Objective: This study aims to analyze the research hotspots and trends in nursing care for children with Kawasaki disease. Methods: The study utilized the CiteSpace 6.1.R6 software to visualize nursing-related research on Kawasaki disease in children, drawing from articles published in the CNKI and Web of Science core collection databases from January 1, 2014, to January 1, 2024. Key analysis components included authors, institutions, and keywords, supported by the creation of a corresponding knowledge map. Results: Literature Publications: Over the past decade, the analysis encompassed a total of 309 Chinese articles on nursing care for children with Kawasaki disease, with an average annual publication rate of 30.9 articles. Additionally, 251 foreign language articles were scrutinized, exhibiting an average annual publication rate of 25.1 articles. Author and Institution Analysis: In Chinese literature, the notable figure of Huang Rimei emerged as a prolific author, with the Children’s Hospital Affiliated with Zhengzhou University standing out as a high-yielding institution. Conversely, in English literature, the prolific authors Burns and Jane C were prominent, alongside the University of California, San Diego, which emerged as a high-yielding institution. Keyword and Research Hotspots Analysis: The focal points of research in Chinese literature revolved around continuous nursing, cardiovascular complications, clinical nursing pathways, rehabilitation effects, holistic nursing, and gamma globulin. Conversely, English literature emphasized research hotspots such as cardiovascular complications, treatment modalities, diagnostic approaches, long-term management strategies, gamma globulin therapy, steroid pulse therapy, and pediatric multisystem inflammatory syndrome. Conclusions: The quantity of Chinese literature concerning nursing care for children with Kawasaki disease appears comparatively scant, underscored by an uneven distribution of issuing institutions and a lack of influence. To address this, future endeavors should prioritize bolstering collaboration across diverse regions and institutions, conducting multi-center, cross-regional research, implementing clinical nursing pathways, and augmenting the continuity of care. Conversely, the upsurge in English literature publications regarding nursing care for children with Kawasaki disease signals a burgeoning interest, primarily concentrated on treatment modalities. This trend advocates for the integration of medical and nursing care and emphasizes the importance of remaining abreast of advancements in managing Kawasaki disease in children.