Purpose
The purpose of this study was to investigate the effect of family-centered interventions on improving health outcomes in children and adolescents with type 1 diabetes mellitus (T1DM).
Methods
A literature search was conducted according to the PRISMA guidelines, using six electronic databases: EMBASE, CINAHL, Medline, CENTRAL, Scopus, and Web of Science. The inclusion criteria encompassed studies with populations of children and adolescents (age <18 years) and at least one parent/caregiver, or only parents/caregivers if the children were very young, and studies that investigated the health outcomes of children and parents/caregivers diagnosed with T1DM.
Results
From 2,746 published studies, only nine studies met the inclusion criteria. The key interventions were non-technology-based interventions (n=4), technology-based interventions (n=2), and combined technology- and non-technologybased interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parentchild teamwork in diabetes management. Other essential effects were children's quality of life, children's problem-solving skills, parents' quality of life, and parents' coping and depression.
Conclusion
Family-centered interventions can effectively improve health outcomes in children and adolescents with T1DM. In the future, family-centered interventions integrated with other approaches, theories, and models should be developed to achieve the best possible outcomes.

Citations

• Family therapy and systemic interventions for child‐focussed problems: The evidence base
  Alan Carr
  Journal of Family Therapy.2025;[Epub]     CrossRef
• A Family Peer Advocate Model to Address Disparities in Access to Care for Minority Autistic Children with Co-Occurring Attention-Deficit/Hyperactivity Disorder
  Pilar Trelles, Behrang Mahjani, Emma Wilkinson, Nicholas Buonagura, Lauren Donnelly, Jennifer Foss Feig, Danielle Halpern, Mary McKay, Paige Siper, Joseph D Buxbaum, Alexander Kolevzon
  Journal of Developmental and Physical Disabilities.2025; 37(2): 217.     CrossRef
• Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts
  Brody Sundheim, Krish Hirani, Mateo Blaschke, Joana R. N. Lemos, Rahul Mittal
  Journal of Clinical Medicine.2025; 14(2): 383.     CrossRef
• Integrating Theory With a User-Centered Design Approach to Maximize mHealth Acceptability and Usability
  A. Susana Ramírez, Guadalupe Xochitl Ayala, Mary Murillo, Debora C. Glik, Alma D. Guerrero
  Health Education & Behavior.2025;[Epub]     CrossRef
• Pediatric Non-Alcoholic Fatty Liver Disease (NAFLD): Trends, Mortality, and Socioeconomic Disparities in the U.S., 1998–2020
  Paul Wasuwanich, Joshua M. So, Mustafa Sadek, Chaowapong Jarasvaraparn, Songyos Rajborirug, Ruben E. Quiros-Tejeira, Wikrom Karnsakul
  Children.2025; 12(1): 71.     CrossRef
• Impact of family environment on mental disorders and quality of life in children with type 1 diabetes mellitus: a cross-sectional study and intervention policy analysis
  Jing Liu, Jinhong Li, Lichang Li, Kun Zeng
  Frontiers in Pediatrics.2025;[Epub]     CrossRef
• Psychosocial Care for Youth with Type 1 Diabetes
  Jenna B. Shapiro, Kimberly P. Garza, Marissa A. Feldman, Madeleine C. Suhs, Julia Ellis, Amanda Terry, Kelsey R. Howard, Jill Weissberg-Benchell
  Endocrinology and Metabolism Clinics of North Amer.2024; 53(1): 107.     CrossRef
• Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial
  Deborah Ellis, April Idalski Carcone, Thomas Templin, Meredyth Evans, Jill Weissberg-Benchell, Colleen Buggs-Saxton, Claudia Boucher-Berry, Jennifer L Miller, Tina Drossos, M Bassem Dekelbab
  JMIR Diabetes.2024; 9: e55165.     CrossRef
• Adolescents and type 1 diabetes: A grounded theory on adolescents' experiences of adaptation to type 1 diabetes
  Lobna Harazneh, Malakeh Z. Malak, Ahmad Ayed
  Journal of Pediatric Nursing.2024; 76: e159.     CrossRef
• Self-care activities in pediatric patients with type 1 diabetes mellitus
  Mirjana Smudja, Tatjana Milenković, Ivana Minaković, Vera Zdravković, Jovan Javorac, Dragana Milutinović, Myriam M. Altamirano-Bustamante
  PLOS ONE.2024; 19(3): e0300055.     CrossRef
• Educational needs of school health teachers caring for students with type 1 diabetes: An analysis using the Borich needs assessment and the locus for focus models
  Heewon Seok, Ju-Yeon Uhm
  The Journal of Korean Academic Society of Nursing .2024; 30(4): 347.     CrossRef

Purpose
Artificial intelligence (AI) has had a profound impact on humanity; in particular, chatbots have been designed for interactivity and applied to many aspects of daily life. Chatbots are also regarded as an innovative modality in nursing education. This study aimed to identify nursing students' awareness of using chatbots and factors influencing their usage intention.
Methods
This study, which employed a descriptive design using a self-reported questionnaire, was conducted at three university nursing schools located in Seoul, South Korea. The participants were 289 junior and senior nursing students. Data were collected using self-reported questionnaires, both online via a Naver Form and offline.
Results
The total mean score of awareness of using chatbots was 3.49±0.61 points out of 5. The mean scores of the four dimensions of awareness of using chatbots were 3.37±0.60 for perceived value, 3.66±0.73 for perceived usefulness, 3.83±0.73 for perceived ease of use, and 3.36±0.87 for intention to use. Significant differences were observed in awareness of using chatbots according to satisfaction with nursing (p<.001), effectiveness of using various methods for nursing education (p<.001), and interest in chatbots (p<.001). The correlations among the four dimensions ranged from .52 to .80. In a hierarchical regression analysis, perceived value (β=.45) accounted for 60.2% of variance in intention to use.
Conclusion
The results suggest that chatbots have the potential to be used in nursing education. Further research is needed to clarify the effectiveness of using chatbots in nursing education.

Citations

• Predicting nursing students’ behavioral intentions to use AI: The interplay of ethical awareness, digital literacy, moral sensitivity, attitude, self-efficacy, anxiety, and social influence
  Mohammad Abuadas, Zainab Albikawi
  Journal of Human Behavior in the Social Environmen.2025; : 1.     CrossRef
• Integrating artificial intelligence ethically in nursing education
  Dawn L. Riess
  Nursing.2025; 55(4): 56.     CrossRef
• The Turkish Version of the Technology Acceptance Model-Based Scale TAME-ChatGPT: A Validity and Reliability Study
  Ebru Küçük, Buket Meral, Kıymet Yesilçiçek Çalık, Cantürk Çapık
  International Journal of Human–Computer Interactio.2025; : 1.     CrossRef
• Evolution of Chatbots in Nursing Education: Narrative Review
  Fang Zhang, Xiaoliu Liu, Wenyan Wu, Shiben Zhu
  JMIR Medical Education.2024; 10: e54987.     CrossRef
• The Impact of Artificial Intelligence-Assisted Learning on Nursing Students' Ethical Decision-making and Clinical Reasoning in Pediatric Care
  Hyewon Shin, Jennie C. De Gagne, Sang Suk Kim, Minjoo Hong
  CIN: Computers, Informatics, Nursing.2024; 42(10): 704.     CrossRef
• Artificial intelligence tools utilized in nursing education: Incidence and associated factors
  Samar Thabet Jallad, Khitam Alsaqer, Baker Ishaq Albadareen, Duaa Al-maghaireh
  Nurse Education Today.2024; 142: 106355.     CrossRef
• The association of artificial intelligence ethical awareness, attitudes, anxiety, and intention-to-use artificial intelligence technology among nursing students
  Moh''d Khair Migdadi, Islam Ali Oweidat, Mohammad R. Alosta, Khalid Al-Mugheed, Amany Anwar Saeed Alabdullah, Sally Mohammed Farghaly Abdelaliem
  DIGITAL HEALTH.2024;[Epub]     CrossRef
• UNLOCKING THE TRANSFORMATIVE POWER OF ARTIFICIAL INTELLIGENCE FOR SUSTAINABLE DEVELOPMENT IN HIGHER EDUCATION
  TIJJANI MUHAMMAD, MARY DAVID
  Innovare Journal of Social Sciences.2024; : 19.     CrossRef

Citations

• Academic library online chat services under the impact of artificial intelligence
  LiLi Li, Kay Coates
  Information Discovery and Delivery.2025; 53(2): 192.     CrossRef
• Filipino Nurse Researchers' Knowledge, perception, and attitudes toward ChatGPT and Their Research Productivity
  Cyruz P. Tuppal, Marina Magnolia G. Ninobla, Richard D. Loresco, Mara R. Cabradilla, Shanine Mae P. Tuppal, Leah Kalayaan A. Pellacoeur, Mary Nellie T. Roa, Judith Mary Ann R. Chan, Iril I. Panes, Ana Libabel U. Ferreras
  IJERI: International Journal of Educational Resear.2025;[Epub]     CrossRef
• Man Versus Machine: A Comparative Study of Human and ChatGPT-Generated Abstracts in Plastic Surgery Research
  Sophia M. Pressman, John P. Garcia, Sahar Borna, Cesar A. Gomez-Cabello, Syed Ali Haider, Clifton R. Haider, Antonio Jorge Forte
  Aesthetic Plastic Surgery.2025;[Epub]     CrossRef
• English Education Students' Perception of the Use of ChatGPT in Writing Articles
  Uswatun Hasanah, Ivan Achmad Nurcholis
  Pubmedia Jurnal Pendidikan Bahasa Inggris.2024; 1(2): 10.     CrossRef
• Ethics and the use of generative AI in professional editing
  Renée Otmar, Rose Michael, Sharon Mullins, Katherine Day
  AI and Ethics.2024;[Epub]     CrossRef
• Editorial policies of Journal of Educational Evaluation for Health Professions on the use of generative artificial intelligence in article writing and peer review
  Sun Huh
  Journal of Educational Evaluation for Health Profe.2023; 20: 40.     CrossRef

Purpose
This study aimed to examine pediatric hospital nurses' perceptions and performance of family-centered care.
Methods
A descriptive study design was used. This study surveyed 162 nurses who worked at a single tertiary children's hospital in South Korea. The modified Family-Centered Care Scale was used to assess nurses' perceptions and performance of family-centered care. Barriers to the implementation of family-centered care were described in an open-ended format.
Results
Pediatric hospital nurses had a higher score for perceptions (mean score=4.07) than for performance (mean score=3.77). The collaboration subscale had the lowest scores for both perceptions and performance. The perceptions of family-centered care differed significantly according to the nurses’ clinical career in the pediatric unit and familiarity with family-centered care, while performance differed according to clinical career only. Perceptions and performance were positively correlated (r=.594, p<.001). Barriers to implementation included a shortage of nursing personnel, a lack of time, and the absence of a family-centered care system.
Conclusion
To improve the performance of family-centered care, nurses’ perceptions of family-centered care should be improved by offering education programs and active support, including sufficient staffing, and establishing systems within hospitals.

Citations

• The parent-doctor-child triangle: a structural equation modeling-based study in pediatric outpatient clinics in Indonesia
  Areta Idarto, Ferdi Antonio
  Child Health Nursing Research.2025; 31(1): 63.     CrossRef
• Development of an atraumatic care education model based on family-centered care to improve maternal behavior in reducing children's stress during hospitalization
  Dera Alfiyanti, Yuni Sufyanti Arief, Ilya Krisnana, Mira Triharini, Arief Yanto
  Journal of Pediatric Nursing.2025;[Epub]     CrossRef
• Family-centred care as a mediator in the relationship between parental nurse support and parental stress in neonatal intensive care units
  Ahmed Loutfy, Mohamed Ali Zoromba, Mai Adel Mohamed, Heba Emad El-Gazar, Shaherah Yousef Andargeery, Ahmed Hashem El-Monshed, Corrien Van Belkum, Ahmed Salah Ali
  BMC Nursing.2024;[Epub]     CrossRef
• “It's challenging but not impossible”: Exploring clinical instructors' experiences of child and family centered care in clinical nursing education
  Mohammad Al-Motlaq
  Journal of Pediatric Nursing.2024; 78: 172.     CrossRef
• Parent Education and Counseling (PairEd-C) Intervention to Improve Family-Centered Care: Protocol for a Prospective Acceptability Study Using the Theoretical Framework of Acceptability
  Leul Deribe, Eshetu Girma, Nataliya Lindström, Abdulkadir Gidey, Solomon Teferra, Adamu Addissie
  JMIR Research Protocols.2024; 13: e54914.     CrossRef
• A validity and reliability of the atraumatic care education model questionnaire based on family-centred care in minimising the stress of hospitalisation in children
  Dera Alfiyanti, Arief Sufyanti, Ilya Krisnana, Mira Triharini, Satriya Pranata
  Scripta Medica.2024; 55(5): 537.     CrossRef

Citations

• Digital competency among pediatric healthcare workers and students: a questionnaire survey
  Sang-Sang Ren, Wei-Ze Xu, Zhi Chen, Jia-Jia Chen
  World Journal of Pediatrics.2025; 21(2): 192.     CrossRef
• Artificial intelligence for digital healthcare in the low and medium income countries
  Sinegugu Emgard Sibiya, Rajendraparsad Hurchund, Bernard Omondi, Peter Owira
  Health and Technology.2025;[Epub]     CrossRef
• Developing and validating a 2D digital version of the Brazilian Children's anxiety questionnaire
  Valquiria Moreira Lacerda Martins, Juliana Bastoni da Silva, Janaina Chinaque Francisco, Gabriela Rossi Dos Santos, Gabriely Silva dos Santos, Stefan Nilsson, Marla Andreia Garcia de Avila
  Journal of Pediatric Nursing.2024; 76: 160.     CrossRef
• Acceptance of Digital Health Care Technology and the Role of Nursing Education
  Jiyoung Han, Meeyoung Kim, Kum Hei Ryu, Kwangsoo Shin
  The Journal of Continuing Education in Nursing.2024; 55(12): 575.     CrossRef
• Artificial intelligence: A huge augmentation in nursing curriculum
  Rupa Ashok Verma, Ankita Nancy Anil Das, Rama Hari Danapure, Priyanka Dadarao Kosare, Smita Bhimrao Moon, Ashish Ganesh Chokhare
  IP Journal of Paediatrics and Nursing Science.2024; 7(4): 125.     CrossRef

Purpose
Developmental disabilities (DDs) are a global childhood problem whose prevalence is rising, with a disproportionate impact on individuals in low-and middle-income countries. However, data on the prevalence of DDs in the Arab world are limited. This review highlights what is currently known about the prevalence and risk factors of DDs in preschool children in the Arab world.
Methods
PubMed, Cochrane Library, Scopus, CINAHL, Science Direct, and Google Scholar were searched for publications on DDs among preschool children in the Arab world. Only 14 studies were identified in the literature, from 12 Arab countries.
Results
The overall estimated prevalence of DDs among preschool children in the Arab world is 27.5%. An analysis of risk factors for DDs showed that child-related, maternal, and family-related factors account for a significant cumulative risk of developing DDs in preschool children. Maternal factors, such as antenatal and perinatal complications, were the most common risk factors.
Conclusion
The prevalence of DDs among preschoolers is significantly high in the Arab world, which emphasizes the importance of the early detection and diagnosis of DD, as well as its associated risk factors.

Citations

• Bedouin fathers of children with developmental disabilities—Stress, stigma and collaboration with professionals
  I. Manor-Binyamini
  Research in Developmental Disabilities.2025; 157: 104902.     CrossRef
• Assessment of idiopathic scoliosis among adolescents and associated factors in Palestine
  Omar H. Almahmoud, Baraa Baniodeh, Reem Musleh, Sanabel Asmar, Mohammed Zyada, Hadeel Qattousah
  Journal of Pediatric Nursing.2024; 74: 85.     CrossRef
• Developmental delay and its demographic and social predictors among preschool-age children in Palestine
  Omar H. Almahmoud, Lubna Abushaikha
  Journal of Pediatric Nursing.2024; 74: 101.     CrossRef
• Predictors of health-related quality of life (HRQoL) for caregivers of children with developmental disabilities in Saudi Arabia: An observational study
  Mohammed S. Alghamdi, Abdulaziz Awali
  Medicine.2024; 103(32): e39206.     CrossRef
• Comprehensive evaluation of the child with global developmental delays or intellectual disability
  Abdullah Nasser Aldosari, T. Saeed Aldosari
  Clinical and Experimental Pediatrics.2024; 67(9): 435.     CrossRef

Purpose
This systematic literature review and meta-analysis explored extended reality (XR)-based pediatric nursing simulation programs and analyzed their effectiveness.
Methods
A literature search was conducted between May 1 and 30, 2022 in the following electronic databases: MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL. The search period was from 2000 to 2022. In total, 6,095 articles were reviewed according to the inclusion and exclusion criteria, and 14 articles were selected for the final content analysis and 10 for the meta-analysis. Data analysis was performed using descriptive statistics and the Comprehensive Meta- Analysis program.
Results
XR-based pediatric nursing simulation programs have increased since 2019. Studies using virtual reality with manikins or high-fidelity simulators were the most common, with six studies. The total effect size was statistically significant at 0.84 (95% confidence interval=0.50-1.19, z=4.82, p<.001).
Conclusion
Based on the findings, we suggest developing standardized guidelines for the operation of virtual pediatric nursing simulation education and practice. Simultaneously, the application of more sophisticated research designs for effect measurement and the combined applications of various virtual simulation methods are needed to validate the most effective simulation methodology.

Citations

• Identifying Research Priorities in Digital Education for Health Care: Umbrella Review and Modified Delphi Method Study
  Alison Potter, Chris Munsch, Elaine Watson, Emily Hopkins, Sofia Kitromili, Iain Cameron O'Neill, Judy Larbie, Essi Niittymaki, Catriona Ramsay, Joshua Burke, Neil Ralph
  Journal of Medical Internet Research.2025; 27: e66157.     CrossRef
• Augmenting pediatric nursing clinical education with low-cost simulations
  Valerie C. Martinez, Desiree A. Díaz, Mindi Anderson, Samantha Stephenson, Syretta Spears
  Journal of Pediatric Nursing.2025; 81: 136.     CrossRef
• Child Nursing Simulation Scenario Content Analysis: A Directed Qualitative Content Analysis
  Eun Joo Kim, Kyung Mi Cho, Sung Sook Song
  Clinical Simulation in Nursing.2024; 87: 101488.     CrossRef
• Development of neonatal Apgar scoring training program utilizing contactless hand tracking in immersive virtual reality
  Sun-Yi Yang, Yun-Hee Oh
  Nurse Education Today.2024; 140: 106294.     CrossRef
• Enhancing Nursing Simulation Education: A Case for Extended Reality Innovation
  Shanna Fealy, Pauletta Irwin, Zeynep Tacgin, Zi Siang See, Donovan Jones
  Virtual Worlds.2023; 2(3): 218.     CrossRef

Purpose
The purpose of this study was to investigate perceptions of fatherhood among fathers of high-risk neonates and their confidence regarding neonatal care.
Methods
A study was conducted of 100 fathers whose neonates had been admitted to a neonatal intensive care unit (NICU) for at least 48 hours. Perceptions of fatherhood, neonatal characteristics, and fathers' confidence regarding neonatal care were measured using a self-reported questionnaire. The survey took approximately 10 minutes to complete and was completed anonymously. The factors that affected fathers' confidence regarding neonatal care were analyzed using multiple regression.
Results
The scores for positive and negative perceptions of fatherhood were relatively high at 4.27 and 3.42 out of 5 points, respectively. A positive perception of fatherhood was found to influence fathers' confidence regarding neonatal care.
Conclusion
NICU nurses should encourage fathers to effectively perform their parenting roles by implementing educational programs and interventions to promote positive perceptions of fatherhood and fathers' confidence regarding neonatal care after discharge.

Citations

• Fathers in the neonatal unit: A narrative review
  Claire Webber, Paula Foran, Karen Walker
  Journal of Neonatal Nursing.2025; 31(2): 101617.     CrossRef
• Review of the Research Literature on the Impact of Father Absence on Child Development in Alignment with the Sustainable Development Goals (SDGS)
  Hadiye Kucukkaragoz
  Journal of Lifestyle and SDGs Review.2025; 5(4): e06117.     CrossRef
• Parents’ Participation in Care during Neonatal Intensive Care Unit Stay in COVID-19 Era: An Observational Study
  Emanuele Buccione, Davide Scarponcini Fornaro, Damiana Pieragostino, Luca Natale, Adelaide D’Errico, Valentina Chiavaroli, Laura Rasero, Stefano Bambi, Carlo Della Pelle, Susanna Di Valerio
  Nursing Reports.2024; 14(2): 1212.     CrossRef
• Supporting Fathers in the Neonatal Intensive Care Unit
  William Hull, Alejandra Rodriguez, Nathan Talarico, Curry Bordelon
  Journal of Perinatal & Neonatal Nursing.2024;[Epub]     CrossRef

Purpose
Based on the health belief model and theory of planned behavior, this study investigated how age group (adolescence and emerging adulthood) moderated the relative effects of perceived susceptibility, perceived severity, and subjective norms on preventive behavior against coronavirus disease 2019 (COVID-19).
Methods
This secondary data analysis utilized data from adolescents (n=272) and emerging adults (n=239). Hierarchical multiple regression analysis was performed to test the moderating effect of age group on the relationships among variables.
Results
Higher perceived susceptibility (β=.21, p<.001), perceived severity (β=.14, p=.002), subjective norms (friends) (β=.26, p<.001), subjective norms (parents) (β=.44, p<.001), and subjective norms (schools) (β=.28, p<.001) enhanced COVID-19 preventive behaviors. Moderated regression analysis showed that subjective norms (friends and school) impacted preventive behavior in adolescents more than in emerging adults.
Conclusion
Given the need to increase perceived susceptibility and severity among adolescents and emerging adults, these findings provide baseline data for designing effective COVID-19 prevention interventions that consider the developmental characteristics of different age groups. Interventions by health centers at universities can strengthen COVID-19 preventive behavior among emerging adults. As adolescents are influenced by friends, their peer roles must be strengthened to enhance adherence to COVID-19 preventive guidelines.

Citations

• Predicting cybersecurity behaviors in the metaverse through the lenses of TTAT and TPB: a hybrid SEM-ANN approach
  Rawan A. Alsharida, Bander Ali Saleh Al-rimy, Mostafa Al-Emran, Mohammed A. Al-Sharafi, Anazida Zainal
  Online Information Review.2025;[Epub]     CrossRef
• Theory of Planned Behaviour and Sexting Intention of College Student
  Arta Dodaj, Kristina Sesar, Lucijana Bošnjak, Martina Vučić
  Emerging Adulthood.2024; 12(2): 163.     CrossRef
• Factors associated with the COVID-19 booster vaccine intentions of young adults in the United States
  Hyunmin Yu, Stephen Bonett, Ufuoma Oyiborhoro, Subhash Aryal, Melanie Kornides, Karen Glanz, Antonia Villarruel, José Bauermeister
  Human Vaccines & Immunotherapeutics.2024;[Epub]     CrossRef
• Factors Related to the COVID-19 Prevention Behaviors of Adolescents: Focusing on Six Middle and High Schools in Korea
  Shinae Lee, Gye-Hyun Jung, Hye-Young Song
  Healthcare.2023; 11(20): 2779.     CrossRef

Purpose
This study aimed to identify the general characteristics and health behaviors of students with non-therapeutic substance use.
Methods
This secondary data analysis used data from the 17th Korea Youth Risk Behavior Web-based Survey (2021). Analyses of the 54,848 adolescents used descriptive statistics, the Rao–Scott χ2 test, and logistic regression.
Results
The risk factors for substance use among students were anxiety, loneliness, living separately from family, suicidal ideation, e-cigarette use, and high stress.
Conclusion
The findings help identify the risk factors for non-therapeutic drug use among adolescents. Since South Korea does not have a drug prevention program for its adolescent population, an educational plan based on these findings could help prevent adolescent substance abuse.

Citations

• Factors Associated With Habitual Drug Use Among Adolescents: A Secondary Data Analysis
  Dong-Hee Kim, Yujin Kim
  Asian Nursing Research.2025; 19(1): 78.     CrossRef
• The Mediating Effect of Depression on the Relationship between Loneliness and Substance Use in Korean Adolescents
  Hyesun Kim
  Behavioral Sciences.2024; 14(3): 241.     CrossRef
• Protecting our future: environmental hazards and children’s health in the face of environmental threats: a comprehensive overview
  Jungha Lee, Hyo-Bin Kim, Hun-Jong Jung, Myunghee Chung, So Eun Park, Kon-Hee Lee, Won Seop Kim, Jin-Hwa Moon, Jung Won Lee, Jae Won Shim, Sang Soo Lee, Yunkoo Kang, Young Yoo
  Clinical and Experimental Pediatrics.2024; 67(11): 589.     CrossRef

Purpose
This study develops a chatbot for school violence prevention (C-SVP) among elementary school students.
Methods
Among the analysis, design, development, implementation, and evaluation (ADDIE) models, ADD phases were applied to develop a C-SVP. Students’ learning needs were identified by constructing content with a design that attracted their attention. Subsequently, a formative evaluation was conducted on the developed C-SVP to test its applicability by ten elementary school students targeting the 5th and 6th grades.
Results
The chatbot was designed using KakaoTalk and named “School Guardian Angel.” The formative evaluation revealed that the developed C-SVP was easily accessible and useful for elementary school students.
Conclusion
The developed C-SVP is expected to be effective in preventing violence among elementary school students. However, further research involving children of various age groups is required.

Citations

• Implementation of the ADDIE Model in Chatbot Development using Diagramflow
  Fadhil Mureno Ega Nugraha , Muhammad Setiyawan
  Journal of Technology and System Information.2025; 2(2): 9.     CrossRef
• Effects of School Violence Prevention Education Using a Chatbot (SVPE-C) on Sixth-Grade Students in South Korea
  Shin-Jeong Kim, Sunyeob Choi, Kyung-Ah Kang
  The Journal of School Nursing.2024;[Epub]     CrossRef
• Essential Elements for Implementing AI Tools in Elementary School: A Systematic Literature Review
  Jorge Arriola-Mendoza, Gabriel Valerio-Ureña
  Education Sciences.2024; 14(12): 1292.     CrossRef

Purpose
This study examined the literature concerning the burdens of parents of preschool-aged children diagnosed with type 1 diabetes mellitus.
Methods
We employed an integrative review methodology based on Whittemore and Knafl's framework. The literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across four electronic databases: PubMed, Web of Science, the Cumulative Index to Nursing Allied Health Literature (CINAHL), and PsycINFO. Ultimately, 18 articles were included in the review.
Results
The review yielded four themes: (1) parental burdens, (2) factors related to the burdens, (3) coping strategies, and (4) implications for clinical practice. Parents experienced psychological, physical, and social burdens due to the diabetes care of their children. Several factors influenced burdens, including child-related characteristics such as age, severity of diabetes, and hospitalization experience, as well as parental factors like family income, race, and residential area. Parents initially felt burdened when their child was diagnosed with type 1 diabetes, but over time, they often adapted to the situation through support and sharing of responsibilities. Parents desired education and interventions reflecting the unique characteristics of preschoolers.
Conclusion
This integrative literature review revealed that parents experience numerous burdens when their child is diagnosed with diabetes. Future research should focus on developing interventions to address parents' psychological difficulties, including tracking parental psychological changes over time. Tailored nursing interventions should also be provided to parents of preschool-aged children, as opposed to the more generic nursing interventions traditionally applied across all age groups of children in clinical settings.

Citations

• Distinguishing risk factors for depression and burnout in parents managing type 1 diabetes mellitus in children
  Sumbule Koksoy Vayisoglu, Ebru Koc, Emine Oncu
  Journal of Pediatric Nursing.2025; 80: 32.     CrossRef
• Factors affecting care burden and life satisfaction among parents of children with type 1 diabetes
  Tuğba Bilgehan, Ezgi Bağrıaçık, Münevver Sönmez
  Journal of Pediatric Nursing.2024; 77: e394.     CrossRef
• Preferences for Peer Support Amongst Families Engaged in Paediatric Screening Programmes: The Perspectives of Parents Involved in Screening for Type 1 Diabetes in Children Aged 3–13
  Ian Litchfield, Lauren M. Quinn, Felicity Boardman, Olga Boiko, Parth Narendran, Shivam Choundhary, Naga Setti, Veer Sheth, Sheila M. Greenfield
  Health Expectations.2024;[Epub]     CrossRef

Citations

• How to Conduct High-Quality Systematic Review and Meta-analysis in Radiology and Interventional Radiology
  Manish Shaw, Sanjiv Sharma
  Indian Journal of Radiology and Imaging.2025; 35(S 01): S128.     CrossRef
• Endocrine Parameters and Climate Change
  Borros Arneth
  Endocrines.2025; 6(1): 5.     CrossRef
• Effect of preoperative hair removal vs. no removal on surgical site infections: a systematic review and meta-analysis
  Abdulsalam Aleid, Saud Nayef Aldanyowi, Abdulmajeed Aljabr, Hasan Ali Abdullah Alaidarous, Zainab Aleid, Abdulaziz Alharthi, Mutlaq Alsubaie, Lama AlOraini, Abdulrahman Almoslem, Abbas Al Mutair
  F1000Research.2024; 13: 1487.     CrossRef

Purpose
This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS).
Methods
Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software.
Results
Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, p=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, p=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, p=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; p=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, p=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, p=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance.
Conclusion
Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.

Citations

• Team Survivors: Preliminary Analysis of an Innovative Intervention to Promote Physical Activity in Survivors of Childhood Cancer and Hematopoietic Stem Cell Transplant
  Meghan K. Flannery, Jocelyn Morin, Katrina O’Malley, Debra Schmidt, Jennifer A. Hoag
  Children.2025; 12(4): 399.     CrossRef
• Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial
  Kyung-ah Kang, Han-ho Kim, Shin-jeong Kim, In-hye Song, Min-jin Lee, Su-yong Lee, Sae-rom Han, Ki-hyuk Lee, So-won Kim, Hye-rin Nam, Mi-na Park, Hye-min Lee, Hee-jin Yoon
  Journal of Pediatric Nursing.2024; 77: 35.     CrossRef
• Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review
  Ismay A. E. de Beijer, Eline Bouwman, Renée L. Mulder, Philippa Steensma, Morven C. Brown, Vera Araújo‐Soares, Magdalena Balcerek, Edit Bardi, Jeanette Falck Winther, Line Elmerdahl Frederiksen, Marloes van Gorp, Sara Oberti, Rebecca J. van Kalsbeek, Toma
  Cancer Medicine.2024;[Epub]     CrossRef

Purpose
Hybrid simulation has emerged to increase the practicality of simulation training by combining simulators and standardized patient (SP) that implement realistic clinical environments at a high level. This study aimed to develop a hybrid simulation program focused on case of pediatric cardiac catheterization and to evaluate its effectiveness. Methods: The hybrid simulation program was developed according to the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) model. And deep learning-based analysis program was used to analyze non-verbal communication with SP and applied it for debriefing sessions. To verify the effect of the program, a quasi-experimental study using a random assignment design was conducted. In total, 48 nursing students (n=24 in the experimental group; n=24 in the control group) participated in the study.
Results
Knowledge (F=3.53, p=.038), confidence in clinical performance (F=9.73, p<.001), and communication self-efficacy (F=5.20, p=.007) showed a significant difference in both groups and interaction between time points, and the communication ability of the experimental group increased significantly (t=3.32, p=.003).
Conclusion
Hybrid simulation program developed in this study has been proven effective, it can be implemented in child nursing education. Future research should focus on developing and incorporating various hybrid simulation programs using SP into the nursing curriculum and evaluating their effectiveness.

Citations

• Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
  Hee Young Kim, Soon Hyun Myung, In Young Cho
  Nurse Education in Practice.2025; 84: 104294.     CrossRef
• The role of artificial intelligence in shaping nursing education: A comprehensive systematic review
  Jiatian Ma, Jiamin Wen, Ying Qiu, Yuling Wang, Qiao Xiao, Tingting Liu, Dong Zhang, Yangyang Zhao, Zebang Lu, Zhiling Sun
  Nurse Education in Practice.2025; 84: 104345.     CrossRef

Purpose
The rising prevalence of smartphone overdependence among adolescents and its detrimental impact on mental health have become a growing concern. This study aimed to investigate the association between smartphone overdependence and the mental health of Korean adolescents.
Methods
Participants were drawn from the 16th Korea Youth Risk Behavior Web-based Survey conducted in 2020. The dependent variable as smartphone overdependence, while the main exposure of interest was mental health, encompassing generalized anxiety disorder (GAD), perceived stress, sources of perceived stress, perceived loneliness, and perceived depressive symptoms. The study employed the Rao-Scott chi-square test and multiple logistic regression using IBM SPSS version 26.0.
Results
The participants comprised 54,948 adolescents aged 13 to 18 years. Among them, 25.1% (n=13,775) were categorized as smartphone overdependence group. Specifically, 20.3% of adolescents who reported GAD ≥10 and 22.5% of those who reported experiencing high levels of perceived loneliness were identified as smartphone overdependent. The GAD increased a risk of smartphone overdependence by 2.61 times (95% confidence interval [95% CI]: 2.46–2.77). Perceived loneliness was associated with 1.98-fold (95% CI: 1.87–2.09) increased risk of smartphone overdependence. Additionally, conflict with peers was found to increase the risk of smartphone overdependence by 4.63-fold (95% CI: 3.89–5.52), followed by conflict with parents (odds ratio [OR]: 4.52, 95% CI: 3.84–5.31), and family environment (OR: 4.52, 95% CI: 3.75–5.46).
Conclusion
The findings underscore a significant association between smartphone overdependence and mental health in Korean adolescents. Healthcare services to improve their emotional coping and interpersonal skills are necessary.

Citations

• Factors Influencing Suicidal Ideation in Female Adolescents With Smartphone Overdependence
  Hyeongyeong Yoon
  Journal of Pediatric Health Care.2025; 39(2): 225.     CrossRef
• Excessive smartphone use, smartphone dependency and body image distortion in Korean adolescents
  Young Gyu Cho
  Korean Journal of Family Medicine.2025; 46(2): 58.     CrossRef

Purpose
Children with cerebral palsy (CP) and their parents experience various problems that can affect their quality of life. This study examined factors affecting the quality of life of children with CP.
Methods
A cross-sectional study was conducted in Yogyakarta, Indonesia, from January to August 2019. The participants were consecutively recruited children with CP aged 2 to 18 years and their parents. Ninety-eight children with CP and their parents, specifically their mothers, were recruited. Children’s health-related quality of life (HRQoL) was measured using the Pediatrics Quality of Life Cerebral Palsy. Parental HRQoL and stress were measured using the WHOQOL-BREF and Parenting Stress Index (PSI).
Results
Functional level V was the most common category for both Gross Motor Function Classification System (GMFCS) and Bimanual Fine Motor Function (BFMF) (35% and 28%, respectively). Children’s mean HRQoL was medium (49.81±20.35). The mean total PSI score was high (94.93±17.02), and 64% of parents experienced severe stress. Bivariate analysis showed that GMFCS, BFMF, number of comorbidities, presence of pain, and parental stress were significantly correlated with the total score for children’s HRQoL (p<.05). Multiple linear regression analysis (p<.05) demonstrated that more severe GMFCS and parental stress were associated with lower mean HRQoL scores in children.
Conclusion
Factors including the level of GMFCS and parental stress affected the HRQoL of children with CP. Parental stress management should be included in the comprehensive management of these children.

Citations

• Proxy- and self-report evaluation of quality of life in cerebral palsy: Using Spanish version of CPQOL for Children and adolescents
  Alba Aza, Inmaculada Riquelme, María Gómez Vela, Marta Badia
  Research in Developmental Disabilities.2024; 154: 104844.     CrossRef
• Cerebral palsy: potential risk factors and functional status among children under three years, a case-control study in northwest Iran
  Morteza Haramshahi, Vahideh Toopchizadeh, Samira Pourzeinali, Neda Nikkhesal, Tahereh Sefidi Heris, Azizeh Farshbaf-Khalili, Shirin Osouli-Tabrizi
  BMC Pediatrics.2024;[Epub]     CrossRef

Purpose
Adolescent self-harm is a public health problem. Research suggests a link between adverse childhood experiences (ACEs) and self-destructive behaviors. Few studies, however, have examined the effects of ACEs on self-harm among Asian adolescents. This study explored the association between lifetime ACEs and a history of self-harm among Korean children and adolescents in elementary, middle, and high schools.
Methods
A cross-sectional, retrospective medical record review was conducted on a dataset of a national psychiatrist advisory service for school counselors who participated in the Wee Doctor Service from January 1 to December 31, 2020. The data were analyzed using multiple logistic regression to predict self-harm.
Results
Student cases (n=171) were referred to psychiatrists by school counselors for remote consultation. Multiple logistic regression analyses revealed that the odds of self-harm were higher among high school students (adjusted odds ratio [aOR]=4.97; 95% confidence interval [CI]=1.94-12.76), those with two or more ACEs (aOR=3.27; 95% CI=1.43-7.47), and those with depression (aOR=3.06; 95% CI=1.32-7.10).
Conclusion
The study's findings provide compelling evidence that exposure to ACEs can increase vulnerability to self-harm among Korean students. Students with a history of ACEs and depression, as well as high school students, require increased attention during counseling. School counselors can benefit from incorporating screening assessment tools that include questions related to ACEs and depression. Establishing a systematic referral system to connect students with experts can enhance the likelihood of identifying self-harm tendencies and offering the essential support to prevent self-harm.

Citations

• Adverse childhood experiences and health-related outcomes in early adulthood: Evidence from the Korean Welfare Panel Study
  Changyong Choi, Joshua P. Mersky
  Children and Youth Services Review.2025; 170: 108158.     CrossRef
• Global burden of all cause-specific injuries among children and adolescents from 1990 to 2019 : a prospective cohort study
  Cong Li, Jinghua Jiao, Guangyao Hua, Gantugs Yundendorj, Shunming Liu, Honghua Yu, Lijun Zhang, Xiaohong Yang, Lei Liu
  International Journal of Surgery.2024;[Epub]     CrossRef

Purpose
This study aimed to identify the main keywords and research topics used in research on problematic smartphone use (PSU) among children (6-12 years old), including parental factors.
Methods
The publication period for the literature was set from January 2007 to January 2022, as smartphones were first released in 2007. In total, 395 articles were identified, 230 of which were included in the final analysis. Text network analysis was performed using NetMiner 4.5.
Results
Research on this topic has steadily increased since 2007, with 40 papers published in 2021. Eight main research topics were derived: group 1, parental attitudes; group 2, children's PSU behavior and parental support; group 3, family environment and behavioral addiction; group 4, social relationships; group 5, seeking solutions; group 6, parent-child relationships; group 7, children's mental health and school adaptation; and group 8, PSU in adolescents.
Conclusion
Parental factors related to PSU have been studied in various aspects. However, more active research on school-age children's PSU needs to be conducted due to the paucity of research in this population compared to studies conducted among adolescents. The results of this study provide useful data for selecting research topics in the field of PSU.

Citations

• Can lifestyle medicine improve global mental health?
  Steven G. Sugden, Gia Merlo, Sam Manger
  Academia Mental Health and Well-Being.2024;[Epub]     CrossRef
• An Integrative Review of Interventions for Preventing Internet and Smartphone Addiction in Elementary School Students: Based on the IMB Model
  Hyemin Park, Bohye Kim, Jaehee Jeong, Hwa Jeong Kim, Yebin Kim
  STRESS.2024; 32(3): 133.     CrossRef

Purpose
This study aimed to identify factors affecting the mental health status of children from multicultural families in South Korea.
Methods
This study was based on Dahlgren and Whitehead's (1991) rainbow model as a conceptual framework and used data from the second phase of the multicultural adolescents panel study conducted by the National Youth Policy Institute. Multiple logistic regression analysis was performed using SPSS version 26.0, with p<.05 considered to indicate statistical significance.
Results
In the final model, stress (odds ratio [OR]=0.53, p<.001), life satisfaction (OR=2.09, p=.004), self-esteem (OR=1.73, p=.032), and peer support (OR=1.46, p=.019) affected the mental health status of children from multicultural families. The living and working conditions and general socioeconomic, cultural, and environmental conditions did not significantly influence the mental health status of children from multicultural families in the final model.
Conclusion
As components of Dahlgren and Whitehead's model, individual hereditary and lifestyle factors, as well as social and community networks, affected the mental health status of children from multicultural families. Therefore, in order to improve the mental health of children from multicultural families, efforts are needed to alleviate their stress, increase life satisfaction and self-esteem, and strengthen their social support.

Citations

• Beyond Borders: Exploring the Clinical Journeys of Multicultural Nursing Students
  Lee Jiyoung
  Asian Nursing Research.2025;[Epub]     CrossRef
• Factors Affecting the Life Satisfaction of School-Aged Children with Vietnamese Immigrant Mothers in Korea
  Yoon-Hee Cho, Joohyun Lee
  Healthcare.2023; 11(17): 2465.     CrossRef

Citations

• Celebration of the 30th anniversary of the Korean Academy of Child Health Nursing
  Hyun Young Koo
  Child Health Nursing Research.2024; 30(1): 1.     CrossRef
• Transgenerational impacts of early life adversity: from health determinants, implications to epigenetic consequences
  Cyrielle Holuka, Nathalie Grova, Eleftheria G. Charalambous, Jeanne Le Cléac`H, Jonathan D. Turner, Archibold Mposhi
  Neuroscience & Biobehavioral Reviews.2024; 164: 105785.     CrossRef

Purpose
Nurses play a crucial role in cases of victims of child abuse; however, but there is a need for a comprehensive understanding of their specific roles, responsibilities, and best practices is needed.
Methods
This integrative review aims to synthesize existing evidence on the role of nurses in cases of victims of child abuse. A literature search was conducted using PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and Scopus databases. A literature search was conducted using PubMed, CINAHL, PsycINFO, and Scopus databases. This review included 12 qualitative and quantitative studies. Results: This review identified the following four themes: nurses’ responsibility, intention to report child abuse, perceptions of child abuse, and risk assessment of child abuse. The findings revealed that nurses play a multifaceted role in child abuse situations. Evidence-based practices and guidelines were identified to optimize recovery outcomes among children who have experienced abuse.
Conclusion
This integrative review contributes to the body of knowledge on nurses’ role in cases of victims of child abuse by providing valuable insights for nursing practice, education, and policy. These findings can help guide nurses in developing evidence-based interventions and collaborative approaches to support the recovery of victims of child abuse.

Citations

• Exploring nursing students' awareness about child abuse and neglect
  Mohammad M. Alnaeem, Mohammad A. Abu Sabra, Ayman M. Hamdan-Mansour
  Child Abuse & Neglect.2025; 163: 107430.     CrossRef

Purpose
This study investigated the relationship between allergic diseases, general anxiety disorder, and depressive symptoms among Korean adolescents.
Methods
A secondary analysis was conducted on the findings of the 18th Korea Youth Risk Behavior Survey (2022). The study included 51,850 adolescents and analyzed the relationships among allergic diseases, general anxiety disorder, and depressive symptoms using complex samples logistic regression analysis.
Results
Among the Korean adolescents, 12.7% experienced general anxiety disorder, while 28.7% experienced depressive symptoms. The prevalence of allergic diseases was 5.7% for asthma, 36.3% for allergic rhinitis, and 22.2% for atopic dermatitis. General anxiety disorder was associated with asthma and allergic rhinitis but not atopic dermatitis. Depressive symptoms were associated asthma, allergic rhinitis, and atopic dermatitis.
Conclusion
Examining the correlation among allergic diseases, general anxiety disorder, and depressive symptoms in adolescents underscores the need for implementing suitable strategies. Moreover, when addressing general anxiety disorder and depressive symptoms in adolescents, it becomes crucial to consider the presence of allergic diseases.

Citations

• Association between allergic diseases and mental health conditions: An umbrella review
  Xianpeng Xu, Sha Li, Yingjie Chen, Xinxing Deng, Jiongke Li, Dajing Xiong, Hui Xie
  Journal of Allergy and Clinical Immunology.2025; 155(3): 701.     CrossRef

Purpose
This study aimed to investigate the impact of family resilience on caregiver well-being across various age groups of children diagnosed with ADHD (attention-deficit/hyperactivity disorder) groups (0–5, 6–11, and 12–17 years).
Methods
Utilizing secondary data from the 2022 US National Survey of Child Health, this cross-sectional study involved 2,752 children who were formally diagnosed with ADHD. Statistical analysis included descriptive analysis, Spearman’s rank correlation, chi-square tests, and linear regression, conducted using SPSS version 27.
Results
The study revealed a moderate positive correlation (r=.35, p<.001) between family resilience and caregiver well-being. Controlling for covariates, family resilience accounted for 25.2%, 21.1%, and 22.1% of caregiver well-being variance in age groups 0–5, 6–11, and 12–17 years, respectively. Additionally, factors like employment status, family structure, and caregiver age showed varying influences on caregiver well-being across these developmental stages. A consistent pattern emerged across these age groups: unemployment and non-traditional family structures were associated with negative impacts on caregiver well-being, whereas older caregiver age positively influenced well-being.
Conclusion
This research underscores the importance of age-specific family resilience strategies to improve caregiver well-being and family interactions in ADHD contexts. Investigating these aspects through qualitative studies across various cultures could deepen our understanding of well-being and inform culturally sensitive interventions.

Citations

• Being a parent of children with attention-deficit hyperactivity disorder
  Derya Evgin, Nuray Caner, Elif Bilge Alimoğlu, Yağmur Sezer Efe
  Revista da Associação Médica Brasileira.2025;[Epub]     CrossRef

Purpose
This study analyzed research trends in infant and toddler rearing behavior among family caregivers over a 10-year period (2010-2021).
Methods
Text network analysis and topic modeling were employed on data collected from relevant papers, following the extraction and refinement of semantic morphemes. A semantic-centered network was constructed by extracting words from 2,613 English-language abstracts. Data analysis was performed using NetMiner 4.5.0.
Results
Frequency analysis, degree centrality, and eigenvector centrality all revealed the terms ''scale," ''program," and ''education" among the top 10 keywords associated with infant and toddler rearing behaviors among family caregivers. The keywords extracted from the analysis were divided into two clusters through cohesion analysis. Additionally, they were classified into two topic groups using topic modeling: "program and evaluation" (64.37%) and "caregivers' role and competency in child development" (35.63%).
Conclusion
The roles and competencies of family caregivers are essential for the development of infants and toddlers. Intervention programs and evaluations are necessary to improve rearing behaviors. Future research should determine the role of nurses in supporting family caregivers. Additionally, it should facilitate the development of nursing strategies and intervention programs to promote positive rearing practices.

Citations

• Infant-rearing experiences of parents during the COVID-19 pandemic in South Korea: a mixed-methods approach
  In-Hye Song, Kyung-Ah Kang
  Child Health Nursing Research.2024; 30(1): 31.     CrossRef

Purpose
We developed a virtual reality (VR) program for use in pediatric nursing practicums to help nursing students learn to measure vital signs in children.
Methods
The analysis, design, development, implementation, and evaluation model was employed between July 2021 and December 2021 at a university in South Korea. In the analysis phase, in-depth interviews were conducted with four nursing students, two nursing school graduates, and four experts. The topic and contents of the VR program were settled in the design phase. The VR program was developed and subsequently used and evaluated by 20 nursing students and four experts.
Results
The contents of the VR program for pediatric nursing practicums included the measurement of vital signs in a newborn baby and a young child, as well as an evaluation system. The mean score for the nursing students' satisfaction with practice was 4.02 out of 5 points. The mean scores for overall satisfaction with the VR program were 4.15 and 4.79 out of 5 points for nursing students and experts, respectively.
Conclusion
The VR program developed in this study allows nursing students to practice measuring vital signs in children, thus improving the students' clinical performance in pediatric nursing.

Citations

• Digital Educational Tools for Undergraduate Nursing Education: A Review of Serious Games, Gamified Applications and Non-Gamified Virtual Reality Simulations/Tools for Nursing Students
  Vasiliki Eirini Chatzea, Ilias Logothetis, Michail Kalogiannakis, Michael Rovithis, Nikolas Vidakis
  Information.2024; 15(7): 410.     CrossRef

Purpose
North Korean refugee women struggle with the double burden of adaptation and parenting as mothers in a new environment. This study aimed to identify the knowledge, confidence, and educational needs regarding newborn care among North Korean refugees, and to determine differences between these variables according to participants' characteristics.
Methods
Data were collected from September to October 2022, and 150 North Korean refugee women recruited using convenience sampling participated in the study. Descriptive statistics, the t-test, analysis of variance, and Pearson correlation analysis were used for data analysis.
Results
The mean scores were as follows: parenting knowledge, 14.97 out of 25; infection prevention knowledge and confidence, 20.09 out of 33 and 51.37 out of 80, respectively; and educational needs, 245.86 out of 310. Significant differences were observed in newborn care, knowledge, and confidence according to maternal age, educational level, family structure, and pregnancy history. Significant positive correlations were observed between the participants' newborn care knowledge, confidence, and educational needs.
Conclusion
Personalized educational programs should be implemented to enhance North Korean refugee women's confidence in newborn care, focusing on areas with low knowledge levels and high educational needs and enabling women to achieve healthy pregnancy and childbirth, and to parent well.

Citations

• Knowledge of atopic dermatitis and food allergies, as well as health information literacy, among North Korean refugee mothers: a descriptive survey study
  In-Sook Lee, Jeong-Hee Jeon
  Child Health Nursing Research.2023; 29(4): 300.     CrossRef

Purpose
This study investigated correlations between the actual sleep time 24 hours prior to an examination and the time to achieve chloral hydrate sedation in pediatric patients.
Methods
With parental consent, 84 children who were placed under moderate or deep sedation with chloral hydrate for examinations from November 19, 2020 to July 9, 2022 were recruited.
Results
Patients' average age was 19.9 months. Pediatric neurology patients and those who underwent electroencephalography took significantly longer to achieve sedation with chloral hydrate. There was a negative correlation between the time to achieve sedation and actual sleep time within 24 hours prior to the examination. Positive correlations were found between the actual sleep time 24 hours prior to the examination and the second dose per weight, as well as between the sedation recovery time and awake hours before the examination.
Conclusion
Sleep restriction is not an effective adjuvant therapy for chloral hydrate sedation in children, and sedation effects vary according to pediatric patients' characteristics. Therefore, it would be possible to reduce the unnecessary efforts of caregivers who restrict children's sleep for examinations. It is more important to educate parents about safe sedation than about sleep restriction.

Citations

• Risk factors for chloral hydrate sedation failure in pediatric patients: a retrospective analysis
  Young-Eun Jang, Jung-Bin Park, Pyoyoon Kang, Sang-Hwan Ji, Eun-Hee Kim, Ji-Hyun Lee, Hee-Soo Kim, Jin-Tae Kim
  Korean Journal of Anesthesiology.2024; 77(5): 526.     CrossRef

Purpose
This study aimed to validate the Child Healthy Lifestyle Profile as an instrument for screening healthy behaviors in school-aged children in South Korea.
Methods
Self-reported questionnaires were administered to 454 students, comprising elementary-school students (n=221) and child cancer survivors (n=233). Reliability and validity were assessed using Cronbach's ⍺, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).
Results
Cronbach's ⍺, as a reliability test, was 0.87. Varimax rotation yielded nine factors with eigenvalues greater than 1 in the EFA, which explained 61.0% of the total variance. In the CFA, both convergent and discriminant validities were acceptable. Therefore, the Child Healthy Lifestyle Profile was validated as an assessment tool for Korean school-aged children.
Conclusion
Based on the results of this study, the Child Healthy Lifestyle Profile was identified as a reliable and valid instrument for assessing healthy lifestyles in elementary-school children in South Korea.

Citations

• Effectiveness of a healthy lifestyle program based on a mobile serious game for childhood cancer survivors: A quasi-randomized trial
  Kyung-ah Kang, Han-ho Kim, Shin-jeong Kim, In-hye Song, Min-jin Lee, Su-yong Lee, Sae-rom Han, Ki-hyuk Lee, So-won Kim, Hye-rin Nam, Mi-na Park, Hye-min Lee, Hee-jin Yoon
  Journal of Pediatric Nursing.2024; 77: 35.     CrossRef