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Öğe 6-12 yaş çocuklarda venöz kan örneği alırken oluşan ağrıyı azaltmada dikkati başka yöne çekme kartları ve kaleidoskop yöntemlerinin etkisi(Trakya Üniversitesi Sağlık Bilimleri Enstitüsü, 2018) Semerci, Remziye; Akgün Kostak, MelahatBu çalışma 6-12 yaş çocuklarda venöz kan örneği alma işlemi sırasında oluşan ağrıyı azaltmak için uygulanan, dikkati başka yöne çekme kartları ve kaleidoskop yöntemlerinin etkisini belirlemek amacıyla yapıldı. Araştırma Eylül-Kasım 2016 tarihleri arsında Trakya Üniversitesi, Sağlık Araştırma ve Uygulama Merkezi, kan alma biriminde 90 ile çocuk yürütüldü. Çocuklar gruplara randomizasyon yöntemiyle atandı. Araştırmanın verileri "Veri Toplama Formu", "VAS-Görsel Kıyaslama Ölçeği", "FPS-R- Yüz İfadeleri Ağrı Skalası – Revize" ve "Uygulama Kayıt Formu" ile toplandı. Elde edilen verilerin analizi için yüzde, ortalama ve standart sapma, Kruskal Wallis Varyans Analizi, Wilcoxon Testi post hoc Pos-hoc; Dunnett 2 (sided) ve Tamhane testleri ve spearman korelasyon analizi kullanıldı. p<0,05 olan değerler anlamlı kabul edildi. Venöz kan örneği verme işlemi sırasında kontrol grubundaki çocukların (VAS=6,24±3,93; FPS-R=4,93±3,30), dikkati başka yöne çekme kartları grubu (VAS=2,32±2,55; FPS-R=11,87±2,03) ve kaleidoskop (VAS=2,72±3,29; FPS-R=1,97±2,98) grubundaki çocuklara göre daha fazla ağrı yaşadıkları bulundu (p<,001). Deney gruplarının ağrı puanları arasında ise anlamlı fark olmadığı (p>0,05) iki yöntemin de ağrıyı azaltmada etkili olduğu görüldü. İşlemler sırasında ebeveynlerin bildirdikleri ağrı düzeylerinin farklı olduğu ve deney grubundaki ebeveynlerin çocuklarının yaşadığını bildirdikleri ağrı düzeylerinin düşük olduğu bulundu (p<0,05). Çocukların ve ebeveynlerinin yaşları arttıkça, venöz kan örneği alma işlemi sırasında bildirdikleri ağrı düzeylerinin azaldığı görüldü (p<0,05). Çocuklarda prosedürel işlemlere bağlı oluşabilecek ağrı ve olumsuz tepkileri azaltmak amacıyla çocuğun ve ebeveynelerin işleme hazırlanması ve işlem sırasında dikkati başka yöne çekme yöntemlerinden; dikkati başka yöne çekme kartları ve kaleidoskop yöntemlerinin kullanılması ve kullanımlarının yaygınlaştırılması için hemşirelerin bilgilendirilmesi önemlidir.Öğe Adaptation of Parental Self-Efficacy Scale for Child Autonomy Toward Minor Surgery to Turkish(Elsevier Science Inc, 2022) Semerci, Remziye; Unver, Seher; Topcu, Sacide Yildizeli; Turan, Fatma Nesrin; Kostak, Melahat Akgun; Findik, Ummu YildizPurpose: The purpose of the study was to conduct validity and reliability testing of the Turkish version of the Parent Self-Efficacy Scale for Child Autonomy toward Minor Surgery (PSESCAMS). Design: The research is a methodological study. Methods: Data were collected using an Introductory Form and the PSESCAMS. Factor analysis, Cronbach's alpha, and item-total score analysis were used for the data analysis. Findings: The scale consisted of 18 items and four subscales. The Cronbach's alpha coefficient for the overall scale was 0.95, and the Cronbach's alpha values for the subscales were 0.64-0.92. The total factor loading was > 0.45 for both exploratory and confirmatory factor analyses. GFI, AGFI, and CFI were > 0.90, RMSEA was 0.06. Conclusion: PSESCAMS was found to be a valid and reliable measurement tool for Turkish culture. (c) 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.Öğe Assessment of Turkish oncology nurses' knowledge regarding COVID-19 during the current outbreak in Turkey(Springer, 2021) Semerci, Remziye; Kudubes, Asli Akdeniz; Esref, Ferhan CetinPurpose To assess Turkish oncology nurses' knowledge regarding novel coronavirus (COVID-19) during the current outbreak in Turkey. Methods This descriptive study was carried out with the 185 oncology nurses between April and May 2020 in Turkey. Research data were collected through online survey using Nurse Information Form and Nurse Information Scale for COVID-19. Multilinear regression analysis was used in determining the factors affecting oncology nurses' information regarding COVID-19. Results According to the data delivered from 185 oncology nurses, 57.7% of the participants had an undergraduate degree, 74.1% were working in adult oncology units, and 52.4% of them were working as clinical nurses, 48.1% of the nurses received education for COVID-19 (51.9% did not receive) and 70.3% followed and read the COVID-19 Guidelines published by the Ministry of Health (29.7% did not follow guidelines). Using multiple regression analysis, a model based on the relationship between the variables was created. In the model, the descriptive characteristics of the oncology nurses and their experiences of COVID-19 were found to explain 29.1% of their knowledge level for COVID-19. Nurses' education level, the presence of a relative diagnosed with COVID-19, and following the COVID-19 guidelines were found to statistically significantly affect the knowledge levels of COVID-19. Conclusion These findings suggest that hospital management and the Ministry of Health should provide more information for the oncology nurses to better control of cancer patients from the infectious disease.Öğe Attitude of Nursing Students Toward Scientific Research: A Cross-Sectional Study in Turkey(LIPPINCOTT WILLIAMS & WILKINS, 2018) Unver, Seher; Semerci, Remziye; Ozkan, Zeynep Kizilcik; Avcibasi, IlkerBackground: Nursing, a social applied science, is a dynamic profession. Professional nurses must be curious, investigative, and open to learning as well as practice critical and analytic thinking to sustain their professionalism. Purpose: The aim of this study was to determine the attitudes of nursing students toward scientific research. Methods: A descriptive and cross-sectional study design was used. This study was conducted at a nursing department of a university in Turkey. A sample of 375 nursing students participated. Data were collected using the "Personal Information Form'' and "Attitude Scale towards Scientific Studies.'' Standard descriptive statistical methods, correlation, Mann-Whitney U, Kruskal-Wallis, and post hoc Bonferroni were used in data analysis. Results: Nearly all (90.1%) of the participants were female, and 33.9% were sophomore (second-year) students. Junior (third-year) students held the most positive attitudes toward research, as compared with the participants in other academic years. Participants who had participated in scientific activities held more positive attitudes toward research than those who had not. Participants who had prior experience doing scientific research showed more positive attitudes toward research and researchers than those without this experience. Being older, having scientific research experience, following the continuous broadcasts related to nursing, and participating in scientific activities all significantly influenced attitude toward research (p<.05). Conclusions/Implications for Practice: Although nursing students who participated in this study exhibited generally positive attitudes toward scientific research, they had relatively little experience participating in scientific activities. Therefore, to foster a positive scientific research culture among undergraduate students, grants should be provided that encourage wider participation in scientific activities and offer opportunities for undergraduate students to do scientific research.Öğe Bir Grup Hemşirelik Öğrencisinin Mesleğe Yönelik İmaj Algısı(2017) Fındık, Ümmü Yıldız; Semerci, Remziye; Avcıbaşı, İlker Murat; Ünver, Seher; Özkan, Zeynep KızılcıkAmaç: Mesleğin ayrılmaz bir parçası olan imaj görünen ve gözlenebilen tüm ifade ve izlenimlerin, karşı tarafta oluşturduğu algılanma biçimi olarak ifade edilmektedir. Bu tanımlayıcı çalışmanın amacı; hemşirelik öğrencilerinin mesleğe yönelik imaj algılarını belirlemektir. Gereç ve Yöntemler: Bu çalışma Mart 2016 tarihinde sağlık bilimleri fakültesi hemşirelik bölümünde okuyan gönüllü öğrencilerin (n=360, %63,1) katılımı ile gerçekleştirildi. Verilerin toplanmasında "Öğrenci Tanıtım Formu" ve "Hemşirelik Mesleğine Yönelik İmaj" ölçeği kullanıldı. Veriler SPSS 20.0 paket programında analiz edildi. Bulgular: Çalışmaya katılan öğrencilerin %87,8'inin kadın olduğu ve yaş ortalamasının 20,63±1,58 yıl olduğu saptandı. Hemşirelik öğrencilerinin hemşirelik mesleğine yönelik imaj ölçeği puan ortalamasının 142,2±10,4 olduğu saptandı. Ölçeğin alt ölçek boyutları incelendiğinde; mesleki nitelik alt boyutundan 45,40±4,73, çalışma koşulları alt boyutundan 31,09±3,64, cinsiyet alt boyutundan 27,73±4,39, eğitim alt boyutundan 19,14±2,86, statü alt boyutundan 13,36±5,40 ve dış görünüm alt boyutundan 11,46±3,97 puan aldıkları belirlendi. Alt ölçek boyutları ile yaş, sınıf ve sağlık meslek lisesi mezunu olma durumu değişkenlerine göre istatistiksel açıdan anlamlı fark saptanmadı (p>0,05). Sonuç: Hemşirelik öğrencilerinin hemşirelik mesleğine yönelik orta düzeyde imaj algısına sahip oldukları saptandı. Hemşirelik imajını geliştirebilmek adına öğrencilerin mesleğe bakış açıları değerlendirilmeli ve mesleki imajın önemi hakkında farkındalıklarının artırılması sağlanmalıdır. Öğrenci hemşirelerin meslekte profesyonel davranmalarını ve sürekli eğitim ile mesleki donanımlarını artırmalarını önermekteyiz.Öğe Care Problems of Parents Who Have Children with Gastrostomy at Home(2018) Semerci, Remziye; Kostak, Melahat Akgün; Güray, ÖzlemAim: This study was planned to determine the care burden of parents who had child with gastrostomy and affecting factors. Methods: This descriptive and cross sectional study was conducted between April 15th and July 15th, 2017 with 34 parents in pediatric surgery unit at Trakya University Hospital. Data was collected by ‘Survey Form’ and ‘Burden Interview’. Results: The mean age of the children was 9.91±5.26, duration of gastrostomy was 4.65±2.64 years. All of participants were mothers. Mothers’ ‘Burden Interview’ total scores was 35.20±10.54. Burden of mothers were; 11.8% ‘Less’, 52.9% ‘Medium’, 32.4% ‘High’ and 2.9% ‘Extreme’. Most of the mothers (94.1%) were taken information about gastrostomy care. Most of the mothers (82.4%) experienced problems related to gastrostomy care and mothers who experienced problems had more care burden (p=0.033). Mothers who experienced problem related leaking at tube site and who do not know what to do if a problem takes place about gastrostomy had more care burden (p<0.05). Conclusion: The care burden of the mothers were medium and high level. Care Burden of mothers was affected type of problems that mothers experienced at home, status of intervention yourself to problems. We recommended that education should be planned according to the care burden of parents and the affecting factors must be taken into account in this program, and parents should be visited regularly.Öğe Çocuğunun Kardiyopulmoner Resüsitasyonuna Aile ÜyelerininTanıklığı: Hemşirelik Öğrencilerinin Düşünceleri(2020) Kocaaslan, Esra; Kostak, Melahat Akgün; Semerci, Remziye; Çetinbaş, İsmailGiriş: Bu tanımlayıcı çalışma, hemşirelik öğrencilerinin çocuğunun kardiyopulmoner resüsitasyonuna aile üyelerinin tanıklığı hakkındaki düşüncelerini belirlemek amacıyla yapıldı. Yöntemler: Araştırmanın evrenini 2017-2018 öğretim yılında bir Sağlık Bilimleri Fakültesi Hemşirelik Bölümü’nde öğrenim gören 487 öğrenci oluşturdu. Araştırmanın verileri, öğrencilerin çocuğunun resüsitasyonuna aile üyelerinin tanıklığı hakkındaki düşüncelerini belirlemek amacıyla geliştirilen “anket formu” ile toplandı. Verilerin analizinde tanımlayıcı istatistikler ve ki-kare testi kullanıldı. Bulgular: Öğrencilerin yaş ortalaması 19,84±1,85 yıl, %87,7’si kız, %40,9’u birinci sınıfta idi. Öğrencilerin %15’i daha önce resüsitasyon işlemine katılmış, %18,9’u ise resüsitasyon işlemini sadece izlemişti. Öğrencilerin %86,9’unun resüsitasyona ailenin tanıklığı ile ilgili bilgisi yoktu, %61,4’ü işlem sırasında ailenin bulunmaması gerektiğini, %55,6’sı işlem sırasında ailenin bulunmasının sıkıntı yaratacağını belirtti. Öğrencilerin %91,4’ü duygusal tepki verme riskinden dolayı işlem sırasında ailenin bulunmaması gerektiğini, %63,7’si ise kendi aile bireylerinden biri resüsite ediliyorsa yanında olmak istediğini ifade etti. Daha önce resüsistasyon işlemine katılan öğrenciler ve kız öğrenciler, ailelerin işleme tanıklık etmesini istemiyordu (p<0,05). Birinci sınıf öğrencileri, çocuğunun resüsitasyon işlemi sırasında ailesinin bulunmasını daha fazla istedi (p=0,002). Sonuç: Öğrencilerin sınıfı, cinsiyeti, resüsitasyonu bilme durumları ve resüsitasyon işlemine daha önce katılma durumları, aile üyelerinin çocuklarının resüsitasyonuna tanıklıkları hakkındaki görüşlerini etkiledi.Öğe Çocuk Gözüyle Hemşirelik Bakım Kalitesinin Değerlendirilmesi(2021) Semerci, Remziye; Kostak, Melahat Akgün; Çetintaş, İsmail; Kocaaslan, EsraAmaç: Pediatri hemşirelerinin, çocuklara bireyselleştirilmiş bakım sunabilmesi için çocukların memnuniyetlerini ve hemşirelikbakımını çocuk gözünden değerlendirmesi gerekmektedir. Bu çalışmanın amacı çocuk gözü ile hemşirelik bakım kalitesinideğerlendirmektir.Yöntem: Tanımlayıcı nitelikteki çalışma, bir üniversite hastanesinde tedavi gören 7-13 yaşındaki 164 çocukla yürütüldü. Veriler‘Tanıtıcı Bilgi Formu’ ve ‘Çocukların Gözü ile Bakım Kalitesinin Değerlendirilmesi Ölçeği’ ile toplandı. Veriler tanımlayıcıistatistikler, Mann-Whitney U testi, Kruskal Wallis H, post hoc Bonferroni testi ve Spearman korelasyon testleriyle analiz edildi.Bulgular: Çocukların yaş ortalaması 10.86±2.24, %59.1’i erkek, %40.2’si genel pediatri kliniklerinde tedavi almakta ve %79.9’ununhastane deneyimi vardı. Çocukların %33.5’inin kronik hastalığı vardı. Hastane deneyimi fazla olan, hematoloji/onkoloji kliniklerindeyatan çocukların toplam ölçek puanları ve ‘Psikososyal bakım’ alt boyut puan ortalamaları istatistiksel olarak daha yüksekti (p<0.05).Kronik hastalığı olan çocukların toplam ölçek puan ve alt boyut puan ortalamaları istatistiksel olarak anlamlı düzeyde yüksekti(p<0.05). Çocukların hastaneye yatış sayısı ile toplam ölçek puanları, ‘Psikososyal Bakım’ ve ‘Fiziksel bakım’ alt boyut puanlarıarasında pozitif yönde ilişki bulundu (p<0.05). Çocukların hastane yatış süreleri ile ‘Psikososyal Bakım’ alt boyut puanları arasındapozitif yönde ilişki vardı (p=0.021).Sonuç: Kronik hastalığı olan, hastane deneyimi olan, hastane yatış sayısı ve yatış süresi fazla olan çocuklar hemşirelik bakım kalitesinidaha iyi olarak belirttiler. Bu sonuçlar doğrultusunda hemşirelerin yatıştan itibaren çocuklara klinik, hastalıkları ve tedavileri ile ilgilibilgilendirme yapmaları, fiziksel bakım dışında da çocukların hastanede eğlenceli vakit geçirmeleri için etkinlikler düzenlemeleri veçocukların gereksinimlerini bütüncül değerlendirmeleri önerilebilir.Öğe Çocuklarda kemoterapiye bağlı oluşan bulantı ve kusmanın yönetiminde interaktif mobil aplikasyon kullanımının etkisi: Randomize kontrollü bir çalışma(Trakya Üniversitesi, 2021) Semerci, Remziye; Kostak, Melahat AkgünBu araştırma, çocuklarda kemoterapiye bağlı oluşan bulantı ve kusmayı azaltmak için 5inD adında bir mobil uygulamasının geliştirilmesi ve bu uygulamanın çocuklarda kemoterapiye bağlı oluşan bulantı ve kusmanın yönetimine olan etkisini incelenmek amacıyla yapıldı. Randomize kontrollü, prospektif çalışma 8-18 yaş kemoterapi alan 57 (kontrol = 31; müdahale = 26) çocuk ve anneleri ile Ekim 2019-Ocak 2021 tarihlerinde bir üniversite hastanesinde yürütüldü. Çalışmada, çocukların kemoterapiye bağlı bulantı ve kusmalarını azaltmak amacıyla dikkati başka yöne çekme yöntemlerini içeren "5inD" adında mobil uygulama geliştirildi. Müdahale grubundaki çocukların yedi gün boyunca mobil uygulamayı kullanmaları sağlandı. Veriler "Bilgi Formu" ve "Çocuklar için Uyarlanmış Rhodes Bulantı ve Kusma" ölçeği ile toplandı. Kemoterapinin birinci gününden itibaren yedi gün boyunca çocukların bulantı ve kusmaları hem çocuklar hem de anneleri tarafından günde iki kez değerlendirildi. Veriler, SPSS for Windows version 24.0 paket programı kullanırak tanımlayıcı analizler, Mann Whitney U testi, IntraClass korelasyon katsayısı ve ki-kare testi ile analiz edildi. Sonuçlar %95'lik güven aralığında ve anlamlılık p < 0.05 düzeyinde değerlendirildi. Müdahale ve kontrol grubundaki çocukların ve ebeveynlerin tanımlayıcı özelliklerinin dağılımı benzerdi (p > 0.05). Çalışmada, müdahale grubundaki çocukların birinci gün ([z:-3,272, p<0,001, d:0,870; %95 CI (0,325-1,415)], ikinci gün ([z:-4,677, p<0,001, d:1,243; %95 CI (0,674-1,812)], üçüncü gün ([z:-4,560, p<0,001, d:1,212; %95 CI (0,645-1,779)], dördüncü gün ([z:-3,831, p<0,001, d:1,018; %95 CI (0,465-1,572)], beşinci gün ([z:-3,378, p<0,001, d:0,797; %95 CI (0,256-1,339)], altıncı gün ([z:-1,829, p;0,067, d:0,265; %95 CI (0,257-0,789)] ve yedinci günde ([z:-1,984, p;0,047, d:0,265; %95 CI (0,257-0,789)] bildirdiği bulantı ve kusma puan ortalamaları kontrol grubunda yer alan çocukların puan ortalamalarından daha az idi. Gruplara göre annelerin ve çocukların bildirdikleri ölçek puan ortalamaları mükemmel ve iyi düzeyde uyum gösterdiği belirlendi (p < 0.001). Müdahale grubundaki çocukların 5inD'yi en çok ikinci gün kullandıkları ve 5inD'nin içerisinde yer alan müzik ve tetris uygulamasını daha sık kullandıkları belirlendi. Müdahale grubundaki annelerin ve çocukların bildirdikleri bulantı-kusma puan ortalamalarının daha az olduğu, interaktif mobil uygulama olarak geliştirilen 5inD'nin pediatrik onkoloji hastalarında kemoterapiye bağlı oluşan bulantı ve kusmayı azaltmada etkili olduğu bulundu. 5inD'nin pediatrik onkoloji kliniklerinde kemoterapinin ilk küründen itibaren bulantı ve kusma semptomunun yönetiminde kullanılması önerilmektedir. Anahtar Kelimeler: interaktif mobil uygulama, kemoterapi, bulantı ve kusma, pediatrik onkoloji, hemşirelik yönetimiÖğe The effect of an interactive robot on children's post-operative anxiety, mobilization, and parents' satisfaction; randomized controlled study(Elsevier Science Inc, 2023) Topcu, Sacide Yildizeli; Semerci, Remziye; Kostak, Melahat Akguen; Guray, Ozlem; Sert, Senem; Yavuz, GozdePurpose: To evaluate the effect of an interactive robot on Turkish children's post-operative anxiety, mobilization, and parents' satisfaction related to post-operative care.Method: A randomized controlled study was conducted with 84 children who will undergo day surgery aged 5-10 years and their parents at a university hospital between June 2020-April 2022. The interactive robot was provided to accompany the children during the postoperative mobilization. Children in the control group received standard care during mobilization. Data were collected using the Personal Information Form, Children's State Anxiety (CSA), Parental Satisfaction Scale-Visual Analog Scale, and Mobilization Chart.Results: It was determined that the CSA score of the children in the control group were higher than the intervention group before their first mobilization after surgery (p = 0.005). During the first (p = 0.042) and second (p = 0.012) mobilization, it was determined that the mobilization duration of children in the intervention group was longer than the children in the control group. It was found that the parents of the children in the intervention group had a high level of satisfaction. Conclusion: It has been determined that interactive robots positively affect postoperative mobilization in children undergoing day surgery, reduce the anxiety level of children before mobilization, and increase the duration of mobilization. In addition, the use of interactive robots increased parents' satisfaction with post-operative mobilization care.Practice implications: Using interactive robots to reduce the stress and anxiety of children during the perioperative process can be a promising approach to improve their recovery by providing early mobilization.(c) 2022 Elsevier Inc. All rights reserved.Öğe Effect of chewing gum on the management of chemotherapy-induced oral mucositis in children: Systematic review of experimental studies(Wiley, 2022) Semerci, Remziye; Kocaaslan, Esra NurObjective It was aimed to systematically synthesise the available literature on examining the effect of chewing gum in the management/reduction of chemotherapy-induced oral mucositis in children. Methods The PRISMA was followed for the systematic review. All published studies obtained from the relevant databases were examined while the research question and inclusion and exclusion criteria were considered. The Joanna Briggs Institute (JBI) critical appraisal tools were used to evaluate the quality of the studies. Results A total of five studies met the inclusion criteria: three randomised controlled trials (RCT) and two quasi-experimental studies with a total of 461 paediatric oncology patients were included. Heterogeneity was found across all studies regarding the application of gum chewing and regarding the effectiveness of gum chewing. Two RTCs and one quasi-experimental study reported that gum chewing is not effective to reduce severe oral mucositis, but effective to reduce moderate and mild oral mucositis, and one RTC reported that gum chewing is not effective to reduce oral mucositis. Conclusion Experimental studies particularly randomised controlled trials using rigorous designs, consistent outcome measures, and larger sample sizes are required to determine the efficacy of chewing gum in reducing chemotherapy-induced oral mucositis in paediatric oncology patients. Study was registered in PROSPERO and number was CRD42022328916.Öğe 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, NefisePurpose: 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.Öğe 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 ZaferBackground 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.Öğe Effect of Gum Chewing on Pain and Anxiety in Turkish Children During Intravenous Cannulation: A Randomized Controlled Study(Elsevier Science Inc, 2020) Topcu, Sacide Yildizeli; Kostak, Melahat Akgun; Semerci, Remziye; Guray, OzlemPurpose: Although gum chewing is a simple intervention that can be used for the management of pain and anxiety in the nursing care of children, few studies have assessed this intervention. This study aimed to investigate the effect of gum chewing on pain and anxiety during intravenous (IV) cannulation in children. Design and methods: This randomized controlled study assessed 73 children aged 6 to 12 years in the general paediatric unit in a university hospital in the Trachy Region, Turkey from April to September 2017. In the experimental group, children chewed gum during the procedure. The standard care was applied to the control group. Data were collected via the Children's Anxiety Pain Scale and the Data Collection Form. Results: According to the children's self-report and the nurse's report, the pain level of the experimental group was significantly lower than the control group. Although no significant difference was noted between experimental and control groups' anxiety levels, nurses stated higher anxiety levels than children. Conclusions: The IV cannulation procedure causes pain and anxiety in children. Nurses reported the perception of a higher level of anxiety during the procedure than the children actually experienced. Gum chewing might reduce pain during IV cannulation. Nurses should consider using gum chewing as a simple nursing implementation to increase the effects of other pharmacological and non-pharmacological techniques for management of children's procedural pain. Practice implications: Nurses who work with the children could use gum chewing as a simple, inexpensive, and pleasurable intervention for the management of pain. (C) 2019 Elsevier Inc. All rights reserved.Öğe The effect of progressive muscle relaxation exercises on compassion satisfaction, burnout, and compassion fatigue of nurse managers(Wiley, 2021) Semerci, Remziye; Ozturk, Gulnur; Akgun Kostak, Melahat; Elmas, Saadet; Ihsan Danaci, Ali; Musbeg, SadberPurpose To investigate the effect of progressive muscle relaxation exercises on compassion satisfaction, burnout, and compassion fatigue of nurse managers. Design and Methods A pretest, posttest, one-group quasi-experimental study was carried out with 30 nurse managers and they were received Jacobson: Progressive Muscle Relaxation Exercises in a group once in a week for 8 weeks. Findings After the second month, the mean compassion fatigue (p < 0.01) and the mean burnout scores (p = 0.01) were decreased. Practice Implications It is recommended to expand progressive muscle relaxation exercises and to conduct studies in different groups to increase the professional quality of life.Öğe The effect of using an interactive mobile application for the management of chemotherapy-induced nausea and vomiting in children: Randomized controlled study(Elsevier Sci Ltd, 2022) Semerci, Remziye; Kostak, Melahat Akgun; Taskin, CemPurpose: This study was conducted to develop an interactive mobile application called 5inD, and investigate the effect of 5inD on the management of chemotherapy-induced nausea and vomiting (CINV) in pediatric oncology patients.Methods: The prospective, parallel-group and randomized controlled study was conducted in a university hospital between October 2019 and January 2021 with 57 children aged 8-18 years who were treated with chemotherapy and their mothers. In this study, a mobile application called 5inD was developed, which includes five distraction methods to reduce CINV. Data were collected about CINV through the Adapted Rhodes Index for Nausea & Vomiting child version (ARINVc), and parent version (ARINVp). CINV of the children was evaluated for seven days starting from the first day of chemotherapy.Results: In the study, Child ARINVc and Parent ARINVp mean scores of the intervention groups were lower than the control group during the seven days (p < 0.05). There was a statistically significant difference between the group's Adapted Rhodes Index of Nausea and Vomiting for Pediatrics by Child (ARINVc) and by Parent (ARINVp) mean scores in terms of the group, time, and group*time interaction. While a statistically significant difference was found between the intervention group's and control group's mean scores in terms of the group, time, and group*time for the acute CINV (p < 0.05), there was no statistically significant difference for delayed CINV between groups scores in terms of the time, and group*time interaction (p > 0.05).Conclusion: This study supports the findings that the interactive mobile application was found effective in reducing CINV in children. Additionally, it can be said 5inD is more effective for the management of acute CINV than delayed CINV.Öğe The effectiveness of finger puppet play in reducing fear of surgery in children undergoing elective surgery: A randomised controlled trial(Elsevier, 2021) Kostak, Melahat Akgun; Kutman, Gulsev; Semerci, RemziyeBackground: The use of therapeutic interventions in the preoperative period reduces the fear in children by strengthening the relationship between the child, parent and the nurse. Aims: This study aimed to investigate the effect of finger puppet play with parental involvement on fear of surgery in children undergoing elective minor surgery. Methods: A prospective, randomised controlled study was conducted in a state hospital in Turkey with 70 children aged between 5-10 years. In addition to the routine care, children in the intervention group received an intervention that included finger puppet play with their parents while the control group received routine care. The data were collected via demographic form and Children's Fear Scale. Findings: The preoperative fear scores of the children did not show a statistical difference between the group (p > 0.05). The results showed that children in the finger puppet group reported significantly lower fear scores than those in the control group while entering the surgery room (p < 0.001), and in the postoperative period (p < 0.001). The proxy report of the parents and nurses were also lower for the children in the finger puppet group (p < 0.05). Discussion: The results provide empirical data on the effectiveness of finger puppet play in children's preoperative care, entering the surgery room, and postoperative fear. Conclusion: In line with these results, it is recommended that finger puppet play is used by nurses and parents for reducing fear of surgery in children at paediatric clinics. (c) 2020 Australian College of Nursing Ltd. Published by Elsevier Ltd.Öğe The effectiveness of training activities on knowledge and attitudes with regard to blood donation among health sciences students(Springer Heidelberg, 2023) Zekioglu, Aysu; Semerci, RemziyeAim To examine the effectiveness of training activities on knowledge and attitude with regard to blood donation among health sciences students. Subject and methods The semi-experimental study was carried out with 258 1st-year health sciences students. Data were collected using an 'information form' and the 'Attitude Scale For Blood Donation'. Two nurses from the Turkish Red Crescent provided blood donation training to the students. Then, blood donation activity was organized at a blood donation booth set up in the faculty. Data were analyzed using descriptive statistics, the Wilcoxon test, the Mann-Whitney U test, and the Kruskal-Wallis test. Results Training affects the level of knowledge and attitude scores of the students toward blood donation (p < 0.05). However, at the end of the training, the number of students who participated in the blood donation activity was very low (12 students). It was determined that training was not effective in developing an attitude in a short time. Conclusion It was found that youth training activities were an effective method to increase students' knowledge and attitude scores with regard to blood donation. Although the attitude scores of the students increased, it can be seen that there was no increase in the number of voluntary donors. Therefore, it is recommended that training and youth activities should be organized regularly.Öğe The effects of administered interventions on quality of life of children with cancer in Turkey: A systematic review and meta-analysis(Wiley, 2022) Akdeniz Kudubes, Asli; Semerci, Remziye; Bektas, Murat; Akgun Kostak, MelahatObjective The present systematic review and meta-analysis aimed to analyse the effects of administered interventions on the quality of life of children with cancer in Turkey. Methods The quantitative studies conducted with paediatric oncology patients, analysing the quality of life of Turkish children, and published papers from 2009 to 2019 were searched. Joanna Briggs Institution MAStARI Experimental and Quasi-Experimental Research Control List and Quality Index were used for methodological assessment. Five studies comprising a total of 264 samples were included. Four studies were nonrandomised controlled trials, and one was a quasi-experimental study. Results Tests for heterogeneity showed that the studies, which included interventions increasing the quality of life of children with cancer, were heterogeneous. The common effect size of all studies on quality of life was determined as having a strong positive effect. Conclusions This meta-analysis and systematic review contribute to the knowledge of Turkish health care professionals regarding these interventions by producing results with high levels of evidence on the improvement of the quality of life among children with cancer. The present study also significantly raises awareness and encourages health care professionals to implement interventions for the improvement of quality of life among children with cancer.Öğe Effects of Oral Health Care Education on the Severity of Oral Mucositis in Pediatric Oncology Patients(Kare Publ, 2020) Kostak, Melahat Akgun; Semerci, Remziye; Eren, Tuba; Kocaaslan, Esra Nur; Yildiz, FilizOBJECTIVE Oral mucositis is undoubtedly the most common painful complication of cancer treatment, especially chemotherapy and adversely affects the quality of life children. This study aimed to examine the effects of oral health care education on the severity of oral mucositis in pediatric oncology patients. METHODS The semi-experimental and longitudinal study was carried out with 30 children aged eight to 18 years and their mothers in the pediatric oncology clinics at a university hospital. Data were collected with Survey Form, World Health Organization Oral Mucositis Index, and Children's International Mucositis Evaluation Scale. Children and mothers in the intervention group received oral health care education before chemotherapy. Children's oral health was assessed before chemotherapy (0th day) and following chemotherapy 7th, 14th, and 21st days. Data were analyzed with descriptive statistics, Mann-Whitney U test, Friedman Test. RESULTS The socio-demographic characteristics of the children did not affect children's oral mucositis severity. It was determined a significant difference in the severity of oral mucositis between the control and intervention group (p<0.05). Oral mucositis's degree and scores were lower in the intervention groups than the control group on the 7th day of chemotherapy. CONCLUSION The findings obtained in this study suggest that oral health care education is an effective method to reduce the severity of oral mucositis in pediatric oncology patients. It is recommended that oral health care education should be given to children and their parents from the beginning of hospitalization.
