I. Kleye , L. Hedén , A. J Sundler , L. Darcy , S. van Dulmen , K. Karlsson
{"title":"Increasing child involvement by understanding emotional expression during needle procedures: A video-observational intervention study","authors":"I. Kleye , L. Hedén , A. J Sundler , L. Darcy , S. van Dulmen , K. Karlsson","doi":"10.1016/j.pedn.2025.01.026","DOIUrl":"10.1016/j.pedn.2025.01.026","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate child-nurse emotional communication during needle procedures using a child-centered intervention versus a control group.</div></div><div><h3>Methods</h3><div>A controlled, video-observational study, incorporating 66 children and seven nurses was conducted. Data were collected using video-recordings of child-nurse communication during needle procedures when receiving standard care (control group) or standard care plus the i Can Choose intervention (intervention group).</div></div><div><h3>Findings</h3><div>Children expressed their unpleasant emotions mostly non-verbally. Compared to children in the intervention group, those in the control group more often expressed vague or unspecified words to describe an emotion (χ<sup>2</sup>(1) = 14.4, <em>p</em> < 0.001). The nurses' focus and overall communication style varied between the groups. When using i Can Choose, nurses provided more space to children's communication preferences. This seemed to increase children's involvement during the needle procedure.</div></div><div><h3>Conclusion</h3><div>Communicating <em>with</em> the child, the so-called communicative interaction, instead of <em>to</em> the child, can play a critical role in children's handling of fear and pain related to needle procedures.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e24-e30"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship of caregiving burden and adaptive behaviors in mothers of children with chronic diseases","authors":"Zahra Hosseini Chirani , Moluk Pouralizadeh , Yasaman Yaghobi , Ehsan Kazemnejad Leili","doi":"10.1016/j.pedn.2025.02.007","DOIUrl":"10.1016/j.pedn.2025.02.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Mothers of children with chronic diseases, as the main caregivers, face the care burden. The care burden of mothers can affect their adaptive behaviors and lead to the use of inappropriate adaptive behaviors. This study was conducted to determine the relationship between the caregiving burden and adaptive behaviors of mothers of children with chronic diseases.</div></div><div><h3>Methods</h3><div>In this descriptive-analytical cross-sectional study, 238 mothers of children with chronic diseases participated by the convenience sampling method. Data collection tools included a demographic information questionnaire, a zarit care burden questionnaire, and a health matching questionnaire for parents. Data were analyzed using descriptive statistics, <em>t</em>-test, ANOVA, and Pearson analysis in SPSS software version 26.</div></div><div><h3>Results</h3><div>The majority of mothers had a mean age of 34.6 ± 7.6 years. The caregiving burden on the mothers of children with chronic diseases was high (21.95 ± 7.76) and most of the mothers had favorable adaptive behaviors in facing their child's illness (95.14 ± 17.15). The most intensity of the significant correlation was in the pattern of “family integrity and optimization of the situation” (<em>P</em> < 0.001, <em>r</em> = −0.434). The mother's illness (<em>P</em> = 0.009, β = 2.874), care of the child with chronic disease only by the mother (<em>P</em> = 0.008, β = 3.142), and immunodeficiency disease of the child (<em>P</em> = 0.021, β = 4.456) positively predicted the caregiving burden.</div></div><div><h3>Conclusion</h3><div>These findings help healthcare systems plan supportive and educational programs for decreasing the caregiving burden and increasing adaptive behaviors in mothers of children with chronic diseases.</div></div><div><h3>Lay summary</h3><div>A cross-sectional study was conducted to determine care burden and adaptive behaviors in mothers with chronically ill children. The results showed that mothers' care burden was high and significantly related to their behavior and adaptation. Mothers had favorable adaptive behaviors.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e113-e120"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450608","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":"Effect of game-based asthma management interventions on pediatric asthma control, knowledge, attitudes, hospitalizations, and emergency visits: A systematic review and meta-analysis","authors":"Aylin Akca Sumengen BSN, RN, MSc, PhD , Damla Ozcevik Subasi BSN, RN, MSc, PhD , Remziye Semerci RN, MSc, PhD , Gokce Naz Cakir BSN, MSc","doi":"10.1016/j.pedn.2024.12.009","DOIUrl":"10.1016/j.pedn.2024.12.009","url":null,"abstract":"<div><h3>Purpose</h3><div>Many studies have used game-based interventions to educate children about asthma. The study aims to determine the effectiveness of these games in improving asthma control and related outcomes in children.</div></div><div><h3>Methods</h3><div>Seven databases were searched: PubMed, Cochrane Library, Scopus, CINAHL, Embase, Web of Science, and PsycINFO’. All research papers published until June 2023 were included. MeSH terms and keywords were used in the literature search. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instruments was used to assess the risk of bias.</div></div><div><h3>Results</h3><div>This systematic review and meta-analysis included nine studies with a total sample size of 694 children. The effect size for hospitalization rates was not statistically significant (<em>p</em> > 0.05), although the association was significant (<em>p</em> = 0.004). Conversely, a statistically significant reduction in emergency visits was observed (<em>p</em> < 0.05), with an effect size estimate of 0.376. The analysis also revealed a significant improvement in asthma knowledge (<em>p</em> < 0.05), with an effect size estimate of 0.677 (95 % CI: 0.240 to 1.114, <em>p</em> = 0.002), and an increase in asthma control (<em>p</em> < 0.05), although the association was not statistically significant (<em>p</em> = 0.120) with an effect size estimate of 0.169 (95 % CI: −0.044 to 0.381). Conversely, no statistically significant effect was observed for asthma attitude (<em>p</em> > 0.05).</div></div><div><h3>Conclusion</h3><div>Game-based interventions have shown promise in improving asthma management in children by enhancing knowledge and control and reducing emergency visits. This approach is increasingly recommended in clinical settings, though there is notable heterogeneity in study design and participant demographics.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 183-199"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915612","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 social support provided to poor children on their emotional state and hope levels","authors":"Semra Söngüt , Gamze Gözübüyük","doi":"10.1016/j.pedn.2025.01.034","DOIUrl":"10.1016/j.pedn.2025.01.034","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of the study is to determine the effect of social support provided to children living in poverty aged 8–12 on their emotional states and levels of hope.</div></div><div><h3>Methods</h3><div>This quasi-experimental study compares data obtained from the children in the “first encounter”, “first month” and “third month”. Data were collected in person through the “Introductory Information Form”, “Multidimensional Scale of Perceived Social Support”, “Children's Emotion Regulation Scale” and “Children's Hope Scale”. <em>p</em> < 0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>Statistically, the comparison of the total mean scores of the children on the “Multidimensional Scale of Perceived Social Support” was highly significant (<em>p</em> ≤0.001). The comparison of the total mean scores of the “Children's Emotion Regulation Scale” was statistically significant (<em>p</em> ≤0.021). The comparison of the total average scores of the children's “Child Hope Scale” was statistically highly significant (<em>p</em> ≤0.001). A positive relationship was found between the children's hope levels and emotional states and the average scores obtained in the 3rd month (<em>p</em> = 0.044).</div></div><div><h3>Conclusion</h3><div>The children's average scores on the scales increased after the first encounter. Providing social support positively affected children living in poverty.</div></div><div><h3>Implications to practice</h3><div>Implications to practice: Providing social support to children in poverty positively impacts their emotional states and hope levels, emphasizing the crucial role of healthcare professionals, particularly pediatric nurses, in addressing the needs of vulnerable populations. These findings align with global health goals, such as “No Poverty” and “Good Health and Well-Being.”</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e65-e71"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371156","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 intolerance of uncertainty, sleep quality, and social support on caregiver burden in parents of children with chronic diseases: A cross-sectional study","authors":"Furkan Doğaner , Raziye Celen","doi":"10.1016/j.pedn.2025.02.006","DOIUrl":"10.1016/j.pedn.2025.02.006","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to determine the effect of intolerance of uncertainty, sleep quality, and social support on caregiver burden among parents of children with chronic diseases.</div></div><div><h3>Methods</h3><div>This cross-sectional study was carried out on parents of children with chronic illnesses (<em>n</em> = 144), who were admitted to a medical faculty hospital in Turkey from June 2023 until June 2024. The data collection was conducted using the “Family Information Form,” the “Pittsburgh Sleep Quality Index,” the “Multidimensional Scale of Perceived Social Support,” the “Intolerance of Uncertainty Scale,” and the “Caregiver Burden Scale”. Data were analyzed using Student's <em>t</em>-test, one-way ANOVA, and multiple linear regression analysis.</div></div><div><h3>Results</h3><div>Participants' mean scores were found to be 37.5 ± 14.43 on the Caregiver Burden scale, 8.37 ± 3.25 on the Pittsburgh Sleep Quality Index, 66.06 ± 13.87 on the Multidimensional Scale of Perceived Social Support, and 38.97 ± 10.25 on the Intolerance of Uncertainty Scale. Income level (β = 0.252), level of intolerance of uncertainty (β = 0.200), and the number of the child's hospitalizations in the past year (β = 0.266) were significant predictors affecting the caregiver burden.</div></div><div><h3>Conclusion</h3><div>This study revealed that parental caregiver burden was related with intolerance of uncertainty, income status, and the number of the child's hospitalizations.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e106-e112"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450611","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":"Living with the delusion of autism recovery: A grounded theory study on the experiences of mothers","authors":"A. Elif Işık-Uslu PhD , Zeynep Çetin PhD","doi":"10.1016/j.pedn.2025.02.004","DOIUrl":"10.1016/j.pedn.2025.02.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study employs Charmaz's (2014) constructivist Grounded Theory (GT) approach to explore and construct a theory about the experiences of mothers raising children diagnosed with autism spectrum disorder (ASD).</div></div><div><h3>Methods</h3><div>Data were collected over 1.5 years from online forum posts written by 10 mothers and in-depth qualitative interviews conducted with nine mothers. During the theoretical sampling phase, an additional four mothers were interviewed face-to-face. The analysis adhered to Charmaz's constructivist GT methodology, encompassing initial coding, focused coding, and theoretical coding.</div></div><div><h3>Results</h3><div>The study introduces the grounded theory, “Living with the Delusion of Autism Recovery,” which encapsulates mothers' oscillation between hope and despair as they navigate their children's developmental journeys. This longitudinal analysis traces mothers' experiences from the pre-diagnosis phase through special education, addressing a significant gap in the literature by examining the progression of experiences rather than isolated moments.</div></div><div><h3>Conclusions</h3><div>The findings underscore the urgent need for timely interventions and robust support systems. Delays in diagnosis, driven by healthcare professionals' reluctance to diagnose early and the lack of a formal early intervention system, exacerbate developmental challenges. This research provides a unique contribution to the literature by centering on the experiences of Turkish mothers, shedding light on cultural nuances and the dynamic nature of parenting a child with ASD in Türkiye. It is notable as the first study of its kind in Türkiye, offering invaluable insights into the evolving experiences of these mothers.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e81-e95"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469737","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}
Patricia E. Hershberger PhD, APRN, FNP-BC, FAAN , Kirby Adlam PhD, APRN-FPA, CNM, FACNM , Martha Driessnack PhD, PNP, RN , Valerie Gruss PhD, APRN, NP-BC, FAAN , Harold D. Grotevant PhD , Susan C. Klock PhD , Lauri Pasch PhD , Agatha M. Gallo PhD, RN, FAAN
{"title":"Parent and pediatric nurse practitioner views on integrating the digital TELL tool intervention into clinical practice","authors":"Patricia E. Hershberger PhD, APRN, FNP-BC, FAAN , Kirby Adlam PhD, APRN-FPA, CNM, FACNM , Martha Driessnack PhD, PNP, RN , Valerie Gruss PhD, APRN, NP-BC, FAAN , Harold D. Grotevant PhD , Susan C. Klock PhD , Lauri Pasch PhD , Agatha M. Gallo PhD, RN, FAAN","doi":"10.1016/j.pedn.2025.02.009","DOIUrl":"10.1016/j.pedn.2025.02.009","url":null,"abstract":"<div><h3>Purpose</h3><div>To understand the views of parent participants in our larger pilot randomized controlled trial (RCT) about the <u><strong>T</strong></u>ool to <u><strong>E</strong></u>mpower Parental Te<u><strong>L</strong></u>ling and Ta<u><strong>L</strong></u>king or the <strong>TELL</strong> Tool, a digital, psychoeducational and decision-support intervention; and to foster understanding about how pediatric nurse practitioners (PNPs) viewed integrating the TELL Tool into pediatric clinical settings.</div></div><div><h3>Design and methods</h3><div>In this qualitative descriptive study, a purposive sample of 10 parents and 10 PNPs completed in-depth, semi-structured interviews by Zoom. The recordings were auto transcribed, checked for accuracy, and analyzed for themes. The rigorous and accelerated data reduction (RADaR) technique was incorporated into the analytic plan.</div></div><div><h3>Results</h3><div>Five themes emerged following analysis, including <em>Perceptions</em>, <em>Optimal Time for Delivery</em>, <em>Most Appropriate Healthcare Provider to Counsel Parents about Disclosure</em>, <em>Challenges to Administering in Practice</em>, and <em>Recommendations for Implementing the TELL Tool into Pediatric Healthcare Settings</em>.</div></div><div><h3>Conclusions</h3><div>Parents found the TELL Tool to be helpful and PNPs were supportive of incorporating the TELL Tool into clinical practice. Parents thought the TELL Tool increased their confidence about sharing information and appreciated its age-appropriate approach and language. PNPs perceived the tool as supporting their ability to provide anticipatory guidance and counseling/education to families seeking support in beginning and subsequent conversations with their children about their genetic origins.</div></div><div><h3>Practice implications</h3><div>The TELL Tool is an evidence-based intervention that can serve as a resource for PNPs while supporting parents as they navigate challenges about talking with their children about their genetic origins through gamete and embryo donation.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e134-e142"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information for Readers","authors":"","doi":"10.1016/S0882-5963(25)00082-X","DOIUrl":"10.1016/S0882-5963(25)00082-X","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Page vi"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684790","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 relationship between digital addiction and social anxiety, trait anger and anger expression style in adolescents","authors":"Arzu Koçak Uyaroğlu , Esra Ünal , Alime Selçuk Tosun","doi":"10.1016/j.pedn.2024.11.024","DOIUrl":"10.1016/j.pedn.2024.11.024","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the relationship between adolescents' digital addiction levels and their social anxiety, trait anger and anger expression styles.</div></div><div><h3>Method</h3><div>The study was devised as a descriptive and correlational research study. The sample consisted of 958 adolescents in Konya, Turkey. The data were collected via Personal Information Form, Digital Addiction Scale for Children, Social Anxiety Scale for Adolescents, and Trait Anger and Anger Expression Style Scale.</div></div><div><h3>Results</h3><div>The total mean score of digital addiction in adolescents was found as 56.74 ± 19.02. A significant relationship was found between digital addiction, and trait anger, anger out, anger in, anger control and social anxiety levels (<em>p</em> < 0.01). Grade, mother's educational and employment status, trait anger, anger out, anger in, anger control, and social anxiety explain 69.3 % of the variation on digital addiction levels.</div></div><div><h3>Conclusion</h3><div>As digital addiction levels increase, social anxiety, trait anger, anger in, and anger out levels also increase. However, the level of anger control decreases as digital addiction levels rise. These variables are predictors of digital addiction levels.</div></div><div><h3>Implications for Nursing Practice</h3><div>To protect and improve adolescent health concerning biopsychosocial aspects, comprehensive educational programs and seminars about digital addiction should be organized for families and adolescents by nurses in collaboration with educational institutions. To assist adolescents in managing negative emotions such as social anxiety and anger more effectively, nurses should encourage the engagement in a variety of activities and hobbies in educational and extracurricular social settings in addition to developing and implementing relevant psychoeducational programs.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 175-182"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781666","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}
Carmen V. Harrison PhD, RN, WHNP-BC, CNE, Nicole Rogge BSN, RN, Jillian Roy BSN, RN, Katherine Sacco BSN, RN, Beth Tartaglione BSN, RN
{"title":"A rapid review exploring childhood obesity and parenting practices","authors":"Carmen V. Harrison PhD, RN, WHNP-BC, CNE, Nicole Rogge BSN, RN, Jillian Roy BSN, RN, Katherine Sacco BSN, RN, Beth Tartaglione BSN, RN","doi":"10.1016/j.pedn.2025.01.028","DOIUrl":"10.1016/j.pedn.2025.01.028","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this rapid review was to explore the evidence on the relationship between parenting practices and childhood obesity.</div></div><div><h3>Data sources</h3><div>Electronic resource databases used were PubMed and CINAHL. Peer-reviewed articles published during 2018 to 2024 were considered.</div></div><div><h3>Article selection</h3><div>Nine articles met the criteria and included data for a total of 7224 participants.</div></div><div><h3>Data extraction</h3><div>Data were extracted from each study using the subheadings: Author/Date, Purpose, Study Design, Sample, Methods, Tools, Findings, and Evaluation. Additionally, the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) was used to guide data extraction.</div></div><div><h3>Data synthesis</h3><div>Common themes were identified among each article that supported the purpose of this rapid review, such as specific parenting styles, culture, home environment, parental role modeling, and infant feeding practices.</div></div><div><h3>Conclusion</h3><div>The available evidence supports the notion that parental practices involving parenting styles, culture, home environment, role modeling, and early feeding patterns influence childhood obesity risk. However, there remains a paucity of evidence examining this topic.</div></div><div><h3>Practice implications</h3><div>School nurses, pediatric nurses, and nurse practitioners play a critical role in preventing and managing childhood obesity by assessing and educating families on key factors related to childhood obesity, such as nutrition, physical activity, and parenting practices.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e31-e38"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383292","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}