5 minutes before starting the inhaler treatment, the child's anxiety level should be determined, and the child's emotional state should be evaluated by two observers.

After washing hands, the aerosol medication ordered by the physician should be applied using a nebulizer mask.

In the 5th minute after the inhaler treatment begins, the child's anxiety level should be determined, and the child's emotional state should be evaluated by two observers.

5 minutes after the inhaler treatment ends, the child's anxiety level should be determined, and the child's emotional state should be evaluated by two observers.

5 minutes before starting the inhaler treatment, the child's anxiety level should be determined, and the child's emotional state should be evaluated by two observers.

After washing hands, the aerosol medication ordered by the physician should be applied using a nebulizer mask.

The child is introduced to the plush toy of Kral Şakir, a character they recognize from cartoons. After explaining that King Şakir also needs help to recover, the nebulizer mask is applied to the toy, and saline solution is added to the mask's reservoir. Then, the treatment is started together with the child.

In the 5th minute after the inhaler treatment begins, the child's anxiety level should be determined, and the child's emotional state should be evaluated by two observers.

5 minutes after the inhaler treatment ends, the child's anxiety level should be determined, and the child's emotional state should be evaluated by two observers.

The mask application on the toy will be performed only during the first inhaler treatment that the children receive in the emergency department.

To measure state anxiety, children are asked to mark how they feel "right now." To measure trait anxiety, another copy of the scale is presented, and they are asked to mark how they "usually feel at home." Examples of being at home are provided to the children, like "think about when you were playing outside with a friend" and "think about sitting quietly watching TV." Before completing the scale, children were screened for their ability to rank order by size. They were asked to count to 10, and then answer, "Which is bigger, 7 or 4?" Children were also asked to identify the smallest of a series of four stacking cups. Children unable to complete these tasks successfully or who did not understand the instructions did not complete the scale.

In the scale, emotional indicators are evaluated based on five parameters. These parameters are: facial expression, voice, activity, interaction, and cooperation level. Each of these five parameters is scored on a scale from 1 to 5, with the lowest possible score being "5" and the highest possible score being "25."

In the first category, facial expression, the child's facial expressions observed by the researcher are scored on 5 items.

Secondly, in the vocalization category, the child's tearfulness is evaluated through 5 sub-items.

Thirdly, in the movement category, scoring is done based on the child's body language, using 5 sub-items.

Fourthly, in the interaction category, the child's verbal and non-verbal communication is evaluated through 5 sub-items.

Finally, in the cooperation category, the child's active or passive participation is observed and scored based on 5 sub-items.