Person: KARAKOÇ, AYŞE
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KARAKOÇ
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AYŞE
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Publication Open Access Breastfeeding experience of mothers with multiple babies: A phenomenological study(2022-03-01) KARAKOÇ, AYŞE; Kocabey Z., KARAKOÇ A.Objective: To determine the needs and underline the experiences of mothers by focusing on the experiences of mothers with multiple babies during their breastfeeding period. Methods: This is a phenomenological, qualitative study. A total of 13 mothers with three – to 13-month-old babies were interviewed in-depth and individually. The data were collected by a single observer with a personal information form containing individual characteristics of the participants and an interview form with semi-structured, open-ended questions. Results: The three main themes formed based on the interviews with mothers were the meaning of being a mother with multiple babies and breastfeeding them, challenging life experiences during breastfeeding, and the factors that affect motivation. The majority of the mothers expressed feelings including concern, fear, guilt, and frustration. All mothers stated that, after delivery, they needed a knowledgeable and dependable helper preferably not from the family and that they experienced conflicts in their relationships. Conclusion: It is important to maintain social, emotional, and physical support for mothers with multiple babies. Similarly, avoiding judgmental, questioning, and accusing expressions is essential to circumvent conflicts in relationships. It is recommended for mothers’ concerns to be addressed according to the source of the concern and for breastfeeding education content to be prepared accordingly. Each mother should be evaluated individually, and care plans and consultations should be prepared accordingly.Publication Open Access How Can Vaginal Birth Management Skills Gained Much Better?(MARMARA UNIV, INST HEALTH SCIENCES, 2019-12-31) KARAKOÇ, AYŞE; Bal, Meltem Demirgoz; Bingol, Fadime Bayri; Karakoc, Ayse; Aslan, BegumObjective: In Turkey, midwives are given passive roles by claiming that the midwives are insufficient in the management of birth. The aim of this study was to determine the effects of clinical practice and simulation on normal birth management of midwifery students. Methods: The study was performed as a cross-sectional design at the Marmara University in Istanbul, Turkey, with 64 midwifery students. The data were collected via 2 questionnaires, the first for sociodemographic characteristics, the second for normal labor management skills. Results: The normal birth management skills of the students in the simulation group were significantly higher than those in the clinical group (P<0.05). The simulation group emphasized that a restricted case is the most significant disadvantage (87.5%). The clinical group students underlined that one-to-one contact with pregnant women is the most significant advantage (65.6%). Conclusion: It was seen that it is very advantageous to gain normal birth management skills firstly in simulation and then reinforce these skills in clinical practice in midwifery education. Thus, the disadvantages of both methods may be overcome.Publication Metadata only Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates(AVES PRESS LTD, 2018) KARAKOÇ, AYŞE; Kaya, Fatos Nimet Dolu; Karakoc, AyseObjective: One of the most frequently observed painful procedures during newborn hospitalization is the neonatal heel prick. The use of vibration therapy in newborn pain control can be a preferred method for its non-invasive, cheap, and easy applicability. This study aimed to evaluate effectiveness of mechanical vibration application to avoid pain sensation during heel puncture in newborns. Methods: This was a prospective single-center, placebo-controlled,, prospective randomized study. The study sample composed of healthy neonates born between 37 and 42 weeks of gestation in Medeniyet University Goztepe Training and Research Hospital. Sixty healthy neonates born in the study hospital between September 2012 and March 2013 and who matched the inclusion criteria after parental consent was obtained were included in the study. Heel puncture was applied to the infants during routine testing for phenylketonuria. It was recorded that all of the newborns demographic characteristics, heart rate, oxygen saturation and body tempature measurement at the process. All applications was saved to video camera, then displayed followed and the NIPS was scored by the investigator. The Cronbach's alpha coefficient for the NIPS scoring system was 0.85 during the procedure and 0.87 after the procedure in this study. Results: Before procedure and during procedure the NIPS point average of the experiment group is calculated by (0.967+/-1.771) and (1.733+/-2.050). For the control group, before and during application the NIPS point average is (3,567+/-1,775) and (4,533+/-1,907), respectively (p<0.05). In both groups Newborns post-procedure NIPS score results was higher than during procedure NIPS score and it was statistically significant (p<0.05). Conclusion: Mechanical vibration is found to be effective in decreasing pain sensation in neonates.Publication Metadata only Validity and Reliability of a Revised Northampton Neonatal Skin Assessment Tool in Turkish Language(KOWSAR PUBL, 2017) KARAKOÇ, AYŞE; Karakoc, Ayse; Duzkaya, Duygu Sonmez; Temizsoy, Ebru; Karaca, Semra; Uysal, Gulzade; Cangur, SengulBackground: It is important to check the skin of neonates on a daily basis so that abnormal conditions and skin problems are identified. Objectives: This study aimed at testing the validity and reliability of a revised Northampton Neonatal skin assessment tool in Turkish; a review to determine whether it is valid and reliable in the care of neonates. Methods: The research had a cross-sectional and methodological design. The data for the study was collected between 1st of January 2015, and 20th of June 2015, at the neonatal intensive care unit (NICU) of a major training and research hospital in Istanbul/Turkey; 362 neonatal skin assessments were executed. The revised tool's language, face, content, construct validity, and reliability were evaluated. Results: The intra-class correlation coefficient, which indicates interrater reliability, was 1.00 in the study, representing 100% agreement. The Cronbach alpha internal consistency coefficient revealed that the tool's general reliability was at an acceptable level (C alpha = 0.71). Although the model was not found to be significant (Chi-square = 46.22, df = 17, and P < 0.001), the other model fit indices found RMSEA < 0.07, chi(2)/df < 3, and SRMR< 0.06, which meant that the data had an acceptable fit for the model. The model exhibited a good fit because the CFI, NFI, GFI, and AGFI indices were close to 1. When the model fit indices were evaluated in combination, the CFA model generally had a good fit. The most significant and most prominent effect on the tool was the impact of NNS9 (level of care) indicator (b(9) = 0.86, t value = 17.46 > 1.96). Conclusions: The Turkish version of the revised northampton neonatal skin assessment tool is an appropriate, valid, and reliable instrument to be used in the assessment of neonatal skin, especially of infants at the NICU. The tool may be recommended for use in the care of neonates.Publication Open Access The effect of breastfeeding, breast milk odour and mother's heartbeat sound on pain level in newborns: A randomized trial(2022-12-01) KARAKOÇ, AYŞE; Tavlar M., KARAKOÇ A.Aim This study aimed to compare the effects of breastfeeding, breast milk odour and mother\"s heartbeat sounds on perceived pain during heel lance procedures in term newborns. Design This was a randomized three-group experimental study. Methods The sample of the study consisted of 90 newborns. The data were collected using pulse oximeter, fetal hand doppler, voice recorder, loudspeaker, a data collection form and the ALPS-Neo Pain and Stress Assessment Scale for Newborn Infants. Results During the procedure, newborns in the breast milk odour group had high levels of pain and stress, those in the mother\"s heartbeat sounds group had mild pain and stress, and those in the breastfeeding group had no pain and stress. Additionally, a statistically significant difference was found between their crying times. This difference was the highest for newborns in the breast milk odour group, followed by the mother\"s heartbeat sounds and breastfeeding groups, respectively. Conclusion Breastfeeding and mother\"s heartbeat sounds, which are non-pharmacological pain relief methods, are effective in neonatal pain management. However, breast milk odour is not effective for pain control in newborns. Further studies should examine the efficacy combinations of these methods.Publication Metadata only Çocuklarda uyum ve davranış sorunları ve hemşirelik yaklaşımı(AKADEMİSYEN TIP KİTAPEVİ, 2021-01-01) KARAKOÇ, AYŞE; OCAKÇI A. F., KARAKOÇ A.; Conk, Zeynep; Başbakkal, Zümrüt; Bal Yılmaz, Hatice; Bolışık, BahirePediatri hemşireliği konusunda kapsamlı ve rehber niteliğinde olacak bir kitap oluşturma fikri yıllardır düşlediğimiz bir özlemdi. Bu süreçte Türkiye’de tüm hemşirelik fakülteleri, yüksekokulları ve sağlık yüksekokullarında görev yapan, çocuk sağlığı ve hastalıkarı hemşireliği bilim dalında uzmanlaşmış 54 öğretim üyesi tarafından seçilen kitap bölümleri paylaşıldı. Uzun bir hazırlık aşamasından sonra Pediatri Hemşireliği Kitabımızın okuyucularına ulaşma sevincini hep birlikte yaşıyoruz. Kitabın hazırlık aşamasında yazarlarımızdan aldığımız olumlu geri bildirimler çalışmalarımızda bize heyecan ve motivasyon sağladı. Elinizdeki Pediatri Hemşireliği Kitabının planlanması aşamasında, pediatri hemşireliğinde ders ve yardımcı ders kitaplarına bir yenisini kazandırmak ve pediatri hemşireliği dersi alan öğrencilerin bu alandaki temel gereksinimlerine cevap verebilecek kapsamlı, anlaşılabilir ve işlevsel niteliği olan kaynak bir kitap olması hedeflenmiştir. Pediatri Hemşireliği Kitabımızın amacı, çocuk sağlığı ve hastalıkları hemşireliği dersi alan öğrencilerimize çocuk sağlığının korunması ve geliştirilmesi, çocuk hastalıkları ve bu hastalıklardan korunma ile ilgili temel bilgi kazandırmaktır. Ayrıca hasta çocuklara bakım verirken öğrencilere rehber oluşturması ve mezuniyet sonrasında da ihtiyaç duyabilecekleri zamanlarda başvurabilecekleri temel ve güncel bilgileri içeren bir başvuru kaynağı olması hedeflenmiştir. Hemşirelerin sağlık bakımındaki gelişmeleri yakından izlemeleri ve bu gelişmeleri sağlıklı/hasta çocuğun bakımına yansıtabilmeleri beklenir. Bu nedenle pediatri hemşireliği alanında yeni bilgilerin ışığında, geleneksel bakım yöntemlerinin yanılgılarını ve eksikliklerini gidererek, çocuğun tüm gelişim evrelerini bilinçli bir şekilde izleyerek, sağlık ve hastalık durumlarında onun gereksinimlerini zamanında ve yeterli ölçüde karşılamak isteyen pediatri hemşireleri için de başvuru niteliğinde bir kaynak olması diğer bir hedefimiz olmuştur. Hemşirenin hastasına kapsamlı bir bakım verebilmesi için çocuğun hastalığı hakkında bilgi sahibi olmasının yanı sıra, çocuğun bakımını her çocuğa özgü olarak planlaması, uygulaması, değerlendirmesi ve aile merkezli bakım vermesi gereklidir. Bu nedenle kitapta, sistem hastalıkları ele alınırken önce ilgili sistemin fonksiyonel yapısı, hastalığın fizyopatolojisi, tanı ve tedavisi hakkında bakıma temel oluşturacak kuramsal bilgiler verilmiş, bu bilgiler ışığında hemşirelik tanılarına yönelik hemşirelik girişimleri hasta ve tanıya özgü sonuç kriterleri ile hemşirelik yönetimi açıklanmıştır. Bazı bilgiler pekiştirmeyi sağlamak amacıyla yeri geldikçe tekrar edilmiştir. Kitabımız, çocukluk dönemlerinde karşılaşılabilen hastalık ve sorunları irdeleyen, hemşirelik uygulamalarında dikkate alınması gereken, çocuğu aile bireyleri ve yakın çevresiyle bir bütün olarak ele alan 26 bölümden oluşmuştur.Publication Open Access Validity and Reliability of the Turkish Version of the Acceptance of Cosmetic Surgery Scale (ACSS)(KARE PUBL, 2017) KARAKOÇ, AYŞE; Karaca, Semra; Karakoc, Ayse; Onan, Nevin; Kadioglu, HasibeObjectives: Because cosmetic/aesthetic surgery has increased dramatically worldwide, it is necessary to evaluate the reasons and psychosocial situation of the persons proposing to undergo this surgery before any surgical intervention. The aims of the current study were to examine the validity and reliability of the Acceptance of Cosmetic Surgery Scale (ACSS) among Turkish persons. Methods: This methodological study was conducted with 584 participants. Content and construct validity studies were carried out to test the validity of the scale. The construct validity was analyzed with confirmatory factor analysis (CFA). For the scale's reliability, the techniques of internal consistency and consistency over time were used. Results: The Turkish adaptation of the ACSS was found to be valid, exhibiting a content validity index in the range of 0.80-1 on the item level, and 0.90 at the scale level. The scale displayed a three-factor structure. The total Cronbach's alpha coefficient for the scale was 0.92; the Cronbach's alpha coefficient for Factor 1 (Interpersonal) was 0.81; and 0.86 for Factor 2 (Social). The Cronbach alpha coefficient for Factor 3 (Consider) was 0.90. Conclusion: The ACSS is a valid and reliable tool that can be used in assessing acceptance of cosmetic surgery.Publication Metadata only Effects of White Noise and Holding on Pain Perception in Newborns(ELSEVIER SCIENCE INC, 2014) KARAKOÇ, AYŞE; Karakoc, Ayse; Turker, FundaThis experimental study on newborns was conducted to compare the effects of various atraumatic care procedures during an infant's crying response to pain. Included in this study were 120 newborns chosen from among healthy infants admitted to the Obstetrics Department of Canakkale State Hospital between April 2010 and June 2010. The patients were divided into three physically homogeneous groups. Infants in group 1 were held on the mothers' laps, infants in group 2 were held on the mother's laps and listened to white noise, and infants in group 3 lay in their cribs and listened to white noise while undergoing a painful procedure. Data collection included the Neonatal Infant Pain Scale, which was used to evaluate the behavioral responses to pain during a heel prick blood draw and a newborn information sheet developed by the researcher. Changes in cardiac and respiratory rates recorded during the invasive procedure were statistically significant among the three groups (p < .05). The shortest crying period and the lowest behavioral reactions were among those infants lying in their cribs and listening to white noise. This group was then followed by the infants who listened to white noise while being held by their mothers. The highest behavioral reaction was reported by those infants who were held by their mothers but did not listen to white noise. According to the results, white noise is an effective nonpharmacologic method to control pain, reduce crying time, and positively effect vital signs. Therefore, it is recommended that the use of white noise be practiced on newborns when they undergo painful procedures. (C) 2014 by the American Society for Pain Management NursingPublication Metadata only Yenidoğan yoğun bakım ünitesinde uygulanan invaziv girişimlerde yenidoğanların ağrı algısının değerlendirilmesi(2022-01-01) KARAKOÇ, AYŞE; AYDIN Ö., KARAKOÇ A.Publication Open Access Difficulties experienced by a group of nursing students during pandemic process and their coping strategies: A qualitative research(2022-03-01) KARACA, SEMRA; KARAKOÇ, AYŞE; Karaca S., Karakoç A.Objective: This phenomenologic study aims to investigate the difficulties experienced by a group of nursing students during the pandemia process thoroughly and to explain coping strategies. Methods: This research was carried out using the phenomenological method, which is one of the qualitative research methods, to examine the views of nursing students on their pandemic experiences and their coping strategies “Information Form” and “Questionnaire Form” were sent to the students online, and forms that were filled out completely and sent back were included in the content analysis. Results: Participants mean age was 21.19±1.06. Of the participants, 77.00% were female, 34.4% stated that they live in a metropolis during the pandemia process, while 83.6% mentioned that they were with their family, 31.1% did not leave their homes unless it is necessary. As a result of data analysis, the main themes of difficulties/stressors, stress/anxiety increasing factors, and coping strategies were reached. Conclusion: Student nurses experience more than one difficulty regarding the pandemia process; some students state that the pandemia process has changed their perception of their profession, and they mostly use positive methods to cope with these difficulties.