Purpose
The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases.
Methods
This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles.
Results
Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment.
Conclusion
It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.

Citations

• Factors associated with healthcare transition readiness for adolescents with chronic conditions: A cross-sectional study
  Hye Seung Hong, YeoJin Im
  Journal of Child Health Care.2025; 29(3): 658.     CrossRef
• A Phenomenological Study of the Lived Illness Experience of Adolescents with Chronic Glomerular Disease
  Sug Young Lee
  Children.2025; 12(12): 1671.     CrossRef
• Research Trends in Family-Centered Care for Children With Chronic Disease
  YeoJin Im, Sunyoung Jung, YoungAh Park, Jeong Hee Eom
  CIN: Computers, Informatics, Nursing.2024; 42(7): 504.     CrossRef
• An Integrated Review of Health Care in Child and Adolescent Cancer Survivors Based on Roy’s Adaptation Model
  Hye Jin Kim, Eunjoo Lee
  Asian Oncology Nursing.2024; 24(2): 82.     CrossRef
• Comparative study on health behaviors among adolescents with chronic allergic disease before and during COVID-19 using data from the Korean Youth Health Panel Surveys
  Sunyeob Choi, Hyewon Shin, Dian Susmarini
  BMC Public Health.2024;[Epub]     CrossRef

Purpose
It is crucial to provide adequate enteral nutrition for postoperative recovery, wound healing and normal growth in infants in pediatric cardiac ICUs. This study was done to develop a feeding protocol using the vaso-active inotropic (VAI) score and to evaluate the impact of nutritional outcomes following the new feeding protocol for infants who underwent cardiac surgery.
Methods
This study consisted of three phases. First, a feeding protocol was developed based on a literature review. Second, ten experts rated the content validity. Third, a comparison study was conducted to evaluate the impact of the new feeding protocol. Data were analyzed using SPSS Version 20.
Results
Twenty-nine infants were enrolled in the pre-protocol group, and 22 infants in the post-protocol group. Patients in the 2 groups were similar. Time to reach feeding goal was significantly decreased from 56.0 (27-210) hours to 28.5 (10-496) hours in the post-protocol group (Z=-4.22, p<.001). Level of enteral feeding knowledge among nurses increased significantly after implementation of the protocol.
Conclusion
The feeding protocol using VAI score facilitates the achievement feeding goal to decrease feeding interruptions and help nurses in their practice. Larger studies are necessary to examine clinical outcomes following the implementation of this feeding protocol.