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

Purpose: Period poverty is an important public health problem that negatively affects genital hygiene behaviors. This study was conducted to examine period poverty and genital hygiene behaviors in adolescents.

Design and methods: This cross-sectional study was conducted with 397 adolescents between May 1, 2023 and November 30, 2023 by using a "Personal Information Form," a " Menstrual Cycle Characteristics Form," a "Period Poverty Characteristics Form," and the "Genital Hygiene Behavior Scale." The data were analyzed using SPSS 27.0 program and according to the results of descriptive statistical methods and normality analysis, t-test, Mann Whitney U test and Kruskal Wallis H test analysis were used in independent groups.

Results: The total mean Adolescents' Genital Hygiene Behavior Scale score was 86.58 ± 10.03. The genital hygiene behavior scale score was low in adolescents who had financial difficulties purchasing hygiene products, whose frequency of changing hygiene products was negatively affected by economic reasons, who were worried about running out of hygiene products during the last period, and who thought that menstrual education was inadequate (p < 0.001).

Conclusion: Our results indicated that period poverty in adolescents negatively affected their genital hygiene behaviors.

Practical implications: It is recommended that adolescents be addressed within the scope of social policies for better access to affordable menstrual products.

Purpose: The purpose of this feasibility study was to determine the effectiveness of an interprofessional led low-fidelity simulation program over three timepoints on maternal caregivers' perceived stress, sense of competence and discharge readiness for care of critical congenital heart disease (CCHD) infants requiring neonatal cardiac surgery.

Design and methods: The Perceived Stress Scale (PSS) was administered to simulation and non-intervention groups at three timepoints: prenatal period, Cardiac Acute Care Unit (CACU) transfer, and rooming-in. Parental Sense of Competence (PSOC) was measured at timepoint two and three, and Readiness for Hospital Discharge (RDHS) was measured at timepoint three for the simulation group. A linear mixed model was used to examine PSS and PSOC scores over time.

Results: Of the thirty-three maternal caregivers, twelve were in the simulation group and twenty-one were in the non-intervention group. In the simulation group, the odds of having moderate-high stress were significantly lower at rooming-in compared to the prenatal period. From timepoint two to rooming-in, there was a positive change in PSOC scores. RDHS scores represented good readiness for discharge.

Conclusion: Findings suggest that simulation may improve maternal caregiver stress from prenatal CCHD diagnosis to discharge home after cardiac surgery. Future work should include random treatment assignment to assess causal relationships.

Practice implications: Infants with CCHD require extensive postoperative recovery and specialized home care. Maternal caregivers of critically ill CCHD neonates are at increased risk for stress. Results from this study suggest engagement with nurses and interdisciplinary team during the prenatal period may reduce caregiver stress.

Purpose: The process of caregivers learning to implement clean intermittent catheterization (CIC) affects both children and caregivers negatively. The aim of this study was to examine the experiences of caregivers performing CIC on their children with spina bifida (SB).

Design and methods: This study was conducted with a qualitative design between June 5 and September 25, 2022, with the caregivers of 17 children. The data were collected using a semi-structured questionnaire and analyzed using a thematic analysis technique. The COREQ guidelines were followed in the study.

Results: The data were grouped under fourteen sub-themes: "not knowing CIC, having knowledge about CIC, positive and supportive, negative and compelling, family support, health personnel support, loneliness, sharing responsibility, taking on the role of caregiver, satisfaction, sadness, indecisiveness, limitation of social life, change in social life routine". Caregivers had both positive and negative experiences in this period.

Conclusion: Caregivers face various challenges during the implementation of CIC for children with SB. The results reveal the importance of identifying the performance of caregivers. Nurses who are aware of the difficulties faced by caregivers in this period can be actively involved in personalized care-oriented health education, counseling, and support for caregivers.

Implications for clinical practice: Failure to provide adequate support to caregivers during the CIC application process causes both children and caregivers to be negatively affected in this process. For this reason, protocols or guidelines should be created by nurses in order to reduce the negative experiences of caregivers who apply CIC to their children.