Mustafa Belli

Aims: This study examined the association between perceived patient safety culture in medication administration and pediatric medication administration self-efficacy among nursing students.Methods: This analytical cross-sectional study was conducted at a public university in southwestern Türkiye between May 18 and July 1, 2026. The analysis included 200 third- and fourth-year nursing students who had participated in pediatric nursing education and provided complete data. Data were collected using the Student Descriptive Information Form, the Patient Safety Culture Scale in Medication Administration, and the Pediatric Medication Administration Self-Efficacy Scale for Nursing Students. Associations were examined using Pearson correlation and multiple linear regression adjusted for prespecified covariates.Results: The participants’ mean age was 21,77 ± 1,23 years. Mean total scores were 56,95 ± 16,48 for perceived patient safety culture and 47,72 ± 13,62 for pediatric medication administration self-efficacy. The two scores were moderately positively correlated (r = 0,422; 95% confidence interval [CI], 0,301–0,530; p < 0,001). Perceived patient safety culture remained independently associated with self-efficacy after adjustment for age, sex, year of study, academic achievement, previous medication or patient safety training, and witnessing a medication error (B = 0,358; 95% CI, 0,251–0,465; p < 0,001). The adjusted model explained 19,8% of the variance.Conclusion: More positive perceptions of patient safety culture in medication administration were associated with higher pediatric medication administration self-efficacy. These cross-sectional, self-reported findings do not establish causality or demonstrate safer clinical performance. Further multicenter longitudinal studies incorporating objective performance measures are warranted.

Background/Objectives: Extreme heat events pose substantial health risks to children, who depend on their caregivers for protection. Although parents increasingly use digital health information, evidence on the relationship between parental eHealth literacy and heat-protection practices remains limited. This study examined the association between parental eHealth literacy and self-reported practices for protecting children from extreme heat. Methods: A cross-sectional online survey was conducted with 313 parents in Türkiye between August and September 2023 using convenience and snowball sampling. Data were collected using the Turkish eHealth Literacy Scale and a researcher-developed 33-item heat-protection practices survey. Descriptive statistics, exploratory item-level and dimensionality analyses, developmental sensitivity analyses, and regression analyses were performed. Results: Participants were predominantly female (85.3%) and university graduates (90.4%). The mean eHealth literacy score was 33.15 ± 5.25, and the mean heat-protection practice score was 137.74 ± 14.92. In this sample, 25.6% of parents reported that their children had become ill more frequently during the summer due to hot weather, and 49.8% reported increased heat-related household expenses. Higher parental eHealth literacy was associated with higher self-reported heat-protection practice scores (B = 0.993, SE = 0.151, β = 0.350, 95% CI: 0.697–1.290, p < 0.001). The unadjusted model explained 12.2% of the variance (R² = 0.122). Exploratory psychometric analyses provided preliminary support for use of the 33-item aggregate score. Conclusions: In this exploratory analysis of a non-probability sample, higher parental perceived eHealth literacy was associated with higher self-reported heat-protection practice scores. Given the cross-sectional design and reliance on self-reported measures, these findings should be interpreted as an association rather than evidence of a causal effect. The model explained a modest proportion of the variance. Whether changes in eHealth literacy are associated with subsequent changes in heat-protection practices should be examined in longitudinal and intervention studies.

Bu çalışma, Türkiye’de 2021–2025 yılları arasında çevrimiçi haber sitelerinde yayımlanan otizm spektrum bozukluğu (OSB) içerikli çocuk haberlerini, insan hakları normları ve medya kuramları çerçevesinde incelemeyi amaçlamaktadır. Çalışma, Avrupa Otizm Şartı, UNICEF gazetecilik rehberi, IPSO Editörler Kodu (2025) ve KVKK (2024) ilkeleri doğrultusunda yürütülmüştür. Betimsel içerik analizi ile eleştirel söylem analizinin birleştirildiği araştırmada, 22 haberin başlık, spot, gövde metni ve görsel bileşenleri sistematik olarak değerlendirilmiştir. Bulgular, çocuk haklarına yapılan atıfların sınırlı olduğunu; kimlik ve mahremiyet ilkelerinin çoğu kez ihlal edildiğini; “trajedi–deha” ve “tehlikelilik” gibi söylemlerin yaygın biçimde kullanıldığını göstermiştir. Ayrıca haberlerin hiçbirinde otizmli çocukların doğrudan sesine yer verilmemiş, çocuklar çoğunlukla edilgen bir biçimde temsil edilmiştir. Elde edilen sonuçlar, medya içeriklerinin çocuk hakları ve etik ilkeler açısından iyileştirilmesi gerektiğini ortaya koymaktadır. Bu bağlamda pediatri hemşirelerinin, çocuk haklarının korunması, ailelerin medya farkındalığının artırılması ve toplumda hak temelli bir otizm söyleminin geliştirilmesi süreçlerinde savunuculuk rolü üstlenmeleri önerilmektedir.