The Effect of Mechanical Vibration and Flick Tapping Methods in Reducing Pain During Hepatitis B Vaccine Administration in Infants
Phase: NA
Conditions: Health Knowledge, Attitudes, Practice, Health Behavior
Sponsor: Berrin GOGER

 
Republic of Turkey 
Black Sea Technical University Rectorate 
Directorate of the Institute of Health Sciences 
Number: 27863166-302.14.04- 02/22/2024 22.02.2024                                      22.02.2024 
Subject: Thesis Proposal (Berrin GÖGER) 
TO THE DEPARTMENT OF NURSING 
Regarding the “Doctoral Thesis Proposal” of Berrin GÖGER, a doctoral student in your 
department, a copy of the Institute Management Board decision dated 14.02.2024 and 
numbered 160 is attached. I kindly request your attention and action. 
 
 
 
 
 
Assistant Professor Efnan ABDIOĞLU FAZLI 
Director a. 
Deputy Director of the Institute 
 
 
 
 
 
 
 
 
 
 
 
 
 

DATA COLLECTION TOOLS 
Newborn Baby Identification Information Form 
Baby Group No:                                                                                      
Date:    /      
 
1. Gender: (  ) Female    (  ) Male 
2. Gestational Age (specify in weeks): 
3. Mode of Delivery: 
4. Birth Weight 
5. Birth Length:  
6. Postnatal Age (specify in days): 
7. Current Weight: 
8. Current Height: 
9. Baby's feeding method: ( ) Breast milk   ( ) Formula   ( ) Breast milk + formula 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Parent Information Form 
Parent Group No:                                                                                      
Date:   /   /                                                                                            
 
1. Mother's age: 
2. Mother's education level: (  ) Illiterate  (  ) Primary school  (  ) Middle school  (  ) High 
school   (  ) College and above 
3. Mother's occupation: (  ) Not working  (  ) Civil servant  (  ) Worker   (  ) Self-employed  (  
) Retired   
4. Father's age: 
5. Father's education level: (  ) Illiterate  (  ) Primary school  (  ) Middle school  (  ) High 
school  (  ) University and above 
6. Father's occupation: (  ) Not working  (  ) Civil servant  (  ) Worker   (  ) Self-employed  (  ) 
Retired   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Newborn Baby Observation Form  
Baby Group No:                                                                                      
Date:   /    / 
 
Crying duration:  
Baby's body temperature before the procedure: 
Baby's body temperature after the procedure:  
Baby's respiratory rate before the procedure: 
Baby's respiratory rate after the procedure: 
 
PHYSIOLOGICAL PARAMETERS 
 
1 MINUTE BEFORE THE PROCEDURE     
DURING THE PROCEDURE     
1 MINUTE AFTER THE PROCEDURE 
OXYGEN SATURATION 
HEART RATE 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Neonatal Infant Pain Scale (NIPS) 
Infant Group No.:                                                                                     
Date:   /   / 
 
Categories    0    1    2 
Facial expression    Calm face, natural expression    Tense facial muscles, wrinkled forehead 
and chin     
Crying    Silent, not crying 
Mild whimpering, intermittent crying    Screaming, wailing, 
loud, continuous crying 
Breathing pattern    Normal breathing    Variable, irregular, faster than normal breathing, 
gasping     
Arms    No muscle rigidity, often random arm movements    Tense, straight arms, stiff and/or 
rapid extension/flexion 
 
Legs    No muscle rigidity, often random leg movements    Tense, straight legs, stiff and/or 
rapid extension/flexion     
State of alertness    Quiet, peaceful, sleeping and/or calm    Lively, restless, and unable to be 
calmed 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Voluntary Consent Form 
Dear Parent, 
You and Your Baby 
You are participating in a scientific study titled “The Effect of Mechanical Vibration and 
Tapping Methods on Reducing Pain During Hepatitis B Vaccination in Infants.” 
Your participation in this study is voluntary. By checking the consent box below, you will be 
able to begin answering the questionnaire, and data will be collected from your baby using data 
collection tools before, during, and after the procedure, without any intervention such as 
mechanical vibration or tapping. 
Your honest answers to the survey questions are crucial for the study to yield accurate results. 
The answers you provide will be used for scientific purposes, kept strictly confidential, and will 
not be shared with others. 
Thank you. 
Lecturer Berrin GÖGER 
 
☐    I agree to participate in the study voluntarily.