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Öğe Adolescent food parenting questionnaire : evaluation of Turkish psychometric properties of parent and adolescent versions(Dokuz Eylul Univ Inst Health Sciences, 2024) Kosem, Dilek Demir; Demir, Senay; Bektas, Murat; Bektaş, İlknur; Hayli, Cigdem Muge; Bor, Nese Ataman; Koning, MaaikePurpose: This study aimed to adapt the Adolescent Food Parenting Questionnaire: Parent and Adolescent Version into Turkish and conduct validity and reliability studies. Material and Methods: The research was carried out in methodological type and was carried out with 337 adolescents aged 12-16 years and their parents between June to September 2022. Data were collected with the Child and Parent Information Form and Adolescent Food Parent Questionnaire. Content validity, construct validity, internal consistency reliability, and item analysis were used to determine the questionnaire's psychometric properties. Results: Both parent and adolescent versions of the Adolescent Food Parenting Questionnaire contain 16 items. The results of the exploratory factor analysis determined that the five-factor structure explained 50.45% of the total Variance for the parent version and 63.31% of the total Variance for the adolescent version. In addition, item factor loads for the parent version ranged from 0.32 to 0.71, while item factor loads for the adolescent version ranged from 0.37 to 0.75. As a result of confirmatory factor analysis, the goodness of fit values of the parent version were chi 2/sd=2.030, RMSEA=0.055, GFI=0.94, CFI=0.95, IFI=0.95, RFI=0.87, NFI=0.90, TLI =0.93, and the adolescent version were chi 2/sd=1.672, RMSEA = 0.045, GFI = 0.95, CFI = 0.96, IFI = 0.96, RFI = 0.88, NFI = 0.91, and TLI = 0.95. The Cronbach alpha value for the entire parent version was 0.86, and the Cronbach alpha values for all sub- dimensions were determined to vary between 0.60 and 0.84. The adolescent version's overall cronbach alpha was determined to be 0.88, and the adolescent version's sub-dimension Cronbach alpha values were discovered to vary between 0.63 and 0.841. Conclusion: As a result of the research, it was determined that the Adolescent Food Parenting Questionnaire: Parent and Adolescent Version is a valid and reliable measurement tool to be used specifically for Turkish society.Öğe The effect of breastfeeding on the newborn's comfort and pain levels during heel blood collection(Taylor & Francis Inc, 2024) Bektaş, İlknur; Oktay, Serap Sule; Koylu, Pinar; Ulu, Handan; Kudubes, Asli AkdenizThis research was planned to determine the effect of breastfeeding on newborns' behavioral pain and comfort scores during heel blood collection. A pretest/posttest experimental-control group design was used. The research was conducted between August 2021 and June 2022. A total of 50 newborns, including 25 in each of the experimental and control groups, were included in the study. An Infant Descriptive Information Form, the COMFORTneo Behaviour Scale, the NIPS-Neonatal Infant Pain Scale, and the LATCH Breastfeeding Diagnosis and Assessment Tool were used in the study. The comfort behaviors and pain scores of infants in the experimental and control groups were evaluated during the heel blood collection process. The comparison of the comfort behaviors (comfort, pain, and distress), differences between pretest-posttest scores on the NIPPS pain score, and crying duration of the newborns in the experimental and control groups indicated a significant difference (p 0.05). The intra-group differences between the mean pretest and posttest scores of both the intervention and control groups were found to be statistically significant (p 0.05). Breastfeeding is an important nursing intervention for reducing procedural pain in newborns. The breastfeeding method reduces pain and distress and increases comfort for newborns during the heel blood collection process. Breastfeeding is an important nursing intervention for reducing procedural pain in newborns.The breastfeeding method reduces the pain and distress of the newborn during the heel blood collection process and increases comfort.Neonatal nurses can diversify the effectiveness of non-pharmacological methods in painful interventions by evaluating them with appropriate toolsÖğe 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, MuratThis 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.Öğe Pediyatri Hemşireliğinde Klinik Öncesi Güçlendirme Eğitiminin Klinik Konfor, Dersin Yeterliliği ve Klinik Karar Vermede Öz-Güven Anksiyeteye Etkisi(Izmir Katip Celebi University, 2025) Bektaş, İlknur; Bektaş, Murat; Gerçeker, Gülçin Özalp; Ayar, Dıjle; Kudubeş, Aslı Akdeniz; Özdemir, Emine Zahide; Çelik, İsaAmaç: Bu araştırmada hemşirelik eğitimi alan intörn öğrencilerin klinik uygulama öncesi yapılandırılmış güçlendirme eğitiminin, klinik karar vermede öz-güven ve anksiyete, pediyatrik klinik rahatlık ve algılanan endişe, algılanan çocuk hemşireliği yeterliliğine etkisini değerlendirmek amaçlanmıştır. Gereç ve Yöntem: Yarı deneysel çalışma tasarımı kullanıldı. Toplam 64 hemşirelik öğrencisi (deney grubu = 32; kontrol grubu = 32) katıldı. Deney grubundaki intörn öğrencilere klinik uygulama öncesinde iki gün boyunca altı senaryodan oluşan, öğrenme hedefleri yapılandırılmış ve pediyatrik becerilerin desteklendiği bir program uygulandı. Kontrol grubuna intörn programı kapsamında standart teorik oturumlar uygulanmıştır. Veriler ön test ve son test olmak üzere Öğrenci Tanıtıcı Bilgi Formu, pediyatrik alanda Klinik Karar Vermede Öz güven ve Anksiyete Ölçeği, Çocuk Hemşireliği Yeterlilik Ölçeği, Pediyatri Hemşireliği Öğrencileri için Klinik Rahatlık ve Endişe Değerlendirme ölçeği kullanıldı. Her iki grubun ön test ve son test puan ortalamaları karşılaştırıldı. Bulgular: Pediyatri hemşireliği öğrencilerinin klinik rahatlık ve endişe ölçeğinin endişe alt boyutunda girişim grubunun puanı anlamlı şekilde yüksek bulunmuştur (p0.050). Deney ve kontrol grubunun pediatri hemşireliği yeterlilik ölçeği puan ortalamaları arasında girişim grubu lehine anlamlı fark saptanmıştır (pÖğe Psychometric evaluation of the Turkish version of the nurses' perception of the gap between knowledge and practice scale(John Wiley and Sons Inc, 2025) Demir Kösem, Dilek; Demir, Şenay; Bektaş, Murat; Bektaş, İlknurBackground: Progress in the nursing profession and clinical decision-making are largely sustained by the coherence between theory and practice. The quality of healthcare provided by nurses and patient outcomes are adversely impacted by the gap between knowledge and practice. Measurement tools used to assess nurses' perceptions of this gap are inadequate in Türkiye. This research aimed to adapt the nurses' perception of the gap between knowledge and practice scale into Turkish and to evaluate its reliability and validity. Methods: The study, in which a methodological design was employed, was conducted with 406 nurses between March and June 2022. A descriptive information form and the nurses' perception of the gap between knowledge and practice scale (NPGKPS) were employed to gather data. The validity study included content and construct validity analyses, and the reliability study included item analysis, split-half test, and Cronbach alpha coefficients. Results: The scale had 35 items and four dimensions, which explained 54.65% of the total variance. The goodness of fit values, which were found following a confirmatory factor analysis, were estimated as follows: CMIN = 1808.984, DF = 512, CMIN/DF = 3.533, IFI = 0.89, TLI = 0.87, RFI = 0.83, CFI = 0.89, RMSEA = 0.079, and NFI = 0.86. Cronbach's alpha coefficient of the total scale was estimated as 0.95 and it was in the range of 0.84 to 0.93 for four factors. Conclusion: In conclusion, the nurses' perception of the gap between knowledge and practice scale was a reliable and valid measure which could be applied to Turkish society. © 2024 John Wiley & Sons Ltd.Öğe 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 KıvançObjective: 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.Öğe The effects of virtual reality and stress ball distraction on procedure-related emotional appearance, pain, fear, and anxiety during phlebotomy in children: A randomized controlled study(Elsevier Science Inc, 2024) Gerceker, Guelcin Ozalp; Bektaş, İlknur; Yardimci, FigenBackground: Virtual reality (VR) and stress balls can be used during phlebotomy in school-age children. Objectives: This randomized controlled study was conducted to evaluate the effect of distraction methods using VR and stress balls on the emotional behavior, pain, fear, and anxiety associated with phlebotomy in children aged 7-12. Methods: A parallel trial with a three-arm design approach was adopted for this randomized controlled trial, guided by the CONSORT checklist. The study sample (n = 150) was divided into VR, stress ball, and control group using stratified randomization. The mean scores obtained from the Children's Emotional Manifestation Scale, Wong-Baker FACES Pain Rating Scale, Child Anxiety Scale-State, and Child Fear Scale were compared between the groups. Linear regression analysis and correlation analysis were performed. Results: Significant differences were found in phlebotomy-related pain, fear, and anxiety. While there was no difference in emotional behavior before the phlebotomy, a significant difference was found after the phlebotomy. Being in the virtual reality group explained 30.8 % of the difference between the before and after phlebotomyrelated-emotional behavior scores. A strong, positive, and significant relationship was found between emotional behavior scores after phlebotomy and phlebotomy-related fear, pain, and anxiety scores (p < .01). Conclusion: Virtual reality and stress ball distraction were found to be effective in reducing pain, fear, and anxiety during phlebotomy. Virtual reality distraction is effective in reducing negative emotional behaviors. Application to practice: The VR distraction can be used in the pediatric population in pain, fear, anxiety, and emotional behavior management during phlebotomy. ClinicalTrials.gov Identifier: NCT05818761 (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe 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) Bektaş, İlknur; Kudubes, Asli Akdeniz; Ayar, Dijle; Bektas, MuratAim: 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.
