Sürdürülebilir Kalkınma Amaçları

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• MakaleAçık Erişim2026/r/kostu/10824
  Hemşirelerin İş Güvenliği Farkındalıkları ile Güvenli Davranışları Arasındaki İlişkinin Belirlenmesi

  Dikmen, Yurdanur; Akkaya, Havali

  Amaç: Bu çalışma, hemşirelerin iş güvenliği farkındalığı ile güvenli davranışları arasındaki ilişkiyi incelemeyi ve bu ilişkinin boyutlarını belirlemeyi amaçlamaktadır. Hemşirelerin güvenlik farkındalığı düzeylerinin artırılmasının, güvenli davranışların güçlendirilmesine ve iş kazaları ile mesleki risklerin azaltılmasına katkı sağlayabileceği öngörülmektedir. Gereç ve Yöntem: Araştırma, Burdur Devlet Hastanesi’nde görev yapan 242 hemşirenin gönüllü katılımıyla gerçekleştirilmiştir. Veriler anket yöntemi ile toplanmış olup, anket üç bölümden oluşmaktadır: Birinci bölümde hemşirelerin sosyo-demografik özelliklerini belirlemeye yönelik sorular; ikinci bölümde güvenlik farkındalığı ölçeği; üçüncü bölümde ise güvenli davranış ölçeği yer almaktadır. Güvenlik farkındalığı ölçeği, çalışanların iş güvenliği konusundaki bilinç ve farkındalık düzeyini, güvenli davranış ölçeği ise güvenlik uyumu ve güvenlik katılımı alt boyutlarını ölçmeyi amaçlamaktadır. Bulgular: Araştırmada hemşirelerin iş güvenliği farkındalıkları ile güvenli davranışları arasında yüksek düzeyde, pozitif ve istatistiksel olarak anlamlı bir ilişki saptanmıştır (r=0,766; p<0,001). Güvenlik farkındalığı ölçeği ile güvenlik uyumu alt boyutu (r=0,653; p<0,001) ve güvenlik katılımı alt boyutu (r=0,694; p<0,001) arasında da yüksek düzeyde, pozitif ve anlamlı ilişkiler belirlenmiştir. Ayrıca güvenli davranış ölçeği ile güvenlik uyumu (r=0,843; p<0,001) ve güvenlik katılımı (r=0,913; p<0,001) alt boyutları arasında oldukça yüksek düzeyde, pozitif ve istatistiksel olarak anlamlı ilişkiler bulunmuştur. Sonuç: Elde edilen bulgular, hemşirelerin güvenlik farkındalığı ile güvenli davranışları arasında anlamlı ve pozitif bir ilişki olduğunu göstermektedir. Bu sonuç, güvenlik farkındalığının artırılmasının, hemşirelerin güvenli davranışlarını güçlendirmede önemli bir etken olduğunu ortaya koymaktadır.

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• MakaleAçık Erişim2026Scopus SJRQ3/r/kostu/10373
  Investigation of evidence-based practices of nurses in a rural public hospital: a mixed methods study

  Ziyai, Nasibe Yagmur; Sener, Senay; Dikmen, Yurdanur

  Background: Evidence-based practice was essential for ensuring high-quality patient care, improving safety, and reducing healthcare costs. As the largest group of healthcare providers, nurses played a pivotal role in implementing evidence-based practice. However, they often encountered multiple personal and organizational barriers, particularly in rural settings characterized by limited resources and geographic isolation. Aim: This study aimed to comprehensively examine nurses’ attitudes toward evidence-based nursing in a rural public hospital and to assess how these attitudes influenced clinical care practices. Methods: An explanatory sequential mixed-methods design was employed. Quantitative data were collected from 86 nurses using a Nurse Information Form and the Scale of Attitudes Toward Evidence-Based Nursing. Qualitative data were obtained through three mini–focus group interviews with nine nurses purposefully selected based on variations in their evidence-based practice attitudes and professional characteristics. Descriptive statistics, one-way ANOVA, LSD post hoc tests, and thematic analysis were used to analyze the data. Results: The mean attitude score was 58.09 ± 9.17, with significantly higher scores among nurses with 1–10 years of professional experience. Thematic analysis revealed three overarching themes: facilitators, barriers, and suggestions. Facilitators included peer collaboration, innovation, nursing professionalism, and improved quality of patient care. Barriers comprised patient reactions, professional challenges, organizational limitations, insufficient knowledge, and workplace conflicts. Nurses’ recommendations emphasized enhancing patient and nurse education, fostering a culture of discussion, updating clinical guidelines, and strengthening shared decision-making mechanisms. Conclusion: Although nurses demonstrated generally positive attitudes toward evidence-based practice, they encountered substantial challenges in applying it in clinical settings. Establishing structured support systems, leadership training, and policy-level interventions is essential to foster effective and sustainable implementation of evidence-based practice in rural hospitals.

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• MakaleYalnız künye2026Scopus SJRQ2/r/kostu/10235
  The use of comfort theory in the intensive care unit

  Koç, Ferhat; Dikmen, Yurdanur

  Background: A well-functioning intensive care unit should support the patient's recovery by promoting their participation in treatment and care. Enhancing patient comfort in the intensive care unit can maximise the quality of nursing care and shorten the recovery period. Aim: To evaluate the effects of nursing interventions based on comfort theory on comfort levels and perceived environmental stressors of patients in the intensive care unit. Methods: A randomised controlled trial was conducted between 15 October 2019 and 15 February 2020, including 50 intensive care unit patients divided into intervention (n=25) and control (n=25) groups. The intervention group received structured nursing care plans designed according to comfort theory, while the control group received standard intensive care unit care. Data collection tools included the Patient Identification Form, General Comfort Scale and Intensive Care Unit Environmental Stressor Scale. Data analysis used parametric tests to assess differences between groups. Results: The intervention group had a significantly higher comfort level (General Comfort Scale score: 142±28±10.84) compared to the control group (General Comfort Scale score: 111.36±13.34). Additionally, the Intensive Care Unit Environmental Stressor Scale scores, which indicate perceived stressors, were lower in the intervention group (86.25±14.38) compared to the control group (111.80±14.25), suggesting that structured nursing care significantly reduced environmental stress. Conclusions: Findings demonstrated that nursing interventions structured according to comfort theory improved patient comfort levels and reduced environmental stressors in intensive care unit patients. The study highlights the importance of patient-centered nursing care and technology-assisted interventions in enhancing patient wellbeing in critical care settings. Further research is recommended to explore the long-term benefits of these interventions in diverse intensive care unit populations.

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• MakaleAçık Erişim2025/r/kostu/10909
  COVID-19 Tanısı Almış Hastalara Bakım Veren Hemşirelerde Akran Desteği Yöntemi ile Uygulanan Mesleki ve MBSR Akran Desteği Programının Kaygı, Tükenmişlik ve Bilinçli Farkındalık Üzerine Etkisi: Bir Karma Yöntem Araştırması

  Gündoğdu, Handenur; Tanrıkulu, Fatma; Erol, Funda; Kapısız, Özge Öner; Dikmen, Yurdanur

  Amaç: Bu araştırmada, pandemi sürecinde çalışan hemşirelere akran desteği yöntemi ile uygulanan mesleki ve MBSR Akran Desteği Programının yaşanan kaygı, tükenmişlik ve bilinçli farkındalık üzerine etkisini incelemek amaçlanmıştır. Yöntem: Açımlayıcı Sıralı Karma Desende yürütülen araştırmanın evrenini bir hastanede çalışan 580 hemşire, nicel aşamasının örneklemini 195 hemşire, nitel aşamasının örneklemini ise akran desteği veren 15 hemşire ve akran desteği alan 49 hemşire oluşturmuştur. Veriler niceliksel ve niteliksel yöntemlerle toplanmıştır. Bulgular: Akran desteği alan hemşirelerin durumluk kaygı, sürekli kaygı ve tükenmişlik son test puan ortalamalarının ön test puan ortalamalarına göre istatistiksel olarak anlamlı derecede düştüğü görülürken, bilinçli farkındalık son test puanının arttığı görülmüştür (p

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• MakaleAçık Erişim2025/r/kostu/10888
  Determination of Compassion Fatigue in Intensive Care and Palliative Care Nurses: A Scale Development Study

  Şener, Şenay; Dikmen, Yurdanur

  Objective: This research was planned to develop a measurement tool to determine compassion fatigue in nurses to provide intensive care, oncology and palliative care and to conduct a validity and reliability study of the developed measurement tool. Method: The study was conducted using a mixed-method design, with 313 nurses working in oncology, intensive care, and palliative care departments at two training hospitals and one state hospital. The item pool for the scale consisted of 81 items, which were reviewed by experts. After the content validity process, the candidate scale was reduced to 45 items. Data were analyzed using qualitative methods (content analysis) and quantitative methods, including normality tests, exploratory factor analysis, maximum likelihood, varimax rotation, Pearson correlation test, and Cronbach's alpha internal consistency coefficient. Results: It was found that 66% of the participants were aged between 26 and 31, 61% were female, and 94% had a bachelor's degree. The exploratory factor analysis revealed a 5-factor structure with 27 items: physical impact, working conditions, care, psychological impact, and social-spiritual impact. The scale's content validity index was 0.79, the total variance explained was 41.498%, and item-total correlation values ranged from 0.330 to 0.673. The Cronbach's alpha reliability coefficient for the scale was 0.782, omega was 0.781, and CR (composite reliability) was 0.830. Conclusion: The analysis found that the “Compassion Fatigue Scale Intensive Care and Palliative Care Nurses is a valid and reliable measurement tool to determine the compassion fatigue levels of intensive care, oncology and palliative care nurses.

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• MakaleAçık Erişim2025Scopus SJRQ2/r/kostu/10690
  Nursing Students Perception and Frequency of Incıvılıty in Nursing Education: A Descriptive Correlational Study

  Gözütok Konuk, Tuğba; Kurşun Kural, Şerife; Dikmen, Yurdanur

  Background: Nursing students are exposed to incivility in both classroom and clinical practice settings during their education. Due to its ambiguous nature and different perceptions of incivility, it can sometimes be ignored. Aim: This study aimed to determine nursing students' perception and the frequency of faculty incivility and its predictors. Methods: The study has a descriptive-correlational design. The study was conducted with 346 second and third-year students. Data were collected using the Student Demographic Information Form, the Rosenberg Self Esteem Scale, and the Incivility in Nursing Education Revised. Results: The students' mean total score for perceived faculty incivility was 3.37 ± 0.46, while the mean total score for incivility frequency based on exposure to faculty behaviors was 1.69 ± 0.43. Conclusion: It is anticipated that the results of this study, by raising awareness of the current situation in terms of faculty incivility perception and frequency, will be useful in developing procedures for preventing incivility and promoting a culture of civility among faculty members.

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  AtıfScopus2·WoS2·OpenAlex2

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• MakaleAçık Erişim2025Scopus SJRQ1/r/kostu/10638
  Psychometrics of the Attitude Scale towards the use of Artificial Intelligence Technologies in Nursing

  Yılmaz, Dilek; Uzelli, Derya; Dikmen, Yurdanur

  Background: It is clear that nursing practice is directly affected by artificial intelligence (AI), and in this regard, a need is felt for more information on the knowledge and attitudes of nurses to the use of AI technology in nursing care practice. However, no inclusive measurement instrument tested for validity and reliability evaluating the attitudes of nurses to the use of AI technology was found. The aim of this research was to develop and test the validity of the Attitude Scale Towards the Use of Artificial Intelligence Technologies in Nursing (ASUAITIN) in the Turkish language. Methods: The research was a methodological and cross-sectional study, designed to develop and test the validity of the ASUAITIN. STROBE guidelines were followed in the study. In order to create the starting materials, the researchers made a scan of the literature. Two hundred nurses working in the internal medicine, surgical and intensive care departments of a university hospital in the Marmara Region of Turkey were included in the study. Items were assessed for content validity. ASUAITIN was tested for construct validity and internal consistency reliability. Results: ASUAITIN consists of 15 items. It has two dimensions, positive attitude, and negative attitude to AI technology in nursing practice, and practice and explains 67.762% of total variance. Item loads were between 0.529 and 0.866. Cronbach alpha values were calculated to be 0.910 for the total scale, 0.933 for Factor 1, and 0.917 for Factor 2. Conclusions: The results of this study show that the ASUAITIN scale are validated and reliable measurement tool. ASUAITIN can be used as an instrument to assess the attitudes to AI technology in practice among nurses working in the clinical field. Clinical trial number: Not applicable.

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  AtıfScopus34·WoS34·OpenAlex36

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• MakaleAçık Erişim2025Scopus SJRQ1/r/kostu/10550
  A comparison of 3D game-based simulation versus traditional methods in vital signs education

  Tanrıkulu, Fatma; Gündoğdu, Handenur; Erol, Funda; Dikmen, Yurdanur

  Background: Vital signs measurement is a fundamental nursing responsibility that requires cognitive and psychomotor competence. In alignment with the ethical principle of nonmaleficence, it is important to provide learning environments where students can practice and make mistakes without causing harm. This study aims to examine the effect of a 3D game-based simulation application developed for vital signs on students’ academic achievement, learning satisfaction and self-confidence levels. Methods: A randomized controlled experimental design was employed with 73 nursing students, assigned to either the intervention group (n = 37) or the control group (n = 36). The intervention group used a game-based simulation developed with 3D animation technology, while the control group received traditional instruction. Data were collected using the Student Introductory Characteristics Form, Academic Achievement Test of Vital Signs Measurement Skills, and the Student Satisfaction and Self-Confidence in Learning Scale. Statistical analyses were conducted using SPSS version 25, with significance set at p < 0.05. Results: The results indicated that students’ current learning satisfaction subscale scores were high in the traditional teaching group and that there was a statistically significant difference between the groups (p = 0.047). There was no statistically significant difference between the groups in terms of academic achievement (p = 0.932) and self-confidence levels in learning (p = 0.375). However, both groups had high mean scores in academic achievement, satisfaction with current learning, and self-confidence in learning. Conclusions: The game simulation method supported by 3D animation may be insufficient for significantly improving nursing students’ academic performance, satisfaction with the learning process, and self-confidence in learning. Therefore, it is recommended that such technology-supported methods be used in blended learning environments alongside traditional teaching methods in nursing education. Trial registration: ClinicalTrials.gov: NCT07009275; retrospectively registered.

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• MakaleAçık Erişim2025Scopus SJRQ1/r/kostu/10450
  Impact of moulage-based simulation on nursing students’ recognition of physical violence: a randomised controlled trial

  Uysal Yalçın, Suna; Akkoç, Mehtap; Ozdemir, Tuğba; Dikmen, Yurdanur; Türkay, Merve Zehra; Özpancar Şolpan, Nurhan

  Background: Violence against women is a global public health and human rights issue with profound physical and psychological consequences. Simulation-based learning may help nursing students recognize signs of violence. This study examined whether physical violence indicators created on a standardized patient using moulage improve nursing students’ recognition of violence and their related attitudes, knowledge, satisfaction, self-efficacy, and communication skills. Methods: A randomized controlled pretest–posttest design was conducted with 55 fourth-year nursing students allocated to a moulage group (n = 28) and a control group (n = 27). The data collection tools included the “Demographic Information Form”, “ISKEBE Attitude Scale for Violence Against Women,” “Communication Skills Assessment Form”, “Nurses’ and Midwives’ Recognition of Signs of Violence Against Women Form”, “Modified Simulation Effectiveness Tool”, “Student Satisfaction and Self-Efficacy Scale in Learning,” and “Moulage Evaluation Questionnaire.” Data analysis involved calculating frequency, mean, standard deviation, chi-square tests, the Mann-Whitney U test, and the Wilcoxon Signed Ranks Test. Results: The demographic data of the moulage and control groups were similar. Recognition of violence indicators was significantly higher in the moulage group (19.75 ± 2.78) than in the control group (16.38 ± 3.63; p < 0.05). The communication skills of the students in the moulage group had an average score of 5.35 ± 0.48 for the effective communication subscale, while the average score for the therapeutic communication subscale was 4.55 ± 2.91. Additionally, the moulage group reported greater satisfaction with current learning (51.85 ± 6.66) and higher self-efficacy (29.21 ± 4.26, p = 0.006) than the control group. The mean Modified simulation effectiveness tool score was 68.42 ± 20.87, indicating a positive perception of learning effectiveness. No significant between-group difference was found for attitudes (ISKEBE). Conclusion: Moulage-supported simulation enhanced recognition of physical violence indicators, satisfaction, self-efficacy, and communication-related outcomes. The integration of these methods is recommended in future educational programs. Clinical registration: The study is registered on ClinicalTrials.gov. ID: NCT06982017 (date: 2024-05-20).

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• MakaleYalnız künye2025Scopus SJRQ1/r/kostu/10336
  Use of ChatGPT in nursing education: A mixed method research on student perceptions and experiential practice recommendations

  Uysal Yalçın, Suna; Dikmen, Yurdanur

  Aim: This study aims to evaluate the effects of using ChatGPT, an artificial intelligence tool, in nursing education on the learning process in a multidimensional way Background: Integrating artificial intelligence technologies into nursing education can transform educational processes while helping students develop ethical decision-making and personalized care skills in patient care. In this context, the study examining the impact of artificial intelligence tools, such as ChatGPT, on the perceptions and experiences of nursing students is crucial in understanding the transformation in education and providing effective implementation suggestions for the future. Design: A mixed method Methods: Focus group interviews were conducted as part of the qualitative research. In the quantitative part, an ‘academic achievement test’ was applied. The study was conducted between December 2024 and October 2025 with third-year nursing students. In analyzing the quantitative data, independent samples t-tests were conducted using SPSS software, while NVivo 15 software was employed for the qualitative data analysis. Result: Our findings revealed three main themes: (1) ‘the importance of the physical environment in education,’ (2) ‘limitations of artificial intelligence -supported education,’ and (3) ‘the supporting role of artificial intelligence and the hybrid learning model.’ Conclusion: The use of artificial intelligence tools, such as ChatGPT, in nursing education had an impact.on students' perceptions and experiences of the learning process, highlighting the absence of elements such as social interaction, motivation and teacher support, which are typically provided through face-to-face education.

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