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Background The hospitalization of children during the COVID-19 pandemic has affected their physical and mental health. Pediatric nurses have faced challenges in providing high-quality nursing care for children and their families. However, the pediatric nursing care recommendations for COVID-19 patients in the hospital setting remain unclear. The current scoping review provides recommendations for nursing interventions for pediatric COVID-19 patients in the hospital setting. Methods and findings The selected articles containing management and nursing recommendations for COVID-19 that have occurred in pediatric patients ages 0–19 years old. A search strategy was developed and implemented in seven databases. We included peer-reviewed articles that reported observational or interventional studies, as well as policy papers, guides or guidelines, letters and editorials, and web articles. A total of 134 articles and other documents relevant to this review were included. We categorized the results based on The Nursing Intervention Classification (NIC) taxonomy which consists of six domains (e.g., Physiological: Basic); eleven classes (e.g., Nutrition Support); and eighteen intervention themes (e.g., Positioning, Family Presence Facilitation, Family Support, and Discharge Planning). Conclusion Apart from the intervention of physical problems, there is a need to promote patient- and family-centered care, play therapy, and discharge planning to help children and families cope with their new situation.

Background In the healthcare systems of the world, reinforcing the competence and professionalism of nurses has become a concern. Gaining clinical nursing competence in the healthcare system requires more effort, and additional training is required. Medical education and training have begun using digital technologies, such as virtual reality (VR). The purpose of this research was to examine the efficacy of VR in terms of cognitive, emotional, and psychomotor outcomes and learning satisfaction in nurses. Method The study searched eight databases (Cochrane library, EBSCOHost, Embase, OVID MEDLINE, ProQuest, PubMed, Scopus, and Web of Science) for articles that met these criteria: (i) nursing staff, (ii) any virtual reality technology intervention for education, all levels of immersion, [1] randomized control trial and quasi-experiment study, and (iv) published articles and unpublished theses. The standardized mean difference was measured. The random effect model was applied to measure the main outcome of the study with a significance level of p < .05. The I2 statistic assessment was applied to identify the level of heterogeneity of the study. Results A total of 6740 studies were identified, of which 12 studies with 1470 participants met the criteria for inclusion. The meta-analysis showed a significant improvement in the cognitive aspect (standardized mean difference [SMD] = 1.48; 95% CI = 0.33–2.63; p = .011, I2 = 94.88%), the affective aspect (SMD = 0.59; 95% CI = 0.34–0.86; p < .001, I2 = 34.33%), the psychomotor aspect (SMD = 0.901; 95% CI = 0.49–1.31; p < .001, I2 = 80.33%), and learning satisfaction (SMD = 0.47; 95% CI = 0.17–0.77; p = .002, I2 = 0%) aspects of the groups that received the VR intervention compared to the control groups. Subgroup analysis found that dependent variables (e.g., level of immersion) did not improve study outcomes. The quality of evidence was low which is affected by major methodological issues. Conclusions VR may favorable as alternative method to increase nurse competencies. Randomized controlled trials (RCTs) on larger samples are needed to strengthen the evidence for the effect of VR in various clinical nurse settings. ROSPERO registration number: CRD42022301260.

ABSTRAKPemberian ASI pada neonatus di rumah sakit mengalami banyak tantangan. Sementara itu, mempertahankan pemberian ASI dapat meningkatkan status kesehatan bayi, menurunkan morbiditas dan mortalitas neonatal. Intervensi untuk mempertahankan menyusui selama masa perawatan diantaranya dukungan menyusui dari keluarga dan teman sebaya. Tujuan penulisan artikel adalah untuk menelaah pengaruh intervensi dukungan keluarga dan teman sebaya terhadap ibu menyusui neonatus di rumah sakit. Artikel ini menggunakan pendekatan telaah literatur tahun 2009-2019. Telaah literatur dilakukan terhadap sembilan artikel yang memenuhi kriteria inklusi menunjukkan bahwa sumber dukungan menyusui dapat diperoleh dari keluarga dan teman sebaya. Dukungan menyusui dari pasangan, nenek, dan teman sebaya direkomendasikan untuk ibu-ibu berisiko menghentikan menyusui bayi. Dukungan menyusui yang bersumber dari keluarga dan teman sebaya memberi dampak positif terhadap peningkatan pengetahuan, sikap dan praktik menyusui. Peningkatan proporsi pemberian ASI, durasi menyusui, dan efikasi diri keluarga dalam membantu ibu menyusui. Perawat dapat menggunakan intervensi dukungan menyusui yang bervariasi sesuai dengan kondisi ibu untuk mempromosikan pemberian ASI pada neonatus di rumah sakit. ABSTRACTBreastfeeding newborns in hospitals experiences many challenges. Meanwhile, maintaining breastfeeding can improve a baby's health status, reduce neonatal morbidity and mortality. Interventions in order to breastfeeding during the treatment period include breastfeeding support from family and peers. This literature review aim to examine the effect of family and peer support on breastfeeding mothers in the hospital. This article uses a literature review approach from 2009-2019. Literature review conducted on nine articles that met the inclusion criteria shows that breastfeeding support can be obtained from family and peers. Breastfeeding support from partners, grandmothers, and peers is recommended for mothers at risk of stopping breastfeeding babies. Breastfeeding support sourced from family and peers has a positive impact on improving breastfeeding knowledge, attitudes and practices. Increasing the proportion of breastfeeding, duration of breastfeeding, and family self-efficacy in helping breastfeeding mothers. Nurses can use breastfeeding support interventions that vary according to the mother's condition to promote breastfeeding for newborns in the hospital.

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