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Öğe Dedication in nursing: A concept analysis(Wolters Kluwer Medknow Publications, 2022) Sabetsarvestani, Raheleh; Geckil, Emine; Shirazi, Zahra HadianBackground: Dedication is one of the components of professional nursing. However, no clear consensus exists on the definition of dedication in nursing, and it is difficult to understand and operationalize this concept in clinical settings. Objectives: This study aimed to analyze the concept of dedication in nursing. Methods: This concept analysis was done using the hybrid model from February to June 2021. In the theoretical phase, the existing literature on dedication in nursing was reviewed in international databases of PubMed, Science Direct, ProQuest, Ovid, and Scopus. The keywords were dedication and nursing . After excluding duplicate and irrelevant records, 34 documents were reviewed. In the field phase, semistructured interviews were conducted with six nurses to gather new qualitative data on their experiences of dedication. In the integration phase, the findings of the earlier phases combined to provide a comprehensive definition of the concept. Content analysis was used to analyze the data. Results: Dedication in nursing was defined as a feeling and state of mind and heart, like an untiring commitment that is the art and essence of nursing. It is caring from one's heart with all human beings and technical resources available, doing beyond regular work hours and organizational and legal duty. This act usually happens without expectation for any reward or incentives in such a way that may lead to neglecting one's own needs. Conclusion: This concept analysis can be a good guide for nurses, teachers, and managers to know the meaning of dedication and recognize how to breed the spirit of dedication in nursing and prevent its negative consequences.Öğe The effect of a comprehensive support program on the stress level of mothers in a neonatal intensive care unit(Tehran Univ Medical Sciences, 2022) Goral, Esra; Geckil, EmineBackground & Aim: Parents of neonates hospitalized in the neonatal intensive care unit may experience a high level of stress. Although many approaches were applied to reduce stress, little is known about the effect of a comprehensive support program. This study aims to investigate the effect of a comprehensive supportive program on maternal stress levels in a NICU. Methods & Materials: This is a quasi-experimental study that lasted for about eleven months, 62 mothers whose premature neonates were hospitalized in a NICU in Edirne, Turkey, were selected and assigned into intervention and control groups non-randomly. A comprehensive support program was applied for the mothers in the intervention group, whereas the mothers in the control group received the standard routine care. Data were collected using the Parental Information Form, Newborn Information Form, and Parent Stress Scale in NICU and analyzed using SPSS software. Results: The maternal stress level of the mothers in the intervention group (mean=2.95 +/-.72) was found significantly lower than the control group (mean=3.74 +/-.82) (p=001) in the post-test. Similarly, the average scores obtained by the mothers in the intervention group in the Parent Stress Scale's subcategories of images and sounds, neonates' appearance, and change in parental roles were also found to be significantly lower than that obtained by the mother's in the control group (p=001). Conclusion: A comprehensive support program is significantly effective in reducing maternal stress levels. So, it is highly recommended that nurses use these comprehensive approaches in practice and especially support mothers by facilitating interaction between parents experiencing similar problems.Öğe The effect of disability empathy activity on the attitude of nursing students towards disabled people: a pilot study(Routledge Journals, Taylor & Francis Ltd, 2017) Geckil, Emine; Kaleci, Elanur; Cingil, Dilek; Hisar, FilizBackground: Nurses care for disabled people in society.Objectives: The aim of this experimental study was to investigate the effect of disability empathy activities on strengthening the positive attitudes of nursing students towards disabled people.Design: An experimental study. Pretest-Posttest control group arrangement was used.Methods: This research has been conducted with 116 nursing students (53 experimental and 63 control). The data were collected with Attitudes Towards Disabled Persons Scale (ATDP).Results: Before the experiment, there was no significant difference between ATDP scores of experimental and control groups (p>0.05). After the experiment, second ATDP scores of experimental group (66.8114.27) were found to be significantly higher than the scores of control group (59.02 +/- 11.71) (p=0.002). After six months, third ATDP scores of experimental group (63.58 +/- 13.46) were also found to be higher than the scores of control group (58.43 +/- 11.03) (p=0.025).Conclusions: Empathy activities applied to understand disabled people affected the attitudes of student nurses towards disabled people positively.Öğe The effect of drama-supported, patient role-play experience on empathy and altruism levels in nursing students: A randomized controlled study*,**(Elsevier Sci Ltd, 2023) Basit, Gulden; Su, Serpil; Geckil, Emine; Basit, Osman; Alabay, Kubra Nur KoseAim: This study aims to determine the effect of drama-supported, patient role-play experiences on the empathy and altruism levels of nursing students.Background: Empathy, one of the most important skills of the nursing profession, has an important place in the patient-nurse relationship. To be empathetic, which is acknowledged as the most basic motivation of altruistic behavior, requires recognizing emotional states and understanding the needs of others.Design: The format of this study was a pre-test-post-test, regular parallel-group, randomized, controlled experiment.Methods: The study data were collected between October 2021 and February 2022. The research was carried out with second-year students at Necmettin Erbakan University, Faculty of Nursing, who did not have any history of hospitalization or any chronic diseases. All subjects agreed to participate in the study (n = 52, intervention group=26, control group 26). Data were collected using a Descriptive Characteristics Form, the Altruism Scale and the Jefferson Scale of Empathy for Nursing Students (JSENS). After a three-hour drama workshop, partic-ipants in the intervention group acted out the role of a bed-bound patient in the laboratory environment and no intervention was applied to the control group. A series of Mixed ANOVAs were conducted for the analysis of the data.Results: The mean age of participants was 19.94 years (SD = +/- 1.31) and 83.7 % of the participants were women. The intervention group showed a significant increase in altruism compared with the control group, as evidenced by higher scores in the Altruism Scale Total Score and a significant group*time interaction effect. However, in the JSENS Total Score, including the perspective taking and standing in patient's shoes sub-dimensions, no differ-ences were observed based on group, time and group * time interactions.Conclusion: The patient role-play experience increased the empathy and altruism levels of nursing students, but the effect was not evident at the three-month follow-up.Öğe Examination of the professional values of the nurses and the associated factors(Wiley, 2021) Ilaslan, Emine; Geckil, Emine; Kol, Emine; Erkul, MunevverPurpose This study is conducted to examine the professional values of nurses and their personal and professional characteristics affecting these values. Design and Methods A total of 369 nurses completed a questionnaire on personal information and nursing professional values scale (NPVS-R). Findings The total scores of the nurses on the NPVS-R were found to be 100.87 +/- 21.07, and the item mean scores were found to be 3.87 +/- 0.81. When the scores for individual scale factors were examined, the highest scores were observed for the caring (4.02 +/- 0.87) and activism (3.90 +/- 0.89) factors. Practice Implications The fact that nurses are aware of their individual values and how these values affect their behavior can be a guide in human-focused value nursing planning.Öğe The experiences and coping mechanisms of mothers caring for a child with cerebral palsy(Routledge Journals, Taylor & Francis Ltd, 2023) Sabetsarvestani, Raheleh; Kose, Semra; Canbal, Abdullah; Geckil, EmineMothers caring for a child with cerebral palsy suffer from many physical and psychosocial problems. Their quality of life is significantly lower than mothers with healthy children. The first step in improving these women's quality of life is to improve the understanding of their experiences and coping mechanisms in specific cultural contexts. Therefore, this study aimed to explore the experiences and coping mechanisms of mothers caring for a child with cerebral palsy through a qualitative study conducted in Turkey. The study took place in 2021. Ten mothers were selected to participate through purposeful sampling. Inclusion criteria were mothers who had cared for a child with cerebral palsy for over three years, had no chronic diseases, could speak Turkish fluently, and wanted to participate in the study. The data were collected through semi-structured interviews. Qualitative content analysis was used to analyze the data. Two main themes and three categories emerged from the data analysis. The themes were dedication and seeking. The analysis showed that mothers were dedicated as they engaged in all aspects of care. Their coping mechanisms involved self-focused and problem-focused seeking. These mothers must be acknowledged and supported while considering cultural and religious beliefs.Öğe The Experiences of Children with Primary Immunodeficiency Who Receive Immunoglobulin Subcutaneously Instead of Intravenously(Elsevier Science Inc, 2024) Kose, Semra; Sabetsarvestani, Raheleh; Geckil, Emine; Kaleci, Elanur; Donmez, HaticeBackground: Children with primary immunodeficiency disorder have begun receiving subcutaneous immunoglobulin (SCIg) instead of intravenous immunoglobulin (IVIg). So, we aim to explore the experiences of primary immunodeficiency children with regard to receiving SCIg instead of IVIg. Method: We adopted a phenomenological approach in 2022 in Tur-key using semi-structured interviews. We recruited 15 participants using the purposive sampling method. Results: The main theme was the sweetness and bitterness of liv-ing with SCIg. The first subtheme was sweetness (sense of free-dom, having a normal life, saving time, ease of use, and feeling better). The second subtheme was bitterness (worries about taking responsibility for injection, impaired body image due to abdominal edema, and minimal tolerable complications). Discussion: The results show these children had more sweet expe-riences than bitter ones. Being flexible in choosing a method, teach-ing patients to apply it correctly, and providing enough time to cope are as reasons for this.Öğe The Family-Centered Care Assessment Scale: Development and Psychometric Evaluation in a Turkish Sample(Elsevier Science Inc, 2019) Arslan, Fatma Tas; Geckil, Emine; Aldem, Muradiye; Celen, RaziyePurpose: The purpose of this study was to develop a family-centered care assessment scale for the parents of hospitalized children and to evaluate the psychometric characteristics of the new scale. Method: This is a methodological study carried out in three phases. The study was conducted between on September 2017 and February 2018 with the parents of 360 children treated at the pediatric clinics of two medical faculty hospitals in Konya. Design/Methods: The study was conducted with parents (n = 360). The data was collected via the Socio-demographic Information Form, the Family-Centered Care Scale (parallel form) and the draft scale developed by the researcher. Data was analyzed by construct validity index, exploratory and confirmatory factor analyses. End of the exploratory factor analysis FCCAS consisted of 21 items and three sub-dimensions. The content validity index was 0.92. The internal consistency coefficient (Cronbach's Alpha) was 0.94 for the total scale. The strong correlations was found between test and re-test (r = 0.90, p < .001). Confirmatory factor analysis has confirmed the three-factor structure. Conclusion: In this study developed family-centered care assessment scale (FCCAS) is a valid and reliable measurement tool. Practice implications: This scale can be used to evaluate family-centered care in pediatric clinics (excluding neonatal care units). It can be used as a measurement tool in descriptive and intervention studies examining family centered care. (c) 2019 Elsevier Inc. All rights reserved.Öğe Family-Centered Care Scale in Neonatal Intensive Care Unit (FCCS-NICU): Development and psychometrics evaluation(Elsevier Science Inc, 2023) Akkas, Neslihan; Geckil, EminePurpose: The study was conducted to develop FCC Scale in Neonatal Intensive Care Units (FCCS-NICU) and to test its validity and reliability.Methods: This methodological study was conducted with 484 mothers whose neonates were hospitalized in the NICU of four different hospitals in Konya, Turkey. Data were collected with the mother and neonate information form and FCCS-NICU, and analyzed with Items Analysis, Cronbach's alpha, Exploratory Factor Analysis, and Confirmatory Factor Analysis tests.Results: A 48-item pool was created for the draft FCCS-NICU based on the family-centered care model. The Content Validity Index of the scale was found to be popular opinion 0.95. In the Exploratory Factor Analysis, a four-factor structure with 29 items emerged. These four factors explained 53.23% of the total variance. The subscales were named dignity and respect (7 items), information sharing (9 items), participation in care (5 items), and collaboration with the family (8 items). The parallel form correlation coefficient was 0.80, the test-retest correlation coefficient was 0.76 (p < .001). The Cronbach's Alpha was found 0.94 for a total scale. The Confirmatory factor analysis confirmed the four-factor structure.Conclusions: We provide a valid and reliable scale to evaluate FCC and associated factors in NICU. FCCS-NICU can be used as a tool in descriptive research to assess FCC and identify associated factors.Öğe A meta-synthesis of the experience of paediatric nurses in communication with children(Wiley, 2024) Sabetsarvestani, Raheleh; Geckil, EmineAimThis study aimed to conduct a meta-synthesis to explore the experiences of paediatric nurses in communication with children.MethodWe conducted a meta-synthesis review, following the outline proposed by Sandelowski, Barrosso & Voils. Our search encompassed six electronic databases, namely PubMed, Scopus, EBSCO (MEDLINE), Web of Science, SAGE, and Wiley. The Primary keywords used were nurse, child, communication, and qualitative. We included qualitative articles in English within the field of paediatric nursing between 1990 and 2023. Initially, 1980 records were identified which reduced to 1339 references after removing duplicates. Subsequently, we assessed 112 full-text articles for eligibility and 14 relevant studies were ultimately included in our review. Quality appraisal was conducted using the Critical Appraisal Skill Programme checklist with no study being excluded based on quality criteria. Data were synthesized using the qualitative thematic analysis method.ResultsThe data analysis yielded three themes and seven sub-themes. These themes include swinging between triadic and dyadic communication, applying a hybrid of communication methods, and influential factor in communication.ConclusionsThis study highlighted the significance of establishing a balanced approach between dyadic communication (nurse and child) and triadic communication (nurse-parent-child) in paediatric care. Paediatric nurses emphasized the simultaneous use of verbal and non-verbal methods to enhance effective communication. Additionally, identifying the influential factors in communication can aid in developing and improving nurses' competency in communication skills within paediatric departments.ImplicationsUnderstanding the communication process and the factors that influence it can be instrumental in equipping paediatric nurses with enhanced communication skills in their practice.ImpactEstablishing a balanced approach between dyadic communication (nurse and child) and triadic communication (nurse-parent-child) in paediatric care is crucial.Paediatric nurses emphasized the simultaneous use of verbal and non-verbal methods to enhance effective communication.Identifying the influential factors in communication can aid in developing and improving nurses' competency in communication skills within paediatric departments.Öğe Missed nursing care: A cross-sectional and multi-centric study from Turkey(Wiley, 2023) Ergezen, Fatma Dursun; Ciftci, Bahar; Yalin, Hayat; Geckil, Emine; Dogdu, Aysegul Korkmaz; Ilter, Suemeyra Mihrap; Terzi, BanuAimThe aim of this study is to explore the extent of missed nursing care in Turkey and identify its predictors. DesignThis was a descriptive, cross-sectional, multicentre study. MethodsA total of 477 nurses working in seven public hospitals participated in this study from March to July 2019. The survey included two components: a personal and professional characteristics data form and the MISSCARE survey. ResultsThe study revealed that emotional support, patient bathing and ambulation were the most frequently missed nursing care activities. An inadequate number of assistive personnel and staff, along with an unexpected increase in patient volume, were identified as the primary reasons for missed nursing care. Of the 21 missed nursing care activities, nine predictive models showed statistical significance (p < 0.05). Factors such as the type of unit, years of work experience, working hours, number of patients cared for in a shift and intention to leave the unit were found to be significant predictors of seven missed nursing care activities (p < 0.05). ConclusionThis study found that numerous variables influence each care activity, which suggests the need to devise more targeted and specific strategies to minimize missed nursing care. Thorough investigation into the impact of these strategies on each care activity is essential.Öğe Noise in a Neonatal Intensive Care Unit: Exploring Its State and Solutions(Lippincott Williams & Wilkins, 2022) Sabetsarvestani, Raheleh; Kose, Semra; Geckil, Emine; Tosun, Esra Erturk; Ozkilicaslan, Fatma Tokan; Karaarslan, Fatih; Altunhan, HuseyinBackground: Concerns regarding the environmental noise issue in neonatal units and an interest in developing strategies to reduce this noise have motivated researchers to conduct comprehensive qualitative research to elucidate the current situation and help improve it. Purpose: This study aims to explore the current state of noise and possible solutions in a neonatal intensive care unit (NICU) in Konya, Turkey. Methods: In 2021, a descriptive exploratory study was conducted with a qualitative content analysis approach. Eighteen nurses, three physicians, seven staff members, and four mothers were selected to participate in the study via purposeful sampling. The data were collected from two semi-structured interviews, six focus groups, six observations, and sound source level measurements using a sound decibel meter. Qualitative content analysis was used to analyze the data. Results: Three main themes and seven major categories emerged from the data analysis. The themes were overt and covert sources, pan-negative effects, and holistic modification. All recorded sound levels exceeded the recommended noise level of 45 dB. Fifty-seven percent of sound sources were in the range of 45-65 dB, and 43% were higher than 65 dB. Implications for Practice and Research: This study showed that NICU has a noisy environment with hidden sound sources that can negatively affect all people. This situation must be approached seriously by holistic modification involving environmental modification, behavioral modification, and resource management. It highlighted that each environment is unique and needs to be carefully evaluated to find a suitable and cost-effective solution.Öğe Prevalence and Risk Factors of Obesity and Overweight in Elementary School-Age (5 to 15 Years Old) Children in South-eastern Turkey(Kowsar Corp, 2017) Geckil, Emine; Aslan, Sinan; Ister, Emine Derya; Simsek, Didem Kucukkelpce; Sahin, TurkanBackground: Obesity in children and adolescents is a serious public-health concern, and obesity research has become an important field of study. Objectives: The aim of this study was to determine the prevalence and risk factors of overweight and obesity in elementary-school children from the first to eighth grade. Methods: This is a descriptive, cross-sectional study. The research sample included 3,028 children from seven elementary schools selected according to stratified random sampling. The data were obtained using a demographic form and a 25-question survey. Each child's height and weight were measured by the researchers. The data were analyzed by frequency and logistic regression in the statistical package for the social sciences and Excel programs. Results: The children were all between 5 and 15 years old. 51.2% of the children were male, 13.4% were overweight (between 85 and 95th percentile) according to the Body Mass Index, and 8.7% were obese (above 95th percentile). Risk factors for obesity included having moderate (OR: 2.57, 95%, CI: 1.10 - 6.00) or high socioeconomic status (OR: 2.97, CI: 1.26 - 6.98), mother's university education (OR: 2.34, CI: 1.16 - 4.74), overweight or obese mother (OR: 2.00, CI: 1.14 - 3.52), overweight or obese father (OR: 1.96, CI: 1.06 - 3.62), and consuming milk pudding more than 4 times per week (OR: 2.76, CI: 1.21 - 6.26). Consuming nuts more than 4 times per week was a preventive factor against being overweight (OR: 0.36, CI: 0.26 - 0.78) and obese (OR: 0.01, CI: 0.20 - 0.85). Risk factors for overweight included being male, traveling to school by car, mother with higher education levels, and overweight or obese parents. Conclusions: Childhood overweight and obesity are important problems that must be resolved. Pediatric nurses can play an important role in the identification of overweight and obese children in schools. They can organize obesity-prevention programs for groups at risk.
