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Effects of technology-based interventions on chemotherapy-induced nausea, vomiting, and quality of life in pediatric patients: A systematic review and meta-analysis 基于技术的干预措施对化疗引起的恶心、呕吐和儿科患者生活质量的影响:系统回顾与荟萃分析。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.07.018
Remziye Semerci RN, MSc, PhD , Eyşan Hanzade Savaş RN, MSc, PhD , Nikolina Dodlek RN, MSc, PhDc , Enes Şimşek RN, MSc, PhDc

Purpose

This study aims to synthesize and analyze the impact of technology-based interventions on chemotherapy-induced nausea, vomiting, and quality of life in pediatric patients.

Design and methods

Seven electronic databases were searched: PubMed, Web of Science, Cochrane, MEDLINE, CINAHL, Scopus, and Google Scholar. The JBI checklist assessed the studies' methodological quality. This study was performed based on the PRISMA checklist.

Results

This review incorporated five published studies, exploratory randomized controlled trials, and non-randomized pre and post-test control group studies involving 232 pediatric oncology patients receiving chemotherapy. The meta-analysis revealed a significant impact of technology-based interventions on alleviating chemotherapy-induced nausea and vomiting (Hedge's g = −0.707, Q = 9.61, I2 = 47.97%, p < 0.001). It was found that a significant effect of technology-based interventions on the patient's quality of life was observed (Hedge's g = −0.745, Q = 5.431, I2 = 63.74%, p < 0.001).

Conclusions

These findings indicated that technology-based interventions have significant potential in managing chemotherapy-induced nausea and vomiting and quality of life.

Practice implications

Future research endeavors should explore this aspect further, employing a broader range of outcome measures and longer-term follow-up assessments better to understand their impact on pediatric oncology patients' well-being.

目的:本研究旨在综合分析以技术为基础的干预措施对化疗引起的恶心、呕吐和儿科患者生活质量的影响:检索了七个电子数据库:设计:检索了七个电子数据库:PubMed、Web of Science、Cochrane、MEDLINE、CINAHL、Scopus 和 Google Scholar。JBI 检查表评估了研究的方法学质量。本研究根据 PRISMA 核对表进行:本综述纳入了五项已发表的研究、探索性随机对照试验和非随机对照试验前后对照组研究,涉及 232 名接受化疗的儿科肿瘤患者。荟萃分析表明,基于技术的干预措施对缓解化疗引起的恶心和呕吐有显著影响(Hedge's g = -0.707,Q = 9.61,I2 = 47.97%,P 2 = 63.74%,P 结论:荟萃分析表明,基于技术的干预措施对缓解化疗引起的恶心和呕吐有显著影响:这些研究结果表明,基于技术的干预措施在控制化疗引起的恶心和呕吐以及提高生活质量方面具有巨大潜力:未来的研究工作应进一步探索这方面的问题,采用更广泛的结果测量和更长期的跟踪评估,以更好地了解其对儿科肿瘤患者福祉的影响。
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引用次数: 0
Web and theory-based motivational interviews in encouraging mothers for HPV vaccination of their daughters: A randomized controlled study 基于网络和理论的动机访谈在鼓励母亲为女儿接种人乳头瘤病毒疫苗方面的应用:随机对照研究。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.07.016
Yasemin Ateşeyan Ph.D , Zeynep Güngörmüş

Background

Mothers' intentions regarding the Human Papillomavirus (HPV) vaccination of their daughters are crucial, especially in societies that prioritize cultural and religious values.

Objectives

This study aimed to encourage mothers to vaccinate their daughters against HPV by enhancing their perceptions of the vaccine's benefits, susceptibility, severity, and knowledge levels, while reducing their barriers through web-based interventions and Health Belief Model-based motivational interviews.

Methods

The study was designed as a pre-mid-post test randomized controlled experimental study. The sample included 63 mothers of female high school students (31 in the experimental group, 32 in the control group). Data were collected using a “Demographical and Descriptive Characteristics Information Form”, “Health Belief Model Scale for Human Papillomavirus and Its Vaccination” and “Human Papillomavirus Knowledge Scale”. Mothers in the experimental group received three HBM-based motivational interviews, web support, and follow-up. ClinicalTrials.gov code is NCT04992741.

Results

Following the interventions, the experimental group exhibited higher levels of knowledge, benefit, susceptibility, and severity perception of HPV vaccination, and lower perceptions of barriers compared to the control group. At the end of the study, 24 mothers from the experimental group and 5 mothers from the control group decided to vaccinate their daughters against HPV.

Conclusions

Motivational interviews, along with web support and monitoring, significantly enhanced mothers' knowledge and beliefs.

Implications for practices

This study provides evidence for the applicability of theory-based motivational interviewing in the acceptance of HPV vaccine by mothers. It enables the dissemination of HPV vaccination and encourages community health nurses to use theory-based motivational interviewing to recommend HPV vaccination.

背景:母亲为女儿接种人乳头瘤病毒(HPV)疫苗的意愿至关重要,尤其是在以文化和宗教价值观为优先的社会中:本研究旨在通过网络干预和基于健康信念模型的动机访谈,提高母亲对疫苗益处、易感性、严重性和知识水平的认识,同时减少她们的障碍,从而鼓励她们为女儿接种人乳头瘤病毒疫苗:研究设计为一项前中后测试随机对照实验研究。样本包括 63 位女高中生的母亲(实验组 31 位,对照组 32 位)。使用 "人口学和描述性特征信息表"、"人类乳头瘤病毒及其疫苗接种健康信念模型量表 "和 "人类乳头瘤病毒知识量表 "收集数据。实验组的母亲接受了三次基于人类乳头状瘤病毒及其疫苗接种健康信念模型的动机访谈、网络支持和随访。Clinicaltrials: gov 代码为 NCT04992741:干预后,与对照组相比,实验组对 HPV 疫苗接种的知识、益处、易感性和严重性的认知水平更高,对障碍的认知水平更低。研究结束时,实验组的 24 位母亲和对照组的 5 位母亲决定为女儿接种 HPV 疫苗:结论:激励性访谈以及网络支持和监督显著增强了母亲们的知识和信念:本研究为基于理论的动机访谈在母亲接受 HPV 疫苗方面的适用性提供了证据。它促进了 HPV 疫苗接种的传播,并鼓励社区保健护士使用基于理论的动机访谈来推荐 HPV 疫苗接种。
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引用次数: 0
The mediation role of social support in the relationship between bullying and depressive symptoms among Jordanian adolescents 社会支持在约旦青少年受欺凌与抑郁症状之间的关系中的调解作用。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.07.028
Marah Al-Smadi MSN, RN , Abdallah F. Abu Khait Ph.D., RN, PMHCNS, MSN, BSN , Ghada Shahrour , Shaher H. Hamaideh PhD, MSN, RN , Hasan Al-Omari PhD, MSc, RN, ARN

Background

Bullying in school is a universal psychosocial issue that raises concerns about adolescents' safety and mental health and is positively associated with depressive symptoms. Social support could be a preventive factor that eases bullying and its psychological distress.

Purpose

The primary purpose of this study was to examine the mediating effect of social support in the relationship between bullying and depressive symptoms among adolescents in Jordan. Another aim was to investigate predictors of depression based on adolescents' sociodemographic factors.

Methods

In this cross-sectional, non-experimental mediational study, a stratified and systematic sampling method was used to recruit 270 Jordanian adolescents.

Results

Sociodemographic variables of being female, having divorced parents, having illiterate fathers, and being older in adolescence explained 12.2% of the variance in depressive symptoms. Family social support partially mediated the relationship between bullying and depressive symptoms.

Conclusion

Our findings showed that a notable proportion of adolescents experienced bullying victimization and depressive symptoms, and a positive relationship exists between these two variables. These results further highlight the role of family social support in buffering the negative impact of bullying on depressive symptoms.

Implications to practice

The study's results emphasize the significance of developing and implementing family-centered social support initiatives by nurses to lessen adolescents' bullying experiences and depressive symptomatology.

背景:校园欺凌是一个普遍的社会心理问题,它引起了人们对青少年安全和心理健康的关注,并与抑郁症状呈正相关。目的:本研究的主要目的是探讨社会支持在约旦青少年欺凌与抑郁症状之间关系中的中介作用。另一个目的是根据青少年的社会人口因素调查抑郁症的预测因素:在这项横断面、非实验性的中介研究中,采用分层和系统抽样方法招募了 270 名约旦青少年:女性、父母离异、父亲文盲和青春期年龄较大等社会人口变量解释了抑郁症状变异的 12.2%。家庭社会支持在一定程度上调节了欺凌与抑郁症状之间的关系:我们的研究结果表明,有相当一部分青少年曾遭受欺凌并出现抑郁症状,而且这两个变量之间存在正相关关系。这些结果进一步强调了家庭社会支持在缓冲欺凌对抑郁症状的负面影响方面所起的作用:研究结果强调了护士制定和实施以家庭为中心的社会支持措施,以减轻青少年的欺凌经历和抑郁症状的重要性。
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引用次数: 0
Examining the effectiveness of education based on social learning theory in fostering self-care and social skills in school children: A randomized controlled trial 研究基于社会学习理论的教育在培养学龄儿童自理能力和社交技能方面的效果:随机对照试验
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.08.007
Isin Biyikoglu Alkan RN, MS, PhD , Hicran Cavusoglu RN, MS, PhD

Purpose

This study was conducted to examine the effectiveness of a training program prepared on the basis of the Social Learning Theory for teaching self-care and social competence behaviors in preschool children.

Design and method

The sample of the study consisted of 41 in the intervention, 41 in the control group. Data were collected with Demographic Assessment Form, the Self-Care Skills Assessment Scale and the Social Competence and Behavior Evaluation-30 Scale. Using five animated films created on the basis of the Social Learning Theory for fostering children self-care and social competence behaviors.

Results

The scores of the children in the intervention group on the three sub-dimensions of the self-care scale and the total score of the scale were found to be significantly higher than the control group (p < 0.05). The intervention group scored significantly higher on the self-care scale and social competence and behavior scales than the control group (p < 0.05).

Conclusion

As a result of the research, it was seen that the applied training significantly affected the self-care and social competence behaviors in the intervention group. It was seen that using Social Learning Theory in teaching health behaviors has been effective in the learning process of preschool children.

Implications to practice

In preschool period, children learn by observing and imitating their adopted role models. Since, we suggest that health training program should be based on the stages of Social Learning Theory. Animated films that focus on the target health behaviors can be used as training tools.

目的:本研究旨在探讨以社会学习理论为基础编制的培训计划在教授学龄前儿童自理和社交能力行为方面的有效性:研究样本包括干预组 41 人和对照组 41 人。通过人口学评估表、自理能力评估量表和社交能力与行为评估-30 量表收集数据。使用根据社会学习理论制作的五部动画片来培养儿童的自理能力和社交能力行为:结果:干预组儿童在自理能力量表的三个分维度和总分上的得分均显著高于对照组(P < 0.05)。干预组在自理能力量表、社交能力和行为量表上的得分明显高于对照组(P 结论:干预组儿童在自理能力量表、社交能力和行为量表上的得分明显高于对照组(P < 0.05):研究结果表明,应用培训对干预组的自理能力和社交能力行为有明显影响。由此可见,在学龄前儿童的学习过程中,使用社会学习理论教授健康行为是有效的:对实践的启示:在学龄前阶段,儿童通过观察和模仿他们所采用的榜样来学习。因此,我们建议健康培训计划应以社会学习理论的阶段为基础。以目标健康行为为重点的动画片可用作培训工具。
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引用次数: 0
The impact of virtual reality exposure on anxiety and pain levels in pediatric patients: A systematic review and meta-analysis 虚拟现实对儿科患者焦虑和疼痛程度的影响:系统回顾与荟萃分析。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.07.027
Zhixuan Hu, Jie Yao, Liu He, Xiaowei Li, Yan Guo

Problem

Virtual reality (VR) is used as a novel intervention technique to alleviate uncomfortable experiences such as anxiety and pain in children. Recently, VR distraction has gained prominence in pediatric medical procedures. However, no studies have yet conducted a further quantitative analysis of the intervention effects of virtual reality exposure (VRE). This systematic review aims to analyse the effect of VRE on anxiety and pain levels in paediatric patients undergoing medical procedures.

Eligibility criteria

Relevant studies were searched from four databases, including PubMed, Cochrane Library, Embase, and Web of Science. This systematic review has been registered in the International Prospective Register of Systematic Reviews (PROSPERO).

Results

The meta-analysis incorporated a total of 11 articles, encompassing 1,099 pediatric patients. The results showed that VRE relieved children's anxiety [SMD = -0.61, 95% CI (-0.93, -0.28), p < 0.001], but there was no significant difference in alleviating pain in children [SMD = -1.48, 95% CI (-3.40, 0.44), p = 0.131].

Conclusions

The results suggest that VRE is effective in reducing children's anxiety during medical procedures. However, 7 of the 11 original studies included in this review were from the same research project, which may increase the risk of reporting bias. Also, more high-quality studies are needed in the future to verify its effectiveness for pain levels.

Implications

VRE can help children become familiar with the medical environment, overcome anxiety and fear, and learn about medical procedures in advance. This can enhance their cooperation during medical process, leading to a more positive medical experience.

问题:虚拟现实(VR)作为一种新型干预技术,可减轻儿童的焦虑和疼痛等不适体验。最近,在儿科医疗程序中,虚拟现实分散注意力的作用日益突出。然而,还没有研究对虚拟现实暴露(VRE)的干预效果进行进一步的定量分析。本系统性综述旨在分析虚拟现实对接受医疗程序的儿科患者的焦虑和疼痛水平的影响:从 PubMed、Cochrane Library、Embase 和 Web of Science 等四个数据库中搜索相关研究。本系统综述已在国际系统综述前瞻性注册中心(PROSPERO)注册:荟萃分析共纳入了 11 篇文章,涉及 1,099 名儿科患者。结果显示,VRE能缓解儿童的焦虑[SMD = -0.61,95% CI (-0.93, -0.28),p < 0.001],但在减轻儿童疼痛方面没有显著差异[SMD = -1.48, 95% CI (-3.40, 0.44),p = 0.131]:结果表明,VRE 能有效减轻儿童在医疗过程中的焦虑。然而,本综述所包含的 11 项原始研究中有 7 项来自同一个研究项目,这可能会增加报告偏差的风险。此外,未来还需要更多高质量的研究来验证其对疼痛程度的有效性:VRE 可以帮助儿童熟悉医疗环境,克服焦虑和恐惧,并提前了解医疗程序。启示:VRE 可以帮助儿童熟悉医疗环境,克服焦虑和恐惧,提前了解医疗程序,从而提高他们在医疗过程中的配合度,获得更积极的医疗体验。
{"title":"The impact of virtual reality exposure on anxiety and pain levels in pediatric patients: A systematic review and meta-analysis","authors":"Zhixuan Hu,&nbsp;Jie Yao,&nbsp;Liu He,&nbsp;Xiaowei Li,&nbsp;Yan Guo","doi":"10.1016/j.pedn.2024.07.027","DOIUrl":"10.1016/j.pedn.2024.07.027","url":null,"abstract":"<div><h3>Problem</h3><p>Virtual reality (VR) is used as a novel intervention technique to alleviate uncomfortable experiences such as anxiety and pain in children. Recently, VR distraction has gained prominence in pediatric medical procedures. However, no studies have yet conducted a further quantitative analysis of the intervention effects of virtual reality exposure (VRE). This systematic review aims to analyse the effect of VRE on anxiety and pain levels in paediatric patients undergoing medical procedures.</p></div><div><h3>Eligibility criteria</h3><p>Relevant studies were searched from four databases, including PubMed, Cochrane Library, Embase, and Web of Science. This systematic review has been registered in the International Prospective Register of Systematic Reviews (PROSPERO).</p></div><div><h3>Results</h3><p>The meta-analysis incorporated a total of 11 articles, encompassing 1,099 pediatric patients. The results showed that VRE relieved children's anxiety [SMD = -0.61, 95% CI (-0.93, -0.28), <em>p</em> &lt; 0.001], but there was no significant difference in alleviating pain in children [SMD = -1.48, 95% CI (-3.40, 0.44), <em>p</em> = 0.131].</p></div><div><h3>Conclusions</h3><p>The results suggest that VRE is effective in reducing children's anxiety during medical procedures. However, 7 of the 11 original studies included in this review were from the same research project, which may increase the risk of reporting bias. Also, more high-quality studies are needed in the future to verify its effectiveness for pain levels.</p></div><div><h3>Implications</h3><p>VRE can help children become familiar with the medical environment, overcome anxiety and fear, and learn about medical procedures in advance. This can enhance their cooperation during medical process, leading to a more positive medical experience.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"78 ","pages":"Pages e364-e374"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861279","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}
引用次数: 0
The psychometric properties of the Turkish version of the parents' perception of satisfaction with care from pediatric nurse practitioners instrument 土耳其版 "家长对儿科执业护士护理满意度感知 "工具的心理计量特性。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.06.022

Aim

This study was carried out to adapt a measurement tool that can be used to measure the perceived satisfaction level of parents of pediatric patients hospitalized in a pediatric clinic with care from pediatric nurses and to examine its psychometric properties.

Design and method

The study was conducted methodologically with 301 parents of children who were hospitalized in the pediatric clinic of a university hospital between September and December 2023. Explanatory and confirmatory factor analyses were performed on the data to establish the validity of the scale, Cronbach's alpha reliability coefficient, split-half, item-total score methods were utilized to test its reliability.

Results

The scale consisted of 26 items and a single dimension. It was determined that the total explained variance ratio was 79.246%. According to the confirmatory factor analysis results, goodness of fit values were determined as RMSEA = 0.077, CFI = 0.96, IFI = 0.97, RFI = 0.92, NFI = 0.93, and TLI = 0.96. Cronbach's alpha coefficient was calculated as α = 0.989 for the total scale.

Conclusion

The Parents' Perception of Satisfaction with Care from Pediatric Nurse Practitioners Instrument is a valid and reliable measurement tool that can be used to measure the perceived satisfaction level of parents of pediatric patients hospitalized in a pediatric clinic with nursing care.

Implications for practice

The scale can contribute to determining the perceived satisfaction levels of parents of pediatric patients hospitalized in the pediatric clinic with nursing care and, if there is a problem, to providing regular in-service training for pediatric nurses who are responsible for pediatric patient safety and quality of care.

目的:本研究旨在调整一种测量工具,用于测量在儿科诊所住院的儿科患者家长对儿科护士护理的感知满意度,并检验其心理测量学特性:本研究从方法学角度对 2023 年 9 月至 12 月期间在某大学医院儿科门诊住院的 301 名患儿家长进行了调查。对数据进行了解释性和确认性因素分析,以确定量表的有效性,并采用克朗巴赫α信度系数、分半法、项目-总分法来检验其信度:量表由 26 个项目和一个维度组成。结果:量表由 26 个项目和一个维度组成,总解释方差比为 79.246%。根据确认性因素分析结果,拟合优度为 RMSEA = 0.077、CFI = 0.96、IFI = 0.97、RFI = 0.92、NFI = 0.93 和 TLI = 0.96。总量表的 Cronbach's alpha 系数为 α = 0.989:家长对儿科护士护理满意度认知量表是一种有效、可靠的测量工具,可用于测量在儿科诊所住院的儿科患者家长对护理服务的认知满意度:该量表有助于确定在儿科诊所住院的儿科患者家长对护理服务的感知满意度,如果存在问题,还有助于为负责儿科患者安全和护理质量的儿科护士提供定期在职培训。
{"title":"The psychometric properties of the Turkish version of the parents' perception of satisfaction with care from pediatric nurse practitioners instrument","authors":"","doi":"10.1016/j.pedn.2024.06.022","DOIUrl":"10.1016/j.pedn.2024.06.022","url":null,"abstract":"<div><h3>Aim</h3><p>This study was carried out to adapt a measurement tool that can be used to measure the perceived satisfaction level of parents of pediatric patients hospitalized in a pediatric clinic<span><span> with care from pediatric nurses and to examine its </span>psychometric properties.</span></p></div><div><h3>Design and method</h3><p><span>The study was conducted methodologically with 301 parents of children who were hospitalized in the pediatric clinic of a university hospital between September and December 2023. Explanatory and confirmatory factor analyses were performed on the data to establish the validity of the scale, </span>Cronbach's alpha reliability coefficient, split-half, item-total score methods were utilized to test its reliability.</p></div><div><h3>Results</h3><p>The scale consisted of 26 items and a single dimension. It was determined that the total explained variance ratio was 79.246%. According to the confirmatory factor analysis results, goodness of fit values were determined as RMSEA = 0.077, CFI = 0.96, IFI = 0.97, RFI = 0.92, NFI = 0.93, and TLI = 0.96. Cronbach's alpha coefficient was calculated as α = 0.989 for the total scale.</p></div><div><h3>Conclusion</h3><p><span>The Parents' Perception of Satisfaction with Care from Pediatric Nurse Practitioners Instrument is a valid and reliable measurement tool that can be used to measure the perceived satisfaction level of parents of pediatric patients hospitalized in a pediatric clinic with </span>nursing care.</p></div><div><h3>Implications for practice</h3><p>The scale can contribute to determining the perceived satisfaction levels of parents of pediatric patients hospitalized in the pediatric clinic with nursing care and, if there is a problem, to providing regular in-service training for pediatric nurses who are responsible for pediatric patient safety and quality of care.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"78 ","pages":"Pages e75-e81"},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538865","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}
引用次数: 0
“Warrior who transcends adversity”: A qualitative examination of resilience among mothers caring for adolescents with congenital heart disease "超越逆境的勇士":对照顾患有先天性心脏病青少年的母亲的复原力进行定性研究。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.08.003
Chin-Hui Huang RN, MSN , Cheng-Chen Chou RN, PhD , Hung-Tao Chung MD , Jou-Kou Wang MD, PhD , Pei-Fan Mu RN, PhD , Shu Wen Chen RN, PhD , Ying-Mei Shu RN, PhD , Chi-Wen Chen RN, PhD

Purpose

Parenting resilience is essential for the well-being and development of children with chronic illnesses. Given the importance of parenting resilience in this context, this study explored the nature of parenting resilience among mothers caring for adolescents with congenital heart disease (CHD).

Design and methods

We adopted Husserl's phenomenological approach and conducted semistructured in-depth interviews. In addition, we conducted purposive sampling at the pediatric cardiology outpatient departments of 2 medical centers in Taiwan to recruit 11 mothers of adolescents with CHD; all of these adolescents had received open-heart surgery. Furthermore, we analyzed data by using Colaizzi's approach, and we adhered to the COnsolidated criteria for REporting Qualitative research checklist.

Results

Mothers caring for adolescents with CHD was a dynamic process involving problem solving. The 11 mothers in this study employed resilience to remain strong, provided a sense of normalcy for their children, and approached challenges calmly and bravely. We uncovered three major themes among these mothers: “providing support for the child, “facing challenges with equanimity,” and “overcoming adversity through positivity and gratitude.”

Conclusions

The present results provide a deeper understanding of how mothers caring for adolescents with CHD can cultivate resilience.

Practice implications

The study's findings can inform transitional programs for adolescents with CHD and their families, with nursing professionals supporting mothers' resilience.

目的:养育子女的适应能力对于慢性病患儿的福祉和发展至关重要。鉴于养育抗逆力在这方面的重要性,本研究探讨了照顾患有先天性心脏病(CHD)青少年的母亲养育抗逆力的性质:我们采用胡塞尔的现象学方法,进行了半结构化的深度访谈。此外,我们还在台湾两家医疗中心的儿科心脏病门诊部进行了有目的的抽样调查,招募了 11 位患有先天性心脏病的青少年的母亲,这些青少年均接受过开颅手术。此外,我们采用Colaizzi方法对数据进行分析,并遵守定性研究报告综合标准检查表:结果:母亲照顾患有先天性心脏病的青少年是一个涉及解决问题的动态过程。本研究中的 11 位母亲运用韧性保持坚强,为孩子提供正常的感觉,并冷静、勇敢地应对挑战。我们在这些母亲中发现了三大主题:为孩子提供支持"、"坦然面对挑战 "和 "通过积极和感恩战胜逆境":本研究结果让我们更深入地了解了照顾患有先天性心脏病青少年的母亲如何培养孩子的抗逆力:研究结果可为青少年先天性心脏病患者及其家庭的过渡计划提供参考,护理专业人员可为母亲的抗逆力提供支持。
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引用次数: 0
Enhancing clinical reasoning and student confidence through pediatric simulation 通过儿科模拟提高临床推理能力和学生的自信心。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.08.005
Britt Cole DNP, RN, CPN, CNE

Background

The education-to-practice gap is magnified in pediatric nursing due to decreasing pediatric content offered in undergraduate programs, including less pediatric clinical time and inconsistent and inadequate clinical experiences.

Purpose

Examine student perceptions of learning and confidence by comparing a high-fidelity pediatric simulation series and acute care pediatric clinical.

Methods

The SET-M tool compared settings and included open-ended questions to add insight. Sample: In an undergraduate nursing program in a university in the Midwest United States, 124 students completed the anonymous survey rating each experience for learning and confidence in assessment, clinical decision-making, communication, and safety. Results: Students rated the simulation series higher than clinical for all categories except patient communication.

Conclusion

Student perceptions of learning in high-fidelity simulation revealed increased confidence and competence and the belief that simulation complements the clinical experience and bridges the theory and clinical courses.

背景:目的: 通过比较高仿真儿科模拟系列和急症护理儿科临床,考察学生对学习和信心的看法:方法:SET-M工具对设置进行比较,并包含开放式问题以增加洞察力:在美国中西部一所大学的本科护理课程中,124 名学生完成了匿名调查,对每次体验的学习和信心评估、临床决策、沟通和安全进行评分:结果:除病人沟通外,学生对模拟系列体验的评分均高于临床体验:结论:学生对高仿真模拟学习的看法表明,他们的信心和能力得到了提高,并认为模拟是对临床经验的补充,是理论和临床课程的桥梁。
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引用次数: 0
Maximizing the scope of the outpatient endocrine nurse 最大限度地扩大门诊内分泌护士的工作范围。
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/j.pedn.2024.07.031
Courtney Werkheiser MSN, RN, Maryanne Cullen BSE, RN
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引用次数: 0
Board of Directors 董事会
IF 2.1 4区 医学 Q2 NURSING Pub Date : 2024-09-01 DOI: 10.1016/S0882-5963(24)00326-9
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引用次数: 0
期刊
Journal of Pediatric Nursing-Nursing Care of Children & Families
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