Comprehensive child and adolescent nursing最新文献

{"title":"\"I've Always Wanted to Find That Peace That Everyone Talks About with Mindfulness\": The Development of an Asynchronous Mindfulness-Training Mobile Health Application for Adolescents with Type 1 Diabetes.","authors":"Kaitlyn Rechenberg, Rebecca Koerner, Carley Geiss","doi":"10.1080/24694193.2026.2668721","DOIUrl":"https://doi.org/10.1080/24694193.2026.2668721","url":null,"abstract":"<p><p>Adolescents with type 1 diabetes (T1D) report increased stress and anxiety in comparison to their peers, which may result in out-of-range glycemic outcomes. Complementary therapies such as mindfulness may improve stress and anxiety. However, mindfulness training is mostly delivered in-person for adolescents. As adolescents with T1D are high consumers of technology, with busy schedules that impede their ability to complete in-person training, we designed an mHealth application, Appricate^©, to deliver mindfulness-training. The goal of this pilot study was to qualitatively describe the experience of participating in an 8-week mHealth mindfulness-training intervention based on the principles of MBSR, Appricate^©, among adolescents with T1D. We conducted semi-structured interviews with 12 adolescents aged 12 to 19 years old who had T1D for >6 months and had completed our 8-week mHealth mindfulness-training intervention. We identified five themes based on participant interviews: (1) initial appeal and attractiveness, (2) usability, (3) engagement, (4) user outcomes, and (5) recommendations. Appricate^© was reported as \"well made\" that was \"very easy to use\" with engaging lessons. Participants had improved sleep, stress and anxiety management and better ability to manage school and after-school activities after using Appricate^©. Participants also recommended additional content and options for personalization.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-15"},"PeriodicalIF":1.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Does Pre-Registration Child Specific Education Prepare Newly Qualified Nurses' to Care for Children, Young People, and Their Families? An Empty Narrative Review.","authors":"Matthew Carey, Danielle Edge, Julie Blamires, Mandie Foster, Sarah Neill","doi":"10.1080/24694193.2026.2657962","DOIUrl":"https://doi.org/10.1080/24694193.2026.2657962","url":null,"abstract":"<p><p>This narrative review investigates the influence of child-specific content within pre-registration nursing programs on newly qualified nurses' perceptions of preparedness to care for children, young people, and their families. Despite international recognition of the specialised competencies required for pediatric nursing, the proportion and quality of child-focused education across Higher Education Institutions is not clear. The Population, Exposure, Outcome framework provided a comprehensive search strategy applied across eight databases to identify relevant studies that met the inclusion and exclusion criteria. Of 663 records identified, 451 were screened and 25 full texts were assessed for eligibility by two reviewers. No studies met the eligibility criteria, resulting in an empty review. Although no empirical evidence could be synthesized, the absence of eligible studies is itself a notable finding. Empty reviews are becoming increasingly recognized within structured review methodology as scientifically meaningful contributions. An empty review can highlight areas where assumptions are made without evidence and where systematic research is urgently needed. In our review, the lack of studies reveals a critical and previously uncharted gap in the literature. Although authors acknowledge that a strict inclusion criteria may narrow the field for capturing relevant studies. Rather than representing a failure of the review process, the empty review demonstrates that the research question has not been empirically investigated despite longstanding concerns about adequacy of children's nursing education. Empty reviews aid researchers to identify gaps in the evidence base and to identify where research is needed. They can ensure that policy or curriculum reform is not based upon untested beliefs. Empty reviews offer guidance for researchers, educators and healthcare providers on future research. By confirming through a robust and comprehensive search strategy that no eligible evidence exists, this empty review strengthens the case for dedicated studies exploring the relationship between curriculum content and preparedness outcomes. It highlights the need for empirical work before evidence‑based recommendations on child‑specific content can be made. In this sense, the empty review is not a negative result but an important and constructive contribution, drawing attention to a neglected but vital area of nursing education research.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-21"},"PeriodicalIF":1.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Disease Experience of Adolescent Patients with Osteosarcoma: A Descriptive Phenomenological Study.","authors":"Yunchao Fan, Yao Zhang, Dandan Lu, Wanting Hao, Xia Liang, Yuting Wu, Jinfeng Li","doi":"10.1080/24694193.2026.2655137","DOIUrl":"https://doi.org/10.1080/24694193.2026.2655137","url":null,"abstract":"<p><p>Osteosarcoma is the most common type of bone malignancy among adolescents and is known for its rapid progression, high invasiveness, and poor prognosis. It poses a serious threat to adolescents' survival and well-being. Moreover, as research on adolescent osteosarcoma patients in China is limited, studies exploring their disease experience are even rarer. In this descriptive-phenomenological study, 10 adolescent patients with osteosarcoma underwent semi structured interviews to explore their disease experience. Data were analyzed using Colaizzi's seven-step method, yielding five core themes: physiological symptom distress, negative psychological experiences, changes in social functioning, individual coping strategies, and experiences of self-growth. Adolescents with osteosarcoma face multiple challenges during diagnosis and treatment, including physical and psychological distress, impaired social functioning, and difficulties in self-management, but they also demonstrate the potential for positive personal growth. It is recommended that health care professionals develop and implement personalized, multidimensional support strategies covering physiological, psychological, and social aspects to facilitate recovery and enhance the quality of life of these adolescents.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-16"},"PeriodicalIF":1.4,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Children and Adolescents with Attention Deficit Hyperactivity Disorder Use Screens More? A Systematic Review and Meta-Analysis.","authors":"Paulo Gonçalves Júnior, Italo Emmanoel Silva E Silva, Marcela Baraúna Magno, Lucianne Cople Maia, Matheus Melo Pithon, Raildo da Silva Coqueiro","doi":"10.1080/24694193.2026.2640837","DOIUrl":"https://doi.org/10.1080/24694193.2026.2640837","url":null,"abstract":"<p><strong>Background: </strong>Our aim in conducting this review was to investigate whether children and adolescents with attention deficit hyperactivity disorder (ADHD) exhibit differences in screen time when compared to children and adolescents with typical development.</p><p><strong>Method: </strong>The study protocol was registered in the PROSPERO database. Databases and gray literature were screened. Studies that compared screen time between children and adolescents with ADHD and those with typical development were included and critically evaluated with the Joanna Briggs Institute tools. Meta-analyses were performed considering screen time ≥2 hours/day or its mean (hours/day). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was applied for evaluating the certainty of the evidence. Twenty-two studies were included.</p><p><strong>Results: </strong>In total, 235 283 children and adolescents of both sexes were evaluated. ADHD was diagnosed clinically or based on caregiver reporting, and different screen types were reported. With a low and very low certainty of evidence, children and adolescents with ADHD were more likely to spend ≥2 hours/day during the week with computers and screens in general and had a higher mean screen time (<i>p</i> < .05). ADHD medication did not seem to influence these results.</p><p><strong>Conclusions: </strong>Children and adolescents with ADHD spent more time during weekdays using screens and were therefore more likely to exhibit excessive screen and computer use.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-24"},"PeriodicalIF":1.4,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Sharing the Horrible Moment\"; the Experiences and Perceptions of Children of Being Held for Clinical Procedures: An Exploratory Qualitative Study.","authors":"Jill Snodin, Bernie Carter, Barbara Jack, Lucy Bray","doi":"10.1080/24694193.2026.2644985","DOIUrl":"https://doi.org/10.1080/24694193.2026.2644985","url":null,"abstract":"<p><p>Children continue to be held still within pediatric practice for clinical tests, treatments and examinations. Existing literature has focussed on health professionals' and parent's views and experiences of the use of holding and restraint, and children's views and experiences remain largely absent. This study aimed to explore the experiences and perceptions of children with long-term conditions of being held for clinical procedures in hospital environments. A qualitative descriptive design used interviews and participatory arts-based approaches to hear the experiences of children aged 4-12 years. Recruitment occurred through a children's hospital. Data were analyzed using thematic and content analysis processes. Twenty-two children aged 4-12 years were interviewed. Children gave detailed accounts of how they had been held, with many describing experiences of distress and forceful holding. Children shared their understanding of why they had been held and talked of difficult communication during the \"horrible moment\" because adults were either \"not saying anything\" or \"being angry.\" They talked of preferring to be held by their parents or given a choice over who holds them. Children discussed that being informed, listened to, and able to rehearse events helped them during a procedure and led to less forceful holding. This study adds important knowledge of children's perspectives of being held for clinical procedures, demonstrating that even young children have complex emotions and understandings of what happened when they were held. Adopting a trauma-informed approach and providing supportive debriefs is key to avoiding the accumulation of fear, distress and harm.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-16"},"PeriodicalIF":1.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Basic Oral Care Education Given to Children Receiving Chemotherapy and Their Parents on Oral Mucositis: A Quasi-Experimental Study.","authors":"Meral Bektaş, Hacer Kobya Bulut","doi":"10.1080/24694193.2025.2600514","DOIUrl":"10.1080/24694193.2025.2600514","url":null,"abstract":"<p><p>Oral mucositis (OM) is significant clinical problem for children receiving chemotherapy. This study was conducted to evaluate the effect of basic oral care (BOC) education given to children receiving chemotherapy and their mothers on the prevention and severity of oral mucositis. This study was a quasi-experimental, single-arm, pre-post intervention design conducted to evaluate the effect of basic oral care (BOC) education on the prevention and severity of oral mucositis in children undergoing chemotherapy. The study was carried out at the pediatric hematology and oncology unit of a university hospital in Trabzon, Türkiye, between January and December 2019. A total of 30 children aged 3-17 years who met the inclusion criteria and their parents were enrolled in the study. Data were collected using three instruments: the Information Form, the Basic Oral Care Follow-up Chart (BOCFC), and the World Health Organization Mucositis Assessment Scale (WHOMAS). Oral mucositis was assessed on days 1, 3, 5, 7, 14, and 21, while adherence to BOC practices was recorded daily using the follow-up chart. BOC education was delivered face-to-face by the same researcher to both children and their parents in two 25-minute sessions. The training included tooth brushing with the Bass technique, the use of oral care sponges, and sodium bicarbonate rinses. Data were analyzed using SPSS 24.0. Normality was tested with the Shapiro-Wilk test. For nonparametric data, the Wilcoxon Signed Rank Test was applied. A p-value < 0.05 was considered statistically significant. Data were analyzed for 30 children. In the post-training period, there was a significant increase in BOC practices, especially in the evening and at bedtime, compared to the pre-education group (<i>p</i><0.05). The results showed that there was a significant difference in the degree of oral mucositis after BOC education planned for children receiving chemotherapy compared to the group before BOC education (<i>p</i><0.05). In the pre-training period, the number of children who developed severe OM increased until day 14, improvement started after day 14, but severe OM was still detected in 3.3% of the children on day 21. After BOC training, children did not develop severe OM and mild mucositis decreased from 23.3% on day 14 to 3.3% on day 21. BOC education given to children receiving chemotherapy and their parents prevents the development of severe oral mucositis by increasing tooth brushing and mouth rinsing rates. BOC may be the best option to prevent OM and reduce the severity of OM in children receiving chemotherapy.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"33-50"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Evaluation of a Supervised Playground Service for Children and Families Living in a Disadvantaged Area.","authors":"Eleanor Hollywood, Sonam Banka-Cullen, Catherine Comiskey, Maryanne Murphy","doi":"10.1080/24694193.2026.2615476","DOIUrl":"https://doi.org/10.1080/24694193.2026.2615476","url":null,"abstract":"<p><p>An evaluation of a supervised playground service for children and families who live in an area of disadvantage was undertaken to assess its impact on children, families, and the wider community. The playground is located in the suburbs of a city in the southeast of Ireland, and it is operated by Barnardos. A central objective of the study was to explore children's experiences of their involvement in the playground, what it means to them, and how it has influenced their lives. The evaluation adopted a qualitative design using art-based participatory methods and semi-structured interviews to ensure that the voice of the child was prioritized. A total of 33 participants, including children, parents, Barnardos staff, volunteers, and community stakeholders took part in the study. Data generated from creative activities and interviews provided rich insights into the value and outcomes of the service. Findings indicate that the playground contributes positively to children's social, emotional, cognitive, and physical development. It also fosters inclusion, friendship, and community connection, while supporting children's confidence, wellbeing, and sense of belonging. The evaluation highlights the significance of supervised, community-based play initiatives in promoting holistic child development and strengthening community ties.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":"49 1","pages":"70-93"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Management-Integrated Learning Materials on the Promotion of Child- and Family-Centered Care in Peripheral IV Placement.","authors":"Keiko Aizawa, Kyoko Kobayashi, Yuki Yonekura, Chifumi Yoshida, Mika Hirata, Noyuri Yamaji, Hiromi Oku","doi":"10.1080/24694193.2025.2602645","DOIUrl":"10.1080/24694193.2025.2602645","url":null,"abstract":"<p><p>Child- and family-centered care (C&FCC) is critical in pediatric nursing, but often difficult to implement consistently, particularly during high-stress procedures such as peripheral intravenous (IV) line placements. This two-arm quasi-experimental study evaluated the effectiveness of learning support materials developed to enhance nurse managers' knowledge of and attitudes toward promoting C&FCC and encouraging its implementation during peripheral IV line placements. It conducted a two-arm quasi-experimental study in Japan between October 2022 and April 2023. Nurse managers from pediatric departments were allocated to the intervention (<i>n</i> = 69) and control (<i>n</i> = 67) groups using an alternating assignment method stratified by facility. This study involved three surveys as follows: a pre-survey (T1), post-survey 1 (T2, within 2 days of T1), and post-survey 2 (T3, 1 month after T2). The intervention group received a comprehensive learning package, including management strategies and C&FCC promotion tools, while the control group was provided with a limited guide without management content. In this study, the primary outcome was the behavioral component of attitude - namely, nurse managers' motivation and confidence to promote C&FCC. The secondary outcomes were knowledge of department management in C&FCC and intention to create a C&FCC promotion core team. Adjusted T3 effects, controlled for baseline and prespecified covariates, were estimated using analysis of covariance. For the primary outcome, the intervention produced significant adjusted improvement at T3 (β = 10.04, standard error [SE] = 3.93, <i>t</i> = 2.56, <i>p</i> = .012). The adjusted effect was not significant for knowledge (β = ‒1.03, SE = 0.72, <i>t</i> = 1.44, <i>p</i> = .153). A greater proportion of nurse managers expressed an intention to establish a C&FCC promotion core team in the intervention group than in the control group. In the context of peripheral IV placement, management-integrated C&FCC learning materials appear effective in enhancing nurse managers' motivation and confidence to lead C&FCC implementation and may help cultivate a child- and family-centered organizational culture in pediatric care.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"51-69"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Self-Esteem and Family Functioning with Adolescent Pregnancy. A Case-Control Study.","authors":"Edith Araceli Cano-Estrada, Jazmin Adaly Acosta-Valera, Jose Angel Hernández-Mariano, Ana Cristina Castañeda-Márquez","doi":"10.1080/24694193.2025.2600513","DOIUrl":"10.1080/24694193.2025.2600513","url":null,"abstract":"<p><p>Adolescent pregnancy is a global phenomenon that increases the risk of maternal and neonatal morbidity and mortality. In addition, early parenthood has implications that foster intergenerational poverty and social exclusion. Hence, this study aimed to evaluate the association between self-esteem and family functioning with teenage pregnancy. We conducted a case-control study from April to November 2023 at two community health centers in Hidalgo, Mexico. Primiparous adolescents aged 10 to 19 whose gestational age was less than 21 weeks and who attended a prenatal checkup consultation were considered the case group. Conversely, the control group consisted of non-pregnant adolescents (aged 10-19 years) who visited the same community health centers for medical consultations. The APGAR family scale was used to assess the family functioning of the participants, and self-esteem was assessed using the Rosenberg Self-Esteem Scale. The associations between the variables of interest were evaluated using logistic regression models adjusted by confounders. After adjusting for confounders, adolescents with medium (adjusted odds ratio [aOR] = 1.81; 95% confidence interval [95% CI] = 0.91, 3.59; p-value = .086) and lo8w self-esteem (aOR = 4.04; 95% CI = 1.96, 8.31; p-value = .030) compared to those with high self-esteem were more likely to be mothers. Besides, we found that the lower the self-esteem, the greater the odds of being an adolescent mother (p-trend <0.014). On the other hand, adolescents with moderate (aOR = 2.31; 95% CI = 1.03, 5.21; p-value = .031) and severe family dysfunction (aOR = 4.00; 95% CI = 1.61, 9.97; p-value = .001) were more likely to be adolescent mothers compared to those with good family functioning. Furthermore, we found that the greater the family dysfunction degree, the higher the risk of being an adolescent mother (p-trend <0.001). Our findings suggest that self-esteem and family functioning are independently associated with adolescent pregnancy. This adds to the existing literature that emphasizes the relevance of promoting emotional well-being and family relationships to prevent risky behaviors among adolescents. Therefore, it is necessary to develop holistic intervention programs that promote healthy family relationships and consider strengthening sexual assertiveness and self-esteem from early adolescence.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"19-32"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145703161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Impact of the COVID-19 Pandemic on Parents and Caregivers with Young Children: Results of a Mixed-Methods Canadian Survey.","authors":"Erica Koopmans, Tess Amyot, Brianna Turner, Theone Paterson, Shanaya Rathod, Peter Phiri, Caroline Sanders","doi":"10.1080/24694193.2025.2588479","DOIUrl":"10.1080/24694193.2025.2588479","url":null,"abstract":"<p><p>Across the globe, the COVID-19 pandemic and the resulting public health measures significantly impacted the lives of families with young children. The emerging tensions surrounding the loss of social interactions for young children, 0-8 years, during the pandemic, as evident in recent literature, have sparked our interest. To explore this from a Canada-wide perspective, we delved into a subset of data from a national mixed methods survey conducted in 2021, examining the impact and projected psychological and social concerns of the COVID-19 pandemic. This subset included responses from 688 participants who identified as primary daily caregivers of children aged 0-8 years. The study employed descriptive statistics and thematic analysis to fill an evidence gap around the possible effects of the pandemic on caregivers' concerns for their child's social and emotional development. Findings revealed that parents/caregivers ranked their child's social and emotional development as their highest concern during and after the pandemic; connecting it to the loss or lack of socialization, increases in screen time, and the lack of participation in early years education and community programs. Moving forward from the pandemic, this study's results help us understand where focused attention may be needed to support young children's development and consider areas where parents stress may remain high post-pandemic, to inform service design and policy direction.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-18"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}