Nursing Management in Pediatric Intensive Care

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Emergency Medicine & Intensive Care Medicine".

Deadline for manuscript submissions: 15 May 2025 | Viewed by 467

Special Issue Editors


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Guest Editor
Adult and Elderly Nursing, Faculty of Nursing, Tokyo University of Information Science, Chiba, Japan
Interests: pediatric intensive care; delirium; pain management

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Guest Editor
Health and Disease Research Center (HDRCRP), Dhaka, Bangladesh
Interests: intensive care; cardiovascular medicine

Special Issue Information

Dear Colleagues,

Nursing management in the pediatric intensive care unit (PICU) involves overseeing specialized care for critically ill children while ensuring a high standard of clinical practice, emotional support, and patient safety. Effective nursing management addresses unique pediatric needs, from complex physiological monitoring to age-specific emotional and developmental support. Key areas of focus include promoting family-centered care, which integrates family members into care processes, enhancing communication, and providing psychological support, fostering trust and cooperation with both patients and families. A crucial aspect of PICU nursing management is staff training in the latest clinical practices, including advanced life support and managing high-stress environments. PICU managers also play a pivotal role in resource allocation, advocating for adequate staffing, and ensuring access to necessary medical equipment, particularly in resource-limited settings. By fostering a supportive and well-resourced environment, nursing managers help to mitigate burnout and enhance team resilience, which is essential for high-quality pediatric care.

In this Special Issue, we will provide a comprehensive overview of management strategies in the PICU, highlighting the best practices and emerging approaches to optimize outcomes in pediatric intensive care.

Dr. Yujiro Matsuishi
Dr. Subrina Jesmin
Guest Editors

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Keywords

  • family care
  • quality indicator
  • pain/delirium management
  • post-intensive care syndrome in children

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Published Papers (1 paper)

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Research

12 pages, 727 KiB  
Article
Verifying the Japanese Version of Pediatric Delirium and Withdrawal Syndrome Assessment Scale: SOS-PD Validation Study for Iatrogenic Withdrawal Syndrome
by Yujiro Matsuishi, Haruhiko Hoshino, Yuki Enomoto, Takahiro Kido, Nobutake Shimojo, Bryan J. Mathis, Erwin Ista and Yoshiaki Inoue
Children 2025, 12(3), 372; https://doi.org/10.3390/children12030372 - 17 Mar 2025
Viewed by 272
Abstract
Background: Iatrogenic withdrawal syndrome (IWS) poses a significant clinical challenge in pediatric intensive care units (PICUs) within Japan. Despite the existing availability of tools to assess pain and delirium, a validated instrument specifically designed for IWS has been notably absent in Japanese clinical [...] Read more.
Background: Iatrogenic withdrawal syndrome (IWS) poses a significant clinical challenge in pediatric intensive care units (PICUs) within Japan. Despite the existing availability of tools to assess pain and delirium, a validated instrument specifically designed for IWS has been notably absent in Japanese clinical practice. The Sophia Observation withdrawal Symptoms-Paediatric Delirium (SOS-PD) scale is globally recognized as an effective tool for IWS evaluation. To bridge this gap, this study aimed to validate the Japanese version of the SOS-PD scale. Methods: A prospective, cohort, observational study was undertaken in a single-center PICU in Japan. Participants ranged from neonates to children aged 20 years, excluding those with pre-existing neurological conditions or coma. Criterion validity was evaluated by comparing Japanese SOS-PD scale scores between a Weaning Group (WEAN) undergoing sedative/opioid tapering and a Maintenance Group (MAIN) receiving stable medication. Correlation analysis was also conducted against pediatric intensivists’ observational NRS (NRSobs). Inter-rater reliability of the Japanese SOS-PD scale was assessed utilizing kappa statistics and intraclass correlation coefficient (ICC). Results: In support of criterion validity, the WEAN group demonstrated significantly higher scores in both NRSobs and the IWS component of the Japanese SOS-PD scale compared to the MAIN group (p < 0.001). A strong correlation was observed between the Japanese SOS-PD IWS component and NRSobs (r = 0.91, p < 0.001). Inter-rater reliability was also robust, with a kappa coefficient of 0.95 and an ICC of 0.98. Conclusions: The Japanese version of the SOS-PD scale exhibits strong validity and inter-rater reliability for IWS assessment within Japanese PICUs. This validated instrument can support the early detection and appropriate management of pediatric IWS in Japan, with the potential to enhance the quality of patient care. Full article
(This article belongs to the Special Issue Nursing Management in Pediatric Intensive Care)
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