Journal for Specialists in Pediatric Nursing最新文献

{"title":"The Use of Extended Reality Distraction Methods During Needle-Related Procedures in Pediatric Hospital Care—Children's Experiences","authors":"Anna Stålberg,&nbsp;Johanna Granhagen Jungner,&nbsp;Cecilia Bartholdson,&nbsp;Henrik Hjelmgren","doi":"10.1111/jspn.70021","DOIUrl":"10.1111/jspn.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To describe children's experiences of using extended reality (XR) distraction, namely virtual reality (VR) and augmented reality (AR), during needle-related procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>An exploratory, prospective convergent parallel mixed-methods design was employed. Self-reported measures and structured observations conducted in accordance with a predefined protocol were combined with semi-structured interviews. Data were presented using descriptive statistics and synthesized through thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Observations were conducted during 29 venipunctures in children using XR distraction. A majority of the children (90%) reported positive experiences with the use of XR distraction. Numerical Rating Scale pain scores (0–10) were low in both groups, with a mean of 1.26 (SD 1.16) for VR and 1.77 (SD 1.79) for AR. Most procedures (62%) were carried out as planned. No child declined the use of the device. Physical restraint was not observed; however, supportive holding was used in 10% of procedures. Four themes were identified through the interviews: <i>Emotional support and comfort</i>, <i>The artificial world becomes reality</i>, <i>A diversified experience</i>, and <i>Usability aspects influencing user experience</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>When appropriately implemented, XR distraction may reduce pain and anxiety among children during needle-related procedures. However, it is not universally effective, underscoring the importance of a child-centered approach that allows children to select their preferred distraction method. Further research is required to determine optimal implementation strategies, assess cost-effectiveness, and clarify the role of XR distraction in delivering high-quality pediatric care during needle-related procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>The demonstrated benefits of XR distraction during needle-related procedures may encourage healthcare professionals to incorporate such tools into clinical practice. Nevertheless, the findings also emphasize the importance of adopting a child-centered approach, recognizing that XR distraction is not suitable for all children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jspn.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148611342","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":"Translation, Adaptation, and Validation of a Korean Version of the Smoking Media Literacy Scale in Adolescents","authors":"Sunhee Park","doi":"10.1111/jspn.70019","DOIUrl":"10.1111/jspn.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The enhancement of smoking media literacy (SML) is a crucial strategy to mitigate the adverse effects of pro-smoking media messages on adolescents. However, the availability of reliable and valid Korean-language instruments for assessing SML remains limited. Thus, this study aimed to (a) translate and culturally adapt the SML Scale originally developed in English and (b) validate its Korean version among Korean adolescents (<i>N</i> = 638 middle and high schoolers).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>The process involved (a) developing a pre-final Korean version (PFKV) through translation and cultural adaptation, (b) pilot-testing the PFKV via cognitive debriefing, assessment of translation sufficiency, and content validity testing, (c) conducting exploratory and confirmatory factor analyses, and (d) testing psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Korean version of the smoking media literacy scale (K-SMLS) had a two-factor structure, which was consistent with the original scale's theoretical framework. The K-SMLS was highly reliable, showing Cronbach's alpha values exceeding 0.8 for the overall scale and its subscales. It also demonstrated satisfactory convergent validity with media literacy and critical thinking disposition, and concurrent validity with current smoking and smoking normative beliefs. These relationships were statistically significant and in the expected directions, consistent with those found in the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>The use of K-SMLS can contribute to identifying adolescents at risk from pro-smoking media messages, providing targeted educational interventions, facilitating comparisons of intervention effects across studies and the drawing of informed conclusions, and developing strategies to enhance SML.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 4","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jspn.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148611383","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":"Caregiver Empowerment of Children With Asthma: A Literature Review","authors":"Lauren Ibiezugbe,&nbsp;Dawn Turnage","doi":"10.1111/jspn.70018","DOIUrl":"10.1111/jspn.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Asthma is a major chronic disease with a large disease burden worldwide. Caregivers of children with asthma can have decreased quality of life and stress. Empowerment has been studied in the caregiver population related to competence, self-efficacy, and mental health. The aim of this paper is to examine studies related to empowerment in caregivers of children with asthma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>A traditional, narrative literature review was conducted using MEDLINE, CINAHL, and APA PsycInfo Databases. Articles were reviewed related to empowerment in caregivers of children with asthma. Twenty-two articles were retained to include in the review, as they met all inclusion and exclusion criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Articles were either related to caregiver empowerment interventions or the concept of empowerment. Themes related to empowerment interventions included asthma management and quality of life. Themes related to the concept of empowerment include facilitators for empowerment, consequences of empowerment, and the need for further development of empowerment methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>Empowerment is an important concept related to caregivers of children with asthma. There is a need for further studies to examine ways to measure empowerment in this population and to look at the relationships between caregiver empowerment and other key concepts related to asthma management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 3","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414629","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148082069","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148070456","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148062824","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":"“Understanding Fathers' Bonding With Preterm Infants: Influencing Fathers and Infants' Variables”","authors":"Nisreen Alnuaimi,&nbsp;Lisa Bratzke,&nbsp;Tonya Roberts,&nbsp;Karen Pridham","doi":"10.1111/jspn.70014","DOIUrl":"10.1111/jspn.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Fathers are prone to suboptimal bonding with their preterm infants, but little is known about the roles that father and infant variables might play in the suboptimal bonding. This gap in knowledge limits the ability of nurses to identify and assist fathers at risk of suboptimal bonding. This study aims to identify (1) the bonding levels of fathers to their preterm infants hospitalized in neonatal intensive care units (NICUs) and (2) the association between father and infant variables and bonding of fathers to their preterm infants hospitalized in (NICUs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>This is a secondary data analysis from a parent study in which we recruited 396 fathers using a cross-sectional quantitative design across United States. In the original study, we recruited 396 fathers of preterm infants over 5 months (September 2022 to January 2023). We used self-reported measures to collect data specific to fathers and infant variables and bonding using Paternal Postnatal Attachment Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this sample, 73.12 ± 10.32 represents the average level of bonding for fathers of preterm infants. Additionally, low household income, previous preterm infants, and current multiple-birth infants were significantly associated with low bonding levels for fathers of preterm infants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>Results indicate a necessity to further support fathers' needs to bond with preterm infants in the NICU. Specifically, nurses can screen to identify fathers who are at risk for low bonding and provide at-risk fathers with an adequate degree of support like referral to social support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461323","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 Validity and Reliability of the Turkish Version of the Parental Needs Scale for Rare Diseases (PNS-RD)","authors":"Sema Bayraktar,&nbsp;Aslı Akdeniz Kudubeş,&nbsp;Ayfer Aydın,&nbsp;Meryem Karaca,&nbsp;Mehmet Cihan Balcı,&nbsp;Gülden Fatma Gökçay","doi":"10.1111/jspn.70013","DOIUrl":"10.1111/jspn.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Parents of children with rare diseases (RDs) face significant burdens, including economic, psychosocial, and physical challenges, and long-term care issues decrease the overall quality of life for the family. Assessing the validity and reliability of the Parental Needs Scale for Rare Diseases (PNS-RD) for the Turkish population is a critical step in developing support systems for parents of children with rare diseases. We planned this research to evaluate the validity and reliability of the PNS-RD in Turkish society.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was undertaken with 264 parents оf rare disease children. All data were collected using a socio-demographic characteristics information form and the PNS-RD scale. Explanatory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were used to assess our scale's validity. Then, Cronbach's <i>α</i> value and Pearson correlation analyses were selected to examine the item-total score correlations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The scale's explained variance rate was 76.10%. In our study, all fitness markers overwrote the hallmark of 0.90 when the factor loadings exceeded the threshold of 0.30. Besides, the Root Mean Square Error of Approximation (RMSEA) was under 0.080 and had a good statistical fit. The instrument showed internal consistency in our study, and the scale's sub-dimensions also exhibited high reliability. With all our results, the PNS-RD is a valid and reliable scale for Turkish society's assessment of parents' needs. Its use in clinical and research settings will help pediatric nurses better understand families' unmet needs and guide support programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>This study on the validity and reliability of the Turkish version of PNS-RD aims to address the gap in understanding the needs of parents with children with rare diseases. Introducing this scale into Turkish literature will establish a foundation for future research. This scale, which identifies parents' needs, will assist in developing intervention programs to meet those needs moving forward.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215395","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":"Mindfulness Apps to Improve Depression Severity and Family Management in Parents of Children With Medical Complexity: A Pilot Study","authors":"Cara Gallegos,&nbsp;Valerie Boebel Toly,&nbsp;Matthew Bailey","doi":"10.1111/jspn.70011","DOIUrl":"https://doi.org/10.1111/jspn.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Parents of children with medical complexity (CMC) frequently experience challenges with family management and depression. The purpose of the study was to provide preliminary feasibility, usage, acceptability, and efficacy data following a trial of mindfulness app use in parents of a CMC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>In this single-arm intervention pilot study, parents were asked to use a mindfulness mobile application (app) for 10–15 min, 4 days a week. Depression severity and family management were measured using the Patient Health Questionnaire-9 and Family Management Measure, respectively, at baseline and 4 weeks later.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 32 parents consented to participate; 28 parents completed all surveys. Self-reported usage data indicate that 8 parents (32%) used the app 4 days a week and 12 parents (50%) used it for at least 10 min/session. The majority rated the app easy to use and would recommend it (<i>n</i> = 26; 92.8%). There was a statistically significant improvement in depression severity and family management scores following app use. Time spent using the app had a strong negative correlation with depression severity scores (<i>p</i> &lt;0.01), however, the number of days used per week of use was not statistically significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>Parents of a CMC are at risk for depression and family management issues. Timely identification of parental mental health is important so interventions can be provided. This pilot study provides promising, preliminary information regarding the feasibility, acceptability, and efficacy of a mindfulness app intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"31 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626635","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":"Desperate for Sleep: Exploring Parental Perceptions of Melatonin Use Among Adolescents With Neurodevelopmental Disorders","authors":"Alyson E. Hanish,&nbsp;Shelby M. Freudenburg,&nbsp;Abbey J. Klein,&nbsp;Danielle J. Stappert,&nbsp;Marcia Y. Shade","doi":"10.1111/jspn.70010","DOIUrl":"https://doi.org/10.1111/jspn.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Sleep disturbances are common in adolescents diagnosed with neurodevelopmental disorders (NDDs), such as autism spectrum disorder (ASD) and/or attention-deficit hyperactivity disorder (ADHD). Sleep-related impairment can include worsening of underlying symptoms such as stereotypic and repetitive behavior, inattention, hyperactivity, and impaired learning. Exogenous melatonin has shown promise in improving sleep onset latency and total sleep time in adolescents with NDDs. The purpose of this study was to describe parents' experiences with sleep disturbance, sleep-related impairment, and exogenous melatonin use in their adolescent child diagnosed with an NDD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>We conducted semi-structured interviews with twenty-six parents of adolescents (11–18 years of age) diagnosed with ASD and/or ADHD. Data were analyzed using qualitative conventional content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Before the initiation of melatonin, all parents stated their child had experienced difficulties falling asleep. Parents described sleep-related impairments in both child and family functioning, such as behavioral issues, cognitive difficulty, and parental lack of sleep. Most parents had attempted sleep hygiene-related interventions before initiating melatonin. Over half of the parents reported initiating melatonin at their healthcare provider's recommendation. All parents believed melatonin was natural, without major health or safety issues. All parents described subjective improvements in their child's sleep latency with the use of exogenous melatonin. Parents of adolescents diagnosed with ASD and/or ADHD reported that melatonin is a safe and effective intervention for the management of their child's sleep disturbances. Parents also reported switching melatonin brands, changing melatonin dosages, and discontinuing and restarting melatonin.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>Due to the known reported inconsistencies in purity and dosage between over-the-counter melatonin brands, frequent switching of brands and dosages should be a consideration for patient education and the potential impact of efficacy and safety. Practice would benefit from future studies targeting validation and standardization of age-appropriate adolescent sleep-related intervention, including the everyday usage and long-term safety of exogenous melatonin.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54900,"journal":{"name":"Journal for Specialists in Pediatric Nursing","volume":"30 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jspn.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145420679","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}