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Öğe The experiences of mothers of children with food allergy: A qualitative study(Elsevier Science Inc, 2023) Sarı Öztürk, Çiğdem; Merter, Özlem Selime; Şengül, Zeynep KisecikBackground: Food allergies adversely affect the quality of life of the child and family, as they require lifelong treatment and follow-up. This study aims to examine the experiences of mothers who have children with food allergies within the framework of the biopsychosocial-spiritual model. Methods: This study, using a qualitative research design, was carried out with mothers of children followed up with food allergy in the pediatric allergy outpatient clinic of a university hospital between December 15, 2022 and January 05, 2023. Purposive sampling method was used in the study and semi-structured interviews were conducted with 12 mothers. All interviews were audio recorded and transcribed. Inductive thematic analysis method was used. The study was written based on the COREQ checklist. Findings: Three themes, eight sub-themes, and 19 categories were identified: The effects of the disease on the physical health of the child and mother in the biological effects theme; psychosocial responses to disease, adaptation to treatment, future anxiety, coping strategies, and communication/interaction in the psychosocial effects theme; search for purpose-meaning in life and understanding belief/basic human values in the spiritual effects theme. Discussion: It has been concluded that food allergies affect maternal health extensively, especially in the psychosocial field, and that it affects family relationships, the time that mothers spare for themselves, and physical and spiritual health. Application to practice: The findings will be a guide for improving the quality of life of mothers followed up with food allergies and for the care and counseling support to be provided to mothers.Öğe The Enhancing of Nurses' and Midwives' Competence in Providing Spiritual Care through Innovative Education and Compassionate Care using the Spiritual Care Competency Self-Assessment Tool: Turkish Version(Springer, 2024) Karabey, Tuba; Özveren, Hüsna; Gülnar, Emel; Gültürk, EsraSpiritual care is an important part of holistic care and is at the center of nursing/midwifery care. Nurses/midwives are expected to graduate by receiving adequate training in spiritual care and gaining spiritual care competence during their student days. It is important to evaluate the spiritual care competencies of nursing/midwifery students and to correct the deficiencies, if any. Therefore, a self-assessment tool is needed to increase awareness and knowledge and improve skills and attitudes in the field of spirituality and pastoral care. One of these tools is EPICC (Enhancing Nurses' and Midwives' Competence in Providing Spiritual Care through Innovative Education and Compassionate Care). This EPICC Spiritual Care Education Standard describes the spiritual care competencies expected from undergraduate nursing and midwifery students. For every competence, the learning outcomes are described in aspects of knowledge, skills, and attitudes. This research was conducted with a methodological design to ensure that the Turkish version of the EPICC Spiritual Care Competency Self-Assessment Tool can be used as a reliable and valid measurement tool in nursing research in Turkey. Methodological and cross-sectional research design was used in the research method. The research was carried out with 300 nursing and midwifery students in Turkey. Data were collected using the personal information form and the EPICC Spiritual Care Competency Self-Assessment Tool. The results of exploratory factor analysis and confirmatory factor analysis confirmed the four-factor structure of the scale. Cronbach's alpha, item-total correlation, test-retest analysis, and equivalent form analysis showed high reliability. EPICC Spiritual Care Competency Self-Assessment Tool For Student Nurses And Midwives: Turkish Validity And Reliability Study consists of 24 items on a five-point Likert-type scale. The Turkish version of the EPICC Spiritual Care Competency Self-Assessment Tool is a valid and reliable tool for assessing the Spiritual Care Competencies of nursing and midwifery students. Evaluating the Spiritual Care Competencies of nursing and midwifery students is an important issue, it is now possible in Turkey with this scale given its validity and reliability.Öğe The Effects of Virtual Reality Used in Healthcare Education on Cybersickness and Sense of Presence: A Systematic Review(Mit Press, 2024) Erbaş, Atiye; Akyüz, Elif; Ergöl, ŞuleThe purpose of this systematic review was to present the current state of the science related to healthcare students' outcomes associated with virtual reality effects on cybersickness and sense of presence. Results of the database searches of MEDLINE/PubMed, Scopus, ISI Web of Science, CINAHL, and Cochrane identified 101 articles. Seven articles were isolated for inclusion in this review. The primary search terms were healthcare students, virtual reality, cybersickness, and sense of presence. The studies were published between 2016 and 2020 and were conducted in Israel, the United States, the United Kingdom, Singapore, Belgium, and Brazil. The research design was quasi-experimental in six studies and experimental design in one study. Interventions were mostly carried out with nursing, medical, and dental students. Three studies used immersive virtual reality simulation with a head-mounted display, while the others used non-immersive three-dimensional visuals. According to the results, students perceived a high sense of presence and a low level of cybersickness in virtual reality simulations. There is limited robust research exploring healthcare students' outcomes related to virtual reality on cybersickness and sense of presence.Öğe The Effect of Two Types of Subcutaneous Heparin Injections on Pain, Ecchymosis, Hematoma and Drug Absorption: A Quasi-Experimental Study(Wiley, 2025) Bayram, Şule Bıyık; Gülnar, Emel; Çalışkan, Nurcan; Koşucu, Polat; Bektaş, Onur; Bayram, Aysun; Aksoy, FatmaBackground: Subcutaneous heparin injections sometimes cause pain, ecchymosis, and hematoma. The prevalence of complications depends on the injection site, technique, and drug absorption. This study investigated the effect of two types of subcutaneous heparin injections on pain, ecchymosis, and hematoma as well as drug absorption rates. Methods: The study is a quasi-experimental. The research was conducted between September 2021 and May 2022. The sample consisted of 122 patients treated in the general surgery clinic of a university hospital in the Black Sea region of T & uuml;rkiye. We used ultrasonography (USG) to measure the subcutaneous tissue thicknesses of the sites before heparin injections. We used the tissue-releasing technique (TRT) to administer heparin injections to 68 participants (Group TRT). We used the tissue-pinching technique (TPT) to administer heparin injections to 54 participants (Group TPT). We administered all injections into the arm or abdomen. We used a Subcutaneous Injection Form to collect data. We monitored all participants for the injection site, drug absorption after 1 day, pain, ecchymosis, and hematoma for 3 days. Results: There was no significant difference in the prevalence of pain, ecchymosis, and hematoma between the groups (p > 0.05). Most injections into the arm and abdomen resulted in drug absorption. However, one in ten injections into the arm resulted in the needle reaching the muscle rather than the subcutaneous tissue (11.7%). Abdominal injections caused no complications. The drug was administered in the right place in abdominal injections. Conclusion: The tissue-releasing and TPTs are not superior to each other as far as drug absorption, pain, ecchymosis, and hematoma are concerned. In this study recommend pinching the tissue or using the abdominal region in cases where the subcutaneous tissue thickness is less than 15.96 mm. The nurse should consider Body Mass Index before choosing the right subcutaneous heparin injection site and the correct injection technique.Öğe The effect of simulation on auscultation skills, self-confidence and anxiety levels in nursing students: A randomized controlled trial(Elsevier Sci Ltd, 2024) Sarıtaş, Evrim; Aydoğan, Sinan; Tikit, Özlem; Gülnar, Emel; Çalışkan, Nurcan; Baykara, Zehra GöçmenAim: This study evaluated the effect of simulation on auscultation skills, self-confidence and anxiety levels. Background: Auscultation is an essential topic in nursing education and patient care. Simulation is efficacious in improving auscultation skills and self-confidence and reducing anxiety levels. It is a valuable educational approach whose effects should be evaluated and disseminated in the context of auscultation. Design: This study had a randomised controlled trial design. Methods: The study was conducted with second -year nursing students enrolled at a university in Turkey. One group of students studied auscultation of heart, lung and bowel sounds with a simulated patient (n = 28), the second group with a high fidelity simulator (n = 30) and the third group with traditional education (n = 28). Data were collected using a demographic information form, auscultation control list and Nursing Anxiety and Self -Confidence with Clinical Decision Making Scale. The students' psychomotor auscultation skills, selfconfidence and anxiety levels were evaluated. Data on auscultation skills were assessed after the intervention, while data on self-confidence and anxiety levels were collected at baseline, after the intervention and after clinical practices throughout the academic year. Results: Anxiety and self-confidence levels showed statistically significant differences in intragroup evaluation. The self-confidence levels of the groups working with simulation did not change much in the follow-up test conducted after the end of clinical practices. The mean skill scores in the auscultation control list showed a statistically significant difference between the groups. Conclusions: Simulation and traditional approaches are effective in learning auscultation skills. However, the positive effects of simulation, particularly in enhancing students' self-confidence and reducing anxiety levels, appear to be more permanent and impactful than traditional education. Therefore, it is recommended that simulation be prioritized for teaching auscultation skills.Öğe The effect of mindfulness levels on the life satisfaction of nursing students(Wiley, 2022) Aşık, Elif; Albayrak, SevilPurpose This study was carried out to determine the effect of mindfulness levels on the life satisfaction of nursing students. Design and Methods A descriptive correlational study was conducted on 333 nursing students enrolled at a state university in Turkey. Findings The statistical analysis of the data indicated that students' mindfulness levels had a significantly positive impact on their satisfaction with life. Implications for Practice Activities that include exercises, meditation and training geared to raise the level of mindfulness can also be beneficial in terms of increasing satisfaction with life.Öğe The effect of Mobile-Assisted training and counseling on nurses' ventrogluteal injections application of nursing: A mixed method study(Wiley, 2024) Gülnar, Emel; Özener, Gamze; Yılmaz, Aslı; Aydogan, Sinan; Gencer, Özge; Bayram, Şule Bıyık; Öztürk, DenizBackground: Nurses often administer intramuscular (IM) injections. However, they do not use the ventrogluteal (VG) site, although it is highly recommended. Aim: This study investigated whether a mobile-assisted training and counseling program (intervention) encouraged nurses to use the VG site to administer IM injections. Methods: This study adopted a pretest-posttest interventional design with no control group and employed a mixed research design. The sample consisted of 105 nurses from a public hospital in a metropolitan city in Turkey. Quantitative data were collected using a descriptive characteristics form and a Ventrogluteal Site Information Form (VSIF). Qualitative data were collected using a semi-structured interview form. First, participants took a pretest and then watched an animation about VG injections on their mobile devices. Afterward, they were provided with counseling and then administered a posttest. Sixteen participants were interviewed after the posttest. Results: Participants had a significantly higher mean posttest VSIF score (17.50 + 3.23) than the pretest score (12.73 + 5.40) (p < 0.05). They stated that the intervention helped them reinforce what they already knew and encouraged them to use the VG site to administer IM injections. They also noted that it boosted their confidence and helped them experience less anxiety. Conclusion: The results showed that the intervention helped participants learn more about IM injections into the VG site. Therefore, hospitals should provide nurses with mobile-assisted training and counseling programs to encourage them to use the VG site to administer IM injections.Öğe The effect of mobile assisted teaching on nursing students' learning ventrogluteal injection application: The case of Turkey(Wiley, 2024) Bayram, Şule Bıyık; Özener, Gamze; Çakıcı, Nilay; Eren, Handan; Aydogan, Sinan; Öztürk, Deniz; Gülnar, EmelBackground: There are deficiencies in ensuring the permanence of some theoretical information taught in nursing education and transferring it to practice environment. Mobile-assisted teaching can be useful to eliminate deficiencies. The aim of this study was to determine the effect of mobile-assisted teaching on nursing students' learning ventrogluteal injection.Methodology: The study was conducted in Turkey between February and June 2022. This study is a single group pre-posttest intervention. The study sample consisted of 354 students studying in the 2nd, 3rd and 4th grades in Turkey. After the students completed the Introductory Characteristics Form and Ventrogluteal Region Information Suggestion Form in the pre-test, the researchers sent a ventrogluteal injection animation video to their mobile phones. The students who watched the video completed the Ventrogluteal Region Information Suggestion Form and Mobile Education Activity Form in the final test.Results and Conclusion: There was a statistically significant difference between the pre-posttest score medians of the students (p < 0.001). While the preference of the students for the ventrogluteal region in intramuscular injection was 28.5% before mobile learning, it increased to 51.1% after the training. In this study, after the training given through mobile learning, the knowledge level of the students about ventrogluteal injection and their preferences for ventrogluteal injection increased. In line with these results, mobile-assisted education should be used in nursing education.Öğe The effect of flipped learning on blood pressure knowledge and self-directed learning skills of first-year nursing students: A randomized controlled trial(Elsevier Sci Ltd, 2023) Bayram, Şule Bıyık; Gülnar, Emel; Özveren, Hüsna; Çalışkan, NurcanAim: This study investigated the effect of flipped learning on first-year nursing students' blood pressure knowledge levels and self-directed learning skills. Background: Flipped learning is an innovative approach that helps nursing students learn about blood pressure and how to measure how to measure blood pressure accurately. Flipped learning also promotes active and student-centered learning settings and encourages nursing students to develop self-directed skills. Design: This study adopted a pretest-posttest open-label randomized controlled trial. Method: The sample consisted of 94 first-year nursing students randomized into experimental (n = 48) and control groups (n = 46). The experimental group participants were trained using the flipped learning model. Data were collected using a personal information form, the Blood Pressure Knowledge Test (BPKT) and the Self -Directed Learning Skills Scale (SDLSS). Results: There was no significant difference in pretest BPKT scores between the experimental and control groups. However, there was a significant difference in posttest BPKT scores between the experimental and control groups (p = 0.011). Moreover, there was a significant difference between the experimental group's mean pretest, posttest and follow-up SDLSS scores (p = 0.009). Conclusion: The experimental group had a significantly higher mean posttest BPKT score than the pretest score. They had significantly higher mean posttest SDLSS total and self-monitoring, motivation, and self-confi-dence subscale scores than the pretest score.Öğe The effect of a stress management program on first-year nursing students' clinical stress: A randomized controlled experimental study(Churchill Livingstone, 2024) Gülnar, Emel; Aşık, Elif; Özveren, HüsnaBackground: Clinical clerkships lie at the core of nursing education and are crucial for developing professional skills. However, nursing students, especially freshmen, often encounter significant stress during their clinical experiences. Objectives: This study investigated the effect of a stress management program on first-year nursing students' clinical stress levels. Design: This randomized controlled experimental study adopted a pretest-posttest-follow-up test research design. Settings and participants: Participants were recruited using simple randomization. The sample consisted of 64 firstyear nursing students (intervention = 32; control = 32) from the nursing department of the faculty of health sciences of a university in Turkiye. Methods: Participants were randomized into intervention and control groups. The intervention group attended a stress management program, one weekly session for five weeks (intervention). The research was conducted between 21.02.2022 and 20.05.2022. Data were collected using a personal information form, the Perceived Stress Scale, the Physio-Psycho-Social Response Scale, and the Coping Behavior Inventory. The data were collected pretest and posttest the intervention and two months follow-up test. The data were analyzed using the two-way repeated measures analysis of variance (ANOVA). Results: The changes in the Perceived Stress Scale mean scores, group*time interaction, were statistically significant (p < 0.05). The results showed that the changes in the Coping Behavior Inventory problem-solving subscale mean scores, group*time interaction, were statistically significant (p < 0.05). The multiple comparisons showed a statistically significant difference in posttest Physio-Psycho-Social Response Scale social behavioral symptoms and emotional symptoms subscale scores between the intervention and control groups (p < 0.05). The multiple comparisons showed a statistically significant difference in posttest Coping Behavior Inventory problem-solving and avoidance subscale scores between the intervention and control groups (p < 0.05). Conclusion: The stress management program helps first-year nursing students experience less stress and develop problem-solving skills before they perform clinical clerkships. It also allows them to suffer from fewer emotional and social behavioral symptoms and exhibit fewer avoidance behaviors.Öğe The Effect of Addiction Course on Nursing Students' Stigmatizing Attitudes Toward Individuals With Substance Use Disorder(Lippincott Williams & Wilkins, 2024) Aşık, ElifBackground The approach of nursing department students who will practice the nursing profession in the future, which they adopt for individuals with addiction, bears importance. This study was conducted to evaluate the changes in stigmatizing attitudes of nursing students who took the addiction course toward individuals with substance use disorder. Method The study was conducted in a single group in a pretest-posttest order. Necessary approvals (institution and ethics committee) were obtained to carry out the study. The study sample was made up of 76 students who took an addiction course in the 2020-2021 academic year and who agreed to participate in the research. A questionnaire form and the Alcohol and Substance Addiction Stigmatizing Attitudes Scale were used as data collection tools. Cronbach's alpha value of the scale was found as 0.90. In addition to descriptive statistics, the paired sample t test was used in the analysis of the data from the dependent groups. Results The mean age of the participating students was 21.2 +/- 0.73 years, and 93.4% were female. In the pretest, 10 (13.2%) students reported that they smoked, and seven students (9.2%) reported that they used alcohol. There were no individuals who used any substance other than cigarette or alcohol in the sample. The mean score of the students on the Alcohol and Substance Addiction Stigmatizing Attitudes Scale was 13.89 +/- 5.16 in the pretest and 7.34 +/- 5.51 in the posttest. This difference was found as statistically significant (p < .01). Conclusions It was established in this study that the addiction course reduced the stigmatizing attitudes of nursing students toward individuals with substance use disorder.Öğe The Development and Effectiveness of a Care Protocol Using the Stevens Star Model of Knowledge Transformation in Female Patients With Stress Incontinence: An Experimental Study(Hmp, 2021) Gülnar, Emel; Çalışkan, NurcanBACKGROUND: Nurse-led pelvic floor muscle exercise and lifestyle education programs are effective first-line interventions for women with stress incontinence (SI). PURPOSE: To develop an evidence-based stress incontinence care protocol (SICP) using the Stevens Star Model of Knowledge Transformation and evaluate its effect on the frequency and quantity of urinary incontinence, quality of life, pelvic muscle self-efficacy levels, and lifestyle variables of women with SI. METHODS: An SICP was developed on the basis of the Star model. The views of an expert were consulted for testing the content validity of the protocol. Using a pretest-posttest experimental design, 68 women with SI who visited an outpatient clinical at a hospital in Turkey were prospectively enrolled in the intervention (n = 34) and control (n = 34) groups. After obtaining baseline demographic and health history information, participants completed the King's Health Questionnaire, the Broome Pelvic Muscle Exercise Self-Efficacy Scale, a 3-day voiding diary, and a 1-hour pad test. The intervention group received an 8-week program of care according to the Star model-derived SICP, and follow-up assessments were completed by both groups after 8 and 12 weeks. RESULTS: The content validity index for the SICP was 91.9%. The intervention group had a reduced quantity and frequency of urinary leakage, reduced King's Health Questionnaire scores, and increased Broome Pelvic Muscle Exercise Self-Efficacy Scale scores (P < .05). CONCLUSION: Care provided according to the Star model-derived SICP reduced the quantity and frequency of SI and improved the perceived pelvic muscle exercise self-efficacy and quality of life of the participants.Öğe The Correlation Between Comfort Level and Quality of Life in Female Patients With Urinary Incontinence(Lippincott Williams & Wilkins, 2024) Gülnar, Emel; Yuvanc, Ercan; Çalışkan, NurcanPURPOSE:The aim of this study was to develop a model to determine the correlation between comfort level and quality of life in women with UI.DESIGN:Cross-sectional, descriptive correlational research design with causal modeling.SUBJECTS AND SETTING:The study was conducted in the urology outpatient clinic of a university hospital in the Central Anatolia region of Turkey. The sample comprised 233 women admitted to the outpatient clinic between December 2017 and May 2018. Participants had a mean age of 52.5 (SD = 13.9) years.METHODS:Data were collected using a researcher-designed Descriptive Characteristics Form, the Incontinence Quality of Life (I-QOL) form, the Urinary Incontinence and Frequency Comfort Questionnaire (UIFCQ), and the Short Form-36 (SF-36). Multivariate correlations were analyzed using structural equation modeling; an AMOS covariance-based structural equation model was developed.RESULTS:The correlational pathway between I-QOL, UIFCQ, and SF-36 was statistically significant. As a result of the confirmed model, I-QOL scores were moderately correlated with SF-36 scores (r = .65, P = .001) and highly correlated with UIFCQ scores (r = .76, P = .001). Mean UIFCQ scores were moderately correlated with SF-36 scores (r = .66, P = .001). The structural equation modeling resulted in a model with a good fit.CONCLUSIONS:The higher the comfort level, the higher the UI-specific and health-related quality of life. Risk factors related to UI should be monitored, and necessary training and counseling should be provided to eliminate this common problem.Öğe Reliability and validity of the Turkish version of the Paediatric Cancer Coping Scale (PCCS)(Wiley, 2022) Şengül, Zeynep Kisecik; Toruner, Ebru Kılıçarslan; Özbek, Namık YaşarBackground To determine the validity and reliability of the Turkish version of the Paediatric Cancer Coping Scale, a scaling tool that has three subscales (cognitive coping, problem-oriented coping and defensive coping) and was developed to examine the coping strategies of children with a cancer diagnosis. Design This psychometric evaluation study focused on validity and reliability assessment of a scale between November 2018 and May 2019. Methods Study sample consisted of 165 children with cancer aged 7- to 18-years followed up in the outpatient clinics of a children's hospital. The retest sample consisted of 85 children. Data were collected using a Descriptive Characteristics Form and the Turkish version of the Paediatric Cancer Coping Scale. Cronbach's alpha coefficient and total item correlation were calculated for internal consistency reliability. Exploratory and confirmatory factor analyses were conducted to determine construct validity. Results The total Cronbach's alpha (alpha) of the Turkish version of the Paediatric Cancer Coping Scale was 0.77. According to exploratory factor analysis, the Paediatric Cancer Coping Scale has three subscales (cognitive coping, problem-oriented coping and defensive coping). Our results showed a positive and statistically significant correlation between the scale total, cognitive coping and problem-oriented coping scores (p < 0.01). Conclusion The Turkish version of the Paediatric Cancer Coping Scale is a valid and reliable measurement tool that can be used to assess coping styles in paediatric cancer patients. Summary statement What is already known about this topic? There is no measurement tool in Turkey to examine coping skills of children with a cancer diagnosis. The number of children diagnosed with cancer is increasing day by day. The children who use coping methods effectively during the disease may be better adapted to treatment. What this paper adds? This study is used to define coping skills of children diagnosed with cancer. Defining the level of children's coping with cancer can enable the child to be guided to receive psychosocial support. The implications of this paper Once the coping skills/levels of children can be measured, those who need help/assistance can be helped. This study will help nurses to identify coping levels of children with a cancer diagnosis. Nurses will be able to evaluate the psychosocial status of children using an objective measurement tool and make a care plan.Öğe An Investigation of Pain Beliefs, Pain Coping, and Spiritual Well-Being in Surgical Patients(Springer, 2022) Gülnar, Emel; Özveren, Hüsna; Tuzer, Hilal; Yılmazer, TubaThis study investigated pain beliefs, pain coping, and spiritual well-being in surgical patients. The study adopted a cross-sectional, descriptive, and correlational research design. The sample consisted of 213 voluntary patients admitted to a surgery clinic between April and November 2019. Data were collected using a demographic characteristics questionnaire, the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-12 item (FACIT-Sp-12), the Pain Beliefs Questionnaire (PBQ), and the Pain Coping Questionnaire (PCQ). Number, percentage, mean, and Spearman's correlation were used for analysis. Participants had a total FACIT-Sp-12 score of 25.99 +/- 8.43. They had a mean PBQ organic beliefs and psychological beliefs subscale score of 4.44 +/- 0.64 and 4.96 +/- 0.68, respectively. They had a mean PCQ self-management, helplessness, conscious coping attempts, and medical remedies subscale score of 15.83 +/- 6.15, 9.41 +/- 4.63, 8.72 +/- 3.66, and 7.46 +/- 5.33, respectively. Spiritual well-being was weakly and positively (r = 0.445, p < 0.000) correlated with self-management and moderately and negatively correlated (r = - 0.528, p < 0.000) with helplessness. Participants with higher organic and psychological beliefs had lower spiritual well-being. The results indicate that nurses should evaluate both pain and spiritual well-being in patients.Öğe Incidence of Infiltration and Phlebitis and Risk Factors Among Chemotherapy Patients: An Observational Prospective Cohort Study(Ataturk Univ, 2023) Bıyık Bayram, Şule; Gülnar, Emel; Akbaytürk, Nevnihal; Çalışkan, NurcanObjective: This study aimed to identify the incidence rate of infiltration, phlebitis, and risk factors in chemotherapy patients. Methods: This observational prospective cohort study was conducted in the oncology and hematology clinics of a hospital in Turkey. Peripheral intravenous catheter insertion sites (n = 175) on 99 patients were monitored. Researchers monitored the peripheral intravenous catheter insertion sites for 5 days after nurses inserted them. The ethics committee approved the study. Results: The incidence of infiltration and phlebitis was, respectively, 9.7% and 17.5%. The incidence rate of infiltration was significantly higher, respectively, in the case of vesicants and the presence of neutropenia among patients over 52 years of age. It was determined that the risk of infiltration in women was 0.21 times higher than in men. When the neutropenia value was put into the model alone, it was determined that the risk of infiltration increased 0.414 times in the case of neutropenia. Conclusion: The patient's gender, the presence of neutropenia, and the chemotherapy drug type affect the incidence of infiltration. Regular follow-up of the catheter site will reduce the workload of the nurse by ensuring the continuation of patient care and treatment without interruption. It will also reduce the frequency of the catheterization procedure and prevent the difficulties it brings to the patient.Öğe The Effect of Web-Based Tracheostomy Care Game on Nursing Students? Knowledge Levels and Their Views of the Process(Marmara Univ, Inst Health Sciences, 2023) Bayram, Şule Bıyık; Çalışkan, Nurcan; Gülnar, EmelObjective: This study investigated nursing students' views of the effect of a web-based tracheostomy care game on their knowledge levels during the COVID-19 pandemic.Methods:This pretest-posttest single-group quasi-experimental study was conducted between April and July 2021. The study population consisted of all nursing students in Turkey. The sample consisted of 125 students who filled out the pretest and posttest forms. Participation was voluntary. Participants were recruited using snowball sampling method. Participants entered the website trakeostomibakimi.com They filled out the demographic characteristics questionnaire and the tracheostomy care knowledge test (TCKT) on the website. They downloaded the virtual tracheostomy care game on their computers. They played the game as much as they wanted and then filled out the posttest and the student opinion forms.Results: Participants had a higher mean posttest TCKT score than pretest score (p<.05). They stated that the game helped them enjoy learning tracheostomy care and remember their prior knowledge and made them feel like they practiced in a real-life clinical setting. Conclusion: The web-based tracheostomy care game improved nursing students' knowledge levels. There should also be online educational games tailored to other nursing areas.Öğe The Effect of a School-Based Nutritional Program on the Anthropometric Measurements, Blood Test Results and Eating Habits of Adolescents(2018) Albayra, Sevil; Ergün, Ayşe GülObjectives:To determine the effects of a school-based nutritional program (SBNP) designed for adolescents in high school, who are for various reasons unable to eat a midday meal, on their anthropometric measurements, blood test results and eating habits. Patients and Methods:The research used one group and was of a pretestposttest design. 148 adolescent high school students who had difficulty accessing a midday meal and expressed willingness to participate in the study. As part of the SBNP, four sessions of nutrition education, each for one hour once a week, were held and the students were regularly provided with lunch at school for 3 months. A sociodemographic form, an “Eating Habits Inventory,” anthropometric measurements and blood tests. Results:Mean waist measurements were significantly lower at the last evaluation compared to the preliminary assessment. The increases in Rbc, Hb and Htc after the SBNP compared to pretest results were found to be statistically significant. Mouth sores, gingival bleeding and hair loss rates showed a significant decrease. Conclusion:The SBNP had a positive impact on increasing erythrocyte, hemoglobin and hematocrit counts and reducing waist circumference measurements. In addition, the SBNP also contributed to reducing certain skin and mucosal conditions (sores on the edges of the mouth, canker sores, gingival bleeding) and the hair loss rates that may be associated with vitamin deficiency. It is recommended that the impact of an SBNP be tested for a longer duration with a larger sample that includes a control group.Öğe Akademisyenlerin Kariyer Basamakları ve Yükseltme Ölçütlerine İlişkin Görüşleri(2017) Özen, Şükrü; Gülnar, Emel; Karataş, TuğbaBu çalışmada, üniversitelerde görev yapan akademisyenlerin akademikkariyer basamakları ve yükseltilme ölçütlerine ilişkin görüşleri ele alınmıştır. Bu amaçla on beş akademisyenle görüşme yapılmış ve çalışma sonucunda, akademisyenlerin kariyer sürecinin kişisel ve çevresel pek çokfaktör tarafından olumlu/olumsuz şekilde etkilendiği, akademisyenlerinbilimsel çalışma yaparken pek çok kaygı içinde olduğu, nitelikli akademisyenlerin özelliklerini değerlendirmek için kullanılacak performans değerlendirme ölçütlerinin niceliksel değil niteliksel bazda olması gerektiği anlaşılmıştırÖğe Sağlık Okuryazarlık Düzeyini Belirlemede Kullanılabilecek Bazı Ölçekler(2020) Ertuğrul, Bekir; Albayrak, SevilAraştırma sağlık okuryazarlığı düzeyinin belirlenmesinde kullanılan bazı ölçeklerin tanıtılmasının sağlanması amacıyla yapılmıştır. Sağlık okuryazarlık düzeyinin belirlenmesinde birçok ölçek yer almaktadır. Bunların içinde en sık kullanılanları; REALM, TOFHLA, NVS, Avrupa Sağlık Okuryazarlığı ve Yetişkin Sağlık Okuryazarlığı ölçekleridir. Ölçeklerin sayısal olarak fazla olmakla birlikte geçerlilik- güvenirlik çalışmalarının yapılması ve yeni sağlık okuryazarlık ölçeklerinin daha fazla ülkemizde akademik çalışmalarda yer alması gerekmektedir. Araştırma, Türkiye’deki sağlık okuryazarlığı ile ilgili ölçek geliştirme ve mevcut ölçeklerin Türkçe geçerlilik ve güvenilirlik çalışmalarının yetersiz olduğunu ortaya koymaktadır. Gelecek çalışmalarda, ölçek geliştirme, mevcut ölçeklerin Türkçe geçerlilik ve güvenilirliğinin yapılması, bireylerin sağlık okuryazarlığı düzeyinin belirlenerek buna yönelik eğitimler planlanabilmesi için bu araştırmanın yararlı olacağı düşünülmektedir.
