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Purpose: This study described pediatric nurses' professional quality of life during COVID-19 and explored demographic/clinical practice factors independently associated with compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS)., Design and Methods: The Relational Caring Complexity Theory was used. This study employed a cross-sectional, descriptive, correlational design to describe professional quality of life of pediatric nurses (demographic questionnaire and ProQOL 5 measure) working during the COVID-19 pandemic., Results: From 150 pediatric nurses, the mean scores were CS 40.8 (± 4.8), BO 22.6 (± 4.7), and STS 22.8 (± 5.8). Results of the multiple regression revealed that two variables, deployed to the same unit versus not deployed (β = 2.424, p = .02) and currently practicing in perioperative/ambulation settings versus intensive care (β = -0.272, p = .03), were independently associated with CS. Deployed to the same unit versus not deployed was found to be independently and significantly associated with BO (β = -0.28, p = .005). The number of patients cared for with COVID-19 (β = 0.196, p = .03) was significantly associated with STS., Conclusions: While the overall response was positive, these nurses were more likely to experience BO when deployed to the same area (likely a COVID-19 adult unit) and STS as they cared for more patients with COVID-19., Practice Implications: Leaders should be aware of the impact of caring in times of crisis. Decentralized staffing may help meet emergent needs on a particular shift, but ensuring deployed nurses are well-supported is vital., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Purpose: This study was conducted to investigate the effect of training provided to pediatric nurses on their knowledge and attitude levels about artificial intelligence and robot nurses., Design and Methods: In this study, a single-group pre- and post-test quasi-experimental design was used. Data were collected from pediatric nurses working in Training and Research Hospital located in western Turkey. Forty-three pediatric nurses participated in the study. The study data were collected using the "Pediatric Nurses' Descriptive Characteristics Form", "Artificial Intelligence Knowledge Form", and "Artificial Intelligence General Attitude Scale"., Results: The mean scores of the participating pediatric nurses obtained from the Artificial Intelligence Knowledge Form before, right after and one month after the training were 41.16 ± 14.95, 68.25 ± 13.57 and 69.06 ± 13.19, respectively. The mean scores they obtained from the Positive Attitudes towards Artificial Intelligence subscale of the Artificial Intelligence General Attitude Scale before and after the training were 3.43 ± 0.54 and 3.59 ± 0.60, respectively whereas the mean scores they obtained from its Negative Attitudes towards Artificial Intelligence subscale were 2.68 ± 0.67 and 2.77 ± 0.75, respectively., Conclusions: It was determined that the training given to the pediatric nurses about artificial intelligence and robot nurses increased the nurses' knowledge levels and their artificial intelligence attitude scores, but this increase in the artificial intelligence attitude scores was not significant., Practice Implications: The use of artificial intelligence and robotics or advanced technology in pediatric nursing care can be fostered., Competing Interests: Declaration of competing interest The authors (s) declare no potential conflicts of interest regarding the research, authorship, or publication of this article., (Copyright © 2024 Elsevier Inc. All rights reserved.)

ABSTRACT Aim Design Methods Results Conclusion Implications for the Profession and Patient Care Impact Reporting Method Patient or Public Contribution To identify and compare factors associated with pain perception and management among paediatric nurses and nursing students using virtual human technology.This study employed a comparative, cross‐sectional design.Fifty‐one paediatric nurses from a tertiary hospital and 50 senior nursing students from a nursing college, both located in South Korea, participated in the study. Virtual vignettes, including scenarios with virtual children and their clinical information, were used to assess participants' pain perception and management. The virtual children, created from real face photos, varied in age (young/old), sex (boy/girl) and facial expressions (smile/grimace). Participants rated perceived pain scores and selected management choices for eight virtual vignettes, which were randomly presented. The Korean version of the Paediatric Nurses' Knowledge and Attitude Survey was completed along with demographic information.Both paediatric nurses and nursing students rated pain scores lower than the actual pain scores reported by virtual children. Nurses rated higher pain scores and accordingly selected more medication doses compared to students. Beyond pain‐related knowledge, the facial expression of the virtual child influenced pain rating and medication choices, while age and sex had no effect.Nursing students were more sensitive to the facial expressions of virtual children when rating their pain compared to nurses. Future studies should explore how paediatric nurses' clinical experiences impact their assessment and management of child patient pain.Paediatric nurses' knowledge of pain is inadequate, necessitating ongoing education in pain management. Both nurses and nursing students should self‐reflect on their pain assessment practices to ensure unbiased care regardless of child patients' characteristics.Virtual human technology can be utilised to train nurses and students to identify and address any biases in their assessment of patients' pain perception.STROBE checklist, cross‐sectional.Digital face photos of four healthy children were used as the fundamental material for creating virtual children, with their parents' consent. [ABSTRACT FROM AUTHOR]

Introduction and history: In Mongolia, pediatric anesthesia has advanced during the past 25 years through expanded, standardized education programs and international collaboration. Pediatric anesthesia is a recognized specialty, covering all surgical services, including cardiac and transplant, using physicians and nurses. Training: The pediatric anesthesia fellowship is 6 months after 2 years of residency; pediatric nurse anesthesia training is 6 months. Conclusion: As a Low‐ and Middle‐Income Country (LMIC) with low population density and extreme weather, the challenges include insufficient equipment, supplies, and clinician numbers, matching few clinicians to many varied patient locations, and covering surgical emergencies over distance and weather. In Thailand, education and training in pediatric anesthesia remain a focus: Pediatric anesthesia is an official subspecialty, the fellowship is accredited, using a competency‐based curriculum with milestones of Direct Observation of Procedural Skills and Entrusted Professional Activities. The Bangkok Anesthesia Regional Training Center (BARTC)‐Pediatrics, jointly sponsored by the World Federation of Societies of Anesthesiologists (WFSA) and the Society for Pediatric Anesthesia (SPA), have expanded training to anesthesiologists worldwide. Challenges include difficulty balancing service workload and education, as well as attracting pediatric anesthesia fellows due to the strong private sector job market. [ABSTRACT FROM AUTHOR]

Aim: To gain insight into child‐health nurses' experiences of using pictorial support in health visits within child‐health services. Methods: A qualitative study involving interviews conducted with 17 child‐health nurses in Sweden. The interview data were analysed using content analysis. Results: The nurses experienced that pictorial support could facilitate communication with families and increase opportunities for children to participate in child‐health services, although it may come with challenges. This theme can be broken down into three main categories: (1) Pictorial support makes interaction with families clearer and easier and is used in different ways; (2) The design and extensiveness of the pictorial support can create obstacles; and (3) Pictorial support influences children's attitudes towards, and participation in, health visits. Conclusion: Pictorial support is an important and useful tool in child‐health nurses' own work and improves their communication with children and caregivers during health visits. It can also increase children's participation and help them express themselves. Communicative tools such as pictorial support are very helpful to healthcare professionals striving to offer child‐ and family‐centred care. [ABSTRACT FROM AUTHOR]

Aims Design Methods Results Conclusion Implications for Profession and/or Patient Care Reporting Method Patient or Public Contribution This study aimed to explore the correlation between artificial intelligence (AI) literacy, AI anxiety and AI attitudes among paediatric nurses, as well as identify the influencing factors on paediatric nurses' AI attitudes.A descriptive, correlational and cross‐sectional research.This study was conducted between January and February 2024 with 170 nurses actively working in paediatric clinics in Turkey. The data collection tools included the Nurse Information Form, the General Attitudes Towards Artificial Intelligence Scale (GAAIS), the Artificial Intelligence Literacy Scale (AILS) and the Artificial Intelligence Anxiety Scale (AIAS). To determine the associations between the variables, the data was analysed using IBM SPSS 28, which included linear regression and Pearson correlation analysis.The study indicated significant positive correlations between paediatric nurses' age and their AIAS scores (r = .226; p < .01) and significant negative correlations between paediatric nurses' age and their AILS (r = −.192; p < .05) and GAAIS scores (r = −.152; p < .05). The GAAIS was significantly predictive (p < .000) and accounted for 50% of the variation in AIAS and AILS scores.Paediatric nurses' attitudes towards AI significantly predicted AI literacy and AI anxiety. The relationship between the age of the paediatric nurses and the anxiety, AI literacy and attitudes towards AI was demonstrated. Healthcare and educational institutions should create customized training programs and awareness‐raising activities for older nurses, as there are noticeable variations in the attitudes of paediatric nurses towards AI based on their age.Providing in‐service AI training can help healthcare organizations improve paediatric nurses' attitudes towards AI, increase their AI literacy and reduce their anxiety. This training has the potential to impact their attitudes positively and reduce their anxiety.The study results were critically reported using STROBE criteria.No patient or public contribution. [ABSTRACT FROM AUTHOR]

Nursing management considers nursing quality management at its core. Evaluation indexes of nursing quality not only control nursing quality, measure work enthusiasm, and judge the difference in nursing levels but also help nurses accurately understand the satisfaction degree of patients.To analyze pediatric tumor nursing quality evaluation indexes and establish a scientific and rigorous index system of children’s nursing quality.  Based on the “structure-process-result” in this study, the Delphi method was used to carry out questionnaire investigations and opinion collection for domestic experts in pediatrics, pediatric oncology internal medicine, and pediatric oncology surgical care and clinical aspects two times. In addition, the Kendall coordination coefficient and analytic hierarchy process were used to determine the content of indicators at all levels, set the weight, and finally establish the quality index system of pediatric tumor nursing.The response rate of 27 experts in the first round of the questionnaire was 100%, Ca0.77, Cs,0.73, Cr0.75, and the W value of the expert coordination coefficient was 0.315. In the second round of 27 expert consultations, the reply rate was 96%, Ca0.81, Cs0.80, Cr0.805, and the specialist coordination coefficient W value was 0.369. After two rounds of consultation, the importance evaluation scores of each indicator ranged from 3.31 to 4.88 and 3.29 to 5.00, respectively, and more than 94.7% of the indicators’ importance evaluation scores were higher than 3.50. Finally, 3 Level-1 indicators, 12 Level-2 indicators, and 54 Level-3 indicators are established.This study has established a simple, comprehensive, and scientific quality index system for pediatric tumor nursing, highlighted the characteristics of pediatric tumor nursing, and provided an evaluation system for specialized nursing of pediatric tumors to more standardized pediatric tumor nursing and contribute to the sustainable and scientific development of pediatric tumor nursing. [ABSTRACT FROM AUTHOR]

The Société Internationale d’Oncologie Pédiatrique [International Society of Paediatric Oncology] (SIOP), founded in 1969, aims to improve the lives of children and adolescents with cancer through global collaboration, education, training, research and advocacy. The annual congress provides the opportunity to share late-breaking research, clinical experiences and debate, with experts worldwide. SIOP’s six Continental Branches represent their constituent members in North America, Oceania, Latin America, Africa, Europe and Asia and bring best practices and recent research findings of value to their specific patient populations. In 1990, the SIOP Board of Directors addressed the formerly predominantly European/North American society transforming into a global association by establishing a scholarship program to bring low- and middle-income country (LMIC) paediatric oncologists and nurses to SIOP meetings. A major achievement was SIOP’s acceptance as a World Health Organisation (WHO) non-state actor in official relations in 2018, joining 220 non-governmental organisations, international business associations and philanthropic foundations with this privilege. SIOP supports advocacy with WHO member states and civil society to highlight the specific needs of cancer in this age-group through key programs especially supporting the WHO Global Initiative for Childhood Cancer. Sustained improvement in childhood cancer outcomes has paralleled the integration of research with care; thus, SIOP launched a Programme for Advancing Research Capacity for funding selected clinical trial groups in LMICs. SIOP supports south-south partnerships, and the principles elegantly expressed in SIOP Africa’s checklist for co-branding projects, that include the prioritisation of local needs, cultivation of local expertise and commitment to equitable partnerships. SIOP now counts approximately 3,000 members from over 128 countries; 39% are from more than 60 LMICs. SIOP members have multidisciplinary expertise on all aspects of childhood cancer care working in collaboration with key stakeholders including governments, civil society organisations and funders to improve the lives of children/adolescents with cancer everywhere in all ways. [ABSTRACT FROM AUTHOR]

Background: Paediatric critical care (PCC) is a high-pressure working environment. Staff experience high levels of burnout, symptoms of post-traumatic stress, and moral distress. Aim: To understand challenges to workplace well-being in PCC to help inform the development of staff interventions to improve and maintain well-being. Study Design: The Enhanced Critical Incident Technique (ECIT) was used. ECIT encompasses semi-structured interviews and thematic analysis. We identified 'critical incidents', challenges to well-being, categorized them in a meaningful way, and identified factors which helped and hindered in those moments. Fifty-three nurses and doctors from a large UK quaternary PCC unit were consented to take part. Results: Themes generated are: Context of working in PCC, which examined staff's experiences of working in PCC generally and during COVID-19; Patient care and moral distress explored significant challenges to well-being faced by staff caring for increasingly complex and chronically ill patients; Teamwork and leadership demonstrated the importance of team-belonging and clear leadership; Changing workforce explored the impact of staffing shortages and the ageing workforce on well-being; and Satisfying basic human needs, which identified absences in basic requirements of food and rest. Conclusions: Staff's experiential accounts demonstrated a clear need for psychologically informed environments to enable the sharing of vulnerabilities, foster support, and maintain workplace well-being. Themes resonated with the self-determination theory and Maslow's hierarchy of needs, which outline requirements for fulfilment (self-actualization). Relevance to Clinical Practice: Well-being interventions must be informed by psychological theory and evidence. Recommendations are flexible rostering, advanced communication training, psychologically-informed support, supervision/mentoring training, adequate accommodation and hot food. Investment is required to develop successful interventions to improve workplace well-being. [ABSTRACT FROM AUTHOR]

Background: Children in hospital experience significant pain, either inherent with their pathology, or caused by diagnostic/therapeutic procedures. Little is known about pediatric pain practices in sub‐Saharan Africa. This survey aimed to gain insight into current pain management practices among specialist physician anesthetists in four sub‐Saharan African countries. Methods: A survey was sent to 365 specialist physician anesthetists in Nigeria, South Africa, Uganda and Zambia. Content analysis included descriptive information about the respondents and their work environment. Thematic analysis considered resources available for pediatric pain management, personal and institutional pain practices. Results: One hundred and sixty‐six responses were received (response rate 45.5%), with data from 141 analyzed; Nigeria (27), South Africa (52), Uganda (41) and Zambia (21). Most respondents (71.83%) worked at tertiary/national referral hospitals. The majority of respondents (130/141, 91.55%) had received teaching in pediatric pain management. Good availability was reported for simple analgesia, opioids, ketamine, and local anesthetics. Just over half always/often had access to nurses trained in pediatric care, and infusion pumps for continuous drug delivery. Catheters for regional anesthesia techniques and for patient‐controlled analgesia were largely unavailable. Two thirds (94/141, 66.67%) did not have an institutional pediatric pain management guideline, but good pharmacological pain management practices were reported, in line with World Health Organization recommendations. Eighty‐eight respondents (62.41%) indicated that they felt appropriate pain control in children was always/often achieved in their setting. Conclusion: This survey provides insight into pediatric pain practices in these four countries. Good availability of a variety of analgesics, positive pain prescription practices, and utilization of some non‐pharmacological pain management strategies are encouraging, and suggest that achieving good pain control despite limited resources is attainable. Areas for improvement include the development of institutional guidelines, routine utilization of pain assessment tools, and access to regional anesthesia and other advanced pain management techniques. [ABSTRACT FROM AUTHOR]

Background and Purpose: Research on the childcare experiences of visually impaired mothers and their expectations from nurses in this context is relatively scarce. This study aims to explore the experiences of visually impaired mothers in caring for their children, as well as their expectations from nurses during this process. The goal is to provide strategic recommendations for nurses based on these expectations. Methods: The study utilized a phenomenological design and employed a qualitative methodology. Data for this study were collected in six different provinces of Turkey between March 2019 and May 2020. The study group consisted of 25 visually impaired mothers with nondisabled children aged 0–18 years. Results: The analysis yielded four themes: "Postpartum Emotions and Care at 0–1 Years," "Hygienic Care of the Child," "Experiences in the Child's Illness," and "Nursing Support: Expectations of Visually Impaired Mothers." While the first three themes are associated with childcare, the fourth theme encompasses both the expectations from nurses and recommendations for visually impaired mothers. The study found that visually impaired mothers had unique experiences and either received assistance or developed childcare strategies. However, it was observed that nurses struggled to empathize with visually impaired mothers, and efforts to address their specific needs were limited. Implications for Practice: Pediatric nurses should develop methods to facilitate childcare for visually impaired mothers. Successful outcomes in this field depend on nurses collaborating with visually impaired mothers and providing them with ongoing support. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Oncology Nursing Journal is the property of Pappin Communications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives Methods Results Conclusion The study aimed to explore mothers' perceptions for timely introduction of complementary feeding through interviews with 2–12‐month‐old infants' mothers in Ghana.Qualitative descriptive research with 16 semi‐structured interviews with mothers attending the Child Welfare Clinic at Ejisu Hospital was conducted from June 2022 to May 2023. The study was guided by the Declaration of Helsinki, and all participants were instructed about informed consent for the study. Interviews and analysis were guided by Theory of Planned Behavior. NVivo 1.5 was used throughout the coding procedure. This study was conducted after the approval from St. Luke's International University.Four themes were revealed: (1) attitude toward the behavior based on the mothers' experience raising children, (2) attitude toward the behavior influenced by subjective norm (grandmothers' recommendation), (3) attitude toward the behavior influenced by perceived behavioral control (difficulty in continuing breastfeeding), and (4) mothers who are worried about underweight despite timely introduction of complementary feeding. Attitudes toward the behavior were influenced by mothers' experiences raising children and grandmothers' recommendations. Surroundings disruptive of breastfeeding also influenced attitudes toward intentions and behavior. Moreover, some mothers suffered from underweight even if they introduce complementary feeding at an optimal time.Supporting to continue breastfeeding and conducting re‐education for grandmothers is a key recommendation for midwives and pediatric nurses. Moreover, pediatric nurses are required to further enhance not only health education regarding the timing of initiating complementary feeding but also support after the introduction. [ABSTRACT FROM AUTHOR]

Background: Emphasizing the crucial significance of maintaining a national nursing workforce well-prepared with the necessary knowledge, skills, and abilities to respond effectively is the growing frequency of natural and environmental disasters, coupled with public health emergencies such as the COVID-19 pandemic. So, the study aimed to explore pediatric nurses' preparedness to monkeypox outbreak, and their stress during this outbreak in Egypt. Methods: A cross-sectional study was conducted on a 416 nurses direct care for children at selected governmental hospitals in Egypt. Demographic form, Questionnaire for Infectious Disease Outbreak Readiness & Preparedness, factors affecting nurses' preparedness, and the generalized anxiety disorders scale-7 were the tools of the study. Results: (81.5%) of studied nurses had unsatisfactory level of preparedness to monkeypox outbreak. (96.4%) and (95.4%) of them were affected their preparedness by high workload and inconsistent income with the of risk of infection factors. Also, (57.2%) of them had high stress level. Conclusions: The study revealed the importance of ensuring adequate supplies of PPE are available and provided, and protocols must be implemented to ensure availability in case of an outbreak. Moreover, nurse staffing levels and workload distribution should be regularly reviewed to create reasonable nurse-patient ratios. [ABSTRACT FROM AUTHOR]

Objectives: This study aims to develop the child delirium assessment scale to determine the factor structure and to determine its validity and reliability. Methods: The sample of the methodological type study consists of 105 children who were admitted to the third-level pediatric intensive care unit of a public hospital in a province in eastern Türkiye between February and May 2019 and met the inclusion criteria. Content and construct validity and reliability analyses of the items created using the Delphi technique were performed. Results: In the exploratory factor analysis of 28 items obtained with the Delphi technique, a one-dimensional structure consisting of 28 items explaining 49.99% of the total variance was obtained. In confirmatory factor analysis, it was determined that the scale structure had sufficient fit indices. The Cronbach's alpha value was 0.96, and the test half value was 0.91. There was a strong correlation between them and the Cornell Pediatric Delirium Scale used as a parallel test (r=0.957, p<0.05). Conclusion: This study determined that the child delirium assessment scale is a valid and reliable measurement tool for nurses in determining delirium in children hospitalized in the intensive care unit. [ABSTRACT FROM AUTHOR]

Background and Aim: The Manchester Triage System (MTS) is a clinical risk management tool used to attribute priority in emergency departments. In pediatric acute care, triage systems are associated with more subjective evaluations as they often depend on caregivers' perceptions. This study aims to study the relationship between MTS and clinical outcomes. Methods: We analyzed every visit to the Pediatric Emergency Department (PED) between august 2018 and February 2021. The exposure group was defined as a red or orange priority and a compound outcome of hospitalization, transfer to tertiary care hospital or death was assessed. Results: We obtained 63.897 admissions, of which 52,5% corresponded to male patients and 80,6% were admitted by the parents' initiative. Green priority (49,9%) was the most frequent, followed by yellow (42,0%), orange (7,6%), blue (0,4%) and red (0,1%). The incidence rate of the studied outcome was 17,8% in the exposure group and 3,1% in the other patients, with an attributable risk of 14,7%. 7 patients must be triaged with red or orange priority so that one additional case of the outcome is verified. The main used flowchart was "Child that doesn't feel well" (20,3%). Conclusion: The priority attributed by the MTS has some association with the patient's outcome. The low number needed to harm can be due to a useful application of the system and may reflect the deleterious effect that a bad clinical first impression may pose in the prognosis. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Health Academics / Sağlık Akademisyenleri Dergisi is the property of Journal of Health Academics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Principle related to ethical code and ethical issues which is the basic and important when child care and management to protect child rights. Nurses as one of the health service providers and members in the health system who are responsible for giving care to the patients based on ethical issues, Pediatric nurses need ethical knowledge to conduct their appropriate function to manage situations and to give safe and proper legal and ethical care in today's changing world. Assessing nurse knowledge is an essential step to assure the optimum level of professional nursing services. Aim: to assess nurse's knowledge about application of ethical consideration also to determine and examination relationship between knowledge and demographic data. Design: experimental design two-group (control group and study group pretest-posttest design). Methods: Non-probability purposive sample consisted of (50) nurses (25 control group 25 study group) who working in clinical units during the data collection phase. Data collection process started April 2023-October 2023. The data collection tool are two part demographic characteristic 5 items and contains 30 multiple-choice questions about nurses knowledge of ethics rules that reflect the main components of the many literature review including ethical Iraqi Code. Results: The study showed clear improvement knowledge after the ethical intervention program in the information of nurses, according to the results. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to illuminate experiences of obtaining support among male adolescents with congenital heart disease and their mothers, and nurses' experiences of providing support within pediatric nursing care. Methods: This descriptive qualitative study used an inductive approach. Data were collected from interviews with six participants: two adolescents with congenital heart defects-mother dyads, and two nurses at a pediatric cardiac outpatient clinic in Sweden. Data were analyzed through content analysis. Results: Results are divided into three domains: desired support, lacking support, and undesirable support. Within these three respective domains, support is further illustrated from three categories of perspectives: adolescents, mothers, and nurses. Conclusions: Study findings show adolescents and their mothers desire support, such as family-system nursing. Nurses strive to provide support in the form of informative care like the approach based on the philosophy of pediatric familycentered care. Implications: When highlighting experiences of support from different perspectives, it is important for the provided support to be adapted to families' needs. [ABSTRACT FROM AUTHOR]

Fever is the most common clinical sign during infancy. Nurses deal with fever in children most directly and it is an integral aspect of their role as pediatric nurses. The objective of this study is to analyze the perceptions, knowledge and attitudes toward childhood fever of nurses in three health contexts: pediatric hospitalization, pediatric emergency and primary care. To respond this objective, a qualitative study with ethnomethodological approach has been carried out. In-depth interviews were conducted and theoretical clinical cases were presented to nurses working in pediatrics in the three settings studied. After the analysis of the discourses, the codes were classified into three categories: static and number-centric knowledge, dependent nursing attitude, and unconscious model nurses. On the one hand, when we analyze and compare the perceptions, attitudes and knowledge of the nurses between the different contexts, we find differences that consist mainly of what the context requires of them. On the other hand, in general and regardless of the context, the nurses interviewed place themselves in a traditional framework when faced with the phenomenon of fever in children. [ABSTRACT FROM AUTHOR]

Aim: To explore the experiences of partnership nursing among nurses when caring for children and young people with long‐term conditions, and their families. Background: Partnership nursing is promoted as a positive model of care among paediatric nurses, where shared roles and decision‐making, parental participation, mutual trust and respect, communication and negotiation are valued to create positive care experiences and enhance patient outcomes. Little is known about how nurses use partnership with both the patient and the parents in this triad to deliver partnership nursing. Design: A qualitative systematic review followed Joanna Briggs Institute meta‐aggregation approach and has been reported according to PRISMA guidelines. Methods: A comprehensive systematic search was conducted in seven electronic databases. Studies were assessed according to a pre‐determined inclusion criteria. Qualitative findings with illustrative participant quotes were extracted from included studies and grouped into categories to inform overall synthesised findings. Methodological quality assessment was conducted. Findings: A total of 5837 publications were screened, and 41 qualitative studies were included. Three overarching synthesised findings were identified: (1) Using education to promote feelings of safety and support, (2) Partnering to develop a strong therapeutic relationship and (3) Optimising communication underpinned by shared decision‐making principles to deliver individualised care. Conclusion: Nurses demonstrated successful partnership in their practice, but focused on developing dyadic nurse–parent and dyadic nurse–child partnerships. Future practice development that creates a three‐way triadic partnership may aid therapeutic relationships and shared decision‐making. Implications for clinical practice: Clinicians can reflect on how dyadic partnerships (focusing on the child or the parent) may exclude opportunities for coherent care. Further exploration in practice, policy and research as to how nurses determine child competency and child and parent level of engagement in triadic partnership may improve the potential of meaningful shared decision‐making. [ABSTRACT FROM AUTHOR]

Research question/aim/objectives: Providing care for hospitalized children causes moral distress to nurses. Employee participation in discovering and solving the everyday problems of the workplace is one of the ways to hear the voices of nurses. This study aimed to evaluate the effect of participatory management programs on perceived organizational support and moral distress in pediatric nurses. Research design: A quasi-experimental study. Participants and research context: The present study was conducted on 114 pediatric nurses in Iran. Data were collected using the Perceived Organizational Support Scale and the Moral Distress Scale of nurses. The intervention included implementing a participatory management program in three treatment departments that were randomly selected and it lasted 4 months. Participatory management was at the level of problem-solving with a focus on investigating, solving, and correcting issues and problems of work shifts and departments concerning the physical environment, equipment of the department, improvement of work processes, and team cooperation. In the control group, ordinary organizational approaches to problem-solving were used. Ethical considerations: This study was approved by the Ethics Committee of Mashhad School of Nursing and Midwifery. Informed consent was obtained from the study participants. Findings/results: Based on the results, both groups were homogenous before the intervention in terms of moral distress and perceived organizational support. The results showed that the moral distress mean scores in the intervention group decreased from 1.45 (0.52) to 1.03 (0.37) after the intervention. Also, the score of the perceived organizational support was 2.12 (1.2) increased after the intervention to 2.68 (1.10) in the intervention group. Conclusions: It was found that the participation of nurses in the problem-solving process to solve daily workplace issues can be effective in increasing their perceived organizational support and reducing their moral distress. [ABSTRACT FROM AUTHOR]

Introduction: With improved survival in pediatric solid organ transplantation (SOT) care has focused on optimizing functional, developmental, and psychosocial outcomes, roles often supported by Allied Health and Nursing professionals (AHNP). However, there is a scarcity of research examining frameworks of clinical practice. Methods: The International Pediatric Transplant Association AHNP Committee developed and disseminated an online survey to transplant centers as a quality improvement project to explore AHNP practice issues. Participant responses were characterized using descriptive statistics, and free‐text comments were thematically analyzed. Responses were compared across professional groups; Group 1: Advanced Practice Providers, Group 2: Nursing, Group 3: Allied Health. Results: The survey was completed by 119 AHNP from across the globe, with responses predominantly (78%) from North America. Half of respondents had been working in pediatric transplant for 11+ years. Two‐thirds of respondents were formally funded to provide transplant care; however, of these not funded, over half (57%) were allied health, compared to just 6% of advance practice providers. Advanced practice/nursing groups typically provided care to one organ program, with allied health providing care for multiple organ programs. Resource constraints were barriers to practice across all groups and countries. Conclusion: In this preliminary survey exploring AHNP roles, professionals provided a range of specialized clinical care. Challenges to practice were funding and breadth of care, highlighting the need for additional resources, alongside the development of clinical practice guidelines for defining, and supporting the role of AHNP within pediatric SOT. Professional organizations, such as IPTA, can offer professional advocacy. [ABSTRACT FROM AUTHOR]

This study aimed to assess the accuracy of liquid drug dose measurements made by caregivers and explore the factors influencing these measurements. Caregivers (n = 176) of children aged less than 8 years, who were treated at the pediatric clinic of a university hospital in Turkey between July and October 2019, were eligible to participate in this study. The caregivers' ability to accurately measure a 2.5-mL dose of medication was observed using standardized measurement instruments, including 15-mL and 30-mL dosing cups, a 3-mL dropper, a 5-mL dose spoon, and a 5-mL oral syringe. A comparison was made with the reference weight determined for the 2.5-mL dose to calculate the margin of error. A dose of ± 20% of the reference value was considered a clinically significant error. The chi-square test was used to examine differences in dose error rates concerning individual characteristics. Caregivers exhibited a dosing error rate exceeding 20%. Specifically, 43% of the errors occurred when using 15-mL cups, 37% with 30-mL cups, 22% with 3-mL droppers, 4.5% with 5-mL spoons, and 4% with 5-mL syringes. In cases where errors were under 20%, the rates were as follows: 1.1% with 15-mL cups, 2.8% with 30-mL cups, 19% with 3-mL droppers, 3.4% with 5-mL spoons, and 4% with 5-mL syringes. The dosing errors were not affected by the role and health literacy level of caregivers, regardless of the type of dosing tool they used (all p values > 0.05). The study found that oral syringes and dosing spoons had the lowest error rates, whereas dosing cups had the highest error rates. Conclusion: Healthcare providers in family health centers and pediatric clinics should educate caregivers about proper drug administration with oral syringes and dosing spoons, even if dosing cups are included. What is Known: • Dose calculation errors and incorrect measurement tools are the leading factors causing errors. • Liquid medicine bottles are still often accompanied by dosing cups as measuring instruments. • Both the American Academy of Pediatrics (AAP) and the U.S. Food and Drug Administration (FDA) recommend that parents use standard measuring instruments such as oral syringes, droppers, and measuring spoons instead of kitchen spoons for administering the correct dose to children. What is New: • The measuring tool with the maximum errors was the dosing cup, whereas oral syringes and dosing spoons were more accurate. • Individual administering medication at home and the health literacy level had no effect on the accuracy of dose measurement. • Pediatric nurses, in particular, should incorporate safe liquid medication measurement tools into parental education. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to assess the status of patient safety culture among pediatric nurses in a Saudi Arabian hospital. Methods: The study employed a descriptive cross-sectional design with non-random assignment and included a convenience sample of 138 nurses who provided direct patient care across different general and specialty pediatric clinical settings. Data were collected using an anonymous, self-structured questionnaire that adopted a Survey on Patient Safety Culture™ (SOPS™). Results: The overall percentage of positive responses for the 12 patient safety culture dimensions and across 42 items was 59.2%. Furthermore, 61% of nurses reported no safety events, and 33.3% reported one to two events over the past 12 months. Conclusions: The overall percentage of positive response scores was lower than the international scores and higher than the regional benchmark scores. Clinical Relevance: Present findings should be considered by pediatric hospital management to make efforts tailored to improve the dimensions of patient safety culture in "hospital handoffs and transitions," "communication openness," and "supervisor/manager expectations and actions promoting safety." In addition, the Saudi Patient Safety Center and nursing management can use these data with a detailed understanding of the current patient safety culture in pediatric units to strengthen safe practices within health care hospitals in Saudi Arabia. [ABSTRACT FROM AUTHOR]

During the COVID-19 pandemic, numerous studies have shown the high prevalence of occupational stress (OS) of health workers, affecting the quality of health care provided. To date, there is no study regarding OS of emergency care pediatric nurses working in Greece. This study aimed to examine the pediatric nurses' OS working in tertiary public hospitals in Greece. In this cross-sectional study, a total of 104 pediatric nurses were recruited randomly from summer 2020 to summer 2021. The Expanded Nursing Stress Scale (ENSS), which consists of 59 items grouped into nine categories, was used to assess nurses OS. The overall OS mean score was 141.04 (SD = 33.48), indicating mild stress. Among nine categories, pediatric nurses were more stressed about patients and families (mean = 22.83, SD = 5.71), as well as death and dying (mean = 19.33, SD = 5.22), whereas they were less stressed about discrimination (mean = 4.21, SD = 4.09) and problems with peer support (mean = 12.11, SD = 4.58). Sex, age, and shifts did not correlate with OS. Borderline correlation was present between age and inadequate emotional preparation for less experienced nurses (p = 0.047), while higher educated pediatric nurses were more stressed because of workload than lower educated pediatric nurses (p = 0.044). Greek pediatric nurses sufferedmild OS during the COVID-19 pandemic. There is a great need for further research and implementation of supportive sustainable programs aimed to the minimization of OS and the optimization of health care provided during and after the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Background: Congenital heart disease (CHD) encompasses heart or blood vessel abnormalities arising during fetal development, affecting around 9 per 1,000 live births annually, totaling approximately 1.35 million infants. CHD is clinically classified as either cyanotic or acyanotic and often coincides with malnutrition and failure to thrive. Infants with CHD are at an increased risk of developing or pharyngeal dysphagia, characterized by difficulties in swallowing. Pediatric nurses play a crucial role in monitoring CHD, including respiratory rates and overall health, with particular attention to assessing nasal flaring for signs of respiratory distress as chest retractions and cyanosis. Objectives: Study aims to Assess variations in respiratory rate across different feeding methods and their impact on neonates with CHD at various time intervals. Methodology: A prospective observational study was carried out at the neonatal unit of Karbala Teaching Hospital for Children in Iraq. Fifty neonates, aged less than 28 days and diagnosed with CHD, were purposively recruited for the study. Inclusion criteria targeted neonates who were undergoing enteral feeding. Results: Analysis of records from 50 neonates revealed significant variations in respiratory rate across distinct feeding periods (p=0.027). and unveils noteworthy variations in nasal flaring throughout distinct feeding periods (p=0.001). And no significant differences in chest retraction across distinct feeding periods (p=1.000), no significant differences between breastfeeding, bottle-feeding and tube-feeding across time intervals of neonates feeding. Conclusion: Respiratory rate demonstrates significant variations across feeding periods. There are no significant differences in respiratory rates before-after feeding among breastfeeding, bottle-feeding, and tube-feeding. [ABSTRACT FROM AUTHOR]

Background: Pediatric basic life support (BLS) involves administering cardiopulmonary resuscitation (CPR) to children experiencing cardiac arrest without the use of equipment, relying on bag-mask ventilation or barrier devices until advanced life support (ALS) is available. Objectives: The purpose of this study was to determine the effect of simulation-based education on nurses’ knowledge in Pediatric Basic Life Support (PBLS). Methodology: A quasi-experimental pretest-posttest study was carried out with 50 nurses from the pediatric wards of two general hospitals in Al-Najaf City, Iraq, from September 16, 2023, to January 20, 2024. The study subject was a convenience sample of 50 nurses was randomly assigned to two groups of 25, to be treated as intervention or control groups. The intervention group received simulation-based educational program while the control group received no intervention. Descriptive and inferential statistics were calculated. While data collection tools were a structured self-administered questionnaire with two parts related to socio-demographic characteristics and nurses' knowledge of paediatric basic life support. The education passed through 3 phases e, pre-test, implementation and post-test phase. Results: The study's findings showed that the implementation of a simulation education program led to an improvement in the knowledge of the study group. Conclusion: The study concluded that simulation based education improved nurses' knowledge related pediatric basic life support and the study provides aline to enhance the simulation integration as active education strategies to develop nurses' knowledge in applying clinical skills. Recommendations: Further studies are recommended to evaluate the impact of simulation on nurses' education outcomes, providing more evidence that simulation would be beneficial for nurses' improvement. The researcher also suggests encouraging nurses to improve their knowledge and performances through increased participation in Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR) courses, at least every six months. [ABSTRACT FROM AUTHOR]

Pediatric nursing is known to be challenging in relation to balancing care and relationships with children and families. There is a growing body of knowledge about the perspectives of the various aspects of care; nurses' thoughts and perspectives, parents' needs and desire for collaboration, and the continued care and support required are related. This article is a secondary analysis of data collected using the theoretical framework and methodology of Margaret Newman's Health as Expanding Consciousness to understand how pediatric nurses develop knowledge. Interviews were conducted with eight pediatric nurses working in inpatient settings with children and families experiencing chronic, complex healthcare needs. The nurses, whose experience spanned between 3 and 30 years, related to stories of how their view of practice evolved over time and with experiences and the challenges to professional boundaries and ethical practice. Reflection on these experiences brought nurses to acknowledge sometimes crossing professional boundaries and struggling with ethical issues. Ultimately, reflections brought appreciation of lessons learned and evolution of the understanding of their role in the care of these children and families. [ABSTRACT FROM AUTHOR]

Purpose: This study explores how nursing professionalism impacts the quality of pediatric nursing care. Specifically, we examine the mediating effects of clinical decision making and pediatric nurse-parent partnership among pediatric nurses. Methods: The study involved 133 nurses working in pediatric wards within regions S, C, and D. Data were collected during August 2022 and analyzed using SPSS/WINdows software version 26.0 and PROCESS macro for SPSS version 4.2. Results: The double mediating effect of clinical decision making and the pediatric nurse-parent on the relationship between nursing professionalism and the quality of pediatric nursing care was statistically significant. Conclusion: Improving nursing professionalism, enhancing clinical decision making, and strengthening the pediatric nurse-parent partnership are valuable strategies for enhancing the quality of pediatric nursing care among such nurses. [ABSTRACT FROM AUTHOR]

Background: Resilience, an individual's ability to cope with and recover from stressors, is supported by contextually specific factors. Factors in the work environment may support or hinder nurses' resilience to the specific stressors present in pediatric nursing, an understudied population. Objective: We aimed to explore the contextual factors in the work environment of pediatric nurses with varying levels of resilience, including social support, the work environment, and opportunities for coping from an individual approach. Methods: This study is a secondary mixed-methods analysis using ordinal logistic regression and a meta-matrix of survey responses and semi-structured interview transcripts from 30 pediatric nurses. Results: 5 themes, 3 supporting and 2 hindering resilience, emerged from the interviews. Nurses described their resilience as supported by sharing the burden, support from administration, and taking a break. Participants described resilience as hindered when they found it challenging to provide quality nursing care and when they felt unappreciated or undervalued. No theme significantly changed the odds of having higher resilience. Conclusions: Our findings suggest that nurses recognize resources and conditions within their work environment as influencing their resilience. However, workplace resources and conditions are only one contributor to pediatric nurse resilience. Encouraging breaks and informal opportunities for nurses to support each other may support resilience in pediatric nurses. In addition, nursing leaders can support pediatric nurse resilience by regularly spending time connecting with nurses. Finally, health care organizations should consider how changes in the work environment may hinder nurse resilience by adding stress or changing access to supportive factors. [ABSTRACT FROM AUTHOR]

BACKGROUND: Millions of children are treated annually for trauma-related injuries but comprise a smaller proportion of emergency department visits than adults. As a result, emergency department teams may not have the knowledge, skills, and confidence to care for pediatric patients, and specialty teams may not interact enough as an interprofessional team to provide high-quality patient care. OBJECTIVE: The purpose of this project is to describe a novel interprofessional simulation-based education initiative to assist pediatric trauma team readiness. METHODS: An escape room was designed to provide an interactive educational environment focused on pediatric trauma education. Using an interprofessional dyad of a trauma nursing specialist and a pediatric nursing expert, the escape room was designed as a series of clues to improve pediatric skills and interprofessional collaboration between specialty teams. The escape room training was conducted (from February to March, 2023) in a large Southeastern U.S. Level II adult trauma center. RESULTS: Twenty-one registered nurses from different specialty teams participated in the simulation exercises with overwhelmingly positive feedback. Colleagues reported this was a unique way to deliver education that resulted in innovative team building and enriched collegiality between the specialty teams. CONCLUSIONS: The escape room educational format was positively received, and future events are planned across disciplines and various topics. Trauma centers with lower pediatric volumes seeking to provide engaging team-based education may use this format as a unique and innovative way to develop teams for clinical success. [ABSTRACT FROM AUTHOR]

Background: A error in intravenous injection in pediatric wards can cause irreparable injuries. This study aimed to determine the level of knowledge and performance of nurses in terms of preparation and injection of intravenous drugs in pediatric wards of hospitals affiliated to Isfahan University of Medical Sciences. Methods: This cross-sectional study was conducted in 2022 on 156 nurses working in pediatric wards. The data was collected with demographic information questionnaire and the knowledge and performance of the participants were determined using a researcher-made questionnaire, including the five rights of medication administration (preparation and injection, medication error, drug side effects, family empowerment, and documentation) using self-reporting and observation methods. Formal and content validity was calculated using the opinions of 10 experts and Cronbach's alpha with 40 samples. Results: The mean and standard deviation of total nurses' knowledge and performance scores were 58.31 + 10.1 and 66.1 + 14.4, respectively. Moreover, the mean and standard deviation of nurses' knowledge scores were 63.55 + 14.3 for documentation, 46.1 + 7.9 for preparation and injection, 73.9 + 12.3 for drug side effects, 58.4 + 10.2 for medication error, and 69.4 + 9.4 for family empowerment. Besides, the mean performance was 69.1 + 17.6 for documentation, 61.3 ± 9.9 for preparation and injection, 78.21 + 12 for drug side effects, 58.6 + 15 for medication error, and 65.4 + 17.7 for family empowerment. Conclusion: The results showed that the mean knowledge and pharmacological performance of nurses working in pediatric wards in different areas of the principles of medicine were not at the desired level, and this can affect children adversely. [ABSTRACT FROM AUTHOR]

Objective To investigate the mechanism of psychological capital and perceived organizational support in the influence of workplace violence on pediatric nurses’ burnout. Methods By convenience sampling method, 417 pediatric nurses in a tertiary children’s hospital in Shanxi Province were surveyed with the questionnaires from April to May 2022, including the Workplace Violence Scale, the Psychological Capital Scale, the Perceived Organizational Support Scale, and the Occupational Burnout Scale. Differences in job burnout among pediatric nurses with different demographic characteristics were compared. Pearson correlation analysis was performed to examine the correlations among the scores of each scale. The Bootstrap method was used to verify the mediating effects between variables. Results The prevalence of job burnout among these pediatric nurses was 66.91% (279/417). Statistically significant differences in job burnout scores were found among pediatric nurses with different ages, marital statuses, employment types, average daily working hours, average monthly incomes, and working departments (P < 0.05). The pediatric nurses aged 31 -40 years, married, informally employed, working in the emergency department, having longer average daily working hours, and earning lower average monthly incomes had higher levels of job burnout. Workplace violence was negatively correlated with psychological capital (r = - 0.269, P < 0.01) and perceived organizational support (r = - 0.303, P < 0.01), and positively correlated with job burnout (r = 0.418, P < 0.01). Psychological capital (r = - 0.543, P < 0.01) and perceived organizational support (r = - 0.543, P < 0.01) were negatively correlated with job burnout, while psychological capital was positively correlated with perceived organizational support (r = 0.488, P < 0.01). Mediation effect analysis showed that the indirect effects of perceived organizational support and psychological capital as single mediators and as chained mediators were significant, with the mediating effect values of 0.095, 0.044, and 0.043 accounting for 22.51%, 10.42%, and 10.18% of the total effect, respectively. Conclusions Pediatric nurses had a high level of job burnout. Workplace violence affected job burnout through the mediating roles of psychological capital and perceived organizational support, as well as their chained mediating effect. Hospital administrators should improve pediatric nurses’ psychological capital and perceived organizational support to alleviate the impact of workplace violence on job burnout. [ABSTRACT FROM AUTHOR]

The care given to newborns immediately within the first few hours of birth is critical for their survival. The neonatal period transitional period, immediately after birth, and it is critical for their survival and existence. Essential newborn care is one of the significant strategies for neonatal survival, especially immediately after delivery. Pediatric Nurses are the key healthcare providers who care for neonates immediately after birth. Aim of the study was to assess Nurse's Knowledge Associated with the Routine Essential Newborn Care after birth in Baghdad City. A descriptive design was utilized for this study. The setting The study was carried out at Al-Elwiya Maternity Teaching and the Private Nursing Home Hospitals in Baghdad city. Sample: A purposive sample consisted of 60 participants (Pediatric/midwives nurses) according to inclusion criteria. Tools: The questionnaire was constructed and developed and include two parts: the first part includes A structured Nurses demographic characteristics Sheet, and the second part includes for nurses' knowledge about immediate of the newborn care. Results: The results of the present study indicated that 45 (75.0%) of nurses had fair knowledge and (10%) had good knowledge, only (15.0%) of them had poor knowledge. Conclusion: According to the findings of the present study, the study concluded that only 10 % of nurses has good knowledge of routine essential newborn care after birth. And the socio-demographic characteristics of nurses' have no effect on their knowledge, exception of years of experience working in the delivery room which has a significant effect on the level of pediatric/midwives nurses' knowledge. Recommendation: Replication of the study on large samples of pediatric/midwives nurses nurses. Also, Education program for pediatric/midwives nurses about immediate newborn care to improve their knowledge and practice. [ABSTRACT FROM AUTHOR]

Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Gümüshane Üniversitesi Saglik Bilimleri Dergisi is the property of Gumushane University, Faculty of Health Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives: To evaluate the nurses' practices regarding drug administration before the intervention program, to evaluate the nurses' practices regarding drug administration after the program (post-test-1-2), To predict whether there is an effect of some demographic characteristics on nurses' practices in pediatric intensive care. Material: the study implemented during the period from September 14, 2022, to December 15, 2022. A Quazy-experimental design was used, with one group test - re-test method (pre and post-test 1 and post-test 2) for the studied sample. An instrument was developed for the study. A non-probability sample (purposive) includes all male and female nurses working in the pediatric intensive care unit / pediatric surgery center in Nineveh Governorate, whose number is (23). Result: The average age of the nurses was 28 ± 4.80 years, (52.2%) of their ages ranged between (25-29) years. The nurses' practice was poor (average 30.26 ± 8.86) in the pre-test period and good practice (average 45.30 ± 9.87) in the first post-test with a p-value (0.05). Conclusions: The study came to the conclusion that the intervention program improved nurses' poor practices regarding post-operative care of infants with tracheoesophageal fistula into good practices and had a significant impact on how nurses administered postoperative medication. [ABSTRACT FROM AUTHOR]

Copyright of Medizinische Klinik: Intensivmedizin & Notfallmedizin is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: There is a need for pragmatic and reliable measures of sound factors that affect evidence-based practice (EBP) adoption and implementation in different languages and cultural environments. The Implementation Leadership Scale (ILS) is a brief and efficient measurement tool of strategic leadership for EBP implementation. The objective of this study was to assess the psychometric properties of the Spanish version of the ILS. Methods: The process of translation of the original ILS into Spanish consisted of forward translation, panel meeting, and back-translation. Scale face and content validity compared to that of the original version were assessed and ensured before agreement on the final version. Psychometric properties were examined in 144 healthcare professionals (family physicians, pediatricians, practice and pediatric nurses) involved in implementation or improvement research projects. ILS factor structure was tested by confirmatory factor analysis (CFA). Reliability was assessed by internal consistency analysis. The Pearson correlation between the ILS and the Organizational Support dimension of the Organizational Readiness for Knowledge Translation (OR4KT) questionnaire in the subsample of pediatricians and pediatric nurses (n = 52) was estimated for convergent validity analysis. Results: The CFA results indicated that the original four theorized first-order factors with a second-order Implementation Leadership factor fit the data well (χ2 = 107.70; df = 45; p < 0.001). All standardized first- and second-order factor loadings were statistically significant. Fit indexes showed acceptable figures (GFI = 0.90; CFI = 0.97; RMSEA = 0.10; SRMR = 0.053). Cronbach's alpha coefficient for the four dimensions of ILS ranged from 0.90 to 0.97, while the reliability estimated for the total scale was 0.95. Results of convergent validity revealed high correlation (r = 0.56) between the ILS and the OR4KT's Organizational Support dimension. Conclusion: The CFA results demonstrated that the tested first- and second-order factor structure of the 12-item Spanish version of the ILS is consistent with the factor structure of the original tool. The availability of the ILS will allow Spanish-speaking researchers to assess and advance understanding of the implementation leadership construct as a predictor of organizational implementation context. [ABSTRACT FROM AUTHOR]

Introduction: Hospital-acquired infections are considerably known to raise mortality and morbidity rates, lengthen hospital stays and increase medical expenses. Yet, there is little knowledge about nurses' perspectives on hand hygiene compliance in the low-and middle-income countries. This study aimed to explore neonatal and pediatric care unit nurses' perceptions regarding compliance with hand hygiene in a Nigerian Federal Tertiary Teaching Hospital. Methods: A qualitative study using an ethnographic approach was utilized in this study. In-depth, semi-structured interviews and shadowing were conducted among neonatal and pediatric nurses at a federal tertiary teaching hospital in the southeastern region of Nigeria between November 2021 and March 2022. Purposive sampling was performed until data saturation was achieved. Data were compiled, thematically coded, and analyzed. Results: Twenty-two nurses participated in this study. Most were female (91%), and the mean age was 44.9 years. Four themes emerged: leadership, administrative accountability, prompt, and hand hygiene monitoring. Conclusion: Observed hand hygiene compliance among nurses is poor, highlighting the need for further efforts to improve hand hygiene practices. Leadership, administrative accountability, prompt reminder and hand hygiene monitoring were strategies for enhancing nurses' compliance with hand hygiene. All these were thought to be the driving force in adopting hand hygiene guidelines and preventing hospital-acquired infections. [ABSTRACT FROM AUTHOR]

Background and Purpose: Family-centered care (FCC) is a philosophy of care that applies to all areas of pediatric nursing and is a key component of the care model for patient safety and management activities in the medical environment of hospitalized children. The aim of this study was to translate and evaluate the psychometric properties of the Korean version of the Family-Centered Care Questionnaire — Revised (FCCQ-R). Methods: A total of 239 questionnaires were completed by pediatric nurses at four consenting general hospitals. Results: Fourteen items were removed from the original questionnaire through exploratory factor analysis and nine subscales were reduced to five. The factor loadings of the 30 items on the five subscales ranged from 0.50–0.80. The model of the Korean version of the questionnaire was validated by an exploratory and confirmatory factor analysis. Reliability analysis for internal consistency showed an acceptable to high Cronbach's α of 0.96 in total and the subscales ranged from 0.59–0.92. Conclusions: This study verified the validity and reliability of the tool to measure the perception of FCC. Future research will need to correlate FCC with more relevant measures, such as the nurse–parent partnership measure tool, to confirm predictive and concurrent validity. The Korean version of the FCCQ-R of 30 questions on five subscales is a valid and reliable measurement of Korean nurses' perceptions of FCC. [ABSTRACT FROM AUTHOR]

Background and Purpose: Recent studies have demonstrated the adverse effects that moral distress experienced by nurses has on nurses, patients, and the healthcare system. This study aims to analyze the validity and reliability of the Turkish version of the Moral Distress Scale-Revised (MDS-R, pediatric). Methods: This study was conducted with 210 pediatric nurses. Results: Explanatory factor analysis was conducted, and a five-factor structure emerged. The Cronbach's α value of the scale was found to be 0.865, and the correlation-based item analysis showed that the values were within the acceptable range, and the discrimination of the items was adequate. Conclusions: Analyses conducted revealed that the Turkish version of the MDS-R (pediatric), consisting of 21 items and five subdimensions, is a valid and reliable measurement tool for the Turkish culture and language. [ABSTRACT FROM AUTHOR]

Background: For the early recognition of deteriorating patients several Pediatric Early Warning Score (PEWS) systems have been developed with the assumption that early detection can prevent further deterioration. Although PEWS are widely being used in hospitals in the Netherlands, there is no national consensus on which score to use and how to embed the score into a PEWS system. This resulted in a substantial heterogeneity of PEWS systems, of which many are unvalidated or self-designed. The primary objective of this study was to develop a pragmatic consensus-based PEWS system that can be utilized in all Dutch hospitals (University Medical Centers, teaching hospitals, and general hospitals). Methods: This study is an iterative mixed-methods study. The methods from the Core Outcome Measures in Effectiveness Trials (COMET) initiative were used and consisted of two Delphi rounds, two inventories set out to all Dutch hospitals and a focus group session with parents. The study was guided by five expert meetings with different stakeholders and a final consensus meeting that resulted in a core PEWS set. Results: The first Delphi round was completed by 292 healthcare professionals, consisting of pediatric nurses and physicians. In the second Delphi round 217 healthcare professionals participated. Eventually, the core PEWS set was been developed comprising of the parameters work of breathing, respiratory rate, oxygen therapy, heart rate and capillary refill time, and AVPU (Alert, Verbal, Pain, and Unresponsive). In addition, risk stratification was added to the core set with standardized risk factors consisting of [1] worried signs from healthcare professionals and parents and [2] high-risk treatment, with the option to add applicable local defined risk factors. Lastly, the three categories of risk stratification were defined (standard, medium, and high risk) in combination with standardized actions of the professionals for each category. Conclusion: This study demonstrates a way to end a country's struggle with PEWS heterogeneity by co-designing a national Dutch PEWS system. Currently, the power of the system is being investigated in a large multi-center study in the Netherlands. [ABSTRACT FROM AUTHOR]

Purpose: It is extremely important to evaluate the self-perceptions, anger expression styles, and empathic skill levels of both hearingimpaired and non-hearing-impaired adolescents in order to support adolescents' coping with psychosocial changes in adolescence, and also to evaluate the social adaptation of adolescents in case of disability. In this study was aimed to examine adolescents's selfperceptions, anger expression styles and empathic skill levels according to being hearing impaired. Methods: Matched case control study was with carried out with 552 students between 9 and 18 ages in 5 schools from located in a city center in the Aegean Region, between April-June 2016. In the study; hearing impaired adolescents were composed the Case group (n=138) and the non-hearing impaired adolescents corrected according to some parameters were composed the Control group (n=414) (1 case to 3 controls). Results: The average age of the all adolescents in the study was 14,46 and %73,2 were girls. As a result of the analyses: It has been determined that the hearing impaired adolescents compared to the adolescents without hearing impairment participating in the study have lower self-esteem, express their anger more, and have lower anger control, trait anger, and empathy skills. Conclusion: It is thought that the result of the research will contribute to more effective education and care for pediatric nurses and all health professionals who are interested in the self-perceptions, anger expression styles and empathic skills of adolescents according to their hearing impairment and who provide health care to children and adolescents with disabilities. [ABSTRACT FROM AUTHOR]

Central venous access device-related thrombosis (CRT) is a common complication in hospitalized children. The pediatric nurses' knowledge, attitude, and practice are of great significance for CRT prevention in hospitalized children. The purpose of this study was to elaborate on the level and influencing factors of pediatric nurses' knowledge, attitude, and practice on the prevention related to CRT in hospitalized children. This national cross-sectional study was carried out in China from January 16, 2021, to April 23, 2021. A multi-stage sampling method was adopted, and 1060 pediatric nurses from 21 hospitals participated in this study. The current situation and influencing factors of pediatric nurses' knowledge, attitude, and practice were investigated by descriptive statistics, approximate t test or independent-sample t test, nonparametric Kruskal–Wallis H test, one-way analysis of variance, and multiple linear regression analysis. The relationship among pediatric nurses' knowledge, attitude, and practice was explored by the Pearson correlation analysis. Among all pediatric nurses involved in this study, 25% had insufficient knowledge, 18% had negative attitudes, and 24% had poor behaviors. The main influencing factors on the knowledge, attitude, and practice included the highest education level of pediatric nurses (β = 0.10, P =.001), whether received training related to CRT prevention (β = 0.09–0.14, P <.01), whether CRT-related knowledge was enough for dealing with clinical work (β = 0.18–0.21, P <.001), and the importance of hospitals/departments on children CRT prevention (β = 0.16–0.24, P <.001). There was a positive correlation between knowledge, attitude, and practice (r = 0.24–0.77, P <.01). Conclusion: Pediatric nurses' CRT-prevention knowledge and practice are unsatisfactory, while their preventive attitude toward CRT prevention is optimistic. This study assists the formulation of comprehensive intervention strategies for pediatric nurses in preventing CRT in hospitalized children by hospital-related organizations and nursing managers, so as to improve the participation of pediatric nurses in CRT prevention and reduce the occurrence of CRT for hospitalized children. What is Known: • As a common complication in hospitalized children, CRT can induce many potentially serious complications. • A professional nursing team is an important prerequisite for reducing CRT incidence. What is New: • The levels of pediatric nurses' knowledge and practice are not satisfactory, while pediatric nurses' preventive attitude toward CRT prevention is optimistic. • Hospital-related organizations and nursing managers should highlight the importance of CRT prevention and encourage pediatric nurses to improve their expertise and strengthen the training related to CRT prevention. [ABSTRACT FROM AUTHOR]

The article describes how a group of nurses in a pediatric cardiac intensive care unit (CICU) identified an overlooked infection, ventilator-associated tracheitis (VAT), that was occurring at concerning rates in their patient population and created and implemented an evidence-based prevention bundle to reduce the incidence of infection and improve patient outcomes. Topics include diagnostic criteria of VAT and ventilator-associated pneumonia (VAP) and bundle elements of COMBAT VAT project.

This review explores risk factors leading to adverse neurodevelopmental sequelae in patients with congenital heart disease (CHD), describes different forms of neurodevelopmental morbidity seen in school-age children and adolescents with CHD, and discusses practice implications for pediatric nurses caring for them. PubMed and Google Scholar were the primary search engines used for the literature search. One textbook chapter and 25 articles from peer-reviewed journals were selected according to relevance and recency, with a focus on studies published in 2016 or later. Data exploring negative neurodevelopmental sequelae in the domains of cognitive ability, motor function, executive functioning, and psychiatric health in pediatric patients with CHD were abstracted. Survivors of CHD may experience a variety of neurodevelopmental challenges due to abnormalities in blood flow during the fetal and neonatal period, complications in the operating room or during postoperative recovery, and biological and family-related risk factors. School-age children and adolescents with CHD may display deficits in cognitive, motor, and executive function. Higher rates of psychiatric disorders have also been identified in this population. Pediatric nurses caring for children with CHD are an integral part of the care team, helping manage various aspects of care, such as surveillance and care coordination, psychosocial care, and patientfamily education. Pediatric nurses have an important role in recognizing these challenges and providing patients with CHD the support and resources they need to attain optimal outcomes. [ABSTRACT FROM AUTHOR]

To describe healthcare professionals' perceptions of social health inequalities in the context of pediatric chronic disease and their insights regarding proportionate universalism as a potential solution to reduce them. Semi-directive interviews were conducted with healthcare professionals from different pediatric chronic disease departments of a single French academic hospital. This qualitative study was based on an inductive thematic analysis; an interview topic guide was used for the interviews and the analysis. In this study, we highlighted three main themes: the healthcare professionals' perceptions of social health inequalities in their practices, their beliefs regarding the causality of those inequalities, and potential solutions proposed by healthcare professionals to reduce them. Healthcare professionals very often associated inequalities with socio-economic precariousness or geographical disparities but were not familiar with the notion of a social gradient. Paradoxically, while they claimed not to differentiate among patients in their practice, they did report adapting care, depending on the social situation. For healthcare professionals, inequalities were the result of misunderstood problems, a lack of family support, a failure of the prevention system, and a lack of financial resources. Conclusion: We still need to develop solutions to tackle those inequalities at every level of the healthcare system, and healthcare professionals must be more actively involved in this effort. One approach is to adapt public health principles such as proportionate universalism to individual care. What is Known: • Social health inequalities exist in pediatric care and a social gradient has been shown in many clinical situations. • Exploring health professionals' perceptions of social health inequalities can lead to solutions to tackle them. What is New: • Pediatricians and pediatric nurses were not fully aware of the social gradient of health. • Although they claimed not to differentiate between patients in their practice, healthcare professionals did adapt care when complicated social situations arose. [ABSTRACT FROM AUTHOR]

Copyright of Kufa Journal for Nursing Sciences is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)