Browsing by Author "Baykara, Zehra Gocmen"

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The effect of professional education on medical and nursing students' attitudes toward death
(2020) Baykara, Zehra Gocmen; Keles, Sukru; Karabulut, Seyhan Demir; Gul, Senay; Eren, Handan; Iskender, Mahinur Durmus; Yildiz, Abdullah; Kavas, Mustafa Volkan; Yalim, Neyyire Yasemin; 0000-0001-5473-573X; 33287666; AAB-3163-2021
This qualitative study aims to reveal the effect of professional education on medical and nursing students' attitudes toward death. The study was carried out with nursing and medical students (N = 197). Research data was collected through semi-structured interview questions and 23 focus group interviews. The data was assessed using thematic analysis method. The themes were evaluated within the context of perception of death, ethical dilemmas, and, death education. To achieve professional competency in attitudes toward death, it is imperative to form a common educational curriculum and practice that would help students develop a mutual language and value system about death.
The Effect of the Application of Manual Pressure Before the Administration of Intramuscular Injections on Students' Perceptions of Postinjection Pain: A Semi-Experimental Study
(2017) Ozturk, Deniz; Baykara, Zehra Gocmen; Karadag, Ayse; Eyikara, Evrim; https://orcid.org/0000-0001-6436-1647; 27535654; E-9053-2019
Aims and objectivesTo evaluate the efficacy of applying manual pressure before intramuscular injection and compare it with the standard injection technique in terms of reducing the young adult student's postinjection pain. BackgroundThe administration of intramuscular injections is a procedure performed by nurses and one that causes anxiety and pain for the patient. Nurses have ethical and legal obligations to mitigate injection-related pain and the nurses' use of effective pain management not only provides physical comfort to the patients, but also improves the patients' experience. DesignComparative experimental study. MethodsThis study was conducted with first-year university students (n=123) who were scheduled for hepatitis A and hepatitis B vaccination via deltoid muscle injection. Students were randomly assigned to the groups. Comparison group students (n=60) were given an injection using the conventional method, that is without manual pressure being applied prior to the injection. The experimental group students (n=63) received manual pressure at the vaccination site immediately before injection for a period of 10seconds. The two techniques were used randomly. The subjects were given pressure to the injection site, and perceived pain intensity was measured using Numerical Rating Scale. ResultsFindings demonstrate that students experienced significantly less pain when they received injections with manual pressure compared with the standard injection technique. The postinjection average pain score in the comparison group was higher than that in the experimental group (p<005). ConclusionsThis study's results show that the application of manual pressure to the injection site before intramuscular injections reduces postinjection pain intensity in young adult students (p<005). Based on these results before the injection, applying manual pressure to the adult's intramuscular injection site is recommended. Relevance to clinical practiceApplying pressure to the injection area is a simple and cost-effective method to reduce the pain associated with injection.
Ethical Discourse of Medical Students on the Phenomenon of Death: A Qualitative Study
(2014) Keles, Sukru; Gul, Senay; Yildiz, Abdullah; Karabulut, Seyhan Demir; Eren, Handan; Iskender, Mahinur Durmus; Baykara, Zehra Gocmen; Yalim, Neyyire Yasemin; https://orcid.org/0000-0001-5473-573X; 34018435; AAB-3163-2021
The aim of this study is to discover medical students' ideas on the phenomenon of death; produce information on how these students interpret the value-related problems regarding death that they come across in different units of hospitals; and assess this data in ethical terms. This study included a qualitative research in which 12 focus group interviews were conducted with 92 fifth- and sixth-year medical students. Data obtained from interviews were assessed using a thematic content secondary analysis. The main themes were specified according to the medical students' statements and were reviewed under the contexts of the "dying process"; "effects of death"; "attitude and behavior of health professionals"; "seeing a dead body/looking at a dead body"; "accepting death"; and "forms of expressions of death." Medical students' encounters with death in different units of hospitals leads them to question their values and familiarize themselves with the borders of their areas of profession.
Ethical Discourse of Medical Students on the Phenomenon of Death: A Qualitative Study
(2021) Keles, Sukru; Gul, Senay; Yildiz, Abdullah; Karabulut, Seyhan Demir; Eren, Handan; Iskender, Mahinur Durmus; Baykara, Zehra Gocmen; Yalim, Neyyire Yasemin; 0000-0001-5473-573X; 34018435; AAB-3163-2021
The aim of this study is to discover medical students' ideas on the phenomenon of death; produce information on how these students interpret the value-related problems regarding death that they come across in different units of hospitals; and assess this data in ethical terms. This study included a qualitative research in which 12 focus group interviews were conducted with 92 fifth- and sixth-year medical students. Data obtained from interviews were assessed using a thematic content secondary analysis. The main themes were specified according to the medical students' statements and were reviewed under the contexts of the "dying process"; "effects of death"; "attitude and behavior of health professionals"; "seeing a dead body/looking at a dead body"; "accepting death"; and "forms of expressions of death." Medical students' encounters with death in different units of hospitals leads them to question their values and familiarize themselves with the borders of their areas of profession.
Impact of tailored training about pressure injuries on nurses' knowledge levels and pressure injury point prevalence: The case of Turkey
(2021) Baykara, Zehra Gocmen; Karadag, Ayise; Celik, Sevilay Senol; Guler, Sevil; Ay, Ali; Gul, Senay; Ozturk, Deniz; Bulut, Hulya; Duluklu, Burcu; Karabulut, Hatice; Irmak, Burcin; Aktas, Dilek; Aydogan, Sinan; Cebeci, Fatma; Karakaya, Derya; Avsar, Pinar; 34686419
Aim: This study was conducted to determine the impact of tailored training provided to nurses for preventing pressure injuries (PIs) on nurses' knowledge levels and the PI point prevalence (PP). Materials and methods: This interventional study was carried out in a university hospital with a bed capacity of 1114 in an urban center in Turkey. Ethics committee approval (28.06.2018/31) and institutional permission were obtained for the study, in addition to the nurses' written, informed consent. The study was completed in three stages. In the first stage an initial PP study was conducted in the clinics with the participation of the nurses and the members of the research team (n = 422 patients). In the second stage the knowledge levels of 194 nurses were measured before training was given on following-up and preventing PIs. The nurses then participated in the tailored training and their knowledge levels were re-measured afterwards. All the nurses were given individual advice related to the prevention of PIs for 30 days after they had completed the training. In the third stage a second PP study was conducted four months after the first PP study (n = 454 patients). The data were collected using the Pressure Injury Prevalence Form, the Braden Pressure Ulcer Risk Assessment Tool and the Knowledge Level Measurement Form. Descriptive values, the paired samples t-test, Pearson's chi-squared test and Fisher's Exact test were used to evaluate the data. Results: The nurses' pretest mean knowledge score was 55.36% +/- 14.40 and their posttest mean score was 69.92% +/- 9.73. The difference between these scores was statistically significant (p < 0.05). The study found no significant difference between the first PP ratio and the second PP ratio (p > 0.05), and the nurses were better able to evaluate skin and PIs after the training. Conclusion: The study determined that the tailored training given to the nurses increased their knowledge; however, it had no impact on the PP after four months. It is recommended that any training programs using this model be continued and that PP studies of institutions be conducted annually.
A Longitudinal Study on the Effect of Tailored Training and Counseling on the Professional Attitude of Nursing Students
(2015) Karadag, Ayise; Hisar, Filiz; Baykara, Zehra Gocmen; Caliskan, Nurcan; Karabulut, Hatice; Ozturk, Deniz; 25999200; AAC-6784-2020
The development of professional attitudes in nursing students is influenced by their learning experiences (knowledge, skills, and attitudes) and instructors' professional behaviors. Instructors can enhance students' professional attitude by organizing the training environment, being a role model, and providing counseling. This study was conducted as a tailoring intervention study over 4 years (2010-2013) examining 73 nursing students (34 intervention, 39 control) to determine the effect of training and counseling on nursing students' professional attitudes. Data were collected utilizing the Introductory Characteristics Form and the Instrument of Professional Attitude for Student Nurses. Intervention group students were provided training and counseling complementing their current education to develop their professional attitudes. Controls proceeded with their current education. Instrument for Professional Attitude for Student Nurses posttest scores of the intervention group were significantly higher than those of control group students. Furthermore, intervention group scores on all subscales other than "competence and continuous education" significantly increased after training. Controls showed no growth in professional attitudes, other than in "contribution to scientific knowledge." The training and counseling program had a positive influence on the professional attitudes of nursing students. Thus, providing tailored training and counseling associated to professionalism throughout the educational process at schools providing nursing training is recommended. (C) 2015 Elsevier Inc. All rights reserved.
Nurses' attitudes toward, perceptions of, and experiences with conscientious objection
(2022) Karabulut, Seyhan Demir; Gul, Senay; Keles, Sukru; Baykara, Zehra Gocmen; Yalim, Neyyire Yasemin; 0000-0001-5473-573X; 35575202; AAB-3163-2021
Background Conscientious objection is a person's refusal to fulfill a legal duty due to their ethical values, religious beliefs, or ideological affiliations. In nursing, it refers to a nurse's refusal to perform an action or participate in a particular situation based on their conscience. Conscientious objection has become a highly contested topic in recent years. Research objectives This study had four objectives: (1) eliciting information on how Turkish nurses perceive conscientious objection, (2) revealing whether their moral beliefs affect the care they provide, (3) determining their experiences with conscientious objection, and (4) identifying existing or potential issues of conscientious objection. Research design This qualitative study collected data through semi-structured interviews. The data were analyzed using thematic content analysis. Participants The sample consisted of 21 nurses. Ethical considerations The study was approved by an ethics committee. Confidentiality and anonymity were guaranteed. Participation was voluntary. Findings The analysis revealed four themes: (1) universal values of nursing (professional values), (2) experiences with conscientious objection (refusing to provide care/not providing care), (3) possible effects of conscientious objection (positive and negative), and (4) scope of conscientious objection (grounded and groundless). Conclusion Participants did not want to provide care due to (1) patient characteristics or (2) their own religious and moral beliefs. Participants stated that conscientious objection should be limited in the case of moral dilemmas and accepted only if the healthcare team agreed on it. Further research is warranted to define conscientious objection and determine its possible effects, feasibility, and scope in Turkey.
Nursing Students' Experiences With Death and Terminal Patients During Clinical Education
(2020) Gul, Senay; Karabulut, Seyhan Demir; Eren, Handan; Iskender, Mahinur Durmus; Baykara, Zehra Gocmen; Keles, Sukru; Yildiz, Abdullah; Yalim, Neyyire Yasemin; 0000-0001-5473-573X; 32838653; AAB-3163-2021
The aim of this study is to explore nursing students' experiences with death and terminal patients during clinical education. A secondary analysis of qualitative data that were collected through 11 focus group interviews with nursing students was performed. Data obtained from the interviews were analyzed using thematic analysis. There were a total of 9 themes across 3 contexts. Data were grouped under the following themes: feelings experienced when encountering death for the first time, reactions to the first encounter with death, factors affecting the reactions to death, involvement in terminal patient care, being informed about the physical process that terminal patients are going through, students' approach toward terminal patients and their relatives, health professionals' approach toward terminal/dying patients/their relatives, changes in the ideas about death, and changes in the ideas about terminal/dying patients. The study shows a lack of guidance on the part of teachers who also avoid patients and families who are considered terminally ill.
The Privacy Consciousness of Undergraduate Students: Comparison Between Turkey and Japan
(2022) Ozturk, Deniz; Eyuboglu, Gulcan; Baykara, Zehra Gocmen; Tabata, Naoya; Sato, Hirotsune; 36106807
AIM: This study was designed to compare the privacy consciousness of undergraduate students in Turkey and Japan.METHOD: A comparative cross-sectional study was carried out. First-year undergraduate students at a university in Turkey (n = 235) and a university in Japan (n = 242) voluntarily participated in the study. Data were collected via a web-based structured questionnaire, using the Descriptive Characteristics Form and the Privacy Consciousness Scale, between November and December 2020. Written approval was obtained from the universities and the ethics board. Written informed consent was obtained from all participants. RESULTS: The privacy consciousness of the Turkish students was significantly higher than that of the Japanese students (p < .05).CONCLUSION: Privacy consciousness can be affected by individual, social, and cultural value differences, beliefs, and perceptions. It is suggested that similar studies be conducted with a greater number of samples and between different countries.