Hemşirelik Bölümü Makale Koleksiyonu

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https://hdl.handle.net/20.500.12713/197

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Pediatric renal caregiver burden scale: psychometric properties of the Turkish version
(Elsevier science INC, 2024) Albayrak, Selvinaz; Aydın, Zehra
Background and purpose: As treatment increasingly shifts from hospital settings to home environments, the burden on caregivers of chronic kidney disease patients has the potential to increase further. It is essential to assess the experience and burdens of caregivers of children with chronic kidney disease to identify caregivers' needs and provide targeted interventions when necessary. Hence, this study aimed to assess the psychometric properties of the Turkish version of the Pediatric Renal Caregiver Burden Scale (PR -CBS). Methods: This methodological study involved 215 parents with children aged 5 -18 and was conducted between December 5, 2021, and August 15, 2022. The Content Validity Index, Explanatory and Con firmatory Factor Analyses, Cronbach's alpha, Test -retest reliability, and item -total score correlation were used in the data analysis. The Turkish version of PR -CBS test -retest reliability analysis was performed with 30 parents after four weeks. Results: PR -CBS consists of 20 items and five sub -dimensions (illness worries, impact on self, impact on child, responsibility, institutional burden). The Turkish version of the PR -CBS and its five dimensions demonstrated satisfactory internal consistency and reliability. The construct validity of the Turkish version of the PR -CBS was con firmed by Explanatory Factor Analyses and was validated with Con firmatory Factor Analysis. Conclusions: PR -CBS is a valid and reliable tool to assess the burden of caregivers of children with chronic kidney disease in Turkish society. Implications for practice: By assessing the care burden of families, pediatric nurses can enhance the opportunity to provide quality care and support to caregivers and their patients. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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.
Self-care power and healthy lifestyle behaviors in persons with severe mental illness
(Galenos publ house, 2023) Üstün, Besti; Gerçik, Esra
Objective: The purpose of the study was to examine the self -care power and healthy lifestyle behaviors of persons with severe mental illness. Method: The research was carried out with 99 chronic psychiatric patients who applied to community mental health centres of one training and research hospital, two state hospitals. Data were collected using the healthy lifestyle behaviors scale II and the self -care power scale. Results: The highest level of healthy lifestyle behavior is in the dimensions of spiritual development and interpersonal relations, and the lowest level is in the dimension of physical activity. A moderately positive and significant relationship was found between the mean scores of healthy lifestyle behaviors and the mean scores of self -care power. Conclusion: In the study, the relationship between the healthy lifestyle behaviors of the patients and their self -care power was revealed. It is recommended that poor patients, young patients, and those with low social support should be evaluated as risky groups in terms of healthy lifestyle problems in community mental health centers and plans should be made to improve self -care power.
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.
Hastaların Ameliyat Öncesi Dönemde Eğitim Alma Durumu ve Hasta Doyumu ile Karşılaştırılması
(Yönetici Hemşireler Derneği, 2024) Candaş, Sebiha; Yeşilyurt, Tugba Yeşilyurt
Amaç: Bu çalışma cerrahi işlem geçiren hastaların ameliyat öncesi eğitim alma durumlarını belirlemek ve hasta doyumu düzeyi ile karşılaştırmak amacıyla gerçekleştirilmiştir. Yöntem: Tanımlayıcı, kesitsel türdeki bu araştırmanın evrenini bir özel hastanede cerrahi kliniklerde yatan hastalar, örneklemini ise örnekleme alınma ölçütlerine uyan 246 hasta oluşturmuştur. Veriler, araştırmacılar tarafından geliştirilen anket formu ve Görsel Analog Hasta Tatmini Skalası kullanılarak toplanmıştır. Veriler tanımlayıcı istatistiklerle birlikte Mann-Whitney U testi, Kruskal-Wallis H testi, Tamhane’s T2 testi ve ROC analizi: Kesme noktası testleriyle analiz edilmiştir. Bulgular: Çalışmada hastaların ve yakınlarının %95,5’inin ameliyat öncesi eğitim aldıkları, %79,3’ünün hekimden bilgi aldığı ve %88,2’inin sadece sözlü olarak bilgi aldığı saptanmıştır. Hastaların en çok ameliyat öncesi yapılacak tetkikler (%91,9), ameliyat akışı (%83,3), uygulanacak anestezi türü (%81,7), ameliyat sonrası alınacakları yer (%68,7), ameliyata hazırlanma (%69,1) konularında bilgi aldıkları bulunmuştur. Hastaların en az bilgi aldıkları konular ise, ameliyat sonrası erken hareketin (mobilizasyonun) önemi (%7,3) ve uygulanacak egzersizler (solunum, öksürük, yatak içi egzersizler) (%2,8) olarak belirlenmiştir. Hasta doyumu puan ortalaması 7,66 (SS=1,8) olarak orta düzeyin üzerinde bulunmuştur. Hastaların ameliyat öncesi eğitim alma durumları ve aldıkları eğitimin kapsamı ile doyum puanları arasında istatistiksel anlamlı farklılık saptanmıştır (p<0,001; p<0,01). Sonuç: Araştırma sonucuna göre cerrahi hemşirelerinin ameliyat öncesi hasta eğitim etkinliklerinin kapsamlı ve etkili olabilmesi için, eğitim süreci aşamaları doğrultusunda, kanıta dayalı protokoller oluşturarak çok disiplinli bir yaklaşımla planlı ve sistemli bir şekilde uygulanması gerektiği sonucuna varılmıştır.
HPV ve güvenli cinsel yaşam konusunda üniversite gençlerini bilgilendirmede akran eğitimi
(Bandırma Onyedi Eylül Üniversitesi, 25 Nisan 2023) Kömürcü, Nuran; Öz, Seda Değirmenci; Uysal, Nurcan; Yedek, Serpil
Amaç: Bu çalışma HPV enfeksiyonu ve güvenli cinsel yaşam konusuna ilişkin gençlerin bilgi düzeylerini belirlemek ve akran eğitimi ile farkındalık oluşturmak amacıyla tanımlayıcı olarak gerçekleştirilmiştir. Gereç ve Yöntem: Çalışma, bir vakıf üniversitesinde öğrenim gören 100 rehberlik ve psikolojik danışmanlık bölümü öğrencisine, hemşirelik bölümü öğrencileri tarafından akran eğitimi verilerek yüz yüze gerçekleştirilmiştir. Eğitim öncesinde, human papilloma virüsü (HPV) ve cinsel yolla bulaşan hastalıklar konusunda bilgi formu ve Hendrick Cinsel Tutum Ölçeği (HCTÖ) Kısa Formu eğitim sonrasında ise eğitimin değerlendirilmesine yönelik bilgi formu uygulanmıştır. Verilerin analizi, yüzde, ki kare, Mann Whitney U Testi ve Kruskal Wallis Testi ile yapılmıştır. Bulgular: Çalışmaya katılanların çoğu kadın (%61), 21-24 yaş aralığında (%66) olduğu, %68’inin HPV hakkında bilgi sahibi olmadığı belirlenmiştir. Öğrencilerin HCTÖ’den aldıkları alt boyut puan ortalamaları incelendiğinde, en düşük doğum kontrolü alt boyutundan (3.15 ± .97), en yüksek ise paylaşım alt boyutundan (3.83 ± .89) puan aldıkları saptanmıştır. Sonuç: Öğrencilerin çoğunun cinsellikle ilgili eğitim almadığı ve HPV hakkında yeterli bilgiye sahip olmadıkları görülmüştür. Verilen akran eğitimi sonrası gençlerin farkındalık düzeyinde artış gözlenmiştir.
Nursing Principles Practice Basic Competencies Scale – Turkish Adaptation Study
(Marmara University, 30 Eylül 2024) Uysal, Nurcan; Türkmen, Emine; Orak, Nuray Şahin; Demirdağ, Hatice
Objective: The main objectives of clinical education in nursing education are to develop the student’s competences in cognitive, affective and psychomotor areas. Reliable measurement tools are needed for the evaluation of these competences that begin to be gained with the first clinical practice. This methodological study investigated the cultural and Turkish validity of the Core Competence in Basic Nursing Practice Scale (CCFNPS) for undergraduate nursing students. Methods: A methodological research has been carried out on the cultural validation and adaptation of the scale. The construct’s validity was examined using both exploratory and confirmatory factor analysis in a sample of 466 students. The scale’s internal consistency reliability was evaluated using Cronbach’s alpha. Test-retest reliability was assessed using a dependent sample t-test and intraclass correlation with a sample of 30 students. Results: The scale’s content validity index was 0.98. The results of exploratory factor analysis revealed a five-factor structure similar to the original scale, the variance explained was 69.62%, but four items were removed from the scale due to low factor loading. Confirmatory factor analysis results (fit indices values) applied to the twenty – one items and five sub-dimensional structure were found to be acceptable. Scale Cronbach’s alpha values were above 0.70. Conclusion: The 21-item Turkish version of CCFNPS was found to be a valid and reliable scale for measuring the competencies acquired by students after their first clinical training.
Sağlık Ekosisteminde Yapay Zeka Kaygı Düzeyi: Hemşire Örneklemi
(İzmir Katip Çelebi Üniversitesi, 31 Aralık 2022) Gümüş, Emel; Kasap, Ece Uysal
Amaç: Bu araştırma, Türkiye’de çalışan hemşirelerin sağlık ekosisteminde yapay zeka kaygı düzeylerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Tanımlayıcı tasarımda olan araştırmanın evreni, Türkiye’de çalışan hemşireler, örneklemini ise araştırmayı kabul eden 215 hemşire oluşturmuştur. Araştırma verileri, demografik ve mesleki özellikler formu ve Yapay Zeka Kaygı ölçeği ile toplanmıştır. Araştırma verileri, tanımlayıcı istatistikler ve çoklu lineer regresyon analizi ile değerlendirilmiştir. Bulgular: Çalışmaya katılan hemşirelerin Yapay zeka kaygı düzeyi ortalama puanı 2,64 (SS=0,79) olduğu belirlenmiştir. Kişilerin yaş, cinsiyet, yaşadığı yer, eğitim , çalıştığı kurum, çalıştığı birim, çalıştığı pozisyon, çalışma şekli, meslekte deneyim süresi ve çalışılan hastanedeki deneyim süresi durumları ile yapay zeka kaygı durumları arasında istatistiksel olarak anlamlı bir farklılık gözlemlenmemiştir. Sonuçlar: Çalışma sonucunda, hemşirelerin öğrenme durumu arttıkça yapay zeka yapılandırma durumunda artış meydana geldiği gözlemlenmiştir Kişilerin iş değiştirme durumu arttıkça yapay zeka yapılandırma durumunda artış meydana geldiği ve kişilerin yapay zeka kaygı düzeyi durumu arttıkça en yüksek artış meydana gelen alt faktörün yapay zeka yapılandırma olduğu gözlemlenmiştir. %95 güven seviyesinde pozitif yönlü çok yüksek dereceli anlamlı bir ilişki olduğu değerlendirilmiştir. Elde edilen sonuçların daha büyük örneklemlerde ve daha farklı boyutlar eklenerek çalışılması önerilmektedir.
Self-care Power and Healthy Lifestyle Behaviors in Persons with Severe Mental Illness
(Galenos Yayınevi, 12.09.2024) Üstün, Besti; Gerçik, Esra
Objective: The purpose of the study was to examine the self-care power and healthy lifestyle behaviors of persons with severe mental illness. Method: The research was carried out with 99 chronic psychiatric patients who applied to community mental health centres of one training and research hospital, two state hospitals. Data were collected using the healthy lifestyle behaviors scale II and the self-care power scale. Results: The highest level of healthy lifestyle behavior is in the dimensions of spiritual development and interpersonal relations, and the lowest level is in the dimension of physical activity. A moderately positive and significant relationship was found between the mean scores of healthy lifestyle behaviors and the mean scores of self-care power. Conclusion: In the study, the relationship between the healthy lifestyle behaviors of the patients and their self-care power was revealed. It is recommended that poor patients, young patients, and those with low social support should be evaluated as risky groups in terms of healthy lifestyle problems in community mental health centers and plans should be made to improve self-care power.
Surgical Nurses’ Attitudes Towards Medical Errors and Affecting Factors
(Dr. Öğr. Üyesi, 16.07.2024) Pehlivan, Elif; Yeşilyurt, Tuğba
This study was carried out in a descriptive and cross-sectional form to determine the medical error attitudes of nurses working in the surgical clinics of a public hospital. The population of the research consists of 900 nurses working in the surgical clinics of a public hospital in Istanbul, and the sample consists of 308 nurses who voluntarily agreed to participate in the research. “Questionnaire Form” which include nurses' socio-demographic and working characteristics and “Medical Error Attitude Scale” were used as data collection tools. The data were analyzed using the SPSS 23.0 package program with frequency, percentage, mean, standard deviation, independent student t-test, One-way ANOVA test and Tukey tests. The study determined that 12.7% of the nurses made a medical error during their professional working period, and 24.4% had witnessed a medical error before. The total mean score of the "Medical Error Attitude Scale" of the nurses was 2.25±0.2 and it was evaluated as negative. It was determined that the highest score was taken from “the perception of medical errors” sub-dimension (3.08±0.9) and the lowest score was taken from the “the approach to medical errors” sub-dimension (2.08±0.4) of the sub-dimensions of the scale. It was determined that the mean medical error attitude total score of the nurses who were single nurses who worked on the day shift and had management duties was significantly higher. The results reveal that health institutions must increase their studies on patient safety to raise awareness of nurses against medical errors, identify the causes of malpractice and prevent them.
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.
A pathway for nurses from work strain to anger: mediation of social intelligence
(BioMed Central Ltd, 2025) Tiryaki Şen, Hanife; Türkmen, Emine; Kuşcu Karatepe, Hilal; Yurtsever, Demet
Background: This study aimed to determine the mediating role of social intelligence in the effect of nurses’ work-related strain on trait anger and anger expressions. The challenging working conditions for nurses often result in increased strain and anger. Social intelligence could help to manage anger. Methods: This cross-sectional, descriptive study was conducted with 446 nurses at a public hospital in Türkiye between April and May, 2021. The questionnaire consisted of socio demographics, Trait Anger and Anger Expression Inventory, Tromso Social Intelligent Scale, and Work-Related Strain Inventory. The data was collected face to face. Descriptive statistics and Pearson’s correlation coefficient were conducted using SPSS (v.26) and mediation analysis was conducted using PROCESS macro (Hayes, model 4). Findings: Social intelligence played a mediating role in the effect of work-related strain on trait anger, anger-in, anger-out, and anger-control (β = 0.105, β = 0.100, β = 0.131, β=-0.136, respectively). Social intelligence reduced the effect of work-related strain on trait anger and anger in/out expressions, while increasing anger control. Conclusion: The findings of this study show that social intelligence could be used to manage anger of nurses. Nurse managers could implement initiatives aimed at managing nurses’ anger and anger expressions through the decreasing of work-related strain and increasing of nurses’ social intelligence. © The Author(s) 2024.
Comparison of infrared tympanic and non-contact temporal artery thermometer in determining the body temperature of patients in cardiovascular surgical intensive care
(Effect Publishing Agency ( EPA ), 11.09.2024) Keskin, Hatice Gozde; Şahın, Sennur Kula
Accurate measurement of body temperature is crucial post-cardiovascular surgery, given the intricate and high-risk nature of cardiovascular procedures. In this prospective observational study, the safety and efficacy of infrared tympanic thermometers (ITT) and non-contact infrared temporal artery thermometers (NCTAT) were assessed in intensive care patients recovering from cardiovascular surgery. Conducted at a state hospital in Istanbul from April to July 2016, the study included 60 eligible patients meeting the specified criteria. Results indicated a slightly higher body temperature measurement with ITT (36.42±0.72) compared to NCTAT (36.02±0.79). NCTAT and ITT values were found (right ear: bias =0.39°C, limits of agreement: -1.99°C to 1.21°C; left ear: bias =0.29°C, limits of agreement: -1.59°C to 1.01°C) in the statistical evaluation by Bland and Altman analysis method. Repeatability, intragroup correlation and scatter plots of both measuring devices did not show a significant difference. In conclusion, within the cardiovascular surgical intensive care unit, both types of thermometers prove suitable for body temperature measurement. Healthcare professionals can make informed choices between the two based on the distinct advantages and disadvantages associated with each device.
Hemşirelerin subkutan düşük molekül ağırlıklı heparin enjeksiyon işlemine yönelik uygulamalarının incelenmesi
(Selçuk Üniversitesi, 21 Eylül 2023) Vaizoğlu, Doğancan; Yeşilyurt, Tuğba
Amaç: Bu araştırma, hemşirelerin subkutan düşük molekül ağırlıklı heparin (DMAH) uygulamasına ilişkin davranışlarını gözlemlemek amacıyla yapıldı. Yöntem: Tanımlayıcı tipte yapılan araştırmanın evrenini, İstanbul’da bulunan bir kamu hastanesinin subkutan DMAH enjeksiyonunun sık uygulandığı ortopedi, nöroloji ve nöroşurürji kliniğinde görev yapan toplam 57 hemşire oluşturdu. Evrenin tamamı çalışma kapsamına alınmış olup, örneklemini ise araştırmaya katılmayı gönüllü olarak kabul eden 33 hemşire oluşturdu. Veriler, hemşirelerin tanıtıcı özelliklerini belirlemek üzere geliştirilen altı soruluk “Kişisel Bilgi Formu” ve literatürden yararlanılarak geliştirilen subkutan DMAH enjeksiyonu uygulama yöntemine ilişkin işlem basamakları esas alınarak oluşturulmuş “Gözlem Formu” ile toplandı. Bulgular: İşlemin hastaya açıklanması (%30,3), uygun enjeksiyon bölgesinin seçilmesi (%24,3), uygulanan antiseptik solüsyonun kurumasını bekleme (%15,1), iğne girdikten sonra dokunun kavranmaya devam edilmesi (%39,4), ilacın yavaş verilmesi (%39,4), ilaç verildikten sonra kısa süre (yaklaşık 10 sn) beklenmesi (%30,3) gibi kritik işlem basamaklarında hemşirelerin yetersiz oldukları belirlendi. Sonuç: Hemşirelerin subkutan DMAH enjeksiyon işlemine yönelik kritik işlem basamaklarını uygulama becerilerinin çoğunlukla istendik düzeyde olmadığı belirlendi. Hemşirelerin subkutan DMAH enjeksiyon uygulaması ile ilgili hizmet içi eğitimlerinin artırılması önerilir.
Yönetici Hemşire Becerilerini Değerlendirme Ölçeği: Bir Ölçek Geliştirilme Çalışması
(Yönetici Hemşireler Derneği, 11.12.2024) Çiftçioğlu, Gülcan; Türkmen, Emine; Baykal, Ulku
Giriş: Hastanelerde olumlu hasta sonuçları ve örgütsel hedeflere ulaşılması açısından yönetici hemşireler çok önemli rol, görev ve sorumluluklar üstlenmiştir. Yönetici hemşirelerin bu rol, görev ve sorumlulukları tam olarak yerine getirebilmesi için gerekli yönetsel becerilere sahip olmaları gerekmekte olup ulusal düzeyde yönetici hemşirelerin becerilerini değerlendirmek amacıyla kullanılan geçerli ve güvenilir bir ölçme aracına ulaşılamamıştır. Amaç: Bu çalışma, yönetici hemşirelerin yönetsel becerilerinin astları tarafından değerlendirilmesine yönelik bir ölçme aracının geliştirilmesi amacıyla gerçekleştirilmiştir. Yöntem: Metodolojik tasarımdaki bu çalışma, çevrimiçi anket yöntemi ile Şubat – Haziran 2022 tarihleri arasında Türkiye’deki çeşitli hastanelerde çalışan 698 hemşire ile yapılmıştır. Veri toplama aracı olarak, araştırmacılar tarafından konuya ilişkin alan yazın incelenerek oluşturulan taslak ölçek formu kullanılmıştır. Araştırmada ölçeğin kapsam ve dil açısından anlaşılırlığı (görünüş) için 10 uzman görüşü alınmış, ölçeğin yapı geçerliliği için AFA ve DFA uygulanmıştır. Güvenirlik için madde analizleri, Cronbach alfa, %27 alt ve üst dilim puan korelasyonu, yarıya bölme yöntemi ve test-tekrar test analizi kullanılmıştır. Bulgular: Taslak ölçek, 66 maddeden oluşup bir madde dışında 65 maddenin kapsam geçerlik indeksi 0,80-1,00 arasında bulunmuştur. Yapı geçerliliği incelemesi için yapılan açıklayıcı faktör analizinde (AFA) binişiklik veya kuramsal yapıya uymadığı için çıkarılarak yapılan son AFA sonuçlarına göre, üç alt boyutta ve 34 maddeden oluşan ölçeğin toplam varyansın %72,22’i açıkladığı belirlenmiştir. Toplam ölçeğin Cronbach alfa katsayısı 0,99 ve test-tekrar test korelasyon katsayısının 0,78 olduğu saptanmıştır. Sonuç: Çalışmada, 34 maddeden ve üç alt boyuttan oluşan ölçeğin geçerlilik ve güvenirlik ölçütlerini karşıladığı görülmüştür. Gelecek çalışmalarda yapı geçerliliği çalışmalarının tekrarlanması ve uygulamada kullanılarak sonuçlarının tartışılması yararlı olacaktır.
Cerrahi Birimlerde Çalışan Hemşirelerin Hasta Güvenliğine İlişkin Tutumları Ve Etkileyen Faktörler
(İnönü Üniversitesi, 16 Ekim 2023) Aykaç, Kenan; Yeşilyurt, Tuğba
Bu çalışma, cerrahi birimlerde çalışan hemşirelerin hasta güvenliği tutumunu ve etkileyen faktörleri belirlemek amacıyla kesitsel ve tanımlayıcı türde gerçekleştirilmiştir. Çalışma, Ankara ilinde bulunan iki özel hastanenin cerrahi birimlerinde çalışan 281 hemşire ile yürütülmüş olup; veriler Tanıtıcı Özellikler Formu, Bireysel İş Yükü Algı Ölçeği ve Hasta Güvenliği Tutum Ölçeği ile toplanmıştır. Veriler SPSS 22.0 programında frekans, yüzde, ortalama, standart sapma, t testi, tek yönlü Anova testi, Kruskal Wallis testi ve Tukey testi kullanılarak analiz edildi. Hemşirelerin “Hasta Güvenliği Tutum Ölçeği” toplam puan ortalamaları 117.32±26.06 olarak saptanmış ve orta düzeye yakın olarak değerlendirilmiştir. En yüksek puanın “çalışma koşulları”, en düşük puanın ise “güvenlik iklimi” alt boyutundan alındığı belirlenmiştir. Hemşirelerin çalışma şekli, kurumsal deneyimi, ortalama haftalık çalışma süresi, hasta güvenliği eğitimi alma, kurumda yürütülen kalite çalışmalarına katılmalarına göre hasta güvenliği tutum puanları arasında anlamlılık saptanmıştır. Sonuç olarak, araştırmanın gerçekleştirildiği hastanelerde cerrahi birimlerde çalışan hemşirelerin hasta güvenliği tutumlarının geliştirilmesine gereksinim olduğunu göstermekle birlikte hasta güvenliğiyle ilgili eğitim almanın ve hasta güvenliği uygulamalarının geliştirilme süreçlerine katılımın hasta güvenliği tutumunu olumlu yönde etkilediğini göstermektedir.
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.
Validity and Reliability of the Nurse Manager Performance Assessment Scale
(Sedat Bostan, 30 Nisan 2024) Aslan, Saliha Koç; Türkmen, Emine; Özdemir, Dilek; Saygı, Hülya Özkol
Background: The performance of nurse managers is significantly important in providing quality and safe patient care services in hospitals, as well as in retaining the nurse workforce. There are limited number of measurement instruments for which validity and reliability have been tested in order to assess nurse managers' level of performance. Objective: This study was conducted to examine the psychometric testing of the “Nurse Manager Performance Assessment Scale,” which is used to assess the annual performance of nurse managers working in a private chain hospital group in Turkey. Method: The sample of this methodological study was composed of 165 nurse managers. The data were obtained from the Hospital Information Management System, retrospectively. Results: The average score of the eight-item scale items ranged between 3.3 (0.8) and 3.7 (0.8). The Cronbach's alpha coefficient, indicating the internal consistency, was found to be 0.943, while the Spearman-Brown coefficient, indicating intraclass consistency, was found to be 0.910. The two-factor scale obtained using exploratory factor analysis was examined using confirmatory factor analysis, and the model was found to be significant. Conclusion: In this study, the results of psychometric analysis of the “Nurse Manager Performance Assessment Scale,” which is used to assess the annual performance of nurse managers, indicated that the scale is a valid and reliable instrument. It is recommended that the scale be applied in different institutions and that it be tested in practice based on pilot application results.
Violence Exposure of Infertile Couples: A Systematic Review
(İstanbul Üniversitesi, 20 Temmuz 2023) Çalışkan, Esra; Balkan, Elif; Kaydırak, Meltem Mecdi
Objective: This study systematically evaluated the current literature on the types of violence perpetrated against infertile couples. Violence against infertile couples is quite common in societies. Literature on the types and levels of violence faced by couples is limited. Materials and Methods: In this study, databases were scanned using ‘infertilite ve şiddet’,‘infertility and violence’ keywords. Open access clinical trials that met the inclusion criteria and conducted between January 2015/March 2020 were reviewed. The databases included Scopus, Science Direct, Cochrane, the Wiley Online Library, the National Academic Network Information Center National Medical Database, Google Scholar, and Web of Science were looked at. In this systematic review, seventeen studies were chosen based on inclusion/exclusion criteria. Results: Many of these studies (94.11%) were conducted with women. Thirteen studies examining types of violence toward infertile women found such women suffered from emotional (96.3%), verbal (84.9%), physical (68%), sexual (60%) and economic violence (77.4%). Marriage age, length of marriage, family structure, confirmation of infertility, length of infertility, number of infertility therapies received, alcohol/smoking use, education level, and employment status were described as factors influencing the incidence of violence in infertility. Conclusion: The results of these studies indicated that infertile couples had higher rates of social pressure and domestic abuse. However, this study revealed that there is a lack of research on violence towards men in cases of infertile couples.
Nursing Principles Practice Basic Competencies Scale – Turkish Adaptation Study
(Marmara Üniversitesi, 31.10.2024) Uysal, Nurcan; Türkmen, Emine; Orak, Nuray Şahin; Demirdağ, Hatice
Objective: The main objectives of clinical education in nursing education are to develop the student’s competences in cognitive, affective and psychomotor areas. Reliable measurement tools are needed for the evaluation of these competences that begin to be gained with the first clinical practice. This methodological study investigated the cultural and Turkish validity of the Core Competence in Basic Nursing Practice Scale (CCFNPS) for undergraduate nursing students. Methods: A methodological research has been carried out on the cultural validation and adaptation of the scale. The construct’s validity was examined using both exploratory and confirmatory factor analysis in a sample of 466 students. The scale’s internal consistency reliability was evaluated using Cronbach’s alpha. Test-retest reliability was assessed using a dependent sample t-test and intraclass correlation with a sample of 30 students. Results: The scale’s content validity index was 0.98. The results of exploratory factor analysis revealed a five-factor structure similar to the original scale, the variance explained was 69.62%, but four items were removed from the scale due to low factor loading. Confirmatory factor analysis results (fit indices values) applied to the twenty – one items and five sub-dimensional structure were found to be acceptable. Scale Cronbach’s alpha values were above 0.70. Conclusion: The 21-item Turkish version of CCFNPS was found to be a valid and reliable scale for measuring the competencies acquired by students after their first clinical training.

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