Pub Date : 2026-01-01Epub Date: 2025-11-11DOI: 10.1016/j.pedn.2025.10.028
Yongqin Wu , Yan Zhou , Jiayu Lin , Jingrui Tao , Liang Pang , Yuhua Chen , Jing Huang , Yuezhen Xue , Yunyun Zheng
Objective: To evaluate the effects of the family-integrated comfort care model on children's comfort, parental anxiety, and nursing satisfaction during the peri-procedural period of CHD cardiac catheterization, providing empirical evidence for clinical nursing.
Study design: A total of 98 children with CHD and their parents undergoing cardiac catheterization at a tertiary children's hospital from October 2022 to October 2023 were enrolled. Participants were randomly divided into an intervention group and a control group (49 cases each) using a random number table. The control group received routine care, while the intervention group received an additional 4-day family-integrated comfort care model. The General Comfort Questionnaire (GCQ), Self-rating Anxiety Scale (SAS), and a self-designed nursing satisfaction scale were used to evaluate children's comfort, parental anxiety, and nursing satisfaction. Data were analyzed using SPSS 27.0.
Results: Pre-intervention, there were no significant differences in children's comfort or parental anxiety between the groups (P > 0.05). After 4 days of intervention, the intervention group exhibited significantly higher comfort scores (P < 0.05) and lower parental anxiety scores (P < 0.05) compared to the control group. Nursing satisfaction showed no statistical difference (P > 0.05), but the intervention group had slightly higher satisfaction.
Conclusion: The family-integrated comfort care model improves comfort during cardiac catheterization in children with CHD, alleviates parental anxiety, and is associated with high nursing satisfaction, demonstrating high clinical applicability and promotional value.
{"title":"A multidimensional family-integrated comfort care model improves outcomes in children undergoing cardiac catheterization for congenital heart disease: A randomized controlled trial","authors":"Yongqin Wu , Yan Zhou , Jiayu Lin , Jingrui Tao , Liang Pang , Yuhua Chen , Jing Huang , Yuezhen Xue , Yunyun Zheng","doi":"10.1016/j.pedn.2025.10.028","DOIUrl":"10.1016/j.pedn.2025.10.028","url":null,"abstract":"<div><div>Objective: To evaluate the effects of the family-integrated comfort care model on children's comfort, parental anxiety, and nursing satisfaction during the peri-procedural period of CHD cardiac catheterization, providing empirical evidence for clinical nursing.</div><div>Study design: A total of 98 children with CHD and their parents undergoing cardiac catheterization at a tertiary children's hospital from October 2022 to October 2023 were enrolled. Participants were randomly divided into an intervention group and a control group (49 cases each) using a random number table. The control group received routine care, while the intervention group received an additional 4-day family-integrated comfort care model. The General Comfort Questionnaire (GCQ), Self-rating Anxiety Scale (SAS), and a self-designed nursing satisfaction scale were used to evaluate children's comfort, parental anxiety, and nursing satisfaction. Data were analyzed using SPSS 27.0.</div><div>Results: Pre-intervention, there were no significant differences in children's comfort or parental anxiety between the groups (<em>P</em> > 0.05). After 4 days of intervention, the intervention group exhibited significantly higher comfort scores (<em>P</em> < 0.05) and lower parental anxiety scores (<em>P</em> < 0.05) compared to the control group. Nursing satisfaction showed no statistical difference (<em>P</em> > 0.05), but the intervention group had slightly higher satisfaction.</div><div>Conclusion: The family-integrated comfort care model improves comfort during cardiac catheterization in children with CHD, alleviates parental anxiety, and is associated with high nursing satisfaction, demonstrating high clinical applicability and promotional value.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 66-71"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507623","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}
Pub Date : 2026-01-01Epub Date: 2025-12-01DOI: 10.1016/j.pedn.2025.11.040
Seda Ardahan Sevgili, Ayşe Kahraman
Purpose
This study aimed to determine and weight the possible risk factors for central line associated bloodstream infections in children with central venous/port catheters using the Delphi method and Fuzzy Analytic Hierarchy Process.
Design and methods
Literature retrieval and researchers discussions were conducted to identify initial possible risk factors for central line associated bloodstream infections. Two rounds of Delphi surveys were used to collect expert opinions. Based on the importance given to each indicators by the consulted experts in the previous round, we determined the weight and priority of each indicator with the Fuzzy Analytic Hierarchy Process.
Results
As a result of Delphi process, expert authority coefficient was 0.858 and Kendall W value was 0.261 (p < 0.001). In Fuzzy Analytic Hierarchy Process analyses, the most important primary indicator was found as healthcare related factors (0.516) and secondary indicator was found to be knowledge/skills of healthcare professionals (0.229). Finally, consensus was reached on 5 primary and 24 secondary indicators.
Conclusions
Possible risk factors for central line associated bloodstream infections were determined by consensus reached as a result of expert opinions.
Practice implications
The results can be useful for planning preventive measures for infection management in clinical settings.
{"title":"Determination of risk factors for central line associated bloodstream infections in children: A Delphi and Fuzzy Analytic Hierarchy Process study","authors":"Seda Ardahan Sevgili, Ayşe Kahraman","doi":"10.1016/j.pedn.2025.11.040","DOIUrl":"10.1016/j.pedn.2025.11.040","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to determine and weight the possible risk factors for central line associated bloodstream infections in children with central venous/port catheters using the Delphi method and Fuzzy Analytic Hierarchy Process.</div></div><div><h3>Design and methods</h3><div>Literature retrieval and researchers discussions were conducted to identify initial possible risk factors for central line associated bloodstream infections. Two rounds of Delphi surveys were used to collect expert opinions. Based on the importance given to each indicators by the consulted experts in the previous round, we determined the weight and priority of each indicator with the Fuzzy Analytic Hierarchy Process.</div></div><div><h3>Results</h3><div>As a result of Delphi process, expert authority coefficient was 0.858 and Kendall W value was 0.261 (<em>p</em> < 0.001). In Fuzzy Analytic Hierarchy Process analyses, the most important primary indicator was found as healthcare related factors (0.516) and secondary indicator was found to be knowledge/skills of healthcare professionals (0.229). Finally, consensus was reached on 5 primary and 24 secondary indicators.</div></div><div><h3>Conclusions</h3><div>Possible risk factors for central line associated bloodstream infections were determined by consensus reached as a result of expert opinions.</div></div><div><h3>Practice implications</h3><div>The results can be useful for planning preventive measures for infection management in clinical settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 443-450"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662471","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}
Pub Date : 2026-01-01Epub Date: 2025-10-30DOI: 10.1016/j.pedn.2025.10.024
Mehmet Başaran, Merve Karak
Purpose
This study aimed to examine preschool children's perceptions of hospitals through the “draw-and-tell” method.
Methods
The research was conducted with 44 children aged 4–6 who had experienced at least one hospital visit. Data were collected through children's drawings and semi-structured interviews, and analyzed using reflexive thematic analysis.
Results
Children described hospitals not only as medical spaces but also as environments interwoven with emotional, social, and developmental elements. Their conceptual associations predominantly focused on healthcare services and professionals, while their lived experiences ranged from fear and discomfort to playfulness and family support. The suggestions offered by children were largely shaped by their developmental needs, highlighting the importance of play, spatial comfort, and social support.
Conclusion
The findings underscore the significance of child-centered approaches in healthcare and demonstrate that children are active agents in interpreting and improving their hospital experiences.
Implications for practice
Hospital visits are not solely medical experiences for children; they also serve as emotional and social learning settings. Therefore, healthcare services should be redesigned to prioritize trust, meaningful interaction, and sensitivity to children's developmental and emotional needs.
{"title":"Exploring preschool children's understanding of hospitals: Perceptions, experiences, and suggestions","authors":"Mehmet Başaran, Merve Karak","doi":"10.1016/j.pedn.2025.10.024","DOIUrl":"10.1016/j.pedn.2025.10.024","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to examine preschool children's perceptions of hospitals through the “draw-and-tell” method.</div></div><div><h3>Methods</h3><div>The research was conducted with 44 children aged 4–6 who had experienced at least one hospital visit. Data were collected through children's drawings and semi-structured interviews, and analyzed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Children described hospitals not only as medical spaces but also as environments interwoven with emotional, social, and developmental elements. Their conceptual associations predominantly focused on healthcare services and professionals, while their lived experiences ranged from fear and discomfort to playfulness and family support. The suggestions offered by children were largely shaped by their developmental needs, highlighting the importance of play, spatial comfort, and social support.</div></div><div><h3>Conclusion</h3><div>The findings underscore the significance of child-centered approaches in healthcare and demonstrate that children are active agents in interpreting and improving their hospital experiences.</div></div><div><h3>Implications for practice</h3><div>Hospital visits are not solely medical experiences for children; they also serve as emotional and social learning settings. Therefore, healthcare services should be redesigned to prioritize trust, meaningful interaction, and sensitivity to children's developmental and emotional needs.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 9-17"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398227","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}
This research was conducted to develop the Delirium Detect and Management Scale for Pediatric Intensive Care Nurses and investigate its Psychometric Properties.
Study design
This methodological study was conducted with pediatric intensive care nurses between January 20 and February 20, 2025. Two hundred thirteen pediatric intensive care nurses were included in the study. The “Nurse Identification Form” and “Delirium Detection and Management Scale for Pediatric Intensive Care Nurses” were used in the study. The scale's content validity, explanatory and confirmatory factor analysis, Cronbach's alpha, item-total correlation, and split-half analysis were used in the psychometric analysis.
Results
Cronbach's alpha analysis, item-total score correlation methods, and explanatory and confirmatory factor analysis were used in data evaluation. The scale consists of 19 items and three sub-dimensions. In both explanatory and confirmatory factor analysis, all factor loadings were found to be more than 0.30. In the confirmatory factor analysis, all fit indices were determined to be more than 0.80, and the RMSEA value was less than 0.08. Cronbach's alpha coefficients for the entire scale and subscales were 0.93, 0.89, 0.84, and 0.82, respectively. The scale is a practical and reliable clinical tool that helps nurses obtain accurate, consistent, and meaningful patient data.
Conclusions
Findings indicated that the developed scale is a valid and reliable tool.
Practice implication
Determining the in-service training needs of pediatric intensive care nurses regarding delirium, developing their delirium-related care competencies, and increasing the quality of patient care can be achieved.
{"title":"Development and psychometric evaluation of the delirium detection and management scale for pediatric intensive care nurses","authors":"İlknur Bektas PhD, RN , Nevruz Garip RN , Murat Bektas PhD, RN , Fatih Durak MD , Cansel Dağlı RN","doi":"10.1016/j.pedn.2025.10.023","DOIUrl":"10.1016/j.pedn.2025.10.023","url":null,"abstract":"<div><h3>Aim</h3><div>This research was conducted to develop the Delirium Detect and Management Scale for Pediatric Intensive Care Nurses and investigate its Psychometric Properties.</div></div><div><h3>Study design</h3><div>This methodological study was conducted with pediatric intensive care nurses between January 20 and February 20, 2025. Two hundred thirteen pediatric intensive care nurses were included in the study. The “Nurse Identification Form” and “Delirium Detection and Management Scale for Pediatric Intensive Care Nurses” were used in the study. The scale's content validity, explanatory and confirmatory factor analysis, Cronbach's alpha, item-total correlation, and split-half analysis were used in the psychometric analysis.</div></div><div><h3>Results</h3><div>Cronbach's alpha analysis, item-total score correlation methods, and explanatory and confirmatory factor analysis were used in data evaluation. The scale consists of 19 items and three sub-dimensions. In both explanatory and confirmatory factor analysis, all factor loadings were found to be more than 0.30. In the confirmatory factor analysis, all fit indices were determined to be more than 0.80, and the RMSEA value was less than 0.08. Cronbach's alpha coefficients for the entire scale and subscales were 0.93, 0.89, 0.84, and 0.82, respectively. The scale is a practical and reliable clinical tool that helps nurses obtain accurate, consistent, and meaningful patient data.</div></div><div><h3>Conclusions</h3><div>Findings indicated that the developed scale is a valid and reliable tool.</div></div><div><h3>Practice implication</h3><div>Determining the in-service training needs of pediatric intensive care nurses regarding delirium, developing their delirium-related care competencies, and increasing the quality of patient care can be achieved.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 18-26"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398228","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}
Pub Date : 2026-01-01Epub Date: 2025-11-20DOI: 10.1016/j.pedn.2025.11.025
Mona Metwally El-Sayed , Samah Mohamed Taha , Mahmoud Abdelwahab Khedr , Ayman Mohamed El-Ashry , Shaimaa Mohamed Amin , Eman Sameh Abd Elhay , Hassan Mohammed Sonbol
Background
This study investigated the moderating effect of parenting styles on the relationship between cyber-victimization and suicidal probability among adolescents.
Methods
A cross-sectional descriptive correlational survey was conducted with 1017 adolescents, utilizing the cyber-victimization scale, parental authority questionnaire, and suicide probability scale. Path analysis was employed
Results
Permissive parenting had a direct effect on suicidal probability, with an effect size of 0.239 and a critical ratio (CR 3.927, p < 0.001), suggesting that this parenting style is linked to a higher risk of suicidal ideation among adolescents. Conversely, authoritative parenting demonstrated a significant adverse effect on suicidal probability, with a direct impact of −0.316 (CR = −6.498, p < 0.001). The authoritarian parenting style also showed a significant positive effect on suicidal probability, with a direct impact of 0.424 (CR = 7.995, p < 0.001). Additionally, direct cyber victimization had a notable impact on suicidal probability, yielding a direct effect of 0.413 and an indirect effect of 0.116 (CR = 2.623, p = 0.009)
Conclusion
Permissive and authoritarian parenting styles are linked to an increased risk of suicide among adolescents. In contrast, authoritative parenting appears to offer protective benefits against the effects of cyberbullying. The younger adolescents and those living in urban areas as particularly vulnerable to online harassment, with financial difficulties and excessive internet use further complicating these challenges
Implications to practice
Promoting supportive parenting practices and creating safe online environments are essential strategies for improving adolescents' mental health and mitigating risks associated with suicide and victimization.
本研究旨在探讨父母教养方式对青少年网络受害与自杀倾向的调节作用。方法采用网络受害量表、父母权威问卷和自杀概率量表对1017名青少年进行横断面描述性相关调查。通径分析结果表明，父母管教方式对青少年自杀概率有直接影响，效应值为0.239，存在临界比（CR = 3.927, p < 0.001），表明父母管教方式与青少年自杀意念风险增加有关。相反，权威教养对自杀概率有显著的不利影响，其直接影响为- 0.316 （CR = - 6.498, p < 0.001）。专制教养方式对自杀概率也有显著的正向影响，其直接影响为0.424 （CR = 7.995, p < 0.001）。此外，网络直接伤害对青少年自杀概率有显著影响，其直接效应为0.413，间接效应为0.116 （CR = 2.623, p = 0.009）。结论纵容型和专制型父母教养方式与青少年自杀风险增加有关。相比之下，权威型父母似乎对网络欺凌的影响有保护作用。年龄较小的青少年和生活在城市地区的青少年特别容易受到网络骚扰，经济困难和过度使用互联网使这些挑战进一步复杂化。对做法的影响促进支持性养育做法和创造安全的网络环境是改善青少年心理健康和减轻与自杀和受害相关风险的重要战略。
{"title":"Cyber-victimization and suicidal probability among adolescents: The moderating role of parenting styles from a nursing perspective","authors":"Mona Metwally El-Sayed , Samah Mohamed Taha , Mahmoud Abdelwahab Khedr , Ayman Mohamed El-Ashry , Shaimaa Mohamed Amin , Eman Sameh Abd Elhay , Hassan Mohammed Sonbol","doi":"10.1016/j.pedn.2025.11.025","DOIUrl":"10.1016/j.pedn.2025.11.025","url":null,"abstract":"<div><h3>Background</h3><div>This study investigated the moderating effect of parenting styles on the relationship between cyber-victimization and suicidal probability among adolescents.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive correlational survey was conducted with 1017 adolescents, utilizing the cyber-victimization scale, parental authority questionnaire, and suicide probability scale. Path analysis was employed</div></div><div><h3>Results</h3><div>Permissive parenting had a direct effect on suicidal probability, with an effect size of 0.239 and a critical ratio (CR 3.927, <em>p</em> < 0.001), suggesting that this parenting style is linked to a higher risk of suicidal ideation among adolescents. Conversely, authoritative parenting demonstrated a significant adverse effect on suicidal probability, with a direct impact of −0.316 (CR = −6.498, p < 0.001). The authoritarian parenting style also showed a significant positive effect on suicidal probability, with a direct impact of 0.424 (CR = 7.995, p < 0.001). Additionally, direct cyber victimization had a notable impact on suicidal probability, yielding a direct effect of 0.413 and an indirect effect of 0.116 (CR = 2.623, <em>p</em> = 0.009)</div></div><div><h3>Conclusion</h3><div>Permissive and authoritarian parenting styles are linked to an increased risk of suicide among adolescents. In contrast, authoritative parenting appears to offer protective benefits against the effects of cyberbullying. The younger adolescents and those living in urban areas as particularly vulnerable to online harassment, with financial difficulties and excessive internet use further complicating these challenges</div></div><div><h3>Implications to practice</h3><div>Promoting supportive parenting practices and creating safe online environments are essential strategies for improving adolescents' mental health and mitigating risks associated with suicide and victimization.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 250-261"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569510","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}
Siblings of children with neurodevelopmental disorders (NDDs) often experience emotional neglect, caregiving burdens, and psychosocial stress, which compromise their quality of life (QoL) and increase vulnerability to long-term psychological strain.
Objective
To examine the relationship between behavioral trajectories and quality of life among siblings of children with neurodevelopmental disorders.
Methods
A descriptive correlational study design was employed with 200 parents of children diagnosis with NDDs and at least one sibling was recruited from pediatric hospitals. Data were collected using Socio-Demographic Interview Form, the Sibling Inventory of Behavior, and the Pediatric Quality of Life Inventory.
Results
Siblings of children with NDD exhibited both positive behaviors (e.g., empathy, companionship) and negative behaviors (e.g., rivalry, aggression). Positive sibling behaviors were linked to better QoL, while negative behaviors correlated with poorer functioning. Regression analysis showed that educational level of the child with NDDs and sibling behavioral trajectories predicted QoL (R2 = 0.286, p < .001). Parental education, age, and family income were also influential factors.
Conclusion
Siblings of children with neurodevelopmental disorders are vulnerable to psychological strain, with their QoL directly impacted by sibling dynamics and socio-demographic variables. While positive interactions offer some protective value, they alone cannot offset the broader burdens imposed by living in high-demand caregiving environments.
Nursing implications
Nurses and allied health professionals should adopt family-centered approaches that integrate tailored psychosocial support programs for siblings of children with NDD. Support programs should focus on resilience-building, coping strategies, and inclusive family communication to mitigate emotional strain and enhance QoL.
患有神经发育障碍（ndd）儿童的兄弟姐妹通常会经历情感忽视、照顾负担和社会心理压力，这损害了他们的生活质量（QoL），并增加了长期心理压力的脆弱性。目的探讨神经发育障碍患儿兄弟姐妹行为轨迹与生活质量的关系。方法采用描述性相关研究设计，从儿科医院招募200名诊断为ndd患儿的父母和至少一名兄弟姐妹。采用社会人口学访谈表、兄弟姐妹行为量表和儿童生活质量量表收集数据。结果NDD患儿的兄弟姐妹表现出积极行为（如共情、陪伴）和消极行为（如竞争、攻击）。积极的兄弟姐妹行为与更好的生活质量有关，而消极的行为与较差的功能有关。回归分析显示，ndd患儿的受教育程度和兄弟姐妹的行为轨迹对生活质量有预测作用（R2 = 0.286, p < 0.001）。父母受教育程度、年龄和家庭收入也是影响因素。结论神经发育障碍患儿的兄弟姐妹易发生心理应激，其生活质量直接受到兄弟姐妹动态和社会人口学变量的影响。虽然积极的互动提供了一些保护价值，但它们本身并不能抵消生活在高需求护理环境中所带来的更广泛的负担。护理意义护士和相关的卫生专业人员应采用以家庭为中心的方法，为NDD患儿的兄弟姐妹提供量身定制的社会心理支持方案。支持项目应侧重于恢复力建设、应对策略和包容性家庭沟通，以减轻情绪压力，提高生活质量。
{"title":"Living in the shadows: Correlational analysis of behavioral trajectories and quality of life among siblings of children with neurodevelopmental disorders","authors":"Nagwa Ibrahim Hamad PhD, MSN, BSc, RN , Shaimaa Mohamed Amin PhD, MSN, BSc, RN , Ayman Mohamed El-Ashry PhD, MSN, BSc, RN , Tasneem Ragab Ahmed Salama PhD, MSN, BSc, RN , Ahmed Farghaly Tawfik PhD, MSN, BSc, RN , Asmaa Morshedy El-Tonoby PhD, MSN, BSc, RN","doi":"10.1016/j.pedn.2025.11.011","DOIUrl":"10.1016/j.pedn.2025.11.011","url":null,"abstract":"<div><h3>Background</h3><div>Siblings of children with neurodevelopmental disorders (NDDs) often experience emotional neglect, caregiving burdens, and psychosocial stress, which compromise their quality of life (QoL) and increase vulnerability to long-term psychological strain.</div></div><div><h3>Objective</h3><div>To examine the relationship between behavioral trajectories and quality of life among siblings of children with neurodevelopmental disorders.</div></div><div><h3>Methods</h3><div>A descriptive correlational study design was employed with 200 parents of children diagnosis with NDDs and at least one sibling was recruited from pediatric hospitals. Data were collected using Socio-Demographic Interview Form, the Sibling Inventory of Behavior, and the Pediatric Quality of Life Inventory.</div></div><div><h3>Results</h3><div>Siblings of children with NDD exhibited both positive behaviors (e.g., empathy, companionship) and negative behaviors (e.g., rivalry, aggression). Positive sibling behaviors were linked to better QoL, while negative behaviors correlated with poorer functioning. Regression analysis showed that educational level of the child with NDDs and sibling behavioral trajectories predicted QoL (R<sup>2</sup> = 0.286, <em>p</em> < .001). Parental education, age, and family income were also influential factors.</div></div><div><h3>Conclusion</h3><div>Siblings of children with neurodevelopmental disorders are vulnerable to psychological strain, with their QoL directly impacted by sibling dynamics and socio-demographic variables. While positive interactions offer some protective value, they alone cannot offset the broader burdens imposed by living in high-demand caregiving environments.</div></div><div><h3>Nursing implications</h3><div>Nurses and allied health professionals should adopt family-centered approaches that integrate tailored psychosocial support programs for siblings of children with NDD. Support programs should focus on resilience-building, coping strategies, and inclusive family communication to mitigate emotional strain and enhance QoL.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 105-113"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520777","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}
This study aimed to assess the quality and reliability of pediatric vaccination videos on YouTube from a nursing perspective and to identify hesitancy-related cues, indicators, and deterrents present in the content.
Methods
In this cross-sectional, descriptive content analysis study, 243 English-language YouTube videos were analyzed using four keywords. Videos were evaluated with the Global Quality Scale (GQS), the Modified DISCERN tool, and the Pediatric Vaccine Hesitancy Assessment Tool for Social Media Content (PVHAT). In addition, engagement measures such as number of views, likes, video duration, and video characteristics such as source type and narrator identity were analyzed.
Results
The overall quality and reliability of the videos were moderate (mean GQS: 2.52; DISCERN: 2.83). Videos presented by healthcare professionals were of higher quality but showed lower user engagement. Videos with curiosity-driven titles, such as “What's in Vaccines?”, received more views and comments. Emotionally framed narratives were identified in 22.6 % of the videos, and expressions of distrust toward health authorities appeared in 8.2 %. Community immunity was emphasized in only 25.5 % of videos. A strong positive correlation was observed between DISCERN and GQS scores (r = 0.760, p < .001).
Conclusion
Pediatric vaccine content on YouTube often lacks high-quality, evidence-based information and frequently includes hesitancy-related signals. Public health communication should prioritize scientific accuracy while using engaging and accessible strategies, ideally through collaborations between healthcare professionals and digital content creators, to improve the reach and effectiveness of vaccination messages.
目的本研究旨在从护理角度评估YouTube上儿童疫苗接种视频的质量和可靠性，并识别内容中存在的犹豫相关线索、指标和威慑因素。方法采用4个关键词对243个YouTube英语视频进行横断面、描述性内容分析研究。使用全球质量量表（GQS）、改进的DISCERN工具和儿童社交媒体内容疫苗犹豫评估工具（PVHAT）对视频进行评估。此外，还分析了观看次数、点赞次数、视频时长等参与指标，以及视频特征（如来源类型和叙述者身份）。结果视频的整体质量和信度一般（平均GQS为2.52，分辨力为2.83）。医疗保健专业人员提供的视频质量更高，但用户参与度较低。带有好奇心驱动标题的视频，例如“疫苗有什么？”，收到更多的意见和评论。在22.6%的视频中发现了带有情感框架的叙述，8.2%的视频中出现了对卫生当局的不信任。只有25.5%的视频强调了社区免疫。在DISCERN和GQS评分之间观察到强正相关（r = 0.760, p < .001）。结论YouTube上的儿童疫苗内容往往缺乏高质量的循证信息，并且经常包含与犹豫相关的信号。公共卫生传播应优先考虑科学准确性，同时使用有吸引力和可获取的战略，理想情况下，通过卫生保健专业人员和数字内容创作者之间的合作，提高疫苗接种信息的覆盖面和有效性。
{"title":"Pediatric vaccine information on YouTube: A nursing-led content analysis of quality and vaccine hesitancy","authors":"Aylin Akca Sumengen RN, BSN, MSc, PhD , Gokce Naz Cakir RN, BSN, MSc , Kader Tekkas-Kerman RN, BSN, MSc, PhD , Remziye Semerci Sahin RN, BSN, MSc, PhD , Damla Ozcevik Subasi RN, BSN, MSc, PhD , Volkan Ayaz RN, BSN, MSc","doi":"10.1016/j.pedn.2025.11.048","DOIUrl":"10.1016/j.pedn.2025.11.048","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the quality and reliability of pediatric vaccination videos on YouTube from a nursing perspective and to identify hesitancy-related cues, indicators, and deterrents present in the content.</div></div><div><h3>Methods</h3><div>In this cross-sectional, descriptive content analysis study, 243 English-language YouTube videos were analyzed using four keywords. Videos were evaluated with the Global Quality Scale (GQS), the Modified DISCERN tool, and the Pediatric Vaccine Hesitancy Assessment Tool for Social Media Content (PVHAT). In addition, engagement measures such as number of views, likes, video duration, and video characteristics such as source type and narrator identity were analyzed.</div></div><div><h3>Results</h3><div>The overall quality and reliability of the videos were moderate (mean GQS: 2.52; DISCERN: 2.83). Videos presented by healthcare professionals were of higher quality but showed lower user engagement. Videos with curiosity-driven titles, such as “What's in Vaccines?”, received more views and comments. Emotionally framed narratives were identified in 22.6 % of the videos, and expressions of distrust toward health authorities appeared in 8.2 %. Community immunity was emphasized in only 25.5 % of videos. A strong positive correlation was observed between DISCERN and GQS scores (<em>r</em> = 0.760, <em>p</em> < .001).</div></div><div><h3>Conclusion</h3><div>Pediatric vaccine content on YouTube often lacks high-quality, evidence-based information and frequently includes hesitancy-related signals. Public health communication should prioritize scientific accuracy while using engaging and accessible strategies, ideally through collaborations between healthcare professionals and digital content creators<strong>,</strong> to improve the reach and effectiveness of vaccination messages.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 491-501"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684402","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}
Pub Date : 2026-01-01Epub Date: 2025-11-21DOI: 10.1016/j.pedn.2025.11.009
Xinyu Yao , Linlin Zhang
Background
Pediatric vascular surgery poses unique postoperative challenges, where specialized nursing care is critical for preventing complications. This study evaluated the impact of nurse-led interventions on outcomes in pediatric vascular surgery patients.
Methods
A prospective cohort study was conducted at a tertiary pediatric center (2018–2023) involving 312 patients undergoing vascular surgery. Patients were divided into standard care (n = 156) and nurse-led intervention (n = 156) groups. The intervention group received care from specialized nurses with lower nurse-to-patient ratios (NPR) (2.97:1 vs 5.03:1), enhanced monitoring, and structured early mobilization. Primary outcomes included surgical site infections (SSI), deep vein thrombosis (DVT), length of stay (LOS), and time to ambulation. Secondary outcomes were intensive care unit (ICU) days, catheter duration, and 30-day readmissions. Statistical analyses included chi-square tests, Mann-Whitney U tests, and logistic regression.
Results
The nurse-led group showed significantly lower SSI (9.6 % vs 21.5 %, p < 0.001) and DVT rates (6.4 % vs 18.1 %, p < 0.001). Time to ambulation improved (7.95 vs 15.83 h, p < 0.001), and hospital LOS shortened (5.44 vs 6.61 days, p = 0.002). Catheter duration decreased (3.00 vs 4.00 days, p < 0.01), while dressing changes increased (3.00 vs 2.00, p < 0.05). Logistic regression identified catheter days (OR 1.45, p = 0.0001) and 24-h pain scores (OR 1.64, p = 0.001) as key SSI predictors.
Conclusion
Nurse-led interventions with optimized staffing and specialized protocols significantly reduce complications in pediatric vascular surgery. These findings advocate for investment in specialized nursing programs to enhance surgical outcomes.
儿童血管手术具有独特的术后挑战，其中专业护理对预防并发症至关重要。本研究评估了护士主导的干预措施对儿童血管手术患者预后的影响。方法在某三级儿科中心（2018-2023年）对312例血管手术患者进行前瞻性队列研究。患者分为标准治疗组（n = 156）和护士主导干预组（n = 156）。干预组由专科护士护理，护患比（NPR）较低（2.97:1 vs 5.03:1），加强监测，有组织的早期动员。主要结局包括手术部位感染（SSI）、深静脉血栓形成（DVT）、住院时间（LOS）和活动时间。次要结局是重症监护病房（ICU）天数、导管持续时间和30天再入院率。统计分析包括卡方检验、Mann-Whitney U检验和逻辑回归。结果护理组SSI （9.6% vs 21.5%, p < 0.001）和DVT发生率（6.4% vs 18.1%, p < 0.001）显著降低。活动时间改善（7.95 vs 15.83 h, p < 0.001），住院LOS缩短（5.44 vs 6.61天，p = 0.002）。导管持续时间减少（3.00 vs 4.00天，p < 0.01），换药时间增加（3.00 vs 2.00, p < 0.05）。Logistic回归发现导管天数（OR 1.45, p = 0.0001）和24小时疼痛评分（OR 1.64, p = 0.001）是关键的SSI预测因子。结论以护士为主导的干预措施，优化人员配置和专业方案，可显著减少儿童血管手术并发症。这些发现提倡对专业护理项目进行投资，以提高手术效果。
{"title":"The role of pediatric nurses in managing post-vascular surgery complications in children","authors":"Xinyu Yao , Linlin Zhang","doi":"10.1016/j.pedn.2025.11.009","DOIUrl":"10.1016/j.pedn.2025.11.009","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric vascular surgery poses unique postoperative challenges, where specialized nursing care is critical for preventing complications. This study evaluated the impact of nurse-led interventions on outcomes in pediatric vascular surgery patients.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted at a tertiary pediatric center (2018–2023) involving 312 patients undergoing vascular surgery. Patients were divided into standard care (<em>n</em> = 156) and nurse-led intervention (n = 156) groups. The intervention group received care from specialized nurses with lower nurse-to-patient ratios (NPR) (2.97:1 vs 5.03:1), enhanced monitoring, and structured early mobilization. Primary outcomes included surgical site infections (SSI), deep vein thrombosis (DVT), length of stay (LOS), and time to ambulation. Secondary outcomes were intensive care unit (ICU) days, catheter duration, and 30-day readmissions. Statistical analyses included chi-square tests, Mann-Whitney <em>U</em> tests, and logistic regression.</div></div><div><h3>Results</h3><div>The nurse-led group showed significantly lower SSI (9.6 % vs 21.5 %, <em>p</em> < 0.001) and DVT rates (6.4 % vs 18.1 %, p < 0.001). Time to ambulation improved (7.95 vs 15.83 h, p < 0.001), and hospital LOS shortened (5.44 vs 6.61 days, <em>p</em> = 0.002). Catheter duration decreased (3.00 vs 4.00 days, <em>p</em> < 0.01), while dressing changes increased (3.00 vs 2.00, <em>p</em> < 0.05). Logistic regression identified catheter days (OR 1.45, <em>p</em> = 0.0001) and 24-h pain scores (OR 1.64, <em>p</em> = 0.001) as key SSI predictors.</div></div><div><h3>Conclusion</h3><div>Nurse-led interventions with optimized staffing and specialized protocols significantly reduce complications in pediatric vascular surgery. These findings advocate for investment in specialized nursing programs to enhance surgical outcomes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 291-299"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569749","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}
Pub Date : 2026-01-01Epub Date: 2025-12-03DOI: 10.1016/j.pedn.2025.11.041
Faten Mabrouk Nouh PhD , Ahmad I. Miqdadi PhD, RN , Majdi Alhadidi PhD, RN , Abdulqadir J. Nashwan , Amany Ibrahim Abdalla Ibrahim PhD , Doaa A. Zayed PhD , Jebril Al Hrinat PhD , Aseel Hendi Master , Rahma Elsayed Abdel Aziz PhD
Introduction
Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental illnesses affecting children. Sleep is essential for overall health, happiness, and daily functioning; thus it should be a top priority for people with ADHD. We aimed to examine the impact of parental sleep hygiene education to improve sleep and behavioral outcomes in children with ADHD.
Methods
This study used quasi experimental design with a pretest posttest study and control groups. The study population included 100 children. Data was collected using three instruments including: a structured interview questionnaire (socio-demographic characteristics of children's & caregivers and sleep patterns), the children's sleep habits questionnaire, and the strengths and difficulties questionnaire (SDQ).
Results
There was a significant improvement of children's sleep patterns, and sleep habits between control and experimental groups on post intervention. Additionally, ADHD-related behaviors measured by the SDQ improved significantly in the experimental group, with increased strengths and reduced behavioral difficulties.
Conclusion
Study demonstrated that parent sleep hygiene education significantly improved sleep patterns, sleep habits and ADHD-related behaviors through increased behavioral strengths and reductions in behavioral difficulties.
{"title":"Beyond bedtime: Improving sleep and behavioral functioning in children with ADHD through targeted interventions","authors":"Faten Mabrouk Nouh PhD , Ahmad I. Miqdadi PhD, RN , Majdi Alhadidi PhD, RN , Abdulqadir J. Nashwan , Amany Ibrahim Abdalla Ibrahim PhD , Doaa A. Zayed PhD , Jebril Al Hrinat PhD , Aseel Hendi Master , Rahma Elsayed Abdel Aziz PhD","doi":"10.1016/j.pedn.2025.11.041","DOIUrl":"10.1016/j.pedn.2025.11.041","url":null,"abstract":"<div><h3>Introduction</h3><div>Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental illnesses affecting children. Sleep is essential for overall health, happiness, and daily functioning; thus it should be a top priority for people with ADHD. We aimed to examine the impact of parental sleep hygiene education to improve sleep and behavioral outcomes in children with ADHD.</div></div><div><h3>Methods</h3><div>This study used quasi experimental design with a pretest posttest study and control groups. The study population included 100 children. Data was collected using three instruments including: a structured interview questionnaire (socio-demographic characteristics of children's & caregivers and sleep patterns), the children's sleep habits questionnaire, and the strengths and difficulties questionnaire (SDQ).</div></div><div><h3>Results</h3><div>There was a significant improvement of children's sleep patterns, and sleep habits between control and experimental groups on post intervention. Additionally, ADHD-related behaviors measured by the SDQ improved significantly in the experimental group, with increased strengths and reduced behavioral difficulties.</div></div><div><h3>Conclusion</h3><div>Study demonstrated that parent sleep hygiene education significantly improved sleep patterns, sleep habits and ADHD-related behaviors through increased behavioral strengths and reductions in behavioral difficulties.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 477-485"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678966","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}
Pub Date : 2026-01-01Epub Date: 2025-11-17DOI: 10.1016/j.pedn.2025.11.015
Tuğba Şahin Tokatlıoğlu , Perihan Güner
Background
Pediatric oncology/hematology nurses frequently witness the suffering and death of children, placing them at high risk for secondary traumatic stress. Self-compassion has emerged as a protective factor against psychological distress in healthcare professionals.
Methods
This descriptive correlational study included 115 nurses in pediatric oncology/hematology units at six hospitals in three major cities. Data were collected using a Personal Information Form, the Self-Compassion Scale, and the Secondary Traumatic Stress Scale. Data were analyzed using descriptive and multiple inferential statistical methods.
Results
Nurses reported moderate levels of secondary traumatic stress and self-compassion. A significant negative correlation was found between the total self-compassion scale and secondary traumatic stress scale scores (r = −0.46, indicating a moderate negative correlation, p < 0.01). Subscales of self-kindness, mindfulness, and common humanity were negatively associated with secondary traumatic stress. At the same time, self-judgment and isolation were positively correlated. Multiple regression analysis showed that self-compassion explained a significant portion of variance in secondary traumatic stress scores (R2 = 0.31, indicating that 31 % of the variance was explained, p < 0.001).
Discussion
The findings suggest that higher self-compassion, particularly self-kindness and mindfulness, may buffer nurses against the adverse effects of secondary trauma. Conversely, self-critical attitudes may heighten vulnerability. These results highlight pediatric oncology nurses' emotional burden and underscore the importance of psychological support.
Conclusion
Promoting self-compassion may help reduce secondary traumatic stress and improve well-being among pediatric oncology/hematology nurses. Interventions focused on self-compassion training could serve as a sustainable strategy to support nurses' mental health and care quality.
{"title":"Self-compassion and secondary traumatic stress in pediatric oncology/hematology nurses","authors":"Tuğba Şahin Tokatlıoğlu , Perihan Güner","doi":"10.1016/j.pedn.2025.11.015","DOIUrl":"10.1016/j.pedn.2025.11.015","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric oncology/hematology nurses frequently witness the suffering and death of children, placing them at high risk for secondary traumatic stress. Self-compassion has emerged as a protective factor against psychological distress in healthcare professionals.</div></div><div><h3>Methods</h3><div>This descriptive correlational study included 115 nurses in pediatric oncology/hematology units at six hospitals in three major cities. Data were collected using a Personal Information Form, the Self-Compassion Scale, and the Secondary Traumatic Stress Scale. Data were analyzed using descriptive and multiple inferential statistical methods.</div></div><div><h3>Results</h3><div>Nurses reported moderate levels of secondary traumatic stress and self-compassion. A significant negative correlation was found between the total self-compassion scale and secondary traumatic stress scale scores (<em>r</em> = −0.46, indicating a moderate negative correlation, <em>p</em> < 0.01). Subscales of self-kindness, mindfulness, and common humanity were negatively associated with secondary traumatic stress. At the same time, self-judgment and isolation were positively correlated. Multiple regression analysis showed that self-compassion explained a significant portion of variance in secondary traumatic stress scores (R<sup>2</sup> = 0.31, indicating that 31 % of the variance was explained, <em>p</em> < 0.001).</div></div><div><h3>Discussion</h3><div>The findings suggest that higher self-compassion, particularly self-kindness and mindfulness, may buffer nurses against the adverse effects of secondary trauma. Conversely, self-critical attitudes may heighten vulnerability. These results highlight pediatric oncology nurses' emotional burden and underscore the importance of psychological support.</div></div><div><h3>Conclusion</h3><div>Promoting self-compassion may help reduce secondary traumatic stress and improve well-being among pediatric oncology/hematology nurses. Interventions focused on self-compassion training could serve as a sustainable strategy to support nurses' mental health and care quality.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 191-198"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551386","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}
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