{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T11:04:15Z","timestamp":1770894255147,"version":"3.50.1"},"reference-count":3,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Skin tone can affect clinical signs and device accuracy in paediatric anaemia and deterioration detection, creating risks of inequity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Issues<\/jats:title>\n                    <jats:p>Studies show disparities in diagnostic accuracy across different skin tones, supported by community\u2010based evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Recommendations<\/jats:title>\n                    <jats:p>(1) Build multicenter networks with standardised skin\u2010tone data. (2) Validate devices across varied skin tones. (3) Train clinicians in dark\u2010skin sign recognition. (4) Include equity metrics in paediatric quality indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reducing skin\u2010tone bias is essential for equitable paediatric care. Collaborative research across diverse regions is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70105","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T12:07:01Z","timestamp":1757419621000},"page":"1464-1466","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing Paediatric Deterioration Assessment Across Diverse Skin Tones: Insights and Future Directions"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0847-5169","authenticated-orcid":false,"given":"Tianji","family":"Zhou","sequence":"first","affiliation":[{"name":"Xiangya School of Nursing Central South University  Changsha People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiangling","family":"Dong","sequence":"additional","affiliation":[{"name":"Teaching and Research Section of Clinical Nursing Xiangya Hospital, Central South University  Changsha People's Republic of China"},{"name":"National Clinical Research Center for Geriatric Disorders Xiangya Hospital, Central South University  Changsha People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7780-9268","authenticated-orcid":false,"given":"Hanyang","family":"Su","sequence":"additional","affiliation":[{"name":"Teaching and Research Section of Clinical Nursing Xiangya Hospital, Central South University  Changsha People's Republic of China"},{"name":"National Clinical Research Center for Geriatric Disorders Xiangya Hospital, Central South University  Changsha People's Republic of China"},{"name":"Department of Respiratory Medicine Xiangya Hospital, Central South University  Changsha People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"e_1_2_1_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2023.11.048"},{"key":"e_1_2_1_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.70060"},{"key":"e_1_2_1_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmw044"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70105","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.70105","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T10:06:22Z","timestamp":1770890782000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.70105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,9]]},"references-count":3,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/jocn.70105"],"URL":"https:\/\/doi.org\/10.1111\/jocn.70105","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,9]]},"assertion":[{"value":"2025-08-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}