Impact of Management-Integrated Learning Materials on the Promotion of Child- and Family-Centered Care in Peripheral...

Child- and family-centered care (C&FCC) is critical in pediatric nursing, but often difficult to implement consistently, particularly during high-stress procedures such as peripheral intravenous (IV) line placements. This two-arm quasi-experimental study evaluated the effectiveness of learning support materials developed to enhance nurse managers' knowledge of and attitudes toward promoting C&FCC and encouraging its implementation during peripheral IV line placements. It conducted a two-arm quasi-experimental study in Japan between October 2022 and April 2023. Nurse managers from pediatric departments were allocated to the intervention (n = 69) and control (n = 67) groups using an alternating assignment method stratified by facility. This study involved three surveys as follows: a pre-survey (T1), post-survey 1 (T2, within 2 days of T1), and post-survey 2 (T3, 1 month after T2). The intervention group received a comprehensive learning package, including management strategies and C&FCC promotion tools, while the control group was provided with a limited guide without management content. In this study, the primary outcome was the behavioral component of attitude - namely, nurse managers' motivation and confidence to promote C&FCC. The secondary outcomes were knowledge of department management in C&FCC and intention to create a C&FCC promotion core team. Adjusted T3 effects, controlled for baseline and prespecified covariates, were estimated using analysis of covariance. For the primary outcome, the intervention produced significant adjusted improvement at T3 (β = 10.04, standard error [SE] = 3.93, t = 2.56, p = .012). The adjusted effect was not significant for knowledge (β = ‒1.03, SE = 0.72, t = 1.44, p = .153). A greater proportion of nurse managers expressed an intention to establish a C&FCC promotion core team in the intervention group than in the control group. In the context of peripheral IV placement, management-integrated C&FCC learning materials appear effective in enhancing nurse managers' motivation and confidence to lead C&FCC implementation and may help cultivate a child- and family-centered organizational culture in pediatric care.