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Varvani Farahani P, OZTURK C. Insights Into Pediatric Nursing; an In-depth Examination of Problems and Challenges: A Systematic Review. J. Pediatr. Rev 2024; 12 (3) :213-222
URL: http://jpr.mazums.ac.ir/article-1-610-en.html

Background: Understanding the challenges and problems faced by pediatric nurses is vital for enhancing their professional practice and improving patient outcomes.
Objectives: The objective of this systematic review is to investigate and summarize the existing literature regarding the challenges and problems faced by pediatric nurses in Iran. 
Methods: In this systematic review, nine scientific research databases, such as PubMed, ScienceDirect, Wiley Online, Scopus, SciELO, LILACS, Google Scholar and some Persian databases, including Magiran and SID were searched from January 1, 2015 to January 3, 2023. The following keywords were used: ([“Pediatric nursing”] AND [“challenges”] AND [“problems”]AND [“pediatric” OR “children”] AND [“Iran”]) in both English and Persian. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed to ensure a rigorous and transparent review process.
Results: A total of 965 articles were initially identified. After removing duplicates and screening titles and abstracts, 28 full-text articles met the inclusion criteria for analysis, while 909 articles were excluded for not meeting the eligibility requirements. The major themes addressed different aspects of the challenges and problems in delivering pediatric nursing care. The most significant issues were challenges in age-specific drug administration, pharmaceutical errors related to pediatric dosing, cultural sensitivities unique to pediatric care, moral dilemmas in pediatric decision-making, language barriers in pediatric communication and organizational limitations in pediatric units. 
Conclusions: This review highlights major challenges in pediatric nursing, such as drug administration issues, medication errors, cultural and language barriers, moral dilemmas, and organizational constraints. To improve pediatric care, it is essential to implement targeted strategies, enhance training, and strengthen support systems.