Related Experiment Video
Updated: Aug 14, 2025
Separation of Immune Cell Subpopulations in Peripheral Blood Samples from Children with Infectious Mononucleosis
Published on: September 7, 2022
Multi-inflammatory syndrome in children (MIS-C) associated with COVID-19: a nursing perspective experience report
Henrik Hjelmgren1,2, Karin Andersson3, Jessica Widegren3
1Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden. henrik.hjelmgren@ki.se.
Insights
This study highlights the nursing challenges and experiences caring for children with multisystem inflammatory syndrome in children (MIS-C). Early central venous line use and dedicated resources are crucial for improving MIS-C nursing care.
Area of Science:
- Pediatric Nursing
- Infectious Diseases
- Critical Care Medicine
Background:
- Multisystem inflammatory syndrome in children (MIS-C) emerged during the COVID-19 pandemic.
- Limited research exists on nursing care for MIS-C.
- This study addresses the gap by examining nursing status and experiences in pediatric inpatient care.
Purpose of the Study:
- To describe the nursing status of children with MIS-C.
- To explore registered nurses' (RNs) experiences caring for MIS-C patients.
- To inform best practices in pediatric nursing for MIS-C.
Main Methods:
- Mixed-methods approach combining quantitative clinical record data and qualitative interview data.
- Descriptive statistics for analyzing clinical records (n=47).
- Deductive and inductive content analysis for qualitative interview data.
Main Results:
- Children with MIS-C faced challenges in circulation, nutrition, pain, and psychosocial well-being.
- Nurses reported frustration due to uncertain care, children's distress, and unavoidable procedures.
- Boys were more affected than girls, with a mean age of 8.8 years.
Conclusions:
- Nursing care for MIS-C requires significant focus across multiple domains.
- Early central venous line insertion improved care quality.
- Adequate resources and time are essential for effective MIS-C nursing care.
Background:
In the midst of the COVID-19 coronavirus pandemic, a new disease that affects children has arisen called multisystem inflammatory syndrome in children (MIS-C). Several research articles focusing on its medical aspects have been published, but very few have focused on nursing care. The aim of this study was therefore to describe the nursing status of children suffering from MIS-C and the experiences of registered nurses (RNs) in caring for these children in paediatric hospital inpatient care.
Methods:
The study design includes both quantitative nursing clinical record data and qualitative interview data. Quantitative data from the clinical records were analysed using descriptive statistics. Qualitative data analysis of the interviews was conducted using both deductive and inductive approaches with content analysis.
Results:
In total, 47 clinical records from children with MIS-C were investigated during January-March 2021. The mean age of the children was 8.8 years. Boys were more affected than girls. Challenges in children's nursing status were related to circulation (fever and swelling), nutrition (great thirst and loss of appetite), pain, and psychosocial situations. When caring for children with MIS-C, nurses experienced "frustration over uncertainty of care", "children's illbeing" and "unavoidable procedures".
Conclusion:
This study contributes knowledge to the ongoing nursing care of children suffering from MIS-C. The results show many different areas of nursing focus, which challenges nurses and other disciplines within paediatric hospital care. One important factor when caring for these children was the use of a central venous line early in the care process, which improved the quality of care. Moreover, the care of children suffering from MIS-C demands resources and time from healthcare professionals, especially RNs, to meet caring needs and reduce illbeing.
More Related Videos
Related Concept Videos
01:22Myocarditis IV: Nursing Management
01:30Pneumonia III: Complications and Assessment
01:30Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
01:24Nephrotic Syndrome III : Nursing Management
01:29Pneumonia II: Pathophysiology
01:26Tonsillitis II: Management