Sürdürülebilir Kalkınma Amaçları
Yazarlar
- Uzun, Sevda(3)
- Cin, Aynur(2)
- Coşar, Dilan Aktepe(2)
- Demirağ, Hatice(2)
- Hintistan, Sevilay(2)
- Kulakaç, Nurşen(2)
- Akdeniz, Canberk(1)
- Aksoy, Bahar(1)
- Aktas, Gamze(1)
- Aktepe Coşar, Dilan(1)
- Aktug, Cemile(1)
- Albayrak, Sevil(1)
- Apaydin, Emine(1)
- Aslan, Kübra(1)
- Aslan, Çimen(1)
- Avşar, Gülçin(1)
- Aydin, Aydanur(1)
- Aydin, Esra(1)
- Aytekin Ozdemir, Aynur(1)
- Bingöl, Nuray(1)
- Bolacali, Edanur Tar(1)
- Bostan, Sedat(1)
- Canbolat, Özlem(1)
- Celik, Isa(1)
- Cilingir, Dilek(1)
- Colak, Ayse(1)
- Danaci, Esra(1)
- Demir Imamoglu, Zeynep(1)
- Demirag, Hatice(1)
- Doğan, Melike Demir(1)
- Duran, Secil(1)
- Ediz, Çiçek(1)
- Erdogan, Tugba Kavalali(1)
- Ertugrul, Bekir(1)
- Gezginci, Elif(1)
- Goktas, Sonay(1)
- Gursoy, Ayla Akkas(1)
- Gül, Uğur(1)
- Gürsoy, Ayla(1)
- Karakaya Suzan, Ozge(1)
Yayınlar
- MakaleAçık Erişim2026The Mediating and Moderating Roles of Innovation Climate in the Relationship Between Nurses’ Attitudes Toward Artificial Intelligence, Creative Self-Efficacy, and Clinical Competence
Karakaya Suzan, Ozge; Gül, Uğur; Koyuncu, Oğuz; Akdeniz, Canberk
Background: Artificial intelligence (AI) is increasingly integrated into health care; however, how nurses’ attitudes toward AI and creative self-efficacy are associated with perceived clinical competence within different organizational contexts remains unclear. Aim: To examine whether perceived climate for innovation statistically mediates the association between nurses’ attitudes toward AI and perceived clinical competence and moderates the association between creative self-efficacy and perceived clinical competence. Methods: This cross-sectional study included 233 nurses recruited online by convenience sampling from hospitals in Türkiye between January and March 2026. Self-report measures assessed attitudes toward AI, creative self-efficacy, perceived climate for innovation, and perceived clinical competence. Pearson correlations and PROCESS Models 4 and 1 with 5000 bootstrap samples tested statistical mediation and moderation. Adjusted analyses included age, gender, previous AI-related training and AI use, educational level, professional experience, and institution type. Results: Attitudes toward AI were indirectly associated with perceived clinical competence through perceived climate for innovation; the adjusted indirect association remained significant (B = 0.0700, SE = 0.0333, 95% CI [0.0173, 0.1453]), consistent with partial statistical mediation. Perceived climate for innovation also moderated the association between creative self-efficacy and perceived clinical competence after adjustment (interaction B = −0.1672, SE = 0.0447, 95% CI [−0.2552, −0.0792]). This positive association became weaker as perceived climate for innovation increased. Conclusion: Attitudes toward AI, creative self-efficacy, perceived climate for innovation, and perceived clinical competence were significantly associated, and the statistical mediation and moderation patterns remained after adjustment. The cross-sectional, self-report data do not establish temporal or causal mechanisms or effects on objectively measured clinical performance or patient outcomes. Implications for Nursing Management: Nurse managers may consider supporting AI literacy, safe AI use, team-based learning, and innovation-supportive work environments. These strategies should be evaluated prospectively using objective clinical and patient outcomes before their effectiveness is inferred.
- MakaleYalnız künye2026Nurses’ Experiences in Preventing or Reducing Sensory Deprivation and Sensory Overload in Intensive Care Patients: A Phenomenological Study
Uzun, Sevda; Aslan, Çimen
This study aimed to assess nurses’ experiences in preventing or reducing sensory deprivation and sensory overload in intensive care unit (ICU) patients, utilizing a phenomenological approach. The qualitative research involved face-to-face, semi-structured, in-depth interviews with 15 nurses working in a general ICU in the southern region of our country. Data collection continued until data saturation was achieved, and all interviews were audio recorded and transcribed. Colaizzi’s phenomenological analysis method was employed for data analysis, and adherence to the COREQ checklist was ensured throughout the study. The data analysis revealed 2 main categories (reflection on situations that may cause sensory deprivation and sensory overload in intensive care units and practices and coping experiences of nurses to avoid sensory deprivation and overload) and 6 themes (environment, disease, and its effects, being separated from the family environment and loved ones, challenges encountered, coping, and psychosocial applications). The results indicated that patients undergo sensory deprivation or sensory overload in the intensive care environment, with nurses playing a pivotal role in addressing these situations. It was observed that nurses encountered challenges in coping with sensory deprivation or sensory overload issues in patients. Nurses are advised to regularly assess training programs to ensure the ongoing promotion of safe nursing practices aimed at minimizing sensory deprivation or sensory overload in patients.
- MakaleAçık Erişim2026Between Survival and Sacrifice: Marital Experiences of Patients Undergoing Hemodialysis
Çakmak, Seher; Karataş, Hicran
The study aimed to explore the lived experiences of married dialysis patients on the national organ waiting list, focusing on the interplay between illness, familial roles, and societal norms. This research is a qualitative study using semi-structured interviews and participant observation. The study involved 23 marriage-experienced hemodialysis-dependent patients (13 women, 10 men) on the national organ waiting list, recruited between August 16 and November 11, 2022. Data were collected through interviews and observations and were analyzed thematically to identify recurring patterns. Chronic kidney disease (CKD) poses significant physical, psychological, and social burdens, particularly for hemodialysis-dependent patients. Five main themes emerged from this study: (1) When Care Becomes a Test, (2) Dealing with Social Isolation, (3) Sacrifices to Sustain the Marriage, (4) Uninvited voices, (5) Resentful but Thankful. These findings highlight the need for family-centered care that considers diverse family structures and social contexts, while also demonstrating the impact of prolonged hemodialysis (HD) and marital strain on emotional and sexual intimacy.
- MakaleYalnız künye2026Changes in BMI, lipid profile, disease perception, and quality of life among myocardial infarction patients participating in a 12-week green walking: A quasi-experimental study
Cin, Aynur; Hintistan, Sevilay
Objective This study assessed the 12-week intervention of green walking on BMI, blood lipids, disease perception, and quality of life among myocardial infarction patients. Methods In a quasi-experimental design, 60 participants (28 men, 32 women; aged 36–77 years) were assigned to intervention (green walk) or control (routine care) groups based on geographic convenience. The green walking group performed high-intensity interval walking for 50 min three times a week in a natural setting for 12 weeks. Adherence was monitored via attendance logs, with a mean of 91.7 % (SD 7.1 %). Primary outcomes included BMI and lipid profiles, while secondary outcomes included perceived illness and quality of life, assessed through validated questionnaires. A mixed-design model incorporating time-group interaction was used for analysis. Data were analyzed using mixed-design ANOVA, repeated-measures ANOVA, paired t-tests, Friedman tests, and Wilcoxon tests. Results The green walk group showed improvements in several measures including a reduction in BMI and positive changes in lipid profiles and disease perception scores with enhanced quality of life for both groups. The mean differences between groups for weight, BMI, and concerns over medication were not significant. No severe adverse events were recorded during the entire 12-week program. Conclusions Participation in the green walking program for 12 weeks is associated with favorable trends in BMI, lipid levels, disease perception, and quality of life among myocardial infarction patients which structured green walking can be an aid toward improving well-being during cardiac rehabilitation; however further randomized controlled studies will substantive such an association.
- MakaleYalnız künye2026Determination of the Effects of Virtual Reality-Based Videos on Symptoms, Vital Signs and Comfort in Hemodialysis Patients
Coşar, Dilan Aktepe; Bingöl, Nuray
Introduction: This pioneering study aimed to examine the effects of virtual reality (VR)-based videos on symptoms, vital signs, and comfort levels in hemodialysis patients, offering an innovative approach to improving their quality of life. Methods: This randomized controlled pretest-posttest study included 54 hemodialysis patients treated at “X” Hospital between June 2024 and May 2025. Twenty-five patients were assigned to the intervention group, 25 to the control group, and 4 to a pilot group. Data were collected at baseline and after 8 weeks. Statistical analyses included t-tests, repeated measures ANOVA, Mann–Whitney U, and Friedman tests. Results: In the intervention group, Dialysis Symptom Index (DSI) scores decreased significantly (p < 0.05), and comfort levels increased significantly (p < 0.05) across all subscales of the Hemodialysis Comfort Scale Version II. Vital signs remained within normal ranges before and after the intervention. Conclusion: This study revealed that the use of virtual reality headsets significantly influenced dialysis symptom index scores and comfort levels. The intervention effectively reduced dialysis symptoms and significantly increased patient comfort. No significant differences were observed in vital signs.
- MakaleYalnız künye2026Nurses' artificial intelligence anxiety levels, their attitudes towards artificial intelligence, and their skills in acting humanistically in nursing practices
Cin, Aynur; Coşar, Dilan Aktepe; Demirağ, Hatice
Aim This study aims to investigate the levels of artificial intelligence-related anxiety among nurses, their attitudes towards the use of AI in clinical settings, their ability to maintain humanistic approaches in nursing care, and the interrelationships among these variables. Design This study was designed as a descriptive and cross-sectional pilot study. Method The sample of the descriptive study consisted of 267 nurses working in X and Y hospitals in Gümüşhane province. The data of the research was collected between December 2023 and May 2024 using the “Nurse Introduction Form”, “Artificial Intelligence Anxiety Scale”, “General Attitude Scale towards Artificial Intelligence” and “Humanistic Practice Ability of Nursing”. Results Total “Artificial Intelligence Anxiety Scale” mean scores were found to be higher in nurses who were women, and had more than five years of working experience ( p < 0.05). It was determined that the total “General Attitude Scale Towards Artificial Intelligence” score averages of nurses working in surgical clinics were higher than those working in pediatric clinics ( p < 0.05). Positive “General Attitude Scale Towards Artificial Intelligence” mean scores were higher in nurses who had a postgraduate degree, worked in a surgical clinic, and had five years or less experience ( p < 0.05). Again, the total mean of the “ Humanistic Practice Ability of Nursing “ was higher in nurses who had a bachelor's degree or less, and worked in management and surgery clinics ( p < 0.05). Conclusion It was found that nurses' artificial intelligence anxiety, general attitudes towards artificial intelligence, and ability to act humanistally varied according to some sociodemographic characteristics.
- MakaleAçık Erişim2026Nurses’ Workplace Discrimination Experiences and Their Reflections on Career Development: A Qualitative Study
Koroglu Kaba, Nagihan; Apaydin, Emine; Kulakaç, Nurşen
Aim: This study was conducted to examine how nurses experience discriminatory behaviors in the workplace and how these experiences are reflected in their career development. Background: Although discrimination constitutes a significant challenge in nurses’ professional lives, qualitative research examining how these experiences influence their career development processes remains limited. Methods: This phenomenological study was conducted with nurses working in a public hospital in Turkey. Semi-structured individual interviews were conducted with 21 nurses during the study. Participants were selected from various clinical settings through purposive sampling. Data were analyzed using Colaizzi's seven-step content analysis method. Ethics committee approval was obtained for this study. The Consolidated Criteria for Reporting Qualitative Research checklist guided the study reporting. Results: Five main themes with seven subthemes emerged: (1) Discrimination Experiences (types of discrimination, sources of discrimination, emotions/feelings), (2) Reporting Behavior (decision and consequences of reporting, reasons for not reporting), (3) Impact of Discrimination on Career Development (supportive effect, hindering effect), (4) Coping Strategies, and (5) Suggestions for Preventing Discrimination. Discussion: These themes highlight that discrimination is a multidimensional phenomenon and that holistic approaches must be developed at emotional, structural, professional, and institutional levels to cope with it. Conclusion: For some nurses, discrimination acts as a transformative process that supports career development, while for others, it represents a significant barrier to professional advancement. Implications for Nursing/Nursing Policy: The findings highlight the need to strengthen reporting mechanisms, establish a supportive work culture, and implement inclusive institutional policies that promote career development.
- MakaleYalnız künye2026Intensive care nurses' perspectives on the quality of nurse-patient communication in the prevention and management of delirium: A qualitative study
Şengün Inan, Figen; Canbolat, Özlem; Aslan, Kübra; Tuncer, Gülsüm Zekiye
Background Nurses play a key role in the care of patients with delirium; however, there is a lack of research exploring intensive care nurses' communication-related experiences in this context. Purpose This qualitative study aims to explore nurses' experiences related to communication in the prevention and management of delirium in intensive care settings. Methods This descriptive qualitative study was conducted with nurses working in the intensive care unit of a university hospital in Türkiye. Data were collected through semi-structured individual interviews. The sample consisted of 15 nurses. To ensure the analysis of the data, the content analysis method was used. Results Findings were categorized into five themes: (1) perceptions, (2) elements of effective communication, (3) obstacles to effective communication, (4) results of effective communication, and (5) results of ineffective communication. Conclusion The results revealed that nurses perceived communication in delirium management as an important therapeutic component of nursing care. In their view, effective communication supported patient care and family cooperation. Beyond individual efforts, organizational leaders may play a crucial role in improving delirium care by allocating adequate time and resources to structured educational programs that enhance communication competencies and delirium-specific knowledge.
- MakaleAçık Erişim2025As if I don't belong here. First-Year Experiences of International Nursing Students at University - A Qualitative Study
Tuncer, Gulsum Zekiye; Tuncer, Metin
Background: The rapid adaptation of international nursing students to university life enables them to actively continue their education without disruption in the following years. Identifying the challenges faced by these students, who are future nursing professionals, is essential fortheir adaptation and professional development. Aim: This study aimed to explore the perspectives of international nursing students regarding their first-year experiences at university. Methods: This study employed a descriptive qualitative research design. The Consolidated Criteria for Reporting Qualitative Research (COREQ) was used for reporting. The sample consisted of 13 international nursing students enrolled in the Faculty of Nursing at a university. Data were collected through face-to-face, individual, in-depth interviews using semi-structured interview questions. Content analysis was used to analyze the data. Results: The mean age of the nursing students was 23.3 years. Among the participants, seven were women, 11 had been residing in Turkiye for approximately one year, 12 were from Iran, and one was from Iraq. Three key themes emerged in this study: Facilitators of Adaptation, Challenges, and Coping. The students identified several facilitators of adaptation, including similarities between the Turkish economy and culture and their home countries' economies and cultures, proficiency in the Turkish language, studying at a nursing school aligned with their career goals, and receiving social support from their relatives. However, they also faced challenges such as language barriers, cultural differences, discrimination, social isolation, homesickness, and academic and clinical difficulties. Conclusion: International nursing students may encounter language barriers, cultural differences, and education-specific challenges during their first year of nursing school. In this context, developing support mechanisms to guide these students in their academic and social lives will facilitate their ability to cope with these difficulties.
- MakaleAçık Erişim2025Internal Medicine Nurses’ Perceptions of Work Environment Ergonomics and Safety Climate
Aktepe Coşar, Dilan; Demirağ, Hatice
Objective: This study aimed to examine the relationship between the ergonomic conditions of the work environment and the perception of safety climate among internal medicine nurses. Materials and Methods: This descriptive study was conducted between October 30, 2023, and January 30, 2024, with a total of 440 internal medicine nurses in Turkey using the “snowball sampling” method. Data were collected using the “Personal Information Form,” the “Workplace Ergonomics Scale for Nurses,” and the “Safety Climate Scale.”. Results: A statistically significant difference was found in the mean scores of the “Workplace Ergonomics Scale for Nurses” based on marital status, educational level, perceived workload, and whether the nurses had received occupational safety training (p < 0.05). However, no significant difference was observed in the scale scores based on gender, professional experience, or satisfaction with the work environment (p > 0.05). A significant difference was also identified in the mean scores of the “Safety Climate Scale” according to gender, educational level, professional experience, satisfaction with the work environment, and occupational safety training status (p < 0.05). A significant negative correlation was found between the scores of the “Workplace Ergonomics Scale for Nurses” and its subdimensions and the safety training subdimension scores. Data were analyzed using t-test, ANOVA, and correlation analysis. Conclusion: In conclusion, improving ergonomic conditions, strengthening managerial support, establishing effective safety communication, and promoting continuous education are recommended as key strategies to ensure that nurses work in a safe and supportive environment. Additionally, implementing tailored interventions based on demographic and professional characteristics may contribute to the development of a safety culture in nursing and the improvement of patient care quality.
- MakaleAçık Erişim2025The perspectives of nurses, as prominent advocates in sustainability, on the global climate crises and its impact on mental health
Ediz, Çiçek; Uzun, Sevda
Objective: To evaluate the perspective of nurses in Turkey towards the global climate crisis and its impact on mental health using a qualitative approach. Materials and Method: This study was conducted from August to September 2023 with 35 nurses living in seven regions of Turkey using an inductive qualitative approach. The researchers employed the snowball sampling method to select participants. Interviews with the participants were conducted until data saturation was reached. Thematic analysis was used to emerge themes. Results: The findings revealed five main themes (perception of the global climate crisis, effects of the global climate crisis, effects of the global climate crisis on mental health, reflections of the global climate crisis on nursing and nurses' views on prevention and intervention studies for the global climate crisis). Also, the findings revealed 12 sub-themes (physical outcomes, mental outcomes, direct and indirect impacts, psychosocial effects and personal, national and international-based reflections). Conclusion: Our study indicates that nurses exhibit genuine concern for the global climate crisis and experience psychological effects related to this pressing environmental issue. Nurses are keenly aware of their responsibility to safeguard the planet and demonstrate a strong sense of concern for the state of the world. Impact: It is evident that nurses, being prominent advocates for sustainability, are cognizant of their responsibility to protect the planet and demonstrate genuine apprehension for the state of the world. Implications: Nurses play a crucial role, as they make up 60% of the global healthcare workforce and are often the frontline healthcare professionals during natural disasters. It is vital to elucidate and clarify the terminology concerning the relationship between the climate crisis and the mental health of nurses, to determine the scope of this relationship and to make recommendations for future research areas. Patient or Public Contribution: No patient or Public Contribution.
- MakaleYayıncıda açık erişim2025The Psychometric Properties of the Turkish Version of the Stress Scale for Siblings of Childhood Cancer Patients
Aksoy, Bahar; Doğan, Melike Demir; Bolacali, Edanur Tar; İnci, Tuğba
Aim: This study aimed to evaluate the psychometric characteristics of the Turkish version of the “Stress Scale for Siblings of Childhood Cancer Patients (SCCP)”. Methods: This study was conducted with 273 siblings aged 11-16 of childhood cancer patients (SCCPs) who were treated in a hospital in the Black Sea Region of Türkiye between March 2022 and April 2024. Data were collected with “The Sociodemographic Information Form” and “SCCP”. The data were examined through descriptive statistics, as well as exploratory and confirmatory factor analyzes. Results: The SCCP Turkish version is a valid and reliable scale consisting of 27 items and six sub-dimensions. The SCCP Turkish version explained 77.676% of the total variance. The SCCP Turkish version was found to be summable according to Tukey's test of additivity (p = 0.334), and the test-retest reliability of the scale was r = 0.864 (p < 0.05). Conclusion: This study indicate that the Turkish version of the SCCP is a valid and reliable instrument for evaluating stress levels in siblings aged 11 to 16. Practice Implications: With SCCP, nurses can determine the stress levels of SCCPs and contribute to the planning of necessary interventions to cope with stress.
- 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.
- MakaleYalnız künye2024The effect of a cognitive behavioural intervention package on peripheral venous cannulation pain, fear and anxiety in Paediatric patients: A randomised controlled trial
Demir Imamoglu, Zeynep; Aytekin Ozdemir, Aynur
Purpose: This study investigated the effect of a cognitive behavioural intervention package (CBIP) on peripheral venous cannulation (PVC) pain, fear and anxiety in paediatric patients aged 7–12 years. Design and methods: This randomised controlled trial included 77 paediatric patients (intervention: n = 39 and control: n = 38). The control group underwent a routine PVC procedure, whereas the intervention group attended the CBIP while undergoing a PVC procedure. Data were collected using a sociodemographic form, the Visual Analogue Scale (VAS), the Wong–Baker FACES (WB-FACES) Pain Rating Scale, the Children's Fear Scale (CFS) and the State–Trait Anxiety Inventory for Children–State Form (STAIC–State). The participants, their caregivers and the researcher scored PVC pain, fear and anxiety levels. The study was approved by an ethics committee. Informed consent was obtained from caregivers, and verbal consent was obtained from children. Results: No significant difference in pre-procedural CFS scores were noted between the CBIP and control groups (p > 0.05). However, the CBIP group had significantly lower mean procedural pain (VAS and WB-FACES), fear (CFS) and anxiety (STAIC–State) scores than the control group (p < 0.05). Conclusions: The CBIP helped children experience less PVC pain, fear and anxiety. Practice implications: Nurses can use the CBIP to help reduce PVC pain, fear and anxiety in children. Clinical trials registration: The study was registered at Clinical-Trials.gov (NCT06018909).
- MakaleAçık Erişim2024The relationship between the psychological resilience levels and ruminative thought styles of nurses providing care for earthquake victims: 2023 earthquake in Kahramanmaraş, Türkiye
Çobanoğlu, Asuman; Oğuzhan, Hatice
Traumatic cases experienced during earthquakes, which are considered among acts of God, may cause multiple and severe impacts on healthcare professionals. This research aimed to examine the ruminative thought styles and psychological resilience level of nurses who provided care services to the victims after the earthquake that struck Kahramanmaraş, Türkiye on February 6-7th. This descriptive and correlational study was conducted with 225 nurses. Research data were collected using the Personal Information Form, Ruminative Thought Style Questionnaire and Brief Resilience Scale. A negative and moderate relationship was determined between the psychological resilience level of nurses and their ruminative thought style (r = -0.477, p < 0.05). The psychological resilience level of nurses who received training on disasters and psychological resilience was determined to be higher whereas their ruminative thought tendency was lower (p < 0.05). It was determined that the ruminative thought style of the nurses decreased as their psychological resilience level increased. Trainings on disaster nursing and aiming to increase the psychological resilience level may be recommended in order to improve the psychological resilience of nurses.
- 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 Erişim2023Evaluation of moral sensitivity and moral courage in intensive care nurses in Turkey during the COVID-19 pandemic
Goktas, Sonay; Aktug, Cemile; Gezginci, Elif
Background: During the COVID-19 pandemic, intensive care nurses may experience ethical issues related to fear of transmission, limited resources, and increased workload. Nurses' moral sensitivity and courage may have a role in dealing with these problems. Aim: The purpose of this study was to assess intensive care nurses' moral sensitivity and moral courage during the COVID-19 pandemic. Design: Descriptive cross-sectional survey. Methods: A total of 362 nurses working in the intensive care units of pandemic hospitals in Turkey participated in the study between January and March 2021. Data were obtained using a personal information form, the Moral Sensitivity Questionnaire, and the Nurses' Moral Courage Scale. A link to the online data collection tools was sent to the management of participating institutions, who forwarded it to nurses. Reporting followed the CHERRIES guidelines. Results: In this study, the response rate of nurses was 89%. The nurses' total mean moral sensitivity score was 90.70 ± 28.89 and their mean moral courage score was 82.08 ± 13.51. A weak inverse correlation was found between the nurses' moral sensitivity and moral courage scores (r = −.176, p =.001). Total moral sensitivity score differed significantly according to years of Intensive care unit (ICU) experience (p =.007). Total moral courage scores increased significantly with education level (p =.012), years of nursing experience (p =.016), and willingness to work in the ICU (p <.001). Conclusion: The study suggests that nurses working in the intensive care unit during the pandemic had moderate moral sensitivity and high levels of moral courage. Nurses' sociodemographic characteristics and ICU work conditions may affect their moral sensitivity and moral courage. Relevance to Clinical Practice: The results of this study can help guide efforts to improve moral courage and sensitivity and address ethical issues among ICU nurses.
- Yüksek Lisans TeziAçık Erişim2022Hemşirelerin COVID-19 pandemi dönemindeki tükenmişlik düzeyleri (Trabzon Fatih Devlet Hastanesi örneği)
Mürvet Hoyur
Pandemi sürecinde kilit rol oynayan hemşirelerin artan iş gücü ve değişen çalışma koşulları ile tükenmişliği belirgin olarak artmıştır. Tükenmişliğin olumsuz etkilerini azaltabilmek, tükenmişliğin bilinmesi ve gerekli önlemlerin alınması ile mümkündür. Bu araştırma hemşirelerin COVID-19 pandemi dönemindeki tükenmişlik düzeylerini belirlemek amacıyla yapılmıştır. Kesitsel ve tanımlayıcı tipte olan araştırmanın evrenini Kasım-Aralık 2021 tarihinde Trabzon Fatih Devlet Hastanedeki tüm hemşireler (286 kişi) oluşturmuştur. Herhangi bir örneklem yöntemi seçilmeyip evrenin tamamına ulaşılması planlanmış ve araştırmaya katılmayı kabul eden 236 kişiye ulaşılmıştır. Araştırmanın verileri; araştırmacılar tarafından literatür incelenerek oluşturulan sosyodemografik özellikler, tükenmişlik düzeyleri ve COVID-19 pandemisine yönelik sorular ile "Maslach Tükenmişlik Ölçeği" sorularından oluşan anketin bireylerin dinlenme saatlerinde yaklaşık 20 dakika süre içinde direkt gözlem altında uygulanmıştır. Verilerin istatistiksel analizinde frekans, t testi, Mann Whitney U, Kruskal Wallis, ANOVA testi kullanılmıştır. Ruhsal bir hastalığa sahip olduğunu ifade eden, COVID-19 (+) hasta bakan, COVID ekipman, personel sayısı gibi fiziki şartların yetersiz bulan hemşirelerin diğerlerine göre duygusal tükenmişlik seviyeleri daha yüksek bulunmuştur. Bu araştırmada COVID-19 pandemi döneminde Trabzon Fatih Devlet Hastanesinde görev yapan hemşirelerin duygusal tükenme ve kişisel başarısızlık puan ortalamalarının orta düzeyde, duyarsızlaşma puan ortalamalarının düşük düzeyde olduğu bulunmuştur.
- MakaleYayıncıda açık erişim2021Factors affecting nurses' professional commitment during the COVID-19 pandemic: A cross-sectional study
Duran, Secil; Celik, Isa; Ertugrul, Bekir; Ok, Serife; Albayrak, Sevil
Aim: This study aims to investigate the factors affecting nurses' professional commitment during the COVID-19 pandemic. Background: Commitment to a profession requires doing the best for that profession. In the case of the nursing profession, professional commitment gains greater importance in times of crisis, like the COVID-19 pandemic. Methods: This cross-sectional study was conducted with 389 nurses in the Turkish state hospital. Institutional permissions, ethical approval and written consents from the participants were obtained before carrying out the study. Results: The participants’ mean Perceived Organizational Obstruction Scale score was 20.07 ± 8.06 (min = 5.0, max = 35.0), and their mean Nursing Professional Commitment Scale score was 71.20 ± 11.94 (min = 30.0, max = 103.0). Socio-demographic variables and perception of organisational obstruction predicted 36.7% of the variance in the professional commitment (p <.001). Conclusion: A road map based on the study results was developed for hospitals and nurse managers to maintain and increase nurses' professional commitment. Implications for Nursing Management: The results of this study may help institutions and nurse managers understand the factors affecting professional commitment during the pandemic as a whole, as well as determine primary strategies based on the importance of these factors.
- MakaleAçık Erişim2021Using of iron, vitamin d, multivitamin in pregnant women and the related factors
Vayisoglu, Sumbule Koksoy; Oncu, Emine; Kazak, Aysun; Aktas, Gamze
Objectives: The aim of this study is to determine the frequency of iron, vitamin D and multivitamin supplement usage among pregnant women and the factors associated with it. Methods: This cross-sectional study was conducted between March 15, 2018 and September 30, 2018 among a total of 400 pregnant women by the questionnaire form consisted of 27 questions. Hemoglobin values below 11g/dl were considered as anemia. Results: The mean age of the pregnant women was 28.2±5.2 years, and 170 (42.5%) of them had anemia. Among the pregnant women, 302 (75.5%) had been recommended to use iron, 208 (52.0%) had been recommended to use Vit D and 308 (77.0%) had been recommended to use multivitamin. Among the pregnant women 250 (62.5%) of them use iron, 146 (36.5%) of them use vitamin D and 262 (65.5%) of them use multivitamin. Conclusion: Although programs for iron and vitamin D have been carried out for many years, the use of vitamin D and iron in pregnant women were not at the desired level. Although there is not a routine recommendation, multivitamin use during pregnancy was found to be quite common.