Bu araştırma, ergenlerin sosyal medya fenomenlerinden etkilenme algıları ile sağlıklı yaşam tarzı inanç düzeyleri arasındaki ilişkinin incelenmesini amaçlamaktadır. Tanımlayıcı ve kesitsel tasarımdaki çalışmanın verileri Mart–Haziran 2025 tarihleri arasında Kişisel Bilgi Formu, Ergenler İçin Sosyal Medya Fenomenlerinden Etkilenme Algısı Ölçeği ve Adölesanlar İçin Sağlıklı Yaşam Tarzı İnanç Ölçeği kullanılarak toplanmıştır. Çalışma grubu, Antalya ilinde iki farklı ilçedeki iki lisede öğrenim gören, gönüllü katılım gösteren 14–17 yaş arası 253 ergenden oluşmuştur. Veriler IBM SPSS Statistics 23.0 programı ile analiz edilmiştir. Sosyal Medya Fenomenlerinden Etkilenme Algısı Ölçeği ortalama puanı 17,09±6,61, Sağlıklı Yaşam Tarzı İnanç Ölçeği ortalama puanı 57,51±11,25’tir. Sınıf düzeyi ile sosyal medya fenomenlerinden etkilenme algısı arasında negatif yönde zayıf düzeyde anlamlı bir ilişki saptanmıştır (r=-,150, p<,05). Regresyon analizine göre sağlıklı yaşam tarzı inanç düzeyinin etkilenme algısı üzerinde anlamlı bir etkisi bulunmamıştır (p>,05). Bulgular, ergenlerde sosyal medya fenomenleri algısının sağlıklı yaşam tarzı inancı üzerinde belirleyici olmadığını ancak göz ardı da edilmemesi gerektiğini göstermektedir.

Amaç: Kronik hastalığı olan ergenler için tedaviye uyum, sağlıklarını korumak ve komplikasyonları önlemek açısından önemlidir. Tedaviye uyumu etkileyen faktörlerin anlaşılması, onları destekleyecek etkili stratejilerin geliştirilmesine yardımcı olabilir. Bu çalışma, 12-17 yaş aralığında kronik hastalığa sahip ergenlerin tedaviye uyum deneyimlerini incelemeyi amaçlamaktadır. Yöntem: Bu çalışmada kronik hastalığa sahip ergenlerin tedaviye uyumunun önemini tanımlamak, açıklamak ve vurgulamak için betimleyici nitel bir yaklaşım kullanılmıştır. Amaçlı örnekleme ile belirlenen en az bir çeşitli kronik hastalığa sahip 12-17 yaş arası 11 ergen çalışmaya dâhil edilmiştir. Veriler, Bilgi Formu ve Yarı Yapılandırılmış Görüşme Formu kullanılarak, Şubat 2022-Ağustos 2024 tarihleri arasında elde edilmiştir. Yüz yüze görüşmeler klinikte hasta odasında gerçekleştirilmiş, veriler içerik analiziyle değerlendirilmiştir. Bulgular: Çalışma 6’sı kadın, 5’i erkek olmak üzere 11 katılımcı ile tamamlanmış, yaş ortalaması 13.8’dir. Görüşme süresi ortalaması 32.2 dakikadır. Analiz sonucu üç ana tema, sekiz alt tema belirlenmiştir. Ana temalar; (1) tedaviye uyumu zorlaştıran faktörler, (2) tedaviye uyumu teşvik eden faktörler, (3) tedaviye uyum için ergenlerin gereksinimleridir. Alt temalar ise akranları tarafından dışlanma korkusu, ilaç kullanımına ilişkin engeller, ilaç ve hastalık bilgisinin yetersiz olması, tedavi sorumluluğunu almak, sağlık durumunun kötüye gitmesinden korkmak, ilaçlar ile iyileşme umudu taşımak, sosyal destek, sağlık profesyoneline güvenmektir. Sonuç: Bulgular, ergenlerin tedaviye uyumunda bireysel ve sosyal etkenlerin belirleyici olduğunu göstermektedir. Dışlanma korkusu, bilgi eksikliği ve ilaç kullanımına ilişkin zorluklar uyumu olumsuz etkilerken; hastalığı kabullenme, sağlık durumunun kötüleşeceği endişesi, iyileşme umudu, sosyal destek ve sağlık profesyonellerine duyulan güven süreci olumlu etkilemektedir. Bu durum, tedavi sürecinde ergenlerin psikososyal ihtiyaçlarının dikkate alınmasının gerekliliğini vurgulamaktadır.

Bu çalışmada, hastanede yatan kanser hastası ergenlerin dijital cihaz kullanım durumlarını, bu konudaki deneyimlerini ve daha dengeli bir kullanım için beklentilerini belirlemek amaçlanmaktadır. Bu nitel çalışmanın verileri Mart-Mayıs 2025 tarihleri arasında elde edilmiştir. Araştırmanın örneklemini çocuk hematoloji ve onkoloji servisinde yatan 12-17 yaş arasındaki ergenler oluşturmuştur. Veriler birey tanıtım formu ve yarı yapılandırılmış görüşme formu aracılığıyla toplanmıştır. Kanser hastası 10 ergenle yarı yapılandırılmış görüşmeler bireysel olarak gerçekleştirilmiştir. Nitel veriler içerik analizi yöntemi kullanılarak analiz edilmiştir. Bu çalışmada üç ana tema ortaya çıkmıştır: (1) Dijital cihaz kullanım nedenleri, (2) Uzun süreli ekran kullanımının olumsuz etkileri ve (3) Dengeli kullanım için çözüm önerileri ve beklentilerdir. Katılımcı deneyimlerine dayalı olarak her temaya ilişkin ikişer alt tema belirlenmiştir. Hastanede yatan kanser tanılı ergenler, dijital cihazları keyifli zaman geçirmek ve duygusal rahatlama sağlamak amacıyla kullanmaktadır. Hastane ortamında ergenler için daha ilgi çekici aktivite seçenekleri ve yapılandırılmış destek programları oluşturulması ile dijital araç kullanımı azaltılabilir.

Interventions involving human-animal interaction have the potential to impact individuals with autism. This study aims to assess the effects of an animal-assisted play activity program on autistic behaviors and social engagement in children diagnosed with autism spectrum disorder (ASD). A single-group, quasi-experimental design with pre-test and post-test measurements. The study population consisted of 20 students diagnosed with ASD enrolled at a Special Education Practice School. A cat was included in the intervention as the therapy animal. Data were collected using the Sociodemographic Data Form, the Childhood Autism Rating Scale (CARS), the Autism Behavior Checklist (ABC), and the Ingram-Troxell Playground Observation Checklist. The mean score on the CARS increased from 42.6 +/- 5.5 to 43.8 +/- 5.4 following the animal-assisted play activity intervention. However, this result is not statistically significant (p > 0.05). In contrast, the mean score on the ABC decreased from 55.0 +/- 23.2 to 42.7 +/- 19.9. This reduction was statistically significant (p < 0.05), indicating a positive behavioral change associated with the intervention. Furthermore, the mean score on the Ingram-Troxell Playground Observation Checklist increased from 5.41 +/- 1.59 to 6.59 +/- 1.18, and this improvement in social engagement was statistically significant (p < 0.001). The findings suggest that animal-assisted play activities lead to significant improvements in behavioral control and social engagement in children with ASD.

PURPOSE:This study aimed to evaluate the relationship between the perceived quality of nursing care and levels of fear in hospitalized children regarding nursing interventions and materials. DESIGN AND METHODS:The study was conducted with 182 hospitalized children between January and September 2024 at two regional hospitals in Antalya, Türkiye. Data were collected using a descriptive information form, the Scale Evaluation Quality of Care from Children's Point of View and, Scale Development of Fear in Children Against Nursing Interventions and Used Materials. Descriptive statistical methods were applied for data analysis. Regression analysis was used to identify the predictors of quality of nursing care. This cross-sectional study followed the STROBE checklist. RESULTS:This study revealed that children's perception of quality of care was moderate (44.15 ± 8.95), while their fear of nursing interventions and used materials was below average (32.88 ± 10.50). Children hospitalized for 10 days or more reported significantly higher perceptions of the quality of nursing care (48.13 ± 9.70, F = 7.696, p = 0.001). A significant negative correlation was found between the quality of nursing care and children's fear of interventions and used materials (r = -0.362, p = 0.001). CONCLUSION:The findings suggest a moderate relationship between quality of nursing care and children's fear of nursing interventions and used materials. PRACTICE IMPLICATIONS:From the perspective of hospitalized children, high perceived quality of nursing care and longer hospital stays (10 days or more) were associated with reduced fear of nursing interventions and used materials.

AIMS AND OBJECTIVES:To evaluate the efficacy of YoungAsthma, a nurse-led, web-based mHealth intervention on asthma control and self-efficacy among adolescents with asthma utilizing decision tree analysis. BACKGROUND:Asthma is a prevalent chronic condition in pediatric populations, necessitating sustained management for optimal disease control. DESIGN:A randomized controlled clinical trial. METHODS:Fifty-four eligible adolescents were randomly assigned to either the intervention group (YoungAsthma + Usual care, n = 27) or the control group (Usual care, n = 27) for 4 weeks. Primary outcomes-asthma control and self-efficacy-were assessed using the Information Form, Asthma Control Test, Self-Efficacy Scale for Children and Adolescents with Asthma. Statistical analyses included Fisher's exact test, chi-square test, Wilcoxon signed-rank test, Mann-Whitney U test, and Intention-to-Treat (ITT) analysis. RESULTS:Forty-eight participants completed the study (11% dropout per group). The intervention group exhibited a greater improvement in asthma control than the control group. While both groups showed increased self-efficacy, the intervention group's improvement was significantly higher. Decision tree analysis identified key predictors, indicating that lower scores were associated with a higher likelihood of remaining in the control group. CONCLUSIONS:Nurse-led, technology-supported interventions significantly enhance asthma control and self-efficacy in adolescents. Decision tree analysis provided valuable insights into key factors influencing asthma control and self-efficacy improvements, identifying subgroups that benefited most from the intervention. Interdisciplinary collaboration facilitated a user-centered approach grounded in Bandura's Self-Efficacy Theory, offering a data-driven framework for personalized asthma management. RELEVANCE TO CLINICAL PRACTICE:Decision tree analysis aids in identifying patients who would benefit most, enabling precision-targeted interventions. REPORTING METHOD:This study was conducted in accordance with Consolidated Standards of Reporting Trials and with the Mobile Health Evidence Reporting and Assessment guidelines. CLINICAL TRIAL REGISTRATION NUMBER:Clinicaltrials. gov, ID: NCT04691557 & Date of first recruitment: December, 2020. https://register. CLINICALTRIALS:gov/prs/beta/studies/S000AJ5B00000102/recordSummary.

BACKGROUND:Relieving procedural pain in pediatric oncology is an important facilitator of the cancer treatment process. OBJECTIVE:To synthesize the effect of nonpharmacological interventions on reducing the procedural pain of pediatric oncology patients in randomized controlled trials. METHODS:A meta-analysis and systematic review for randomized controlled trials. The PROSPERO has registered the meta-analytic approach used in this review. For studies published in English from the earliest record to May 2023, comprehensive and systematic literature searches were carried out using PubMed, Web of Science, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Science Direct, Springer Link, Scopus, EMBASE, Ovid, ELSEVIER, ProQuest and the CENTRAL, and Taylor & Francis. Two researchers used the Cochrane Collaboration method to assess the risk of bias in the included studies. RESULTS:Four hundred ninety-four participants in 7 trials met the eligibility requirements. The primary findings showed no evidence of a significant publishing bias. This study revealed that nonpharmacological therapies significantly reduced procedural pain. Virtual reality techniques outperform nondigital distraction techniques in subgroup analysis of intervention types when it comes to lowering procedural pain in pediatric oncology patients. CONCLUSION:In pediatric oncology, nonpharmacological therapies significantly and positively reduce procedural pain. No adverse events were reported in the included studies. Nonpharmacological therapies can be utilized by pediatric oncology nurses to mitigate procedural pain associated with needles. IMPLICATIONS FOR PRACTICE:The findings of this study will contribute to the application of effective nonpharmacological interventions by clinical nurses and will provide guidance for the planning of further research.

Background Relieving procedural pain in pediatric oncology is an important facilitator of the cancer treatment process. Objective To synthesize the effect of nonpharmacological interventions on reducing the procedural pain of pediatric oncology patients in randomized controlled trials. Methods A meta-analysis and systematic review for randomized controlled trials. The PROSPERO has registered the meta-analytic approach used in this review. For studies published in English from the earliest record to May 2023, comprehensive and systematic literature searches were carried out using PubMed, Web of Science, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Science Direct, Springer Link, Scopus, EMBASE, Ovid, ELSEVIER, ProQuest and the CENTRAL, and Taylor & Francis. Two researchers used the Cochrane Collaboration method to assess the risk of bias in the included studies. Results Four hundred ninety-four participants in 7 trials met the eligibility requirements. The primary findings showed no evidence of a significant publishing bias. This study revealed that nonpharmacological therapies significantly reduced procedural pain. Virtual reality techniques outperform nondigital distraction techniques in subgroup analysis of intervention types when it comes to lowering procedural pain in pediatric oncology patients. Conclusion In pediatric oncology, nonpharmacological therapies significantly and positively reduce procedural pain. No adverse events were reported in the included studies. Nonpharmacological therapies can be utilized by pediatric oncology nurses to mitigate procedural pain associated with needles. Implications for Practice The findings of this study will contribute to the application of effective nonpharmacological interventions by clinical nurses and will provide guidance for the planning of further research.

PURPOSE:The aim of the present study is to determine the effect of the pushing technique with saline on the success of peripheral IV catheter placement in a paediatric haematology and oncology sample. METHODS:The randomized controlled trial was conducted among 60 paediatric haematology and oncology patients aged between 0 and 17. The participants were randomly assigned to two peripheral intravenous catheter placement groups (intervention group, n:30, control group, n:30). Each patient was evaluated with the Difficult Intravenous Access (DIVA) score before being included in the study. Each patient was assessed using the Personal Information Form for Children and Catheter Registration Form. RESULTS:The average age of the children was 86.4 months (SD = 60.0); 36.7% were female. The pushing technique with saline significantly increased the success of placing a peripheral IV catheter on the first attempt in the intervention group compared to the control group (F = 42.391, p = 0.000). The number of attempts during peripheral IV catheter placement significantly decreased in the intervention group compared with the control group (t = -5.676, p = 0.000). Complications were less in the intervention group compared with the control group (χ2 = 24.438, p = 0.000). The procedure time was significantly shorter in the intervention group compared with the control group (t = -4.026, p = 0.000). CONCLUSION:The pushing technique with saline is an effective method to increase the first attempt success rate, decrease the number of attempts, reduce the procedure time, and reduce the complications during peripheral intravenous catheter placement procedures in paediatric haematology and oncology patients with difficult intravenous access. TRIAL REGISTRATION:This study was registered at ClinicalTrials.gov (NCT05685290 & date of first recruitment: January 3, 2023) https://clinicaltrials.gov/ct2/show/NCT05685290.

IntroductionPediatric convulsive status epilepticus is one of the most common neurologic emergencies and should be managed by health care professionals as soon as possible based on current guidelines. This study aimed to determine the nursing approaches and management of pediatric convulsive status epilepticus from the perspective of emergency nurses in Turkey.MethodsA cross-sectional, multicenter study was conducted with 162 emergency nurses working in emergency departments in 35 different provinces in Turkey. The data were collected via an online form. Descriptive statistical methods were used in data analysis.ResultsMost emergency nurses (72.2%) attempted an intravenous access immediately to administer antiseizure medications during the stabilization phase. Approximately half the emergency nurses stated that rectal diazePAM was frequently administered in the initial therapy phase and intravenous diazePAM was administered in the second therapy phase. The emergency nurses had most difficulties attempting intravenous access, determining status epilepticus types, and calming the parents.DiscussionAs health care professionals and important members of the health team, emergency nurses have the responsibility to manage pediatric convulsive status epilepticus in the fastest and the most appropriate way based on current practice guidelines in emergency departments. When intravenous access is not available, nonintravenous benzodiazepines should be considered in the first-line treatment of pediatric convulsive status epilepticus, followed by immediate intravenous access.

The aim of the present study is to determine the effect of the pushing technique with saline on the success of peripheral IV catheter placement in a paediatric haematology and oncology sample.

PURPOSE:This study aimed to explain the relationships between parents' mental well-being and sociodemographic characteristics with digital parenting awareness. DESIGN AND METHODS:This cross-sectional study used structural equation modeling. It was conducted between January and May 2023 in a province in the Mediterranean region of Turkey with 262 parents with children aged 5-11 years. Research data were collected using the Personal Information Form, the Digital Parental Awareness Scale, and the Warwick-Edinburgh Mental Well-Being Scale. RESULTS:Parents' mental well-being and digital parenting awareness were significantly associated with the sub-dimensions of being a negative model (β = -0.313), digital negligence (β = -0.187), efficient use (β = 0.284), and protection from risks (β = 0.432; all p < 0.001). Additionally, parental mental well-being, parent's internet usage time (years), the perception that their child/children are using digital tools unnecessarily, the monthly income of the family, parent's age, and education levels significantly impact digital parenting awareness (p < 0.05). CONCLUSIONS:Parents' mental well-being was moderately and significantly associated with digital parenting awareness. Furthermore, the high number of years of internet usage by parents, having high levels of education and income, being younger, and the perception that their children use digital tools unnecessarily are positively related to digital parenting awareness.

Aim: This study aimed to determine the effect of personal values on self-esteem and meaning in life in adolescents.Methods: This cross-sectional study was conducted with 404 adolescents in Turkey. The data were collected with the "Portrait Values Questionnaire" (PVQ), the "Rosenberg Self-Esteem Scale" (RSE), and the "Meaning in Life Questionnaire" (MLQ) between September and December 2021. Descriptive statistics were used in the analysis of the data, and multivariate correlation and regression analyses were performed. The STROBE checklist was used for reporting.Results: The mean PVQ score was 4.84 & PLUSMN; 0.59, indicating good individual values. The mean RSES score was 1.86 & PLUSMN; 0.62, showing moderate self-esteem. The mean MLQ score was 4.24 & PLUSMN; 1.17, indicating a moderate meaning in life. There was a positive relationship between the PVQ scores of the adolescents and their RSE and MLQ. PVQ was a positive predictor of RSE and MLQ in these adolescents.Conclusions: This study revealed that adolescents have good individual values, and moderate self-esteem and meaning in life. Individual values have a positive effect on adolescents' self-esteem and meaning in life. Future studies are expected to explore how personal values affect self-esteem and meaning in life in adolescents using longitudinal study data. Understanding how adolescents' personal values affect self-esteem and well-being can contribute to the development of further strategies to increase adolescents' self-esteem and happiness levels.

PROBLEM:This systematic review aims to evaluate the effectiveness of user-focused mobile health (mHealth) applications in paediatric chronic disease management. ELIGIBILITY CRITERIA:Articles were included under the Population Intervention Comparator Outcome Study (PICOS) design framework for (P) children with a chronic disease, (I) mHealth user-focused apps, (C) usual care/control groups, (O) health outcomes related to chronic diseases, and (S) randomised controlled trials. This study followed the guidelines provided by Cochrane, Preferred Reporting Items for Systematic Reviews and Meta-Analysis, and Mobile Health Evidence Reporting and Assessment. SAMPLE:A comprehensive literature search screening was conducted via CINAHL, PubMed, CENTRAL, ELSEVIER, SAGE, Science Direct, Scopus, Taylor Francis, WoS, and IEEE XPLORE from inception to November 15, 2020. RESULTS:The review included seven articles, which combined provided data for a total of 755 children. The effects of the mHealth applications on the investigated 31 unique outcomes of five chronic paediatric diseases were mixed, ranging from effective to no effect. The risk of bias in the included studies was mostly either high or concerning according to Risk of Bias tool 2.0. The mobile apps that were evaluated were not standalone apps but were designed to interact with and provide data to healthcare providers. CONCLUSION:Some mHealth interventions in this systematic review produced clinically meaningful and statistically relevant reductions in health outcomes related to chronic disease management. However, based on the available data, it is not possible to make definitive conclusions concerning the preferred target population of the interventions. IMPLICATION:mHealth apps may be beneficial in improving selected patient outcomes in chronic disease management. Our results may assist the digital health services of hospitals, paediatric nurses who are interested in mHealth, and children who have a chronic disease.

Purpose: This study aimed to explore the experiences of adolescents at risk of digital game addiction in Turkey. Design and methods: Guided by a grounded theory design, data were collected from 14 adolescents through one-on-one in-depth interviews between January and April 2021. Simultaneous data collection and analysis involved theoretical sampling, constant comparison, and memo writing. Open, axial, and selective coding were used in data analysis, while analytic coding identified the core category and subcategories and provided the foundation for the substantive theory. Results: The core category, "I want to limit my time playing digital games, but I need the support of my family to do so," demonstrated the adolescents' awareness of their situation. The analysis yielded an interpretive theory comprising three inter-related categories: causal factors, effects on life, and solution pathways. Conclusions: The participants reasons for playing digital games included meeting their need for socialization and passing the time. However, digital gaming affects adolescents physically, psychosocially, and culturally. Solutions include early childhood education and family support, which can significantly reduce the risk of digital game addiction. Practice implications: Preventing digital game addiction is an important goal, and identifying risks contributing to digital game addiction is fundamental to establishing preventive measures. This study's findings may increase awareness of the subject for teachers, school nurses, and parents. Among the potential remedial measures are future studies focused on preventing digital game addiction and adding instruction to school curricula regarding necessary and beneficial uses of digital technologies. (C) 2021 Elsevier Inc. All rights reserved.

BACKGROUND:To describe of the experiences of parents regarding the transition to sexual development of their adolescents with intellectual disabilities who are 15-19 years old.METHODS:This study employs a descriptive interpretative approach and uses Meleis's transitions theory as its theoretical frame of reference. This study uses purposive sampling methods for recruitment. We collected data through individual semi-structured interviews (n = 11) and researcher observations between February 2021 and April 2021 and employed an inductive content analysis approach.RESULTS:Three main themes emerged from the data: parental factors driving the transition process, parents' needs regarding the transition process, and outcomes of the transition process. In addition, most parents struggled to remodel their identities following the transition due to concerns over their adolescent's ability to cope with the challenges of adulthood.CONCLUSION:Considered in the context of middle-range transitions theory, we suggest that parental experiences regarding adolescents' transition to sexual development stem from varying levels of uncertainty and depend on the situation, preferences, and family needs of each individual parent. It is useful to utilise Meleis's transitions theory to understand deeply and explore the impact of the sexual development of adolescents with intellectual disabilities on parents.