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

{"title":"Middle school students' perceptions of peer bullying: A qualitative study","authors":"Esra Ünal Çelik ,&nbsp;Arzu Koçak Uyaroğlu ,&nbsp;Alime Selçuk Tosun","doi":"10.1016/j.pedn.2025.12.033","DOIUrl":"10.1016/j.pedn.2025.12.033","url":null,"abstract":"<div><h3>Aim</h3><div>This study examined middle school students' perceptions of peer bullying using qualitative methods.</div></div><div><h3>Background</h3><div>Peer bullying is a significant social problem that negatively affects children's physical, emotional, and social development. While many studies have explored its prevalence and consequences, most rely on quantitative data. Qualitative research is needed to capture students' lived experiences and to better understand the complex nature of bullying.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design supported by phenomenological elements was used with 27 middle school students between February and April 2025. Individual semi-structured interviews were conducted, and data were analyzed manually using thematic analysis.</div></div><div><h3>Results</h3><div>Four themes and 14 sub-themes were identified: Four themes and 14 sub-themes were identified: Types of Bullying (verbal, physical, psychological, and cyberbullying), Perceived Positive Meaning (academic achievement, social reputation, and empathy), Perceived Negative Meaning (impairment in social interaction, aggression, and feelings of revenge), and Coping with Bullying (raising awareness, peer support, collaboration with teachers, and sharing with family).</div></div><div><h3>Conclusions</h3><div>Bullying occurred in verbal, psychological, physical, and cyber forms, causing negative effects such as social difficulties and aggression. Some students reported positive outcomes, including increased empathy and academic achievement. Awareness, teacher support, and family involvement were important in coping with bullying.</div></div><div><h3>Implications for nursing and health policy</h3><div>School nurses and mental health professionals should take an active role in recognizing and preventing peer bullying. Implementing school-based awareness and support programs can strengthen students' coping skills and promote safer school environments.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 31-42"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935693","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":"Trust as the foundation to care: Parents of Medically Fragile Infants' experiences of developing trust with nurses","authors":"Lyndsay Jerusha MacKay RN, MN, PhD ,&nbsp;Emma Nickel RN ,&nbsp;Rubinder Bahia RN, MN ,&nbsp;Janice Kamke RN, MN ,&nbsp;Lily Ragan RN, MN ,&nbsp;Heather Meyerhoff RN, MN","doi":"10.1016/j.pedn.2026.01.030","DOIUrl":"10.1016/j.pedn.2026.01.030","url":null,"abstract":"<div><h3>Background</h3><div>Parents of hospitalized Medically Fragile Infants (MFI) experience high levels of stress and difficulty parenting their infant. They require support to help them navigate their new parenting role, which can be provided by nurses within relationships built on trust.</div></div><div><h3>Objective</h3><div>To explore how trust is established and maintained between parents of hospitalized MFI and nurses from the parents' perspective.</div></div><div><h3>Method</h3><div>Using a qualitative Interpretive Description study design, 15 parents of MFI from inpatient care units at a pediatric tertiary care hospital were recruited. MFI consisted of (a) one or more chronic medical illnesses, (b) reliance on medical technology, (c) &gt; 30-day hospitalization, and (d) discharge home with a chronic illness. Data were collected via semi-structured interviews, which were transcribed, coded, and analyzed.</div></div><div><h3>Results</h3><div>Parents described how parenting their MFI on inpatient care units was excruciatingly difficult. They had increased stress and struggled with their mental health. Parent-nurse trusting relationships led to a collaborative partnership, where they worked together to provide safe and nurturing care to MFI. Parents identified ten core elements that helped them develop trust with nurses. Mistrust could arise when the core elements were absent, medical mistakes occurred, or infants were transferred between hospital units.</div></div><div><h3>Conclusion</h3><div>The establishment of parents' trust in nurses was crucial for the delivery of high-quality Family-Centered Care to hospitalized MFI and their parents, thereby supporting parents in coping with their stress. Instructions on how to establish trust with parents of MFI should be included in the nursing curriculum for both nursing students and practicing nurses.</div></div><div><h3>Implications to practice</h3><div>Nurses can support parents of MFI in coping with their mental health and emotions by developing trusting relationships. When relationships are built on trust, collaborative partnerships between nurses and parents form, enabling them to work together to provide safe and nurturing care to MFI within the hospital setting. Nurses can engage in the 10 core elements to develop trust, thereby establishing trusting relationships with parents of MFI.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 381-391"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119612","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":"Who understands a child's pain better? A comparison of oncology and non-oncology nurses' knowledge and attitudes toward pediatric pain assessment and management","authors":"Mohammad Minwer Alnaeem PhD, RN ,&nbsp;Alaa A. Abuattallah PhD, RN ,&nbsp;Khaled H. Suleiman PhD, RN ,&nbsp;Majdi M. alzoubi ,&nbsp;Khalid Al-Mugheed ,&nbsp;Nadiah A. Baghdadi ,&nbsp;Sally Mohammed Farghaly Abdelaliem PhD, MSN, BSc, RN, FHEA","doi":"10.1016/j.pedn.2026.01.028","DOIUrl":"10.1016/j.pedn.2026.01.028","url":null,"abstract":"<div><h3>Background</h3><div>Comprehensive continuous assessment and effective pain management for pediatric pain are important.</div></div><div><h3>Purpose</h3><div>To assess the differences between oncology and non-oncology nurse knowledge and attitudes toward pediatric pain.</div></div><div><h3>Method</h3><div>A descriptive cross-sectional study was conducted in three public hospitals and included nurses who provided oncology and/or non-oncology care in pediatric departments. The sample included 207 nurses.</div></div><div><h3>Results</h3><div>More than half of nurses (<em>n</em> = 142, 68.6%) had not attended any workshop related to pediatric pain management. Both oncology and non-oncology nurses exhibited low mean of knowledge and attitude toward pediatric pain assessment and management, however, oncology nurses scored significantly higher (<em>t</em> = 12.13, <em>p</em> &lt; .001). Among oncology nurses, higher PNKAS scores were associated with younger age (ꞵ = −0.575, <em>p</em> = .003), longer nursing experience (ꞵ = 0.642, <em>p</em> = .016), having children (ꞵ = 0.402, <em>p</em> = .010), and reliance on child status (ꞵ = 0.206, <em>p</em> = .044) and parent verbalization (ꞵ = 0.236, <em>p</em> = .027).</div></div><div><h3>Conclusion</h3><div>Targeted educational interventions, particularly for non-oncology nurses focusing on child-centric assessment and supported by mentorship and clear clinical policies, are essential to bridge this knowledge-attitude gap and improve pediatric pain outcomes.</div></div><div><h3>Implications to practice</h3><div>This study underscores the critical need to implement standardized, mandatory pain management education for all pediatric nurses, with a focus on training in non-verbal pain assessment techniques. Findings emphasize that all nurses need to apply culturally sensitive approaches to overcome sociocultural barriers to effective pain relief.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 409-415"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127157","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":"Experiences and influencing factors of secondary traumatic stress in neonatal intensive care unit nurses: A mixed-methods study","authors":"Heemoon Lim ,&nbsp;Hyejung Lee ,&nbsp;Sue Kim ,&nbsp;Heejung Kim ,&nbsp;Changgi Park ,&nbsp;Youngjin Lee","doi":"10.1016/j.pedn.2026.01.046","DOIUrl":"10.1016/j.pedn.2026.01.046","url":null,"abstract":"<div><h3>Background</h3><div>Nurses in neonatal intensive care units witness the suffering of critically ill infants and the emotional distress of their families, which can lead to psychological strain.</div></div><div><h3>Objective</h3><div>This study examined individual and organizational factors contributing to secondary traumatic stress among neonatal intensive care unit and explored their experiences of this stress.</div></div><div><h3>Methods</h3><div>A convergent mixed-methods design was employed. A total of 147 nurses from Level III neonatal intensive care units across South Korea participated, and in-depth interviews were conducted with 13 nurses.</div></div><div><h3>Results</h3><div>Many nurses reported moderate to severe psychological stress related to repeated exposure to traumatic events. The emotional impact was influenced by both individual sensitivity and the organizational context of care.</div></div><div><h3>Conclusion</h3><div>Emotional challenges in neonatal intensive care units constitute both a psychological burden and an ethical complexity of nursing. Institutional support is essential to address these challenges, fostering nurses' emotional well-being and professional sustainability.</div></div><div><h3>Implication to practice</h3><div>Future strategies to reduce secondary traumatic stress should integrate individual-level coping and emotional regulation strategies. In addition, organizational approaches should address unit-specific traumatic events and promote trauma-informed work environments in neonatal intensive care units.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 443-450"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138059","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":"2026-03-01","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":"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":"2026-03-01","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":"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":"2026-03-01","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":"Healthy lifestyle program based on a mobile serious game-extended version for childhood cancer survivors: Development and evaluation of user satisfaction","authors":"Kyung-Ah Kang ,&nbsp;In-Hye Song ,&nbsp;Han-Ho Kim","doi":"10.1016/j.pedn.2026.01.024","DOIUrl":"10.1016/j.pedn.2026.01.024","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop a Healthy Lifestyle Program Based on a Mobile Serious Game-Extended version (HLP-MSG<em><strong>e</strong>)</em> for childhood cancer survivors (CCSs) and evaluate the satisfaction level of a HLP-MSG<strong><em>e</em></strong>.</div></div><div><h3>Methods</h3><div>The HLP-MSG<strong><em>e</em></strong> for CCSs included 33 quests with 7 minigames in 7 healthy lifestyle subfactors (health responsibility, physical activity, nutrition, positive life perspective, interpersonal relationships, stress management, and spiritual health). Five experts validated the content, organization, and usability of the HLP-MSG<strong><em>e</em></strong>. A satisfaction survey consisting of 5-point Likert scales was answered by CCSs in South Korea aged 6–14 years old whose cancer treatment was terminated at least 12 months previously. Data were analyzed using means and standard deviations.</div></div><div><h3>Results</h3><div>“Healthy village-Acorn island” was named to an HLP-MSG<strong><em>e</em></strong>-based initial game called “Healthy village-Hope Island”. The content validity index score by experts ranged from 0.93 to 1.00, with a mean of 0.95. The mean score of satisfaction with the HLP-MSG<strong><em>e</em></strong> was 4.16 (SD = 0.68) out of 5.</div></div><div><h3>Conclusion</h3><div>HLP-MSG<em><strong>e</strong>,</em> a mobile serious game, is a health education modality that meets the learning needs of CCSs who recognize games as educational media and is an appropriate educational medium to increase the efficiency and continuity of self-directed health care.</div></div><div><h3>Implications for practice</h3><div>HLP-MSG<strong><em>e</em></strong> for CCSs intervention can contribute to a new paradigmatic approach to healthcare that maximizes the effectiveness of ongoing health self-management of CCSs. It can also be used as a platform to provide health education based on the human holism model, reflecting the multifaceted needs of CCSs including spirituality.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 286-296"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078318","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 tub bathing on stress, comfort, and physiological parameters in newborns","authors":"Necla Kasımoğlu PhD ,&nbsp;Sultan Beşiktaş Msc ,&nbsp;Ayşe Gürol PhD","doi":"10.1016/j.pedn.2026.01.032","DOIUrl":"10.1016/j.pedn.2026.01.032","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the effects of tub bathing on stress levels, comfort, and physiological parameters in newborns undergoing phototherapy.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 62 newborns receiving phototherapy in a university hospital neonatal intensive care unit (June 2024–June 2025). Infants were randomized to an experimental (tub bathing) or a control group. Physiological parameters, stress (Neonatal Stress Scale), and comfort (Neonatal Comfort Behavior Scale) were assessed at three time points: before, 15 min after initiation, and 15 min before completion of phototherapy. Data were analyzed using SPSS version 30.0.</div></div><div><h3>Results</h3><div>There were significant differences between the groups in terms of sex (<em>p</em> = .005, φ = 0.35) and gestational week (<em>p</em> = .045, φ = 0.36). Respiratory rate, heart rate, and oxygen saturation values in the experimental group were statistically higher compared with the control group (<em>p</em> &lt; .001, Cohen's d = 1.37–1.85). Mean scores of the Neonatal Stress Scale and Neonatal Comfort Behavior Scale revealed a significant decrease in stress and a significant increase in comfort in the experimental group (p &lt; .001, Cohen's d &gt; 1.40). The post-hoc power analysis indicated a test power of 1.00.</div></div><div><h3>Conclusion</h3><div>Tub bathing reduces stress levels, enhances comfort, and positively affects physiological parameters in newborns undergoing phototherapy. Therefore, it is recommended that nurses incorporate tub bathing as a safe and feasible nursing practice in neonatal care.</div></div><div><h3>Implications to practice</h3><div>Tub bathing is recommended as a standardized intervention to enhance physiological comfort in infants undergoing phototherapy. Additionally, involving parents in this process strengthens family-centered care and emotional bonding in the neonatal setting.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 338-345"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078317","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":"Assessing the relationship between pediatric nurses' three-dimensional work fatigue and ethical blindness levels","authors":"Dilek Uysal ,&nbsp;Selda Yildiz ,&nbsp;Dilek Eryürük","doi":"10.1016/j.pedn.2026.01.027","DOIUrl":"10.1016/j.pedn.2026.01.027","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric nurses face heavy workloads, long shifts, inadequate staffing, and the emotional demands of caring for vulnerable children, leading to physical, emotional, and cognitive fatigue. Such fatigue may increase the risk of ethical blindness, defined as difficulty in recognizing or responding to ethical issues. This study aimed to assess levels of work fatigue and ethical blindness and to examine their relationship.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional study was conducted in Turkey between April and August 2025. Data were collected using an anonymous online questionnaire including the Three-Dimensional Work Fatigue Inventory and the Workplace Ethical Blindness Scale. Analyses were performed with descriptive and inferential statistics.</div></div><div><h3>Results</h3><div>A total of 240 nurses participated, most aged 36–45 years with more than 11 years of experience. Overall, work fatigue was high, whereas ethical blindness was relatively low. Higher ethical blindness was observed among younger and less experienced nurses and those with lower professional satisfaction. Work fatigue was highest among pediatric intensive care nurses. Weak correlations were found between the routine dimension of ethical blindness and both physical and emotional fatigue.</div></div><div><h3>Discussion</h3><div>Professional motivation, voluntary career choice, and long-term experience may protect against ethical blindness. Workload regulation, motivational support, and structured ethics education are recommended to reduce fatigue-related risks and support ethical pediatric nursing care.</div></div><div><h3>Implications to practice</h3><div>Institutions should implement workload management strategies and integrate regular ethics education and reflective practices into professional development.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 353-362"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078434","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}