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Pediatric endocrinology nursing society: 2025 year in review. 儿科内分泌护理学会:2025年回顾。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-09 DOI: 10.1016/j.pedn.2025.12.002
Mandi Cafasso, Meg Keil
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引用次数: 0
Investigation of professional values education's effect on pediatric nurses' perception of professional values, emotional labour behaviours and burnout levels: A randomised controlled trial 职业价值观教育对儿科护士职业价值观感知、情绪劳动行为和倦怠水平的影响:随机对照试验
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-09 DOI: 10.1016/j.pedn.2025.12.030
Nazmiye Yirik , Şerife Tutar

Aim

This study aimed to examine the effects of professional values education on perceptions of professional values, emotional labor behaviours, and burnout levels among pediatric nurses.

Method

This randomised controlled trial was conducted between February 2024 and January 2025 at a city hospital in Turkey with 70 pediatric nurses. The intervention comprised a professional values education program implemented in two phases: preparation (literature review and development of educational content) and application (delivery to the intervention group). Data were collected using a Introductory Information Form, the Professional Values Scale for Nurses, the Emotional Labor Behaviour Scale of Nurses, and the Maslach Burnout Inventory. Analyses were performed with SPSS 27.0 (IBM Inc., Armonk, NY, USA).

Results

In the intervention group, the “Professional Values Scale for Nurses” score increased from 89.68 ± 16.46 (pre-test) to 118.82 ± 9.48 (post-test). The superficial behaviour subdimension score decreased from 22.22 ± 3.29 to 14.00 ± 4.15, while depth behaviour scores rose from 47.94 ± 7.27 to 57.62 ± 5.28, and sincere behaviour scores from 18.54 ± 2.83 to 23.05 ± 2.14. Burnout levels decreased, with emotional exhaustion dropping from 16.45 ± 7.13 to 8.80 ± 3.96, depersonalization from 6.12 ± 3.97 to 1.94 ± 1.86, and personal accomplishment increasing from 19.62 ± 3.14 to 26.25 ± 2.57.

Conclusion

Professional values education enhances pediatric nurses' professional values, fosters deeper and more sincere emotional labor behaviours, and reduces burnout.

Practice implications

Integrating structured professional values education into pediatric nursing practice may strengthen professional identity, promote emotional resilience, and improve the quality of care for children and families.
ClinicalTrials.gov Protocol: NCT07016503
目的探讨职业价值观教育对儿科护士职业价值观认知、情绪劳动行为和职业倦怠水平的影响。方法本随机对照试验于2024年2月至2025年1月在土耳其一家城市医院进行,共有70名儿科护士参与。干预包括一个专业价值观教育计划,分两个阶段实施:准备(文献回顾和教育内容的开发)和应用(向干预组交付)。数据采用介绍信息表、护士职业价值观量表、护士情绪劳动行为量表和Maslach职业倦怠量表收集。采用SPSS 27.0 (IBM Inc., Armonk, NY, USA)进行分析。结果干预组护士职业价值观量表得分由前测89.68±16.46分提高至后测118.82±9.48分。表层行为子维度得分从22.22±3.29分下降到14.00±4.15分,深层行为得分从47.94±7.27分上升到57.62±5.28分,真诚行为得分从18.54±2.83分上升到23.05±2.14分。倦怠水平下降,情绪耗竭从16.45±7.13下降到8.80±3.96,人格解体从6.12±3.97下降到1.94±1.86,个人成就感从19.62±3.14上升到26.25±2.57。结论专业价值观教育提高了儿科护士的专业价值观,培养了更深刻、更真诚的情绪劳动行为,减少了护士的职业倦怠。实践意义将结构化的专业价值观教育整合到儿科护理实践中,可以增强专业认同,促进情绪弹性,提高儿童和家庭的护理质量
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引用次数: 0
The lived experiences of parents of children with cerebral palsy. A phenomenological study in a tertiary care facility, Ghana 脑瘫患儿父母的生活经历。加纳一家三级医疗机构的现象学研究
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-08 DOI: 10.1016/j.pedn.2026.01.001
Ruth Nkpezah Nimota , Ndekugri Damata Huldah Atame , Kennedy Diema Konlan

Introduction

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.
脑瘫是一组出现在儿童早期的永久性运动障碍,影响肌肉张力、姿势和运动。本研究探讨了脑瘫患儿家长的生活经历。方法采用现象学定性研究方法,收集脑瘫患儿家长资料。在第13次访谈中,有针对性地选择孩子的父母进行访谈,直到数据饱和。数据采用专题分析进行分析。研究确定了四个主题,包括:1)照顾脑瘫儿童的负担;2)诊断对家庭和其他社会经济因素的影响;3)应对机制和支持系统;4)影响护理体验的因素。结果父母报告了照顾脑瘫儿童的重大身体、情感和经济负担,他们依靠个人的韧性、家人和朋友的支持以及基于信仰的实践来管理他们的压力。父母报告了与医疗保健专业人员的积极和支持关系。参与者获得支持小组、社区资源和专业服务的机会差异很大,影响了他们有效管理孩子状况的能力。据报道,能更好地获得这些资源的父母生活质量更高,应对机制也更好。结论本研究强调需要改进卫生保健实践和政策,优先考虑对脑瘫儿童家庭的综合支持。对实践的意义支持脑瘫儿童父母的关键策略包括建立结构化的日常生活、有效的计划和组织、优先考虑自我照顾、寻求社会支持、利用专业帮助和保持灵活性。
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引用次数: 0
Psychosocial status analysis of adolescents affected by the February 6, 2023 Kahramanmaraş earthquake in Türkiye: A descriptive cross-sectional study 2023年2月6日土耳其<s:1> kahramanmaraki地震影响的青少年心理社会状况分析:描述性横断面研究
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-08 DOI: 10.1016/j.pedn.2025.12.026
Erhan Elmaoğlu , Melike Yavaş Çelik , Zerrin Çiğdem

Aim

All people are affected in areas where earthquakes occur. However, the effects on children, one of the most vulnerable groups, are different. This study was conducted to determine the psychosocial problems caused by earthquakes in the adolescent age group.

Method

The study is descriptive and cross-sectional in nature, conducted with 325 adolescents in 6 of the 11 provinces affected by the earthquake, focusing on the most affected areas. The study was conducted between May 2023 and June 2023. The data for the study were collected online using a data collection form and the Event Impact Scale. The study was conducted with adolescents aged 12 to 18. Data analysis was performed using the SPSS 25.0 statistical program.

Results

The average age of adolescents participating in the study was 17.39 ± 1.45. 73.2 % were female, 75.1 % came from families with middle-level income, and 60.9 % were university students. It was determined that 22.8 % of adolescents were caught in the earthquake in Hatay, 21.2 % in Kahramanmaraş, 15.7 % in Adıyaman, 14.5 % in Şanlıurfa, 13.5 % in Gaziantep, and 12.3 % in Kilis. The study found that adolescents' mean scores on the re-experiencing subscale of the Impact of Event Scale were 17.72 ± 7.67, on the avoidance subscale 13.08 ± 5.56, on the hyperarousal subscale 13.04 ± 6.11, and the total mean score was 43.84 ± 16.31.

Conclussion

This study found that adolescents who experienced the February 6 earthquake exhibited significant levels of traumatic stress symptoms in the post-earthquake period. It was determined that participants who were women, those with low or middle income levels, those who lost a loved one in the earthquake, those who were forced to live in vehicles after the earthquake, and those located in provinces with high levels of structural damage experienced higher levels of post-traumatic stress symptoms.

Implications to practice

These findings emphasize the critical role of pediatric nurses and mental health professionals in the early identification of post-traumatic stress symptoms among adolescents following disasters. Trauma-informed screening should be integrated into routine adolescent health assessments in disaster-affected regions. Targeted psychosocial interventions, particularly for high-risk groups, are essential to reduce long-term psychological consequences and to support adolescents' recovery and resilience.
在发生地震的地区,几乎所有人都受到影响。然而,对最脆弱群体之一的儿童的影响却有所不同。本研究旨在探讨地震对青少年造成的心理社会问题。方法采用描述性和横断面研究方法,对11个受地震影响省份中的6个省的325名青少年进行了调查,重点关注受灾最严重的地区。该研究于2023年5月至2023年6月进行。本研究的数据是使用数据收集表和事件影响量表在线收集的。这项研究的对象是12至18岁的青少年。采用SPSS 25.0统计程序进行数据分析。结果参与研究的青少年平均年龄为17.39±1.45岁。73.2%是女性,75.1%来自中等收入家庭,60.9%是大学生。结果确定,在哈塔伊有22.8%的青少年被地震困住,在kahramanmaraki有21.2%,在Adıyaman有15.7%,在Şanlıurfa有14.5%,在加济安泰普有13.5%,在基利斯有12.3%。研究发现,青少年的“事件影响”量表再经历分量表平均得分为17.72±7.67分,“回避”分量表平均得分为13.08±5.56分,“高唤醒”分量表平均得分为13.04±6.11分,总平均得分为43.84±16.31分。结论经历过2·6地震的青少年在震后表现出显著的创伤应激症状。经确定,妇女、低收入或中等收入、在地震中失去亲人、地震后被迫住在汽车里以及居住在结构受损程度较高的省份的参与者经历了较高程度的创伤后应激症状。这些发现强调了儿科护士和心理健康专业人员在灾难后早期识别青少年创伤后应激症状中的关键作用。创伤知情筛查应纳入受灾地区的常规青少年健康评估。有针对性的社会心理干预措施,特别是针对高危人群的干预措施,对于减少长期心理后果和支持青少年康复和恢复能力至关重要。
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引用次数: 0
Effect of nursing-led empowerment program on care burden and social isolation among caregivers having children with cerebral palsy: A quasi-experimental study 护理主导的赋权计划对脑瘫儿童照顾者照顾负担和社会孤立的影响:一项准实验研究
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-08 DOI: 10.1016/j.pedn.2025.12.032
Halla Ali Abd El hie Ali Ph.D, MSN, BSc, RN , Ayman Mohamed El-Ashry Ph.D, MSN, BSc, RN , Fatma Sayed Abdelaziz Mohamed Ph.D, MSN, BSc, RN , Dalia Ibrahem Mustafa Abdel-Azem Ph.D, MSN, BSc, RN , Mahmoud M. Noureldeen , Ahmed Abdellah Othman Ph.D, MSN, BSc, RN , Eslam Reda Machaly Ph.D, MSN, BSc, RN , Nahla Abdallah Abd El-Tawab Ph.D, MSN, BSc, RN

Background

Cerebral palsy is a lifelong, non-progressive neurodevelopmental disorder that affects movement and posture, often resulting in long-term disability. Caregivers—most commonly mothers—assume primary responsibility for daily care and rehabilitation, which can lead to a high care burden and increased social isolation.

Aim

To evaluate the effect of a nursing-led empowerment training program on care burden and social isolation among caregivers of children with cerebral palsy.

Methods

A quasi-experimental pretest–posttest design was conducted with a convenience sample of 98 caregivers assigned to an intervention group (n = 49) or a control group (n = 49). Data were collected using the Caregiver Burden Inventory, the Revised UCLA Loneliness Scale, and the Family Empowerment Scale. The intervention group participated in a six-session nursing-led empowerment program over six weeks, while the control group received routine care. Outcomes were assessed before and after the intervention.

Results

Post-intervention, caregivers in the intervention group showed a significant reduction in care burden and loneliness scores and a significant increase in family empowerment scores (p < 0.001 for all). The control group showed no significant changes in care burden or empowerment and a significant increase in loneliness scores (p < 0.05).

Conclusion

The nursing-led empowerment program effectively reduced care burden and social isolation while enhancing empowerment among caregivers.

Implications for practice

Integrating structured nurse-led empowerment programs into routine pediatric and community care may improve caregiver well-being, strengthen family functioning, and enhance long-term care for children with cerebral palsy.
脑瘫是一种影响运动和姿势的终身非进行性神经发育障碍,通常导致长期残疾。照顾者——最常见的是母亲——承担着日常护理和康复的主要责任,这可能导致很高的护理负担和增加的社会孤立。目的评价以护理为主导的赋权培训方案对脑瘫儿童照料者照料负担和社会孤立的影响。方法采用准实验前测后测设计,将98名护理人员分为干预组(n = 49)和对照组(n = 49)。数据收集使用照顾者负担量表、修订UCLA孤独量表和家庭赋权量表。干预组参加了为期六周的六次护理主导的赋权计划,而对照组则接受常规护理。评估干预前后的结果。结果干预后,干预组照顾者的照顾负担和孤独感得分显著降低,家庭赋权得分显著提高(p < 0.001)。对照组在护理负担和授权方面无显著变化,孤独感得分显著升高(p < 0.05)。结论护理主导型赋权方案有效减轻了护理负担和社会孤立,增强了照顾者的赋权。将结构化的护士主导的赋权项目纳入常规儿科和社区护理中,可以改善护理人员的福祉,加强家庭功能,并加强对脑瘫儿童的长期护理。
{"title":"Effect of nursing-led empowerment program on care burden and social isolation among caregivers having children with cerebral palsy: A quasi-experimental study","authors":"Halla Ali Abd El hie Ali Ph.D, MSN, BSc, RN ,&nbsp;Ayman Mohamed El-Ashry Ph.D, MSN, BSc, RN ,&nbsp;Fatma Sayed Abdelaziz Mohamed Ph.D, MSN, BSc, RN ,&nbsp;Dalia Ibrahem Mustafa Abdel-Azem Ph.D, MSN, BSc, RN ,&nbsp;Mahmoud M. Noureldeen ,&nbsp;Ahmed Abdellah Othman Ph.D, MSN, BSc, RN ,&nbsp;Eslam Reda Machaly Ph.D, MSN, BSc, RN ,&nbsp;Nahla Abdallah Abd El-Tawab Ph.D, MSN, BSc, RN","doi":"10.1016/j.pedn.2025.12.032","DOIUrl":"10.1016/j.pedn.2025.12.032","url":null,"abstract":"<div><h3>Background</h3><div>Cerebral palsy is a lifelong, non-progressive neurodevelopmental disorder that affects movement and posture, often resulting in long-term disability. Caregivers—most commonly mothers—assume primary responsibility for daily care and rehabilitation, which can lead to a high care burden and increased social isolation.</div></div><div><h3>Aim</h3><div>To evaluate the effect of a nursing-led empowerment training program on care burden and social isolation among caregivers of children with cerebral palsy.</div></div><div><h3>Methods</h3><div>A quasi-experimental pretest–posttest design was conducted with a convenience sample of 98 caregivers assigned to an intervention group (<em>n</em> = 49) or a control group (n = 49). Data were collected using the Caregiver Burden Inventory, the Revised UCLA Loneliness Scale, and the Family Empowerment Scale. The intervention group participated in a six-session nursing-led empowerment program over six weeks, while the control group received routine care. Outcomes were assessed before and after the intervention.</div></div><div><h3>Results</h3><div>Post-intervention, caregivers in the intervention group showed a significant reduction in care burden and loneliness scores and a significant increase in family empowerment scores (<em>p</em> &lt; 0.001 for all). The control group showed no significant changes in care burden or empowerment and a significant increase in loneliness scores (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The nursing-led empowerment program effectively reduced care burden and social isolation while enhancing empowerment among caregivers.</div></div><div><h3>Implications for practice</h3><div>Integrating structured nurse-led empowerment programs into routine pediatric and community care may improve caregiver well-being, strengthen family functioning, and enhance long-term care for children with cerebral palsy.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 88-98"},"PeriodicalIF":2.3,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940153","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}
引用次数: 0
The effect of mothers' digital health literacy on fever management: The mediating role of perceived maternal self-efficacy 母亲数字健康素养对发烧管理的影响:母亲自我效能感的中介作用。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-07 DOI: 10.1016/j.pedn.2026.01.004
Fatoş Uncu PhD, RN , Hasan Evcimen PhD, RN , Elanur Bulut MSc, RN

Aim

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.
目的:本研究探讨了感知母亲育儿自我效能感在数字健康素养与儿童发烧管理之间的中介作用。方法:采用横断面设计对土耳其东部408名0-6岁儿童的母亲进行研究。采用数字健康素养量表、母亲育儿自我效能感量表和父母发热管理量表,对某儿科门诊进行面对面访谈。结构方程模型与最大似然估计检验了假设的中介模型。采用多指标评估模型拟合(χ2/df = 4.060, CFI = 0.911, RMSEA = 0.075),并采用5000个样本的bootstrapping评估间接效应。结果:数字健康素养与发热管理(β = 0.284, p = 0.001)和产妇自我效能感(β = 0.370, p)均呈显著正相关。结论:这些发现突出表明,数字健康素养通过直接和间接影响产妇自我效能感的双重途径影响发热管理。卫生保健干预措施应纳入提高数字素养和父母信心的组成部分,以优化儿童健康结果。实际意义:儿科护理实践应纳入数字健康素养评估,并实施基于证据的战略,以建立孕产妇能力,最终弥合健康知识与发烧管理实践之间的差距。
{"title":"The effect of mothers' digital health literacy on fever management: The mediating role of perceived maternal self-efficacy","authors":"Fatoş Uncu PhD, RN ,&nbsp;Hasan Evcimen PhD, RN ,&nbsp;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> &lt; 0.001). Perceived maternal self-efficacy was a strong predictor of fever management (β = 0.233, p &lt; 0.001). The mediation analysis revealed a significant indirect effect (β = 0.087, 95 % CI [0.043, 0.136], p &lt; 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":"2026-01-07","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}
引用次数: 0
Impact of telenursing-based family empowerment program on self-efficacy and treatment adherence in children with cystic fibrosis “telenursing and CF” 基于远程护理的家庭赋权计划对囊性纤维化儿童自我效能感和治疗依从性的影响“远程护理与CF”。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-07 DOI: 10.1016/j.pedn.2025.12.028
Fatemeh Rameh , Azam Shirinabadi Farahani , Manijeh Nourian , Seyyed Ahmad Tabatabayi , Malihe Nasiri

Purpose

This study aimed to investigate the impact of a telenursing-based family empowerment program on  self-efficacy and treatment adherence in children with cystic fibrosis (CF).

Design and methods

This is a clinical trial study conducted on CF patients between 9 and 17 who were randomly assigned to two groups: an intervention group (received twelve-week telenursing training via the SendBig website and Skype messenger) or a control group (routine care). The child and caregiver demographic information questionnaire, Pediatric Rating of Chronic Illness Self-Efficacy, and Adherence to Treatment Questionnaire were evaluated before, immediately, and one month after the intervention. The results were analyzed using SPSS V26, considering a significant level.

Results

A total of 50 patients were recruited for this study (25 in each group). The results showed a significant difference in the mean total scores of self-efficacy and treatment adherence between the two groups, immediately and one month after the intervention (P-value < 0.001). In addition, intra-group comparisons showed that the impact of time was significant in the intervention group (P-value < 0.001).

Conclusion

Considering the improvement of self-efficacy and treatment adherence in the intervention group, it is recommended to use a telenursing-based family empowerment program for children with CF.

Implications to practice

The findings support the integration of telenursing-based family empowerment programs into routine nursing practice to promote long-term disease management and family-centered care.
目的:本研究旨在探讨以远程护理为基础的家庭赋权计划对囊性纤维化(CF)儿童自我效能感和治疗依从性的影响。设计和方法:这是一项针对9 - 17岁CF患者的临床试验研究,他们被随机分为两组:干预组(通过SendBig网站和Skype messenger接受为期12周的远程护理培训)或对照组(常规护理)。在干预前、干预后立即和干预后1个月分别对儿童及照顾者人口统计信息问卷、儿童慢性病自我效能评分和治疗依从性问卷进行评估。采用SPSS V26对结果进行分析,认为具有显著性水平。结果:本研究共招募50例患者(每组25例)。结果显示,两组患者在干预后即刻和1个月的自我效能感和治疗依从性平均总分均有显著差异(p值< 0.001)。此外,组内比较显示,干预组时间的影响显著(p值< 0.001)。结论:考虑到干预组患儿自我效能感和治疗依从性的提高,建议采用远程护理为基础的家庭赋权方案。实践意义:本研究结果支持将远程护理为基础的家庭赋权方案纳入常规护理实践,以促进长期疾病管理和以家庭为中心的护理。
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引用次数: 0
Middle school students' perceptions of peer bullying: A qualitative study 中学生同伴欺凌认知的质性研究。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-07 DOI: 10.1016/j.pedn.2025.12.033
Esra Ünal Çelik , Arzu Koçak Uyaroğlu , Alime Selçuk Tosun

Aim

This study examined middle school students' perceptions of peer bullying using qualitative methods.

Background

Peer bullying is a significant social problem that negatively affects children's physical, emotional, and social development. While many studies have explored its prevalence and consequences, most rely on quantitative data. Qualitative research is needed to capture students' lived experiences and to better understand the complex nature of bullying.

Methods

A qualitative descriptive design supported by phenomenological elements was used with 27 middle school students between February and April 2025. Individual semi-structured interviews were conducted, and data were analyzed manually using thematic analysis.

Results

Four themes and 14 sub-themes were identified: Four themes and 14 sub-themes were identified: Types of Bullying (verbal, physical, psychological, and cyberbullying), Perceived Positive Meaning (academic achievement, social reputation, and empathy), Perceived Negative Meaning (impairment in social interaction, aggression, and feelings of revenge), and Coping with Bullying (raising awareness, peer support, collaboration with teachers, and sharing with family).

Conclusions

Bullying occurred in verbal, psychological, physical, and cyber forms, causing negative effects such as social difficulties and aggression. Some students reported positive outcomes, including increased empathy and academic achievement. Awareness, teacher support, and family involvement were important in coping with bullying.

Implications for nursing and health policy

School nurses and mental health professionals should take an active role in recognizing and preventing peer bullying. Implementing school-based awareness and support programs can strengthen students' coping skills and promote safer school environments.
目的:本研究采用定性方法考察中学生对同伴欺凌的认知。背景:同伴欺凌是一个严重的社会问题,对儿童的身体、情感和社会发展产生负面影响。虽然许多研究已经探讨了其普遍性和后果,但大多数研究都依赖于定量数据。需要进行定性研究,以捕捉学生的生活经历,并更好地了解欺凌的复杂性。方法:采用现象学元素支持的定性描述设计,于2025年2月至4月对27名中学生进行调查。进行了个别半结构化访谈,并使用主题分析手动分析数据。结果:确定了四个主题和14个子主题:欺凌类型(言语、身体、心理和网络欺凌),感知到的积极意义(学业成就、社会声誉和共情),感知到的消极意义(社会互动障碍、攻击性和复仇感),以及应对欺凌(提高意识、同伴支持、与教师合作和与家人分享)。结论:欺凌主要表现在言语、心理、身体和网络四个方面,造成社交困难和攻击性等负面影响。一些学生报告了积极的结果,包括同情心和学业成绩的提高。意识、老师的支持和家庭的参与对应对欺凌很重要。对护理和卫生政策的影响:学校护士和精神卫生专业人员应在识别和预防同伴欺凌方面发挥积极作用。实施以学校为基础的意识和支持方案可以加强学生的应对技能,促进更安全的学校环境。
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引用次数: 0
The effect of bath applied in two different sequences on stress level and physiological parameters in term babies 两种不同沐浴顺序对足月婴儿应激水平和生理参数的影响。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-07 DOI: 10.1016/j.pedn.2025.12.025
Ayşe Dilan Koçak , Sevil Inal

Background

The sequence of neonatal bathing may significantly influence an infant's ability to maintain homeostasis. Traditional methods begin with the head, but deferring head washing to the final stage may reduce thermal loss and procedural distress.

Purpose

This study compared the effects of two swaddle bathing sequences head-first versus body-first on the stress levels and physiological parameters of term newborns.

Design and methods

This randomized controlled trial (RCT) included 104 term infants born in a Training and Research Hospital in Istanbul between July 18 and September 20, 2023. Infants were randomly assigned to Group 1 (head washed first, then body; n = 52) or Group 2 (body washed first, then head; n = 52). Stress levels, calming durations, and physiological parameters (body temperature, oxygen saturation, heart rate) were systematically analyzed.

Findings

Baseline measurements were similar between groups (p > 0.05). During and after the procedure, Group 1 exhibited significantly higher stress levels (p < 0.001) and longer calming times (p < 0.001) than Group 2. Post-procedure body temperature and O2 saturation were significantly lower (p < 0.001), while heart rate was significantly higher (p = 0.001) in Group 1.

Conclusion

Washing the body before the head minimizes neonatal stress, accelerates recovery, and preserves physiological stability. Deferring head washing is recommended to enhance neonatal care (RCT ID: NCT06166485).

Implications for practice

These findings provide evidence-based guidance for neonatal nurses. Implementing a body-first sequence optimizes thermoregulation and minimizes procedural stress in term infants.
背景:新生儿洗澡的顺序可能显著影响婴儿维持体内平衡的能力。传统的方法从头部开始,但推迟头部清洗到最后阶段可以减少热损失和程序上的痛苦。目的:比较头先和身体先两种襁褓洗浴方式对足月新生儿应激水平和生理参数的影响。设计和方法:本随机对照试验(RCT)纳入了2023年7月18日至9月20日在伊斯坦布尔一家培训和研究医院出生的104名足月婴儿。将婴儿随机分为第一组(先洗头,再洗身体,n = 52)和第二组(先洗身体,再洗头,n = 52)。系统分析应激水平、镇静时间和生理参数(体温、血氧饱和度、心率)。结果:两组间基线测量值相似(p < 0.05)。在手术期间和手术后,第1组表现出明显较高的应激水平(p 2饱和度显著降低)。结论:头部前冲洗身体可以最大限度地减少新生儿的应激,加速恢复,并保持生理稳定性。建议推迟洗头以加强新生儿护理(RCT ID: NCT06166485)。实践意义:这些发现为新生儿护士提供了循证指导。实施身体优先顺序优化体温调节和最小化程序压力在足月婴儿。
{"title":"The effect of bath applied in two different sequences on stress level and physiological parameters in term babies","authors":"Ayşe Dilan Koçak ,&nbsp;Sevil Inal","doi":"10.1016/j.pedn.2025.12.025","DOIUrl":"10.1016/j.pedn.2025.12.025","url":null,"abstract":"<div><h3>Background</h3><div>The sequence of neonatal bathing may significantly influence an infant's ability to maintain homeostasis. Traditional methods begin with the head, but deferring head washing to the final stage may reduce thermal loss and procedural distress.</div></div><div><h3>Purpose</h3><div>This study compared the effects of two swaddle bathing sequences head-first versus body-first on the stress levels and physiological parameters of term newborns.</div></div><div><h3>Design and methods</h3><div>This randomized controlled trial (RCT) included 104 term infants born in a Training and Research Hospital in Istanbul between July 18 and September 20, 2023. Infants were randomly assigned to Group 1 (head washed first, then body; <em>n</em> = 52) or Group 2 (body washed first, then head; n = 52). Stress levels, calming durations, and physiological parameters (body temperature, oxygen saturation, heart rate) were systematically analyzed.</div></div><div><h3>Findings</h3><div>Baseline measurements were similar between groups (<em>p</em> &gt; 0.05). During and after the procedure, Group 1 exhibited significantly higher stress levels (<em>p</em> &lt; 0.001) and longer calming times (<em>p</em> &lt; 0.001) than Group 2. Post-procedure body temperature and O<sub>2</sub> saturation were significantly lower (p &lt; 0.001), while heart rate was significantly higher (<em>p</em> = 0.001) in Group 1.</div></div><div><h3>Conclusion</h3><div>Washing the body before the head minimizes neonatal stress, accelerates recovery, and preserves physiological stability. Deferring head washing is recommended to enhance neonatal care (RCT ID: <span><span>NCT06166485</span><svg><path></path></svg></span>).</div></div><div><h3>Implications for practice</h3><div>These findings provide evidence-based guidance for neonatal nurses. Implementing a body-first sequence optimizes thermoregulation and minimizes procedural stress in term infants.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 50-57"},"PeriodicalIF":2.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935729","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}
引用次数: 0
The relationship between fathers' e-health literacy levels and pediatric fever management: A cross sectional study 父亲电子健康素养水平与儿科发烧管理的关系:一项横断面研究。
IF 2.3 4区 医学 Q2 NURSING Pub Date : 2026-01-06 DOI: 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.
目的:儿科护士通过提高健康素养行为,在促进父亲积极参与儿科发热管理中发挥关键作用。本研究旨在探讨父亲电子健康素养水平与儿科发烧管理之间的关系。方法:于2025年2月至4月对155名父亲进行横断面研究。采用人口统计信息表、家长发热管理量表和电子卫生素养量表收集数据。采用描述性统计(频率、百分比、平均值和标准差)、独立样本t检验、单因素方差分析、多因素回归分析和相关分析进行数据收集。结果:父亲在电子健康素养量表上的平均得分为30.32±8.19分,在父母发烧管理量表上的平均得分为33.78±5.42分。结论:本研究确定了电子健康素养与发烧管理之间的显著关系。提高父亲对获取可靠卫生信息源的认识并提供教育支持,可提高电子卫生素养和发烧管理做法。实际意义:考虑到父亲的电子健康素养与发烧管理之间的积极关系,儿科护士有一项关键责任,即通过培训计划支持父亲,使他们能够获得有关发烧管理的准确和充分的信息。
{"title":"The relationship between fathers' e-health literacy levels and pediatric fever management: A cross sectional study","authors":"Hilal Kurt Sezer Ph.D., RN ,&nbsp;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> &lt; 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> &lt; 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":"2026-01-06","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}
引用次数: 0
期刊
Journal of Pediatric Nursing-Nursing Care of Children & Families
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