Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Uzun, Sevda(6)
- Kulakaç, Nurşen(5)
- Aydin, Aydanur(3)
- Tuncer, Metin(2)
- Özmaya, Esma(2)
- Akay, Gamze(1)
- Aktug, Cemile(1)
- Akçay, Nilay(1)
- Ay, Halil(1)
- Aydin, Esra(1)
- Aytaç, Tufan(1)
- Bal, Betül(1)
- Bodur, Ali Fuat(1)
- Danaci, Esra(1)
- Demir Doǧan, Melike(1)
- Demirel, Sevgül(1)
- Erol, Ahmet(1)
- Gursoy, Ayla(1)
- Göçmen, Adalet(1)
- Gürsoy, Ayla(1)
- Koç, Elif Simay(1)
- Koç, Zeliha(1)
- Koçan, Sema(1)
- Nural, Nesrin(1)
- Oskay, Ümran(1)
- Oğuzhan, Hatice(1)
- Palazoǧlu, Cansu Atmaca(1)
- Sayılan, Aylin Aydın(1)
- Topatan, Serap(1)
- Ulutaşdemir, Nilgün(1)
- Uslu, Gonca Hanedan(1)
- Çakmak, Seher(1)
- Çelik, Necati(1)
- Çevik, Uğur(1)
- Çinarli, Tuǧba(1)
- Öncer, Aysun(1)
- Özcan, Handan(1)
- Özdeş, Emel Kurtoǧlu(1)
- Şener, Asuman(1)
Yayınlar
- MakaleAçık Erişim2026Immersive Virtual Reality as a Tool to Reduce Anxiety and Distress in Patients With Breast Cancer During Radiotherapy
Aydin, Aydanur; Uslu, Gonca Hanedan; Gursoy, Ayla
Background: – Virtual reality (VR) can be an innovative method to reduce patients’ anxiety and support their psychological health. Objective: – To evaluate the anxiety and distress-reducing effects of using immersive VR (IVR) intervention in breast cancer patients undergoing radiotherapy (RT). Methods: – Sixty breast cancer patients undergoing RT were recruited for the quasi-experimental study. The participants were divided into the intervention group and the control group. Anxiety and distress, the primary outcome measures, were assessed before the first and after the last radiation session using reliable scales. Patients in the intervention group watched a tranquil forest view with birdsong and meditation music during each RT session using IVR goggles. Results: – Both group patients had similar levels of anxiety and distress before the start of RT. After the intervention, the anxiety and distress of the patients in the intervention group decreased significantly compared with the control group. In addition, treatment-related comfort was higher in the intervention group. Overall, the majority of patients in the intervention group expressed a high level of satisfaction with this IVR experience. Conclusion: – Patients who experienced an IVR intervention showed less anxiety and distress, greater comfort, and higher satisfaction. This innovative technique can be used as a practical solution to alleviate anxiety and distress in various healthcare settings. Implications for Practice: – Immersive VR can be used in treatment and care interventions that cause anxiety and distress in oncology patients.
- MakaleYalnız künye2026Exposure to Violence and Therapeutic Communication in Nursing Students
Erol, Ahmet; Tuncer, Metin
Background: – Workplace violence negatively affects the professional development of nursing students. Objectives: – To investigate nursing students’ exposure to violence, violence-management competence, and therapeutic communication during clinical practice. Methods: – A descriptive, cross-sectional, correlational study involves 530 nursing students. Data were collected between September 2024 and February 2025 using a Sociodemographic Form, the Workplace Violence Competence Scale, and the Therapeutic Communication Skills Scale. Results: – Violence was reported by 32.8% of students, mainly verbal (60.9%) and psychological (47.1%), often by patients or relatives. Communication skills correlated positively with violence management competence, explaining 18.1% of the variance. Higher self-confidence, problem-solving, voluntary choice of profession, and prior education were associated with better outcomes. Conclusions: – Nursing students are at substantial risk of violence during clinical practice, and their ability to manage it is enhanced by therapeutic communication and supportive factors, underscoring the need to strengthen curricula and faculty preparation.
- MakaleYalnız künye2026Emergency Nurses’ Experiences of Digital Silence: A Qualitative Study
Bal, Betül; Kulakaç, Nurşen
This study aimed to explore emergency department nurses’ perceptions and experiences of digital silence. A qualitative study was conducted with 14 emergency department nurses from two public hospitals in Turkey. Data were collected through semistructured in-person interviews and analyzed using the Framework Method for qualitative data analysis. Four overarching themes were identified: (i) awareness of digital silence, (ii) types of digital silence, (iii) causes of digital silence, and (iv) strategies for prevention. Digital silence manifests in several forms, including failure or partial completion of data entry, the use of alternative communication channels in place of official digital systems, and disregard for system alarms or alerts. The reasons underlying digital silence stem from both individual factors and organizational factors. Strategies to reduce digital silence involved training, development of user-friendly systems, establishment of nonpunitive reporting environments, and workload management. The results revealed that digital silence extends beyond individual attitudes, representing a multidimensional phenomenon closely associated with institutional structures, organizational culture, and the design features of digital systems. Enhancing system usability, reinforcing technical infrastructure, and promoting digital literacy were identified as key strategies for reducing digital silence behaviors.
- MakaleYalnız künye2026Integrating Artificial Intelligence Into Nursing Care Planning: A Comparative Evaluation of Psychosocial Care for Patients With a Stoma
Kulakaç, Nurşen; Tuncer, Metin
This methodological study evaluated and compared the content quality and appropriateness of nursing care plans developed by nurses and artificial intelligence (AI) for addressing the psychosocial problems of patients with stomas. Two nursing care plans addressing the psychosocial needs of a patient with a stoma were developed: 1 generated by nurses and 1 generated by an AI system. The content quality and appropriateness of the care plans were independently evaluated by 12 experts, including nursing academics and clinical nurses, using the DISCERN measurement tool. Inter-rater reliability was assessed using the intraclass correlation coefficient (ICC). The mean DISCERN score of the nurse-generated care plan was significantly higher than that of the AI-generated care plan (P=.008). Inter-rater agreement demonstrated good agreement. The findings indicate that nurse-generated care plans demonstrate superior content quality and overall integrity compared to AI-generated plans. AI-generated care plans exhibit potential as supportive tools in nursing care planning.
- MakaleYalnız künye2026Surrogate Trauma in Nurses Providing Pediatric Palliative Care: A Phenomenological Study
Oğuzhan, Hatice; Akay, Gamze; Uzun, Sevda; Koç, Elif Simay; Öncer, Aysun
The aim of this study was to deeply examine the experiences of proxy grief among nurses providing pediatric palliative care. This qualitative phenomenological study was conducted with 16 nurses working in the pediatric ward of a hospital located in the northern region of the country. Data were analyzed using Colaizzi’s phenomenological analysis method. The analysis revealed 3 themes (challenges experienced while caring for children in palliative care; secondary trauma and coping processes; proxy trauma and professional resilience) and 9 sub-themes (emotional strain during care, establishing an empathetic bond, emotional exhaustion, traumatic experiences, seeking psychological support, religious coping methods, developing a professional approach, resilience and acceptance, and motivation to continue in the profession). The study found that nurses providing pediatric palliative care experienced significant psychosocial stress. Pediatric nurses were particularly challenged emotionally when caring for palliative patients. In this context, it is important to develop stress-coping skills to help nurses manage vicarious trauma. Strengthening nurses psychologically and spiritually will positively impact their professional lives, which in turn will enhance the quality of care they provide.
- MakaleAçık Erişim2026Nurse-Led Mobile App Effect on Quality of Life in Breast Cancer Patients After Surgery: Nonrandomized Controlled Prospective Cohort Study (Step 3)
Aydin, Aydanur; Gürsoy, Ayla
Background: – Following surgery, women with breast cancer (BC) frequently experience emotional and physiological negative consequences. Objective: – To evaluate the effect of a nurse-led mobile app (NL-Mapp) intervention on quality of life (QoL) in patients after surgery for BC. Methods: – This single-center, 12-month, nonrandomized controlled trial, with 2 parallel groups, represents the final stage of 3-step research. In this study, women were assigned to either the intervention (n = 45) or control (n = 45) group. The intervention group participated in the NL-Mapp, whereas participants in the control group received standard care. The main outcomes were measured using the Functional Assessment of Cancer Therapy—Breast at 3 time points (baseline and 1 and 12 months after the intervention). Clinical Trial number: NCT06505538 Results: – The intervention participants reported significant improvement in physical well-being, emotional well-being, and the BC-specific subscale compared with the control group at the 1-month postsurgery mark. Equally noteworthy, at the 1-year follow-up, consistent improvements were observed across all QoL subscale scores for the intervention group, except for the BC-specific subscale for additional concerns. Conclusion: – Our study revealed a notable enhancement in the QoL among postoperative women with BC who utilized the NL-Mapp. This program emerges as an effective intervention for providing short-term and longer-term supportive care to women affected by BC, leading to tangible improvements in their QoL. Implication for Nursing: – The study’s findings offer valuable evidence supporting the integration of mobile health services into clinical and transitional nursing care.
- MakaleYalnız künye2026The Effect of Jet Lidocaine on Pain and Anxiety During Peripheral Venous Access: A Systematic Review and Meta-Analysis
Aydin, Esra; Uzun, Sevda
Objective: – The aim of this study was to determine the effect of jet lidocaine on pain and anxiety during peripheral venous access. Methods: – A comprehensive literature search was conducted in PubMed, Web of Science, EBSCOhost, Google Scholar, and the YÖK Thesis Center without year limitation. Five randomized controlled trials that met the inclusion criteria were included in the analysis. Data extraction and methodological quality assessment were performed using the Joanna Briggs Institute (JBI) Critical Appraisal Tools, and study selection was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. The findings were synthesized using meta-analysis and narrative synthesis. Results: – The pooled analysis demonstrated that jet lidocaine significantly reduced anxiety related to peripheral venous access (standardized mean difference: −1.031; 95% confidence interval: −1.653 to −0.409; Z = −3.249; P =.001; I2 = 89.98%). However, its effect on pain was not statistically significant (standardized mean difference: −0.817; 95% confidence interval: −1.817 to 0.182; Z = −1.602; P =.109; I2 = 96.57%). Conclusion: – Jet lidocaine may be an effective option for reducing anxiety during peripheral venous access; however, its effect on pain was not statistically significant. Further high-quality randomized controlled trials with standardized protocols and larger sample sizes are needed to clarify its analgesic effectiveness and clinical outcomes.
- MakaleAçık Erişim2026A Comparative Study of 137Cs Dose Factors for Constant and Depth-dependent Soil Densities
Çelik, Necati; Akçay, Nilay; Çevik, Uğur
Accurate assessment of external radiation dose rates from 137Cs is essential for evaluating radiological risk in environmental and occupational settings. This study refines dose conversion coefficient calculations by incorporating depth-dependent soil density and addressing limitations in conventional methods that assume constant soil density. We calculated dose conversion coefficients for 137Cs in soil, considering both exponential and Gaussian distributions of activity concentration. Using two models, one with constant density and another with variable density as a function of depth, we compared dose rates to quantify the effect of soil density variations. Results indicate that dose rates are consistently higher when depth-dependent density is applied. The effect is more pronounced when 137Cs activity is distributed over larger depths (i.e., greater relaxation lengths) or when broader Gaussian distributions are considered. This suggests that assuming constant soil density may lead to underestimations of dose rates, especially in heterogeneous or compacted soils. Our findings emphasize the importance of accounting for density variability in dose calculations to enhance radiological risk assessments for areas contaminated with 137Cs.
- EditoryalAçık Erişim2025Technological Products in Cancer Care: Challenges for Nurses and Patients
Aydin, Aydanur
- MakaleAçık Erişim2025The Effect of a Mindfulness-Based Stress Reduction Program on Depression and Quality of Life in Cancer Patients
Özmaya, Esma; Uzun, Sevda; Aytaç, Tufan
Mindfulness-based interventions have been receiving growing attention in cancer care. This study was performed to determine the effect of a mindfulness-based stress reduction program on depression and quality of life in cancer patients. The screenings in the study were performed in January to May 2023 through the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Web of Science, Science Direct, and YÖK Thesis Center databases. After the reviews, 14 studies were included in the study. This meta-analysis showed that mindfulness-based stress reduction programs were effective on depression (SMD: −0.363; 95% CI: −0.711 to 0.015; Z = −2.042; P = .041; I2 = 85.229%) and quality of life (SMD: 0.363; 95 CI%: 0.111-0.615; Z = 2.822; P = .005; I2 = 75.222%). The type of cancer (SMD: 0.385; CI: between 0.005 and 0.528; P = .000); duration of therapy (SMD: 0.243; CI: between 0.093 and 0.393; P = .002); the person providing therapy (SMD: 0.335; CI: between 0.133 and 0.507; P = .001); scale used (SMD: 0.290; CI: between 0.148 and 0.432; P = .000); and the origin of the study (SMD: 0.298; CI: between 0.158 and 0.438; P = .000) moderators were found to play a role in the effectiveness of a mindfulness-based stress reduction program on the quality of life of cancer patients. The mindfulness-based stress reduction program yields positive outcomes by reducing depression, enhancing the quality of life in cancer patients, and promoting overall mental well-being in individuals.
- MakaleAçık Erişim2025Patients' Experiences With Complementary and Alternative Treatments to Manage Chemotherapy Symptoms: A Phenomenological Study
Özmaya, Esma; Uzun, Sevda
This phenomenological study aims to explore the experiences of individuals undergoing chemotherapy, focusing on their symptoms and the use of complementary and alternative treatments to cope with these challenges. Thirteen individuals diagnosed with cancer in a city in the central region of Turkey were interviewed using a semi-structured, in-depth approach in this phenomenological study. The criterion sampling method was employed to select participants, and interviews continued until data saturation was achieved. Thematic analysis was applied to the audio-recorded and transcribed interviews. The study adhered to the COREQ checklist for reporting qualitative research. The data analysis revealed 2 main categories (effects of cancer and chemotherapy on individuals, the use of complementary and alternative treatments to cope with the symptoms of patients receiving chemotherapy) and 6 themes (psychological effects, social impacts, physical effects, social practices, psychological practices, and physical practices). The study demonstrated that individuals faced significant psychological, physical, and social challenges due to cancer, posing difficulties in coping. The symptoms had a substantial negative impact on individuals. The research identified the use of various alternative methods, such as yoga, the Mediterranean diet, and music therapy, as coping strategies. It is recommended that individuals undergoing chemotherapy explore complementary and alternative treatment methods to effectively manage symptoms.
- MakaleAçık Erişim2024Practices 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 künye2024Efficacy of Propolis in the Prevention of Oral Mucositis in Patients Undergoing High-Dose Chemotherapy
Çakmak, Seher; Nural, Nesrin
Background: Oral mucositis is one of the most common symptoms in adults with a hematological cancer who are receiving high-dose chemotherapy. Propolis is a complementary and alternative method used to prevent oral mucositis in these patients. Objective: The aim of this study was to determine the efficacy of propolis in the prevention of oral mucositis in patients receiving high-dose chemotherapy and/or hematopoietic stem cell transplantation. Methods: A total of 64 patients, 32 in the propolis group and 32 in the control group, were enrolled in this prospective randomized controlled experimental study. Whereas the standard oral care treatment protocol was administered to the control group, aqueous propolis extract was applied to the propolis intervention group in addition to the standard oral care treatment protocol. Data collection forms included a Descriptive Information Form, the Karnofsky Performance Scale, the Cumulative Illness Rating Scale-Geriatric, Patient Follow-up Form, the World Health Organization Oral Toxicity Scale, and the National Cancer Institute Common Terminology Criteria for Adverse Events. Results: The incidence and duration of oral mucositis were statistically significantly lower in the propolis intervention group than the control group, and the onset of oral mucositis and grade 2 to 3 oral mucositis occurred later (P < .05). Conclusion: Propolis mouthwash combined with standard oral care treatment delayed the onset of oral mucositis and decreased its incidence and the number of days it lasted. Implications for Practice: Mouthwash with propolis can be used as a nursing intervention to decrease oral mucositis and its symptoms in hematological cancer patients receiving high-dose chemotherapy.
- MakaleAçık Erişim2024Ethical 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.
- MakaleAçık Erişim2024Impact of Preoperative Progressive Relaxation Exercises on Postoperative Pain, Comfort, and Recovery : A Randomized Controlled Trial
Kulakaç, Nurşen; Sayılan, Aylin Aydın
This randomized controlled trial aimed to investigate the impact of preoperative progressive relaxation exercises on postoperative pain, comfort, and quality of recovery. The study was conducted between June and November 2023, involving 68 patients undergoing surgical intervention and hospitalized in the surgical clinic. Data were collected using the Personal Information Form, the Visual Analog Scale (VAS)-Pain, the Perianesthesia Comfort Scale, and the Quality of Recovery Questionnaire. At the sixth postoperative hour, no significant difference was observed in pain levels between the experimental and control groups (P > .05). However, the VAS scores for the experimental group at the 12th and 24th postoperative hours were significantly lower than those of the control group (P < .001). Furthermore, 24 hours postoperatively, the experimental group demonstrated significantly higher quality of recovery (P < .001) and comfort levels (P < .001) than the control group. This study concludes that patients engaged in relaxation exercises exhibited lower VAS scores and higher levels of recovery and comfort.
- 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 künye2020The Effect of Laughter Therapy on Anxiety: A Meta-Analysis
Demir Doǧan, Melike
This meta-Analysis was conducted to determine the effect of laughter therapy on anxiety. Randomized controlled clinical trials were reviewed on Google Scholar, PubMed, and ISI Web of Sciences databases. Four randomized controlled trials consisting of 157 participants were included in the meta-Analysis. Hedge's g test statistics were used to show the common effect between the laughter therapy and control groups in the meta-Analysis. Laughter therapy can decrease anxiety levels (standardized mean difference =-1.144; 95% CI,-1.950 to-0.338). Laughter therapy is an effective complementary method to decrease anxiety.
- MakaleAçık Erişim2019The Impact of Education About Cervical Cancer and Human Papillomavirus on Women's Healthy Lifestyle Behaviors and Beliefs: Using the PRECEDE Educational Model
Koç, Zeliha; Özdeş, Emel Kurtoǧlu; Topatan, Serap; Çinarli, Tuǧba; Şener, Asuman; Danaci, Esra; Palazoǧlu, Cansu Atmaca
Background Early detection of cervical cancer improves the chances of successful treatment. Objective The aim of this study was to determine the effect of education about cervical cancer and human papillomavirus on the healthy lifestyle, behavior, and beliefs of Turkish women who were without cancer, using the PRECEDE education model. Methods This qualitative and quantitative study was conducted as a prospective, randomized, 2-group (intervention and control) trial at a community training center in north Turkey. A total of 156 Turkish women who were without cancer participated in this study. The semistructured interview form, the SF-36 Health Status Questionnaire, the Health Belief Model Scale for Cervical Cancer and Pap Smear Test, and the Healthy Lifestyle Behavior Scale II were used. Results The subdimension scores of the Health Belief Model Scale for Cervical Cancer and Pap Smear Test were found to be higher among women in the study group (cervical cancer seriousness, P =.001; health motivation, P =.001) as compared with the control group after the education program. The SF-36 Health Status Questionnaire domain scores for physical role limitations, mental role limitations, and general health perceptions increased in the study group after the intervention. Conclusion The posteducation health motivation of women in the study group was improved, the women's perceptions of obstacles to Papanicolaou testing decreased, and through increased knowledge and awareness, the rate of Papanicolaou testing increased. Implications for Practice Educational programs aimed at motivating women to increase their awareness of cervical cancer, preventing cervical cancer, and having Papanicolaou testing are necessary and beneficial in this sample.
- MakaleYalnız künye2019Effects of Kefir on Quality of Life and Sleep Disturbances in Postmenopausal Women
Özcan, Handan; Oskay, Ümran; Bodur, Ali Fuat
The aim of this study is to identify the effects of kefir, an alternative treatment method, on quality of life and sleep disturbances in postmenopausal women. In this study, it is seen that kefir has positive effects on sleep disturbances, depression, and quality of life in postmenopausal women.
- DergiAdvances in Skin and Wound Care