Effectiveness of Evidence-Based Pediatric Nursing Practices on Clinical and Developmental Outcomes in Children: A Comprehensive Systematic Review

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Year : 2026 | Volume : 04 | 01 | Page :
    By

    Uma Shende,

  • Vijayalakshmi.K,

  • Shobhita K Das,

  1. Professor, Child Health Nursing Dept., Govt. Nursing College, Chhattisgarh, India
  2. Professor, Department of Child Health Nursing, Srri Paspo College of Nursing, Tamil Nadu, India
  3. Professor, Shree Digamber Degree College of Nursing, Bharatpur, India

Abstract

Evidence-based pediatric nursing practices are essential for improving health outcomes among children by integrating clinical expertise with the best available research evidence and patient-centered care approaches. This systematic review examines the effectiveness of evidence-based pediatric nursing interventions on clinical and developmental outcomes in children across various healthcare settings. A comprehensive search of databases including PubMed, CINAHL, Scopus, and the Cochrane Library was conducted for studies published between 2016 and 2026. A total of 78 studies met the inclusion criteria and were analyzed using a narrative synthesis approach. The findings demonstrate that evidence-based nursing interventions significantly improve clinical outcomes such as reduction in hospital-acquired infections, enhanced pain management, decreased length of hospital stay, and improved recovery rates. Furthermore, developmental outcomes including cognitive, emotional, and behavioral development were positively influenced through interventions such as early stimulation, family-centered care, and therapeutic communication. Nurse-led initiatives such as infection control protocols, developmental care strategies, and technology-based interventions including electronic health records and simulation training contributed to improved care quality and patient safety. Despite these benefits, challenges such as limited resources, inadequate training, and variability in implementation remain barriers to the widespread adoption of evidence-based practices.

Keywords: Evidence-based practice, Pediatric nursing, Clinical outcomes, Developmental outcomes, Child health, Family-centered care, Nursing interventions, Pediatric patient safety, Evidence-based care, Child development.

How to cite this article:
Uma Shende, Vijayalakshmi.K, Shobhita K Das. Effectiveness of Evidence-Based Pediatric Nursing Practices on Clinical and Developmental Outcomes in Children: A Comprehensive Systematic Review. International Journal of Evidence Based Nursing And Practices. 2026; 04(01):-.
How to cite this URL:
Uma Shende, Vijayalakshmi.K, Shobhita K Das. Effectiveness of Evidence-Based Pediatric Nursing Practices on Clinical and Developmental Outcomes in Children: A Comprehensive Systematic Review. International Journal of Evidence Based Nursing And Practices. 2026; 04(01):-. Available from: https://journals.stmjournals.com/ijebnp/article=2026/view=243264


References

  1. Adler-Milstein, J., et al. (2017). Electronic health record adoption and impact. Health Affairs, 36(8), 1412–1420.
  2. Afzal, M., et al. (2019). Knowledge and practices of infection control among nurses. Journal of Infection Prevention, 20(4), 192–198.
  3. Allegranzi, B., et al. (2017). Global implementation of infection prevention strategies. The Lancet Infectious Diseases, 17(9), e250–e266.
  4. Aromataris, E., & Munn, Z. (2020). JBI manual for evidence synthesis. Joanna Briggs Institute.
  5. Bagnasco, A., et al. (2023). Non-pharmacological interventions for pediatric pain. Journal of Pediatric Nursing, 68, 45–52.
  6. Birnie, K. A., et al. (2018). Psychological interventions for needle-related procedural pain and distress in children. Cochrane Database of Systematic Reviews, 2018(10).
  7. Black, M. M., et al. (2017). Early childhood development coming of age. The Lancet, 389(10064), 77–90.
  8. Bramer, W. M., et al. (2018). Optimal database combinations for literature searches. Systematic Reviews, 7(1), 1–12.
  9. Britto, P. R., et al. (2017). Nurturing care framework for early childhood development. The Lancet, 389(10064), 91–102.
  10. Butler, S., et al. (2019). The role of nurses in improving pediatric patient outcomes. Journal of Pediatric Nursing, 45, 45–52.
  11. Cant, R. P., & Cooper, S. J. (2017). Simulation-based learning in nursing. Journal of Advanced Nursing, 73(1), 15–27.
  12. Coyne, I., O’Mathúna, D. P., Gibson, F., Shields, L., & Sheaf, G. (2018). Interventions for promoting participation in shared decision-making for children with cancer. Cochrane Database of Systematic Reviews, 2018(6).
  13. Dang, D., et al. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals (4th ed.). Sigma Theta Tau.
  14. Eccleston, C., et al. (2020). Psychological therapies for chronic pain in children. Cochrane Database of Systematic Reviews, 2020(1).
  15. Eijlers, R., et al. (2019). Virtual reality for pain reduction in children. Journal of Medical Internet Research, 21(7), e12967.
  16. Foster, C. C., et al. (2019). Digital health and family engagement. Pediatrics, 144(1), e20183965.
  17. Griffiths, P., et al. (2019). Nurse staffing and patient outcomes. BMJ Open, 9(2), e025877.
  18. Haddaway, N. R., et al. (2022). PRISMA 2020 and systematic review reporting. Research Synthesis Methods, 13(1), 1–9.
  19. Haque, M., et al. (2020). Healthcare-associated infections: A global perspective. Infection and Drug Resistance, 13, 2321–2333.
  20. Hockenberry, M. J., & Wilson, D. (2023). Wong’s nursing care of infants and children (12th ed.). Elsevier.
  21. Horntvedt, M. E., et al. (2018). Strategies for teaching evidence-based practice in nursing education. BMC Medical Education, 18(1), 172.
  22. Jeong, J., et al. (2021). Parenting interventions and child development outcomes. Pediatrics, 148(2), e2021051580.
  23. Kim, J., & Kim, S. (2018). Effects of infection control education in healthcare settings. American Journal of Infection Control, 46(9), 1038–1042.
  24. Kruse, C. S., et al. (2017). Telemedicine use in healthcare. BMJ Open, 7(8), e016242.
  25. Kuo, D. Z., et al. (2019). Family-centered care: Current applications and future directions. Pediatrics, 143(6).
  26. Lake, E. T., et al. (2019). Nurse-sensitive outcomes in pediatric care. Medical Care, 57(5), 353–358.
  27. Lehane, E., et al. (2019). Evidence-based practice education for healthcare professionals. BMC Medical Education, 19(1), 1–10.
  28. Li, H. C., et al. (2016). Effectiveness of therapeutic play. Journal of Clinical Nursing, 25(21–22), 3035–3045.
  29. Liaw, S. Y., et al. (2018). Simulation in healthcare education. Nurse Education Today, 64, 38–42.
  30. McGowan, J., et al. (2016). PRESS peer review of electronic search strategies. Journal of Clinical Epidemiology, 75, 40–46.
  31. Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
  32. Munn, Z., et al. (2018). Systematic review or scoping review? BMC Medical Research Methodology, 18(1), 143.
  33. Myrvik, M. P., et al. (2019). Pediatric pain assessment and management. Pediatrics in Review, 40(2), 81–92.
  34. O’Brien, K., et al. (2018). Family-integrated care in neonatal units. The Lancet Child & Adolescent Health, 2(4), 245–254.
  35. Page, M. J., et al. (2021). The PRISMA 2020 statement. BMJ, 372, n71.
  36. Palermo, T. M., et al. (2020). Cognitive-behavioral therapy for pediatric pain. Pain, 161(S1), S74–S82.
  37. Pineda, R., et al. (2017). Environmental influences on neonatal development. Journal of Perinatology, 37(9), 1010–1015.
  38. Pollock, D., et al. (2021). Selection criteria in systematic reviews. International Journal of Evidence-Based Healthcare, 19(2), 105–112.
  39. Popay, J., et al. (2016). Guidance on narrative synthesis in systematic reviews. ESRC Methods Programme.
  40. Ramsetty, A., & Adams, C. (2020). Impact of digital divide in telehealth. Journal of the American Medical Informatics Association, 27(7), 1147–1153.
  41. Shin, S., et al. (2019). Effects of simulation training on nursing competence. Nurse Education Today, 73, 14–19.
  42. Shonkoff, J. P., et al. (2021). From best practices to breakthrough impacts. JAMA Pediatrics, 175(8), 777–778.
  43. Siegel, J. D., et al. (2019). Guideline for isolation precautions. American Journal of Infection Control, 47(1), 1–45.
  44. Smith, J., et al. (2020). Telehealth in pediatric nursing. Journal of Pediatric Health Care, 34(3), 250–257.
  45. Sutton, R. T., et al. (2020). Clinical decision support systems. NPJ Digital Medicine, 3(1), 17.
  46. Topaz, M., et al. (2019). Use of health information technology in nursing practice. Journal of Nursing Scholarship, 51(1), 75–84.
  47. Tume, L. N., et al. (2020). The impact of nurse-led interventions on pediatric outcomes. Nursing in Critical Care, 25(2), 85–92.
  48. Uman, L. S., et al. (2019). Psychological interventions for procedural pain. Cochrane Database of Systematic Reviews, 2019(10).
  49. World Health Organization. (2022). Global report on infection prevention and control. WHO.
  50. Zhang, D., et al. (2021). Effectiveness of hygiene interventions in children. BMC Public Health, 21(1), 1–10.
Ahead of Print Subscription Review Article
Volume 04
01
Received 10/04/2026
Accepted 30/04/2026
Published 01/05/2026
Publication Time 21 Days
36

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