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

{"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 ,&nbsp;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> &lt; 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> &lt; 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}

{"title":"School needs of children with chronic illnesses: A phenomenological study in Turkiye","authors":"Ayşe Dilara Sal ,&nbsp;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}

{"title":"Development of the observational kangaroo care assessment scale (OKCAS): A validity and reliability study","authors":"Edanur Tar Bolacali ,&nbsp;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>^<em>2</em> = 1772.423, <em>p</em> &lt; 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>^<em>2</em> = 83.359, <em>df</em> = 35, <em>χ</em>^<em>2</em><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}

{"title":"The lived experiences of parents of children with cerebral palsy. A phenomenological study in a tertiary care facility, Ghana","authors":"Ruth Nkpezah Nimota ,&nbsp;Ndekugri Damata Huldah Atame ,&nbsp;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}

{"title":"Mediating role of maternal burnout in the relationship between marital satisfaction and maternal attachment","authors":"Büşra Yolcu ,&nbsp;Yağmur Toprak ,&nbsp;Rabia Yılmaz Ulusoy ,&nbsp;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}

{"title":"The hospital patient journey experience from adolescents' perspective: a multimethod study","authors":"Stefano Maiandi ,&nbsp;Raffaella Gualandi ,&nbsp;Anna De Benedictis ,&nbsp;Noemi Gulotta ,&nbsp;Giada Zottarel ,&nbsp;Roberta Giacchero ,&nbsp;Chiara Cibra ,&nbsp;Dhurata Ivziku ,&nbsp;Daniela Tartaglini","doi":"10.1016/j.pedn.2026.01.045","DOIUrl":"10.1016/j.pedn.2026.01.045","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>The analysis of adolescents' hospitalization experiences highlights new factors that should be considered essential and distinctive components of the patient experience.</div></div><div><h3>Implications to practice</h3><div>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.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 451-459"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158707","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}

{"title":"Evaluation of the efficacy of local application of bee products in the care of diaper dermatitis in infants: A randomized controlled trial","authors":"Bahar Aksoy PhD ,&nbsp;Ilknur Kahriman PhD ,&nbsp;Orhan Değer PhD ,&nbsp;Ali Timuçin Atayoğlu PhD","doi":"10.1016/j.pedn.2026.01.014","DOIUrl":"10.1016/j.pedn.2026.01.014","url":null,"abstract":"<div><h3>Background and purpose</h3><div>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).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>p</em> = .012). Compared to olive oil, barrier cream 1 was 2.54 times (<em>p</em> = .004) more effective, and barrier cream 2 was 1.43 times more effective (<em>p</em> = .192) in improving DD.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Practice implications</h3><div>Interventions aligned with the ABCDE model positively influenced healing outcomes and enhanced parental satisfaction.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 260-269"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038420","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}

{"title":"The effects of therapeutic play on alleviating preoperative anxiety in preschool children with congenital heart disease: A cluster-randomized controlled trial","authors":"Haiying Xing ,&nbsp;Tong Zheng ,&nbsp;Yan Ma ,&nbsp;Qian Zhang ,&nbsp;Yafei Liu ,&nbsp;Xiangyu Wang ,&nbsp;Mengran Li ,&nbsp;Conghui Guo ,&nbsp;Shiyu Wang ,&nbsp;Xiaoye He ,&nbsp;Tingting Li ,&nbsp;Xiaoxue Zhang ,&nbsp;Xuyang Fan","doi":"10.1016/j.pedn.2026.01.006","DOIUrl":"10.1016/j.pedn.2026.01.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to examine the effects of preoperative therapeutic play on alleviating preoperative anxiety in preschool children with congenital heart disease.</div></div><div><h3>Design and methods</h3><div>This cluster-randomized controlled trial was conducted between October 2022 and April 2023. A total of 82 preschool children aged 3–5 years with congenital heart disease were recruited from two pediatric cardiac wards in China. Children in the intervention group (<em>n</em> = 40) received a preoperative therapeutic play intervention, while those in the control group (<em>n</em> = 40) received routine preoperative care. Anxiety was evaluated using the mYPAS-SF before and after the intervention at five assessment points (baseline, T1, T2, T3, and T4). Cooperation during anesthesia induction was assessed at T4 using the Induction Compliance Checklist (ICC). Data were analyzed using independent-samples t, chi-squared, Mann–Whitney U, and Kruskal–Wallis H tests. A <em>p</em>-value &lt;0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The anxiety levels of the children in the intervention and control groups were similar at baseline (<em>p</em> &gt; 0.05). After the intervention, the incidence of anxiety did not differ significantly between the two groups at any of the four assessment points (T1–T4) (<em>p</em> &gt; 0.05). However, the mYPAS-SF scores were significantly higher in the control group than in the intervention group at T4 (<em>p</em> &lt; 0.05). A significant difference was also observed in the ICC scores: the median (P₂₅, P₇₅) was 1 (1,3) in the control group and 0 (0,2) in the intervention group (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Preoperative therapeutic play reduced anxiety levels in preschool children with congenital heart disease during anesthesia induction and improved their compliance with the procedure.</div></div><div><h3>Practice implications</h3><div>Bedside nurse-led therapeutic play reduced preoperative anxiety and improved anesthesia compliance in children with CHD. The use of wearable devices offers a practical method for monitoring preoperative heart rate in preschool children.</div></div><div><h3>Registration</h3><div><span><span>chictr.org.cn</span><svg><path></path></svg></span> (ChiCTR2200062267). Registration date: July 31, 2022.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 201-208"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013014","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}

{"title":"Knowledge, attitudes and practices toward discharge preparation among parents of newborns hospitalized in the NICU: A multi-center cross-sectional study","authors":"Miao Tang ,&nbsp;Xueli Cheng ,&nbsp;Ya Pan ,&nbsp;Li Wu ,&nbsp;Hui Yang ,&nbsp;Jungeng Chen ,&nbsp;Yanrong Wang ,&nbsp;Linjialiang Zhang ,&nbsp;Yuefeng Li ,&nbsp;Jing Feng ,&nbsp;Cheng Chen ,&nbsp;Jingbo Jiang","doi":"10.1016/j.pedn.2026.01.020","DOIUrl":"10.1016/j.pedn.2026.01.020","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to assess the knowledge, attitudes, and practices (KAP) of parents regarding the discharge preparation of newborns hospitalized in neonatal intensive care units (NICUs).</div></div><div><h3>Methods</h3><div>This multi-center cross-sectional study was conducted between October 2023 and February 2024 across six NICUs in Shenzhen. Data were collected using a structured, expert-developed questionnaire with verified reliability and internal consistency.</div></div><div><h3>Results</h3><div>A total of 549 valid questionnaires were included in the final analysis. Among the respondents, 340 (61.93%) were male. The mean scores for knowledge, attitude, and practice were 20.74 ± 7.29 (possible range: 0–40), 42.64 ± 3.66 (range: 10–50), and 44.86 ± 6.71 (range: 11–55), respectively. Multivariate linear regression identified that being female, urban residence, having one or two children, and prior caregiving experience were significantly associated with higher knowledge scores. Knowledge (β = 0.147, <em>P</em> &lt; 0.001) and various forms of caregiving support were positively associated with attitudes, while longer distance to hospital was associated with lower attitude scores. Knowledge (β = 0.304, <em>P</em> &lt; 0.001), attitude (β = 0.801, P &lt; 0.001), and prior caregiving experience were independently associated with practice. Path analysis confirmed that knowledge had direct effects on both attitude (β = 0.314, <em>P</em> = 0.013) and practice (β = 0.348, <em>P</em> = 0.010), and also an indirect effect on practice mediated by attitude (β = 0.138, <em>P</em> = 0.011).</div></div><div><h3>Conclusion</h3><div>While parents demonstrated positive attitudes and proactive practices, a significant gap in knowledge persists regarding NICU discharge preparation. Tailored educational strategies are necessary to enhance parental readiness and promote safer transitions from hospital to home care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 270-278"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078437","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}

{"title":"Indicators of safe and equitable hospital-based care for culturally and linguistically diverse children and families: A scoping review","authors":"Helen J. Nelson ,&nbsp;Richard Akubuiro ,&nbsp;Hayley Harrison ,&nbsp;Girish Swaminathan ,&nbsp;Matthew Holmes ,&nbsp;Sharyn K. Burns","doi":"10.1016/j.pedn.2026.01.021","DOIUrl":"10.1016/j.pedn.2026.01.021","url":null,"abstract":"<div><h3>Background</h3><div>Equitable access to health care is supported as families experience cultural safety, reducing inherent power imbalances. Current measures of cultural safety focus on First Nations Peoples; no framework or measure has been identified for families of multicultural background who access children's health services.</div></div><div><h3>Aim</h3><div>To identify how culturally safe care is assessed, measured, and monitored for families of multicultural background who access children's hospital services.</div></div><div><h3>Method</h3><div>This scoping review followed Joanna Briggs Institute Manual for Evidence Synthesis. The search included terms for: ‘population’ of multicultural families of children aged birth to 17 years; ‘concept’ of experience of cultural safety; and ‘context’ of hospital-based care. Databases included PubMed, Cochrane, Epistemonikos, Cumulative Index to Nursing and Allied Health Literature, MedLine, PsychINFO, Scopus, Proquest, and secondary search of references from included studies. Data were evaluated using thematic analysis, and narrative discussion aligned with the World Health Organization Framework for improving the quality of paediatric care.</div></div><div><h3>Results</h3><div>Seven manuscripts were included, and four themes identified: ‘Resources’, ‘Effective communication’, ‘Shared decision making’, and ‘Feeling supported’. Central to experience of multicultural safety is respectful verbal and nonverbal communication, supported through self-reflection by staff, allocation of extra time for families to seek clarity, and availability of interpreters.</div></div><div><h3>Implications</h3><div>Most important to families was an experience of being respected as nurses and care providers listened carefully and showed interest in family culture. We will translate findings by partnering with families to develop a tool to measure experience of multicultural safety in hospital-based care for children and families.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 250-259"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038419","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}