Hacettepe University Faculty of Health Sciences Nursing Journal - 2023; 10(1) - Current Issue

Editorial

Prof. Dr. Serg�l DUYGULU — 2023-04-01

The Relationship Between Health Promotion and Meaning in Life in Adolescents

Serap �ZDEM�R, Feyza B�LB�L — 2023-04-01

Aim: The aim of this research is to examine the relationship between health promotion and meaning in life in adolescents. Material and Methods: This research has a correlation design. It was conducted with adolescents studying at a public high school within the provincial borders of Usak between 15 December 2021 and 15 January 2022. The sample consisted of 505 adolescents. In the research, Questionnaire Form including socio-demographic characteristics, Adolescent Health Promotion Scale, and Meaning in Life High School Form were used. Results: In the research, it was determined that adolescents got average scores from health promotion and meaning in life scales. In addition, strong positive and significant relationships were determined between health promotion and its sub-dimensions and the existence of meaning in life and the search for meaning. The health promotion scale score explained the variation in the existence of meaning in life scale score by 31%, and the variation in the search for meaning in life scale score by 30%. Conclusion: It has been determined that the existence of meaning in life and the search for meaning in the adolescent's health promotion attitudes are significantly predicted. It is recommended to promote and maintain the health of adolescents in raising well-to-do adults in the future.

Relationship Between Urinary Incontinence Severity and Frailty Levels in Geriatric Women: Correlational Study

Gamze �NVER, P�nar ZORBA BAH�EL�, M�nevver �ZCAN, Sevgisun KAPUCU — 2023-04-01

Aim: This study was conducted to determine the relationship between urinary incontinence severity and frailty levels in geriatric women. Material and Methods: This correlational study was conducted with 142 women aged 65 years and older in the geriatric unit of a university hospital between 19 November 2015 and 30 August 2017. Data were collected face-to-face using Introductory Information Form, Edmonton Frail Scale (EFS-TR), and Incontinence Severity Index (ISI). Data were analyzed using descriptive statistics and Spearman correlation. Results: In the study, it was determined that approximately half (48.6%) of geriatric women were frail, and one-quarter were in the pre-frail stage. It was found that 81% of women had a complaint of urinary incontinence that continued for one year or more. As the body mass index and the number of drugs used increased, urinary incontinence severity increased; as the number of pregnancies and medications they used increased, the level of frailty increased. In addition, there was a significant positive relationship between women's urinary incontinence severity and quantity and frailty levels of women (p = 0.000). Conclusion: The study's results emphasize the importance of comprehensive evaluation of the urinary incontinence status and frailty levels of geriatric women by the multidisciplinary health team and counseling on this issue.

Investigation of Nurses' Perception of Professional Values and Affecting Factors

Buket DA�TAN, Aysun AK�AKAYA CAN, Hatice DEM�RA�, Sevilay H�NT�STAN — 2023-04-01

Aim: In this study, it was aimed to examine nurses' perception of professional values and the factors affecting this perception. Materials and Methods: The sample of this descriptive study consisted of 228 nurses working at Bayburt State Hospital and Kelkit State Hospital between October 2019 and November 2019. The data of the study were collected between these dates by using the "Nurse Information Form" and "Nurses' Professional Values Scale (NPVS)". T-test, ANOVA, and Tukey Post Hoc tests were used to analyze the data. Results: It was found that 52.2% of the nurses were 30 years of age or younger, 78.9% were women, and the mean HPDS total and sub-dimension scores of women were significantly higher than men. The mean HPDS total score of the nurses was found to be 152.5�20.81. The mean HPDS total score of the married nurses was 153.96�21.31, and the sub-dimension of responsibility was significantly higher. The total mean score and sub-dimension mean score of the nurses who followed scientific publications in the field of nursing or health were found to be significantly higher than those who did not (p<0.05). Conclusion: Considering the differences affecting the professional values of nurses, it is recommended to organize continuing education and scientific activities related to professional values.

Investigation of Interventional Studies on COVID-19 in Turkey: A Systematic Review

Eda �NAL, Ay�e ARIKAN D�NMEZ, Fatma �lknur �INAR — 2023-04-01

Aim: This study aims to systematically review the interventional studies from Turkey published in national and international databases for the treatment and management of COVID-19. Material and Methods: The studies conducted between January-2020 and August-2021 were searched through PubMed, Cochrane, CINAHL, EBSCHO, Web of Science, Google Scholar, Turkey Citation Index, ULAKB�M, and COVID-19 Turkey Web Portal. Fourteen studies meeting the criteria were included. Results: The studies were conducted with randomized controlled (n=6), clinical trial (n=1), interventional double-controlled trial (n=1), and quasi-experimental study design (n=5). One is a randomized, prospective crossover, model simulation study. The evaluated studies include non-pharmacological (n=8) and pharmacological (n=6) approaches. Tele-rehabilitation or online methods were used in all non-pharmacological studies. Six studies aimed at reducing the stress, depression, and anxiety levels of individuals. Pharmacological studies were (n=6) aimed at evaluating the effectiveness of different treatment modalities. The result shows that interventions in non-pharmacological studies are highly effective, and treatment methods applied in pharmacological studies also have a positive effect. Conclusion: This review will contribute to the literature by shedding light on future research. Moreover, there is a need for more comprehensive studies on the diagnosis, treatment, symptoms, effects, and management of COVID-19, including children and older people at risk.

Comparison of Creative Thinking and Cognitive Flexibility Levels According to Academic Achievements of Nursing Students

Ali TAYHAN, Aynur �ET�NKAYA, Dilek �ZMEN, Damla �AH�N B�Y�K, Fatma UYAR — 2023-04-01

Aim: The aim of this study was to investigate the creative thinking and cognitive flexibility levels of nursing students according to their academic success. Material and Methods: The population of this cross-sectional study consisted of 1st, 2nd, 3rd, and 4th-grade nursing students (N=800). Sample selection was not made in the study, and the whole population was tried to be reached (n=744). Data were collected with Introductory Information Form, Marmara Creative Thinking Dispositions Scale, and Cognitive Flexibility Inventory Results: 52.0% of the students participating in the research were under 21 years of age, 75.5% were women, 40.5% were first-year students, and 70.8% perceived course success as moderate. Cognitive Flexibility Inventory and Marmara Creative Thinking Tendency Scale mean scores of the nursing students were 74.88�9.64 and 96.29�12.12, respectively. When the academic achievement of the students and the mean scores of the scales were compared, it was determined that those with "good" academic achievement status had higher mean scores than those with "moderate" level, and those with "moderate" level had higher mean scores than those with "pass" level (p<0.05). Conclusion: Cognitive flexibility and creativity of nursing students were found to be above average. Students' cognitive flexibility and creativity skills can be increased to higher levels by using appropriate methods in nursing education.

Validity and Reliability of the Turkish Version of the Home Care Nursing Quality Scale

Seda G�GER, Dilek C�NG�L, �enay �ENER — 2023-04-01

Aim: This study was conducted to assess the validity and reliability of the Turkish version of the "Home Care Nursing Quality Scale". Material and Methods: The population of the study, which is of methodological type, consists of the relatives of the patients who receive health care services from a state hospital's home care services unit. The study sample consisted of 225 participants who received home care services between March and June 2021 and agreed to participate in the research. "Participants Information Form", "Patient Experience Questionnaire" and "Home Care Nursing Quality Scale" were used in data collection. Results: The Cronbach Alpha reliability coefficient of the 22-item scale is 0.98. The chi-square value degrees of freedom regarding the model's goodness of fit is 4.710 (p<0.05). The KMO value was 0.957, and the Bartlett Sphericity test result was statistically significant at the 0.000 level (p<0.05). It was determined that the three factors in the scale explained 92.28% of the total variance. Test and re-test correlation was found as r:0.88, p≤0.001. Conclusion: The "Home Care Nursing Quality Scale" has been determined to be a reliable and valid scale based on the results of the analyses. In order to increase the quality of home care services, it is recommended to use this measurement tool at regular intervals to evaluate and compare the quality of nursing services.

Validity and Reliability of the Work-Family Balance Scale among Turkish Academicians

Zehra G�K MET�N, Edag�l DURMAZ, Esra AKI — 2023-04-01

Aim: The aim of this study is to adapt the Work-Family Balance Scale to Turkish and test its validity and reliability. Material and Methods: This methodological study was conducted with 134 academicians. The data were collected through an online survey using the Academician Information Form and the Work-Family Balance Scale. The scale was finalized and back-translated following expert opinions. Confirmatory factor analysis was carried out for the construct validity, and content validity was performed. Test-retest and Cronbach alpha internal consistency coefficient was used for the reliability. Results: The Cronbach's α coefficient of the scale was found as 0.89. The test-retest analysis of the study was conducted with 42 participants, and no significant difference was found between the test-retest reliability (t= 1.126, p=0.197). Pearson's correlation coefficient was also found (r=0.83, p<0.001). The content validity index was 0.94. According to factor analysis, the factor loads ranged from 0.64 to 0.87. The explained variance was found to be 68.70%, and the structure of the scale was one-dimensional and consistent with the original version. The model�s comparative fit indexes, χ2/SD (2.29) (<2), and GFI (0.95) (>0.90) were found between acceptable. Conclusion: The scale was valid and reliable for Turkish academicians, and the results should be confirmed in different employee groups.

Determination of Physical Activity Levels and Musculoskeletal Disorders of Nursing Students Studying at a University in �stanbul during the COVID-19 Pandemic

Didem KANDEM�R, Tu�ba �ZDEM�R, Sebahat ATE� — 2023-04-01

Aim: This study was carried out to examine the physical activity levels, musculoskeletal disorders, and the relationship between them in nursing students who received distance education during the COVID-19 pandemic. Material and Methods: This descriptive and correlational study was conducted with 217 students between February and May 2021. Data were collected electronically with the �Individual Characteristics Form�, �Cornell Musculoskeletal Disorders Questionnaire� and �International Physical Activity Questionnaire (IPAQ) short form�. The data were analyzed with the Mann-Whitney U, Kruskal Wallis Test, Spearman Correlation Test, and descriptive statistics. The significance level was accepted as 0.05. Results: The median score of students' International Physical Activity Questionnaire was 933.0; the median score of students' Cornell Musculoskeletal Disorders Questionnaire was 4.50. It was found that male students had a significantly higher IPAQ-high-intensity physical activity level than female students and students studying in the first year compared to students studying in the second year (p<0.05). It was also determined that the median score of female students' Cornell Musculoskeletal Disorders Questionnaire was significantly higher than male students (p<0.05). There was no significant relationship between students� physical activity level and musculoskeletal disorders (p>0.05). Conclusion: This study has indicated that students were minimally active during the pandemic, they did not experience a common musculoskeletal disorder and female students had more musculoskeletal disorders than male students.

Investigation of Nurses' Perceptions of Organizational Justice and Structural and Psychological Empowerment

�enay �ENER, Ay�eg�l OKSAY �AH�N — 2023-04-01

Aim: The study examines nurses' perceptions of organizational justice and structural and psychological empowerment and their relationship. Material and Methods: The study's sample, carried out as a descriptive and relation-seeking study, consisted of 271 nurses working in a public hospital. "Individual Introduction Form", "Perception of Organizational Justice Scale", "Structural Empowerment Scale" and "Psychological Empowerment Scale" were used in data collection. The study's data were evaluated with a number, percentage, mean, standard deviation, median, Cronbach's Alpha internal consistency coefficient, Mann Whitney U, Kruskal Wallis, and Spearman correlation analysis. The significance level for the results was taken as p<0.05. Results: The mean organizational justice score of the nurses was 2.87�0.59, the mean score of structural empowerment was 2.88 �0.67, and the mean score of psychological empowerment was 3.74�0.82. It was determined that the mean scores of organizational justice, procedural and interactional justice differed according to age, professional experience, and the unit of work, while the scores of perception of distributive justice and psychological empowerment differed statistically according to the unit they worked in (p<0.05). A significant relationship was found between the perception of organizational justice and its subdimensions and the perception of structural and psychological empowerment (p<0.05). Conclusion: It was determined that the nurses' perceptions of justice and structural empowerment score averages were moderately positive, and their psychological empowerment score averages were above-moderately positive. A positive and moderate relationship was found between the perception of organizational justice and structural empowerment and a positive and weak relationship with psychological empowerment. It is understood that it is important for employees to be strengthened structurally in perceiving their organizations as fairer.

An Existential Approach to the COVID-19 Pandemic

Simay Ezgi BUDAK, Yeter Sinem �ZAR-�Z�ET�N — 2023-04-01

The COVID-19 pandemic has seriously affected individuals worldwide, both physically and psychosocially. The fact that COVID-19 is an unpredictable disease, threatening the health and safety of individuals, and the implementation of extraordinary procedures such as masks and quarantine precautions have caused individuals to experience uncertainty, limit their freedom, and think about death in this process. Individuals perceived the COVID-19 pandemic, which creates an unknown and deadly danger, as a threat to existence, and this has led to the emergence of existential concerns. As a result, individuals began to think more deeply about death and the meaning of life. Existential concerns associated with the pandemic process have affected individuals psychosocially to a significant extent and have caused problems such as psychological distress. Therefore, understanding the existential concerns caused by COVID-19 is crucial in determining and implementing psychosocial interventions to address these concerns. This review aims to deal with the COVID-19 pandemic within the framework of existential theory and to review the search for meaning in life, existential concerns, and the methods used to manage these concerns, which emerged during the pandemic process.