NCT07455266

Brief Summary

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.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
70

participants targeted

Target at P50-P75 for not_applicable

Timeline
2mo left

Started Apr 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress49%
Apr 2026Sep 2026

First Submitted

Initial submission to the registry

March 3, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 6, 2026

Completed
26 days until next milestone

Study Start

First participant enrolled

April 1, 2026

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2026

Last Updated

March 9, 2026

Status Verified

March 1, 2026

Enrollment Period

5 months

First QC Date

March 3, 2026

Last Update Submit

March 6, 2026

Conditions

Keywords

Holistic Nursing CarePediatric SurgeryMandala ColoringMusic InterventionPatient SatisfactionNursing ImageRandomized Controlled TrialNon-Pharmacological Intervention

Outcome Measures

Primary Outcomes (2)

  • Children's Satisfaction with Nursing Care

    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

    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)

Study Arms (2)

Holistic Nursing Care Group

EXPERIMENTAL

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

ACTIVE COMPARATOR

Participants in this group will receive routine postoperative nursing care according to institutional standards without additional holistic intervention.

Other: Routine Postoperative Nursing Care

Interventions

A structured holistic nursing intervention consisting of mandala coloring accompanied by music implemented during the postoperative hospitalization period.

Holistic Nursing Care Group

Standard postoperative nursing care provided in the pediatric surgery clinic according to institutional protocols.

Routine Nursing Care Group

Eligibility Criteria

Age8 Years - 11 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • 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

You may not qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Antalya Training and Research Hospital - Pediatric Surgery Clinic

Antalya, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Patient Satisfaction

Condition Hierarchy (Ancestors)

Treatment Adherence and ComplianceHealth BehaviorBehavior

Study Officials

  • Semra Erol

    Akdeniz University Faculty of Nursing

    PRINCIPAL INVESTIGATOR
  • Ayla Kaya

    Akdeniz University Faculty of Nursing

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
This is an open-label study because the intervention (mandala coloring accompanied by music) cannot be blinded to participants or care providers.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: Participants will be randomly assigned in a 1:1 ratio to either the intervention group (holistic nursing care including mandala coloring with music) or the control group (routine postoperative nursing care).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

March 3, 2026

First Posted

March 6, 2026

Study Start

April 1, 2026

Primary Completion (Estimated)

September 1, 2026

Study Completion (Estimated)

September 1, 2026

Last Updated

March 9, 2026

Record last verified: 2026-03

Locations