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

Background: The American Academy of Pediatrics recommends screening children for social determinants of health (SDOH).

Purpose: This study aimed to develop a valid and reliable tool for screening SDOH in children and adolescents aged 0-18 through their parents.

Design and methods: This methodological research was conducted with parents of 748 children admitted to a hospital in Turkey. An item pool was created from a literature review and interviews with 30 healthcare professionals. The scale's validity and reliability were tested through pilot and main applications.

Results: The scale, with 33 items across five factors, explained 57.256 % of total variability. Confirmatory factor analysis showed significant model fit (RMSEA = 0.052, χ2/df = 2.013). Cronbach's Alpha ranged from 0.646 to 0.909 for sub-dimensions, and 0.886 overall.

Conclusion: The scale is a valid and reliable tool for screening SDOH in children and adolescents through their parents and can be used in academic research and clinical practice.

Practice implications: The scale provides healthcare professionals with a practical tool for assessing social determinants of health in pediatric populations, facilitating early identification and intervention in both clinical settings and research applications.

Objective: This study aimed to evaluate the impact of structured Family-Centered Care training on pediatric nurses' attitudes toward Family-Centered Care.

Methods: This quasi-experimental study utilized a pretest-posttest control group design with 140 pediatric nurses (70 intervention, 70 control). Conducted in public hospitals from March to August 2024, the intervention group received a four-week Family-Centered Care training. The Family-Centered Care Attitude Scale was used to measure attitudes, and data collection included a demographic data form administered both before the training and six weeks after its completion. Statistical analysis included t-tests and chi-square tests.

Results: Nurses in the intervention group showed significant improvement in their attitudes toward Family-Centered Care after training, with higher posttest scores compared to the control group (P < 0.05). The control group showed no significant changes between pretest and posttest scores. These findings confirmed the hypothesis that Family-Centered Care training positively influences pediatric nurses' attitudes.

Conclusions: Structured Family-Centered Care training significantly improved pediatric nurses' attitudes toward Family-Centered Care, emphasizing the importance of innovative educational methods in promoting Family-Centered Care adoption in pediatric nursing.

Implications for practice: Incorporating regular Family-Centered Care training into pediatric nursing practices can foster more Family-Centered Care approaches, improve patient and family satisfaction, and promote nurses' professional growth, ultimately enhancing the overall quality of care in pediatric settings.

Introduction: Trauma-Informed Care (TIC) is a critical approach in pediatric nursing, addressing the unique challenges and high trauma susceptibility in children. Including TIC in nursing education aims to equip students with the necessary skills for empathetic and efficient care, enhancing patient outcomes and professional competence. This study investigates the perspectives of undergraduate pediatric nursing students on TIC.

Methods: In February 2024, a cross-sectional study was launched after the pediatric nursing course. It targeted third-year students via an online survey. Out of 325 invited, 261 participated. The TIC Provider Survey v2.0 and the Students' Profile Form were used for data collection.

Results: Of the 261 pediatric nursing students, 71.6 % were female, and 70.5 % were over 22. About 62.8 % had previous trauma care education. The study found moderately high mean scores in different sub-items of TIC knowledge (Mean ± SD = 40.26 ± 7.401), moderate self-rated competence (Mean ± SD = 17.57 ± 4.809) in TIC practices, and high favorable opinions (Mean ± SD = 22.23 ± 4.015) towards TIC. It emphasized the combined impact of classroom learning and clinical practice on understanding and applying TIC principles.

Conclusion: This study emphasizes the need for TIC in pediatric nursing curricula to enhance students' skills and confidence. It suggests that targeted educational interventions can improve holistic care for trauma-affected patients. The research advocates continuous training to bolster TIC competencies, benefiting children and families. It calls for future research with larger samples and qualitative analysis to further understand TIC in nursing education.

Purpose: To evaluate the effect of instructional therapeutic play on acceptance of nasal lavage in children hospitalized for respiratory conditions.

Design and methods: This quasi-experimental study was conducted at a teaching hospital. For the therapeutic play session, disposable gloves filled with compressed air and designed to resemble a human face, syringes, and saline solution ampoules were used. Children's acceptance behaviors were assessed before, immediately after, and 6 h after the therapeutic play session. The data were subjected to descriptive and inferential statistical analyses.

Results: Children (N = 42) aged 3-6 years, 50 % female, with a hospitalization duration of 0.2-9 days, showed increased acceptance of nasal lavage (p = 0.01), with the child self-administering the saline solution (p = 0.01), and with reduction of all resistance behaviors to nasal lavage (p < 0.05).

Conclusions: Instructional therapeutic play was effective as an educational intervention for the acceptance of nasal lavage in hospitalized children.

Practice implications: This study demonstrates the potential of using instructional therapeutic play, innovating the field of pediatric nursing, and expanding the international knowledge frontier of this subject. In the future, there is a need for clinical trials with control groups, larger and more heterogeneous samples, and implementation studies.

Background: Venipuncture is a commonly performed but distressing procedure for children, often leading to significant pain and anxiety. This study aimed to evaluate the effect of Pranic Healing, based on Rogers' Therapeutic Touch Nursing Theory, on the cardiorespiratory indices and pain associated with venipuncture in children.

Methods: This double-blind, randomized clinical trial was conducted on a cohort of 46 school-aged children, selected via convenience sampling, at a hospital in Northern Cyprus. Participants were randomly allocated into the experimental group (n = 23) and the control group (n = 23). The experimental group received Pranic Healing. The Pranic Healing protocol was administered for 5 min before, during, and after venipuncture, while the control group received standard care. Pain levels were assessed using the Wong-Baker Facial Pain Scale, and physiological parameters including heart rate, respiratory rate, and oxygen saturation were measured at three specific time points. Data analysis was performed using SPSS version 25.0, employing independent t-tests, chi-square tests, and repeated measures ANOVA to assess differences between groups, with a significance level set at P < 0.05.

Results: The study revealed a significant reduction in pain scores (P < 0.001) and improved cardiorespiratory indices, including heart rate (P = 0.004), respiratory rate (P = 0.001), and oxygen saturation (P = 0.005) in the intervention group compared to the control group. These findings suggest that Pranic Healing is effective in reducing pain and stabilizing physiological responses during venipuncture in children.

Conclusions: Pranic Healing, based on Rogers' Therapeutic Touch Nursing Theory, may serve as an effective, non-invasive method for managing pain and promoting physiological stability during painful medical procedures like venipuncture in children.

Application to practice: Pranic Healing could be a valuable addition to pediatric care protocols, particularly for procedures that induce pain and discomfort.

Background: The lifelong and intensive treatment and care process of Spinal Muscular Atrophy may cause a decrease in the life quality of the child and the parents. This study aims to examine the emotions of parents who have a child with Spinal Muscular Atrophy within the framework of a phenomenological design.

Methods: This study was conducted with a phenomenological design. The study was carried out between August 2022 and April 2024 with the parents of children treated for Spinal Muscular Atrophy in the pediatric ward of a university hospital. Using a purposive sampling method, 11 parents were involved in interviews. A semi-structured questionnaire was employed during the interviews, and all the interviews were audio recorded. The data analysis done by applying the inductive thematic analysis method. The study was carried out according to the COREQ checklist.

Findings: It was found that 54.54 % of the children who participated in the study were diagnosed with Spinal Muscular Atrophy between the ages of 0 and 1 year, 72.72 % between 0 and 6 months, and 54.54 % were Spinal Muscular Atrophy TYPE 1 patients. As a result of thematic analysis method, five main and ten sub-themes had emerged. These are; (1) helplessness (helplessness of having to accept, helplessness of not being able to spare time), (2) being upset (being upset about the symptoms of the disease, feeling misunderstood, sadness about their healthy children), (3) stress (stress due to the intensive and exhausting treatment and care process, stress due to the economic situation), (4) fear (fear of death, fear of future pregnancies), (5) unhappiness (being unhappy with the changing living conditions).

Discussion: It was observed that parents who have a child with Spinal Muscular Atrophy experience emotional challenges.

Application to practice: Gaining insights into the perspectives of parents can enable healthcare professionals to better understand the negative emotional experiences of parents caring for children with Spinal Muscular Atrophy. Such understanding may guide the development of targeted strategies to provide comprehensive psychological support aimed at improving parental mental health outcomes. Increasing awareness among healthcare professionals and the broader society fosters a more informed and empathetic approach to addressing the challenges faced by children with Spinal Muscular Atrophy and their families, enhancing the quality of care and support provided.

Purpose: To explore the constructs of family-centered care (FCC) from the perspectives of nurses, doctors, and families in the intensive care units (ICU) and to develop FCC guidelines for ICUs.

Design: A constructivist grounded theory (CGT) design was employed.

Methods: We conducted 12 individual interviews and triangulated the data with 12 focus group discussions (FGDs) using an interview guide from February to December 2020. The interviews and the FGDs were conducted face-to-face. Data was analyzed using CGT analysis. The data analysis was assisted by MAXQDA version 2020 plus. The study was guided by the 32-COREQ checklist.

Results: The participants (72) were nurses (n = 28), doctors (n = 8), and family (n = 36). Four themes were generated: respect, family support, participation, and collaboration. Each theme had subthemes to illuminate the participants' perspectives of the FCC constructs.

Conclusion: This study revealed that nurses and doctors had positive perspectives of FCC in the ICU and are willing to accept and implement it into standard ICU practice. Four main constructs of FCC emerged from this CGT study: respect, family support, participation, and collaboration and were used to develop a conceptual guideline.

Practice implication: FCC implementation in the ICU may be facilitated by designing family-inclusive ICUs with spacious subunits, kangaroo rooms, family areas, provision of counselling, as well as adopting regular and effective communication guidelines, and adequate staff training. Conceptual guidelines for FCC have been developed to promote FCC in standard ICU practice.

Purpose: Cultural influences on parental perceptions of their children's cancer effect familial coping and adjustment. We investigated parental perceptions of their child's illness severity and treatment among Jewish Israeli and Arab (Palestinian Israelis and Palestinians from the West Bank /Gaza) parents of pediatric oncology patients to better understand possible cultural differences and similarities.

Methods: During this mixed-methods cross sectional study, the Brief Illness Perception Questionnaire was completed by 205 parents of children receiving treatment in four medical centers throughout Israel.

Results: Jewish parents perceived the hospital treatment to be more effective. Arab parents perceived that cancer has a greater negative emotional influence on them as compared to Jewish parents. Further, Jewish parents felt that their child's illness had greater impact on their lives compared to Arab parents. Finally, Arab parents felt they had greater control of the illness and better understanding of the illness. When asked what they believed had 'caused' their children's cancer, both groups expressed, spiritual-religious, child's immunity status and environmental causes, yet Arab parents mentioned unhealthy food, superstitions and Supernatural (the evil eye) causes more frequently.

Conclusions: Understanding how culture influences parental illness perceptions can assist pediatric oncology nurses and social workers to offer more effective treatment management.

Implications for nursing practice: These results highlight the need to extend cultural competence to incorporate illness perception among different ethnic and religious groups being treated in a pediatric oncology department.

Objective: This study aimed to investigate the factors influencing suicidal ideation among female adolescents with smoking experience.

Material and methods: A secondary analysis was conducted using national survey data collected in Korea in 2023, involving 1880 female adolescents with smoking experience. Complex sample logistic regression analysis was used to evaluate the influencing factors.

Results: The factors significantly associated with suicidal ideation among female adolescents included depressive symptoms, generalized anxiety disorder (GAD), loneliness, stress, and habitual and intentional drug use.

Conclusion: This study is the only research that examines the factors influencing suicidal ideation among female adolescents with smoking experience, providing valuable insights for suicide prevention efforts targeting this population.

Implications for practice: Nurses should regularly monitor the mental health status of female adolescents with smoking experience and recognize that proper education on medication use is a crucial strategy for preventing suicide, aiming to reduce suicidal ideation in this population.

Objective: This study aimed to investigate the relationship between adolescents' digital addiction levels and their social anxiety, trait anger and anger expression styles.

Method: The study was devised as a descriptive and correlational research study. The sample consisted of 958 adolescents in Konya, Turkey. The data were collected via Personal Information Form, Digital Addiction Scale for Children, Social Anxiety Scale for Adolescents, and Trait Anger and Anger Expression Style Scale.

Results: The total mean score of digital addiction in adolescents was found as 56.74 ± 19.02. A significant relationship was found between digital addiction, and trait anger, anger out, anger in, anger control and social anxiety levels (p < 0.01). Grade, mother's educational and employment status, trait anger, anger out, anger in, anger control, and social anxiety explain 69.3 % of the variation on digital addiction levels.

Conclusion: As digital addiction levels increase, social anxiety, trait anger, anger in, and anger out levels also increase. However, the level of anger control decreases as digital addiction levels rise. These variables are predictors of digital addiction levels.

Implications for nursing practice: To protect and improve adolescent health concerning biopsychosocial aspects, comprehensive educational programs and seminars about digital addiction should be organized for families and adolescents by nurses in collaboration with educational institutions. To assist adolescents in managing negative emotions such as social anxiety and anger more effectively, nurses should encourage the engagement in a variety of activities and hobbies in educational and extracurricular social settings in addition to developing and implementing relevant psychoeducational programs.