Pub Date : 2025-01-01DOI: 10.1016/j.pedn.2025.01.002
Abdelaziz Hendy , Sally Mohammed Farghaly Abdelaliem , Yasmine M. Osman , Zeinab Al-Kurdi , Ahmed Zaher , Ahmed Hendy , Abdulaziz Mofdy Almarwani , Sameer A. Alkubati
Aim
This study aimed to evaluate the knowledge, attitudes, and acceptance of Electronic Health Records (EHRs) among nurses in Egypt.
Methods
A descriptive cross-sectional study was conducted involving 1217 nurses from 33 public and private hospitals. Data were collected using a self-administered online questionnaire, which assessed knowledge, attitudes, and acceptance of EHRs. The data were analyzed using Spearman's rank correlation and binary logistic regression.
Results
Significant positive correlations were identified between nurses' knowledge and attitudes towards EHRs (r = 0.72, p < 0.001), knowledge and acceptance (r = 0.67, p < 0.001), and attitudes and acceptance (r = 0.79, p < 0.001). Key predictors of EHR acceptance included higher education (postgraduate) (p = 0.004), good computer skills (p < 0.001), satisfactory knowledge (p < 0.001), and positive attitudes (p < 0.001).
Conclusion
Nurses' knowledge and attitudes play a crucial role in their acceptance of EHRs. These findings underscore the importance of targeted education and skill development programs to support the effective implementation of EHR systems in Egyptian healthcare settings.
Implications to practice
Healthcare leaders and policymakers must champion the adoption of EHRs by creating policies that support their implementation. Creating a supportive environment that encourages the use of EHRs can significantly enhance their acceptance.
{"title":"Understanding Nurses' perspectives on electronic health records in Egypt: Insights from a cross-sectional study","authors":"Abdelaziz Hendy , Sally Mohammed Farghaly Abdelaliem , Yasmine M. Osman , Zeinab Al-Kurdi , Ahmed Zaher , Ahmed Hendy , Abdulaziz Mofdy Almarwani , Sameer A. Alkubati","doi":"10.1016/j.pedn.2025.01.002","DOIUrl":"10.1016/j.pedn.2025.01.002","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to evaluate the knowledge, attitudes, and acceptance of Electronic Health Records (EHRs) among nurses in Egypt.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study was conducted involving 1217 nurses from 33 public and private hospitals. Data were collected using a self-administered online questionnaire, which assessed knowledge, attitudes, and acceptance of EHRs. The data were analyzed using Spearman's rank correlation and binary logistic regression.</div></div><div><h3>Results</h3><div>Significant positive correlations were identified between nurses' knowledge and attitudes towards EHRs (<em>r</em> = 0.72, <em>p</em> < 0.001), knowledge and acceptance (<em>r</em> = 0.67, <em>p</em> < 0.001), and attitudes and acceptance (<em>r</em> = 0.79, <em>p</em> < 0.001). Key predictors of EHR acceptance included higher education (postgraduate) (<em>p</em> = 0.004), good computer skills (<em>p</em> < 0.001), satisfactory knowledge (<em>p</em> < 0.001), and positive attitudes (<em>p</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>Nurses' knowledge and attitudes play a crucial role in their acceptance of EHRs. These findings underscore the importance of targeted education and skill development programs to support the effective implementation of EHR systems in Egyptian healthcare settings.</div></div><div><h3>Implications to practice</h3><div>Healthcare leaders and policymakers must champion the adoption of EHRs by creating policies that support their implementation. Creating a supportive environment that encourages the use of EHRs can significantly enhance their acceptance.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e255-e263"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972930","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.2024.11.026
Hyeongyeong Yoon
Objective
This study aimed to investigate the factors influencing suicidal ideation among female adolescents with smoking experience.
Material and methods
A secondary analysis was conducted using national survey data collected in Korea in 2023, involving 1880 female adolescents with smoking experience. Complex sample logistic regression analysis was used to evaluate the influencing factors.
Results
The factors significantly associated with suicidal ideation among female adolescents included depressive symptoms, generalized anxiety disorder (GAD), loneliness, stress, and habitual and intentional drug use.
Conclusion
This study is the only research that examines the factors influencing suicidal ideation among female adolescents with smoking experience, providing valuable insights for suicide prevention efforts targeting this population.
Implications for practice
Nurses should regularly monitor the mental health status of female adolescents with smoking experience and recognize that proper education on medication use is a crucial strategy for preventing suicide, aiming to reduce suicidal ideation in this population.
{"title":"Factors influencing suicidal ideation among female adolescents with smoking experience: A cross-sectional study using National Big Data","authors":"Hyeongyeong Yoon","doi":"10.1016/j.pedn.2024.11.026","DOIUrl":"10.1016/j.pedn.2024.11.026","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the factors influencing suicidal ideation among female adolescents with smoking experience.</div></div><div><h3>Material and methods</h3><div>A secondary analysis was conducted using national survey data collected in Korea in 2023, involving 1880 female adolescents with smoking experience. Complex sample logistic regression analysis was used to evaluate the influencing factors.</div></div><div><h3>Results</h3><div>The factors significantly associated with suicidal ideation among female adolescents included depressive symptoms, generalized anxiety disorder (GAD), loneliness, stress, and habitual and intentional drug use.</div></div><div><h3>Conclusion</h3><div>This study is the only research that examines the factors influencing suicidal ideation among female adolescents with smoking experience, providing valuable insights for suicide prevention efforts targeting this population.</div></div><div><h3>Implications for practice</h3><div>Nurses should regularly monitor the mental health status of female adolescents with smoking experience and recognize that proper education on medication use is a crucial strategy for preventing suicide, aiming to reduce suicidal ideation in this population.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e104-e110"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792654","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.2024.12.001
Pouran Varvani Farahani , Candan Ozturk
Background
Venipuncture is a commonly performed but distressing procedure for children, often leading to significant pain and anxiety. This study aimed to evaluate the effect of Pranic Healing, based on Rogers' Therapeutic Touch Nursing Theory, on the cardiorespiratory indices and pain associated with venipuncture in children.
Methods
This double-blind, randomized clinical trial was conducted on a cohort of 46 school-aged children, selected via convenience sampling, at a hospital in Northern Cyprus. Participants were randomly allocated into the experimental group (n = 23) and the control group (n = 23). The experimental group received Pranic Healing. The Pranic Healing protocol was administered for 5 min before, during, and after venipuncture, while the control group received standard care. Pain levels were assessed using the Wong-Baker Facial Pain Scale, and physiological parameters including heart rate, respiratory rate, and oxygen saturation were measured at three specific time points. Data analysis was performed using SPSS version 25.0, employing independent t-tests, chi-square tests, and repeated measures ANOVA to assess differences between groups, with a significance level set at P < 0.05.
Results
The study revealed a significant reduction in pain scores (P < 0.001) and improved cardiorespiratory indices, including heart rate (P = 0.004), respiratory rate (P = 0.001), and oxygen saturation (P = 0.005) in the intervention group compared to the control group. These findings suggest that Pranic Healing is effective in reducing pain and stabilizing physiological responses during venipuncture in children.
Conclusions
Pranic Healing, based on Rogers' Therapeutic Touch Nursing Theory, may serve as an effective, non-invasive method for managing pain and promoting physiological stability during painful medical procedures like venipuncture in children.
Application to practice
Pranic Healing could be a valuable addition to pediatric care protocols, particularly for procedures that induce pain and discomfort.
{"title":"The effect of pranic healing based on Rogers' therapeutic touch on cardiorespiratory indices and pain during venipuncture in pediatrics: A randomized clinical trial","authors":"Pouran Varvani Farahani , Candan Ozturk","doi":"10.1016/j.pedn.2024.12.001","DOIUrl":"10.1016/j.pedn.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Venipuncture is a commonly performed but distressing procedure for children, often leading to significant pain and anxiety. This study aimed to evaluate the effect of Pranic Healing, based on Rogers' Therapeutic Touch Nursing Theory, on the cardiorespiratory indices and pain associated with venipuncture in children.</div></div><div><h3>Methods</h3><div>This double-blind, randomized clinical trial was conducted on a cohort of 46 school-aged children, selected via convenience sampling, at a hospital in Northern Cyprus. Participants were randomly allocated into the experimental group (<em>n</em> = 23) and the control group (<em>n</em> = 23). The experimental group received Pranic Healing. The Pranic Healing protocol was administered for 5 min before, during, and after venipuncture, while the control group received standard care. Pain levels were assessed using the Wong-Baker Facial Pain Scale, and physiological parameters including heart rate, respiratory rate, and oxygen saturation were measured at three specific time points. Data analysis was performed using SPSS version 25.0, employing independent <em>t</em>-tests, chi-square tests, and repeated measures ANOVA to assess differences between groups, with a significance level set at <em>P</em> < 0.05.</div></div><div><h3>Results</h3><div>The study revealed a significant reduction in pain scores (<em>P</em> < 0.001) and improved cardiorespiratory indices, including heart rate (<em>P</em> = 0.004), respiratory rate (<em>P</em> = 0.001), and oxygen saturation (<em>P</em> = 0.005) in the intervention group compared to the control group. These findings suggest that Pranic Healing is effective in reducing pain and stabilizing physiological responses during venipuncture in children.</div></div><div><h3>Conclusions</h3><div>Pranic Healing, based on Rogers' Therapeutic Touch Nursing Theory, may serve as an effective, non-invasive method for managing pain and promoting physiological stability during painful medical procedures like venipuncture in children.</div></div><div><h3>Application to practice</h3><div>Pranic Healing could be a valuable addition to pediatric care protocols, particularly for procedures that induce pain and discomfort.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e120-e126"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820021","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.2024.12.011
Laura White PhD, MS, RN, CPNP, PMHNP-BC , Brittney J. van de Water PhD, RN, CPNP , Andrew A. Dwyer PhD, FNP-BC, FNAP, FAAN
Genomics is a lifespan competency that has relevance for pediatric nursing practice. Identifying individuals who could benefit from genomic healthcare can enable timely diagnosis and treatment to improve health and wellbeing outcomes. Nurse practitioners (NPs) must have genomic competency to provide high quality, comprehensive pediatric care and support families through the continuum of care. To date, integrating genomics into nursing curricula has been inconsistent and piecemeal. We describe the structure, process, and initial outcomes of a novel genomic nursing simulation for pediatric NP students that uses Turner syndrome and Fragile X as exemplar cases.
{"title":"Beyond base pairs: Using simulation to build genomic competency in pediatric nurse practitioners","authors":"Laura White PhD, MS, RN, CPNP, PMHNP-BC , Brittney J. van de Water PhD, RN, CPNP , Andrew A. Dwyer PhD, FNP-BC, FNAP, FAAN","doi":"10.1016/j.pedn.2024.12.011","DOIUrl":"10.1016/j.pedn.2024.12.011","url":null,"abstract":"<div><div>Genomics is a lifespan competency that has relevance for pediatric nursing practice. Identifying individuals who could benefit from genomic healthcare can enable timely diagnosis and treatment to improve health and wellbeing outcomes. Nurse practitioners (NPs) must have genomic competency to provide high quality, comprehensive pediatric care and support families through the continuum of care. To date, integrating genomics into nursing curricula has been inconsistent and piecemeal. We describe the structure, process, and initial outcomes of a novel genomic nursing simulation for pediatric NP students that uses Turner syndrome and Fragile X as exemplar cases.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 180-182"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013951","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}
The purpose of this feasibility study was to determine the effectiveness of an interprofessional led low-fidelity simulation program over three timepoints on maternal caregivers' perceived stress, sense of competence and discharge readiness for care of critical congenital heart disease (CCHD) infants requiring neonatal cardiac surgery.
Design and methods
The Perceived Stress Scale (PSS) was administered to simulation and non-intervention groups at three timepoints: prenatal period, Cardiac Acute Care Unit (CACU) transfer, and rooming-in. Parental Sense of Competence (PSOC) was measured at timepoint two and three, and Readiness for Hospital Discharge (RDHS) was measured at timepoint three for the simulation group. A linear mixed model was used to examine PSS and PSOC scores over time.
Results
Of the thirty-three maternal caregivers, twelve were in the simulation group and twenty-one were in the non-intervention group. In the simulation group, the odds of having moderate-high stress were significantly lower at rooming-in compared to the prenatal period. From timepoint two to rooming-in, there was a positive change in PSOC scores. RDHS scores represented good readiness for discharge.
Conclusion
Findings suggest that simulation may improve maternal caregiver stress from prenatal CCHD diagnosis to discharge home after cardiac surgery. Future work should include random treatment assignment to assess causal relationships.
Practice implications
Infants with CCHD require extensive postoperative recovery and specialized home care. Maternal caregivers of critically ill CCHD neonates are at increased risk for stress. Results from this study suggest engagement with nurses and interdisciplinary team during the prenatal period may reduce caregiver stress.
{"title":"A novel simulation to prepare maternal caregivers of children diagnosed with a critical congenital heart defect","authors":"Kathy Murphy MSN, RN, PCNS-BC, PPCNP-BC , Jenna Shackleford PhD, RN, CPN (Associate Professor of Nursing) , Nneka Alexander PhD, ABPP , Leslie Brunson MBA, MS, BSN, RN, NE-BC (Registered Nurse) , Kathryn Morgan BSN, RN (Registered Nurse) , Brittany McKemie BSN, RN (Registered Nurse) , Ginger Weido BS, RRT, NPS (Respiratory Therapist) , Kendall Haney BSN, RN (Registered Nurse) , Laura Lei Castillo BSN, RN, CPN (Registered Nurse) , Ashley Pierson BSN, RN, CCRN, NPD-BC (Registered Nurse) , Christina Calamaro PhD, PPCNP-BC (Associate Professor) , Leandra Prempeh MS (Doctoral Psychology Intern) , Melissa Osborne PhD, MPH (Assistant Professor)","doi":"10.1016/j.pedn.2024.10.034","DOIUrl":"10.1016/j.pedn.2024.10.034","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this feasibility study was to determine the effectiveness of an interprofessional led low-fidelity simulation program over three timepoints on maternal caregivers' perceived stress, sense of competence and discharge readiness for care of critical congenital heart disease (CCHD) infants requiring neonatal cardiac surgery.</div></div><div><h3>Design and methods</h3><div>The Perceived Stress Scale (PSS) was administered to simulation and non-intervention groups at three timepoints: prenatal period, Cardiac Acute Care Unit (CACU) transfer, and rooming-in. Parental Sense of Competence (PSOC) was measured at timepoint two and three, and Readiness for Hospital Discharge (RDHS) was measured at timepoint three for the simulation group. A linear mixed model was used to examine PSS and PSOC scores over time.</div></div><div><h3>Results</h3><div>Of the thirty-three maternal caregivers, twelve were in the simulation group and twenty-one were in the non-intervention group. In the simulation group, the odds of having moderate-high stress were significantly lower at rooming-in compared to the prenatal period. From timepoint two to rooming-in, there was a positive change in PSOC scores. RDHS scores represented good readiness for discharge.</div></div><div><h3>Conclusion</h3><div>Findings suggest that simulation may improve maternal caregiver stress from prenatal CCHD diagnosis to discharge home after cardiac surgery. Future work should include random treatment assignment to assess causal relationships.</div></div><div><h3>Practice implications</h3><div>Infants with CCHD require extensive postoperative recovery and specialized home care. Maternal caregivers of critically ill CCHD neonates are at increased risk for stress. Results from this study suggest engagement with nurses and interdisciplinary team during the prenatal period may reduce caregiver stress.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e16-e23"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629738","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.2024.10.036
Ilgun Ozen Cinar PhD, RN
Objective
This study aims to reveal the general, social, and intellectual structure of breastfeeding studies published in the field of nursing between 2014 and 2023 by using the bibliometric method.
Methods
A total of 2304 articles published in the last ten years were reached by searching the Web of Science database using the keywords “breastfeeding” and “breast feeding.” Study data were analyzed on the open source R Studio software and the “biblioshiny for bibliometrix” package, an R software tool. Descriptive, cluster, and network analyses were performed.
Results
Of the articles, 10.46 % were single-author studies, the mean collaboration index was three, and the author footprint index was 0.22. The most cited article in the intellectual field had been published by Henshaw et al. in 2014. The word tree mapping yielded four basic concepts as a result of the evaluation of the word frequencies. The theme analysis indicated that advanced hotspots and the main topics discussed by the authors mainly included breastfeeding, lactation, breastfeeding support, and exclusive breastfeeding. The United States was the country with the highest number of publications and was effective in collaboration.
Conclusions
Breastfeeding studies in the field of nursing conducted in the last decade maintain their importance in the field.
Practical implications
Breastfeeding continues to be important in the field of nursing as well as maternal and infant health. The results of the study are expected to guide researchers, policy makers and program managers interested in the subject.
研究目的本研究旨在通过文献计量学方法，揭示 2014 年至 2023 年间护理领域发表的母乳喂养研究的总体、社会和知识结构：通过使用关键词 "母乳喂养 "和 "母乳喂养 "在 Web of Science 数据库中进行检索，共检索到近十年发表的 2304 篇文章。研究数据通过开源 R Studio 软件和 R 软件工具包 "biblioshiny for bibliometrix "进行分析。结果表明，在所有文章中，10.46%的文章涉及 "母乳喂养 "和 "母乳喂养"：在所有文章中，单作者研究占 10.46%，平均合作指数为 3，作者足迹指数为 0.22。2014年，Henshaw等人发表了该知识领域被引用次数最多的文章。通过词频评估，词树图谱得出了四个基本概念。主题分析表明，作者讨论的高级热点和主要话题主要包括母乳喂养、泌乳、母乳喂养支持和纯母乳喂养。美国是发表论文数量最多的国家，合作成效显著：结论：过去十年在护理领域开展的母乳喂养研究在该领域仍具有重要意义：母乳喂养在护理领域以及母婴健康方面仍然具有重要意义。研究结果有望为对该主题感兴趣的研究人员、政策制定者和项目管理人员提供指导。
{"title":"General, social, and intellectual structure of breastfeeding studies in the field of nursing: A bibliometric analysis on R software","authors":"Ilgun Ozen Cinar PhD, RN","doi":"10.1016/j.pedn.2024.10.036","DOIUrl":"10.1016/j.pedn.2024.10.036","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to reveal the general, social, and intellectual structure of breastfeeding studies published in the field of nursing between 2014 and 2023 by using the bibliometric method.</div></div><div><h3>Methods</h3><div>A total of 2304 articles published in the last ten years were reached by searching the Web of Science database using the keywords “breastfeeding” and “breast feeding.” Study data were analyzed on the open source R Studio software and the “biblioshiny for bibliometrix” package, an R software tool. Descriptive, cluster, and network analyses were performed.</div></div><div><h3>Results</h3><div>Of the articles, 10.46 % were single-author studies, the mean collaboration index was three, and the author footprint index was 0.22. The most cited article in the intellectual field had been published by Henshaw et al. in 2014. The word tree mapping yielded four basic concepts as a result of the evaluation of the word frequencies. The theme analysis indicated that advanced hotspots and the main topics discussed by the authors mainly included breastfeeding, lactation, breastfeeding support, and exclusive breastfeeding. The United States was the country with the highest number of publications and was effective in collaboration.</div></div><div><h3>Conclusions</h3><div>Breastfeeding studies in the field of nursing conducted in the last decade maintain their importance in the field.</div></div><div><h3>Practical implications</h3><div>Breastfeeding continues to be important in the field of nursing as well as maternal and infant health. The results of the study are expected to guide researchers, policy makers and program managers interested in the subject.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e24-e33"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629922","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.2024.10.042
Salma Salami, Eman Alhalal
Purpose
Because autistic children may face difficulties living independently, considering their caregivers' quality of life (QoL) is crucial. However, few studies have examined the pathways through which the severity of autism spectrum disorder (ASD) affects caregivers. Based on the stress process model, this study examined a hypothesized model of how ASD severity affects caregivers' QoL, both directly and indirectly, through coping strategies, family functioning, and perceived social support.
Design and methods
This cross-sectional study included 392 caregivers of autistic children in Saudi Arabia. Structured interviews were conducted between April and July 2023. The data were collected from caregivers who visited the developmental and behavioral disorders clinic, daycare centers, and schools. Descriptive and correlational analyses were conducted to describe the study variables and their association with caregivers' QoL. Structural equation modeling was used to test the hypothesized model.
Results
The results showed that the hypothesized model fit the data. Maladaptive coping strategies (β = −0.039, P < 0.05), family functioning (β = −0.110, P < 0.05), and perceived social support (β = −0.182, P < 0.05) partially mediated the association between ASD severity and caregivers' QoL.
Conclusion and implications
Our findings underscore the importance of tailoring interventions that focus on QoL for caregivers of autistic children, encouraging adaptive coping strategies, improving family functioning, and enhancing perceptions of social support.
{"title":"Quality of life of primary caregivers of autistic children: Structural equation modeling","authors":"Salma Salami, Eman Alhalal","doi":"10.1016/j.pedn.2024.10.042","DOIUrl":"10.1016/j.pedn.2024.10.042","url":null,"abstract":"<div><h3>Purpose</h3><div>Because autistic children may face difficulties living independently, considering their caregivers' quality of life (QoL) is crucial. However, few studies have examined the pathways through which the severity of autism spectrum disorder (ASD) affects caregivers. Based on the stress process model, this study examined a hypothesized model of how ASD severity affects caregivers' QoL, both directly and indirectly, through coping strategies, family functioning, and perceived social support.</div></div><div><h3>Design and methods</h3><div>This cross-sectional study included 392 caregivers of autistic children in Saudi Arabia. Structured interviews were conducted between April and July 2023. The data were collected from caregivers who visited the developmental and behavioral disorders clinic, daycare centers, and schools. Descriptive and correlational analyses were conducted to describe the study variables and their association with caregivers' QoL. Structural equation modeling was used to test the hypothesized model.</div></div><div><h3>Results</h3><div>The results showed that the hypothesized model fit the data. Maladaptive coping strategies (<em>β =</em> −0.039<em>, P</em> < 0.05), family functioning (<em>β =</em> −0.110<em>, P</em> < 0.05), and perceived social support (<em>β =</em> −0.182<em>, P</em> < 0.05) partially mediated the association between ASD severity and caregivers' QoL.</div></div><div><h3>Conclusion and implications</h3><div>Our findings underscore the importance of tailoring interventions that focus on QoL for caregivers of autistic children, encouraging adaptive coping strategies, improving family functioning, and enhancing perceptions of social support.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages e58-e66"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630357","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}
Purpose: Many studies have used game-based interventions to educate children about asthma. The study aims to determine the effectiveness of these games in improving asthma control and related outcomes in children.
Methods: Seven databases were searched: PubMed, Cochrane Library, Scopus, CINAHL, Embase, Web of Science, and PsycINFO'. All research papers published until June 2023 were included. MeSH terms and keywords were used in the literature search. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instruments was used to assess the risk of bias.
Results: This systematic review and meta-analysis included nine studies with a total sample size of 694 children. The effect size for hospitalization rates was not statistically significant (p > 0.05), although the association was significant (p = 0.004). Conversely, a statistically significant reduction in emergency visits was observed (p < 0.05), with an effect size estimate of 0.376. The analysis also revealed a significant improvement in asthma knowledge (p < 0.05), with an effect size estimate of 0.677 (95 % CI: 0.240 to 1.114, p = 0.002), and an increase in asthma control (p < 0.05), although the association was not statistically significant (p = 0.120) with an effect size estimate of 0.169 (95 % CI: -0.044 to 0.381). Conversely, no statistically significant effect was observed for asthma attitude (p > 0.05).
Conclusion: Game-based interventions have shown promise in improving asthma management in children by enhancing knowledge and control and reducing emergency visits. This approach is increasingly recommended in clinical settings, though there is notable heterogeneity in study design and participant demographics.
目的：许多研究使用基于游戏的干预措施来教育儿童哮喘。该研究旨在确定这些游戏在改善儿童哮喘控制和相关结果方面的有效性。方法：检索PubMed、Cochrane Library、Scopus、CINAHL、Embase、Web of Science、PsycINFO’等7个数据库。包括2023年6月之前发表的所有研究论文。文献检索采用MeSH术语和关键词。采用乔安娜布里格斯研究所统计评估和回顾工具的元分析来评估偏倚风险。结果：本系统综述和荟萃分析包括9项研究，总样本量为694名儿童。住院率的效应量无统计学意义（p < 0.05），但相关性显著（p = 0.004）。相反，观察到急诊次数有统计学意义的减少（p 0.05）。结论：基于游戏的干预措施通过提高知识和控制以及减少急诊就诊，在改善儿童哮喘管理方面显示出希望。尽管在研究设计和参与者人口统计方面存在显著的异质性，但这种方法在临床环境中越来越多地被推荐。
{"title":"Effect of game-based asthma management interventions on pediatric asthma control, knowledge, attitudes, hospitalizations, and emergency visits: A systematic review and meta-analysis.","authors":"Aylin Akca Sumengen, Damla Ozcevik Subasi, Remziye Semerci, Gokce Naz Cakir","doi":"10.1016/j.pedn.2024.12.009","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.12.009","url":null,"abstract":"<p><strong>Purpose: </strong>Many studies have used game-based interventions to educate children about asthma. The study aims to determine the effectiveness of these games in improving asthma control and related outcomes in children.</p><p><strong>Methods: </strong>Seven databases were searched: PubMed, Cochrane Library, Scopus, CINAHL, Embase, Web of Science, and PsycINFO'. All research papers published until June 2023 were included. MeSH terms and keywords were used in the literature search. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instruments was used to assess the risk of bias.</p><p><strong>Results: </strong>This systematic review and meta-analysis included nine studies with a total sample size of 694 children. The effect size for hospitalization rates was not statistically significant (p > 0.05), although the association was significant (p = 0.004). Conversely, a statistically significant reduction in emergency visits was observed (p < 0.05), with an effect size estimate of 0.376. The analysis also revealed a significant improvement in asthma knowledge (p < 0.05), with an effect size estimate of 0.677 (95 % CI: 0.240 to 1.114, p = 0.002), and an increase in asthma control (p < 0.05), although the association was not statistically significant (p = 0.120) with an effect size estimate of 0.169 (95 % CI: -0.044 to 0.381). Conversely, no statistically significant effect was observed for asthma attitude (p > 0.05).</p><p><strong>Conclusion: </strong>Game-based interventions have shown promise in improving asthma management in children by enhancing knowledge and control and reducing emergency visits. This approach is increasingly recommended in clinical settings, though there is notable heterogeneity in study design and participant demographics.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915612","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}
Objective: This study aimed to investigate the relationship between adolescents' digital addiction levels and their social anxiety, trait anger and anger expression styles.
Method: The study was devised as a descriptive and correlational research study. The sample consisted of 958 adolescents in Konya, Turkey. The data were collected via Personal Information Form, Digital Addiction Scale for Children, Social Anxiety Scale for Adolescents, and Trait Anger and Anger Expression Style Scale.
Results: The total mean score of digital addiction in adolescents was found as 56.74 ± 19.02. A significant relationship was found between digital addiction, and trait anger, anger out, anger in, anger control and social anxiety levels (p < 0.01). Grade, mother's educational and employment status, trait anger, anger out, anger in, anger control, and social anxiety explain 69.3 % of the variation on digital addiction levels.
Conclusion: As digital addiction levels increase, social anxiety, trait anger, anger in, and anger out levels also increase. However, the level of anger control decreases as digital addiction levels rise. These variables are predictors of digital addiction levels.
Implications for nursing practice: To protect and improve adolescent health concerning biopsychosocial aspects, comprehensive educational programs and seminars about digital addiction should be organized for families and adolescents by nurses in collaboration with educational institutions. To assist adolescents in managing negative emotions such as social anxiety and anger more effectively, nurses should encourage the engagement in a variety of activities and hobbies in educational and extracurricular social settings in addition to developing and implementing relevant psychoeducational programs.
{"title":"The relationship between digital addiction and social anxiety, trait anger and anger expression style in adolescents.","authors":"Arzu Koçak Uyaroğlu, Esra Ünal, Alime Selçuk Tosun","doi":"10.1016/j.pedn.2024.11.024","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.11.024","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between adolescents' digital addiction levels and their social anxiety, trait anger and anger expression styles.</p><p><strong>Method: </strong>The study was devised as a descriptive and correlational research study. The sample consisted of 958 adolescents in Konya, Turkey. The data were collected via Personal Information Form, Digital Addiction Scale for Children, Social Anxiety Scale for Adolescents, and Trait Anger and Anger Expression Style Scale.</p><p><strong>Results: </strong>The total mean score of digital addiction in adolescents was found as 56.74 ± 19.02. A significant relationship was found between digital addiction, and trait anger, anger out, anger in, anger control and social anxiety levels (p < 0.01). Grade, mother's educational and employment status, trait anger, anger out, anger in, anger control, and social anxiety explain 69.3 % of the variation on digital addiction levels.</p><p><strong>Conclusion: </strong>As digital addiction levels increase, social anxiety, trait anger, anger in, and anger out levels also increase. However, the level of anger control decreases as digital addiction levels rise. These variables are predictors of digital addiction levels.</p><p><strong>Implications for nursing practice: </strong>To protect and improve adolescent health concerning biopsychosocial aspects, comprehensive educational programs and seminars about digital addiction should be organized for families and adolescents by nurses in collaboration with educational institutions. To assist adolescents in managing negative emotions such as social anxiety and anger more effectively, nurses should encourage the engagement in a variety of activities and hobbies in educational and extracurricular social settings in addition to developing and implementing relevant psychoeducational programs.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781666","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}
This study aimed to compare the effects of watching cartoons and playing games as a distraction method during peripheral intravenous cannula insertion on pain and fear of pain in children aged 6–9 years.
Design & methods
This RCT with a parallel-group randomized experimental design was conducted between May and July 2024 in the pediatric unit of a university hospital with a tertiary referral centre. Sixty-eight children aged 6–9 years were assigned to two different groups using block randomization method (Cartoon Group = CG; n = 34, Gaming Group = GG; n = 34). The Wong-Bakers FACES® Pain Rating Scale and Children's Fear Scale were used for data collection. The children's pain and fear of pain were evaluated 2 min before, during and 2 min after the procedure.
Results
The mean age of the children (N = 64) was 7.41 ± 1.71 years (min-max = 6–9). Pain scores of GG (n = 32) were higher than CG (n = 32) (MD = 1.46; SE = 0.35; p < 0.001; %95 CI = 0.76–2.15). During the procedure, fear of pain scores of GG were higher than CG (MD = 0.78; SE = 0.32; p = 0.018; %95 CI = 0.13–1.42).
Conclusion
This study revealed that watching cartoons reduced the pain score by approximately 1.5 units and the fear of pain score by approximately 1 unit compared to playing online games during peripheral intravenous cannula placement in children aged 6–9 years.
Practice implication
In children aged 6–9 years planned to undergo peripheral intravenous cannula placement, watching a cartoon, one of the distraction techniques, can be recommended to effectively reduce pain and fear of pain. Tablets that allow watching cartoons and films, which are widely used and accessible in the clinical field, can facilitate the use of distraction techniques.
{"title":"A comparison of watching cartoons versus playing games as a distraction method on pain and fear of pain during peripheral intravenous cannula placement in children aged 6–9 years: A randomized experimental study","authors":"Derya Akdeniz Uysal RN, MScN, PhD , Ozlem Guzel Polat RN, MScN, Ph.D. , Guzide Ugucu Res. Asst., RN, MScN, Ph.D. , Atiye Karakul RN, MScN , Ayşe Zişan Olcay RN, MScN , Ozlem Tuzun RN , Rana Yigit R.N., MSc.N., Ph.D.","doi":"10.1016/j.pedn.2024.11.023","DOIUrl":"10.1016/j.pedn.2024.11.023","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to compare the effects of watching cartoons and playing games as a distraction method during peripheral intravenous cannula insertion on pain and fear of pain in children aged 6–9 years.</div></div><div><h3>Design & methods</h3><div>This RCT with a parallel-group randomized experimental design was conducted between May and July 2024 in the pediatric unit of a university hospital with a tertiary referral centre. Sixty-eight children aged 6–9 years were assigned to two different groups using block randomization method (Cartoon Group = CG; <em>n</em> = 34, Gaming Group = GG; n = 34). The Wong-Bakers FACES® Pain Rating Scale and Children's Fear Scale were used for data collection. The children's pain and fear of pain were evaluated 2 min before, during and 2 min after the procedure.</div></div><div><h3>Results</h3><div>The mean age of the children (<em>N</em> = 64) was 7.41 ± 1.71 years (min-max = 6–9). Pain scores of GG (<em>n</em> = 32) were higher than CG (n = 32) (MD = 1.46; SE = 0.35; <em>p</em> < 0.001; %95 CI = 0.76–2.15). During the procedure, fear of pain scores of GG were higher than CG (MD = 0.78; SE = 0.32; <em>p</em> = 0.018; %95 CI = 0.13–1.42).</div></div><div><h3>Conclusion</h3><div>This study revealed that watching cartoons reduced the pain score by approximately 1.5 units and the fear of pain score by approximately 1 unit compared to playing online games during peripheral intravenous cannula placement in children aged 6–9 years.</div></div><div><h3>Practice implication</h3><div>In children aged 6–9 years planned to undergo peripheral intravenous cannula placement, watching a cartoon, one of the distraction techniques, can be recommended to effectively reduce pain and fear of pain. Tablets that allow watching cartoons and films, which are widely used and accessible in the clinical field, can facilitate the use of distraction techniques.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 161-166"},"PeriodicalIF":2.1,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743857","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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