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

Purpose: To measure the impact of a mindfulness or physical activity intervention and the combination of both on hospital nightshift nursing teams' professional quality of life, medication administration error, role meaning, and sleep quality.

Design and methods: In this two-site study using a cluster cross-over randomized trial design, 18 units were randomized to one of two interventions (mindfulness or physical activity) during the first 8-week period and to both interventions during the second 8-week period. Questionnaires completed at baseline (T0), Week 8 (T1), and Week 18 (T2) included the Professional Quality of Life (ProQOL-21) (Compassion Satisfaction, Compassion Fatigue), PROMIS Sleep Disturbance, PROMIS Sleep Impairment, Sleep Hygiene, and Role-Related Meaning Scale for Staff (RRMSS).

Results: Participants (n = 82) completed questionnaires at T0, 33 at T1, and 23 at T2. Significant improvements in PROMIS Sleep Disturbance scores occurred within both study arms from T0 to T1 and T1 to T2 and within both arms in PROMIS Sleep Impairment scores from T0 to T1 and from T0 to T2. Across questionnaires, the largest improvement occurred between T0 and T2 and the least between T1 and T2. Compassion satisfaction had the largest improvement in the physical activity intervention and compassion fatigue had the largest improvement in the mindfulness intervention.

Conclusions: Mindfulness and physical activity interventions can reduce sleep disturbance, sleep impairment, and compassion fatigue and improve compassion satisfaction in nightshift nursing care teams.

Practice implications: Nursing care team members' sleep and professional quality of life could directly benefit from hospital-sponsored nightshift well-being interventions including mindfulness, physical activities and sleep hygiene information.

Background: The Society of Pediatric Nurses (SPN) has prioritized integrating Diversity, Equity, and Inclusion (DEI) into its organizational framework. This article reviews the SPN DEI Task Force's initial objectives, efforts, and progress over a three-year period, highlighting the comprehensive strategies implemented to foster a more inclusive environment for all members.

Methods: The DEI Task Force developed a survey to evaluate members' perceptions and utilization of strategic DEI resources and activities. SPN members received an electronic survey in December 2023, with a four-month response window.

Findings: Ninety-three nurses responded. The majority were cisgender heterosexual females, middle-aged, White, non-Hispanic/Latinx, and Christian, with over a decade of nursing experience, at least a bachelor's degree, and employment in children's hospitals. Webinar series (38 %) and annual conferences (29 %) were the most utilized and appreciated DEI resources.

Discussion: Feedback highlighted the practicality and convenience of quarterly webinars. Responses indicated increased awareness, improved understanding, and practice changes resulting from DEI education. Participants identified areas needing further attention, including language barriers, difficult conversations, and disabilities.

Application to practice: The DEI Task Force's initiatives have improved awareness and understanding among respondents, leading to notable practice changes. With the task force's work now complete and DEI oversight transitioned to the SPN Board, addressing additional areas such as language barriers and ableism could further enhance diversity promotion efforts for SPN membership.

Purpose: To understand the views of parent participants in our larger pilot randomized controlled trial (RCT) about the Tool to Empower Parental TeLling and TaLking or the TELL Tool, a digital, psychoeducational and decision-support intervention; and to foster understanding about how pediatric nurse practitioners (PNPs) viewed integrating the TELL Tool into pediatric clinical settings.

Design and methods: In this qualitative descriptive study, a purposive sample of 10 parents and 10 PNPs completed in-depth, semi-structured interviews by Zoom. The recordings were auto transcribed, checked for accuracy, and analyzed for themes. The rigorous and accelerated data reduction (RADaR) technique was incorporated into the analytic plan.

Results: Five themes emerged following analysis, including Perceptions, Optimal Time for Delivery, Most Appropriate Healthcare Provider to Counsel Parents about Disclosure, Challenges to Administering in Practice, and Recommendations for Implementing the TELL Tool into Pediatric Healthcare Settings.

Conclusions: Parents found the TELL Tool to be helpful and PNPs were supportive of incorporating the TELL Tool into clinical practice. Parents thought the TELL Tool increased their confidence about sharing information and appreciated its age-appropriate approach and language. PNPs perceived the tool as supporting their ability to provide anticipatory guidance and counseling/education to families seeking support in beginning and subsequent conversations with their children about their genetic origins.

Practice implications: The TELL Tool is an evidence-based intervention that can serve as a resource for PNPs while supporting parents as they navigate challenges about talking with their children about their genetic origins through gamete and embryo donation.