Araştırma Makalesi
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Mediating Role of Emotional Intelligence in the Relationship between Hospital Perception and Fear of Medical Procedures in Children

Yıl 2024, Cilt: 6 Sayı: 3, 335 - 341, 24.09.2024
https://doi.org/10.37990/medr.1505906

Öz

Aim: This study investigated the relationship between children's hospital perceptions, their fear of medical procedures, and the role of emotional intelligence as a potential mediator.
Material and Method: The population of the research consists of 4th grade students (10-year-old students) studying in primary schools in the 2023-2024 academic year. The study included 343 students and employed a relational-cross-sectional-descriptive design. Data were collected using the Personal Information Form, Medical Procedure Fear Scale, Hospital Perception Scale for Healthy Children, and Ten-Year-Old Emotional Intelligence Scale. Data were analyzed with IBM SPSS V23 and IBM AMOS V24. Compliance with normal distribution was examined with the assumption of skewness, kurtosis, and multiple normality. Path analysis was used to test the mediator model, and Maximum Likelihood (ML) was used as the calculation method. Analysis results were presented as frequency (percentage) for categorical variables, mean±standard deviation, and median (minimum–maximum) for quantitative variables. The significance level was taken as p<0.05.
Results: The study found that children's hospital perceptions predicted their fear of medical procedures. Specifically, there was a statistically significant positive relationship between hospital perception and fear of medical procedures (β=0.565; p<0.05). According to the mediated structural model analysis results, hospital perception had a statistically significant negative effect on the mediator variable emotional intelligence (β=-0.327; p<0.05). By including the mediator variable emotional intelligence in the model, the path coefficient between hospital perception and fear of medical procedures was statistically significant (β=0.554; p<0.05).
Conclusion: In the study, it was found that emotional intelligence, the mediator variable, played a role in the relationship between hospital perception and fear of medical procedures.

Etik Beyan

The Bayburt University Research Ethics Committee approved the research (2023/402-21). Before the researchers collected the data, the Declaration of Helsinki informed parents and children about the study, and their written/verbal consent was obtained. All methods were conducted according to relevant guidelines and regulations.

Destekleyen Kurum

None

Teşekkür

Author is grateful to all the participants who voluntarily offered their time, conscientiously provided honest and thoughtful responses.

Kaynakça

  • Merck T, McErlfresh PB. Wong’s Nursing Care of Infants and Children. In: Hockenberry M, Wilson D, eds, The Child Who is Hospitalized.Canada: Elsevier. 2019;658-77.
  • Chappuis M, Vannay-Bouchiche C, Flückiger M, et al. Children's experience regarding the quality of their hospital stay: the development of an assessment questionnaire for children. J Nurs Care Qual. 2011;26:78-87.
  • Lerwick JL. Minimizing pediatric healthcare-induced anxiety and trauma. World J Clin Pediatr. 2016;5:143-50.
  • Rokach A. Psychological, emotional and physical experiences of hospitalized children. Clin Case Rep Rev. 2016;2:399-401.
  • Maraşuna OA, Eroğlu K. The fears of high school children from medical procedures and affecting factors. Güncel Pediatri. 22013;11:13-22.
  • Li WHC, Chung JOK, Ho KY, Kwok BMC. Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatr. 2016;16:36.
  • Kalmakis KA, Chandler GE. Adverse childhood experiences: towards a clear conceptual meaning. J Adv Nurs. 2014;70:1489-501.
  • İzci SM, Çetinkaya B. A Turkish version of children's emotional manifestation scale: reliability and validity assessment. J Pediatr Res. 2020;7:293-300.
  • Hedén L, von Essen L, Ljungman G. Children's self-reports of fear and pain levels during needle procedures. Nurs Open. 2019;7:376-82.
  • Akbaş S. Emotional intelligence abilities and stress coping styles of university students: a research at Pamukkale University. Master's Thesis. Pamukkale University, Denizli, 2017.
  • Güngör S. The effect of emotional intelligence on symptoms of psychological distress in university students. Master's Thesis. Marmara University, İstanbul, 2008.
  • Karabulut A. Emotional intelligence: Baron scale adaptation. Master's Thesis. Dokuz Eylül University, İzmir, 2012.
  • Coşkun R. Altunışık R. Yıldırım E. Sosyal bilimlerde araştırma yöntemleri SPSS uygulamalı. In: Araştırma Evreni, Anakütle ve Örneklem. 10th edition. Sakarya Yayıncılık, Sakarya, 2019;155-73.
  • Alak V. Fears and nursing practices of children aged 7-14 who come to the hospital for surgery. Doctoral Thesis. Ege University, İzmir, 1993.
  • Ekici B. Development of hospital perception scale for healthy children (HPSHC) and investigation of its psychometric properties. Children (Basel, Switzerland). 2023;10:1706.
  • Coşkun K, Öksüz Y, Yılmaz Y. Ten Years Emotional Intelligence Scale (TYEIS): Its development, validity and reliability. International Journal of Assessment Tools in Education. 2017;4:122-33.
  • Byrne, BM. Testing for the factorial validity of scores from a measuring instrument. In: Structural Equation Modeling With AMOS: Basic Concepts, Applications, and Programming. 2nd edition. Routledge, New York, 2010;97-127.
  • Yalçınkaya Ş, Gür ŞÖ. Çocukların sağlık hakkı ve olağanüstü koşullarda hastane binaları. Journal of Near Architecture. 2023;7:266-83.
  • Gültekin G, Baran G. A study on the locus of control of the 9-14 years old children with acute and chronic diseases. Turk Arch Pediatr. 2005;40:211-20.
  • Sternberg RJ. Cognitive Psychology: International Student Edition. In: Memory Processes. 5th edition. Nelson Education Ltd., Canada, 2009.216-253.
  • William Li HC, Lopez V, Lee TL. Effects of preoperative therapeutic play on outcomes of school-age children undergoing day surgery. Res Nurs Health. 2007;30:320-32.
  • Uysal G, Düzkaya DS. Factors affecting the fear of medical procedure in children 7-14 years old. Göbeklitepe International Journal of Health Sciences. 2022;5:19-28.
  • Küçük S, Demir K, Uludaşdemir D. Determination of the metaphors about nurse perception of 7-17 age hospitalized children and adolescents. HEAD. 2020;17:40-5.
  • Chadi Tondatti P, Correa I. Use of music and play in pediatric nursing care in the hospital context. Investigación y Educación en Enfermería. 2012;30:362-70.
  • Ataman Z. Examining the effect of information given on school-age children's fear of medical procedures. Master's Thesis. Dokuz Eylül University, İzmir, 2006.
  • Karlsson K, Dalheim Englund AC, Enskär K, et al. Experiencing support during needle-related medical procedures: a hermeneutic study with young children (3-7Years). J Pediatr Nurs. 2016;31:667-77.
  • Salovey P, Mayer JD. Emotional intelligence. Imagination, Cognition and Personality. 1990;9:185-211.
  • Baltaş Z. İnsanın Dünyasını Aydınlatan ve İşine Yansıyan Işık: Duygusal Zekâ. 7th. edition. Remzi Yayınevi, İstanbul, 2015;62.
  • Karamehmetoğlu M. Examining the role of physical education teachers' emotional intelligence levels in determining their professional self-efficacy and problem-solving skills. Doctoral Thesis. Marmara University, İstanbul, 2017.
  • Gündüz S, Yüksel S, Aydeniz GE, et al Factors affecting hospital fear in children. Journal of Child Health and Diseases. 2016;59:161-8.
  • Törüner EK, Büyükgönenç L. Çocuk sağlığı temel hemşirelik yaklaşımları. In: Törüner EK, Büyükgönenç L, eds., Hastanede Yatan Çocuk. Ankara: Göktuğ Yayın. 2023;115-22.
  • Salmela M, Aronen ET, Salanterä S. The experience of hospital-related fears of 4- to 6-year-old children. Child Care Health Dev. 2011;37:719-26.
  • Eren HK, Örsal O. The development of a scale to measure children’s fear of nursing interventions and instruments used in hospital. PBS. 2023;13:47-56.
  • Pinto JP, Barbosa VL. Maternal-infant bonding and the mother's participation during venipuncture: a psychoanalytic perspective. Rev Lat Am Enfermagem. 2007;15:150-5.
  • Görener D, Görak G. The interaction of school age children's information about the hospital and their illness with their sources of anxiety. Gaziantep Medical Journal. 2009;15:41-48.
  • Akkavak DT, Karabudak SS. Examining hospitalized school-age children's perception of nurses and the hospital. DEUHFED. 2019;12:46-56.
Yıl 2024, Cilt: 6 Sayı: 3, 335 - 341, 24.09.2024
https://doi.org/10.37990/medr.1505906

Öz

Kaynakça

  • Merck T, McErlfresh PB. Wong’s Nursing Care of Infants and Children. In: Hockenberry M, Wilson D, eds, The Child Who is Hospitalized.Canada: Elsevier. 2019;658-77.
  • Chappuis M, Vannay-Bouchiche C, Flückiger M, et al. Children's experience regarding the quality of their hospital stay: the development of an assessment questionnaire for children. J Nurs Care Qual. 2011;26:78-87.
  • Lerwick JL. Minimizing pediatric healthcare-induced anxiety and trauma. World J Clin Pediatr. 2016;5:143-50.
  • Rokach A. Psychological, emotional and physical experiences of hospitalized children. Clin Case Rep Rev. 2016;2:399-401.
  • Maraşuna OA, Eroğlu K. The fears of high school children from medical procedures and affecting factors. Güncel Pediatri. 22013;11:13-22.
  • Li WHC, Chung JOK, Ho KY, Kwok BMC. Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatr. 2016;16:36.
  • Kalmakis KA, Chandler GE. Adverse childhood experiences: towards a clear conceptual meaning. J Adv Nurs. 2014;70:1489-501.
  • İzci SM, Çetinkaya B. A Turkish version of children's emotional manifestation scale: reliability and validity assessment. J Pediatr Res. 2020;7:293-300.
  • Hedén L, von Essen L, Ljungman G. Children's self-reports of fear and pain levels during needle procedures. Nurs Open. 2019;7:376-82.
  • Akbaş S. Emotional intelligence abilities and stress coping styles of university students: a research at Pamukkale University. Master's Thesis. Pamukkale University, Denizli, 2017.
  • Güngör S. The effect of emotional intelligence on symptoms of psychological distress in university students. Master's Thesis. Marmara University, İstanbul, 2008.
  • Karabulut A. Emotional intelligence: Baron scale adaptation. Master's Thesis. Dokuz Eylül University, İzmir, 2012.
  • Coşkun R. Altunışık R. Yıldırım E. Sosyal bilimlerde araştırma yöntemleri SPSS uygulamalı. In: Araştırma Evreni, Anakütle ve Örneklem. 10th edition. Sakarya Yayıncılık, Sakarya, 2019;155-73.
  • Alak V. Fears and nursing practices of children aged 7-14 who come to the hospital for surgery. Doctoral Thesis. Ege University, İzmir, 1993.
  • Ekici B. Development of hospital perception scale for healthy children (HPSHC) and investigation of its psychometric properties. Children (Basel, Switzerland). 2023;10:1706.
  • Coşkun K, Öksüz Y, Yılmaz Y. Ten Years Emotional Intelligence Scale (TYEIS): Its development, validity and reliability. International Journal of Assessment Tools in Education. 2017;4:122-33.
  • Byrne, BM. Testing for the factorial validity of scores from a measuring instrument. In: Structural Equation Modeling With AMOS: Basic Concepts, Applications, and Programming. 2nd edition. Routledge, New York, 2010;97-127.
  • Yalçınkaya Ş, Gür ŞÖ. Çocukların sağlık hakkı ve olağanüstü koşullarda hastane binaları. Journal of Near Architecture. 2023;7:266-83.
  • Gültekin G, Baran G. A study on the locus of control of the 9-14 years old children with acute and chronic diseases. Turk Arch Pediatr. 2005;40:211-20.
  • Sternberg RJ. Cognitive Psychology: International Student Edition. In: Memory Processes. 5th edition. Nelson Education Ltd., Canada, 2009.216-253.
  • William Li HC, Lopez V, Lee TL. Effects of preoperative therapeutic play on outcomes of school-age children undergoing day surgery. Res Nurs Health. 2007;30:320-32.
  • Uysal G, Düzkaya DS. Factors affecting the fear of medical procedure in children 7-14 years old. Göbeklitepe International Journal of Health Sciences. 2022;5:19-28.
  • Küçük S, Demir K, Uludaşdemir D. Determination of the metaphors about nurse perception of 7-17 age hospitalized children and adolescents. HEAD. 2020;17:40-5.
  • Chadi Tondatti P, Correa I. Use of music and play in pediatric nursing care in the hospital context. Investigación y Educación en Enfermería. 2012;30:362-70.
  • Ataman Z. Examining the effect of information given on school-age children's fear of medical procedures. Master's Thesis. Dokuz Eylül University, İzmir, 2006.
  • Karlsson K, Dalheim Englund AC, Enskär K, et al. Experiencing support during needle-related medical procedures: a hermeneutic study with young children (3-7Years). J Pediatr Nurs. 2016;31:667-77.
  • Salovey P, Mayer JD. Emotional intelligence. Imagination, Cognition and Personality. 1990;9:185-211.
  • Baltaş Z. İnsanın Dünyasını Aydınlatan ve İşine Yansıyan Işık: Duygusal Zekâ. 7th. edition. Remzi Yayınevi, İstanbul, 2015;62.
  • Karamehmetoğlu M. Examining the role of physical education teachers' emotional intelligence levels in determining their professional self-efficacy and problem-solving skills. Doctoral Thesis. Marmara University, İstanbul, 2017.
  • Gündüz S, Yüksel S, Aydeniz GE, et al Factors affecting hospital fear in children. Journal of Child Health and Diseases. 2016;59:161-8.
  • Törüner EK, Büyükgönenç L. Çocuk sağlığı temel hemşirelik yaklaşımları. In: Törüner EK, Büyükgönenç L, eds., Hastanede Yatan Çocuk. Ankara: Göktuğ Yayın. 2023;115-22.
  • Salmela M, Aronen ET, Salanterä S. The experience of hospital-related fears of 4- to 6-year-old children. Child Care Health Dev. 2011;37:719-26.
  • Eren HK, Örsal O. The development of a scale to measure children’s fear of nursing interventions and instruments used in hospital. PBS. 2023;13:47-56.
  • Pinto JP, Barbosa VL. Maternal-infant bonding and the mother's participation during venipuncture: a psychoanalytic perspective. Rev Lat Am Enfermagem. 2007;15:150-5.
  • Görener D, Görak G. The interaction of school age children's information about the hospital and their illness with their sources of anxiety. Gaziantep Medical Journal. 2009;15:41-48.
  • Akkavak DT, Karabudak SS. Examining hospitalized school-age children's perception of nurses and the hospital. DEUHFED. 2019;12:46-56.
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Sağlığı ve Hastalıkları Hemşireliği
Bölüm Özgün Makaleler
Yazarlar

Zila Özlem Kırbaş 0000-0003-4030-5442

Yayımlanma Tarihi 24 Eylül 2024
Gönderilme Tarihi 27 Haziran 2024
Kabul Tarihi 18 Temmuz 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 6 Sayı: 3

Kaynak Göster

AMA Kırbaş ZÖ. Mediating Role of Emotional Intelligence in the Relationship between Hospital Perception and Fear of Medical Procedures in Children. Med Records. Eylül 2024;6(3):335-341. doi:10.37990/medr.1505906

 Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

E-mail: medrecsjournal@gmail.com

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