Child Health Nursing Case Study Topics

Evidence shows pediatric case work accelerates clinical judgment, strengthens assessment skills, and links pathophysiology to family-centered outcomes. We’re TopicSuggestions, and we write for students who want clear, ready-to-use ideas without fluff. Today we will share a concise set of original child health nursing case study topics that help you demonstrate reasoning, prioritization, and advocacy across realistic scenarios.

We’ve organized the ideas by age group (neonate to adolescent), condition type (acute, chronic, developmental, mental health), care setting (hospital, community, school, home, telehealth), and cross-cutting themes (ethics, culture, technology, equity), so you can match them to your learning goals and rubric.

Case Study Topics on Child Health Nursing

Right after this, you’ll find the list—practical, unique, and ready to adapt for assignments, simulations, or presentations.

1. We test nurse-led augmented reality coaching for adult self-catheterization after spinal cord injury

– How do we compare AR-assisted teaching versus standard demonstration on time-to-independence and complication rates?
– Can we identify which cognitive or motor profiles we see benefit most from AR overlays in real-world wards?
– How do we co-design AR content we deliver with patients and nurses to maximize adherence and dignity?

2. We design carbon-aware oxygen therapy pathways coordinated by nurses for adults with COPD exacerbations

– How do we align oxygen device selection and flow titration we perform with real-time hospital carbon intensity without compromising outcomes?
– Can we quantify emission reductions we achieve while maintaining target SpO2 and readmission rates?
– How do we train and support nurses we task with carbon-informed bedside decisions?

3. We deploy nurse-mediated smartphone digital phenotyping to pre-empt postoperative delirium in older adults

– How do we integrate passive activity, speech, and sleep signals we collect into a nurse action protocol?
– Can we reduce delirium incidence we observe compared with standardized screening alone?
– How do we address privacy, consent, and workflow burdens we encounter during implementation?

4. We apply nonlinear physiologic complexity metrics to guide nurse-led fluid titration in adult sepsis

– How do we use heart rate variability and entropy we calculate at the bedside to time fluid boluses?
– Can we improve lactate clearance and avoid fluid overload we often see with usual care?
– How do we train nurses to interpret complexity dashboards we implement safely and consistently?

5. We trial nurse-delivered personalized olfactory training to mitigate chemotherapy-induced nausea in adults

– How do we co-create scent palettes we tailor to patient preferences and conditioned triggers?
– Can we demonstrate additive antiemetic effects we achieve over guideline pharmacotherapy?
– How do we sustain adherence we need across cycles using brief bedside and at-home protocols?

6. We evaluate blockchain-secured nurse documentation to deter inpatient opioid diversion on adult medical-surgical units

– How do we design user-friendly workflows we can adopt without increasing charting time?
– Can we detect variance patterns we associate with diversion more quickly than legacy systems?
– How do we address legal, ethical, and interoperability issues we anticipate during rollout?

7. We implement nurse-guided haptic virtual reality to reduce adult cannulation anxiety and improve first-pass IV success

– How do we compare anxiety scores and success rates we achieve versus standard distraction techniques?
– Can we identify subgroups we see benefit most (needle-phobic vs. pain-sensitive adults)?
– How do we integrate sterilization and infection control requirements we face for haptic devices?

8. We personalize pressure injury prevention using nurse-collected skin microbiome profiles in immobilized adult patients

– How do we associate baseline microbiome signatures we find with pressure injury risk and healing trajectories?
– Can we tailor repositioning, barrier films, and cleansing regimens we deliver based on microbial ecology?
– How do we operationalize sampling and interpretation workflows we need within routine nursing rounds?

9. We co-design nurse-facilitated kinship caregiving pathways for adults with early-onset dementia across diverse cultures

– How do we embed extended-family roles we map into discharge plans and home-visit protocols?
– Can we reduce caregiver burden and crisis admissions we track compared with usual care?
– How do we adapt communication training we provide to align with culturally specific norms and expectations?

10. We lead algorithmic equity audits of nurse-used early warning scores across skin tones and body habitus in adult wards

– How do we measure performance disparities we suspect in SpO2, temperature, and composite risk scoring?
– Can we co-develop mitigation strategies we implement (e.g., alternative sensors, adjusted thresholds)?
– How do we build a sustainable audit-and-feedback loop we own within nursing governance structures?

11. Nurse-led remote glucose stabilization for late-preterm neonates

We propose a case study of a nurse-led protocol using remote continuous glucose monitoring and telehealth follow-up for late-preterm neonates discharged early.
We ask the following research questions: 1) Does a nurse-driven remote monitoring pathway reduce readmissions for hypoglycemia? 2) How does parental confidence and adherence change with nurse tele-coaching? 3) What barriers do nurses report in implementation?
We describe how to work on this topic: We will recruit a consecutive case series of late-preterm neonates enrolled in the nurse-led program, collect CGM traces, readmission and ED visit rates, and parent-reported self-efficacy using validated scales; we will conduct semi-structured interviews with nursing staff and perform mixed-methods analysis to link quantitative outcomes with implementation barriers.

12. Culturally tailored sibling support interventions in pediatric oncology wards

We propose a case study assessing a culturally tailored nursing intervention aimed at siblings of children with cancer.
We ask the following research questions: 1) Does a culturally adapted sibling support protocol reduce sibling anxiety and behavioral disruption? 2) How do nurses adapt communication strategies across cultural backgrounds? 3) Which components do siblings and families value most?
We describe how to work on this topic: We will implement the intervention in a single oncology ward, enroll sibling-caregiver dyads, measure pre-post sibling anxiety and behavior with age-appropriate instruments, and perform thematic analysis of focus groups with nurses and families to refine the protocol.

13. Impact of caregiver smartphone distraction on pediatric emergency triage outcomes

We propose a case study exploring associations between caregiver smartphone use in the ED and triage communication, waiting times, and adherence to discharge instructions.
We ask the following research questions: 1) Is caregiver smartphone engagement during triage associated with errors in history-taking or delayed care? 2) Does nurse-led brief education reduce distraction and improve instruction recall? 3) What ethical considerations do nurses report when addressing caregiver distraction?
We describe how to work on this topic: We will observe triage encounters, document caregiver device use, compare communication quality and instruction recall between observed distracted and non-distracted groups, and pilot a nurse-delivered brief intervention with pre-post measures and staff interviews.

14. Use of micro-simulation bedside rehearsal for pediatric procedural distress reduction

We propose a case study of bedside micro-simulation led by nurses (2–5 minute role-play) immediately before painful procedures to reduce child distress.
We ask the following research questions: 1) Does bedside micro-simulation reduce observed pain and distress scores compared to standard preparation? 2) How feasible is nurse delivery across shifts? 3) What are the family perceptions of this approach?
We describe how to work on this topic: We will implement the micro-simulation protocol for a convenience sample undergoing procedures, record validated distress/pain scores, measure time burden and fidelity, and collect caregiver and nurse feedback via brief surveys and rapid-cycle improvement iterations.

15. Nurse-facilitated food insecurity screening linked to pediatric growth outcomes

We propose a case study where inpatient and outpatient nurses screen for household food insecurity and initiate linkage pathways, examining short-term growth and health service utilization.
We ask the following research questions: 1) Does systematic nurse screening plus direct linkage to community food resources influence weight-for-age trajectories over 6 months? 2) What rates of successful linkage and barriers do nurses encounter? 3) How does screening affect nurse workflow and satisfaction?
We describe how to work on this topic: We will implement screening in selected clinics, record referral uptake, track anthropometric measures at baseline and 3–6 months, and perform process evaluation with nurse logs and qualitative interviews.

16. Effect of night-shift pediatric nursing handoff format on medication error recovery

We propose a case study comparing a structured, problem-focused handoff format led by night-shift pediatric nurses versus conventional narrative handoff, with emphasis on near-miss medication recovery.
We ask the following research questions: 1) Does the structured handoff improve detection and recovery of potential medication errors overnight? 2) How do nurses perceive adoption and sustainability? 3) What contextual factors predict success?
We describe how to work on this topic: We will pilot the structured handoff on select units, collect incident reports and near-miss logs, conduct time-motion observations, and interview night-shift nurses to map facilitators and barriers.

17. Evaluating a nurse-driven sleep hygiene bundle for hospitalized toddlers

We propose a case study testing a nursing bundle (lighting, clustering care, white-noise options, parent coaching) aimed at improving sleep and daytime behavior in hospitalized toddlers.
We ask the following research questions: 1) Does the sleep bundle increase total sleep time and reduce night wakings? 2) Does improved sleep correlate with reduced analgesic or sedative use and shorter length of stay? 3) What is the nurse-perceived feasibility of consistent bundle delivery?
We describe how to work on this topic: We will deliver the bundle on selected rooms, use objective sleep measures (actigraphy or validated observational tools), record medication use and LOS, and gather nurse and parent acceptability data.

18. Transitional nursing support for adolescents with congenital heart disease entering employment or higher education

We propose a case study of a transitional nurse navigator intervention addressing workplace and campus accommodations, self-management, and psychosocial resilience.
We ask the following research questions: 1) Does nurse navigation improve successful transition outcomes (employment, enrollment, adherence) at 12 months? 2) Which navigator activities (advocacy, education, liaison) predict success? 3) How do adolescents rate their readiness and quality of life changes?
We describe how to work on this topic: We will enroll a cohort of adolescents nearing transition, deliver a package of navigator services, track objective transition milestones and patient-reported outcomes, and analyze which intervention components correlate with positive outcomes.

19. Case study of nurse-mediated rapid oral rehydration protocol for children with moderate acute gastroenteritis

We propose a case study testing an expedited nurse-initiated ORT pathway in the ED to reduce IV use and hospital admissions.
We ask the following research questions: 1) Does a nurse-initiated ORT algorithm reduce IV insertion rates and admission for dehydration? 2) What are parent and nurse satisfaction levels with nurse-led initiation? 3) What clinical predictors identify children who fail nurse-led ORT?
We describe how to work on this topic: We will implement the protocol with training, record process metrics (time to ORT, IV rates, admissions), collect satisfaction surveys, and use regression to identify predictors of ORT failure.

20. Exploring the role of pediatric nurses in facilitating LGBTQ+ family inclusion during neonatal intensive care

We propose a case study examining specific nursing practices that promote inclusion and bonding for LGBTQ+ parents in the NICU.
We ask the following research questions: 1) Which nurse behaviors and policies most strongly influence perceived inclusion and parental attachment among LGBTQ+ families? 2) How does targeted nurse training change practice and family experiences? 3) What systemic barriers remain in NICU environments?
We describe how to work on this topic: We will conduct an exploratory mixed-methods study with targeted staff training, pre-post family-reported inclusion and bonding measures, observational audits of practice, and in-depth interviews with LGBTQ+ parents and nursing staff to generate actionable recommendations.

21. Wearable neonatal hypoglycemia alarm: effects on caregiver sleep, feeding patterns, and nursing follow-up

We propose studying whether continuous wearable glucose alarms for infants at risk of hypoglycemia change caregiver sleep quality, infant feeding frequency, and the volume/type of nursing follow-up.
Research questions: We ask 1) whether caregivers using wearable alarms experience improved or worsened objective and subjective sleep; 2) whether alarm use alters feeding timing/frequency and glycemic stability; 3) whether nursing workload and types of follow-up contacts change.
Overview: We will run a mixed-methods pilot randomized study comparing standard care vs. standard care plus wearable alarm; we will collect actigraphy and sleep questionnaires from caregivers, feeding logs, continuous glucose measures, EMR nurse contact logs, and semi-structured interviews with caregivers and nurses to refine nursing protocols.

22. Bilingual telehealth coaching by pediatric nurses to improve asthma control in refugee children

We propose testing culturally and linguistically tailored nurse-led telehealth coaching to improve asthma outcomes in refugee families.
Research questions: We ask 1) whether regular bilingual nurse tele-coaching reduces asthma exacerbations and ED visits; 2) whether it improves caregiver asthma management knowledge and inhaler technique; 3) how telehealth affects trust and care continuity.
Overview: We will design a cluster randomized trial in primary clinics serving refugees, deliver scheduled nurse tele-coaching sessions with bilingual materials, measure exacerbations and validated control scores, assess inhaler technique via video, and conduct process evaluation with nurses and families.

23. Gamified micro-simulation interventions for medication adherence in adolescents with cystic fibrosis

We propose developing a nurse-facilitated gamified micro-simulation app to improve complex medication adherence among adolescents with cystic fibrosis.
Research questions: We ask 1) whether the gamified intervention increases objective adherence (smart nebulizer data/pharmacy refill); 2) whether it improves respiratory outcomes and self-efficacy; 3) which game elements nurses find acceptable for clinical integration.
Overview: We will co-design the app with adolescents and CF nurses, run a randomized pilot with adherence sensors and pulmonary function tests, and use mixed-methods process evaluation to adapt nursing coaching strategies linked to app data.

24. Parental social media exposure postpartum and its influence on infant vaccination decisions: implications for nurse counseling

We propose examining how exposure to peer-generated postpartum advice on social media shapes early childhood vaccination decisions and how nurse counseling modifies that influence.
Research questions: We ask 1) what patterns of social media content correlate with vaccine hesitancy among new parents; 2) whether brief, targeted nursing counseling can shift intentions among parents with high exposure to antivaccine content; 3) what counseling language is most effective.
Overview: We will conduct a cross-sectional survey mapping social media usage, perform content analysis of commonly shared posts, and pilot a randomized vignette-based nursing counseling intervention with pre/post measures of intent and qualitative feedback from nurses.

25. Nurse-led community playground audits and targeted modifications to reduce unintentional injuries in preschoolers

We propose evaluating a nurse-coordinated program performing safety audits and low-cost environmental changes at playgrounds to reduce preschool injury rates.
Research questions: We ask 1) whether audits plus targeted modifications reduce clinic-attended playground injuries; 2) how community-level nursing engagement affects parental supervision behaviors; 3) which audit items yield the largest injury reduction.
Overview: We will implement a quasi-experimental before-after study with matched playgrounds, collect injury surveillance from local clinics, document interventions led by public health nurses, and use community focus groups to assess sustainability.

26. Household humidity modulation as a nursing-delivered environmental intervention for atopic dermatitis severity in toddlers

We propose testing whether nurse-guided household humidity management (education + provision/monitoring of humidifiers) reduces atopic dermatitis severity.
Research questions: We ask 1) whether maintaining target indoor humidity reduces eczema flares and topical steroid use; 2) whether nurse home-visits for environmental coaching improve adherence; 3) what barriers families face to sustained humidity control.
Overview: We will run a randomized crossover trial supplying portable humidifiers and humidity monitors with nurse-led education, measure SCORAD/POEM scores, capture topical steroid usage, and interview families and nurses on feasibility.

27. Culturally tailored community doulas partnered with pediatric nurses to reduce neonatal readmissions among marginalized groups

We propose investigating whether integrating community doulas with pediatric nursing follow-up reduces neonatal readmissions and improves breastfeeding and maternal confidence.
Research questions: We ask 1) whether dyads receiving doula support plus nurse follow-up have lower readmission rates; 2) whether breastfeeding duration and maternal self-efficacy improve; 3) how nurses and doulas coordinate care most effectively.
Overview: We will conduct a prospective cohort study with matched controls, track readmissions and breastfeeding outcomes, implement standardized cross-training modules for nurses and doulas, and evaluate coordination workflows through time-motion and qualitative methods.

28. Dynamic circadian lighting in neonatal care: effects on preterm weight gain, sleep organization, and nursing workflows

We propose assessing whether implementing circadian-aligned lighting in NICU rooms affects preterm infants’ weight gain, sleep-wake patterns, and nurse shift practices.
Research questions: We ask 1) whether dynamic lighting increases daily weight gain and sleep consolidation in preterm infants; 2) whether lighting changes alter frequency of apnea/desaturation events; 3) how nurses perceive and adapt their care routines.
Overview: We will perform a stepped-wedge implementation across NICU bays, collect growth and polysomnography/actigraphy proxy measures, log clinical events, and carry out surveys/interviews with nursing staff about workflow and perceived infant cueing.

29. Real-time predictive analytics integrated nursing alert system for early sepsis detection in pediatric oncology wards

We propose creating and testing a nurse-centered predictive alert system using EMR data to detect early sepsis in immunocompromised children.
Research questions: We ask 1) whether the analytics alerts improve time-to-antibiotics and reduce ICU transfer; 2) what false alarm rate is acceptable to bedside nurses; 3) how alert presentation affects nurse decision-making.
Overview: We will develop models from historical EMR data, co-design alert UI with nurses, pilot the system prospectively measuring clinical response times and outcomes, and iterate through usability testing and mixed-methods evaluation.

30. Remote nurse-led neurodevelopmental surveillance using parent-recorded smartphone video for early detection in rural infants

We propose validating a nurse-triage pathway using parent-recorded smartphone video clips to screen infant motor and social milestones in resource-limited rural settings.
Research questions: We ask 1) whether nurse assessment of standardized parent-recorded videos reliably identifies infants needing further evaluation compared with in-person assessments; 2) whether this pathway increases timely referrals and reduces travel burden; 3) what training nurses and parents need for quality video capture.
Overview: We will design standardized recording protocols, train community nurses to triage uploads, compare video-based triage to gold-standard in-person assessments, measure referral yield and time-to-evaluation, and refine training materials based on feedback.

31. Parental smartphone-mediated soothing and its acute effects on infant sleep physiology and attachment behaviours

We investigate whether parental use of smartphones to soothe infants at night changes infants’ sleep architecture, cortisol rhythms, and early attachment-related behaviours.
Research questions: 1) Do infants soothed with parental smartphone use show different sleep stage distributions and heart rate variability compared with non-smartphone soothing? 2) Does habitual smartphone-mediated soothing predict altered diurnal cortisol patterns at 3 and 6 months? 3) How does this soothing practice relate to observational measures of secure/insecure attachment at 12 months?
Overview: We propose a longitudinal mixed-methods protocol: recruit first-time parents, collect home polysomnography or portable sleep EEG, actigraphy, salivary cortisol samples, and structured attachment observations; combine quantitative physiological data with parental diaries and qualitative interviews; analyze with multilevel models controlling for feeding and maternal mood.

32. Gamified inhaler training for preschoolers with developmental delays: feasibility, adherence, and inhalation technique outcomes

We examine whether a nurse-administered gamified training app improves inhaler technique, adherence, and respiratory control in preschool children with developmental delays.
Research questions: 1) Is a gamified inhaler-training program feasible and acceptable to parents and nurses in early intervention settings? 2) Does the program improve objective inhalation flow profiles and spacer technique compared with standard teaching? 3) Are improvements sustained at 3- and 6-month follow-up and associated with reduced exacerbations?
Overview: We design a pilot randomized controlled trial where pediatric nurses deliver gamified sessions during clinic and home visits, measure inhalation flows with mini-spirometry, record adherence via smart-spacer logs, and assess feasibility via mixed-method process evaluation to optimize training content.

33. Nurse-led complementary feeding intervention to modulate infant gut microbiome and allergy risk in low-resource urban neighborhoods

We test whether structured, culturally-tailored complementary feeding guidance by community nurses influences infant gut microbiome trajectories and early markers of atopy.
Research questions: 1) Can a nurse-delivered feeding curriculum increase microbial diversity and beneficial taxa linked to reduced allergy risk? 2) Does timing and diversity of introduced solids, as supported by nurses, correlate with eczema and food sensitization at 12 months? 3) What barriers do families report to implementing nurse recommendations in low-resource contexts?
Overview: We implement a cluster-randomized trial across community clinics, collect serial stool samples for 16S/shotgun sequencing, perform clinical allergy assessments, and include qualitative interviews; we plan mediation analyses to link feeding behaviors, microbiome changes, and clinical outcomes.

34. Integrating virtual reality distraction during pediatric wound dressing changes and measuring pain via behavioral and neurophysiological biomarkers

We explore whether nurse-facilitated virtual reality (VR) distraction reduces both observed pain behaviours and objective cortical pain signatures during dressing changes in children.
Research questions: 1) Does nurse-administered VR reduce facial pain scores and distress compared with standard care? 2) Are reductions mirrored in physiological markers (skin conductance, heart rate variability) and portable EEG pain-related patterns? 3) How do nurse workflow and family perceptions influence VR adoption?
Overview: We conduct a crossover trial in an acute pediatric unit, equip children with child-appropriate VR during dressing, record behavioral pain scales, autonomic measures, and portable EEG; we will train nurses in VR facilitation and perform implementation mapping to refine protocols.

35. Nurse-guided early language exposure interventions for pediatric acquired aphasia recovery trajectories post head trauma

We evaluate whether structured language enrichment delivered by pediatric neuroscience nurses accelerates language recovery and neuroplasticity in children with acquired aphasia following traumatic brain injury.
Research questions: 1) Does a nurse-led, high-frequency language exposure program improve standardized language outcomes versus usual rehabilitation alone? 2) Are changes in language correlated with neuroimaging markers of perilesional reorganization? 3) What is the acceptability and burden of nurse-delivered language sessions for families?
Overview: We propose a controlled cohort study linking nurse-delivered bedside language protocols with speech-language therapy; capture pre/post language assessments, diffusion MRI metrics, and caregiver logs; use mixed-effects models to estimate intervention effects and explore imaging-behavior correlations.

36. School nurse screening with AI-enabled cuffless blood pressure monitors for early detection of pediatric hypertension

We pilot whether school nurses using cuffless, AI-calibrated wearable monitors can accurately identify elevated BP trends and improve referral timeliness in children.
Research questions: 1) How does the diagnostic accuracy of cuffless devices used in school settings compare to clinic oscillometric readings for identifying hypertension? 2) Does routine school-based monitoring increase early referrals and reduce diagnostic delays? 3) What training and workflow adaptations do school nurses need to implement this technology safely?
Overview: We deploy a prospective diagnostic and implementation study across several schools, have nurses collect repeated cuffless readings, validate against clinic BP, track referral outcomes, and conduct a process evaluation to inform scale-up and equity implications.

37. Cultural-humility training for pediatric nurses to reduce vaccine hesitancy among recently arrived migrant adolescents

We assess whether a targeted cultural-humility and motivational interviewing training for nurses changes vaccine uptake and trust among migrant adolescents and families.
Research questions: 1) Does the training increase adolescent vaccination rates within 6 months in migrant populations? 2) How does nurse communication style shift (measured by standardized interaction coding) after training? 3) Which elements of training most influence parental trust and decision-making?
Overview: We conduct a cluster trial in youth health clinics, deliver interactive training to nurses, videotape clinic encounters for coding, monitor vaccination records, and collect qualitative feedback from families to refine culturally-responsive communication toolkits.

38. Nurse-led wearable telemonitoring for hydration and electrolyte status in children with chronic kidney disease (CKD)

We explore whether nurses can use noninvasive wearables and point-of-care testing to detect early dehydration or electrolyte disturbances and reduce CKD-related emergency visits.
Research questions: 1) Can trends from wearable sensors (bioimpedance, skin conductance) combined with nurse-administered spot urine tests predict clinically meaningful volume/electrolyte derangements? 2) Does remote nurse triage based on these data reduce hospital admissions and improve quality of life? 3) What safety protocols are essential for nurse-led remote monitoring in pediatric CKD?
Overview: We design a prospective feasibility study with remote data dashboards for renal nurses, integrate wearable outputs with scheduled home urine checks, set nurse escalation algorithms, and analyze predictive performance and health utilization outcomes.

39. Nurse-facilitated peer-support interventions for siblings of children with cancer: effects on psychosocial stress and salivary stress biomarkers

We test whether structured peer groups led by pediatric oncology nurses reduce sibling stress, measured by validated scales and salivary alpha-amylase/cortisol.
Research questions: 1) Does participation in nurse-facilitated sibling peer-support groups lower self-reported anxiety and improve coping skills? 2) Are psychosocial improvements accompanied by reductions in salivary stress biomarkers pre/post intervention? 3) What are key components that sustain engagement and peer support continuity?
Overview: We run an RCT offering weekly nurse-led sibling groups versus informational control, collect baseline and post-intervention psychosocial measures and salivary samples, and perform process evaluation with siblings and parents to refine curriculum.

40. Community nurse-generated environmental allergen mapping and targeted home interventions to reduce pediatric eczema exacerbations

We investigate whether community nurses performing household allergen assessments and delivering low-cost mitigation reduces eczema flares in children.
Research questions: 1) Does targeted home intervention based on nurse allergen mapping (dust mite covers, humidity control, pet management) decrease eczema severity scores and corticosteroid use? 2) Which environmental markers measured by nurses best predict flare frequency? 3) Is a nurse-delivered mitigation program cost-effective compared with standard dermatology advice?
Overview: We propose a pragmatic cluster trial in community health centers where nurses perform environmental sampling (surface allergen swabs, humidity logs), implement tailored mitigation plans, track clinical eczema outcomes and resource use over 12 months, and analyze predictors of response.

41. Telepresence parental coaching for rural NICU families: a case study of tailoring nursing support across distance

We pose these research questions: How does real-time telepresence coaching by neonatal nurses influence parental competence and bonding in rural NICU case families? What technical, pedagogical, and ethical barriers do nurses and parents report during telepresence coaching? We outline a method: we will select 3–5 case families in rural settings and conduct longitudinal mixed-methods case studies combining nurse-led telepresence sessions, structured observations of parent-infant interaction, semi-structured interviews with parents and staff, and reflective nursing logs; we will analyze process data thematically and triangulate with quantitative measures of parental stress and feeding/holding milestones.

42. Microplastic exposure and pediatric nursing interventions in chronic functional constipation cases

We ask: What clinical signs and environmental histories emerge in child cases of chronic functional constipation that suggest microplastic exposure as a contributing factor? How can bedside nursing assessment protocols be adapted to screen for and counsel families about household microplastic sources? We outline a method: we will conduct multi-source case studies integrating detailed home exposure histories, stool sample microplastic screening (in collaboration with environmental lab), nursing assessment records, and family education sessions; we will develop and pilot a nursing screening checklist and evaluate acceptability and feasibility through nurse focus groups.

43. Nurse-led gamified inhaler training for toddlers with early-onset asthma: case process and outcomes

We ask: How do individualized gamified inhaler training sessions led by pediatric nurses change inhaler technique and adherence in toddlers during acute and follow-up visits? What elements of game design maximize engagement without increasing caregiver burden? We outline a method: we will document 4–6 case trajectories where nurses deliver a structured gamified training intervention, video-record sessions for microanalysis of technique correction, collect pre/post adherence logs and symptom diaries, and debrief with caregivers and nurses to iterate game mechanics and training scripts.

44. Cultural adaptation of preverbal pain assessment tools for refugee infant case studies

We ask: In individual refugee infant case studies, how do cultural caregiver beliefs influence behavioral pain indicators and nurse assessments using standard preverbal pain scales? What culturally adapted assessment prompts improve concordance between caregiver report and nurse observation? We outline a method: we will conduct ethnographic case studies with 5–8 refugee infant–caregiver dyads admitted for painful procedures, perform cross-cultural cognitive interviews about pain expressions, adapt assessment anchors collaboratively with cultural mediators, and evaluate concordance and usability in practice.

45. AI-assisted skin assessment for early Kawasaki disease detection in pediatric ward case reviews

We ask: How can a nurse-implemented, smartphone-based AI skin-assessment tool alter the diagnostic timeline in suspected Kawasaki disease cases? What are nurse perceptions of AI recommendations during bedside assessment? We outline a method: we will document consecutive case studies where nurses use an AI tool to capture and analyze dermatologic findings, compare time-to-diagnosis and diagnostic concordance with standard practice, collect nurse decision logs and post-case interviews, and examine workflow integration issues.

46. Circadian lighting interventions to improve sleep and recovery in pediatric oncology inpatient case series

We ask: What effects do tunable circadian lighting schedules have on sleep architecture, fatigue, and recovery markers in individual hospitalized children undergoing oncology treatment? How do nurses perceive feasibility of implementing lighting protocols during clinical care? We outline a method: we will follow 3–5 inpatient case children across treatment cycles with wearable sleep monitors, nurse-kept sleep disturbance logs, patient-reported outcomes when feasible, and staff interviews; we will describe each case’s response trajectory and barriers to maintaining lighting protocols during procedures.

47. Integrating dental health counseling into pediatric obesity management: nurse case interventions

We ask: In focused case studies of children with obesity, how does bedside integration of targeted dental counseling by pediatric nurses affect dietary choices, oral health behaviors, and weight trajectory over short-term follow-up? What training and resources do nurses need to deliver effective counseling? We outline a method: we will create integrated nursing counseling sessions for 6 case children combining motivational interviewing for diet, toothbrushing coaching, and referral to dental services; we will collect dietary recalls, oral health indices, nurse fidelity logs, and caregiver interviews to map change mechanisms and feasibility.

48. Caregiver smartphone use during hospitalization and its impact on attachment behaviors in toddler case studies

We ask: How does caregiver smartphone engagement during inpatient stays influence observed attachment-seeking and distress-regulation behaviors in hospitalized toddlers? What nursing strategies mitigate negative effects while recognizing caregiver informational needs? We outline a method: we will perform detailed observational case analyses of 5 toddler–caregiver dyads using time-sampled behavioural coding during bedside interactions, brief caregiver interviews about smartphone purpose, and nurse-led intervention trials (e.g., scheduled tech-free holding periods) to assess immediate behavioral shifts.

49. Nurse-facilitated sensory diets for post-operative recovery after congenital heart surgery in infants

We ask: Can individualized sensory-diet nursing interventions (tactile, vestibular, auditory modulation) accelerate feeding milestones, reduce irritability, and shorten recovery trajectories in infants after congenital heart surgery cases? Which sensory elements show the strongest case-level signal? We outline a method: we will design and document tailored sensory-diet protocols for 4–6 postoperative infant cases, use standardized pain and feeding scales, video-analysis of calming responses, and nurse implementation fidelity checks to explore mechanism and safety.

50. Peer-led breastfeeding support delivered within juvenile detention centers: pediatric nurse case collaborations

We ask: In case studies of detained adolescent mothers, how does a combined nurse and peer-led breastfeeding support model affect latch success, breastfeeding initiation, and maternal confidence? What institutional and ethical challenges arise in providing lactation support in detention settings? We outline a method: we will co-develop a support pathway with adolescent peer counselors and nursing staff for 3–5 detained mothers, collect case notes on lactation outcomes, conduct interviews with participants and staff, and document policy and logistical barriers with recommended nursing practice adaptations.