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    Experiences of mothers with infants admitted to neonatal intensive care during the COVID-19 pandemic: a qualitative study
    (Galenos publ house, 2024) Albayrak, Sabiha; Türkmen, Emine; Göktepe, Nilgün; Çağlayan, Selvinaz
    Objective: The aim of this study was to reveal the experiences, opinions, and suggestions of mothers with infants admitted to the neonatal intensive care unit (NICU) during the period of the Coronavirus disease -2019 (COVID-19) pandemic, as parental participation in the NICU. Method: The study's data were obtained through semi -structured interview form and the sample of this qualitative study consisted of 11 volunteer mothers with infants admitted to the NICU between May 4 and June 24, 2021. Face-to-face, individual, in-depth interviews were conducted with the mothers. The data were analyzed using the thematic analysis method. Results: Two themes and six sub -themes were obtained. The two main themes were: (1) Difficulties of being a mother during the pandemic, and (2) difficulties experienced during mothers' participation in infant care during the pandemic. Mothers stated that they were unable to experience motherhood; that they experienced constant fear, anxiety and worry; and that they did not receive adequate support from their families and health professionals. They reported that they could only visit their infants when close to the discharge date, could not participate in the care process, did not receive adequate information from healthcare professionals, and did not feel fully prepared to care for their infants after leaving hospital. Conclusion: This study showed that due to visitation restrictions, NICU mothers struggled to fulfill their maternal role, demonstrating the inadequacy of family -centered care practices during the-COVID-19 pandemic. During crisis periods such as pandemics, strategies must be employed to develop infantmother attachment and increase mothers' participation in the care of their infants.
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    Experiences of Mothers with Infants Admitted to Neonatal Intensive Care During the COVID-19 Pandemic: A Qualitative Study
    (Galenos Yayınevi, 2024) Albayrak, Selvinaz; Türkmen, Emine; Göktepe, Nilgün; Çağlayan, Sabiha
    Objective: The aim of this study was to reveal the experiences, opinions, and suggestions of mothers with infants admitted to the neonatal intensive care unit (NICU) during the period of the Coronavirus disease-2019 (COVID-19) pandemic, as parental participation in the NICU. Method: The study’s data were obtained through semi-structured interview form and the sample of this qualitative study consisted of 11 volunteer mothers with infants admitted to the NICU between May 4 and June 24, 2021. Face-to-face, individual, in-depth interviews were conducted with the mothers. The data were analyzed using the thematic analysis method. Results: Two themes and six sub-themes were obtained. The two main themes were: (1) Difficulties of being a mother during the pandemic, and (2) difficulties experienced during mothers’ participation in infant care during the pandemic. Mothers stated that they were unable to experience motherhood; that they experienced constant fear, anxiety and worry; and that they did not receive adequate support from their families and health professionals. They reported that they could only visit their infants when close to the discharge date, could not participate in the care process, did not receive adequate information from healthcare professionals, and did not feel fully prepared to care for their infants after leaving hospital. Conclusion: This study showed that due to visitation restrictions, NICU mothers struggled to fulfill their maternal role, demonstrating the inadequacy of family-centered care practices during the-COVID-19 pandemic. During crisis periods such as pandemics, strategies must be employed to develop infantmother attachment and increase mothers’ participation in the care of their infants.
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    Hemşirelerin Bireysel ve Mesleki Özellikleri ile Mesleki Karar Pişmanlıklarının İşten Ayrılma Niyetlerine Etkisi
    (2022) Polat, Şehrinaz; Doğrusöz, Leyla Afşar; Yeşilyurt, Tuğba; Göktepe, Nilgün
    Amaç: Bu çalışmanın amacı, hemşirelerin bireysel ve mesleki özellikleri ile mesleki karar pişmanlıklarının işten ayrılma niyetine etkisini incelemektir. Yöntem: Kesitsel ve tanımlayıcı bir tasarımda yapılan çalışma, İstanbul’da bir üniversite hastanesinde yapılmıştır. Araştırmanın yapıldığı hastanede1324 hemşire görevli olup çalışmaya katılmaya istekli olan 415 hemşire ile gerçekleştirilmiştir. Veriler, hemşire tanıtıcı bilgi formu, “Mesleki Karar Pişmanlığı Ölçeği ve İşten Ayrılma Niyeti Ölçeği” olmak üzere üç bölümden oluşan anket formu ile toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, korelasyon ve çoklu regresyon (stepwise) analizleri kullanılmıştır. Bulgular: Hemşirelerin işten ayrılma niyeti ölçeği puan ortalaması 2,33 ± 1,10 ve mesleki karar pişmanlığı ölçeği toplam ortalama puanı 71,08 ± 24,43 olarak belirlenmiştir. Regresyon analizinde, hemşirelerin işten ayrılma niyetinin medeni durum ve mesleki karar pişmanlığından etkilendiği saptanmıştır (R2=%19,5; p< ,001). Sonuç: Araştırmanın sonuçları, hemşirelerin işten ayrılma niyetlerinin medeni durum ve mesleki karar pişmanlığından etkilendiğini ortaya koymaktadır. Politika yapıcılar tarafından üniversite/ meslek seçimi öncesinde öğrenciler için mesleki karar verme konusunda bilgilendirme ve kariyer danışmanlığı hizmetleri gibi erken müdahale programlarını düzenlenmeye yönelik ulusal stratejiler belirlenmelidir. Ayrıca kurum yöneticileri tarafından da hemşirelerin mesleki karar pişmanlıklarından dolayı işten ayrılma olasılıklarına karşın hemşire refahını, empatiyi ve mesleki gelişimini desteklemeye ve çalışma ortamını iyileştirmeye yönelik stratejileri benimsemeleri önerilir.
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    Nurse managers’ views on why nurses leave their jobs: a qualitative study
    (Elsevier B.V., 2021) Yeşi?lyurt, Tuğba; Baykal, Ülkü; Göktepe, Nilgün
    Aim: This study aimed to determine the views of nurse managers on why nurses leave their jobs. Background: The departure of nurses from nursing jobs adversely affects the quality and cost-effectiveness of patient care and leads to decreased motivation and job performance, adversely affecting institutional outcomes. Methods: This study adopted a descriptive qualitative design, sampling 43 nurse managers working in private, state, and university hospitals. Data was collected through individual, in-depth interviews and analysed using content analysis. The Consolidated Criteria for Reporting Qualitative Research (COREQ) was used to structure and report the study. Results: Nurse managers see nurses leaving their jobs due to economic factors, adverse working conditions, management-related factors, and individual factors. Conclusion: Nurse managers report that nurses leave their jobs due a range of factors, from economic complaints at the macro level to individual concerns at the micro level.
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    The Relationship Between Neonatal Nurses’ Attitudes, Evidence- Based Practice Leadership Evidence Based Practice Work Environment, and the Involvement of Parents on in Family Centered Care Practices: A Cross-Sectional Study
    (11.12.2024) Albayrak, Selvinaz; Öntürk, Zehra Kan; Türkmen, Emine; Göktepe, Nilgün; Çağlayan, Sabiha
    Aim: This study aimed to: a) examine the effects of neonatal intensive care nurses’ attitudes towards evidence-based practices and perceptions of evidence-based practices leadership and work environment on attitudes towards parental participation, and (b) determine the effects of such attitudes and perceptions of nurses on parental involvement in neonatal intensive care unit family center care activities. Method: This cross-sectional study was conducted with 218 neonatal intensive care nurses in Turkey using an online questionnaire. The data were collected using the demographic questionnaire, the Evidence-based Practices Work Environment Scale, the Evidence- based Practices Leadership Scale, the Attitude Towards Evidence-Based Nursing Questionnaire, the Parental Participation Attitude Scale, and the number of parental involvement direct care activities. Data were analyzed with descriptive statistics, Pearson correlation, and multiple regression analysis (backward). Results: Nurses’ attitudes towards parental participation were affected by evidence-based nursing attitudes (R2=0.35, Durbin- Watson=2.078, p<0.001). The number of parent-delivered interventions related to family center care activities in the neonatal intensive care unit was affected by the evidence-based practices environment and completion of neonatal intensive care unit certification (R2=0.11, Durbin-Watson=1.972, p<0.001). Conclusions: Nurses' attitudes towards parental involvement affects by their own evidence-based practices knowledge and awareness. The establishment of an evidence-based practices work environment at the organizational level and the provision of special training for nurses increased parent-delivered interventions.
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    The Relationship Between Nurses' Communication Practices, Personality Traits and Organizational Silence Behavior
    (Fenerbahçe Üniversitesi, 29 Aralık 2023) Yalçın, Begüm; Göktepe, Nilgün; Türkmen, Emine
    The use of organizational silence has been described as an active and conscious action employed to deliberately withhold information about an organization. The aim of this study was to examine the effects of nurses' communication practices and personality traits on organizational silence behaviors. This cross-sectional study was conducted with 220 nurses. The survey contained questions concerning nurses’ individual/professional characteristics and their choices about whether or not to remain silent about issues in the workplace and it also contained the Organizational Silence Behavior Scale and the Ten-Item Personality Inventory. Descriptive statistics, and regression analyses were used to analyze the data. Nurses’ mean score of the Organizational Silence Behavior Scale was 2.6 (.81). Multiple regression analysis indicated that nurses' organizational silence behavior was negatively affected by the choice to remain silent when their relationships with colleagues were put at risk, when they felt they may be excluded if they expressed their opinions, when they did not believe that sharing their ideas would improve the unit, and when their personality trait was determined to be emotionally stable. Organizational silence behavior is influenced by the choice to remain silent and an emotionally stable personality type.
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    Yönetici hemşirelerin hemşireleri işe almaya ilişkin görüşleri: niteliksel bir çalışma
    (2020) Yeşilyurt, Tuğba; Baykal, Ülkü; Göktepe, Nilgün
    Amaç: Bu araştırmanın amacı, yönetici hemşirelerin, hemşirelerin işe alınma sürecine ilişkin görüşlerini belirlemektir. Yöntem: Araştırma; tanımlayıcı ve fenomenolojik tasarımda niteliksel araştırma yöntemi kullanılarak gerçekleştirilmiş olup, örneklemini farklı kurumlarda görevli, farklı yönetsel pozisyonlarda, farklı deneyim ve eğitime sahip yönetici hemşireler olmak üzere toplam 43 kişi oluşturmuştur. Araştırmanın verileri, alan yazın taranarak hazırlanan yarı yapılandırılmış derinlemesine bireysel görüşme formuyla birebir görüşmeler yapılarak toplanmış ve içerik analizi yöntemiyle değerlendirilmiştir. Bulgular: Yönetici hemşirelerin görüşleri araştırma soruları doğrultusunda “işe alma ölçütleri”, “işe alma süreci” ve “işe alma sürecinde yaşanan sorunlar” olarak üç ana tema ve bu ana temaların alt temaları şeklinde ele alınmıştır. Yönetici hemşirelerin işe almada dikkate aldıkları ölçütler; kişisel özellikler, eğitim, deneyim ve alanında yetkinlik şeklinde belirlenmiştir. Hemşirelerin işe alınma süreci ise; kamu kuruluşlarında merkezi atama şeklinde gerçekleşirken, kurum yöneticilerinin bu süreçte etkin olmadığı, özel hastanelerde ise insan kaynakları biriminin hemşirelerin işe alım sürecinde aktif olarak görev aldığı ve özellikle işe alma kararının verilmesi aşamasında etkili oldukları görülmüştür. İşe alma sürecinde yaşanan sorunlar ise; bütçe yetersizliği, diğer kurumlarla rekabet, yetkin eleman bulma zorluğu, eğitim düzeyinin düşük olmasına bağlı mesleki yetersizlik ve kamu hastanelerinde işgören seçim sürecinde yaşanan ek sorunlar şeklinde ortaya konmuştur. Sonuç: Elde edilen sonuçlar, yetkin hemşirelerin işe alınması için planlı ve etkin işe alım sürecinin önemli olduğunu ve bunun yanı sıra kamu hastanelerinde de adayın bireysel ve mesleki niteliklerini dikkate alan bir seçme ve yerleştirme sisteminin oluşturulmasının gerekliğini ortaya koymaktadır.