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 aimed to identify predictive factors affecting adolescents’ subjective happiness using data from the 2023 Korea Youth Risk Behavior Survey. A random forest model was applied to determine the strongest predictive factors, and its predictive performance was compared with traditional regression models.
Methods
Responses from a total of 44,320 students from grades 7 to 12 were analyzed. Data pre-processing involved handling missing values and selecting variables to construct an optimal dataset. The random forest model was employed for prediction, and SHAP (Shapley Additive Explanations) analysis was used to assess variable importance.
Results
The random forest model demonstrated a stable predictive performance, with an R2 of .37. Mental and physical health factors were found to significantly affect subjective happiness. Adolescents’ subjective happiness was most strongly influenced by perceived stress, perceived health, experiences of loneliness, generalized anxiety disorder, suicidal ideation, economic status, fatigue recovery from sleep, and academic performance.
Conclusion
This study highlights the utility of machine learning in identifying factors influencing adolescents’ subjective happiness, addressing limitations of traditional regression approaches. These findings underscore the need for multidimensional interventions to improve mental and physical health, reduce stress and loneliness, and provide integrated support from schools and communities to enhance adolescents’ subjective happiness.

Purpose
To describe the process of systematically developing an integrated health promotion program for school-age children from vulnerable families.
Methods
In this study, we applied the first three steps—analysis, design, and development (ADD)—of the analysis, design, development, implementation, and evaluation (ADDIE) model. The analysis step involved a literature review and needs assessment. In the design step, program components were considered and a program draft was developed. The program content was modified based on expert validation in the development step. The preliminary program was administered in the implementation step, and the final program was confirmed in the evaluation step.
Results
The program contents were based on the literature review, needs assessment, and Ryan’s integrated theory of health behavior change. The content was valid, and the educational material was appropriate for school-age children from vulnerable families. The finalized program consists of six sessions to promote physical, psychological, and social health using individual/group and face-to-face/online methods, including two that involve both parents and children.
Conclusion
This study presents a detailed description of how the program was developed and illustrates the critical elements that should be considered during similar program development. The effect of this program on health promotion behavior should be examined in future research.

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
• Parental Determinants in Childhood Diabetes Prevention and Management: A Scoping Review Examining Impacts and Strategies
  Sahara Dhakal, Juraporn Tangpukdee, Wasana Ruaisungnoen, Thiwawan Thepha, Alok Kafle
  Nursing & Health Sciences.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
The role of local children’s centers is becoming more important as after-school care expands to South Korean elementary schools. As elementary school years are the time when children grow into healthy adults. Children in this period must grow with a feeling of happiness. The purpose of this study is to understand and explain the meaning of happiness experiences of elementary school students receiving community child care services, and to expand and apply nursing knowledge to child care at community child care centers through their happiness experiences.
Methods
This qualitative study was conducted with 21 elementary school students who received program services at local children’s centers for more than 1 year. Participants conducted 1:1 depth interview. The interviews were analyzed by dividing them into themes.
Results
Finally, five themes and 14 sub-themes were organized. The five themes were derived as “feeling of freedom and joy,” “healthy and pleasant feeling from being cared for,” “feeling smart and competent,” “feeling loved by someone special,” “feeling well-adjusted to school life.” This conclusion means that participants experience autonomy and enjoyment in daycare centers, positive care, strengthen emotional bonds, and help them adapt well to school.
Conclusion
The participants in this study expressed happiness in various meanings at local children’s centers. This thesis informed that it is important for local children’s centers to prioritize children’s happiness for education and care for children. This paper will contribute to society by presenting a nursing perspective on the development of community children’s centers.

Purpose
To identify the childbearing intentions of young adults in South Korea and examine the factors influencing them using a social-ecological model (SEM).
Methods
A descriptive cross-sectional study design was used. Unmarried employed men and women (n=181) aged 25–40 years completed an online survey. The data included socio-demographic characteristics and responses at four levels: (1) intrapersonal (perception of parenthood and fertility knowledge), (2) interpersonal (quality of family relationships), (3) institutional (work-family culture), and (4) community and public policy (adequacy of government policies and social support systems). Data were analyzed using descriptive statistics, correlations, and multiple logistic regression.
Results
Approximately 77% of the participants planned to have children, and more than 60% wanted to have two or more children. Among the four levels of SEM, only intrapersonal factors, including intention to marry, fertility knowledge, and attitudes toward parenthood, were statistically significant in influencing childbearing intentions. The model explaining the intention to have a child demonstrated an explanatory power of 59.6%, incorporating factors such as marital intention, perceptions of parenthood, and fertility knowledge.
Conclusion
A noticeable gap exists between childbearing intentions and childbirth in South Korea. These findings provide insights into the nursing educational content needed for delivering family planning education to young adults. Targeted interventions such as counseling services and community education should be integrated into nursing practice. Moreover, nursing curricula should discuss factors influencing childbearing intentions to equip future nurses better to support young adults' family planning decisions.

Purpose
This study aimed to examine the relationship between future core nursing competencies and key variables, identifying factors influencing these competencies among senior nursing students.
Methods
This cross-sectional study included 150 third- and fourth-year nursing students in South Korea. Based on King’s Dynamic Interaction System Model, perceived work value and individual innovative behavior were categorized as personal systems, interpersonal competence as an interpersonal system, and adhocracy culture as a social system. Participants completed self-reported online questionnaires to assess factors influencing future core nursing competencies.
Results
Hierarchical multiple regression analysis identified interpersonal competency (β=0.32, p=.012) and adhocracy culture (β=0.23, p=.010) as significant predictors of future core nursing competency explaining 30.9% of the variance.
Conclusion
Enhancing future core nursing competency among senior nursing students requires continuous education and counseling programs to strengthen interpersonal competency. Establishing an adhocracy culture involves recognizing creative ideas, fostering open communication for freely expressing ideas, and encouraging innovation. Therefore, developing interpersonal competence and promoting an adhocracy culture is essential for improving future core nursing competency in senior nursing students.

Purpose
This study explored the intrapersonal, interpersonal, and school factors, following the socioecological model, associated with sugar-sweetened beverage (SSB) consumption in Korean high-school students.
Methods
A total of 231 students from first to third grade, aged 15–18 years, participated in this cross-sectional study. Multiple linear regression analysis was conducted to identify the factors.
Results
Among the intrapersonal factors, fast-food consumption (β=0.13, t=1.97, p=.050) and habit strength of SSB consumption were positively associated (β=0.35, t=4.30, p<.001), and sleep duration was negatively associated with SSB consumption (β=–0.14, t=–2.02, p=.045). Among interpersonal factors, perceived SSB consumption by peers was positively associated (β=0.30, t=4.93, p<.001), and among school factors, vending machines at school (β=0.13, t=2.07, p=.039) and supermarkets and convenience stores near schools were positively associated with SSB consumption (β=0.17, t=2.87, p=.005).
Conclusion
School nurses should propose policies and interventions that consider the multilevel factors to reduce SSB consumption in adolescents.

Purpose
This study aimed to identify the effects of pediatric nurses’ perception of patient safety culture and their partnership with patients’ parents on pediatric patient safety nursing activities.
Methods
This descriptive study was conducted over a two-month period, from October to November 2022, utilizing self-reported questionnaires. The study included 165 nurses, each having at least 6 months of working experience in wards where children were admitted. These nurses were selected from 13 pediatric specialty hospitals, general hospitals, and university hospitals across seven regions. The data analysis was performed using the SPSS/WIN 26.0 program (IBM Corp.) for descriptive statistics, t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis.
Results
The average scores for awareness of patient safety culture, partnership with patients’ parents, and pediatric patient safety nursing activities were 3.37±0.41, 3.94±0.41, and 4.50±0.38, out of 5 points respectively. The factors influencing pediatric patient safety nursing activities were identified as a partnership with patients’ parents (β=.41, p<.001). Among hospital-related characteristics, safety management committee (β=.16, p=.029) and safety management regulations (β=.17, p=.016) were also analyzed as factors influencing patient safety nursing activities. These factors accounted for 29.2% of the explanatory power for pediatric patient safety nursing activities.
Conclusion
Based on the above study results, we found that to promote safe nursing activities for pediatric patients, developing and implementing training programs that enhance partnerships with patient’s parents was imperative, and establishing work regulations and a safety management committee to systematically manage safety management tasks was deemed important.

Purpose
This pilot study aimed to assess the feasibility, preliminary efficacy, and effects of a mobile app healthcare coaching program developed based on self-regulation theory among youths with type 1 diabetes.
Methods
A mixed-method design was utilized. Participants were randomly assigned into intervention (n=23, 12-week coaching program) or control groups (n=16, usual care). Pre- and post-intervention assessments included self-efficacy, diabetes management behavior, and health outcomes (quality of life, depression, and HbA1c). Quantitative data were analyzed with SPSS/WIN ver. 26.0. The narrative information from the participants in the healthcare coaching program underwent content analyzed.
Results
The intervention group had significantly lower depression scores (t=2.57, p=.014) than the control group. No significant differences were observed in self-efficacy, diabetes management behavior, and health outcomes between the two groups. The average frequency of health behavior monitoring per week among the participants was 1.86±1.60. The qualitative findings indicated that participants perceived improved diabetes self-management with the intervention; however, challenges during vacations, dietary control difficulties, and a lack of disease awareness were identified.
Conclusion
The healthcare coaching program improved psychological aspects for youth with type 1 diabetes. Further research is needed to develop and implement mobile app interventions aimed at enhancing compliance with diabetes management in pediatric and adolescent populations.

Purpose
Parental satisfaction is essential for evaluating pediatric care quality and influences healthcare practices and performance. Pediatric patients frequently experience anxiety, affecting their and their parents’ satisfaction. Nurses play a key role in reducing anxiety and improving care interactions. Meeting parents’ expectations shapes long-term outcomes and impacts the hospital’s reputation. While instruments such as the Child ZAP (Zufriedenheit in der Arztpraxis) provide comprehensive measures of satisfaction, their use in Indonesia has not been explored. This study aimed to validate the Child ZAP and offer insights to improve pediatric care quality in Indonesia.
Methods
A cross-sectional study was conducted with 139 mothers whose children were older than 5 years and received treatment at private hospitals. Structured questionnaires were analyzed using partial least squared-structural equation modeling in SmartPLS 4, and a disjoint two-stage method was used to test dimensionality.
Results
All hypotheses were significant (p<.05), demonstrating strong support. All Child ZAP dimensions, treated as lower-order constructs, effectively measured parents’ satisfaction as a higher-order construct. Overall parental satisfaction significantly influenced behavioral intention and mediated its relationship with Child ZAP. The mother’s and the child’s age served as moderating factors. The research model exhibited strong predictive power, underscoring pediatric nurses’ pivotal role in improving communication among parents, physicians, and children to ensure quality care.
Conclusion
The Child ZAP instrument effectively evaluates parental satisfaction by examining how children interact and communicate with medical staff. It assesses doctors’ engagement with children and their communication skills, highlighting nurses’ essential role in providing family-centered pediatric care.

Purpose
With the recent increase in interest in patient safety, prevention of falls in hospitalized children has become important. This study aimed to identify the incidence rate of falls among hospitalized children and explore fall-related characteristics.
Methods
This retrospective descriptive study analyzed the medical information of 18,119 patients aged <18 years admitted to a general hospital in South Korea from electronic medical records and fall event reports between January 1, 2018, and September 30, 2023. The study variables included the general and clinical characteristics of the fall group and fall-related characteristics of the fall events. This study employed descriptive statistics and a chi-square test using IBM SPSS version 26.0.
Results
Among the patients, 82 fall events were identified. Therefore, the fall incidence rate was 4.5 falls per 1,000 patients. Furthermore, a statistically significant difference was found concerning the type of injury sustained between children >1 year old and those <1 year old, and most cases had no damage or bruises. More cases were found in which falls occurred two days after hospitalization in winter and summer than on the day or the day after hospitalization, which was a statistically significant difference. In addition, fall prevalence was higher between 8 am and 4 pm, and when no caregiver was present. Conclusion: Based on the results of this study, education and interventions to prevent fall events in infants and toddlers should persist throughout hospitalization, and it is necessary to guide continuous management and observation of the caregivers.

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

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

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 develop a multicultural education program for Mother and Baby Unit (MBU) nurses by using concept mapping, and to evaluate its effectiveness in enhancing the nurses’ cultural competence and multicultural acceptance.
Methods
This study utilized the ADDIE model (which comprises the Analysis, Design, Development, Implementation, and Evaluation stages) to design and implement a concept mapping-based multicultural education program for MBU nurses in a quasi-experimental pre- and post-test design. This program was structured into five sessions, each incorporating the use of concept maps to facilitate self-reflection and critical thinking. All sessions were conducted using the online Zoom platform, allowing participants to engage without restrictions on time or location. A total of 53 nurses participated, with 26 assigned to the experimental group and 27 to the control group. The program’s effectiveness was assessed through changes in cultural competence and multicultural acceptance, measured using validated scales.
Results
The results demonstrated significant improvements in both cultural competence and multicultural acceptance in the experimental group compared to the control group, supporting the hypotheses that such educational interventions can enhance nurses’ ability to provide culturally appropriate care.
Conclusion
Concept mapping fosters self-reflection and critical thinking, effectively increasing MBU nurses’ cultural competence and multicultural acceptance. This study offers a practical framework for integrating multicultural education into nursing training, ultimately improving care for foreign mothers and reducing the challenges faced by MBU nurses.

Purpose
This study aims to explore the factors influencing nursing professionalism among nursing students, focusing on the image of nurses, satisfaction with their major, and career metacognition.
Methods
We conducted a descriptive survey with 185 nursing students from D city and K region on June 10–30, 2024. Data were analyzed using IBM SPSS ver. 27.0 (IBM Corp.), employing descriptive statistics, t tests, one-way ANOVA, Scheffé tests, Pearson’s correlation coefficients, and regression analysis. Multiple linear regression analysis was used to identify factors affecting nursing professionalism among nursing students.
Results
The regression analysis revealed that the image of nurses (β=.69, p<.001) and monitoring aspect of career metacognition (β=.13, p=.025) were significant predictors of nursing professionalism, accounting for 64.5% of the variance.
Conclusion
The findings indicate that the image of nurses and monitoring component of career metacognition are critical in shaping nursing professionalism among nursing students. Therefore, nursing education programs should aim to improve the image of nurses and promote self-reflective career practices as strategies to foster professionalism among nursing students.

Purpose
The study aimed to evaluate the effectiveness of cryotherapy in preventing oral mucositis in pediatric patients receiving chemotherapy.
Methods
An evidence-based practice project utilized a randomized control trial design with two groups (experimental and control groups). Fifty-nine pediatric patients with cancer in Jordan, aged 8–18 years, were randomly assigned to the experimental group (n=29) or the control group (n=30). The intervention was conducted from June 2022 to December 2022. The severity of oral mucositis among pediatric cancer patients was assessed using the World Health Organization oral mucositis grade.
Results
There were no significant differences in sex or disease type among the groups. On days 7, 14, and 21, we observed notable between-group differences in treatment responses and the intensity of oral mucositis, highlighting the efficacy of cryotherapy in diminishing the severity of oral mucositis.
Conclusion
This study supports the use of cryotherapy as a preventive measure for oral mucositis among pediatric oncology patients in Jordan. The findings suggest that cryotherapy effectively reduces the severity of oral mucositis. Further research is necessary to investigate the broader impacts of cryotherapy.

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
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

• 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; 15(2): 323.     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

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
This study aimed to explore tutoring experiences related to a high-risk newborn care simulation among nurses and nursing students to derive insights into developing effective neonatal nursing practice.
Methods
A qualitative content-analysis study was conducted in March 2023. Data were collected through narrative surveys and focus group interviews with four neonatal intensive care unit nurses and 12 senior nursing students participating in a 1-day high-risk newborn care simulation program. A content analysis was performed on the collected data.
Results
Three categories (“efforts to foster a sense of presence,” “efforts to promote positive awareness of the neonatal intensive care unit,” and “establishing one’s role as an educator”) and six subcategories were derived from the nurses’ responses. Three categories (“growth through a realistic virtual simulation,” “improved learning effects,” and “hope for continued development”) and six subcategories were derived from the nursing students’ responses.
Conclusion
The nursing students experienced realistic practice with their nurse tutors in the high-risk newborn care simulation, which helped them form their professional identity as future nurses. After tutoring, the nurses’ perceptions of nursing students changed positively, which affected their teaching methods.

Purpose
This study aimed to investigate the knowledge, opinions, competence, and barriers of nurses providing trauma-informed care (TIC) to children in hospitals.
Methods
Data were collected from 198 nurses nationwide using the TIC Provider Survey developed by the Center for Pediatric Traumatic Stress in July, 2024. Descriptive statistics, t tests, and one-way ANOVA were conducted using the IBM SPSS Statistics software (ver. 23.0, IBM Corp.).
Results
Of the 13 items assessing knowledge of TIC, seven had a correct response rate of over 90%. However, the correct response rate for these three items were less than 30%. Regarding opinions on the TIC, more than 90% of participants agreed with five of the seven items. In self-rated competence in providing TIC, they were not competent in responding to a child’s (or parent’s) questions about whether the child is going to die or understanding how traumatic stress may present differently according to developmental stages. The major barriers to providing TIC were time constraints, lack of training, and organizational support. Items with relatively low performance rates were ‘teach parents what to say to their child after a difficult/sick/scary experience, and teach child or parents the specific ways to cope with unpleasant experiences’.
Conclusion
This study suggests that it can contribute to the development of specific guidelines for nurses to effectively apply TIC in pediatric and family nursing practice, emphasizing the need for educational programs to support this implementation.

Purpose
This study aimed to systematically review studies on the effect of peer tutoring on pediatric nursing education for nursing students and identify its contents and characteristics.
Methods
A comprehensive search was conducted from November to December 2023 across databases including PubMed, Embase, CENTRAL, CINAHL, ProQuest, and others. We included both published and unpublished literature in English or Korean. Three reviewers independently screened and selected eligible studies that involved undergraduate nursing students participating in peer tutoring programs focused on pediatric nursing education. We analyzed quantitative outcomes related to learning effects and learner responses. The quality of the studies was assessed using the revised Cochrane risk-of-bias tool for randomized trials and the risk of bias assessment tool for non-randomized studies.
Results
Five studies were reviewed, encompassing randomized controlled trials, a non-randomized controlled trial, a cohort study, and a before-after study. These interventions were conducted in school settings or pediatric clinical environments and featured different forms of peer teaching: horizontal, near-peer, and reciprocal. The tutor-to-tutee ratios ranged from 1:3 to 1:36.5. The educational content covered nursing care for major neonatal diseases, communication skills, medication administration, and resuscitation techniques. Significant improvements in cognitive knowledge and communication skills were observed among nursing students. However, there was noticeable variability in the design and reporting of the studies.
Conclusion
Peer tutoring programs can effectively enhance pediatric nursing education by improving nursing students’ knowledge and skills. For future meta-analyses, more studies in this field reported according to reporting guidelines are needed.

Purpose
This study aimed to identify the effects of nurse’s knowledge and self-efficacy on nursing performance in pediatric intravenous fluid management and provide the primary data necessary for the efficient intravenous injection management of hospitalized children.
Methods
This study was a descriptive study design with 141 nurses who perform pediatric intravenous therapy care at eight hospitals in the S, C, D, and S regions. Data were collected from September 1, 2023, to September 30, 2023.
Results
Nursing performance of pediatric intravenous injection management was significantly positively correlated with knowledge (r=.44, p<.001) and self-efficacy (r=.19, p=.022). Nurses’ knowledge (β=.42, p<.001) and self-efficacy (β=.22, p=.004) of pediatric intravenous injection management and care were identified as significant predictors of nursing performance thereof, with these two factors explaining 21.9% of the variance.
Conclusion
This study found that knowledge and self-efficacy of pediatric intravenous injection management are significant predictors of the practice of intravenous care among pediatric nurses. Therefore, considering these factors, education and intervention programs should be developed to enhance pediatric nurses' knowledge and self-efficacy regarding intravenous injection management.