The Effect of the NURSIM-KID Program for Migrant Children Hospitalized in Hospitals on the Nursing Image of Children and Parents

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-30

Study Completion Date

2026-08-31

Brief Summary

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The nursing profession has a dynamic image in society, shaped by individuals' lives, cultural backgrounds, and interactions with healthcare services. The image of nursing formed during childhood, in particular, directly influences individuals' attitudes toward healthcare professionals and their participation in healthcare services. Migrant children, however, may perceive the nursing profession in a more limited and negative context due to reasons such as unfamiliarity with the hospital environment, language barriers, and cultural differences. Based on this, the aim of this study is to evaluate the effect of the NURSIM-KID program, developed for migrant children aged 8-11 years receiving inpatient treatment in the pediatric ward of Kilis Prof. Dr. Alaeddin Yavaşca State Hospital, on the images of the nursing profession held by children and their parents. The program aims to contribute to introducing the nursing profession in a more positive and functional way, using methods appropriate to the children's age and developmental level. The limited number of studies in the literature addressing the perceptions of migrant children and their parents regarding the image of nursing highlights the importance of this research and the original contribution it will make to the field. The findings of the study are of a nature that could guide the development of nursing education, child-friendly hospital practices, and culturally supportive initiatives.

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Detailed Description

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Migrant children often experience illness and hospitalization more traumatically than their peers due to socioeconomic difficulties, language barriers, cultural adaptation problems, and limited access to health services. Hospitalization can trigger loneliness, insecurity, and fear, while language barriers hinder self-expression and communication with healthcare staff. Cultural differences may make the hospital environment and medical procedures appear confusing or threatening, and parents' limited participation in care can deprive children of emotional support. Top (2023) identified language barriers, cultural differences, hygiene practices, low health literacy, and poor post-discharge care continuity as major challenges in caring for hospitalized migrant children. These factors complicate both children's treatment and nursing care delivery. The first interaction between migrant children and nurses plays a key role in shaping their image of the nursing profession. Nursing image is a dynamic, multidimensional concept that changes over time depending on one's social environment, culture, and experiences. According to Boulding's (1956) image theory, people's perceptions of a profession are shaped by their experiences and the messages they receive about it. Children, therefore, form their perceptions of nursing through direct hospital experiences, serving as neutral reflectors of professional image. However, existing studies have mostly focused on children's hospital experiences or satisfaction with nursing care, with limited research exploring their lasting impressions of the profession. For migrant children, the image of nursing is particularly affected by communication difficulties, cultural differences, and healthcare providers' attitudes. In a study by Güney, Düzkaya, and Uysal (2025), nurses reported challenges such as miscommunication, culturally inappropriate practices, patient safety concerns, time loss, and emotional fatigue while caring for migrant children. These challenges can lead children to perceive nursing as a distant, procedure-oriented profession that lacks communication and empathy. Negative perceptions, in turn, may reduce children's willingness to cooperate and engage in care. Yet, the image of nursing formed in childhood can significantly influence individuals' later attitudes toward healthcare services, their health literacy, and even career choices. Based on the ecological systems theory, individuals' behaviors are shaped by their broader social and familial contexts. Similarly, control systems theory emphasizes the importance of parent-child interactions in shaping attitudes and behaviors. Therefore, parents' perceptions of nursing indirectly influence their children's image of the profession. A multicenter study conducted in Türkiye found that children generally held more positive images of nursing than their parents, but parental attitudes remained an important determinant of these perceptions. Given these dynamics, structured programs that provide positive and meaningful encounters with nursing during hospitalization are essential for migrant children. The NURSIM-KID (Nursing Image for Kids) program was designed to assess and improve the nursing image among hospitalized migrant children aged 8-11 years. By introducing nursing in an interactive, age-appropriate, and culturally sensitive manner, the program aims to portray nurses as caregivers who provide support, trust, and compassion-not merely as medical professionals. Ultimately, NURSIM-KID seeks to identify negative perceptions early and foster positive, lasting attitudes toward nursing and healthcare among migrant children.

Conditions

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Hospitalized Migrant Child Migrant Parent and Child

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study is a parallel group randomized controlled trial.Children and their mothers who meet the inclusion criteria at the pediatric ward at the time of the study will be interviewed. Prior to randomization, they will be informed about the study and their consent will be obtained, and data on the children's characteristics will be collected. The intervention group of the study consists of children and families who will receive NURSIM-KID training, while the control group consists of children and families who are informed in accordance with clinical routine. To prevent selection and detection bias in the study, participants will be randomly assigned to the intervention and control groups by a statistician outside of the research team. The "block randomization" method, one of the "fixed probability randomization" methods, will be used for randomization in this study.

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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NURSIM-KID Program

Participants assigned to the experimental group will receive the NURSIM-KID (Nursing Image for Kids) program in addition to routine hospital care. Participants will be assigned to this group through randomization.

Group Type EXPERIMENTAL

NURSIM-KID Program

Intervention Type BEHAVIORAL

The NURSIM-KID program is a three-day structured intervention designed to support 8-11-year-old hospitalized children's perceptions of the nursing profession. It introduces children to the hospital environment, the nurse's role, and common medical equipment in a simple, child-friendly manner. Through puppets and the picture book "Who Am I? Nurse," children learn about nursing care, empathy, and communication. The program emphasizes emotional safety and active participation, encouraging children to express their feelings and questions. On the final day, children receive a participation certificate, reinforcing positive and trusting attitudes toward nurses and healthcare.

Routine Hospital Care

Participants in the control group will receive routine hospital care only, with no additional educational or behavioral intervention. Routine care includes standard nursing care provided by the hospital team. Participants will be assigned to this group through randomization.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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NURSIM-KID Program

The NURSIM-KID program is a three-day structured intervention designed to support 8-11-year-old hospitalized children's perceptions of the nursing profession. It introduces children to the hospital environment, the nurse's role, and common medical equipment in a simple, child-friendly manner. Through puppets and the picture book "Who Am I? Nurse," children learn about nursing care, empathy, and communication. The program emphasizes emotional safety and active participation, encouraging children to express their feelings and questions. On the final day, children receive a participation certificate, reinforcing positive and trusting attitudes toward nurses and healthcare.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

The child must be between the ages of 8 and 11. The child must be hospitalized for at least 3 days. The child must not have any auditory, visual, speech, or mental disabilities. Both the parent and the child must volunteer to participate in the study. Parents and children who can read Turkish and have communication skills will be included in the study.

Exclusion Criteria

Parents who do not agree to participate in the study. Parents and children who do not have communication skills in Turkish will not be included in the study.

Minimum Eligible Age

8 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No