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This study aimed to describe the experiences of ventilator-dependent children (VDC) in adjusting to school life from the perspectives of their mothers. This study employed a descriptive phenomenological approach. From July 2021 to September 2022, ten mothers of VDC were recruited via purposive sampling and underwent in-depth individual interviews. Data were analyzed using Colaizzi's phenomenological method. This study adheres to the COREQ guidelines for qualitative study. Four themes emerged: (1) the transition and burden of the mother's role; (2) positive adjustment and assessment of resources; (3) develop strategies to meet health and learning needs; (4) expectations for accessible school environments. The mothers extensively assessed and adjusted their coping strategies on a rolling basis to ensure that their children received the resources that met their individual needs, promoted peer interactions, and helped adjustment to school life. The children's improvement and progress surpassed their mothers' expectations and demonstrated the benefits of a school education. Future educational settings should focus on building accessible school environments for special needs children. These findings allow healthcare professionals to assess the needs of VDC at different educational levels and create care plans that meet their healthcare and educational needs. This study also provides a reference for amending policies and regulations on individualized educational programs for VDC and developing guidelines for realizing accessible school environments to help them adjust to school life. • Describe the health and education needs and required resources of the VDC in adjusting to school life. • Mothers collaborated with school staff to ensure VDC gained health and education resources. • It's vital to create accessible school environments that meet the requirements of VDC. [ABSTRACT FROM AUTHOR]

This study was conducted to determine the relationship between mothers' phubbing behaviors and the parental role. The study was conducted as a cross-sectional correlational design with the mothers of 340 babies hospitalized in the pediatric clinics of a training and research hospital in Çorum between March 2023 and September 2023. An introductory information form, the Generic Scale of Phubbing and the Self-Perception of Parental Scale were used in the study. Mothers filled out the data collection forms face to face within 15-20 minutes. It was found that the mean age was 29.65 ± 4.38 years, the mean hours of using social media per day was 6.86 ± 1.64, and the mean hours spent with the baby was 20.40 ± 3.78 for mothers. There was a negative relationship between The Generic Scale of Phubbing- Interpersonal Conflict sub-dimension mean score (−0.264; <0.001), Problem Acknowledgement sub-dimension mean score (−0.118; 0.030) and total mean score (−0.145; 0.007) with the Self-Perception of Parental Scale-Competence sub-dimension mean score. This study found a relationship between mothers' phubbing behavior and their parental roles. It suggests investigating this important issue with different variables. Pediatric nurses can provide training to reduce mothers' phubbing behaviors or develop practices to change phubbing behaviors. • This study provides information on mothers' phubbing behaviors, parental role and the relationship between them. • Social media usage of mothers was determined 6.86 ± 1.64 hours per day. • It was found that as mother phubbing increased, their perception of competence in the parenting role decreased. • Pediatric nurses should educate mothers about the risks that may arise as a result of smartphone use. [ABSTRACT FROM AUTHOR]

This study aims to determine the depression, stress and anxiety levels of mothers with preschool children during the pandemic and to determine their coping strategies with stress. This descriptive study sampled 300 mothers with kindergarten children in the 2021–2022 academic year. The data were collected with a personal information form, The Depression, Anxiety and Stress Scale-21 (DASS-21) and Stress-Coping Styles Scale (SCSS). Numerical variables were presented as mean and standard deviation, and categorical variables were presented as numbers and percentages. The Mann Whitney U test was used for the dual group and the Kruskal Wallis test for more than two groups in the comparison of the scale mean scores. The relationship between the two scales was determined by Pearson's correlation analysis. p < 0.05 value was accepted statistically significant. The depression, anxiety and stress mean scores of the mothers in the study were high (10.01 ± 4.79; 9.07 ± 5.09; 10.28 ± 4.28, respectively). There is a high level of negative correlation between the SCSS self-confidence approach scores, optimistic approach scores and depression, anxiety and stress scores, and a high level of positive correlation between the helpless/self-accusatory approach, submissive approach, optimistic approach and depression, anxiety and stress scores. Mothers with pre-school children have been found to experience intense depression, anxiety and stress during the pandemic, and as their depression, stress and anxiety levels increase, they move away from self-confident and optimistic approaches, and they embrace more the helpless/self-accusatory approach and submissive approach, seeking social support. In the event of a future pandemic, psychiatry and pediatric nurses should strengthen positive coping styles and make mothers aware of social support resources to ensure that mothers, who are the most vulnerable group in terms of mental health, and thus children, do not experience psychiatric problems. Thus, nurses, as mandated by the holistic care approach, provide the qualified care that the individual and his family deserve. • What is known about this topic? • Mental disorders are seen due to high risk of transmission and mortality rates, social and financial problems. • Determining the styles of coping with stress is important to have insight into how individuals cope with pandemic process. • What does this article add to the existing knowledge? • In this study, it was observed that mothers experienced intense depression, anxiety and stress during the pandemic process. • Mothers preferred the helpless approach, submissive approach and seeking social support apprach.a • What is his contribution to the field? • Positive coping styles should be strengthened by psychiatry and pediatric nurses. • Nurses, as required by the holistic care approach, provide the qualified care that the individual and his family deserve. [ABSTRACT FROM AUTHOR]

Self-reporting is the gold standard for measuring pain in adult pain management; however, this issue is unique and different in children. Accurate pain assessment for the appropriate management of children's pain is important. This study was conducted to assess the pain level by the child, mother, and nurse during intravenous line insertion in preschool children, candidates for surgery in Tabriz Children's Hospital. This is descriptive observational study. A total of 140 eligible children were included in the study using convenience and sequential methods. The intravenous line was inserted by an experienced nurse and pain assessment was performed by the child, mother, and nurse immediately after procedure, using the Wong-Baker face scale (WBFS). The data were analyzed through descriptive statistics and repeated measures ANOVA test using SPSS version 13 software. The difference between child-mother and nurse-mother mean scores was not statistically significant; however, there was a statistically significant difference between the score measured by the child and the nurse (P = 0.017). The children's pain assessment score during venipuncture was higher than that of mothers and nurses. The mothers' score was more closely related to the children's score. As a result, a mother's assessment can be considered a reliable estimation of proper pain management in young children and mothers can act as a moderator and actualize the nurses' score. Consequently, establishing a three-way communication between mother, child, and nurses is necessary to precisely estimate the child's actual pain and take appropriate measures to reduce it. • Pain scores self-reported by the child was higher than that of parents and nurses. • Parents' assessment can be considered a reliable evaluation for the proper management of pain in children. • Mothers can act as a mediator, adjust the nurses' score, and bring pain management closer to reality. [ABSTRACT FROM AUTHOR]

This study was conducted for the purposes of developing the Mobile Epilepsy Education Package (MEEP) for mothers who have children with epilepsy, and evaluating the efficacy of such a package. The research consisted of a randomized, controlled experimental study. DISCERN measuring tool was used to evaluate the content of MEEP. The evaluation of the package was conducted with a total of 60 mothers-30 participants in the intervention group and 30 control s. This study was conducted in the Pediatric Neurology Outpatient Clinic of a hospital with mothers who had children with epilepsy, ages 3-6. A Description Form, the Epilepsy Knowledge Scale for Parents, and Parental Anxiety over Seizures Scale were used in the data collection. The general quality evaluation of MEEP according to the experts was rated 70.35 ± 6.20, with interrater agreement at a good level. Knowledge and anxiety scores were similar in the groups prior to the mobile application. Following the application, a significant increase was seen in the level of knowledge about epilepsy among the intervention group mothers (p <.001), while a significant decrease was observed in anxiety over seizures (p =.009). MEEP, which was developed to evaluate mothers' levels of knowledge about epilepsy and their state of anxiety over seizures, resulted in an increase in knowledge and reduced anxiety. A simple-to-use, easy-to-access and low-cost mobile application has been developed that facilitates epilepsy diagnosis, follow-up and treatment, increases mothers' knowledge levels, and reduces anxiety levels. • A simple-to-use, easy-to-access and low-cost mobile application was developed for mothers of children with epilepsy. • Mobile Epilepsy Education Package was effective in increasing the knowledge level of mothers. • Mobile Epilepsy Education Package was effective in reducing parental anxiety about seizures in mothers. [ABSTRACT FROM AUTHOR]

Mothers of premature infants are in the risk group for having psychological symptoms and attachment-interaction difficulties. Preventing these maternal risks is essential for providing optimal care and health opportunities for infants, consequently improving developmental outcomes. In this study, we aimed to understand how mothers experienced prematurity within four processes retrospectively: (a) the mother's hospitalization after birth, (b) the infant's hospitalization in the Neonatal Intensive Care Unit (NICU), (c) after discharge, and (d) in early childhood. We adopted Max van Manen's phenomenology of practice and interviewed nine mothers whose children were born premature and reached early childhood. The themes were as follows: (a) incomplete mother ; (b) facing prematurity, uncertainty, natural touch barrier, facing reductive social response, and NICU friendship; (c) being on the alert, a period of complete closure, and fighting with the reductive social response; (d) association to prematurity and (cannot) overcome the difficulties. We expressed the mothers' overall experiences through the metaphor " living with a birthmark." This metaphor represents the longitudinal effects of prematurity. As much as it is apparent and painful at first, it fades over time, and the pain lessens, but the effects of the birthmark remain in early childhood. The birthmark becomes a part of the mother-baby relationship. Our study contributes to premature infant care and health literature by highlighting the longitudinal experiences of mothers on prematurity. • When mothers cannot get appropriate support cumulatively, prematurity might occur as a traumatic experience longitudinally. • The most intense process for mothers is the infant's hospitalization in the NICU. • Premature infants' mothers should be supported longitudinally starting from the NICU process towards early childhood. • Fathers, other premature infants' mothers, and close family members should be considered in support practices. • Comprehensive early intervention practices are essential to benefit mothers' and their infants' well-being. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate and determine the knowledge and practices of mothers with children aged between 1 and 5 years presenting to a pediatric emergency service with fever complaints regarding fever management. This study was descriptive and correlational study was conducted between March and May 2019 with mothers over the age of 18 who brought their children aged 1–5 years to the XX State Hospital Pediatric Emergency Department with fever complaints. To evaluate the descriptive characteristics of the mothers and their practices when their children had a fever, data were collected with a questionnaire form consisting of 36 open-ended questions and the Parents' Fever Management Scale-Turkish Version (PFMS-TR). The data were analyzed using the SPSS 21 software with frequency, percentage, mean, standard deviation, min-max values, chi-squared, Cronbach's alpha, ANOVA, t -test, Kruskal- Wallis test, post hoc analysis with Bonferroni correction and correlation analysis, where p < 0.05, was considered statistically significant. Of the mothers included in the study, 36.9% (n = 118) were between the ages of 33 and 39, 33.4% (n = 107) were graduates of higher education and 57.2% (n = 183) were homemakers. The mean number of people living at the homes of the participants was 4.26 ± 1.24 (min = 3, max = 8), the mean number of their children was 2.0 ±,97 (min = 1, max = 6), and the mean age of their children was 2.90 ± 1. 37 (min = 1, max = 5). The most common practices of the mothers when their children had fever were taking off their clothes and giving them antipyretic drugs. Moreover, the inappropriate practices of the mothers included rubbing the child with a vinegar and water mixture (11.9%) and cold application (8%). While 55.9% of the mothers were worried that the child would suffer post-fever convulsions 25.9% of them were worried that the child would suffer brain damage. A significant relationship was found between the mean scores of the mothers on PFMS-TR and their educational and economic statuses (p < 0.05). Fears of fever are common in mothers, but their knowledge and practices about fever are inaccurate / incomplete. Parents should be informed about fever with up-to-date information by nurses, and the appropriate attitude should be established on this issue. Efficient educational activities can reduce fears of mothers and prevent ill-advised practices. [ABSTRACT FROM AUTHOR]

The study aimed to evaluate the knowledge and attitude of Turkish mothers about cervix cancer,HPV infection and vaccination. This cross-sectional study was conducted the mothers with children aged under 18 years who applied pediatric outpatient clinic.Research data were collected using a face-to-face survey includes sociodemographic characteristics of patients and mothers' knowledge level and attitude about the vaccination for HPV and cervical cancer. The rate of mothers who stated that they knew the causes of cervical cancer was 30.3%. Of the 71.5% mothers did not know whether there was a vaccine that protects against cervical cancer.Of the mothers who stated to have heard about the HPV vaccine, 39.2% said that the HPV vaccine is received at 9 years and above, 35.7% said that it could be given to both genders, and 75% knew that the vaccine is not reimbursed. Educational status (p < 0.001), working as a healthcare worker (p < 0.001) and the level of income (p < 0.001), were significantly correlated with the awareness of the causes of cervical cancer in a positive direction. None of the participants vaccinated their child, 91.5% ask for information about HPV and 67.3% stated that they might consider vaccination. The development of vaccines against HPV has significantly changed the approach used in the treatment of cervical cancer. Healthcare professionals have a great responsibility to inform the public about the HPV vaccine. Healthcare providers can use the results of this study to identify parents at risk for vaccine hesitancy and initiate individualized education to promote on-time childhood vaccination. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the thoughts of preschool children and their mothers about COVID-19. This qualitative study was descriptive phenomenology design. Data were collected and analyzed through individual interviews from 26 people (13 mothers and 13 children) using a Personal Information Form and an Interview Form.After the thematic analysis, four main themes were created for the children and their mothers. The main themes created for mothers and children were: "Effects of the COVID-19 pandemic process, Protection, Family relations, Perspective of healthcare staff". The COVID-19 pandemic has affected the physical, psycho-social, and economic health, spirituality and family relationships of mothers. It became evident that children knew the terms related to the COVID-19 pandemic. Children dreamt of activities they missed and stated that at the end of the COVID-19 pandemic, they would go to the park, the pool, shopping centers, to school, and on vacation. Most of the mothers and children followed the rules of protection. In addition, mothers and children stated that their perspectives on healthcarestaff changed positively after the pandemic started. Considering that COVID-19 affects individuals bio-psycho-socially, it is crucial for health professionals to know the thoughts of individuals, families and children about COVID-19 to increase their awareness of potential problems. [ABSTRACT FROM AUTHOR]

This present research, mothers of children with chronic illnesses were compared with mothers of children with no chronic illnesses with the aim of determining which factors affect their sleep quality. The descriptive-type data obtained from this research were collected from 270 mothers of children with chronic illnesses and 197 mothers of healthy children between November 10 and December 10, 2021. All participants were asked to complete a survey. The data were assessed using IBM SPSS Statistics Version 25 and the chi-square test, Fisher's exact test, t -test, ANOVA (Analysis of Variance), and Logistic Regression Analysis. The total mean The Pittsburgh Sleep Quality Index (PSQI) score for mothers of chronically ill children was found to be 9.79 ± 3.68 while it was 6.68 ± 3.62 for mothers of heathy children with a statically significant difference (t = 9.075, p = 0.00). The fact that mothers wake up for the care/treatment of their children due to the onset of an illness was found to be associated with poor sleep quality (OR = 0.388 p = 0.017; OR = 0.178, p = 0.000). In the present study, it was determined that mothers of children with chronic illnesses suffer from sleep problems and that the sleep quality of those mothers varies depending on the illness types of their children. Pediatric nurses are requested to assess the sleep quality of mothers with suitable measurement tools to determine what types of problems affect sleep quality negatively when dealing with children with chronic illnesses in both clinical and non-clinical practices. • As the types of children's chronic illnesses vary, the sleep quality of their mothers varies as well. • Nearly two-thirds of the mothers in both illness groups of the present study had poor sleep quality. • Diagnosis duration and wakeup for the care/treatment of children at night were the main predictors for poor sleep quality. • Mothers often have problems of sleep disturbances, subjective sleep quality, sleep latency. [ABSTRACT FROM AUTHOR]

To investigate the relationship between self-perceived global stress and the personality traits of mothers of children with central auditory processing disorders (APD), and make a comparison with mothers of typically developing (TD) children. A cross-sectional study using two questionnaires – the Perceived Stress Scale (PSS-10) and the Short Big Five Markers (IPIP-BFM-20) – to assess five personality dimensions: extraversion, agreeableness, conscientiousness, emotional stability, and intellect/imagination. The study material included 187 mothers, of whom 108 were mothers of children with APD. The average age of the children with APD was 10 years. The average level of global stress was similar in mothers of children with APD and mothers of TD children. Mothers of APD children had significantly lower scores for personality dimensions such as: emotional stability, conscientiousness, and intellect/imagination. Increased perceived stress level in mothers of children with APD was inversely correlated with extraversion, conscientiousness, and emotional stability. However, for both groups of mothers, the only significant predictor of global stress level was emotional stability. Mothers of children with APD, despite having similar global stress levels to other mothers, were different in terms of three personality dimensions, and these, especially lowered emotional stability, may play a negative role in coping with global self-perceived stress. The results of this study might be helpful in parental support interventions, including psychological therapy and counselling, and also in parental implementation interventions aimed at mothers of children with APD, especially those mothers who have high global stress and/or low emotional stability. • Global self-perceived stress in mothers of APD children and those with TD is similar. • Mothers differ in personality dimensions such as emotional stability, conscientiousness, and intellect/imagination. • Extraversion, conscientiousness, and emotional stability are conducive to reducing stress in mothers of APD children. • Only emotional stability explains the level of global self-perceived stress in mothers of both groups of children. [ABSTRACT FROM AUTHOR]

The aim of this study was to investigate the effect of mobile-based education in comparison with booklet-based education on mothers' perception on antibiotics. This quasi-experimental study was performed on 160 mothers of children aged 1 to 6 years (80 in the experimental group and 80 in the control group) who referred to the urban community health centers in Iran. Both groups were taught about the proper use of antibiotics. The experimental group was taught using a mobile application and the control group was taught using a booklet. The Parental Perception on Antibiotics (PAPA) scale was used to collect data at the beginning and two to four weeks after the educational intervention. The data were analyzed using SPSS version 19. The results showed that 91.9% of mothers used the knowledge of nurses or other health care providers and 86.3% used their previous experience as the source of information about antibiotics. Also, mothers' perceptions about antibiotics in the subscales of knowledge and beliefs, behaviors, adherence and awareness about antibiotics resistance in the experimental group improved significantly compared to the control group (p < 0.05). Mobile-based education was more effective in improving mothers' perception on antibiotics than booklet-based education. Health care providers can use mobile-based educational method for different groups of society to promote health in various fields. • Mothers have a key role in children's health care, so their awareness of child care is very important. • Implementing educational interventions for mothers is necessary to reduce the irrational use of antibiotics. • Mobile-based education is effective in improving mothers' perception on antibiotics. [ABSTRACT FROM AUTHOR]

The purpose of the present study was to examine maternal pain management in children with cancer and the associated factors. 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. 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. 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. 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. • The present study is the first study to examine parental pain management practices and associated factors for children'cancer pain while at home in Turkey. • This study explores the relationship between mothers and children sociodemographic characteristics, mothers' pain catastrophizing and anxiety about their own pain and parental pain management practices. • The majority of mothers apply to medical care when child had pain and very few mothers use nonpharmacological methods. • Many mothers have misconceptions of pain assessment and analgesic drugs. [ABSTRACT FROM AUTHOR]

It is known that children with autism spectrum disorder (ASD) visit health care providers (HCPs) more frequently than typically developing peers, and mothers experience barriers in this process. The purpose of this interpretive phenomenological study was to gain a better understanding of a mother''s experiences of taking her child with ASD to the HCP. Two themes related to the health care experience of the child surfaced from the study. These themes included feelings that HCPs do not “get” the complexity of caring for the child and marginalization of mothers by the HCP. The need for creation of child-specific profiles emerged from this study. [Copyright &y& Elsevier]

Purpose This study attempted to identify the mutual expectations of mothers whose children were hospitalized in the pediatric department of a university hospital and nurses who provided care. Design and Methods A descriptive phenomenological design has been used in this study. Data were obtained through tape-recorded semi-structured interviews. This study was conducted at a pediatric clinic, at a university hospital in a small city in Turkey. Participants comprised five nurses working in the children's clinic and 24 mothers who accompanied their children to the hospital. Results The six major themes that emerged were mothers' feelings and thoughts about the hospital experience, mothers' expectations for attention and support during hospitalization, mothers' expectations for invasive procedures, issues regarding physical comfort and hospital infrastructure, nurses' feelings and thoughts about working in the pediatric clinic, and nurses' expectations of the mothers. Conclusions Mothers expected nurses to provide physical support including medication administration, and installing/applying IV and nebulizer treatments; and emotional support in terms of having a friendly, rather than critical attitude, and being approachable and receptive of mothers' questions and anxieties. Nurses stated that they were aware of these expectations but needed mothers to be understanding and tolerant, considering their difficult working conditions. Practice Implications Children's hospitalization is a stressful experience for parents. Open and therapeutic communication and relationships between parents and nurses contribute to improving the quality of care provided to children and their families. [ABSTRACT FROM AUTHOR]