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

Purpose: to describe nurses' perceptions of using play in a pediatric onco-hematology setting.

Design and methods: A qualitative descriptive study was conducted in the pediatric onco-hematology department of a tertiary hospital in northern Italy. Eleven nurses working in the involved department were recruited via convenience sampling. Data were gathered through face-to-face interviews using a semi-structured guide. Data were analyzed using a descriptive qualitative approach.

Results: Four major themes emerged from the analysis: 1) The different purposes in using play, 2) A matter of time, 3) Choosing the most suitable game, and 4) Sharing celebrative moments as moments of interprofessional development. Nurses described play as a means to build trust, relieve parents, serve as an educational tool, and address children's needs. Although nurses recognized the limited time available, they wanted to manage their workload to accommodate play. They emphasized the importance of choosing suitable games and using playful moments as opportunities for fun and professional growth.

Conclusions: Therapeutic play should be systematically integrated into pediatric oncology care as it fosters trust, provides joy and relief, and supports the child and their parents.

Practice implications: Play should be incorporated into routine practice, ensuring children can access peer interaction and age-appropriate games. A multidisciplinary approach, with the involvement of trained professionals, should be fostered to support play-based care in pediatric oncology settings.

Aim: This study aims to examine the effect of the level of perceived social support in the postpartum period on maternal functioning and maternal attachment.

Methods: This study was conducted between January and May 2023 in two family health centers selected by simple randomization among 11 family health centers affiliated with the Health Directorate located in eastern Türkiye. The population of the study consisted of 410 mothers in the postpartum period who had babies aged 6-11 weeks old. Data were collected face-to-face using the "Personal Information Form", the "Multidimensional Scale of Perceived Social Support", the "Barkin Index of Maternal Functioning Scale" and the "Maternal Attachment Scale". Data analysis was performed using numbers, percentages, arithmetic means, independent groups t-tests, ANOVA, Pearson correlation analysis, and simple linear regression analysis.

Findings: A positive, moderately significant relationship was found between maternal attachment and maternal functioning (r = 0.554; p < .05). A positive, moderately significant relationship was found between maternal attachment and perceived social support (r = 0.585; p < .05). A positive, highly significant relationship was detected between social support and maternal functioning (r = 0.861; p < .05).

Conclusion: This study found that postpartum women's attachment levels increased with the increase in their maternal functioning. It was also found that mothers' attachment levels increased with the increase in their perceived social support levels. Social support levels were proven to be effective on maternal functioning as well as maternal attachment. Women's maternal functioning levels were found to increase with the increase in their social support levels.

Practice implications: In light of these findings, pediatric nurses and obstetric nurses have great responsibilities. Starting from the prenatal period and including the postnatal period, both the mother and everyone around her should be explained the importance of social support.

Aim: We aimed to examine in-depth the violence which pediatric emergency service nurses and parents of the children perceive towards them.

Methods: The study was conducted as phenomenological research and 15 pediatric nurses, and 15 parents were included in the pediatric emergency department. The data were analyzed using the thematic analysis method.

Results: The main themes of (1) Reasons for violence (2) Consequences of violence (3) Prevention of violence were created. The nursing staff indicated that violence was primarily attributable to patients and their relatives, as well as deficiencies in institutional and legal security measures. In contrast, the parents identified the nurses as the primary source of violence. Both groups underscored the significance of effective communication and empathy in the prevention of violence.

Conclusion: To prevent violence, healthcare professionals should receive training in interpersonal empathy, effective communication, and the recognition, management, and declaration of violence.

Implications to practice: Regarding the services and processes provided to patients, it is essential to ensure that they are adequately informed about the procedures using orientation marks/signs, information boards, and effective communication, to prevent any potential feelings of chaos, fear, and stress.

Purpose: This study aimed to explore the impact of the peer education model on adolescents' knowledge levels regarding Human Papillomavirus (HPV) infection and HPV vaccination.

Design and methods: The study was conducted quasi-experimentally in a pretest-posttest single-group design. The study sample consisted of 913 students enrolled in 9th, 10th, and 11th grades. The data of the study were collected between April and May 2023. Data were collected using the Demographic Information Form and the Human Papillomavirus Knowledge Scale (HPV-KS).

Results: It was determined that 8.8 % of the students had previously received information about HPV, of which 50 % had received this information through the media, and only 0.3 % of them had received the HPV vaccine. Before peer education, the mean HPV-KS score among students was 1.14 ± 3.54, while after peer education, the mean score increased to 23.78 ± 8.32, and this difference was found to be statistically significant (p < 0.005). Thus, it has been observed that the peer education model effectively enhances the knowledge level regarding HPV and the HPV vaccine among high school students.

Conclusions: The use of this model will help young people take healthy steps regarding risky sexual health. Moreover, it is recommended that nurses utilize the peer education model to promote healthy lifestyle behaviors and enhance knowledge on various health-related topics among adolescents, who constitute a significant at-risk group.

Practice implications: It is recommended that nurses utilize the peer education model to promote healthy lifestyle behaviors and enhance knowledge on various health-related topics among adolescents, who constitute a significant at-risk group.

Background: Paediatric obesity is increasing across the globe. In search for solutions, it is important to engage children, as they have their own unique perspectives on what it means to be a child with obesity within their sociocultural context. Though this is increasingly acknowledged, the question remains how to meaningfully engage children in paediatric obesity care as they are often in an unequal position in relation to adults.

Aim: In this study, we reflect on what can be learned from a participatory research approach to improve child-centred paediatric obesity care.

Design and methods: We reflect on four years of participatory research with children and care professionals to understand the mechanisms that facilitated child participation within the research process. Secondly, we reflect on how these lessons relate to care practices. We conducted qualitative content analysis on the data gathered, including interviews, observations and working sessions with children and care professionals.

Results: We identified three elements that facilitated child participation: (1) adopting a participatory attitude, (2) connecting to children's living environment and (3) doing activities together. This helped to build trusting relationships and gain in-depth understanding of what works well and why.

Conclusion: Our findings underscore the significance of building communicative spaces where children's voices can be articulated at their own pace, about issues of their own choice, based on their own experiences.

Practical implications: Working together with children as knowledgeable partners in paediatric obesity care can improve care delivery and provide solutions that better reflect their everyday realities and needs.

Purpose: The primary objective of this study is to evaluate the effectiveness of finger puppets, abeslang puzzles, and pinwheels in reducing pain and anxiety in children aged 4-6 years during blood sampling procedures in a pediatric emergency department.

Design and methods: This study was a four-arm parallel group randomised controlled trial design conducted in the pediatric emergency department of a children's hospital in Western Türkiye between June 2023 and June 2024. Children (n = 160) were randomly assigned into four groups in a 1:1:1:1 ratio. The intervention groups consisted of children aged 4-6 years as finger puppet (n = 40), abeslang puzzle (n = 40), pinwheel (n = 40) and control group (n = 40). Data were collected using Personnel Information Form, Wong-Baker FACES Pain Rating Scale, and the Children's Anxiety Meter-State. The participants themselves, their parents, the nurse and the researcher rated the pain and anxiety levels associated with the blood sampling procedure. These trials are registered with ClinicalTrials.gov (NCT05904483).

Results: ANOVA was used to compare the mean Wong-Baker FACES Pain Rating Scale scores among the groups. According to all raters (child, parent, nurse, and researcher), the finger puppet group had the lowest mean score, followed by the pinwheel, abeslang puzzle, and control groups (p < 0.05). According to the nurse and researcher evaluations after the procedure, the finger puppet group had the lowest mean score on The Children's Anxiety Meter-State, followed by the abeslang, pinwheel and control groups (p < 0.05).

Conclusion: Finger puppet, pinwheel and abeslang puzzle methods were effective in reducing pain and anxiety during blood sampling procedure in children.

Practice implications: Pediatric nurses can safely use finger puppet, pinwheel and abeslang puzzle methods to reduce pain and anxiety during blood sampling procedure in preschool children.