E-ISSN 2757-9204

Journal of Education and Research in Nursing

JOURNAL OF EDUCATION AND RESEARCH IN NURSING - J Educ Res Nurs: 20 (3)
Volume: 20  Issue: 3 - September 2023
EDITORIAL
1.Editorial
Sevilay Şenol Çelik
Page XIII

RESEARCH ARTICLE
2.Social Support Perception, Spiritual Orientation and Hope Levels of Patients Who Will Have Breast Cancer Surgery
Simge Güner, Şenay Öztürk
doi: 10.14744/jern.2021.21121  Pages 190 - 197
Background: The patient’s own and environmental variables have an effect on the adaptation of women diagnosed with breast cancer to the treatment process and cancer. The physical and psychosocial problems experienced by these patients disrupt their adaptation mechanisms to life, leading to the development of a sense of hopelessness for the future and an increase in their social support needs.

Aim: This study was conducted as a descriptive-relationship searcher to determine the social support perception, spiritual orientation (SO), and hope levels of patients who will undergo breast cancer surgery.

Methods: The sample of the study consisted of 141 women who agreed to participate in the study and for whom surgical treatment was scheduled for breast cancer in two public hospitals in Istanbul. Data were collected using Personal Information Form, SO Scale (SOS), Hert Hope Scale, and Multidimensional Scale of Perceived Social Support. Data were analyzed by number, percentage, and correlation analysis.

Results: In the study, it was determined that 77.3% of the women were married, their mean age was 51.55 ± 11.22, 29.8% were university graduates, and 54.6% were housewives. The women’s Hert Hope Scale total score average was found to be 79.18 ± 10.43, the Multidimensional Perceived Social Support Scale total score mean was 71.87 ± 12.14, and the SOS total score mean was found to be 102.77 ± 19.00.

Conclusion: According to the results of this study, it was found that the SO and multidimensional perceived social support levels of the patients who would undergo surgical treatment were high and these factors had an effect on the level of hope. Further, it was determined that as the SO and multidimensional perceived social support level of the patients increased, their hope levels also increased. Nurses can make supportive practices for spiritual care and social support systems to increase the hope of these patients.

3.Application of the Theory of Planned Behavior for Weight Control in Women: A Randomized and Controlled Study Protocol
Seda Göger, Ayşe Çevirme
doi: 10.14744/jern.2021.21277  Pages 198 - 203
Background: The prevalence of obesity, which has become a remarkable public health concern in a global extent, is increasing with each passing day. Different methods are available to treat obesity, but the most effective and reliable treatment approach is the implementation of lifestyle and behavioral changes.

Aim: This study aims to examine the effect of education and counseling given to women according to the theory of planned behavior (TPB) on weight management.

Methods: This study was conducted as a single-blind randomized controlled study consisting of experimental and control groups. A total of 78 overweight and obese women were included in the study. The participants were assigned to either of the groups by the block randomization method. A training program consisting of a total of six sessions was applied to the experimental group and counseling was provided for 6 months. The primary outcomes of the study are Healthy Lifestyle Behaviors Scale II sub-dimensions and total score average. The secondary outcomes are body mass index and waist/hip ratio. The participants and the statistician analyzing the data were single blinded. The data will be analyzed with SPSS 22.0 package program.

Conclusion: This study will present an evidence-based approach to induce behavioral changes in women who are at a risk for obesity. In addition, based on the outcomes of the research, the effect of the TPB in motivating individuals to practice weight control will be evaluated.

4.Complementary Therapies and Supporting Care Practices: Descriptive Analysis of Nursing Theses Conducted in Türkiye between the Years of 2010-2020
Ali Kaplan, Özlem Kaplan, Şerife Çetin
doi: 10.14744/jern.2021.21200  Pages 204 - 209
Background: The quality and quantity of nursing studies on Complementary Therapy and Supportive Care (CTSC) practices are proof of the progress of that field as well as the steps taken towards scientificization.

Aim: In the study, it was aimed to examine the nursing theses written in Türkiye on CTSC practices from demographic, thematic and methodological perspectives.

Methods: The data were collected with the document analysis technique, one of the qualitative study methods. Between January 25 and April 8, 2021, two researchers checked the nursing departments on the website of the National Thesis Center of the Turkish Council of Higher Education and examined 6855 theses between the years 2010 and 2020. The titles and abstracts of the theses were scanned with keywords and 392 theses, which were determined to be made in the field of CTSC practices, were classified according to the prepared schedule.

Results: Most of the theses were written in the last five years, and it was determined that most (20.9%) were written in the year 2019. The theses of 60.2% are at the master’s level and 83.2% are experimental. The theses were mostly written in internal medicine nursing (26.0%) and were conducted on patients (60.2%). In the theses, surgical intervention (21.9%), cancer (15.1%) and invasive interventions (13.0%) were studied, and pain (32.5%) and anxiety (16.0%) were mostly considered in the evaluation of the effectiveness of the practices. The most used methods were music (21.7%), massage (17.6%), and aromatherapy (16.8%).

Conclusion: The number of theses applied to CTSC is increasing every year, and experimental methods are preferred. The scope of the study can be expanded by examining the articles on the subject in the national and international literature.

5.Determination of Perception and Attitude toward COVID-19 Vaccine Acceptance: A Cross-sectional Study from Türkiye
Nurten Terkeş, Sabriye Uçan Yamaç
doi: 10.14744/jern.2021.21312  Pages 210 - 217
Background: Coronavirus disease 2019 (COVID-19) has spread rapidly and turned into a worldwide pandemic and posed a serious threat to public health. The criterion of success of a pandemic is to vaccinate the population at a very high rate and on time.

Aim: This study was carried out to determine COVID-19 vaccine acceptance and the effect of the perception of COVID-19 on attitude toward vaccination in Türkiye.

Methods: Descriptive and cross-sectional designs were used in the study. The sample consisted of 1651 individuals. The sociodemographic form, The Scale of Attitudes toward the COVID-19 Vaccine, and Perception of COVID-19 Scale were used as the data collection form. The number and percentage distributions, means, standard deviation, Kruskal–Wallis, and Mann–Whitney U-tests were used to analyze the data.

Results: In the study, 62% of participants wanted to be vaccinated for COVID-19. It has been found that there was a significant relationship between COVID-19 vaccine acceptance and by age, gender, education level, profession, and place of residence. There was a positive correlation between the mean scores of the participants of the Perception of COVID-19 and Attitudes toward the COVID-19 Vaccination. In line with this result, increased disease perception about COVID-19 in the individuals increased their positive attitudes toward COVID-19 vaccination.

Conclusion: More than half of our participants considered being vaccinated for COVID-19, but the rate of those who were neutral was substantially high. It is suggested that the training programs for vulnerable groups can be planned by determining which segment of the society perceives the disease better and the rate of vaccine refusal.

6.Evaluation of the Satisfaction of Nursing Students Receiving Distance Education in the COVID-19 Pandemic
Asuman Çobanoğlu, Belkız Kızıltan
doi: 10.14744/jern.2021.21251  Pages 218 - 225
Background: Nursing education, which has a theoretical, laboratory, and applied education models among education-teaching methods, has been carried out mainly through distance education during the COVID-19 pandemic.

Aim: The study aimed to evaluate the distance education given to nursing students in terms of student satisfaction during the COVID-19 pandemic.

Methods: The study was conducted in descriptive design. The research was carried out at a university located in the north of Türkiye. A total of 323 students studying in the nursing department constituted the research sample. Research data were collected with Personal Information Form and Satisfaction Scale for E-Courses (SSEC). Mann–Whitney U-test and Kruskal–Wallis test were used in the analysis of research data.

Results: The mean age of the students in the study was 20.84 ± 2.15 years and 80.2% of them were female. The mean of the total SSEC score was 115.33 ± 23.69. It was determined that students’ e-course satisfaction was moderate (66%), teacher-student interaction sub-dimension (70%), and environment design sub-dimension (73%) were high. It was determined that the e-course satisfaction level of the students who did not have any problems in attending e-courses, who were 4th-grade students, and who did not have any difficulties in learning applied courses was better (P < 0.05). It was found that 44.7% of the students had difficulty following the courses, and 73.6% did not want nursing education to be done entirely by distance education.

Conclusion: While the students are more positive than the theoretical courses of nursing education given by distance education, they do not respond positively to the fact that courses developing practical and nursing skills are provided by distance learning. It is recommended that nursing educators should structure their education curricula in accordance with the process, develop constructivist learning models, and in the coming period, experience students’ e-learning experiences, and their use in clinical work environments and design research studies for this.

7.Palliative Care Practices and Self-Efficacy of Students Taking Online Palliative Care Course: Quasi-Experimental Study
Kadriye Sayın Kasar
doi: 10.14744/jern.2021.21219  Pages 226 - 231
Background: It is important for nursing students to have sufficient knowledge, skills, practice ability, and self-efficacy to provide palliative care.

Aim: This study was conducted to examine the palliative care practices and self-efficacy status of students taking online palliative care course.

Methods: This study is a single-group, pre-test-post-test, and quasi-experimental study. The sample of the study consisted of 46 nursing students who continued their education at a university in the spring semester of the 2020–2021 academic year and volunteered to par-ticipate in the study. Data were collected using the “Student Introduction Form,” "Palliative Care Self-Reported Practices Scale (PCPS)", and General Self-Efficacy Scale.” To conduct the research, ethical permission, application permission from the relevant institution where the study was carried out, usage permission from the scale owners, and consent from the students were obtained. The number and percentage distributions, means, standard deviation, Wilcoxon signed-ranks test, and paired sample t-test were used to analyze the data.

Results: Of the students, 71.7% are 4th-year students and 58.7% are women. In addition, 78.3% of the participants stated that they chose the nursing profession voluntarily and 80.7% of them stated that they had heard the term “palliative care” before. While the total mean score of the General Self-Efficacy Scale of the students was 63.41 ± 11.85 before the education, it was determined as 68.60 ± 10.09 after the education. While the pre-test total score average of the PCPS was 69.43 ± 3.44, the post-test mean score was 81.19 ± 6.79. While there was no relationship (r = .223, P > 0.05) between the PCPS and the General Self-Efficacy Scale before the palliative care education, a strong positive correlation (r = .402, P < 0.05) was found after the palliative care education.

Conclusion: As a result of the study, it was found that the online palliative care course contributed to the development of students’ self-efficacy. It is recommended that the palliative care course be added to the nursing education curriculum as an elective or compulsory course.

8.Examination of Nursing Students’ Communication with Life Examples: A Mixed Method Study
Neşe Mercan
doi: 10.14744/jern.2021.21291  Pages 232 - 240
Background: Individuals need to recognize and develop their communication skill levels for communication to be effective. Especially nurses are expected to have sufficient communication skills. Quality patient care is realized with sufficient communication skills.

Aim: This study aimed to examine nursing students’ communication with life examples. Nursing curriculum should be arranged in a way to develop these skills and this skill should be gained to nursing students.

Methods: This study was designed with a convergent parallel mixed method. The sample of the study consisted of 77 nursing students. The quantitative data were collected with the communication skills inventory to determine the level of communication skills of nursing students. Qualitative data were obtained by examining the communication designs, in which students re-animated their experiences with communication problems using effective communication methods and put them in writing. The data were evaluated by content analysis, numbers, and percentages.

Results: As a result of the study, it was determined that the overall communication skill level of the students was high (163 ± 13.0). As a result of the qualitative analysis, two themes, namely, ineffective communication methods and effective communication methods were created. When the experiences of students with communication problems were examined, the ineffective communication methods theme was obtained consisting of five categories. The categories were labeled as not empathizing, not listening effectively, observed negative behaviors, destructive communication, and interrupting the other party in the communication. When the documents of the students who rewrote their experiences using effective communication methods were examined, the effective communication methods theme was obtained from five categories. The categories were labeled as the empathic effect, observed positive behaviors, stimulating the other party in communication, listening and reflecting listening, and catalytic effect.

Conclusion: The study, which evaluates communication skills in nursing students, is argued to contribute to the literature by categorizing communication methods with a different approach and perspective. It is recommended that studies aimed at communication skills education programs continue, and programs whose effectiveness has been proven in research conclusions be included in the nursing curriculum.

9.Attachment Status and Social Support Perceptions of Parents with an Infant in the Neonatal Intensive Care Unit
Canan Uçakcı Asalıoğlu, Şengül Yaman Sözbir
doi: 10.14744/jern.2021.21115  Pages 241 - 247
Background: There has been a limited number of studies investigating the social support perceptions of parents of infants treated in neonatal intensive care units and parent–infant attachment in Türkiye.

Aim: This study aimed to investigate the relationship between social support perceptions and the attachment status of parents who have babies in neonatal intensive care unit.

Methods: This study was conducted descriptively with 154 mothers and 154 fathers of infants treated in the neonatal intensive care unit. To collect the data, the questionnaire form, Multidimensional Perceived Social Support Scale (MPSSS), and Maternal Attachment Inventory (MAI) were used. The means, standard deviation, Student’s t-test, a Mann–Whitney U test, ANOVA, and LSD were used to analyze the data.

Results: The mean score of the mothers on the Maternal Attachment Scale was 98.8 ± 5.2. The mean score of mothers on the MPSSS was 64.1 ± 17.7, and the mean score of fathers was 63.6 ± 15.3. While the study found no correlation between the mothers’ overall MPSSS scores and overall MAI scores, a weak significant positive correlation between their scores in the friends subscale and MAI scores was found. There was a significant difference between the MPSSS significant other subscale score and the feeling of fathers toward their infants; those having higher scores in the subscale of significant other had attachment feelings at a lower level.

Conclusion: It was determined that mothers and fathers have a high level of attachment and social support perception. Parents’ social interactions should not be restricted and nurses should increase parents’ communication with their babies so that their attachment is not adversely affected.

10.Comparison of Urinary Incontinence, Quality of Life, Fatigue, and Depression Levels of Women with Neurological Diseases
Yasemin Erkal Aksoy, Haluk Gümüş, Sema Dereli Yılmaz
doi: 10.14744/jern.2021.22321  Pages 248 - 254
Background: Neurological diseases are an important public health problem. Individuals are exposed to problems such as urinary incontinence (UI), fatigue, due to neurological diseases such as multiple sclerosis (MS) or cerebrovascular disease (CVD). Health professionals should plan care with a holistic approach in the care of individuals with neurological diseases. Possible complications should be considered.

Aim: The aim of this study is to compare the UI, quality of life, fatigue, and depression levels of women with neurological disease.

Methods: This was a cross-sectional and correlational study. The sample of the study consisted of 126 women who applied to the neurology clinic between August 1, 2019, and December 1, 2020. Personal information form, Bristol female lower urinary tract symptoms questionnaire (BFLUTS), incontinence quality of life scale, beck depression inventory, and fatigue severity scale were used as data collection tools. Chi-square, independent groups t-test, and logistic regression analysis were used to analyze the data.

Results: Women who had previously been diagnosed with MS (42.9%) and CVD (57.1%) participated in the study. There was a statistically significant difference between MS or CVD groups in terms of the BFLUTS total (P = 0.008), filling symptom (P = 0.001), incontinence symptom (P < 0.001), and quality of life (P = 0.021) subdimensions scores.

Conclusion: As a result, it was determined that lower urinary symptoms of patients with CVD were more affected than patients with MS. In addition, it was shown that voiding symptoms, sexual function, quality of life, depression, and fatigue levels of patients with MS and CVD had similar.

11.Determining the Relationship between the Level of Self-efficacy and Quality of Life on Coping with Depression
Aynur Bahar
doi: 10.14744/jern.2021.22363  Pages 255 - 260
Background: Individuals’ high self-efficacy has a positive effect on coping diagnosed with depression. This positive effect also contributes to the improvement of the quality of life.

Aim: The aim of this study was to reveal the relationship between self-efficacy in coping with depression and quality of life.

Methods: The study used a descriptive design. The sample of the study consisted of 78 patients followed up with a diagnosis of depression in the psychiatry department of a hospital. Data were collected through face-to-face interviews. Questionnaire form, depression coping self-efficacy scale (DCSES), and SF-12 quality of life scale were used. Data were evaluated with descriptive statistics, comparison statistics, and correlation analysis.

Results: It was determined that the patients diagnosed with depression had moderate self-efficacy perceptions. When the scores of the patients from the scales were examined, the mean score for the physical health summary score component of the SF-12 quality of life scale was 43.36 ± 6.5 and the mean score for the mental health summary score component was 44.92 ± 8.2. In the correlation analysis, a very high, positive, and significant relationship was found between DCSES and SF-12.

Conclusion: This study revealed the necessity of self-efficacy in improving the quality of life of patients diagnosed with depression. Improving self-efficacy and quality of life as a part of nursing interventions can contribute to the resolution of mental problems.

12.Nursing Students’ Views on Psychiatric Nursing Course and Their Perceptions of Psychiatric Nursing: A Comparison of Traditional and Distance Learning Methods
Merve Aydın, Hacer Erdöl, Mehmet Görgöz
doi: 10.14744/jern.2021.22333  Pages 261 - 267
Background: Due to the coronavirus disease 2019 (COVID-19) pandemic, universities in many countries worldwide have suddenly switched to the distance learning (DL) system. Before the COVID-19 pandemic, the psychiatric nursing course was delivered in traditional learning (TL) in Türkiye; however, in 2020, emergency DL started for the psychiatric nursing course.

Aims: The aim of the study was to compare the evaluations of the efficacy of the psychiatric nursing course delivered through TL and DL by the students and their perceptions of psychiatric nursing.

Methods: This comparative descript,ve study was conducted at a university in Türkiye. The sample included 148 students: 84 in the TL group and 64 in the DL group. The data were collected using an online questionnaire form, the psychiatric nursing perception scale (PNPS), and the evaluation form of psychiatric nursing education (EFPNE). The data were analyzed with SPSS 23 package programs. Independent samples t-test, Pearson correlation test, and chi-square analysis were used in the statistical analysis, and the results were presented as numbers, means, standard deviation, and percentages. The distribution of the data was evaluated with the Kolmogorov–Smirnov test.

Results: The mean age of the TL groups was 22.09 ± 1.42, and 70.2% were female. About 67.8% of the TL students were satisfied with the psychiatric nursing course they took. The mean age of the DL groups was 23.17 ± 1.31, and 59.3% were female. In addition, 42.1% of the DL students were satisfied with the psychiatric nursing course they took. The TL students’ total EFPNE scale score was 61.48 ± 7.65 and the PNPS score was 71.02 ± 13.18. The DL students’ total EFPNE scale score was 51.17 ± 7.79 and the PNPS score was 61.29 ± 9.23. There was a statistically significant difference between the “evaluations of the efficacy of the psychiatry course” and “perceptions of psychiatric nursing” of the traditional and DL groups (P < 0.05). A positive and significant correlation was found between the PNPS total score and the EFPNE scores in the traditional groups (P < 0.05).

Conclusion: Students in the traditional groups had positive opinions about the course and a high perception of psychiatric nursing. In this sense, it is recommended that the psychiatric nursing course, which is an applied course, should be given with the traditional education method after the COVID-19 pandemic.

13.The Effect of Social Skills Education on Social Skills and Interpersonal Relationship Levels in Student Nurses
Arzu Yüksel, Saadet Erzincanlı
doi: 10.14744/jern.2022.22370  Pages 268 - 276
Background: Social skills educations are effective in improving social skills in individuals and reducing social anxiety levels and yielding positive changes in interpersonal relations, psychological wellbeing, and happiness levels and in reducing verbal aggression.

Aim: The study was conducted to determine the level of social skills of student nurses and to evaluate social skills education’s effect on the social skills and interpersonal relationships of nursing students.

Methods: The quasi-experimental study was conducted with a non-randomized control group (CG) using a pre-test, post-test, and follow-up design. The research was conducted with 78 undergraduate nursing 1st year students at a nursing school in Türkiye. Eight weeks of social skills training program were applied to the experimental group (EG). The number, percentage, arithmetic mean and standard deviation, Chi-square, Kolmogorov–Smirnov test, Mann–Whitney U test, Friedman Test, and Wilcoxon Signed Ranks test were used for data analysis.

Results: The mean age of the students in the EG was 19.23 ± 2.09 and the mean age of the CG was 18.94 ± 1.02. It was determined that there was no difference between the groups in terms of their sociodemographic variables. While there was a significant increase in the social skills scores of the students who participated in the social skills training group because of the follow-up after the training and in the 4th month, no change was found in the CG. In the EG, the interpersonal relations scale showed a significant decrease in the toxic relationship style dimension in the 4th month follow-up but no change was detected in the CG.

Conclusion: As a result of the study, it was determined that the social skills training program had a positive effect on the social skill levels of the students and that the training program influenced the toxic relationship style in the 4th month follow-up test. In future studies, the social skills training program may be included peer learning or peer mentoring-based experiences.

REVIEW
14.The Effect of Roy Adaptation Model on the Adaptation Status of Patients after Surgical Intervention
Kıymet Öztepe Yeşilyurt
doi: 10.14744/jern.2021.21246  Pages 277 - 283
In studies conducted by nurses around the world and in Türkiye, the importance of interventions structured according to models and theories is emphasized in studies in the field of nursing since the use of models and theories in the management of the post-surgical period is limited. It is predicted that nurses can provide holistic care to patients after surgical interventions, with the use of models and theories in nursing care and practices. When the literature on surgical nursing is examined, it has been concluded that the Roy Adaptation Model (RAM) is the most used nursing model in the care and practices of surgical nursing. In this review, it is aimed to examine the effect of the RAM on the new adjustment of patients who underwent different surgical interventions after surgery. Within the scope of examining the compliance status while it was concluded that the nursing diagnoses made in line with the RAM were similar to the surgical patients who had undergone different surgical interventions, it was seen that more positive results were obtained in adapting the individuals to their new situations in the post-surgical period as a result of the care and practices that the nurses would develop for the sick individuals using the RAM. To increase the use of the RAM by clinical nurses in the surgical field, it is important to include it in basic nursing education and to emphasize its effectiveness in practice to increase the use of the model.

15.A Current Approach to Early Diagnosis and Treatment of Breast, Colorectal and Cervical Cancers in Women: “Nurse Navigation Program” and “Nurse Navigator”
Pınar Uzunkaya Öztoprak, Gülten Koç
doi: 10.14744/jern.2021.21186  Pages 284 - 287
Advances in the implementation and treatment of cancer screening programs reduce morbidity and mortality rates. However, reasons such as not being able to access medical information, deficiencies in the reminder system, and lack of interest in cancer screening negatively affect the behavior of individuals to have cancer screening. In recent years, the “Nurse Navigation Program” has come to the fore as an innovative approach to increase women’s participation in cancer screening and to ensure that they receive the necessary treatment and care on time. Within the scope of this program, “the Nurse Navigator”, who is in constant communication with women, provides health consultancy on early diagnosis and treatment of cancers, which is important in protecting and maintaining health, identifying cancer risk factors and individual, organizational and social barriers to screening, and offering necessary solutions, makes them more sensitive in protecting their health. In line with the current literature, this review aims to examine the effect of “Nurse Navigator” on women’s participation in cancer screening, early diagnosis, and treatment of cancers within the scope of the “Nurse Navigation Program.”

16.Factors Affecting the Health of Women with Disabilities and the Role of the Nurse in the Covid-19 Pandemic
Sevgi Özkan, Dicle Filiz Yıldırım Gökşen, Pınar Serçekuş
doi: 10.14744/jern.2021.21158  Pages 288 - 291
Approximately 15% of the world’s population is made up of people with disabilities. Disabled people are disadvantaged in many ways. With COVID-19, many changes have occurred in daily life, such as mandatory quarantine practices and the use of masks. The burdens on health services have increased, and vital services have been interrupted. However, the decrease in the number of personnel in the enterprises, the increase in the burden of economic, home, and child care, and the increase in violence have affected individuals socially. However, during the pandemic, disabled women were more affected by these conditions than men. For this reason, nurses who provide primary care have a role in protecting women’s health. The aim of this study is to examine the factors affecting the health of disabled women and the role of the nurse in the COVID-19 pandemic.

17.Ethical Leadership in Nursing Management
Güzin Ayan, Ülkü Baykal
doi: 10.14744/jern.2021.21221  Pages 292 - 296
In a world where economic, social, political, technical, and behavioral conditions are constantly changing and developing, the importance of ethics in management theories and practices has come to the fore, as behaviors and practices contrary to social values and norms in the field of management have increased. The increase in ethical behavior practices in organizations contributes to the easier execution of management processes that can be realized under the leadership of ethical leaders. As in every organization, ethical leaders are also needed in health institutions. In recent years, scientific literature has investigated the issue of ethical leadership in nursing services management, with studies focusing on patient, employee, and institutional outcomes. Aiming to raise nurse managers’ awareness of ethical leadership and its effects, this review contributes to the national literature by offering suggestions that may contribute to the formation of ethical leaders in nursing services.



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