice implications</h3><div>Educational content shared via WhatsApp, a widely used application, is easily accessible. These resources can be used by pediatric nurses in clinics as short and effective educational materials for mothers.</div><div>The clinical trial registration number is <span><span>NCT07061327</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 146-153"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979322","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}