Effect of Postoperative Holistic Nursing Care on Children's Satisfaction and Nursing Image Perception
Pediatric Surgical Patients · Postoperative Care
What this study involves
The registry says this study is recruiting. Individual locations may have different availability.
- Study type
- Interventional
- Phase
- Not applicable
- Age range
- 8 years - 11 years
- Sex eligible
- All sexes
- Healthy volunteers
- Not accepted
- Participants
- 70 Estimated
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
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.
Read the full 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.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
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
Treatment, groups and participation
The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.
- Assignment
- Random assignment
- Masking
- No masking
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
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
Mandala Coloring with Music BEHAVIORAL
A structured holistic nursing intervention consisting of mandala coloring accompanied by music implemented during the postoperative hospitalization period.
Routine Postoperative Nursing Care OTHER
Standard postoperative nursing care provided in the pediatric surgery clinic according to institutional protocols.
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
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.
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.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
Antalya Training and Research Hospital - Pediatric Surgery ClinicAntalya, Turkey (Türkiye)Recruiting
Study team and timeline
- Lead sponsor
- Akdeniz University
- Study start
- May 18, 2026 Actual
- Primary completion
- Feb 12, 2027 Estimated
- Study completion
- Feb 12, 2027 Estimated
- First posted
- Mar 6, 2026 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
Official study title
Effect of Postoperative Holistic Nursing Care on Children's Satisfaction and Perception of the Nursing Profession: A Randomized Controlled Trial
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026
