Gazi University
Child Health and Disease Nursing
tr, with a copy to the Editor: [email protected] Abstract Purpose: The purpose of this study was to examine adolescent social anxiety and related factors among youth aged 12-15 years with type 1 diabetes mellitus (T1DM) compared to... more
tr, with a copy to the Editor: [email protected] Abstract Purpose: The purpose of this study was to examine adolescent social anxiety and related factors among youth aged 12-15 years with type 1 diabetes mellitus (T1DM) compared to healthy peers. Design and Methods: The study used a descriptive correlational design. The data were collected with The Social Anxiety Scale for Adolescents (SAS-A) and a youth descriptive information form. Results: The overall SAS-A mean score was statistically significantly higher for adolescents with T1DM (40.14 ± 11.44) compared to their healthy peers (33.33 ± 9.34) p = 0.000. The list of factors was related to increased SAS-A scores.
- by Cigdem Ceylan and +1
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Özet Tip 1 Diabetes Mellitus (DM), adölesanlarda en sık görülen kronik hastalıklardan biridir ve son yıllarda tip 1 DM tanısı alan çocuk ve adölesanların sayısı giderek artmaktadır. Bu derleme, tip 1 DM tanısı olan adölesanlarda sosyal... more
Özet Tip 1 Diabetes Mellitus (DM), adölesanlarda en sık görülen kronik hastalıklardan biridir ve son yıllarda tip 1 DM tanısı alan çocuk ve adölesanların sayısı giderek artmaktadır. Bu derleme, tip 1 DM tanısı olan adölesanlarda sosyal kaygı nedenleri ve önlemeye yönelik hemşirelik yaklaşımlarını derinlemesine incelemek amacıyla hazırlanmıştır. Adölesan dönem; fiziksel, bilişsel, emosyonel ve sosyal değişimlerin olduğu hayattaki en zor dönemlerden biri olarak kabul edilmektedir. Diyabet nedeniyle, adölesanın benlik saygısında azalma, kendini akranlarından farklı hissetme, akran grubuna dahil olamama ve akran ilişkilerindeki bozulmalar gibi sorunlar adölesanda sosyal kaygıya neden olabilir. Sosyal kaygı, kişinin daha önce tanışmadığı insanlar tarafından olumsuz değerlendirilmekten korkma ve korkulan durumlardan kaçınma eğilimi ile tanımlanabilecek yaygın bir kaygı bozukluğudur. Adölesan dönemin gelişimsel özellikleri ve bu dönemde tip 1 DM gibi kronik bir hastalığın varlığı adölesanda sosyal kaygıyı daha da artırmaktadır. Multidisipliner bir ekip (diyabet eğitim hemşiresi, pediatrik endokrin uzmanı, psikolog ve diyetisyen) tarafından tip 1 DM tanısı olan adölesanın izlemi aile temelli olarak yürütülmelidir. Hemşire bu multidisipliner ekibin önemli bir üyesidir ve adölesanın gelişimsel özelliklerini dikkate alarak özellikle psikososyal uyumunu geliştirmeyi hedeflemelidir. Tip 1 DM tanısı olan adölesanın psikososyal uyumunu geliştirmeye ve sosyal kaygıyı önlemeye yönelik hemşirelik yaklaşımları akran desteğinin sağlanmasını, aile temelli girişimleri ve
- by Cigdem Ceylan and +1
- •
The aim of this study was to explore the perceptions of adolescents about spirituality via semistructured, in-depth interviews. Method/Design: A qualitative research design using interviews was performed with 17 adolescents in a mostly... more
The aim of this study was to explore the perceptions of adolescents about spirituality via
semistructured, in-depth interviews. Method/Design: A qualitative research design using interviews
was performed with 17 adolescents in a mostly Muslim region in Turkey. Interviews were conducted via
five open-ended questions. Findings: Three main categories and eight themes emerged from the analysis.
The “Spirituality Meaning” category included five themes, such as mind, emotions, mind/emotions,
ethical principles, and religion. Personal practices and environmental factors as well as mind,
emotions, ethical principles, and religion themes were in the “Factors That Increase Spirituality” category.
The theme living negativity was in the “Factors That Decrease Spirituality” category. Most of the
adolescents (58.8%) stated that the meaning of spirituality was love, respect, and the ability to think,
analyze, and synthesize. Conclusion: It is important to determine and evaluate the perceptions and
experiences of children about spirituality in different cultures to improve the quality of care.
semistructured, in-depth interviews. Method/Design: A qualitative research design using interviews
was performed with 17 adolescents in a mostly Muslim region in Turkey. Interviews were conducted via
five open-ended questions. Findings: Three main categories and eight themes emerged from the analysis.
The “Spirituality Meaning” category included five themes, such as mind, emotions, mind/emotions,
ethical principles, and religion. Personal practices and environmental factors as well as mind,
emotions, ethical principles, and religion themes were in the “Factors That Increase Spirituality” category.
The theme living negativity was in the “Factors That Decrease Spirituality” category. Most of the
adolescents (58.8%) stated that the meaning of spirituality was love, respect, and the ability to think,
analyze, and synthesize. Conclusion: It is important to determine and evaluate the perceptions and
experiences of children about spirituality in different cultures to improve the quality of care.
- by Cigdem Ceylan and +1
- •
- Nursing, Spirituality, Adolescent
Amaç: Bu sistematik derleme, motivasyonel görüşmenin adölesanlardaki sağlık davranış değişikliği üzerindeki etkinliğini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: PubMed, Science Direct ve Wiley Interscience veri tabanları... more
Amaç: Bu sistematik derleme, motivasyonel görüşmenin adölesanlardaki sağlık davranış değişikliği üzerindeki etkinliğini belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: PubMed, Science Direct ve Wiley Interscience veri tabanları taranarak 2013-2020 yılları arasında yapılmış 13 randomize kontrollü çalışma incelenmiştir.
Bulgular: İncelenen çalışmalardaki adölesanlar 10-19 yaş arasındadır. Çalışmaların çoğunun örneklemini fazla kilolu ve obezitesi olan adölesanlar oluşturmuştur. Motivasyonel görüşme sayısı ise en az iki en fazla 16’dır. Yapılan çalışmaların süresi üç ay ile 24 ay arasında değişmektedir. Motivasyonel görüşme sürelerinin 15 ile 90 dakika arasında olduğu saptanmıştır. Çalışmaların çoğunda, motivasyonel görüşme grubunda olan adölesanların sağlık davranış değişikliğinde kontrol grubuna göre daha başarılı oldukları belirlenmiştir.
Sonuç: Araştırma sonuçlarına göre adölesanlarda sağlık davranış değişikliğinde motivasyonel görüşmenin kullanılması başarıyı arttırmaktadır. Bu nedenle hemşireler tarafından kullanılması önerilir.
Gereç ve Yöntem: PubMed, Science Direct ve Wiley Interscience veri tabanları taranarak 2013-2020 yılları arasında yapılmış 13 randomize kontrollü çalışma incelenmiştir.
Bulgular: İncelenen çalışmalardaki adölesanlar 10-19 yaş arasındadır. Çalışmaların çoğunun örneklemini fazla kilolu ve obezitesi olan adölesanlar oluşturmuştur. Motivasyonel görüşme sayısı ise en az iki en fazla 16’dır. Yapılan çalışmaların süresi üç ay ile 24 ay arasında değişmektedir. Motivasyonel görüşme sürelerinin 15 ile 90 dakika arasında olduğu saptanmıştır. Çalışmaların çoğunda, motivasyonel görüşme grubunda olan adölesanların sağlık davranış değişikliğinde kontrol grubuna göre daha başarılı oldukları belirlenmiştir.
Sonuç: Araştırma sonuçlarına göre adölesanlarda sağlık davranış değişikliğinde motivasyonel görüşmenin kullanılması başarıyı arttırmaktadır. Bu nedenle hemşireler tarafından kullanılması önerilir.
Çocukluk çağı obezitesinin önlenmesinde sağlık davranışlarının geliştirilmesine yönelik girişimler önemlidir. Motivasyonel görüşme adölesan dönemin bir özelliği olan duygulanımdaki ani iniş çıkışlar ve otonominin desteklenmesinde... more
Çocukluk çağı obezitesinin önlenmesinde sağlık davranışlarının geliştirilmesine yönelik girişimler önemlidir. Motivasyonel görüşme adölesan dönemin bir özelliği olan duygulanımdaki ani iniş çıkışlar ve otonominin desteklenmesinde adölesanlarda olumlu sağlık davranışlarının geliştirilmesinde kullanılmaktadır. Obezitesi olan adölesanlarda motivasyonel görüşmelerin teknolojiye temellendirilmesi adölesanların ilgisini çekmesi ve birçok duyuya hitap etmesi nedeniyle giderek artmaktadır. Kilo problemi yaşayan adölesanlarla teknoloji temelli motivasyonel görüşmelerde beslenme, fiziksel aktivite, hedef geliştirme, güçlü yönler ve engelleyici unsurların belirlenmesi gibi konular yer almaktadır. Uygulanan bu programlar en az 2 ay en fazla 12 ay sürmektedir. Teknoloji temelli uygulamalar bilgisayar, tablet ya da telefon üzerinden günlük mesaj gönderme, telefon görüşmesi yapma, yüz yüze görüşme ve email uygulamalarından yararlanılarak yapılabilmektedir. Uygulanan programların sonucu olarak fiziksel aktivitede artma, olumlu beslenme alışkanlıkları kazanma, ebeveynlerin adölesanı desteklemesi, sedanter yaşamda azalma gibi birçok olumlu sağlık değişimi saptanmıştır. Hemşirelerin adölesanın dönem özelliklerini bilmesinin yanı sıra, adölesanın ambivalan duygularını keşfetmesi ve içsel motivasyonunu arttırması önemlidir. Olumlu sağlık davranışlarının geliştirilmesinde teknolojiye temellendirilmiş motivasyonel programların planlanması, uygulanması ve değerlendirilmesinde hemşireler önemli bir yere sahiptir. Bu derleme makalesinin amacı adölesanlarda teknoloji temelli motivasyonel görüşme programlarının etkinliğine yönelik literatürü incelemektir.
Objective: This study was conducted to determine the nutrition exercise behaviors of adolescents and young adults during the COVID-19 pandemic. Materials and Methods: A cross-sectional study was conducted using an online questionnaire... more
Objective: This study was conducted to determine the nutrition exercise behaviors of adolescents and young adults during the COVID-19 pandemic. Materials and Methods: A cross-sectional study was conducted using an online questionnaire between 30 December 2020 and 30 January 2021. In the study, 1173 subjects aged 13-24 years participated. Data were collected by a descriptive features form, which consists of two modules evaluating sociodemographic characteristics and nutritional exercise behavior, and Nutrition Exercise Behavior Scale. Results: Of the participants, 34.5% were adolescents and 65.5% were young adults. In addition to gaining more weight in women aged 19-25, it was reported that there was an increase in the number of harmful snacks and fast food consumed daily. Most of the participants stated that they did less than 30 minutes of physical activity. Height, weight, and BMI mean score of participants during the COVID-19 increased when compared with the mean score obtained before the pandemic (Z=−14.20; Z=−14.43; Z=−12.00, p <0.05). The mean total Nutrition-Exercise Behavior Scale score was 146.46±20.25 (Min:79, Max:205). It was determined that Body Mass Index, leisure screen time, and screen time during the pandemic were associated with Nutrition-Exercise Behavior Scale (p < 0.001). Conclusion: The study highlights that confinement may affect nutrition-exercise behaviors of both adolescents and young adults.
The purpose of the study was determination of the opinions of the nursing students about the effects of the simulation-based laboratory practices, students' recommendations for the laboratory practices, and the effect of simulation... more
The purpose of the study was determination of the opinions of the nursing students about the effects of the simulation-based laboratory practices, students' recommendations for the laboratory practices, and the effect of simulation training on their stress levels. Method: This quantitative-descriptive study was conducted with 54 students who were in the pediatric nursing course. Simulation-based laboratory practices were conducted with five scenarios. Students participated in simulation practices weekly, then given posttests at the end of courses. Data were collected using the descriptive characteristics data form, opinion data form on laboratory practices, and the Clinical Stress Questionnaire (CSQ). All forms except the descriptive characteristics data form and the CSQ were given to the students before and after the practice part of the pediatric nursing course Results: The knowledge level of students increased from 4.22±0.92 to 4.53±0.84 (W=-2.236, p: 0.025) out of five and feeling of competence level increased from 3.85±0.87 to 4.24±0.79 (W=-2.335, p: 0.020). Most expectations of students about pediatric simulation practices were, "the time of the simulation practices should be longer and numbers of practices should be more". In addition, students stated that laboratory practices with simulation sessions encouraged their critical thinking and enhanced their motor skills. The CSQ mean score was determined to be 33.2 ± 10.5 at the end of the practices means low stress. Conclusion: According to this study, students' clinical stress level was found low. Knowledge and competency level were increased after the stimulation laboratory practices.
- by Tuba Arpaci and +1
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- Nursing, Simulation, Pediatric, Laboratory
Objective: This study was carried out to determine the psychological resilience and spiritual well-being levels of undergraduate students in a pediatric nursing course and the relationship between their psychological resilience and... more
Objective: This study was carried out to determine the psychological resilience and spiritual well-being levels of undergraduate students in a pediatric nursing course and the relationship between their psychological resilience and spiritual well-being levels.
Materials and Methods: The study was implemented in a cross-sectional descriptive design between October 27 and November 18, 2022. The study was conducted with 131 undergraduate students in a pediatric nursing course using an online questionnaire. Data were collected using the online demographic form, the Psychological Resilience Scale for Adults, and the Spiritual Well-Being Scale.
Results: Most of the students (92.4%) were between the ages of 21-24 and 77% of them were female students. It was determined that female students’ spiritual well-being scale averages were higher, and socioeconomic status affected both psychological resilience and spiritual well-being. Most of the students (71.7%) stated that the pediatrics course increased their love for children. A moderate positive relationship was found between the students’ psychological resilience level and spiritual well-being. In particular, a statistically significant relationship was found between the resilience scale’s self-perception and social resources subdimensions and the Spiritual Well-Being level (p<0.05).
Conclusion: The study emphasizes that there is a relationship between the level of resilience and the level of spiritual well-being in nursing students who have taken pediatric courses. In this study, it is recommended that the education and clinical practices of the child health and diseases nursing course should be arranged in a way that strengthens the resilience and spiritual well-being of the students. There is a need for program arrangements that will increase resilience and spiritual well-being in the education and care practices of nursing students.
Materials and Methods: The study was implemented in a cross-sectional descriptive design between October 27 and November 18, 2022. The study was conducted with 131 undergraduate students in a pediatric nursing course using an online questionnaire. Data were collected using the online demographic form, the Psychological Resilience Scale for Adults, and the Spiritual Well-Being Scale.
Results: Most of the students (92.4%) were between the ages of 21-24 and 77% of them were female students. It was determined that female students’ spiritual well-being scale averages were higher, and socioeconomic status affected both psychological resilience and spiritual well-being. Most of the students (71.7%) stated that the pediatrics course increased their love for children. A moderate positive relationship was found between the students’ psychological resilience level and spiritual well-being. In particular, a statistically significant relationship was found between the resilience scale’s self-perception and social resources subdimensions and the Spiritual Well-Being level (p<0.05).
Conclusion: The study emphasizes that there is a relationship between the level of resilience and the level of spiritual well-being in nursing students who have taken pediatric courses. In this study, it is recommended that the education and clinical practices of the child health and diseases nursing course should be arranged in a way that strengthens the resilience and spiritual well-being of the students. There is a need for program arrangements that will increase resilience and spiritual well-being in the education and care practices of nursing students.