Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleYalnız künye2026Surrogate Trauma in Nurses Providing Pediatric Palliative Care: A Phenomenological Study
Oğuzhan, Hatice; Akay, Gamze; Uzun, Sevda; Koç, Elif Simay; Öncer, Aysun
The aim of this study was to deeply examine the experiences of proxy grief among nurses providing pediatric palliative care. This qualitative phenomenological study was conducted with 16 nurses working in the pediatric ward of a hospital located in the northern region of the country. Data were analyzed using Colaizzi’s phenomenological analysis method. The analysis revealed 3 themes (challenges experienced while caring for children in palliative care; secondary trauma and coping processes; proxy trauma and professional resilience) and 9 sub-themes (emotional strain during care, establishing an empathetic bond, emotional exhaustion, traumatic experiences, seeking psychological support, religious coping methods, developing a professional approach, resilience and acceptance, and motivation to continue in the profession). The study found that nurses providing pediatric palliative care experienced significant psychosocial stress. Pediatric nurses were particularly challenged emotionally when caring for palliative patients. In this context, it is important to develop stress-coping skills to help nurses manage vicarious trauma. Strengthening nurses psychologically and spiritually will positively impact their professional lives, which in turn will enhance the quality of care they provide.
- MakaleAçık Erişim2026Examination of Post-Traumatic Stress Reaction, Quality of Life, and Loneliness Levels in Adolescents Who Experienced an Earthquake
Akay, Gamze; Koç, Elif Simay; Oğuzhan, Hatice
The aim of this study is to investigate the relationship between post-traumatic stress, quality of life, and loneliness levels in adolescents following the earthquakes centered in Kahramanmaraş. The research, designed as descriptive and correlational, was conducted with 701 children aged 13–18 who experienced the earthquake in Kahramanmaraş. Data were collected through a Demographic Information Form, the Child Post-Traumatic Stress Reaction Index, the Pediatric Quality of Life Inventory, and the UCLA Loneliness Scale-Short Form. Ethical principles were adhered to throughout the study. Female adolescents were found to have higher levels of post-traumatic stress (t = 3.508, p < 0.001) and lower quality of life (t = 4.223, p < 0.001). The adolescents exhibited severe levels of post-traumatic stress (55.25 ± 13.80). It was determined that the mother’s education level (F = 4.423, p = 0.002), the father’s occupation (F = 2.859, p = 0.036), and perceived income level (F = 5.912, p = 0.003) significantly influenced adolescents’ loneliness levels. The father’s occupation (F = 3.403, p = 0.017) was found to have a significant effect on post-traumatic stress levels, and perceived income level (F = 4.753, p = 0.009) had a significant effect on quality of life. A moderate negative correlation was found between post-traumatic stress levels and quality of life (r = −0.474, p < 0.001), and a weak positive correlation was observed between post-traumatic stress and loneliness levels (r = 0.215, p < 0.001). A weak negative correlation was also found between quality of life and loneliness levels (r = −0.284, p < 0.001). A moderate negative correlation was found between adolescents’ post-traumatic stress levels and quality of life, while a weak positive correlation was observed between post-traumatic stress levels and loneliness. It is recommended to provide psychological support and guidance services aimed at reducing post-traumatic stress and loneliness levels in adolescents.
- MakaleAçık Erişim2025Mandala coloring reduces anxiety and pain in circumcised children: A randomized controlled trial
Akay, Gamze; Koç, Elif Simay; Oğuzhan, Hatice
Background: Boys often experience significant fear and anxiety before the circumcision procedure, and postoperative pain is linked to increased fear and anxiety in children. Objectives: The aim of this study was to determine the effect of mandala coloring on fear, anxiety, emotional symptoms and postoperative pain of circumcised children. Methods: This randomized controlled trial was conducted in the pediatric clinic of a state hospital in eastern Turkey. Children were divided into two groups using a computer program: Group 1 (control) included children with no intervention (n = 40), and Group 2 (mandala coloring) included children who received mandala coloring (n = 38). Statistical analyses were performed using the Kolmogorov-Smirnov test to assess the normality of the data, the chi-squared test to compare categorical variables between groups, the paired samples t-test for within-group comparisons, the independent samples t-test for between-group comparisons, and mixed model repeated measures ANOVA (rANOVA) to evaluate the temporal changes in pain and anxiety scores across groups. Findings: Children's fear, anxiety, emotional symptom, and postoperative pain scores were similar in all groups before the nursing intervention, and the fear, anxiety, and emotional symptom scores of the mandala painting intervention group were statistically lower than the control group after the nur csing intervention. The pain scores of the children in the mandala coloring group were lower than the control group after surgery. Conclusion: Mandala coloring intervention can be used to reduce emotional symptoms, fear, anxiety and postoperative pain in children aged 6–12 years undergoing circumcision.