Browsing by Author "Butun, Ahmet"

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Comparison of Breastfeeding Behaviors of Mothers Toward Infants by Ethnic Groups: an Example of a Multicultural City
(Mary Ann Liebert, inc, 2025) Butun, Ahmet; Deger, Vasfiye Bayram; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Introduction: Breastfeeding practices vary widely among different ethnic groups and are influenced by cultural, social, economic, and educational factors. The aim of this study was to compare the breastfeeding behaviors of mothers toward infants in different ethnic groups.Methods: This descriptive cross-sectional study included women of four ethnic groups (Assyrian, Turkish, Arab, and Kurdish) living in Mardin, Turkey. The study was completed with 180 Assyrian, 184 Turkish, 175 Arab, and 169 Kurdish women. In total, 708 women participated in this study. Data were collected between August 12, 2024, and September 22, 2024.Results: The highest rate of traditional breastfeeding practices was seen in Kurdish (99.4%), whereas this rate was 97.3% in Turkish, 96% in Arab, and 84.4% in Assyrian. The highest rate of giving breast milk immediately after birth was in Assyrian (71.7%), while this rate was 69.3% in Turkish, 61.9% in Kurdish, and 47% in Arab (p = 0.000). The rate of those who waited for three calls to prayer to feed the baby was 13.1% in Kurdish, 11.3% in Arab, 9.5% in Turkish, and 7.9% in Assyrian. The rate of those who did not give the first milk (colostrum) to the baby was 15.8% in Assyrian, 11.7% in Turkish, 6.5% in Kurdish, and 6% in Arab. The rate of those who give sugared water as the baby's first nutrient was 37.5% in Arab, 20.8% in Kurdish, 11.7% in Turkish, and 9.2% in Assyrian. Increased education levels were associated with decreased rates of the presence of traditional practices.Conclusion: This study provides novel results regarding the comparison of breastfeeding behaviors among ethnic groups living in the same city. Comparing breastfeeding practices across the four ethnic groups allowed us to better understand different breastfeeding practices, which could lead to the development of culturally sensitive interventions to improve the health of children and mothers. Educating the community about the benefits of breastfeeding and the risks associated with some traditional practices could contribute to public health.
Citation - WoS: 1
A Cross-Sectional Study of Emergency Care Services During the Covid-19 Pandemic: A Multicenter Study of Healthcare Staff Perspectives
(Springernature, 2024) Butun, Ahmet; Yesil, Yesim; 09.01. Department of Nursing / Hemşirelik Bölümü; 09.02. Department of Midwifery/ Ebelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted various aspects of healthcare services, including emergency care services. Healthcare staff face mental issues and physical exertion when caring for patients potentially infected with COVID-19. Understanding the experiences and perspectives of emergency department (ED) healthcare staff during the COVID-19 pandemic is essential to inform evidence-based interventions and strategies to mitigate the impact on emergency care services. This study aims to investigate the experiences of ED healthcare staff regarding emergency care services during the COVID-19 pandemic, thus providing valuable insights into the challenges faced. Materials and methods: This study utilized a cross-sectional study design. Data were collected from 256 ED healthcare staff working in nine different hospitals located in Turkey between November 15, 2021, and December 30, 2021. Data were analyzed using descriptive statistics. Results: A total of 256 participants were included in the study. Of the participants, 58.6% were nurses, 19.5% were ED doctors, and 21.9% were emergency medical technicians. In addition, 67.2% of the participants were infected with COVID-19, and almost all of them (94.1%) were psychologically affected by the pandemic process. It was found that 85.2% of ED healthcare staff felt excluded by society due to being healthcare staff and 71.9% had to be separated from their families. Nurses were separated from their families at the highest rate (78%) during this period. Conclusion: More than half of the ED healthcare staff had problems accessing protective equipment and were separated from their families during the pandemic due to the risk of COVID-19 transmission. Although the number of ED visits decreased because of restrictions at the beginning of the pandemic, ED visits increased again with the abolition of restrictions.
Citation - WoS: 14
Citation - Scopus: 15
Emergency Department Overcrowding: Causes and Solutions
(Lippincott Williams & Wilkins, 2023) Zincir, Vedat; Yigit, Elanur; Butun, Ahmet; Batibay, Mehmet; Ciftci, Kubra; Kafdag, Elif Ece; Gunduz, Hilal
BackgroundEmergency department (ED) overcrowding is among the biggest and most important problems experienced by ED staff. The number of ED visits is on the increase and remains an unresolved problem. Emergency department overcrowding has become an important problem for emergency care services worldwide. There is a relationship between overcrowding and patients' negative experiences of using ED and therefore reporting reduced patients' satisfaction. This study aimed to identify the causes of ED overcrowding, determine the reasons for people's use of EDs, and develop solutions for reducing ED overcrowding.MethodsThis study used quantitative methods using a descriptive approach. The participants were patients who visited the ED. A questionnaire was administered to 296 participants between December 2021 and February 2022. The study included 5 different hospitals in Turkey. The data were analyzed using descriptive statistics.ResultsThis study identified the most common presenting medical problems in the ED and why patients used the ED. Reasons for using the ED included patients perceiving their condition as really urgent (62.8%), the ED being open for 24 hours (36.1%), and receiving faster care in the ED (31.4%). This study also developed recommendations for alleviating ED overcrowding.ConclusionThis study identified causes of ED overcrowding and some solutions for alleviating the issue. Emergency department overcrowding should be perceived as an international problem, and initiatives for solutions should be implemented quickly.
Citation - WoS: 9
Citation - Scopus: 7
Exploring Attendance at Emergency Departments for Children With Non-Urgent Conditions in Turkey: a Qualitative Study of Parents and Healthcare Staff Perspectives
(Lippincott Williams & Wilkins, 2022) Butun, Ahmet; Lynn, Fiona; McGaughey, Jennifer; McLaughlin, Katrina; Linden, Mark
Background:Overcrowding in Emergency Departments (EDs) is a significant global concern with negative consequences for patients, healthcare staff, and healthcare systems. The use of EDs by parents of children with non-urgent conditions is associated with overcrowding, higher healthcare costs, lower quality of care, and longer waiting times. Research in this area has largely been conducted in high-income countries, with a dearth of work originating in middle and low-income regions. The aim of this study was to explore the reasons for parents attending EDs with their child for non-urgent conditions in Turkey.Method:Semi-structured interviews were conducted with 13 parents, 15 ED staff, and 10 General Practitioners (GPs) in 2 regions of Turkey between March and May 2017. Data were analyzed using the principles of grounded theory.Results:The findings were classified into 5 core categories: (1) parents' feelings, knowledge, and perceived inability to provide self-care; (2) perceived limitations of healthcare services, system, and staff; (3) parents' preferences for hospital and ED services; (4) adverse impact on ED services; and (5) perceived needs for care.Conclusion:This is the first study conducted in a middle-income country regarding parental reasons for using the ED for nonurgent conditions. Greater efforts must be made to reduce unnecessary visits to the ED to better meet service user needs and to increase the satisfaction of both parents and healthcare staff. The findings of this study may inform healthcare providers, policymakers, healthcare staff, and researchers to design interventions in order to mitigate overcrowding in the ED.
Citation - WoS: 2
Citation - Scopus: 2
Healthcare Staff Experiences on the Impact of Covid-19 on Emergency Departments: a Qualitative Study
(Bmc, 2024) Butun, Ahmet; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
BackgroundThe COVID-19 pandemic has had a major impact on the access and delivery of healthcare services, posing unprecedented challenges to healthcare staff worldwide. Frontline healthcare staff faced unique stressors and challenges that impact their well-being and patient care. This qualitative study aimed to explore the experiences and perspectives of frontline ED healthcare staff on emergency care services during the COVID-19 pandemic, providing valuable insights into the challenges, adaptations, and lessons learned in delivering emergency care.MethodsThis study utilized a qualitative approach. In-depth semi-structured interviews were conducted with 30 ED healthcare staff from three different hospitals located in Turkey between 15/03/2022 and 30/04/2022. Convenience sampling was used to recruit participants. The duration of the interviews ranged from 28 to 37 min. Data saturation was reached as no new information was gathered. The data were analyzed using the thematic analysis method. NVivo software was used to manage the data analysis process. Member check was carried out to ensure that the generated themes conformed to the participants' views.Results15 sub-themes under three themes emerged: (1) the impact of COVID-19 on emergency care services, including sub-themes of "introducing a COVID-19 unit in the ED", "changes in the routine functioning of EDs", "changes in the number of ED visits", "quality of care", "resources", and "increased workload"; (2) the psychological effects of COVID-19 on ED healthcare staff, including sub-themes of "staying away from family", "fear", "society's perspective on healthcare professionals", "morale-staff burnout", "psychological and emotional effects", and "unable to receive sufficient support"; and (3) the difficulties faced by ED healthcare staff, including sub-themes of "difficult working conditions", "community-based effects difficulties", and "COVID-19 is an unknown situation".ConclusionStaff burnout threatens the quality of patient care and staff retention, and therefore this should be addressed by ED directors and leaders. This study could inform appropriate stakeholders regarding lessons learned from COVID-19 to better manage future pandemics. Learning from such lived experiences and developing appropriate interventions to minimize the difficulties faced during COVID-19 would allow better management of future pandemics. This study calls for a reform to address the challenges faced by healthcare staff, improve the overall response to public health crises, and enhance the resilience of healthcare systems for future crises.
Identifying the Needs of Parents Admitted to the Paediatric Emergency Department
(BMC, 2025) Butun, Ahmet; Yesil, Ahmet
Introduction The paediatric emergency department (PED) represents a vital entry point into the healthcare system, particularly for children experiencing acute health issues. However, despite playing a pivotal role in the paediatric care process, the experiences and needs of parents accompanying their children during these visits are often overlooked. Understanding these needs is essential for improving the quality of care provided in PEDs. This study aimed to identify the needs of parents of children admitted to the PED and examine how these needs vary according to demographic and experiential factors, including satisfaction with care. Methods This study is a descriptive cross-sectional study. This study was conducted in the PED of a 700-bed tertiary public hospital in southeastern Turkey. The study population consisted of 406 parents of children admitted to the PED. Data were collected between October 7, 2024, and November 15, 2024, using structured questionnaires, including: (1) a socio-demographic form and, (2) the Critical Care Family Needs Inventory - Emergency Department. Data analyses were conducted using SPSS 22.0 with significance set at p < 0.05. Results Parents rated "family member participation in care" significantly higher than other needs (mean difference = 0.11-0.21, all p < 0.05). This suggests that PED staff should prioritise: (1) involving parents in care decisions, (2) providing real-time updates, and (3) creating opportunities for hands-on participation when clinically appropriate. 'Communication with family members' showed significantly higher mean scores (2.89 +/- 0.75) than both 'comfort' (2.79 +/- 0.78; p = 0.03) and 'supporting family members' (2.80 +/- 0.80; p = 0.02), with small but clinically meaningful effect sizes (Cohen's d = 0.31 and 0.29 respectively). This study revealed that 64% of parents were satisfied with the healthcare staff. In addition, 65.3% of parents were satisfied with the communication of the healthcare staff. Moreover, the rate of satisfaction with the information provided by the healthcare staff was 61.8%. The total scores on the Critical Care Family Needs Inventory - Emergency Department were significantly higher among parents who reported being satisfied with the healthcare staff, communication, and information provision (p < 0.001). Conclusion This study suggested that addressing parental needs for family participation in care and communication may enhance parents' experiences in paediatric emergency settings. However, further research is needed to evaluate specific interventions. Clear communication is a fundamental need for families, influencing satisfaction, understanding, and involvement in care.
Investigation of State Anxiety Levels of Parents Admitted to the Paediatric Emergency Department
(BMC, 2025) Yesil, Ahmet; Butun, Ahmet
Introduction: The psychological well-being of parents during their child's emergency treatment can significantly influence the overall care experience and outcomes. Parental stress and anxiety may affect their ability to provide accurate information, make informed decisions, and support their child effectively during treatment. The aim of this study was to identify the levels of state anxiety experienced by parents whose children were receiving care in the Paediatric Emergency Department (PED), and related factors that contributing to parental anxiety. Methods: This study is a descriptive cross-sectional study. The setting of the study was PED at a tertiary hospital with a 700-bed capacity. Participants were parents of children who visited the PED and received least urgent code during triage. The population of the study consists of a total of 426 parents of children admitted to the PED. Data were collected face-to-face between 4 November 2024 and 15 December 2024. Data collection tools included a socio-demographic questionnaire and the State-Trait Anxiety Inventory (STAI), a validated 40-item tool measuring state and trait anxiety. The data were analysed using SPSS Statistics for Windows. Results: Majority of the visits were made by mothers (66%), while fathers were less active in this process (34%). The mean state anxiety score was 42.45 +/- 8.94 and the mean trait anxiety score was 43.70 +/- 8.12. Moreover, mothers exhibited significantly higher trait anxiety than fathers (p = 0,003). Significant differences were found in both state and trait anxiety scores according to mother's education level (p < 0.001). It was found that the trait anxiety levels of non-employed mothers were significantly higher than those of employed mothers (p = 0.046). Anxiety levels were found to be higher in those who visited the PED more frequently. In addition, a significant difference was found in state anxiety scores according to the perceived urgency of the child's condition, and it was observed that anxiety levels were higher in very urgent conditions (p < 0.001). Anxiety levels were significantly associated with maternal education (p < 0.001), non-employed status (p = 0.046), frequent PED visits, and perceived urgency of the child's condition (p < 0.001). It was determined that those who were dissatisfied and those who were partially satisfied with the communication of healthcare staff had higher anxiety levels. It was seen that the anxiety levels of those who were dissatisfied and those who were partially satisfied with providing information by healthcare staff were higher (p = 0.020). The adequacy of allocated time for care made a significant difference in both state and trait anxiety scores, and it was observed that the anxiety levels of those who were dissatisfied and those who were partially satisfied with the adequacy of allocated time for care were higher. Dissatisfaction with staff communication and allocated care time also correlated with higher anxiety (p < 0.05). Conclusion: Effectiveness of healthcare staff, the importance of communication, and the perceived quality of care provided to children in the PED were important indicators for parental anxiety. Effective communication between healthcare providers and parents could lead to increased level of parental satisfaction with healthcare staff and with the PED settings. Effective communication could reduce parental anxiety during the course of care and treatment, and thus enhancing the overall experience of families in the PED settings.
The Mediating Role of Self-Esteem in the Relationship Between Nursing Students’ Self-Efficacy in Paediatric Medication Administration and Their Self-Confidence Levels in Clinical Decision-Making
(BMC, 2025) Butun, Ahmet; Özbay, Hediye; Ersue, Nilay Filoglu
Background Preventing medication errors and ensuring safe medication application for students to enhance their self-efficacy are important for patient safety. Improving self-efficacy and self-confidence and teaching strategies for managing the anxiety of nursing students during medication administration to children are crucial in paediatric clinical practises. Aim The primary aim of this study was to evaluate nursing students' medication administration self-efficacy in children, self-confidence anxiety, and self-esteem in clinical decision-making. The second aim was to reveal the mediating role of self-esteem in the relationship between nursing students' self-efficacy in medication administration in children and self-confidence and anxiety levels in clinical decision-making. Methods This study employed a cross-sectional survey research design. A total of 317 nursing students participated in the study. The data were collected between 16/09/2024 and 30/09/2024 via face-to-face survey technique. The data were collected using Student Introduction Form, Medication Administration Self-Efficacy Scale in Children for Nursing Students, Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale, and Rosenberg Self-Esteem Scale Short Form. Results Nursing students reported low self-efficacy (45.53 +/- 15.85) and self-confidence (62.61 +/- 30.16) in paediatric medication administration, along with moderate anxiety levels (89.20 +/- 41.99). However, self-esteem levels were high (1.91 +/- 0.52). Self-esteem was found to partially mediate the relationship between self-efficacy and self-confidence but did not significantly mediate the relationship between self-efficacy and anxiety. Among the participants, 39.4% stated that they did not make a mistake in calculating the medication dose in children. 69.1% of participants reported a need for training in the preparation and administration of paediatric medications. Conclusion The results suggest that interventions to improve self-esteem could enhance nursing students' self-confidence in clinical decision-making, particularly in paediatric medication administration. Incorporating self-esteem-building activities and targeted training into nursing curricula is recommended to address low self-efficacy and moderate anxiety levels. These results have important implications for nursing education, suggesting that such interventions could reduce medication errors and improve patient safety. Future research should explore the long-term impact of these interventions on clinical performance and patient outcomes.
Parents' State and Trait Anxiety Levels During Bloodletting Attempts in the Pediatric Emergency Department
(Galenos Publ House, 2025) Butun, Ahmet; Bayraktar, Sema; Çatalbaş, Meltem
Giriş: Çocuk acil serviste (ÇAS) çocukların kan alma işlemleri sırasında ebeveynlerin yaşadığı stres ve kaygı, çocuğun tıbbi durumu, prosedürlere aşina olmama, sağlık çalışanlarıyla etkileşimler ve ebeveynlerin bilgi eksiklikleri gibi bir dizi faktörün karmaşık etkileşimiyle şekillenir. Bu çalışma, ÇAS’te çocuklarına kan alma işlemi yapılan ebeveynlerin durumluk ve sürekli kaygı düzeylerini belirlemeyi ve bu kaygı düzeylerini etkileyen faktörleri incelemeyi amaçlamaktadır. Yöntemler: Tanımlayıcı kesitsel tipteki bu çalışma, Türkiye’nin güneydoğusunda bulunan üçüncü basamak bir hastanenin ÇAS’te gerçekleştirilmiştir. Veriler, sosyo-demografik bilgiler formu ve durumluk-sürekli kaygı envanterini içeren bir anket kullanılarak 180 ebeveynden toplanmıştır. Veriler 6 Ocak 2025 ile 20 Şubat 2025 tarihleri arasında toplanmıştır. Veriler, Windows için IBM SPSS istatistik, sürüm 22.0 kullanılarak analiz edilmiştir. Bulgular: Ebeveynler orta düzeyde kaygı yaşamış olup, durumluk kaygı puanları ortalama 41,494±10,322 ve sürekli kaygı puanları ortalama 39,189±9,370 olarak bulunmuştur. Anneler, babalara kıyasla anlamlı derecede daha yüksek sürekli kaygı düzeyleri bildirmiştir (41,944±9,012’ye karşı 35,056±8,371, p<0,001). Daha düşük anne eğitim düzeyi, çalışmama durumu ve daha düşük gelir, daha yüksek sürekli kaygı ile ilişkilendirilmiştir. Çocuğunun hastalığı hakkında eğitim alan ebeveynlerin kaygı düzeyleri anlamlı derecede daha düşük bulunmuştur (p<0,05). Sağlık çalışanlarıyla iletişim ve bilgi sağlama konusundaki memnuniyet de azalmış kaygı ile ilişkilendirilmiştir. Sonuç: Bu çalışma, özellikle anneler ve düşük sosyo-ekonomik statüye sahip olanlar arasında, pediatrik kan alma işlemleri sırasında ebeveynlerin yaşadığı önemli kaygıyı ortaya koymaktadır. Eğitim desteği sağlamak ve sağlık çalışanları ile ebeveynler arasındaki iletişimi iyileştirmek, ebeveynlerin kaygısını hafifletmeye yardımcı olabilir. Bu bulgular, ÇAS ortamlarında ebeveynleri desteklemek için gerekli müdahalelere duyulan ihtiyacı vurgulamaktadır.
Citation - WoS: 3
Citation - Scopus: 2
The Role of Family Health Centres in Preventing Paediatric Emergency Department Usage of Parents of Children With Non-Urgent Conditions
(Bmc, 2024) Butun, Ahmet; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
BackgroundOvercrowding in paediatric emergency departments (PEDs) has become a global public health issue, reducing healthcare quality, increasing dissatisfaction, and driving up costs. Overcrowding in PEDs not only affects patient satisfaction and healthcare costs but also can lead to burnout among healthcare professionals. This burnout could potentially result in suboptimal care for truly severe cases, ultimately increasing morbidity and mortality rates among patients requiring urgent attention. This study aims to determine how family health centres can reduce paediatric visits to PEDs and provide recommendations for alleviating overcrowding.MethodsThis study is a descriptive cross-sectional study. Participants were parents whose children were admitted to the PED at a tertiary hospital located in southeast Turkey. The data were collected between 15/05/2024-26/08/2024. This study was completed with 657 parents. A convenience sampling method was used to recruit participants. SPSS 11.5 software was used for data analysis.ResultsThe mean age of the parents and children brought to the PED was 31.99 +/- 8.51 years and 4.20 +/- 4.08 years, respectively. Of the children, 32.1% were admitted to the PED due to fever. Majority of parents (65%) visited the PED outside working hours. 8.8% of parents considered their child's health condition as "very urgent", 54.5% of them considered it as "urgent". The majority of parents thought that the PEDs were overcrowded (82.2%). 50.4% of the parents stated that they trusted the PED, and 52.7% stated that they were satisfied with the PED. More than half of the parents (61.8%) stated that they did not visit their family health centre before visiting the PED. 10.8% of parents reported that they had never visited a family health centre in the last year. Majority of parents (62.7%) stated that they will visit the PED again if their children have the same health problems in the future.ConclusionImproving the use of family health centres, introducing out-of-hours services, and enhancing parents' health literacy could shift non-urgent visits from PEDs to primary care settings. In addition, making parents more aware of services provided in family health centres could affect parents' health-seeking behaviours and choose to use their GP rather than PED for their children with non-urgent conditions.
Sağlık Bilimlerinde Sistematik Derleme Nasıl Yapılır: Pratik Bir Rehber
(2024) Butun, Ahmet; Çatalbaş, Meltem; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
Sistematik derleme çalışmaları, belirli bir alandaki mevcut tüm çalışmaların sonuçlarını sentezleyip harmanlayarak, bu çalışmaların sonuçlarının, güçlü ve zayıf yönlerinin kapsamlı bir analizini sağlar. Sistematik derleme, araştırma sorusu ile ilgili araştırmaları tespit etmeyi, tespit edilen araştırmalar arasından araştırma sorusuna uygun olanları seçmeyi ve seçilen bu araştırmaların verilerini analiz etmeyi amaçlar. Özellikle tıp ve sağlık bilimleri alanındaki literatürün fazlalığı ve araştırmacıların zamanının kısıtlılığı nedeniyle, sistematik derlemeler mevcut literatürün kapsamlı sonuçlarını birleştiren önemli çalışmalardır. Sistematik derleme çalışması, hastalar için en iyi ve güvenli uygulamayı sağlamaya çalışırken yoğun çalışan sağlık profesyonelleri için büyük yarar sağlar. Bu çalışma hem sağlık bilimlerinde hem de diğer bilim dallarında sistematik derlemenin nasıl yapılması gerektiği ile ilgili pratik bir rehber sunmaktadır.
The Relationship Between Family Nutrition and Physical Activity Practices and Physical Activity Attitudes in Children
(BMC, 2025) Butun, Ahmet
Introduction Childhood obesity and sedentary lifestyles are growing public health concerns, with familial practices playing a critical role in shaping children's physical activity attitudes. The influence of family attitudes and behaviours regarding nutrition and exercise has been highlighted as a pivotal determinant in promoting healthier choices among children. This study aims to explore the relationship between family nutrition and physical activity practices and children's attitudes toward physical activity. Methods A descriptive cross-sectional study was conducted with 633 children and their parents from a tertiary hospital in eastern Turkey. Data were collected using three tools: (1) a sociodemographic form, (2) the Family Nutrition and Physical Activity Screening Scale (FNPASS), and (3) the Youth Physical Activity Attitude Scale in Children and Young People. Data were analysed using SPSS software and statistical analyses included Pearson correlation, linear regression, and ANOVA to explore associations and group differences. Results Family nutrition and physical activity practices significantly predicted children's physical activity attitudes. Physical activity positive attitudes (mean score: 3.74 +/- 0.88) correlated strongly with healthier family practices (FNPASS mean: 52.44 +/- 7.65; r = 0.648, p < 0.01), while physical activity negative attitudes (mean: 2.46 +/- 0.92) showed inverse relationships (r = -0.596, p < 0.01). Higher parental education, urban residency, and income levels were associated with more physical activity positive attitudes (p < 0.001). Underweight children had higher positive attitude scores than overweight/obese peers (p < 0.001). Conclusion Family environments significantly influence children's physical activity attitudes, with socioeconomic factors acting as key modifiers. This study demonstrates that family nutrition and physical activity practices significantly influence children's attitudes toward physical activity. Healthier family habits correlated with more positive attitudes in children, particularly among families with higher parental education and urban residency. Public health initiatives should focus on educating parents about healthy practices while ensuring equitable access to physical activity opportunities for children.
Traditional Care Practices Known And/Or Used by Different Ethnic Groups for Newborns During the Postpartum Period
(BMC, 2025) Deger, Vasfiye Bayram; Butun, Ahmet; 09.01. Department of Nursing / Hemşirelik Bölümü; 9. Faculty of Health Sciences / Sağlık Bilimleri Fakültesi; 01. Mardin Artuklu University / Mardin Artuklu Üniversitesi
BackgroundTraditional care practices play a significant role in shaping care provided to newborns across different ethnic groups. Understanding traditional care practices is crucial for integrating culturally sensitive approaches into modern healthcare systems. This study aims to fill the gap in the literature regarding the different traditional care practices across ethnic groups. The aim of this study was to determine the traditional beliefs and practices of women from different ethnic groups living in Mardin regarding newborn care.MethodsThis study is a descriptive cross-sectional study. The sample consisted of women from four ethnic groups who volunteered to participate in the study with at least one child living in Mardin, Turkey. Snowball and convenience sampling methods were used to recruit participants. The study was completed with 188 Assyrian, 197 Turkish, 181 Arab, and 175 Kurdish women. In total, 741 women participated in this study. Data were collected between 18 December 2023 and 14 June 2024. The data were collected face-to-face using a questionnaire. The data were analysed using SPSS for Windows 22.0.ResultsThis study identified significant differences in traditional care practices across four ethnic groups (Assyrian, Turkish, Arab, and Kurdish). Traditional care practices regarding umbilical cord care, swaddling the baby, alleviating gas pain, preventing neonatal jaundice, care for canker sores, and alleviating diaper rash were identified. Assyrian participants were more likely to apply salt to the umbilical cord (14.9%), while Arab participants rarely used this practice (0.6%). Traditional practices for relieving gas pain included drinking herbal teas such as anise, fennel, linden, and cumin. Rubbing and rubbing breast milk on the abdomen, patting on the back, and massaging were other practices for alleviating gas pain. Arab participants were more likely to use anise tea to alleviate gas pain (75.1%), while Kurdish participants preferred fennel tea (22.3%). Practices regarding alleviating diaper rash included applying saturated fat, olive oil, and powder. Arab participants were more likely to apply olive oil for diaper rash (45.9%), while Assyrian participants commonly used dry earth ('H & ouml;ll & uuml;k'). These results highlight the cultural diversity in newborn care practices and underscore the importance of culturally sensitive healthcare interventions.ConclusionThis study highlighted the significance of traditional care practices in newborn care across four ethnic groups. There are many differences between ethnic groups regarding traditional care practices during the postpartum period. Understanding such differences is crucial for developing culturally sensitive interventions that support maternal well-being and enhance health outcomes for both mothers and infants.
Violence and Its Effects on the Job Satisfaction of Healthcare Staff in Paediatric Emergency Departments
(BMC, 2025) Butun, Ahmet; Ozyurt, Mehmet
Background Workplace violence in healthcare settings poses significant challenges to staff safety and the quality of patient care, particularly in Paediatric Emergency Departments (PEDs), where its impact extends to psychological strain and diminished care standards. This study aimed to determine the prevalence and characteristics of workplace violence experienced by PED staff, and to examine its association with their job satisfaction. Methods This study was a descriptive cross-sectional study. Participants were PED physicians and nurses. Data collection tools were "socio-demographic and work-related questions form", "Workplace Violence Scale" and "Minnesota Job Satisfaction Short Scale". The population of the study consisted of a total of 476 PED healthcare staff who had at least 1 year working experience in two tertiary hospitals and one public hospital located in the southeast Anatolia region of Turkey. A total of 434 healthcare staff participated in this study. Data were collected face-to-face using a survey method between January 3, 2024 and May 12, 2024. The data were analysed using the statistical program SPSS 26. Results In this study, the prevalence of violence exposure was 84.33%. Major perpetrators were patients' relatives (n = 394, 53.2%), main cause of violence was waiting time (n = 302, 17.3%), and violence often occurred in the waiting room (n = 263, 24%). The most frequently reported types of verbal and physical violence were shouting (n = 395, 38.9%), and scratching-pinching (n = 268, 34.5%), respectively. The most violence occurred between 17:00-24:00 (n = 224, 51.6%). Reactions to violence included decrease in motivation-performance (n = 375, 56.7%), thinking of quitting the job (n = 127, 19.7%), and experiencing psychological problems (n = 91, 13.7%). Workplace Violence (WPV) Scale score was 14.25 +/- 4.66 and Minnesota Job Satisfaction score was 2.83 +/- 0.87. A statistically significant but weak negative correlation was found between workplace violence and job satisfaction (r:-0.125, p = 0.009). Conclusion Exposure to violence was frequent among PED staff. The level of job satisfaction among PED staff was low. This study suggests that taking measures to prevent violence in healthcare settings may contribute to fostering a safer work environment and potentially increasing job satisfaction.