Sürdürülebilir Kalkınma Amaçları

  • MakaleAçık Erişim2025
    Exploring Nursing Students’ Metaphorical Perceptions and Cognitive Structures Related to the Global Climate Crisis's Impact on Nursing

    Ediz, Çiçek; Uzun, Sevda

    Objective: This study aimed to explore the metaphorical perceptions and cognitive structures of Turkish nursing students related to the impact of the global climate crisis on their profession. Methods: Researchers adopted a qualitative approach centered on metaphor analysis and involved 40 Turkish nursing students enrolled in programs in Türkiye during October 2023. Using metaphor analysis and techniques involving writing and drawing, the study uncovered how these students perceive and cognitively structure the influence of the global climate crisis on their nursing careers. The interview form featured the metaphor expression “The reflection of the global climate crisis on nursing is like … because …,” while the drawing component prompted students to determine their perspectives on the climate crisis's impact on nursing through concept drawings. The research adhered to the COREQ checklist. Results: The study revealed that nursing students generated 22 metaphors each through written and drawing techniques. Written metaphors were grouped into five categories: psychosocial challenges faced by nurses, patient populations, diseases and coping, burdens on the health system, and the growing importance of various fields within nursing. Drawing technique metaphors were grouped into four categories: nurses and the difficulties they face, the impact of the global climate crisis on the world, the impact of the global climate crisis on the healthcare sector, and the roles and responsibilities of nurses. Conclusions: While nursing students expressed diverse opinions, their concerns about the reflection of the global climate crisis on nursing yielded similar emotional responses. Metaphors are mostly focused on psychosocial challenges faced by nurses, the patient population, diseases, and coping mechanisms. The findings underscored nursing students’ concerns about the global climate crisis's impact on both their profession and the broader community.

  • Derleme MakaleAçık Erişim2025
    The effectiveness of telemedicine applications in mental health services: a meta-analysis study

    Güler, Kübra Gülırmak; Uzun, Sevda; Emirza, Elif Güzide

    Aim: This study was conducted to reveal the effectiveness of telemedicine applications in mental health services. Material method: For this meta-analysis study, data were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YÖK Thesis Center databases for the last 5 years in September–December 2023. After the review, 24 studies were included. Findings: In this meta-analysis, it was found that telemedicine interventions in mental health services decreased the depression level of individuals (SMD − 0.168, 95% CI − 0.315 to − 0.021; Z = − 2.243; p <.05). In addition, it was determined that the duration of the intervention played a role in the effectiveness of telemedicine interventions applied to individuals. In addition, it was determined that the type of intervention, the country where the research was conducted, and the patient group did not play a role in the effectiveness of telemedicine interventions applied to individuals. Conclusion: Telemedicine applications in mental health services can play an effective role in reducing the burden of chronic mental illness and improving patient outcomes.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025
    Disease Burden and Sexual Life in Patients With Multiple Sclerosis: A Phenomenological Study

    Çakmak, Seher; Uzun, Sevda; Demir Çam, Sevgi

    This study aims to examine the burden of disease experienced by multiple sclerosis patients and to deeply examine the impact of the disease on sexual life. A phenomenological research design was used in this study. This qualitative research was conducted with 20 multiple sclerosis patients. Interviews were conducted individually and face-to-face. The data were analyzed using Colaizzi's phenomenological analysis method. Two main themes (effects of the disease and sexual life) and five sub-themes (physical effects, mental effects, social effects, problems related to sexual life, sexual issues, and coping) were identified in the analysis of the data. As a result of the study, it was determined that the patients experienced serious physical, mental, and social problems due to multiple sclerosis, and their sexual lives were also negatively affected. Individuals experience significant issues related to their sexual life due to multiple sclerosis. Since multiple sclerosis is a multifaceted disease, it is thought that professional evaluation of sexuality in patients, diagnosis of sexual dysfunctions, and taking timely measures are of great importance to improve the quality of life of multiple sclerosis patients.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2025
    Disease Burden and Sexual Life in Patients with Fibromyalgia: A Phenomenological Study

    Demir Çam, Sevgi; Uzun, Sevda; Koyunoğlu, Bedriye Cansu

    The aim of this study was to evaluate the burden of disease and sexual life experiences in patients with fibromyalgia using a phenomenological approach. In the study using phenomenological research method, semi-structured in- depth interviews were conducted with 20 fibromyalgia patients who applied to the neurology outpatient clinic of a state hospital in a province in southern Turkey. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were recorded on a voice recorder after obtaining the necessary permissions from the patients and then transcribed. The data of the study were evaluated using thematic analysis. The study was conducted and reported according to the COREQ checklist. Data analysis revealed two main themes (effects of the disease and sexual problems and coping) and five sub-themes (mental, physical, social, problems and coping). As a result of the study, it was determined that the patients experienced serious physical, mental and social problems due to and their sexual life was also negatively affected. Individuals experience significant problems related to sexual life due to fibromyalgia. Since fibromyalgia is a multifaceted disease, professional evaluation of sexual life in patients and diagnosis of sexual dysfunctions are of great importance in terms of improving quality of life.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2025
    The Efficacy of Nurse-Delivered Psychosocial and Psychotherapeutic Interventions for Individuals With Mental Health Issues: A Meta-Analysis of Randomised Controlled Trials

    Uzun, Sevda; Emirza, Elif Güzide; Gülırmak Güler, Kübra

    Background: Nurses are among the most interactive professionals in society, providing both care and psychosocial and psychotherapeutic interventions for individuals with mental health issues. Nurse-centred approaches have demonstrated a positive impact on addressing mental health issues. Aim: This study aimed to evaluate the effectiveness of psychosocial and psychotherapeutic interventions administered by nurses in managing mental health issues. Methods: For this meta-analysis, data were gathered through a comprehensive search of databases, including PubMed, Web of Science, EBSCOhost, Google Scholar and the YÖK Thesis Center, with no restrictions on publication year. Following the review process, a total of 25 studies were included in the analysis. The PRISMA checklist was employed to guide our study. Results: The meta-analysis revealed that interventions implemented by nurses in the context of mental health were effective. Specifically, the psychosocial and psychotherapeutic interventions significantly reduced depression levels in individuals (SMD: −0.918, 95% CI: −1.350 to −0.486; Z = −4.161; p < 0.05) and anxiety levels (SMD: −0.61, 95% CI: −1.190 to −0.029; Z = −2.59; p < 0.05). Additionally, these interventions were associated with an improvement in individuals' quality of life (SMD: 0.673, 95% CI: 0.303–1.403; Z = 3.56; p < 0.05). Conclusion: Nurses can play a pivotal role in addressing mental health issues, effectively contributing to the reduction of anxiety and depression levels while enhancing the overall quality of life for individuals.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Deprem Felaketi Yaşayan Bireylere Uygulanan Psikoterapötik Müdahalelerin Etkinliğinin Meta Analiz ile Değerlendirilmesi

    Uzun, Sevda; Semerci, Murat

    Bu çalışma, deprem felaketi yaşayan bireylere uygulanan psikoterapötik müdahalelerin etkisini ortaya koymak amacı ile yapılmıştır. Meta analiz niteliğindeki bu çalışma için, Haziran-Eylül 2022’de PubMed, Web of Science, Google Akademik ve YÖK Tez Merkezi veri tabanları taranmıştır. Taramalar yıl sınırlamasına gidilmeden yapılmıştır. Çalışmaya incelemeler yapıldıktan sonra 13 araştırma alınmıştır. Veriler meta-analiz ve öyküsel anlatım yöntemleri ile sentez edilmiştir. Bu meta analizde deprem felaketi yaşayan bireylere uygulanan psikoterapötik müdahalelerin etkin olduğu tespit edilmiştir (SMD: -1.200. %95 CI: -1.692- 0.707; Z= -4.776, p = 0.000. I2= %97.116). Ayrıca çalışmada araştırmanın yapıldığı ülke/kıtanın, kullanılan psikoterapötik müdahale çeşitlerinin bireylere uygulanan psikoterapötik müdahalenin etkinliği üzerinde rol oynadığı belirlenmiştir. Ayrıca bilişsel davranışçı terapi, psikoterapi ve akupunktur yönteminin deprem felaketi yaşayan bireylerde etkin olduğu saptanmıştır. Deprem felaketi yaşayan bireylere yapılan psikoterapötik müdahaleler bireylerde oldukça olumlu etkiler yaratmakta ve bireylerin ruh sağlığını olumlu yönde etkilemektedir. Deprem felaketi yaşayan bireylere bilişsel davranışçı terapi, psikoterapi ve akupunktur yöntemlerinin uygulanması önerilmektedir.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Traumatic Stress and Coping Experiences of Health Professionals Working in Earthquake Zones: A Phenomenological Study

    Uzun, Sevda; Emirza, Elif Güzide; Şenses, Medine

    Objective: This study aimed to examine the traumatic stress and coping strategies of healthcare professionals who provided services during the earthquakes in Kahramanmaraş on February 6, employing a phenomenological approach. Method: The study, which utilized the phenomenological method, involved conducting semi-structured in-depth interviews face-to-face with 20 healthcare professionals who provided services during the February 6 Kahramanmaraş earthquakes. Researchers used the snowball sampling technique to recruit participants and continued interviews until no new information emerged. Researchers recorded and transcribed all interviews for analysis. They applied thematic analysis to the data, ensuring the study aligned with the COREQ checklist for reporting. Results: The data analysis revealed three main themes (thoughts and feelings about healthcare provision, the effects of the earthquake, and traumatic stress and coping experiences) along with eight sub-themes: thoughts, feelings, mental, physical, social, traumatic stress, effects, and coping. Conclusion: Healthcare professionals who provided services during the February 6 Kahramanmaraş earthquakes experienced significant psychosocial effects from the traumatic stress they faced. They encountered substantial difficulties in managing these stressors. The study advocates for implementing necessary measures and support systems to help healthcare professionals effectively cope with stress in disaster situations.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Kronik Obstrüktif Akciğer Hastalıklarının Psikososyal Boyutu ve Manevi Başa Çıkma Stratejileri: Hasta Deneyimleri Üzerine Fenomenolojik Bir Çalışma

    Uzun, Sevda; Toker, Sema; Ramazanoğlu, Seda

    Amaç: Bu çalışmanın amacı; kronik obstrüktif akci ğer hastalığı (KOAH) hastalarının yaşantılarını psikososyal boyutu ile ele alarak, manevi başa çıkma stratejilerini ortaya koymaktır. Gereç ve Yöntemler: Bu araş- tırmada, nitel araştırma deseni olan fenomenolojik araştırma tasarımı kulla- nılmıştır. Otuz üç KOAH hastası ile yürütülen nitel araştırmada görüşmeler, bireysel biçimde ve yüz yüze gerçekleştirilmiştir. Çalışma verileri, Colaiz- zi’nin fenomenolojik analiz yöntemi ile analiz edilmi ştir. Bulgular: Veri- lerin analizinde 4 kategori (yaşanan zorluklar, hastalıkta semptom yönetimi ve baş etme, maneviyata yönelik dü şünceler ve sağlıklı yaşam biçimi için yapılanlar) 12 ana tema (bilgi, uygulama, semptomlar, destek kaynaklar ı, manevi ba şa ç ıkma yöntemleri, fiziksel ba şa ç ıkma yöntemleri, günlük yaşam ve baş etmede dinî unsurlar, yaşamın amacı, geleceğe dair beklenti- ler, öz kabullenme, fiziki uygulamalar ve psikolojik uygulamalar) saptan- mıştır. Sonuç: Bu çalışma sonucunda, KOAH hastalarında hastalık yükünün çok fazla olduğu ve bu durumun bireylerin ruh sağlığını olumsuz yönde et- kilediği belirlenmiştir. Bireyler KOAH’ın getirdiği bu yük nedeniyle fizik- sel, ruhsal ve sosyal sorunlar ya şamakta ve bu durum bireylerin ya şam kalitelerini olumsuz yönde etkilemektedir. Bireylerin KOAH’ın zorluğu ile baş etmede dinî unsurlardan yararland ığı özellikle yaşamın amacını dü- şünme, umudu destekleme, öz kabul gibi durumların bireylerin maneviyat- ları üzerinde etkili olduğu tespit edilmiştir. Dolayısıyla, KOAH hastalarının manevi ihtiyaçlarının değerlendirilerek giderilmeye çalışılmasının bireyle- rin iyilik hâlleri üzerine etkili olabileceği düşünülmektedir.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Pediatri Kliniklerinde Afgan Göçmeni Hastaların Ebeveynlerinin Yaşadıkları Güçlükler: Fenomenolojik Bir Çalışma

    Top, Fadime Ustuner; Uzun, Sevda; Alver, Nazmiye Yıldız

    Amaç: Bu çalışmanın amacı, pediatri kliniklerinde Afgan göç- meni hastaların ebeveynlerinin ya şadıkları güçlükleri fenomenolojik bir yaklaşımla değerlendirmektir. Gereç ve Yöntemler: Fenomeno- lojik araştırma yönteminin kullanıldığı bu çalışmada, Türkiye’nin ku- zeyinde bulunan bir ildeki hastanenin pediatri klini ğinde çocu ğu tedavi gören 12 Afgan göçmeni ebeveyn ile yar ı yapılandırılmış de- rinlemesine görüşmeler gerçekleştirilmiştir. Örneklem grubuna ulaş- mak için amaçlama örnekleme yöntemlerinden ölçüt örneklem yöntemi kullanılmıştır. Araştırmanın verileri tematik analiz kullan ı- larak değerlendirilmiştir. Çalışma, Niteliksel Ara ştırmayı Raporla- mak İçin Birleştirilmiş Kriterleri kontrol listesine göre yap ılmış ve raporlanmıştır. Bulgular: Çalışmaya katılan ebeveynlerin yaş ortala- ması 31,66±8,27’dir. Katılımcıların 11’i kadın, tamamı Afganistanlıdır, ortalama çocuk say ısı 3,1±1,1 ve Türkiye’de kalma ortalama y ılı 3,3±1,7’dir. Verilerin analizinde 4 kategori (çocuğun hastalığının ebe- veyne olan etkileri, hastane ortamında yaşanan güçlükler, farklı bir ül- kede olmaktan kaynaklanan sorunlar ve sa ğlık hizmetleri konusunda beklentiler ve öneriler), 10 alt tema (ruhsal, fiziksel, sosyal etkiler ve durumlar, sosyokültürel sorunlar, dil ve ileti şim sorunları, sosyal des- tek algısı ve sağlık personelinden beklentiler) saptanmıştır. Sonuç: Dil ve iletişim probleminin ebeveynlerin ya şadığı en önemli sorunlardan biri olduğu saptanmıştır. Çocukların hastane sürecinde ebeveynlerin baş etmede zorlandıkları, aynı zamanda ruhsal, fiziksel ve sosyal aç ı- dan etkilendiği belirlendi. Benzer şekilde, göçmen nüfuslara yönelik bilgi boşluklarını doldurmaya yönelik stratejiler konusunda daha fazla araştırmaya ihtiyaç vardır.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleYalnız künye2024
    Psychosocial Dimension of Substance Use Disorder

    Ediz, Cicek; Uzun, Sevda; Erdas, Mehmed Burak

    This study used a phenomenological research approach to investigate the experiences of individuals in an eastern Turkey city who initiated substance use during childhood. Fourteen participants were selected using criterion sampling and engaged in semistructured, in-depth interviews. The interviews were recorded and transcribed, and a thematic analysis was applied to the data. The study revealed 3 overarching categories (reasons leading to substance use, effects of substance addiction, and coping with addiction) and 9 subthemes (familial factors, environmental factors, traumatic experiences, personal factors, psychological effects, physical effects, social effects, perception of social support, and treatment process). (c) 2023 Elsevier Inc. All rights reserved.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    The effect of motivational interviewing on quality of life and self-efficacy behaviors of individuals with chronic illness: A meta-analysis study

    Uzun, Sevda; Guerhan, Nermin

    ObjectiveThis study aims to reveal the effect of the motivational interviewing on the quality of life and self-efficacy behaviors of individuals with chronic diseases.Material-methodFor this meta-analysis study, PubMed, Web of Science, EBSCOhost, Google Scholar, and Y & Ouml;K Theses databases were searched in January-May 2021 without year limitation. As a result, 38 studies were included in the study: 23 for the quality of life variable, and 21 for the self-efficacy behaviors variable (in 6 studies, both variables were examined together). The data were synthesized with meta-analysis and narrative methods. The total sample size of the studies is 25,425.ResultsThis meta-analysis study showed that the motivational interviewing applied to individuals with chronic diseases changed their quality of life (SMD: 0.296, %95 CI: 0.054-0.537, Z = 2.402, p = .016, I2 = %95). The type of chronic disease, measurement tool, sample group, disease group, age range, and whether the motivational interviewer was a nurse or not changed the effect size of the motivational interviewing on the quality of life. The self-efficacy score average of the experimental group to which motivational interviewing was applied was statistically similar to that of the control group (SMD: 0.141, %95 CI: -0.065, 0.347; Z = 1.346, p = .178, I2 = %87).ConclusionsAs a result of the meta-analysis, it was determined that the use of motivational interviewing increased the quality of life level of individuals with chronic diseases. However, it is thought that more research is needed because some studies were conducted with small sample size and prepost test design. The results of the study may provide guidance on the interventions to be used in improving the quality of life of individuals with chronic diseases.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Practices of Patient Relatives Aimed at Preventing Pressure Injuries and Their Experiences of Coping with the Burden of Care: A Qualitative Study

    Ulutaşdemir, Nilgün; Ay, Halil; Göçmen, Adalet; Uzun, Sevda; Kulakaç, Nurşen

    OBJECTIVE: To determine the practices and coping experiences of the relatives of patients with pressure injuries (PIs). METHODS: The authors used a qualitative, phenomenologic research design. They interviewed 20 relatives of patients with PIs face-to-face using an in-depth semistructured interview form. The data were analyzed using the Colaizzi phenomenologic method. RESULTS: Three categories, 8 main themes, and 22 subthemes emerged from the interviews. The category of “the impact of the need for care on the lives of the patient’s relatives” was analyzed according to psychological, social, and physical effects. In the category of “practices to prevent pressure injuries,” two themes emerged: practices toward the patient and the environment. Relatives of individuals with PIs have psychological, physical, and social needs. CONCLUSIONS: Providing care to a patient with PIs has psychological, social, and physical effects on the patient’s relatives. The care burden mostly affects these caregivers negatively, and they mainly need time for themselves and moral and companion support.

  • MakaleYalnız künye2024
    Disease Burden and Sexual Life Experiences of Individuals with Chronic Obstructive Pulmonary Disease: A Phenomenological Study

    Uzun, Sevda; Toker, Sema; Erer, İmren

    This study aimed to examine the disease burden encountered by individuals with COPD, with a comprehensive investigation of the effect of the disease on sexual life. In this study, a phenomenological research design, a qualitative research type, was employed. The study involved 36 individuals diagnosed with COPD. The data collection process involved conducting individual, face-to-face interviews. Colaizzi’s phenomenological analysis method was utilized for the data analysis. The analysis of the data yielded two categories (burdens of the disease and sexual life) and six primary themes (physical effects, mental effects, social effects, difficulties during sexual activity, the spouse’s perspective on the problems, and dealing with sexual problems). The outcomes of this study highlighted the significant burden of COPD on patients and its adverse impact on their sexual lives. Given the complex nature of COPD, a thorough and professional assessment of patients’ sexual well-being, coupled with timely identification of sexual dysfunctions and appropriate interventions, is of utmost importance.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Disease burden and symptom management in type 2 diabetic patients: A phenomenological study

    Demir Çam, Sevgi; Uzun, Sevda

    Aim: This study was conducted to address the experiences of diabetic patients from a psychosocial perspective, examine the burden of disease, and determine their practices for symptom management. Materials and Methods: In this study, a phenomenological research design, a qualitative research design, was used. The study included 20 diabetic patients. Individual and face-to-face interviews were performed, and Colaizzi's phenomenological analysis method was used to analyze the data. Results: As a result of the data analysis, four categories (challenges with care and treatment, coping with the disease, effects, and healthy life behaviors) and eleven main themes (knowledge, application, symptoms, support resources, spiritual coping methods, physical coping methods, physical effects, spiritual effects, social effects, physical practices, and psychological practices) emerged. Conclusion: It was concluded that the disease burden of diabetic patients is intense and that the participants of the study were not effective in coping with the disease through symptom management and found spirituality important in coping.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Ethical Dilemmas and Coping Experiences of Nurses Caring for Patients With Hematologic Cancer A Phenomenological Study

    Uzun, Sevda

    The study aimed to evaluate the ethical dilemmas faced by nurses who provide care to patients with hematologic cancer and determine their coping mechanisms using a phenomenological approach. This qualitative study was conducted with 35 nurses employed in clinics specializing in hematologic cancer patient care, living in diverse regions of Turkey, using semistructured, in-depth interviews through the WhatsApp mobile application. The snowball sampling technique was utilized to identify participants, and interviews continued until data saturation was achieved. All interviews were recorded and subsequently transcribed. Data analysis was conducted using Colaizzi’s phenomenological analysis method, with the study adhering to the COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist for reporting. In the analysis of the data, 2 categories (ethical dilemma situations and coping experiences) and 6 subthemes (treatment, care, professional values and beliefs, emotions, struggling with emotional burdens, and psychosocial approach) emerged. According to the results, nurses responsible for hematologic cancer patients struggle with ethical dilemmas in healthcare delivery and face challenges in effectively addressing them, which could potentially impact the quality of healthcare provided by nurses.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Earthquake diaries: Psychosocial difficulties and life experiences of nurses working in the disaster zone after the earthquake: A phenomenological study

    Emirza, Elif Güzide; Uzun, Sevda; Şenses, Medine

    Aim and Objectives: The aim of this study was to evaluate the psychosocial difficulties and life experiences of nurses working in the disaster area following the earthquake on February 6, Kahramanmaraş centered earthquake with a phenomenological approach. Background: After natural disasters such as earthquakes, nurses play a significant role in providing both physical and psychosocial support. Therefore, the experiences of nurses in this field are necessary both to support them and to assist disaster survivors. Materials and Methods: In this study, in which the phenomenological research method was used, semi-structured in-depth interviews with 18 nurses who provided health care services during the February 6 Kahramanmaraş earthquake were conducted between January and February 2024 via Whatsapp mobile application. Snowball sampling method was used to reach the sample group. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed. The data were analyzed using thematic analysis. The study was conducted and reported according to the COREQ checklist. Results: Data analysis revealed two themes (psychological and social difficulties caused by the earthquake, traumatic stress and coping experiences as a nurse) and five sub-themes (social difficulties, psychological difficulties, traumatic events, reactions and coping). Conclusion: As a result of the study, it was determined that nurses providing health care services were negatively affected psychosocially by the traumatic stress situations they experienced in the earthquake centered in Kahramanmaraş on February 6. It was determined that nurses had great difficulty in coping with the traumatic stress situations they experienced. It was concluded that the February 6 earthquake caused secondary traumatization in nurses.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Opinions and experiences of operating room nurse on ethical sensitivity: a phenomenological study

    Uzun, Sevda; Kulakaç, Nurşen; Boyraz, Mehmet Çağatay

    The aim of this study is to examine the opinions and experiences of operating room nurses about ethical sensitivity phemenologically. This phenomenological study, which is in the qualitative research design, was conducted with 14 operating room nurses. Prior to the study, a pilot study was conducted with three nurse families. The interviews were conducted using a face-to-face in-depth semi-structured interview form and the data were analyzed with Colaizzi’s phenomenological method. Interview data were collected between 15 June 2022 and 15 October 2022 in the country. Three categories, seven main themes, and twenty-three sub-themes emerged as a result of the interviews. In the theme of ethical dilemmas experienced by operating room nurses, there are sub-themes of professional ethics, teamwork, and patient dignity and benefit. There are physical and psychological sub-themes in the theme of ethical sensitivity perception and practices of operating room nurses, and among the subthemes, ensuring patient privacy, providing professional competence, providing psychological support to the patient, being friendly and communicating effectively, and respecting the patient’s autonomy come to the fore. Views of operating room nurses on the importance of ethical principles were discussed under the headings of profession and patient. Our results are valuable in that they shed light on the perspectives and experiences of the operating room nurses while maintaining ethical sensitivity. The high ethical sensitivity perceptions of operating room nurses are associated with an increase in the quality of care. It is thought that the high perception of ethical sensitivity of operating room nurses is an important factor that increases the satisfaction of individuals receiving care and the job satisfaction and quality of care of nurses.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Psychosocial dimensions of being a child in women’s shelters: A phenomenological study on the experiences of battered women – A case study from Türkiye’s Northern Region

    Uzun, Sevda; Emirza, Elif Güzide

    Background: Violence against women has numerous devastating effects. Exposure to violence not only impacts women but also affects their children both physically and psychosocially. Aims: The study aimed to evaluate the psychosocial problems of children living with their mothers in women’s shelters from the mothers’ perspective with a phenomenological approach. Methods: Utilizing the phenomenological research method, semi-structured in-depth interviews were conducted with 14 individuals in a women’s shelter in a province in northern Türkiye. The criterion sampling method, a purposive sampling technique, was employed to select participants. Interviews continued until data saturation was achieved. All interviews were audio recorded and then transcribed, and thematic analysis was applied to analyze the data. The study adhered to the COREQ checklist for reporting. Results: The data analysis revealed four main categories (effects of violence on the mother, actions taken to protect children from violence, effects of violence and staying in a shelter on the child, and psychosocial needs for the protection of the child’s mental health in the shelter) and 10 sub-themes (psychological effects, physical effects, social effects, domestic actions, organizational actions, psychological effects, physical effects, social effects, support system, and coping). Conclusion: The study concluded that violence significantly impacted the mental, physical, and social well-being of both women and children, posing challenges to their ability to cope with the aftermath. Women exerted considerable effort in protecting their children from violence, and they needed psychosocial support to ensure the well-being of their children’s mental health during their stay in shelters.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 5 · Toplumsal Cinsiyet Eşitliği
    • SDG 10 · Eşitsizliklerin Azaltılması
    • SDG 16 · Barış, Adalet ve Güçlü Kurumlar
  • MakaleAçık Erişim2024
    Experiences of Turkish mothers of children with autism: a phenomenological study

    Aktaş, Eda; Ustuner Top, Fadime; Uzun, Sevda

    The study aimed to explore mothers’ experiences of children with autism using a phenomenological approach. Semi-structured, in-depth interviews were conducted with 18 parents with children attending a special education centre in a northern province of Turkey. Criterion sampling, a form of purposive sampling, was employed to select participants. Interviews continued until data saturation was achieved. All interviews were audio-recorded and transcribed verbatim. Thematic analysis was utilized to analyze the data, and the study adhered to the COREQ checklist for reporting qualitative research. As a result of analyses, three main themes (the process of diagnosis, the effect of the child’s illness on parents and their challenges over time, and considerations regarding the child’s educational journey) and eight sub-themes (feelings and thoughts, reflections on the causes, reactions encountered, emotional effects, social effects, physical effects, perception of social support, and expectations from the educator and the education process) emerged. The study concluded that mothers of children with autism are emotionally, physically, and socially impacted by their child’s condition, facing considerable challenges in coping. In light of these findings, it is recommended that policymakers in our country develop plans that address the difficulties expressed by participants, review and potentially enhance financial and social support for families, and consider increasing special education hours.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    • SDG 10 · Eşitsizliklerin Azaltılması
  • MakaleYalnız künye2024
    The effect of nonpharmacological interventions applied by nurses to intensive care patients on the duration of delirium: a meta-analysis study

    Söylemez, Gönül Kara; Uzun, Sevda

    Objective: It was aimed to determine the effect level of nonpharmacological methods applied by nurses to patients hospitalized in the intensive care unit on the duration of delirium. Materials and methods: For this study, relevant studies were accessed by searching in July–October 2022. After the necessary exclusions were made, 14 studies were included in the study. The total sample size of the studies was 1123. Results: According to the results, nonpharmacological interventions applied by nurses to intensive care patients were found to reduce the duration of delirium (SMD: − 0.625, 95% CI: − 1.1040–0.210; Z = − 2.950, p = 0.003, I2 = 93.119%). The country of the study (SMD: − 0.047, p = 0.001) and the types of nonpharmacological interventions used (SMD: − 0.062, p = 0.000) influenced the effect size of modulators on the duration of delirium in ICU patients. Conclusion: Nonpharmacological interventions applied by nurses, who have significant responsibilities in the protection and promotion of health, were found to reduce the duration of delirium in intensive care patients. This study shows that nurses, one of the main components of the multidisciplinary team in intensive care, are successful when they apply nonpharmacological interventions well.

    • SDG 3 · Sağlık ve Kaliteli Yaşam