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    Dedication in nursing: A concept analysis
    (Wolters Kluwer Medknow Publications, 2022) Sabetsarvestani, Raheleh; Geckil, Emine; Shirazi, Zahra Hadian
    Background: 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.
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    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, Emine
    Mothers 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.
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    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, Hatice
    Background: 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.
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    A meta-synthesis of the experience of paediatric nurses in communication with children
    (Wiley, 2024) Sabetsarvestani, Raheleh; Geckil, Emine
    AimThis 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.
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    Moral intelligence in nursing: An evolutionary concept analysis
    (Tehran Univ Medical Sciences, 2021) Shirazi, Zahra Hadian; Sabetsarvestani, Raheleh
    Background & Aim: Moral intelligence is a foundation and cornerstone of ethics in nursing. However, it is a vague concept which needs to develop. So, this study aimed to analyze the concept of moral intelligence in nursing to help its development and apply it in the context. Methods & Materials: Rodgers's evolutionary concept analysis method was used. Databases of Google Scholar, Science Direct, PubMed/Medline, Scopus, CINAHL, and IranMedex were searched from 2001 to 2020 with moral, ethics, intelligence, and nursing keywords. After considering the inclusion and exclusion criteria and removing irrelevant and duplicate articles, 46 texts were reviewed. The method of analysis was inductive content analysis. Results: The attributes of moral intelligence were identified as considering individual-social value, the integrity of feeling, thinking, and action, and semantic purposefulness. The antecedents included prepared person, purposeful selection and upbringing, and supportive context, and the consequences were personal and professional development of the nurse, facilitating holistic care, and organizational promotion. Based on the attributes of the concept, moral intelligence was defined as: The cognitive and value-oriented capability of a nurse in managing the problem and conflict resolution process through selfsacrifice and conscious involvement into intra-and-interpersonal relationships to achieve desirable moral and spiritual goals during comprehensive care of the client. Conclusion: In ethical challenges, moral intelligence may function as a cognitive ability by considering individual-social values. It uses a purposeful problem-solving process that is purposeful, seeks meaning, and guides nurses to improve the quality of health services.
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    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, Huseyin
    Background: 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.
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    Using Electronic Software for Nursing Documentation in Nursing Students
    (Istanbul Univ-Cerrahpasa, 2021) Ranjbar, Kamran; Sabetsarvestani, Raheleh; Oghlaee, Hossein; Sarvestani, Parisa Sabet; Dehghan, Azizallah; Shirazi, Zahra Hadian
    AIM: This study aimed to assess the effect of using electronic software for nursing documentation on students. METHOD: A quasi-experimental study was performed. The study population comprised 80 nursing students who were randomly divided into 2 groups. The software used for nursing documentation was designed according to the nursing process model. Students in the experimental group received theoretical and practical training. The control group attended a 1-day course on the nursing process model. A questionnaire was used to assess student satisfaction in nursing documentation. The data were analyzed using the Statistical Package for Social Sciences software 16 (Chicago, USA). The standard and comprehensiveness of documentation were analyzed using the summative content analysis with the MaxQDA 10 software (USA). TREND statement was followed for reporting. RESULTS: The analysis showed that the mean scores of satisfaction in both groups increased significantly (p<.05). Furthermore, the result of the summative content analysis showed that the comprehensiveness and the standard of nursing documentation increased significantly in the experimental group (p<.05). CONCLUSION: The findings confirmed the usefulness of electronic software in improving the standard and comprehensiveness of nursing documentation and the students' satisfaction.