Effect of Postoperative Holistic Nursing Care on Children's Satisfaction and Nursing Image Perception

March 6, 2026 updated by: Ayla Kaya, Akdeniz University

Effect of Postoperative Holistic Nursing Care on Children's Satisfaction and Perception of the Nursing Profession: A Randomized Controlled Trial

This randomized controlled study aims to evaluate the effect of holistic nursing care applied during the postoperative period on children's satisfaction with care and their perception of nursing image. The study will be conducted in the Pediatric Surgery Clinic of Antalya Training and Research Hospital with children aged 8 to 11 years who undergo surgical procedures.

Participants will be randomly assigned to either an intervention group or a control group. All children will receive routine postoperative nursing care. In addition to routine care, children in the intervention group will participate in a mandala coloring activity accompanied by music. This supportive activity is designed to help children relax, express their feelings, and improve their hospital experience.

Data will be collected using standardized questionnaires that measure children's satisfaction with nursing care and their perception of nurses. The study aims to determine whether holistic nursing practices can improve children's satisfaction and positively influence how they perceive the nursing profession.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

This study is designed as a single-center, parallel-group, randomized controlled trial to evaluate the effect of postoperative holistic nursing care on children's satisfaction with care and their perception of nursing image. The study will be conducted in the Pediatric Surgery Clinic of Antalya Training and Research Hospital.

The target population consists of children aged 8-11 years who are hospitalized for surgical procedures. A total of 70 participants will be recruited and randomly assigned to either the intervention group (n=35) or the control group (n=35). Randomization will be performed using an appropriate random allocation method to ensure equal distribution between groups.

All participants will receive routine postoperative nursing care according to institutional standards. In addition to routine care, children in the intervention group will receive a structured holistic nursing intervention consisting of mandala coloring accompanied by music during the postoperative period. This intervention is designed to promote emotional expression, relaxation, and active participation in the care process. The activity will be implemented in a safe and supervised clinical environment.

Data will be collected using the Child Information Form, the Pediatric Surgery Patient Satisfaction Scale, and the Perceived Nursing Image Scale for Children. These instruments are validated tools used to assess satisfaction with nursing care and children's perception of the nursing profession. Outcome measurements will be obtained during the postoperative hospitalization period prior to discharge.

The primary outcomes of the study are (1) children's satisfaction with nursing care and (2) perceived nursing image scores. The study hypothesizes that children who receive holistic nursing care will report higher satisfaction levels and more positive perceptions of nursing compared to the control group.

This research aims to contribute to evidence-based pediatric surgical nursing practice by evaluating the effectiveness of holistic, non-pharmacological supportive care interventions in improving children's hospital experiences.

Study Type

Interventional

Enrollment (Estimated)

70

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Turkey (Türkiye)
      • Antalya, Turkey (Türkiye)
        • Antalya Training and Research Hospital - Pediatric Surgery Clinic
        • Contact:
        • Principal Investigator:
          • Semra Erol, RN

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Children aged 8 to 11 years
  • Hospitalized in the pediatric surgery clinic
  • Undergoing a surgical procedure
  • In the postoperative period during hospitalization
  • Able to communicate verbally
  • Parent/guardian consent and child assent obtained

Exclusion Criteria:

  • Cognitive impairment preventing completion of questionnaires
  • Hearing impairment preventing participation in music intervention
  • Severe postoperative complications requiring intensive care
  • Refusal to participate

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Holistic Nursing Care Group
Participants in this group will receive routine postoperative nursing care in addition to a structured holistic nursing intervention consisting of mandala coloring accompanied by music during the postoperative period.
Behavioral: Mandala Coloring with Music
A structured holistic nursing intervention consisting of mandala coloring accompanied by music implemented during the postoperative hospitalization period.
Active Comparator: Routine Nursing Care Group
Participants in this group will receive routine postoperative nursing care according to institutional standards without additional holistic intervention.
Other: Routine Postoperative Nursing Care
Standard postoperative nursing care provided in the pediatric surgery clinic according to institutional protocols.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Children's Satisfaction with Nursing Care
Time Frame: During postoperative hospitalization (prior to discharge, approximately 1-3 days after surgery)

Satisfaction scores measured using the Pediatric Surgery Patient Satisfaction Scale administered during the postoperative hospitalization period prior to discharge.

Children's satisfaction with nursing care will be assessed using the Pediatric Surgery Patient Satisfaction Scale developed by Ünal et al. (2023). In this study, the Postoperative Care subdimension of the scale will be used. This subdimension consists of 5 items rated on a 5-point Likert scale ranging from 1 (never) to 5 (always).

Total scores range from 5 to 25, with higher scores indicating higher satisfaction with nursing care.
During postoperative hospitalization (prior to discharge, approximately 1-3 days after surgery)
Perceived Nursing Image Score
Time Frame: During postoperative hospitalization (prior to discharge, approximately 1-3 days after surgery)

Perceived nursing image scores measured using the Children's Perceived Nursing Image Scale during the postoperative hospitalization period prior to discharge.

Children's perceptions of nursing will be assessed using the Children's Perceived Nursing Image Scale, developed by Apaydın Cırık et al. (2025). The scale evaluates children's perceptions of nurses' professional roles, communication, caregiving behaviors, and nurse-child interactions.

Items are rated on a Likert-type scale, and the total score is calculated by summing item scores. Higher scores indicate a more positive perception of the nursing image.
During postoperative hospitalization (prior to discharge, approximately 1-3 days after surgery)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Akdeniz University

Investigators

  • Principal Investigator: Semra Erol, Akdeniz University Faculty of Nursing
  • Study Director: Ayla Kaya, Akdeniz University Faculty of Nursing

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

April 1, 2026

Primary Completion (Estimated)

September 1, 2026

Study Completion (Estimated)

September 1, 2026

Study Registration Dates

First Submitted

March 3, 2026

First Submitted That Met QC Criteria

March 3, 2026

First Posted (Actual)

March 6, 2026

Study Record Updates

Last Update Posted (Actual)

March 9, 2026

Last Update Submitted That Met QC Criteria

March 6, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • TBAEK-52

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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