TATülay Kuzlu Ayyıldız

Tülay Kuzlu Ayyıldız

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Tülay Kuzlu Ayyıldız has a total of 129 co-authors. Here are the top co-authors by number of shared publications:


Latest Publications

  • Open Access

    Impact of Parental Internet Addiction on Children’s Digital Game Addiction Tendency

    by Yusuf Bozkurt, Tülay Ayyıldız, Musa Özsavran

    Objective: The study was conducted to determine the level of internet addiction in parents' lives and to determine the relationship between this situation and children's tendency to be addicted to digital games. Materials and Methods: The study was descriptive, cross-sectional, and correlational. The sample of the study consisted of 146 children aged 4-6 years and their parents between December 2023-May 2024. The research data were collected using the Personal Information Form, Young Internet Addiction Scale and Digital Game Addiction Tendency Scale for Preschool Children. Results: It was determined that 95.2% of the children used the internet and 76.0% of them used the internet for gaming purposes. In the study, it was determined that boys' digital game addiction was significantly higher (p

  • Experiences of Rohingya Migrant Mothers: A Qualitative Study on Migration, Health, and Childcare

    by Musa Özsavran, Tülay Kuzlu Ayyıldız, Sumaya Siddique Ahmed, Yücel Namal

    Objective: This study aims to examine the experiences of Rohingya migrant mothers residing in the Kutupalong Refugee Camp in Bangladesh. The research focuses on understanding the challenges these mothers face during the migration process, the barriers they encounter in accessing healthcare services, their experiences related to child care, and the psychosocial stressors they are exposed to in the camp environment. Additionally, the study seeks to develop policy recommendations to enhance their living conditions. Methods: This study was conducted using a qualitative research design with a phenomenological approach. Semi‐structured, in‐depth interviews were conducted with 15 Rohingya mothers residing in the Kutupalong Refugee Camp. Participants were selected through purposive sampling based on the criteria of having at least one child, having personally experienced the migration process, and having lived in the camp for at least one year. The interviews were conducted in the Rohingya language with the assistance of a local translator and focused on themes such as migration‐related trauma, access to healthcare services, childcare, and psychosocial challenges. The data were analyzed using thematic analysis, and main themes and subthemes were identified. Results: The study identified four main themes. Migration Process and Trauma includes the physical and psychological hardships endured by mothers during migration, as well as violence, losses, and dangerous journeys. Challenges in Accessing Healthcare Services emphasizes the inadequacy of healthcare services within the camp, barriers to accessing external healthcare services, and frequent misdiagnoses and incomplete treatments. Childcare and Nutrition covers issues such as inadequate hygiene conditions, problems with access to clean water, malnutrition, and the struggle against common illnesses in children. Psychosocial Issues and Security Concerns include trauma and psychological problems stemming from incidents such as child abductions, fires, violence, and economic difficulties within the camp. Mothers have significant concerns about ensuring the safety of their children and meeting their basic needs. Conclusion: This study highlights the significant challenges faced by Rohingya mothers in refugee camps. Barriers to accessing healthcare services, inadequate childcare and nutrition conditions, psychosocial stressors, and security concerns clearly illustrate the extent of the humanitarian crisis experienced by Rohingya refugees. The research emphasizes the need for comprehensive policies to improve living conditions in refugee camps for both the international community and local governments. Enhancing healthcare services, improving hygiene and nutrition conditions, providing psychosocial support services, and addressing security concerns are essential for enhancing the well‐being of Rohingya refugees. This study makes a valuable contribution to the literature on refugee experiences and provides a foundation for future research.

  • Development and psychometric evaluation of the illustrated hospital fear scale for preschool children

    by Tülay Kuzlu Ayyıldız, Kübra Akgün Emiroğlu, Musa Özsavran

    Hospital-related fear is a significant source of distress for preschool children, yet existing assessment tools are not adequately suited to their developmental level. This methodological study aimed to develop the Illustrated Hospital Fear Scale for Preschool Children and evaluate its psychometric properties. The study was conducted with 300 preschool children aged 4–6 attending educational institutions in western Türkiye. Scale development proceeded through four stages: item generation, expert review, pilot testing and main application. Content validity was assessed using the Davis technique (CVI = 0.892). Exploratory factor analysis revealed a three-factor structure—Diagnosis, Treatment, and Environmental Factors—explaining 57.5% of the total variance. Confirmatory factor analysis demonstrated good model fit (CFI = 0.928, GFI = 0.953, RMSEA = 0.068). Internal consistency was adequate (Cronbach’s α = 0.760), and test-retest reliability was strong ( r = 0.849, p < 0.001). The scale is a valid and reliable tool for assessing hospital fear in preschool children.

  • Examining Parental Views and Habits Regarding Technology Use in Preschool Children: A Quantitative Analysis

    by Hülya Kulakçı Altıntaş, Nebahat Bora Güneş, Tülay Kuzlu Ayyıldız

    Aim: This study examines parents' views and habits regarding technology usage during the preschool period.Material and Methods: The research, conducted with 326 parents, utilized the "Information and Communication Technologies Usage Characteristics Questionnaire" and the "Parental Views on Technology Usage in Preschool-Aged Children Survey" to assess parents' evaluations of their children's technology usage. Results: Most participants were female (84.0%), with an average age of 37.11. Regarding educational attainment, 42% had completed associate degrees or higher. Smartphones (98.8%) and internet access (93.6%) were prevalent among technological devices in households.Regarding assessments of children's technology use, 99.1% of children were users of information and communication technologies, with the majority preferring smartphones (78.5%). Children often use these devices while eating or when their parents are occupied with household chores. A large majority of parents (71.6%) expressed that their children easily adhere to restrictions on technology usage. When examining scores from the scale, the average of parents' overall views on technology use among preschool-aged children was 80.911 ± 8.431. Conclusions: These findings indicate that while technology is widely used among preschool-aged children, parents generally have positive perceptions of it and manage its use effectively. However, continued guidance is essential to ensure that technology promotes healthy child development.Implication for nursing management: Nurses should provide parents with evidence-based education on appropriate technology use and healthy screen habits during the preschool period. Integrating counseling on technology use into routine child health services may promote healthy child development and support parents in managing their children's technology use effectively.

  • Sustainability Among University Students: The Relationship Between Carbon Footprint Awareness and Environmental Health Literacy

    by Türkan Akyol Güner, Tülay Ayyıldız

    This study aimed to determine the levels of environmental health literacy and carbon footprint awareness among university students and to examine the relationship between these two variables. Conducted with a descriptive and correlational design, the research included 423 undergraduate students enrolled at a public university in Türkiye. Data collection was carried out using the Environmental Health Literacy Scale and the Carbon Footprint Awareness Scale. The findings revealed that students demonstrated high levels of carbon footprint awareness (68.35 ± 9.08) and environmental health literacy (92.59 ± 12.26). Female students scored significantly higher than males on both scales (p < 0.05). Students who regularly participated in nature walks, reported higher environmental sensitivity, and perceived their environmental knowledge as sufficient showed significantly higher scores on both scales (p < 0.001). Correlation analysis demonstrated a significant and positive association between environmental health literacy and carbon footprint awareness (r = 0.577, p < 0.001). These findings suggest that cognitive and experiential factors play an important role in shaping university students’ environmental awareness and sustainability-related attitudes. Increasing environmental literacy may therefore contribute to strengthening sustainability awareness among young adults.


  • Open Access

    Evaluation of 3- to 6-Year Old Child and Parent Anxiety Levels and Affecting Factors in the Preoperative Period: A Cross-sectional and Correlational Study

    by Müge Seval, Tülay Kuzlu Ayyıldız, Emine Şahin, Dilek Yildirim Tank, Zeynep İşLer

    Objectives: When children realize that their parents are anxious, they are negatively affected by this situation. It is known that when parental anxiety decreases, children adapt better to surgical procedures and their anxiety decreases. The aim of this study is to determine the relationship between anxiety levels in parents and children in the preoperative period, factors causing anxiety, and child and parent anxiety. Methods: The research was conducted between January and June 2021 at a university hospital in the Western Black Sea Region of Turkey. The population of the study consisted of 156 children who applied to the pediatric surgery clinic. The sample included 120 children who met the inclusion criteria for the study. The research data were collected over a 6-month period, and all cases that applied to the surgery clinic and met the sample selection criteria were included in the study. Results: It was determined that the education and employment status of the mother; the gender of the child, the reason for the surgery, previous surgery, and the impact of the child’s operation on family life affected parents’ anxiety. It was determined that the child’s age, the reason for the surgery, previous surgery, and the impact of the child’s operation on family life affected children’s anxiety (P < .05). Conclusion: There is a moderate positive relationship between the anxiety of the parent and the child before the surgical intervention. It was determined that as the parent’s anxiety increased, the child’s anxiety also increased.


  • Open Access

    Pediatri Hemşirelerinin Profesyonel Değerlerinin Bakım Davranışları Üzerindeki Etkisi

    by Selahattin Şanal, Tülay Ayyıldız

    Amaç: Araştırma, pediatri birimlerinde çalışan hemşirelerin profesyonel değerlerinin bakım davranışlarına etkisini değerlendirmek amacı ile yapılmıştır.Yöntem: Tanımlayıcı-kesitsel tipte yapılan çalışmanın örneklemini Zonguldak İl Merkezinde bulunan hastanelerin çocuk sağlığı ve hastalıkları birimlerinde görev yapan 124 hemşire oluşturmuştur. Veriler; Kişisel Bilgi Formu, Hemşirelerin Profesyonel Değerleri Ölçeği ve Bakım Davranışları Ölçeği-24 ile toplanmıştır. Verilerin analizinde, tanımlayıcı ve ilişki arayıcı testler kullanılmıştır.Bulgular: Araştırmada, hemşirelerin yaş ortalamalarının 33.03±7.58, meslekte çalışma süresi ortalama 10.99±7.76, bulunduğu birimde çalışma süresi ortalaması 5.46±5.12 olarak hesaplanmıştır. Hemşirelerin %9.7’si erkek,%33.9‘u bekar, %8.1’i yüksek lisans mezunudur. Hemşirelerin %38.7’si acil servis, 22.6’sıyenidoğan ünitesinde; %50’sinin devlet hastanesinde görev yaptığı tespit edilmiştir. Hemşirelerin Profesyonel Değerleri Ölçeği toplam puan ortalaması 118.26±21.10, Bakım Davranışları Ölçeği-24 toplam puan ortalamasının5.25±0.66 olduğu ve HPDÖ ile BDÖ-24 puan ortalamaları arasında pozitif yönde orta düzey, anlamlı bir ilişki olduğu görülmüştürSonuç: Araştırma, çocuk sağlığı ve hastalıkları birimlerinde çalışan hemşirelerin profesyonel değerleri ve bakım davranışları algısının yüksek olduğunu ve profesyonel değerlerinin bakım davranışlarını olumlu yönde etkilediğini göstermiştir.

  • Experiences of Mothers of Children With Autism Spectrum Disorder in Protecting Their Children's Health: A Phenomenological Study in Northern Türkiye

    by Musa Özsavran, Fadime Üstüner Top, Tülay Kuzlu Ayyıldız

    Background: ASD impacts not only the person diagnosed with the condition but also the entire family, and the family's life is altered in various ways. The research was carried out to understand the experiences of mothers of children diagnosed with autism spectrum disorder in safeguarding their children's health. Design and Methods: In this study, which employed the phenomenological research approach, semi‐structured, in‐depth interviews were held with 19 individuals who are parents of children diagnosed with autism spectrum disorder in a province located in northern Türkiye. Results: The data analysis identified five main themes (child health protection practices, mothers' domestic practices, the first thing mothers do when their child is ill, application to health centers and care support in health protection). The sub‐themes of adopting a healthy eating routine, choosing clothes suitable for weather conditions, traditional and cultural practices, keeping the house clean, regular sleep, eliminating self‐care inadequacy, exercise and movement, and so forth, were determined for child health protection practices. It was revealed that the mothers thought that they were more observant, controlling, and careful to protect their health in a holistic dimension by paying attention to the characteristics of their children. Practice Implications: As a result of the study, it was found that mothers of children with autism spectrum disorder exerted greater effort in physical, emotional, and social aspects both inside and outside the home, taking into account their children's specific characteristics to safeguard their health. Awareness of mothers' experiences in protecting the health of a child with ASD is vital in addressing the need for the type of care and support required for children with ASD.


  • Death Anxiety and Psychological Resilience in Nursing Students: A Cross-Sectional and Correlational Study

    by Musa Özsavran, Dilek Yıldırım Tank, Büşra Ergen Turan, Tülay Ayyıldız

    This research explored the association between nursing students’ levels of death anxiety and psychological resilience. This study has a descriptive, cross-sectional, and correlational design. The research sample comprised 729 students enrolled in the nursing department at the Faculty of Health Sciences of a university situated in Türkiye. The “Descriptive Information Form”, the “Abdel-Khalek Death Anxiety Scale”, and the “Adult Psychological Resilience Scale” were used as data collection tools in the study. The psychological resilience levels of the students had significant positive correlations with their age and class year. There was a negative relationship between death anxiety and psychological resilience. It was concluded that if the psychological resilience of nursing students increases, their anxiety about death will decrease. Nursing students should be informed and supported by their educators about how to cope with the death anxiety they experience while working with terminal patients in clinical internships, what methods to use, and the ways they can use to strengthen their coping with the condition of patients with death anxiety.