通过发布有关儿科护理的循证信息并回答“这些信息如何影响护理实践？”的问题，将科学与实践联系起来在照顾孩子和家庭。 JSPN 通过发布经过同行评审的可靠、临床相关且易于应用的证据来弥合研究与实践之间的差距。该杂志将最佳证据与儿科护士“实现最佳结果的热情相结合。该杂志重视跨学科的观点，并发表关于临床相关主题的各种同行评议论文。

The Journal for Specialists in Pediatric Nursing aims to connect science and practice by publishing evidence-based information related to pediatric nursing and addressing the question of how this information impacts nursing practice. The journal bridges the gap between research and practice by providing reliable, clinically relevant, and easily applicable evidence that has undergone peer review. It combines the best evidence with the passion of pediatric nurses for achieving optimal outcomes, values interdisciplinary perspectives, and publishes a variety of peer-reviewed papers on clinically relevant topics.

《Journal for Specialists in Pediatric Nursing》致力于通过发布有关儿科护理的循证信息，探讨这些信息如何影响护理实践，从而将科学与实践紧密结合。该期刊通过发布经过同行评审的可靠、临床相关且易于应用的证据，弥合研究与实践之间的差距。它将最佳证据与儿科护士在实现最佳护理结果方面的热情相结合，重视跨学科的观点，发表关于临床相关主题的多样化同行评议论文。

Journal for Specialists in Pediatric Nursing

Abstract Purpose Sedation and analgesia are administered to critically ill patients, which may result in physical dependence and subsequent iatrogenic withdrawal. The Withdrawal Assessment Tool‐1 (WAT‐1) was developed and validated as an objective measurement of pediatric iatrogenic withdrawal in intensive care units (ICUs), with a WAT‐1 score ≥ 3 indicative of withdrawal. This study's objectives were to test interrater reliability and validity of the WAT‐1 in pediatric cardiovascular patients in a non‐ICU setting. Design and methods This prospective observational cohort study was conducted on a pediatric cardiac inpatient unit. WAT‐1 assessments were performed by the patient's nurse and a blinded expert nurse rater. Intra‐class correlation coefficients were calculated, and Kappa statistics were estimated. A two‐sample, one‐sided test of proportions of weaning ( n = 30) and nonweaning ( n = 30) patients with a WAT‐1 ≥3 were compared. Results Interrater reliability was low ( K = 0.132). The WAT‐1 area under the receiver operating curve was 0.764 (95% confidence interval; ± 0.123). There was a significantly higher proportion (50%, p = 0.009) of weaning patients with WAT‐1 scores ≥3 compared to the nonweaning patients (10%). The WAT‐1 elements of moderate/severe uncoordinated/repetitive movement and loose, watery stools were significantly higher in the weaning population. Practice Implications Methods to improve interrater reliability warrant further examination. The WAT‐1 had good discrimination at identifying withdrawal in cardiovascular patients on an acute cardiac care unit. Frequent nurse re‐education may increase accurate tool use. The WAT‐1 tool may be used in the management of iatrogenic withdrawal in pediatric cardiovascular patients in a non‐ICU setting.

Sarah McAlister

Jean A. Connor

Shannon Engstrand

Mary C. McLellan

Validation of the withdrawal assessment tool‐1 (WAT‐1) in pediatric cardiovascular patients on an inpatient unit

住院儿科心血管患者中撤药评估工具‐1（WAT‐1）的验证

Abstract Pain and fear associated with needle procedures have been found to be more common among children and adolescents treated for type 1 diabetes (T1D) than among others in their age group. Furthermore, high glycated haemoglobin (HbA1c) values are associated with needle‐related fear. Aim To describe negative experiences of needle procedures in childhood diabetes treatment from children's and adolescents' own perspectives. Methods Short written narratives ( n = 83) and drawings ( n = 2) from children and adolescents treated for T1D, aged 7–18 years, were subjected to inductive qualitative content analysis. Results Negative experiences with needle procedures had many facets, such as pain and fear, changing over time and affecting everyday life. All kinds of needle procedures caused difficulties, but venipunctures were described as the worst. Conclusion All needle procedures involved in diabetes treatment are potentially experienced as creating pain and fear, but the negative experiences are multifaceted and vary between individuals. These experiences create suffering for children and adolescents, and influence their daily lives. Besides finding techniques to decrease the number of needle procedures in the treatment, research should focus on implementing methods to decrease pain, fear, and other negative experiences as well as to promote self‐coping. This is urgent, since needle‐related fear has an impact on glycaemic control and therefore increases the risk of long‐term complications. Clinical Implications When caring for children and adolescents with diabetes, their previous experiences with needle procedures need to be considered.

Johanna Göthesson

Linnéa Håkansson

Anna Lindholm Olinder

Lena Hanberger

Evalotte Mörelius

Stefan Nilsson

Maria Forsner

Children's and adolescent's narratives about pain and negative experiences in diabetes treatment

儿童和青少年关于糖尿病治疗中疼痛和负面经历的叙述

Abstract Purpose Nurses have a very important role in diabetes education of children and adolescents, however, no systematic review has been performed that evaluates the effectiveness of the independent interventions of the nurses. This systematic review aims to identify and assess randomized controlled trials (RCT) that included interventions implemented by nurses to improve glycemic control for children and adolescents with type 1 diabetes. Eligibility Criteria PubMed, the Cochrane Central Register of Controlled Trials, Scopus, Web of Science, Science Direct databases were systematically searched up to 2022. Interventions provided by nurses for any child ≤18 years diagnosed with type 1 diabetes mellitus were included. Sample Seven RCT articles met our review criteria. Results All included studies were published between 2005 and 2021. Studies varied in terms of intervention type; telephone case management, coping skills training, motivational interview as well as home visit education programs. Interventions were found to significantly decrease the HbA1c level in three of seven studies. Conclusions Our systematic review suggests that nurses can improve the glycemic control of children with type 1 diabetes by conducting care interventions. According to current evidence, this study suggests that telephone contact by nurses and motivational interviewing can be beneficial in improving glycemic control in this population. Implications Nurses may encourage children and adolescents with diabetes to engage in self‐management of their glucose levels. There is a need for more randomized controlled studies assessing the efficacy of nursing interventions for children with type 1 diabetes.

Elif Bakir

Tufan Aslı Sezer

The efficacy of interventions provided by nurses to improve glycemic control of children with type 1 diabetes: A systematic review

护士干预措施对改善1型糖尿病患儿血糖控制效果的系统评价

Abstract Purpose Unrelieved pain among hospitalized children is a common problem that affects all aspects of children's health and their quality of life. Cultural and language differences between nurses and patients have been shown to impact the quality and safety of nursing care and management for children with pain. The aim of this study was to identify the cultural factors, barriers, and facilitators impacting the assessment and management of children's pain by expatriate nurses in Saudi Arabia. Design and Methods A qualitative descriptive design was employed in this study. A sample of 16 nurses was conveniently recruited and interviewed through face‐to‐face semistructured interviews. Each interview lasted between 30 and 60 min and was audio‐recorded. Content analysis was used to analyze the transcripts. Transcripts were carefully read, significant statements were highlighted, coded, categorized, and clustered thematically. Results Three main themes were identified, namely, (I) low priority of children's pain, (II) culture and religious challenges, and (III) communication challenges. Practice Implications Cultural and language differences described by expatriate nurses hindered their care of children with pain. A systematic education for expatriate nurses, children, and families is urgently needed to enhance inter/cross‐cultural understandings and improve childcare in Saudi Arabia. This study identifies the unique challenges faced by expatriate nurses in Saudi Arabia. The findings reveal how a lack of knowledge about cultural values and beliefs can lead to misunderstandings and conflicts between nurses, children, and families and can have an impact on childcare and pain. It also highlights the need to improve pain management practices in multicultural healthcare settings, similar to those of Saudi Arabia and neighboring Arab nations, and across the globe.

Khalaf Alotaibi

Isabel Higgins

Sally Chan

Culture, religion, language and the assessment and management of children's pain by expatriate nurses in Saudi Arabia: A qualitative study

文化、宗教、语言与外籍护士在沙特阿拉伯对儿童疼痛的评估与管理：一项定性研究

In pediatric care settings, family-centered care (FCC) is an integral way to ensure family involvement in their child's care and has been known to improve health outcomes and families' psychosocial well-being. Similarly, nursing presence is deemed beneficial in the formation of authentic nurse-patient relationships and is known to facilitate healing and improve satisfaction for the patient and their family. The objective of this article is to explore how nursing presence supports FCC by closely examining the four concepts of FCC as described by Institute for Patient- and Family-Centered Care: dignity and respect, information sharing, participation, and collaboration. A case study is also presented to demonstrate how nursing presence can be applied in FCC, when caring for a pediatric oncology patient.Nursing presence is essential in FCC since it plays a key role in the formation of relationships, a fundamental element in the four concepts. Attributes of nursing presence can be interwoven in the FCC framework and have positive clinical, social, and emotional outcomes for the patient and family. Although literature has explored associations between FCC and nursing presence, there is need for more scientific research to justify this argument to support the improvement of quality of family nursing care and strengthen the FCC model.The four concepts of FCC lay a foundation for a model of care that can be enhanced by nursing presence, potentially providing a remedy for depersonalization of healthcare by improving nurse patient relationships in pediatric care settings. Nursing presence becomes less ambiguous when enacted in a FCC framework, revealing attributes that may be cultivated in family nursing to improve therapeutic relationships among nurses and family caregivers.

Solomon K. Mcharo

Shelley Spurr

Jill Bally

Shelley Peacock

Lorraine Holtslander

Keith Walker

Application of nursing presence to family‐centered care: Supporting nursing practice in pediatric oncology

护理存在在以家庭为中心的护理中的应用：支持儿科肿瘤护理实践

To explore actions taken by health care professionals during a procedure with a child with autism spectrum disorder DESIGN AND METHOD: Critical incident technique was used, which is a technique with a qualitative descriptive retrospective design, to capture situations experienced by health care professionals during a procedure in an anaesthesia or radiology department. Health care professionals from anaesthesia and radiology departments (n = 20) were interviewed about situations affecting the procedure.

Emelie Pettersson

Berit Møller Christensen

Ingalill Gimbler Berglund

Karina Huus

Identifying actions taken by health care professionals during procedures involving children with autism spectrum disorders in a high technological environment: Using critical incident technique

在高技术环境下，识别医疗专业人员在涉及自闭症谱系障碍儿童的程序中所采取的行动：使用关键事件技术

Abstract Purpose The purpose of this study was to identify the factors influencing pediatric nurses' job stress, including their level of fatigue and partnerships with the parents of patients. This investigation aimed to findings of this study may lead to the development of strategies to reduce pediatric nurse's job stress. Design and Methods Participants were recruited from pediatric, pediatric intensive care, and neonatal intensive care units across seven general hospitals. Eligibility requires a minimum of 6 months of experience in pediatric nursing. The sample size was determined using the G*power program, considering various variables, including age, marital status, presence of children, and work‐related characteristics, leading to a final sample size of 135, adjusted for a 10% dropout rate. Data collection was conducted through self‐report questionnaires, and analysis involved frequency, percentage, mean, standard deviation, t ‐tests, ANOVA, and stepwise multiple regression, using SPSS Statistics 27.0. Results This study confirmed a significant correlation between pediatric nurses' fatigue and job stress, with higher levels of fatigue associated with increased job stress. Stepwise regression analysis showed that fatigue and age were significant predictors of job stress among pediatric nurses, explaining 23% of the variance. However, detailed analysis showed that younger nurses had lower job stress scores compared to older nurses. This result suggests that more experienced nurses may experience higher job stress due to increased responsibilities and emotional burdens. Practice Implications This study identified the need for effective strategies to manage fatigue and reduce job stress among pediatric nurses during the COVID‐19 pandemic. Younger nurses, particularly those under 25 and between 26 and 30 years old, experience lower job stress compared to older nurses. Comprehensive support systems should be developed, including workload management, emotional support, and programs to enhance partnerships between nurses and parents. These strategies can improve job satisfaction and the quality of care provided to young patients. Additionally, they ensure a more resilient and effective healthcare workforce during pandemics and similar crises.

Bo Yeong Jeon

Sun Jeong Yun

Hye Young Kim

Factors influencing job stress in pediatric nurses during the pandemic period: Focusing on fatigue, pediatric nurse−parent partnership

疫情时期儿科护士工作压力的影响因素：聚焦疲劳与儿科护士-家长合作关系

Sexuality education is essential for children and adolescents to make better choices regarding their sexual well-being. Parents, teachers, and healthcare providers are not always comfortable talking to school-age children about sex, making sexuality education a concept of interest to be explored. The purpose of this paper is to explain the concept of sexuality education in school-aged children and adolescents.

Nelly Carmichael

Azita Amiri

Sexuality education for school‐aged children and adolescents: A concept analysis

学龄儿童和青少年的性教育：概念分析

The aim of the study is to explore the experiences of adolescents affected by the earthquake.

Hatice Başkale

Perihan Solmaz

Experiences of adolescents affected by earthquakes: A qualitative study

青少年地震经历的质性研究

Abstract Purpose This study aimed to examine determinants of undernutrition among children under 2 years of age. Design and Methods A matched case‐control study design was conducted to recruit 300 mothers comprising 100 mothers with an undernourished child (case group) and 200 mothers with a healthy child (control group). Measurements consisted of demographic characteristics of children data, mother's data, household data, mother's knowledge of child undernutrition, mother's knowledge of nutrition, complementary feeding practices, and undernutrition parameters of the children. A conditional logistic regression was used to identify determinants of undernutrition. The risk of undernutrition was estimated by odds ratios (ORs) and 95% confidence intervals (CIs). Statistical significance was defined as any p value of &lt;.05. Results Findings showed that mother's knowledge of undernutrition (AOR: 0.95; 95% CI: 0.91−0.98), mother's knowledge of nutrition (AOR: 0.90; 95% CI: 0.85−0.96), and mother's knowledge (AOR: 0.78; 95% CI: 0.67−0.91) and behavior of complementary feeding practices (AOR: 0.97; 95% CI: 0.94−0.99) were significant determinants of undernutrition ( p &lt; .05). Practice Implications Mothers with high scores on knowledge of undernutrition, knowledge of nutrition, and knowledge and behaviors of complementary feeding practices would benefit the children under 2 years to reduce the risk of undernutrition. Healthcare professionals (i.e., pediatric nurses and community health nurses) should provide early assessment of knowledge related to undernutrition, nutrition, and complementary feeding practices for mothers with children under 2 years.

Raden Ahmad Dedy Mardani

Zuhratul Hajri

Zurriyatun Thoyibah

Henny Yolanda

Shu‐Yu Kuo

Yuh‐Kae Shyu

Hui‐Chuan Huang

Journal for specialists in pediatric nursing

A case‐control study to investigate determinants of undernutrition in community‐dwelling children

一项针对社区居住儿童营养不良决定因素的病例对照研究

Abbreviation	Specialist Pediatric Nursing
Journal Impact	1.25
Quartiles(Global)	PEDIATRICS(Q3)

ISSN	1539-0136, 1744-6155
h-index	47

Publication Information	Publisher: Wiley-Blackwell，Publishing cycle: Quarterly，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2002，Proportion of original research papers: 62.50%，Self Citation Rate:0.00%， Gold OA Rate: 8.70%
Average review cycle	网友分享经验：>12周，或约稿
Average recruitment ratio	网友分享经验：容易

Journal for Specialists in Pediatric Nursing

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