Browsing by Author "Boztepe, Handan"
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Article Citation Count: 0-(2022) Boztepe, Handan; Boztepe, Handan; Özcebe, Hilal; NursingAmaç: Bu çalışmada, adölesan yaş grubundaki e-sağlık okuryazarlık düzeylerinin, adölesan karar verme süreçleri ile\radölesanların ve ebeveynlerin sosyal ve ekonomik belirleyicileri ile ilişkisinin ortaya çıkarılması amaçlanmıştır.\rMethods: Katılımcılar Türkiye’deki farklı sosyoekonomik yerleşimlerdeki liselerin 9-12. sınıflarında okuyan 14-18 yaş\rgrubudur. Veriler, adölesanların ve ebeveynlerinin sosyo-demografik özelliklerine ilişkin sorulardan oluşan veri toplama\rformu, Ergen Karar Verme Ölçeği ve Adölesanlar için E-Sağlık Okuryazarlığı Ölçeği kullanılarak toplanmıştır. Veriler, 14 ila\r18 yaşları arasındaki 1.082 adölesandan toplanmıştır.\r Results: Adölesanların yaşı, ailenin aylık geliri, karar verme puanları arttıkça e-sağlık okuryazarlığı düzeyi artmaktadır.\rAdolesanların ekonomik durumu ve yaşı, e-sağlık okuryazarlığını oluşturan temel faktörlerdir.\rConclusions: Adölesanlara güvenilir sağlık bilgilerini nasıl bulacaklarını ve kendi sağlıklarını korumak için uygun\rkararları nasıl alacaklarını öğretmeyi amaçlayan e-sağlık okuryazarlığı eğitiminin acilen iyileştirilmesine ihtiyaç vardır.\rGelişmekte olan ülkelerde hükümetlerin sosyal politikaları olarak düşük sosyoekonomik statüdeki ergenlere e-sağlık bilgi\rokuryazarlığı ve hizmetleri sağlanmalıdırArticle Citation Count: 0Annelerin Evde Reçetesiz İlaç Kullanma Durumlarının Farklı Sosyoekonomik ve Sağlık Okuryazarlık Düzeylerine Göre İncelenmesi(2022) Boztepe, Handan; Boztepe, Handan; NursingAmaç: Bu çalışmanın amacı, farklı sosyoekonomik düzey ve sağlık okuryazarlık düzeyine göre annelerin çocuklarına evde reçetesiz\rilaç kullanım durumunu ve etkileyen faktörleri incelemektir. Gereç ve Yöntem: Kesitsel tanımlayıcı desende olan bu araştırma\rfarklı sosyoekonomik düzeyde yer alan (düşük-orta-yüksek) üç aile sağlığı merkezinde Eylül 2018- Şubat 2019 tarihlerinde\ryürütülmüştür. Araştırmanın örneklemini araştırma kriterlerine uygun olan 0-18 yaş grubu çocuğa sahip 300 anne oluşturmuştur.\rVeriler “Veri Toplama Formu” ve “Yetişkin Sağlık Okuryazarlığı Ölçeği” ile toplanmıştır. Bulgular: Düşük sosyoekonomik\rgrubunda yer alan annelerin çocuklarına evde reçetesiz ilaç kullanma düzeylerinin yüksek olduğu belirlenmiştir. Annelerin sağlık\rokuryazarlık puan ortalamaları ile sosyoekonomik düzeyleri arasında anlamlı bir ilişki bulunmuştur (p<0.000). Düşük\rsosyoekonomik grubunda yer alan, çocuklarına evde reçetesiz ilaç kullanan annelerin sağlık okuryazarlık puan ortalamaları, reçetesiz\rilaç kullanmayan annelere göre daha düşüktür (p=0.041). Çocuğun yaşının (OR=1.01, p=0.045), annenin düzenli ilaç kullanma\rdurumunun (OR=2.11, p=0.014) ve çocuğa ilaç vermeden önce prospektüsü okuma durumunun (OR=3.14, p=0.005) annelerin\rreçetesiz ilaç kullanımını etkilediği belirlendi. Sonuç: Bu araştırma düşük sosyoekonomik ve sağlık okuryazarlık düzeyinin\rannelerin çocuklarına evde reçetesiz ilaç kullanma durumuna yol açabileceğini vurgulamıştır. Annelerin reçetesiz ilaç kullanmasına\retki eden faktörleri göz önünde bulunduran ve sağlık okuryazarlık düzeylerinin arttırılmasını hedefleyen eğitim programları ile\rreçetesiz ilaç kullanımı azaltılabilir.Article Citation Count: 0Anxiety and Depression After Cesarean: Non-pharmacological Evidence Based Practices;(Dokuz Eylul University, 2022) Terzioğlu, Füsun; Gençbaş, Dercan; Boztepe, Handan; Doğu, Nilgün; Akdeniz, Canberk; Yüceer, Buğse; NursingThe purpose of this review is to examine the non-pharmacological evidence-based practices of anxiety and depression after a cesarean section delivery. Postpartum anxiety and depression have increased in the last decade, the rates of postpartum depression are around 13% worldwide. In the postpartum period, women may experience anxiety and depression due to the operation they have undergone; such as being in an unfamiliar environment, facing new technological equipment and encounters with the medical teams, the post-operative pain, the new roles women undertake as mothers. One of the factors that increase anxiety and depression in the postpartum period is the type of delivery. In Turkey, the rate of cesarean delivery is comparatively high, which is approximately 52%. Anxiety and depression after cesarean section develop due to fear and concern such as the complications that may occur during and after the mother's anesthesia, the possibility delaying breastfeeding her baby, and experiencing pain. Non-pharmacological evidence-based applications such as reiki, acupressure, hand and foot massage, yoga, reflexology, aromatherapy, skin to skin care, nursing care protocols were found to be effective in studies conducted to reduce anxiety and depression after cesarean-section. Nurses who have critical roles and responsibilities in pre-and post-cesarean care practices are recommended to include these evidence-based non-pharmacological practices in routine care practices. © 2022, Dokuz Eylul University. All rights reserved.Article Citation Count: 0Communication Experiences of Nursing students with Children and Their Families: A Qualitative Study(2023) Boztepe, Handan; Çınar, Sevil; NursingBackground: The clinical setting is often a stressful and anxiety-provoking environment. In particular, caring for pediatric patients causes students to experience anxiety in the clinic. It is extremely important to learn how to communicate effectively with the child’s parents and family members in overcoming this difficulty and providing effective care. Aim: The aim of this study is to determine the communication experiences of students with children and their parents during the clinical education of pediatric nursing course. Methods: The phenomenological approach, which is a qualitative research method, was used in the study. The population of the study comprised fourth-year students from the Faculty of Nursing, who accomplished the pediatric nursing course. The study was con ducted with 15 students, who agreed to participate voluntarily, via in-depth interviews. Results: The themes emerging as a result of the interviews conducted with the students were “difficulties and facilitators,” “family-centered care experiences,” and “acquisitions.” In the study, most of the student nurses stated that they felt fear, restlessness, and anxiety when they first came to the service, and they had difficulty in communicating with the hos pitalized child and the family. The students stated that they had difficulties in communica tion especially due to the age and diagnosis of the children. Conclusion: The study revealed that it is necessary to develop students’ skills of commu nication with children and their families. Accordingly, it is necessary to increase the com munication skills of student nurses by organizing trainings. It is recommended to create interactive environments where student nurses can express their difficulties.Article Citation Count: 0A comprehensive investigation of biopsychosocial determinants influencing primary dysmenorrhea among university students(Routledge Journals, Taylor & Francis Ltd, 2024) Topal, Cansu Akdağ; Boztepe, Handan; Boztepe, Handan; NursingDysmenorrhea, characterized by pain and related symptoms, significantly impacts women's quality of life in work and education, prompting a comprehensive evaluation of associated factors. The objective of this study was to utilize structural equation modeling (SEM) to analyze and assess the biopsychosocial factors influencing dysmenorrhea among university students. Three hundred and thirty-nine university students were included in this cross-sectional descriptive study. Data were collected using the Participant Information Form, the Beck Anxiety Scale (BAS), the Beck Depression Scale (BDS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Adverse Childhood Experiences Scale (ACES), the Pain Catastrophizing Scale (PCS) and the Visual Analogue Scale (VAS). It was determined that the variables of pain onset (t = 3.24, p < .05) and age at menarche (t = -2.16, p < .05) showed a significant relationship with the model. The variables of the PCS (t = 16.87, p < .001), BDS (t = 3.06, p < .05), and BAS (t = 5.13, p < .001) showed a significant relationship with the model. Social factors in the model were examined, and a family history of dysmenorrhea and the ACES variables did not contribute significantly to the model (p > .05). The study indicates primary dysmenorrhea influenced by biological and psychological factors. Nurses should conduct holistic assessments and provide comprehensive care for affected women.Article Citation Count: 0Determining the factors affecting chemotherapy-induced nausea and vomiting in children with cancer(W.B. Saunders, 2023) Boztepe, Handan; Boztepe,H.; Özbay,S.Ç.; Yılmaz,P.; Karadavut,B.; Burhanoğulları,D.; Akyüz,C.; NursingPurpose: We evaluated the factors affecting chemotherapy-induced nausea and vomiting (CINV) in children with cancer. Design and methods: This cross-sectional study was conducted with 62 children aged 9 to 18 years old with a solid tumor who received chemotherapy for the first time, and their parents. Data were collected using a data collection form, the State-Trait Anxiety Inventory for Children, the Beck Anxiety Inventory, the Spielberger State-Trait Anxiety Inventory, and the Baxter Retching Faces Scale. Data were analyzed using Spearman's correlation and logistic regression analyses. Results: Risk factors related to the child, treatment, and parent were examined. Child-related factors were determined as diagnosis (odds ratio [OR] = 5.5), time since diagnosis (OR = 1.9, OR = 4.7), pretreatment anxiety of the child (r = 0.439, r = 0.422), and past experience of nausea and vomiting before treatment (OR = 1.2). Treatment-related factors involved anti-emetic prophylaxis (OR = 4.9, OR = 9.2). Parent-related factors included pretreatment anxiety of the parent (r = 0.271, r = 0.287), accommodation (OR = 5.5), not eating (OR = 1.2, OR = 1.3), and bad smell (OR = 1.2), which were described amongst parents' as factors that trigger CINV. Conclusions: The occurrence of CINV is significantly affected by child-, treatment-, and parent-related risk factors. Practice implications: Pediatric nurses should create an environment for children and their parents to reduce their anxiety and provide basic knowledge and skills about the management of CINV. © 2023 Elsevier Inc.Article Citation Count: 0Development and psychometric analysis of a Pediatric Oncology Nurses' Educational Needs Scale(Wiley, 2023) Boztepe, Handan; Semerci, Remziye; Ozbay, Sevil Cinar; Ay, Ayse; Boztepe, Handan; NursingBackground/objectivesIt is important to determine the educational needs of pediatric oncology nurses in order to maximize and implement nursing care interventions. Therefore, this study aims to develop a valid and reliable measurement tool to determine pediatric oncology nurses' educational needs and examine its psychometric properties. Design/methodsThis methodological study was conducted with 215 pediatric oncology nurses in Turkey between December 2021 and July 2022. Data were collected with the "Nurse Information Form" and "Pediatric Oncology Nurses' Educational Needs Scale." IBM SPSS 21.0 and IBM AMOS 25.0 software programs were used for data analysis, and descriptive statistics were used to analyze numeric variables. Exploration and confirmatory factor analyses were performed to determine the scale's factorial structure. ResultsThe factorial analysis was used to test the structural validity of the scale. A five-factor structure consisting of 42 items was developed. The Cronbach's alpha coefficient for "Illness" was .978, "Chemotherapy and Side Effect" was .978, "Another Therapy and Side Effect" was .974, "Palliative Care" was .967, "Supportive Care" was .985, and the total score was .990. Fit indices resulting from the study were chi(2)/SD: 3.961, root mean square error of approximation (RMSEA): 0.072, goodness-of-fit index (GFI): 0.95, comparative-of-fit index (CFI): 0.96, and normed fit index (NFI): 0.95. ConclusionThe Pediatric Oncology Nurses' Educational Needs Scale is a valid and reliable scale for pediatric oncology nurses to determine their educational needs.Article Citation Count: 0Does the immigration affect prenatal attachment levels?(Routledge Journals, Taylor & Francis Ltd, 2023) Boztepe, Handan; Topal, Cansu Akdağ; Topal, Cansu Akdag; NursingPregnancy is an important period in which mother-infant attachment begins, includes bio-psychological changes, and has physical and psychological effects on the future life of the fetus. This study aims to evaluate the prenatal attachment levels of Syrian refugee and Turkish mothers in Turkey and to determine the variables that affect these. This cross-sectional study conducted in the obstetric outpatient clinics with 397 pregnant women 197 Syrian and 200 native women. Inclusion criteria were a pregnancy of at least 20 weeks, no communication or mental disorders, no chronic diseases, no diagnosis of high -risk pregnancy, literacy in the pregnant Turkish women, Turkish language proficiency in the pregnant Syrian women, and residence in Turkey for at least three years. Data were collected using a Sociodemographic form and The Prenatal Attachment Inventory (PAI). The data were analyzed by conduct-ing independent t-tests, and hierarchical multiple linear regression analysis. The mean prenatal attachment score of Turkish pregnant women (61.79 +/- 8.55) was higher than Syrian women (48.38 +/- 10.39) (p < .05). Education level, pre-pregnancy counseling, regular checkup, support from spouses, relatives, and friends, and being a refugee of pregnant women were determined as predictors of prenatal attachment. The results showed that 67 percent of the total variance in the prenatal attachment levels could be explained in model 2 (F = 35.524, R2 variation = .673, p = .001). The low prenatal attachment level of Syrian pregnant women was a result of the detrimental impacts of being a refugee on pregnancy. The integration of transcultural knowledge, culture-specific perspectives, and cross-cultural theories into clinical practices is essen-tial for immigrant women.Master Thesis Dudak ve damak yarığı olan bebeğe sahip annelerin postpartum depresyon düzeylerinin belirlenmesi(2023) Boztepe, Handan; Boztepe, Handan; Topal, Cansu Akdağ; NursingBu çalışma, dudak ve damak yarığı olan bebeğe sahip annelerin, postpartum depresyon düzeylerinin belirlenmesi amacı ile yapılmış, tanımlayıcı kesitsel türde bir araştırmadır. Çalışmaya Hacettepe Üniversitesi Tıp Fakültesi Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı Polikliniği'nde takip edilen, dudak ve damak yarığı olan bebeğe sahip, araştırmaya dahil edilme kriterlerini karşılayan 150 anne dahil edilmiştir. Veriler 2 Ocak – 1 Nisan 2023 tarihleri arasında anneler ile görüşülerek, Sosyo-demografik Veri Formu ve Edinburgh Postpartum Depresyon Ölçeği aracılığı ile toplanmıştır. Araştırmaya katılan 53 (%35,33) kişinin Edinburgh Doğum Sonrası Depresyon Ölçeğinden 12 ve üzerinde puan aldığı belirlenmiştir. Olası risk faktörlerinden, annenin sigara kullanma durumu, bebeğin tanısını öğrenme zamanı, gebeliği süresince travmatik/üzücü olay yaşama durumu ve bebeğin cinsiyeti, düşük ekonomik düzey istatistiksel açıdan anlamlı bulunmuştur (p<0,05). Dudak damak yarıklı bebeklerin karmaşık tıbbi ve cerrahi müdahaleye maruz kaldıkları göz önüne alındığında, bu bebeklerin annelerinin stres, korku, anksiyete, depresyon gibi durumları daha fazla yaşadığı düşünülmektedir. Bu sebeple dudak damak yarıklı bebeğe sahip anneler doğum sonrası dönemde hemşireler tarafından iyi gözlemlenmeli ve depresyon açısından değerlendirilmelidir. Postpartum depresyon varlığı tespit edilen anneler gerekli birimlere yönlendirilmelidir.Article Citation Count: 1The effects of amniotic fluid and foetal cord blood cotinine concentrations on pregnancy complications and the anthropometric measurements of newborns(Taylor & Francis inc, 2019) Terzioğlu, Füsun; Boztepe, Handan; Erkekoglu, Pinar; Korucu, Asli Er; Kocer-Gumusel, Belma; Kandemir, Omer; NursingOur objective was determining the effects of amniotic fluid (AF) and fetal cord blood (FCB) cotinine concentrations on pregnancy complications and the anthropometric measurements in the newborns whose mothers underwent amniocentesis. This study was conducted as a case-control study, in Turkey. A total of 250 pregnant women with amniocentesis indication were recruited into the study and the cotinine levels in the AF and FCB were determined. A smoking habit did not statistically affect the incidence of pregnancy complications (p>.05). The birth weights of the newborns were negatively correlated with the AF cotinine levels. The incidences of low birth weight, low Apgar scores and RDS were positively correlated with higher levels of cotinine in AF and FCB. It is important for healthcare staff to provide training and consultancy services for the health improvement of pregnant women and the prevention of smoking during pregnancy.Impact statement What is already known on this subject? The pre-pregnancy smoking habit usually continues during the pregnancy. A significant negative correlation was present between the foetal cord blood cotinine levels and the birth weight. What do the results of this study add? The anthropometric measurements of the newborns born from mothers with high AF cotinine levels were lower than newborns born from mothers with low amniotic fluid cotinine levels. Respiratory Distress syndrome is more often determined in newborns born from mothers with high AF cotinine levels.Master Thesis Emzirme öz-yeterliliği, emzirme motivasyonu, benlik saygısı arasındaki ilişkinin incelenmesi(2023) Topal, Cansu Akdağ; Topal, Cansu Akdağ; Boztepe, Handan; NursingEmzirme, doğum sonu dönemde anne bebek arasında bağın hızlıca oluşmasında önemli bir yere sahiptir. Emzirmenin erken dönemde başlaması ve devam etmesinde annelerin emzirme öz-yeterliliği algıları etki gösterir. Bandura'nın öz-yeterlilik kuramından etkilenerek oluşturulan emzirme öz-yeterliliği annelerde oluşan emzirme motivasyonu ve annelerin kendine olan güveninden etkilenmektedir. Bu çalışmada; Emzirme Öz-yeterliliği, Emzirme Motivasyonu Benlik Saygısı Arasındaki İlişkinin İncelenmesi amaçlanmıştır. Tanımlayıcı ve karşılaştırmalı olarak planlanan çalışma Gazi Üniversitesi Hastanesinde 20 Kasım 2022- 1 Mart 2023 tarihleri arasında güç analizi ile belirlenen 260 postpartum dönemdeki anne ile yapılmıştır. Veri toplama aracı olarak, Sosyodemografik Form, Emzirme Öz-yeterlilik Ölçeği, Emzirme Motivasyon Ölçeği, Benlik Saygısı Ölçeği kullanılmıştır. Araştırma sonucunda, emzirme öz-yeterliliği ile emzirme motivasyonu arasında (p<0,05) ve emzirme öz-yeterliliği ile benlik saygısı arasında pozitif anlamlı bir ilişki olduğu belirlenmiştir (p<0,05). Annelere doğum öncesi emzirme eğitimi verilirken eğitim kapsamına annelerin psikolojik sürecini destekleyen programlar da eklenmelidir. Hemşireler, annelere aile ve eş desteği sağlanması için eğitimlere ve uygulamalara aile üyelerininde eklenmesini sağlamalıdır. Anahtar kelimeler: Emzirme öz-yeterliliği, emzirme motivasyonu, benlik saygısı, hemşirelik, emzirmeArticle Citation Count: 0"All in One: Fear, Happiness, Faith" A Qualitative Study on Experiences and Needs of Turkish Mothers of Infants with Congenital Heart Disease(Taylor & Francis inc, 2023) Boztepe, Handan; Ozbay, Sevil Cinar; Boztepe, Handan; Gurlen, Eda; NursingHaving an infant with congenital heart disease (CHD) may cause difficulties and changes in mothers' life. This study was aim to explore the experiences and needs of Turkish mothers of infants with CHD. The study was carried out with the descriptive phenomenological method from qualitative research. The study sample included 18 mothers having infants in the age range of 0 to 2 years with CHD. The data were collected using a sociodemographic data form and a semi-structured interview form. The data obtained from the interviews were evaluated using the content and thematic analysis methods. Four main themes and sub-themes emerged from the qualitative data. "Effect of getting a diagnosis" with two sub-themes (emotional changes and a protective mother-infant relationship), "All emotions in one" with two sub-themes (fearing of death and torn between fear and hope), "Influences on a mother's life" with three sub-themes (forgetting herself, getting away from siblings' lives and relations with spouse), and stressors with three sub-themes (loss of control, physical care and unfulfilled needs). The results of the study provide insight into how Turkish mothers subjectively experience life after CHD. Mothers expected healthcare professionals to support and understand their experiences and needs. Healthcare professionals need to create an environment for mothers to cope with emotional difficulties, gain knowledge and care skills, and adapt to their lives.Article Citation Count: 1Integrating Family-Centered Care to Child Health and Diseases Nursing Course via Distance Education(Taylor & Francis inc, 2023) Boztepe, Handan; Ozbay, Ozkan; Boztepe, Handan; NursingThe aim of this study was to determine the impact of an online Child Health and Diseases Nursing course emphasizing family-centered care upon the perceptions of nursing students toward family-centered care. A one-group pretest-posttest model was used in this study. The research participants consisted of 88 students studying at X University, Faculty of Health Sciences, Department of Nursing. While 67.1% of the students stated that there were obstacles in implementing family-centered care, 73.9% stated that there were no facilitating elements in implementing of family-centered care. A statistically significant difference was found between the mean scores of the students' posttest family-centered care attitude and parents' attitude at the end of the training. This study provides insights into family-centered care, which could be used in crafting policies and interventions in nursing education in Turkey. Such insights could foster positive perceptions of family-centered care among student nurses.Article Citation Count: 3Maternal Pain Management at Home in Children with Cancer: A Turkish Sample(Elsevier Science inc, 2020) Boztepe, Handan; Ay, Ayse; Akyuz, Canan; NursingPurpose: The purpose of the present study was to examine maternal pain management in children with cancer and the associated factors. Design and methods: The present work is a descriptive and cross-sectional study. Data for the study were obtained from mothers of children in the age group of 0 to 18 years undergoing treatment for solid tumors in Pediatric Oncology Service and Outpatient Clinics (n = 112 ). We used a questionnaire on parental pain management practices at home, the knowledge about pain and analgesic drugs, Spielberger State-Trait Anxiety Inventory (STAI), and Pain Catastrophizing Scale (PCS) to collect the data. Results: Several mothers taking part in the study reported various misconceptions about the assessment of children's pain, analgesic drugs, and usage of limited non-pharmacological methods for managing pain in children with cancer. No significant relationships were found between mothers' pain management practices, knowledge of pain assessment and analgesic drugs, and mothers' and children's sociodemographic characteristics or mothers' pain catastrophizing and anxiety about their own pain. Conclusions: The findings of the study revealed that the majority of mothers of children with cancer had misconceptions regarding knowledge of pain assessment and analgesic drugs; these misconceptions potentially lead to manage children's pain associated with cancer ineffectively. Findings indicate mothers' information and support needs for children's cancer pain management in the home settings. Practice implications: A further understanding of barriers to parental pain management in children with cancer in the home setting will contribute immensely in developing appropriate management practices. (C) 2019 Elsevier Inc. All rights reserved.Article Citation Count: 1Nursing students' views on trauma-informed pediatric nursing care and family-centered care(W B Saunders Co-elsevier inc, 2023) Boztepe, Handan; Boztepe, Handan; Kanbay, Yalcin; NursingPurpose: We studied the views of nursing students on family-centered care (FCC) and their knowledge, opinions, self-rated competence, current practice, and perceived implementation barriers with regard to trauma-informed pediatric nursing care.Methods: This survey was a descriptive correlational study. The sample consisted of 261 nursing students, 3rd and 4th years, who had completed the Child Health and Diseases Nursing Course. The data were obtained using the "Student Information Form," "Family-Centered Care Attitude Scale," and "trauma-informed care (TIC) Provider Survey."Results: Nursing students were knowledgeable and held favorable opinions about TIC. The survey showed that students with higher levels and those with a hospitalization experience during childhood had higher scores regarding TIC. A positive relationship was found between the students' TIC to mean score and FCC attitude mean score.Conclusions: Nursing students are not competent to practice TIC, especially with pediatric patients. Therefore, they need to develop relevant skills for helping pediatric patients. Practice implications: Efforts to improve nursing students' trauma-informed pediatric care should highlight spe-cific skills related to helping pediatric patients manage emotional responses to difficult medical experiences. By integrating TIC into the baccalaureate curricula, nursing educators can provide the students with appropriate skills and facilities so that they can provide holistic and highly effective care to highly vulnerable patients.Article Citation Count: 15Parenting Stress in Turkish Mothers of Infants With Cleft Lip and/or Palate(Alliance Communications Group Division Allen Press, 2020) Boztepe, Handan; Cinar, Sevil; Ozgur, Fatma Figen; NursingObjective: To explore parenting stress and factors affecting the mothers of infants with cleft lip and/or palate (CL/P) in Turkey. Design and Participants: The study compared mothers of infants born with CL/P (n = 90) with mothers of healthy infants (n = 90). Mothers completed the data collection form, the Parenting Stress Index-Short Form, and the Multidimensional Scale of Perceived Social Support. Results: Mothers of infants born with CL/P had higher mean parenting stress scores than the control mothers. A significant negative relationship was found between social support and parenting stress for mothers of infants born with CL/P but was not related for control mothers. Among mothers with an infant with CL/P, the mean parenting stress scores were higher for mothers preoperatively than mothers responding postoperatively. Among mothers with an infant with a cleft, higher stress was found for diagnosis after birth, not breastfeeding, feeding difficulties, lack of fathers' support, perceived difficult infant temperament, blame, anger, and concern for the future. Conclusion: Parenting stress was higher and social support was lower for mothers of infants with a cleft. Treatment teams can design interventions aimed at factors related to stress, such as addressing feeding issues, teaching coping skills, and linking to social support.Article Citation Count: 0The pediatric provider communication skills assessment scale(Wiley, 2023) Boztepe, Handan; Ozbay, Sevil Cinar; Akcam, Aysun; Kanbay, Yalcin; NursingProblemBuilding rapport and trust between healthcare professional and patient/parents would improve satisfaction of patient/parents. The purpose of this study was to develop "The Pediatric Provider Communication Skills Assessment Scale" in this study. MethodsA trial form, with linguistic and psychometric validation and consisting of 44 statements, was administered to a sample of 325 individuals. Data were collected between January 20 and October 22, 2021. The validity of the scale was concluded after examining its construct validity and internal validity. "Exploratory factor analysis" was used for determining construct validity, and "comparison of lower-upper groups" for internal validity. "Cronbach's & alpha; reliability coefficient" and "split half test consistency coefficient" were calculated for testing the reliability of the scale. FindingsThe Pediatric Provider Communication Skills Assessment Scale that we developed consists of one dimension and 20 items, and the variance it can explain was calculated as 62.3%. The Cronbach & alpha; reliability coefficient of the scale was calculated as 0.90, indicating high reliability. ConclusionsAccording to the findings, "The Pediatric Provider Communication Skills Assessment Scale" is a scale with features that can measure in a valid and reliable way, with high variance and a low number of items. The study aims to develop the "The Pediatric Provider Communication Skills Assessment Scale," and present it to the literature as a validated and reliable new objective measurement tool. This study will enable us to understand more about the complex communication processes involved in pediatric care and how these may influence care delivery.Article Citation Count: 2Predictors of parenting stress in parents of children with cancer(Elsevier Sci Ltd, 2021) Boztepe, Handan; Boztepe, Handan; Ay, Ayse; Yilmaz, Pinar; Gullu, Hafize; Karadavut, Burcu; Akyuz, Canan; NursingPurpose: In the present study, we investigated the parenting stress experienced by parents of children with cancer and the influencing factors. Method: This was a cross-sectional and descriptive correlational study that consisted of parents of 136 children in the age group of 0-18 years who were followed up for cancer in the outpatient clinics and services of a university hospital in Turkey. Parenting Stress Index, Burden Interview, Multidimensional Scale of Perceived Social Support, Marital Life Satisfaction Scale, and Ways of Coping Questionnaire were used to collect the data. Results: No statistically significant difference was found between the parenting stress mean scores and gender of the parents of children with cancer (t = -0.350; P = 0.727). The results of the present study showed that the economic status (t = -4.16; P = 0.000), parents' physical (t = 3.606; P = 0.000) and mental health status after the child is diagnosed (t = 5.647; P = 0.000), accompanying mental health problems of the child (t = 2.567; P = 0.011), and diagnosis of children at a young age (t = -2.776; P = 0.006) increased the parenting stress of the parents. Conclusions: Nursing interventions can reduce parental stress by providing sufficient care and support during the disease process.Master Thesis Türkiye'deki göçmen Suriyeli ve Türk kadınlarda prenatal dönem bağlanma düzeylerinin karşılaştırılması(2022) Boztepe, Handan; Boztepe, Handan; Topal, Cansu Akdağ; NursingHer ebeveynlik beraberinde bir takım sorumlulukları getirmektedir. Doğmuş olan bebeğin; mutlu, huzurlu, başarılı olabilmesi içinebeveynleri ile bebek arasında güvenli bir bağlanmanın kurulmuş olması gerekmektedir. Bu çalışmada; Suriyeli göçmenlerin ve Türk gebe kadınların gebelik döneminde prenatal bağlanma düzeylerini karşılaştırmak, bunları etkileyen faktörleri belirlemek amaçlanmıştır.Tanımlayıcı ve karşılaştırmalı olarak planlanan çalışma Ankara Eğitim ve Araştırma Hastanesinde 08 Eylül- 31 Aralık 2021 tarihleri arasında güç analizi ile belirlenen 197 Suriyeli gebe kadın, 200 Türk gebe kadın olmak üzere toplamda 397 gebe ile yapılmıştır. Veri toplama aracı olarak, Sosyodemografik Form ve Prenatal Bağlanma Envanteri (PBE) kullanılmıştır. Araştırmaya katılan 397 gebenin prenatal bağlanma puan ortalaması 55,22± 11,66 olarak bulunmuştur.Türk (61,79±8,55) katılımcıların prenatal bağlanma puanlarının Suriyeli (48,38±10,39) katılımcılara göre daha yüksek olduğu görülmüştür(p<0,05).Suriyeli gebelerin prenatal bağlanma düzeyinin düşük olmasında göçmen olmanın ve göçün gebelik üzerindeki olumsuzluklarının etkili olduğu düşünülmektedir. Hemşireler göçün insan ve kadın üzerine etkilerini bilmeli; güvenli ve güvensiz bağlanmaya işaret eden durumları erkenden tespit edebilmeli, prenatal dönemde bağlanmayı etkin hale getirerek, bağlanmanın geliştirilmesi için aileye destek olmalıdır.Article Citation Count: 3Unexpected event: Having an infants with cleft lip and/or palate(Wiley, 2021) Boztepe, Handan; Ay, Ayse; Boztepe, Handan; Gurlen, Eda; NursingThis study aimed to determine the difficulties that the mothers of infants with a cleft lip and/or palate (CL/P) go through, the problems they encounter in this process, and how they perceive the support of healthcare professionals, families, and friends. The study used a phenomenological approach from qualitative research methods. The study sample included 18 mothers of 0 to 3-month-old infants with CL/P. The data were collected using socio-demographic information form and semi-structured interview form. The data obtained from the interviews were evaluated using content and thematic analysis approaches. On the basis of the interviews conducted with mothers of infants with CL/P, the following themes emerged: (a) "unexpected event: having an infant with CL/P," (b) "using social media," (c) "stigma," and (d) "uncertainty of long-term treatment." In this study, it was determined that mothers experienced shock, confusion, sadness, and disappointment in this process; therefore, they used social media to seek support from the families as well as conducted research on the disease that involved a lot of uncertainty due to long-term treatments. The present study can help healthcare professionals, who play a role in the care and treatment of infants with CL/P, to understand and know what mothers need in the preoperative period.