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Öğe Analysis of the Relationship Between Neonatal Intensive Care Nurses' Team Work and Parent Participation Attitudes(Ataturk Univ, 2022) Coskun Simsek, Didem; Gunay, UlviyeObjective: This study was conducted to find out the relationship between neonatal intensive care nurses' attitudes about teamwork and their attitudes about parent participation. Methods: This descriptive study was conducted with 120 nurses working in the neonatal intensive care unit between November 2019 and April 2020. The Demographic Information Form, Teamwork Attitudes Questionnaire (TAQ), and Parent Participation Attitude Scale (PPAS) were used to collect the research data. For data analysis, descriptive statistical methods, Mann-Whitney U, Kruskal-Wallis, Spearman's correlation test, and simple linear regression were used. Results: TAQ score averages (107.09 +/- 14.63) and PPAS score averages (84.98 +/- 7.31) of neonatal nurses were found to be high. The difference between nurses' age, marital status, level of education, and average daily number of patients they provided care for and their average TAQ score was found to be significant (P <.05) and the difference between nurses' demographic information and their average PPAS scores was not significant (P >.05). A positive weak association was found between nurses' average TAQ total score, average Team Structure and Communication subdimension scores and their average PPAS scores. A positive moderate association was found between nurses' average PPAS score, average Situation Monitoring sub-dimension score (P <.05). Conclusion: This study found that neonatal nurses support teamwork and parent participation. Teamwork perception and parent participation are important practices that can increase the quality of care in neonatal intensive care units, enable early discharge, and increase the satisfaction of the healthcare team and the family. These approaches should be reinforced in neonatal intensive care units and in all pediatric services in order to increase the quality of patient care.Öğe The attitudes and behaviors of mothers who provide toilet training to their healtly children: A qualitative research(2019) Gunay, Ulviye; Oltuluoglu, HaticeAim: The aim was to evaluate to investigate the attitudes and behaviors of mothers who provide toilet training to their children. Material and Methods: A qualitative study was conducted with focus group interviews. This study was conducted with 24 mothers who provided toilet training to their healthy children between May and July 2017. Three focus group interviews were conducted within the scope of the study. Each group consisted of eight mothers. Semi-structured questions were used in focus interviews. These questions include “How did you know your child is ready for toilet training?”, “Are there any special practices you have done to make your child feel more comfortable with the toilet? Can you explain?” Voice recording was performed during the interviews. The data collected with voice recordings were evaluated by content analysis method, and then the main themes and sub themes of the study were formed. Results: It was determined that 45.8% of the mothers were aged between 28 and 31, 33.3% of them were primary school graduate, 50% of the children to whom toilet training was given, were determined to be aged between 2, 5 and 3. Three main themes and seven sub-themes were identified in this study. These include: 1-Decision time (behaviors of the child, age of the child, effect of family elders), 2-Facilitation activities (forming a suitable environment, encouraging) and 3-Reaction of the mother in interim incontinence(unresponsiveness, negative reaction). Conclusion: The majority of the mothers started toilet training according to the child’s age and readiness signs, used facilitation activities and generally did not react harshly to incontinence.Öğe Care burden, perceived social support, coping attitudes and life satisfaction of mothers with children with cerebral palsy(Wiley, 2024) Dertli, Semiha; Aydin (Yilmaz), Aydan Selen; Gunay, UlviyeAim: This study's aim is to determine the relationship between care burden, perceived social support, coping attitudes and life satisfaction of mothers with children with cerebral palsy (CP). Methods: This descriptive study was conducted in Turkey between March and June 2022 to determine the relationship between caregiving burden, perceived social support, coping attitudes and life satisfaction of 122 mothers with CP children. Path analysis was used to evaluate the data. Results: Correlation analysis showed a positive relationship between mothers' social support perceptions and life satisfaction and coping attitudes, a positive relationship between their life satisfaction and coping attitudes (p < .001). The path analysis showed that the social support perceived by the mothers significantly affected their coping attitudes (beta = .257; p < .001) and life satisfaction (beta = .081; p < .001). Mothers' care burden (beta = .169; p < .001) and coping attitudes (beta = .071; p < .05) also had a significant effect on their life satisfaction. Conclusions: It is an important finding of this study that mothers' perceptions of social support and coping attitudes have a positive effect on their life satisfaction. Long-term care can cause physical and psychological problems for mothers. Mothers' strong coping strategies and high levels of social support may reduce the occurrence of these problems. Drawing attention to this issue in mothers and revealing the effects of these variables is important in terms of indirectly supporting child outcomes.Öğe The Effect of Calligraphy as an Art Therapy Intervention Containing Religious Motifs, on the Anxiety and Depression in Adolescent Psychiatric Patients(Springer, 2023) Sarman, Abdullah; Gunay, UlviyeThis research was conducted to determine the effect of calligraphy on the anxiety and depression levels of adolescent psychiatric patients. It was conducted with adolescent psychiatric patients ages 14-17 in Turkey's Eastern Anatolia Region. They were allocated a calligraphy (n = 40) or a wait-list (n = 39) group. Those in the calligraphy group participated in 60-min calligraphy sessions for three weeks. The state anxiety levels of adolescents who applied calligraphy decreased gradually when compared with adolescents in the control group. The difference between the third-week mean post-test state anxiety scores of the adolescents in the calligraphy and control groups was significant (t = 2.34, p = .02). The trait anxiety scale and depression scale mean post-test scores of the adolescents in the calligraphy group were lower than in the control group. The difference between two groups was significant. Calligraphy can be potentially used as a beneficial method for reducing anxiety and depression.Öğe The Effects of Kangaroo Care Applied by Turkish Mothers who Have Premature Babies and Cannot Breastfeed on Their Stress Levels and Amount of Milk Production(Elsevier Science Inc, 2020) Coskun, Didem; Gunay, UlviyePurpose: This study aimed to examine the effects of kangaroo care applied by Turkish mothers who have premature babies and cannot breastfeed on their stress levels and amount of milk production. Design and methods: This open-label, multicentre, randomised controlled trial included preterm infants not breastfed by their mothers and the mothers of the infants. The mothers were randomised at a 1:1 ratio into the kangaroo care group and the standard care group. The mothers in the kangaroo care group applied kangaroo care to their babies once a day for three weeks. The mothers in the standard care group saw their infants for 15-20 min once a day for five days a week for three weeks, which was standard care in the newborn intensive care unit. The mothers milked their breasts with breast milking machines or pumps every day for three weeks. Results: The mothers in the kangaroo care group had higher breast milk production averages than the standard care group in all measurements. The mothers who applied kangaroo care had lower Parental Stressor Scale, subdimensions and total scale average scores than the mothers in the standard care group. Conclusions: Kangaroo care is effective at stimulating breast milk production and decreasing maternal stress levels. Practice implications: Kangaroo care decreases mothers' stress levels and increases breast milk production by mothers who cannot breastfeed their premature infants. (C) 2019 Elsevier Inc. All rights reserved.Öğe The effects of playing digital games on the pain levels and mobility states of children post-angiography: A randomized controlled trial(2019) Gunay, Ulviye; Tuncay, SuatAim: The aim of this study was to assess the effects of playing digital games on the pain levels and mobility states of children post-angiography.Material and Methods: This randomized controlled trial was carried out at the pediatric cardiology clinic at a tertiary care hospital in eastern Turkey between October 2016 and July 2017. Eighty children (n=40 digital game group, n=40 control group) post-angiography were randomized. Children in the experimental group played digital games. Wong–Baker FACES pain rating scale (WBFS) and in-bed movement form were used.Results: TThe difference between the means pretest WBFS scores of the digital game group and control group children was not significant (t=1.29; p>0.05). The difference between the mean posttest WBFS scores of the digital game group and control group children was statistically significant (t=9.63; p0.01). The mean number of in-bed movements was 2.45±1.53 in the digital game group and 13.25±18.92 in the control group. The difference between two groups in total mean number of in-bed movements was significant (p0.01).Conclusion: For children who are post-angiography, playing digital games decreased pain levels and mobility states.Öğe The effects of stress on adolescents' school engagement(Wiley, 2023) Simsek, Didem Coskun; Gunay, UlviyeProblem: Adolescents experience stress due to physical, cognitive, emotional and sexual development. This descriptive study was conducted to find out whether stress experienced by adolescents affected their school engagement. Methods: The sample was 440 students studying in a high schools in the Eastern Anatolia region of Turkey between October 2020 and January 2021. The data were collected using the Sociodemographic Information Form, the Adolescent Stress Questionnaire (ASQ-S) and the School Engagement Scale. Findings: Statistically significant differences were found between adolescents' sociodemographic characteristics and mean scores on the ASQ-S subdimension and total scores (p < 0.05). A strong negative association was found between adolescents' ASQ mean subdimension and total scores and their School Engagement Scale mean subdimension and total scores (p < 0.05). Conclusions: It was found that adolescents' sociodemographic characteristic affected their stress levels and school engagement and that high stress levels experienced by adolescents negatively affected their school engagement.Öğe The Effects of the Activity of Making Jewelry From Beads on the Anxiety Levels of Children With Cancer: A Randomised Controlled Study(Sage Publications Inc, 2022) Gunay, Ulviye; Sarman, Abdullah; Salman, Uygar; Yilmaz, Aydan SelenBackground: Children hospitalized for cancer treatment are known to experience high levels of anxiety. This study aimed to examine the effects of making jewelry from beads on the state and trait anxiety levels of children with cancer. Methods: This parallel group, randomized controlled trial was conducted on 62 children aged 7-18 who were being treated for cancer. The children were selected using the random sampling method. The jewelry-making sessions with the children in the intervention group were held twice a week for four weeks. Data were analysed using the chi-square test, the Student's t-test, the independent samples t-test and linear regression. Results: The state anxiety levels of the children in the intervention group decreased both in the first week and the fourth week after making jewelry. The difference in the average post-test scores between the two groups was found to be significant (p < .05). The fourth week average trait anxiety score of the children in the intervention group decreased (M = 33.2) in comparison to the average score of the control group (M = 36.5). The difference between the two groups was found to be significant (p < .001). Discussion: This study found that the activity of making jewelry from beads was effective in reducing the state and trait anxiety levels of children with cancer.Öğe Emotions and coping methods of Turkish parents of children with cancer(Routledge Journals, Taylor & Francis Ltd, 2019) Gunay, Ulviye; Ozkan, MeralObjective: This hermeneutic phenomenological study was conducted with the aim to determine the emotions and coping methods of Turkish parents whose children were diagnosed with cancer. Methods: Data were collected through in-person, in-depth interviews with 12 parents (8 mothers, 4 fathers). The semi-structured interview form was developed based on Elisabeth Kubler-Ross's model of the five stages of grief (denial, anger, bargaining, depression and acceptance) with the addition of questions on coping methods. Data interpretation proceeded through three phases: superficial reading, structural analysis and comprehensive understanding. Results: All the parents made statements indicating their devastation while expressing their feelings at the moment they learned of the diagnosis. After overcoming the first shock, most thought it was a false diagnosis, and some thought it was a test from God. The parents were angry mostly with the doctors, themselves, their spouses and God. All the parents participating in the study stated that they had regrets about the past. Most engaged in more emotion-oriented and fewer problem-focused coping efforts. However, some parents used negative coping methods. Conclusion: These parents need help from healthcare professionals to come to terms with their grief.Öğe Emotions and Experience of Fathers applying Kangaroo Care in the Eastern Anatolia Region of Turkey: A Qualitative Study(Sage Publications Inc, 2021) Gunay, Ulviye; Coskun Simsek, DidemThe aim of this study was to investigate the emotions and experiences of fathers in Eastern Anatolia Region of Turkey who applied kangaroo care in the neonatal intensive care unit. This study applied the qualitative descriptive design. The study included 12 fathers at the NICU of a university hospital. The fathers practiced kangaroo care with their babies two times a day for 15 days. Content analysis was then conducted to determine the main themes and sub-themes of the interviews. Three main themes and six sub-themes emerged from the analysis: (1) Emotions of being a father (feeling that the baby belongs to own and feeling the warmth and scent of the baby); (2) Confidence in fathering roles (self-confidence and caring for the baby); and (3) Happiness in the new parent role (seeing the baby calm down, hugging the baby and touching the baby's skin).Öğe Experiences of nurses who have children when caring for COVID-19 patients(Wiley, 2021) Coskun Simsek, Didem; Gunay, UlviyeAim: This study was conducted to examine the experiences and feelings of nurses who have children when caring for patients with coronavirus disease (COVID-19). Background: The COVID-19 pandemic has affected the whole world, including Turkey where this study was conducted. Nurses are among healthcare professionals who are intensively working at the forefront during this pandemic. Countries are implementing many policies to fight this pandemic. Turkey also has implemented protective measures related to travel, sports, and cultural activities and has prohibited social meetings. Method: The study was conducted with 26 nurses working in COVID-19 clinics of two hospitals in eastern Turkey between May and July 2020 using a qualitative descriptive design. Findings: Nurses who had children longed for their children and worried about them. They were afraid of getting infected with the disease and transmitting it. Based on content analysis, the themes of the study were determined as follows: (1) longing (longing for children and longing for the pre-pandemic period), (2) fear (fear of transmitting the disease and fear of death), (3) despair, (4) concern (concern resulting from working in a different clinic, concern resulting from lack of knowledge, and concern resulting from lack of protective equipment), and (5) professional responsibility (professional awareness and love for the profession). Conclusion: Nurses were away from their families for a long time because of the fear of getting infected with COVID-19 and transmitting it. They longed for their children and experienced desperation, fear, and anxiety. They loved their profession and were not considering quitting their profession. Implications for nursing and health policy: Nurses working in COVID-19 units wear protective equipment and work for a long time under difficult conditions. In addition, nurses who have children are separated from their children because of the fear of transmitting COVID-19. Therefore, nurses caring for COVID-19 patients should alternately be replaced by nurses working in other services. They should be given the opportunity to rest and spend time with their loved ones if they are not carriers of COVID-19.Öğe The impact of the COVID-19 pandemic on nursing care and nurses' work in a neonatal intensive care unit(Elsevier Science Inc, 2022) Simsek, Didem Coskun; Gunay, Ulviye; Ozarslan, SuemeyyePurpose: This study was conducted to determine the effects of the COVID-19 pandemic process on nursing care and nurses' work in neonatal intensive care units. Design and methods: The study was conducted using a qualitative method. The data were collected by voice recording with a one-on-one in-depth interview technique, and a semi-structured question form was used in the interviews. The data obtained from voice recordings were evaluated using the qualitative content analysis method. Results: The main themes and subthemes of the study were as follows: (1) decrease in physical contact with newborns due to fear of transmitting Covid-19 (decrease in physical contact between neonatal nurses and newborns, decrease in physical contact between mothers and newborns, decrease in physical contact between fathers and newborns), (2) communication problems between healthcare professionals and parents (3) changes in the working conditions for neonatal nurses (increase in the frequency and duration of work intense working speed, exhaustion and decreased motivation due to use of protective equipment). Conclusion: The COVID-19 pandemic process led to a decrease in nurses' and parents' touching newborns, nurses' experiencing problems with parents due to measures taken, heavier working conditions and a decrease in motivation for nurses. Practice implications: This study will inform future research to be directed to nursing care and the work of nursing who work on the front line in the COVID-19 pandemic process. (c) 2022 Published by Elsevier Inc.Öğe The spiritual state of children with academic mothers(Routledge Journals, Taylor & Francis Ltd, 2023) Gunay, Ulviye; Sarman, Abdullah; Yayan, Emriye Hilal; Salman, Uygar; Polat, SevincChildren who spend quality time with their mothers are able to have positive spiritual development However, mothers who work are often unable to spend enough quality time with their children. This qualitative phenomenological study was conducted to examine the spirituality of children with academic mothers in Turkey. The children were asked how their mothers' academic careers affected their spiritual states. The data were collected through in-depth face-to-face interviews and evaluated using content analysis. A total of 21 children participated in the study. Three main themes and five subthemes were determined in the analysis. These themes were (1) the negative effects of mothers' academic careers on the spiritual statuses of their children (negative emotions, decreased communication in their families, and disruption of home routines), (2) the positive effects of mothers' academic careers on the spiritual statuses of their children (positive emotions and financial independence), and (3) the children's expectations of their mothers.Öğe The transfer of theoretical knowledge to clinical practice by nursing students and the difficulties they experience: A qualitative study(Churchill Livingstone, 2018) Gunay, Ulviye; Kilinc, GulsenBackground: Nursing education contains both theoretical and practical training processes. Clinical training is the basis of nursing education. The quality of clinical training is closely related to the quality of the clinical learning environment. Objectives: This study aimed to determine the transfer of theoretical knowledge into clinical practice by nursing students and the difficulties they experience during this process. Methods: A qualitative research design was used in the study. The study was conducted in 2015 with 30 nursing students in a university located in the east of Turkey, constituting three focus groups. The questions directed to the students during the focus group interviews were as follows: What do you think about your clinical training? How do you evaluate yourself in the process of putting your theoretical knowledge into clinical practice? What kind of difficulties are you experiencing in clinical practices? Results: The data were interpreted using the method of content analysis. Most of the students reported that theoretical information they received was excessive, their ability to put most of this information into practice was weak, and they lacked courage to touch patients for fear of implementing procedures incorrectly. As a result of the analysis of the data, five main themes were determined: clinical training, guidance and communication, hospital environment and expectations. Conclusions: The results of this study showed that nursing students found their clinical knowledge and skills insufficient and usually failed to transfer their theoretical knowledge into clinical practices. The study observed that nursing students experienced various issues in clinical practices. In order to fix these issues and achieve an effective clinical training environment, collaboration should be achieved among nursing instructors, nurses, nursing school and hospital managements. Additionally, the number of nursing educators should be increased and training programs should be provided regarding effective clinical training methods.
