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    The effect of evidence-based pain assessment protocol in pediatric emergency department on nurses' knowledge, attitudes, and practices towards painr
    (Elsevier Sci Ltd, 2023) Cetintas, Ismail; Semerci, Remziye; Kostak, Melahat Akgun; Aken, Nefise
    Purpose: This study aimed to determine the effect of the Evidence-Based Pain Assessment Protocol in Pediatric Emergency Department on nurses' knowledge, attitudes, and practices towards pain.Method: A pretest-posttest quasi-experimental study was conducted with 11 nurses. Before the protocol was applied, 337 nurses' records were assessed for one month. Subsequently, the nurses were educated in the Evidence-Based Pain Assessment Protocol in the Pediatric Emergency Department. After the education, the researchers assessed 315 nurses' records for one month to evaluate the protocol's effect on the nurses' clinical practice.Results: The study found no significant difference in the mean scores of nurses' Pediatric Pain Knowledge and Attitude Scale between the pre-and post-education periods (p > 0.05). However, there was a significant difference in the types of pain assessment tools used between these two periods (p < 0.001). In the post-education period, the frequency of both pharmacological and non-pharmacological interventions implemented increased significantly compared to the pre-education period (p < 0.001). Additionally, the study found that the frequency of nurses describing pain and reassessing pain increased significantly in the post-education period compared to the pre-education period (p < 0.001). Conclusions: The study found that there was no significant change in the nurses' Pediatric Pain Knowledge and Attitude Scale scores before and after the training. However, it was observed that the frequency of nurses reassessing pain, using non-pharmacological interventions, and describing pain increased after the protocol was applied in the emergency department. In particular, therapeutic communication and the walking method were used more frequently in the post-training period among the non-pharmacological interventions applied by the nurses for pain.
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    The effect of family-centered care education on pediatric nurses' attitudes and clinical practices: Nurse and parent perception
    (Elsevier Science Inc, 2023) Cetintas, Ismail; Mutlu, Esra Nur Kocaaslan; Semerci, Remziye; Kostak, Melahat Akgun; Dinckol, Refiye Zafer
    Background and purpose: Family-centered care (FCC) is a crucial and dynamic philosophy within 21st-century pediatric nursing, offering numerous benefits for both children and their families. It is essential for pediatric nurses to be well-versed in the FCC approach and related practices. The aim of this study is to determine the effect of nurse training on nurses' attitudes towards FCC and on nurses' clinical practices related to FCC.Methods: This study utilized a pretest-posttest, single-blind (for nurses and parents), and prospective design. The sample consisted of nurses (n = 41) employed at a university hospital's pediatric clinics and parents (n = 256) with infants or children admitted to these clinics. Data collection involved the Nurse Information Form, Parent and Child Information Form, Family-Centered Care Scale (FCCS), and Family-Centered Care Attitude Scale (FCCAS).Results: A significant difference was observed between nurses' pre- and post-training FCCAS median scores (p < 0.05). However, no statistically significant difference was detected between the median FCCS scores of parents whose children were cared for by nurses before and after the training (p > 0.05). Conclusion: Following the FCC training provided to pediatric nurses, their attitudes towards the necessity and importance of FCC significantly improved compared to the pre-training period. However, no significant difference was found in the perceived FCC practices of parents whose children received inpatient treatment during the pre-and post-training periods.Implications to practice: Training is important in improving pediatric nurses' attitudes towards FCC. Planned training on FCC should be provided for nurses. Difficulties in pediatric nurses' FCC practices should be identified. In addition, FCC practices should be implemented as a policy in hospitals and pediatric clinics and nurses should be supported to ensure the implementation of FCC practices.
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    The Impact of Type 1 Diabetes on the Family and Related Factors
    (Nova Southeastern Univ, 2023) Cetintas, Ismail; Kostak, Melahat Akgun
    Objective: This study was conducted to determine the impact of Type 1 diabetes mellitus and related factors on children and families. Methods: The descriptive study was conducted with the parents of 175 children aged 6-18 years with Type 1 diabetes mellitus. The data were collected using the Child and Family Information Form and the Diabetes Family Impact Scale (DFIS). pResults:It was determined that the parents' total median DFIS score was 21.42 (9.52-35.71) and the highest median score was 33.33 (11.11-66.66) in the finances sub-dimension score. There was a significant difference between the child's school success and the parents' school sub-dimension median scores, the mother's employment status and the work sub-dimension median scores, and the family's income level and the DFIS total median scores (pConclusions and Recommendations:It was concluded that diabetes mostly adversely affected the family in terms of finances. It was also determined that the negative impact of diabetes on the family was higher in children with poor school success and in families where mothers were unemployed and whose income was less than their expenses. The negative impact of diabetes on the family increased as the ages of the child, mother, and father and the duration of diagnosis decreased and the HbA1c level increased. In line with the research findings, one should be aware of the factors (child's age, child's school success, parental age, parental employment status, family income level, duration of diagnosis, HbA1c level) that affect the negative effects of diabetes on the family. In addition, it is recommended to plan and implement the necessary initiatives to prevent the negative effects of diabetes on the family (especially in the financial field) since the child's diagnosis of diabetes.
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    Psychometric properties of the Turkish version of the Diabetes Family Impact Scale
    (Wiley, 2021) Cetintas, Ismail; Kostak, Melahat Akgun
    Purpose The objective of this study was to examine the psychometric properties of the Turkish version of the Diabetes Family Impact Scale (DFIS). Methods and Design The study was carried out methodologically with 121 parents who have 6-18 year-old children with type 1 diabetes (n = 121). The collected data were analyzed by conducting confirmatory factor analysis,ttest, and Pearson's correlation analysis and by computing Cronbach's alpha and intraclass correlation coefficients (ICCs). Results The linguistic validity of the scale was ensured by undertaking translation and back-translation. Expert opinions were analyzed and all the content validity indices were found to be >= 0.80. The factor loadings of all the items ranged from 0.47 to 0.89, and the model fit indices were as follows:chi(2)/df = 1.21 and RMSEA = 0.04. Scores that were obtained across two temporally separated administrations were not significantly different (p > .05), and there was a strong correlation between the two sets of scores (ICC = 0.892;p < .001). The Cronbach's alpha of the scale was .881. The item-total correlation coefficients of the scale items ranged from .34 to .72. Conclusions Similar to the original assessment, the Turkish version of the DFIS consists of 14 items and 4 subscales. It is a valid and reliable measure that is suitable for use with Turkish samples. Researchers can use this scale to assess the effect of type 1 diabetes mellitus on the family of an affected child.
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    The Relationship between the Care Burden, Anxiety, and Social Support Levels of Mothers of Children with Cancer
    (Kare Publ, 2021) Kocaaslan, Esra Nur; Akgun Kostak, Melahat; Semerci, Remziye; Cetintas, Ismail
    OBJECTIVE This descriptive study was conducted to determine the relationship between the care burden, anxiety, and social support levels of the mothers who had children with cancer and affecting factors. METHODS This study was conducted with 43 mothers of children with cancer in a university hospital. Data were collected by the Beck Anxiety Scale, the Zarit Burden Interview (ZBI), and the Multidimensional Scale of Perceived Social Support. RESULTS The mean age of the mothers was 37.46 +/- 9.67 old years and the duration of cancer diagnosis was 10.57 +/- 12.59 months. The primary caregivers of 83.7% of children were their mothers. It was determined that 76.7% of mothers had a change in their social life after their children diagnosis. There was a positive correla-tion between the mothers' Beck Anxiety Scale scores and the ZBI scores (r=0.508; p=0.01). There was a statistically significant difference between the status of changes in mothers social life and Beck Anxiety Scale (t=4,454; p<0.001) and the ZBI scores (t=3.259; p=0.003). The status of mothers receiving support in household chores (t=0.864; p=0.018) affected their mean scores of ZBI scores. CONCLUSION In this study, as the anxiety level of the mothers increased, the burden of care increased, too. Further-more, the level of care burden was higher for the mothers who had no support in the household chores and who had a change in social life after the diagnosis. The anxiety level of mothers who reported changes in social life after diagnosis was also high.