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

{"title":"Examining the impact of white noise on pain, comfort, crying time, and physiological parameters during vitamin K intramuscular administration","authors":"Tuğba Todil PhD ,&nbsp;Şenay Çetinkaya PhD","doi":"10.1016/j.pedn.2025.11.038","DOIUrl":"10.1016/j.pedn.2025.11.038","url":null,"abstract":"<div><h3>Background</h3><div>The development of the mother–baby relationship and the optimal functional and structural brain development of newborns occur during the first hours after birth; hence, this period is considered the sacred hours. However, invasive procedures performed on newborns after birth cause pain, distress, and discomfort.</div></div><div><h3>Aim</h3><div>To investigate the effects of white noise on newborns' pain, comfort, crying times, and physiological parameters during their first invasive intervention.</div></div><div><h3>Materials and methods</h3><div>This randomized, controlled experimental study was performed on 75 newborns who were exposed to white noise for 5 min before an invasive intervention (i.e., intramuscular vitamin K injection). The procedure was recorded by a camera from the start of the playback of the white noise until 5 min after vitamin K administration. The Neonatal Comfort Behavior Scale (COMFORTneo), Neonatal Infant Pain Scale (NIPS), and Infant Information Form scores were collected and analyzed.</div></div><div><h3>Results</h3><div>The heart rates of the experimental group were significantly lower than those of the control group during and after the administration (<em>p</em> &lt; 0.05). The SpO₂ values of the experimental group were significantly higher than those of the control group (<em>p</em> &lt; 0.05). The NIPS and COMFORTneo (total value, distress estimation, and pain estimation) scores of the experimental group were significantly lower than those of the control group as evaluated by observers.</div></div><div><h3>Conclusion</h3><div>Considering the relaxing effects of white noise during intramuscular administration, playing white noise in delivery rooms is recommended.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 426-433"},"PeriodicalIF":2.3,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615129","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":"Communication behaviors of nurses and parent dyads of hospitalized home ventilator dependent children: A qualitative study","authors":"Norah L. Johnson PhD, RN, CPNP-PC, FAAN ,&nbsp;Kim Whitmore PhD, RN ,&nbsp;Cherise Edwards BSN ,&nbsp;Shawna Tindell FNP, RN ,&nbsp;Julia Heffelfinger BSN, RN ,&nbsp;Barbara Giambra PhD, APRN","doi":"10.1016/j.pedn.2025.11.042","DOIUrl":"10.1016/j.pedn.2025.11.042","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore communication behaviors of nurses and parent dyads of hospitalized children with home ventilator dependency (HVD).</div></div><div><h3>Method</h3><div>This study is a secondary data analysis of interactions of nurses with thirty parent dyads of hospitalized children with HVD [<em>n</em> = 73 encounters (9 admissions, 14 discharges, and 50 after rounds)] at a quaternary Midwest United States of America pediatric hospital. Thematic analysis of communication among nurses and parent dyads was performed in NVivo qualitative software (Version 12).</div></div><div><h3>Results</h3><div>Communication themes for nurses and parent dyads were: (1) inquiry and clarifying communication, (2) collaborative communication, (3) compassionate and caring communication, and (4) chaotic communication. Role based differences included nurses frequently demonstrated negotiating, asking and explaining behaviors, and infrequently advocating, whereas parents often displayed behaviors including inquiry, negotiating and advocating for their child.</div></div><div><h3>Conclusions</h3><div>Parent dyads experience multiple burdens as the primary caregivers of children with HVD at home. The child's hospitalization increases stress resulting in unique patterns of communication with nurses. Future research is needed to develop and pilot structured communication tools for admission, rounds and discharge interactions between nurses and parents of children with HVD. Further research is needed regarding structured communication tools and support for parents in different settings and types of dyads including other family members that directly care for the child.</div></div><div><h3>Implications to practice</h3><div>Nurses' use of collaborative communication and integration of parent expertise in care planning and delivery fosters child outcomes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 418-425"},"PeriodicalIF":2.3,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615139","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":"Parents' experiences and psychosocial problems related to their preterm infants with congenital heart disease hospitalized in the neonatal intensive care unit: A descriptive phenomenological study","authors":"Nagihan Sabaz ,&nbsp;Emre Ciydem ,&nbsp;Sukran Tosun ,&nbsp;Semra Gundogdu Unlu ,&nbsp;Ayhan Tastekin","doi":"10.1016/j.pedn.2025.11.033","DOIUrl":"10.1016/j.pedn.2025.11.033","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to explore parents' experiences and psychosocial problems related to their preterm infants with congenital heart disease hospitalized in the neonatal intensive care unit.</div></div><div><h3>Methods</h3><div>Thirty parents were selected via a convenience sampling method, and in-depth individual interviews were carried out. The data were analyzed inductively using thematic analysis.</div></div><div><h3>Results</h3><div>Five main themes emerged: psychological symptoms, coping strategies, family relationships and social impacts, support and needs, and satisfaction with treatment and care.</div></div><div><h3>Conclusion</h3><div>Participants experienced not only grief but also traumatic stress, depression, anxiety, and somatic symptoms. They used a range of coping strategies, including problem-focused, emotional, physical, religious, avoidance, and resilience-based approaches. Many reported that their parental identity was shaken, pressured, inadequate, and distanced from their maternal role. These challenges affect marital relationships, sometimes strengthening emotional bonds but also reducing sexual intimacy and disrupting family routines and communication. Parents expressed the need for better bad news delivery, improved nurse communication, access to informational materials, more contact with their baby (photos/videos), extended visitation, and psychosocial and economic support. Despite these difficulties, they reported overall satisfaction with the treatment and care they received.</div></div><div><h3>Implications for practice</h3><div>The healthcare team should be trained in bad news delivery and communication to better support parents of preterm infants with congenital heart disease. Hospitals should offer informational resources, increase parental involvement, and provide access to photos or videos. Additionally, structured psychosocial and economic support is essential. Despite these challenges, parents reported their satisfaction, highlighting the need for family-centered care integration.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 383-395"},"PeriodicalIF":2.3,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615141","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":"Childhood trauma among school-age children in Palestine: Maternal awareness and preventive attitudes","authors":"Omar H. Almahmoud PhD,&nbsp;Shaimaa Moutan RN,&nbsp;Assia Al-Refai RN,&nbsp;Dalia Khatib RN,&nbsp;Fatima Jbara RN,&nbsp;Reema Shreiteh RN,&nbsp;Ward Idrees RN","doi":"10.1016/j.pedn.2025.11.036","DOIUrl":"10.1016/j.pedn.2025.11.036","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The study aimed to identify the prevalence of trauma-related symptoms among Palestinian school-age children and to examine the association between trauma exposure and various sociodemographic characteristics, as well as to evaluate maternal awareness and attitudes toward trauma in children.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design and methods&lt;/h3&gt;&lt;div&gt;A cross-sectional descriptive correlation study was conducted. The study included 593 mothers and their school-age children (aged 9–17 years) from governmental and non-governmental schools in the Ramallah and Jerusalem governorates in Palestine. Data collection involved a caregiver (mother) and child questionnaire composed of three sections: sociodemographic data, trauma exposure items, and the Child Trauma Screen (CTS), which is a validated tool with strong psychometric properties (child report α = 0.78, caregiver report α = 0.82). The study utilized SPSS version 24 for data analysis with a confidence interval of 95 %.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 593 mothers and their school-aged children participated in the study. Trauma-related symptoms were reported in 17.5 % of children based on self-assessments and in 13.3 % based on maternal assessments. The most commonly reported trauma exposure was witnessing domestic violence, cited by 55.8 % of children and 54 % of mothers. Significant associations were found between higher trauma scores and several variables, including: older child age (15–17 years), lower academic performance, maternal age over 46 years, maternal education limited to elementary or middle school, being raised by a divorced or widowed mother, the child's perception that their body weight or height contributed to their trauma, child awareness of trauma, and maternal unawareness of the presence of a school nurse. A multiple linear regression analysis was performed. Significant predictors of higher Childhood Trauma Scale (CTS) scores included maternal education level, maternal marital status, maternal age, the child's perception of their weight or height as contributing factors, and the child's age.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The study revealed a concerning prevalence of trauma-related symptoms among Palestinian school-aged children. Key risk factors included older child age, lower academic performance, maternal characteristics (such as older age, limited education, and non-married status), body image concerns, and limited maternal awareness of school health services. These findings underscore the urgent need for early identification of trauma and the implementation of targeted interventions to mitigate psychological harm and support healthier developmental trajectories in children.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Practice implications&lt;/h3&gt;&lt;div&gt;Nurses play a vital role in the recognition and management of childhood trauma. They are central to conducting early screening, implementing school-based support programs, and working collaboratively within multidiscip","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 409-417"},"PeriodicalIF":2.3,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615140","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":"SPN 2025 year in review.","authors":"Jennifer Baird","doi":"10.1016/j.pedn.2025.10.027","DOIUrl":"https://doi.org/10.1016/j.pedn.2025.10.027","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641442","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 mandala art therapy (coloring) on nausea, vomiting, pain and anxiety in children and youth receiving outpatient chemotherapy","authors":"Emel Yürük Assistant Professor ,&nbsp;Tuğba Todil Lecturer ,&nbsp;Fahri Aşkan Assistant Professor ,&nbsp;Mustafa Kara Assistant Professor ,&nbsp;Aslıhan Hacisalihoğlu Research Assistant","doi":"10.1016/j.pedn.2025.11.029","DOIUrl":"10.1016/j.pedn.2025.11.029","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was designed as a randomized controlled trial (RCT) with a pretest-posttest design to investigate the effects of mandala art therapy on nausea, vomiting, pain, and anxiety in children and youth undergoing outpatient chemotherapy.</div></div><div><h3>Method</h3><div>This study was conducted between April 15 and October 15, 2024, at the Pediatric Outpatient Chemotherapy Unit of a hospital. The study included children and youth aged 9-17 diagnosed with hematological malignancies, solid tumors, or hematological disorders accompanied by oncological conditions. The experimental group received mandala art therapy, while the control group continued with the standard protocol. The study utilized the Personal Information Form, Nausea-Vomiting Thermometer, Wong-Baker Faces Pain Rating Scale, and the State-Trait Anxiety Inventory for Children (STAIC). Data were summarized using descriptive statistics and normality was assessed using the Shapiro-Wilk test. For data that did not follow a normal distribution, the Mann-Whitney U and Wilcoxon Signed Rank tests were applied.</div></div><div><h3>Results</h3><div>Significant differences were observed between the experimental and control groups in the of nausea, vomiting, pain, and anxiety levels post-treatment. In the experimental group, a significant reduction was observed in the nausea-vomiting and pain scores before and after the treatment (<em>p</em> &lt; 0.01), while no change was noted in the control group (<em>p</em> &gt; 0.05). Additionally, a significant decrease in the anxiety scores was found in the experimental group after treatment, whereas no significant difference was observed in the control group (p &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Mandala art therapy effectively reduces nausea, vomiting, pain, and anxiety in children undergoing outpatient chemotherapy and it appears to be a feasible and effective psychosocial intervention that could be integrated into routine supportive care in pediatric oncology. Future studies should investigate its long-term effects and in different pediatric age groups.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 366-374"},"PeriodicalIF":2.3,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615124","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":"Enhancing psychological resilience in mothers of children with intellectual disabilities through marbling art","authors":"Musa Özsavran,&nbsp;Beyzanur Çömez","doi":"10.1016/j.pedn.2025.11.018","DOIUrl":"10.1016/j.pedn.2025.11.018","url":null,"abstract":"<div><h3>Purpose</h3><div>This study investigates the effect of marbling art on improving the psychological resilience of mothers of children with intellectual disabilities.</div></div><div><h3>Design and methods</h3><div>This study employed a pretest–posttest control group design with 40 mothers of children with mild to moderate intellectual disabilities attending a special education school in Türkiye's Western Black Sea region. Participants were randomly assigned to either an intervention or control group. The intervention group attended eight 60-min marbling art sessions over four weeks, while the control group received no intervention. Data were collected at three points-before, after, and one month following the intervention-using a Demographic Information Form and the Psychological Resilience Scale for Adults.</div></div><div><h3>Results</h3><div>The results showed a statistically significant increase in psychological resilience scores in the intervention group compared to the control group at both post-test (<em>p</em> = 0.003) and follow-up (<em>p</em> = 0.007).</div></div><div><h3>Conclusion</h3><div>These findings indicate that marbling art is an effective intervention for enhancing psychological resilience among mothers of children with intellectual disabilities. By promoting self-expression and emotional regulation, marbling art may improve the overall well-being of caregivers.</div></div><div><h3>Pratical implications</h3><div>Marbling art offers a creative, low-cost, and culturally meaningful method to enhance psychological resilience in mothers of children with intellectual disabilities. Health professionals and educators can incorporate this intervention into psychosocial support programs to promote emotional expression and stress management. Its accessibility makes it a promising tool for widespread use in community and family-based mental health services.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 355-365"},"PeriodicalIF":2.3,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615126","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 the magic glove technique on pain and anxiety in children during leuprolide injection: A quasi-experimental study","authors":"Akram Sadat Sadat Hosseini ,&nbsp;Faezeh Rostamian ,&nbsp;Shima Haghani","doi":"10.1016/j.pedn.2025.11.032","DOIUrl":"10.1016/j.pedn.2025.11.032","url":null,"abstract":"<div><h3>Background and objective</h3><div>Non-pharmacological interventions are increasingly applied to reduce injection-related pain and anxiety in children. Leuprolide injections, commonly used for precocious puberty, may cause considerable distress. This study evaluated the effectiveness of the magic glove technique in reducing pain and anxiety during these injections.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted on 60 children referred to the injection unit of the emergency department at Amir-al-Momenin Hospital, Semnan, Iran, between March and June 2024. Participants were recruited by convenience sampling and assigned to intervention (<em>n</em> = 30) and control (<em>n</em> = 30) groups using block randomization. The control group received routine care, while the intervention group underwent the magic glove technique before injection. Pain intensity (Wong-Baker FACES Pain Rating Scale) and anxiety levels (Observational Scale of Behavioral Distress–Revised) were recorded. Data were analyzed with ANOVA and ANCOVA in Stata 14.</div></div><div><h3>Results</h3><div>Mean pain scores were significantly lower in the intervention group (1.53 ± 0.87) than in controls (6.73 ± 1.02; <em>p</em> &lt; 0.0001, Cohen's d = −2.47). Anxiety levels decreased in the intervention group (2.13 ± 0.65 to 0.82 ± 0.47), whereas controls showed an increase (1.95 ± 0.61 to 2.57 ± 0.58; p &lt; 0.0001, Cohen's d = −3.57).</div></div><div><h3>Conclusion</h3><div>The magic glove technique is a simple, non-invasive, and cost-effective intervention that significantly reduces pain and anxiety in children undergoing leuprolide injections. It may be integrated into routine pediatric nursing care, though further research is recommended to examine its use in other procedures and age groups.</div></div><div><h3>Practice implications</h3><div>The magic glove technique is a simple and low-cost method that can be integrated into pediatric nursing to reduce pain and anxiety during injections. Training nurses in this technique may promote child-centred, compassionate, and anxiety-reducing care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 375-382"},"PeriodicalIF":2.3,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615125","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":"Screen use in pediatric cancer patients: A hospital-based study","authors":"Shujing Wang ,&nbsp;Haoran Sun ,&nbsp;Ruijie Shan ,&nbsp;Fangfang Cheng ,&nbsp;Jian Ge ,&nbsp;Hong Zhang ,&nbsp;Yu Zhang ,&nbsp;Yinghong Zhu ,&nbsp;Naixue Cui","doi":"10.1016/j.pedn.2025.11.030","DOIUrl":"10.1016/j.pedn.2025.11.030","url":null,"abstract":"<div><h3>Background</h3><div>Screen use has become an integral part of children's daily lives, yet little is known about its patterns and associated factors among pediatric cancer patients undergoing active treatment.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 225 pediatric cancer patients and their parents from three tertiary hospitals in Jinan City between March and June 2023. Parents completed questionnaires on their children's screen use over the six months preceding the survey, covering both home and hospital settings, as well as parental mediation, parental psychological distress, sociodemographic and condition-related information. Children's screen use was described and factors associated with screen time were analyzed using binary logistic regression.</div></div><div><h3>Results</h3><div>The median daily screen time was 2.57 h (range: 0.14–14.71), with 56.9 % of children exceeding the two-hour guideline. Watching short-form videos was the most common activity. Longer screen time was significantly associated with higher parental psychological distress, children's history of critical conditions, and a lack of parental limits on screen use (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Screen use is widespread among pediatric cancer patients, with more than half exceeding the two-hour guideline. Parental mediation, parental psychological distress, and children's critical conditions were key factors influencing longer screen use.</div></div><div><h3>Implications for practice</h3><div>The findings highlight the need for healthcare practitioners to provide educational and psychosocial support to help parents set appropriate screen time boundaries and encourage healthy digital engagement among pediatric cancer patients</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 342-347"},"PeriodicalIF":2.3,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615053","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 nurses' experiences caring for children and suspected offenders during maltreatment investigations: A hermeneutic phenomenological study","authors":"Brady Franklin PhD, RN, FNP-BC, CPN ,&nbsp;Rachel Johnson-Koenke PhD, MSW, LCSW ,&nbsp;Elias Provencio-Vasquez PhD, RN, FAAN, FAANP ,&nbsp;Kathleen Ellis PhD, CCRN, CNE ,&nbsp;Jacqueline Jones PhD, RN, FAAN, FRCNA","doi":"10.1016/j.pedn.2025.11.027","DOIUrl":"10.1016/j.pedn.2025.11.027","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the lived experience of pediatric nurses caring for child maltreatment victims when the suspected offender is present at the bedside, a context that presents unique ethical and emotional challenges.</div></div><div><h3>Design and method</h3><div>A hermeneutic phenomenological approach was used to explore the lived experience. Fourteen pediatric nurses participated in in-depth interviews. Data were analyzed using van Manen's thematic analysis.</div></div><div><h3>Results</h3><div>Four themes, comprising 11 subthemes, were identified: 1) Nurses care for sick people, 2) Adjusting mental and physical strategies, 3) Navigating attention and role conflict, and 4) Enduring emotional impact.</div></div><div><h3>Conclusions</h3><div>This study reveals the emotional toll pediatric nurses face during maltreatment investigations. Despite their commitment to caring for all patients and the use of adaptation strategies, nurses often experience psychological harm. Maltreatment investigations disrupt traditional models of family-centered care and can contribute to compassion fatigue, burnout, and professional isolation.</div></div><div><h3>Practice implications</h3><div>Findings highlight the need for organizational support, clearer role expectations, education, and nurses' psychological safety. Interventions that support nurses' emotional well-being and professional identity are essential to sustaining compassionate, ethical care in complex pediatric settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 348-354"},"PeriodicalIF":2.3,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615127","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}