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

{"title":"Motivations for self-care in caregivers of children with autism spectrum disorder: A phenomenological study","authors":"Mohamed Ali Zoromba ,&nbsp;Heba Emad El-Gazar","doi":"10.1016/j.pedn.2026.01.038","DOIUrl":"10.1016/j.pedn.2026.01.038","url":null,"abstract":"<div><h3>Background</h3><div>The rising prevalence of Autism Spectrum Disorder (ASD) places increasing demands on family caregivers. While the barriers to self-care are well-documented, the motivations that drive caregivers to prioritize their own health remain underexplored. This gap is particularly evident in culturally distinct settings like Saudi Arabia, where societal norms and religious beliefs shape caregiving dynamics.</div></div><div><h3>Aim</h3><div>This study aimed to explore the motivations for self-care among Saudi mothers of children with ASD.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological design, grounded in Husserl's philosophy, was employed to investigate the lived experiences of 12 Saudi mothers. Participants were recruited via criterion-based purposive sampling. Data were collected via semi-structured, in-depth interviews conducted and analyzed using Colaizzi's method to distill thematic insights. Rigor was ensured through bracketing, interpretive member checking, and investigator triangulation.</div></div><div><h3>Results</h3><div>Four key categories emerged: (1) <em>Personal Values and Beliefs</em>, highlighting intrinsic maternal duty and spirituality as a primary sustainer; (2) <em>Social Support</em>, emphasizing family and professional encouragement; (3) <em>Barriers to Self-Care</em>, identifying time constraints and guilt rooted in cultural expectations; and (4) <em>Perceived Impact on Caregiving</em>, linking self-care to enhanced resilience and child well-being. Spirituality and collectivist support systems uniquely influenced motivations, while cultural norms posed distinct challenges.</div></div><div><h3>Conclusion</h3><div>Motivation for self-care among Saudi mothers is not driven by a desire for personal indulgence, but by a pragmatic and spiritual imperative to maintain caregiving capacity. Findings advocate for culturally tailored interventions, such as “Self-Care Prescriptions,” that leverage spirituality and family networks to overcome barriers and enhance caregiver well-being.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 392-399"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127084","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":"Effect of a health literacy education program on the health literacy of parents of children with disabilities in special education and rehabilitation centers","authors":"Ozcan Aygun ,&nbsp;Meryem Demir ,&nbsp;Yakup Göçer ,&nbsp;Hülya Çiftçi ,&nbsp;Seda Adak","doi":"10.1016/j.pedn.2026.01.039","DOIUrl":"10.1016/j.pedn.2026.01.039","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to examine the preliminary results of a health literacy education program on the health literacy of parents of children with disabilities in special education and rehabilitation centers.</div></div><div><h3>Study design and methods</h3><div>The study employed a single-group pre- and posttest research design. It was conducted with parents of children receiving services at four special education and rehabilitation centers affiliated with a district national education directorate. First, the questionnaires were administered, and the data were collected. Then, a 6-week health literacy training program was conducted. After the program, the data were collected again and analyzed using the paired-sample <em>t-</em>test and the McNemar's test.</div></div><div><h3>Results</h3><div>The pretest mean health literacy score was 30.19 ± 8.08, which increased to 36.63 ± 8.42 at posttest (<em>p</em> &lt; .001). Following the educational program, 44 participants demonstrated enhancement in their health literacy levels and transitioned from the inadequate or problematic category to the adequate category in their post-assessment results (<em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>The study successfully achieved this objective, thereby demonstrating a positive impact of the training program on the health literacy of parents of disabled children.</div></div><div><h3>Practice implications</h3><div>The significance of this study lies in addressing the research gap concerning parents of children with disabilities in special education. The program had a positive impact on the health literacy of participating families.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 402-408"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127006","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":"Cigarette smoking prevalence and its risk factors, including social anxiety and depression, among adolescents in Turkey: A school-based cross-sectional study1","authors":"Elif Ezgi Kaçmaz ,&nbsp;Yasemin Gümüş Şekerci","doi":"10.1016/j.pedn.2026.01.018","DOIUrl":"10.1016/j.pedn.2026.01.018","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to determine the prevalence of smoking and levels of social anxiety and depression among adolescents and examine the risk factors that influence smoking.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in Turkey in 2025 with 3636 adolescents aged 13–19 years. Data were collected using a Personal Information Form, the Social Anxiety Scale for Adolescents, and the Basic Depression Scale. Descriptive statistics, independent-samples <em>t</em>-tests, chi-square tests, and logistic regression analyses were used for the data analysis.</div></div><div><h3>Results</h3><div>The prevalence of smoking in this study was 9.5%. Sex, grade level, having family members or friends who smoke, social anxiety, and depression were identified as significant smoking risk factors. Specifically, having peers who smoke increased the likelihood of adolescent smoking by 9.627 times, whereas having family members who smoke increased this likelihood by 1.412 times. Additionally, each one-unit increase in social anxiety score was associated with a 1.6% increase in the likelihood of smoking, whereas each one-unit increase in depression score was associated with a 5.2% increase.</div></div><div><h3>Conclusion</h3><div>The findings revealed that depression and social anxiety are critical psychological variables that must be considered when understanding cigarette smoking.</div></div><div><h3>Practical implications</h3><div>School nurses can develop comprehensive approaches to reduce peer influence and strengthen psychosocial support systems in anti-smoking programs for adolescents. Additionally, they can facilitate the expansion of school-based mental health screenings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 219-226"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031472","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":"Adolescents' experiences of hypoglycemic episodes in type 1 diabetes","authors":"Raheleh Sabetsarvestani ,&nbsp;Emine Geçkil ,&nbsp;Semra Köse ,&nbsp;Selverhan Yurttutan","doi":"10.1016/j.pedn.2026.01.023","DOIUrl":"10.1016/j.pedn.2026.01.023","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to explore how adolescents with Type 1 Diabetes experience hypoglycemic episodes in Türkiye.</div></div><div><h3>Method</h3><div>A descriptive exploratory qualitative design with a content analysis approach was employed. This study was conducted in the pediatric endocrinology clinic of a university hospital in Konya, Türkiye, between August 2024 and January 2025. Participants were selected through purposive sampling. Data were collected through semi-structured, face-to-face interviews. A total of 20 adolescents participated. Data were analyzed using qualitative content analysis.</div></div><div><h3>Results</h3><div>The mean age of participants was 15 years. One main theme and five subthemes emerged from data analysis. The main theme was “Navigating the Hypoglycemia Journey,” and the subthemes were: Triggers and Risks, Recognizing and Responding to Symptoms, Emotional Reactions and Coping Strategies, Recovery and Support, and Managing and Sharing Wisdom<strong>.</strong></div></div><div><h3>Conclusion</h3><div>This study provides a nuanced understanding of adolescents' lived experiences with hypoglycemia, highlighting how they navigate triggers, recognize symptoms, cope emotionally, and gradually develop resilience and self-management skills. By centering adolescents' voices, the findings emphasize the critical role of families, schools, and healthcare providers in promoting safety, confidence, and autonomy.</div></div><div><h3>Implication for practice</h3><div>These insights can help healthcare providers promote early symptom recognition, timely responses, and effective self-management, while highlighting the supportive roles of families and schools in reducing distress and strengthening adolescents' confidence in managing hypoglycemia.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 243-249"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038421","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":"Predictors of professional self-concept and job motivation in pediatric nurses","authors":"Pınar Bekar ,&nbsp;Şevkiye Dikmen ,&nbsp;Emine Efe","doi":"10.1016/j.pedn.2026.01.025","DOIUrl":"10.1016/j.pedn.2026.01.025","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to identify the predictors of professional self-concept and job motivation among pediatric nurses and to examine the relationship between them.</div></div><div><h3>Design and methods</h3><div>A cross-sectional, correlational study design was used. This study was conducted with 102 pediatric nurses working at a university hospital in Turkey between March 2023 and January 2024. Data were collected using a Descriptive Information Form, the Professional Self-Concept Scale in Clinician Nurses (NPSCS), and the Nurses Job Motivation Scale (NJMS).</div></div><div><h3>Results</h3><div>The multiple regression analysis revealed that perceived workload (β = 0.227) and participation status in professional activities (β = 0.279) were significant predictors of professional self-concept. The perceived workload of pediatric nurses significantly predicted their job motivation (β = 0.270). Additionally, correlation analysis indicated a statistically significant positive relationship between professional self-concept and job motivation levels among pediatric nurses (<em>r</em> = 0.542, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>In this study, it was concluded that as pediatric nurses' levels of professional self-concept increased, their job motivation levels also increased. Perceived workload and participation status in professional activities affected professional self-concept. In addition, perceived workload was found to affect job motivation.</div></div><div><h3>Practice implications</h3><div>In order to increase the job motivation and professional self-concept of pediatric nurses, it has been revealed that strategies should be developed to improve working conditions in a way that enables nurses to perform their duties optimally, to provide support for nurses, and to foster the development of their professional identity.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 279-285"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078436","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 effect of abdominal massage on gastrointestinal complications in enterally fed pediatric intensive care patients","authors":"Engin Turan PhD, RN ,&nbsp;Aynur Erkal Şimşek RN","doi":"10.1016/j.pedn.2026.01.041","DOIUrl":"10.1016/j.pedn.2026.01.041","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Although the physiological response to enteral nutrition is high in children, it also carries risks and complications. This study was conducted to investigate the effect of abdominal massage on gastrointestinal complications in mechanically ventilated, enterally fed children hospitalized in the pediatric intensive care unit.</div></div><div><h3>Materials and methods</h3><div>The sample of this controlled experimental study consisted of 38 patients in the experimental group and 38 in the control group, all of whom were receiving enteral nutrition via mechanical ventilation in a pediatric intensive care unit. The experimental group received abdominal massage once daily for three consecutive days.</div></div><div><h3>Results</h3><div>A significant difference was observed between the groups in terms of abdominal distension, defecation, development of constipation, daily caloric intake, and gastric residual volume. However, no significant difference was found between the groups regarding the occurrence and frequency of vomiting. A significant difference was identified in the experimental group concerning abdominal distension and frequency of defecation, whereas in the control group, significant differences were found in constipation, daily caloric intake, gastric residual volume, and fasting blood glucose measurements.</div></div><div><h3>Conclusion</h3><div>Abdominal massage applied to patients in the pediatric intensive care unit was found to be potentially effective in reducing abdominal distension, increasing the frequency of defecation, decreasing the incidence of constipation, enhancing daily caloric intake, and lowering gastric residual volume levels.</div></div><div><h3>Implications to practice</h3><div>Abdominal massage is a safe, noninvasive, cost-free nursing practice that helps prevent or reduce gastrointestinal complications in pediatric intensive care patients.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 424-432"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138040","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":"“My image of the elderly …”: an analysis of elderly representations in children's drawings","authors":"Mükerrem Kabataş Yıldız PhD ,&nbsp;Oya Sevcan Orak PhD","doi":"10.1016/j.pedn.2026.01.015","DOIUrl":"10.1016/j.pedn.2026.01.015","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examines the perceptions of children aged 9 to 12 regarding older adults and the aging process through drawing analysis.</div></div><div><h3>Materials and method</h3><div>This qualitative study employed an art-based narrative approach for data collection, integrating drawings and interviews. Data were analyzed projectively. The study was conducted with 25 children aged 9 to 12 living in a northern province of Türkiye, each of whom had at least one older adult in the family and who volunteered to participate. Data were collected using the “Child Descriptive Information Form,” the “Draw a Picture of an Elderly Person” activity, and a “Semi-Structured Interview Form.”</div></div><div><h3>Results</h3><div>Projective analysis of children's drawings and interviews revealed four main themes: “Traces of Time on the Body: Visual Representations of Aging,” “The Need for Psychosocial Support: Family-Centered Social Transformation,” “After Their Departure: A Period of Confronting the Reality of Death,” and “The Warm Face of Compassion.”</div></div><div><h3>Conclusion</h3><div>While children's perceptions of older adults were generally positive, their views on the aging period were predominantly negative. Children described older individuals as compassionate, wise, and lovable, but also associated aging with loneliness, illness, disability, experiences and fears of death, suffering, and fear of loss.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 209-218"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019046","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 effect of multi-sensory stimuli used during vaccination on pain and physiological parameters in infants: A randomized controlled trial","authors":"Kadriye Şahin MSc, PhD ,&nbsp;Suzan Yıldız RN, PhD ,&nbsp;Emel Gür Md","doi":"10.1016/j.pedn.2025.11.051","DOIUrl":"10.1016/j.pedn.2025.11.051","url":null,"abstract":"<div><h3>Purpose</h3><div>The study examine the effect of Multi-Sensory Stimulus Method (MSSM) during vaccination in infants on pain and physiological parameters.</div></div><div><h3>Methods</h3><div>The study was a randomized controlled trial between March and December 2023. A total of 96 infants aged 2–6 months were included, divided into 3 intervention and 1 control group. The MSSM was applied to the first intervention group by the nurse, and to the second intervention group by the mother. Third group infants were only breastfed without MSSM, while the control group (CG) received standard care. Data were collected via forms, pain scale, and physiological parameters. Pain, peak heart rate (HRP), and oxygen saturation (SpO₂) were evaluated at 5 points: 5 min before, 2 min before, immediately before and after vaccination, 2 min after, and 5 min after the vaccination. Process was video-recorded. Data analyzed with descriptive stats, ANOVA, Chi-Square, Bonferroni tests (<em>p</em> &lt; 0.05).</div></div><div><h3>Results</h3><div>No significant differences among groups in terms of descriptive characteristics (<em>p</em> &gt; 0.05). Significant differences found in total FLACC scores and SpO₂ values measured throughout the procedure, while no statistically significant difference was observed in HRP values (<em>p</em> &lt; 0.05). MSSM by mother/nurse had lower FLACC scores than breastfeeding and control groups. Crying duration in the CG was longer than MSSM groups was applied by the mother or nurse.</div></div><div><h3>Conclusion</h3><div>MSSM applied by mothers and nurses during vaccination reduced pain, helped maintain SpO₂, and no effect on HRP.</div></div><div><h3>Implications to practice</h3><div>MSSM supports atraumatic and family-centered care practices, its use is recommended during painful procedures.</div><div><strong>Clinical Trials number:</strong> <span><span><strong>NCT06291519</strong></span><svg><path></path></svg></span></div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 20-30"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918979","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":"Psychosocial status analysis of adolescents affected by the February 6, 2023 Kahramanmaraş earthquake in Türkiye: A descriptive cross-sectional study","authors":"Erhan Elmaoğlu ,&nbsp;Melike Yavaş Çelik ,&nbsp;Zerrin Çiğdem","doi":"10.1016/j.pedn.2025.12.026","DOIUrl":"10.1016/j.pedn.2025.12.026","url":null,"abstract":"<div><h3>Aim</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclussion</h3><div>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.</div></div><div><h3>Implications to practice</h3><div>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.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 72-77"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940541","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 problematic media use in children and their parents: Predictors of children's screen time and problematic media use","authors":"Gülçin Özalp Gerçeker RN, PhD ,&nbsp;İpek Göçer RN, MsC ,&nbsp;Beyza Dorum RN ,&nbsp;Ömer Baran RN","doi":"10.1016/j.pedn.2026.01.016","DOIUrl":"10.1016/j.pedn.2026.01.016","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined levels of problematic media use in children aged 4–11 years and problematic internet use in their parents, and predictors of children's daily screen time and problematic media use.</div></div><div><h3>Methods</h3><div>A cross-sectional, correlational study was conducted with 227 parents whose children attended a university-affiliated children's hospital. Data were collected using a demographic form, the Problematic Media Use Measure–Child (PMUM-C), and the Problematic Internet Use Questionnaire Short Form-6 (PIUQ-SF-6). Descriptive statistics and multiple linear regression were performed.</div></div><div><h3>Results</h3><div>Parents reported a mean daily screen time of 2.5 ± 1.8 h (range, 0–7), whereas their children's mean screen time was 2.8 ± 1.6 h (range, 0.5–8). The mean PMUM-C score for children was 57.4 ± 25.0, and the mean PIUQ-SF-6 score for parents was 11.9 ± 4.3. The predictors of children's problematic media use were parents' problematic internet use, children's phone/tablet ownership, and household income. Predictors of children's screen time were gender, education level, the parents' gender, age, and parental education level.</div></div><div><h3>Conclusion</h3><div>The study demonstrated elevated daily screen time among both children and parents, despite low levels of problematic media use in children and problematic internet use in parents.</div></div><div><h3>Practice implications</h3><div>Pediatric nurses and healthcare professionals should assess parental screen habits and provide targeted guidance on age-appropriate limits and healthy media practices. Nursing care should include risk-based education strategies aimed at young parents, especially at socio-economic and educational levels. Nurses should play a key role in providing guidance that supports children's developmental and healthy media use in accordance with their developmental life.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 236-242"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031555","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}