Ayşegül Ilgaz

As in many parts of the world, demographic indicators in Türkiye (e.g., increasing life expectancy and a growing proportion of the older population) are driving important social implications. One consequence is a growing tendency to remain in the workforce at older ages. Although older individuals are increasingly participating in the labour force, the use of information and communication technologies affects them in multidimensional ways. This chapter examines the health and social inequalities faced by Türkiye’s ageing population in the context of digital transformation. Drawing on findings from national research, it analyses how digital technology use affects the health of older workers during extended working lives. It also presents examples of good practices in Türkiye’s health and social sectors and assesses the opportunities they offer to older adults. The chapter concludes with structural-level policy recommendations aimed at enhancing digital inclusion for older people in Türkiye.

Background: The increasing participation of older people in the global labor force has made their health and quality of life a significant public health concern. Integrative nursing theory, based on the philosophy of holistic healthcare, provides a multidimensional theoretical and practical framework to improve individuals’ health and quality of life. This study aimed to map the existing literature addressing the health and quality of life of older people in the workforce based on integrative nursing principles. Methods: This scoping review followed the PRISMA-ScR and Arksey and O’Malley five-step methodological framework. PubMed, Web of Science, and Scopus databases were searched covering 2016 through January 2026. Sixty-seven studies meeting the inclusion criteria were analyzed according to the six core principles of integrative nursing. Results: The findings reveal that the physical demands of work (pain/function loss, ability to stay at work), shift work, job quality, psychosocial context, socioeconomic status, and living environment (accessibility/neighborhood) all have an impact on older workers’ health and quality of life. Integrative nursing supports health and quality of life through interventions such as early risk assessment, periodic health screenings, ergonomic improvements, age-appropriate training, and psychosocial support. Conclusion: This scoping review highlights that integrative nursing principles, which focus holistically on the physical, mental, social, and spiritual needs of older workers. Application to Practice: Occupational health nurses should prioritize integrative nursing principles based intervention strategies tailored to the multifaceted needs of older workers. These evidence-based therapeutic principles can strengthen workplace health and safety while promoting sustainable and age-friendly work environments.

Purpose: This study aimed to map, the annual growth pattern, publication and citation performance, scientific visibility at the levels of authors, journals, institutions and countries, and the conceptual structure based on keyword cooccurrence of publications focusing on the social inclusion and social integration of migrants. Design/methodology/approach: A retrospective bibliometric analysis methodology was used. The data were searched for in the Web of Science Core Collection (WoSCC) database in English between 2013-2023. The analysis was performed using VOSwiever (1.6.20) software program. Findings: A total of 95 countries, 1886 institutions, 4729 authors and 1101 journals contributed to 2000 studies. The most productive author was “Ramon Spaaij.” The journal with the most articles and cited was “Journal of Ethnic and Migration Studies.” The country that provided the most support for published articles was the USA. The most frequently used keywords were “social integration,” “social inclusion,” “migration,” “refugees,” “migrants,” “integration,” “discrimination,” “social capital,” “employment/labour market,” “transnationalism,” “housing” and “Covid-19.” Practical implications: The trends and research gaps identified in this bibliometric analysis may contribute to the development of more targeted population research, public policies and social frameworks for designing social support systems and integration strategies for migrants. Originality/value: This study demonstrates the increasing importance given to the social inclusion and integration of migrants over the last decade. Therefore, research collaborations and networks should be encouraged for researchers and policymakers on successful social inclusion and integration of migrants.

In recent years, the notion of transnational families (TNFs) has become central to understanding how kinship, care, belonging and identities are sustained across borders in an increasingly mobile world. This literature review systematically analyses how the concept of TNFs has been applied in academic work published between 2018 and mid-2023. Drawing on nearly 400 peer-reviewed publications indexed in Scopus, Web of Science and ERIC, last searched in spring 2023, it identifies five distinct patterns of conceptual use. The analysis reveals that the term remains broad and is inconsistently applied, often conflating transnational, long-distance and migrant families. Empirical research remains thematically concentrated on caregiving and ICT-mediated ties within families with underaged children and older parent-adult child dyads, with comparatively little attention to couples, siblings, extended kin, queer families, or forced separations. Moreover, the review uncovers persistent Western-centric and classificatory biases: families from the Global South and Eastern Europe are routinely framed as TNFs, while white, middle-class (Western) Europeans are less visible in this strand of research. By synthesising the conceptual patterns and dominant foci and identifying less-researched aspects, the review advances a more reflexive and inclusive understanding of TNFs. It calls for future research that pays greater attention to the temporal dimension and integrates structural inequalities, diverse family forms, and intersectional perspectives into the study of transnational family life. The main limitations of the review relate to the use of a specific keyword search strategy and reliance on selected academic databases. Given its conceptual focus, no formal risk of bias assessment was conducted. The review was not prospectively registered.

Objective: Greenhouse workers encounter elevated health risks from pesticide exposure compared to workers in other agricultural sectors. This is a significant public health issue contributing to increasing mortality/morbidity rates worldwide. The use of protection methods is essential to minimize these risks. This study aimed to investigate the factors that lead greenhouse workers to not use methods to protect themselves from pesticide exposure. Method: This study used a qualitative descriptive case methodology with 20 greenhouse workers. A semi‐structured interview guide was used for individual, in‐depth, face‐to‐face interviews. Braun and Clark's (2021) reflexive thematic analysis methodology was adopted to analyze the data. Results: Three main themes and ten sub‐themes emerged, reflecting the views and perspectives of greenhouse workers regarding their reasons for avoiding pesticide protection methods. Prominent obstacles included personal attitudes/characteristics such as personal neglect, lack of information, and insufficient time; negative aspects of the physical environment such as temperature, humidity, evaporation, and mud; and negative features of personal protective equipment such as comfort/ergonomics issues, allergic reactions, and economic/accessibility constraints. Conclusion: Training, monitoring, and policy implementation that increase the adoption of protection methods can be disseminated both locally and in similar international contexts to improve the health and safety of greenhouse workers.

AIM: The aim of this systematic review was to explore how pesticide exposure affected agricultural workers’ cognitive abilities. METHODS: A comprehensive search was conducted in the Web of Science, Scopus, PubMed, MEDLINE, and EBSCOhost/CINAHL Complete databases for relevant literature covering the period from 2014 to 2024. The Preferred Reporting Elements for Systematic Reviews and Meta-Analyses checklist was followed. Quality appraisal was conducted using the Joanna Briggs Institute Critical Appraisal Tools. The review protocol was registered in the International Register of Prospective Systematic Reviews (PROSPERO) [CRD42024498818]. RESULTS: In total, 12 studies meeting the inclusion criteria were included in the analysis. Most of the included studies showed that agricultural workers’ cognitive abilities were negatively impacted by pesticide exposure. This was particularly associated with problems in language, visual memory, complex attention, and perceptual-motor functions. On the other hand, a few included studies found that pesticide exposure had no negative effect or only a limited effect on cognitive functions. This was due to confounding factors such as age, education level, and pesticide exposure time. CONCLUSION: Agricultural workers were more at risk for health problems due to the long-term neurotoxic effects of pesticide exposure on the central and peripheral nervous systems. To protect the health and safety of agricultural workers, these effects should be investigated in more detail in future studies, protective measures should be promoted, and training programs should be planned. Moreover, the focus should be on targeting agricultural workers who are older, have lower levels of education, and have longer exposure to pesticides. Cite this article as: Karabıyık, I. H., & Ilgaz, A. (2026). Effects of pesticide exposure on cognitive functions in agricultural workers: A systematic review. Florence Nightingale Journal of Nursing, 34, 0227, doi: 10.5152/FNJN.2026.25227.

Background: Although stoma surgery is a life-saving intervention, it can lead to significant physical, emotional, and social changes that affect individuals’ psychosocial well-being and overall quality of life. This qualitative meta-synthesis aims to systematically investigate and synthesize the psychological and social impacts, as well as the quality-of-life experiences, of adult individuals living with a permanent stoma due to colorectal cancer. Methods: This qualitative meta-synthesis was conducted via systematic review and thematic synthesis methods, following the ENTREQ, PRISMA, and JBI guidelines. Five databases, EBSCO (MEDLINE), PubMed, CINAHL, Web of Science (WoS), and Scopus, were searched up to December 28, 2024. Studies focusing on the psychological, social, and quality-of-life experiences of adults living with a permanent stoma were included. The data were analysed via three-step thematic synthesis. Study quality was assessed via JBI tools. Two independent researchers conducted the selection, extraction, and synthesis processes to ensure reliability. Results: A total of 36 qualitative studies involving 1736 patients with stoma were included. Three main themes and six subthemes were identified: (1) Reshaping Daily Life in the Shadow of the Stoma, (2) From Inner Turmoil to Silent Resilience: Psychosocial and Emotional Effects After Stoma, and (3) Care and Support Dynamics in Stoma Adaptation. Patients experienced body image disturbance, emotional distress, social isolation, changes in daily routines, physical limitations, hygiene challenges, and stigma. Family, partner, peer, and professional support are key factors in coping and adaptation. Conclusion: Adults living with a permanent stoma reported experiencing physical limitations related to mobility, sleep, self-care, and sexual life, which were perceived to negatively influence their quality of life. Participants also described the need to reorganize daily routines, social roles, and work-related activities, and to develop new patterns of living within existing constraints. Overall, the findings suggest that living with a stoma is associated with adjustments in living arrangements, social roles, and bodily experiences, underscoring the importance of addressing the adaptation process through a holistic and person-centered approach. Trial registration: The study protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database (ID: CRD42025631485).

Background: Workplace loneliness—defined as the perceived absence of meaningful social relationships at work—can have a negative impact on the well-being, engagement, and productivity of employees. Older professionals (aged ≥50 years) may be particularly vulnerable to workplace loneliness in the context of accelerated digitalization, which may create obstacles to inclusion, communication, and collaboration. Despite growing interest in this phenomenon, no comprehensive synthesis has yet examined how digital tools and transformations affect loneliness among older workers or what interventions have been implemented to address it. Objective: This scoping review aims to systematically map the existing literature on workplace loneliness among workers aged 50 years or older, with a particular focus on how digitalization influences these experiences. The review will also identify digital tools associated with loneliness and explore organizational interventions to reduce loneliness among this demographic. Methods: This scoping review will follow the methodological framework by Arksey and O’Malley and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) reporting guidelines. A comprehensive search will be conducted in multiple databases (MEDLINE, Scopus, Web of Science, and APA PsycINFO) and gray literature. Eligible studies will (1) include workers aged 50 years or older, (2) address workplace loneliness or related constructs in professional contexts, and (3) be situated in digitalized work environments (eg, remote or hybrid work, digital tools, and information and communications technology systems). Study selection, data extraction, and quality assessment will be conducted independently by at least 2 reviewers. Data will be charted using a predefined template covering study characteristics, theoretical frameworks, the digital context, loneliness measures, and intervention strategies and synthesized narratively and thematically. Results: As this is a scoping review protocol, results are not yet available. A preliminary search conducted in June to July 2025 across MEDLINE, Cochrane Library, and Web of Science yielded 450, 1, and 47 potentially relevant records, respectively. No systematic or scoping reviews were identified on workplace loneliness among older workers in digitalized contexts. One review addressed video calls for nonworking older adults, reporting very low-certainty evidence. The planned review will apply the PRISMA-ScR guidelines to synthesize evidence on digitalization’s role in, technologies associated with, and organizational interventions to mitigate workplace loneliness for professionals aged 50 years or older. Conclusions: This scoping review will systematically examine how digitalization shapes workplace loneliness among professionals aged 50 years or older and identify organizational interventions that address it. The synthesis will refine conceptual understanding, highlight critical evidence gaps, and inform the development of socially supportive digital work environments for aging workforces. Trial Registration: Open Science Framework 6p4ak; https://osf.io/6p4ak International Registered Report Identifier (IRRID): DERR1-10.2196/81843