Systematic ReviewResearchPatient Education

Children's participation in nursing care depends on trust, information, and context

Journal of pediatric nursing (PubMed)Sep 12, 2026

AI-summarized from the linked source. Educational brief, not medical advice.

Brief summary

A qualitative systematic review found that children's participation in nursing care was shaped by the child-nurse relationship, the child-parent-professional decision process, access to developmentally appropriate information, and the care environment.

What NurseJet pulled from the source

The review synthesized 20 qualitative studies published from 2002 through 2025. Evidence came mainly from school-aged children and adolescents, and adult dominance often limited involvement to smaller decisions.

Why this matters for nurses

Pediatric participation is more than asking a child a single question. The synthesis highlights how relationships, information, family-professional dynamics, and the environment can either support or restrict a child's voice.

Bedside takeaway

Support pediatric participation with trust, age-appropriate information, and space for the child's own expression.

Key takeaways

Trust, familiarity, and supportive communication were linked to opportunities for children to express their views.
Developmentally appropriate information helped children understand and engage in care.
Nonverbal expression, play, and child-friendly environments also influenced participation experiences.

Practice implications

Use developmentally appropriate explanations, invite verbal or nonverbal preferences when feasible, and include the child within the family-professional conversation while following the local consent and assent process.

Limitations & cautions

Abstract-only summary. The synthesis was qualitative, and the included evidence predominantly reflected school-aged children and adolescents, with limited evidence about younger children.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations

Exact source links

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Journal of pediatric nursing (PubMed)

Journal of pediatric nursing (PubMed). Exploring children's participation in nursing care: A qualitative systematic review.

Open original source

https://pubmed.ncbi.nlm.nih.gov/42731542/

Professional education only

This summary does not replace clinical judgment, facility policy, provider orders, or official guidelines. Verify practice changes against the original source and local protocol.

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Pediatrics (PubMed)Sep 21, 2026Research Article

A large health-system implementation study found that hybrid congenital CMV screening was feasible and increased case detection, while follow-up audiology access remained a major gap.

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Research ArticleResearchQuality ImprovementPatient EducationAI summary · original source linked below

Among 50,438 births from 2022 through 2025, 7,491 infants were screened using universal NICU screening plus targeted newborn-nursery screening. Thirty-four infants had confirmed congenital CMV, and case detection increased about 2.5-fold after implementation.

Key takeaways

Annual screening increased from about 150 infants to more than 2,000 after the multidisciplinary program was introduced.
Confirmed congenital CMV was detected in 0.45% of screened infants, with higher detection in the targeted group than the universal NICU group.
Logistical, socioeconomic, and educational barriers limited audiology follow-up despite successful integration of screening workflows.

Why this matters on shift

Newborn and pediatric nurses support specimen collection, parent education, result communication, and follow-up coordination. The study shows that screening implementation can improve detection, but the clinical benefit depends on families reaching audiology and other indicated follow-up services.

Bedside takeaway

Screening only helps when results and audiology follow-up are reliably carried through after discharge.

Nursing implications

Follow the facility's newborn CMV screening criteria and specimen workflow, document completion and results, explain the planned next steps in plain language, and help close audiology and pediatric follow-up loops before and after discharge.

Limitations & cautions

This was a retrospective implementation study in one Ohio health system rather than a randomized comparison. The screening approach combined universal NICU and targeted nursery testing, and the abstract does not establish a nationally preferred protocol or long-term outcome benefit.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Pediatrics (PubMed). Implementing Congenital CMV Screening in a Large Hospital System.

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

Supportive Care in Cancer (PubMed)Sep 20, 2026Systematic Review

A qualitative systematic review found that families of children with cancer experienced sustained financial strain from direct and indirect costs, lost income, and gaps in insurance or social support.

Oncology PedsAI summaryReview source

Systematic ReviewResearchPatient EducationWorkflowAI summary · original source linked below

The review synthesized 14 moderate-to-high-quality studies involving 524 participants, primarily parents, across seven countries. Families described debt, reduced living standards, psychosocial effects, and long-term vulnerability; financial assistance and reorganizing family life often provided only partial relief.

Key takeaways

Financial toxicity accumulated from medical expenses, indirect costs, employment disruption, and inadequate insurance or social support.
The burden extended beyond treatment and affected household stability, living standards, and psychosocial wellbeing.
Families used financial assistance and major changes to work and daily life, but these strategies often did not fully relieve the burden.

Why this matters on shift

Oncology and pediatric nurses may hear practical barriers before they appear in formal screening. The review supports treating cost, work disruption, travel, and access to assistance as parts of family-centered supportive care rather than assuming families will raise them independently.

Bedside takeaway

Screen early for treatment-related financial strain and route concerns through the pediatric oncology support pathway.

Nursing implications

Ask families whether treatment-related costs, travel, missed work, or access to basic needs are creating difficulty, document the concern, and connect them with the oncology social worker, financial navigator, or other approved support pathway early.

Limitations & cautions

This was a qualitative synthesis rather than an intervention study, so it does not estimate prevalence or prove that a specific support program improves outcomes. Most participants were parents, and experiences may differ across health systems and family structures.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Supportive Care in Cancer (PubMed). Financial toxicity among families of children with cancer: a qualitative systematic review and meta-aggregation.

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

Anesthesiology and Pain Medicine (PubMed)Feb 27, 2026Research Article

A randomized trial of 140 children undergoing adenotonsillectomy found that nasal-cannula apneic oxygenation maintained higher oxygen saturation during intubation than standard intubation.

PedsAI summaryReview source

Research ArticleResearchQuality ImprovementWorkflowAI summary · original source linked below

Children aged 3 to 10 years were randomized to standard intubation or nasal oxygen at 0.2 L/kg/min during apnea. No child in the oxygen group desaturated to 95% or below, compared with 21.43% of controls; intubation time, attempts, and bradycardia did not differ significantly.

Key takeaways

Mean lowest oxygen saturation during intubation was 99.91% with apneic oxygenation and 97.40% with standard care.
Severe desaturation below 92% occurred in 7.14% of controls and in none of the children receiving apneic oxygenation.
The result applies to children undergoing adenotonsillectomy under the studied anesthesia protocol.

Why this matters on shift

Perioperative pediatric nurses help prepare oxygen-delivery equipment, monitor oxygenation, and communicate changes during airway management. This trial supports protocol review for a defined high-risk airway setting without establishing a universal approach for every pediatric intubation.

Bedside takeaway

Apply apneic oxygenation only through the approved pediatric airway protocol and continue continuous oxygenation monitoring.

Nursing implications

Use apneic oxygenation only within the anesthesia team's approved pediatric airway protocol, verify the ordered equipment and flow, continuously monitor oxygenation, and communicate any desaturation or airway difficulty immediately.

Limitations & cautions

This was one single-blinded trial in children aged 3 to 10 undergoing adenotonsillectomy. The abstract does not describe longer-term outcomes or establish effectiveness for other procedures, age groups, emergency intubation, or different oxygen-flow protocols.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Anesthesiology and Pain Medicine (PubMed). Effectiveness of Apneic Oxygenation During Induction of General Anesthesia in Children Undergoing Adenotonsillectomy: A Prospective Randomized Controlled Study.

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AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

Practice implications

Limitations & cautions

Exact source links

More updates for this clinical area

Hybrid congenital CMV screening increased detection across one hospital system

Pediatric cancer costs created sustained financial strain across 14 qualitative studies

Nasal apneic oxygenation prevented intubation desaturation in one pediatric trial