{"title":"Mapping the Burden of Conduct Disorder in the Middle East and North Africa: Global Burden of Disease Study 2021.","authors":"Sohrab Amiri, Moien Ab Khan","doi":"10.1080/24694193.2025.2472692","DOIUrl":"10.1080/24694193.2025.2472692","url":null,"abstract":"<p><p>This study aims to investigate the prevalence, incidence, and Years Lived with a Disability (YLDs) caused by conduct disorder in 21 countries of the Middle East and North Africa (MENA). Sex and age differences in conduct disorder were investigated as well as the trend of conduct disorder from 1990 to 2021. Data from the MENA were used for this study. This super region includes 21 countries. All-age count estimates and age-standardized rate (Per 100,000) were calculated for prevalence, incidence, and YLDs. Each of the disease burden indicators was examined in the period of 1990-2021, stratified by sex, age, and location, and the % change between 1990 and 2021 was reported. The 95% uncertainty interval was reported for each of the reported estimates. In 2021, there were 41 million cases of conduct disorder, globally. In 2021, there were 3.5 million cases of conduct disorder in MENA; the conduct disorder count had a significant growth from 1990. At the national level, the highest conduct disorder was in Iran. The lowest age-standardized prevalence rate (ASPR) per 100,000 conduct disorder was in Syria. Of the total cases of conduct disorder in the MENA, 2.350 million were males and 1.100 million were females. The findings of this study showed an increase in the burden of conduct disorder over the past three decades in the MENA. Considering the demographic changes and population increase compared to three decades ago, as well as social, health, and economic developments, it is necessary to pay more attention to the health of children and adolescents in health-related policies.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"71-97"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544791","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}
Matthew C Carey, Jane Coad, Imelda Coyne, Suja Somanadhan, Sarah Neill
{"title":"Exploring the International Terminology Associated with Nurses Caring for Neonates, Infants, Children, Young People and Their Families.","authors":"Matthew C Carey, Jane Coad, Imelda Coyne, Suja Somanadhan, Sarah Neill","doi":"10.1080/24694193.2025.2502916","DOIUrl":"10.1080/24694193.2025.2502916","url":null,"abstract":"<p><p>The terminology used for Registered Nurses specializing in caring for neonates, infants, children, young people (CYP), and their families varies globally. While many countries' nursing students qualify as \"Registered Nurses\" upon completion of undergraduate education, specialist titles like \"Children's Nurses\" in the United Kingdom or \"Pediatric Nurses\" in Italy denote expertise in CYP care. In countries like the United States and Canada, neonatal and pediatric nursing specialization typically requires postgraduate study. However, there is limited evidence on the range of international terms for nurses in this field. This expert opinion paper presents the results from a scoping survey designed to identify and catalog these terms across different countries. This exercise and the data collected were used to inform a larger cross-section study: <i>\"A Survey To map the glObal provision of children's nUrsiNg eDucation\"</i> (the ASTOUND study). Conducted between May and August 2024, the survey collected responses from 76 participants across 34 countries representing all continents. Content analysis and descriptive statistics revealed 20 distinct terms, with \"Paediatric/Pediatric Nurse\" (<i>n</i> = 28) as the most common, followed by \"Children's Nurse\" (<i>n</i> = 7), \"Child Health Nurse\" (<i>n</i> = 5), and others. Additional findings highlighted regional variation in terminology based on the clinical setting and population age range, underscoring historical and cultural influences on these terms. This initial survey provides a snapshot of global terminology. It underscores the need for further research, setting the stage for exploration in the ASTOUND study to map the provision of children's nursing education worldwide.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"108-121"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029670","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 Child's Voice in Adult-Led Healthcare Research: One Child Doesn't Fit All!","authors":"Gemma Bryan, Faith Gibson, Susie Aldiss","doi":"10.1080/24694193.2025.2478046","DOIUrl":"10.1080/24694193.2025.2478046","url":null,"abstract":"<p><p>The involvement of children and young people themselves, rather than that of their caregivers, in healthcare research that affects them, has increasingly been recognized as essential. However, the significance of children and young people being experts by experience, when participating in and shaping research has received less attention. This article discusses findings from the British-English Linguistic Validation Study of Sisom. Sisom is an interactive computerized symptom assessment and communication intervention that helps ill children convey their physical, functional and psychosocial symptoms and problems and assists their caregivers to better understand these issues and respond with appropriate care. When using Sisom, children first create an avatar and then sail around an archipelago of five islands (\"at the hospital,\" \"about managing things,\" \"my body,\" \"thoughts and feelings,\" \"things one might be afraid of\"). Each island represents a potential problem for the child. In this study, we linguistically validated the British-English version of Sisom, by first recruiting a convenience sample of \"healthy\" children and later a sample of children with cancer. Children were asked to review the symptom pictures and symptom terms used within Sisom to check they were easy to understand. Even after the removal of cancer-specific terms, there were still terms that \"healthy\" children did not know, as they lacked a frame of reference. Some symptom terms about bodily functions caused visible embarrassment for \"healthy\" children; this was not observed in children with cancer. The involvement of \"healthy\" children as proxies for children with cancer proved to be insufficient in our study. Our findings illustrate the importance of consulting with children and young people with lived experience, how children and young people can only be an expert by experience on their individual circumstances, and why recruiting or consulting \"healthy\" proxies for children and young people with health conditions is not enough. We should not expect children to speak as a collective. They are not a homogeneous group. Researchers should be aware of the potential implications for their study of not involving such experts with experience in each stage of their research.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"98-107"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652291","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 We Need to Re-Think <i>Transition</i> to Take a More Comprehensive Approach to Supporting Young People to Navigate Complex Journeys to Adulthood?","authors":"Nicholas Medforth","doi":"10.1080/24694193.2024.2437704","DOIUrl":"10.1080/24694193.2024.2437704","url":null,"abstract":"<p><p>This discussion paper draws on a range of personal and other published research articles to respond to calls for a re-conceptualization of the concept of <i>Transition</i>. Acknowledging the roots of the concept in developmental and health psychology, the article briefly considers application to fields of practice in formal and informal education, health, social care, counseling, and psychotherapy that underpin approaches to supporting young people to navigate the journey to adulthood. UK service provision is discussed to consider why linear developmental approaches may be problematic, alongside recent calls for a re-conceptualization of what we mean by <i>Transition</i> to successfully understand, support, and enable complex journeys to young adulthood. The paper concludes by proposing a holistic, non-linear bio-ecological systems approach within which it is possible to integrate globally evolving research, pathways, models, and interventions. The approach will be of interest to an international readership because principles can be adapted to respond to shared and country-specific challenges, developments, and models of service provision as we approach the second quarter of the twenty-first century.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"20-44"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808740","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":"'We Want Children to Have a Childhood' Protecting Children from the Harms of Social Media.","authors":"Imelda Coyne","doi":"10.1080/24694193.2025.2454836","DOIUrl":"10.1080/24694193.2025.2454836","url":null,"abstract":"","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017264","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":"Missed Nursing Care of Nurses in Neonatal Intensive Care Units During COVID-19 Period: A Cross-Sectional Descriptive Study.","authors":"Ezgi Avanoğlu, Müjde Calikusu Incekar","doi":"10.1080/24694193.2025.2463019","DOIUrl":"10.1080/24694193.2025.2463019","url":null,"abstract":"<p><p>This study was conducted to determine the missed nursing care and to compare missed nursing care with descriptive characteristics of nurses during the COVID-19 period. The study was conducted with 182 nurses as a descriptive design working in seven public hospitals with a level III neonatal intensive care unit in Istanbul between April and July 2021. The study used an introductory information form for nurses and the Misscare survey-Pediatric version. Missed nursing care included \"mouth care,\" \"full documentation of all necessary data,\" and \"communication of all relevant information during shift change or handover\" in the first three ranks (<i>n</i> = 179, 98.35%). It was found that the highest score among reasons for missed nursing care was in the communication sub-dimension (2.50 ± 0.74). It was found that the reasons for missing care for nurses between the ages of 26-30 and with 6-10 years of professional experience (<i>p</i> < .05) were material resources-related, while the reasons for missing care for nurses with 11 years or more of professional experience (<i>p</i> < .05) and caring for 4 sick newborns in a shift (<i>p</i> < .01) were communication problems. It was concluded that nurses were unable to provide at least one nursing care in the last shift, and this was primarily due to communication-related problems. Training and policies for the development of communication skills can be suggested to reduce missed nursing care.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"60-70"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191317","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":"Reframing the Narrative: An Exploratory Study of the Concerns, Expectations and Experiences of Parents Who Bring Their Child to an Emergency Department with Non-Urgent Illness.","authors":"Ruth Berry, Tony Long","doi":"10.1080/24694193.2024.2442984","DOIUrl":"10.1080/24694193.2024.2442984","url":null,"abstract":"<p><p>Parenthood inevitably includes caring for a child suffering from mild-moderate illness requiring access to health care. Most childhood illnesses can be managed in the community, and parents are encouraged to attend the most suitable primary care service for their needs. Yet the number of children visiting emergency departments with non-urgent illness continues to rise annually, with child attendance representing over 25% of the total workload. This study investigated why parents chose to bring their child to an emergency department and explored the concerns, expectations and experiences of parents when making this decision. Parents of children aged 0-16 years presenting with non-urgent conditions were approached over an 18-month period to participate. Prior to discharge, focused interviews were used to explore the antecedent decision-making factors leading up to attendance, and parents' experiences of urgent care were explored. Parents often experienced complex journeys prior to attending the emergency department following multiple health care contacts and referrals from other providers. For most parents, attending the department was a considered decision, often prompted by their experience of interaction with professionals. Health professionals were powerful agents controlling resources and knowledge, but they were influenced by pressures and targets within the health service. The NHS is a complicated system that parents tried to navigate, but they were thwarted by its complexity and conflicting messages. When their child was unwell parents wanted a service that was simple to access, and that would offer a standard of care that would reassure and empower them to continue to care for their child. The findings challenge assumptions that lead nurses to criticize parents for misuse of emergency care, and highlight the culpability of health professionals and systems in generating increased demand for urgent care. It is important for nurses and others to reframe their perception of parental decision-making.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"45-59"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924262","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":"Understanding the Scale and Nature of Parent/Guardian Telephone Calls to a Tertiary Children's Cardiac Centre: A Service Evaluation.","authors":"Julie C Menzies, Kerry L Gaskin, Anna N Seale","doi":"10.1080/24694193.2024.2428664","DOIUrl":"10.1080/24694193.2024.2428664","url":null,"abstract":"<p><p>Heart defects are the second most common congenital anomaly in babies born in the UK and standards state families should have access to a children's cardiac nurse specialist telephone advice service. However, there is little published information to describe the nature of calls and the workload associated with telephone support. We conducted a prospective service evaluation of telephone calls received at one UK specialist children's cardiac surgical center from parents/carers (April-June 2019). All inpatient cardiac teams (cardiology secretaries, inpatient cardiac wards, outpatient department and Clinical Nurse Specialist team) were asked to record calls on a purpose-designed template. This included recording of call duration and reason (from pre-defined categories), with the aim to identify the volume and nature of phone calls. Actions and time taken to resolve issues were not recorded. Data was entered into Excel and analyzed using descriptive statistics. In a seven-week period, 204 telephone calls were received; 41% (<i>n</i> = 83) to the clinical nurse specialist team, 25% (<i>n</i> = 51) to medical secretaries, 20% (<i>n</i> = 42) to cardiac ward staff and 14% (<i>n</i> = 28) to the cardiac outpatient department. The mean length of calls was 6.08 mins (SD 5.07 mins). Across all groups phone call duration totaled 20.8 hours. Sixty-two calls (31% of all calls) reflected 70 concerns/queries about a current health issue. The most common reasons included respiratory (<i>n</i> = 13), heart rate or rhythm (<i>n</i> = 12) and chest pain/pallor (<i>n</i> = 11). Sixty-five calls (32% of all calls) related to issues surrounding medications, with 23% (<i>n</i> = 15) related to dose queries and 49% (<i>n</i> = 32) related to repeat prescription requests or challenges obtaining prescriptions. The results demonstrated a high telephone support need for current health issues or medication queries which required timely assessment and support from health care professionals working across cardiac services. Further research is required to identify the time implications of dealing with phone calls and interventions to support parent/guardian assessment and communication about their concerns and medication management.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"5-19"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924265","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 Effectiveness of a Parent Empowerment Intervention for Caregivers of Children with Cystic Fibrosis: A Randomized Controlled Trial.","authors":"Hatice Donmez, Fatma Tas Arslan","doi":"10.1080/24694193.2024.2411986","DOIUrl":"10.1080/24694193.2024.2411986","url":null,"abstract":"<p><p>This paper focused on the effectiveness of a parent empowerment intervention based on nursing education (PEINE). This study examined whether the intervention improved the quality of life of children with cystic fibrosis (CF) and improved their caregivers learn about the disease and develop problem-solving and coping skills. This randomized-controlled trial used a pretest-posttest parallel-group research design. The sample consisted of 48 parents (caregivers) of children with CF. Participants were randomly assigned to an intervention (<i>n</i> = 24) and a control group (<i>n</i> = 24). The intervention group received PEINE and standard care and treatment for ten weeks. The control group received standard care and treatment. Data were collected using a Disease Information Survey (DIS), the Ways of Coping Inventory (WCI), the Problem-Solving Inventory (PSI), and the Cystic Fibrosis Questionnaire (CFQ-R). After the intervention, the intervention group DIS scores (d: 1,627 [CI: 0.934,2.305], had more correct answers than the control group. Nursing interventions were effective (<i>p</i> < .001). There was no significant difference in the mean pretest-posttest PSI scores (d: 0.378 [CI: -0.221-0.972], posttest WCI scores (d: 0.239 [CI:-0.356-0.831]) between the intervention and control groups (<i>p</i>>.05). There was a significant difference in the mean posttest CFQ-R scores between the intervention and control groups (d: 1.363 [CI: l.698, 2.015]);(<i>p</i> < .001). PEINE increased the intervention group participants develop disease-management skills. However, the increase in their PSI and WCI scores was statistically insignificant. PEINE also increased the quality of life of children with CF. Parents of children followed in pediatric pulmonary diseases participated in the study. Parents were informed during outpatient clinic visits. After the first meeting, the children and parents who voluntarily agreed to participate in the research were contacted by phone. The outpatient nurse assisted in communicating with children and parents.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"267-283"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395710","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}
Sari Luthfiyah, Triwiyanto Triwiyanto, Bedjo Utomo
{"title":"Crafting a \"TransitionOmeter\": A Proposed Framework for Developing and Honing Capabilities of Young People Transitioning to Adult Healthcare Services.","authors":"Sari Luthfiyah, Triwiyanto Triwiyanto, Bedjo Utomo","doi":"10.1080/24694193.2024.2397588","DOIUrl":"10.1080/24694193.2024.2397588","url":null,"abstract":"","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"232-233"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302415","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}