Journal of pediatric nursing · 2026
Evaluation of the effectiveness of training on pediatric nurses' attitudes toward children during invasive procedures.
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Aksu Baysal Gamze, Yava Ayla
Аннотация
BACKGROUND: Hospitalization and invasive procedures constitute major sources of stress and anxiety for children. Nurses' attitudes during these procedures play a pivotal role in mitigating children's negative psychological responses and in promoting atraumatic care.
OBJECTIVES: This study aimed to evaluate the effectiveness of an innovative educational intervention in improving pediatric nurses' attitudes toward children during invasive procedures, as measured using a validated pediatric-specific attitude scale (ÇİTÖ).
METHODS: A single-group quasi-experimental pretest-posttest design was conducted with 50 pediatric nurses working at Van Yüzüncü Yıl University Dursun Odabaş Medical Center between February and March 2025. Data were collected using a Sociodemographic Information Form and the Scale for Evaluating Pediatric Nurses' Attitudes Toward Children During Invasive Procedures (ÇİTÖ). Pre- and post-intervention scores were analyzed using paired-sample t-tests.
RESULTS: Post-intervention scores demonstrated statistically significant improvements in overall attitudes, as well as in the Empathic View and Reassuring Behavior subdimensions (p < 0.05). Effect sizes were large for the total scale (d = 1.68) and the Empathic View subdimension (d = 1.44), and moderate for the Reassuring Behavior subdimension (d = 0.87). Demographic analyses indicated that higher job satisfaction, greater professional fulfillment, and longer weekly working hours were associated with higher attitude scores. Nurses also reported that interactive educational methods enhanced motivation, participation, and learning retention.
CONCLUSION: The training program effectively improved pediatric nurses' positive, empathic, and reassuring attitudes toward children during invasive procedures. The integration of mind maps and digital puzzles represents an innovative and engaging model for nursing education and contributes to the advancement of atraumatic pediatric care. These findings suggest that interactive and innovative educational approaches can be successfully incorporated into pediatric nursing training programs to strengthen atraumatic care practices during invasive procedures.
IMPLICATIONS FOR PRACTICE: Educational programs incorporating innovative teaching strategies, such as mind maps and digital puzzles, may enhance pediatric nurses' empathic and supportive attitudes toward children during invasive procedures. Integrating such interactive training approaches into routine in-service education programs may help promote atraumatic care principles, improve the quality of pediatric nursing practice, and support more child-centered healthcare environments.
OBJECTIVES: This study aimed to evaluate the effectiveness of an innovative educational intervention in improving pediatric nurses' attitudes toward children during invasive procedures, as measured using a validated pediatric-specific attitude scale (ÇİTÖ).
METHODS: A single-group quasi-experimental pretest-posttest design was conducted with 50 pediatric nurses working at Van Yüzüncü Yıl University Dursun Odabaş Medical Center between February and March 2025. Data were collected using a Sociodemographic Information Form and the Scale for Evaluating Pediatric Nurses' Attitudes Toward Children During Invasive Procedures (ÇİTÖ). Pre- and post-intervention scores were analyzed using paired-sample t-tests.
RESULTS: Post-intervention scores demonstrated statistically significant improvements in overall attitudes, as well as in the Empathic View and Reassuring Behavior subdimensions (p < 0.05). Effect sizes were large for the total scale (d = 1.68) and the Empathic View subdimension (d = 1.44), and moderate for the Reassuring Behavior subdimension (d = 0.87). Demographic analyses indicated that higher job satisfaction, greater professional fulfillment, and longer weekly working hours were associated with higher attitude scores. Nurses also reported that interactive educational methods enhanced motivation, participation, and learning retention.
CONCLUSION: The training program effectively improved pediatric nurses' positive, empathic, and reassuring attitudes toward children during invasive procedures. The integration of mind maps and digital puzzles represents an innovative and engaging model for nursing education and contributes to the advancement of atraumatic pediatric care. These findings suggest that interactive and innovative educational approaches can be successfully incorporated into pediatric nursing training programs to strengthen atraumatic care practices during invasive procedures.
IMPLICATIONS FOR PRACTICE: Educational programs incorporating innovative teaching strategies, such as mind maps and digital puzzles, may enhance pediatric nurses' empathic and supportive attitudes toward children during invasive procedures. Integrating such interactive training approaches into routine in-service education programs may help promote atraumatic care principles, improve the quality of pediatric nursing practice, and support more child-centered healthcare environments.