This study examined the mediating role of perceived maternal parenting self-efficacy in the relationship between digital health literacy and fever management in children.
Methods
A cross-sectional design was employed with 408 mothers of children aged 0–6 years in Eastern Turkey. Data collection was conducted through face-to-face interviews in a pediatric outpatient clinic using three validated scales: Digital Health Literacy Scale, Perceived Maternal Parenting Self-Efficacy Questionnaire, and Parent Fever Management Scale. Structural Equation Modeling with maximum likelihood estimation tested the hypothesized mediation model. Model fit was evaluated using multiple indices (χ2/df = 4.060, CFI = 0.911, RMSEA = 0.075), and bootstrapping with 5000 resamples assessed indirect effects.
Results
Digital health literacy demonstrated significant positive associations with both fever management (β = 0.284, p = 0.001) and perceived maternal self-efficacy (β = 0.370, p < 0.001). Perceived maternal self-efficacy was a strong predictor of fever management (β = 0.233, p < 0.001). The mediation analysis revealed a significant indirect effect (β = 0.087, 95 % CI [0.043, 0.136], p < 0.001), confirming partial mediation.
Conclusions
These findings highlight that digital health literacy influences fever management through dual pathways: directly, and indirectly through its effect on maternal self-efficacy. Healthcare interventions should integrate components that enhance both digital literacy and parenting confidence to optimize child health outcomes.
Practical implications
Pediatric nursing practice should incorporate assessments of digital health literacy and implement evidence-based strategies to build maternal competence, ultimately bridging the gap between health knowledge and practice in fever management.
{"title":"The effect of mothers' digital health literacy on fever management: The mediating role of perceived maternal self-efficacy","authors":"Fatoş Uncu PhD, RN , Hasan Evcimen PhD, RN , Elanur Bulut MSc, RN","doi":"10.1016/j.pedn.2026.01.004","DOIUrl":"10.1016/j.pedn.2026.01.004","url":null,"abstract":"<div><h3>Aim</h3><div>This study examined the mediating role of perceived maternal parenting self-efficacy in the relationship between digital health literacy and fever management in children.</div></div><div><h3>Methods</h3><div>A cross-sectional design was employed with 408 mothers of children aged 0–6 years in Eastern Turkey. Data collection was conducted through face-to-face interviews in a pediatric outpatient clinic using three validated scales: Digital Health Literacy Scale, Perceived Maternal Parenting Self-Efficacy Questionnaire, and Parent Fever Management Scale. Structural Equation Modeling with maximum likelihood estimation tested the hypothesized mediation model. Model fit was evaluated using multiple indices (χ<sup>2</sup>/df = 4.060, CFI = 0.911, RMSEA = 0.075), and bootstrapping with 5000 resamples assessed indirect effects.</div></div><div><h3>Results</h3><div>Digital health literacy demonstrated significant positive associations with both fever management (β = 0.284, <em>p</em> = 0.001) and perceived maternal self-efficacy (β = 0.370, <em>p</em> < 0.001). Perceived maternal self-efficacy was a strong predictor of fever management (β = 0.233, p < 0.001). The mediation analysis revealed a significant indirect effect (β = 0.087, 95 % CI [0.043, 0.136], p < 0.001), confirming partial mediation.</div></div><div><h3>Conclusions</h3><div>These findings highlight that digital health literacy influences fever management through dual pathways: directly, and indirectly through its effect on maternal self-efficacy. Healthcare interventions should integrate components that enhance both digital literacy and parenting confidence to optimize child health outcomes.</div></div><div><h3>Practical implications</h3><div>Pediatric nursing practice should incorporate assessments of digital health literacy and implement evidence-based strategies to build maternal competence, ultimately bridging the gap between health knowledge and practice in fever management.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 58-65"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935750","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 : 2026-03-01Epub Date: 2026-01-06DOI: 10.1016/j.pedn.2025.12.031
Hilal Kurt Sezer Ph.D., RN , Funda Gurbuz M.Sc., RN
Aim
Pediatric nurses play a crucial role in promoting fathers' active involvement in managing pediatric fever by enhancing their health literacy behaviors. This study aimed to examine the relationship between fathers' e-health literacy levels and pediatric fever management.
Methods
This cross-sectional study was conducted with 155 fathers between February and April 2025. Data were collected using the Demographic Information Form, Parent Fever Management Scale, and E-Health Literacy Scale. Descriptive statistics (frequency, percentage, mean, and standard deviation), independent samples t-test, one-way analysis of variance, multivariate regression analysis, and correlation analysis were used for data collection. Statistical significance was set at p < 0.05.
Results
Fathers' mean scores were 30.32 ± 8.19 on the E-Health Literacy Scale and 33.78 ± 5.42 on the Parent Fever Management Scale. A statistically significant positive relationship was found between fathers' e-health literacy and fever management (p < 0.05). The variables related to fathers explained 25 % of the variance in e-health literacy and 42 % of the variance in fever management.
Conclusion
The study identified a significant relationship between e-health literacy and fever management. Raising fathers' awareness of accessing reliable health information sources and providing educational support can enhance both e-health literacy and fever management practices.
Practical implications
Considering the positive relationship between fathers' e-health literacy and fever management, pediatric nurses have a key responsibility to support fathers through training programs that enable them to obtain accurate and adequate information regarding fever management.
{"title":"The relationship between fathers' e-health literacy levels and pediatric fever management: A cross sectional study","authors":"Hilal Kurt Sezer Ph.D., RN , Funda Gurbuz M.Sc., RN","doi":"10.1016/j.pedn.2025.12.031","DOIUrl":"10.1016/j.pedn.2025.12.031","url":null,"abstract":"<div><h3>Aim</h3><div>Pediatric nurses play a crucial role in promoting fathers' active involvement in managing pediatric fever by enhancing their health literacy behaviors. This study aimed to examine the relationship between fathers' e-health literacy levels and pediatric fever management.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted with 155 fathers between February and April 2025. Data were collected using the Demographic Information Form, Parent Fever Management Scale, and <em>E</em>-Health Literacy Scale. Descriptive statistics (frequency, percentage, mean, and standard deviation), independent samples <em>t</em>-test, one-way analysis of variance, multivariate regression analysis, and correlation analysis were used for data collection. Statistical significance was set at <em>p</em> < 0.05.</div></div><div><h3>Results</h3><div>Fathers' mean scores were 30.32 ± 8.19 on the <em>E</em>-Health Literacy Scale and 33.78 ± 5.42 on the Parent Fever Management Scale. A statistically significant positive relationship was found between fathers' e-health literacy and fever management (<em>p</em> < 0.05). The variables related to fathers explained 25 % of the variance in e-health literacy and 42 % of the variance in fever management.</div></div><div><h3>Conclusion</h3><div>The study identified a significant relationship between e-health literacy and fever management. Raising fathers' awareness of accessing reliable health information sources and providing educational support can enhance both e-health literacy and fever management practices.</div></div><div><h3>Practical implications</h3><div>Considering the positive relationship between fathers' e-health literacy and fever management, pediatric nurses have a key responsibility to support fathers through training programs that enable them to obtain accurate and adequate information regarding fever management.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 43-49"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919025","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 : 2026-03-01Epub Date: 2026-02-03DOI: 10.1016/j.pedn.2026.01.040
Ridvan Akdogan Ph.D , Mehmet Emin Düken Ph.D
Background
Childhood type 1 diabetes poses substantial challenges for disease management and psychosocial well-being. Caregivers play a central role in diabetes care, and their psychological distress and caregiving burden may negatively influence children's mental health and illness-related outcomes. This study aimed to examine the associations between caregivers' psychological well-being and caregiving burden and the mental health and illness attitudes of children with type 1 diabetes.
Methods
This cross-sectional study included 129 child–caregiver dyads (caregivers were all mothers) of children aged 10–18 years with type 1 diabetes who were followed at a pediatric endocrinology outpatient clinic in Turkey. Data were collected using validated questionnaires and analyzed using structural equation modeling.
Results
Caregivers' depression, anxiety, stress, and caregiving burden were significantly associated with children's emotional, behavioral, and social difficulties (r = 0.51–0.77, p < 0.001). Structural equation modeling supported a sequential pathway in which caregiving burden predicted parental psychological distress, which in turn influenced children's illness attitudes and psychosocial outcomes (β = 0.52–0.66, p < 0.001).
Conclusion
Caregiver mental health plays a critical role in children's illness perception and psychosocial adjustment. Supporting caregivers may indirectly improve coping and psychosocial well-being in children with type 1 diabetes.
Practice implications
Pediatric and family nurses should incorporate caregiver psychological assessment and support into diabetes management. Family-centered interventions addressing caregiver distress and burden may enhance children's coping capacity, illness attitudes, and psychosocial well-being.
{"title":"Impact of caregivers' psychological well-being on mental health and disease management in children with type 1 diabetes: A cross-sectional study using structural equation modeling","authors":"Ridvan Akdogan Ph.D , Mehmet Emin Düken Ph.D","doi":"10.1016/j.pedn.2026.01.040","DOIUrl":"10.1016/j.pedn.2026.01.040","url":null,"abstract":"<div><h3>Background</h3><div>Childhood type 1 diabetes poses substantial challenges for disease management and psychosocial well-being. Caregivers play a central role in diabetes care, and their psychological distress and caregiving burden may negatively influence children's mental health and illness-related outcomes. This study aimed to examine the associations between caregivers' psychological well-being and caregiving burden and the mental health and illness attitudes of children with type 1 diabetes.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 129 child–caregiver dyads (caregivers were all mothers) of children aged 10–18 years with type 1 diabetes who were followed at a pediatric endocrinology outpatient clinic in Turkey. Data were collected using validated questionnaires and analyzed using structural equation modeling.</div></div><div><h3>Results</h3><div>Caregivers' depression, anxiety, stress, and caregiving burden were significantly associated with children's emotional, behavioral, and social difficulties (<em>r</em> = 0.51–0.77, <em>p</em> < 0.001). Structural equation modeling supported a sequential pathway in which caregiving burden predicted parental psychological distress, which in turn influenced children's illness attitudes and psychosocial outcomes (β = 0.52–0.66, <em>p</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>Caregiver mental health plays a critical role in children's illness perception and psychosocial adjustment. Supporting caregivers may indirectly improve coping and psychosocial well-being in children with type 1 diabetes.</div></div><div><h3>Practice implications</h3><div>Pediatric and family nurses should incorporate caregiver psychological assessment and support into diabetes management. Family-centered interventions addressing caregiver distress and burden may enhance children's coping capacity, illness attitudes, and psychosocial well-being.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 374-380"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121090","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 : 2026-03-01Epub Date: 2026-01-28DOI: 10.1016/j.pedn.2025.12.007
Michaela Lewis, Jennifer Baird
{"title":"Staying true while evolving: The Society of Pediatric Nurses' January 2026-April 2027 strategic plan.","authors":"Michaela Lewis, Jennifer Baird","doi":"10.1016/j.pedn.2025.12.007","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.12.007","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"491-492"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515995","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 : 2026-03-01Epub Date: 2026-02-11DOI: 10.1016/j.pedn.2026.02.003
Ayşe Dilara Sal , Türkan Doğan
Purpose
This study explores the experiences of school-age children with chronic illnesses in Türkiye.
Method
The sample consisted of 27 students aged 8–14 in Türkiye: nine with type 1 diabetes, eight with asthma, eight with allergies, and two with epilepsy. Data were collected through semi-structured interviews using a form developed by the researcher and analyzed via Interpretative Phenomenological Analysis.
Results
The analysis revealed six categories: (1) school, (2) psychosocial factors, (3) friends, (4) teachers, (5) family, and (6) information and support resources.
Conclusion
Students reported the need for supportive relationships and open communication for illness management. Concerns about school absenteeism during the diagnosis and treatment periods were common, with a call for greater tolerance from school personnel. Worries about the future—especially regarding careers—were frequently expressed. Some participants experienced peer bullying and expected counselor intervention, yet most had not received support due to a lack of counselor awareness. Mothers were typically identified as the main caregivers, and children expressed both gratitude and guilt. Implications for practice: Action plans involving all stakeholders should be developed for the management of chronic illnesses in schools, and school counseling services should be made more inclusive in order to provide psychosocial support to children.
{"title":"School needs of children with chronic illnesses: A phenomenological study in Turkiye","authors":"Ayşe Dilara Sal , Türkan Doğan","doi":"10.1016/j.pedn.2026.02.003","DOIUrl":"10.1016/j.pedn.2026.02.003","url":null,"abstract":"<div><h3>Purpose</h3><div>This study explores the experiences of school-age children with chronic illnesses in Türkiye.</div></div><div><h3>Method</h3><div>The sample consisted of 27 students aged 8–14 in Türkiye: nine with type 1 diabetes, eight with asthma, eight with allergies, and two with epilepsy. Data were collected through semi-structured interviews using a form developed by the researcher and analyzed via Interpretative Phenomenological Analysis.</div></div><div><h3>Results</h3><div>The analysis revealed six categories: (1) school, (2) psychosocial factors, (3) friends, (4) teachers, (5) family, and (6) information and support resources.</div></div><div><h3>Conclusion</h3><div>Students reported the need for supportive relationships and open communication for illness management. Concerns about school absenteeism during the diagnosis and treatment periods were common, with a call for greater tolerance from school personnel. Worries about the future—especially regarding careers—were frequently expressed. Some participants experienced peer bullying and expected counselor intervention, yet most had not received support due to a lack of counselor awareness. Mothers were typically identified as the main caregivers, and children expressed both gratitude and guilt. <em>Implications for practice:</em> Action plans involving all stakeholders should be developed for the management of chronic illnesses in schools, and school counseling services should be made more inclusive in order to provide psychosocial support to children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 468-478"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182831","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 : 2026-03-01Epub Date: 2026-02-12DOI: 10.1016/j.pedn.2026.01.048
Edanur Tar Bolacali , Sibel Kücükoğlu
Purpose
This study aimed to develop the Observational Kangaroo Care Assessment Scale (OKCAS) and evaluate its psychometric properties.
Design and methods
This methodological study was conducted with 562 newborns and their families who received care and treatment in the obstetrics and gynecology department of a university hospital. Data were collected using the “Family and Newborn Identification Information Form” and “OKCAS,” “The Kangaroo Care Comfort Scale (KCCS),” and “The Newborn Comfort Behavior Scale (COMFORTneo).” In the psychometric analysis of the scale, content validity, exploratory and confirmatory factor analysis, Cronbach's alpha coefficient, and McDonald's Omega coefficient were evaluated. Additionally, inter-observer reliability was determined using the Intraclass Correlation Coefficient (ICC).
Results
For OKCAS, KMO = 0.955 and Bartlett's test χ2 = 1772.423, p < 0.001 were found. As a result of Exploratory Factor Analysis, it was determined that the scale showed a single-factor structure; the eigenvalue was 6.259 and the total variance explained was 62.594%. In the confirmatory analysis, the model fit indices were calculated as χ2 = 83.359, df = 35, χ2/df = 2.382, RMSEA = 0.070, NFI = 0.949, CFI = 0.970, IFI= 0.970, TLI = 0.961, and GFI = 0.944. The scale has high internal consistency (Cronbach α = 0.928; McDonald ω = 0.929). Spearman-Brown = 0.928, Guttman = 0.925, and the two-half correlation is r = 0.966. The ICC value for agreement between two observers is 0.962.
Conclusions
Findings indicated that the developed scale is a valid and reliable tool. The scale will enable the objective assessment of the position in which kangaroo care is implemented effectively.
Implications for practice
During OKCAS kangaroo care, it determines the appropriate position for the comfort and health of the kangaroo caregiver and newborns.
{"title":"Development of the observational kangaroo care assessment scale (OKCAS): A validity and reliability study","authors":"Edanur Tar Bolacali , Sibel Kücükoğlu","doi":"10.1016/j.pedn.2026.01.048","DOIUrl":"10.1016/j.pedn.2026.01.048","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop the Observational Kangaroo Care Assessment Scale (OKCAS) and evaluate its psychometric properties.</div></div><div><h3>Design and methods</h3><div>This methodological study was conducted with 562 newborns and their families who received care and treatment in the obstetrics and gynecology department of a university hospital. Data were collected using the “Family and Newborn Identification Information Form” and “OKCAS,” “The Kangaroo Care Comfort Scale (KCCS),” and “The Newborn Comfort Behavior Scale (COMFORTneo).” In the psychometric analysis of the scale, content validity, exploratory and confirmatory factor analysis, Cronbach's alpha coefficient, and McDonald's Omega coefficient were evaluated. Additionally, inter-observer reliability was determined using the Intraclass Correlation Coefficient (ICC).</div></div><div><h3>Results</h3><div>For OKCAS, <em>KMO</em> = 0.955 and Bartlett's test <em>χ</em><sup><em>2</em></sup> = 1772.423, <em>p</em> < 0.001 were found. As a result of Exploratory Factor Analysis, it was determined that the scale showed a single-factor structure; the eigenvalue was 6.259 and the total variance explained was 62.594%. In the confirmatory analysis, the model fit indices were calculated as <em>χ</em><sup><em>2</em></sup> = 83.359, <em>df</em> = 35, <em>χ</em><sup><em>2</em></sup><em>/df</em> = 2.382, <em>RMSEA</em> = 0.070, <em>NFI</em> = 0.949, <em>CFI</em> = 0.970, <em>IFI</em> <em>=</em> 0.970, <em>TLI</em> = 0.961, and <em>GFI</em> = 0.944. The scale has high internal consistency (Cronbach <em>α</em> = 0.928; McDonald <em>ω</em> = 0.929). Spearman-Brown = 0.928, Guttman = 0.925, and the two-half correlation is <em>r</em> = 0.966. The ICC value for agreement between two observers is 0.962.</div></div><div><h3>Conclusions</h3><div>Findings indicated that the developed scale is a valid and reliable tool. The scale will enable the objective assessment of the position in which kangaroo care is implemented effectively.</div></div><div><h3>Implications for practice</h3><div>During OKCAS kangaroo care, it determines the appropriate position for the comfort and health of the kangaroo caregiver and newborns.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 479-490"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188850","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}
Cerebral palsy is a group of permanent movement disorders that appear in early childhood, affecting muscle tone, posture, and movement. This study explored the lived experiences of parents of children with cerebral palsy.
Method
A phenomenological qualitative research approach was used to collect data from parents of children with cerebral palsy. Interviews were conducted with purposely selected parents of children until data saturation at the 13th interview. Data was analysed using thematic analysis. Four themes were identified and included: 1) burden of caring for children with cerebral palsy, 2) impact of diagnosis on family and other socioeconomic factors, 3) coping mechanisms and support systems, and 4) factors influencing care experience.
Results
Parents reported significant physical, emotional, and financial burdens associated with caring for children with cerebral palsy and relied on personal resilience, support from family and friends, and faith-based practices to manage their stress. Parents reported positive and supportive relationships with healthcare professionals. Access to support groups, community resources, and specialized services varied significantly among participants, impacting their ability to manage their child's condition effectively. Parents with better access to these resources reported a higher quality of life and better coping mechanisms.
Conclusion
This study underscores the need for improved healthcare practices and policies to prioritize comprehensive support for families of children with cerebral palsy.
Implications to practice
Key strategies for supporting parents of children with cerebral palsy included establishing structured routines, effective planning and organization, prioritising self-care, seeking social support, utilizing professional help, and maintaining flexibility.
{"title":"The lived experiences of parents of children with cerebral palsy. A phenomenological study in a tertiary care facility, Ghana","authors":"Ruth Nkpezah Nimota , Ndekugri Damata Huldah Atame , Kennedy Diema Konlan","doi":"10.1016/j.pedn.2026.01.001","DOIUrl":"10.1016/j.pedn.2026.01.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Cerebral palsy is a group of permanent movement disorders that appear in early childhood, affecting muscle tone, posture, and movement. This study explored the lived experiences of parents of children with cerebral palsy.</div></div><div><h3>Method</h3><div>A phenomenological qualitative research approach was used to collect data from parents of children with cerebral palsy. Interviews were conducted with purposely selected parents of children until data saturation at the 13th interview. Data was analysed using thematic analysis. Four themes were identified and included: 1) burden of caring for children with cerebral palsy, 2) impact of diagnosis on family and other socioeconomic factors, 3) coping mechanisms and support systems, and 4) factors influencing care experience.</div></div><div><h3>Results</h3><div>Parents reported significant physical, emotional, and financial burdens associated with caring for children with cerebral palsy and relied on personal resilience, support from family and friends, and faith-based practices to manage their stress. Parents reported positive and supportive relationships with healthcare professionals. Access to support groups, community resources, and specialized services varied significantly among participants, impacting their ability to manage their child's condition effectively. Parents with better access to these resources reported a higher quality of life and better coping mechanisms.</div></div><div><h3>Conclusion</h3><div>This study underscores the need for improved healthcare practices and policies to prioritize comprehensive support for families of children with cerebral palsy.</div></div><div><h3>Implications to practice</h3><div>Key strategies for supporting parents of children with cerebral palsy included establishing structured routines, effective planning and organization, prioritising self-care, seeking social support, utilizing professional help, and maintaining flexibility.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 78-87"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940542","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 : 2026-03-01Epub Date: 2026-01-29DOI: 10.1016/j.pedn.2026.01.031
Büşra Yolcu , Yağmur Toprak , Rabia Yılmaz Ulusoy , Öznur Tiryaki
Objective
This study aimed to examine the relationships among marital satisfaction, maternal attachment, and maternal burnout, and to evaluate the mediating role of maternal burnout in the relationship between marital satisfaction and maternal attachment.
Method
Data were collected from 301 mothers with infants aged 0–12 months. Information was obtained using a Mother and Infant Descriptive Information Form, the Maternal Burnout Scale, the Marital Satisfaction Scale, and the Maternal Attachment Inventory. Data were analyzed using SPSS software. Scale reliability was assessed with Cronbach's alpha, relationships between variables were examined using Pearson correlation analysis, and path analysis was conducted for model testing. Statistical significance was set at p ≤ 0.05.
Results
Maternal burnout and marital satisfaction were at moderate levels, while maternal attachment was high. The path model showed good fit indices, and maternal burnout played a significant mediating role in the relationship between marital satisfaction and maternal attachment. Marital duration, child's gender, number of children, and child's age were variables influencing the model. Marital satisfaction was negatively correlated with maternal burnout and positively correlated with maternal attachment. Maternal burnout and maternal attachment were also significantly negatively correlated.
Conclusion
Increased marital satisfaction was associated with lower maternal burnout, which in turn positively affected the mother–infant bond. Supporting couple relationships and addressing mothers' psychosocial needs may improve maternal and infant health during early parenting.
Implications to practice
Integrating psychosocial and relational screening into postpartum care and involving partners in interventions may help reduce maternal burnout and strengthen mother–infant attachment.
{"title":"Mediating role of maternal burnout in the relationship between marital satisfaction and maternal attachment","authors":"Büşra Yolcu , Yağmur Toprak , Rabia Yılmaz Ulusoy , Öznur Tiryaki","doi":"10.1016/j.pedn.2026.01.031","DOIUrl":"10.1016/j.pedn.2026.01.031","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the relationships among marital satisfaction, maternal attachment, and maternal burnout, and to evaluate the mediating role of maternal burnout in the relationship between marital satisfaction and maternal attachment.</div></div><div><h3>Method</h3><div>Data were collected from 301 mothers with infants aged 0–12 months. Information was obtained using a Mother and Infant Descriptive Information Form, the Maternal Burnout Scale, the Marital Satisfaction Scale, and the Maternal Attachment Inventory. Data were analyzed using SPSS software. Scale reliability was assessed with Cronbach's alpha, relationships between variables were examined using Pearson correlation analysis, and path analysis was conducted for model testing. Statistical significance was set at <em>p</em> ≤ 0.05.</div></div><div><h3>Results</h3><div>Maternal burnout and marital satisfaction were at moderate levels, while maternal attachment was high. The path model showed good fit indices, and maternal burnout played a significant mediating role in the relationship between marital satisfaction and maternal attachment. Marital duration, child's gender, number of children, and child's age were variables influencing the model. Marital satisfaction was negatively correlated with maternal burnout and positively correlated with maternal attachment. Maternal burnout and maternal attachment were also significantly negatively correlated.</div></div><div><h3>Conclusion</h3><div>Increased marital satisfaction was associated with lower maternal burnout, which in turn positively affected the mother–infant bond. Supporting couple relationships and addressing mothers' psychosocial needs may improve maternal and infant health during early parenting.</div></div><div><h3>Implications to practice</h3><div>Integrating psychosocial and relational screening into postpartum care and involving partners in interventions may help reduce maternal burnout and strengthen mother–infant attachment.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 306-313"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078401","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 : 2026-03-01Epub Date: 2026-02-09DOI: 10.1016/j.pedn.2026.01.045
Stefano Maiandi , Raffaella Gualandi , Anna De Benedictis , Noemi Gulotta , Giada Zottarel , Roberta Giacchero , Chiara Cibra , Dhurata Ivziku , Daniela Tartaglini
Introduction
The patient's perspective is considered a key element in the design of quality healthcare services and a driver of organizational improvement. The experience along the hospital journey may vary by patient age—particularly for adolescents—for whom the literature remains limited. This study aims to investigate whether the experience captured from the adolescent perspective has different or novel attributes compared with adults, identifying and exploring the variables that characterize adolescents' experiences during hospitalization.
Methods
A two-phase, multi-method qualitative study was conducted. In phase one, adolescents were shadowed from admission through discharge to identify the most salient aspects and emotions experienced along the hospital journey. In phase two, semi-structured interviews were conducted to describe adolescents' hospitalization experience.
Results
Six patients and six parents hospitalized for appendicitis participated in phase one. The adolescent hospital journey unfolds in four main phases—admission, surgery, postoperative phase, and discharge—with 11 subsequent steps. During the journey, adolescents encountered on average three professional profiles (nurses, physicians, support staff), with a daily mean of 14.4 interactions. In total, four adolescents, four parents, four physicians, and four nurses were interviewed. Boredom emerged as a distinctive feature of adolescents' hospitalization experience.
Conclusions
The analysis of adolescents' hospitalization experiences highlights new factors that should be considered essential and distinctive components of the patient experience.
Implications to practice
The findings highlight the need for adolescent-specific communication and relational strategies to address emotional distress during hospitalization. Simple organizational interventions may improve adolescents' hospital experiences and support more patient-centered pediatric care.
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Pub Date : 2026-03-01Epub Date: 2026-01-23DOI: 10.1016/j.pedn.2026.01.014
Bahar Aksoy PhD , Ilknur Kahriman PhD , Orhan Değer PhD , Ali Timuçin Atayoğlu PhD
Background and purpose
This randomized controlled trial compared the effects of a barrier cream containing propolis, beeswax, queen bee larvae, and vegetable oil (barrier cream 1) with those of zinc oxide (barrier cream 2) and olive oil on the healing of mild diaper dermatitis (DD).
Methods
A single-blind, parallel-group, pretest-posttest, repeated-measures randomized controlled trial was conducted. The study included infants aged 1–6 months diagnosed with mild DD, who were recruited from three family health centers and a pediatric outpatient clinic in a public hospital in a district of the Mediterranean Region of Türkiye. Data were analysed using descriptive statistics, one-way analysis of variance, chi-square, Bonferroni correction, and generalized estimating equations with multiple logistic regression.
Results
The mean DD severity score on days 1, 2, and 3 was lower in the barrier cream 1 group than in the barrier cream 2 and olive oil groups. The mean DD severity score on day 2 of the babies in the barrier cream 1 group was significantly lower than in the other groups (p = .012). Compared to olive oil, barrier cream 1 was 2.54 times (p = .004) more effective, and barrier cream 2 was 1.43 times more effective (p = .192) in improving DD.
Conclusions
Barrier cream 1, a formulation containing propolis, beeswax, queen bee larvae, and vegetable oil, demonstrated superior effectiveness in treating mild DD in infants compared to barrier cream 2 and olive oil.
Practice implications
Interventions aligned with the ABCDE model positively influenced healing outcomes and enhanced parental satisfaction.
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