Pub Date : 2025-12-16DOI: 10.1016/j.pedn.2025.12.008
Nafisatun Nisa MSN, RN , Sri Hartini M.A., M.Kep., Sp.Kep.An , Bih-O Lee PhD, RN
<div><h3>Aim</h3><div>Despite growing recognition of psychological distress in pediatric cancer patients globally, a comprehensive understanding of the relationships between depression, anxiety, and stress symptoms among Indonesian children with cancer remains limited. This study aimed to examine the relationships among demographic characteristics, clinical characteristics, depression, anxiety, and stress symptoms among Indonesian children with cancer.</div></div><div><h3>Methods</h3><div>A cross-sectional, correlational study was conducted from February to September 2024 in the pediatric oncology and chemotherapy units of Dr. Kariadi Semarang Central General Hospital, a national referral hospital in Semarang City, Indonesia. A total of 96 children aged 6 to 19 years (mean age = 9.70 years, standard deviation = 3.63) with a confirmed cancer diagnosis were recruited using convenience sampling based on predetermined inclusion criteria. Psychological symptoms, including depression, anxiety, and stress, were measured using the culturally validated Indonesian version of the Depression Anxiety Stress Scales (DASS-21). Statistical analyses included descriptive statistics, Spearman's rank correlations, Mann–Whitney <em>U</em> tests, and Kruskal–Wallis tests.</div></div><div><h3>Results</h3><div>The sample was predominantly male (58.3 %), with acute lymphoblastic leukemia being most common (55.2 %). Moderate to severe levels of psychological symptoms were frequently observed: moderate depression (37.5 %), moderate anxiety (43.8 %), and moderate stress (33.3 %). Age significantly influenced depression (<em>p</em> < 0.01), while gender affected both depression (<em>p</em> = 0.04) and anxiety (<em>p</em> = 0.03). Cancer diagnosis type influenced anxiety (p = 0.04) and stress symptoms (<em>p</em> = 0.01). Strong correlations emerged between depression-anxiety (<em>r</em> = 0.63, <em>p</em> < 0.01), anxiety and stress symptoms (<em>r</em> = 0.62, p < 0.01), and depression and stress symptoms (<em>r</em> = 0.58, p < 0.01).</div></div><div><h3>Conclusion</h3><div>Based on these study findings, we suggest nurse-led symptom screening during chemotherapy visits could provide a practical strategy for early recognition and timely support, with particular attention to age-appropriate and diagnosis-specific approaches in mental health support. Given the shortage of psychological care, integrating psychosocial services into pediatric cancer protocols is essential. Future longitudinal studies are needed to explore symptom trajectories and inform culturally responsive care in this population.</div></div><div><h3>Implications to practice</h3><div>Routine nurse-led screening for depression, anxiety, and stress is essential during chemotherapy visits, especially for adolescents, female patients, and children with specific cancer types. Culturally adapted tools can support early identification of symptom clusters and guide timely psychosocial support. Integrating
{"title":"Relationships among demographic characteristics, clinical characteristics, and psychological symptoms among Indonesian children with cancer: A cross-sectional study","authors":"Nafisatun Nisa MSN, RN , Sri Hartini M.A., M.Kep., Sp.Kep.An , Bih-O Lee PhD, RN","doi":"10.1016/j.pedn.2025.12.008","DOIUrl":"10.1016/j.pedn.2025.12.008","url":null,"abstract":"<div><h3>Aim</h3><div>Despite growing recognition of psychological distress in pediatric cancer patients globally, a comprehensive understanding of the relationships between depression, anxiety, and stress symptoms among Indonesian children with cancer remains limited. This study aimed to examine the relationships among demographic characteristics, clinical characteristics, depression, anxiety, and stress symptoms among Indonesian children with cancer.</div></div><div><h3>Methods</h3><div>A cross-sectional, correlational study was conducted from February to September 2024 in the pediatric oncology and chemotherapy units of Dr. Kariadi Semarang Central General Hospital, a national referral hospital in Semarang City, Indonesia. A total of 96 children aged 6 to 19 years (mean age = 9.70 years, standard deviation = 3.63) with a confirmed cancer diagnosis were recruited using convenience sampling based on predetermined inclusion criteria. Psychological symptoms, including depression, anxiety, and stress, were measured using the culturally validated Indonesian version of the Depression Anxiety Stress Scales (DASS-21). Statistical analyses included descriptive statistics, Spearman's rank correlations, Mann–Whitney <em>U</em> tests, and Kruskal–Wallis tests.</div></div><div><h3>Results</h3><div>The sample was predominantly male (58.3 %), with acute lymphoblastic leukemia being most common (55.2 %). Moderate to severe levels of psychological symptoms were frequently observed: moderate depression (37.5 %), moderate anxiety (43.8 %), and moderate stress (33.3 %). Age significantly influenced depression (<em>p</em> < 0.01), while gender affected both depression (<em>p</em> = 0.04) and anxiety (<em>p</em> = 0.03). Cancer diagnosis type influenced anxiety (p = 0.04) and stress symptoms (<em>p</em> = 0.01). Strong correlations emerged between depression-anxiety (<em>r</em> = 0.63, <em>p</em> < 0.01), anxiety and stress symptoms (<em>r</em> = 0.62, p < 0.01), and depression and stress symptoms (<em>r</em> = 0.58, p < 0.01).</div></div><div><h3>Conclusion</h3><div>Based on these study findings, we suggest nurse-led symptom screening during chemotherapy visits could provide a practical strategy for early recognition and timely support, with particular attention to age-appropriate and diagnosis-specific approaches in mental health support. Given the shortage of psychological care, integrating psychosocial services into pediatric cancer protocols is essential. Future longitudinal studies are needed to explore symptom trajectories and inform culturally responsive care in this population.</div></div><div><h3>Implications to practice</h3><div>Routine nurse-led screening for depression, anxiety, and stress is essential during chemotherapy visits, especially for adolescents, female patients, and children with specific cancer types. Culturally adapted tools can support early identification of symptom clusters and guide timely psychosocial support. Integrating ","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 568-577"},"PeriodicalIF":2.3,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776241","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":"Corrigendum to ‘Virtual reality, pre-procedural anxiety, and post-procedural pain in children outpatient care: A randomised controlled trial’ [Journal of Pediatric Nursing 86C (2026) 451–460]","authors":"Giulia Ciolini , Simone Cosmai , Donata Dini , Mauro Parozzi , Alice Sabatini , Mirco Gregorini , Biagio Nicolosi , Beatrice Mazzoleni","doi":"10.1016/j.pedn.2025.12.005","DOIUrl":"10.1016/j.pedn.2025.12.005","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Page 548"},"PeriodicalIF":2.3,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757682","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 : 2025-12-10DOI: 10.1016/j.pedn.2025.11.035
Mesude Karataş Alkan , Nazike Duruk
Purpose
This study aimed to review children's perceptions of nurses and identify the factors influencing these perceptions.
Methods
This mixed-methods study was conducted between September 24, 2019, and January 24, 2024, with 47 children aged 7–9 who were admitted to a pediatric emergency room. Data were collected using the “Child-Parent Information Form,” “Procedure Follow-up Form,” “Children's Fear Scale,” “Please Draw a Nurse's Picture Instruction,” “Semi-Structured Interview Form,” and “Children's Drawings Evaluation Form.” Quantitative data were evaluated using numbers, percentages, and descriptive statistics. The researchers and a child psychologist evaluated children's drawings, and the obtained data were thematically analyzed.
Results
Of the children participating in the study, 24 were girls, and their average age was 7.96 ± 0.806. In their drawings, 77.2 % of the children depicted the nurse as a woman, 76.7 % with a smiling face, 60 % wearing a cap, and 72.1 % with full body parts. It was found that children with positive perceptions of nursing in their drawings had a nurse acquaintance, and 58.6 % had a pre-procedure fear score of “0.” Factors influencing children's perceptions of nursing included communication with the nurse, the child's ability to cope with anxiety/fear, the person accompanying the child, the child's psychological resilience, and past experiences.
Conclusions
The current study found that most children had a positive perception of nursing, but their fears about the procedure, a lack of psychological resilience, and past experiences led them to have a negative perception.
Implications for practice
The findings of the present study shed light on children's perceptions of nurses. This study emphasizes that children's fears about the hospital and the procedure performed cause them to perceive nurses negatively; however, nurses' approach and the communication they establish with children dispel this perception. Hence nurses should pay attention to their communication and approach to children.
{"title":"Determining the perceptions of nursing and influencing factors among 7–9-year-old children admitted to the pediatric emergency department using the drawing method","authors":"Mesude Karataş Alkan , Nazike Duruk","doi":"10.1016/j.pedn.2025.11.035","DOIUrl":"10.1016/j.pedn.2025.11.035","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to review children's perceptions of nurses and identify the factors influencing these perceptions.</div></div><div><h3>Methods</h3><div>This mixed-methods study was conducted between September 24, 2019, and January 24, 2024, with 47 children aged 7–9 who were admitted to a pediatric emergency room. Data were collected using the “Child-Parent Information Form,” “Procedure Follow-up Form,” “Children's Fear Scale,” “Please Draw a Nurse's Picture Instruction,” “Semi-Structured Interview Form,” and “Children's Drawings Evaluation Form.” Quantitative data were evaluated using numbers, percentages, and descriptive statistics. The researchers and a child psychologist evaluated children's drawings, and the obtained data were thematically analyzed.</div></div><div><h3>Results</h3><div>Of the children participating in the study, 24 were girls, and their average age was 7.96 ± 0.806. In their drawings, 77.2 % of the children depicted the nurse as a woman, 76.7 % with a smiling face, 60 % wearing a cap, and 72.1 % with full body parts. It was found that children with positive perceptions of nursing in their drawings had a nurse acquaintance, and 58.6 % had a pre-procedure fear score of “0.” Factors influencing children's perceptions of nursing included communication with the nurse, the child's ability to cope with anxiety/fear, the person accompanying the child, the child's psychological resilience, and past experiences.</div></div><div><h3>Conclusions</h3><div>The current study found that most children had a positive perception of nursing, but their fears about the procedure, a lack of psychological resilience, and past experiences led them to have a negative perception.</div></div><div><h3>Implications for practice</h3><div>The findings of the present study shed light on children's perceptions of nurses. This study emphasizes that children's fears about the hospital and the procedure performed cause them to perceive nurses negatively; however, nurses' approach and the communication they establish with children dispel this perception. Hence nurses should pay attention to their communication and approach to children.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 535-547"},"PeriodicalIF":2.3,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736434","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}
To map available knowledge about spirituality in children with life-limiting, life-threatening and/or complex chronic conditions.
Methods
This review followed the Joanna Briggs Institute methodology for scoping reviews. Registration was done with the Open Science Framework. The searches were conducted in PubMed, CINAHL Complete, Psychology & Behavioral Sciences Collection, via EBSCOhost, and in the Portuguese Open Access Scientific Repository, in September 2024. The sample was composed of 48 studies.
Results
The concept of spirituality is represented by the relationship established with oneself, with the world, and the notion of transcendence. Spiritual needs relate to developmental stage, relationships, sense of normalcy, meaning, and purpose. The relationship established between spirituality and illness is bidirectional, represented by beliefs, practices, and mechanisms of spiritual adaptation. Spiritual care is about supporting children with insights about beliefs, values and behaviours, addressing needs inherent in the developmental process, setting achievable goals that can support a meaningful life and legacy, fostering connections, mediating communication, improving spiritual coping, alleviating spiritual suffering, managing losses, and redefining hope.
Conclusions
This review underlines the complexity, variability, and importance of spirituality while living within a complex, life-threatening or life-limiting paediatric context. However, there is still an urgent need to develop studies on the concept in specific subgroups of this paediatric population.
Clinical implications
Spirituality has an undeniable and aggregating role throughout the course of a life-limiting, life-threatening and/or complex chronic condition. Spiritual care and nurturing should be prioritised in care plans within these complex paediatric contexts.
{"title":"Spirituality in children with life-limiting, life-threatening and/or complex chronic conditions: A scoping review","authors":"Mónica Santos Ferreira , Diana Gomes Pereira , Sílvia Caldeira","doi":"10.1016/j.pedn.2025.11.031","DOIUrl":"10.1016/j.pedn.2025.11.031","url":null,"abstract":"<div><h3>Purpose</h3><div>To map available knowledge about spirituality in children with life-limiting, life-threatening and/or complex chronic conditions.</div></div><div><h3>Methods</h3><div>This review followed the Joanna Briggs Institute methodology for scoping reviews. Registration was done with the Open Science Framework. The searches were conducted in PubMed, CINAHL Complete, Psychology & Behavioral Sciences Collection, via EBSCOhost, and in the Portuguese Open Access Scientific Repository, in September 2024. The sample was composed of 48 studies.</div></div><div><h3>Results</h3><div>The concept of spirituality is represented by the relationship established with oneself, with the world, and the notion of transcendence. Spiritual needs relate to developmental stage, relationships, sense of normalcy, meaning, and purpose. The relationship established between spirituality and illness is bidirectional, represented by beliefs, practices, and mechanisms of spiritual adaptation. Spiritual care is about supporting children with insights about beliefs, values and behaviours, addressing needs inherent in the developmental process, setting achievable goals that can support a meaningful life and legacy, fostering connections, mediating communication, improving spiritual coping, alleviating spiritual suffering, managing losses, and redefining hope.</div></div><div><h3>Conclusions</h3><div>This review underlines the complexity, variability, and importance of spirituality while living within a complex, life-threatening or life-limiting paediatric context. However, there is still an urgent need to develop studies on the concept in specific subgroups of this paediatric population.</div></div><div><h3>Clinical implications</h3><div>Spirituality has an undeniable and aggregating role throughout the course of a life-limiting, life-threatening and/or complex chronic condition. Spiritual care and nurturing should be prioritised in care plans within these complex paediatric contexts.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 526-534"},"PeriodicalIF":2.3,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736433","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 : 2025-12-08DOI: 10.1016/j.pedn.2025.11.047
Şerife Koç PhD , Seçil Duran Yılmaz PhD
Objective
The aim of this study was to adapt the Fear of Earthquake Scale into Turkish and to evaluate its psychometric properties in a Turkish sample of children and adolescents.
Methods
This study was conducted with a methodological and cross-sectional design in a province in the Central Anatolia region of Turkey with 500 children and adolescents. Data were obtained using the Descriptive Characteristics Form and the Fear of Earthquake Scale. The Content Validity Index, explanatory and confirmatory factor analysis were used to evaluate the validity, while Cronbach's alpha coefficients, split-half, item-total score correlation, and test-retest methods were used to assess the reliability of the scale.
Results
The Turkish version of the Fear of Earthquake Scale, comprising a one-factor, seven-item model, demonstrated a good fit similar to the original structure. The factor loadings were above 0.40 and explained 37 % of the total variance. The scale showed good internal consistency, with a Cronbach's Alpha Coefficient of 0.80 and a test-retest Intraclass correlation coefficient of 0.88.
Conclusion
The Turkish version of the Fear of Earthquake Scale is a valid and reliable instrument for Turkish children and adolescents.
Practice implications
The Fear of Earthquake Scale can be easily used by nurses or other specialists to identify at-risk populations, develop psychosocial intervention programs, and evaluate post-disaster mental health services.
{"title":"Psychometric properties of the Turkish version of the Fear of Earthquake Scale for children and adolescents","authors":"Şerife Koç PhD , Seçil Duran Yılmaz PhD","doi":"10.1016/j.pedn.2025.11.047","DOIUrl":"10.1016/j.pedn.2025.11.047","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to adapt the Fear of Earthquake Scale into Turkish and to evaluate its psychometric properties in a Turkish sample of children and adolescents.</div></div><div><h3>Methods</h3><div>This study was conducted with a methodological and cross-sectional design in a province in the Central Anatolia region of Turkey with 500 children and adolescents. Data were obtained using the Descriptive Characteristics Form and the Fear of Earthquake Scale. The Content Validity Index, explanatory and confirmatory factor analysis were used to evaluate the validity, while Cronbach's alpha coefficients, split-half, item-total score correlation, and test-retest methods were used to assess the reliability of the scale.</div></div><div><h3>Results</h3><div>The Turkish version of the Fear of Earthquake Scale, comprising a one-factor, seven-item model, demonstrated a good fit similar to the original structure. The factor loadings were above 0.40 and explained 37 % of the total variance. The scale showed good internal consistency, with a Cronbach's Alpha Coefficient of 0.80 and a test-retest Intraclass correlation coefficient of 0.88.</div></div><div><h3>Conclusion</h3><div>The Turkish version of the Fear of Earthquake Scale is a valid and reliable instrument for Turkish children and adolescents.</div></div><div><h3>Practice implications</h3><div>The Fear of Earthquake Scale can be easily used by nurses or other specialists to identify at-risk populations, develop psychosocial intervention programs, and evaluate post-disaster mental health services.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 518-525"},"PeriodicalIF":2.3,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716304","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 : 2025-12-05DOI: 10.1016/j.pedn.2025.11.044
Gülçin Aşut PhD, RN , Eda Gülbetekin
Aim
This study aims to examine the correlation between cyberchondria, problematic internet use, and health anxiety among adolescents
Method
This descriptive and correlational study was conducted with 400 students between January 2025 and march 2025. Data were collected using a “Socio-Demographic Data Form”, the “Cyberchondria Severity Scale-Short Form (CSS-12),” the “Problematic Internet Use Scale (PIUS)”, and the “Health Anxiety Inventory (HAI)”
Results
Findings of the study revealed no significant difference between the CSS-12 mean scores and the variables (p > .05). Significant differences were observed between the total and subscale scores of the PIUS and the HAI in terms of daily internet use duration, age, and chronic disease status (p < .05). A weak positive significant correlation was found between the CSS-12 and PIUS (p < .05). Similarly, there was a weak positive significant correlation between the CSS-12 and the HAI, and between the PIUS and the HAI (p < .05)
Conclusion
It was determined that higher levels of cyberchondria among students were associated with increased problematic internet use and health anxiety. Furthermore, higher levels of problematic internet use increased health anxiety. Developing awareness programs for students and implementing measures to filter health-related information on websites may have positive effects
Practice implications
This study provides important implications for paediatric nursing practice. Paediatric nurses can play a key role in educating adolescents and their parents about cyberchondria, problematic internet use, and health anxiety. They can participate in and implement interventions aimed at preventing these behaviours.
{"title":"Examination of the correlation between Cyberchondria, problematic internet use and health anxiety among adolescents","authors":"Gülçin Aşut PhD, RN , Eda Gülbetekin","doi":"10.1016/j.pedn.2025.11.044","DOIUrl":"10.1016/j.pedn.2025.11.044","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to examine the correlation between cyberchondria, problematic internet use, and health anxiety among adolescents</div></div><div><h3>Method</h3><div>This descriptive and correlational study was conducted with 400 students between January 2025 and march 2025. Data were collected using a “Socio-Demographic Data Form”, the “Cyberchondria Severity Scale-Short Form (CSS-12),” the “Problematic Internet Use Scale (PIUS)”, and the “Health Anxiety Inventory (HAI)”</div></div><div><h3>Results</h3><div>Findings of the study revealed no significant difference between the CSS-12 mean scores and the variables (<em>p</em> > .05). Significant differences were observed between the total and subscale scores of the PIUS and the HAI in terms of daily internet use duration, age, and chronic disease status (<em>p</em> < .05). A weak positive significant correlation was found between the CSS-12 and PIUS (<em>p</em> < .05). Similarly, there was a weak positive significant correlation between the CSS-12 and the HAI, and between the PIUS and the HAI (p < .05)</div></div><div><h3>Conclusion</h3><div>It was determined that higher levels of cyberchondria among students were associated with increased problematic internet use and health anxiety. Furthermore, higher levels of problematic internet use increased health anxiety. Developing awareness programs for students and implementing measures to filter health-related information on websites may have positive effects</div></div><div><h3>Practice implications</h3><div>This study provides important implications for paediatric nursing practice. Paediatric nurses can play a key role in educating adolescents and their parents about cyberchondria, problematic internet use, and health anxiety. They can participate in and implement interventions aimed at preventing these behaviours.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 510-517"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684405","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 assess the quality and reliability of pediatric vaccination videos on YouTube from a nursing perspective and to identify hesitancy-related cues, indicators, and deterrents present in the content.
Methods
In this cross-sectional, descriptive content analysis study, 243 English-language YouTube videos were analyzed using four keywords. Videos were evaluated with the Global Quality Scale (GQS), the Modified DISCERN tool, and the Pediatric Vaccine Hesitancy Assessment Tool for Social Media Content (PVHAT). In addition, engagement measures such as number of views, likes, video duration, and video characteristics such as source type and narrator identity were analyzed.
Results
The overall quality and reliability of the videos were moderate (mean GQS: 2.52; DISCERN: 2.83). Videos presented by healthcare professionals were of higher quality but showed lower user engagement. Videos with curiosity-driven titles, such as “What's in Vaccines?”, received more views and comments. Emotionally framed narratives were identified in 22.6 % of the videos, and expressions of distrust toward health authorities appeared in 8.2 %. Community immunity was emphasized in only 25.5 % of videos. A strong positive correlation was observed between DISCERN and GQS scores (r = 0.760, p < .001).
Conclusion
Pediatric vaccine content on YouTube often lacks high-quality, evidence-based information and frequently includes hesitancy-related signals. Public health communication should prioritize scientific accuracy while using engaging and accessible strategies, ideally through collaborations between healthcare professionals and digital content creators, to improve the reach and effectiveness of vaccination messages.
目的本研究旨在从护理角度评估YouTube上儿童疫苗接种视频的质量和可靠性，并识别内容中存在的犹豫相关线索、指标和威慑因素。方法采用4个关键词对243个YouTube英语视频进行横断面、描述性内容分析研究。使用全球质量量表（GQS）、改进的DISCERN工具和儿童社交媒体内容疫苗犹豫评估工具（PVHAT）对视频进行评估。此外，还分析了观看次数、点赞次数、视频时长等参与指标，以及视频特征（如来源类型和叙述者身份）。结果视频的整体质量和信度一般（平均GQS为2.52，分辨力为2.83）。医疗保健专业人员提供的视频质量更高，但用户参与度较低。带有好奇心驱动标题的视频，例如“疫苗有什么？”，收到更多的意见和评论。在22.6%的视频中发现了带有情感框架的叙述，8.2%的视频中出现了对卫生当局的不信任。只有25.5%的视频强调了社区免疫。在DISCERN和GQS评分之间观察到强正相关（r = 0.760, p < .001）。结论YouTube上的儿童疫苗内容往往缺乏高质量的循证信息，并且经常包含与犹豫相关的信号。公共卫生传播应优先考虑科学准确性，同时使用有吸引力和可获取的战略，理想情况下，通过卫生保健专业人员和数字内容创作者之间的合作，提高疫苗接种信息的覆盖面和有效性。
{"title":"Pediatric vaccine information on YouTube: A nursing-led content analysis of quality and vaccine hesitancy","authors":"Aylin Akca Sumengen RN, BSN, MSc, PhD , Gokce Naz Cakir RN, BSN, MSc , Kader Tekkas-Kerman RN, BSN, MSc, PhD , Remziye Semerci Sahin RN, BSN, MSc, PhD , Damla Ozcevik Subasi RN, BSN, MSc, PhD , Volkan Ayaz RN, BSN, MSc","doi":"10.1016/j.pedn.2025.11.048","DOIUrl":"10.1016/j.pedn.2025.11.048","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the quality and reliability of pediatric vaccination videos on YouTube from a nursing perspective and to identify hesitancy-related cues, indicators, and deterrents present in the content.</div></div><div><h3>Methods</h3><div>In this cross-sectional, descriptive content analysis study, 243 English-language YouTube videos were analyzed using four keywords. Videos were evaluated with the Global Quality Scale (GQS), the Modified DISCERN tool, and the Pediatric Vaccine Hesitancy Assessment Tool for Social Media Content (PVHAT). In addition, engagement measures such as number of views, likes, video duration, and video characteristics such as source type and narrator identity were analyzed.</div></div><div><h3>Results</h3><div>The overall quality and reliability of the videos were moderate (mean GQS: 2.52; DISCERN: 2.83). Videos presented by healthcare professionals were of higher quality but showed lower user engagement. Videos with curiosity-driven titles, such as “What's in Vaccines?”, received more views and comments. Emotionally framed narratives were identified in 22.6 % of the videos, and expressions of distrust toward health authorities appeared in 8.2 %. Community immunity was emphasized in only 25.5 % of videos. A strong positive correlation was observed between DISCERN and GQS scores (<em>r</em> = 0.760, <em>p</em> < .001).</div></div><div><h3>Conclusion</h3><div>Pediatric vaccine content on YouTube often lacks high-quality, evidence-based information and frequently includes hesitancy-related signals. Public health communication should prioritize scientific accuracy while using engaging and accessible strategies, ideally through collaborations between healthcare professionals and digital content creators<strong>,</strong> to improve the reach and effectiveness of vaccination messages.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 491-501"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684402","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 : 2025-12-05DOI: 10.1016/j.pedn.2025.11.046
Cathrine Reed MS CCLS CFLE , Kelly Wagner MS CCLS , Vallire Hooper PhD RN CPAN FASPAN FAAN
Objectives
This study evaluated the effect of Animal Assisted Therapy (AAT) and Certified Child Life Specialist (CCLS) support on pediatric anxiety during invasive procedures in a hospital setting. It was hypothesized that patients undergoing procedures with AAT would experience less anxiety than with CCLS services alone.
Study design
Data were collected during a Quality Improvement (QI) study. The modified Yale Preoperative Anxiety Scale (mYPAS) was used to measure observed anxiety in both the intervention and control groups. Data were analyzed using independent samples, paired t-tests, and one-way ANOVA.
Results
Mean anxiety scores were significantly lower in the intervention group across all measurement points. Findings included a 30 % decrease in toddler anxiety scores intra-procedurally and 27 % post-procedurally, as well as a decrease of 4 % in school aged children post-procedurally with AAT. Children receiving non-needle procedures saw a 31 % decrease in anxiety scores pre-procedure with AAT, and needle procedure anxiety scores were reduced by 24 % intra-procedurally. AAT support reduced anxiety scores during and after port-a-catheter procedures by 20 % and 14 %, respectively. Interestingly, hispanic patients saw significant reductions in anxiety at all time periods, compared to other ethnicities.
Conclusions
Findings suggest that AAT successfully reduces anxiety when combined with child life services, particularly for children ages 2–5 and during needle procedures. Hispanic children of all ages benefited as well.
Implications to practice
CCLS assessment is essential to guide the success of AAT as an interventional tool. The data adds to the limited literature, and advocates for the use of AAT combined with child life services to mitigate pediatric medical trauma.
{"title":"Exploring the effect of animal assisted therapy on pediatric anxiety during invasive procedures","authors":"Cathrine Reed MS CCLS CFLE , Kelly Wagner MS CCLS , Vallire Hooper PhD RN CPAN FASPAN FAAN","doi":"10.1016/j.pedn.2025.11.046","DOIUrl":"10.1016/j.pedn.2025.11.046","url":null,"abstract":"<div><h3>Objectives</h3><div>This study evaluated the effect of Animal Assisted Therapy (AAT) and Certified Child Life Specialist (CCLS) support on pediatric anxiety during invasive procedures in a hospital setting. It was hypothesized that patients undergoing procedures with AAT would experience less anxiety than with CCLS services alone.</div></div><div><h3>Study design</h3><div>Data were collected during a Quality Improvement (QI) study. The modified Yale Preoperative Anxiety Scale (mYPAS) was used to measure observed anxiety in both the intervention and control groups. Data were analyzed using independent samples, paired <em>t</em>-tests, and one-way ANOVA.</div></div><div><h3>Results</h3><div>Mean anxiety scores were significantly lower in the intervention group across all measurement points. Findings included a 30 % decrease in toddler anxiety scores intra-procedurally and 27 % post-procedurally, as well as a decrease of 4 % in school aged children post-procedurally with AAT. Children receiving non-needle procedures saw a 31 % decrease in anxiety scores pre-procedure with AAT, and needle procedure anxiety scores were reduced by 24 % intra-procedurally. AAT support reduced anxiety scores during and after port-a-catheter procedures by 20 % and 14 %, respectively. Interestingly, hispanic patients saw significant reductions in anxiety at all time periods, compared to other ethnicities.</div></div><div><h3>Conclusions</h3><div>Findings suggest that AAT successfully reduces anxiety when combined with child life services, particularly for children ages 2–5 and during needle procedures. Hispanic children of all ages benefited as well.</div></div><div><h3>Implications to practice</h3><div>CCLS assessment is essential to guide the success of AAT as an interventional tool. The data adds to the limited literature, and advocates for the use of AAT combined with child life services to mitigate pediatric medical trauma.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 502-509"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684404","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 : 2025-12-05DOI: 10.1016/j.pedn.2025.12.001
Elizabeth B. Froh PhD, RN , Asma A. Taha PhD, CPNP-PC/AC, PCNS-BC, FAAN , Elaine Walsh PhD, RN, PMHCNS-BC, FAAN , Danielle Altares Sarik PhD, APRN, CPNP-PC, FAAN , Renee Manworren PhD, APRN, PCNS-BC, PMGT-BC, AP-PMN, FAAN , Barbara Giambra PhD, APRN, CPNP-PC , Nhu N. Tran PhD, RN, MSCBTI, CCRN, CCRP , Teri L. Hernandez PhD, RN, FAAN
This paper describes the framework of the National Pediatric Nurse Scientist Collaborative as one solution to the varied implementation and sustainability of the hospital-based nurse scientist role within children's hospitals and/or pediatric health systems. We share the NPNSC framework, including our vision and mission, organizational structure, and the collaborative's overarching goals. Implemented in 2012, the results of this sustained national effort for hospital-based nurse scientists include enhanced collaborative research, strengthened professional growth and career development, optimized organizational role integration, and patient and policy advocacy. Proven effective and sustainable, the NPNSC framework can be applied to support niche expertise, on a national scale, as evidenced by the adoption of the framework by an emerging collaborative of evidence-based practice specialists accountable for their pediatric hospitals' evidence-based practice programs' infrastructure, strategy, and impact.
{"title":"The National Pediatric Nurse Scientist Collaborative (NPNSC): A framework for advancing nursing science through integrative collaboration to improve pediatric and family health","authors":"Elizabeth B. Froh PhD, RN , Asma A. Taha PhD, CPNP-PC/AC, PCNS-BC, FAAN , Elaine Walsh PhD, RN, PMHCNS-BC, FAAN , Danielle Altares Sarik PhD, APRN, CPNP-PC, FAAN , Renee Manworren PhD, APRN, PCNS-BC, PMGT-BC, AP-PMN, FAAN , Barbara Giambra PhD, APRN, CPNP-PC , Nhu N. Tran PhD, RN, MSCBTI, CCRN, CCRP , Teri L. Hernandez PhD, RN, FAAN","doi":"10.1016/j.pedn.2025.12.001","DOIUrl":"10.1016/j.pedn.2025.12.001","url":null,"abstract":"<div><div>This paper describes the framework of the National Pediatric Nurse Scientist Collaborative as one solution to the varied implementation and sustainability of the hospital-based nurse scientist role within children's hospitals and/or pediatric health systems. We share the NPNSC framework, including our vision and mission, organizational structure, and the collaborative's overarching goals. Implemented in 2012, the results of this sustained national effort for hospital-based nurse scientists include enhanced collaborative research, strengthened professional growth and career development, optimized organizational role integration, and patient and policy advocacy. Proven effective and sustainable, the NPNSC framework can be applied to support niche expertise, on a national scale, as evidenced by the adoption of the framework by an emerging collaborative of evidence-based practice specialists accountable for their pediatric hospitals' evidence-based practice programs' infrastructure, strategy, and impact.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 486-490"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684403","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}
Infants with congenital gastrointestinal malformations often face complex care needs post-discharge, resulting in parents managing care needs they have not previously thought they should perform. When the caregiver burden is perceived too high it can negatively affect the mental health and quality of life. However, it is unclear how the state of the parents' mental health and their support needs are during their infant's patient pathway.
Purpose
This integrative review aims to synthesize quantitative and qualitative evidence regarding parents' mental health, their experiences throughout the patient pathway, and their care needs during the first two years following neonatal gastrointestinal surgery.
Eligibility criteria
The study followed the integrative review process of Whittemore & Knafl. A systematic literature search was conducted in MEDLINE, Embase, PsycInfo, and CINAHL. Included were research articles published after 2004, focusing on the experiences, support needs, and mental health of parents of infants with gastrointestinal malformations.
Sample
The review included 7 quantitative and 5 qualitative studies, assessed for quality using The Mixed Methods Appraisal Tool.
Results
The overarching theme identified was “Resilience in early parenthood requires mental strength, practical coping, and supportive relations,” based on three categories: 1) Echoes of trauma, 2) Facing reality, and 3) Empowering connections.
Conclusions
When discharging infants after neonatal gastrointestinal surgery, a multidisciplinary and cross-sectoral approach between hospital and community care is needed to ensure sufficient support to the parents.
Implications
Optimal support and parental involvement require multidisciplinary and cross-sectoral care planning for infants with complex care needs.
{"title":"Navigating the patient pathway: An integrative review of parental mental health and support needs following neonatal gastrointestinal surgery","authors":"Karina Hesselvig Vaupell , Jette Marcussen , Jane Clemensen , Gitte Zachariassen , Kristina Garne Holm","doi":"10.1016/j.pedn.2025.11.034","DOIUrl":"10.1016/j.pedn.2025.11.034","url":null,"abstract":"<div><h3>Problem</h3><div>Infants with congenital gastrointestinal malformations often face complex care needs post-discharge, resulting in parents managing care needs they have not previously thought they should perform. When the caregiver burden is perceived too high it can negatively affect the mental health and quality of life. However, it is unclear how the state of the parents' mental health and their support needs are during their infant's patient pathway.</div></div><div><h3>Purpose</h3><div>This integrative review aims to synthesize quantitative and qualitative evidence regarding parents' mental health, their experiences throughout the patient pathway, and their care needs during the first two years following neonatal gastrointestinal surgery.</div></div><div><h3>Eligibility criteria</h3><div>The study followed the integrative review process of Whittemore & Knafl. A systematic literature search was conducted in MEDLINE, Embase, PsycInfo, and CINAHL. Included were research articles published after 2004, focusing on the experiences, support needs, and mental health of parents of infants with gastrointestinal malformations.</div></div><div><h3>Sample</h3><div>The review included 7 quantitative and 5 qualitative studies, assessed for quality using The Mixed Methods Appraisal Tool.</div></div><div><h3>Results</h3><div>The overarching theme identified was “Resilience in early parenthood requires mental strength, practical coping, and supportive relations,” based on three categories: 1) Echoes of trauma, 2) Facing reality, and 3) Empowering connections.</div></div><div><h3>Conclusions</h3><div>When discharging infants after neonatal gastrointestinal surgery, a multidisciplinary and cross-sectoral approach between hospital and community care is needed to ensure sufficient support to the parents.</div></div><div><h3>Implications</h3><div>Optimal support and parental involvement require multidisciplinary and cross-sectoral care planning for infants with complex care needs.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"86 ","pages":"Pages 396-408"},"PeriodicalIF":2.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684474","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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