TITLE:
Application of Intelligent Nursing Combined with Child-Friendly Environmental Modification in Pediatric Nursing Management
AUTHORS:
Jia Zhang, Mei Zeng, Yanfang He, Yue Hu
KEYWORDS:
Intelligent Nursing, Child-Friendly Environment, Competency-Level Matching, Pediatric Nursing, Nursing Management, Nursing Quality
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.16 No.4,
July
10,
2026
ABSTRACT: Objective: To explore the practical effect of applying intelligent nursing competency-level matching management combined with child-friendly environmental modification in pediatric nursing management, and to provide evidence-based support for optimizing the quality of pediatric nursing services, reducing nursing safety risks, and improving the satisfaction of children’s families. Methods: From July 1 to September 30, 2025, 100 hospitalized pediatric patients and 26 nurses were enrolled. Using cluster randomization with nurses as the unit, the 26 nurses were randomly assigned to either the control group or the intervention group (13 nurses each), and the patients under their care were automatically allocated to the corresponding group. Family satisfaction was the primary outcome. Based on a pilot study showing a 20% difference in satisfaction, with α = 0.05 and β = 0.2, the required sample size was calculated to be at least 46 patients per group; ultimately, 50 patients per group were included. Because patient data were nested within nurses and the intraclass correlation coefficient (ICC) was χ2 tests. Patients and nurses were allocated via a random number table (50 patients and 13 nurses per group). The control group received playful environmental modifications, 6S lean management, and cartoon-style safety signage. The intervention group received the same measures plus intelligent nursing competency-matching management. Nursing quality scores, number of adverse events, and family satisfaction were compared between groups. Results: The intervention group scored significantly higher than the control group in nursing performance, task completion, professional skill mastery, adherence to regulations, teamwork, and hospital contribution (all P Conclusion: Intelligent nursing combined with playful environmental modifications effectively improves pediatric nursing quality and efficiency, reduces adverse events, and increases family satisfaction. The approach aligns well with pediatric nursing characteristics and has high potential for clinical implementation.