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Öğe Çocuklarda yaşam sonu bakım ve iyi ölüm kavramı(2022) Tasdelen, Yeliz; Kürtüncü, MeltemHayatı tehdit edici hastalıklar nedeni ile yaşamsal fonksiyonlarını geri dönüşümsüz olarak belirli bir sürede kaybetmesi beklenen çocuk hastalara ve bu çocukların ailelerine verilen kaliteli yaşam sonu bakım, hem çocuğa hem de aileye iyi bir ölüm süreci sağlar. Bu süreçte görülebilecek ağrı, dispne, bulantı, kusma, diyare, psikolojik ve nörolojik sorunlar gibi semptomların optimal kontrolünün sağlanması önemlidir. Semptom kontrolünün yanı sıra çocuklarda iyi ölüm için çocuk, aile ve sağlık profesyonelleri arasında iyi bir iletişimin kurulması, aile ve çocuğun kararlarına saygı duyulması, tıbbi durum hakkında yalan söylenmemesi önemlidir. Ayrıca çocuğun rutinlerinin, akran iletişiminin ve oyun oynama imkânlarının bakım ortamında da devam ettirilmesi, aile merkezli bakım verilmesi de gereklidir. Çocuklara ölümün açıklanmasında çocukların gelişim dönemine göre ölümü algılayış biçimi göz önünde bulundurulmalıdır. Çocuklara yalan söylenmemeli ve onların soruları cevapsız bırakılmamalıdır. Pediatri hemşirelerinin yaşam sonu sürecindeki çocuklarda ve bu çocukların ailelerinde gözlenen yas sürecinin aşamaları ve belirtileri hakkında bilgi sahibi olması, hemşirelik yaklaşımında yas sürecinin aşamalarına uygun girişimlerde bulunması gereklidir.Öğe Does Prebiotic Food Consumption Reduce Sleep Disorder Symptoms in Children With and Without Asthma? A Case-control Study(Galenos Publ House, 2024) Sahin, Ozlem Ozturk; Dogan, Erkan; Topan, Aysel; Demirer, Busra; Tasdelen, YelizObjective: This study aims to evaluate the impact of prebiotic food consumption on sleep disturbance symptoms in children with and without asthma. Method: This is a case -control study. Data were collected from 55 children with asthma and 70 children without asthma, aged 6 to 12 years. Data collection included the Sleep Disturbance Scale for Children (SDSC), Prebiotic Food Consumption Frequency Form, and Childhood Asthma Control Test. The asthma control level of children was determined by a pediatrician following the Global Initiative for Asthma's guidelines. Results: The average age of children with asthma was 9.16 +/- 3.11, while for children without asthma, it was 9.39 +/- 3.24. No significant differences were found between children with and without asthma in daytime napping, nighttime awakening, SDSC score, and daily prebiotic food consumption (p>0.05). It was observed that children with asthma used more prebiotic-enriched products than children without asthma (p<0.012). There was no significant difference in asthma control level, SDSC score, and prebiotic food consumption between children with and without asthma (p>0.05). Furthermore, no significant relationship was found between the SDSC score and prebiotic food consumption in children with and without asthma (p>0.05). Conclusion: Prebiotic food consumption's role in determining sleep disturbances and asthma control levels in children with asthma remains uncertain. Further research is needed on the use of prebiotics in children with asthma.Öğe Moral Distress and Its Relating Factors Among Pediatric Emergency Department Nurses(Lippincott Williams & Wilkins, 2023) Topan, Aysel; Tasdelen, Yeliz; Yigit, Derya; Terzi, Sevinc; Ustuner Top, FadimeObjectives: Emergency services are patient circulation units that require chaos, trauma, and high tension. It was aimed to determine the moral distress levels of pediatric nurses in pediatric emergency and emergency departments and relevant factors.Methods: This study is a descriptive and cross-sectional study. It consists of 255 nurses with their data. The Participant Information Form and the Moral Distress Scale-Revised for Pediatric Nurses (MDS-R) were used to collect data.Results: In the study, the mean score of MDS-R frequency was found to be 27.36 +/- 13.16, the mean score of MDS-R intensity to be 37.65 +/- 17.53, and the mean total score of MDS-R to be 58.96 +/- 39.40. It was determined that 93.7% of the nurses received training on moral distress, and education level was effective on moral distress levels of the nurses. The nurses working in the pediatric emergency service had higher moral distress levels than the nurses serving pediatric patients in the emergency department (P(total MDS-R) = 0.02, P(frequency of MDS-R) = 0.008). Job satisfaction ( P(total MDS-R) = 0.003, P(frequency of MDS-R) < 0.001, P(intensity of MDS-R) < 0.001) and frequency of thinking about changing working unit ( P(frequency of MDS-R) = 0.02, P(intensityof MDS-R) = 0.01) were found to be effective on the level of moral distress. It was determined that the type of emergency service, the working time in the emergency service, and the level of job satisfaction significantly affected the total moral distress scores of the nurses ( P < 0.001, R-2 = 0.09).Conclusions: It was found in the study that nurses had low levels of moral distress; however, many factors relevant to working conditions were associated with moral distress. The pediatric emergency service nurses were determined to experience a higher moral distress compared with the emergency department nurses serving pediatric patients.Öğe Paediatric nurses' experiences of success and failure in first-time peripheral intravenous catheter insertion: A qualitative study(Elsevier Science Inc, 2024) Tasdelen, Yeliz; Topan, Aysel; Sahin, Ozlem OztuerkPurpose: To explore in-depth the thoughts, anxiety factors, and experiences of paediatric nurses regarding the success and failure of first-time peripheral intravenous catheter insertion.Design and methods: The study employed a qualitative research method using the phenomenology design. Face-to-face semi-structured in-depth interviews were conducted with nurses (N = 12) working in the paediatric service and neonatal intensive care unit of a teaching and research hospital. The transcripts were analysed using a phenomenological approach and an inductive process.Results: Four themes were identified: Peripheral Intravenous Catheter Insertion, Experience of Success on the First Attempt, Experience of Failure on the First Attempt, and Proposed Solutions. Nurses felt a sense of happiness when they successfully inserted a peripheral intravenous catheter on their first attempt in paediatric patients. Conversely, they experienced emotions such as sadness, worry, stress, and anxiety when they failed and had to make repeated attempts.Conclusion: Unsuccessful peripheral intravenous catheter insertions cause distress and anxiety for nurses, patients, and parents alike. Therefore, nurses' experiences of peripheral intravenous catheter insertions in healthcare settings should not be ignored and require improvement.Implications for clinical practice: Unsuccessful peripheral intravenous catheter insertions affect children, parents, and nurses negatively, thus reducing the success rate of repeated peripheral intravenous catheter insertions. Therefore, it is advisable for nurses conducting paediatric peripheral intravenous catheterisations to undergo periodic training. A specialised intervention team should be established for cases of initial failure, and a mentoring system between seasoned and new nurses is recommended.(c) 2023 Elsevier Inc. All rights reserved.Öğe Pediatric nursing students' self-efficacy regarding medication administration and clinical comfort and worry: A pre-posttest comparative study of nurse mentoring versus peer mentoring(Elsevier Sci Ltd, 2023) Sahin, Ozlem Ozturk; Akozlu, Zeynep; Tasdelen, YelizAim: This study aimed to examine the effect of mentoring practice by graduate nursing students and clinical nurses on students' self-efficacy in pediatric medication administration, clinical comfort and worry levels of students taking pediatric nursing courses. Background: Children are a highly sensitive group against medication administration errors. Improving the selfefficacy of student nurses who will work with this group toward medication administration is essential. Mentoring programs can increase students' skills and self-efficacy by reducing their stress levels during clinical practice.Design: The research is a two-group pretest-posttest randomized controlled experimental research design.Settings: The study was conducted in the pediatric units of a training and research hospital located in the Western Black Sea region of Turkey between October 1, 2022 and December 30, 2022, as part of the clinical practice of the Pediatric Nursing course in the fall semester of 2022-2023.Participants: The study sample consisted of 143 students (peer mentoring group=73, nurse mentoring group=70) who were 3rd-year students taking the pediatric nursing course.Methods: Participant information form, Medication Administration Self-Efficacy Scale in Children for Nursing Students (MASSCNS) and Pediatric Nursing Students Clinical Comfort and Worry Tool (PNSCCWT) were administered to the students before the clinical practice. Then, the groups received mentoring practice in the clinical practice area for 14 weeks. At the end of the practice, MASSCNS and PNSCCWT were administered to the students again. Results: The groups were homogeneously distributed when compared according to descriptive characteristics (p > 0.05). The self-efficacy scores of the students in both groups after clinical practice were significantly different from those before clinical practice (tnurse=-4.724, pnurse=0.000 <0.05; tpeer=-3.742, ppeer=0.001 <0.05).Conclusions: This study's results indicate that nurse mentoring and peer mentoring effectively increase nursing students' self-efficacy during pediatric clinical practice. While nurse mentors decreased students' worry, peer mentors increased students' clinical comfort levels.Öğe Practices of turkish mothers on the use of supplements, herbs-spices and child nutrition during the covid-19 pandemic lockdown: a cross-sectional study(2022) Öztürk Şahin, Özlem; Topan, Ayşel; Uçar, Beyza; Tasdelen, Yeliz; Aközlü, ZeynepObjective: The study aimed to examine the practices of mothers regarding the use of supplements, herbs-spices and child nutrition during the coronavirus disease-2019 (COVID-19) pandemic lockdown in a sample of Turkish mothers. Material and Methods: This descriptive and cross-sectional was study conducted in Karabük province of Türkiye. Five hundred and sixty five mothers with children aged 2-18 participated in the study. For data collection, a questionnaire was used to evaluate the foods consumed by children and the practices of mothers on child nutrition. Descriptive statistical methods, and the chi-square test for differences between groups in terms of categorical variables was used. Results: Eighty-nine percent of mothers had used at least one product to protect their children from COVID-19. While the use of supplements by the mothers was 62%, the use of herbs and spices was 74%. A significant difference was found between the type of product used by the mothers and the state of mothers’ being informed about the use of any product (Psupplement<0.001; Pherbs-spices< 0.001). Conclusion: Especially the mothers who resorted to these products used them without getting any information. In order for parents to access evidence-based information on child nutrition, training given by health professionals in a virtual learning environment is important for mothers to learn proper nutrition practices.Öğe The relationship between the nutritional literacy level and heart health attitudes of adolescents(Elsevier Science Inc, 2023) Topan, Aysel; Kurtuncu, Meltem; Tasdelen, YelizPurpose: It was aimed to evaluate the effect of adolescents' nutritional literacy level on their heart health attitudes.Methods: This is a descriptive and cross-sectional study. Data from 416 adolescents were obtained in the study. The Adolescent Nutrition Literacy Scale (ANLS) and the Cardiovascular Health Behavior Scale for Children (CHBSC) were completed by participants. The adolescents' demographic information, lifestyle, and diet habits were collected. The results were analyzed using descriptive statistics and multivariable regression.Results: The participants' mean scores of the ANLS and the CHBSC were as 68.30 +/- 8.68 and 67.55 +/- 8.45, respectively. It was determined that 88.7% of the adolescents had moderate attitudes towards heart health and that there was a weak and negative correlation between the ANLS and CHBSC scores (r = -0,207; p < 0.001). It was determined that there was a statistically significant difference in ANLS and CHBSC scores in terms of gender, Body Mass Index (BMI), fast food consumption frequency, what they primarily pay attention to in food, weekly exercise frequency, the amount of daily water consumption, general health status and reading the label of packaged products (p < 0.05). It was determined that exercising, general state of health, BMI, consumption of fast food, and reading the label of packaged products were key predictors of CHBSC scores. Additionally, exercising, consumption of fast food, and reading the label of packaged products were identified as key predictors of ANLS scores.Conclusions: Our analysis suggests that higher levels of nutritional literacy are related to more positive attitudes towards heart health in adolescents. Additionally, our analysis identifies key predictors of both nutrition literacy and heart health behaviors.(c) 2023 Elsevier Inc. All rights reserved.
