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    Awareness about abuse of parents who have children with epilepsy
    (Kare Publishing, 2021) Söyünmez, Selin; Zülkar, Yeşim; Turan, Fatma Dilek; İşler Dalgıç, Ayşegül
    Objectives: The aim of the study was to evaluate of awareness about abuse and related situations of parents who have 4-6 age group children with epilepsy. Methods: The study included 204 parents with children diagnosed with epilepsy who applied to Akdeniz University Hospital Pediatric Neurology, Antalya Education-Research Hospital Pediatric Clinics between 15 January 2019 and 10 March 2020. The data were collected through a questionnaire form created in line with the literature, the "Abuse Awareness Scale for Parents" developed by Pekdogan. High scale scores indicate that parents' awareness of abuse is high. Written consent from Akdeniz University Faculty of Medicine Clinical Research Ethics Committee, institutions, scale owners, informed consent was obtained from parents. Results: Parents who have children with epilepsy have a moderate awareness of abuse. About 89.2% of the parents are mothers. Abuse awareness scores are 56.911 +/- 4.714. Fathers, parents who have girls have higher awareness of abuse. As the child's mental disability increases (slightly to heavy), parents' awareness of abuse also increases. Parents with high levels of abuse awareness described risky persons as familiar people, neighbors, foreigners, risky environments as educational institutions, go on a visit to, public transportation, and risky situations as child's seizure, age, degree of mental disability, and abuser's alcohol-substance use. Conclusion: It is disappointing that important action-environments in Turkish culture pose a risk of abuse. It is attention getting that the education institutions are found to be risky by parents and the health professionals are not expressed in the prevention of abuse. Health-care professionals should inform children with epilepsy and their parents about child abuse.
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    Çocuk sağlığı ve hastalıkları hemşireliği dersini alan hemşirelik öğrencilerinin kavram haritasına ilişkin algıları: bir metafor çalışması
    (Aksaray Üniversitesi, 2022) Turan, Fatma Dilek
    Araştırma ile Çocuk Sağlığı ve Hastalıkları Hemşireliği dersini alan hemşirelik öğrencilerinin kavram haritasına ilişkin algılarının metafor aracılığıyla ortaya çıkarılması amaçlanmıştır. Araştırmada nitel araştırma yöntemlerinden olgu bilim deseni kullanılmıştır. Araştırmanın örneklemini kavram haritasına dayalı eğitim alan ilk ve tek grup olan, 2020-2021 Eğitim Öğretim Yılı Bahar Yarıyılında Çocuk Sağlığı ve Hastalıkları Hemşireliği Dersini alan hemşirelik öğrencileri oluşturmuştur. Dersi alan 103 öğrenciden 53’ünün katılımı ile araştırma tamamlanmıştır. Veriler Öğrenci Bilgi Formu ve kavram haritası algılarını sorgulayan, “Kavram Haritası… gibidir, çünkü…” metafor cümlesi kullanılarak toplanmıştır. Veriler içerik analiz tekniğiyle çözümlenmiştir. Öğrencilerinin %75,47’si kız ve yaş ortalaması 22,21±3,23 yıldır. Öğrenciler “Kavram Haritası” algısına yönelik 32 metafor oluşturmuştur. Frekansı en yüksek metaforlar “yapboz (f=7)”, “puzzle (f=6), “örümcek ağı (f=4) ve “soy ağacı (f=3)” dır. Tüm metaforlar yedi kategoride toplanmıştır. Bu kategoriler; “bütünlük”, “yol gösterme”, “bağlantı”, “başlangıç”, “merkez”, “kontrol” ve “alışkanlık/besin” kategorileridir. Araştırmanın örneklemini oluşturan öğrencilerin ağırlıklı olarak “kavram haritası”na ilişkin olumlu metaforik algılara sahip oldukları belirlenmiştir.
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    Development of a conceptual framework for a Virtual Reality-based Seizure management education program for parents (VR-ESMEPP)
    (Academic Press Inc., 2022) Turan, Fatma Dilek; İşler Dalgıç, Ayşegül; Duman, Özgür
    Parents of children with epilepsy need support when managing epileptic seizures outside medical-care-center-settings. Previously developed training programs only provide information-based support. Therefore, within the scope of the VR-ESMEPP, a conceptual framework was developed in this study with the aim of developing parents’ skills and motivation as well as providing them information regarding seizure management. Methods: The conceptual framework of the VR-ESMEPP was developed in four steps. In step 1, a scenario was developed wherein a pediatric patient with epilepsy is having a seizure. The selected seizure type was “Focal to bilateral tonic-clonic” seizure, which is the most common and most skill-intensive type of tonic–clonic-seizure. In step 2, data collection tools related to epileptic seizure management were developed for parents. These tools included Child and Parent Introductory Form, Parental Information Assessment Form for Epileptic Seizure Management, and Parental Skills Assessment Form for Epileptic Seizure Management. In step 3, the conceptual framework and data collection tools developed were confirmed by a group of 10 specialists consisting of physicians and pediatric nurses working in the field of pediatric neurology. In step 4, the epileptic-pediatric-patient-scenario and data collection tools confirmed by experts were programmed into an application by a software company and integrated into virtual reality headsets. Results: VR-ESMEPP with the conceptual framework described in the present study is a valid virtual reality-based program, which can be carried out under nurses’ supervision and used to provide epilepsy-related education to parents. Significance: VR-ESMEPP helped parents increase their knowledge and skills of epileptic seizure.
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    Effect of educational interventions on level of epilepsy knowledge in children with epilepsy and parents: Systematic review and meta-analysis
    (Wiley, 2023) Turan, Fatma Dilek; Yangöz, Şefika T.
    Aim and Objectives The aim of the study was to synthesise the effect of educational interventions on the level of epilepsy knowledge in children with epilepsy and parents. Background Educational interventions are commonly used to provide knowledge about epilepsy management. One of the most important responsibilities of nurses is to inform children with epilepsy and parents in a skilful way. Design Systematic review and meta-analysis based on PRISMA 2020. Methods We searched CINAHL, Cochrane Library, Science Direct, Web of Science, Ovid, PubMed, Scopus, Springer Link, ProQuest, TR Index ending March 2021. The review followed the PRISMA guidelines. This meta-analysis was analysed in Comprehensive Meta-Analysis version 3 software. The risk of bias of included studies was assessed with the Cochrane handbook. The results were the level of epilepsy knowledge of children and parents. Results Ten studies meeting the inclusion criteria were included in this meta-analysis, including four randomised studies and six non-randomised studies. Educational interventions had large effect on improving the level of epilepsy knowledge in children with epilepsy (p < .001, Hedge's g = 1.19) and parents (p < .001, Hedge's g = 1.41). As a result of the subgroup analyses, significant differences were found only in the type of educational intervention. It was found that traditional education is more effective than technology-based education in improving the level of epilepsy knowledge in parents (p = .005, Hedge's g = 1.77). Conclusion Educational interventions have high and beneficial effect on the level of epilepsy knowledge in the children with epilepsy and parents; can be used as effective interventions in the epilepsy management. However, due to low number of randomised controlled studies, further high-quality randomised controlled studies are needed about this topic. Relevance to clinical practice The findings will contribute to the use of educational interventions in the epilepsy management for health professionals, especially nurses. Thus these interventions will contribute to improving epilepsy management of children with epilepsy and parents.
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    Effects of a structured online educational program course on nursing students' attitudes toward gender roles and women and children's violence abuse reports: A quasi-experimental evaluation
    (Elsevier, 2022) Turan, Fatma Dilek
    Background: It is important to know the rights of women and children while shaping attitudes toward gender roles, violence against women, and reporting child abuse. To shape attitudes toward reporting abuse, women's and children's rights courses should be integrated into undergraduate nursing curriculum. It is important to develop positive attitudes of nursing students toward gender roles, violence against women, and reporting child abuse. Objectives: The aim of the study was to evaluate the effects of a "women's-children's rights" online-educational program in a nursing curricula. Design: A pretest-posttest follow-up with a control group quasi-experimental trial. Settings: Nursing department of the state university in Turkey. Participants: Fourth-year students (N = 62) of a nursing department at the state university in Turkey constituted the study sample. The students were divided into two groups: education and control groups with each group comprising 31 fourth-year nursing students. Methods: The education group took the women's-children's rights online-course, whereas the control group did not. In both groups, baseline assessments were performed online using the "Gender Roles Attitude Scale," "Violence Against Women Attitude Scale," and "Healthcare Provider Attitudes Toward Child Maltreatment Reporting Scale." The posttest (T1) was conducted immediately after the 14-week course was completed. Follow-up was performed after 1 month (T2). Numbers, percentages, chi-square test, t-test, Kolmogorov-Smirnov test, Pearson's correlation, and Duncan's test were conducted using SPSS 20.00 software. Results: The education group's scores of attitudes toward gender roles, violence against women, and reporting child abuse/neglect were significantly higher than those of the control group (p < 0.05). After the online program, a significant difference between the groups and between the measurements was observed in the education group (p < 0.05). Conclusions: The women's-children's rights online-course is an effective method in educating and enriching nursing students on women's and children's rights.
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    Hemşirelik dördüncü sınıf öğrencilerine verilen aile planlama ve cinsel eğitim dersinin öğrencilerin cinsel eğitime yönelik tutumları ve kadına ilişkin “namus” anlayışı ile ilgili tutumları üzerine etkisinin değerlendirilmesi: yarı deneysel çalışma
    (Aksaray Üniversitesi, 2021) Turan, Fatma Dilek
    Hemşirelik öğrencilerine verilen “Aile Planlama ve Cinsel Eğitim” online dersinin, öğrencilerin cinsel eğitim ve kadına ilişkin “namus” anlayışına yönelik tutumlarına etkisinin değerlendirildiği araştırma, yarı-deneysel türdedir. Ekim 2020-Şubat 2021 tarihleri arasında yapılmıştır. Aksaray Üniversitesi Hemşirelik bölümünde eğitim görüp “Aile Planlama ve Cinsel Eğitim” dersini online olarak alan öğrenciler eğitim grubunu, aynı sınıfta olan ancak dersi almayan öğrenciler kontrol grubunu oluşturmuştur. Her iki grupta ön-test ölçümleri “Öğrenci Tanıtım Formu”, “Cinsel Eğitime Yönelik Tutum Ölçeği” ve “Kadına İlişkin Namus Anlayışı Tutum Ölçeği” ile yapılmıştır. Ön-testin ardından eğitim grubu 14 hafta boyunca “Aile Planlama ve Cinsel Eğitim” dersini online olarak alırken, kontrol grubuna eğitim verilmemiştir. Dersin tamamlanmasından hemen sonra her iki gruba son-test yapılmıştır. Ön-test, son-test ölçümleri her iki gruba eş-zamanlı ve aynı ölçüm araçlarıyla uygulanmıştır. Ön-testlere gruplar arası anlamlı fark bulunmazken, son-testlerde eğitim grubunun ölçek puan ortalamaları, kontrol grubununkinden anlamlı ölçüde yüksek bulunmuştur (p = 0.000). “Aile Planlama ve Cinsel Eğitim” isimli online ders öğrencilerin cinsel eğitime ve kadına ilişkin namus anlayışına yönelik tutumlarını yükseltmede etkindir.