Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleYalnız künye2026Development and psychometric evaluation of the healthy internet use scale for adolescents
Özparlak, Arif; Gül, Uğur; Karakaya, Dudu; Efe, Emine
Objective The aim of this study was to develop the Healthy Internet Use Scale for Adolescents (HIUS-A) and examine its psychometric properties in order to evaluate healthy internet use (HIU) among adolescents. Methods The study was conducted according to a methodological, correlational and cross-sectional design. Data was collected between September and December 2025 at three middle schools and three high schools in the province of Antalya, Türkiye. The study used a stratified sampling method, and it was completed with 516 adolescents. The scale's content validity was examined through expert evaluation, and its construct validity was tested through exploratory and confirmatory factor analyses. The reliability of the scale was assessed using Cronbach's alpha coefficient, split-half reliability, and item-total correlations. Results The analyses revealed that HIUS-A exhibited a two-factor structure explaining 49.1% of the total variance. These factors were named “self-control” and “conscious use”. Confirmatory factor analysis findings revealed that the model showed a good level of fit (χ2/sd = 1.450; RMSEA = 0.042; SRMR = 0.039; CFI = 0.981). The internal consistency coefficient was calculated as 0.864 for the total scale, 0.855 for the “self-control” subscale, and 0.711 for the “conscious use” subscale. Conclusion HIUS-A is a valid and reliable ten-item assessment tool for evaluating healthy internet use in adolescents. Implications for practice The scale may be used by nurses and other healthcare professionals to determine HIU levels in adolescents and to evaluate the effectiveness of intervention studies relating to HIU.
- Derleme MakaleAçık Erişim2024Doğum Sonu Erken Dönemde Baba-Preterm Yenidoğan Bağlanmasının Önemi: Geleneksel Derleme
Efe, Emine; Gül, Uğur
Bu derlemenin ilk amacı, literatürde yer alan bağlanma kavramının tanımını hem ebeveyn tarafından hem bebek tarafından açıklığa kavuşturmaktır. Bir diğer amacı ise zamanından erken doğan bebeğe sahip babaların baba-preterm yenidoğan bağlanmasının önemini vurgulamaktır. Zamanından erken doğan pretermlerin hayatta kalabilmeleri için en iyi seçenek Yenidoğan Yoğun Bakım Ünitesi’nde yatmak olarak görülmektedir. Bu süreçte yoğun bakım kuralları nedeniyle babalar ikinci planda kalabilmekte ve bebeklerini oldukça sınırlı bir zaman diliminde görmektedirler. Bu nedenle babalar bebekleri ile yeterli zaman geçiremedikleri için yeterli etkileşime giremez ve baba-preterm yenidoğan bağlanması olumsuz etkilenebilir. Bu derlemede, baba-preterm yenidoğan bağlanmasını olumsuz etkileyen bazı önemli durumlar ele alınmakta ve güncel literatür doğrultusunda derlenmektedir. Yenidoğan Yoğun Bakım Ünitesi’nde görev yapan hemşirelerin/sağlık profesyonellerinin baba-preterm yenidoğan bağlanmasının klinik özelliklerini bilmesi ve bağlanma temelli hemşirelik uygulamalarında bulunması baba-preterm yenidoğan bağlanmasını güçlendirebilir. Preterm doğum nedeniyle Yenidoğan Yoğun Bakım Ünitesi’nde yatışa bağlı preterm preterm-anne-baba üçlüsünün doğum sonu erken dönemde bağlanmasının geliştirilmesi için güncel literatür doğrultusunda bağlanma temelli hemşirelik yaklaşımının önemi vurgulanmaktadır.
- Derleme MakaleAçık Erişim2020A Limited Number of Studies Against Recommended Non-Pharmacological Methods for Pain Relief During Orogastric Tube Insertion: A Review of Literature
Efe, Emine; Cırık, Vildan Apaydın
Orogastric tube (OGT) feeding is a frequently used method to support the feeding of newborns in the neonatal intensive care unit. Studies and international guidelines indicate that OGT insertion causes acute pain in newborns. Non-pharmacological methods are recommended to reduce this pain caused by OGT insertion. These include; swaddling, oral sucrose and positioning. Although these non-pharmacological methods are reported to be effective, a limited number of studies have been found in the literature on non-pharmacological methods used to reduce pain caused by OGT insertion. In Turkey it did not reveal any studies on this subject. Additionally, as the responsibility of the OGT installation and replacement process belongs to the nurses, it is also important that nurses know and practice effective non-pharmacological methods. Considering these reasons; it is thought that this study will help to reveal the deficiency in the literature and provide a basic data to the studies. In this study, we aimed to evaluate the pain caused by OGT insertion procedure which is a painful procedure in preterms, to examine the recommended non-pharmacological methods used to reduce pain and to explain the duty/authority/responsibilities of newborn nurses in pain management.
- MakaleAçık Erişim2020Educating children through their parents to prevent child sexual abuse in Turkey
Apaydın Cırık, Vildan; Efe, Emine; Velipaşaoğlu, Sevtap
Purpose: The aims of this study were to train parents to recognize and prevent child sexual abuse (CSA); evaluate the problems encountered by parents; and evaluate the overall effectiveness of the CSA training program. Design and Methods: The study used a pretest/posttest design. The study was conducted with a sample of 58 children (aged 3-6 years) and 64 parents. Findings: Children who received CSA prevention education from their parents demonstrated improved knowledge about private parts and about what they should do if they suspect sexual abuse. The parents stated that they encountered some problems (other family members objected to the child being given such training). Practise Implications: Children's risk of abuse may be reduced if their parents teach them about CSA correctly.
- MakaleYalnız künye2020The effect of expressed breast milk, swaddling and facilitated tucking methods in reducing the pain caused by orogastric tube insertion in preterm infants: A randomized controlled trial
Apaydin Cirik, Vildan; Efe, Emine
Background: Orogastric tube feeding is used to support the nutrition of preterm infants. Although nonpharmacological methods are effective in reducing the pain caused by orogastric tube insertion, only limited studies have been found addressing this pain. No study has used combined nonpharmacological methods to reduce this orogastric tube insertion pain. Objective: This randomized controlled study aims to compare the effects of expressed breast milk, swaddling, facilitated tucking, expressed breast milk+swaddling, expressed breast milk+facilitated tucking and routine care methods on preterm infant pain and the physiological parameters (i.e., heart rate, oxygen saturation) before, during and after orogastric tube insertion procedures. Design: Randomised controlled trial. Setting: Three level III neonatal intensive care units in Turkey. Method: Preterm infants born at 32–34 weeks gestation were randomly assigned to six groups: routine care (n = 33), swaddling (n = 30), facilitated tucking (n = 32), expressed breast milk (n = 31), swaddling+expressed breast milk group (n = 30), and facilitated tucking+expressed breast milk group (n = 31). Orogastric tube insertion included four phases: baseline (the last one minute of 30 min without stimuli), the insertion, recovery (one minute after insertion), and recovery (two minutes after insertion). The four phases were videotaped. Premature infant pain profile score, heart rate and oxygen saturation were assessed by two independent evaluators who were blinded to the purpose of the study. Data were assessed by analysis of variance for the multiple repeated measurements, bonferroni and generalised estimating equation logistic regression. Results: There was a significant main effect of the intervention groups for all the pain and physiological parameters (heart rate: F = 3.99, p = 0.001; oxygen saturation: F = 5.22, p<0.001; pain profile 1 score: F = 9.55, p<0.001; pain profile 2 score: F = 9.74, p<0.001). The use of the nonpharmacological methods combined or alone was more effective in reducing infants’ pain profile score and physiological variables than routine care. Infants receiving swaddling+expressed breast milk had significantly lower pain profile scores during the insertion (phase2) (5.2 ± 1.7) than those receiving routine care (9.5 ± 3.6), swaddling (8.8 ± 2.9), facilitated tucking (7.2 ± 3.2), expressed breast milk (7.9 ± 2.6), facilitated tucking+expressed breast milk (6.6 ± 2.3) (p<0.001). The breast milk group had 6.195 times more pain than the swaddling+expressed breast milk, while the facilitated tucking group had 6.301, the facilitated tucking+expressed breast milk group had 3.107, the control group had 13.015, and the swaddling group had 7.892 times more pain. Conclusion: The swaddling+expressed breast milk method is clinically better pain relief nonpharmalogical option and is the recommended method to nurses for the orogastric tube insertion procedures, preterm infants.