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    Difficulties for Mothers: Home Care of Babies Born Preterm
    (Bezmialem Vakif Univ, 2021) Özberk, Hülya; Çiçek, Özlem; Ayar, Dijle; Okumuş, Hülya
    Mothers who had preterm labor were expected to face difficulties with baby care during the postnatal period. This study aimed to review studies on difficulties experienced by mothers who had premature labor regarding childcare at home during the postnatal period. The literature review was carried out between 2000 and 2019 in databases of PubMed, Medline, CINAHL, Cochrane library, ULAKBIM, Google Scholar, and EMBASE. Mothers who had preterm labor experienced difficulties with diaper use, bathing, umbilical cord care, baby feeding, skin-to-skin contact, and recognition of newborn crying. Therefore, mothers need the support of health professionals for the health status of the newborn and their lack of self-confidence regarding baby care. However, the lack of home care guidelines leaves mothers helpless in meeting these needs. Mothers should be ready for the care of babies born preterm. For this reason, mothers who had preterm labor should be informed about the potential difficulties during their stay in the hospital. Mothers also need to be educated about the care of infants born preterm in the postnatal period. Thus, mothers can experience the home care process positively by becoming fully prepared to take the responsibility for home care. Developing clinical guidelines for postnatal care of babies born preterm can help reduce the concerns of mothers, shorten hospital stay, and reduce morbidity risks.
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    The Effect of Nursing Students' Liking of Children and Attitudes Toward Clinical Practice on Their Comfort and Worry Levels in the Pediatric Clinic
    (Taylor & Francis Inc, 2024) Kudubes, Asli Akdeniz; Zengin, Hamide; Ayar, Dijle; Bektaş, İlknur; Bektas, Murat
    This research was conducted as a descriptive and cross-sectional study to determine the effects of nursing students' liking of children and attitudes toward clinical practice on their comfort and worry levels in the pediatric clinic. The research was carried out with 270 nursing students who had already taken or were taking the child health and diseases nursing course. Data were collected using a Nursing Student Information Form, the Barnett Liking of Children Scale, the Nursing Students' Attitudes toward Clinical Practices Scale, and the Pediatric Nursing Student Clinical Comfort and Worry Assessment Tool. Mean values, percentage calculations, and linear regression analysis were used for the analysis of the research data. Participants' mean scores were 52.30 +/- 6.16 on the Barnett Liking of Children Scale, 103.72 +/- 19.35 on the Nursing Students' Attitudes toward Clinical Practices Scale, 15.61 +/- 3.74 on the comfort sub-dimension, and 11.63 +/- 4.32 on the worry sub-dimension of the Pediatric Nursing Student Clinical Comfort and Worry Assessment Tool. It was determined that the liking of children and attitudes toward clinical practice explained 43.6% of the clinical comfort level of pediatric nursing students in Model 1 and 45.2% of their clinical worry level in Model 2. It was determined that the liking of children and attitudes toward clinical practice significantly affected the comfort and worry levels of nursing students in the pediatric clinic.
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    EFFECTS OF SPOUSAL SUPPORT IN THE EARLY POSTPARTUM PERIOD ON BREASTFEEDING MOTIVATION IN PATRIARCHAL SOCIETIES
    (Dokuz Eylul Univ Inst Health Sciences, 2023) Uludag, Elif; Ayar, Dijle; Bektas, Ilknur
    Purpose: Breastfeeding is important with regard to public health. Our aim was to examine effects of spousal support in the early postpartum period on breastfeeding motivation in patriarchal societies.Material and Methods: Study was descriptive, cross-sectional, correlational design. Study was conducted in a pediatrics outpatient clinic of University Hospital in Inland Anatolia Region in Turkey. It included primiparous (n=145) and multiparous (n=152) women. Data were collected by using Demographic Data Collection Form, The Scale of Perceived Spousal Support among Women in the Early Postpartum Period and The Breastfeeding Motivation Scale. Descriptive and Simple linear regression analyses were conducted in this study.Results: Analysis showed a significant positive, moderate relation between spousal support and breastfeeding motivation in the primiparous women; spousal support accounted for 23.8% of breastfeeding motivation of the women. There was a significant, positive weak relation between spousal support and breastfeeding motivation in the multiparous women; spousal support explained 8.2% of breastfeeding motivation in these women.Conclusion: Spousal support in the early postpartum period was found to have a positive influence on improvement of breastfeeding motivation. However, it could explain a small percentage of breastfeeding motivation. New strategies should be created to encourage spouses to get involved in breastfeeding.
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    The predictive power of disease management of parents with children with cancer on fatigue and sleepiness levels
    (Springer, 2023) Akdeniz Kudubes, Asli; Bektas, Murat; Ayar, Dijle; Bektas, Ilknur
    This study was conducted as a descriptive, correlational, and cross-sectional research to determine the predictive power of disease management of parents of children with cancer on fatigue and sleepiness levels. Study data were collected by using a Parent Information Form, the Chalder Fatigue Scale, the Epworth Sleepiness Scale, and the Family Management Measure. Mean scores, percentage calculations, Pearson correlation analysis, and linear regression analysis were used in the analysis of data. Three models were created according to the relationship between the variables in the multiple regression analysis. In Model 1, the first sub-dimension of the disease management scale explained 59.7% of the level of fatigue and sleepiness. In Model 2, the second sub-dimension of the disease management scale explained 69.4% of the level of fatigue and sleepiness. In Model 3, the third sub-dimension of the disease management scale explained 67.5% of the level of fatigue and sleepiness. Childhood cancer is a family disease that affects parents as well as children. This is an important study revealing the effect of chronic disease management on the fatigue and daytime sleepiness of parents with children with cancer. Considering the outcomes of this study, nurses should be aware of the possible effects of disease management on the level of fatigue and daytime sleepiness. Nurses should not forget that families who cannot manage chronic diseases effectively and successfully may have high levels of fatigue and sleepiness.
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    The effect of mother's voice and music therapy on pain and physiological parameters during the endotracheal suctioning procedure: A randomized controlled study
    (W.B. Saunders, 2025) Kos, Fulya Merve; Bektaş, Murat; Bektaş, İlknur; Ayar, Dijle; Metin, Sadık Kıvanç
    Objective: This study aimed to examine the effects of maternal voice and music therapy on pain and physiological parameters during the endotracheal suctioning process in intubated children. Design: The study was a single-centre, randomized controlled trial. Setting: The Thoracic-Cardiovascular Surgery Intensive Care Unit of a University Hospital in Turkey. Methods: This study involved three groups of 27 children, aged between 2 and 36 months. All three groups, including the control group (CG), received the standard suction protocol before, during, and after each intervention. Additionally, the children in the music therapy (MT) group listened to music titled ‘The Happiest Child’, while the children in the mother's voice (MV) group listened to recordings of their mothers' voices. The variables assessed are pain and physiological parameters. Results: When the pain results of the children were evaluated, the pain score of the children in the control group was found to be significantly higher than children in the mother's voice and music voice group (p < .05). It was determined that the lowest FLACC Pain Scale value was in the mother's voice group (p < .05). When the physiological parameters results were evaluated, it was determined that the physiological measurement values of the children in the experimental group were positively affected (p < .05), there was a significant difference between the control group (p < .05) and the most effective result was in the mother's voice group (p < .05). Conclusions: The application of mother's voice and music therapy to children before, during and after the aspiration procedure reduces the pain of children, positively affects their physiological parameters and improves the quality of nursing care. Implications for clinical practice: This study provides a scientific basis for nursing practices in clinical settings and contributes to clinical practice by shedding light on future evidence-based studies. © 2025 Elsevier Inc.
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    The level of nursing students' self-regulated learning and academic locus of control predicting self-confidence and anxiety in clinical decision-making
    (Churchill Livingstone, 2025) Bektas, Lknur lknur; Kudubes, Asli Akdeniz; Ayar, Dijle; Bektas, Murat
    Aim: This study examined the extent to which nursing students' self-regulated learning and academic locus of control predict self-confidence and anxiety in clinical decision-making. Design: This study was a cross-sectional, descriptive, and correlational study. Methods: The study sample was 627 undergraduate nursing students. Data were collected with the Student Introductory Information Form, Self-Regulated Learning Scale for Clinical Nursing Practice, Academic Locus of Control Scale, and Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM). Multiple linear regression analysis evaluated the predictive level of the variables on the self-confidence and anxiety scale subscale scores in clinical decision-making. Results: The external locus of control and learning strategies significantly explain all sub-dimensions of the selfconfidence scale in clinical decision-making. The internal locus of control and learning strategies meaningfully explain the sub-dimensions of the anxiety scale in clinical decision-making using resources to obtain information, fully listening, and knowing and taking action. Conclusion: Self-regulated learning levels of nursing students affect clinical decision-making. It was determined that students with an internal locus of control had higher self-confidence in clinical decision-making and lower anxiety levels.
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    THE PREDICTION OF HEALTH LITERACY OF PARENTS WHO HAVE CHILDREN WITH CANCER ON THEIR HEALTHCARE SATISFACTION
    (Dokuz Eylul Univ Inst Health Sciences, 2024) Kudubes, Asli Akdeniz; Bektas, Ilknur; Ayar, Dijle; Bektas, Murat
    Purpose: This study was a descriptive and cross-sectional study to examined the prediction of health literacy of parents having children with cancer on the healthcare satisfaction. Material and Methods: The descriptive and cross-sectional study was conducted between January and May 2019 and included 207 parents who had children treated at the pediatric hematology -oncology unit of a university hospital. A parental information form, the Health Literacy Index, and the Pediatric Quality of Life (PedsQL) Inventory Healthcare Satisfaction Hematology/Oncology Module parental report was used to collect the data. Percentage calculations, mean values, Pearson's correlation analysis, linear regression analysis, and multiple correlation analysis were used to analyze the data. Results: According to the relationship between variables in regression analysis, five models were created. Each subscale in the Health Literacy Index was identified as a separate model. In the last model, the effect of the total score of the Health Literacy Index on PedsQL Healthcare Satisfaction Hematology/Oncology Module was determined. According to these models, healthcare satisfaction increased as the health literacy subdimension scores and total scores increased. Increased scores of the Health Literacy Index were found to promote healthcare satisfaction. Conclusion: The ability of parents to manage their children's disease process and daily life activities becomes better as their health literacy levels increase.