Frontiers in health services最新文献

{"title":"Integrating mental and behavioral health providers into VHA pain management teams and oncology clinics: assessment of early implementation from site visits.","authors":"Molly Goodrich, Benjamin R Szymanski, Brittany L Cornwell, Kristen Perry, Katherine M Dollar, Jennifer Patterson, John F McCarthy","doi":"10.3389/frhs.2026.1863653","DOIUrl":"10.3389/frhs.2026.1863653","url":null,"abstract":"<p><strong>Introduction: </strong>To enhance mental health access and suicide prevention services for Veteran patients in Pain Management Teams and Oncology Clinics, the Veterans Health Administration (VHA) initiated the Mental and Behavioral Health Integration (MBHI) Demonstration Projects at 53 facilities in 2022. MBHI integrates colocated mental health providers into these settings to deliver brief mental/behavioral healthcare. Findings describe site visits assessing early implementation.</p><p><strong>Methods: </strong>Evaluators visited nine VHA facilities where MBHI providers were recruited and implementation was at early stages. Visits included program overviews, tours, and provider and site leadership interviews. Visits had consistent agendas and a framework of questions assessing fidelity to core components, site-specific modifications, and patients and conditions treated. Observations were content coded and organized thematically.</p><p><strong>Results and discussion: </strong>MBHI services were available at each facility. Sites varied regarding clinic space for MBHI, brief treatment model use, and MBHI same-day access availability. All sites reported positive impacts for Veterans, clinical operations, and facilities. Implementation strengths and facilitators included local buy-in, MBHI provider integration into teams, utilizing partnerships and resources, MBHI provider experience and approach to care, and clinic workflow. Implementation challenges included space limitations, competing MBHI provider demands, productivity demands, uncertainty about intended patient populations, difficulty integrating MBHI staff, and hiring challenges and specialty clinic nascency. Visits identified positive impacts of MBHI, facilitators, and barriers to program implementation. Information gathered from site visits can inform VA policies and operations. Results continue to inform program modifications including enhancing role clarity, medical provider buy-in, and ongoing competency training.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1863653"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting a complex health intervention guided by the core functions and forms model: a methodology and case example of participatory adaptation.","authors":"Kirsten E Austad, Nhi Nguyen, Elizabeth Jadovich, Bridget Poznanski, Max Laguerre, Alicia Fernandez, Mari-Lynn Drainoni, Brian Jack, Suzanne Mitchell, Ramzi G Salloum, Graham Moore","doi":"10.3389/frhs.2026.1876032","DOIUrl":"10.3389/frhs.2026.1876032","url":null,"abstract":"<p><p>Intervention adaptation-the intentional modification of a program, practice, or innovation's design or delivery-is essential for improving fit when interventions are implemented with diverse populations, yet how to adapt without compromising core mechanisms remains a persistent challenge for complex, multicomponent programs. This article describes how the Core Functions and Forms (CFF) model, used in conjunction with the ADAPT guidance, addresses this challenge by distinguishing essential intervention mechanisms (core functions) from adaptable delivery strategies (forms). To illustrate the approach, we present a case example of adapting hospital discharge interventions for patients with non-English language preference. A 13-member Adaptation Team of patients, caregivers, and hospital staff participated in four facilitated sessions to identify and prioritize core functions shared across existing discharge interventions, then propose context-appropriate forms-distinguishing specific forms tied to individual functions from cross-cutting forms spanning who delivers the intervention, when, where, and how language concordance is achieved. Rankings and impact-feasibility ratings informed deliberative prioritization, surfacing functions that balanced high impact with feasibility as well as those judged impactful but harder to implement. Applying the CFF model across a family of related interventions, rather than a single program, shows how shared mechanisms can be reused and tailored for diverse populations. This manuscript reports the adaptation-design phase; subsequent pilot testing is planned. The approach offers a transparent, replicable method for equity-focused adaptation that preserves intervention mechanisms while tailoring delivery.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1876032"},"PeriodicalIF":2.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13572725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I want to talk about it, but at the same time, I don't want to, so it's just easier to draw it\": perceived benefits of an arts-based intervention to support children's basic psychological needs and well-being.","authors":"Jasmine Piché, Fahim Moominzada, Zachary Dylan Fry, Sandrine Corbeil, Laurie Deschenes, Emilie Mclean, Kyra Simons, Adrianna Mendrek, Catherine Malboeuf-Hurtubise","doi":"10.3389/frhs.2026.1920816","DOIUrl":"10.3389/frhs.2026.1920816","url":null,"abstract":"<p><p>Children from low-income families and rural areas are particularly vulnerable to developing emotional and behavioral problems. Implementing mental health intervention into after-school programs can serve as an opportunity to foster the well-being of these children. Arts-based interventions appear particularly effective at engaging children in reflections on daily challenges and processing associated emotions and thoughts, thus supporting their well-being.</p><p><strong>Study aims: </strong>In collaboration with an after-school program, this study aimed to explore the perceived benefits of an arts-based intervention on children's well-being and document how the intervention supported their self-determination.</p><p><strong>Methods: </strong>An 8-week arts-based intervention was implemented in an after-school program. Using a qualitative design, semi-structured interviews (<i>n</i>=14) were conducted with the participants and the after-school program coordinators (<i>n</i>=1) to capture their perspectives of the intervention. Focus groups and observational data were used to enrich the data from the interviews. Inductive-deductive thematic analyses were used to document the emerging themes.</p><p><strong>Results: </strong>Two main themes emerged from the interviews with the coordinators. First, the intervention fostered the development of positive and secure relationships, between the research team and the particpants, among participants themselves, and between participants and program coordinators. Second, the intervention provided an opportunity to develop socioemotional competencies and coping skills. Three main themes emerged from the interviews with the participants. The intervention provided a safe and supportive environment where children were able to develop self-awareness and consciousness of others, as well as foster emotional expression and positive affect. Moreover, the intervention supported, to some extent, children's basic psychological needs for autonomy, competence, and relatedness.</p><p><strong>Implications: </strong>These findings provide support to the existing literature on arts-based interventions in fostering children mental health. This type of intervention appeared to be particularly beneficial for underprivileged children, as it is non-threatening and less confronting than other mental health interventions.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1920816"},"PeriodicalIF":2.6,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Future-proofing the workforce for person-centered healthcare.","authors":"Paul Slater, Rebekkah Middleton","doi":"10.3389/frhs.2026.1963260","DOIUrl":"10.3389/frhs.2026.1963260","url":null,"abstract":"","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1963260"},"PeriodicalIF":2.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes, perceptions, and factors influencing the adoption of artificial intelligence Among healthcare professionals in Saudi Arabia: a UTAUT-based study.","authors":"Yara Alrashed, Nouf Alsaheil","doi":"10.3389/frhs.2026.1895739","DOIUrl":"10.3389/frhs.2026.1895739","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Amid the global race toward intelligent healthcare systems, Saudi Arabia stands at a pivotal moment in its digital health transformation. Understanding how prepared healthcare professionals are to adopt artificial intelligence is essential for shaping successful national strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This study aimed to assess healthcare professionals' attitudes, perceptions, and intentions toward using AI in clinical practice; examine awareness and actual use; identify key predictors of AI adoption based on the Unified Theory of Acceptance and Use of Technology (UTAUT); and explore the mediating role of institutional support.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional survey was conducted among 521 healthcare professionals, including physicians, nurses, administrators, and allied health workers, across Saudi Arabia. The survey assessed awareness, usage, perceived usefulness, ease of use, social influence, facilitating conditions, perceived risks, and the intention to use AI. Data were analyzed using chi-squared tests, multiple regression, and mediation analyses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Although AI awareness was remarkably high (89.1%) and optimism toward the future was strong (79.0%), only 51.2% of participants reported actual clinical use of AI, A 37.9 percentage-point awareness-use gap. Two factors consistently stood out as powerful drivers of intention: believing that AI is genuinely useful (&lt;i&gt;B&lt;/i&gt; = 0.491, &lt;i&gt;p&lt;/i&gt; &lt; .001) and feeling confident in one's ability to use it (&lt;i&gt;B&lt;/i&gt; = 0.224, &lt;i&gt;p&lt;/i&gt; &lt; .001). Institutional support played an important but mostly indirect role in shaping intentions by enhancing these two beliefs. Social influence had little effect and was negative for nurses, whereas perceived risk did not significantly deter adoption. Despite structural and ethical challenges, intention to use AI remained high (71.6%), A 20.4 percentage-point gap ahead of actual use, indicating that organizational barriers, rather than individual willingness, remain the primary obstacle to AI integration.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;These dynamics provide unique opportunities. With 71.6% of professionals intending to adopt AI, targeted training initiatives, clearer governance frameworks, and organizational support may help facilitate the sustainable integration of AI into healthcare practice. This study offers empirical evidence and a roadmap for transforming enthusiasm into sustainable, safe, and meaningful AI integration, and may support healthcare leaders and policymakers in developing strategies for safe and sustainable AI integration within the Saudi healthcare system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Practical implications: &lt;/strong&gt;Advancing AI-enabled healthcare in Saudi Arabia requires investment not only in technology, but also in healthcare professionals' preparedness and organizational support. Structured training programs, hands-on exposure to AI tools, supportive leadership, ad","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1895739"},"PeriodicalIF":2.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The CLEAR model: a structured communication protocol for breast radiologists.","authors":"Teresa Abbattista, Aram Hasan","doi":"10.3389/frhs.2026.1890985","DOIUrl":"10.3389/frhs.2026.1890985","url":null,"abstract":"<p><strong>Background: </strong>Communication in diagnostic breast imaging remains a critical yet frequently neglected aspect of radiological training. Traditionally centered on technical image interpretation, radiological education often leaves practitioners unprepared to navigate the severe emotional and psychological burden of a suspected breast cancer diagnosis.</p><p><strong>Objectives: </strong>This paper advocates for the communicative autonomy of the breast radiologist, arguing that direct, empathetic communication is not a secondary skill, but a core clinical act that directly influences both the psychological wellbeing and the physiological stress response of the patient.</p><p><strong>Methods: </strong>We propose the <b>CLEAR protocol</b> (<i>Connect, Listen, Explain, Ask, Reassure</i>), a transcultural framework conceptualized to bridge clinical rigor with human empathy. The model integrates plausible neurobiological pathways-hypothesizing that non-verbal semiotics may influence HPA-axis regulation and facilitate oxytocin release-with the goal of potentially mitigating the acute \"cognitive blackout\" that patients may experience during diagnostic procedures.</p><p><strong>Key findings: </strong>By structuring patient interaction, the CLEAR model could help patients regulate their acute stress response, preserving the patient's cognitive clarity and emotional resilience. Furthermore, by defining the radiologist's role within the multidisciplinary Breast Unit, the framework prevents the unproductive \"chain of delegation\" that frequently results in patient depersonalization.</p><p><strong>Conclusions: </strong>Re-establishing the radiologist's communicative role is vital for the integrity and efficiency of the Breast Unit. Implementing structured frameworks like the CLEAR protocol ensures diagnostic precision while safeguarding the patient's emotional energy for their subsequent oncological care.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1890985"},"PeriodicalIF":2.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction and application of an eye care plan for ICU patients receiving prone position ventilation: a quasi-experimental study.","authors":"Ren Yan, Peng Fei, Xing Xiao-Hong, Li Yang-Yang, Yu He-Hua","doi":"10.3389/frhs.2026.1793496","DOIUrl":"10.3389/frhs.2026.1793496","url":null,"abstract":"<p><strong>Objective: </strong>To develop an eye care plan for patients in the Intensive Care Unit (ICU) undergoing prone position ventilation (PPV), and to preliminarily evaluate its clinical application effect.</p><p><strong>Method: </strong>This study constructed an eye care plan for patients undergoing PPV in ICU based on evidence synthesis and expert consultation. Using convenience sampling method, this study established an intervention group (from August to November 2024) and a control group (from April to July 2024). Patients in the intervention and control groups received care based on the developed eye care plan and routine eye care, respectively, for one week. The incidence of ocular complications and changes in intraocular pressure (IOP) were compared between the two groups after the observation period.</p><p><strong>Results: </strong>A total of 58 patients were included, with 29 in each group. There were no significant differences in baseline characteristics between the two groups. The total incidence of ocular complications within one week decreased from 27.6% to 6.8%. The comparison of intraocular pressure within one week showed that the intraocular pressure of patients in the evidence-based practice group decreased after the 8 h, and the difference was statistically significant (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The implementation of an eye care plan for patients undergoing PPV in ICU can effectively reduce the incidence of ocular complications, alleviate IOP fluctuations, and improve the quality of life of patients eventually.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1793496"},"PeriodicalIF":2.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building and evaluating a social prescribing program for carer-employees: an intervention study.","authors":"Allison M Williams, Brooke Chmiel, Kate Mulligan, Sarah Neil-Sztramko, Winny Fung, Srija Biswas","doi":"10.3389/frhs.2026.1918717","DOIUrl":"10.3389/frhs.2026.1918717","url":null,"abstract":"<p><strong>Background: </strong>Within a 12-month time window, and in partnership with the Canadian Institute for Social Prescribing (CISP), an extension of the Canadian Red Cross (CRC), we will develop and test a social prescribing (SP) program intervention in Hamilton, Ontario, Canada for Carer-Employees (CEs) - those who balance unpaid care of an adult dependent with paid employment. Given the emergence of SP programs geared towards unpaid carers more broadly, the development of an SP program specific to CEs will provide coordinated access to social and community supports that are unique to the needs of CEs in balancing their dual role.</p><p><strong>Methods: </strong>OBJECTIVE 1: Informed by a recently completed scoping review of SP programs for CEs, the team will work closely with partner organizations, CISP and the CRC, and a Project Advisory Committee (PAC), including CEs with lived experience, to develop an SP program intervention via a co-design approach drawing on design thinking techniques and collective impact initiative backboned by CISP's SP pathway. The SP program will then be used as an intervention to be tested in the province of Ontario, Canada, via OBJECTIVE 2. OBJECTIVE 2: Using a sequential exploratory mixed-methods design, four Plan-Do-Study-Act (PDSA) cycles (a problem-solving model for improving the SP intervention program) will refine the implementation characteristics of the developed SP program and explore its impacts on CE health. The intervention(s) will operate as a quasi-experiment, where a quasi-experimental pre-post design will be conducted within each PDSA cycle, allowing the SP intervention to be tested and refined with respect to potential adoption by CEs. Impacts on CEs' health will be determined within each PDSA cycle, specifically on CEs' mental, psychosocial, and physical health. Quantitative and qualitative data will be generated within each cycle to inform refinements to implementation. A wait-list control group will be randomly assigned to ensure that the observed improvements can be attributed to the intervention.</p><p><strong>Discussion: </strong>Given the national reach and scope of CISP and the CRC, their commitment to the present initiative provides the project team with the resources necessary to build an effective SP program for CEs in Ontario, while also establishing sustainability through the expansion of this SP program across Canada. The final SP program will be scaled up to the national level.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1918717"},"PeriodicalIF":2.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causes of medical disputes in China and Japan from physicians' perspectives: a qualitative study.","authors":"Hua Xu, Atsushi Asai, Masao Tabata, Yasuhiro Kadooka","doi":"10.3389/frhs.2026.1826004","DOIUrl":"10.3389/frhs.2026.1826004","url":null,"abstract":"<p><strong>Background: </strong>Medical disputes and strained doctor-patient relationships (DPRs) remain pressing challenges in China. This comparative qualitative study examined Chinese and Japanese doctors' perspectives on the causes of medical disputes to identify context-specific factors, elucidate causal mechanisms, and inform strategies for improvement.</p><p><strong>Method: </strong>Using purposive sampling, 20 practicing physicians from each country were recruited primarily through the authors' personal networks. Semi-structured interviews were conducted, and qualitative descriptive analysis was used to identify categories and subcategories of perceived contributors to medical disputes.</p><p><strong>Result: </strong>Five categories and seventeen subcategories emerged. While both countries' doctors identified similar negative factors affecting DPRs, their manifestations differed, explaining divergence in dispute prevalence. In China, disputes were additionally influenced by inefficiencies in medical insurance and the medical dispute resolution system, poverty, healthcare consumerism, distrust, low social morality, and a \"vicious cycle of disputes.\" In Japan, disputes largely reflected poor communication and mutual distrust rather than broader systemic issues.</p><p><strong>Discussion: </strong>The findings underscore that medical disputes arise from broader social, medical, legal, economic, cultural, and ethical structures. In China, resolving disputes and improving DPRs requires systemic reforms, including strengthened social security, refined healthcare and legal systems, and enhanced ethics and public education. Sustainable trust-building is thus a long-term, structural endeavor rather than a matter of isolated interactions.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1826004"},"PeriodicalIF":2.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' knowledge and attitudes toward pediatric pain assessment and management: a scoping systematic review from 2015 to 2025.","authors":"Haytham Al-Oran, Yousef Rubbai","doi":"10.3389/frhs.2026.1918667","DOIUrl":"10.3389/frhs.2026.1918667","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses play an essential role in providing care to patients, and having the necessary skills, knowledge, and attitudes for effective pain assessment and treatment is crucial for ensuring best patient outcomes. The purpose of this paper is to review recent research about current nurses' knowledge and attitude toward pediatric pain assessment and management in pediatric settings.</p><p><strong>Method: </strong>The methodological approach taken in this paper is a scoping review using Arksey and O'Malley's five-step framework (2005). Databases including EBSCO host, PubMed, CINAHL, Springer, Cochrane, Science Direct, Ovid, and Google Scholar were searched to collect full-text articles available in English between 2015 and 2026. 20 out of 235 full-text papers met the inclusion criteria in the current scoping review.</p><p><strong>Results: </strong>The synthesis of the results of the 20 included research studies revealed that nurses worldwide had poor knowledge and attitudes concerning pediatric pain assessment and management. Various tools were utilized to assess nurses' knowledge and attitudes. The majority of research adopted the use of true/false or multiple-choice questions, as well as Likert scales with acceptable validity and reliability. The most extensively utilized tool was the Knowledge and Attitudes Survey Regarding Pain.</p><p><strong>Conclusion: </strong>This review's findings imply that pain education programs should be refined to enhance nurses' knowledge and attitudes toward pediatric pain assessment and management. Studies in the future should focus on recognizing individual and environmental features that influence nurses' level of knowledge and attitudes to improve the development of educational programs and the quality of care provided.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"6 ","pages":"1918667"},"PeriodicalIF":2.6,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}