Sağlık Bilimleri Fakültesi Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/11499/46000
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Article General, Conceptual, and Social Structure of Environmental Health Literacy Studies: Bibliometric Analysis(Wiley, 2025-12-12) Cinar, Ilgun Ozen; Bozkurt, Edanur Ozkaya; Özen Çınar, İlgün; Özkaya Bozkurt, EdanurAim: This study aimed to conduct a bibliometric analysis and scientific mapping of publications on environmental health literacy. Methods: The Web of Science and Scopus databases were searched using the following keywords: "environmental health literacy" or "environmental health litera*" or "environmental and health literacy." A total of 149 articles published from 1993 to July 2024 were identified and analyzed. The bibliometrix package of the R programming language was used to analyze the metrics and conduct scientific mapping. Results: The annual growth rate of environmental health literacy research was 5.95%. Environmental health literacy was associated with main themes such as environmental health, risk communication, public health, health education, and communication. In research trends, the tendency towards the terms "environmental health literacy" in 2022, "urban area," "reproductive health," and "pollutant" from 2024 onwards was more evident. Conclusion: Environmental health literacy is an important developing interdisciplinary topic.Article Effectiveness of Sleep Education Interventions on Sleep Problems in Adults Receiving Hemodialysis: Systematic Review and Meta-Analysis(Wiley, 2025-12-14) Ceylan, Hatice; Yangoz, Sefika TugbaIntroduction Hemodialysis population commonly faces sleep problems. Sleep educational interventions are implemented to address these problems, yet evidence on their effectiveness is limited. This study aimed to evaluate the impact of sleep educational interventions on sleep problems in hemodialysis.Methods Following Cochrane Guidelines and PRISMA 2020, 11 electronic databases were searched. Data synthesis was performed with Comprehensive Meta-analysis version 3.Results This study examined six studies and revealed that sleep education significantly improved sleep quality, subjective sleep quality, sleep latency, sleep duration, sleep disturbance, and medium effect on sleep efficiency, with low to high quality of evidence. Subgroup analysis found no difference in sleep quality improvement between group and individual education methods or between using and not using educational materials. Additionally, three or fewer sessions were more effective than six in enhancing sleep quality.Conclusion This meta-analysis revealed that sleep education interventions positively improve sleep-related problems.Article The Relationship Between Professional Competence and Medical Error Tendency Among Final-Year Nursing Students(SAGE Publications Ltd, 2026-01-09) Zeyrek, Arife Sanlialp; Arslan, Sumeyye; Fidan, OzlemBackground: High-quality healthcare relies on competent and prepared nursing professionals. Final-year nursing students play a key role in preventing medical errors, thus ensuring patient safety. Objective: This study aimed to examine the professional competencies of final-year nursing students, medical error tendency, and the relationship between these variables. Methods: A descriptive-correlational design was used. Data were collected using the Personal Information Form, Medical Error Tendency Scale in Nursing, and Competency Inventory of Nursing Students. Higher competency scores indicate higher professional competence, while higher scores on the Medical Error Tendency Scale indicate a lower medical error tendency. Results: Students showed high professional competence (M = 6.22, SD = 0.63) and low medical error tendency (M = 4.52, SD = 0.39). The highest score on the Medical Error Tendency Scale sub-dimensions was in Medication and Transfusion Practices (M = 4.68, SD = 0.34), and the lowest in Patient Monitoring and Equipment Safety (M = 4.29, SD = 0.53). Students scored highest in ethics and accountability (M = 6.43, SD = 0.61) and lowest in clinical biomedical science (M = 5.83, SD = 0.93). A significant positive correlation was found between professional competence and medical error tendency (r = .713, p < .01). Since high scores indicate a lower medical error tendency, it was concluded that as nursing students’ professional competence increases, their medical error tendency decreases. General clinical skills, critical thinking, and ethics significantly predicted medical error tendency. Conclusions: The study highlights the importance of professional competence in reducing medical error tendencies among nursing students. Enhancing competencies, particularly in clinical skills, critical thinking, and ethics, through competency-based and simulation-supported education can contribute to improved patient safety outcomes. © The Author(s) 2026. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).Article Citation - WoS: 1Citation - Scopus: 1The Relationship Between Religious Attachment and Spiritual Care Competencies in Nursing Students: A Cross-Sectional Study in Turkey(Springer, 2025-09-06) Isleyen, Eda Kilinc; Kartal, Asiye; Kilinç İşleyen, EdaIn this study, it was aimed to determine the effect of religious attachment in nursing students on their spiritual care competence levels. This cross-sectional study was conducted with Turkish nursing students in 2022 (n = 348). The sociodemographic information form, spiritual health scale-short form (SHS-SF), and spiritual care competence scale (SCCS-T) were used for data collection. A significant relationship was found between religious attachment and SCCS-T (r = 0.211; p = 0.000). The study results showed that the SCCS-T scores of the students who took courses/training on spiritual care were higher (p < 0.05). The predictors of the spiritual care competence of the nursing students were religious attachment (beta = 1.002) and spiritual care course/training (beta = 7.957). The study findings indicate that nursing students' spiritual care competence was related to their religious attachment. In general, nursing students with a higher level of religious attachment have a higher perception of spiritual care competence. The results emphasize the integration of psychosocial-related concepts into the nursing curriculum to increase nursing students' spiritual care competence.Letter Assessment of the Impact of the 2023 Earthquake on Children in Turkiye(Cambridge Univ Press, 2025) Ceylan; Serap, Sibel; Ceylan, Sibel SerapArticle Investigation of Signs of Emotional Abuse and Neglect of Children With Chronic Diseases: the Drawing Method(Taylor and Francis Ltd., 2025-05-21) Yildiz, Esra; Altundag, SebahatThis study was carried out to investigate the emotional abuse and neglect (EAN) signs of children with chronic diseases who were hospitalized due to medical symptoms. The research was conducted using the projective drawing method based on the descriptive research model. Participants were 62 children aged 7–12 years old with any diagnosed chronic disease who were hospitalized in the pediatric clinic for three months and their parents. Data were collected with a descriptive information form and the drawing technique that was applied to the children, who were asked to draw figures about themes like “mother,” “father,” and “illness.” The analysis of qualitative data suggested that 59.6% of the children might have symptoms of EAN and that the vast majority (93.5%) of the drawings reflected mother figures. It is recommended that pediatric nurses use the drawing method to communicate with children in the clinic. © 2025 Taylor & Francis Group, LLC.Article Citation - WoS: 1Understanding the Impact of the Pandemic on University Students: Changes in Sleep, Eating Patterns, and Psychological Well-Being(Sage Publications inc, 2025-02) Turk Dudukcu, Figen; Keser, Muteber Gizem; Unusan, NurhanBACKGROUND: Covid-19 is one of the world's major pandemics. It has affected millions of people in various ways. OBJECTIVE: This study investigates the influence of pandemic-induced shifts in eating and sleeping behaviors on the psychological well-being of university students. METHODS: The study adopted a cross-sectional research design. A total of 604 students participated in the study. The Personal Form, the Psychological Well-Being Index, and the Pittsburgh Sleep Quality Index were used to collect data. The research was conducted between October 2021 and December 2022. RESULTS: The participants reported a mean psychological well-being score of 40.76 +/- 9.38, alongside a Pittsburgh Sleep Quality Index score of 7.46 +/- 3.30. Analysis revealed a significant negative correlation between the mean psychological well-being scores and the Pittsburgh Sleep Quality Index scores (p < 0.01). Throughout the pandemic, the participants experienced a decline in physical activity, an increase in their body weight, and a change in their eating habits. While psychological well-being remained relatively high, sleep quality was notably poor. Notably, improvements in psychological well-being corresponded with enhancements in sleep quality, suggesting a reciprocal relationship between the two variables. CONCLUSIONS: The pandemic negatively impacted the physical activity and body weight of young adults. This study highlights the importance of promoting physical activity among university students during pandemics and similar crises to reduce adverse effects on body weight. It also highlights the importance of educating students about the importance of healthy sleep and how to maintain good sleep hygiene.Article Psychometric Properties of the Turkish Version of the Fluid Intake Appraisal Inventory in Adults Receiving Hemodialysis(Wiley, 2025-03-06) Yangoz, Sefika Tugba; Ceylan, Hatice; Lindberg, Magnus; Ozer, ZeynepIntroductionEffective self-management of fluid intake in hemodialysis relies on self-efficacy. Although regular assessments with valid tools are crucial, no suitable measurement exists for the Turkish population. This study evaluates the reliability, validity, and interpretability of the Turkish version of the Fluid Intake Appraisal Inventory.MethodsThis cross-sectional study collected data from December 2021 to November 2022. It analyzed reliability, validity, and interpretability.ResultsThe 202 adults receiving hemodialysis were evaluated. The scale showed high internal consistency with Cronbach alpha = 0.954 and good test-retest reliability with intraclass correlation coefficients = 0.975, 95% confidence interval: 0.786-0.992, and no measurement error. It demonstrated excellent content validity with scale level content validity index >= 0.90 and good construct validity with a negative moderate correlation to interdialytic weight gain. For structural validity, the model fit indices were chi 2/df = 5.7, root mean square error of approximation = 0.15, goodness of fit indexes = 0.58, Tucker-Lewis Index = 0.57, comparative fit index = 0.6, and standardized root mean square residual = 0.10.ConclusionThis inventory is a valid and reliable tool for assessing self-efficacy in fluid intake among the Turkish hemodialysis population.Article Validity and Reliability of the Breast Cancer Comfort Assessment Scale in Palliative Care(Izzet Kara, 2025-02-20) Olmez, Rahime Yontem; Cinar, Ilgun OzenBreast cancer is a disease that requires palliative care and comfort. The current study aimed to adapt the scale used to assess the comfort level of breast cancer patients receiving palliative care, for the Turkish population, and to contribute to the literature. A total of 340 breast cancer patients who were registered at a university hospital's oncology outpatient clinic, received therapy, and returned for follow-up were included in the study. Data were collected using the Introductory Information Form, Comfort Assessment Breast Cancer Instrument, and General Comfort Scale short form. The International Testing Commission Guide's (2018) suggestions were applied during the scale's modification procedure. The scale's Kaiser Meyer Olkin value was 0.78, and 4454.53 was the Barlett's test result. Fit indices for the confirmatory factor analysis were CFI=0.885, GFI=0.927, and χ²/df=2.612. The scale's Spearman-Brown correlation value is 0.78, and its Cronbach's alpha coefficient is 0.85. The Comfort Assessment Breast Cancer Instrument's Turkish version provides a reliable and valid tool for assessing the comfort of breast cancer patients. The use of it can help determine the comfort level of breast cancer patients receiving palliative care and inform the development of interventions and care practices throughout each stage of the disease.Article Citation - WoS: 1Citation - Scopus: 2Missed Nursing Care and Its Causes and Effects on Moral Distress in Neonatal Intensive Care Nurses(Wiley, 2025-02-28) Bakirlioglu, Burcu; Cetinkaya, Bengu; Teki, Rabia NurBackground: Deficiencies emerge in the care provided by nurses because of the complex treatment plans, shortage of labour resources and communication problems in neonatal intensive care units (NICUs). Knowing how to provide quality patient care but being unable to maintain it because of individual or institutional issues can lead to moral distress among nurses. Aim: This study aimed to examine missed nursing care in NICUs and its relationship with the moral distress experienced by nurses. Study Design: This was a cross-sectional study. This study included a sample of 153 NICU nurses. The data were collected online between January and May 2024 using a descriptive information form, the Missed Care Survey-Paediatric Form, and the Moral Distress Scale-Revised for Paediatric Nurses. Results: The mean age of the participants was 31.22 years, and on average, they cared for 3.42 +/- 0.96 patients per day. The medical condition of the child under care (t = 2.954, p < .001), duration of working in the NICU (F = 15.901, p < .001), inadequate number of nurses (F = 3.626, p = .029) and job satisfaction (F = 3.359, p = .037) were listed as variables affecting the reasons for missed nursing care. Communication (beta = .275, p = .018) and labour resources (beta = .216, p = .021), subdimensions of the Missed Care survey used in the study, were predictive factors that positively affected moral distress. Conclusions: The factors associated with missed care should be explored as strategies to reduce moral distress. Managers should focus on integrating effective communication techniques into nursing care and increasing the labour resources to reduce missed nursing care, thus improving the moral distress levels of NICU nurses. Relevance to Clinical Practice: Understanding the factors associated with missed care and developing related strategies can complement the efforts of NICU managers, educators and nurses in reducing moral distress.