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

{"title":"Moral resilience and quiet quitting tendencies among pediatric nurses: A multiple linear regression study","authors":"Mustafa Belli ,&nbsp;Zübeyde Ezgi Erçelik","doi":"10.1016/j.pedn.2026.01.010","DOIUrl":"10.1016/j.pedn.2026.01.010","url":null,"abstract":"<div><h3>Aim</h3><div>To examine the relationship between pediatric nurses' moral resilience and quiet quitting tendencies, and to identify demographic and professional predictors of this behavior.</div></div><div><h3>Background</h3><div>Quiet quitting—defined as completing only required duties while disengaging from additional responsibilities—has gained attention in nursing due to its potential impact on patient care and workforce sustainability. Pediatric nurses encounter unique ethical and emotional challenges, which can potentially increase their vulnerability to disengagement. Moral resilience, the ability to uphold ethical integrity under stress, is considered a protective factor; however, its role in pediatric nursing remains underexplored.</div></div><div><h3>Methods</h3><div>A cross-sectional, descriptive, correlational study was conducted between January and May 2025 in Türkiye, following Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Data were collected from 400 pediatric nurses using convenience and snowball sampling, via a Demographic Information Form, the Rushton Moral Resilience Scale, and the Quiet Quitting Scale. Pearson correlation and hierarchical linear regression were applied.</div></div><div><h3>Results</h3><div>Moral resilience was moderately and negatively correlated with quiet quitting (<em>r</em> = −0.39, <em>p</em> &lt; 0.001). Demographic factors explained 5.5% of the variance in quiet quitting, while adding moral resilience increased the explained variance to 19.3% (ΔR² = 0.138, <em>p</em> &lt; 0.001). Moral resilience was the strongest predictor (β = −0.376, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Higher moral resilience significantly reduces the tendency toward quiet quitting among pediatric nurses. Interventions that strengthen moral resilience through targeted training, ethical climate improvement, and organizational support could enhance nurse engagement and workforce sustainability.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 154-159"},"PeriodicalIF":2.3,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979320","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 living with type 2 diabetes mellitus: A scoping review","authors":"Eric Peprah Osei ,&nbsp;Ernest Owusu Antwi ,&nbsp;Emmanuel Ekpor ,&nbsp;Gideon Yaw Osei ,&nbsp;Amos Asante ,&nbsp;Gordon Etornam Dzotrah ,&nbsp;Michelle Danny Stampley Boakye","doi":"10.1016/j.pedn.2026.01.002","DOIUrl":"10.1016/j.pedn.2026.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Type 2 diabetes mellitus has emerged as a major public health concern among adolescents; however, existing research has largely emphasized biomedical outcomes, with comparatively limited attention to adolescents' lived experiences, emotional well-being, and coping strategies. This scoping review aimed to synthesize qualitative evidence on adolescents' experiences of living with type 2 diabetes mellitus.</div></div><div><h3>Methods</h3><div>Six electronic databases (PubMed, CINAHL, EMBASE, PsycINFO, Scopus, and Web of Science) were searched from inception to May 19, 2025, for peer-reviewed qualitative or mixed-methods studies involving adolescents aged 10–19 years with type 2 diabetes mellitus. Fifteen studies conducted across six countries met the inclusion criteria. The review was guided by the Social Ecological Model and adhered to PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. An inductive thematic analysis of the quotations and narrative descriptions reported within the included studies was conducted following Braun and Clarke's framework to identify patterns related to adolescents' lived experiences.</div></div><div><h3>Findings</h3><div>Five key themes were identified: (1) initial diagnosis, awareness, and understanding of type 2 diabetes mellitus; (2) challenges in treatment, self-management, and lifestyle modification; (3) complications and health outcomes; (4) psychosocial and emotional impact; and (5) coping strategies and resilience.</div></div><div><h3>Discussion</h3><div>These findings underscore the multifaceted challenges adolescents face in managing type 2 diabetes mellitus and the need for supportive, developmentally appropriate approaches to improve their well-being.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 160-172"},"PeriodicalIF":2.3,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979321","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 effectiveness of a WhatsApp-based educational intervention aimed at improving mothers' fever management: A randomized controlled trial","authors":"Gamzegül Altay,&nbsp;Mehtap Metin Karaaslan,&nbsp;İsa Çelik","doi":"10.1016/j.pedn.2026.01.013","DOIUrl":"10.1016/j.pedn.2026.01.013","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to determine the effect of WhatsApp-based education on mothers' knowledge, attitude and practices regarding fever management at home.</div></div><div><h3>Method</h3><div>The study was conducted using a randomized controlled experimental design. It included 64 mothers (32 in the intervention group and 32 in the control group) who met the inclusion criteria. The intervention group received online fever management education via WhatsApp messages. Data were collected using the “Mother and Child Information Form”, “Parent Fever Management Scale”, “Fever Management Knowledge, Attitude and Practice Questionnaire” and “E-Health Literacy Scale.” Two-way mixed-design ANOVA was used to examine group, time, and group × time interactions.</div></div><div><h3>Results</h3><div>The intervention group demonstrated significantly higher scores compared to the control group, with the intervention having a large effect on fever management (<em>p</em> &lt; 0.001, η² = 0.320), fever knowledge, attitude and practice level (p &lt; 0.001, η² = 0.585), and e-health literacy level (p &lt; 0.001, η² = 0.215).</div></div><div><h3>Conclusion</h3><div>Online fever management education delivered via WhatsApp messages is effective in reducing mothers' fever-related care burdens, increasing fever knowledge, attitude and practice levels, and improving e-health literacy levels.</div></div><div><h3>Practice implications</h3><div>Educational content shared via WhatsApp, a widely used application, is easily accessible. These resources can be used by pediatric nurses in clinics as short and effective educational materials for mothers.</div><div>The clinical trial registration number is <span><span>NCT07061327</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 146-153"},"PeriodicalIF":2.3,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979322","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":"Effects of perceived care burden and spiritual well-being on the quality of life of parents of children with special needs in Türkiye","authors":"Sinem Basdemir RN, MSc, PhD, Res. Asst.,&nbsp;Ilknur Bektas RN, MSc, PhD, Assoc. Prof.,&nbsp;Seyda Binay Yaz RN, MSc, PhD, Assoc. Prof.","doi":"10.1016/j.pedn.2026.01.005","DOIUrl":"10.1016/j.pedn.2026.01.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted to determine the predictive levels of care burden and spiritual well-being of parents of children with special needs in relation to their quality of life.</div></div><div><h3>Methods</h3><div>This descriptive, correlational, and cross-sectional study included 210 parents in Türkiye, and data were collected using the Burden Interview, the Spiritual Well-Being Scale, and the World Health Organization Quality of Life Short Form. The relationships between scores on the Spiritual Well-Being Scale, the Burden Interview, and the quality of life sub-dimensions were evaluated using Pearson correlation analyses, and the predictive impact of these scores on the quality of life sub-dimensions was assessed using multiple linear regression analyses.</div></div><div><h3>Results</h3><div>There was a low-level, significant negative correlation between the Burden Interview and the Quality of Life Scale sub-dimensions. Specifically, the caregiving burden and spiritual well-being levels of parents significantly predicted their quality of life (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>As parents' perceived care burden increased and their spiritual well-being decreased, their quality of life also declined.</div></div><div><h3>Implications for Practices</h3><div>Interventions aimed at reducing caregivers' perceived burden and enhancing their spiritual well-being may improve the overall quality of life of parents of children with special needs.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 173-180"},"PeriodicalIF":2.3,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979324","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":"Predictive effect of having a child with primary immunodeficiency on resilience, self-efficacy and spiritual well-being of Turkish parents","authors":"Hatice Dönmez ,&nbsp;Tuba Arpaci ,&nbsp;Şükrü Nail Güner","doi":"10.1016/j.pedn.2025.12.027","DOIUrl":"10.1016/j.pedn.2025.12.027","url":null,"abstract":"<div><h3>Background</h3><div>The study aimed to examine the predictive effect of having a child with primary immunodeficiency (PID) on the psychological resilience, general self-efficacy, and spiritual well-being of parents.</div></div><div><h3>Methods</h3><div>A cross-sectional, correlational, and comparative study was conducted with parents of children with PID (<em>N</em> = 88) and healthy controls (<em>n</em> = 168) in Türkiye from June 2024 to February 2025. Study data were collected through the Connor-Davidson Resilience Scale Short Form, the General Self-Efficacy Scale, and the Spiritual Well-being Scale.</div></div><div><h3>Results</h3><div>The mean general self-efficacy of parents of children with PID was significantly lower than that of parents of healthy controls (<em>p</em> <em>&lt;</em> 0.05). However, no significant difference was found between the groups in psychological resilience or spiritual well-being <em>(p</em> <em>&gt;</em> 0.05). There were significant positive relationships among psychological resilience, general self-efficacy, and spiritual well-being among parents of children with PID (<em>p</em> <em>&lt;</em> 0.05). The disease has no statistically significant effect on spiritual well-being in parents (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>The mean general self-efficacy of parents of children with PID was lower than that of parents of healthy controls. Although no difference in psychological resilience was detected between the groups in the descriptive comparison, the multivariate analysis indicated that having a child with PID is a negative factor affecting parents' resilience. Having a child with PID also had a statistically significant effect on the general self-efficacy of parents.</div></div><div><h3>Practice implications</h3><div>The findings will guide the planning of family-centred nursing interventions to enhance the psychological resilience, general self-efficacy, and spiritual well-being of parents of children with PID.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 112-117"},"PeriodicalIF":2.3,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953439","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":"Lived experiences of adolescents with thalassemia major: A phenomenological study/ lived experiences in tm adolescents","authors":"Münevver Erkul ,&nbsp;Zeynep Öztürk","doi":"10.1016/j.pedn.2026.01.009","DOIUrl":"10.1016/j.pedn.2026.01.009","url":null,"abstract":"<div><h3>Objective</h3><div>This study explored the lived experiences and coping processes of adolescents diagnosed with Thalassemia Major (TM) to inform the development of patient-centered and individualized care strategies.</div></div><div><h3>Methods</h3><div>A qualitative phenomenological design was employed. Between April and June 2024, purposive sampling was used to recruit ten adolescents (12–18 years) from the Thalassemia Unit of a public hospital in Antalya, Türkiye. Semi-structured interviews were conducted until data saturation was achieved. Ethical approval was obtained (TBAEK-199). Sociodemographic data were summarized using SPSS 22.0 as frequencies and percentages. Interview transcripts were analyzed using Colaizzi's seven-step method. Trustworthiness was ensured through independent double-coding, audit trail maintenance, and member checking.</div></div><div><h3>Results</h3><div>Six main themes emerged: (1) Acceptance and normalization (integrating illness into daily life; reframing TM as manageable); (2) Impact on schooling (absences due to transfusions or surgeries; academic and emotional strain; facilitative role of teacher support); (3) Peer and societal responses (misinformation, stigma, strategic disclosure, and peer support); (4) Family support and sibling dynamics (parental support enhancing adherence; protective bonds and ambivalence); (5) Treatment adherence and transplant pathway (burden of chronic transfusion and chelation; hope and hesitation regarding hematopoietic stem cell transplantation; donor availability and risk perception); and (6) Psychological processes and coping (anxiety, fear of death, body-image concerns, and active coping strategies such as social support, humor, positive reappraisal, and medication adherence).</div></div><div><h3>Conclusion</h3><div>Adolescents with TM experience multidimensional challenges affecting their educational, social, psychological, and treatment-related lives. A holistic and developmentally sensitive approach is essential to support long-term adaptation and well-being.</div></div><div><h3>Implications for practice</h3><div>Healthcare professionals should integrate routine psychosocial screening and counseling into standard care, strengthen family-centered practices to support treatment adherence, and collaborate with schools to promote flexible attendance policies. Awareness initiatives targeting peers and educators may reduce stigma, while structured, age-appropriate counseling can support informed decision-making regarding long-term treatment and transplantation options.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 118-125"},"PeriodicalIF":2.3,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953245","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":"Multidisciplinary practices in pediatrics clinics: A meta-synthesis of qualitative research","authors":"Raheleh Sabetsarvestani ,&nbsp;Şerife Didem Kaya ,&nbsp;Emine Geçkil","doi":"10.1016/j.pedn.2026.01.003","DOIUrl":"10.1016/j.pedn.2026.01.003","url":null,"abstract":"<div><h3>Background</h3><div>Multidisciplinary practices play a crucial role in pediatric care settings. However, existing research is fragmented and often limited to specific clinical contexts, underscoring the need for a comprehensive synthesis of qualitative evidence across diverse pediatric settings.</div></div><div><h3>Purpose</h3><div>This study aims to systematically explore multidisciplinary practices in pediatric healthcare by synthesizing qualitative evidence.</div></div><div><h3>Methods</h3><div>We conducted a qualitative meta-synthesis of research published between 2000 and 2025. Our search encompassed three major electronic databases, namely Web of Science, Scopus, and PubMed. The primary keywords used were multidisciplinary team, pediatric clinics, and qualitative study. Initially, 306 records were identified, and after removing duplicates, 305 records remained. Subsequently, 177 full-text articles were assessed for eligibility. A total of 13 studies were included in the final meta-synthesis. Quality appraisal was performed, and no studies were excluded. Data were synthesized using thematic qualitative analysis.</div></div><div><h3>Results</h3><div>The results revealed a main theme: Navigating the complexities of multidisciplinary practices in pediatric care, encompassing three subthemes: the promise of multidisciplinary practices, the pitfalls of multidisciplinary practices, and drivers of success in multidisciplinary practices.</div></div><div><h3>Conclusion</h3><div>This study highlights the transformative potential of multidisciplinary practices in pediatric care, including empowering families, fostering professional growth, and improving system effectiveness. However, these benefits are often hindered by resource constraints, communication gaps, and role ambiguity. Strong leadership, structural support, and a shared vision are key to overcoming these challenges and ensuring high-quality, coordinated pediatric care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 126-135"},"PeriodicalIF":2.3,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953465","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":"Nurse-driven innovation in pediatric care: Usability and securement performance of a novel tubing anchor in simulated clinical scenarios","authors":"Yi-Lin Hsieh MSc, RN ,&nbsp;Malcolm Koo PhD ,&nbsp;Zu-Chun Lin PhD, RN","doi":"10.1016/j.pedn.2026.01.007","DOIUrl":"10.1016/j.pedn.2026.01.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Safe tubing securement is critical in pediatric care, as unplanned extubations can lead to significant morbidity. This study developed and evaluated a novel Pediatric Integrated Tubing Anchor (PITA) device designed to improve securement efficiency and usability compared with a conventional tubing anchor (CTA).</div></div><div><h3>Methods</h3><div>Guided by a user-centered design thinking process, the PITA device was developed to integrate endotracheal, nasogastric, and bite block securement. A randomized crossover trial was conducted with 77 nurses using simulated stable and agitated pediatric patient scenarios. Each nurse applied both the CTA and PITA devices during the simulations.</div></div><div><h3>Results</h3><div>The PITA device significantly reduced securement time compared with the CTA in both stable (mean difference: 92.1 s, <em>p</em> &lt; .001) and agitated scenarios (mean difference: 160.9 s, <em>p</em> &lt; .001). The PITA device also demonstrated superior tubing stability under load and achieved significantly higher usability scores on the Tubing Care Usability Scale (62.0 vs. 47.9, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>The nurse-developed PITA device offers a more efficient, stable, and user-friendly method for tubing securement. Its clinical adoption may help reduce unplanned extubations, prevent related complications, and save valuable nursing time, particularly in high-risk situations. These findings support the value of empowering frontline nurses as active contributors to healthcare innovation.</div></div><div><h3>Clinical implications</h3><div>Findings from this study demonstrate the importance of nurse-driven, user-centered innovation in developing pediatric-specific devices that enhance patient safety and workflow efficiency.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 136-145"},"PeriodicalIF":2.3,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953449","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":"From the Nile to the global stage: A rapid bibliometric audit of Egyptian pediatric nursing visibility in SciVal (2000–2025)","authors":"Ahmed Loutfy ,&nbsp;Amina Elzeiny","doi":"10.1016/j.pedn.2026.01.008","DOIUrl":"10.1016/j.pedn.2026.01.008","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Page 111"},"PeriodicalIF":2.3,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953584","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":"Investigation of professional values education's effect on pediatric nurses' perception of professional values, emotional labour behaviours and burnout levels: A randomised controlled trial","authors":"Nazmiye Yirik ,&nbsp;Şerife Tutar","doi":"10.1016/j.pedn.2025.12.030","DOIUrl":"10.1016/j.pedn.2025.12.030","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to examine the effects of professional values education on perceptions of professional values, emotional labor behaviours, and burnout levels among pediatric nurses.</div></div><div><h3>Method</h3><div>This randomised controlled trial was conducted between February 2024 and January 2025 at a city hospital in Turkey with 70 pediatric nurses. The intervention comprised a professional values education program implemented in two phases: preparation (literature review and development of educational content) and application (delivery to the intervention group). Data were collected using a Introductory Information Form, the Professional Values Scale for Nurses, the Emotional Labor Behaviour Scale of Nurses, and the Maslach Burnout Inventory. Analyses were performed with SPSS 27.0 (IBM Inc., Armonk, NY, USA).</div></div><div><h3>Results</h3><div>In the intervention group, the “Professional Values Scale for Nurses” score increased from 89.68 ± 16.46 (pre-test) to 118.82 ± 9.48 (pos<em>t</em>-test). The superficial behaviour subdimension score decreased from 22.22 ± 3.29 to 14.00 ± 4.15, while depth behaviour scores rose from 47.94 ± 7.27 to 57.62 ± 5.28, and sincere behaviour scores from 18.54 ± 2.83 to 23.05 ± 2.14. Burnout levels decreased, with emotional exhaustion dropping from 16.45 ± 7.13 to 8.80 ± 3.96, depersonalization from 6.12 ± 3.97 to 1.94 ± 1.86, and personal accomplishment increasing from 19.62 ± 3.14 to 26.25 ± 2.57.</div></div><div><h3>Conclusion</h3><div>Professional values education enhances pediatric nurses' professional values, fosters deeper and more sincere emotional labor behaviours, and reduces burnout.</div></div><div><h3>Practice implications</h3><div>Integrating structured professional values education into pediatric nursing practice may strengthen professional identity, promote emotional resilience, and improve the quality of care for children and families.</div><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Protocol: <span><span>NCT07016503</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 99-110"},"PeriodicalIF":2.3,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940154","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}