Investigation of Child Development Students' Awareness of Home Accidents and Safety Precautions for 0–6-Year-Old Children: A Qualitative Research

Year 2025, Volume: 12 Issue: 2, 598 - 622, 31.08.2025

Öznur Güldağ , Rabia Cemre Arslan , Semra Şahin

https://doi.org/10.21020/husbfd.1602925

Abstract

Objectives: The aim of this study was to examine the awareness of undergraduate Child Development students regarding home accidents that children aged 0-6 may experience, as well as the safety measures that can be taken to prevent them.
Materials and Methods: A qualitative descriptive research design was employed, with a sample of 33 undergraduate students selected through criterion sampling. The data were collected through semi-structured interviews and analyzed thematically using qualitative data analysis software.
Results: In this study, five main themes were identified as Risk Perception, Interventions and Precautions, Level of Knowledge, Training and Awareness Needs, Experience and Observation. Additionally, seven sub-themes related to main themes and, 30 codes were determined. The findings indicate that participants' awareness of home accidents is mainly influenced by their perception of risk and preventive actions. In contrast their awareness about personal experiences or the need for training is limited.
Conclusion: Literature suggests that increasing the awareness of Child Development undergraduate students about preventable home accidents can contribute to strengthening protective and preventive approaches to children's safety. Accordingly, it is recommended to implement initiatives to raise awareness about home accidents, develop targeted educational programs for parents, and integrate curriculum-based courses for university students on home accidents and preventive strategies.

Keywords

0-6 years old children , home accidents , safety precautions , awareness , child development students

References

• Abbassinia, M., Barati, M., & Afshari, M. (2019). Effectiveness of interventions in the prevention of home injuries among children under 5 years of age: A systematic review. Archives of Trauma Research, 8(4), 190-197. https://doi.org/10.4103/atr.atr_22_19
• Agran, P. F., Winn, D., Anderson, C., Trent, R., & Walton-Haynes, L. (2001). Rates of pediatric and adolescent injuries by year of age. Pediatrics, 108(3), e45. https://doi.org/10.1542/peds.108.3.e45
• Al Rumhi, A., Al Awisi, H., Al Buwaiqi, M., & Al Rabaani, S. (2020). Home accidents among children: A retrospective study at a tertiary care center in Oman. Oman medical journal, 35(1), e85. https://doi.org/10.5001/omj.2020.03
• Alptekin, F. (2004). Center of Aksaray of Home Occidents Epidemiology to Stade the Behaviors the Attitudes of The Housewives Towards Preventing Home Occidents Level of Knowledge on The First Aid. [Master's thesis,Süleyman Demirel Üniversitesi].
• Alptekin, F., Uskun, E., Kisioglu, A. N., & Ozturk, M. (2008). Unintentional non-fatal home-related injuries in Central Anatolia, Turkey: Frequencies, characteristics, and outcomes. Injury, 39(5), 535-546. https://doi.org/10.1016/j.injury.2007.02.042
• Al Mushaikhi, M., Taylor, J., Donagh, B., & Swift, A. (2022). Health education, its methods and effects on parents’ knowledge, attitudes, and behaviours to prevent unintentional child injuries at home: A systematic review. Child Care in Practice, 1-26. https://doi.org/10.1080/13575279.2022.2121682
• Altuntaş M., Kaya, M., Demir,Ş., Oyman, G., Metecan , A., Rastgel, H. vd. (2013). 0-14 yaş arası çocuklarda önlenebilir nitelikteki kazaların belirlenmesi ve ilişkili tedbirlerin alınması. Smyrna Tıp Dergisi, 28-33.
• Alves, T., Giustini, M., Papadakaki, M., Nijmans, S., Valkenberg, H., Silva, S., Braz, P., & Matias-Dias, C. (2024). Home and leisure accidents among children and young people up to 19 years old as an event observed in the EU-IDB surveillance system: 2012-2021 data. The European Journal of Public Health, 34. https://doi.org/10.1093/eurpub/ckae144.061
• Alves, T., Rodrigues, E., Mexia, R., Neto, M., & Matias-Dias, C. (2020). Home and leisure accidents in children and young people from 0 to 19 years old in Portugal 2018. European Journal of Public Health, 30. https://doi.org/10.1093/eurpub/ckaa166.1377
• Aral, N., Gürsoy, F., & Aysu, B. (2020). Investigation of the opinions of mothers with children with special needs about home accidents. Erzincan University Journal of Social Sciences Institute, 13(2), 229-241. https://doi.org/10.46790/erzisosbil.774080
• Aysu, B., Kadan, G., Aral, N., & Gürsoy, F. (2023). Investigation of the effectiveness of the training given on home accidents and safety precautions. European Early Childhood Education Research Journal, 31(4), 592-604. https://doi.org/10.1080/1350293X.2022.2153895
• Bağcı, H., & Aslan Bağcı, Ö. (2018). Relationship between information literacy and personal development regions of child development program students. Turkish Studies Information Technologies & Applied Sciences, 13(6), 39-52, http://dx.doi.org/10.7827/TurkishStudies.13375
• Bayram, T., Ilgin, C., Kulbay, H., Tozakoglu, B., Karaduman, I., Colak, B. C., & Save, D. (2019). The factors associated with mothers’ preventive measures against home accidents: A descriptive study from Istanbul, Turkey. Clinical and Experimental Health Sciences, 9(2), 151-156. https://doi.org/10.33808/clinexphealthsci.564220
• Bölükbaş, N., Kahraman, A., Kahraman, Y., & Kalaycı, G. (2010). Ordu ili kız meslek lisesi çocuk gelişimi bölümü son sınıf öğrencilerinin çocuklara yönelik ilk yardım uygulamaları ile ilgili bilgi düzeyleri.. Anatolian Journal of Nursing and Health Sciences, 10(3), 52-59.
• Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative research in psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
• Bryant, L., Morrongiello, B. A., & Cox, A. (2023). Parents’ home-safety practices to prevent injuries during infancy: From sitting to walking independently. Journal of child and family studies, 32(4), 1102-1112. https://doi.org/10.1007/s10826-022-02320-2
• Buowari, D., & Ikpae, E. (2023). Pattern and outcome of non-incidental injuries in children: Reports from a Tertiary Hospital. Nigerian Medical Journal: Journal of the Nigeria Medical Association, 63, 474 - 479. https://doi.org/10.60787/NMJ-63-6-109
• Büyüköztürk, Ş., Kılıç Çakmak, E., Akgün, Ö. E., Karadeniz, Ş., & Demirel, F. (2015). Bilimsel araştırma yöntemleri (20. baskı). Pegem Akademi.
• Centers for Disease Control and Prevention. (2021). Unintentional injury deaths in children and youth, 2010–2019. Morbidity and Mortality Weekly Report.https://pmc.ncbi.nlm.nih.gov/articles/PMC11428120/
• Çetintaş, İ., Akgün Kostak, M., & Cumur, E. (2022). The safety measures against home accidents of mothers of 0-6 age group children and related factors. Journal of Education and Research in Nursing, 19(4), https://doi.org/10.5152/jern.2022.33339
• Council of Higher Education. (2025). Child Development Field National Core Education Program (ÇGL-UÇEP-2025). Council of Higher Education. https://www.yok.edu.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/cocuk_gelisimi_cekirdek_egitim_programi.pdf
• Croyle, R. T., Rimer, B., & Glanz, K. (2005). Theory at a glance: A guide for health promotion practice (2nd ed.). U.S. Department of Health and Human Services, National Cancer Institute.
• Demirköse, H., Dikmen, A. U., & Özkan, S. (2022). The relationship between the levels of diagnosing safety measures for home accidents and health literacy of mothers with 0–6 age group children. ESTÜDAM Journal of Public Health, 7(1), 112–121. https://doi.org/10.35232/estudamhsd.991996
• Demirköse, H., Yapar, D., & Özkan, S. (2021). The relationship between mothers of 0-6 age group children with health literacy level and children’s having a home accident. Sağlık ve Toplum, 31(2), 74-82.
• Doğan, M., & Öztürk, M. A. (2021). The prevention of non-traumatic home accidents among children aged 0-6 year. Güncel Pediatri, 19(1), 23-29. https://doi.org/10.4274/jcp.2021.0004
• Elmas, E. G., Durna, Z., & Akın, S. (2020). Çocuğu olan annelerin ev kazalarına yönelik güvenlik önlemleri ve ilk yardım uygulamaları konusundaki bilgi ve tutumlarının değerlendirilmesi. JAREN Hemşirelik Akademik Araştırma Dergisi, 6(2), 267–279. https://doi.org/10.5222/jaren.2020.38258
• Erdem, Y. (2020). Household accidents and safety measures in children. Türkiye Klinikleri Pediatric Nursing-Special Topics, 6(1), 13-17.
• Ertem, İ., Balibey, M., Şahin, F., & Beyazova, U. (2001). Çocukluk çağı ev kazaları. In 23rd Pediatric Days and 3rd Pediatric Nursing Days, 10-13 April 2001. Scientific Programme and Abstract Book (p. 329).
• Fathi, M., Shamsi, M., & Khorsandi, M. (2016). Effect of theory-based education on the promotion of preventive behaviors of accidents and injuries among mothers with under-5-years-old children. Iranian Journal of Health Education and Health Promotion, 4(3), 184-193. https://doi.org/10.18869/acadpub.ihepsaj.4.3.184
• Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2008). Health behavior and health education: Theory, research, and practice (4th ed.). Jossey-Bass.
• Gülbetekin, E., & Güdücü Tüfekci, F. (2022). Home accident awareness: Education increased awareness of mothers with 0-3 years child. Journal of Health Education Research & Development, 10, 3. https://doi.org/10.37421/2380-5439.2022.10.100012
• Hacettepe University (2024). Bologna Information Package. https://akts.hacettepe.edu.tr.
• İnce, B. (2018). Çocuk acil servisine ev kazası nedeniyle başvuran 0-6 yaş grubu çocuk ebeveynlerinin ev kazalarına yönelik güvenlik önlemlerini tanılama durumlarının belirlenmesi [Master’s thesis, İstanbul Medipol Üniversitesi].
• Kayıran, D., Sönmez, M., & Nazik, F. (2022). Determining families' awareness of home accidents and for preschoolers. Journal of Education in Health Sciences, 5(1), 21-30.
• Maaloul, I., Kmiha, S., Yaich, S., Thouraya, K., Damak, J., Aloulou, H., & Hachicha, M. (2019). Epidemiology of home accidents in childhood: Experience in the division of general pediatrics in Southern Tunisia. The Pan African Medical Journal, 33, 108 . https://doi.org/10.11604/pamj.2019.33.108.12022
• McDonald, E., Mack, K., Shields, W., Lee, R., & Gielen, A. (2018). Primary care opportunities to prevent unintentional home injuries: A focus on children and older adults. American Journal of Lifestyle Medicine, 12, 106 - 96. https://doi.org/10.1177/1559827616629924
• Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Sage Publications.
• Morgan, H. (2022). Conducting a qualitative document analysis. The Qualitative Report, 27(1), 64-77. https://doi.org/10.46743/2160-3715/2022.5044
• Moridi, E., Fazelniya, Z., Yari, A., Gholami, T., Afzali Hasirini, P., & Khani Jeihooni, A. (2021). Effect of educational intervention based on health belief model on accident prevention behaviors in mothers of children under 5-years. BMC Public Health, 21(1), e1573. https://doi.org/10.1186/s12905-021-01573-1
• Morrongiello, B. A., Corbett, M., Bryant, L., & Cox, A. (2021). Understanding infants’ in-home injuries: context and correlates. Journal of pediatric psychology, 46(9), 1025-1036. https://doi.org/10.1093/jpepsy/jsab032
• Mytton, J. A., Towner, E. M., Kendrick, D., Stewart-Brown, S., Emond, A., Ingram, J., …& Potter, B. (2014). The First-Aid Advice and Safety Training (FAST) parents’ program for the prevention of unintentional injuries in preschool children: A protocol. Injury prevention, 20(1), e2. https://doi.org/10.1136/injuryprev-2012-040689
• O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: a synthesis of recommendations. Academic medicine, 89(9), 1245-1251. https://doi.org/10.1097/ACM.0000000000000388
• Osborne, J. M., Davey, T. M., Spinks, A. B., McClure, R. J., Sipe, N., & Cameron, C. M. (2016). Child injury: Does home matter?. Social Science & Medicine, 153, 250-257. http://dx.doi.org/10.1016/j.socscimed.2016.02.017
• Özmen, D., Ergin, D., Şen, N., & Çakmakçı Çetinkaya, A. Ç. (2007). 0-6 yaş grubu çocuğu olan annelerin ev kazalarına yönelik güvenlik önlemlerinin tanılanması. Sosyal Politika Çalışmaları Dergisi, 12(12).
• Ribeiro, M., Paula, A., Bezerra, M., Rocha, S., Avelino, F., & Gouveia, M. (2019). Social determinants of health associated with childhood accidents at home: An integrative review. Revista brasileira de enfermagem, 72(1), 265-276 . https://doi.org/10.1590/0034-7167-2017-0641
• Ritchie, D., Van den Broucke, S., & Van Hal, G. (2021). The health belief model and theory of planned behavior applied to mammography screening: a systematic review and meta‐analysis. Public Health Nursing, 38(3), 482-492 https://doi.org/10.1111/phn.12842
• Rosenstock, I. M. (1974). Historical origins of the health belief model. Health education monographs, 2(4), 328-335. https://doi.org/10.1177/109019817400200403
• Santos, R. R. D., Machado, M. E. D., Gomes, A. L. M., Aguiar, R. C. B. D., & Christoffel, M. M. (2022). Prevention of domestic accidents in childhood: Knowledge of caregivers at a health care facility. Revista Brasileira de Enfermagem, 75, e20210006. https://doi.org/10.1590/0034-7167-2021-0006
• Sarohan, A. (2017). Acil servise ev kazası ile gelen hastalarda dikkat eksikliği ve hiperaktivite bozukluğu ilişkisinin değerlendirilmesi. Expertise Thesis
• Şekerci, E., & İnal, S. (2016). Investigation of home accidents knowledge and practices of mothers of 0-6 age group inpatient children. Journal of Health Sciences and Professions, 3(3), 160-172. https://doi.org/10.17681/hsp.57511
• Solmaz, T., Solmaz, M., & Akgül, N. (2024). Determining the first aid knowledge levels of child development program students. Pre-Hospital Journal, 9(2), 139-151. https://doi.org/10.54409/hod.1501608
• Turale, S. (2020). A brief introduction to qualitative description: A research design worth using. Pacific Rim International Journal of Nursing Research, 24(3), 289-291.
• Üçüncü, M., Üçüncü, M. Z., & Toprak, D. (2019). The knowledge, attitude and behavior of mothers with children aged 0-6 years on home accidents and preventive measures. Journal of Istanbul Faculty of Medicine, 82(4), 219-228. https://doi.org/10.26650/IUITFD.2018.0011
• Üstoğlu, A., Zülfikar, B., Tekant, G. T., & Özcan, R. (2018). Yabancı cisim aspirasyonu görülen 0-6 yaş çocukların ve ailelerinin özellikleri. Çocuk Cerrahisi Dergisi, 32(3), 93-102. https://doi.org/10.5222/JTAPS.2018.093
• Woods, A. (2006). The role of health professionals in childhood injury prevention: A systematic review of the literature. Patient education and counseling, 64 1-3, 35-42 . https://doi.org/10.1016/J.PEC.2005.12.011
• World Health Organization. (2008, December 10). WHO report turns the spotlight on unintentional injuries to children. https://www.who.int/vietnam/news/detail/10-12-2008-who-report-turns-the-spotlight-on-unintentional-injuries-to-children
• Yalaki, Z., Tasar, M. A., Kara, N., & Dallar, Y. (2010). Measuring the awareness of home injuries in families with a low socioeconomic status. Eurasian Journal of Emergency Medicine, 9(2), 129. https://doi.org/10.4170/jaem.2010.95866 Yeniyapı, A., & Tokur Kesgin, M. (2023). The relationship between the safety precautions taken by the mothers of kindergarten children for home accidents and health beliefs: cross-sectional and correlational study. Türkiye Klinikleri Journal of Nursing Sciences, 15(1). https://doi.org/10.5336/nurses.2022-90565
• Yıldırım, N., & Kublay, G. (2016). An injury prevention program effectiveness for 1–4-year-old children. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 3(2), 1–13.
• Yılmaz Kurt, F., Çalbayram, N., Oğul, T., & Aldemir, F., (2022). The incidence of home accidents in children aged 0-6 years and the investigation of the safety measures taken by mothers for home accidents: The case of the COVID-19 pandemic. 3rd International Mediterranean Pediatric Nursing Congress (p. 273).