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Semerci, Remziye

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Remziye

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Semerci

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Semerci, Remziye

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2022 - 202311

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    Development and psychometric analysis of a pediatric oncology nurses' educational needs scale
    (Wiley, 2023) Kudubeş, Aslı Akdeniz; Özbay, Sevil Çınar; Ay, Ayşe; Boztepe, Handan; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Background/Objectives: It is important to determine the educational needs of pediatric oncology nurses in order to maximize and implement nursing care interventions. Therefore, this study aims to develop a valid and reliable measurement tool to determine pediatric oncology nurses' educational needs and examine its psychometric properties. Design/Methods: This methodological study was conducted with 215 pediatric oncology nurses in Turkey between December 2021 and July 2022. Data were collected with the "Nurse Information Form" and "Pediatric Oncology Nurses' Educational Needs Scale." IBM SPSS 21.0 and IBM AMOS 25.0 software programs were used for data analysis, and descriptive statistics were used to analyze numeric variables. Exploration and confirmatory factor analyses were performed to determine the scale's factorial structure. Results: The factorial analysis was used to test the structural validity of the scale. A five-factor structure consisting of 42 items was developed. The Cronbach's alpha coefficient for "Illness" was .978, "Chemotherapy and Side Effect" was .978, "Another Therapy and Side Effect" was .974, "Palliative Care" was .967, "Supportive Care" was .985, and the total score was .990. Fit indices resulting from the study were chi(2)/SD: 3.961, root mean square error of approximation (RMSEA): 0.072, goodness-of-fit index (GFI): 0.95, comparative-of-fit index (CFI): 0.96, and normed fit index (NFI): 0.95. Conclusion: The Pediatric Oncology Nurses' Educational Needs Scale is a valid and reliable scale for pediatric oncology nurses to determine their educational needs.
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    Effect of chewing gum on the management of chemotherapy-induced oral mucositis in children: systematic review of experimental studies
    (Wiley, 2022) Kocaaslan, Esra Nur; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Objective 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.
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    Evaluation of nutrition literacy and nutrition knowledge level in nursing students: a study from Turkey
    (BMC, 2022) Çelik, Özge Mengi; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Objective: The determination of nutritional knowledge and nutrition literacy among nursing students will enable nursing departments to establish the needs and solutions to enhance nutrition education in their education programs. Therefore, this study is aimed to evaluate the nutrition literacy and nutrition knowledge level of nursing students. Method: The study data were collected with 'Information Form', 'Anthropometric Measurements', 'Nutrition Knowledge Level Scale for Adults', and 'Evaluation Instrument of Nutrition Literacy on Adults'. Analyzes were performed using descriptive and nonparametric tests. Results: The score of nutrition knowledge is 56.6 & PLUSMN; 6.8 and 50.5% of them have a good nutrition knowledge level. The total nutrition literacy score is 28.6 & PLUSMN; 4.4 and 91.6% of them have a sufficient nutrition literacy level. It was no significant difference between students' characteristic features and nutrition knowledge score and nutrition literacy total score (p > 0.05). There was a statistically significant positive correlation between the nutrition knowledge score and the nutrition literacy total score and the nutrition literacy sub-sections scores (p < 0.05). Conclusion: It has been determined that the nutrition knowledge and nutrition literacy levels of nursing students correlated with each other. To improve students' nutrition knowledge levels, as well as to improve their nutrition literacy and prevent non-communicable diseases nutrition lessons should be included in the curriculum.
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    The effect of 2 different distraction methods on pain, fear, and anxiety levels during venous blood draw in children in a pediatric emergency unit: a randomized controlled study
    (Lippincott Williams and Wilkins (LWW), 2023) Akarsu, Özlem; Kılınç, Derya; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Background: 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.
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    Status of palliative care course in undergraduate and postgraduate nursing programs: practice of Turkey
    (Galenos Publishing House, 2022) Kudubeş, Aslı Akdeniz; Özkan, Sevil; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Introduction: This study aims to analyze the curriculum of palliative care courses in undergraduate and postgraduate nursing programs in our country. Methods: The population of the research included 207 public and private universities in Turkey. “Bologno Information System” packages of universities, which had undergraduate (n=104) and/or postgraduate (n=59) nursing programs, were searched online within the scope of the research. As a result of searching, it was found that 36 undergraduate and 24 postgraduate nursing programs contained palliative care course in these universities. The courses were evaluated with the “Course Evaluation Form” and data were recorded. The data were analyzed in the SPSS program, and number and percentage distributions were used to evaluate both descriptive features and content of the courses. Results: The sample of the study consisted of a total of 60 universities (36 undergraduate and 24 postgraduate nursing programs) which had palliative care courses. It was determined that most of the courses in the nursing undergraduate programs (94.44%) were elective courses, and most of the courses in the postgraduate program (62.5%) were compulsory courses. It was determined that 36.11% of the courses in the undergraduate programs and all of the courses in the postgraduate programs were given in the first and second semesters. It was determined that 44.44% of the undergraduate programs were using mixed education methods, and 54.17% of postgraduate programs were using face-to-face education method. It was found that the courses in both undergraduate and graduate programs included symptom management, palliative care and communication, palliative care and family, palliative care and ethics, using complementary/alternative medicine, end-of-life care and mourning/bereavement process. Conclusion: When undergraduate and postgraduate nursing programs which had palliative care course in Turkey were evaluated, it was determined thar there were differences according to scope and content of course, European Credit Transfer and Accumulation System, semester of course, and also there was no standardization about education of palliative care nursing. / Giriş: Ülkemizde hemşirelik eğitimi veren lisans ve lisans üstü programlarda palyatif bakım dersinin müfredat olarak incelenmesidir. Yöntemler: Araştırmanın evrenini, Türkiye’de bulunan 207 kamu ve vakıf üniversitesi oluşturdu. Araştırma kapsamında hemşirelik lisans programı olan 104 üniversite ve lisansüstü programı olan 59 üniversitenin ‘‘Bologno Bilgi Sistemi’’ paketleri online olarak tarandı. Tarama sonucunda hemşirelik lisans programında palyatif bakıma yönelik dersleri olan 36 üniversite ve lisansüstü programında olan 24 üniversite belirlendi. Dersler “Ders Değerlendirme Formu” ile incelenerek veriler kayıt edildi. Veriler SPSS programında analiz edildi, derslerin tanımlayıcı özellikleri ile ders içeriklerinin değerlendirilmesinde sayı ve yüzde dağılımları kullanıldı. Bulgular: Araştırmanın örneklemini 36 hemşirelik lisans ve 24 hemşirelik lisansüstü programında palyatif bakım dersi olan toplam 60 üniversite oluşturdu. Hemşirelik lisans programındaki derslerin çoğunun (%94,44) seçmeli ders olduğu, lisansüstü programındaki derslerin çoğunun (%62,5) zorunlu ders olduğu belirlendi. Lisans programındaki derslerin %36,11’inin, lisansüstü programındaki derslerin tamamının birinci ve ikinci dönemde verildiği saptandı. Lisans programındaki derslerde kullanılan yöntemlerin %44,44’ünün karma yöntem olduğu, lisansüstünde ise %54,17’sinin yüz yüze anlatım yöntemini kullandığı belirlendi. Lisans ve lisansüstü programında yer alan derslerin içeriklerinde semptom yönetimi, palyatif bakım ve iletişim, palyatif bakım ve aile, palyatif bakım ve etik, tamamlayıcı/alternatif tıp kullanımı, yaşama sonu bakım ve yas süreci konularının olduğu belirlendi. Sonuç: Türkiye’de lisans ve lisansüstü hemşirelik eğitiminde yer alan palyatif bakıma yönelik dersler incelendiğinde ders kapsam ve içeriği, Avrupa Kredi Transferi ve Biriktirme Sistemi, dersin verildiği dönem gibi özelliklerin farklı olması sebebiyle, palyatif bakım hemşireliğinin öğretimi konusunda bir standardizasyonun olmadığı görülmektedir.
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    Achieving global standards in pediatric oncology nursing: pediatric oncology clinical profile of Turkey
    (Elsevier, 2022) Yılmaz, P.; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Background: Nurses have an important role in improving the quality of care for pediatric oncology patients. In this context, it is important for nurses to apply care within the framework of international standards. This study aimed to examine the status of reaching the global nursing standards determined by SIOP in pediatric oncology nursing in Turkey. Methods: The descriptive study was conducted with nurse managers in 62 pediatric oncology centers in Turkey between February and May 2022. The ‘Information Form' and six global nursing standards created by the SIOP Nurse Working Group were transformed into a form by the researchers. were used for data collection. Participants were asked to respond as ‘Available' or ‘Not Available' in the clinics of these standards. The data were obtained online by reaching the nurse managers in cooperation with the Oncology Nursing Association and the Turkish Pediatric Oncology Group. Results: It was determined the mean number of beds in the clinics was 21.73±11.28, the number of nurses working in the clinics was 14.00±6.96, there were no specialist nurses in 68.2% of the clinics, and specialist nurses were included in the rotations in 18.2% of the clinics. It was found that 27.3% of the clinics met the nurse standard for five patients, I72.7% of the clinics applied for an orientation program, 77.3% of clinics applied at least 10 hours of continuous training program annually. 77.3% of clinics accepted nurses as part of a multidisciplinary team, 63.6% had all resources available for safe pediatric oncology care, 63.6% adopted evidence-based pediatric oncology nursing policies and procedures, and 36.4% were financially supported in research conducted to improve nursing policies and procedures. Conclusions: It was determined that it was insufficient to meet the standards developed for pediatric oncology nurses in pediatric oncology clinics in Turkey. It was determined that the number of specialist nurses working in the clinics is low, the number of patients a nurse takes care of is high, and the nurses are not financially supported enough in their research to develop nursing policies and procedures. It is important that managers and associations have action plans that require pediatric oncology nurses to reach global standards.
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    Effect of biofeedback-based interventions on the psychological outcomes of pediatric populations: a systematic review and meta-analysis
    (Springer, 2023) Umaç, Eyşan Hanzade; Semerci, Remziye; PhD Student; Faculty Member; Graduate School of Health Sciences; School of Nursing; N/A; 216754
    We performed a systematic and meta-analytic review of biofeedback-based interventions on psychological outcomes among pediatric populations. The literature search for this study was conducted in eight databases, including PubMed, the Cochrane Library, Scopus, CINAHL, Embase (OVID), Web of Science, PsycINFO (all via Ovid SP), and Google Scholar. The methodological quality of the studies was assessed using the Critical Appraisal Checklists for experimental and quasi-experimental studies that was developed by the Joanna Briggs Institute. We analyzed the effects of biofeedback-based interventions on psychological outcomes in the pediatric population by following the Preferred Reporting System for Systematic Reviews and Meta-Analysis. This systematic review and meta-analysis included nine studies with a total sample size of 658 children. In this study, EEG, EMG, and heart rate variability biofeedback were utilized to treat psychological symptoms in children. All studies focused on anxiety, with only one studying depression. As a result, it was found that all types of biofeedback effectively reduced children’s anxiety levels. It was recommended that biofeedback-based interventions should be used to reduce children’s anxiety.
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    The effect of using an interactive mobile application for the management of chemotherapy-induced nausea and vomiting in children: randomized controlled study
    (Elsevier, 2022) Kostak, Melahat Akgün; Taşkın, Cem; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Purpose: 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.
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    Investigation of psychometric properties of Turkish version of nursing students? attitudes and beliefs towards Childhood Obesity Scale
    (Elsevier, 2023) Çelik, Özge Mengi; Kudubeş, Aslı Akdeniz; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Aim: This study aimed to evaluate the Turkish psychometric properties of The Attitudes and Beliefs of Nursing Students Towards the Childhood Overweight Scale. Methods: The study was conducted with 219 nursing students. The data were obtained with the 'Information Form' and the 'Attitudes and Beliefs of Nursing Students Towards Childhood Overweight. Strengthening the Reporting of Observational Studies in Epidemiology guidelines was implemented in the study. Result: Original scale was created using the Attitudes Towards Obese Person Scale (ATOP) and the Beliefs About Obese Persons Scale (BAOP). ATOP consists of 13 items and two sub-dimensions (self-concept, social relationships) in a 5-point Likert type that evaluates nursing students' attitudes towards childhood obesity. BAOP is 5point Likert-type and consists of 6 items that evaluate nursing students' beliefs on childhood obesity. When the item-total score correlations were examined in the study, two items showing a negative correlation in the "ATOP" were removed. Cronbach's alpha was 0.80 for the ATOP and 0.83 for the BAOP. In the exploratory EFA and confirmatory CFA factor analyses, the factor loading of all items was >0.40 for both scales. Conclusion: It was determined that Turkish psychometric properties of the Nursing Students' Attitudes and Beliefs towards Childhood Obesity Scales were valid and reliable.
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    The effect of buzzy and cold spray on pain, anxiety, and fear of children during venipuncture in pediatric emergency department in Turkey; a randomized controlled study
    (W.B. Saunders, 2023) Akarsu, Özlem; Kılıç, Derya; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754
    Purpose: It was aimed to evaluate the efficacy of Buzzy and cold spray in reducing pain, anxiety, and fear of children during venipuncture in the emergency department (ED). Methods: This study is an experimental, parallel-group (intervention-control), randomized controlled, single-blind design. The study was conducted with 161 children aged 5–12 years in pediatric ED. Data were collected by the ‘Personal Information Form’, ‘Wong Baker-Facial Expression Rating Scale’, ‘Child Anxiety Statement Scale’, and ‘Child Fear Inventory’. Data were analyzed with descriptive statistics, Mann Whitney U test, Kruskal Wallis H test, and Intraclass Correlation. Results: Descriptive features of the children were homogeneous. ‘Wong Baker-Facial Expression Rating Scale’, ‘Child Anxiety Statement Scale’, and ‘Child Fear Scale’ score averages of the children in the control group were higher than the children in the Buzzy group and the cold spray group (p < 0.001). The pain scores of the Buzzy group were higher than those in the cold spray group (p < 0.001). The anxiety and fear mean scores of the children in the Buzzy and cold spray groups were similar (p > 0.05). Conclusion: It was determined that Buzzy and cold spray were more effective than standard care in reducing the level of pain, anxiety, and fear in children ages 5–12 years during venipuncture in the pediatric emergency. The cold spray was more effective in reducing pain than Buzzy. Practice implications: Nurses can use Buzzy and cold sprays to manage the fear, anxiety, and pain associated with venipuncture.