Hülya Kulakçı Altıntaş

This study examined the relationships among scabies fear, self-protection awareness and protection behaviors, and identified predictors of communicable disease awareness and protection behaviors among university students. A cross-sectional study was conducted with 680 female students residing in a dormitory. Data were collected between December 2024 and February 2025 using a Personal Information Form, the Scabies Fear Scale, and the Communicable Disease Risk Awareness and Protection Scale. Data were analyzed using IBM SPSS Statistics 31 and PROCESS macro (Model 4). Hierarchical regression analysis indicated that age was a significant negative predictor, whereas higher economic status and maternal education were positive predictors of communicable disease awareness and protection behaviors. The inclusion of the subscale dimensions of the Scabies Fear Scale in Model 2 significantly increased the explained variance (ΔR²=0.05, p<0.001), and the addition of scabies knowledge further improved the model (ΔR²=0.01, p<0.01), with the final model explaining 12.2% of the variance. Mediation analysis indicated a significant indirect effect of scabies fear on protection behaviors through self-protection awareness. While the total effect of scabies fear on protection behaviors was significant (B=0.146, p=0.004), the direct effect became non-significant after including the mediator (B=0.022, p=0.517). The indirect effect was significant (B=0.124, 95%CI [0.041, 0.207]). These findings highlight the potential role of self-protection awareness in the association between emotional responses and protection behaviors and suggest that awareness-based interventions may represent a useful approach for promoting communicable disease prevention.

Objective: This study was conducted to determine the level of rational drug use in older adutls and to examine the factors affecting this status. Methods: The cross-sectional study was conducted with 445 individuals aged 65 and over living in the city center of Zonguldak. Data were collected using a sociodemographic data form and the Rational Drug Use Scale. Descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test, Spearman correlation analysis, and multiple linear regression analysis were used in the analysis of the data. Results: The mean rational drug use score was determined as 57.43±8.06. A statistically significant difference was found between the education level of the older adults and their rational drug use scores (p

Aim: This study examines parents' views and habits regarding technology usage during the preschool period.Material and Methods: The research, conducted with 326 parents, utilized the "Information and Communication Technologies Usage Characteristics Questionnaire" and the "Parental Views on Technology Usage in Preschool-Aged Children Survey" to assess parents' evaluations of their children's technology usage. Results: Most participants were female (84.0%), with an average age of 37.11. Regarding educational attainment, 42% had completed associate degrees or higher. Smartphones (98.8%) and internet access (93.6%) were prevalent among technological devices in households.Regarding assessments of children's technology use, 99.1% of children were users of information and communication technologies, with the majority preferring smartphones (78.5%). Children often use these devices while eating or when their parents are occupied with household chores. A large majority of parents (71.6%) expressed that their children easily adhere to restrictions on technology usage. When examining scores from the scale, the average of parents' overall views on technology use among preschool-aged children was 80.911 ± 8.431. Conclusions: These findings indicate that while technology is widely used among preschool-aged children, parents generally have positive perceptions of it and manage its use effectively. However, continued guidance is essential to ensure that technology promotes healthy child development.Implication for nursing management: Nurses should provide parents with evidence-based education on appropriate technology use and healthy screen habits during the preschool period. Integrating counseling on technology use into routine child health services may promote healthy child development and support parents in managing their children's technology use effectively.

Aims: To examine the association between compassion fatigue and spiritual care competence amongst palliative care nurses, investigate the mediating role of palliative care quality and determine the moderating effect of job satisfaction. Background: Palliative care nurses face intense emotional demands and end‐of‐life stressors, increasing their risk of compassion fatigue and potentially affecting care delivery. Spiritual care competence is central to holistic palliative nursing; however, its association with compassion fatigue and the organisational factors shaping this relationship remain unclear. Design: A cross‐sectional, correlational study. Methods: Using a convenience sampling approach, 141 nurses working in palliative care units across hospitals in different regions of Türkiye were recruited. Data were collected between April and August 2024 via an online questionnaire including demographic variables and validated instruments measuring compassion fatigue, palliative care quality, spiritual care competence and job satisfaction. Data were analysed using SPSS and PROCESS macro. Results: The mean spiritual care competence score was 107.9 ± 14.7. Compassion fatigue was negatively associated with palliative care quality and spiritual care competence, whereas palliative care quality was positively associated with spiritual care competence. Mediation analysis indicated a significant indirect association between compassion fatigue and spiritual care competence through palliative care quality. Moderated mediation analysis indicated that this indirect effect was significant only amongst nurses reporting higher job satisfaction. Conclusions: Compassion fatigue was negatively associated with palliative care nurses' spiritual care competence. Mediation analysis suggested that this association was statistically explained by palliative care quality, whilst job satisfaction moderated the relationship between compassion fatigue and care quality. Relevance to Clinical Practise: Addressing compassion fatigue as a critical occupational risk in palliative care nursing is essential. Organisational strategies that enhance job satisfaction and support high‐quality care delivery may help sustain nurses' spiritual care competence and promote high‐quality palliative nursing practise. Patient or Public Contribution: No patients or members of the public were involved in this study. Palliative care nurses participated by completing online questionnaires. Reporting Method: This cross‐sectional study was reported in accordance with the STROBE Statement.

Giriş: Bu çalışma, ortopedik cerrahi uygulanan hastalarda taburculuk eğitimi memnuniyetini etkileyen faktörleri değerlendirmek amacıyla yürütüldü. Gereç ve Yöntem: Kesitsel tasarımdaki bu çalışma, Zonguldak Atatürk Devlet Hastanesi ortopedi servisinde cerrahi uygulanan ve taburculuğu planlanan 380 hasta ile gerçekleştirildi. Etik kurul onayı ve kurum izni alındı, çalışma Helsinki Bildirgesi’ne uygun yürütüldü. Veriler Temmuz–Eylül 2024 tarihleri arasında Kişisel Bilgi Formu ve Cerrahi Hastalara Özgü Taburculuk Eğitimi Memnuniyet Ölçeği ile toplandı. Veriler SPSS 25.0 programında tanımlayıcı istatistikler ve çoklu regresyon analizi ile değerlendirildi (p<0.05). Bulgular: Hastaların %36.1’i ≥65 yaş, %61.8’i kadın, %17.4’ü okur-yazar değil ve %68.2’si evlidir. Hastaların %53.2’si kırık nedeniyle ameliyat olmuştur. %73.9’unun daha önce hastaneye yatış öyküsü bulunurken, %79.4’ünün yatışı ameliyat nedenlidir. Hastaların %39.2’si bir haftadan uzun süre hastanede kalmıştır. %60.8’i daha önce taburculuk eğitimi almış, bu grubun %22.6’sı eğitimi hemşireden almıştır. Ölçek toplam puan ortalaması 92.36±8.78’dir. Hastanede yatış süresinin ≤1 hafta olması (β=-0.58, p=0.01), daha önce hastaneye yatış öyküsü (β=0.45, p=0.04) ve daha önce taburculuk eğitimi alma (β=0.65, p=0.01) memnuniyet ile anlamlı ilişkilidir. Sonuç ve öneriler: Hastaların taburculuk eğitimi memnuniyet düzeyi yüksektir. Ortopedi kliniklerinde hasta tanısına özel planlı taburculuk eğitiminin hasta memnuniyetine etkisini inceleyen çalışmalara ihtiyaç vardır.

Aim: Digital game addiction is a significant public health problem, having a dramatic increase among adolescents. This study was designed to determine adolescents' perceived parental attitudes and digital game addiction levels and to evaluate the predictive factors of digital game addiction. Material and Methods: The study used a cross-sectional design. The population consisted of high school students in a city in Turkey (N= 680). Data were collected via a Personal Information Form, the Parental Attitude Scale, and the Digital Game Addiction Scale. Multiple regression were used for data analysis. Results: Of the participants, 25.6% were found to have digital game addiction. It was determined that playing digital games (β=0.261), school absenteeism due to playing digital games (β=0.259), earning money from digital games (β=0.179), sibling's digital game playing status (β=0.073), playing digital games more than 2 hours a day (β=0.221), protective/demanding parental attitude (β=0.088) and authoritarian parental attitude (β=0.151) significantly affected digital game addiction. However, it was found that age, gender, grade point average, class level, democratic parental attitude, having own computer, parents' digital game playing status and daily time spent on social media did not significantly affect digital game addiction. Conclusions: Technology restriction or freedom is not a practical approach to decreasing digital game addiction among adolescents. It is recommended to develop studies to increase the digital competence and digital literacy levels of adolescents. Implication for nursing practice/management or policy: School health nurses should provide education and counselling and plan strategies for the prevention of digital game addiction in schools.

Background: This study was conducted to evaluate the effects of attitudes to ageing and depression as predictors of death anxiety in community-dwelling older adults. Method: The study was a cross-sectional and correlational design and conducted with 400 participants who met the inclusion criteria and admitted to four different family health centers in Turkiye. Data were collected with the Individual Evaluation Form, Attitudes to Ageing Questionnaire, Geriatric Depression Scale and Templer Death Anxiety Scale. Results: According to the results, community-dwelling older adults have depressive symptoms and death anxiety; and the attitudes to ageing and depression can predict death anxiety among community-dwelling older adults. Conclusion: This result highlights that interventions should be planned in order to reduce death anxiety among community-dwelling older adults by taking the attitude to ageing and the symptoms of depression into account.