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

Purpose: This study aims to determine the perceptions of children with hospital experience about pediatric nurses.

Design: A descriptive qualitative design guided by a phenomenological approach was used.

Settings: A purposive sampling technique was used to recruit 17 children aged 7-18 who had experienced hospitalization in pediatric clinics.

Methods: The study employed rigorous research methods, including semi-structured interviews and thematic analyses, to ensure the validity and reliability of the findings. Data were analyzed using the MAXQDA20 program, resulting in the identification of 322 codes. Five themes and 16 sub-themes were created from the obtained codes, providing a comprehensive understanding of the children's perceptions. The COREQ checklist was followed in this study.

Results: Five themes were created: the image of the pediatric nurse in children's minds, children's expectations from pediatric nurses, the characteristics of the pediatric nurse, children's perception of whether nurses care about or do not care about them, the topics nurses talk about with children.

Conclusions: Pediatric nurses have positive and negative images of children, children have child-specific expectations from pediatric nurses, such as playing and chatting. Some nurses' attitudes and behaviors create the perception that children care about or do not care about them.

Practice implications: This study's findings have a practical impact on pediatric nursing. In addition to their treatment and care practices, nurses can communicate more with children, spend more time with them, play more games with them. This way, the needs and expectations specific to children's age periods are met, leading to improved patient outcomes.

Objective: The purpose of this rapid review was to explore the evidence on the relationship between parenting practices and childhood obesity.

Data sources: Electronic resource databases used were PubMed and CINAHL. Peer-reviewed articles published during 2018 to 2024 were considered.

Article selection: Nine articles met the criteria and included data for a total of 7224 participants.

Data extraction: Data were extracted from each study using the subheadings: Author/Date, Purpose, Study Design, Sample, Methods, Tools, Findings, and Evaluation. Additionally, the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) was used to guide data extraction.

Data synthesis: Common themes were identified among each article that supported the purpose of this rapid review, such as specific parenting styles, culture, home environment, parental role modeling, and infant feeding practices.

Conclusion: The available evidence supports the notion that parental practices involving parenting styles, culture, home environment, role modeling, and early feeding patterns influence childhood obesity risk. However, there remains a paucity of evidence examining this topic.

Practice implications: School nurses, pediatric nurses, and nurse practitioners play a critical role in preventing and managing childhood obesity by assessing and educating families on key factors related to childhood obesity, such as nutrition, physical activity, and parenting practices.

Purpose: This study examined the relationship between parental perceptions of child vulnerability and quality of life (QOL) in children aged 5-7 years diagnosed with cancer. Specifically, it investigates how parental perceptions influence children's QOL and provides insights into psychosocial support strategies for families facing this challenge.

Design and methods: This descriptive and correlational study involved children aged 5 to 7 years diagnosed with cancer, along with their parents. A total of 117 children and their parents participated. Data were collected using the Sociodemographic and Clinical Characteristics Form, the Child Vulnerability Scale (CVS), and the Pediatric Quality of Life Inventory (PedsQL). Both the parent and child forms of the PedsQL were used. Statistical analyses included t-tests, correlation, and regression analyses.

Results: The results indicate that a significant proportion of parents (69.2 %) perceive their children as vulnerable, negatively affecting their children's QOL. The Child Vulnerability Scale showed a negative correlation with several QOL subdimensions, including pain, nausea, procedural anxiety, worry, cognitive problems, and communication. Parental perceptions of vulnerability were associated with lower QOL scores on both the parent and child forms of the PedsQL. Notably, child perceptions of vulnerability explained only 22.2 % of the variance in QOL.

Conclusions: This study highlights the critical role of parental perceptions in shaping the QOL of children with cancer. Managing and supporting parents' perceptions is essential to improving children's QOL and the effectiveness of healthcare services.

Practice implications: This study has significant implications for nursing practice, emphasizing the importance of guiding and supporting parents to optimize their children's QOL. Furthermore, it sheds light on the tendency of parents of chronically ill children to perceive them as vulnerable, providing valuable insights for more sensitive and effective care. However, the study's limitations suggest the need for more extensive research with larger and more diverse sample groups, which could significantly advance nursing practice.

Aim: To evaluate child-nurse emotional communication during needle procedures using a child-centered intervention versus a control group.

Methods: A controlled, video-observational study, incorporating 66 children and seven nurses was conducted. Data were collected using video-recordings of child-nurse communication during needle procedures when receiving standard care (control group) or standard care plus the i Can Choose intervention (intervention group).

Findings: Children expressed their unpleasant emotions mostly non-verbally. Compared to children in the intervention group, those in the control group more often expressed vague or unspecified words to describe an emotion (χ²(1) = 14.4, p < 0.001). The nurses' focus and overall communication style varied between the groups. When using i Can Choose, nurses provided more space to children's communication preferences. This seemed to increase children's involvement during the needle procedure.

Conclusion: Communicating with the child, the so-called communicative interaction, instead of to the child, can play a critical role in children's handling of fear and pain related to needle procedures.

Introduction: The aim of the study is to determine the effect of social support provided to children living in poverty aged 8-12 on their emotional states and levels of hope.

Methods: This quasi-experimental study compares data obtained from the children in the "first encounter", "first month" and "third month". Data were collected in person through the "Introductory Information Form", "Multidimensional Scale of Perceived Social Support", "Children's Emotion Regulation Scale" and "Children's Hope Scale". p < 0.05 was considered statistically significant.

Results: Statistically, the comparison of the total mean scores of the children on the "Multidimensional Scale of Perceived Social Support" was highly significant (p ≤0.001). The comparison of the total mean scores of the "Children's Emotion Regulation Scale" was statistically significant (p ≤0.021). The comparison of the total average scores of the children's "Child Hope Scale" was statistically highly significant (p ≤0.001). A positive relationship was found between the children's hope levels and emotional states and the average scores obtained in the 3rd month (p = 0.044).

Conclusion: The children's average scores on the scales increased after the first encounter. Providing social support positively affected children living in poverty.

Implications to practice: Implications to practice: Providing social support to children in poverty positively impacts their emotional states and hope levels, emphasizing the crucial role of healthcare professionals, particularly pediatric nurses, in addressing the needs of vulnerable populations. These findings align with global health goals, such as "No Poverty" and "Good Health and Well-Being."

Background: Emotional eating behavior may cause adolescents to become overweight and obese. There is limited evidence that emotional eating has an impact on obesity. This study aims to synthesize and analyze the effect of emotional eating in adolescents on obesity.

Methods: In this systematic review and meta-analysis study, six electronic databases, namely EBSCO, Web of Science, Pubmed, MEDLINE, ScienceDirect, and Scopus, were examined. The methodological quality of the included studies was assessed using the critical appraisal checklists developed by the JBI. The systematic review and meta-analysis used in this study were planned and conducted in accordance with PRISMA guidelines. Heterogeneity was determined using Cochran Q and I² tests. Publication bias was evaluated using a funnel plot, Rosenthal fail-safe number, the Egger regression test, and the Begg and Mazumdar rank correlation analyses. The effect size was estimated at a confidence interval of 95 %.

Results: Sixteen studies were included in this systematic review, and they were all subjected to a meta-analysis. According to the results of the meta-analysis, emotional eating in adolescents had a positive and medium effect size and a significant effect on obesity (Hedge's g = 0.473, Q = 280.943, I² = 94.661 %, p < 0.05). As a result of the publication bias test, according to the funnel plot and Egger regression analysis (p = 0.002), it was determined that there was publication bias (p < 0.05). According to the Rosenthal fail-safe number and Begg and Mazumdar rank correlation analysis (p = 0.207), it was determined that there was no publication bias (p > 0.05).

Conclusion: The findings from this study indicated that emotional eating affected obesity in adolescents.

Implications for practice: The meta-analysis revealed that emotional eating seen in adolescents affected obesity. A comprehensive understanding of the effect of emotional eating on obesity is fundamental to improve nursing practices. Reducing eating behavior during emotional states, such as stress, anger, and tension, may prevent the development of obesity or contribute to weight loss by keeping emotions under control during the treatment phase of obesity.