This scoping review aims to map the evidence on moral distress of nurses working in paediatric healthcare settings from homecare to hospital. It was conducted according to the Joanna Briggs Institute. International databases were searched according to the specific thesaurus and free search terms. Independent screening and analysis were conducted using Rayyan QCRI. This review considered a total of 54 studies, including quantitative and qualitative studies, systematic reviews, and grey literature; English and Portuguese languages were included. Moral distress is a phenomenon discussed in nursing literature and in the paediatric context but is considered absent from discussion in clinical practice. It is caused by disproportionate care associated with overtreatment. Nurses can present a variety of symptoms, characterising moral distress as a highly subjective experience. The paediatric contexts of practice should promote a healthy ethical climate and work towards a moral community built with peer support, education, communication, leadership, and management involvement. Moral distress is still a complex and challenging multidimensional concept, and the aim should be to promote a culture of prevention of the devastating consequences of moral distress and work towards moral resilience.

To synthesize the experiences of children and parents/caregivers in the process of pediatric home hospitalization (PHH). The practice of home hospitalization (HH), while not a new concept has expanded in recent years. This model of care consists of continuous care at home for children with acute illness or acute chronic disease and presents itself as an alternative to conventional hospitalization (Middel, 2007; Parab et al., 2013). Excellence in pediatric healthcare is fundamental and this review provides a necessary understanding towards the experiences of children and their families in HH. Research was carried out in three phases and included both published and grey literature in the CINAHL, MEDLINE, MedicLatina, PubMed, Cochrane Library, Psychology and Behavioral Sciences Collection, and OpenAIRE databases to find relevant articles. Studies published in Portuguese, English, Spanish, and French with no time limit were considered. Findings were aggregated into five categories: communication and care experiences, parental dynamics and role carers, benefits and challenges for parents and children, relationship between parents, children's, and healthcare professionals and enhancing continuity of care and family support. According to ConQual the confidence level of the results was moderate in all articles. Through PHH, it is possible to avoid the impact of a conventional hospitalization since it promotes family union, increases the affective bond, the feeling of security, comfort, tranquillity, relief, confidence, and autonomy, reducing stressors such as anxiety, fear, nervousness, uncertainty, and fear.

Objetivo: descrever a experiência de perder um irmão durante a infância e a adolescência, o seu significado para a vida adulta e identificar as implicações para assistência no âmbito da saúde, em particular para a enfermagem. Métodos: estudo fenomenológico de natureza interpretativa, no qual participaram vinte e uma pessoas da comunidade, selecionadas intencionalmente, respeitando critérios previamente estabelecidos. Para a colheita da informação foram realizadas entrevistas não-estruturadas e necessariamente em profundidade. Resultados: O fenómeno revelou-se pela narrativa das participantes através de cinco temas comuns que foram denominados: “Ecos da vivência do luto fraterno”; “À procura de uma justificação”; “A felicidade é momentos!”; “Fontes de força interior” e “A vida e a saúde hoje”. Conclusões: a vivência de um processo de luto fraterno durante a infância ou adolescência moldou a vida dos participantes, especificamente os comportamentos face às suas relações e, mais tarde, o significado atribuído à saúde. Reconhece-se a importância na identificação dos sinais e das caraterísticas de uma perda fraterna experienciada durante a infância ou adolescência, e da avaliação do impacto da mesma na sua vida e das suas famílias, que podem fundamentar uma intervenção de enfermagem planeada com vista a minimizar os efeitos que possam surgir na vida adulta. Identifica-se o impacto da morte da criança na vida dos irmãos e de outros conviventes e o modelo de intervenção que aborda necessariamente a relação de ajuda à família enlutada, de forma integrada.

Introduction: The migratory phenomenon is reaching record levels, with children as a vulnerable group, facing challenges during travel and adaptation. This review aims to map the obstacles and strategies in the provision of nursing care to migrant, asylum-seeking, and refugee children. Methods: This is a scoping review according to JBI guidelines; searches were conducted in June – July 2024 and updated in May 2026 in MEDLINE Complete, PubMed, CINAHL Complete, and Web of Science. Inclusion criteria were language (Portuguese, English, or Spanish), population (migrant children), and various settings. Results: Ten studies identified several obstacles to nursing care, including cultural barriers, communication difficulties, nurses’ attitudes, inadequate translation services, and limited knowledge of the health care system. Discussion: Culturally congruent nursing care is essential for improving outcomes for vulnerable children. This review emphasizes the need for inclusive health policies and ongoing training to promote cultural competence among nurses.