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

{"title":"Not like it used to be, but a new life: Social reintegration of adolescents after childhood cancer treatment","authors":"Eyşan Hanzade Savaş ,&nbsp;Münevver Erkul ,&nbsp;Remziye Semerci","doi":"10.1016/j.pedn.2025.07.023","DOIUrl":"10.1016/j.pedn.2025.07.023","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the social reintegration processes of adolescent survivors of childhood cancer.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological qualitative study was conducted with 11 childhood cancer survivors using face-to-face interviews. All interviews were audio-recorded and professionally transcribed. Two members of the research team analyzed the transcripts using MAXQDA software. The study also adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.</div></div><div><h3>Results</h3><div>The analysis revealed that adolescent survivors of childhood cancer encountered various factors that either facilitated or hindered their social reintegration process. Two main themes and seven sub-themes were identified. The first main theme, Facilitators of the Social Reintegration Process, includes Family and Social Support Resources, Maintaining Daily Routines, and Exploring New Passions and Outlooks. The second theme, Challenges to the Social Reintegration Process, encompasses Discomfort with Body Image, Reconstructing Social Relationships, Exposure to Stigma and Bullying, and Forced Break from the School Setting.</div></div><div><h3>Conclusions</h3><div>Family and peer support, maintaining daily routines, and exploring new passions can ease adolescents' adjustment to life after treatment, while challenges such as body image concerns, difficulties rebuilding friendships, stigma, and school reintegration issues persist.</div></div><div><h3>Implications for nursing practice</h3><div>Nurses who work with pediatric oncology patients should strive to integrate comprehensive psychosocial support and peer mentoring into routine care in collaboration with mental health professionals. This approach can improve patient outcomes, enhance quality of life, and ensure holistic support for adolescent cancer survivors.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 135-142"},"PeriodicalIF":2.1,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711002","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":"Children's experience with receiving equimolar mixture of oxygen and nitrous oxide (EMONO) sedation during hospital procedures- A qualitative interview study","authors":"Cathrine Iren Iversen MSc ,&nbsp;Ellen Andersen MSc ,&nbsp;Kristine Solvang MSc ,&nbsp;Edel Jannecke Svendsen PhD, RN","doi":"10.1016/j.pedn.2025.07.005","DOIUrl":"10.1016/j.pedn.2025.07.005","url":null,"abstract":"<div><h3>Background</h3><div>Equimolar mixture of oxygen and nitrous oxide (EMONO) is administered to children during hospital procedures, but there is limited knowledge about children's experiences with receiving this intervention.</div></div><div><h3>Objective</h3><div>To describe how children experience receiving EMONO during hospital procedures, using their own words.</div></div><div><h3>Method</h3><div>A qualitative, exploratory study was conducted at a hospital in the southeast of Norway between March and May 2023. Six children aged 10 to 16 years participated in individual semi-structured interviews. Thematic analysis was used. The project was approved by Norwegian Agency for Shared Services in Education and Research (SIKT ref. no. 416290).</div></div><div><h3>Results</h3><div>The main findings were that children experience euphoria, dreamlike states, physical changes, altered sensory experiences, and care less about their fears related to the procedure.</div></div><div><h3>Conclusion</h3><div>Children in the study described physical, sensory, and emotional responses to EMONO, including both positive and negative experiences. Those with repeated exposure noted that each instance differed. All children reported less fear related to the procedure and expressed willingness to receive EMONO again in similar clinical situations. The children described dream-like sensations while maintaining partial awareness. Their statements support EMONO as a potentially valuable pharmacological intervention for reducing anxiety and stress in children undergoing medical procedures in hospital settings.</div></div><div><h3>Application to practice</h3><div>Children's experiences with receiving EMONO can be used to better prepare, facilitate, and administer this intervention to children. It can help to understand potential reactions and to prevent and minimise uncomfortable experiences.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 121-127"},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703154","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":"Using a co-design approach to adapt a paediatric person-centred care training programme: Perspectives of paediatric healthcare practitioners","authors":"Ariné Kuyler ,&nbsp;Angelica Höök ,&nbsp;Emma Forsgren ,&nbsp;Stefan Nilsson ,&nbsp;Mary G. Clasquin-Johnson ,&nbsp;Ensa Johnson","doi":"10.1016/j.pedn.2025.07.011","DOIUrl":"10.1016/j.pedn.2025.07.011","url":null,"abstract":"<div><h3>Purpose</h3><div>The implementation of person-centred care varies across different contexts. This may be due to various barriers such as context, different patient populations, care providers and how patients understand what constitutes care. Paediatric healthcare practitioners recognise this gap and require a person-centred care training programme tailored to the needs of children in healthcare. The study aimed to apply a co-design methodology to adapt and test a paediatric person-centred care training programme for healthcare practitioners working at a private hospital in South Africa.</div></div><div><h3>Design and methods</h3><div>A qualitative participatory action research methodology using a co-design approach was followed. The co-design approach included six principles or steps administered during six focus groups with 30 paediatric stakeholders (e.g., nursing managers, nurses, a paediatric gastroenterologist, a child life specialist, a counsellor, a dietician, and researchers).</div></div><div><h3>Results</h3><div>The results of this study included the adaptation of a paediatric person-centred care training programme for healthcare practitioners working at a private hospital in South Africa. The outcomes of the co-design process included adaptations to the structure and format of the programme to ensure contextual and cultural relevance. During a needs analysis, the content of the identified programme was appropriate.</div></div><div><h3>Conclusion</h3><div>The outcome of this study was the co-design of a paediatric person-centred care training programme that is human-centred, tangible, and collaborative. This study emphasised the importance of contextual factors when considering implementing a programme designed and developed in another context.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 112-120"},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696808","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 grandparent–parent co-parenting relationships in intergenerational co-parenting families on the behavior of preschool children: a scoping review","authors":"Yunyi Zhang ,&nbsp;Xuanli Zhang ,&nbsp;Ziyang Xie ,&nbsp;Xiao Xiao","doi":"10.1016/j.pedn.2025.07.017","DOIUrl":"10.1016/j.pedn.2025.07.017","url":null,"abstract":"<div><h3>Background</h3><div>In recent years, intergenerational co-parenting involving grandparents and parents has become a popular phenomenon in Asian society, especially in China. While existing research suggests that such co-parenting arrangements may significantly influence child behavioral outcomes, current evidence on the beneficial effects of grandparent–parent co-parenting on the behavioral development of children remains inconclusive, and its underlying mechanisms are still unclear.</div></div><div><h3>Methods</h3><div>This is a scoping review guided by the Arksey and O'Malley (2005) five-stage methodological framework. This review was conducted using the PRISMA-ScR guidelines for scoping reviews. Eleven Chinese and English databases were systematically searched.</div></div><div><h3>Sample</h3><div>In total, 25 studies were included in the scoping review, including 17 cross-sectional surveys, six longitudinal studies, and two randomized controlled trials.</div></div><div><h3>Results</h3><div>The findings demonstrated that a positive grandparent–parent co-parenting relationship was associated with fewer problem behaviors and higher levels of prosocial behaviors, self-reliance, social skills, social adaptability, self-control, and cognitive development among preschool children. In contrast, negative intergenerational co-parenting was related to problem behaviors and dependent behaviors in preschool children, as well as to lower levels of social competence and social adjustment. Grandparent–parent co-parenting consistency appears to facilitate the development of self-control behaviors in children, but empirical evidence does not support a significant association between intergenerational co-parenting relationships and child temperament.</div></div><div><h3>Conclusion</h3><div>The grandparent–parent co-parenting relationship plays an important role in the early behavioral development of children. Future research should emphasize the significance of developing a positive intergenerational co-parenting relationship in grandparent–parent co-parenting families and creating a healthy family environment.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 83-95"},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696911","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":"“My friends make it feel like I'm the same”: A qualitative study of psychosocial and peer factors in adolescent self-management of chronic conditions","authors":"Katherine Melton PhD, RN ,&nbsp;Kira Fried BS ,&nbsp;Mimi Stotsky PhD ,&nbsp;Shannon O’Donnell AGS ,&nbsp;Jean Anne Connor PhD, RN, CPNP, FAAN ,&nbsp;Gregory Sawicki MD, MPH","doi":"10.1016/j.pedn.2025.07.015","DOIUrl":"10.1016/j.pedn.2025.07.015","url":null,"abstract":"<div><h3>Background</h3><div>Adolescents with chronic conditions are at risk for poor health outcomes related to unsuccessful self-management. Additionally, the existing literature suggests that youth with chronic conditions are also at risk for experiencing difficulties in their social and peer relationships. However, the influence of peers and other psychosocial factors on self-management remains poorly understood.</div></div><div><h3>Objective</h3><div>To describe the interaction between psychosocial and peer relationship factors and self-management behaviors among adolescents with chronic conditions to identify targets for intervention.</div></div><div><h3>Design/Methods</h3><div>We recruited adolescents (12–17 years) with <span><math><mo>≥</mo><mn>1</mn></math></span> chronic condition from a single children's hospital. We conducted semi-structured interviews which were transcribed and independently coded by 2 researchers. An iterative codebook guided content analysis and coders meet weekly to resolve discrepancies.</div></div><div><h3>Results</h3><div>24 adolescents with a range of chronic conditions participated (54 % female, 21 % Black, 13 % Asian, 67 % White, 17 % Hispanic/Latin; mean age 14 years). The overarching theme: <em>Self-management in the Context of Psychosocial Health</em> was characterized by six subthemes: 1) multidimensional support needs, 2) feeling socially excluded, targeted and misunderstood, 3) fitting in versus standing out, 4) to share or not to share, 5) taking care of myself, and 6) “they know what you're going through”.</div></div><div><h3>Conclusions</h3><div>Across chronic conditions, peer interactions were complex; negative peer interactions contributed to poor psychosocial health outcomes (i.e., isolation) while positive interactions served as protective factors for self-management. Ownership and acceptance of their diagnosis both influenced and was influenced by an adolescent's relationships with their peers. Peer support was identified as a potential target to improve self-management.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 75-82"},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686085","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":"Identification of risk factors and incidence of non-tunnelled central venous catheter occlusion in pediatric intensive care unit: A retrospective cohort study","authors":"Yan Li RN, MD ,&nbsp;Min-jie Ju RN, BA ,&nbsp;Cong-hui Fu RN, MD ,&nbsp;Ji Liu RN, BA ,&nbsp;Xiao-ya Yang RN, BA ,&nbsp;Ting-ting Xu RN, MD","doi":"10.1016/j.pedn.2025.07.016","DOIUrl":"10.1016/j.pedn.2025.07.016","url":null,"abstract":"<div><h3>Background</h3><div>Non-tunnelled central venous catheter (CVC) occlusion represents a significant clinical challenge in pediatric intensive care units (PICUs), emphasizing the need for improved understanding of its incidence and risk factors.</div></div><div><h3>Purpose</h3><div>This study aimed to investigate the incidence and risk factors for non-tunnelled CVC occlusion among critically ill children.</div></div><div><h3>Design and methods</h3><div>This retrospective cohort study was conducted in a single PICU in China. The medical records of 648 critically ill children admitted between January 1, 2019 and June 30, 2021 were analyzed. Variables assessed included non-tunnelled CVC occlusion events, demographic data, treatment information, biochemical parameters, and CVC characteristic. Univariate and stepwise multiple logistic regression analysis were performed to identify independent risk factors of occlusion.</div></div><div><h3>Results</h3><div>The participants ages ranged from 1 to 198 (median:28 months) months, with 59.25 % (<em>n</em> = 384) being male. The incidence of non-tunnelled CVC occlusion was 15.6 % (22.8 per 1000 catheter-days). In multiple logistic regression analysis, independent risk factors included the use of analgesia or sedation medicines, and elevated D-dimer values. Conversely, infusion rates exceeding 10 mL/h emerged as a protective factor.</div></div><div><h3>Conclusions</h3><div>Non-tunnelled CVC occlusion remains a significant concern in the PICU population. Modifiable risk factors, including the use of <!--> <!-->analgesia or sedation medicines and D-dimer values were associated with occlusion, while <!--> <!-->higher infusion rate was a protective factor. These findings <!--> <!-->can inform evidence-based strategies to minimize CVC occlusion in critically ill children.</div></div><div><h3>Implications to practice</h3><div>Nurses can identify children at high risk of non-tunnelled CVC occlusion, and targeted measures can be applied to avoid the adverse effects of occlusion. The measures include minimizing the use of sedative and analgesic medicines, monitoring coagulation parameters, and adjusting infusion rates to the extent feasible.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 96-102"},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696912","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":"Fostering a safe horizon: Nursing organizational culture as a mediator between medication safety climate and reporting intentions for high-alert medication errors among pediatric nursing care","authors":"Abdelaziz Hendy ,&nbsp;Rasha Kadri Ibrahim ,&nbsp;Hosny Maher Sultan ,&nbsp;Hanan F. Alharbi ,&nbsp;Zeinab Al-Kurdi ,&nbsp;Naglaa Hassan Abuelzahab ,&nbsp;Taliaa Mohsen Al-Yafeai ,&nbsp;Ahmad Ahmeda ,&nbsp;Zainab Attia Abdallah ,&nbsp;Wesam Taher Almagharbeh ,&nbsp;Ghada Ahmed Hassan","doi":"10.1016/j.pedn.2025.07.018","DOIUrl":"10.1016/j.pedn.2025.07.018","url":null,"abstract":"<div><h3>Introduction</h3><div>Medication errors in pediatric care, especially involving high-alert medications, pose significant risks. Nurses' reluctance to report such errors is influenced by organizational culture, fear of blame, and ineffective reporting systems. A positive medication safety climate and supportive organizational culture are essential in promoting error-reporting behaviors.</div></div><div><h3>Aim</h3><div>This study examines the mediating role of nursing organizational culture in the relationship between medication safety climate and nurses' intention to report high-alert medication errors in pediatric settings.</div></div><div><h3>Methods</h3><div>A descriptive quantitative study was conducted with 251 pediatric nurses in Cairo, Egypt, using a self-report questionnaire. The questionnaire was administered online from November 2024 to February 2025. Measures included the Medication Safety Climate (MSC), Nursing Organizational Culture, and Nurses' Intention to Report Errors.</div></div><div><h3>Results</h3><div>A significant positive correlation was found between MSC and reporting intention <strong>(<em>r</em> = 0.91, <em>p</em> &lt; .01).</strong> Relational culture <strong>(<em>r</em> = 0.33, p &lt; .01),</strong> innovation culture <strong>(<em>r</em> = 0.62, p &lt; .01),</strong> and task culture <strong>(<em>r</em> = 0.43, p &lt; .01)</strong> were positively correlated with reporting intention. Hierarchical culture showed a negative correlation <strong>(<em>r</em> = −0.40, p &lt; .01).</strong> Mediation analysis confirmed organizational culture partially mediated the relationship <strong>(total effect = 0.4001).</strong></div></div><div><h3>Conclusion</h3><div>A supportive organizational culture, especially one that is relational, innovative, and task-oriented, enhances error reporting. Strengthening these cultural elements, alongside a positive safety climate, improves pediatric patient safety.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 103-111"},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696807","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":"Celebrating five decades of pediatric nursing progress: Achievements, persistent challenges and future directions","authors":"Sawsan Abuhammad","doi":"10.1016/j.pedn.2025.07.007","DOIUrl":"10.1016/j.pedn.2025.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric nursing has evolved from a limited subset of general nursing to a dynamic specialty grounded in evidence-based practice, family-centered care, and technological integration over the past 50 years. The establishment of family-centered care, advances in neonatal intensive care, expanded roles for pediatric nurse practitioners, innovations in chronic disease management, and the integration of telehealth and digital solutions were major milestones at that time.</div></div><div><h3>Current challenges</h3><div>Health inequities, rising mental health disorders among youth, pediatric nursing workforce shortages, climate-related health threats, and ethical complexities linked to technological advances have emerged during this period.</div></div><div><h3>Aim</h3><div>The main aim of this commentary is to reflect on historical achievements, critically examine current barriers to optimal pediatric health outcomes, and propose strategic actions to address systemic gaps.</div></div><div><h3>Recommendations for the future</h3><div>Children worldwide could achieve their full potential if pediatric nurses work towards strengthening health equity, integrating mental health services, investing in workforce development, expanding digital health access, enhancing climate and ethical preparedness, and promoting pediatric nurse leadership; the next era of pediatric nursing can ensure this.</div></div><div><h3>Conclusion</h3><div>Pediatric nurses remain uniquely positioned as compassionate caregivers, innovators, and advocates in the evolving healthcare landscape.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 69-74"},"PeriodicalIF":2.1,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679209","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":"Are YouTube videos a reliable and quality source for insulin pen injection in children?","authors":"Ayla İrem Aydın RN, PhD ,&nbsp;Eda Güney Şahin RN ,&nbsp;Nevin Al RN, PhD","doi":"10.1016/j.pedn.2025.07.013","DOIUrl":"10.1016/j.pedn.2025.07.013","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to evaluate the content, reliability and quality of YouTube videos on insulin pen injection in children.</div></div><div><h3>Design and methods</h3><div>This descriptive study examines 44 videos on YouTube that were searched with the keyword “insulin pen injection in children” and met the selection criteria. The content of the videos was assessed using the Insulin Pen Injection Application Control Form in Children, their reliability was assessed using the modified DISCERN tool and their quality was assessed using the Global Quality Scale (GQS).</div></div><div><h3>Results</h3><div>This study has determined that the average GQS assigned by evaluators is 3.81 ± 0.95 and the modified DISCERN score is 3.15 ± 1.43. The study showed that 75 % of the analyzed videos were useful, the GQS and modified DISCERN scores of the useful videos were statistically significantly higher than the useless videos, and there were significant differences in variables such as day, view ratio, duration (<em>p</em> &lt; 0.05). In addition, it was determined that videos published by health institutions had higher GQS and modified DISCERN scores compared to independent publishers.</div></div><div><h3>Conclusion</h3><div>The evidence presented in this study suggests that videos published by health organizations are a more reliable and high-quality source.</div></div><div><h3>Application to practice</h3><div>The reliability and quality of YouTube content on insulin pen injection practices in children should be improved. In this context, it is recommended that nurses responsible for education and patient care take more responsibility in this regard.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 63-68"},"PeriodicalIF":2.1,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679210","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":"Exploring the impact of clown intervention on hospitalized children: A scoping review","authors":"Liling Yang ,&nbsp;Jianlin Ji ,&nbsp;WenJuan Tang ,&nbsp;Sha Zhan ,&nbsp;Chengqian Zeng ,&nbsp;Hanlin Yang ,&nbsp;Ping Tang ,&nbsp;Yan Jiang ,&nbsp;Ouyao Chen ,&nbsp;Qunfeng Lu","doi":"10.1016/j.pedn.2025.07.002","DOIUrl":"10.1016/j.pedn.2025.07.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Various studies have demonstrated the effectiveness of clown therapy in improving the emotional state of hospitalized children. However, the specifics of clown therapy and the indicators of assessment are unclear. So it is necessary to explore clown interventions.</div></div><div><h3>Aim</h3><div>Identify and map evidence regarding clown therapy for hospitalized children.</div></div><div><h3>Methods</h3><div>The Joanna Briggs Institute scoping review method and the PRISMA extension for Scoping Reviews guided the work. Seven databases were used: PubMed, Embase, Web of Science, EBSCO, CINAHL, the Cochrane Library, and OVID. This study searched databases for English peer-reviewed articles on clown interventions for hospitalized children from January 2000 to April 2025. Data were extracted by one author and checked by another and analyzed descriptively.</div></div><div><h3>Results</h3><div>Thirty-three articles met the established criteria. Most of the research has been focused on the European and Asian regions and has been carried out on a one-to-one basis. Many studies did not report on the qualifications of the individuals performing as clowns. The outcome indicators chosen for evaluating the effectiveness of the intervention were relatively homogeneous.</div></div><div><h3>Conclusion</h3><div>Clown interventions reduce negative emotions, but specifics and potential adverse effects need further research.</div></div><div><h3>Implication</h3><div>This study details how researchers conducted clown care and developed pathways for interventions in practice. In the future, the use of clowning interventions in the hospital setting will be critical in facilitating the acclimatization of the child and his/her family to the inpatient setting, positive treatment, and recovery from illness.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"85 ","pages":"Pages 48-62"},"PeriodicalIF":2.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655003","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}