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- MakaleYalnız künye2024The Effect of Video-Based Simulation Training on Nursing Students' Motivation and Academic Achievement A Mixed Study
Koçan, Sema; Kulakaç, Nurşen; Aktug, Cemile; Demirel, Sevgül
This study was conducted to determine the effect of video-based simulation education on nursing students' motivation and academic achievement. The research was designed in a mixed model. A quasi-experimental method with a pretest-posttest control group was used for the quantitative part, and the descriptive phenomenology approach was used as the qualitative research method. The sample of the study consisted of second-year nursing students in two state universities in eastern Turkey. The data were collected with the Student Information Form, the Academic Achievement Test, and the Motivation Resources and Problems Scale using Google Forms Web application. Qualitative data were collected through online semistructured interview forms and focus group interviews. According to the results, the posttest academic achievement and Motivation Resources and Problems Scale mean scores of the students in the intervention group were significantly higher than those of the control group (P < .05). In the analysis of the qualitative, three main themes emerged: We felt fortunate that it increased information retention,” “We felt like we were in real practice environment,” and “It made us feel that we were nurses.” The results showed the use of video-based simulation can be suggested as a strategy to promote classroom teaching and engage students.
- MakaleYalnız künye2024The effect of a serious game-based web application on stoma care education for nursing students: A randomized controlled trial
Kulakaç, Nurşen; Çilingir, Dilek
Aim: This study was carried out in a randomized controlled manner to determine the effect of a serious game based web application on stoma care education for nursing students. Method: The learning styles and digital game motivation levels of the students in the study were determined, and aprior knowledge test was performed. While the website of the serious game-based application was open to the access of the intervention group for two weeks, no intervention was made for the control group. Second knowledge and skil lmeasurements were performed after two weeks for all students in the study, and evaluations of retention were performed four weekslater. Findings: The analyses revealed that the second and retention stoma care and colostomy irrigation knowledge test and skill scores of the intervention group were significantly higher than those of the control group (p<0.05). Conclusion: As the students' time to use the serious game increased, their knowledge tests and skill scores also increased significantly. Therefore, it was concluded that serious game technology had a positive effect on teaching nursing students the practice of stoma care.
- MakaleAçık Erişim2023Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki
Kulakaç, Nurşen
Bu çalışma cerrahi yoğun bakım ünitelerinde hemşirelerin izolasyon önlemlerine uyumları ile iletişim becerileri ve bilinçli farkındalık düzeyleri arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır. Tanımlayıcı ve ilişki arayıcı türdeki araştırma 1-30 Ocak 2023 tarihleri arasında Türkiye’deki cerrahi yoğun bakım ünitelerinde çalışan 237 hemşire ile tamamlanmıştır. Veriler Kişisel Bilgi Formu, İzolasyon Önlemlerine Uyum Ölçeği (İÖUÖ), Bilinçli Farkındalık Ölçeği (BFÖ) ve İletişim Becerileri Ölçeği-Yetişkin Formu (İBÖ-YF) ile toplanmıştır. Anket Google Forms web uygulaması ile düzenlenerek hemşirelerin akıllı telefonlarına WhatsApp mesajlaşma programı aracılığıyla gönderilmiştir. Verilerin değerlendirilmesinde yüzdelik, ortalama, standart sapma, Pearson Korelasyon analizi ve Lineer Regresyon analizi kullanılmıştır. Araştırmaya katılan hemşirelerin yaş ortalaması 37.87±6.55 (min. 19, max.50) olup %51.9’u kadındır. Hemşirelerin izolasyon önlemlerine uyumlarının iyi düzeyde olduğu belirlenmiştir. Hemşirelerin izolasyon önlemlerine uyumlarını önemli ölçüde etkileyen faktörlerin; bilinçli farkındalık durumları ve hastane enfeksiyonlarına maruziyet olduğu belirlenmiştir. Hemşirelerin izolasyon önlemlerine uyumlarını arttırmak için bilinçli farkındalık temelli uygulamaların desteklenmesi gerektiği düşünülmektedir.
- MakaleAçık Erişim2023Ciddi Oyun Tabanlı Uygulamaların Hemşirelik Öğrencilerinin Bilgi Düzeyine Etkisi: Sistematik Derleme ve Meta Analiz
Cilingir, Dilek; Kulakaç, Nurşen
Bu araştırma, ciddi oyun tabanlı uygulamaların hemşirelik öğrencilerinin bilgi düzeyine etkisini sistematik derleme ve meta analiz yöntemi ile değerlendirmek amacıyla yapılmıştır. Bu amaçla “serious game, nurse, education, student” anahtar kelimeleri “ve” ve “veya” anahtar kelimeleri ile birleştirilerek Türkçe ve İngilizce olarak PubMed (including MEDLINE), SCOPUS, Cochrane, EBSCOHost, Web of Science, YÖK Ulusal Tez Merkezi ve Google Scholar tabanlarından arama yapılmıştır. Meta analize, 2012-2021 tarihleri arasında randomize kontrollü ve yarı deneysel çalışmalar dahil edilmiştir. Çalışmada, sistematik incelemeler ve meta-analizler için tercih edilen raporlama öğeleri (Preferred Reporting Items for Systematic Rewiews and Meta Analyses-PRISMA) kontrol listesi kullanılmıştır. Bu meta analizde olası bias riskini azaltmak için literatür tarama, makale seçimi, veri çekme ve makale kalitesinin değerlendirilmesi işlemleri bir ve ikinci araştırmacılar tarafından bağımsız olarak yapılmıştır. Veri tabanlarının taranması sonucunda toplam 31.724 yayına ulaşılmıştır. Araştırmaya dahil edilme kriterlerine uygun olan 7 yayının örneklem büyüklüğünün 752 olduğu bulunmuştur. Ciddi oyun uygulamaları hemşirelik öğrencilerinin bilgi düzeyini geliştirdiği belirlenmiştir (SMD:4.70, %95 güven aralığı-GA:3.89-5.51). Ciddi oyun uygulamalarının hemşirelik öğrencilerinin bilgi düzeylerini geliştirmede etkili bir yöntem olduğu sonucuna varılmıştır.
- MakaleAçık Erişim2023Cerrahi Hastalıkları Hemşireliği Dersini Alan Öğrencilerin Sınav Kaygısı ve Stresle Başa Çıkma Tarzları Arasındaki İlişkinin Belirlenmesi: İlişki Arayıcı Bir Çalışma
Aydin Sayilan, Aylin; Kulakaç, Nurşen
Amaç: Bu çalışma, cerrahi hastalıkları hemşireliği dersini alan öğrencilerin sınav kaygısı ve stresle başa çıkma düzeylerinin belirlen- mesi amacıyla tanımlayıcı ve ilişki arayıcı olarak yapılmıştır. Gereç ve Yöntemler: Araştırmanın örneklemini 1-15 Mayıs 2022 tarihleri ara- sında Türkiye’de bulunan iki üniversitenin hemşirelik bölümünde öğ- renim gören ve cerrahi hastalıkları hemşireliği dersini alan 213 öğrenci oluşturmuştur. Veri toplama araçlar ı olarak öğrenci tanıtım formu, Stresle Başa Çıkma Tarzları Ölçeği (SBÇTÖ) ve Westside Sınav Kay- gısı Ölçeği (WSKÖ) kullan ılmıştır. Verilerin de ğerlendirilmesinde sayı ve yüzdelik hesapları, aritmetik ortalama, Student t-test, Pearson korelasyon analizi ve lineer regresyon analizi kullanılmıştır. Anlamlı- lık p<0,05 olarak kabul edilmiştir. Bulgular: Araştırmada öğrencile- rin s ınav kayg ısı puanlarının 25,67±11,92 oldu ğu belirlenmi ştir. Öğrencilerin stresle başa çıkma tarzlarından en fazla kendine güvenli yaklaşım ve iyimser yakla şım yöntemini kulland ıkları saptanmıştır. Öğrencilerin WSKÖ puan ı ile SBÇTÖ kendine güvenli yakla şım (p<0,001) alt boyut puan ı arasında istatistiksel olarak negatif yönde ve orta düzeyde; çaresiz yaklaşım (p=0,028) ve boyun eğici yaklaşım (p=0,011) arasında ise pozitif yönde düşük düzeyde anlamlı bir ilişki olduğu belirlendi (p<0,05). Çoklu lineer regresyon analizi sonuçlarına göre öğrencilerin sınav kaygılarını önemli ölçüde etkileyen faktörlerin; cinsiyet ve “kendine güvenli yaklaşım” alt boyutları olduğu tespit edil- miştir. Sonuç: Çalışmamızın sonucunda, hem şirelik öğrencilerinin stresle baş etme tarzlarının yetersiz olması, sınav kaygılarını olumsuz etkilemektedir. Bu araştırma sonuçlarının stresin psikolojik etkilerine yönelik uygulanacak müdahale planlarına katkı sağlayabileceği düşü- nülmektedir.
- MakaleYalnız künye2023Needs of caregivers of patients with palliative neurological problems: a qualitative study
Ulutaşdemİr, Nilgün; Ay, Halil; Göçmen, Adalet; Uzun, Sevda; Kulakaç, Nurşen
Objective: This article aimed to investigate the needs of caregivers of patients with palliative neurological problems and contribute to the solution proposals. Material-method: Phenomenological research design, a qualitative research design, was used in the study. The article was conducted with 16 relatives of patients with palliative neurological problems. The interviews were conducted using face-to-face in-depth semi-structured interview form. Colaizzi’s phenomenological analysis method used for the analyse. Results: In the analysis of the data, three categories, eight main themes, and seventeen sub-themes emerged. As a result of the interviews with the participants, the category of the effect of neurological palliative disease on the quality of life of individuals was gathered under three main themes, namely mental, physical, and social effects, and in the process of coping with the disease requiring neurological palliative care, two main themes were identified as emotion-focused coping and problem-focused coping. Conclusion: It was concluded in our study that having a patient in palliative care has psychological, social, and physical effects on the relatives of the patients. The burden of caregiving mostly affects the relatives of patients negatively. Relatives of patients mostly need time for themselves, moral support, and companion support.
- MakaleYalnız künye2023COVID-19 Vaccine Acceptance, Trust in Vaccine, Anxiety Levels, and Related Factors in Turkish Society
Aydln, Merve; Kulakaç, Nurşen; Uzun Şahin, Ceyda
Background: Vaccine acceptance and trust in vaccines pose a complex process affected by many factors. The present study was conducted to determine coronavirus disease 2019 (COVID-19) vaccine acceptance, trust in vaccines, anxiety levels, and related factors in Turkish society. Methods: The data of this cross-sectional and descriptive-correlational study were collected with the snowball method by using an online questionnaire throughout Turkey. The study was conducted between March 15 and April 3, 2021, with 3148 participants from 7 regions and 81 cities in Turkey. Results: It was found that the participants accepted the vaccine at 72.8%, and the trust rate in the vaccine was 66.0%. It was also found that women, single participants, those who had immune system diseases, and with COVID-19 had higher Coronavirus Anxiety Scale scores at significant levels. According to Logistic Regression Analysis, gender, age, trust in the vaccine, perception of risk levels regarding COVID-19, and coronavirus anxiety levels are factors affecting the intentions of participants to accept/reject the vaccine. It was determined that male participants were more likely to accept the coronavirus vaccine (P = 0.028). It was found that health-care employees had higher trust in the coronavirus vaccine (P = 0.006) and acceptance rates (P = 0.010) at significant levels compared with the general population. Conclusion: The COVID-19 vaccine acceptance rate in Turkish society was found to be high, and the level of trust in vaccines and anxiety levels were above the moderate level.
- MakaleYalnız künye2023The Effect of Burnout and Moral Sensitivity Levels of Surgical Unit Nurses on Job Satisfaction
Kulakaç, Nurşen; Uzun, Sevda
Purpose: This study was carried out to determine the effect of burnout and moral sensitivity levels of surgical unit nurses on their job satisfaction. Design: A descriptive and correlational design study. Methods: The population consisted of 268 nurses working in health institutions in the Eastern Black Sea Region of Turkey. The data were collected online between 1 and 30 April, 2022 using a sociodemographic data form, the Maslach Burnout Inventory, the Minnesota Job Satisfaction Scale, and the Moral Sensitivity Scale. Pearson correlation analysis and logistic regression analysis were used to evaluate the data. Findings: The nurses' moral sensitivity scale mean score was 105.2 ± 18.8, and the Minnesota job satisfaction scale mean score was 3.3 ± 0.7. The participants' mean emotional exhaustion score was 25.4 ± 7.3, the depersonalization score average was 15.7 ± 4.6, and the personal accomplishment mean score was 20.5 ± 6.7. The factors affecting the job satisfaction of nurses were found to be moral sensitivity, personal accomplishment, and satisfaction with the unit they worked. Conclusions: Nurses had high levels of burnout due to emotional exhaustion, one of the subdimensions of burnout, and moderate levels of burnout due to depersonalization and personal accomplishment. The moral sensitivity and job satisfaction of nurses are moderate. As the nurses' accomplishment and ethical sensitivity levels increased and their emotional exhaustion levels decreased, their job satisfaction levels increased.
- MakaleYayıncıda açık erişim2023Postoperative symptom management perceptions and coping experiences of individuals with prostate cancer
Kazımoğlu, Hatem; Ulutaşdemir, Nilgün; Kulakaç, Nurşen; Uzun, Sevda
Objective: This study aims to examine in depth the perceptions of postoperative symptom management and coping experiences of individuals with prostate cancer. Material-Method: The study was conducted with 15 individuals with prostate cancer using a phenomenological research design, which is a qualitative research design. Interviews were conducted via the WhatsApp application. Results: The data were analysed using Colaizzi's phenomenological method. In the data analysis, two categories, five main themes, and 15 sub-themes emerged. In the category of symptom management perception, there are themes of pain management processes, the use of complementary and alternative therapies and practices to cope with symptoms and improve quality of life. In the category of coping experiences, the themes of individual coping, interpersonal relations, and productivity were obtained. Conclusion: Our study suggests that individuals with prostate cancer have difficulty in symptom management in the postoperative coping process, but they managed them effectively with the support of their spouse, family, and health care professionals.
- MakaleAçık Erişim2022Hemşirelik Öğrencilerinin Bağımsız Kelime İlişkilendirme Testi ve Yazma Çizme Tekniğiyle Psikolojik Şiddet Algısının Belirlenmesi
Uzun, Sevda; Gürhan, Nermin; Karakas, Didar; Kulakaç, Nurşen; Özmaya, Esma; Altun, Elif
Amaç: Bu çalışmada hemşirelik son sınıf öğrencilerinin sahip olduğu psikolojik şiddet algısının, boyutunun, nedenlerinin ve sonuçlarının bağımsız kelime ilişkilendirme testi ve yazma çizme tekniğiyle detaylı incelenmesi amaçlanmıştır. Yöntem: Araştırmada öğrencilerin psikolojik şiddete ilişkin görüşlerini derinden incelemek için nitel araştırma yaklaşımlarından durum çalışması deseninden yararlanılmıştır. Çalışma grubunu çalışmaya katılmayı kabul eden gönüllü 26 hemşirelik son sınıf öğrencisi oluşturmuştur. Veri toplama aracı olarak; bağımsız kelime ilişkilendirme testi ve yazdırma–çizdirme tekniği kullanılarak, katılımcıların “psikolojik şiddet” kavramıyla ilgili bilişsel yapılarında ayrıntılı veri toplanması hedeflenmiştir. Çizimler ise öğrencilerin mevcut bilgilerini, inançlarını kelimelere bağlı kalmaksızın ifade etmesini sağlar. Elde edilen veriler içerik analizine göre değerlendirilerek kategoriler belirlenmiştir. Bulgular: Elde edilen bulgulara göre hemşirelik adaylarının psikolojik şiddet ile ilgili zihinlerindeki kavramlardan bağımsız kelime ilişkilendirme testiyle ve yazma çizme tekniğiyle toplam altı kategori oluşturulmuştur.. Bu kategoriler psikolojik şiddetin özellikleri, psikolojik şiddetin etkileri, psikolojik şiddetin nedenleri, psikolojik şiddeti gösterme biçimleri ve psikolojik şiddeti uygulayanlardır. Sonuç: Çalışmamızda hemşirelik öğrencilerinin psikolojik şiddeti sözel şiddetle aynı kavram olarak algıladığı, psikolojik şiddetin nedenleri arasında ilk sırada öfkeyi gördüğü ve psikolojik şiddetin etkilerini ise değersiz hissetme, depresif duygudurum ve korku olarak değerlendirdiği bulunmuştur.
- MakaleYalnız künye2022Sağlık Çalışanlarında Örgütsel Güven Düzeyi ve İlişkili Faktörler
Kulakaç, Nurşen; Aydin, Aykut; Sayilan, Samet
Amaç: Bu çalışma, sağlık çalışanlarının örgütsel güven düzeyleri ve ilişkili faktörleri belirlemek amacıyla tasarlandı. Yöntem: Kesitsel tipteki araştırmanın örneklemini Mayıs-Temmuz 2021 tarihlerinde Türkiye’nin batısında bulunan bir eğitim ve araştırma hastanesinde görev yapan sağlık çalışanları oluşturdu. Veri toplama aracı olarak Kişisel Bilgi Formu ve Örgütsel Güven Ölçeği kullanıldı. Verilerin analizinde, sayı ve yüzdelik hesapları, aritmetik ortalama, Mann Whitney-U testi, Kruskal Wallis ve Spearman korelasyon analizi kullanıldı. Bulgular: Sağlık çalışanlarının Örgütsel Güven Ölçeği puan ortalamasının 3.19±0.70 olduğu ve en fazla yöneticilerine güvendikleri görüldü. Yaş ve çalışma yılı arttıkça, kuruma duyulan güvenin ve çalışma yılı arttıkça, çalışma arkadaşlarına duyulan güvenin arttığı görüldü. Cerrahi birimde çalışan, evli olan, haftada 45 saatten az görev yapan sağlık çalışanlarının ve hekimlerin Örgütsel Güven Ölçeği puan ortalamasının anlamlı olarak yüksek olduğu bulundu. Sonuç: Araştırma sonucunda sağlık çalışanlarının örgütsel güven düzeyinin orta seviyede olduğu ve bazı sosyodemografik özelliklerden etkilendiği belirlendi. Örgütsel güveni oluşturmak ve arttırmak adına girişimlerde bulunulması ve kurum kültürüne dönüşecek bir örgütsel güven ortamının oluşturulması hedeflenmelidir.
- MakaleYalnız künye2022The Effect of COVID-19 Pandemic Knowledge Levels of Students Studying in Health-Related Departments on Their Resilience and Mental Well-Being
Özkan, Esra; Cilingir, Dilek; Kulakaç, Nurşen
Objective: The aim of the study is to determine the effect of the COVID-19 pandemic knowledge level of students studying in health-related departments on their resilience and mental well-being state. Materials and Methods: The population of this descriptive-cross-sectional design study consisted of students studying in health-related departments of two universities in Turkey. The students were under quarantine, so the data were collected between 15-25 March 2020 using an online questionnaire form created by the researchers, the Brief Resilience Scale, and the Warwick-Edinburgh Mental Well-Being Scale. Percentage, mean, standard deviation, Mann Whitney U Test, Kruskal-Wallis Test, and Spearman correlation analysis were used to evaluate the data. Results: According to the results, the mean age of the students was 20.0±1.87, 71.9% were female, and 62.8% were studying in an associate degree program. The mean scores of the brief resilience scale and the mental well-being scale were 19.0±4.4 and 42.0±7.0, respectively. The students’ mean knowledge level of COVID-19 disease was 26.5±3.5. There was a moderate positive correlation between the brief resilience scale and mental well-being scale (p<0.05), and a positive correlation between the knowledge level score of COVID-19 disease and the mean scores of resilience and mental well-being (p<0.05). Conclusion: It is thought that there is a significant relationship between the resilience scale and mental well-being scale of students in the quarantine due to the COVID-19 pandemic.
- MakaleAçık Erişim2022Determination of the Care Needs of Individuals Over 65 in\rthe COVID-19 Pandemic: A Qualitative Study
Uzun, Sevda; Kulakaç, Nurşen; Özmaya, Esma
Objective: The purpose of this study was to determine the\rcare needs of individuals over 65 during the coronavirus disease-2019\r(COVID-19) pandemic. Material and Methods: The study was carried\rout phenomenologically with a qualitative approach using semi-structured\rinterviews. It was conducted with 15 individuals over 65 living in various\rgeographical regions in Türkiye. The data were collected through phone\rinterviews and analyzed using Colaizzi’s seven-step method. Results: The\rsociodemographic data of the individuals demonstrated that eight participants\rwere male and seven were female. The mean age was 71.4±6.25\r(minimum-maximum, 65-82). Ten of them were single, seven were 65-70\ryears old, and ten were retired. Eleven of them were primary school graduates.\rAll individuals over the age of sixty-five have health insurance. In\raddition, 14 of the individuals have chronic physical illness and 2 have\rchronic mental illness. In this study, the findings of COVID-19 were analyzed\rand it is divided into 2 categories as properties and unmet needs. In\rthe category of characteristics of COVID-19, perceived characteristics, experienced\rwhile results and management/coping styles were the determined\rthemes, physical, psychological, social, and information themes were the\rthemes identified in the unmet needs category. Over the age of 65 in the\rprocess of the COVID-19 pandemic shopping, paying the bills and walking\rcodes are in the first place on the theme of physically unmet needs of\rindividuals, while reputation and independence codes are in the first place\ron the theme of spiritually unmet side needs has been identified. Finally, the\rcodes of not being able to communicate with loved ones and participate in\rthe community were included in the socially unmet needs. Conclusion:\rThe study revealed that individuals over 65 need support to improve their\rquality of care during the pandemic. They found COVID-19 deadly and\rdangerous, and they experienced anxiety and fear during this period. They\rhad difficulties in activities such as shopping, paying the bills, and taking\rmedicine, and their needs are met by others. They experienced problems\rabout independence, dignity, lack of satisfaction of love needs, and limited\rcommunication with loved ones, leading to disruptions in the quality\rof life.
- MakaleYalnız künye2022COVID-19 Pandemisinin Hemşirelik Öğrencilerinin Yaşam Kalitesi ve Motivasyon Düzeylerine Etkisi: Nitel Bir Çalışma
Uzun, Sevda; Kulakaç, Nurşen; Mumcu, Betül
ÖZET Amaç: Bu çalışma, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisinin, hemşirelik bölümünde öğrenim gören öğrencilerin yaşam kalitesi ve motivasyon düzeylerine olan\retkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Nitel\raraştırma yöntemi kullanılan çalışmanın evrenini, Türkiye’de bir sağlık bilimleri fakültesinde öğrenim gören hemşirelik bölümü öğrencileri\roluşturdu. Katılımcı sayısı, veri doygunluğuna göre belirlendi ve araştırma toplam 24 hemşirelik öğrencisi ile sonlandırıldı. Veriler, araştırmacı tarafından çalışmanın amacına uygun olarak geliştirilen yarı\ryapılandırılmış görüşme formu ile toplandı. Bulgular: Hemşirelik öğrencileri, COVID-19 hastalığını “tehlikeli” olarak ifade etmişlerdir.\rCOVID-19’un insanlığa en önemli olumlu etkisi “hijyene verilen önemin artması” olarak belirtilirken “ekonomik zayıflama” en önemli\rolumsuz etki olarak belirlendi. Korku ve belirsizlik, öğrencilerin motivasyon ve yaşam kalitesini etkileyen en önemli başlıklar olarak belirlendi. Sonuç: Öğrencilerin büyük çoğunluğunun COVID-19 pandemi\rsürecinde olumsuz düşüncelere sahip olduğu belirlendi. Bu süreçte öğrencilerin yaşam kalitelerini ve motivasyonlarını yükseltmek için kişisel ve mesleki anlamda gelişmeye çalışarak süreci olumlu yönde\rdeğerlendirdikleri saptandı. Sonuç olarak pandemi sürecinin bireyler\riçin travmatik olduğu düşünülmektedir. Öğrencilerin uyum sağlayabilmesi, bireylerin güvenilir kaynaklarla bilgilendirilmesi, izolasyonun en\raza indirilmesi, kaliteli bir eğitim sağlanması ve ihtiyaçların belirlenmesi ile mümkün olabilir.
- MakaleAçık Erişim2022Nursing Students the Attitude Towards E-Learning Scale: A Methodological Study
Sahin, Ceyda Uzun; Aydin, Merve; Kulakaç, Nurşen
ABS TRACT Objective: Today, as a result of the constantly developing information and technologies affecting the field of education, the interest and need for e-learning (electronic learning) environment is\rincreasing day by day. Student attitudes in e-learning directly affect the\reffectiveness of learning. The aim of this study was to adapt the “Attitude Towards E-Learning Scale” into Turkish and perform its validity\rand reliability study for nursing students. Material and Methods: This\rstudy, which has a methodological design, was conducted with 200\rnursing students. The data were collected between 15-30 April 2021\rusing the data collection form prepared on Google Forms. The scale\rconsists of 9 items. In the evaluation of the data, content validity, explanatory and confirmatory factor analysis, and internal consistency\ranalysis were performed based on expert opinion. Results: The factor\rloadings of the Attitude Towards E-Learning Scale items for which validity and reliability studies were conducted vary between 0.621 and\r0.859. Cronbach alpha reliability coefficient was found to be 0.913, a\rKaiser-Meyer-Olkin value was 0.911, and Bartlett’s test for sphericity\rwas p<0.001. Factor analysis demonstrated that the scale consisted of\ra single factor and showed a good model fit. The scale explains 60.61%\rof students’ attitudes towards e-learning. In confirmatory factor analysis, fit indices were found to be root mean square error of approximation=0.073, χ2\r/df=2.047, and comparative fit index=0.970, showing that\rthe scale was at a good fit level. Conclusion: The study revealed that\rthe Attitude Towards E-Learning Scale can be used in studies evaluating the “e-learning attitudes” of nursing students. It is thought that repeating this study on e-learning with nursing students with different\rstudent groups will make important contributions to e-learning.
- MakaleYalnız künye2022Determination of the Factors Affecting the COVID-19 Knowledge Levels and the Status of Being Diagnosed with COVID-19 in Healthcare Employees Struggling with Pandemic
Sahin, Ceyda Uzun; Kulakaç, Nurşen
The present study was conducted to determine of the factors affecting the COVID-19 knowledge levels and the status of being diagnosed with COVID-19 in healthcare employees struggling with the pandemic. This study, which was planned in cross-sectional and descriptive-correlational design. The healthcare employees working in hospitals in 6 city centers in the Black Sea Region, which has the highest number of COVID-19 cases in Turkey, were included in the study (n=385). It was determined in the present study that 33.85±9.11 (min.20, max.60), 57.9% of the participants were female, 43.4% were nurses, and 47% were infected with coronavirus. It was found that the factors that affected the coronavirus knowledge scores of health employees significantly were being diagnosed with COVID-19, presence of chronic diseases, receiving psychological support, female gender, and fighting COVID-19 in the front line. The risk factors for being infected with coronavirus disease were found to be the lack of personal protective equipment, unit worked at, and N95 mask replacement time (p<0.05). As a result of this study, ıt is recommended to provide evidence-based trainings to prevent transmission of future outbreaks and to support coping strengths since infection in healthcare employees is high.
- MakaleYalnız künye2022Psychosocial Dimension of Healthcare Professionals Vaccine Resistance: A Qualitative Study the Case of Turkey
Ulutaşdemir, Nilgün; Uzun, Sevda; Kulakaç, Nurşen
The purpose of the present study was to examine the reasons for the vaccine resistance of healthcare employees, which may affect public health adversely during the COVID-19 pandemic, and to contribute to the solutions which can be developed. The phenomenological research design, which is a qualitative research design, was used in the study. This qualitative study was conducted with 35 healthcare professionals. Interviews were conducted with the WhatsApp. The data were analyzed by using Colaizzi’s Phenomenological Analysis Method. Two categories, five main themes, and eighteen sub-themes were created in the analysis of the data. There was the theme of psychological effects, physical effects, and social effects in the impact of COVID-19 on the healthcare employee category. There were the themes of lack of trust and risk in the category of reasons for not vaccinating healthcare employees. It was found in the present study that healthcare employees were adversely affected psychologically, physically, and socially during the COVID-19 pandemic. A total of 26 healthcare Employees declared that they did not trust the vaccine and did not have it because of the risks, and 9 healthcare employees declared that they had the vaccine because they trusted it. Although the healthcare professionals working in the Southeastern Anatolia and Eastern Anatolia Regions had vaccine rejection in Turkey, healthcare professionals working in the Aegean Region and the Mediterranean Region were those who had the least vaccine rejection.
- MakaleAçık Erişim2022Exploring anxiety levels in healthcare workers during COVID-19 pandemic: Turkey sample
Şahin, Ceyda Uzun; Kulakaç, Nurşen
As in the whole world, the Novel Coronavirus (COVID-19) pandemic poses many threats to healthcare workers in our country too, which leads to anxiety in healthcare workers. This study was conducted to explore the anxiety levels of healthcare workers during the COVID-19 pandemic. The study is a cross-sectional study. The population consisted of health care workers employed in hospitals in seven regions in Turkey. All volunteer healthcare workers were included in the study, and 356 healthcare workers responded to the questionnaire. The data were collected using the State Anxiety Inventory and a questionnaire created by the researchers using an online questionnaire between 10 May 2020 and 15 May 2020. In the evaluation of the data, mean, standard deviation, percentages, t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis were used. 33% of healthcare workers did not have anxiety, 50% had mild, and 17% had severe anxiety. The anxiety scores of those who were nurses (p < 0.001), who were working in the emergency room (p < 0.001), who were involved in treatment for COVID-19 patients (p = 0.040), who left their homes to prevent transmission to their families and relatives during the pandemic (p = 0.038), and whose working hours had changed (p = 0.036) were found to be significantly higher. It was observed that there was a positive and significant relationship between the fear of death and disease transmission, uncertainty, loneliness, anger, and hopelessness, and anxiety levels in healthcare workers. The main factors that significantly affected the anxiety levels of healthcare workers were male gender, weekly working hours, the presence of chronic diseases, and feelings of anger and uncertainty. In conclusion, during the COVID-19 pandemic, healthcare workers experienced some negative emotions, their anxiety levels increased, and they were psychologically affected. Planning psychosocial interventions for healthcare workers in the high-risk group will make significant contributions to the health system.
- MakaleAçık Erişim2022Adaptation of the pain management self-efficacy questionnaire into Turkish; [Ağrı yönetimi öz yeterlilik ölçeğinin türkçeye uyarlanması]
Aydin Sayilan, Aylin; Eşki̇N Bacaksiz, Feride; Seyhan Ak, Ezgi; Kulakaç, Nurşen; Macindo, John Rey B.
Objectives: The aim of this study is to examine the Turkish validity and reliability of the Pain Management Self-Efficacy Questionnaire (PMSEQ). Methods: The study was carried out descriptively and methodologically between September and December 2018 with 214 nurses and 248 nursing students. The data were collected using the descriptive characteristics form and the PMSEQ. Results: Cronbach’s alpha internal consistency coefficient was 0.90 in the total scale. In repeated measurements to test time reliability, there was no statistically significant difference between the two measurements (t=0.320, p=0.751), and there were a high power and positively highly significant relationship (r=0.997, p<0.001). Conclusion: Turkish version of the PMSEQ can be used as a valid and reliable scale in assessing the self-efficacy of clinical nurses and nursing students in pain management.
- MakaleAçık Erişim2021Surgical nurses’ knowledge levels about hemodynamic monitoring
Özkan, Esra; Sahin, Ceyda Uzun; Cilingir, Dilek; Kulakaç, Nurşen
Aim: This study was carried out to determine surgical nurses’ knowledge levels about hemodynamic monitoring. Material and Method: The research was carried out in a descriptive design to determine the knowledge levels of surgical nurses related to hemodynamic monitoring. Nurses working in the surgical clinics of three hospitals in the Eastern Black Sea Region. 156 surgery nurses took part in the study. The data were collected through a questionnaire developed by the researchers. Percentage, mean, standard deviation, median, Kolmogorov-Smirnov test, t-test in independent groups, and variance analysis in multiple groups were used to evaluate the data in the research. Results: The mean score of the nurses’ knowledge about hemodynamic monitoring was 65.3±7.9. There was a significant difference between nurses’ receiving education on monitoring, gender, marital status, education level and the mean scores of their knowledge about hemodynamic monitoring (p<0.05). Conclusion: The study revealed that nurses had a lack of knowledge about hemodynamic monitoring, which was reflected in nursing care and practices. It is recommended that surgical nurses are provided detailed and regular training on hemodynamic monitoring methods and follow-up including nursing care.