International Journal of Nursing Practice最新文献

{"title":"Assessing Oral Mucosal Pressure Injuries in Intubated Intensive Care Patients: Adaptation and Reliability of the Reaper Oral Mucosa Pressure Injury Scale","authors":"Ecem Ozdemir,&nbsp;Fatos Korkmaz,&nbsp;Necla Dereli,&nbsp;Mesut Akyol","doi":"10.1111/ijn.70159","DOIUrl":"10.1111/ijn.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to adapt the Reaper Oral Mucosa Pressure Injury Scale into Turkish and evaluate its reliability and validity for use by intensive care unit nurses in assessing oral mucosal membrane pressure injuries among intubated patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A methodological study was conducted with 165 intensive care unit nurses in a tertiary hospital. The adaptation process followed international guidelines, including translation, back-translation, expert review and pilot testing. Psychometric testing included content validity, exploratory factor analysis, internal consistency and test–retest reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although 83% of nurses reported familiarity with mucosal membrane pressure injuries, only 38% had received formal training, underscoring a practice gap. Turkish Reaper Oral Mucosa Pressure Injury Scale demonstrated strong psychometric performance: exploratory factor analysis confirmed a unidimensional structure (Kaiser–Meyer–Olkin = 0.92; Bartlett's <i>χ</i>²(136) = 2185.6, <i>p</i> &lt; 0.001) explaining 52.4% of variance. Internal consistency was excellent (<i>α</i> = 0.874; full scale <i>α</i> = 0.94; item–total correlations 0.42–0.80).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Turkish Reaper Oral Mucosa Pressure Injury Scale is a valid, reliable scale for oral mucosal membrane pressure injuries assessment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148143404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Affecting the Mental Health and Wellbeing of Men in Nursing: A Systematic Review and Narrative Synthesis.","authors":"Eric Lim, Mingxin Zhang, Kezia Higham, Frank Donnelly","doi":"10.1111/ijn.70153","DOIUrl":"10.1111/ijn.70153","url":null,"abstract":"<p><strong>Background: </strong>The number of men entering nursing has steadily increased over recent decades. Male nurses contribute unique perspectives and skills; however, men working in female-dominated occupations face distinct impacts on mental health and wellbeing.</p><p><strong>Research aim: </strong>To identify factors that negatively impact the mental health and wellbeing of male nurses and students.</p><p><strong>Methods: </strong>This systematic literature review followed the five steps as outlined by Gregory and Denniss for conducting a systematic literature review and narrative synthesis.</p><p><strong>Results: </strong>Seventy research papers were included. Findings identified three major categories and eight factors describing the mental health and wellbeing of male nurses and students. Themes identified were 'Social and Cultural Stigma', 'Institutional and Workplace Exclusion' and 'Hostility and Vulnerability in Practice'.</p><p><strong>Conclusions: </strong>Findings highlight systemic and interpersonal challenges to the mental health of male nurses and students, offering a foundation for future research, hypothesis generation and the development of targeted, evidence-based strategies to address these issues.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":"e70153"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13158322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Moderate-to-Highly Exuding Chronic Leg Ulcers With Superabsorbent Wound Dressings Versus Foams Dressings in Polish Settings: An Early-Stage Cost-Effectiveness Evaluation.","authors":"Vladica Veličković, Anna Serafin, Beata Mrozikiewicz-Rakowska, Arkadiusz Jawień","doi":"10.1111/ijn.70147","DOIUrl":"10.1111/ijn.70147","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic leg ulcers (CLUs) are complex wounds that often fail to heal within a reasonable timeframe, leading to prolonged morbidity, reduced quality of life and significant healthcare costs. The severity and exudate level of these wounds influence treatment choice and patient outcomes. In Poland, evidence on the economic impact of advanced dressings for CLUs remains limited, despite their inclusion in clinical guidelines.</p><p><strong>Aim: </strong>This study aims to evaluate the cost-effectiveness and cost-utility of superabsorbent polymer dressings versus foam dressings in the management of moderate-to-highly exuding chronic leg ulcers within Polish healthcare settings.</p><p><strong>Methods: </strong>This early-stage model-based economic evaluation was conducted in a time horizon of 6 months within the context of the Polish healthcare system. The model inputs were identified through systematic literature reviews and incorporated into a mathematical model that accounted for the natural history of chronic leg ulcers.</p><p><strong>Results: </strong>The average cost per patient for superabsorbent polymer dressings was estimated at PLN 11144 (€2563; $2786), while foam dressings averaged PLN 14685 (€3378; $3671), contributing to the cost difference between the two wound dressings of PLN 3541 (€815; $885) per patient over 6 months. Healing rates are projected to improve by an additional 2%, and health-related quality of life is expected to increase by 0.123 quality-adjusted life weeks in favour of superabsorbent polymer dressings.</p><p><strong>Conclusion: </strong>These results provide evidence that superabsorbent polymer dressings are clinically and economically viable treatment options compared to foams for moderately to excessively exuding chronic leg ulcers in Poland.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":"e70147"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Preliminary Testing of the Healthy Transition Scale for Patients Undergoing Haemodialysis.","authors":"Ae-Kyung Chang, Min-Kyung Kim, Woo-Jung Hong, Yeon-Kyung Cho, Ah-Young Kim","doi":"10.1111/ijn.70152","DOIUrl":"10.1111/ijn.70152","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop a scale to measure healthy transitions in patients undergoing haemodialysis.</p><p><strong>Methods: </strong>Twenty-seven preliminary items of the Healthy Transition Scale to Haemodialysis (HTS-HD) were identified through a literature review and in-depth interviews with patients undergoing haemodialysis. Of these, 25 items demonstrated content validity. To verify the reliability and validity of the preliminary scale, questionnaires were administered to 234 in-centre patients undergoing haemodialysis. The data were analysed using item analysis, exploratory factor analysis, convergent and discriminant validity and concurrent validity. Internal consistency and reliability were tested using Cronbach's α coefficient.</p><p><strong>Results: </strong>The final version of HTS-HD consisted of 19 items. Four factors were extracted: independent participation, subjective well-being, acceptance and integration and active information seeking and coping. These were verified through convergent and discriminant validity. The concurrent validity was confirmed using the Psychological Adaptation Scale (PAS). The overall Cronbach's α was 0.88.</p><p><strong>Conclusion: </strong>Since the developed scale is valid and reliable, the HTS-HD can be used to develop nursing interventions to improve the healthy transition of patients undergoing haemodialysis.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":"e70152"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Effectiveness of the Smart Post-Discharge Elderly Health Management Platform for Older Patients' Health-Related Quality of Life: A Cluster Randomised Controlled Trial.","authors":"Tongtong Fu, Linlin Xing, Hanxiao Luo, Qi Sun, Yangyang Lv, Xinyi Cui, Yufei Du, Chunling Xia, Ling Fan","doi":"10.1111/ijn.70151","DOIUrl":"10.1111/ijn.70151","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effectiveness of the Smart Post-Discharge Elderly Health Management Platform on health-related quality of life and self-management after hospital discharge.</p><p><strong>Background: </strong>The global aging population has increased challenges in post-discharge care for older adults, particularly due to chronic conditions and the need for continuous care.</p><p><strong>Design: </strong>Cluster randomised controlled trial.</p><p><strong>Methods: </strong>The trial enrolled 383 elderly patients assigned to a platform-based intervention or standard telephone follow-up, with health-related quality of life, self-management, usability and economic outcomes assessed over 6 months. This study was reported in accordance with the CONSORT guidelines.</p><p><strong>Results: </strong>Repeated measures analyses showed significantly greater improvements in HRQoL in the intervention group over 6 months (p = 0.026), with significant improvements across multiple physical and mental health domains (p = 0.002-0.021). Self-management total scores increased significantly (p < 0.001). Platform usability was rated highly by 96.35% of users, and 70.83% reported reduced healthcare costs.</p><p><strong>Conclusions: </strong>Providing a practical framework for integrating technology into nursing practice for aging populations, this platform shows promise for post-discharge elderly care by strengthening nurse-led digital health delivery, care continuity, self-management and health outcomes beyond hospital settings.</p><p><strong>Trial registration: </strong>ChiCTR2400089720.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":"e70151"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Education Provided Through Online Flashcards During the Postpartum Period on Women's Perceived Barriers and Attitudes Toward Family Planning: An Experimental Four Solomon Group Design.","authors":"Ayşe Çal, Zeynep Ölçer, Büşra Lekesiz Kapı","doi":"10.1111/ijn.70154","DOIUrl":"10.1111/ijn.70154","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to evaluate the effect of family planning education provided through online flashcards during the postpartum period on women's perceived barriers and attitudes.</p><p><strong>Methods: </strong>This study was conducted as a randomized controlled trial using the Solomon four-group design. The study sample consisted of 133 postpartum women who met the inclusion criteria and were recruited from the postpartum clinics (Intervention 1 = 33, Intervention 2 = 32, Control 1 = 33, Control 2 = 35). An online educational programme on contraceptive methods suitable for the breastfeeding period was delivered in the Intervention 1 and Intervention 2 groups via WhatsApp using digital flashcards. Three measurements were conducted for the Intervention 1 and Control 1 groups: a pretest before the education, a posttest immediately after the education and a follow-up posttest 1 month later. The other two groups did not undergo a pretest.</p><p><strong>Results: </strong>The education provided through online flashcards resulted in a statistically significant change in the perceived barriers to contraceptive use and family planning attitude scores among women in the Intervention 1 group.</p><p><strong>Conclusions: </strong>The findings demonstrate that education delivered through online flashcards during the postpartum period positively influenced women's perceived barriers to contraceptive use and their attitudes toward family planning. These results suggest that online flashcards may serve as an effective and accessible educational tool to support family planning in the postpartum period.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT06052215.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":"e70154"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147929561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Nurses' Radiation Protection Knowledge and Safety Awareness on Safety Behaviour: A Cross-Sectional Correlational Study.","authors":"Bilgen Özlük, Mahmut Ay, Esma Aslan Seki, Yavuz Selim Tut","doi":"10.1111/ijn.70155","DOIUrl":"10.1111/ijn.70155","url":null,"abstract":"<p><strong>Background: </strong>Nurses' understanding of radiation protection and their awareness of safety procedures are essential in reducing occupational exposure and maintaining a safe clinical environment.</p><p><strong>Aims: </strong>This study aims to examine how nurses' radiation protection knowledge and their level of safety awareness influence their safety behaviours.</p><p><strong>Methods: </strong>A cross-sectional correlational design was used. The study was conducted between June and August 2023 with 321 nurses employed in a hospital in the largest province of Türkiye. Data were collected using the Healthcare Professional Knowledge of Radiation Protection Scale, the Safety Awareness and Competence Scale and the Safety Behaviour Scale. Multiple linear regression analysis was performed to evaluate the predictive effects of radiation knowledge and safety awareness on safety behaviour.</p><p><strong>Results: </strong>Nurses demonstrated low levels of radiation protection knowledge (3.29 ± 1.88), whereas their safety awareness was high (4.01 ± 0.65), and their safety behaviour scores were above average (3.70 ± 0.73). Safety behaviour showed a moderate positive correlation with radiation protection knowledge (r = 0.270, p < 0.001) and a strong positive correlation with safety awareness (r = 0.608, p < 0.001). Regression results demonstrated that both variables significantly predicted safety behaviour (R² = 0.385, p < 0.001).</p><p><strong>Conclusions: </strong>Radiation protection knowledge and safety awareness together explained 38.5% of the variance in nurses' safety behaviour. These findings highlight the need for structured and continuous in-service training on radiation protection. In addition, institutional and national policies should be strengthened to support sustainable radiation protection practices in clinical settings.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":"e70155"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147987459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, Cross-Cultural Adaptation and Validation of the Chinese Version of the Perinatal Anxiety Screening Scale Among Antenatal and Postnatal Women: A Psychometric Study.","authors":"Liyuan Yang, Jin Su, Caixin Yin, Bailing Fu, Yongfang Deng, Qiaohong Yang","doi":"10.1111/ijn.70150","DOIUrl":"10.1111/ijn.70150","url":null,"abstract":"<p><strong>Aim: </strong>This work aimed to translate the Perinatal Anxiety Screening Scale into Chinese and test its validity and reliability.</p><p><strong>Background: </strong>Anxiety symptoms are common in the perinatal period and negatively affect maternal and fetal outcomes. However, a sensitive anxiety screening tool specific to perinatal women, including a broad range of problematic anxiety symptoms, is not available in the Chinese language.</p><p><strong>Methods: </strong>Based on the translation, adaptation and validation of instruments or scale guideline, the Chinese version of the Perinatal Anxiety Screening Scale was developed by translation, synthesis, back-translation, pilot testing and psychometric testing. By convenience sampling, 350 perinatal women participated in this study from a tertiary hospital in Guangzhou, China.</p><p><strong>Results: </strong>The Chinese version of the Perinatal Anxiety Screening Scale comprised four dimensions with 31 items and demonstrated good internal consistency (Cronbach's α: 0.94) and acceptable test-retest reliability within a two-week interval (intraclass correlation coefficient: 0.81). An expert panel evaluated that the average Scale-Content Validity Index (S-CVI/Ave) was 0.96, and the Item Content Validity Index (I-CVI) ranged from 0.89 to 1.00. As expected, the PASS significantly correlated with the Pregnancy-specific Anxiety Questionnaire and Self-Rating Anxiety Scale (r = 0.74, p < 0.001; r = 0.67, p < 0.001). In exploratory factor analysis, the cumulative contribution rate of the four common factors was 66.19%.</p><p><strong>Conclusion: </strong>The PASS-C was rigorously developed following the translation, adaptation and validation guidelines. The PASS-C was evaluated to have good reliability and validity. Additionally, it was verified to be easy and fast to assess the severity of anxiety symptoms in perinatal women for clinicians in China. We therefore advise that the PASS-C be introduced into clinical practice as a rapid screening instrument of anxiety disorders in antenatal and postnatal women. This enables nurses or clinicians to initiate timely, evidence-based interventions, such as psychological support or referrals to mental health specialists, thereby improving maternal and infant outcomes.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":"e70150"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Power of Self-Efficacy in Fostering Caring Self-Efficacy and Overcoming Job-Related Stress and Perceived Stigma Among Psychiatric Nurses","authors":"Rasha Mohamed Hussein,&nbsp;Eman Abdeen Ali,&nbsp;Ayman Mohamed El-Ashry,&nbsp;Mona Metwally El-Sayed,&nbsp;Mahmoud Abdelwahab Khedr","doi":"10.1111/ijn.70157","DOIUrl":"10.1111/ijn.70157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This randomized controlled trial evaluated the effectiveness of a self-efficacy–based intervention in enhancing caring self-efficacy, reducing job-related stress and decreasing perceived stigma among psychiatric nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A parallel-arm RCT was conducted between July and November 2023. Seventy psychiatric nurses were randomized 1:1 to an intervention group (<i>n</i> = 35) receiving eight structured self-efficacy sessions or a control group (<i>n</i> = 35) receiving treatment as usual. Outcomes were measured using the Caring Efficacy Scale, Psychiatric Nurses Job Stress Scale and Perceived Devaluation and Discrimination Scale (stigma) at baseline, postintervention, and 3 months later.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The intervention group showed significant improvements in caring self-efficacy, with Caring Efficacy Scale scores increasing from 69.83 ± 23.90 preintervention to 98.20 ± 27.92 postintervention (<i>p</i> &lt; 0.001, effect size = 0.537), and remaining elevated 3 months later (95.06 ± 27.31, <i>p</i> &lt; 0.001), while the control group scores showed no significant change. Job stress scores decreased significantly in the intervention group compared to controls across all Psychiatric Nurses Job Stress Scale subscales (<i>p</i> &lt; 0.001). The proportion of participants reporting high perceived stigma dropped significantly from 71.4% preintervention to 2.9% postintervention (<i>p</i> &lt; 0.001, effect size = 0.760), sustained at 3 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings support integrating self-efficacy training into psychiatric nursing professional development; such an intervention may enhance nurses' psychological well-being and ultimately improve the quality of patient care in clinical settings.</p>\u0000 \u0000 <p>Trial Registration: The study protocol has been registered at ClinicalTrials.gov (Identifier Code: NCT05952414).</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual Education and Distraction for Reducing Preoperative Anxiety in Children and Parents: A Randomized Controlled Trial","authors":"Ayla Kaya,&nbsp;Fahriye Pazarcıkcı,&nbsp;Emine Efe","doi":"10.1111/ijn.70158","DOIUrl":"10.1111/ijn.70158","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To evaluate and compare the effectiveness of visual education and distraction methods in reducing preoperative anxiety among children and their parents.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Three-arm, parallel-group randomized controlled trial.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study was conducted between June 2023 and September 2024 in the paediatric outpatient surgery unit of a university hospital in Türkiye. A total of 105 children aged 5–12 years and their parents were randomly assigned to one of three groups: visual education, distraction using a kaleidoscope or control. Anxiety levels were assessed using the modified Yale Preoperative Anxiety Scale (mYPAS) for children and the State–Trait Anxiety Inventory-State (STAI-S) for parents. Data were analysed using repeated measures ANOVA, independent samples &lt;i&gt;t&lt;/i&gt;-tests, Bonferroni post hoc tests, effect size and observed power.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Both interventions significantly reduced preoperative anxiety compared with the control group. Repeated measures ANOVA revealed significant between-group differences for children (&lt;i&gt;F&lt;/i&gt; = 11.937, &lt;i&gt;p&lt;/i&gt; &lt; 0.001, &lt;i&gt;η&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.190) and parents (&lt;i&gt;F&lt;/i&gt; = 9.164, &lt;i&gt;p&lt;/i&gt; &lt; 0.001, &lt;i&gt;η&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.152). Bonferroni post hoc analyses confirmed that visual education and kaleidoscope distraction were effective in reducing anxiety in both children and parents. Although visual education produced a greater numerical reduction in anxiety, the difference between visual education and kaleidoscope distraction was not statistically significant.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;These results highlight the importance of integrating structured visual education and distraction strategies into routine paediatric nursing practice. Such interventions support family-centred care, enhance perioperative cooperation and may contribute to improved clinical experiences for children and parents.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Clinical Relevance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Structured visual education programs and distraction strategies can be integrated into routine paediatric nursing practice to support children and parents in the surgical process, enhance cooperation and improve perioperative care outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}