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Children
Special Issues
The Latest Challenges and Explorations in Pediatric Nursing
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The Latest Challenges and Explorations in Pediatric Nursing

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Nursing".

Deadline for manuscript submissions: 30 December 2025 | Viewed by 661

Special Issue Editor

Dr. Silvia Rossi

E-Mail Website
Guest Editor
IRCCS Istituto G. Gaslini, Genova, Via Gerolamo Gaslini, 516147 Genoa, Italy
Interests: nursing care; safety and quality of care; the experiences and education of nursing students; "care left undone" and transcultural relationships

Special Issue Information

Dear Colleagues,

We are pleased to announce an upcoming Special Issue titled "The Latest Challenges and Explorations in Pediatric Nursing". This issue aims to illuminate the emerging challenges pediatric nursing professionals face in a rapidly evolving global context. We welcome all types of papers that address this topic, with particular focus on papers that reflect the integration of new technologies and artificial intelligence in nursing care, the impact of climate change on child health, and studies about under-researched populations, such as children with rare diseases or complex medical conditions.

Additionally, we invite contributions that address the impact of recent humanitarian crises on pediatric nursing care and highlight how nurses adapt to meet the physical, emotional, and social needs of children in vulnerable situations.

We encourage submissions of research articles, reviews, or case studies that examine evidence-based practice, ethical considerations, policy implications, and strategies for advancing pediatric nursing care.

As a result, this Special Issue will explore the diverse and complex landscape of pediatric nursing today.

Dr. Silvia Rossi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nursing care in pediatrics
  • emerging challenges
  • healthcare technologies
  • climate change impact
  • humanitarian crises in pediatric care
  • under-researched pediatric populations

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  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Research

12 pages, 315 KiB  
Article
Not a Quiet Place: Understanding Noise Level in a Newborn Intensive Care Unit (NICU) and Its Relation with Newborn’s Vital Parameters, a Pilot Feasibility Study
by Silvia Rossi, Alessia Salvatore, Giulia Ottonello, Ilaria Artuso, Roberta Da Rin Della Mora, Simona Serveli and Silvia Scelsi
Children 2025, 12(6), 757; https://doi.org/10.3390/children12060757 - 11 Jun 2025
Viewed by 337
Abstract
Background/Objectives: Adaptation to extrauterine life is challenging for preterm newborns. Environmental stimuli, such as noise, can lead to adverse health outcomes, causing instability of vital parameters and impairment of neurodevelopment. The American Academy of Pediatrics recommends a maximum environmental noise level of 45 [...] Read more.
Background/Objectives: Adaptation to extrauterine life is challenging for preterm newborns. Environmental stimuli, such as noise, can lead to adverse health outcomes, causing instability of vital parameters and impairment of neurodevelopment. The American Academy of Pediatrics recommends a maximum environmental noise level of 45 decibels (dB) or less in the NICU. The study’s primary aim was to describe environmental noise in a neonatal intensive care unit and to analyze potential associations between noise and vital parameters of preterm newborns, including heart rate, respiratory rate, and oxygen saturation levels. Methods: A pilot observational feasibility study was conducted in a level III NICU. Sound levels and vital parameters were recorded over four hours for each preterm newborn. Confounding variables were controlled. Data were analyzed using descriptive statistics, Kendall’s τ-b, and logistic regression analysis. Ethical approval and parental consent were obtained. Results: The average environmental noise level was consistently above 45 dB. Six patients were enrolled, and 22 recordings (ranging in length from 1 to 4 h) were performed. Data adjusted for confounding variables show a statistically significant Kendall’s correlation between heart rate and decibels (τ-b = 0.89, p = 0.003, n = 520), suggesting a monotonous crescent tendency between these two variables, although the relationship is not strong. The logistic regression model indicates that the odds ratio (OR) for decibels related to tachycardia is 1.066, meaning that for each 1 dB increase, the probability of tachycardia rises by 6.6% (p < 0.001). Conversely, the OR for respiratory rate is 0.959, suggesting that for each unit increase in respiratory rate, the probability of tachycardia decreases by approximately 4.1% (p < 0.001). Conclusions: The study reveals that the mean environmental noise level in the NICU consistently exceeds the recommended safety level. Decibels are one of the significant variables contributing to the likelihood of tachycardia, and an increase in decibels has a significant effect on this, but it is not the only one. Further analysis of a larger sample is needed. Full article
(This article belongs to the Special Issue The Latest Challenges and Explorations in Pediatric Nursing)
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