Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2026The Mediating and Moderating Roles of Innovation Climate in the Relationship Between Nurses’ Attitudes Toward Artificial Intelligence, Creative Self-Efficacy, and Clinical Competence
Karakaya Suzan, Ozge; Gül, Uğur; Koyuncu, Oğuz; Akdeniz, Canberk
Background: Artificial intelligence (AI) is increasingly integrated into health care; however, how nurses’ attitudes toward AI and creative self-efficacy are associated with perceived clinical competence within different organizational contexts remains unclear. Aim: To examine whether perceived climate for innovation statistically mediates the association between nurses’ attitudes toward AI and perceived clinical competence and moderates the association between creative self-efficacy and perceived clinical competence. Methods: This cross-sectional study included 233 nurses recruited online by convenience sampling from hospitals in Türkiye between January and March 2026. Self-report measures assessed attitudes toward AI, creative self-efficacy, perceived climate for innovation, and perceived clinical competence. Pearson correlations and PROCESS Models 4 and 1 with 5000 bootstrap samples tested statistical mediation and moderation. Adjusted analyses included age, gender, previous AI-related training and AI use, educational level, professional experience, and institution type. Results: Attitudes toward AI were indirectly associated with perceived clinical competence through perceived climate for innovation; the adjusted indirect association remained significant (B = 0.0700, SE = 0.0333, 95% CI [0.0173, 0.1453]), consistent with partial statistical mediation. Perceived climate for innovation also moderated the association between creative self-efficacy and perceived clinical competence after adjustment (interaction B = −0.1672, SE = 0.0447, 95% CI [−0.2552, −0.0792]). This positive association became weaker as perceived climate for innovation increased. Conclusion: Attitudes toward AI, creative self-efficacy, perceived climate for innovation, and perceived clinical competence were significantly associated, and the statistical mediation and moderation patterns remained after adjustment. The cross-sectional, self-report data do not establish temporal or causal mechanisms or effects on objectively measured clinical performance or patient outcomes. Implications for Nursing Management: Nurse managers may consider supporting AI literacy, safe AI use, team-based learning, and innovation-supportive work environments. These strategies should be evaluated prospectively using objective clinical and patient outcomes before their effectiveness is inferred.
- MakaleYalnız künye2026Development and psychometric evaluation of the healthy internet use scale for adolescents
Özparlak, Arif; Gül, Uğur; Karakaya, Dudu; Efe, Emine
Objective The aim of this study was to develop the Healthy Internet Use Scale for Adolescents (HIUS-A) and examine its psychometric properties in order to evaluate healthy internet use (HIU) among adolescents. Methods The study was conducted according to a methodological, correlational and cross-sectional design. Data was collected between September and December 2025 at three middle schools and three high schools in the province of Antalya, Türkiye. The study used a stratified sampling method, and it was completed with 516 adolescents. The scale's content validity was examined through expert evaluation, and its construct validity was tested through exploratory and confirmatory factor analyses. The reliability of the scale was assessed using Cronbach's alpha coefficient, split-half reliability, and item-total correlations. Results The analyses revealed that HIUS-A exhibited a two-factor structure explaining 49.1% of the total variance. These factors were named “self-control” and “conscious use”. Confirmatory factor analysis findings revealed that the model showed a good level of fit (χ2/sd = 1.450; RMSEA = 0.042; SRMR = 0.039; CFI = 0.981). The internal consistency coefficient was calculated as 0.864 for the total scale, 0.855 for the “self-control” subscale, and 0.711 for the “conscious use” subscale. Conclusion HIUS-A is a valid and reliable ten-item assessment tool for evaluating healthy internet use in adolescents. Implications for practice The scale may be used by nurses and other healthcare professionals to determine HIU levels in adolescents and to evaluate the effectiveness of intervention studies relating to HIU.
- MakaleAçık Erişim2025Development and psychometric evaluation of the father-preterm infant bonding scale
Gül, Uğur; EFE, Emine; Bektaş, Murat
Objective: The purpose of this study is to describe the development process of the Father-Preterm Infant Bonding Scale (F-PIBS) and to report the results of its psychometric evaluation. Methods: A methodological, correlational, comparative, and cross-sectional design was employed. The study was conducted between June 2023 and September 2024 and included 182 fathers with preterm infants hospitalized in the Neonatal Intensive Care Unit (NICU). Exploratory and confirmatory factor analyses were performed to evaluate the reliability of the scale, and validity was tested using Cronbach's alpha reliability coefficient, split-half reliability, item-total correlations, and Hotelling's T-squared test. Results: The scale comprises 10 items distributed across two sub-dimensions. The content validity ratios of the scale items ranged from 0.80 to 1.00. Cronbach's alpha values for the total scale and sub-dimensions were 0.878, 0.796, and 0.845, respectively. Conclusion: F-PIBS is reliable, valid, and appropriate for evaluating father-preterm newborn bonding levels in the NICU.
- Derleme MakaleAçık Erişim2024Doğum Sonu Erken Dönemde Baba-Preterm Yenidoğan Bağlanmasının Önemi: Geleneksel Derleme
Efe, Emine; Gül, Uğur
Bu derlemenin ilk amacı, literatürde yer alan bağlanma kavramının tanımını hem ebeveyn tarafından hem bebek tarafından açıklığa kavuşturmaktır. Bir diğer amacı ise zamanından erken doğan bebeğe sahip babaların baba-preterm yenidoğan bağlanmasının önemini vurgulamaktır. Zamanından erken doğan pretermlerin hayatta kalabilmeleri için en iyi seçenek Yenidoğan Yoğun Bakım Ünitesi’nde yatmak olarak görülmektedir. Bu süreçte yoğun bakım kuralları nedeniyle babalar ikinci planda kalabilmekte ve bebeklerini oldukça sınırlı bir zaman diliminde görmektedirler. Bu nedenle babalar bebekleri ile yeterli zaman geçiremedikleri için yeterli etkileşime giremez ve baba-preterm yenidoğan bağlanması olumsuz etkilenebilir. Bu derlemede, baba-preterm yenidoğan bağlanmasını olumsuz etkileyen bazı önemli durumlar ele alınmakta ve güncel literatür doğrultusunda derlenmektedir. Yenidoğan Yoğun Bakım Ünitesi’nde görev yapan hemşirelerin/sağlık profesyonellerinin baba-preterm yenidoğan bağlanmasının klinik özelliklerini bilmesi ve bağlanma temelli hemşirelik uygulamalarında bulunması baba-preterm yenidoğan bağlanmasını güçlendirebilir. Preterm doğum nedeniyle Yenidoğan Yoğun Bakım Ünitesi’nde yatışa bağlı preterm preterm-anne-baba üçlüsünün doğum sonu erken dönemde bağlanmasının geliştirilmesi için güncel literatür doğrultusunda bağlanma temelli hemşirelik yaklaşımının önemi vurgulanmaktadır.
- MakaleAçık Erişim2022Parents’ and Children’s Knowledge of and Attitudes Towards Child Sexual Abuse: A Cross-Sectional Study
Cırık, Vildan Apaydın; Aksoy, Bahar; Gül, Uğur
Objective: This paper investigated parents’ and children’s knowledge of and attitudes towards child sexual abuse and\ridentified potential risk factors. Material and Methods: This descriptive and cross-sectional study was conducted between February\rand June 2021. The sample consisted of parents (n=255) and their\rchildren (n=255) aged 8-11 studying at three primary schools. Data\rwere collected using a Parent and Child Sociodemographic Information Form, the Child Sexual Abuse Knowledge/Attitude Scale for Parents, and the Child Sexual Abuse Information Form. Data were\ranalyzed using SPSS 24 program “number, mean, percent, independent sample t-test and one-way analysis of variance (ANOVA)” tests.\rResults: Parents had a mean Child Sexual Abuse Knowledge/Attitude Scale for Parents score of 137.66±18.40. There was a significant\rdifference between Child Sexual Abuse Knowledge/Attitude Scale\rfor Parents scores and education (p=0.034), prior knowledge of child\rsexual abuse (p=0.023), and education on sexual abuse to their children (p=0.000). More than half the parents (55.9%) stated that they\rwere scared about giving their children education on sexual abuse because they thought it might confuse them. More than a quarter of the\rchildren (36.9%) reported not knowing appropriate and inappropriate touch. News on child sexual abuse scared (46.6%) or made children feel bad (23.3%). Conclusion: Parents had a below-average\rknowledge of and attitudes towards child sexual abuse. Almost half\rthe children did not know about appropriate and inappropriate touch\rand were afraid of sexual abuse.
- MakaleAçık Erişim2022The image of nursing among nursing and other healthcare professional university students: A mixed-method study
Apaydin Cirik, Vildan; Gül, Uğur; Aksoy, Bahar
Aim: This study had three objectives: (1) determining the image of nursing in the eyes of undergraduate health sciences students; (2) identifying factors affecting that image; and (3) evaluating students’ views and experiences regarding that image. Background: If healthcare students perceive nursing positively, it may result in directing future generations to nursing, and improving nursing, and reducing the need for nurses. Design: This study adopted an explanatory sequential design with participant selection variant. The design involved data collection in two consecutive phases. Methods: A mixed-method design using quantitative data and qualitative interviews was used. In the quantitative phase, a descriptive and cross-sectional research method was used. The qualitative phase was based on phenomenological research. The quantitative portion was performed with 1556 participants in their second, third or fourth year during the 2019–2020 academic year. Students were from the nursing, emergency and disaster management, nutrition and dietetics, occupational health and safety, health management, and social work departments. The qualitative portion was performed with 29 participant volunteers. Participants were interviewed on the phone. The data were collected using an introductory information form, a nursing image scale, and semi-structured interviews. The quantitative data were analyzed using descriptive statistics and the independent-samples t-test, Mann-Whitney U test, one-way ANOVA, and stepwise linear regression. The quantitative data were analyzed using thematic analysis. Results: There were significant relationships between participants' nursing image scale total scores and their department (p < 0.001), education year (p = 0.014), age (p = 0.032) and desire to recommend the nursing profession (p < 0.001). Nursing image scale total score was significantly higher in nursing departments than in other departments. Second-year participants and 18–20-year-olds had higher total scores than fourth-year participants and 21–23-year-olds, respectively, and those who would recommend the nursing profession had higher total scores than those who would not recommend it (p < 0.05). Analysis of the qualitative data produced six main themes: perceptions of the nursing profession, perceived nursing figure, nurse knowledge, relationship with healthcare professionals, reason for preference and job gender. Conclusion: This study employed a mixed-method design involving both quantitative and qualitative stages. The results highlighted the image of nursing and its significance in the eyes of prospective healthcare professionals. Detecting nursing image early can increase professional training and improve the professional image of nursing. We should take into account the factors that negatively affect the image of nursing to plan nursing education better in the future.
- MakaleAçık Erişim2021Psychological Resilience Levels of Nursing Students and Coping Strategies in the COVID-19 Process: Descriptive Study
Cırık, Vildan Apaydın; Aksoy, Bahar; Gül, Uğur
T Objective: Coronavirus disease-2019 (COVID-19) is a serious public health problem that affects millions of people around the world physically, emotionally, psychological and economically. The purpose of this research is to evaluate the psychological resilience and coping strategies of nursing students during the COVID-19 outbreak. Material and Methods: This descriptive study was conducted between February-June 2020 with a total of 112 students studying in the third grade. “Descriptive Information Form”, “Question Form for COVID-19 Process” and “The Brief Resilience Scale” were used to collect data. Student’s t, Kruskal-Wallis and Mann-Whitney U-tests were used to evaluate the data. Results: The average score of the nursing students’ psychological resilience is 19.32±4.27 and is at the “medium” level. The difference between nursing students’ gender, sleep patterns, mental disorders, changes in their time and health and their psychological resilience scores were found to be statistically significant (p<0.05). 46.4% of the nursing students stated that “the measures are a little too flexible than they should be” regarding the measures taken by the Ministry of Health. In the COVID-19 outbreak, nursing students stated 67.3% of used behavioral, 18.8% mental, 9.2% physical, and 4.7% faith coping strategies. Nursing students of the coping strategies and socio-demographic variables between determined there was no statistically significant difference (p>0.05). Conclusion: The result of this research, it was found that the psychological resilience level of the nursing students was medium level and they used "behavioral, mental, physical and religious" coping strategies in the COVID-19 epidemic.