Background: Peer-assisted learning is a student-centered social learning approach that arises from the communication and interactions among peers.

Aim: The study aims to determine the reflections of first- and fourth-year nursing students regarding peer-assisted learning applied in a clinical setting.

Methods: This study was based on an explanatory sequential design of mixed methods research. It was carried out with 147 first- and fourth-year nursing students in the same clinical environment. The two student groups worked together for a total of six weeks. During this process, fourth-year students provided peer support to first-year students. A questionnaire form was used to collect quantitative data, and qualitative data were collected through document analysis. Frequency and percentage were used in the analysis of quantitative data, while content analysis was used in the analysis of qualitative data.

Results: Most first-year students (62.7%) stated that they were happy to be in the same clinic with fourth-year students, and 60% of them said they adjusted better when working with fourth graders. Based on the qualitative data of the research, the views of the first-year students were grouped under three themes: definitions for fourth-year students, peer support from fourth-year students, and expectations from peers; while the views of the fourth-year students were grouped under four themes: definitions for first-year students, contribution of peer education to fourth-year students, support for first-year students, and advice for first-year students.

Conclusion: The vast majority of both groups were of the opinion that peer-assisted learning implementation was beneficial. It was observed that the implementation raised awareness among the participants and positively affected the learning process and facilitated the educational experience.

Background: Intention to leave is the strongest predictor of actual turnover, and understanding the factors that influence this decision is crucial to retaining qualified nurses.

Aim: The objective of the study was to explore the factors contributing to nurses’ intention to leave.

Methods: The study employed a qualitative research design using semi-structured interviews with ten guided questions. It was conducted at a Malaysian teaching hospital in medical, surgical, and critical care units. Fifteen nurses, who had worked as nurses for more than six months, were recruited. The interview transcripts and field notes were analyzed using thematic analysis. NVivo version 10 software was used for coding, organizing, creating audit trails, and retrieving data.

Results: The study revealed that among the nurses, all were female, aged between 23 and 43 years old. Nearly half of the nurses were single. More than half had less than six years of work experience and were from the surgical ward. Four main themes with ten subthemes were identified: work-life and family balance, work environment, nurses’ image in the community, and job opportunities. These themes were considered important factors leading to the nurses’ intention to leave.

Conclusion: The propensity of nurses to leave can be minimized by enhancing the quality of the work environment and workplace. Nurses who feel that their organizations support their achievements and well-being by encouraging them to perform their tasks effectively and manage stressful situations will be more committed to their organizations and exhibit a greater sense of loyalty compared to those who do not feel this support.

Background: Palliative care aims to identify, evaluate, and treat pain and other physical, psychological, and mental problems as early as possible. A good level of oral health positively affects the quality of life. For this reason, regular oral evaluation and care should be performed to protect oral health in palliative patients.

Aim: The study aims to examine the oral health experiences of health professionals in palliative care units.

Methods: This study was carried out using the Phenomenology design, one of the qualitative research methods. The study sample consisted of active members of the Palliative Health Services Association. Content analysis was applied by dividing the interview reports into codes and themes. The Consolidated Criteria for Reporting Qualitative Research checklist was used.

Results: It was determined that 44% of the participants were physicians, 56% were nurses, and 62% had 1-5 years of experience working in the palliative unit. In this study, factors affecting oral health in palliative care patients include lack of hygiene, oral mucosa disorders, and fungal infections. Disease diagnosis, patient non-compliance, and workload are among the factors that complicate oral care in inpatients.

Conclusion: This study may raise awareness about oral health among healthcare professionals. It was revealed that more comprehensive studies should be conducted on oral health and protection in palliative care.

Background: Psychological resilience and cognitive awareness are important in coping with stress.

Aim: This study examined the mediating role of coping with stress in the relationship between psychological resilience and cognitive awareness in undergraduate students.

Methods: This study employed a descriptive and correlational research design. The research involved 982 students from a university in Türkiye. Data were collected using a Descriptive Information Form, Brief Resilience Scale, Mindful Attention Awareness Scale, and Coping Style Scale between September and October 2021. The data were analyzed using descriptive statistics and by constructing a structural equation model using Analysis of Moment Structures (AMOS) Version 23 software.

Results: The study found that students’ cognitive awareness and problem-oriented coping are positively correlated. Conversely, there was a negative correlation with styles of coping that involve emotional stress. It has been found that psychological resilience positively influences problem-oriented coping, which is a method of coping with stress, and has a direct negative effect on coping with emotions. Additionally, it was concluded that the hypothesis regarding the mediating role of coping with stress in the relationship between resilience and cognitive awareness is supported.

Conclusion: Universities should provide students with empowerment training programs or courses to help them build psychological resilience and cognitive awareness. Furthermore, mental health experts should offer students personal development seminars to emphasize the importance of psychological resilience and cognitive awareness.

Background: To formulate effective treatment and care management strategies for Behçet disease, it is essential to evaluate both the factors influencing disease activity and the conditions stemming from it.

Aim: This study investigates the relationship between perceived stress level, disease activity, and sleep quality in patients with Behçet’s disease.

Methods: This study adopted a descriptive-correlation research design. The sample consisted of 144 patients living in a city in Türkiye. Data were collected using a Patient Information Form, Behçet’s Syndrome Activity Score (BSAS), Perceived Stress Scale (PSS), and Pittsburgh Sleep Quality Index (PSQI). The student’s t-test, one-way analysis of variance, Pearson’s correlation coefficients, and multiple linear regression were used for data analysis.

Results: Of the participants, 54.2% were aged 20 to 40 years, 85.4% were married, and 39.6% had primary school degrees. Additionally, 26.4% had an attack once every 15 days. Most participants had chronic diseases (72.9%). There was a positive correlation between perceived stress and disease activity (r = 0.382, P < 0.001), a strong correlation between perceived stress and sleep quality (r = 0.611, P < 0.001), and a positive correlation between disease activity and sleep quality (r = 0.564, P < 0.001). There was a significant relationship between perceived stress (Adjusted R² = 0.272, F = 2.298, P < 0.001), disease activity (Adjusted R² = 0.413, F = 2.804, P < 0.001), and sleep quality (Adjusted R² = 0.462, F = 5.285, P < 0.001).

Conclusion: Patients with Behçet’s disease who perceive high levels of stress are more likely to experience elevated disease activity levels and poor sleep quality. These patients should be evaluated for stress factors, disease activity, and sleep quality, and the necessary nursing interventions should be planned based on the results of this evaluation.

Background: Fathers may experience many emotions simultaneously during and before childbirth. Sometimes, fathers can feel conflicting emotions concurrently. Father’s needs are often overlooked in the birth process. There are few studies on fathers’ feelings about birth.

Aim: The aim of this study was to describe fathers’ emotions, thoughts about childbirth, and how they cope with childbirth stress.

Methods: The study was a phenomenological and qualitative study. Seventeen fathers whose wives had given birth participated in the study. Semi-structured interviews were used to collect data, which was then analyzed using content analysis methodology.

Results: Seventeen fathers participated in the study. The fathers were between 22 and 33 years of age. The data were gathered under three main themes: thoughts on childbirth, feelings about childbirth, and coping strategies. There were a total of eight subcategories under each theme. It was established that the fathers found vaginal birth more natural and healthier, and they wanted to be with their wives during the birth. It was found that the fathers intensely experienced a range of positive and negative emotions simultaneously, principally fear, and also stress, excitement, happiness, impatience, worry, curiosity, tension, and sadness.

Conclusion: In coping with stress during childbirth, the fathers felt the need for support from relatives and health personnel, positive thinking, and religious activities.

Background: Obstacles faced by patients with type 2 diabetes mellitus are significant for their acceptance of the disease and their quality of life.

Aim: This study examined the effects of diabetes obstacles on disease acceptance and quality of life among patients with type 2 diabetes mellitus.

Methods: Data for this descriptive study were collected from 150 patients diagnosed with type 2 diabetes mellitus who attended the Endocrinology and Metabolic Diseases outpatient clinics of a research and training hospital affiliated with a university in Türkiye and met the study criteria. The study was conducted from March 1 to June 15, 2022. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 25.0, employing independent-sample t-tests, and one-way and two-way analyses of variance.

Results: The study found that 55.3% of participants were women, 66.7% were married, 28% had completed primary education, 55.3% were unemployed, and 50% had lived with type 2 diabetes mellitus for ten years or more. The total mean score on the Acceptance of Illness Scale was 23.93 ± 5.34, and the total mean score on the Diabetes Quality of Life Questionnaire was 2.59 ± 0.41. The mean score for the life change subscale on the Diabetes Obstacle Scale was 3.31 ± 9.54, indicating it was the most significant obstacle encountered by the patients.

Conclusion: The study found that the level of disease acceptance among patients with type 2 diabetes mellitus is moderate, while their quality of life is low. Life change was identified as the most frequent obstacle affecting these patients.

Background: For hundreds of years, nursing has been perceived as an occupation primarily for women. However, although the number of male nurses is increasing, it has not yet reached a desirable level. It is important for both men and women to be included in the profession to help eliminate gender stereotypes in nursing.

Aim: This study was conducted to determine how nurse managers perceive the presence of male nurses, as well as the advantages and disadvantages of working with male nurses and their contributions to the profession.

Methods: The qualitative study was conducted using a transcendental phenomenological approach. Data were collected from 22 nurse managers who agreed to participate in the study. The study involved administering 10 open-ended, semi-structured, in-depth interview questions between May and December 2018. The interviews were analyzed through content analysis.

Results: All of the nurse managers were female, with the majority being married (77.27%) and holding a bachelor’s degree (59.09%). The study findings categorized nurse managers’ perceptions of male nurses into five themes (perception, advantage, disadvantage, professional contribution, and future roles) and fifteen sub-themes.

Conclusion: The study found that nurse managers recognized that male nurses provided advantages in the workplace, citing fewer responsibilities in their personal lives due to not being female and greater physical strength. Additionally, male nurses contributed to enhancing the professional image by reducing conflicts and violence in the workplace. It is important to support the presence of male nurses in the profession and, as in any other field, to eliminate gender discrimination in nursing by addressing social prejudices.

Background: Although the incidence of gastrointestinal complications after cardiovascular surgery is rare, patients have been reported to experience constipation in the week following discharge.

Aim: This study aimed to investigate the effect of abdominal massage on constipation after cardiac surgery.

Methods: A prospective, randomized controlled experimental study was conducted in the cardiovascular surgery clinic of Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital between September 2022 and July 2023. A total of 130 patients were randomly assigned to the experimental or control group using a simple randomization method. Abdominal massage was performed on the experimental group, while the control group received routine care. Data were collected from the first day after surgery using a 21-item questionnaire. The first flatulence and defecation times of the patients were assessed and recorded.

Results: The mean age of the experimental group was 55.2 ± 13.3 years, while the mean age of the control group was 60.4 ± 10.6 years (P = 0.015). There was no statistically significant difference between the groups in terms of sociodemographic characteristics. Bowel sounds began earlier in the experimental group (70.8% on the first postoperative day) compared to the control group (46.2% on the first postoperative day) (X2 = 16.629; P = 0.005). The first flatulence time in the control group (x̄ = 46.415 hours) was higher than in the experimental group (x̄ = 31.262 hours). Postoperative defecation time was longer in the control group (x̄ = 99.51 hours) compared to the experimental group (x̄ = 61.611 hours).

Conclusion: Abdominal massage has been shown to positively impact the prevention of constipation in patients after cardiac surgery. It is a non-invasive, easy-to-apply, and reliable method recommended for use in postoperative care.

Background: Child marriage is influenced by various factors, such as sociocultural norms and gender inequality. While this phenomenon affects both genders, it is particularly problematic for girls in traditional societies.

Aim: This study investigated the factors influencing nursing students’ attitudes toward child brides.

Methods: This descriptive and correlational study was conducted between March and April 2023. The sample consisted of 257 nursing students from a public university in Ankara, Türkiye. Data were collected online using Google Forms. The instruments used included a personal information form, the Attitudes Toward Girl Child Marriages Scale (ATGCMS), and the Gender Role Attitudes Scale (GRAS). Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis test, and Spearman’s correlation coefficients.

Results: The nursing students had a mean age of 20.77 ± 1.42 years. Most participants were women (87.5%). More than half of the nursing students resided in cities or large cities (53.7%). The median ATGCMS score was 14.00 (range: 12-52), and the median GRAS score was 57.00 (range: 31-75). A moderate negative correlation was found between GRAS and ATGCMS scores (P = -0.410, P < 0.001). Additionally, there was a weak correlation between GRAS scores and the number of siblings (P = -0.198, P = 0.001).

Conclusion: Nursing students demonstrated a low mean ATGCMS score, indicating that they disapprove of child marriages. Most nursing students displayed egalitarian attitudes toward gender. Furthermore, nursing students with more egalitarian gender attitudes were less likely to approve of child marriages. Gender equality was identified as the most important predictor of attitudes toward child marriage.

Background: Academic honesty is a particularly important characteristic for individuals preparing to become professional healthcare providers. It has been established that students who engage in unethical behaviors during their academic careers may continue these behaviors in their professional lives. Therefore, it is important to determine nursing students’ perceptions of academic dishonesty, develop effective ethical policies, and implement preventive measures against this issue.

Aim: The aim of this study is to investigate whether the Nursing Student Perceptions of Dishonesty Scale is a valid and reliable tool for the Turkish language and culture.

Methods: This methodological study was conducted with a total of 368 second-, third-, and fourth-year students at the Faculty of Health Sciences. Data were collected using the “Student Introductory Questionnaire,” the “Nursing Student Perceptions of Dishonesty Scale,” and the “Academic Dishonesty Tendency Scale.” Data evaluation involved analyses for language validity, content validity, criterion validity, construct validity, stability, and internal consistency.

Results: Content validity indexes were calculated, with values for all items ranging from 0.80 to 1.00. To assess criterion-related validity of the scale, the Pearson Correlation coefficient was computed between the total scores of the “Cheating” subscale of the Nursing Student Perceptions of Dishonesty Scale and those of the “Cheating” subscale of the Academic Dishonesty Tendency Scale, used as a criterion measure. Confirmatory factor analysis was conducted to ensure construct validity. The goodness-of-fit values of the scale were as follows: χ2/sd (Chi-square/df) = 4.11, Comparative Fit Index (CFI) = 0.91, Tucker-Lewis Index (TLI) = 0.91, and Root Mean Square Error of Approximation (RMSEA) = 0.09. The correlation coefficient obtained was rxy = 0.61, with a p-value of 0.00. In the test-retest analyses aimed at establishing stability reliability, Pearson correlation coefficients for the subscales ranged from 0.72 to 0.92. Additionally, Cronbach’s α coefficients for the subscales ranged from 0.70 to 0.97. These results indicate that the scale meets the required standards for validity and reliability.

Conclusion: In conclusion, the Nursing Student Perceptions of Dishonesty Scale was found to be a valid and reliable tool for use in Turkish society.

This concept analysis contributes to a deeper understanding of sustainable development by clarifying its meaning, usage, and application across disciplines. The analysis presents an examination of sustainable development using the eight steps of concept analysis developed by Walker and Avant in 2011. It highlights the interconnectedness of various factors such as society, environment, politics, and economy in achieving sustainable development goals. Moreover, it emphasizes the role of nursing and other professions in addressing climate change and promoting sustainable practices. This paper offers valuable insights for researchers, policymakers, educators, and practitioners working towards a sustainable future by providing a comprehensive analysis of the concept of sustainable development.

Medical device-related pressure injuries (MDRPIs), a subclass of pressure injuries, represent a significant health concern impacting patient safety on a global scale. Efforts to prevent MDRPIs have gained importance due to their occurrence across all areas of care and their potential to negatively affect both patients and healthcare systems. In the prevention and treatment of MDRPIs, adherence to and implementation of current best practices is essential for promoting clinical quality and ensuring patient safety. Additionally, there is a need for evidence-based development of these best practices to improve the quality of care provided. This article presents the latest best practice recommendations based on research findings, consensus reports, and practice guidelines for the prevention and management of MDRPIs.