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<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">JCNR</journal-id><journal-title-group><journal-title>Journal of Clinical and Nursing Research</journal-title></journal-title-group><issn>2208-3685</issn><eissn>2208-3693</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/jcnr.v9i9.11695</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Professional Training Boosts Pediatric Nurses' Clown Therapy Perceptions.</title><url>https://artdesignp.com/journal/JCNR/9/9/10.26689/jcnr.v9i9.11695</url><author>WuJun,FanJiawen,XuSuyi,LanQinyue,WangXin,FengShuangyang,ShenQianqian,WangHuafen</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>9</volume><issue>9</issue><history><date date-type="pub"><published-time>2025-10-23</published-time></date></history><abstract>Aim: To evaluate the impact of professional training on pediatric outpatient nurses’ cognition and attitudes towards the use of clown therapy, and to assess its clinical applicability. Design: A pre- and post-training evaluation study. Methods: A total of 31 pediatric outpatient nurses participated in the study, completing a self-designed 15-item questionnaire focused on clown therapy. The questionnaires were administered both before and after a structured training program. The assessment aimed to measure changes in nurses’ knowledge and attitudes toward clown therapy. Results: The results indicated a statistically significant improvement in the nurses’ cognition following the training (mean score post-training: 8.55 vs pre-training: 7.71, p = 0.003). Conclusion: Notably, the training also eliminated the age-related differences in cognition observed prior to the intervention. Furthermore, nurses expressed more positive attitudes toward the clinical implementation of clown therapy post-training.</abstract><keywords/></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>YYang. F, Li. J, Dan. B, Yan. Z, Xiaoqin. L, Yi. 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