Purpose: This study investigates the relationships between professional self-concept, patient safety culture, and burnout among cancer hospital nurses. It further aims to identify factors influencing burnout in this population. Methods: This cross-sectional study surveyed 160 nurses at a cancer center. The participants completed self-reported questionnaires on professional self-concept, patient safety culture, and burnout. Results Pearson’s correlation analysis revealed a negative association between patient safety culture and emotional exhaustion and depersonalization. Conversely, a positive association was found between patient safety culture and personal accomplishment and professional self-concept. Regression analysis identified gender (β=-.18, p=.013), total years of work experience (β=.27, p=.008), and professional self-concept (β=-.43, p<.001) as significant factors influencing emotional exhaustion.Similarly, professional self-concept emerged as a significant factor influencing both depersonalization (β=-.38, p<.001) and personal accomplishment (β=.54, p<.001). Conclusion: To mitigate emotional exhaustion and depersonalization and enhance personal accomplishment, establishing a program aimed at improving nurses’ professional self-concept is essential. The levels of emotional exhaustion and depersonalization among nurses in cancer hospitals are high. Therefore, it may be necessary to develop emotional care programs and provide education on oncology emergencies to prevent and mitigate these issues.

PURPOSE: The study aimed to develop a play toolkit to facilitate infants' and toddlers' symbolic thought and fine motor development. METHODS: This study used a methodological study design including two phases of development and evaluation. After reviewing the play culture and developmental health issues in Kyrgyzstan through a literature review and interviews with local experts and parents, the toolkit was developed and evaluated using content validity and utilization tests. RESULTS: The toolkit was based on Westby's symbolic play and the fine motor milestones in the Bright Futures Guidelines. The Toolkits were composed of an overall suggested play schedule according to the child's age, four kinds of play props, and a utilization guidebook for parents. The play props were a felt book, sorting and assembling blocks, cup blocks, and a tangram. The guidebook contained age-appropriate operating methods and alternative ways to use the materials. CONCLUSION: A play toolkit was developed to enhance nurturing practices among parents of infants and toddlers. The findings may help facilitate effective interactions between parents and their children. Considering that nurturing care is critical for achieving better child health outcomes, enhancing parenting resources and parent-child relations could function as an effective strategy for promoting child health.
Appointments and Schedules ; Child ; Child Development ; Child Health ; Humans ; Infant ; Kyrgyzstan ; Methods ; Parent-Child Relations ; Parenting ; Parents ; Play and Playthings