{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:39:44Z","timestamp":1792719584302,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study was conducted to determine the effects of the frequency of repositioning during phototherapy on neonates' bilirubin levels and comfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a single\u2010centre, three\u2010arm, pretest\u2010posttest parallel\u2010group randomized controlled trial conducted in a neonatal intensive care unit. Participants were randomly assigned to one of three groups: the supine position group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920), the hourly position change group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920), and the control group (2\u2010h position change) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920). The bilirubin levels and comfort levels of the neonates were evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      It was determined that there was no difference between the groups in terms of baseline total bilirubin (TB) levels, TB levels at the end of 24\u2009h, and time neonate was not under phototherapy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). The effect of the interventions on the comfort score was found to be statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The mean levels were 10.28\u2009\u00b1\u20090.92 in the supine group, 10.63\u2009\u00b1\u20090.81 in the hourly position change group, and 7.14\u2009\u00b1\u20090.28 in the control group. The effect of group, time, group and time on the comfort score was also statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results obtained in this study show that there is no statistically significant difference in bilirubin levels between the different positional groups during phototherapy. Neonates in the control group were found to have higher comfort compared to the other two groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijn.70187","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T10:16:45Z","timestamp":1790158605000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Repositioning Frequency on Bilirubin Levels and Comfort in Neonates Receiving Phototherapy: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0557-9413","authenticated-orcid":false,"given":"Sevinc","family":"Akkoyun","sequence":"first","affiliation":[{"name":"Vocational School of Health Services Selcuk University  Konya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3269-445X","authenticated-orcid":false,"given":"Sibel","family":"K\u00fcc\u00fckoglu","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Selcuk University  Konya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5584-6933","authenticated-orcid":false,"given":"Fatma","family":"Tas Arslan","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Selcuk University  Konya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103492"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/17.1.95"},{"key":"e_1_2_12_4_1","unstructured":"American Academy of Pediatrics (AAP).2022. \u201cHyperbilirubinemia.\u201d Retrieved October 10 fromhttps:\/\/www.aap.org\/en\/patient\u2010care\/hyperbilirubinemia\/."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2013.54"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2024\u2010068026"},{"key":"e_1_2_12_7_1","unstructured":"B\u00f6l\u00fckba\u015f\u0131 N. N.2019. \u201cFototerapi uygulamas\u0131 Alan yenido\u011fanlar\u0131n Konfor davran\u0131\u015flar\u0131n\u0131n Incelenmesi Marmara Universitesi (Turkey)\u201d."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17-0046"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2020.06.015"},{"issue":"5","key":"e_1_2_12_10_1","first-page":"255","article-title":"Changing Position Does Not Improve the Efficacy of Conventional Phototherapy","volume":"43","author":"Chen C.\u2010M.","year":"2002","journal-title":"Acta Paediatrica Taiwanica"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.08.016"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3928\/19382359\u201020240407\u201002"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2010.01885.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-020-03640-5"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.17371\/UHD.2014210143"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2020.102904"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2017.03.004"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12712"},{"issue":"3","key":"e_1_2_12_19_1","first-page":"227","article-title":"Supine Versus Turning Position on Bilirubin Level During Phototherapy in Healthy Term Jaundiced Neonates","volume":"18","author":"Mohammadzadeh A.","year":"2004","journal-title":"Medical Journal of the Islamic Republic of Iran"},{"issue":"3","key":"e_1_2_12_20_1","first-page":"25","article-title":"A Systematic Review on Physiological Jaundice: Diagnosis and Management of the Affected Neonates","volume":"2","author":"Obeagu E. I.","year":"2022","journal-title":"Madonna University Journal of Medicine and Health Sciences"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12287"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2022.08.002"},{"key":"e_1_2_12_23_1","doi-asserted-by":"crossref","unstructured":"Silvia I. G. D.Tjipta L.Irsa E.Azlin B. M.Lubis andO. R.Ramayani.2018. \u201cChanges on Total Serum Bilirubin and Infant's Position During Phototherapy.\u201d4 no.1.https:\/\/doi.org\/10.20431\/2455\u20105711.0401002.","DOI":"10.20431\/2455-5711.0401002"},{"key":"e_1_2_12_24_1","article-title":"Periodic Change of Body Position Under Phototherapy in Term and Preterm Neonates With Hyperbilirubinaemia","volume":"3","author":"Thukral A.","year":"2022","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e3181a5b52a"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-025-06421-0"},{"key":"e_1_2_12_27_1","unstructured":"World Health Organization (WHO).2026. \u201cBreastfeeding.\u201dhttps:\/\/www.who.int\/health\u2010topics\/breastfeeding#tab=tab_1."},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12421"}],"container-title":["International Journal of Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijn.70187","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ijn.70187","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijn.70187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:30:40Z","timestamp":1792719040000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijn.70187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/ijn.70187"],"URL":"https:\/\/doi.org\/10.1111\/ijn.70187","archive":["Portico"],"relation":{},"ISSN":["1322-7114","1440-172X"],"issn-type":[{"value":"1322-7114","type":"print"},{"value":"1440-172X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]},"assertion":[{"value":"2025-12-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70187"}}