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Publication Metadata only A qualitative evaluation of online active learning modalities in the chronic wound management lecture of nursing students' experiences in Turkey(Elsevier, 2022) Shoqirat, Noordeen; Singh, Charleen; Mahasneh, Deema; N/A; Şengül, Tuba; Karadağ, Ayişe; Faculty Member; Faculty Member; School of Nursing; School of Nursing; 59230; 3549N/APublication Metadata only A study on the adaptation of the HIV/AIDS-related stigma scale into Turkish(Wiley, 2022) Bahar, Zuhal; Cal, Ayse; Cavusoglu, Figen; Deveci, Aydin; Badur, Selim; Bahar, Ismail Hakki; Beşer, Ayşe; Faculty Member; School of Nursing; 143490Purpose This study aims to test the validity and reliability of the Turkish version of the HIV/AIDS-related Stigma Scale. Design and Methods The study has a methodological design. The sample included a total of 428 participants. of the participants, 198 were HIV/AIDS patients, 230 were HIV-negative individuals. The data were analyzed using the Exploratory and Confirmatory Factor Analysis. Findings The Turkish version of the HIV/AIDS-related Stigma Scale was found to be valid and reliable for the Turkish society. Cronbach's alpha was 0.93 for the community perspectives subscale and 0.89 for the patient perspectives subscale, and all the model fit indices were acceptable. Practice Implications The level of stigmatization revealed by the scale helps gain an insight into the community and patient perspectives on HIV/AIDS.Publication Metadata only Challenges experienced by pediatric nurses in the process of developing innovative products: a qualitative study(Elsevier, 2024) Ekim, Ayfer; Semerci, Remziye; Ocakçı, Ayşe Ferda; School of NursingObjective: As essential healthcare providers, nurses are key to contributing innovations to improve the quality of care. This study aimed to explore the challenges pediatric nurses face in developing and patenting innovative products. Method: A qualitative descriptive design has been used in this study. The study sample consists of pediatric nurses who had developed innovative products and successfully obtained product registrations. Purposive sampling was used to select 17 pediatric nurses who met the inclusion criteria. Data were collected through semi-structured, individual, in-depth interviews. Results: Two main themes and two related subthemes were identified. The first main theme is ‘product development and management challenges.’ The subthemes of this theme are ‘unknown ecosystem’ and ‘burnout.’ The second theme is ‘protecting ideas and innovation.’ The subthemes of this theme are ‘fear of idea theft’ and ‘dead patents.’ Conclusion: Nurses face challenges, such as taking part in an unfamiliar innovation ecosystem, burnout due to long processes, and fear of idea theft. At the same time, commercialization of these innovations and market demand emerge as additional challenges. Practice implications: Identifying the challenges experienced by pediatric nurses during the innovation process can help to develop strategies to overcome difficulties, create an innovation culture, and increase the quality of pediatric patient care.Publication Open Access Challenges faced by doctors and nurses in wound care management during the COVID-19 pandemic in Turkey and their views on telehealth(Elsevier, 2021) Karadağ, Ayişe; Şengül, Tuba; Faculty Member; Faculty Member; School of Nursing; 3549; 59230Aim: this study aimed to determine the problems faced by physicians and nurses dealing with chronic wound care during the COVID-19 pandemic and their views on telehealth. Materials and methods: a descriptive and cross-sectional design was used in this study. The sample comprised physicians (n = 74) and nurses (n = 271) interested in chronic wound care. Data were collected through a questionnaire form consisting of open- and closed-ended questions. Results: of the participants, 21.4% (n = 74) were physicians and 78.6% (n = 271) were nurses. Of the physicians, 45.9% (n = 34) were obliged to work in another unit during the COVID-19 period, while 43.2% continued their service related to chronic wound care, and only 17.0% (n = 18) in the wound care service before the pandemic. These rates are 51.3% (n = 139), 51.6% (n = 157) and 36.8% (n = 128) for nurses, respectively. 40.7% of the physicians (n = 33) and 34.9% of the nurses (n = 106) stated that their time had been reduced for chronic wound care. When the telehealth experiences were examined, 32.4% (n = 24) of the physicians utilized telehealth, 29.7% (n = 22) used e-visit, 77.0% (n = 57) stated that they thought telehealth was a good option, 47.3% (n = 35) utilized it for wound evaluation and treatment, and 31.9% (n = 59) used smart phones. These rates for nurses were 16.6% (n = 45), 14.0% (n = 38), 72.7% (n = 197), 33.9% (n = 92), and 27.0% (n = 182), respectively. Conclusions: the COVID-19 pandemic negatively affected the manner of delivery, duration, and quality of service regarding wound management. During this period, face-to-face contact times with patients were reduced, some diagnosis and treatment attempts were not performed, and wound care services were suspended temporarily or permanently. On the other hand, a positive result was achieved in that the physicians and nurses gave positive feedback for the telehealth experience.Publication Metadata only Complementary and alternative medicine use in patients with head and neck cancers in Europe(BLACKWELL PUBLISHING, 2006) Molassiotis, A; Ozden, G; Scott, JA; Pud, D; Fernandez-Ortega, P; Milovics, L; Panteli, V; Gudmundsdottir, G; Browall, M; Madsen, E; Patiraki, E; Kearney, N; N/A; Platin, Nurgün; Faculty Member; School of Nursing; 191329The aim of the present study was to examine the patterns of complementary and alternative medicine (CAM) use in a sample of head and neck cancer patients, forming part of a larger study. A cross-sectional survey design was used collecting data through a descriptive 27-item questionnaire in nine countries in Europe. The participants were 75 patients with head and neck cancers. The prevalence rate of CAM use was 22.7%. The most common therapies used were herbal medicine (47%), medicinal teas (23.5%), use of vitamins/minerals (11.8%) and visualization (11.8%). Use of CAM dramatically increased after the diagnosis with cancer (i.e. eightfold increase in the use of herbs). A profile of CAM users was not evident in this sample. Patients used CAM for a variety of reasons together, with counteracting the ill effects from cancer and its treatment being the most common one. Information about CAM was obtained mostly from friends and family. As one in five head and neck cancer patients use CAM it is important that clinicians explore practices with their patients, improve communication about CAM with them and assist those who want to use CAM in using appropriate and safe therapies.Publication Metadata only Depressive symptoms during pregnancy and postpartum: a prospective cohort study(Wiley, 2019) Şahin, Eda; N/A; Seven, Memnun; Faculty Member; School of Nursing; 32470Purpose: The aim was to determine the prevalence and risk factors of postpartum depression, and changes over time from pregnancy to postpartum period. Design and Methods: A prospective cohort study was conducted in 23 cities in Turkey, with 497 pregnant women. Findings: Of women, 13.5% had a high level of depressive symptoms during pregnancy and 4.8% during the postpartum period. Significant relationships emerged between total Edinburgh Postnatal Depression Scale score and mean age of participants and their husbands, duration of marriage, parity, and history of receiving professional psychological support. Practice Implications: Family planning education could be an important intervention to prevent depression in young couples.Publication Metadata only Desires vs. conditions: a qualitative study exploring the factors affecting the place of death of child with cancer in Turkey(Wiley, 2022) Bingöl, Hülya; Aydın, Ayfer; Kebudi, Rejin; Koç, Başak; Yıldırım, Ülkü Miray; Zülfikar, Bülent; Umaç, Eyşan Hanzade; PhD Student; Graduate School of Health Sciences; N/AObjective: The purpose of this study was to describe factors affecting the place of death of children with cancer at the end of life. Methods: The descriptive phenomenological approach was used. Eighteen mothers who lost their children to cancer participated in in-depth interviews. Data were analysed using MAXQDA software version. Codes and categories were developed inductively from participants' narratives. Results: The factors affecting the place of death of children were categorised into two main themes: (1) desires and (2) conditions. Most of the mothers reported that their deceased children wanted to be with their families at the end of life and they wanted to go home. The conditions related to health services were defined as the barriers to the death of their children in the places of death preferred by the mothers. Conclusion: The desire to be close to the child was the main factor affecting the parents' decisions. The findings revealed the prevailing circumstances in the death place decision beyond parental desires. These were the child's health conditions, physical conditions of hospitals, and the lack of home care and paediatric palliative care services, which were factors related to the system, and the lack of other options for parents.Publication Open Access Determination of the effect of prophylactic dressing on the prevention of skin injuries associated with personal protective equipments in health care workers during COVID-19 pandemic(Elsevier, 2021) Yıldız, Aybala; Yıldız, Alp; Karadağ, Ayişe; Çakar, Vildan; Faculty Member; School of Nursing; Graduate School of Health Sciences; 3549; N/AAim: the present study was carried out as a comparative observational study in order to determine the effect of prophylactic dressing on the prevention of skin injuries due to the use of personal protective equipment (PPE) in health care workers (HCWs) working with COVID-19 patients. In addition, the effect of nasal strip on the prevention of discomfort in breathing with mask was also investigated. Materials and methods: the present study was carried out with 48 HCWs (Control Group-CG, n = 20; Experimental Group 1-EG1, n = 20; Experimental Group 2-EG2, n = 8) who use PPE on the face region and work with COVID19 patients. Data was collected with Data Collection Form developed by researchers. In participants in CG, normal procedures of the institution in using PPE were followed. In EG1, prophylactic dressing was used on risky areas on the face. In EG2, nasal strip sticky on one side was used in addition to prophylactic dressing. The evaluation of the facial skin was made once a day by a researcher with expertise in wound management. Results: groups were similar in terms of demographic characteristics of participants. Overall rate of skin injuries associated with PPE use was 47.9%. Skin injuries developed in all participants in CG (n = 20), and in two and one participants in EG1 and EG2 respectively, with significant difference between groups. The most common skin injuries were Stage 1 pressure injury (29.2%), blanchable erythema of intact skin (27.1%) and itching (18.8%). No participant in EG2 reported discomfort in breathing (n = 8). Significant difference was found between groups in favor of EG2 in terms of experiencing discomfort in breathing (p < 0.001). Conclusions: in the present study, it was established that using prophylactic dressing under PPE prevents skin injuries on the facial skin and using nasal strip prevents discomfort in breathing with mask. In view of these results, it was recommended that prophylactic dressing should be used under PPE.Publication Metadata only Development and psychometric analysis of care needs scale for mothers of children with congenital heart disease(Elsevier Inc., 2024) Ay, Ayse; Saridag, Kubra Nur Kabakci; Semerci, Remziye; School of NursingPurpose: This cross-sectional study aimed to create and evaluate a care needs scale for mothers of children with congenital heart disease (CHD) to determine its psychometric properties. Design and methods: This methodological research was conducted with 155 mothers whose children were diagnosed with CHD and were treated at a university hospital. The study's methodology included scale development, specialist opinions, and a pilot test. Data analysis involved descriptive statistics, exploratory and con firmatory factor analyses, and reliability assessments. Results: The 11 -item scale was created using component analysis, expert comments, and pilot testing. It was divided into two categories: Information Needs Regarding Disease and Treatment and Needs Regarding Care. The Exploratory Factor Analysis revealed a 2 -factor structure, explaining 41.5% of the variance. Reliability analysis showed reliable dimensions, and Tukey's scalability test indicated the scale requires separate dimension evaluation. The model fi t indices were obtained as CMIN/DF (72.751/41) =1.774, GFI = 0.925, IFI = 0.923, TLI = 0.893, CFI = 0.920, RMSEA = 0.071, SRMR = 0.063. The Cronbach's alpha coef ficient for subdimension 1 was 0.758, and for subdimension 2 was 0.678, indicating reliable dimensions. Conclusion: The developed scale provides a valuable tool for assessing the care needs of mothers of children with CHD, contributing to enhancing maternal support programs in pediatric cardiology clinics. Practice implications: Assessment of the care needs of mothers who have children with CHD is promising for the development of educational programs on this subject and to ensure the competence of mothers for care.Publication Metadata only Development and psychometric testing of the organizational silence behavior scale for healthcare professionals(Wiley, 2019) Baykal, Ülkü; Yalçın, Begüm; Teaching Faculty; School of Nursing; N/AOrganizational silence maintained by professionals working in the healthcare sector could result in various moral dilemmas and might negatively affect patient care. The aim of this methodological study was to develop a scale that measured the organizational silence behaviors of healthcare professionals. During the development of the scale, researchers conducted in-depth interviews with 30 healthcare professionals in order to create a draft pool of 66 scale items. After content validity, a 62 item scale was drafted. In the second stage of development, psychometric properties of the scale were evaluated. The results of the confirmatory factor analysis indicated that adequate fit indices (chi(2) value to degrees of freedom = 3.54; goodness-of-fit index = .92; root mean square error of approximation = .90) were achieved and resulted in a 32 item scale with four subscales. These subscales were assessed using a 5 point Likert scale. The Cronbach's alpha for the scale was .93, and for the subscales, it was as follows: silence climate: alpha = .91, silence based on fear: = .91, acquiesce silence: alpha = .93, and silence based on protecting the organization: alpha = .85. The Organizational Silence Behavior Scale was successfully developed and showed satisfactory validity and reliability. It is usable among healthcare professionals.