Levels of nursing support and satisfaction of parents with children having pediatric inpatient care.

OBJECTIVE: This study aims to investigate the level of inpatient child-care satisfaction of parents. MATERIAL AND METHOD: This descriptive, correlational and cross-sectional study consisted of 143 parents whose children were monitored as inpatients between December 2019 and February 2020 in the pediatric clinics. The data were collected with introductory information form, Nurse-Parent Support Tool (NPST) and Pediatric Quality of Life Healthcare Satisfaction Inventory (PedsQL-HCSS). In the analysis of the research, Cronbach's Alpha, independent groups t-test (student t-test), One-way analysis of variance (ANOVA), Mann-Whitney U test, Kruskall-Wallis and Spearman Correlation were used. RESULTS: The average NPST score of the parents in the study is 64.16 ± 20.75, and the PedsQL-HCSS average score is 55.22 ± 24.22, which is at a moderate level. In parents' perception of nurse support level, the emotional support factor has the lowest score and the information and communication support factor has the highest score. Regarding the health care satisfaction levels of parents, the factor of emotional needs has the lowest score while the general satisfaction factor has the highest score. As parents' ages increase, their perception of nurse support in providing quality care also increases (p < 0.05). The NPST total score and PedsQL-HCSS information score of parents of children with chronic diseases are lower than those with acute diseases (p < 0.05). There is a high level positive correlation between the NPST total score and the PedsQL-HCSS general satisfaction score (r = 0.712, p < 0.001), and between the NPST total score and the PedsQL-HCSS total score (r = 0.755, p < 0.001). CONCLUSION: Parents of hospitalized children reported a medium level of satisfaction with their health treatment and support from nurses. Emotional support scored lowest among parents' perceptions of nurse help, whereas information and communication support scored highest. The subscale measuring emotional needs had the lowest score among parents' satisfaction with healthcare, while general satisfaction factor had the highest score. Parents' satisfaction with health care was found to increase in parallel with their perception of nurse support. IMPLICATIONS FOR PRACTICE: When parents of hospitalized children receive nursing assistance, their stress and anxiety levels are lowered, which in turn boosts their confidence in the nurses and their satisfaction with health services, which consequently has a favorable impact on the child's care and treatment.

The relationship between depression, stress and anxiety levels of mothers with preschool children and their stress-coping styles during the pandemic: A descriptive study in Turkey.

PURPOSE: This study aims to determine the depression, stress and anxiety levels of mothers with preschool children during the pandemic and to determine their coping strategies with stress. DESIGN AND METHODS: This descriptive study sampled 300 mothers with kindergarten children in the 2021-2022 academic year. The data were collected with a personal information form, The Depression, Anxiety and Stress Scale-21 (DASS-21) and Stress-Coping Styles Scale (SCSS). Numerical variables were presented as mean and standard deviation, and categorical variables were presented as numbers and percentages. The Mann Whitney U test was used for the dual group and the Kruskal Wallis test for more than two groups in the comparison of the scale mean scores. The relationship between the two scales was determined by Pearson's correlation analysis. p < 0.05 value was accepted statistically significant. RESULTS: The depression, anxiety and stress mean scores of the mothers in the study were high (10.01 ± 4.79; 9.07 ± 5.09; 10.28 ± 4.28, respectively). There is a high level of negative correlation between the SCSS self-confidence approach scores, optimistic approach scores and depression, anxiety and stress scores, and a high level of positive correlation between the helpless/self-accusatory approach, submissive approach, optimistic approach and depression, anxiety and stress scores. CONCLUSION: Mothers with pre-school children have been found to experience intense depression, anxiety and stress during the pandemic, and as their depression, stress and anxiety levels increase, they move away from self-confident and optimistic approaches, and they embrace more the helpless/self-accusatory approach and submissive approach, seeking social support. IMPLICATIONS TO PRACTICE: In the event of a future pandemic, psychiatry and pediatric nurses should strengthen positive coping styles and make mothers aware of social support resources to ensure that mothers, who are the most vulnerable group in terms of mental health, and thus children, do not experience psychiatric problems. Thus, nurses, as mandated by the holistic care approach, provide the qualified care that the individual and his family deserve.

The effect of watching videos using virtual reality during operating room transfer on the fear andanxiety of children aged 6-12 undergoing inguinal hernia surgery: A randomized controlled trial.

BACKGROUND: Being in a hospital and undergoing a surgical intervention are very stressful for the children and their parents. It is critical to keep the pain, fear and anxiety of children at a minimum level during this period in order to have a better process. PURPOSE: The aim of this study was to evaluate the effect of watching videos using virtual reality on fear and anxiety of children aged 6-12 years old during operating room transfer for inguinal hernia surgery. METHODS: This prospective and randomized controlled study used parallel trial design guided by the CONSORT checklist. The study was conducted with two groups: the group that watch videos using virtual reality group and the control group. Data were collected using follow-up forms; the Children's State Anxiety Scale and the Children's Fear Scale. RESULTS: Children in the virtual realty group had lower anxiety and fear scores than the children in the control group (p < 0.05). Evaluation of the in-group measurements demonstrated that the fear and anxiety scores of the children in the virtual reality group decreased after the transfer compared to that of the pre-transfer, while the children in the control group experienced higher fear and anxiety scores (p < 0.05). CONCLUSION: Virtual reality is an effective method to reduce fear and anxiety in children aged 6-12 years old during their transfer to the operating room. IMPLICATIONS FOR PRACTICE: Evidence-based protocol and guidelines should be developed for nonpharmacological methods such as virtual reality for procedural fear and anxiety in children.

Mental status and suicide probability of young people: A cross-sectional study.

OBJECTIVE: The most important determinant of suicide ideation, tendency and initiative is the presence of mental disorders. Since the number of those who lost their lives due to suicide in the world rose rapidly among the young population, the World Health Organization emphasizes the importance of assessing young people in the high-risk age group to prevent suicidal behavior. This study aimed to determine psychological symptom levels and suicide probability in young people. METHOD: The cross-sectional research consisted of 15-24 year-old individuals (N=348), who have sought a psychiatric clinic between February and June, 2015. The Research Data was collected by applying Data Collection Form, Suicide Probability Scale (SPS) and Brief Symptom Inventory (BSI). SPSS 22.0 statistical package program was used for data analysis. RESULTS: There was a statistically significant difference (p<0.05) between the mean SPS scores according to education, psychiatric treatment, self-harm, smoking and drinking status of the participants in the study. Apart from this, there was also a statistically significant correlation between anxiety, depression, negative self and hostility according to the SPS and BSI subscales (p<0.001, r=0.739; p<0.001, r=0.729; p<0.001, r=0.747; p<0.001, r=0.715; respectively). CONCLUSION: The results of our study show that suicide risk is significantly higher in young people with depression, anxiety, negative self-perception and hostility symptoms. In this regard, we suggest the relevance of assessing the suicide risk of young people seeking a psychiatric clinic, with thorough attention to those who have high potential for suicide.

Mental status and suicide probability of young people: A cross-sectional study

Summary Objective: The most important determinant of suicide ideation, tendency and initiative is the presence of mental disorders. Since the number of those who lost their lives due to suicide in the world rose rapidly among the young population, the World Health Organization emphasizes the importance of assessing young people in the high-risk age group to prevent suicidal behavior. This study aimed to determine psychological symptom levels and suicide probability in young people. Method: The cross-sectional research consisted of 15-24 year-old individuals (N=348), who have sought a psychiatric clinic between February and June, 2015. The Research Data was collected by applying Data Collection Form, Suicide Probability Scale (SPS) and Brief Symptom Inventory (BSI). SPSS 22.0 statistical package program was used for data analysis. Results: There was a statistically significant difference (p<0.05) between the mean SPS scores according to education, psychiatric treatment, self-harm, smoking and drinking status of the participants in the study. Apart from this, there was also a statistically significant correlation between anxiety, depression, negative self and hostility according to the SPS and BSI subscales (p<0.001, r=0.739; p<0.001, r=0.729; p<0.001, r=0.747; p<0.001, r=0.715; respectively). Conclusion: The results of our study show that suicide risk is significantly higher in young people with depression, anxiety, negative self-perception and hostility symptoms. In this regard, we suggest the relevance of assessing the suicide risk of young people seeking a psychiatric clinic, with thorough attention to those who have high potential for suicide.

The impact of anemia and body mass index (BMI) on neuromotor development of preschool children

Summary Objective: According to data from the World Health Organization (WHO), anemia is a prevalent health problem that leads to increased morbidity and mortality, especially in preschool children. Anemia is recognized as a major health problem due to its negative effects on the mental and physical development during childhood. The aim of our study was to determine the levels of anemia of children in a kindergarten affiliated to the Directorate of National Education using a non-invasive method, and to investigate the effects of anemia on the physical, mental and neuromotor development of children. Method: The levels of anemia was evaluated by using a non-invasive measurement device. Data collection was performed by means of a questionnaire to evaluate the children's physical development and set Denver Developmental Screening Test II scores. Results: Our findings show that 21% of non-anemic and 15% of anemic children are in the suspected abnormal group according to their DDST II total score. Furthermore, it has been identified that mild anemia has a positive effect on neuromotor development, while overweight and obesity affect neuromotor development in a negative way. Conclusion: According to the results obtained from the study, mild anemia may have a positive effect on the children's neuromotor development, while malnutrition could have a negative impact.

The impact of anemia and body mass index (BMI) on neuromotor development of preschool children.

OBJECTIVE: According to data from the World Health Organization (WHO), anemia is a prevalent health problem that leads to increased morbidity and mortality, especially in preschool children. Anemia is recognized as a major health problem due to its negative effects on the mental and physical development during childhood. The aim of our study was to determine the levels of anemia of children in a kindergarten affiliated to the Directorate of National Education using a non-invasive method, and to investigate the effects of anemia on the physical, mental and neuromotor development of children. METHOD: The levels of anemia was evaluated by using a non-invasive measurement device. Data collection was performed by means of a questionnaire to evaluate the children's physical development and set Denver Developmental Screening Test II scores. RESULTS: Our findings show that 21% of non-anemic and 15% of anemic children are in the suspected abnormal group according to their DDST II total score. Furthermore, it has been identified that mild anemia has a positive effect on neuromotor development, while overweight and obesity affect neuromotor development in a negative way. CONCLUSION: According to the results obtained from the study, mild anemia may have a positive effect on the children's neuromotor development, while malnutrition could have a negative impact.

The effect of Foreign Body Aspiration training on the knowledge level of pupils / Efeito do treinamento em aspiração de corpo estranho no nível de conhecimento de estudantes

ABSTRACT INTRODUCTION: Educators dealing with 0-6 years old children must be individuals who are willing to take all kind of measures in order to ensure the safety of children in educational institutions and playgrounds, providing protection from diseases, and who are able to apply first aid measures in case of an accident. OBJECTIVE: In this study, we aimed to determine the level of knowledge of all students continuing their education in the department for child development, regarding Foreign Body Aspiration (FBA) and the effect of FBA training on their knowledge level. METHODS: This semi-experimental study was carried out on high-school students (n = 123) continuing their education in the department for child development in Corum, Turkey. The data was evaluated with appropriate statistical methods, and p < 0.05 was determined as statistically significant. RESULTS: Before the training, 80% of the high-school children knew the importance of age factor in cases of FBA, improving to 92% after training. The increase in the number of students who were aware of the importance of age factor was statistically significant (p < 0.05). CONCLUSION: As a result of the training, the visual presentation and training on models related to FBA have led to an increase in the knowledge level of the students.

Resumo Introdução: Os educadores que lidam com crianças de 0-6 anos devem ser pessoas dispostas a usar todos os tipos de medidas que assegurem a segurança das crianças em instituições educacionais e em playgrounds, proporcionando proteção contra doenças e aplicando medidas deprimeiros socorros em caso de acidentes. Objetivo: Neste estudo, objetivamos determinar o nível de conhecimento de estudantes em um departamento de desenvolvimento infantil, com relação à aspiração de corpo estranho (ACE), e o efeito do treinamento para ACE em seu nível de conhecimento. Métodos: Realizamos estudo do tipo semiexperimental em todos os estudantes (n = 123) que estavam dando continuidade à sua educação no departamento de desenvolvimento infantil de uma instituição de educação secundária em Corum, Turquia. Os dados foram avaliados com métodos estatísticos apropriados. Adotamos p < 0,05 como nível estatisticamente significante. Resultados: Antes do treinamento, 80% dos escolares tinham conhecimento da importância do fator idade nos casos de ACE; depois do treinamento, esse percentual se elevou para 92%. Houve aumento estatisticamente significante no número de estudantes que percebiam a importânciado fator idade (p < 0,05). Conclusão: Como resultado do treinamento, a apresentação visual e o treinamento em modelos com relação à ACE levaram a um aumento no nível de conhecimento dos estudantes.

The effect of Foreign Body Aspiration training on the knowledge level of pupils.

INTRODUCTION: Educators dealing with 0-6 years old children must be individuals who are willing to take all kind of measures in order to ensure the safety of children in educational institutions and playgrounds, providing protection from diseases, and who are able to apply first aid measures in case of an accident. OBJECTIVE: In this study, we aimed to determine the level of knowledge of all students continuing their education in the department for child development, regarding Foreign Body Aspiration (FBA) and the effect of FBA training on their knowledge level. METHODS: This semi-experimental study was carried out on high-school students (n=123) continuing their education in the department for child development in Corum, Turkey. The data was evaluated with appropriate statistical methods, and p<0.05 was determined as statistically significant. RESULTS: Before the training, 80% of the high-school children knew the importance of age factor in cases of FBA, improving to 92% after training. The increase in the number of students who were aware of the importance of age factor was statistically significant (p<0.05). CONCLUSION: As a result of the training, the visual presentation and training on models related to FBA have led to an increase in the knowledge level of the students.

Obesity in Nursery School Children in Corum, Turkey.

BACKGROUND: Regular body mass index (BMI) screenings in schools is important to ensure that 3- to 6-year-old children are not negatively affected by obesity in terms of their current and future health. OBJECTIVES: The aim of this study was to determine the overweight and obesity results of 3- to 6-year-old children and to guide children and their family in making healthier dietary choices by informing them. METHODS: This analytical-descriptive study was conducted in Corum, Turkey, in the year 2011. The study's sample consisted of all available 3- to 6-year-old children entering nursery school (specifically, the Buharaevler, Karsiyaka, Nasrettin Hoca, Ulukavak, Mimar Sinan, and Sevgi nursery schools). Findings from the study were statistically analyzed using the SPSS 15.0 program. The Chi-square test and analysis of variance (ANOVA) program were used in the comparison of study data. A p-value of less than 0.05 was considered significant. RESULTS: It was determined that 9.5% of the participating female children and 5.2% of the male children were underweight and that the boys were more obese than the girls in general. The correlation between the child's gender and their BMI was not found to be statistically significant (P-value > 0.05). The overweight frequency of the children was 12.1%, and the obesity frequency was 14.3%. Furthermore, it was determined that the obesity rates of the children increased with their age. Accordingly, the correlation between the child's age and BMI was found to be statistically significant (P-value < 0.05). CONCLUSIONS: An approach to preventing obesity must not be enacted only in health centers. Schools should also offer information and resources for families in order to prevent obesity in children.

Knowledge and attitudes of nurses regarding patient rights: a Corum/Turkey sample.

OBJECTIVE: patient rights are defined as the rules of conduct between the people who benefit from health services and the health institutions and personnel who provide them. As the protection and provision of these rights are closely related to the nursing trade, these professionals must have thorough knowledge about this issue. The purpose of this study was to evaluate the acquaintance and attitudes of working nurses in Corum/Turkey regarding patient rights and to create the basis for a planned educational program. METHODS: sample selection was not performed in this study, but all nurses (n=939) who were working in the course of this study constituted the sample. Survey forms were used as data collection tools. RESULTS: the study revealed that 92.3% had received education about patient rights, 2.2% had never heard anything about this term and 86.6% became aware of it through sources from outside of school. It was established that the attitudes of nurses regarding patient rights differ for every patient and that this rate ranges from 35.8 to 98.1%. CONCLUSION: there is a requirement for more studies on the subject of patient rights, as they play an important role in the development of health services. In that regard, patient rights centers should be established and carried out according to the foreseen model set by national and international health systems. Studies aiming to teach health personnel, patients and their relatives about patient rights must be carried out.

Knowledge and attitudes of nurses regarding patient rights: a Corum/Turkey sample / Conhecimentos e atitudes das enfermeiras em relação aos direitos dos pacientes: exemplo de Corum, Turquia

Summary Objective: patient rights are defined as the rules of conduct between the people who benefit from health services and the health institutions and personnel who provide them. As the protection and provision of these rights are closely related to the nursing trade, these professionals must have thorough knowledge about this issue. The purpose of this study was to evaluate the acquaintance and attitudes of working nurses in Corum/Turkey regarding patient rights and to create the basis for a planned educational program. Methods: sample selection was not performed in this study, but all nurses (n=939) who were working in the course of this study constituted the sample. Survey forms were used as data collection tools. Results: the study revealed that 92.3% had received education about patient rights, 2.2% had never heard anything about this term and 86.6% became aware of it through sources from outside of school. It was established that the attitudes of nurses regarding patient rights differ for every patient and that this rate ranges from 35.8 to 98.1%. Conclusion: there is a requirement for more studies on the subject of patient rights, as they play an important role in the development of health services. In that regard, patient rights centers should be established and carried out according to the foreseen model set by national and international health systems. Studies aiming to teach health personnel, patients and their relatives about patient rights must be carried out.

Resumo Objetivo: como a proteção dos direitos do paciente e o fornecimento de direitos relativos aos cuidados de saúde estão estreitamente relacionados à profissão de enfermagem, as enfermeiras devem ter um conhecimento impecável sobre o assunto. Este estudo tem como objetivo avaliar os conhecimentos e as atitudes das enfermeiras que trabalham na Turquia em relação aos direitos do paciente e criar uma base para um programa educacional a ser planificado. Métodos: não foi feita uma seleção da amostra para este estudo; todas as enfermeiras (n=939) que trabalharam durante o período em que o estudo foi efetuado constituíram a amostra. Formulários do questionário foram utilizados como instrumentos de recolhimento de dados. Resultados: neste estudo, foi constatado que 92.3% receberam formação sobre direitos dos pacientes, 2.2% nunca ouviram nada sobre o termo e 86.6% tomaram conhecimento do termo por meio de fontes externas à escola. Determinou- -se que as atitudes das enfermeiras em relação aos direitos do paciente são diferentes para cada paciente e que essa taxa varia entre 35.8 e 98.1%. Conclusão: há uma demanda de estudos dedicados aos direitos dos pacientes, pois desempenham um papel importante no desenvolvimento dos serviços de saúde. Nesse sentido, centros de direito do paciente devem ser estabelecidos e geridos de acordo com o modelo previsto no sistema de saúde nacional e internacional. Estudos com objetivo de informar profissionais de saúde e familiares de pacientes sobre os direitos dos pacientes devem ser efetuados.

The effects of pre-op trainning on the anxiety levels of children in Corum/Turkey.

OBJECTIVE: all individuals regardless of their age or level of development require physical, emotional and cognitive preparation before an operation. It is known that the attitudes of pediatric nurses towards pediatric patients are influential on the anxiety levels of children awaiting an operation. This study aims to determine the effect of pre-op trainning on the anxiety levels of pediatric patients hospitalized for hernioplasty surgery. METHODS: this cross sectional and quasi-experimental study included a total of 100 patients aged 7-12 years admitted for inguinal hernia surgery, 50 of which were the control group and 50 the experiment group. The data was gathered using the patients' identification forms and a child steady state anxiety scale. Research data was evaluated with appropriate statistical methods. RESULTS: the groups showed similar socio-demographic features and no statistically significant difference was observed (p>0.05). During the pre-op period neither of the groups showed any statistically significant difference in terms of both state and trait anxiety levels (p>0.05), however the experiment group showed a statistically significant drop in their anxiety levels during the post-op period (p<0.05). CONCLUSION: the state anxiety levels of children receiving a planned pre-op trainning are lower compared to children who did not receive such trainning. Reducing the anxiety levels of sick children is possible through giving visual and tangible information appropriate with the age and developmental level of the sick child during the pre-op period.

The effects of pre-op trainning on the anxiety levels of children in Corum/Turkey / Os efeitos do preparo pré-operatório nos níveis de ansiedade de crianças em Corum/Turquia

Summary Objective: all individuals regardless of their age or level of development require physical, emotional and cognitive preparation before an operation. It is known that the attitudes of pediatric nurses towards pediatric patients are influential on the anxiety levels of children awaiting an operation. This study aims to determine the effect of pre-op trainning on the anxiety levels of pediatric patients hospitalized for hernioplasty surgery. Methods: this cross sectional and quasi-experimental study included a total of 100 patients aged 7-12 years admitted for inguinal hernia surgery, 50 of which were the control group and 50 the experiment group. The data was gathered using the patients’ identification forms and a child steady state anxiety scale. Research data was evaluated with appropriate statistical methods. Results: the groups showed similar socio-demographic features and no statistically significant difference was observed (p>0.05). During the pre-op period neither of the groups showed any statistically significant difference in terms of both state and trait anxiety levels (p>0.05), however the experiment group showed a statistically significant drop in their anxiety levels during the post-op period (p<0.05). Conclusion: the state anxiety levels of children receiving a planned pre-op trainning are lower compared to children who did not receive such trainning. Reducing the anxiety levels of sick children is possible through giving visual and tangible information appropriate with the age and developmental level of the sick child during the pre-op period. .

Resumo Objetivo: todo indivíduo, independentemente da idade ou fase de desenvolvimento, requer preparo físico, emocional e cognitivo antes de qualquer operação. Sabe-se que a atitude dos enfermeiros frente ao paciente pediátrico tem influência sobre o nível de ansiedade das crianças que esperam para serem operadas. Este estudo tem como objetivo determinar o efeito do preparo pré-operatório sobre os níveis de ansiedade de pacientes pediátricos hospitalizados para procedimento de hernioplastia. Métodos: este estudo transversal e quase-experimental incluiu um total de 100 pacientes com idade de 7 a 12 anos internados para cirurgia de hérnia inguinal; 50 deles formaram o grupo de controle e os demais 50, o grupo de experimento. Os dados foram colhidos a partir de formulários de identificação dos pacientes e uma escala de estado-traço de ansiedade para crianças. Os dados da pesquisa foram avaliados com os devidos métodos estatísticos. Resultados: os grupos mostraram características sociodemográficas semelhantes e nenhuma diferença estatisticamente significativa foi observada (p>0,05). Durante o período pré- -operatório, nenhum dos grupos apresentou qualquer diferença estatisticamente significativa em termos de níveis de estado de ansiedade ou traços (p>0,05); no entanto, o grupo de experimento mostrou queda estatisticamente significativa dos níveis de ansiedade no período pós-operatório (p<0,05). Conclusão: os níveis de estado de ansiedade das crianças que receberam preparo pré-operatório planejado são mais baixos em comparação com as crianças que não receberam esse treinamento. Reduzir os níveis de ansiedade de crianças doentes é possível quando se oferece informações visuais e palpáveis adequadas à idade e à fase de desenvolvimento da criança no período pré-operatório. .