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    The Effect of Nursing Students' Liking of Children and Attitudes Toward Clinical Practice on Their Comfort and Worry Levels in the Pediatric Clinic
    (Taylor & Francis Inc, 2024) Kudubes, Asli Akdeniz; Zengin, Hamide; Ayar, Dijle; Bektas, Ilknur; Bektas, Murat
    This research was conducted as a descriptive and cross-sectional study to determine the effects of nursing students' liking of children and attitudes toward clinical practice on their comfort and worry levels in the pediatric clinic. The research was carried out with 270 nursing students who had already taken or were taking the child health and diseases nursing course. Data were collected using a Nursing Student Information Form, the Barnett Liking of Children Scale, the Nursing Students' Attitudes toward Clinical Practices Scale, and the Pediatric Nursing Student Clinical Comfort and Worry Assessment Tool. Mean values, percentage calculations, and linear regression analysis were used for the analysis of the research data. Participants' mean scores were 52.30 +/- 6.16 on the Barnett Liking of Children Scale, 103.72 +/- 19.35 on the Nursing Students' Attitudes toward Clinical Practices Scale, 15.61 +/- 3.74 on the comfort sub-dimension, and 11.63 +/- 4.32 on the worry sub-dimension of the Pediatric Nursing Student Clinical Comfort and Worry Assessment Tool. It was determined that the liking of children and attitudes toward clinical practice explained 43.6% of the clinical comfort level of pediatric nursing students in Model 1 and 45.2% of their clinical worry level in Model 2. It was determined that the liking of children and attitudes toward clinical practice significantly affected the comfort and worry levels of nursing students in the pediatric clinic.
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    The level of nursing students' self-regulated learning and academic locus of control predicting self-confidence and anxiety in clinical decision-making
    (Churchill Livingstone, 2025) Bektas, Lknur lknur; Kudubes, Asli Akdeniz; Ayar, Dijle; Bektas, Murat
    Aim: This study examined the extent to which nursing students' self-regulated learning and academic locus of control predict self-confidence and anxiety in clinical decision-making. Design: This study was a cross-sectional, descriptive, and correlational study. Methods: The study sample was 627 undergraduate nursing students. Data were collected with the Student Introductory Information Form, Self-Regulated Learning Scale for Clinical Nursing Practice, Academic Locus of Control Scale, and Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM). Multiple linear regression analysis evaluated the predictive level of the variables on the self-confidence and anxiety scale subscale scores in clinical decision-making. Results: The external locus of control and learning strategies significantly explain all sub-dimensions of the selfconfidence scale in clinical decision-making. The internal locus of control and learning strategies meaningfully explain the sub-dimensions of the anxiety scale in clinical decision-making using resources to obtain information, fully listening, and knowing and taking action. Conclusion: Self-regulated learning levels of nursing students affect clinical decision-making. It was determined that students with an internal locus of control had higher self-confidence in clinical decision-making and lower anxiety levels.
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    THE PREDICTION OF HEALTH LITERACY OF PARENTS WHO HAVE CHILDREN WITH CANCER ON THEIR HEALTHCARE SATISFACTION
    (Dokuz Eylul Univ Inst Health Sciences, 2024) Kudubes, Asli Akdeniz; Bektas, Ilknur; Ayar, Dijle; Bektas, Murat
    Purpose: This study was a descriptive and cross-sectional study to examined the prediction of health literacy of parents having children with cancer on the healthcare satisfaction. Material and Methods: The descriptive and cross-sectional study was conducted between January and May 2019 and included 207 parents who had children treated at the pediatric hematology -oncology unit of a university hospital. A parental information form, the Health Literacy Index, and the Pediatric Quality of Life (PedsQL) Inventory Healthcare Satisfaction Hematology/Oncology Module parental report was used to collect the data. Percentage calculations, mean values, Pearson's correlation analysis, linear regression analysis, and multiple correlation analysis were used to analyze the data. Results: According to the relationship between variables in regression analysis, five models were created. Each subscale in the Health Literacy Index was identified as a separate model. In the last model, the effect of the total score of the Health Literacy Index on PedsQL Healthcare Satisfaction Hematology/Oncology Module was determined. According to these models, healthcare satisfaction increased as the health literacy subdimension scores and total scores increased. Increased scores of the Health Literacy Index were found to promote healthcare satisfaction. Conclusion: The ability of parents to manage their children's disease process and daily life activities becomes better as their health literacy levels increase.
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    Therapeutic communication skills level among students undertaking the pediatric nursing course and the associated influencing factors
    (Elsevier Science Inc, 2023) Kudubes, Asli Akdeniz; Ayar, Dijle; Zengin, Hamide
    Aim: The present study to determine the level of therapeutic communication skills among the students undertaking the pediatric nursing course and explore the associated influencing factors. Methods: This descriptive cross-sectional study was conducted with 140 nursing students who took the pediatric nursing course. Data were collected using a Nursing Student Information Form and the Therapeutic Communication Skills Scale for Nursing Students. The mean and percentage calculations, t-test, ANOVA test, and regression analysis were conducted to analyze the correlations between the participants' descriptive characteristics and their mean scores on the scales. Results: The participants' mean scores obtained on the total Therapeutic Communication Skills Scale for Nursing Students and all of its subdimensions were observed to have a statistically significant correlation with variables such as gender, grade point average, willingness to select the nursing department, satisfaction with the nursing department, difficulty in establishing communication, perceived ability to establish social relations, difficulty in communicating with a child, perception of childhood life, experience with child care, fondness for children, interest in playing therapeutic games with children, and perceived ability to communicate with children. In Model 1, certain descriptive characteristics (satisfaction with the nursing department, difficulty in communicating with a child, experience with child care, interest in playing therapeutic games with children, and perceived ability to communicate with children) explained 52.4% of the therapeutic communication skills scores of the pediatric nursing students and were statistically significantly. Conclusions: In this study, it was determined that some of the descriptive characteristics of the students who took the pediatric nursing course had a significant effect on their therapeutic communication skills. Implications for practice: In order to develop the therapeutic communication skills of students undertaking a pediatric nursing course, it is necessary to support these students with a standard curriculum that includes student-centered, innovative, and interactive educational methods, such as role play, case analysis, and video-based learning. It is also recommended to conduct comparative studies on different educational approaches for nursing students undertaking pediatric nursing courses or meta-analyses to evaluate the effectiveness of such approaches.