Pediatric Surgical PatientsNCT07455266
Effect of Postoperative Holistic Nursing Care on Children's Satisfaction and Nursing Image Perception
A study testing Mandala Coloring with Music and Routine Postoperative Nursing Care in people with Pediatric Surgical Patients and Postoperative Care, run by Akdeniz University at 1 site in Turkey (Türkiye).
Trial 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. Read more about this study
- Who is it for?
- Ages 8 to 11 years
- Conditions the study is for
- Pediatric Surgical Patients, Postoperative Care
- What is being tested?
- Mandala Coloring with Music and Routine Postoperative Nursing Care
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 18 May 2026to 28 Sep 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 8 to 11 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- 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
Who cannot join
- Cognitive impairment preventing completion of questionnaires
- Hearing impairment preventing participation in music intervention
- Severe postoperative complications requiring intensive care
- Refusal to participate
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Antalya Training and Research Hospital - Pediatric Surgery Clinic
Antalya
Ayla Kaya, RN, PhD, +90 242 310 6103, aylakaya@akdeniz.edu.tr
Semra Erol, RN
About this study
Official title: 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.
Read the 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.
- Conditions
- Pediatric Surgical Patients, Postoperative Care
- Being tested
- Mandala Coloring with Music, Routine Postoperative Nursing Care
- Keywords
- Holistic Nursing Care, Pediatric Surgery, Mandala Coloring, Music Intervention, Patient Satisfaction, Nursing Image, Randomized Controlled Trial, Non-Pharmacological Intervention
- Medical subject headings
- Patient Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mandala Coloring with MusicBehavioural
A structured holistic nursing intervention consisting of mandala coloring accompanied by music implemented during the postoperative hospitalization period.
Routine Postoperative Nursing CareOther
Standard postoperative nursing care provided in the pediatric surgery clinic according to institutional protocols.
| Study group | Role | What they receive |
|---|---|---|
| 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. Receives: 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. Receives: Other: Routine Postoperative Nursing Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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.
Measured: During postoperative hospitalization (prior to discharge, approximately 1-3 days after surgery)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2026
- Study start18 May 2026
- Primary completion28 Sep 2026 (estimated)
- Study completion28 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pediatric Surgical PatientsStudies of the same condition, open and under way.
- More trials run by Akdeniz UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 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).
- Masking
- None (open label)
- Enrolment
- 70 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Akdeniz University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ayla Kaya, Akdeniz University
- Investigators
- Semra Erol, Principal investigator, Akdeniz University Faculty of NursingAyla Kaya, Study director, Akdeniz University Faculty of Nursing
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07455266
- Sponsor's protocol ID
- TBAEK-52
- Status last verified
- Jul 2026
- First submitted
- 3 Mar 2026
- Last updated
- 13 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 13 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Postoperative Holistic Nursing Care on Children's Satisfaction and Perception of the Nursing Profession: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07455266
- Acronym / sponsor ID
- TBAEK-52
- Conditions
- Pediatric Surgical Patients, Postoperative Care
- Keywords
- Holistic Nursing Care, Pediatric Surgery, Mandala Coloring, Music Intervention, Patient Satisfaction, Nursing Image, Randomized Controlled Trial, Non-Pharmacological Intervention
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- Akdeniz UniversityUniversity, hospital or other
- Study start
- 18 May 2026 (actual)
- Primary completion
- 28 Sep 2026 (estimated)
- Study completion
- 28 Sep 2026 (estimated)
- First posted
- 6 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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 design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- 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).
| Arm | Type | Receives |
|---|---|---|
| Holistic Nursing Care Group | Experimental | Behavioral: Mandala Coloring with MusicParticipants 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. |
| Routine Nursing Care Group | Active comparator | Other: Routine Postoperative Nursing CareParticipants in this group will receive routine postoperative nursing care according to institutional standards without additional holistic intervention. |
Who may qualify
- Ages
- 8 to 11 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- 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
Key exclusion criteria (4 listed)
- Cognitive impairment preventing completion of questionnaires
- Hearing impairment preventing participation in music intervention
- Severe postoperative complications requiring intensive care
- Refusal to participate
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mandala Coloring with MusicA structured holistic nursing intervention consisting of mandala coloring accompanied by music implemented during the postoperative hospitalization period. | Behavioural | Holistic Nursing Care Group |
| Routine Postoperative Nursing CareStandard postoperative nursing care provided in the pediatric surgery clinic according to institutional protocols. | Other | Routine Nursing Care Group |
Primary outcome
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jul 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Semra Erol principal investigator
Akdeniz University Faculty of Nursing
Ayla Kaya study director
Akdeniz University Faculty of Nursing
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Mandala Coloring with Music and Routine Postoperative Nursing Care in people with Pediatric Surgical Patients and Postoperative Care, run by Akdeniz University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 13 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Ayla Kaya, RN, PhD (+90 242 310 6103, aylakaya@akdeniz.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Children's Satisfaction with Nursing Care (time frame: During postoperative hospitalization (prior to discharge, approximately 1-3 days after surgery)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jul 2026.