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

{"title":"Identifying missed care in pediatric nursing: A scoping review","authors":"Marina Maffeo RN, MSN ,&nbsp;Eustachio Parente RN, MSN ,&nbsp;Daniele Ciofi RN, MSN, PhD","doi":"10.1016/j.pedn.2024.11.017","DOIUrl":"10.1016/j.pedn.2024.11.017","url":null,"abstract":"<div><h3>Problem</h3><div>Missed nursing care (MNC) refers to required patient care that is omitted or delayed. Commonly missed elements include ambulation, turning, feeding, patient education, discharge planning, emotional support, hygiene, documentation, and patient surveillance. Key reasons for MNC are insufficient staffing, poor resource utilization, time constraints, lack of teamwork, ineffective delegation, habitual practices, and denial. MNC links inadequate work environments and staffing to poor clinical outcomes, especially affecting efficiency in pediatric settings.</div></div><div><h3>Objective</h3><div>To describe missed nursing care in pediatrics and to identify the most frequently missed categories of nursing care and summarize the reasons for this.</div></div><div><h3>Eligibility criteria</h3><div>Any quantitative study which reported on any combination of categories, reason and factors associated with missed nursing care within pediatric settings and which was published in English, full-text available and studies that collected variables on the structure and process of missed nursing care in pediatrics.</div></div><div><h3>Sample</h3><div>The following databases were searched: PubMed, Embase, CINAHL and Scopus with no time limits.</div></div><div><h3>Results</h3><div>Missed nursing care (MNC) is influenced by workload, work environment, and staffing levels. A higher patient-to-nurse ratios significantly increase MNC. Better work environments correlate with fewer missed care activities, but frequent interruptions and unexpected patient volume spikes remain major issues. Commonly missed activities include oral care, routine bathing, and adherence to infection protocols.</div></div><div><h3>Conclusion</h3><div>Addressing MNC requires strategic staffing, improved work environments, targeted interventions, and continuous education to enhance care quality. The studies collectively highlight the complexity of missed nursing care and its dependence on various factors including workload, work environment, and nurse characteristics.</div></div><div><h3>Implication</h3><div>Developing and validating pediatric-specific assessment tools and studying factors like workload, staff training, and work environment are crucial for addressing MNC in these settings. More research is needed to understand MNC in pediatric settings, focusing on specific challenges and needs.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 115-120"},"PeriodicalIF":2.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704367","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 development of sudden infant death syndrome awareness scale-mother form and examination of its psychometric properties","authors":"Hamide Zengin ,&nbsp;Büşra Yolcu ,&nbsp;Öznur Tiryaki","doi":"10.1016/j.pedn.2024.11.019","DOIUrl":"10.1016/j.pedn.2024.11.019","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop the “Sudden Infant Death Syndrome Awareness Scale-Mother Form” (SIDSAS-MF) and assess its psychometric properties.</div></div><div><h3>Design and methods</h3><div>The methodological study involved mothers (<em>n</em> = 450) with infants aged 0–12 months. Data were collected using a socio-demographic information form and the draft of the SIDSAS-MF. Factor analysis and reliability analyses were conducted to assess the data.</div></div><div><h3>Results</h3><div>Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) of the scale revealed a structure consisting of six items and two sub-dimensions. The factor loadings of the scale were found to be above 0.30. Fit indices following CFA were achieved at excellent levels. Both McDonald's omega and Cronbach's alpha values for each sub-dimension of the scale exceeded 0.6. Furthermore, the correlation values of the items with the total factor score ranged from 0.661 to 0.839.</div></div><div><h3>Conclusions</h3><div>The study concluded that the six-item form of the SIDSAS-MF is a valid and reliable measurement tool for mothers with infants aged 0–12 months in the Turkish population.</div></div><div><h3>Practical implications</h3><div>Midwives and nurses can use this scale in their clinical training to determine the level of awareness mothers have towards SIDS. It is also recommended that the developed scale should be adapted to different cultures.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 108-114"},"PeriodicalIF":2.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705491","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":"Effects of hospital treatment for congenital heart defects on mother-infant bonding, maternal stress, and parenting","authors":"Belinda Besley,&nbsp;Sasha J. Davies,&nbsp;James Donnelly","doi":"10.1016/j.pedn.2024.11.012","DOIUrl":"10.1016/j.pedn.2024.11.012","url":null,"abstract":"<div><h3>Background</h3><div>Infants with a Congenital Heart Defect (CHD) are now surviving longer with more medical treatment available. Many of these infants undergo hospitalisation for life-sustaining procedures in their first seven months. However, barriers to bonding and the psychological burden on parents while caring for an infant during this time can cause issues for the child-parent relationship. This study aimed to assess links among intensive care factors, maternal stress, the Mother-Infant Bond (MIB) and parenting in these mother-infant dyads.</div></div><div><h3>Design and methods</h3><div>A convenience sample of 148 mothers of CHD children was collected via the Heart Kids Facebook page. An anonymous Qualtrics survey of demographic, hospital experience, MIB, maternal stress and parenting variables was completed retrospectively by mothers of infants with CHD.</div></div><div><h3>Findings</h3><div>The results indicated that MIB and maternal stress were positively and strongly correlated. Hospital experiences of breastfeeding, staff support required for handling the infant, and prolonged separation were associated with both maternal stress and poorer quality MIB. Maternal past experiences of being parented with care was negatively correlated with maternal stress and MIB difficulties. Time of diagnosis and current parenting style were unrelated to any other variable. Testing the effects of barriers to infant contact and the effect of cardiac surgery highlighted some challenges in assessing these features of care.</div></div><div><h3>Conclusion</h3><div>Results indicated that postpartum mothers living through the traumatic experience of supporting their infant while they received treatment for CHD need more individualised psychological and social support to promote positive psychological outcomes for the mother-infant dyad.</div></div><div><h3>Practice implications</h3><div>Healthcare providers should prioritise mental health support and create opportunities for mothers of infants with congenital heart disease (CHD) to engage with their babies, even in intensive care settings, to reduce stress and improve mother-child bonding. Given that breastfeeding can unexpectedly increase maternal stress in these environments, flexible feeding alternatives and realistic guidance should be offered. Additionally, reflective parenting education programs should help mothers understand how their own upbringing influences their parenting approaches during this critical period.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 83-90"},"PeriodicalIF":2.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696042","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":"Psychosocial factors correlating self-care management among Jordanian adolescents with type 1 diabetes","authors":"Malakeh Z. Malak RN, Ph.D ,&nbsp;Hasan Abualruz RN, Ph.D ,&nbsp;Anas Shehadeh RN, Ph.D","doi":"10.1016/j.pedn.2024.11.013","DOIUrl":"10.1016/j.pedn.2024.11.013","url":null,"abstract":"<div><h3>Purpose</h3><div>Few studies were conducted to examine the correlation between the anxiety symptoms, depressive symptoms, self-efficacy, and social support variables and type 1 diabetes in developing countries, including Jordan. Thus, this study was conducted to assess the correlation between these psychosocial factors and self-care management among Jordanian adolescents with type 1 diabetes.</div></div><div><h3>Design &amp; methods</h3><div>A cross-sectional, descriptive correlational design was used to perform a study among adolescents with type 1 diabetes (<em>N</em> = 351) aged 14–18 years who attended primary healthcare centers clinics, and diabetic clinics related to hospitals in Amman Governorate, Jordan. A convenience sampling method was used to recruit participants. The data were collected using self-reported questionnaire during the period from June to December 2023.</div></div><div><h3>Findings</h3><div>The results revealed that around 61.0 % of the sample were males and 39 % female, and 74.9 % of the participants experienced type 1 diabetes for more than one year. Only, 4.3 % of the participants had the recommended HbA1c (&lt; 7.5 %). The participants had high percentage anxiety and depressive symptoms, poor self-efficacy, moderate social support, and low self-care management. There was a correlation between self-efficacy, social support, and self-care management. Also, social support mediated the relationship between self-efficacy and self-care management. However, no relationship existed between anxiety and depressive symptoms and self-care management.</div></div><div><h3>Conclusion</h3><div>Screening for anxiety and depressive symptoms should be a significant element of care for adolescents with type 1 diabetes in outpatient clinics. Policymakers and healthcare professionals including pediatric nurses should develop strategies and education programs on self-care management to enhance self-care practices and management for adolescents with type 1 diabetes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 75-82"},"PeriodicalIF":2.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696044","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 social inclusion of care leavers during their transitioning to independent life from aftercare services – A mixed method, retrospective document analysis","authors":"Minna Kaasinen MNSc ,&nbsp;Anja Terkamo-Moisio PhD ,&nbsp;Arja Häggman-Laitila PhD","doi":"10.1016/j.pedn.2024.11.010","DOIUrl":"10.1016/j.pedn.2024.11.010","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study is to describe the social inclusion of care leavers and factors related to it.</div></div><div><h3>Design and methods</h3><div>A mixed method retrospective document analysis. The data were collected from three electronic registers of Finnish care leavers (<em>N</em> = 698). Data were analyzed using descriptive statistics and deductive–inductive content analysis.</div></div><div><h3>Results</h3><div>Half of the care leavers had normal relationships with their family and friends. Half of them also had functioning social interactions. Problems in them included harmful relationships, difficulties in emotional expression, isolation, impulsivity, drifting into social conflicts and aggressive, asocial, and threatening behavior. Most care leavers had completed at least one education and over half were in ongoing education. Every tenth was working or completing their army or civil service. One third exercised regularly and a quarter had other hobbies. Over half of the care leavers had problems in their daily rhythm. The identification of the resources and weakening factors of care leavers were quite rare. Normal relationships, studying and better health and well-being were related to more resources and fewer weakening factors of social inclusion.</div></div><div><h3>Conclusions</h3><div>The study produced new knowledge in that it provides a versatile and wide overview of the social inclusion of care leavers.</div></div><div><h3>Practice implications</h3><div>Aftercare services should pay attention to care leavers' interpersonal relationships, problems in education, leisure activities, daily rhythm and health and well-being. The holistic, resource-oriented approach with appreciating care leavers' interdependence during transition and own will is important in supporting their social inclusion.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 64-74"},"PeriodicalIF":2.1,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693749","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":"Job satisfaction, work environment, and burnout as predictors of missed nursing care in pediatric units: A descriptive cross-sectional study.","authors":"Sinem Ozmen, Havva Arslan Yurumezoglu","doi":"10.1016/j.pedn.2024.10.019","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.10.019","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the frequency and predictors of missed nursing care in pediatric units.</p><p><strong>Design and methods: </strong>This study with a descriptive cross-sectional design was conducted in the pediatric clinics of two public university hospitals in Türkiye. The convenience sampling method was employed, including all nurses working in pediatric units, with a total of 123 nurses participating. Data were collected face-to-face from May to October 2023 using a sociodemographic and job-related characteristics form, the Practice Environment Scale of the Nursing Work Index (PES-NWI), the Maslach Burnout Inventory (MBI), and missed nursing care activity questions. The data were analyzed using descriptive statistics and logistic regression analysis.</p><p><strong>Results: </strong>The most frequently missed care activities were found to be skin care (45.5 %), educating patients and families (40.7 %), and preparing patients and families for discharge (37.4 %). Predictors of missed nursing care were nurses' educational level, high nurse-to-patient ratios, low job satisfaction, enough opportunity to discuss patient care issues with other nurses, nursing foundations for quality of care, nurse manager's ability, leadership, and support for nurses, staffing and resource adequacy, and collegial nurse-physician relations, emotional exhaustion and personal accomplishment.</p><p><strong>Conclusions: </strong>This study revealed that the most frequently missed care activities among nurses were related to skin care, education, and discharge preparation. Understanding the underlying causes is essential for reducing the rate of missed care.</p><p><strong>Practice implications: </strong>To reduce the frequency of missed care, it is necessary to improve the work environment and make institutional investments in nursing, enabling nurses to effectively fulfill their duties.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677528","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":"Virtual reality education for preventing safety incidents in pediatric hospital settings: Quasi-experimental design pre-post-testing","authors":"Raim Hyeon,&nbsp;Won-Oak Oh","doi":"10.1016/j.pedn.2024.11.005","DOIUrl":"10.1016/j.pedn.2024.11.005","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to develop and analyze a virtual reality (VR)-based safety incident prevention program for hospitalized children.</div></div><div><h3>Design and methods</h3><div>This quasi-experimental study investigated the effects of a VR-based safety incident prevention education program among children hospitalized in a hospital in South Korea. The participants were children aged 4–6 years admitted to a pediatric ward between April 1, 2021, and March 31, 2022. The experimental group received the VR-based safety incident prevention program immediately after—and on the second day of—admission, whereas the control group received the usual hospital intervention.</div></div><div><h3>Results</h3><div>After implementing the VR-based safety incident prevention education among the hospitalized children, the mean change in post-pre-test scores for hospitalization safety knowledge was 1.48 ± 2.27 for the intervention and −0.36 ± 2.51 for the control group (<em>p</em> = .001). The change in scores for awareness was 0.49 ± 0.22 for the intervention and −0.07 ± 0.37 for the control group (<em>p</em> &lt; .001). The changes in scores for behavior were 0.53 ± 0.41 and −0.05 ± 0.37 for the intervention and control group (p &lt; .001).</div></div><div><h3>Conclusions</h3><div>This study's results demonstrate that VR-based education is an effective intervention that can stimulate children's interest better than the existing oral education and can be useful as a means of education in pediatric wards.</div></div><div><h3>Implication to practice</h3><div>VR-based educational programs can be effectively utilized to prevent safety incidents among hospitalized children. Pediatric nurses are recommended to integrate the advantages of VR-based educational programs into their clinical practice to enhance patient safety.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 56-63"},"PeriodicalIF":2.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677534","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":"Effect of storytelling on anxiety and fear in children during hospitalization: A systematic review and meta-analysis","authors":"Shi Huan Ku,&nbsp;Jing Shi Chua,&nbsp;Shefaly Shorey","doi":"10.1016/j.pedn.2024.11.006","DOIUrl":"10.1016/j.pedn.2024.11.006","url":null,"abstract":"<div><h3>Background</h3><div>Hospitalization often induces anxiety and fear in children, which may lead to maladaptive behaviours. Prior research has found that storytelling can help improve children's communication and reduce their stress. Not only does it enhance children's ability to express their emotions more effectively and comfortably, it also assists them in releasing negative emotions like anxiousness and fear.</div></div><div><h3>Objectives</h3><div>To evaluate the effectiveness of storytelling in reducing children's anxiety and/or fear during hospitalization.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted. The search spanned across eight online databases from their inception dates to January 2024. The Cochrane Risk of Bias Tool was utilized to perform quality appraisals. Effects model was utilized to conduct the meta-analysis. Subgroup analyses were conducted for age of participants, geographical location and measurement used.</div></div><div><h3>Findings</h3><div>A total of eight studies were included in this review. Compared to standard care, storytelling was found to be effective in reducing anxiety and/or fear in children during hospitalization. Anxiety scores were not affected by the participants' age, but the geographical location and type of measurement scales used showed significant subgroup differences.</div></div><div><h3>Conclusion</h3><div>Storytelling interventions help to reduce anxiety and fear levels in hospitalized children. It was suggested that hospitals could provide the necessary training to healthcare workers to perform storytelling more effectively. Additionally, involvement of parents in storytelling could be encouraged, ensuring continuity even after discharge. Further research can be conducted in more diverse geographical regions and explore how storytelling content can vary across different ages.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 41-48"},"PeriodicalIF":2.1,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639921","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 relationship between moral distress and cultural sensitivity levels in pediatric nurses: A cross-sectional study","authors":"Şadiye Dur RN, PhD, Assoc. Prof. Dr ,&nbsp;Ilknur Gol PhD, RN, Assoc. Prof. Dr ,&nbsp;Özüm Erkin PhD, RN, Assoc. Prof. Dr ,&nbsp;Müge Coşğun RN, MSc, Res. Asst.","doi":"10.1016/j.pedn.2024.11.008","DOIUrl":"10.1016/j.pedn.2024.11.008","url":null,"abstract":"<div><h3>Purpose</h3><div>The study aimed to determine the relationship between moral distress and intercultural sensitivity levels among pediatric nurses.</div></div><div><h3>Design and methods</h3><div>A cross-sectional study was conducted between June 1, 2023 and March 1, 2024. The sample of the study consisted of 120 nurses working in pediatric units in public, university and training and research hospitals in a provincial center in the Western region of Turkey. The data were collected through a questionnaire form, “Moral Distress Scale-Revised (MDS-R, pediatric)” and “Intercultural Sensitivity Scale (ISS)”.</div></div><div><h3>Results</h3><div>While the total score of the (MDS-R, pediatric) was 79.76 ± 56.65, the total score of the ISS was 89.34 ± 10.01. A statistically significant positive relationship was found between moral distress and intercultural sensitivity levels of pediatric nurses (<em>r</em> = 0.299; <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>The nurses' moral distress and intercultural sensitivity were at a moderate level. As the nurses' levels of moral distress increased, their intercultural sensitivity levels increased.</div></div><div><h3>Practice implications</h3><div>The findings of this study are crucial for pediatric nursing care, as they indicate that intercultural sensitivity may increase with the strengthening of moral distress levels. It is recommended that topics such as intercultural sensitivity, morality, and ethics be integrated into undergraduate and graduate nursing education programs, especially for health professionals working in culturally diverse settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 49-55"},"PeriodicalIF":2.1,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639948","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":"Distinguishing risk factors for depression and burnout in parents managing type 1 diabetes mellitus in children","authors":"Sumbule Koksoy Vayisoglu ,&nbsp;Ebru Koc ,&nbsp;Emine Oncu","doi":"10.1016/j.pedn.2024.11.007","DOIUrl":"10.1016/j.pedn.2024.11.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Identifying factors affecting the mental health of parents with children diagnosed with type 1 diabetes mellitus is crucial in the caregiving process. The aim of this study was to determine the levels of burnout and depression in parents of children diagnosed with type 1 diabetes mellitus, as well as to identify the differential risk factors associated with these conditions.</div></div><div><h3>Design and methods</h3><div>Data for this cross-sectional and correlational study were collected online from 140 parents between April and June 2024, using the “Information Form”, “Burnout Measure Short Version”, “Depression Anxiety Stress Scale-21”, and “Coping Style Scale”. Multiple linear regression analysis was used to identify factors influencing depression and burnout levels.</div></div><div><h3>Results</h3><div>The majority of parents exhibited symptoms of burnout and depression. Increased levels of stress and anxiety, negative changes in self-care, social life, and career, as well as the use of ineffective coping strategies, heightened the risk for both burnout and depression, while the use of effective coping strategies for stress reduced this risk. On the other hand, a longer duration of the child's illness and family income were distinguishing risk factors for the development of depression, whereas an increase in the parent's perceived competence in diabetes management was a protective factor against burnout.</div></div><div><h3>Conclusions</h3><div>These findings suggest that nurses should focus on supporting parents' stress management, diabetes management competence, and the use of effective coping strategies. In doing so, interventions aimed at reducing the risks of depression and burnout can be developed.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 32-40"},"PeriodicalIF":2.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639920","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}