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

{"title":"Analysis of the causal factors of the nursing diagnosis of ineffective breathing pattern in children with congenital heart disease","authors":"Nayana Maria Gomes de Souza ,&nbsp;Viviane Martins da Silva ,&nbsp;Marcos Venícios de Oliveira Lopes ,&nbsp;Lívia Maia Pascoal ,&nbsp;Lívia Zulmyra Cintra de Andrade ,&nbsp;Beatriz Amorim Beltrão","doi":"10.1016/j.pedn.2025.01.022","DOIUrl":"10.1016/j.pedn.2025.01.022","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze the causal factors of the nursing diagnosis of ineffective breathing pattern (IBP) in children with congenital heart disease.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study carried out in a tertiary hospital located in northeastern Brazil. Our sample was composed of 340 children with congenital heart disease. The latent class model with adjusted random effects determined the IBP. Univariate logistic regression analysis was performed for each IBP nursing diagnosis causal factor.</div></div><div><h3>Results</h3><div>The analysis of etiological factors for the nursing diagnosis of IBP in children with congenital heart disease revealed a high prevalence of all causal factors investigated. The causal factors with the greatest impact on the occurrence of IBP were body position that inhibits pulmonary expansion; physical effort; pain; age less than two years; increased resistance to air passages; and reduced pulmonary compliance.</div></div><div><h3>Conclusions</h3><div>The occurrence of causal factors, body position that inhibits pulmonary expansion, physical effort, pain and age less than two years increases the chance of IBP nursing diagnosis in children with congenital heart disease.</div></div><div><h3>Implications to practice</h3><div>The results obtained in this investigation can guide pediatric nurses in making diagnostic decisions, as identifying the causal factors that trigger or potentiate IBP in children with congenital heart disease allows nurses to intervene early, facilitating the maintenance of breathing patterns.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 108-117"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075975","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":"Augmenting pediatric nursing clinical education with low-cost simulations","authors":"Valerie C. Martinez DNP, APRN, CPNP-PC, PMHS,&nbsp;Desiree A. Díaz PhD, APRN, FNP-BC, CNE, CHSE-A, ANEF, FSSH, FAAN,&nbsp;Mindi Anderson PhD, APRN, CPNP-PC, CNE, CHSOS, CHSE-A, ANEF, FSSH, FAAN,&nbsp;Samantha Stephenson DNP, APRN, CPNP-AC,&nbsp;Syretta Spears MA, CHSE, CHSOS-A, FSSH","doi":"10.1016/j.pedn.2025.01.020","DOIUrl":"10.1016/j.pedn.2025.01.020","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric nursing education faces challenges due to limited clinical opportunities for students. Simulation-based education (SBE) is essential to address this gap, but high-fidelity/high-technology simulations can be expensive. Low-cost alternatives, such as pictocards, offer a diverse and cost-effective solution that aligns with competency-based education. This study aimed to evaluate the educational benefit of this low-cost solution on simulation effectiveness.</div></div><div><h3>Methods</h3><div>A convergent mixed methods study design was used with undergraduate nursing students in a pediatrics skills lab. Quantitative data were collected using the modified Simulation Effectiveness Tool (SET-M; Leighton et al., 2015) and qualitative data were gathered from open-ended responses on the tool. Descriptive statistics and content analysis were used to analyze the data.</div></div><div><h3>Results</h3><div>A total of 164 learners participated in the study. SET-M results indicate that the simulation activity was effective, with an overall SET-M score of 2.49 (SD = 0.23) out of 3.0. Means on the subscales ranged from 2.35 to 2.79 out of 3.0, with the highest subscale being Debriefing. Qualitative findings showed that learners found the simulation useful with an emphasis on enhanced understanding and exposure to diverse patient populations.</div></div><div><h3>Conclusion</h3><div>This modality was an effective, low-cost solution for pediatric nursing SBE. Further exploration is needed with this modality and other low-cost solutions for competency development and interdisciplinary applications.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 136-141"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075977","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":"Factors influencing the utilization, and perceived benefits of complementary and alternative medicine in the management of common childhood diseases among residents of Makun community, Sagamu, Ogun State Nigeria","authors":"Oluwabusolami Esther Atekoja ,&nbsp;Omolabake Fathiat Salako ,&nbsp;Olabisi Oluseye ,&nbsp;Funmilayo Okanlawon","doi":"10.1016/j.pedn.2025.01.016","DOIUrl":"10.1016/j.pedn.2025.01.016","url":null,"abstract":"<div><h3>Purpose</h3><div>The utilization of Complementary and Alternative Medicine (CAM) has been on the rise, despite the expansion of conventional medicine across populations. The choice and utilization of CAM are informed by individuals' health-care-seeking behavior and the derived benefits. This study examined the factors responsible for the choice and utilization of CAM in the management of common childhood diseases among residents of Makun community, Sagamu, Ogun state Nigeria.</div></div><div><h3>Design and methods</h3><div>A descriptive cross-sectional design was adapted for this study, using an interview-administered questionnaire to elicit data on respondents' socio-demographic characteristics, knowledge, utilization, and factors influencing the utilization of CAM and perceived effects and satisfaction. Multi-stage sampling technique was used to select a total of 332 respondents comprising 129 males and 203 females. Data were analyzed with the Statistical Package for Social Sciences and presented using tables, percentages, and frequencies.</div></div><div><h3>Result</h3><div>The findings revealed the following as the most influencing factors for the choice and utilization of CAM: Effectiveness (75.9 %), affordability (82.9 %), accessibility (81.7 %), and tolerance for children (44.6 %). CAM therapies that are always utilized in the management of common childhood diseases include herbal medicine (36.7 %), natural supplements (21.4 %), dietary therapy (13.3 %), and chiropractic (10.2 %). Perceived benefits include satisfaction (71.1 %), effectiveness (45.8 %), safety (37.3 %), and minimal side effects (46.7 %).</div></div><div><h3>Conclusion</h3><div>The study concludes that despite the popularity of conventional or orthodox medicine in Nigeria, there is still a significant percentage of the population who actively utilize complementary and alternative medicine therapies in the management of common childhood diseases. CAM therapies are mostly used in communities as either primary or adjunct therapy, due to high perceived safety and effectiveness.</div></div><div><h3>Practice implications</h3><div>It is pertinent for Nurses to be aware of the knowledge of CAM and It is pertinent for Nurses to be aware of the growing popularity and utilization of Complementary and Alternative Medicine in managing common childhood diseases. Nurses need to develop solid strategies to ensure there is an open conversation regarding CAM use by clients towards improving the care of communities and mitigating the uncontrolled utilization of complementary and alternative medicine in the care of children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 118-125"},"PeriodicalIF":2.1,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075978","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":"A comparison of early childhood obesity prevention in Australian general practice and child and family health settings: A mixed methods study","authors":"Eve T. House ,&nbsp;Erin Kerr ,&nbsp;Sarah Taki ,&nbsp;Elizabeth Denney-Wilson ,&nbsp;Louise A. Baur ,&nbsp;Heilok Cheng ,&nbsp;Chris Rossiter ,&nbsp;Sharlene Vlahos ,&nbsp;Li Ming Wen","doi":"10.1016/j.pedn.2025.01.021","DOIUrl":"10.1016/j.pedn.2025.01.021","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to 1) understand and compare the knowledge, self-efficacy, practices, and attitudes of primary health professionals (PHPs) in general practice and child and family health settings regarding early childhood health promotion and obesity prevention, and 2) describe barriers and facilitators to embedding preventive care in these settings.</div></div><div><h3>Methods</h3><div>From August 2022 to July 2023, PHPs were recruited to participate in a mixed methods study, 227 PHPs completed a 20-item online survey and 28 participated in semi-structured interviews. Most were female, and almost half were Child and Family Health Nurses. Quantitative data were analysed descriptively, using Chi-squared or Fisher's exact tests to compare responses of Child and Family Health Nurses and PHPs in general practice. Reflexive thematic analysis of qualitative data was conducted.</div></div><div><h3>Results</h3><div>Child and Family Health Nurses engaged in health promotion activities (including growth assessment, and discussions of infant feeding and childhood nutrition) more frequently and were more confident doing so than general practice professionals. The latter also agreed with more statements inconsistent with current health promotion recommendations and were less likely to report having sufficient time to discuss healthy lifestyle behaviours with families. At interview professionals considered health promotion and obesity prevention an important component of their role. Organisational barriers, including limited time and staffing challenges, limit opportunities for engagement in early childhood obesity prevention.</div></div><div><h3>Conclusions</h3><div>PHPs require support to implement preventive care guidelines in routine practice. Professional education accompanied by organisational changes are required to support implementation of obesity prevention strategies in primary healthcare.</div></div><div><h3>Implications to practice</h3><div>There are many barriers to the implementation of early childhood obesity prevention in Australian primary healthcare. PHPs require training and resourcing to increase capacity to embed early childhood obesity prevention in their routine care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 97-107"},"PeriodicalIF":2.1,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I'm not sad anymore, I'm proud to have such a child”: The experiences of caregivers of dependents with cerebral palsy living in Greece","authors":"Angeliki Bistaraki PhD ,&nbsp;Nikos Stefanopoulos PhD ,&nbsp;Panagiotis Kiekkas PhD ,&nbsp;Dimitra Stamatopoulou MSc, RN ,&nbsp;Michael Igoumenidis PhD","doi":"10.1016/j.pedn.2024.12.007","DOIUrl":"10.1016/j.pedn.2024.12.007","url":null,"abstract":"<div><h3>Background</h3><div>People with cerebral palsy are largely dependent on their caregivers, who are most often members of their family. Caring for people with disabilities can be challenging as both dependents and caregivers face problems of social isolation and stigmatization.</div></div><div><h3>Aim</h3><div>The aim of this study was to understand the experiences of caregivers of dependents with cerebral palsy in Greece.</div></div><div><h3>Methods</h3><div>We conducted a qualitative study utilizing a descriptive phenomenological design. A purposive sample of 20 caregivers was employed and data was collected through semi-structured in-depth interviews. Data analysis was conducted using the 7 steps of Colaizzi's method.</div></div><div><h3>Results</h3><div>Three themes emerged from the data analysis: a) family cohesion and emotional status, b) social and professional support and c) facing stigma. All caregivers reported negative feelings such as sadness, disappointment, fear and anger and agreed that the region of Western Greece lacks appropriate infrastructure for people with cerebral palsy. Most of the participants exhibited high levels of internalized shame in the sense that the stigma attached to their child led to feelings of self-blame.</div></div><div><h3>Conclusion</h3><div>This study suggests that it is important to develop structural and community interventions to support carers and establish new strategies for better educated and empathetic nurses and other health professionals.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 89-96"},"PeriodicalIF":2.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060709","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":"Moderating effects of screen time on the relationship between family functioning and negative emotions in Chinese children with cancer","authors":"Jia Xu ,&nbsp;Ping Yan ,&nbsp;Guiyuan Ma ,&nbsp;Zixuan Liu ,&nbsp;Tianruixue Zhang ,&nbsp;Li Liu ,&nbsp;Can Gu","doi":"10.1016/j.pedn.2025.01.019","DOIUrl":"10.1016/j.pedn.2025.01.019","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore whether screen time moderates the relationship between family functioning and negative emotions in Chinese children with cancer.</div></div><div><h3>Methods</h3><div>Between November 2023 and May 2024, 206 children with cancer were recruited from a pediatric oncology ward at a tertiary hospital. Negative emotions, family functioning, and screen time were assessed using the Depression Anxiety Stress Scale-21, Family Adaptability and Cohesion Evaluation Scales, Second Edition, Chinese Version, and Screen Time Questionnaire, respectively. The moderating effect of screen time was analyzed using the Johnson-Neyman method and SPSS Process Macro.</div></div><div><h3>Results</h3><div>Screen time had a significant moderating effect (B = ‐0.052, <em>P</em> &lt; 0.05). Screen time could possibly moderate the relationship between family functioning and negative emotions, and the moderating effect may be diminished as screen time exceeded 3.13 h per day.</div></div><div><h3>Conclusions</h3><div>Family functioning and screen time likely have a vital impact on negative emotions in children with cancer. Increasing screen time probably decrease the adverse effects of poor family functioning on negative emotions, which, in turn, may reduce negative emotions.</div></div><div><h3>Practice implications</h3><div>These preliminary findings highlight the importance of monitoring and managing screen time in pediatric oncology settings may have in supporting the emotional well-being of children with cancer. This study provides a new theoretical perspective on care programs aimed at alleviating negative emotions in children with cancer.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 83-88"},"PeriodicalIF":2.1,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048390","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":"Nurses' experiences of cross-cultural care encounters in Swedish pediatric hospital care: A qualitative study","authors":"Azar G. Tavallali ,&nbsp;Maria Jirwe ,&nbsp;Åsa Johansson Stark ,&nbsp;Jeanette Eckerblad","doi":"10.1016/j.pedn.2025.01.014","DOIUrl":"10.1016/j.pedn.2025.01.014","url":null,"abstract":"<div><h3>Purpose</h3><div>Nurses are expected to provide appropriate care for children from diverse cultural backgrounds to achieve the aims of current legislation on good care and to ensure equal terms for the entire population. This study aim was to describe nurses' experiences of cross-cultural care encounters when interacting with children and families with a Culturally and Linguistically Diverse background in Swedish pediatric hospital care.</div></div><div><h3>Design and methods</h3><div>A descriptive qualitative study was conducted. Individual semi-structured online interviews were performed with 21 nurses in pediatric care from six university hospitals.</div></div><div><h3>Results</h3><div>Two themes were identified, (I) the importance of culturally competent care, with two sub-themes, (i) the significance of open-mindedness and cultural understanding, (ii) the significance of organizational support, and (II) the importance of effective communication, with three sub-themes, (i) the influence of language barriers, (ii) the importance of using communication tools and strategies and (iii) the influence of socio-cultural differences.</div></div><div><h3>Conclusions</h3><div>The findings provide further insight into the facilitators and barriers of cross-cultural care encounters in pediatric hospital care. Interactions with families from culturally and linguistically diverse backgrounds offer opportunities to enhance understanding of cultural differences and promote cultural awareness. Facilitating cross-cultural care encounters in pediatric hospital care requires cultural competence, mutual respect, and sufficient organizational support.</div></div><div><h3>Implications for practice</h3><div>The findings have implications for nursing practice, particularly in improving nurses' understanding of the diverse opportunities and challenges related to cultural and linguistic diversity in pediatric care, and in improving family-centered care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 74-82"},"PeriodicalIF":2.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficiency of immersive virtual reality game technology on pain management in children with limb fractures: A randomized controlled trial","authors":"Fan Bai ,&nbsp;Yuan Xue ,&nbsp;Qian Zhang ,&nbsp;Hong Cheng ,&nbsp;Jinli Guo","doi":"10.1016/j.pedn.2025.01.007","DOIUrl":"10.1016/j.pedn.2025.01.007","url":null,"abstract":"<div><h3>Background</h3><div>Children with fractured limbs usually have moderate to high pain, and distraction can help reduce their pain and anxiety. Virtual reality technology is an emerging method of distraction. We investigated whether the use of immersive virtual reality gaming technology to treat perioperative pain in children with school-age limb fractures effectively.</div></div><div><h3>Method</h3><div>Ninty-nine patients who had limb fracture surgery between October 2021 and September 2022 were randomly assigned to receive immersive virtual reality game therapy (Group A), non-immersive virtual reality game therapy (Group B), or conventional treatment group (Group C). Changes in pain, anxiety, fear, and biochemical markers were assessed at various time points in the three groups using subjective and objective rating scales.</div></div><div><h3>Results</h3><div>Both Group A and Group B consistently showed lower pain scores, fear levels, and anxiety levels compared to Group C after surgery, statistical analysis revealed significant differences among the three groups (<em>p</em> &lt; 0.001). Additionally,serum levels in group A were significantly lower than those in other groups, showing a notable statistical discrepancy (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Both immersive and non-immersive virtual reality gaming significantly reduce perioperative pain, fear, and anxiety in children with limb fractures, and have practical significance for pain management of pediatric orthopedic patients. Immersive virtual reality, however, appears to have a more pronounced effect.</div><div>Clinical Trial Registration: The trial was registered prior to patient enrollment at the Chinese Clinical Trial Registry(ChiCTR210004583).</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 68-73"},"PeriodicalIF":2.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042693","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 outcomes of implementing clinical guidelines to manage pediatric diabetic ketoacidosis in emergency department","authors":"Majdi Younis ,&nbsp;Ahmad Ayed ,&nbsp;Ahmad Batran ,&nbsp;Mohammed A.L. Bashtawy ,&nbsp;Yahya Najjar ,&nbsp;Osama Alkouri ,&nbsp;Aaliyah Momani ,&nbsp;Abdulqadir J. Nashwan ,&nbsp;Anas Ababneh","doi":"10.1016/j.pedn.2025.01.015","DOIUrl":"10.1016/j.pedn.2025.01.015","url":null,"abstract":"<div><h3>Background</h3><div>Type 1 diabetes is the most common endocrine health condition among youth. Healthcare professionals must consider evidence-based guidelines in managing children and adolescents with diabetic ketoacidosis (DKA). The current study aims to assess the outcomes of implementing clinical guidelines by the American Diabetes Association to manage DKA among pediatrics in an emergency department in Palestine.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted among 60 children (&lt;12 years old) with type 1 diabetes mellitus with DKA throughout February to May 2021. The children were assessed on arrival and during the next 6 h for implementing the recommended guidelines of DKA management (e.g., fluids and insulin therapy). The assessment included measurement of vital signs (blood pressure, heart rate, respiratory rate, O₂ saturation), PH, HCO3-, and random blood glucose (RBG). A repeated-measure ANOVA was used to detect the difference between outcome measures during the follow-up period.</div></div><div><h3>Results</h3><div>After implementing the recommended guidelines of DKA management, all vital signs improved significantly in the follow-up period (<em>p</em> &lt; 0.05). Also, PH, HCO₃-, and random blood glucose (RBG) were significantly enhanced in the follow-up period (p &lt; 0.05) among children with DKA.</div></div><div><h3>Conclusion</h3><div>The study demonstrated that the recommended DKA management guidelines effectively managed children with DKA in emergency departments. Healthcare professionals should adhere to the guidelines when treating children with DKA.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 63-67"},"PeriodicalIF":2.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the infant nursing assessment scale: Results from exploratory factor analysis and Rasch modeling","authors":"Matteo Danielis,&nbsp;Martina Dato,&nbsp;Renzo Zanotti,&nbsp;Elena Biasin,&nbsp;Mayra Veronese","doi":"10.1016/j.pedn.2025.01.018","DOIUrl":"10.1016/j.pedn.2025.01.018","url":null,"abstract":"<div><div><em>Purpose</em>: The primary challenge in infant care is developing a comprehensive, rapid, and reliable assessment tool that is minimally dependent on subjective evaluations and applicable in various inpatient settings. This study aims to develop and assess the structural validity of the Infant Nursing Assessment Scale (INA), enabling a comprehensive evaluation of hospitalized newborns and infants.</div><div><em>Design and methods</em>: A development and validation study based on cross-sectional design was undertaken. The study included the conceptualization and validation of the INA scale through qualitative expert interviews, followed by a pilot study and psychometric evaluation using exploratory factor analysis and Rasch analysis. The INA scale comprises three subscales: Functionality, Breastfeeding, and Parental-infant relationship dynamics, encompassing 22 items.</div><div><em>Results</em>: The study included 319 valid measurements, with significant score decreases from admission to discharge in most items, indicating the scale's sensitivity to clinical status changes. Factor analysis revealed strong structural validity while the Rasch analysis revealed optimal Infit and Outfit Mean-Square values for most items. Items Sensorium and Mother's substance use did not show significant changes and were considered for removal. The scale's internal consistency was acceptable, with Cronbach's Alpha values ranging from 0.59 to 0.74 across subscales.</div><div><em>Conclusions</em>: The INA scale is a reliable instrument for assessing the comprehensive needs of hospitalized infants, supporting targeted nursing interventions and enhancing the quality of pediatric care. The study confirms the INA scale's validity and reliability, highlighting its potential for broader application in various in-hospital clinical settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 55-62"},"PeriodicalIF":2.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}