Pediatric Surgical Patients, Postoperative Care
Conditions
Keywords
Holistic Nursing Care, Pediatric Surgery, Mandala Coloring, Music Intervention, Patient Satisfaction, Nursing Image, Randomized Controlled Trial, Non-Pharmacological Intervention
Brief summary
This randomized controlled study aims to evaluate the effect of holistic nursing care applied during the postoperative period on children's satisfaction with care and their perception of nursing image. The study will be conducted in the Pediatric Surgery Clinic of Antalya Training and Research Hospital with children aged 8 to 11 years who undergo surgical procedures. Participants will be randomly assigned to either an intervention group or a control group. All children will receive routine postoperative nursing care. In addition to routine care, children in the intervention group will participate in a mandala coloring activity accompanied by music. This supportive activity is designed to help children relax, express their feelings, and improve their hospital experience. Data will be collected using standardized questionnaires that measure children's satisfaction with nursing care and their perception of nurses. The study aims to determine whether holistic nursing practices can improve children's satisfaction and positively influence how they perceive the nursing profession.
Detailed description
This study is designed as a single-center, parallel-group, randomized controlled trial to evaluate the effect of postoperative holistic nursing care on children's satisfaction with care and their perception of nursing image. The study will be conducted in the Pediatric Surgery Clinic of Antalya Training and Research Hospital. The target population consists of children aged 8-11 years who are hospitalized for surgical procedures. A total of 70 participants will be recruited and randomly assigned to either the intervention group (n=35) or the control group (n=35). Randomization will be performed using an appropriate random allocation method to ensure equal distribution between groups. All participants will receive routine postoperative nursing care according to institutional standards. In addition to routine care, children in the intervention group will receive a structured holistic nursing intervention consisting of mandala coloring accompanied by music during the postoperative period. This intervention is designed to promote emotional expression, relaxation, and active participation in the care process. The activity will be implemented in a safe and supervised clinical environment. Data will be collected using the Child Information Form, the Pediatric Surgery Patient Satisfaction Scale, and the Perceived Nursing Image Scale for Children. These instruments are validated tools used to assess satisfaction with nursing care and children's perception of the nursing profession. Outcome measurements will be obtained during the postoperative hospitalization period prior to discharge. The primary outcomes of the study are (1) children's satisfaction with nursing care and (2) perceived nursing image scores. The study hypothesizes that children who receive holistic nursing care will report higher satisfaction levels and more positive perceptions of nursing compared to the control group. This research aims to contribute to evidence-based pediatric surgical nursing practice by evaluating the effectiveness of holistic, non-pharmacological supportive care interventions in improving children's hospital experiences.
Interventions
BEHAVIORALMandala Coloring with Music
A structured holistic nursing intervention consisting of mandala coloring accompanied by music implemented during the postoperative hospitalization period.
OTHERRoutine Postoperative Nursing Care
Standard postoperative nursing care provided in the pediatric surgery clinic according to institutional protocols.
Sponsors
Akdeniz University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
This is an open-label study because the intervention (mandala coloring accompanied by music) cannot be blinded to participants or care providers.
Intervention model description
Participants will be randomly assigned in a 1:1 ratio to either the intervention group (holistic nursing care including mandala coloring with music) or the control group (routine postoperative nursing care).
Eligibility
Sex/Gender
ALL
Age
8 Years to 11 Years
Healthy volunteers
No
Inclusion criteria
* Children aged 8 to 11 years * Hospitalized in the pediatric surgery clinic * Undergoing a surgical procedure * In the postoperative period during hospitalization * Able to communicate verbally * Parent/guardian consent and child assent obtained
Exclusion criteria
* Cognitive impairment preventing completion of questionnaires * Hearing impairment preventing participation in music intervention * Severe postoperative complications requiring intensive care * Refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Children's Satisfaction with Nursing Care | During postoperative hospitalization (prior to discharge, approximately 1-3 days after surgery) | Satisfaction scores measured using the Pediatric Surgery Patient Satisfaction Scale administered during the postoperative hospitalization period prior to discharge. Children's satisfaction with nursing care will be assessed using the Pediatric Surgery Patient Satisfaction Scale developed by Ünal et al. (2023). In this study, the Postoperative Care subdimension of the scale will be used. This subdimension consists of 5 items rated on a 5-point Likert scale ranging from 1 (never) to 5 (always). Total scores range from 5 to 25, with higher scores indicating higher satisfaction with nursing care. |
| Perceived Nursing Image Score | During postoperative hospitalization (prior to discharge, approximately 1-3 days after surgery) | Perceived nursing image scores measured using the Children's Perceived Nursing Image Scale during the postoperative hospitalization period prior to discharge. Children's perceptions of nursing will be assessed using the Children's Perceived Nursing Image Scale, developed by Apaydın Cırık et al. (2025). The scale evaluates children's perceptions of nurses' professional roles, communication, caregiving behaviors, and nurse-child interactions. Items are rated on a Likert-type scale, and the total score is calculated by summing item scores. Higher scores indicate a more positive perception of the nursing image. |
Countries
Turkey (Türkiye)
Contacts
CONTACTAyla Kaya, RN, PhD
PRINCIPAL_INVESTIGATORSemra Erol
Akdeniz University Faculty of Nursing
STUDY_DIRECTORAyla Kaya
Akdeniz University Faculty of Nursing
Outcome results
None listed