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Öğe Anxiety and Related Factors in Parents About Coronavirus Disease-2019 for Children(Galenos Yayincilik, 2022) Yaz, Seyda Binay; Kahraman, Ayse; Gumus, MerveAim: The aim of study was to determine the anxiety and related factors in parents about new Coronavirus disease-2019 (COVID-19). Materials and Methods: The sample of the descriptive study consisted of 494 parents with children aged 0-18. The data were collected during April-May 2020 with tools that were prepared via Google Docs, an online study. The link to the questionnaires was shared via social media. The volunteers were agreed to participate in the survey. Results: In the study, 94.5% of the parents participating are mothers, 69.5% are between the ages of 31-40 and 59.6% have one child. 31.8% of the parents stated that they worked during the COVID-19 pandemic, 90.3% applied social isolation or quarantine. The most frequent feeling that 83.6% of the parents was concern/anxiety, 69.0% used kitchen activities such as cooking and baking cakes as coping mechanisms, 68.4% used games, and painting activities with children. Conclusion: In this study, it was determined that parents' anxiety levels were mild. It is recommended that social and health initiatives be created to prevent and alleviate the psychosocial effects of the pandemic, and to develop programs that will reduce parents' anxiety.Öğe Baby-led weaning versus traditional weaning: the assessment of nutritional status in early childhood and maternal feeding practices in Turkey(Routledge Journals, Taylor & Francis Ltd, 2020) Kahraman, Ayse; Gumus, Merve; Binay Yaz, Seyda; Basbakkal, ZumrutThis study aimed to examine the assessment of nutritional status in early childhood and the experiences of the mothers whose children started traditional and/or baby-led complementary weaning. the study included 485 mothers who used social media, all of whom had a 6-24 month-old child receiving complementary foods. in order to collect data, Socio-demographic and Anthropometric Data Collection Form, Complementary Feeding Transition Information Form, and Child Feeding Questionnaire (CFQ) were used. the findings indicate that the children whose mothers adopted traditional weaning suffered less from iron deficiency, (p < .05). There was no significant difference between the groups in terms of aspiration/choking situation (p > .05). However, there was a significant difference between the groups in terms of the children's BMI (p < .07). It was determined that the mothers who preferred traditional weaning had more control over their infant's feeding, and these children tended to be more overweight.Öğe Comparison of the Effectiveness of Two Different Methods of Decreasing Pain During Phlebotomy in Children: A Randomized Controlled Trial(Elsevier Science Inc, 2019) Binay, Seyda; Bilsin, Elif; Gerceker, Gulcin O.; Kahraman, Ayse; Bal-Yilmaz, HaticePurpose: The purpose of this study was to examine the effect of the applications of external cold and vibration and blowing soap bubbles during phlebotomy in children aged between 3 and 6 years. Design: This study is a randomized controlled trial. Methods: The sample was obtained using block randomization. Children were divided into three groups: "external cold and vibration group,'' "blowing soap bubbles group,'' and "control group.'' Children, their parents, the nurse, and the researcher rated the children's pain during phlebotomy. Findings: A statistically significant difference between groups was found on pain scores. Pain scores were lower in the groups of external cold and vibration, and blowing soap bubbles than the control group. Conclusions: The methods of external cold and vibration and blowing soap bubbles had a pain relieving effect in children aged between 3 and 6 years during phlebotomy.Öğe The effect of nesting positions on pain, stress and comfort during heel lance in premature infants(Elsevier Taiwan, 2018) Kahraman, Ayse; Basbakkal, Zumrut; Yalaz, Mehmet; Sozmen, Eser Y.Background: Nesting positions are commonly used in procedural analgesic administration in premature neonates. The effectiveness of nesting positions is questioned. The aim of the this study was to assess the pain, stress, comfort and salivary cortisol and melatonin values in nesting positions during the heel lance procedure in premature infants at the NICU. Methods: Experimental research; repeated measurement design. The sample comprised 33 premature neonates with gestational age of 31-35 weeks who had been hospitalized in the NICU. Nesting positions were given using linen or towels. The procedure of heel lance was recorded on camera. The camera recordings were evaluated according to the NIPS and the COMFORTneo scale. Saliva samples were obtained five minutes prior to and 30 min after the heel lance procedure. Salivary Cortisol and Melatonin were measured using the Salimetrics Cortisol Elisa Kit and the Salimetrics Melatonin Elisa Kit. Results: The crying time, the mean NIPS score, the COMFORTneo score, the COMFORTneo NRS-pain scores and the COMFORTneo NRS-distress scores for premature neonates who were in the prone position during the procedure were significantly lower than the scores in the supine position (p < 0.000). Furthermore, the level of salivary cortisol five minutes prior to and 30 min after the heel lance procedure had significantly decreased in the prone position; however, there were insignificant differences in the mean levels of salivary melatonin between the positions. Conclusions: Nesting in the prone position has a pain reducing effect, enhancing comfort and reducing stress in premature infants. Copyright (C) 2017, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC.Öğe The effect of simulation-based education on childhood epileptic seizure management knowledge, skills, and attitudes of nursing students(Academic Press Inc Elsevier Science, 2019) Kahraman, Ayse; Gumus, Merve; Binay, Seyda; Zengin, Dilek; Uzsen, Hatice; Sevgili, Seda Ardahan; Basbakkal, ZumrutBackground: Lack of knowledge about epileptic seizure management and negative attitudes toward children with epilepsy among nursing students may negatively affect the quality of healthcare services they deliver. Aim: This study aimed to examine the effect of training given to nursing students using simulation and standard child mannequins on their childhood epileptic seizure management knowledge, skills, and attitudes. Methods: Participants (n = 72) were recruited from a Nursing Faculty in Izmir, Turkey. Students were randomly assigned to the intervention and control groups (n = 36 in each). the intervention group received simulation-based training on epilepsy while the control group received standard child mannequin training on epilepsy. One week after the training, the students were asked to demonstrate their epileptic seizure management knowledge and skills on a simulation model or a standard child mannequin. During this process, they were observed and assessed by two independent observers on the basis of a list of epileptic seizure management skills. All participants completed the personal information form, the Epilepsy and Epileptic Seizure Management Knowledge Test, and the Epilepsy Knowledge and Attitude Scale before, and after the training, McNemar's test, repeated measure ANOVA (intravenous), dependent t-test, chi-square test, Fisher's exact test, independent t-test, Pearson's correlation analysis, and Pearson's chi-square test were used to compare the groups. Intraclass correlation coefficient (ICC) was used to evaluate the consistency between observers. Results: the epilepsy knowledge scale mean scores of both groups significantly increased after their respective trainings (p < 0.001), but the difference between the groups was not statistically significant (p = 0.829). There was no statistically significant difference between the pre- and posttraining epilepsy attitude scale mean scores of the control group (p = 0.630), however, a statistically significant increase was observed in the epilepsy attitude scale mean score of the intervention group (p = 0.008). in addition, both groups' self-confidence in epileptic seizure management significantly increased after the training (p = 0.000). Conclusions: Simulation-based training was beneficial for students insofar as it helped them to develop positive attitudes toward epilepsy. (C) 2019 Elsevier Inc. All rights reserved.Öğe The effects of auditory interventions on pain and comfort in premature newborns in the neonatal intensive care unit; a randomised controlled trial(Elsevier Sci Ltd, 2020) Kahraman, Ayse; Gumus, Merve; Akar, Melek; Sipahi, Melike; Yilmaz, Hatice Bal; Basbakkal, ZumrutObjective: This study investigated the effects of three auditory interventions; white noise, recorded mother's voice, and MiniMuffs, applied during a heel lance on pain and comfort in premature infants in the neonatal intensive care units. Design and methods: This experimental, parallel, randomised controlled research was conducted in a state hospital tertiary-level neonatal intensive care unit. The sample comprised sixty-four premature infants with gestational ages of 31-36 weeks. The infants were randomly assigned to four groups: i) white noise, ii) recorded mother's voice, iii) MiniMuffs, and iv) control. Pain and comfort of newborns were evaluated according to the Neonatal Infant Pain Scale (NIPS) and the COMFORTneo scale. Oxygen saturation, heart rate, and crying time were also measured. Results: The mean of oxygen saturation levels in the white noise, recorded mother's voice, and MiniMuffs group were higher than the control group. The heart rate, crying time, mean NIPS score, COMFORTneo score of the premature neonates in the white noise, recorded mother's voice, and MiniMuffs groups were significantly lower than the control group (p < .001). Conclusion: Auditory interventions used during heel lance reduce the pain and increase the comfort of the premature infants. White noise is extremely effective in preventing infants's pain. (C) 2020 Elsevier Ltd. All rights reserved.Öğe Effects of Virtual Reality and External Cold and Vibration on Pain in 7-to 12-Year-Old Children During Phlebotomy: A Randomized Controlled Trial(Elsevier Science Inc, 2018) Gerceker, Gulcin O.; Binay, Seyda; Bilsin, Elif; Kahraman, Ayse; Yilmaz, Hatice B.Purpose: The aim of this study was to evaluate the effects of the virtual reality (VR) and external cold and vibration methods on pain scores in children aged 7 to 12 years during phlebotomy. Design: A randomized controlled study. Methods: The sample of children (n = 121) was allocated to the groups (group 1, VR; group 2, external cold and vibration; group 3, control) by blocked randomization. Pain scores were assessed after the phlebotomy using self-report, parent's reports, report from the nurse who attempted the phlebotomy, and researchers' report with the Wong-Baker FACES scale. Findings: Pain scores were determined to be lower in groups 1 and 2. Although there was no difference between the groups 1 and 2, a statistically significant difference was found between groups 1 or 2 and group 3 based on all pain scores. Conclusions: Results suggest that VR and external cold and vibration are effective in reducing the pain in 7-to 12-year-old children during phlebotomy. VR can be used safely for the pain management of children who are growing up in the age of technology.Öğe How does training given to pediatric nurses about artificial intelligence and robot nurses affect their opinions and attitude levels? A quasi-experimental study(Elsevier Science Inc, 2024) Karaarslan, Duygu; Kahraman, Ayse; Ergin, EdaPurpose: This study was conducted to investigate the effect of training provided to pediatric nurses on their knowledge and attitude levels about artificial intelligence and robot nurses. Design and methods: In this study, a single -group pre- and post-test quasi -experimental design was used. Data were collected from pediatric nurses working in Training and Research Hospital located in western Turkey. Forty-three pediatric nurses participated in the study. The study data were collected using the Pediatric Nurses' Descriptive Characteristics Form , Artificial Intelligence Knowledge Form , and Artificial Intelligence General Attitude Scale . Results: The mean scores of the participating pediatric nurses obtained from the Artificial Intelligence Knowledge Form before, right after and one month after the training were 41.16 +/- 14.95, 68.25 +/- 13.57 and 69.06 +/- 13.19, respectively. The mean scores they obtained from the Positive Attitudes towards Artificial Intelligence subscale of the Artificial Intelligence General Attitude Scale before and after the training were 3.43 +/- 0.54 and 3.59 +/- 0.60, respectively whereas the mean scores they obtained from its Negative Attitudes towards Artificial Intelligence subscale were 2.68 +/- 0.67 and 2.77 +/- 0.75, respectively. Conclusions: It was determined that the training given to the pediatric nurses about artificial intelligence and robot nurses increased the nurses' knowledge levels and their artificial intelligence attitude scores, but this increase in the artificial intelligence attitude scores was not significant. Practice implications: The use of artificial intelligence and robotics or advanced technology in pediatric nursing care can be fostered. (c) 2024 Elsevier Inc. All rights reserved.Öğe Infiltration and extravasation in pediatric patients: A prevalence study in a children's hospital(Sage Publications Ltd, 2018) Gerceker, Gulcin Ozalp; Kahraman, Ayse; Yardimci, Figen; Bilsin, Elif; Binay, Seyda; Ozdemir, Hamide Nur Cevik; Karakul, Atiye; Zengin, Dilek; Sevgili, Seda Ardahan; Gumus, Merve; Basbakkal, Zumrut; Akpinar, SelmaPurpose: The aim of this study is to determine the prevalence of infiltration and extravasation among children staying in a children's hospital and the interventions carried out when infiltration or extravasation occurred. Methods: A prospective and descriptive research design was used in the study, conducted between September 2015 and February 2016, and determined the prevalence of infiltration and extravasation and their characteristics. The study sample consisted of 297 peripheral catheters in 173 pediatric patients. Results: Of 297 peripheral catheters, 50.8% were located on the right and 30.6% were inserted in the dorsal metacarpal vein. Infiltration and extravasation occurred in 2.9% and 2.3% of the patients, respectively. The prevalence of infiltration and extravasation was 5.5 and 4.4 per 1000 patient-days, respectively. The applied interventions after infiltration or extravasation included covering with a gauze dressing or alcohol-soaked cotton, cold application, irrigation with physiological saline, and elevation. Conclusion: The infiltration and extravasation prevalence were found to be high, but the interventions to address them were inadequate. Training and implementation strategies should be planned for pediatric nurses to prevent infiltration and extravasation.Öğe Psychometric properties of the Turkish version of the developmental care scale for neonates with congenital heart disease(Cambridge University Press, 2024) Seckin Kolak, Sevgi; Kahraman, AyseObjective: Developmental care for newborns with congenital heart disease (CHD) improves cardiac and respiratory patterns. According to the American Heart Association, developmental care in newborns with CHD is important for improving neurodevelopmental outcomes. This study aimed to evaluate the validity and reliability of the Turkish version of the Developmental Care Scale for Neonates with Congenital Heart Disease. Methods: This was a methodological, descriptive study conducted with 169 nurses from a tertiary-level NICU. The Demographical Information Form and the Developmental Care Scale for Neonates with Congenital Heart Disease were used to collect the data. The scales’ language and content validity, construct validity, and internal consistency were also assessed. Results: The scale consists of 31 items and four subscales. Factor loadings ranged from 0.44 to 0.82 and explained 65% of the total variance. Fit indices indicate that the model is acceptable. Cronbach’s α was 0.95 for the entire instrument, 0.91 for developing the external environment subscale, 0.94 for assessing family well-being, 0.86 for the caregiver activities toward the neonate, and 0.82 for the basic need subscale. Item–total correlations ranged between 0.34 and 0.75, according to the item analysis results. Conclusions: The Turkish version of the Developmental Care Scale for Neonates with Congenital Heart Disease is valid and reliable. The use of this scale could improve the performance of neonatal intensive care nurses in providing developmental care to newborns with CHD as well as the quality of care.Öğe Psychometric Properties of the Turkish Version of the Developmental Support Competency Scale for Nurses (DSCS-N)(Elsevier Science Inc, 2020) Kahraman, Ayse; Ceylan, Sibel SerapPurpose: Developmental care is considered an important component of development and health promotion of premature infants, however, studies regarding assessment of nurses' competency of developmental care are inadequate. This study is designed to determine the psychometric properties of the Turkish version of the Developmental Support Competency Scale for Nurses (DSCS-N). Design and methods: This methodological study includes 140 nurses working at a tertiary level neonatal intensive care unit (NICU). Data were collected using the Nurse Introductory Form and Developmental Support Competency Scale for Nurses. the scale was assessed in terms of language and content validity, construct validity, internal consistency and time invariance. Results: the scale consisted of 19 items and six subscales. in the confirmatory analysis, which is a validity analysis, it was found that the scale's factor loadings ranged between 0.27 and 0.92, and the ratio of chi-square to degrees of freedom was 1.64. Other fit indices (CFI= 0.96, NFI = 0.92, NNFI = 0.95) were at desirable levels. Cronbach's alpha coefficient was found to be 0.90. According to item analysis results, item-total correlations ranged between 026 and 0.66. It was found that nurses' responses to the scale items at two different times were consistent and did not change over time (p > 0.05). Conclusions: DSCS-N is a valid and reliable scale for measuring Turkish nurses' competency of developmental support. Practice implications: DSCS-N can be used as a tool contributing to the implementation of developmental care. the scale can help nurses working in neonatal intensive care units to determine their competency of developmental care. (C) 2020 Elsevier Inc. All rights reserved.Öğe A Study on the Effects of Loneliness, Depression and Perceived Social Support on Problematic Internet Use among University Students(Kamla-Raj Enterprises, 2015) Ozsaker, Murat; Muslu, Gonca Karayagiz; Kahraman, Ayse; Beytut, Dilek; Yardimci, Figen; Basbakkal, ZumrutThe present study investigated the effects of loneliness, depression and perceived social support on problematic Internet use among university students. The participants were 459 students at two universities in Turkey. The study data were collected with a Questionnaire Form, Problematic Internet Use Scale (PIUS), University of California at Los Angeles (UCLA) Loneliness Scale (Version 3), Multidimensional Scale of Perceived Social Support (MSPSS) and Beck Depression Inventory (BDI). The Mann-Whitney U Test and Kruskal-Wallis one-way analysis of variance were conducted to examine the differences; and correlation and regression analyses were used to examine the relationships between variables. There was a positive significant correlation between the PIUS and MSPSS and the UCLA Loneliness Scale and a negative significant correlation between the PIUS and Beck Depression Scale (BDS). The female students had higher total PIUS scores. The results also illustrated that there was a statistically significant difference in total PIUS scores according to having a social network account.Öğe The Validity and Reliability of the Turkish Form of the Epilepsy Disclosure Scale-Youth and Parent Versions(Georg Thieme Verlag Kg, 2024) Solak, Semen; Kahraman, AyseAlthough explaining epilepsy is a separate source of stress for children with epilepsy and their parents, studies evaluating the disclosure of epilepsy by patients and their parents are insufficient. The aim of this study was to test the validity and reliability of the Turkish form of the Epilepsy Disclosure Scale (EDS)-Youth and Parent Versions, which measures the concealment/disclosure of epilepsy by youth patients with epilepsy and their parents. The population of the study consisted of 126 children who were diagnosed with epilepsy and who were between the ages of 8 to 18 and their parents (63 children and 63 parents) who applied to two hospitals pediatric neurology. Both scales consist of six items. When the scale was adapted, language, content, structural, and reliability analyses were conducted. The factor loads varied between 0.78 and 0.88 and contributed 71.99% to the total variance in the Youth Version. In the Parent Version, they varied between 0.79 and 0.88 and contributed 67.09% to the total variance. The Cronbach's alpha coefficients of the youth and parent versions of the scale were calculated as 0.92 in the youth version and 0.90 in the parent version. The Composite Reliability Index of the youth version was 0.94, and that of the parent version was 0.92. It was concluded that all statistical studies in the study were compatible with the original scale and that it could be applied to children with epilepsy between the ages of 8 to 18 and their parents in Turkish society.
