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Öğe Does Kangaroo Care Have an Effect on Transition Time from Gavage Feeding to Full Oral Feeding in Premature Babies?(Georg Thieme Verlag Kg, 2023) Simsek, Didem Coskun; Aydin, Mustafa; Guenay, UlviyeObjectives Kangaroo care is a safe and effective alternative method to conventional neonatal care for newborn babies. The aim of this study was to evaluate the effect of kangaroo care on the transition time to full oral feeding in preterm infants fed by gavage.Methods This is a randomized controlled trial. This study was conducted in a level III neonatal intensive care unit of a university hospital in eastern Turkey 50 premature babies with a birth weight of & GE;1000 g and a gestational age of 27-36 weeks, and their mothers were included in the study. The cases were randomly divided into two groups: kangaroo care, which would be applied up to five days a week, and standard care. Records of cases were kept regularly from their hospitalization until they reached full oral feeding.Results Premature babies in the kangaroo care group reached full oral feeding at 29.20 +/- 8.06 days after birth, while babies in the standard care group reached full oral feeding at 44.60 +/- 21.90 days. The transition period from gavage feeding to reaching full oral feeding was 13.60 +/- 6.83 days in the kangaroo care group, and 22.10 +/- 7.38 days in the standard care group. The difference was statistically significant (p = 0.007).Conclusion Kangaroo care is an effective method to reduce the transition time from gavage feeding to full oral feeding for premature babies.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 Hand Microbial Flora of Hospitalized Children at the Beginning of Hospitalization and Before Discharge: A Cross-Sectional Study(Jimma Univ, Ethiopia, 2020) Yayan, Emriye Hilal; Oner, Pinar Demirel; Simsek, Didem Coskun; Zengin, MursideBACKGROUND. Hospital infections in pediatric units increase the length of hospital stay and the use of antibiotics, and this causes exposure to more procedures. This study was aimed to determine the microorganisms represented in the hand flora of pediatric patients at the beginning of hospitalization and before discharge. METHODS: The study was designed as a prospective cross-sectional study. This prospective study was performed with 124 pediatric patients. After completion of the admission procedures, an initial sample was taken from the hands of the hospitalized patients. Another sample was taken from the patients just before discharging. RESULTS: Growth of coagulase-negative staphylococcus (CNS) was observed in the culture samples of 28 patients. Cultures from 23 patients showed different microorganisms such as Staphylococcus aureus, Escherichia coli, and S. epidermis. Examination of final discharge cultures showed CNS in 43 patients, S. aureus in 5 patients, E. coli in 8 patients, Acinetobacter baumannii in 11 patients, and Kocuria rhizophila, K. kristinae, Candida spp., Pseudomonas spp., and Enterococcus in 1 patient. CONCLUSION: The cultures from samples obtained at discharge showed the presence of antibiotic-resistant pathogenic microorganisms causing healthcare associated infection.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.
