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Yayın Effect of different positions on gastric residuals in preterm infants initiating full enteral feeding(Wiley, 2022) Gözen, Duygu; Erkut, Zeynep; Bilgin, Leyla; Uslubas, RabiaBackground This study was conducted to determine the effect of feeding in different positions on the gastric residual volume after feeding in preterm infants who initiated full enteral feeding. Methods This quasi-experimental study was conducted with the hypothesis that testing the right lateral position leads to less gastric residual than left lateral position and the prone position leads to less gastric residual than the supine position. The data were collected in four stages from 35 preterm infants. Initially, the infants were positioned in supine position and were fed. After feeding, the infant rested in the supine position for 3 h. The stomach content was aspirated, and the volume of gastric residual was measured at the 60th, 120th, and 180th min after feeding. These steps are repeated in order of in the right lateral, left lateral, and prone position. Total gastric residual volume and type of enteral feeding were evaluated. Results There was no significant difference among the positions in terms of the volume of gastric residuals in the measurements made at 60th (P = 9.552), 120th (P = .505), and 180th min (P = .430). When the amount of decrease in the gastric residual volumes was a significant difference between all measurement times in right lateral and prone positions (P < .001). Conclusion Although no significant difference was determined between the positions, the smallest residual volumes were determined in the right lateral and prone positions. The amount of decrease in residual volume was significant in right lateral and prone positions.Yayın The effect of finger puppet on pain and emotional manifestation for venous blood collection in the pediatric emergency department: A randomized controlled trial(Elsevier Sci Ltd, 2023) Ceylan, Murat; Erkut, ZeynepAim: To determine the effect of distraction with a finger puppet for venous blood collection in the pediatric emergency department on children's pain and emotional manifestation.Methods: Randomized controlled trial with 80 children (aged 3-6 years) who applied to the pediatric emergency department between October 2021 and March 2022. The attention of child was distracted from the procedure by playing with finger puppets before and during the venous blood collection in the finger puppet group. The children in the control group underwent routine blood collection. The procedural pain was measured with the Face, Legs, Activity, Cry, Consolability Scale (FLACC) and the emotional response was measured with the Children's Emotional Manifestation Scale (CEMS).Results: The mean FLACC pain scores of the children in the finger puppet group were statistically significantly lower than the children in the control group (p < 0.001). It was also found that the finger puppet group's mean scores of CEMS before and during the procedure were statistically lower than those of the control group (p < 0.001).Conclusions: Finger puppets can be used to reduce pain and positively change children's emotional responses during painful procedures such as blood collection.Yayın The effect of guided imagery on procedural pain in children: a randomized controlled trial(Routledge Journals, Taylor & Francis Ltd, 2024) Gözen, Duygu; Erkut, ZeynepPain poses a major health problem for children. There are many non-pharmacological methods that are successful at helping alleviate pain. This study aimed to explore how guided imagery affects pain experiences of children during venipuncture. The sample consisted of 150 children who were 8-12 years old. Our results indicate that pain scores and average heart rate of children in the guided imagery group were statistically lower than the control group's values. The mean oxygen saturation of the guided imagery group during and after venipuncture was higher when compared to the control group. The findings of the present study have suggested that guided imagery is effective at easing pain of children during venipuncture.Yayın Effect of lying position on gastric residual volume in premature infants: A systematic review(Wiley, 2024) Özgörü, Hande; Mutlu, Birsen; Erkut, ZeynepPremature infants' gastric residual volume may be affected by position. This systematic review was conducted to examine the effect of lying position on the gastric residual volume of preterm newborns fed by gastric tube. Electronic databases (PubMed, MEDLINE, MEDLINE Complete, Academic Search Ultimate, CINAHL Complete, Cochrane, and Scopus) were searched for randomized controlled experimental or quasiexperimental studies in English published between 2011 and 2022 investigating the effect of one or more lying positions on gastric residual volume in premature newborns. The PICOS strategy was used in preparing and reporting the systematic review. A total of 304 articles were retrieved, and the full texts of 12 articles were evaluated for suitability. After eliminating the excluded articles, 10 articles were included in the analysis. The quality of evidence varied, with four studies judged to have poor quality whereas the remaining six were considered to range from moderate to good in quality. Based on the results obtained from the studies, it was determined that gastric residual volume was the least in the right lateral and prone positions and more in the left lateral and supine positions compared with the other two positions, with no difference between the two latter positions. The methodological differences, such as the evaluation of different positions, the timing of positioning and the duration of maintaining in the same position, and the measurement times of gastric residual volume made it difficult to reach a definitive proof. We concluded that high-evidence studies evaluating all positions are needed.Yayın Hemşirelik fakültesi son sınıf öğrencilerinin çocuk haklarına ilişkin tutumlarının belirlenmesi(Haliç Üniversitesi, 2022) Erkut, Zeynep; Saygın, Buse; Afşar, Nevzat; Yıldız, SuzanBu araştırmanın amacı hemşire adaylarının çocuk haklarına ilişkin tutumlarını belirlemek ve sosyo-demografik özelliklerle ilişkisini incelemektir. Tanımlayıcı ve ilişki arayıcı türde gerçekleştirilen araştırmanın evrenini, İstanbul’da bulunan bir hemşirelik fakültesinin son sınıfında 2017-2018 eğitim-öğretim yılı güz döneminde öğrenim gören 302 öğrenci oluşturdu. Araştırmanın örneklemini verilerin toplandığı sırada okulda bulunan ve araştırmaya gönüllü katılmayı kabul eden 159 öğrenci oluşturdu. Verilerin toplanmasında “Bilgi Formu” ve “Çocuk Hakları Tutum Ölçeği (ÇHTÖ)” kullanıldı. Verilerin analizinde tanımlayıcı metotlar, Mann Whitney U testi, Kruskal Wallis testi ve Pearson testi kullanıldı. Öğrencilerin ÇHTÖ puanları yüksek (66-110) olup ortalaması 104,77±6,2 idi. Öğrencilerin sosyo-demografik özellikleri ve çocuk haklarına yönelik eğitim alma durumları ile ÇHTÖ puan ortalaması arasında istatistiksel olarak anlamlı bir ilişki saptanmadı (p>0,05). Araştırmamızda öğrencilerin çocuk haklarına yönelik tutumlarının olumlu olduğu ve sosyo-demografik özelliklerinin tutumlarını etkilemediği görüldü. Hemşire adaylarının çocuk haklarına yönelik tutumlarının belirlenmesi amacıyla daha büyük örneklem gruplarında başka çalışmaların yapılması önerilebilir.Yayın Hemşirelik öğrencilerinin COVID-19 aşısına ilişkin görüşleri: tanımlayıcı, kesitsel bir çalışma(Online Türk Sağlık Bilimleri Dergisi, 2022) Köse, Selmin; Erkut, Zeynep; İncekar, Müjde Çalıkuşu; Savaşer, SevimAmaç: Bu araştırmanın amacı hemşirelik öğrencilerinin COVID-19 aşısına ilişkin görüşlerini belirlemektir. Materyal ve Metot: Tanımlayıcı, kesitsel tasarımda olan bu araştırma İstanbul’da bulunan dört üniversitenin hemşirelik bölümünde öğrenim gören 1008 öğrenci ile gerçekleştirildi. Veriler “Bilgi Formu’’ aracılığıyla online olarak toplandı. Bulgular: Araştırmada öğrencilerin %85,7’sinin COVID19 aşısı olmadığı, aşı olmayan öğrencilerin ise %44,8’inin aşı yaptırmayı düşünmediği veya karasız olduğu bulundu. Öğrencilerin COVID-19 aşısı yaptırmayı düşünmeme veya kararsızlık nedenleri arasında en sık; aşının çok hızlı sürede üretilmiş olması, aşının koruyuculuğuna veya içeriğine güvenmeme, aşı hakkında yeterli bilgi sahibi olmama olduğu belirlendi. Öğrencilerin sınıf düzeyi (p= 0,000), üniversite türü (p= 0,000), COVID-19 hastalığı (p = 0,028) ve aşısı (p= 0,000) ile ilgili bilgi düzeyleri ile aşı yaptırmayı düşünme durumları arasında anlamlı fark olduğu belirlendi. Sonuç: Öğrencilerin çok az bir bölümünün aşı olduğu, aşı olmayan öğrencilerin yarısına yakınının aşı olmayı düşünmediği veya kararsız oldukları belirlendi. Öğrencilerin COVID-19 aşısına bakış açısını belirlemek çok disiplinli eğitim stratejilerinin planlanmasında yardımcı olabilir.Yayın Nursing Students' Knowledge Level on Identification and Risks of Child Abuse and Neglect: A Descriptive Study(2021) Gözen, Duygu; Erkut, Zeynep; Besirik, Selda AtesAim: The aim of this study was to determine the knowledge levels of nursing department final year students to diagnose the symptoms and risks of child abuse and neglect and to investigate their relationship with sociodemographic characteristics. Methods: The study was conducted with the senior students of the nursing department of a nursing faculty in İstanbul and a faculty of health sciences in Konya. 326 students partici- pated in the study. “Information Form” and “Scale for Diagnosing Symptoms and Risks of Child Abuse and Neglect” were used for data collection. Data were evaluated with mean, standard deviation, frequency, Student t test, One Way ANOVA test, Pearson Correlation, and Regres- sion analysis. Results: The average score of the students was 3.55 ± 0.29. The lowest score (2.96 ± 0.38) was obtained from the sub-dimension of the Characteristics of Abuse and Neglected Children; they received the highest scores Symptoms of Neglect (3.97 ± 0.50); Physical Symptoms of Abuse and Neglect in Children (3.70 ± 0.37). Conclusion: When the level of knowledge of abuse and neglect was compared with the maximum score of 5.0 in each subscale and total scale score, the level of knowledge of the students was not at the desired level. It may be suggested to make interventions (such as integrating into courses, opening elective courses) in the curriculum to increase the knowl- edge levels of students about the symptoms and risks of child abuse and neglect
