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Permanent URI for this collectionhttps://hdl.handle.net/20.500.14288/3
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Publication Metadata only Development and psychometric analysis of care needs scale for mothers of children with congenital heart disease(Elsevier Inc., 2024) Ay, Ayse; Saridag, Kubra Nur Kabakci; Semerci, Remziye; School of NursingPurpose: This cross-sectional study aimed to create and evaluate a care needs scale for mothers of children with congenital heart disease (CHD) to determine its psychometric properties. Design and methods: This methodological research was conducted with 155 mothers whose children were diagnosed with CHD and were treated at a university hospital. The study's methodology included scale development, specialist opinions, and a pilot test. Data analysis involved descriptive statistics, exploratory and con firmatory factor analyses, and reliability assessments. Results: The 11 -item scale was created using component analysis, expert comments, and pilot testing. It was divided into two categories: Information Needs Regarding Disease and Treatment and Needs Regarding Care. The Exploratory Factor Analysis revealed a 2 -factor structure, explaining 41.5% of the variance. Reliability analysis showed reliable dimensions, and Tukey's scalability test indicated the scale requires separate dimension evaluation. The model fi t indices were obtained as CMIN/DF (72.751/41) =1.774, GFI = 0.925, IFI = 0.923, TLI = 0.893, CFI = 0.920, RMSEA = 0.071, SRMR = 0.063. The Cronbach's alpha coef ficient for subdimension 1 was 0.758, and for subdimension 2 was 0.678, indicating reliable dimensions. Conclusion: The developed scale provides a valuable tool for assessing the care needs of mothers of children with CHD, contributing to enhancing maternal support programs in pediatric cardiology clinics. Practice implications: Assessment of the care needs of mothers who have children with CHD is promising for the development of educational programs on this subject and to ensure the competence of mothers for care.Publication Metadata only The effect of progressive muscle relaxation exercises on sleep quality in cancer patients undergoing chemotherapy: a randomized controlled study(Elsevier Inc., 2024) Sarı, Ebru; Gündogdu, Fatma; Semerci, Remziye; School of NursingObjectives: This study aimed to evaluate the effect of progressive muscle relaxation exercises (PMRE) on sleep quality in patients undergoing chemotherapy treatment and experiencing disturbed sleep. Methods: The prospective randomized controlled study was conducted between March and September 2022 with 69 patients (intervention group: 34 patients, control group: 35 patients) in a hospital chemotherapy unit. During the data collection process, the “Personal Information Form” and “Pittsburgh Sleep Quality Index (PSQI)” were utilized. Patients in the intervention group performed PMRE twice a day for 8 weeks. Patients in the control group received routine care at the clinic without additional intervention. For data analysis, Student's t-test, Mann–Whitney U test, Fisher's exact test, and chi-square test were used. Results: The sociodemographic attributes of patients within both the intervention and control groups exhibited comparability. However, notable distinctions emerged in the PSQI Global sleep score and PSQI subdimension scores, encompassing sleep latency and duration, subjective sleep quality, habitual sleep efficiency, sleep disturbance, and daytime dysfunction between the two groups. The study found a notable difference in scores between the patients in the intervention group and those in the control group. The patients who received the intervention had significantly lower scores (P <.001). Conclusion: The study revealed that PMRE was beneficial in improving sleep quality in cancer patients undergoing chemotherapy who had poor sleep quality. Implications for Nursing Practice: Oncology nurses may consider using PMRE to improve the sleep quality of cancer patients receiving chemotherapy.Publication Metadata only The effect of abdominal massage on bilirubin levels in term infants receiving phototherapy: a randomized controlled trial(Lippincott Williams and Wilkins, 2024) Kose, Selmin; Caglayan, Sabiha; Gözen, Duygu; School of NursingBackground:The incidence of neonatal hyperbilirubinemia in Europe and the United States is estimated to be 3.2 and 4.4 per 10,000 live births, respectively. Abdominal massage for hyperbilirubinemia is considered a safe complementary treatment for infants that may increase number of defecations and decrease bilirubin levels.Purpose:This study was designed as a randomized controlled trial to determine the effect of abdominal massage on bilirubin levels in term infants receiving phototherapy.Methods:The sample consisted of 43 term newborns (intervention group: 23; control group: 20) who received phototherapy in a university hospital between June 2019 and February 2021. Information and observation forms were used for data collection. The intervention group received 6 abdominal massages over 2 days, performed 3 times a day, 6 hours apart, and lasting 5 minutes each.Results:Transcutaneous bilirubin levels and heart rate were significantly lower in the intervention group than in the control group at 48 hours (P = .015 and P = .033, respectively). Number of defecations was higher in the intervention group at 24 hours (P = .007) but there was no significant difference at 48 hours. The decrease in serum bilirubin between 24 and 48 hours was significantly greater in the intervention group (P = .005).Implication for Practice and Research:Abdominal massage was effective in reducing bilirubin levels and may increase the number of defecations. Providing massage training to the parents of infants who are discharged early could be a protective approach to prevent the rise in bilirubin levels.Publication Metadata only The effect of 2 different distraction methods on pain, fear, and anxiety levels during venous blood draw in children in a pediatric emergency unit(Lippincott Williams & Wilkins, 2023) Akarsu, Ozlem; Kilinc, Derya; Semerci, Remziye; School of NursingBackground: Blood draw procedures can cause pain, fear, and anxiety in the pediatric population. Purpose: To compare the effects of watching cartoons either with virtual reality (VR) or via a tablet on pain, fear, and anxiety during venous blood draw procedures in children. Methods: A randomized controlled study was conducted with 159 children aged 5 to 12 years in the pediatric emergency unit. The 3 groups included cartoons with VR (n = 53) or a tablet (n = 53), and a control group (n = 53). Results: Children in the 2 intervention groups had lower perceptions of pain, fear, and anxiety, with those watching cartoons via VR having the lowest perceptions. Conclusions: Findings from this study showed a reduction in the perception of pain, fear, and anxiety in children who watched cartoons with VR or tablets during blood draw procedures. Nurses should consider using these nonpharmacological methods to reduce pain, fear, and anxiety, among pediatric patients.Publication Metadata only The effect of evidence-based pain assessment protocol in pediatric emergency department on nurses' knowledge, attitudes, and practices towards pain(Elsevier Sci Ltd, 2023) Cetintas, Ismail; Kostak, Melahat Akgun; Aken, Nefise; Semerci, Remziye; School of NursingPurpose: 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.Publication Metadata only What does the public really know about dementia? A community-based cross-sectional survey in Turkiye(John Wiley and Sons Inc, 2024) Akyol, Merve Aliye; Özgül, Ecem; Akpinar Söylemez, Burcu; Küçükgüçlü, Özlem; Güney, Seda; School of NursingDespite the increasing burden of dementia, there has been no evaluation of the level of dementia knowledge among the general public in Turkiye. Thus, this study aimed to evaluate the public's knowledge regarding dementia and the factors predicting this knowledge. This is a community-based cross-sectional study. A survey was conducted with 1106 participants between April and August 2023. The research tools were demographic characteristics form, a Turkish version of the dementia knowledge assessment scale (DKAS-T), and a form focusing on sociodemographic information and questions related to the degree of dementia knowledge. The data were analyzed using descriptive statistics, correlation, and multiple regression. The mean score on the DKAS-T was 12.32 ± 6.05 (min: 0 points, max: 33 points) out of 34. The sample recorded an incorrect response for less than half of the items in the dementia knowledge scale. Adjusted R2 was used as explanatory power. Moreover, the results of the multiple regression analysis identified various factors that significantly predicted dementia knowledge scores: age, prior education about dementia, experience of caring for a PwD, interaction with a PwD, and self-reported risk of being diagnosed with dementia in the future. These variables accounted for 18.1% of the total variance of dementia knowledge. Dementia is not well known in the public. The finding underscores the need for targeted educational initiatives to enhance dementia knowledge in the Turkish population. Interventions should focus on addressing specific areas of deficiency identified in the DKAS-T.Publication Metadata only Utilizing GPT 4.0 with prompt learning in nursing education: a case study approach based on Benner's theory(Elsevier Inc., 2024) Goktas, Polat; N/A; Küçükkaya, Aycan; Karaçay, Pelin; School of Nursing; Koç University HospitalBackground: Artificial intelligence (AI) and large language models, such as ChatGPT, have the potential to enhance nursing education by serving as a virtual mentor who can provide real-time guidance and resources. However, integrating AI chatbots into nursing necessitates a detailed understanding of how to align these technologies with established nursing theories. Aim: To develop guidelines on how to employ GPT 4.0 using the prompt learning method. Methods: In the method of prompt learning, users give specific prompts, and the AI model reacts according to its training, specifically aligned with the progression of knowledge and skills in nursing education as outlined by Benner's theory. This study used a case study methodology. Results: The customization of a conversational AI chatbot is shown to support the development of nursing knowledge and skills. This paper outlines how to integrate Benner's theory with ChatGPT's capabilities, addresses bias issues, and establishes best practices for the safe and effective use of AI in nursing. Conclusion: The findings have important implications for the advancement of nursing education and the safe and responsible use of AI tools in clinical environments. © 2023 Organization for Associate Degree NursingPublication Metadata only Nurses' and midwives' awareness of the recommended breastfeeding practices during the pandemic of Covid-19 and the associated factors in jordan(Sage Publications Inc, 2024) Jakalat, Suad S.; Al Tarawneh, Tamador; Shatnawi, Fedaa; Al-ja'freh, Sarah; Rayan, Ahmad; Abu Sumaqa, Yasmeen; Bani Mohammad, Eslam; Al Hadid, Lourance; Salameh, Taghreed Nayel Mohammad; School of NursingIntroduction The COVID-19-related restrictions imposed to reduce viral transmission have highlighted the need to support the importance of maternal breastfeeding. Clear guidelines for consistent practices across settings have been drawn up on the basis of the best available data. Emerging recommendations call to increase nurses' and midwives' awareness of these guidelines.Objective This study aimed to explore nurses' and midwives' awareness of the recommended breastfeeding practices and associated factors in Jordan during the COVID-19 pandemic.Methods An online descriptive cross-sectional design was adopted. This study was conducted in clinical settings representing Jordan's North, Middle, and Southern regions. One hundred seventy nurses and midwives were selected through a convenient sampling technique.Results The mean total score of the awareness was 7.78 (SD = 1.60);62.9% of participants were highly aware of the recommended breastfeeding practices. Nurses and midwives who were aware of the recommended breastfeeding practices during the pandemic of COVID-19 (90.7%) were more likely to perceive COVID-19 preventive measures as effective than those who were not aware of breastfeeding practices (74.6%) (chi(2) = 7.886, p = .005), while work experience in years (chi(2 )= 8.966, p < .01) was significantly associated with awareness of the breastfeeding recommended practices.Conclusion Most Jordanain nurses and midwives were highly aware of the recommended breastfeeding practices during COVID-19 pandemic. This awareness was positively associated with working experience and perceiving that the preventive measures of COVID-19 are effective. Educational programs for nurses and midwives about breastfeeding practice recommendations are necessary to help mothers obtain appropriate care and education.Publication Metadata only Virtual reality to improve cancer patients' quality of life: a systematic review(Oncology Nursing Soc, 2023) Aydin, Aydanur; Bağçivan, Gülcan; Özkan, Aleyna; ; School of Nursing; Graduate School of Health Sciences;Quality of life (QoL) encompasses important elements of a patients emotional, social, and physical well being. Cancer patients face psychological issues such as stress, anxiety, and depression, as well as physiological side effects such as hair loss, pain, tiredness, nausea, and vomiting, as well as social issues such as social isolation, role, and function loss, and, eventually, this worsened their quality of life. These issues cause the deterioration in the QoL of cancer...Publication Metadata only The opinions and experiences of nursing students, nurses, and patients regarding clinical practices: a mixed-methods study(Wiley, 2024) ; Sarıköse, Seda; Özkan, Alparslan; Cengiz, Ayça; Öngün, Burak; Koyun, Hamza Can; Doha, Najwa Ahmad; Bağçivan, Gülcan; Çelik, Sevilay Şenol; ; School of Nursing;The aim of this mixed-methods study was to examine the experiences of nursing students (NSs), nurses, and patients regarding the clinical practices of NSs and to determine NSs' stress levels regarding clinical practices. The quantitative part of the study was completed with 240 NSs, and the "Perceived Stress Scale for Nursing Students" was used. In the qualitative part, the focus group interviews were held with 24 NSs, and the individual interviews were conducted with 15 patients and 20 nurses. Descriptive and stepwise regression analyses were used to analyze quantitative data, and narrative analysis was used to analyze qualitative data. Regression analysis determined that the age, grade point average, and attitude of mentors were associated with the perceived stress levels of NSs. In the narrative analysis of the data obtained from the interviews with NSs and nurses, four categories were identified: Emotions, Facilitators, Barriers, Roles, and Competencies. Three categories (Emotions, Problems, Roles, and Competencies) were identified from patient interviews. This study showed that NSs' clinical practice experiences were affected by many factors and experienced high stress during clinical practice.