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

{"title":"Integration of music, yoga and massage: Investigation of their effects on preschool children's social-emotional development and quality of life","authors":"Gökçe Algül ,&nbsp;Ebru Kılıçarslan","doi":"10.1016/j.pedn.2025.12.003","DOIUrl":"10.1016/j.pedn.2025.12.003","url":null,"abstract":"<div><h3>Puspose</h3><div>This study was conducted to determine the effect of a social-emotional development program based on Watson's Human Care Model on social-emotional well-being and psychological resilience, social competence, behavior, and quality of life of preschool children.</div></div><div><h3>Methods</h3><div>The quasi-experimental study sample included 74 preschool children, who participated in a 6-week social-emotional development program with music, yoga, breathing techniques, and massage for 30 min twice a week.</div></div><div><h3>Result</h3><div>The intervention program improved children's Social Emotional Well-Being and Psychological Resilience Scale scores, Social Competence scores, and Psychosocial Health total score averages compared to the control group. The intervention also led to a decrease in Anger-Aggression subscale scores and higher overall scores.</div></div><div><h3>Conclusion</h3><div>This study show that a school-based program incorporating music activities, yoga poses paired with storytelling, breathing exercises, and massage techniques for children aged 60 to 72 months had beneficial effects on their social-emotional well-being, psychological resilience, social competence, behavior, and overall quality of life.</div></div><div><h3>Practice implication</h3><div>It is recommended that school nurses implement and promote programs designed to support children's social-emotional development and improve their quality of life during the preschool years.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 578-589"},"PeriodicalIF":2.3,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783407","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":"Coping strategies of nurses caring for children with life-limiting and life-threatening conditions: An integrative review","authors":"Fiona Hurley,&nbsp;Samantha Balanuta,&nbsp;Paula Flanagan","doi":"10.1016/j.pedn.2025.11.050","DOIUrl":"10.1016/j.pedn.2025.11.050","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurses care for children with life-limiting and life-threatening conditions across a variety of settings, often managing complex needs and unpredictable illness trajectories. As key providers of physical and emotional support to the child and family, they face significant emotional challenges. Therefore, it is essential to explore how nurses cope with these demands. The review aimed to synthesise and critically appraise the evidence on coping strategies used by nurses caring for these children.</div></div><div><h3>Methods</h3><div>Studies exploring coping strategies used by nurses caring for children with life-limiting and life-threatening conditions (2015–2025) were included. A systematic search was conducted across CINAHL Ultimate, Ovid MEDLINE, EMBASE Elsevier, PsycINFO EBSCO, and Scopus, as well as review repositories including the Cochrane Database of Systematic Reviews and the Database of Abstracts of Review of Effects (DARE).</div></div><div><h3>Results</h3><div>Twenty-two studies were included, with four themes emerging. <em>The evolving sense of duty</em> highlighted how paediatric nurses develop emotional resilience through repeated exposure to death and distress; <em>Boundaries for survival</em> reflected the strategies used to protect their emotional well-being; <em>Strength in connection</em> emphasised the importance of teamwork and support, and <em>Faith as a foundation of care</em> highlighted how spiritual beliefs help nurses in their roles.</div></div><div><h3>Conclusions</h3><div>Nurses in the early stages of their careers are especially vulnerable to the emotional demands of caring for children with life-limiting and life-threatening conditions. These findings highlight the need for ongoing education and support to sustain nurses' well-being and their capacity to provide compassionate, high-quality care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 549-558"},"PeriodicalIF":2.3,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776230","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":"Reducing procedural pain and fear in children using a hologram fan and bubble machine: A randomized controlled trial of passive distraction techniques","authors":"Cansu Öztürk PhD, RN ,&nbsp;Ülkü Güneş","doi":"10.1016/j.pedn.2025.12.004","DOIUrl":"10.1016/j.pedn.2025.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the effects of a hologram fan and a bubble machine on pain and fear during venipuncture in children.</div></div><div><h3>Design and methods</h3><div>This randomized controlled trial was conducted in the pediatrics department of a university hospital between February 2022 and June 2024. A total of 167 children aged 3–12 years requiring venipuncture were randomly assigned to Control, Hologram Fan, or Bubble Machine groups using block randomization. The Control group received routine care; the Hologram Fan group viewed 3D visual projections; and the Bubble Machine group was exposed to bubbles during the procedure. Pain, fear, emotional responses, and procedure duration were measured using validated tools. Data were analyzed with descriptive and non-parametric tests. The study is registered on <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (<span><span>NCT06044701</span><svg><path></path></svg></span>).</div></div><div><h3>Results</h3><div>Pain levels decreased significantly over time in all groups (<em>p</em> &lt; 0.001), with the Hologram Fan group reporting lower pain than the Control group during the procedure (<em>p</em> = 0.036) Fear levels also declined significantly in the Hologram and Bubble groups during and after the procedure (<em>p</em> = 0.003; <em>p</em> = 0.005). Emotional indicators, including facial expression and interaction, were significantly better in the Hologram group compared to the Control group (<em>p</em> = 0.001; <em>p</em> = 0.010).</div></div><div><h3>Conclusion</h3><div>Hologram fans and bubble machines effectively reduced children's pain and fear during venipuncture, with holograms showing greater effect. Further studies are needed to confirm these findings.</div></div><div><h3>Practice implications</h3><div>Simple, low-cost distractions like hologram fans and bubble machines can reduce children's pain and fear, creating more positive care experiences.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 559-567"},"PeriodicalIF":2.3,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776256","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":"Relationships among demographic characteristics, clinical characteristics, and psychological symptoms among Indonesian children with cancer: A cross-sectional study","authors":"Nafisatun Nisa MSN, RN ,&nbsp;Sri Hartini M.A., M.Kep., Sp.Kep.An ,&nbsp;Bih-O Lee PhD, RN","doi":"10.1016/j.pedn.2025.12.008","DOIUrl":"10.1016/j.pedn.2025.12.008","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;Despite growing recognition of psychological distress in pediatric cancer patients globally, a comprehensive understanding of the relationships between depression, anxiety, and stress symptoms among Indonesian children with cancer remains limited. This study aimed to examine the relationships among demographic characteristics, clinical characteristics, depression, anxiety, and stress symptoms among Indonesian children with cancer.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A cross-sectional, correlational study was conducted from February to September 2024 in the pediatric oncology and chemotherapy units of Dr. Kariadi Semarang Central General Hospital, a national referral hospital in Semarang City, Indonesia. A total of 96 children aged 6 to 19 years (mean age = 9.70 years, standard deviation = 3.63) with a confirmed cancer diagnosis were recruited using convenience sampling based on predetermined inclusion criteria. Psychological symptoms, including depression, anxiety, and stress, were measured using the culturally validated Indonesian version of the Depression Anxiety Stress Scales (DASS-21). Statistical analyses included descriptive statistics, Spearman's rank correlations, Mann–Whitney &lt;em&gt;U&lt;/em&gt; tests, and Kruskal–Wallis tests.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The sample was predominantly male (58.3 %), with acute lymphoblastic leukemia being most common (55.2 %). Moderate to severe levels of psychological symptoms were frequently observed: moderate depression (37.5 %), moderate anxiety (43.8 %), and moderate stress (33.3 %). Age significantly influenced depression (&lt;em&gt;p&lt;/em&gt; &lt; 0.01), while gender affected both depression (&lt;em&gt;p&lt;/em&gt; = 0.04) and anxiety (&lt;em&gt;p&lt;/em&gt; = 0.03). Cancer diagnosis type influenced anxiety (p = 0.04) and stress symptoms (&lt;em&gt;p&lt;/em&gt; = 0.01). Strong correlations emerged between depression-anxiety (&lt;em&gt;r&lt;/em&gt; = 0.63, &lt;em&gt;p&lt;/em&gt; &lt; 0.01), anxiety and stress symptoms (&lt;em&gt;r&lt;/em&gt; = 0.62, p &lt; 0.01), and depression and stress symptoms (&lt;em&gt;r&lt;/em&gt; = 0.58, p &lt; 0.01).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Based on these study findings, we suggest nurse-led symptom screening during chemotherapy visits could provide a practical strategy for early recognition and timely support, with particular attention to age-appropriate and diagnosis-specific approaches in mental health support. Given the shortage of psychological care, integrating psychosocial services into pediatric cancer protocols is essential. Future longitudinal studies are needed to explore symptom trajectories and inform culturally responsive care in this population.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications to practice&lt;/h3&gt;&lt;div&gt;Routine nurse-led screening for depression, anxiety, and stress is essential during chemotherapy visits, especially for adolescents, female patients, and children with specific cancer types. Culturally adapted tools can support early identification of symptom clusters and guide timely psychosocial support. Integrating ","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 568-577"},"PeriodicalIF":2.3,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776241","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":"Corrigendum to ‘Virtual reality, pre-procedural anxiety, and post-procedural pain in children outpatient care: A randomised controlled trial’ [Journal of Pediatric Nursing 86C (2026) 451–460]","authors":"Giulia Ciolini ,&nbsp;Simone Cosmai ,&nbsp;Donata Dini ,&nbsp;Mauro Parozzi ,&nbsp;Alice Sabatini ,&nbsp;Mirco Gregorini ,&nbsp;Biagio Nicolosi ,&nbsp;Beatrice Mazzoleni","doi":"10.1016/j.pedn.2025.12.005","DOIUrl":"10.1016/j.pedn.2025.12.005","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Page 548"},"PeriodicalIF":2.3,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757682","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":"Determining the perceptions of nursing and influencing factors among 7–9-year-old children admitted to the pediatric emergency department using the drawing method","authors":"Mesude Karataş Alkan ,&nbsp;Nazike Duruk","doi":"10.1016/j.pedn.2025.11.035","DOIUrl":"10.1016/j.pedn.2025.11.035","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to review children's perceptions of nurses and identify the factors influencing these perceptions.</div></div><div><h3>Methods</h3><div>This mixed-methods study was conducted between September 24, 2019, and January 24, 2024, with 47 children aged 7–9 who were admitted to a pediatric emergency room. Data were collected using the “Child-Parent Information Form,” “Procedure Follow-up Form,” “Children's Fear Scale,” “Please Draw a Nurse's Picture Instruction,” “Semi-Structured Interview Form,” and “Children's Drawings Evaluation Form.” Quantitative data were evaluated using numbers, percentages, and descriptive statistics. The researchers and a child psychologist evaluated children's drawings, and the obtained data were thematically analyzed.</div></div><div><h3>Results</h3><div>Of the children participating in the study, 24 were girls, and their average age was 7.96 ± 0.806. In their drawings, 77.2 % of the children depicted the nurse as a woman, 76.7 % with a smiling face, 60 % wearing a cap, and 72.1 % with full body parts. It was found that children with positive perceptions of nursing in their drawings had a nurse acquaintance, and 58.6 % had a pre-procedure fear score of “0.” Factors influencing children's perceptions of nursing included communication with the nurse, the child's ability to cope with anxiety/fear, the person accompanying the child, the child's psychological resilience, and past experiences.</div></div><div><h3>Conclusions</h3><div>The current study found that most children had a positive perception of nursing, but their fears about the procedure, a lack of psychological resilience, and past experiences led them to have a negative perception.</div></div><div><h3>Implications for practice</h3><div>The findings of the present study shed light on children's perceptions of nurses. This study emphasizes that children's fears about the hospital and the procedure performed cause them to perceive nurses negatively; however, nurses' approach and the communication they establish with children dispel this perception. Hence nurses should pay attention to their communication and approach to children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 535-547"},"PeriodicalIF":2.3,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736434","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":"Spirituality in children with life-limiting, life-threatening and/or complex chronic conditions: A scoping review","authors":"Mónica Santos Ferreira ,&nbsp;Diana Gomes Pereira ,&nbsp;Sílvia Caldeira","doi":"10.1016/j.pedn.2025.11.031","DOIUrl":"10.1016/j.pedn.2025.11.031","url":null,"abstract":"<div><h3>Purpose</h3><div>To map available knowledge about spirituality in children with life-limiting, life-threatening and/or complex chronic conditions.</div></div><div><h3>Methods</h3><div>This review followed the Joanna Briggs Institute methodology for scoping reviews. Registration was done with the Open Science Framework. The searches were conducted in PubMed, CINAHL Complete, Psychology &amp; Behavioral Sciences Collection, via EBSCOhost, and in the Portuguese Open Access Scientific Repository, in September 2024. The sample was composed of 48 studies.</div></div><div><h3>Results</h3><div>The concept of spirituality is represented by the relationship established with oneself, with the world, and the notion of transcendence. Spiritual needs relate to developmental stage, relationships, sense of normalcy, meaning, and purpose. The relationship established between spirituality and illness is bidirectional, represented by beliefs, practices, and mechanisms of spiritual adaptation. Spiritual care is about supporting children with insights about beliefs, values and behaviours, addressing needs inherent in the developmental process, setting achievable goals that can support a meaningful life and legacy, fostering connections, mediating communication, improving spiritual coping, alleviating spiritual suffering, managing losses, and redefining hope.</div></div><div><h3>Conclusions</h3><div>This review underlines the complexity, variability, and importance of spirituality while living within a complex, life-threatening or life-limiting paediatric context. However, there is still an urgent need to develop studies on the concept in specific subgroups of this paediatric population.</div></div><div><h3>Clinical implications</h3><div>Spirituality has an undeniable and aggregating role throughout the course of a life-limiting, life-threatening and/or complex chronic condition. Spiritual care and nurturing should be prioritised in care plans within these complex paediatric contexts.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 526-534"},"PeriodicalIF":2.3,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736433","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":"Psychometric properties of the Turkish version of the Fear of Earthquake Scale for children and adolescents","authors":"Şerife Koç PhD ,&nbsp;Seçil Duran Yılmaz PhD","doi":"10.1016/j.pedn.2025.11.047","DOIUrl":"10.1016/j.pedn.2025.11.047","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to adapt the Fear of Earthquake Scale into Turkish and to evaluate its psychometric properties in a Turkish sample of children and adolescents.</div></div><div><h3>Methods</h3><div>This study was conducted with a methodological and cross-sectional design in a province in the Central Anatolia region of Turkey with 500 children and adolescents. Data were obtained using the Descriptive Characteristics Form and the Fear of Earthquake Scale. The Content Validity Index, explanatory and confirmatory factor analysis were used to evaluate the validity, while Cronbach's alpha coefficients, split-half, item-total score correlation, and test-retest methods were used to assess the reliability of the scale.</div></div><div><h3>Results</h3><div>The Turkish version of the Fear of Earthquake Scale, comprising a one-factor, seven-item model, demonstrated a good fit similar to the original structure. The factor loadings were above 0.40 and explained 37 % of the total variance. The scale showed good internal consistency, with a Cronbach's Alpha Coefficient of 0.80 and a test-retest Intraclass correlation coefficient of 0.88.</div></div><div><h3>Conclusion</h3><div>The Turkish version of the Fear of Earthquake Scale is a valid and reliable instrument for Turkish children and adolescents.</div></div><div><h3>Practice implications</h3><div>The Fear of Earthquake Scale can be easily used by nurses or other specialists to identify at-risk populations, develop psychosocial intervention programs, and evaluate post-disaster mental health services.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 518-525"},"PeriodicalIF":2.3,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716304","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":"Examination of the correlation between Cyberchondria, problematic internet use and health anxiety among adolescents","authors":"Gülçin Aşut PhD, RN ,&nbsp;Eda Gülbetekin","doi":"10.1016/j.pedn.2025.11.044","DOIUrl":"10.1016/j.pedn.2025.11.044","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to examine the correlation between cyberchondria, problematic internet use, and health anxiety among adolescents</div></div><div><h3>Method</h3><div>This descriptive and correlational study was conducted with 400 students between January 2025 and march 2025. Data were collected using a “Socio-Demographic Data Form”, the “Cyberchondria Severity Scale-Short Form (CSS-12),” the “Problematic Internet Use Scale (PIUS)”, and the “Health Anxiety Inventory (HAI)”</div></div><div><h3>Results</h3><div>Findings of the study revealed no significant difference between the CSS-12 mean scores and the variables (<em>p</em> &gt; .05). Significant differences were observed between the total and subscale scores of the PIUS and the HAI in terms of daily internet use duration, age, and chronic disease status (<em>p</em> &lt; .05). A weak positive significant correlation was found between the CSS-12 and PIUS (<em>p</em> &lt; .05). Similarly, there was a weak positive significant correlation between the CSS-12 and the HAI, and between the PIUS and the HAI (p &lt; .05)</div></div><div><h3>Conclusion</h3><div>It was determined that higher levels of cyberchondria among students were associated with increased problematic internet use and health anxiety. Furthermore, higher levels of problematic internet use increased health anxiety. Developing awareness programs for students and implementing measures to filter health-related information on websites may have positive effects</div></div><div><h3>Practice implications</h3><div>This study provides important implications for paediatric nursing practice. Paediatric nurses can play a key role in educating adolescents and their parents about cyberchondria, problematic internet use, and health anxiety. They can participate in and implement interventions aimed at preventing these behaviours.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 510-517"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684405","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":"Pediatric vaccine information on YouTube: A nursing-led content analysis of quality and vaccine hesitancy","authors":"Aylin Akca Sumengen RN, BSN, MSc, PhD ,&nbsp;Gokce Naz Cakir RN, BSN, MSc ,&nbsp;Kader Tekkas-Kerman RN, BSN, MSc, PhD ,&nbsp;Remziye Semerci Sahin RN, BSN, MSc, PhD ,&nbsp;Damla Ozcevik Subasi RN, BSN, MSc, PhD ,&nbsp;Volkan Ayaz RN, BSN, MSc","doi":"10.1016/j.pedn.2025.11.048","DOIUrl":"10.1016/j.pedn.2025.11.048","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the quality and reliability of pediatric vaccination videos on YouTube from a nursing perspective and to identify hesitancy-related cues, indicators, and deterrents present in the content.</div></div><div><h3>Methods</h3><div>In this cross-sectional, descriptive content analysis study, 243 English-language YouTube videos were analyzed using four keywords. Videos were evaluated with the Global Quality Scale (GQS), the Modified DISCERN tool, and the Pediatric Vaccine Hesitancy Assessment Tool for Social Media Content (PVHAT). In addition, engagement measures such as number of views, likes, video duration, and video characteristics such as source type and narrator identity were analyzed.</div></div><div><h3>Results</h3><div>The overall quality and reliability of the videos were moderate (mean GQS: 2.52; DISCERN: 2.83). Videos presented by healthcare professionals were of higher quality but showed lower user engagement. Videos with curiosity-driven titles, such as “What's in Vaccines?”, received more views and comments. Emotionally framed narratives were identified in 22.6 % of the videos, and expressions of distrust toward health authorities appeared in 8.2 %. Community immunity was emphasized in only 25.5 % of videos. A strong positive correlation was observed between DISCERN and GQS scores (<em>r</em> = 0.760, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Pediatric vaccine content on YouTube often lacks high-quality, evidence-based information and frequently includes hesitancy-related signals. Public health communication should prioritize scientific accuracy while using engaging and accessible strategies, ideally through collaborations between healthcare professionals and digital content creators<strong>,</strong> to improve the reach and effectiveness of vaccination messages.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 491-501"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684402","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}