To explore the lived experiences of Jordanian adolescents with type 1 diabetes mellitus (T1DM) and identify their specific needs.
Methods
Qualitative interviews were conducted with 10 Jordanian adolescents. Thematic analysis was used to identify key themes.
Results
Three main themes emerged: (1) Living with diabetes as a constant struggle, including emotional turbulence, social withdrawal, and difficulty with treatment regimens; (2) Restoring balance in life through social support, following treatment protocols, and accepting the disease; and (3) Adolescents' needs for a better environment, including improved knowledge, resources, and social integration.
Conclusions
Adolescents with T1DM face significant challenges, including emotional distress, social isolation, and difficulties managing their disease. This study provides valuable insights into their experiences and highlights the importance of comprehensive support.
Practice implications
To effectively support adolescents with T1DM, healthcare providers and educators should focus on providing emotional support, social support, and practical assistance. Additionally, improving knowledge and awareness about T1DM among adolescents and their families is crucial, as well as increasing access to resources that can help them manage their disease and live fulfilling lives.
{"title":"Balancing life with type 1 diabetes mellitus: A qualitative study of jordanian adolescents","authors":"Khulood Kayed Shattnawi PhD, RN , Sumiah Mohammed Mahassneh MSN, RN","doi":"10.1016/j.pedn.2024.10.039","DOIUrl":"10.1016/j.pedn.2024.10.039","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the lived experiences of Jordanian adolescents with type 1 diabetes mellitus (T1DM) and identify their specific needs.</div></div><div><h3>Methods</h3><div>Qualitative interviews were conducted with 10 Jordanian adolescents. Thematic analysis was used to identify key themes.</div></div><div><h3>Results</h3><div>Three main themes emerged: (1) Living with diabetes as a constant struggle, including emotional turbulence, social withdrawal, and difficulty with treatment regimens; (2) Restoring balance in life through social support, following treatment protocols, and accepting the disease; and (3) Adolescents' needs for a better environment, including improved knowledge, resources, and social integration.</div></div><div><h3>Conclusions</h3><div>Adolescents with T1DM face significant challenges, including emotional distress, social isolation, and difficulties managing their disease. This study provides valuable insights into their experiences and highlights the importance of comprehensive support.</div></div><div><h3>Practice implications</h3><div>To effectively support adolescents with T1DM, healthcare providers and educators should focus on providing emotional support, social support, and practical assistance. Additionally, improving knowledge and awareness about T1DM among adolescents and their families is crucial, as well as increasing access to resources that can help them manage their disease and live fulfilling lives.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e40-e47"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629820","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}
Pub Date : 2025-01-01DOI: 10.1016/j.pedn.2024.12.020
Hacer Alemdar , Aysel Karaca
Background
Anxiety disorders are among the most prevalent mental health conditions in childhood, affecting an estimated 10 % to 20 % of children. Cognitive Behavioral Therapy (CBT) is the most commonly employed treatment for these disorders. This study utilizes a meta-analytic approach to evaluate the effectiveness of CBT interventions in reducing anxiety levels among children diagnosed with anxiety disorders.
Methods
A comprehensive search was conducted in the “PubMed,” “Science Direct,” “Scopus,” and “Web of Science” databases to identify randomized controlled and quasi-experimental studies that investigated the impact of CBT on children's anxiety levels. Studies that met the inclusion criteria were selected for analysis. The methodological quality of the selected studies was assessed using the “Critical Appraisal Checklists” developed by the Joanna Briggs Institute (JBI). Meta-analytic procedures were performed using the Review Manager 5.4.1 software.
Results
Twenty-nine studies published between 2015 and 2024 met the inclusion criteria and were included in the meta-analysis. The results indicate that CBT interventions are significantly effective in reducing anxiety levels in children with anxiety disorders (SMD: -1.51, 95 % CI: −2.07, −0.95, Z = 5.28, p < 0.00001). Among the various types of CBT, cognitive behavioral play therapy emerged as the most effective in reducing anxiety (SMD: -2.41, 95 % CI: −2.95, −1.88, Z = 8.84, p < 0.00001). Additionally, follow-up assessments at 3, 6, and 12 months post-intervention demonstrated that CBT has a sustained effect in lowering children's anxiety levels over time.
Conclusions
This meta-analysis offers a valuable update to the existing literature by reinforcing the efficacy of CBT interventions in treating anxiety disorders in children.
背景：焦虑症是儿童时期最普遍的精神健康状况之一，估计影响10%至20%的儿童。认知行为疗法（CBT）是治疗这些疾病最常用的方法。本研究采用荟萃分析方法评估CBT干预在降低焦虑障碍儿童焦虑水平方面的有效性。方法：在“PubMed”、“Science Direct”、“Scopus”和“Web of Science”数据库中进行全面搜索，以确定调查CBT对儿童焦虑水平影响的随机对照和准实验研究。选择符合纳入标准的研究进行分析。所选研究的方法学质量是使用乔安娜布里格斯研究所（JBI）开发的“关键评估清单”进行评估的。meta分析程序使用Review Manager 5.4.1软件进行。结果：2015年至2024年间发表的29项研究符合纳入标准，并被纳入meta分析。结果表明，CBT干预对降低焦虑障碍儿童的焦虑水平有显著效果（SMD: -1.51, 95% CI: -2.07, -0.95, Z = 5.28, p）。结论：本荟萃分析强化了CBT干预治疗儿童焦虑障碍的疗效，对现有文献进行了有价值的更新。
{"title":"The effect of cognitive behavioral interventions applied to children with anxiety disorders on their anxiety level: A meta-analysis study","authors":"Hacer Alemdar , Aysel Karaca","doi":"10.1016/j.pedn.2024.12.020","DOIUrl":"10.1016/j.pedn.2024.12.020","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety disorders are among the most prevalent mental health conditions in childhood, affecting an estimated 10 % to 20 % of children. Cognitive Behavioral Therapy (CBT) is the most commonly employed treatment for these disorders. This study utilizes a meta-analytic approach to evaluate the effectiveness of CBT interventions in reducing anxiety levels among children diagnosed with anxiety disorders.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in the “PubMed,” “Science Direct,” “Scopus,” and “Web of Science” databases to identify randomized controlled and quasi-experimental studies that investigated the impact of CBT on children's anxiety levels. Studies that met the inclusion criteria were selected for analysis. The methodological quality of the selected studies was assessed using the “Critical Appraisal Checklists” developed by the Joanna Briggs Institute (JBI). Meta-analytic procedures were performed using the Review Manager 5.4.1 software.</div></div><div><h3>Results</h3><div>Twenty-nine studies published between 2015 and 2024 met the inclusion criteria and were included in the meta-analysis. The results indicate that CBT interventions are significantly effective in reducing anxiety levels in children with anxiety disorders (SMD: -1.51, 95 % CI: −2.07, −0.95, Z = 5.28, <em>p</em> < 0.00001). Among the various types of CBT, cognitive behavioral play therapy emerged as the most effective in reducing anxiety (SMD: -2.41, 95 % CI: −2.95, −1.88, Z = 8.84, <em>p</em> < 0.00001). Additionally, follow-up assessments at 3, 6, and 12 months post-intervention demonstrated that CBT has a sustained effect in lowering children's anxiety levels over time.</div></div><div><h3>Conclusions</h3><div>This meta-analysis offers a valuable update to the existing literature by reinforcing the efficacy of CBT interventions in treating anxiety disorders in children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e246-e254"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957260","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}
Pub Date : 2025-01-01DOI: 10.1016/S0882-5963(25)00018-1
{"title":"Information for Readers","authors":"","doi":"10.1016/S0882-5963(25)00018-1","DOIUrl":"10.1016/S0882-5963(25)00018-1","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Page vii"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159072","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}
Pub Date : 2025-01-01DOI: 10.1016/j.pedn.2024.12.008
Duygu Yılmaz , Rabiye Güney
Background: The American Academy of Pediatrics recommends screening children for social determinants of health (SDOH).
Purpose: This study aimed to develop a valid and reliable tool for screening SDOH in children and adolescents aged 0–18 through their parents.
Design and Methods: This methodological research was conducted with parents of 748 children admitted to a hospital in Turkey. An item pool was created from a literature review and interviews with 30 healthcare professionals. The scale's validity and reliability were tested through pilot and main applications.
Results: The scale, with 33 items across five factors, explained 57.256 % of total variability. Confirmatory factor analysis showed significant model fit (RMSEA = 0.052, χ2/df = 2.013). Cronbach's Alpha ranged from 0.646 to 0.909 for sub-dimensions, and 0.886 overall.
Conclusion: The scale is a valid and reliable tool for screening SDOH in children and adolescents through their parents and can be used in academic research and clinical practice.
Practice Implications: The scale provides healthcare professionals with a practical tool for assessing social determinants of health in pediatric populations, facilitating early identification and intervention in both clinical settings and research applications.
{"title":"Development and validation of the social determinants of health screening scale–parent form","authors":"Duygu Yılmaz , Rabiye Güney","doi":"10.1016/j.pedn.2024.12.008","DOIUrl":"10.1016/j.pedn.2024.12.008","url":null,"abstract":"<div><div><em>Background:</em> The American Academy of Pediatrics recommends screening children for social determinants of health (SDOH).</div><div><em>Purpose:</em> This study aimed to develop a valid and reliable tool for screening SDOH in children and adolescents aged 0–18 through their parents.</div><div><em>Design and Methods:</em> This methodological research was conducted with parents of 748 children admitted to a hospital in Turkey. An item pool was created from a literature review and interviews with 30 healthcare professionals. The scale's validity and reliability were tested through pilot and main applications.</div><div><em>Results:</em> The scale, with 33 items across five factors, explained 57.256 % of total variability. Confirmatory factor analysis showed significant model fit (RMSEA = 0.052, χ2/df = 2.013). Cronbach's Alpha ranged from 0.646 to 0.909 for sub-dimensions, and 0.886 overall.</div><div><em>Conclusion:</em> The scale is a valid and reliable tool for screening SDOH in children and adolescents through their parents and can be used in academic research and clinical practice.</div><div><em>Practice Implications:</em> The scale provides healthcare professionals with a practical tool for assessing social determinants of health in pediatric populations, facilitating early identification and intervention in both clinical settings and research applications.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e170-e179"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872054","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}
Pub Date : 2025-01-01DOI: 10.1016/j.pedn.2024.10.012
Jennifer Baird PhD, MPH, MSW, RN, NEA-BC, NPD-BC, CPN
{"title":"SPN 2024 Year in Review","authors":"Jennifer Baird PhD, MPH, MSW, RN, NEA-BC, NPD-BC, CPN","doi":"10.1016/j.pedn.2024.10.012","DOIUrl":"10.1016/j.pedn.2024.10.012","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 177-179"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511115","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}
Pub Date : 2025-01-01DOI: 10.1016/j.pedn.2024.10.041
Bahar Aksoy , Vildan Apaydin Cirik
Purpose
To explain the care experiences and views of pediatric nurses for generation alpha based on Watson's Theory of Human Caring.
Methods
A descriptive phenomenological design. The data were collected between January 2022 and April 2022 from purposively selected with maximum variation nurses in a pediatric clinic at a hospital. The study adhered to the Consolidated criteria for reporting qualitative research (COREQ) guidelines. The data were collected from 14 nurses using individual in-depth interviews, a personal information form, a semi-structured interview form, and observation notes, and analyzed using Giorgi's five stages based on the descriptive phenomenological method.
Results
Nurses' views and care experiences for generation alpha were explained under the 3 main themes; facilitating curative care behaviors (first theme), barriers to curative care behaviors (second theme), and maintaining ideal authentic care (third theme), and 7 sub-themes.
Conclusion
Based on Human Caring, this study revealed novel, and powerful information about establishing and maintaining the caring relationship between nurses and the alpha generation. It is recommended that nurses take the theory of human care as a guide, raise awareness about this theory, and receive training while caring for generation alpha.
Practice implications
The knowledge gained through this study can be used to shape nursing care for alpha children, develop curative care behaviors, maintain care, and plan relevant training.
{"title":"Nurses' care experiences with generation alpha based on Watson's human care theory","authors":"Bahar Aksoy , Vildan Apaydin Cirik","doi":"10.1016/j.pedn.2024.10.041","DOIUrl":"10.1016/j.pedn.2024.10.041","url":null,"abstract":"<div><h3>Purpose</h3><div>To explain the care experiences and views of pediatric nurses for generation alpha based on Watson's Theory of Human Caring.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological design. The data were collected between January 2022 and April 2022 from purposively selected with maximum variation nurses in a pediatric clinic at a hospital. The study adhered to the Consolidated criteria for reporting qualitative research (COREQ) guidelines. The data were collected from 14 nurses using individual in-depth interviews, a personal information form, a semi-structured interview form, and observation notes, and analyzed using Giorgi's five stages based on the descriptive phenomenological method.</div></div><div><h3>Results</h3><div>Nurses' views and care experiences for generation alpha were explained under the 3 main themes; facilitating curative care behaviors (first theme), barriers to curative care behaviors (second theme), and maintaining ideal authentic care (third theme), and 7 sub-themes.</div></div><div><h3>Conclusion</h3><div>Based on Human Caring, this study revealed novel, and powerful information about establishing and maintaining the caring relationship between nurses and the alpha generation. It is recommended that nurses take the theory of human care as a guide, raise awareness about this theory, and receive training while caring for generation alpha.</div></div><div><h3>Practice implications</h3><div>The knowledge gained through this study can be used to shape nursing care for alpha children, develop curative care behaviors, maintain care, and plan relevant training.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e48-e57"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630249","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}
Cultural influences on parental perceptions of their children's cancer effect familial coping and adjustment. We investigated parental perceptions of their child's illness severity and treatment among Jewish Israeli and Arab (Palestinian Israelis and Palestinians from the West Bank /Gaza) parents of pediatric oncology patients to better understand possible cultural differences and similarities.
Methods
During this mixed-methods cross sectional study, the Brief Illness Perception Questionnaire was completed by 205 parents of children receiving treatment in four medical centers throughout Israel.
Results
Jewish parents perceived the hospital treatment to be more effective. Arab parents perceived that cancer has a greater negative emotional influence on them as compared to Jewish parents. Further, Jewish parents felt that their child's illness had greater impact on their lives compared to Arab parents. Finally, Arab parents felt they had greater control of the illness and better understanding of the illness. When asked what they believed had ‘caused’ their children's cancer, both groups expressed, spiritual-religious, child's immunity status and environmental causes, yet Arab parents mentioned unhealthy food, superstitions and Supernatural (the evil eye) causes more frequently.
Conclusions
Understanding how culture influences parental illness perceptions can assist pediatric oncology nurses and social workers to offer more effective treatment management.
Implications for nursing practice
These results highlight the need to extend cultural competence to incorporate illness perception among different ethnic and religious groups being treated in a pediatric oncology department.
{"title":"Intercultural differences in parental perceptions of children's cancer","authors":"Wedad Masalha PhD , Gail Auslander PhD , Shirli Werner PhD","doi":"10.1016/j.pedn.2024.11.021","DOIUrl":"10.1016/j.pedn.2024.11.021","url":null,"abstract":"<div><h3>Purpose</h3><div>Cultural influences on parental perceptions of their children's cancer effect familial coping and adjustment. We investigated parental perceptions of their child's illness severity and treatment among Jewish Israeli and Arab (Palestinian Israelis and Palestinians from the West Bank /Gaza) parents of pediatric oncology patients to better understand possible cultural differences and similarities.</div></div><div><h3>Methods</h3><div>During this mixed-methods cross sectional study, the Brief Illness Perception Questionnaire was completed by 205 parents of children receiving treatment in four medical centers throughout Israel.</div></div><div><h3>Results</h3><div>Jewish parents perceived the hospital treatment to be more effective. Arab parents perceived that cancer has a greater negative emotional influence on them as compared to Jewish parents. Further, Jewish parents felt that their child's illness had greater impact on their lives compared to Arab parents. Finally, Arab parents felt they had greater control of the illness and better understanding of the illness. When asked what they believed had ‘caused’ their children's cancer, both groups expressed, spiritual-religious, child's immunity status and environmental causes, yet Arab parents mentioned unhealthy food, superstitions and Supernatural (the evil eye) causes more frequently.</div></div><div><h3>Conclusions</h3><div>Understanding how culture influences parental illness perceptions can assist pediatric oncology nurses and social workers to offer more effective treatment management.</div></div><div><h3>Implications for nursing practice</h3><div>These results highlight the need to extend cultural competence to incorporate illness perception among different ethnic and religious groups being treated in a pediatric oncology department.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e86-e94"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792118","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}
Pub Date : 2025-01-01DOI: 10.1016/j.pedn.2025.01.011
Mandie Foster PhD , Barbara K. Giambra PhD , Lindsay Smith PhD , Elisabeth Coyne PhD , Lisa Whitehead PhD
{"title":"The importance of advancing international family nursing practice across the lifespan","authors":"Mandie Foster PhD , Barbara K. Giambra PhD , Lindsay Smith PhD , Elisabeth Coyne PhD , Lisa Whitehead PhD","doi":"10.1016/j.pedn.2025.01.011","DOIUrl":"10.1016/j.pedn.2025.01.011","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages A1-A3"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075980","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}
Pub Date : 2025-01-01DOI: 10.1016/j.pedn.2024.12.004
Danton Matheus de Souza , Edmara Bazoni Soares Maia , Ana Paula Scoleze Ferrer , Júlia Carlla Abrantes Rocha , Maria Luiza Lamussi Monteiro da Silva , Rebecca Ortiz La Banca Barber , Lisabelle Mariano Rossato
Purpose
To evaluate the effect of instructional therapeutic play on acceptance of nasal lavage in children hospitalized for respiratory conditions.
Design and methods
This quasi-experimental study was conducted at a teaching hospital. For the therapeutic play session, disposable gloves filled with compressed air and designed to resemble a human face, syringes, and saline solution ampoules were used. Children's acceptance behaviors were assessed before, immediately after, and 6 h after the therapeutic play session. The data were subjected to descriptive and inferential statistical analyses.
Results
Children (N = 42) aged 3–6 years, 50 % female, with a hospitalization duration of 0.2–9 days, showed increased acceptance of nasal lavage (p = 0.01), with the child self-administering the saline solution (p = 0.01), and with reduction of all resistance behaviors to nasal lavage (p < 0.05).
Conclusions
Instructional therapeutic play was effective as an educational intervention for the acceptance of nasal lavage in hospitalized children.
Practice implications
This study demonstrates the potential of using instructional therapeutic play, innovating the field of pediatric nursing, and expanding the international knowledge frontier of this subject. In the future, there is a need for clinical trials with control groups, larger and more heterogeneous samples, and implementation studies.
{"title":"The effect of instructional therapeutic play on acceptance behavior of nasal lavage in hospitalized children","authors":"Danton Matheus de Souza , Edmara Bazoni Soares Maia , Ana Paula Scoleze Ferrer , Júlia Carlla Abrantes Rocha , Maria Luiza Lamussi Monteiro da Silva , Rebecca Ortiz La Banca Barber , Lisabelle Mariano Rossato","doi":"10.1016/j.pedn.2024.12.004","DOIUrl":"10.1016/j.pedn.2024.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the effect of instructional therapeutic play on acceptance of nasal lavage in children hospitalized for respiratory conditions.</div></div><div><h3>Design and methods</h3><div>This quasi-experimental study was conducted at a teaching hospital. For the therapeutic play session, disposable gloves filled with compressed air and designed to resemble a human face, syringes, and saline solution ampoules were used. Children's acceptance behaviors were assessed before, immediately after, and 6 h after the therapeutic play session. The data were subjected to descriptive and inferential statistical analyses.</div></div><div><h3>Results</h3><div>Children (<em>N</em> = 42) aged 3–6 years, 50 % female, with a hospitalization duration of 0.2–9 days, showed increased acceptance of nasal lavage (<em>p</em> = 0.01), with the child self-administering the saline solution (p = 0.01), and with reduction of all resistance behaviors to nasal lavage (<em>p</em> < 0.05).</div></div><div><h3>Conclusions</h3><div>Instructional therapeutic play was effective as an educational intervention for the acceptance of nasal lavage in hospitalized children.</div></div><div><h3>Practice implications</h3><div>This study demonstrates the potential of using instructional therapeutic play, innovating the field of pediatric nursing, and expanding the international knowledge frontier of this subject. In the future, there is a need for clinical trials with control groups, larger and more heterogeneous samples, and implementation studies.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e144-e150"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824537","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}
Pub Date : 2025-01-01DOI: 10.1016/j.pedn.2024.12.015
Atyat Mohammed Hassan , Amira Hassan Abd Alfatah , Nahed Thabet Mohamed , Shimaa Hassan Khalf Allah
Background
In pediatric care, mothers' confidence concerning their knowledge, practice, and attitude in managing fevers is crucial. Web-based educational platforms offer a convenient and accessible means to empower mothers in this regard.
Aim
This study aimed to evaluate the effect of web-based education for empowering mothers regarding pediatric fever management.
Methods
In this study, a quasi-experimental design was utilized. The study was conducted in Assiut University Children Hospital at the emergency unit. A random sample of one hundred mothers was included in the study. Measures included a structured questionnaire of demographic characteristics of the mothers, personal and medical characteristics of children, as well as mothers' knowledge, practices, and attitudes concerning pediatric fever management.
Results
The study found significant differences in mothers' knowledge and practices (P = 0.001) regarding pediatric fever management, except for choosing the correct antipyretic type (P = 0.244). Mothers also showed significant differences in attitudes (P = 0.001) toward fever management, except for mothers using antipyretic when the child has a fever and takes fewer fluids (P = 0.080), the child has a fever, and a skin rash (P = 0.077). Also, when the child had a fever and was crying unstoppably (P = 0.133) in pre-and post-tests.
Conclusion
The web-based education program has significantly boosted mothers' empowerment, resulting in increased knowledge level, positive attitudes, and improved practices across various aspects of pediatric fever management.
Practice implications
Healthcare providers can leverage web-based educational resources to educate and empower mothers in pediatric fever management, promoting better health practices and outcomes for children.
{"title":"Effect of web-based education for empowering mothers regarding pediatric fever management","authors":"Atyat Mohammed Hassan , Amira Hassan Abd Alfatah , Nahed Thabet Mohamed , Shimaa Hassan Khalf Allah","doi":"10.1016/j.pedn.2024.12.015","DOIUrl":"10.1016/j.pedn.2024.12.015","url":null,"abstract":"<div><h3>Background</h3><div>In pediatric care, mothers' confidence concerning their knowledge, practice, and attitude in managing fevers is crucial. Web-based educational platforms offer a convenient and accessible means to empower mothers in this regard.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the effect of web-based education for empowering mothers regarding pediatric fever management.</div></div><div><h3>Methods</h3><div>In this study, a quasi-experimental design was utilized. The study was conducted in Assiut University Children Hospital at the emergency unit. A random sample of one hundred mothers was included in the study. Measures included a structured questionnaire of demographic characteristics of the mothers, personal and medical characteristics of children, as well as mothers' knowledge, practices, and attitudes concerning pediatric fever management.</div></div><div><h3>Results</h3><div>The study found significant differences in mothers' knowledge and practices (<em>P</em> = 0.001) regarding pediatric fever management, except for choosing the correct antipyretic type (<em>P</em> = 0.244). Mothers also showed significant differences in attitudes (<em>P</em> = 0.001) toward fever management, except for mothers using antipyretic when the child has a fever and takes fewer fluids (<em>P</em> = 0.080), the child has a fever, and a skin rash (<em>P</em> = 0.077). Also, when the child had a fever and was crying unstoppably (<em>P</em> = 0.133) in pre-and post-tests.</div></div><div><h3>Conclusion</h3><div>The web-based education program has significantly boosted mothers' empowerment, resulting in increased knowledge level, positive attitudes, and improved practices across various aspects of pediatric fever management.</div></div><div><h3>Practice implications</h3><div>Healthcare providers can leverage web-based educational resources to educate and empower mothers in pediatric fever management, promoting better health practices and outcomes for children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e207-e217"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071290","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}
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