The effectiveness of the therapeutic toys on the comfort level and vital signs of the neonates during intravenous cannula insertion (Comfiestudy): A randomized controlled trial.

PURPOSE: This study was planned to determine the effect of the therapeutic toy used during IV cannula insertion on the comfort level, crying time and vital signs of neonates. METHODS: The sample (n = 38) was randomized to the Control and the Comfie Groups. Vital signs were measured before, during, and after the IV cannula insertion. Comfort levels and the duration of crying were measured during the insertion. RESULTS: Neonates in the Comfie Group had lower pulse and higher saturation levels during the insertion, and they had lower respiration rates and pulse but higher oxygen saturation levels at the post 1st-5th minute. They were more comfortable than the neonates in the control group. DISCUSSION: The result of this research reveals that therapeutic toys applied during the IV cannula insertion in neonates increase the comfort level and stabilize the vital signs. APPLICATION TO PRACTICE: The use of toys during IV cannula insertion could be an effective nonpharmacological method to improve outcomes.

[Examination of social media and technology use of mothers in breastfeeding period in a region of Turkey]. / Examen del uso de las redes sociales y la tecnología por parte de las madres en periodo de lactancia en una región de Turquía.

OBJECTIVE: The aim of this study is to examine the social media and technology use of mothers during breastfeeding. METHOD: Descriptive cross-sectional study. The study was carried out with mothers who brought their children for follow-up in the pediatric outpatient clinics of a public hospital, a university hospital and a private hospital located in Turkey. A questionnaire developed «ad hoc¼ was used for data collection. RESULTS: The total sample consisted of 275 mothers (n = 275). Mothers participating in the study 89.8% of the mothers used social media, 86.5% sought on the reliability of the information on the internet, 73.8% used the medical information on the internet to decide on any case about breastfeeding and 66.9% of them used cell phone or computer during breastfeeding. A statistically significant difference was determined between the education level of the mothers and social media use (p < 0.05). It was determined that the mothers who were secondary school graduate and those with three or more children talked on a cell phone while breastfeeding. CONCLUSIONS: Most of the mothers used social media and technology at a level limiting their interaction with their children. It is recommended to protect mothers from digital addiction and improve their digital literacy levels.

Effectiveness of music during cardiac catheterization on children's pain, fear, anxiety and vital signs: A randomized, blind controlled trial.

PURPOSE: This study aims to examine the effectiveness of music during pediatric cardiac catheterization procedure on children's pain, fear, anxiety and vital signs. DESIGN AND METHODS: This randomized, blind controlled study was conducted with the guidelines of Consolidated Standards of Reporting Trials (CONSORT). The sample of children was allocated to the Control Group, the Classic Music Group, and the Self-Selected Group. Pain, fear, and anxiety levels were measured before and after the pediatric cardiac catheterization procedure. Vital signs were measured before, during, and after the pediatric cardiac catheterization procedure. RESULTS: There was no significant difference between the groups in terms of demographic status, pain, fear, or anxiety levels and vital signs before the procedure. In post pediatric cardiac catheterization measurement in the recovery phase, pain, fear levels, anxiety levels, heart rate, systolic and diastolic blood pressure of children in the musical intervention groups were lower than the control group. No statistical difference was found in terms of pain, fear and anxiety levels of the children in groups Classic and Self-Selected. CONCLUSION AND PRACTICE IMPLICATIONS: The result of this research reveals that musical intervention applied during the pediatric cardiac catheterization procedure in children affects the reduction of pain, fear and anxiety levels and stabilization of vital signs. This intervention could be an effective nonpharmacological method to improve outcomes.Nurses can improve children's comfort by using musical interventions. CLINICAL REGISTRATION: This study was registered at the U.S. National Library of Medicine Clinical Trials (code: NCT04316754).

Effects of watching cartoons on pain scores in children undergoing venepuncture.

BACKGROUND: Children experience pain and restlessness during invasive procedures. AIM: To determine the effect of watching cartoons on pain scores and the duration of crying in children aged 3-6 years undergoing venepuncture. METHOD: The study included 81 children, aged 3-6 years, who presented to the blood collection unit of a teaching and research hospital. The children were divided into an experimental group (n=41) and a control group (n=40). Those in the experimental group watched a cartoon and then venepuncture was initiated. Their pain levels and the duration of crying were assessed during venepuncture. After venepuncture, they continued to watch the cartoons and their pain levels were assessed again. During the process, another researcher calculated the duration of crying. The children in the control group were subjected to the same process but were not shown the cartoon. RESULTS: Significant differences in pain levels, duration of crying after the procedure and total duration of crying were found between the groups. There was no significant difference in terms of duration of crying during the procedure. CONCLUSION: Watching cartoons is a non-pharmacological method of pain relief, which reduces perception of pain by distracting a child's attention.

Experiences of Infant and Child Care of Mothers with Disabilities in Turkey: A Qualitative Study.

Mothers with disabilities have difficulties fulfilling their gender and motherhood roles. The purpose of this study was to determine the infant and child care-related experiences of mothers with disabilities in Turkey. A conventional content analysis was used in this qualitative design. Fourteen mothers with disabilities participated in semi-structured in-depth interviews consisting of open-ended questions about their infant and child care experiences. Three themes and eight subthemes emerged from the data analysis. The themes were: role fulfillment, barriers, and coping and support. All of the women said that they wanted to become mothers, and when they did so, they felt they had fulfilled their roles in society. However, there was a societal misconception that woman with disabilities 'could not give birth to children or would not properly care for them. Measures should be taken to eliminate negative social perceptions of mothers with disabilities. Public support should be provided to meet the needs of mothers with disabilities.