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Developing nursing knowledge on COVID-19 in children and adolescents: An integrative review

Green, J, Petty, J, Staff, L ORCID: 0000-0001-5314-0187, Bromley, P ORCID: 0000-0001-9596-677X, Orr, F, Brown, N, Smart, L, Walker, K and Jones, L ORCID: 0000-0002-2116-8545 2021 , 'Developing nursing knowledge on COVID-19 in children and adolescents: An integrative review' , Pediatric Nursing, vol. 47, no. 4 , pp. 163-174 .

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Aim: To review and discuss recent literature on the specific nature of COVID-19in children and adolescents compared to the adult population.Background: The COVID-19 pandemic is a threat to the health and well-beingof all people around the world. A significant proportion of adults require hospitalization, some developing severe life-threatening complications. However,although children can carry and transmit the virus, they typically do not developsevere disease, and the incidence is lower compared to adults.Design: An integrative literature review, prepared using the PRISMA-ScR reporting checklist.Methods: Using Arksey and O’Malley’s framework, relevant databases weresearched for articles published in English since the pandemic onset in March2020 through August 2020. Inclusion and exclusion criteria were applied, andselected articles were thematically analyzed.Results: Four themes were identified and discussed relating to the potential careimplications for children and adolescents: 1) the differing immune system in children, 2) the presentation of COVID-19 in children and adolescents, 3) vasculardisease as a response to COVID-19, and 4) global policy changes relevant toCOVID-19 in children and adolescents.Conclusion: The incidence, severity, and presentation of COVID-19 in youngchildren differs to that of adults. Less is known about the disease pattern in adolescence. A new condition named as multisystem inflammatory syndrome in children (MIS-C) has emerged, about which we are still learning globally. Althoughperhaps not affected severely, children may still be vulnerable to the secondaryconsequences of policy changes (e.g., school closures, social distancing).Relevance to clinical practice. It is vital to address the significant global issuesand contribute a pediatric and adolescent nursing perspective to the rapidlyemerging body of evidence during the COVID-19 pandemic. Knowledge andunderstanding of the disease impact in children and adolescents are essential tooffering optimum support and care to this patient group.

Item Type: Article
Authors/Creators:Green, J and Petty, J and Staff, L and Bromley, P and Orr, F and Brown, N and Smart, L and Walker, K and Jones, L
Keywords: COVID-19, pandemic, children, adolescents, specific features, impact, well-being, multisystem inflammatory syndrome in children (MIS-C).
Journal or Publication Title: Pediatric Nursing
Publisher: Jannetti Publications, Inc.
ISSN: 0097-9805
Copyright Information:

Copyright 2021 Pediatric Nursing

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