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

{"title":"Examination of the implementation determinants of skin-to-skin care in the pediatric cardiac Intensive Care Unit","authors":"Amy Jo Lisanti PhD, RN, CCNS, FAHA ,&nbsp;Abigail C. Demianczyk PhD ,&nbsp;Jennifer Whittaker PhD ,&nbsp;Diya Nag MPH, CHES® ,&nbsp;Katherine Kellom BA ,&nbsp;Claire Brennan BS, MBA ,&nbsp;Christina Hayden-Rush RN ,&nbsp;Elizabeth A. Herrup MD ,&nbsp;Megan Grabill ,&nbsp;Caroline O'Brien MS ,&nbsp;Jungwon Min PhD, MS ,&nbsp;Amanda P. Bettencourt PhD, APRN, CCRN, ACCNS-P","doi":"10.1016/j.pedn.2025.08.008","DOIUrl":"10.1016/j.pedn.2025.08.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Skin-to-skin care (SSC), where parents hold their unclothed baby directly on their bare chest, is regarded as best practice for hospitalized infants. SSC is not routine for infants with complex congenital heart disease (cCHD) in the Pediatric Cardiac Intensive Care Unit (PCICU). SSC is understudied and the contextual factors influencing its implementation in the PCICU are unknown. This multisite, multi-methods study using the Tailored Implementation for Chronic Diseases implementation determinants framework aimed to identify the contextual factors influencing the implementation of SSC in the PCICU.</div></div><div><h3>Methods</h3><div>We interviewed stakeholders across two US PCICUs, one with previous implementation experience of SSC and one with little to no implementation experience. We used purposive snowball sampling, representing the interdisciplinary team of clinicians (<em>n</em> = 25) and parents (<em>n</em> = 21) at each site, until we reached thematic saturation. Clinicians completed a suite of valid and reliable surveys of acceptability, feasibility, and appropriateness. Descriptive statistics were calculated for the acceptability, feasibility, and appropriateness measures, with comparative analysis across clinician characteristics. Cross-cutting key themes were generated from a combined inductive and deductive approach to content analysis.</div></div><div><h3>Results</h3><div>On a five-point Likert scale, clinicians rated their acceptability (mean = 4.7, SD = 0.4), feasibility (mean = 4.2, SD = 0.7), and appropriateness (mean = 4.5, SD = 0.5) of SSC in the PCICU within the agree/completely agree range. Cross-cutting themes included knowledge, communication, role clarity, resources, and safety.</div></div><div><h3>Conclusions</h3><div>Findings will be the foundation for implementation mapping, where identified barriers and facilitators are linked with evidence-based implementation strategies that can be tested to enhance the implementation of SSC in the PCICU.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 321-331"},"PeriodicalIF":2.3,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886940","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 the relationship between sexual developmental characteristics of individuals with intellectual disabilities in adolescence and sexual communication skills of their parents","authors":"Tuğba Çetinol Taştemel ,&nbsp;Gülendam Karadağ","doi":"10.1016/j.pedn.2025.08.005","DOIUrl":"10.1016/j.pedn.2025.08.005","url":null,"abstract":"<div><h3>Purpose</h3><div>The study aimed to determine the relationship between the sexual developmental characteristics of individuals with intellectual disabilities in adolescence and their parents' sexual communication skills.</div></div><div><h3>Design and methods</h3><div>The descriptive, cross-sectional, and correlational design study conducted between January and March 2024 included the parents of 115 individuals with intellectual disabilities aged 10–19 years studying in a special education and rehabilitation center.</div></div><div><h3>Results</h3><div>The mean total score of the sexual communication scale for parents was 71.00 ± 13.73, and the mean total score of the sexual development characteristics scale for children with intellectual disabilities in adolescence was 111.51 ± 15.24. There was no positive and significant relationship between content, body language, anxiety scores, and sexual development characteristics scale score (<em>p</em> &gt; 0.05), while there was a positive and significant relationship between the sub-dimension score of managing the process (<em>r</em> = 0.19; <em>p</em> &lt; 0.05) and the sexual communication scale score for parents (<em>r</em> = 0.20; p &lt; 0.05) and the sexual development characteristics scale score of children with intellectual disabilities.</div></div><div><h3>Conclusions</h3><div>It was found that parents' sexual communication skills had a significant but weak effect on their children's sexual development.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 312-320"},"PeriodicalIF":2.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879117","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 hospital to home: Mothers' experiences of postpartum and post-discharge care for preterm infants- A phenomenological study based on the transition model","authors":"Şerife Tutar RN, PhD ,&nbsp;İlhan Günbayi ,&nbsp;Nazmiye Yirik RN","doi":"10.1016/j.pedn.2025.08.011","DOIUrl":"10.1016/j.pedn.2025.08.011","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the study is to understand and describe the experiences of mothers with late preterm infants in infant care after birth and discharge based on the “Transition Model”.</div></div><div><h3>Design and methods</h3><div>This study used a descriptive phenomenological design. The research data were collected through a semi-structured interview form via home visit by face-to-face interview method.</div></div><div><h3>Results</h3><div>The study included twenty-one mothers with late preterm infants. As a result of the content analysis, the main themes and sub-themes of our research, which are based on five main themes in the Transition Model, are informational needs, stress and coping, grief, social interaction, parent-child role development. Mothers produced metaphors for preterm birth as unripe fruit, being in the middle of the sea/ocean, being deceived, hopelessness, untimely rising sun, nightmare, making pickles/olives, impatient toy, perseverance/struggle, falling into the void, thumbing child, and surprise egg.</div></div><div><h3>Conclusions</h3><div>Mothers with late preterm infants stated that they did not get adequate education in the hospital and lack knowledge about baby care. They may feel stress, anxiety, and burnout while struggling to understand their baby's needs. Mothers who expected nurse support after discharge described the process as an uncertain experience full of difficulties and distancing themselves from their social circles.</div></div><div><h3>Practice implications</h3><div>Individualized education and psychosocial support should be provided to mothers during the discharge process of preterm infants, and parents' participation in care processes should be encouraged. By increasing post-discharge counseling and home visit services, nurses should guide mothers' infant care skills and stress management.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 301-311"},"PeriodicalIF":2.3,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841648","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":"Disease perception of children with cystic fibrosis and the impact of the disease on their lives: A picture-analysis study","authors":"Selin Söyünmez ,&nbsp;Yağmur Sezer Efe ,&nbsp;Mehmet Köse","doi":"10.1016/j.pedn.2025.08.007","DOIUrl":"10.1016/j.pedn.2025.08.007","url":null,"abstract":"<div><h3>Background</h3><div>Cystic fibrosis affects children physically, psychologically, and socially. However, children may have difficulty verbally expressing their feelings and thoughts about the disease. The aim of this study was to explore how children with cystic fibrosis perceive the disease and how it impacts their lives using the picture analysis method.</div></div><div><h3>Methods</h3><div>A qualitative design was used in this study. Children were asked to draw pictures illustrating how they perceive their illness. The story behind each drawing and the results obtained from the picture analysis were converted into written texts and examined together. The obtained written texts were transferred to the MAXQDA 2020 software for coding. A thematic analysis was conducted, and themes and subthemes were created.</div></div><div><h3>Results</h3><div>In this study, most of the children were male, aged 8 to 12 years, and had been diagnosed within the first six months of life. All participants had a history of hospitalization and were undergoing ongoing polypharmacy. The drawings created by the participants reflect various emotions, thoughts, experiences, and desires related to the disease. Analysis of these drawings identified three main themes (Perception of Disease, Impact of Disease and Treatment Process, Needs and Desires) and 10 subthemes.</div></div><div><h3>Conclusions</h3><div>The drawings created by participants illustrate both positive and negative perceptions of the disease, as well as issues related to socialization, body image, self-esteem, and psychosocial well-being.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 275-284"},"PeriodicalIF":2.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831271","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":"Climate change-induced eco-anxiety and asthma control in pediatric patients: A cross-sectional nursing study","authors":"Mona Metwally El-Sayed ,&nbsp;Jebril Al-Hrinat ,&nbsp;Ali Aldirawi ,&nbsp;Huda Gaber Hamzaa ,&nbsp;Sameer A. Alkubati ,&nbsp;Fatma Abdelaziz Mohammed ,&nbsp;Aseel Hendi ,&nbsp;Samah Ramadan Ibrahim Elrefaey ,&nbsp;Helalia Shalabi Mohamed Shalabi","doi":"10.1016/j.pedn.2025.08.009","DOIUrl":"10.1016/j.pedn.2025.08.009","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric asthma remains one of the most prevalent chronic diseases affecting children globally. The rising environmental threats associated with climate change have introduced eco-anxiety as a novel psychological factor that may influence asthma control. This study aimed to investigate the relationship between climate change-induced eco-anxiety and asthma control among pediatric patients with asthma.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted among pediatric patients with asthma at the chest outpatient clinics of a public hospital in Egypt from February to May 2024. A convenience sampling technique was employed to recruit 233 participants, aged from 6 to 12 years. Data were collected through structured validated tools, including the Childhood Asthma Control Test (C-ACT) and the Hogg Eco-Anxiety Scale (HEAS-13). The data were analyzed using SPSS statistical software (version 26). Statistical analyses included Pearson's correlation and multiple linear regression.</div></div><div><h3>Results</h3><div>Most participants (57.1 %) exhibited inadequately controlled asthma. The mean asthma control score was 18.55 (±4.57) out of 27, while the mean eco-anxiety score was 14.24 (±10.65) out of 52. A significant negative correlation was observed between asthma control and eco-anxiety (<em>r</em> = −0.300, <em>p</em> &lt; 0.001). Regression analysis revealed that higher eco-anxiety scores, history of asthma hospitalization, family history of asthma, and having a divorced parent significantly predicted poorer asthma control (Adjusted R² = 0.242, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Eco-anxiety is a significant psychological predictor of poor asthma control among children, particularly when compounded by sociodemographic factors such as being divorced, employee father, having a history of hospitalization for asthma, and having a family history of asthma. The findings underscore the need for pediatric nursing interventions that integrate psychological assessment and support into asthma management, emphasizing eco-anxiety as a modifiable factor to improve health outcomes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 285-293"},"PeriodicalIF":2.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830070","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":"Current trends and challenges in the United States of America based pediatric nursing workforce","authors":"Danielle Altares Sarik PhD, APRN, CPNP-PC, FAAN ,&nbsp;Julia Garcia DNP, CPNP-PC ,&nbsp;Karina A. Gattamorta PhD ,&nbsp;Lovelle Reynolds PhD, APRN, FNP-BC, CPN, CNE ,&nbsp;Susan P. Andrews DNP, RN, CPN, CNE ,&nbsp;on behalf of The Institute of Pediatric Nursing","doi":"10.1016/j.pedn.2025.08.003","DOIUrl":"10.1016/j.pedn.2025.08.003","url":null,"abstract":"<div><h3>Background and objective</h3><div>Despite being an integral part of the pediatric workforce, little is known about the current trends and challenges facing pediatric nursing in the United States. The aim of this survey-based analysis was to identify 1) characteristics of the pediatric nursing workforce post-pandemic, 2) data on perceived challenges, 3) examine intent to leave, and 4) quantify compassion fatigue and burnout among pediatric nurses.</div></div><div><h3>Methods</h3><div>A survey-based descriptive design was used for data collection and analysis. Electronic recruitment was used to reach participants from June–August 2023. Descriptive statistics were calculated for all categorical variables to identify trends; subgroup analyses were conducted for main outcome variables including 1) perceived challenges, 2) intent to leave, 3) burnout, and 4) compassion fatigue.</div></div><div><h3>Results</h3><div>6590 United States based pediatric nurses participated, with 93 % identifying as female and over half (60.9 %) indicating employment in direct care roles. The top three concerns post-pandemic included staffing ratios, lower pay than other specialties, and student preparedness to practice. Close to a third of participants indicated that they either intended to leave the profession in the next 5 years (13.1 %), or were unsure if they would stay (17.8 %). Close to a third of respondents reported experiencing compassion fatigue and burnout either often or daily. Years of experience were associated with both burnout (<em>p</em> &lt; .001) and compassion fatigue (<em>p</em> &lt; .001), with both dropping after 16 years of experience.</div></div><div><h3>Conclusions</h3><div>Significant challenges face the pediatric nursing workforce, including high levels of burnout, compassion fatigue, intent to leave the profession, and concerns regarding adequate staffing.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 294-300"},"PeriodicalIF":2.3,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841647","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":"Parents' experiences of pediatric hematopoietic stem cell transplantation: A systematic review and meta-synthesis","authors":"Maryam Maleki ,&nbsp;Abbas Mardani ,&nbsp;Mojtaba Vaismoradi","doi":"10.1016/j.pedn.2025.08.004","DOIUrl":"10.1016/j.pedn.2025.08.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Hematopoietic stem cell transplantation (HSCT) is a life-saving treatment for various pediatric conditions, including malignancies and genetic disorders but imposes significant burdens on families, especially parents. This study synthesized and analyzed existing evidence on parents' experiences of pediatric HSCT to provide a comprehensive understanding of their challenges and needs.</div></div><div><h3>Design and methods</h3><div>This study utilized a systematic review with a meta-synthesis approach. The search was conducted across five databases—PubMed, Scopus, CINAHL, Web of Science, and Embase—without time restrictions to identify relevant articles published in reputable online scientific journals. Inclusion criteria encompassed qualitative studies and the qualitative components of mixed-methods studies exploring parents' experiences with their child's HSCT, published in peer-reviewed journals and written in English.</div></div><div><h3>Results</h3><div>The review included 24 qualitative studies and one mixed-methods study. Through thematic synthesis, five main themes emerged: “caregiver burden”, “support systems”, “family dynamics”, “coping strategies”, and “positive outcomes”.</div></div><div><h3>Conclusion</h3><div>Our findings provide meaningful insights into the multifaceted challenges and growth opportunities faced by the parents of children undergoing HSCT. They emphasize the necessity of holistic, family-centered care models that reduce caregiver burden, enhance support systems, promote healthy family dynamics, and foster effective coping strategies.</div></div><div><h3>Implications for clinical practice</h3><div>This study emphasizes the importance of healthcare providers and policymakers in supporting parents of children undergoing pediatric HSCT. It calls for family-centered care that meets parents' emotional, psychological, and practical needs, and urges policymakers to support family-focused care models through mental health services, financial aid, and flexible care to reduce stress and improve outcomes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 259-274"},"PeriodicalIF":2.3,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144826314","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":"Medication safety in paediatric nursing: A call for deeper insight beyond self-reports - A response to.","authors":"Diana Rosa Albuquerque, Paulo Santos-Costa, Márcia Pestana-Santos","doi":"10.1016/j.pedn.2025.08.006","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.08.006","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"257-258"},"PeriodicalIF":2.3,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818025","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 exercise with augmented reality glasses on metabolic parameters, anthropometric measurement values and quality of life in children aged 10-12 with type 1 diabetes: A randomized controlled trial.","authors":"Harun Özbey, Meral Bayat","doi":"10.1016/j.pedn.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.08.002","url":null,"abstract":"<p><strong>Purpose: </strong>The study was conducted as a randomized controlled experimental study to determine the effect of exercise with AR glasses on metabolic parameters, anthropometric measurement values, and quality of life in children with type 1 diabetes (T1DM).</p><p><strong>Design and method: </strong>The study was conducted with 20 children aged 10-12 years with T1DM. In the study, children in the AR group were given moderate exercise (tennis game) with AR glasses two days a week for a total of 12 weeks (24 sessions).</p><p><strong>Results: </strong>In children with T1DM in the AR group, osteocalcin, P1NP, 25-OHD, calcitonin, lean body mass, muscle mass and PedsQL values increased after exercise and B-CTX, HbA1c, daily insulin use level and fat mass values decreased. In adolescents with T1DM in the AR group, it was found that the percentage of time elapsed between 70 and 180 mg/dL of blood glucose values increased after exercise compared to pre-exercise and the percentage of time elapsed above >180 mg/dL of blood glucose decreased after exercise compared to pre-exercise.</p><p><strong>Conclusion: </strong>In this study, it was found that gamified exercise improved glycemic control, bone mineral density, and anthropometric measurements in children with T1DM. Clinical Trials Registration ID: NCT05737654.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"239-248"},"PeriodicalIF":2.3,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805137","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' experiences of barriers and enablers in the use of PEWS.","authors":"Lisa Marie Pedersen, Gitte Boier Tygesen, Claus Sixtus Jensen","doi":"10.1016/j.pedn.2025.07.019","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.07.019","url":null,"abstract":"<p><strong>Background: </strong>The Pediatric Early Warning Score (PEWS) may help healthcare professionals detect clinical deterioration. However, previous studies have documented issues regarding its implementation. Thus, this study aimed to identify nurses' experiences of barriers to and enablers of PEWS usage.</p><p><strong>Methods: </strong>This explorative qualitative study employed semi-structured interviews with seven nurses from the pediatric emergency departments of two hospitals located in the Central Denmark Region. The Theoretical Domains Framework (TDF) guided the interviews, which aimed to identify PEWS-related barriers and enablers. The data were organized and analyzed using the software NVivo. Moreover, thematic analysis was used to analyze the data.</p><p><strong>Findings: </strong>Barriers and enablers were identified within the TDF, including the following domains: knowledge, skills, and beliefs about consequences, social influences, motivation, and goals. The nurses reported the need for cooperation between nurses and doctors, a common understanding of the PEWS, and education and bedside training during the process to enhance the participants' knowledge of PEWS, thereby rendering it a meaningful tool. Culture is crucial for understanding healthcare professionals' PEWS usage.</p><p><strong>Conclusion: </strong>Despite PEWS implementation, nurses still experienced barriers such as a lack of cooperation with other clinicians and of continued education. Understanding the PEWS's significance for the early detection of critical illness may enhance its perceived meaningfulness for clinicians. Further, bedside training and education may improve PEWS-related knowledge and reinforce the individual approach identified herein.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"249-256"},"PeriodicalIF":2.3,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805136","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}