… joy factor. “There's something fun in almost every interaction,” said Durning, a pediatric nurse practitioner for 24 years. “Even with a child who's fearful or crying because they're worried about getting shots, there's usually some way to make a connection over something a little bit goofy, a little bit fun, and perhaps ease … joy factor. “There's something fun in almost every interaction,” said Durning, a pediatric nurse practitioner for 24 years. “Even with a child who's fearful or …