RESUMO
This study was planned to determine maternal attitudes and knowledge about newborn screening. The universe of the descriptive study consisted of postpartum mothers living in the centers of three provinces in the north and east of Turkey. The sample included mothers who were older than 18 years of age, who could read and write Turkish, whose babies were in the 24th and 72nd hour after birth, and who volunteered to take part in the study. The study was completed with 407 mothers. The data were collected with the face-to-face interview method by the researchers using the "Descriptive Information Form" and the "Maternal Attitudes and Knowledge Survey about Newborn Screening." The results showed that 40.3% of the mothers were between the ages of 25 and 30 years, 52.8% received information about newborn screening, 61.1% received this information during pregnancy (27.3% in the first trimester and 33.8% in the last trimester), and most of the information was provided by a healthcare professional (77.8%). Mothers with only one child (p = .001) and those with nuclear families (p = .024) were found to have lower maternal attitudes and knowledge about newborn screening. The study showed that the level of knowledge of Turkish mothers about newborn screening is inadequate in general. In particular, the knowledge and attitudes of mothers with nuclear families, those with one child, and those not having regular check-ups during pregnancy are inadequate. Improving mothers' understanding of screening tests will lead to more successful screening program implementation and earlier detection and care of newborns with a disease.
RESUMO
AIM: This study aimed to establish the validity and reliability of the Neonatal Palliative Care Attitude Scale in Turkey. METHOD: This methodological study was conducted between December, 2014, and July, 2017, in the neonatal intensive care unit of 4 hospitals (2 public, 1 university, and 1 private hospital) in the center of a city in eastern Turkey. The study population consisted of all the nurses of the hospitals. No sampling was performed, and the sample consisted of 145 nurses who agreed to participate in the study. The 26-item Neonatal Palliative Care Attitude Scale developed by Kain et al. (2009) was translated into Turkish and then back-translated into English for to determine the validity for Turkey. Experts were consulted to determine the validity of the content. Cronbach's alpha coefficient, test-retest reliability, and item-total correlation were used for reliability. Exploratory and confirmatory factor analyses were used for validity. RESULTS: Content validity index ranged from .8 to 1.0. The Kaiser-Meyer-Olkin measure of sampling adequacy was .934, for which the Bartlett's test of sphericity was χ2 = 415.127, p = .000. According to the principal component analysis, the Neonatal Palliative Care Attitude Scale in Turkey. had 3 subscales as did the original Neonatal Palliative Care Attitude Scale. The items had factor loadings greater than .40, and the factors accounted for 55.51% of the total variance. The subscales "organization," "resources," and "clinician" had a Cronbach's alpha of .692, .710, and .680, respectively. CONCLUSION: The Neonatal Palliative Care Attitude Scale in Turkey. has a structure similar to that of the original Neonatal Palliative Care Attitude Scale and has high validity and reliability. It is, therefore, a valid and reliable instrument that can be used to identify nurses' attitudes toward neonatal palliative care.
