PubMed İndeksli Açık & Kapalı Erişimli Yayınlar
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Item 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-3163-2021This 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.Item 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-3163-2021The 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.Item 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-3163-2021Background 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.Item 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-3163-2021The 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.