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

{"title":"The acceptability, feasibility and adoption of a co-designed electronic post-injury psychosocial screening tool for carers of children admitted to hospital following injury","authors":"Ms Tanesha A. Dimanopoulos BPsych ,&nbsp;Ms Kate Trenoweth RN ,&nbsp;Dr Alexandra C. De Young BPsycSc(Hons), PhD ,&nbsp;Professor Roy Kimble MD, FRACS, FRCSP, MBChB ,&nbsp;Associate Professor Bronwyn R. Griffin RN, PhD","doi":"10.1016/j.pedn.2025.01.027","DOIUrl":"10.1016/j.pedn.2025.01.027","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the feasibility, acceptability and adoption of a co-designed electronic post-injury psychosocial screening tool for carers of paediatric trauma patients.</div></div><div><h3>Design and methods</h3><div>A mixed methods approach with a parallel convergent design was used. The study occurred at a tertiary paediatric hospital in Australia, with data collected between April 2023 and February 2024. Data were collected through electronic surveys, semi-structured interviews, and the psychosocial screening tool. Participants included caregivers of hospitalised children and clinicians from the hospital's trauma service.</div></div><div><h3>Results</h3><div>Although both caregivers and clinicians found the tool feasible and acceptable, adoption rates were lower than expected. Key barriers included the tool's timing, which conflicted with caregivers' focus on physical recovery and emotional challenges discussing trauma. Clinicians viewed the tool as research-focused, limiting engagement. Logistical barriers, such as lack of clinician support and timing, further reduced adoption.</div></div><div><h3>Conclusion</h3><div>The tool showed potential for improving psychosocial support post-injury, but adoption was hindered by timing, emotional challenges and clinician engagement.</div></div><div><h3>Practice implications</h3><div>Clinicians must prioritise the acceptability, feasibility and adoption of tools when implementing caregiver support interventions for children with traumatic injuries. Future research should focus on overcoming implementation barriers and optimising psychosocial screening tools. Subsequent versions should align with caregivers' recovery timelines, embrace trauma-informed principles, promote clinician buy-in and be culturally tailored. Enhanced integration into clinical workflows and greater clinician engagement will boost adoption and effectiveness.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 155-164"},"PeriodicalIF":2.1,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097885","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":"The effect of diabetes education given to children with type 1 diabetes mellitus with digital games and video animation on quality of life","authors":"Gamze Tınmaz ,&nbsp;Sebahat Altundağ","doi":"10.1016/j.pedn.2025.01.023","DOIUrl":"10.1016/j.pedn.2025.01.023","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the study was to examine the effects of diabetes education given to children with Type 1 Diabetes Mellitus with digital game and video animation on quality of life and metabolic control.</div></div><div><h3>Design and methods</h3><div>The study was an experimental single-blind, randomized controlled design. It was conducted with a total of 55 children with Type 1 Diabetes Mellitus, consisting of a study (<em>n</em> = 27) and a control group (<em>n</em> = 28). Data were collected by the “Introductory Information Form”, “Pediatric Quality of Life 3.0 Diabetes Mellitus Module (PedsQL 3.0)” and “Metabolic Control Parameters Monitoring Form”. Data were analyzed with Mann Whitney U, Chi square, Friedman and Bonferroni Dunn tests.</div></div><div><h3>Results</h3><div>The descriptive characteristics of children with type 1 diabetes mellitus were homogeneous. The total mean quality of life scores of children with Type 1 Diabetes Mellitus in the study group were significantly higher than those in the control group (<em>p</em> &lt; 0,05). The average HbA1c scores of the children in the study group decreased (<em>p</em> &lt; 0,05), while the average HbA1c scores of the control group increased (p &lt; 0,05).</div></div><div><h3>Conclusions</h3><div>Digital game and video animation based education was found to be effective in improving the quality of life of children with Type 1 Diabetes Mellitus and reducing HbA1c.</div></div><div><h3>Practice implications</h3><div>Providing diabetes education to children with Type 1 Diabetes Mellitus with digital games and video animations can facilitate diabetes management.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 142-154"},"PeriodicalIF":2.1,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097884","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":"Pre-service education for registered nurses on mandatory reporting of child maltreatment: An integrative review","authors":"Sarah Stenson RN, MN(CFHN), PhD ,&nbsp;Alison Hutton RN, PhD ,&nbsp;Angela Fenton B.E. (hon), MECE, PhD ,&nbsp;Julian Grant RN, PhD","doi":"10.1016/j.pedn.2025.01.024","DOIUrl":"10.1016/j.pedn.2025.01.024","url":null,"abstract":"<div><h3>Problem</h3><div>The aim of this review is to examine the international literature about pre-service education for registered nurses and identify how it prepares them for their role as mandatory reporters of child maltreatment, to be applied to an Australian context.</div></div><div><h3>Methods</h3><div>All peer-reviewed papers about nurses' pre-service education on legally mandated reporting of child maltreatment written in English were eligible. Papers based on nurses working in various settings were included, from both Australian and international sources between 1994 to present. Literature search was performed between June–July 2021, and repeated in July 2023. 18 papers that met the eligibility criteria were included. They included 7 quantitative studies, 3 qualitative studies, 2 mixed-method studies, 5 literature reviews and 1 peer-reviewed discussion paper.</div></div><div><h3>Results</h3><div>The resultant papers came from Australia (<em>n</em> = 3), USA (n = 3), Taiwan (n = 3), India (<em>n</em> = 1), Brazil (n = 1), The Philippines (n = 1), Iran (n = 1), Hong Kong (n = 1), Saudi Arabia (n = 1), Korea (n = 1), UK (n = 1), and The Netherlands (n = 1). Publication dates ranged from 2005 to 2020. Key themes identified were insufficiencies in education leading to barriers to nursing making mandatory reports.</div></div><div><h3>Conclusions</h3><div>To remove barriers to making mandatory reports, nurses' education on mandatory reporting of child maltreatment should challenge nurses' attitudes and perceptions, be structured and use evidence-based pedagogy, and be delivered preservice.</div></div><div><h3>Implications</h3><div>Structured and pedagogically sound preservice education for nurses about mandatory reporting of child maltreatment is recommended. Education should offer opportunities for nurses to challenge their attitudes and preconceptions about child maltreatment.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 126-135"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075979","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":"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}