A Systematic Review: Pediatric Nursing at the Edge of Change-Disasters, Migration, and Climate Change

Introduction Pediatric nursing has faced unusual challenges recently due to the rising incidence of disasters, global migration, and increasing impacts of climate change. This systematic review aims to summarize recent research regarding the effects of these phenomena on pediatric nursing care and to emphasize the competencies necessary for an effective response. Methods A thorough search was performed in PubMed, Scopus, and Web of Science for articles published between ۲۰۱۹ and ۲۰۲۴. Keywords included "pediatric nursing," "disasters," "migration," "refugee health," and "climate change." The inclusion criteria were peer-reviewed original research and reviews on pediatric nursing roles in acute situations, migration, or environmental health. Of the ۱۰۲ initial articles, ۱۲ satisfied the inclusion demands. Results Disasters: Recent studies demonstrate that pediatric nurses are crucial in disaster preparedness, triage, and providing psychological and acute care during emergencies (Fujita et al., ۲۰۲۲). Challenges encompass a scarcity of pediatric-trained personnel and inadequate disaster-specific protocols. Migration: Child migrants have distinct obstacles to health, such as disrupted care, trauma, and restricted access to resources. Nurses necessitate cultural competence, trauma-informed care training, and interdisciplinary collaboration (Kamali et al., ۲۰۲۳). New training programs have enhanced knowledge, while discrepancies in practice persist. Climate Change: Health hazards induced by climate change heat stress, respiratory ailments, and vector-borne infections are increasing. Pediatric nurses are essential in education, advocacy, and community preparedness (Stanley & Mensah, ۲۰۲۱), although most indicate inadequate formal environmental health training. Discussion The review emphasizes the critical necessity for comprehensive pediatric nursing education and frameworks to tackle disasters, migration, and climate-related emergencies. Essential methods encompass curriculum reform to incorporate disaster and environmental health, establishing fast response protocols, and enhancing support networks for migrant and at-risk communities. Conclusion: Pediatric nurses must possess evidence-based competencies for disaster response, migration, and climate adaptation in this age of multifaceted global issues. Systematic investment in training, research, and policy initiatives is essential to enhance health outcomes for vulnerable children.

کلیدواژه ها:

pediatric nursing ، disasters ، migration ، refugee health ، climate change