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

英文中文

Moral resilience and quiet quitting tendencies among pediatric nurses: A multiple linear regression study 儿科护士的道德弹性与安静戒烟倾向：一个多元线性回归研究

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.1016/j.pedn.2026.01.010

Mustafa Belli , Zübeyde Ezgi Erçelik

Aim

To examine the relationship between pediatric nurses' moral resilience and quiet quitting tendencies, and to identify demographic and professional predictors of this behavior.

Background

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.

Methods

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.

Results

Moral resilience was moderately and negatively correlated with quiet quitting (r = −0.39, p < 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, p < 0.001). Moral resilience was the strongest predictor (β = −0.376, p < 0.001).

Conclusions

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.

目的探讨儿科护士的道德弹性与安静戒烟倾向之间的关系，并确定这种行为的人口统计学和专业预测因素。安静辞职——被定义为只完成必要的职责，而不承担额外的责任——由于其对患者护理和劳动力可持续性的潜在影响，已经引起了护理界的关注。儿科护士面临着独特的道德和情感挑战，这可能会增加他们脱离工作的脆弱性。道德弹性，即在压力下保持道德操守的能力，被认为是一种保护因素；然而，它在儿科护理中的作用仍未得到充分探讨。方法遵循加强流行病学观察性研究报告（STROBE）指南，于2025年1月至5月在日本进行了一项横断面、描述性、相关性研究。数据通过人口统计信息表、拉什顿道德弹性量表和安静戒烟量表从400名儿科护士中收集。应用Pearson相关和层次线性回归。结果道德恢复力与安静戒烟呈中度负相关（r = - 0.39, p < 0.001）。人口因素解释了安静戒烟的5.5%的方差，而加入道德韧性使解释方差增加到19.3% （ΔR2 = 0.138, p < 0.001）。道德弹性是最强的预测因子（β = - 0.376, p < 0.001）。结论较高的道德弹性显著降低了儿科护士安静戒烟的倾向。通过有针对性的培训、改善道德氛围和组织支持来加强道德韧性的干预措施可以提高护士的参与度和劳动力的可持续性。

{"title":"Moral resilience and quiet quitting tendencies among pediatric nurses: A multiple linear regression study","authors":"Mustafa Belli , 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> < 0.001). Demographic factors explained 5.5% of the variance in quiet quitting, while adding moral resilience increased the explained variance to 19.3% (ΔR<sup>2</sup> = 0.138, <em>p</em> < 0.001). Moral resilience was the strongest predictor (β = −0.376, <em>p</em> < 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":"2026-03-01","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}

引用次数: 0

Parent–child interactions in the development of self-care among adolescents with chronic illness in Japan: A grounded theory approach 日本慢性疾病青少年自我照顾发展中的亲子互动：一个扎根的理论方法。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-03-01 Epub Date: 2026-02-10 DOI: 10.1016/j.pedn.2026.02.002

Minae Fukui , Junko Honda , Chiemi Taru , Yushi Hirota , Hiroyuki Awano , Ikuko Miyawaki

Purpose

We aimed to clarify how parent–child interactions influence the development of self-care among adolescents with chronic illnesses in Japan.

Methods

Eleven adolescent–guardian pairs were recruited from two hospitals in Japan. Adolescents, aged 16–24 years, were diagnosed with nephrotic syndrome or type 1 diabetes and were accompanied by one guardian. All participants were receiving treatment or outpatient follow-up care. Semi-structured interviews were conducted, and data were analyzed using grounded theory procedures described by Strauss and Corbin.

Results

Three major interactional processes and one sub-process- (1) Parent-Led Self-Care, (2) Challenges and Experimentation toward Autonomy, and (3) Realization of Self-Care Transition- and one sub-process, (2a) Disengaged Interaction under Attribution, were identified, underscoring the emotional functions within the parent–child subsystem. The findings revealed conflicts typical of adolescence—particularly within Interactional Process 2 and Sub-Interactional Process 2a—linked to poor disease control often seen during this developmental stage, as well as trial-and-error strategies of the parents to address these issues.

Conclusions

The results indicate that interventions for adolescents with chronic illnesses should consider the parent–child subsystem as a unit and strengthen emotional support for both parties. Such strategies may be beneficial across varied cultural and clinical contexts.

Implications to practice

Nurses can attend not only to adolescent patients but also to adolescent–guardian interactions, and guide guardians in adjusting their involvement according to adolescents' self-care development. Furthermore, nurses may support adolescents' emotional needs in collaboration with guardians, particularly during periods when emotional support is challenging.

目的：我们旨在阐明亲子互动如何影响日本慢性疾病青少年自我照顾的发展。方法：从日本两家医院招募11对青少年监护人。16-24岁的青少年，诊断为肾病综合征或1型糖尿病，由一名监护人陪同。所有参与者均接受治疗或门诊随访护理。进行了半结构化访谈，并使用Strauss和Corbin描述的扎根理论程序分析数据。结果：发现了三个主要互动过程和一个子过程(1)父母主导的自我照顾、（2)自主性的挑战和实验、(3)自我照顾过渡的实现）以及一个子过程（2a）归因下的脱离互动，强调了亲子子系统中的情感功能。研究结果揭示了青春期典型的冲突——特别是在相互作用过程2和子相互作用过程2中——与这一发育阶段常见的疾病控制不良有关，以及父母解决这些问题的反复试验策略。结论：慢性疾病青少年的干预应以亲子子系统为单位，加强双方的情感支持。这种策略在不同的文化和临床背景下可能是有益的。对实践的启示：护士不仅可以关注青少年患者，还可以关注青少年与监护人的互动，指导监护人根据青少年自我照顾的发展调整其参与。此外，护士可以与监护人合作支持青少年的情感需求，特别是在情感支持具有挑战性的时期。

{"title":"Parent–child interactions in the development of self-care among adolescents with chronic illness in Japan: A grounded theory approach","authors":"Minae Fukui , Junko Honda , Chiemi Taru , Yushi Hirota , Hiroyuki Awano , Ikuko Miyawaki","doi":"10.1016/j.pedn.2026.02.002","DOIUrl":"10.1016/j.pedn.2026.02.002","url":null,"abstract":"<div><h3>Purpose</h3><div>We aimed to clarify how parent–child interactions influence the development of self-care among adolescents with chronic illnesses in Japan.</div></div><div><h3>Methods</h3><div>Eleven adolescent–guardian pairs were recruited from two hospitals in Japan. Adolescents, aged 16–24 years, were diagnosed with nephrotic syndrome or type 1 diabetes and were accompanied by one guardian. All participants were receiving treatment or outpatient follow-up care. Semi-structured interviews were conducted, and data were analyzed using grounded theory procedures described by Strauss and Corbin.</div></div><div><h3>Results</h3><div>Three major interactional processes and one sub-process- (1) Parent-Led Self-Care, (2) Challenges and Experimentation toward Autonomy, and (3) Realization of Self-Care Transition- and one sub-process, (2a) Disengaged Interaction under Attribution, were identified, underscoring the emotional functions within the parent–child subsystem. The findings revealed conflicts typical of adolescence—particularly within Interactional Process 2 and Sub-Interactional Process 2a—linked to poor disease control often seen during this developmental stage, as well as trial-and-error strategies of the parents to address these issues.</div></div><div><h3>Conclusions</h3><div>The results indicate that interventions for adolescents with chronic illnesses should consider the parent–child subsystem as a unit and strengthen emotional support for both parties. Such strategies may be beneficial across varied cultural and clinical contexts.</div></div><div><h3>Implications to practice</h3><div>Nurses can attend not only to adolescent patients but also to adolescent–guardian interactions, and guide guardians in adjusting their involvement according to adolescents' self-care development. Furthermore, nurses may support adolescents' emotional needs in collaboration with guardians, particularly during periods when emotional support is challenging.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 460-467"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167254","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}

引用次数: 0

Diabetes distress mediates perceived stress and depressive symptoms in type 1 diabetes adolescent-parent dyads: An actor-partner interdependence mediation model 糖尿病困扰介导1型糖尿病青少年-父母二代的感知压力和抑郁症状：一个行动者-伴侣相互依赖的中介模型

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-03-01 Epub Date: 2026-01-30 DOI: 10.1016/j.pedn.2026.01.033

Yuwen Gao , Wanqun Guo , Jundi Yang , Huimei Zhao , Yuting Xie , Xia Li , Junxia Yan , Jia Guo

Aim

Perceived stress and diabetes distress are essential psychological factors contributing to depressive symptoms in adolescents with type 1 diabetes and their parents, yet the pathways linking these variables remain unclear. This study aimed to examine the mediating role of diabetes distress in the association between perceived stress and depressive symptoms among adolescent-parent dyads.

Design

A multicenter, cross-sectional observational study.

Methods

201 adolescent-parent dyads were recruited from three diabetes centers in China between May and September 2023. The parents had a mean age of 41.1 (7.1) years, and the adolescents had a mean age of 15.1 (2.0) years. Participants independently completed validated questionnaires assessing perceived stress, diabetes distress, and depressive symptoms. Dyadic associations were analyzed with the actor-partner interdependence mediation model in Mplus 8.3.

Results

For actor effects, adolescents' perceived stress was associated with their own depressive symptoms, fully mediated by their own diabetes distress. Perceived stress was directly associated with their own depressive symptoms. For partner effects, adolescents' perceived stress was associated with parents' diabetes distress, which was linked to lower adolescents' depressive symptoms.

Conclusions

Within T1D dyads, diabetes distress mediates the relationship between perceived stress and depressive symptoms in adolescents, whereas in parents, perceived stress directly influences depressive symptoms. Parents' diabetes distress may indirectly buffer adolescents' depressive symptoms.

Implications to practice

Interventions should target both adolescents with type 1 diabetes and their parents, addressing adolescents' diabetes distress and parents' perceived stress. Nurses should routinely assess these factors and implement family-centered interventions to prevent depressive symptoms.

目的感知压力和糖尿病困扰是导致1型糖尿病青少年及其父母抑郁症状的重要心理因素，但这些变量之间的联系途径尚不清楚。本研究旨在探讨糖尿病困扰在青少年父母二代感知压力与抑郁症状之间的中介作用。设计一项多中心、横断面观察性研究。方法于2023年5月至9月从中国三个糖尿病中心招募201名青少年父母。父母平均年龄为41.1（7.1）岁，青少年平均年龄为15.1（2.0）岁。参与者独立完成评估感知压力、糖尿病困扰和抑郁症状的有效问卷。使用Mplus 8.3中的行动者-伙伴相互依赖中介模型分析二元关联。结果在行为人效应方面，青少年的感知压力与他们自身的抑郁症状相关，完全由他们自身的糖尿病困扰介导。感知到的压力与他们自己的抑郁症状直接相关。就伴侣效应而言，青少年感知到的压力与父母的糖尿病困扰有关，而父母的糖尿病困扰与青少年较低的抑郁症状有关。结论在糖尿病二联体中，糖尿病焦虑介导青少年感知压力与抑郁症状的关系，而在父母中，感知压力直接影响抑郁症状。父母的糖尿病困扰可以间接缓解青少年的抑郁症状。干预措施应针对1型糖尿病青少年及其父母，解决青少年的糖尿病困扰和父母的感知压力。护士应定期评估这些因素，并实施以家庭为中心的干预措施，以预防抑郁症状。

{"title":"Diabetes distress mediates perceived stress and depressive symptoms in type 1 diabetes adolescent-parent dyads: An actor-partner interdependence mediation model","authors":"Yuwen Gao , Wanqun Guo , Jundi Yang , Huimei Zhao , Yuting Xie , Xia Li , Junxia Yan , Jia Guo","doi":"10.1016/j.pedn.2026.01.033","DOIUrl":"10.1016/j.pedn.2026.01.033","url":null,"abstract":"<div><h3>Aim</h3><div>Perceived stress and diabetes distress are essential psychological factors contributing to depressive symptoms in adolescents with type 1 diabetes and their parents, yet the pathways linking these variables remain unclear. This study aimed to examine the mediating role of diabetes distress in the association between perceived stress and depressive symptoms among adolescent-parent dyads.</div></div><div><h3>Design</h3><div>A multicenter, cross-sectional observational study.</div></div><div><h3>Methods</h3><div>201 adolescent-parent dyads were recruited from three diabetes centers in China between May and September 2023. The parents had a mean age of 41.1 (7.1) years, and the adolescents had a mean age of 15.1 (2.0) years. Participants independently completed validated questionnaires assessing perceived stress, diabetes distress, and depressive symptoms. Dyadic associations were analyzed with the actor-partner interdependence mediation model in Mplus 8.3.</div></div><div><h3>Results</h3><div>For actor effects, adolescents' perceived stress was associated with their own depressive symptoms, fully mediated by their own diabetes distress. Perceived stress was directly associated with their own depressive symptoms. For partner effects, adolescents' perceived stress was associated with parents' diabetes distress, which was linked to lower adolescents' depressive symptoms.</div></div><div><h3>Conclusions</h3><div>Within T1D dyads, diabetes distress mediates the relationship between perceived stress and depressive symptoms in adolescents, whereas in parents, perceived stress directly influences depressive symptoms. Parents' diabetes distress may indirectly buffer adolescents' depressive symptoms.</div></div><div><h3>Implications to practice</h3><div>Interventions should target both adolescents with type 1 diabetes and their parents, addressing adolescents' diabetes distress and parents' perceived stress. Nurses should routinely assess these factors and implement family-centered interventions to prevent depressive symptoms.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"87 ","pages":"Pages 346-352"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078435","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}

引用次数: 0

Translational research - Living with chronic conditions and/or special needs: Empowering parent caregivers to improve coping and quality of life. 转化研究-慢性疾病和/或特殊需要的生活：赋予父母照顾者改善应对和生活质量的能力。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-02-09 DOI: 10.1016/j.pedn.2026.02.001

Becky J Christian

引用次数: 0

Hypothyroidism associated with anti-epileptic medications: Two case reports. 甲状腺功能减退与抗癫痫药物：两例报告。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-02-06 DOI: 10.1016/j.pedn.2026.01.037

Ashley Dingmann

Anti-epileptic drugs (AEDs) are often the first-line treatment implemented to manage epilepsy (Epilepsy Foundation, 2023). While it is unknown the exact mechanism by which different AEDs impact thyroid hormones, studies have shown that patients on AEDs should have thyroid hormone levels monitored due to possible disruption. This is a case report of two pediatric patients who were referred to the endocrinology clinic for different reasons: one for bone health and one for signs of early puberty. Both patients had been on AEDs for several years when an endocrinology evaluation showed an abnormality in their thyroid hormone levels.

抗癫痫药物（AEDs）通常是治疗癫痫的一线治疗方法（epilepsy Foundation, 2023）。虽然不同的aed影响甲状腺激素的确切机制尚不清楚，但研究表明，由于可能受到干扰，使用aed的患者应监测甲状腺激素水平。这是一个病例报告的两个儿科患者谁被转介到内分泌门诊不同的原因：一个是骨骼健康和一个是早熟的迹象。两位患者在使用aed数年后，内分泌学评估显示他们的甲状腺激素水平异常。

引用次数: 0

AI literacy: An essential competency for pediatric nursing. 人工智能素养：儿科护理的基本能力。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-02-03 DOI: 10.1016/j.pedn.2026.01.036

Tracy B Chamblee

引用次数: 0

Corrigendum to 'Virtual reality, pre-procedural anxiety, and post-procedural pain in children outpatient care: A randomised controlled trial' [Journal of Pediatric Nursing 86(2025) 451-460]. 儿童门诊护理中的虚拟现实、术前焦虑和术后疼痛：一项随机对照试验的勘误表[Journal of Pediatric Nursing] 86(2025) 451-460。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-26 DOI: 10.1016/j.pedn.2026.01.019

Giulia Ciolini, Simone Cosmai, Donata Dini, Mauro Parozzi, Alice Sabatini, Mirco Gregorini, Biagio Nicolosi, Beatrice Mazzoleni

引用次数: 0

Explaining the concepts of family vigilance theory in the context of anticipatory grief in mothers of children with life-threatening illnesse: A directed qualitative content analysis 解释家庭警觉性理论的概念，在预期悲伤的背景下，儿童的威胁生命的疾病：一个直接定性的内容分析。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-01 Epub Date: 2025-12-22 DOI: 10.1016/j.pedn.2025.11.049

Kazem Najafi , Azam Shirinabadi Farahani , Maryam Rassouli , Hamid Alavi Majd , Motahareh Faramarzpour , Massoumeh Ghasemi

Background

Mothers of chronically ill children encounter distinct challenges throughout their child's illness journey.

Purpose

To identify predictive behaviors of anticipatory grief based on participants' perceptions within the cultural context of Iranian society.

Design & method

This qualitative study, part of a larger sequential exploratory project, used a directed content analysis based on Family Vigilance Theory (FVT) to conduct semi-structured interviews with 19 mothers of children with life-threatening illnesses in Shiraz and Tehran, Iran from August to September 2021. Data collection continued until saturation was reached. Data analysis, conducted using MAXQDA, followed the process outlined by Elo and Kyngas: preparation, organizing, and reporting.

Results

The thematic analysis revealed five main categories related to the pre-determined components: emotional upheaval, commitment to care, resilience, dynamic nexus, and transition.

Conclusion

The Family Vigilance Theory explores the meaning, patterns, and daily rhythms of parental caring behaviors for sick children. It provides a valuable framework for understanding the complexities of caregiving. Given the multifaceted nature of anticipatory grief—shaped by cultural habits and beliefs—the Family Vigilance Theory serves as a comprehensive lens for understanding, explaining, interpreting, and potentially predicting this phenomenon.

背景：患有慢性病的儿童的母亲在孩子的患病过程中会遇到不同的挑战。目的：在伊朗社会的文化背景下，根据参与者的认知来确定预期悲伤的预测行为。设计与方法：本定性研究是一个较大的顺序探索性项目的一部分，采用基于家庭警戒理论（FVT）的直接内容分析，于2021年8月至9月对伊朗设拉子和德黑兰19名患有危及生命疾病儿童的母亲进行了半结构化访谈。继续收集数据，直到达到饱和。使用MAXQDA进行数据分析，遵循Elo和Kyngas概述的过程：准备，组织和报告。结果：主题分析揭示了与预定成分相关的五个主要类别：情绪剧变、护理承诺、弹性、动态联系和过渡。结论：家庭警惕性理论探讨了病童父母关爱行为的意义、模式和日常节奏。它为理解护理的复杂性提供了一个有价值的框架。考虑到由文化习惯和信仰塑造的预期悲伤的多面性，家庭警惕理论可以作为理解、解释、解释和潜在预测这种现象的综合视角。

{"title":"Explaining the concepts of family vigilance theory in the context of anticipatory grief in mothers of children with life-threatening illnesse: A directed qualitative content analysis","authors":"Kazem Najafi , Azam Shirinabadi Farahani , Maryam Rassouli , Hamid Alavi Majd , Motahareh Faramarzpour , Massoumeh Ghasemi","doi":"10.1016/j.pedn.2025.11.049","DOIUrl":"10.1016/j.pedn.2025.11.049","url":null,"abstract":"<div><h3>Background</h3><div>Mothers of chronically ill children encounter distinct challenges throughout their child's illness journey.</div></div><div><h3>Purpose</h3><div>To identify predictive behaviors of anticipatory grief based on participants' perceptions within the cultural context of Iranian society.</div></div><div><h3>Design & method</h3><div>This qualitative study, part of a larger sequential exploratory project, used a directed content analysis based on Family Vigilance Theory (FVT) to conduct semi-structured interviews with 19 mothers of children with life-threatening illnesses in Shiraz and Tehran, Iran from August to September 2021. Data collection continued until saturation was reached. Data analysis, conducted using MAXQDA, followed the process outlined by Elo and Kyngas: preparation, organizing, and reporting.</div></div><div><h3>Results</h3><div>The thematic analysis revealed five main categories related to the pre-determined components: emotional upheaval, commitment to care, resilience, dynamic nexus, and transition.</div></div><div><h3>Conclusion</h3><div>The Family Vigilance Theory explores the meaning, patterns, and daily rhythms of parental caring behaviors for sick children. It provides a valuable framework for understanding the complexities of caregiving. Given the multifaceted nature of anticipatory grief—shaped by cultural habits and beliefs—the Family Vigilance Theory serves as a comprehensive lens for understanding, explaining, interpreting, and potentially predicting this phenomenon.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 654-663"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821746","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}

引用次数: 0

Not just the baby: Holding parents in the neonatal surgical journey 不只是婴儿：在新生儿手术过程中抱着父母。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-01 Epub Date: 2025-12-03 DOI: 10.1016/j.pedn.2025.11.037

H. Wilkinson , M. Hotton , K. Damazer , C. Inness , K. Lakhoo , J. Cordwell

Introduction

Parents experience significant stress when their baby receives a prenatal diagnosis that will require surgical treatment. This study aimed to explore parents' experiences of a neonatal surgical pathway and develop recommendations for support.

Methods

Twenty-four parents completed surveys and nine parents were subsequently interviewed regarding their experiences of the neonatal surgical pathway. Themes were identified using reflexive thematic analysis.

Results

Parents highlighted the importance of preparation, empathetic communication and involvement in their baby's care. Different levels of support that parents would find useful ranged from parent-to-parent mentoring, a space to discuss feelings in medical consultations, ensuring physical health needs were met, and access to embedded psychological support.

Conclusion

The findings show that beyond the immediate stress of having an unwell child, the way in which the wider medical system holds parents in their distress has a major impact on parents' wellbeing.

Implications to practice

Recommendations to improve support are provided at universal, targeted and specialist levels. For example, it is advised that all parents receive preparation throughout different stages of the treatment journey through antenatal counselling, ward tours, and the opportunity to speak to former patients. Efforts should be made to solicit parents' feelings and concerns to enable them to feel heard and cared for. A number of parents may experience heightened levels of distress, for whom access to specialist psychological support may be indicated.

简介：当他们的孩子接受产前诊断，需要手术治疗时，父母会经历巨大的压力。本研究旨在探讨父母对新生儿手术路径的经验，并提出支持建议。方法：对24名家长进行问卷调查，并对9名家长进行访谈，了解他们对新生儿手术路径的体验。使用反身性主题分析确定主题。结果：家长强调了准备、移情沟通和参与婴儿护理的重要性。父母认为有用的不同程度的支持包括父母之间的指导、在医疗咨询中讨论感受的空间、确保满足身体健康需求以及获得内在的心理支持。结论：研究结果表明，除了孩子身体不适带来的直接压力外，更广泛的医疗系统对父母痛苦的方式对父母的幸福有重大影响。对实践的影响：在普遍、有针对性和专家层面提出了改善支持的建议。例如，建议所有父母在治疗过程的不同阶段通过产前咨询、病房参观和与以前的病人交谈的机会接受准备。应该努力征求父母的感受和关心，使他们感到被倾听和关心。一些父母可能会经历更严重的痛苦，他们可能会得到专家的心理支持。

{"title":"Not just the baby: Holding parents in the neonatal surgical journey","authors":"H. Wilkinson , M. Hotton , K. Damazer , C. Inness , K. Lakhoo , J. Cordwell","doi":"10.1016/j.pedn.2025.11.037","DOIUrl":"10.1016/j.pedn.2025.11.037","url":null,"abstract":"<div><h3>Introduction</h3><div>Parents experience significant stress when their baby receives a prenatal diagnosis that will require surgical treatment. This study aimed to explore parents' experiences of a neonatal surgical pathway and develop recommendations for support.</div></div><div><h3>Methods</h3><div>Twenty-four parents completed surveys and nine parents were subsequently interviewed regarding their experiences of the neonatal surgical pathway. Themes were identified using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Parents highlighted the importance of preparation, empathetic communication and involvement in their baby's care. Different levels of support that parents would find useful ranged from parent-to-parent mentoring, a space to discuss feelings in medical consultations, ensuring physical health needs were met, and access to embedded psychological support.</div></div><div><h3>Conclusion</h3><div>The findings show that beyond the immediate stress of having an unwell child, the way in which the wider medical system holds parents in their distress has a major impact on parents' wellbeing.</div></div><div><h3>Implications to practice</h3><div>Recommendations to improve support are provided at universal, targeted and specialist levels. For example, it is advised that all parents receive preparation throughout different stages of the treatment journey through antenatal counselling, ward tours, and the opportunity to speak to former patients. Efforts should be made to solicit parents' feelings and concerns to enable them to feel heard and cared for. A number of parents may experience heightened levels of distress, for whom access to specialist psychological support may be indicated.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 468-476"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678996","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}

引用次数: 0

Screen use in pediatric cancer patients: A hospital-based study 筛查在儿童癌症患者中的应用：一项基于医院的研究

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families

Pub Date : 2026-01-01 Epub Date: 2025-11-25 DOI: 10.1016/j.pedn.2025.11.030

Shujing Wang , Haoran Sun , Ruijie Shan , Fangfang Cheng , Jian Ge , Hong Zhang , Yu Zhang , Yinghong Zhu , Naixue Cui

Background

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.

Methods

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.

Results

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 (P < 0.05).

Conclusions

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.

Implications for practice

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

屏幕使用已经成为儿童日常生活中不可或缺的一部分，然而在接受积极治疗的儿童癌症患者中，人们对其模式和相关因素知之甚少。方法对济南市3所三级医院于2023年3月至6月收治的225例小儿肿瘤患者及其家长进行横断面调查。在调查开始前的6个月里，家长们完成了关于子女屏幕使用情况的调查问卷，包括家庭和医院环境，以及父母调解、父母心理困扰、社会人口统计和条件相关信息。描述了儿童的屏幕使用情况，并使用二元逻辑回归分析了与屏幕时间相关的因素。结果每日屏幕时间中位数为2.57小时（范围：0.14-14.71），56.9%的儿童超过了2小时的指导值。观看短视频是最常见的活动。较长的屏幕时间与较高的父母心理困扰、儿童的危重病史和缺乏父母对屏幕使用的限制显著相关（P < 0.05）。结论：筛查在儿童癌症患者中应用广泛，超过一半的患者超过了两小时的指南。父母的调解、父母的心理困扰和儿童的危急状况是影响长时间屏幕使用的关键因素。研究结果强调，医疗保健从业人员需要提供教育和社会心理支持，帮助家长设定适当的屏幕时间界限，并鼓励儿童癌症患者健康地参与数字活动

{"title":"Screen use in pediatric cancer patients: A hospital-based study","authors":"Shujing Wang , Haoran Sun , Ruijie Shan , Fangfang Cheng , Jian Ge , Hong Zhang , Yu Zhang , Yinghong Zhu , 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> < 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":"2026-01-01","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}

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀