Nilgün Kuru Alici
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Nilgün Kuru Alici has a total of 26 co-authors. Here are the top co-authors by number of shared publications:
- Ayşe Arıkan Dönmez
HACETTEPE ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ
4 shared publications - Bilge Kalanlar
Hacettepe University, Faculty of Nursing, Ankara, Turkey
4 shared publications - Ebru Öztürk Çopur
Kilis 7 Aralık University
3 shared publications - Oya Nuran Emi̇rOğlu
HACETTEPE ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ
3 shared publications Bilge Kalanlar
Department of Public Health Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey
2 shared publications- Freda Gonot-Schoupinsky
School of Psychology, Faculty of Health & Wellbeing, University of Bolton, Bolton, UK
2 shared publications
Latest Publications
- Open Access
- 6 August 2026
- Published by Springer Nature in Scientific Reports
- Vol. 16 (1)
A differential qualitative analysis following a laughie laughter prescription intervention in earthquake survivors
- 6 August 2026
- Published by Springer Nature in Scientific Reports
- Vol. 16 (1)
Open AccessA differential qualitative analysis following a laughie laughter prescription intervention in earthquake survivors
- 12 May 2026
- Published by Wiley in Nursing & Health Sciences
- Vol. 28 (2) , e70351
The Effects of Nursing Students' Disaster Risk Perception on Disaster Literacy: A Structural Equation Modeling Analysis
Disaster risk perception and disaster literacy are important factors associated with individuals' preparedness in disaster‐prone societies. Nursing students, as future healthcare professionals, play a critical role in disaster management; however, research on the relationship between these variables remains limited. This study examined the relationship between disaster risk perception and disaster literacy among nursing students using a cross‐sectional correlational design. Data were collected using the Disaster Risk Perception Scale and the Disaster Literacy Scale, and structural equation modeling was applied. Disaster risk perception was represented by the dimensions of impact, exposure, anxiety, and uncontrollability. Among these subdimensions, impact had the highest mean score, whereas anxiety had the lowest. The results indicated that disaster risk perception was negatively associated with disaster literacy ( β = −0.182). These findings suggest that higher levels of perceived risk are related to lower disaster literacy. Strengthening disaster literacy through targeted education and integrating it into nursing curricula and health policy may help support more balanced risk perceptions and improve disaster preparedness.
- 12 May 2026
- Published by Wiley in Nursing & Health Sciences
- Vol. 28 (2) , e70351
The Effects of Nursing Students' Disaster Risk Perception on Disaster Literacy: A Structural Equation Modeling Analysis
Disaster risk perception and disaster literacy are important factors associated with individuals' preparedness in disaster‐prone societies. Nursing students, as future healthcare professionals, play a critical role in disaster management; however, research on the relationship between these variables remains limited. This study examined the relationship between disaster risk perception and disaster literacy among nursing students using a cross‐sectional correlational design. Data were collected using the Disaster Risk Perception Scale and the Disaster Literacy Scale, and structural equation modeling was applied. Disaster risk perception was represented by the dimensions of impact, exposure, anxiety, and uncontrollability. Among these subdimensions, impact had the highest mean score, whereas anxiety had the lowest. The results indicated that disaster risk perception was negatively associated with disaster literacy ( β = −0.182). These findings suggest that higher levels of perceived risk are related to lower disaster literacy. Strengthening disaster literacy through targeted education and integrating it into nursing curricula and health policy may help support more balanced risk perceptions and improve disaster preparedness.
- Open Access
- 9 May 2026
- Published by Springer Nature in BMC Psychology
- Vol. 14
The relationship between aging anxiety, job stress and psychological resilience in oncology nurses: a cross-sectional study
Cancer is one of the leading causes of death worldwide. Oncology nurses play an essential role in the care of oncology patients. Providing care for cancer
- 9 May 2026
- Published by Springer Nature in BMC Psychology
- Vol. 14
Open AccessThe relationship between aging anxiety, job stress and psychological resilience in oncology nurses: a cross-sectional study
Cancer is one of the leading causes of death worldwide. Oncology nurses play an essential role in the care of oncology patients. Providing care for cancer
- 24 October 2025
- Published by Taylor & Francis in Psychology, Health & Medicine
- Vol. 31 (9) , 1-13
The relationship between loneliness, death anxiety, and social networks in community-dwelling older adults
The aim of this study was to determine the relationship between loneliness, death anxiety, and social networks in community-dwelling older adults. A descriptive correlational study was conducted with 250 participants aged ≥65 years (mean age: 70.04 ± 5.65) between January and March 2024. Data were collected using the Loneliness Scale for Older Adults, Death Anxiety Scale, and Lubben Social Network Scale. A positive and moderate relationship was found between loneliness and death anxiety (r = 0.406, p < .001), and a negative and moderate relationship was found between loneliness and social network (r = -0.410, p < .001). While there was no significant relationship between death anxiety and social network scores, a negative and low-level relationship was found between the social network of friends and the sub-dimension scores of thinking about death and witnessing (p < .05). These results highlight that understanding loneliness, death anxiety, and social networks in older adults is important for improving their quality of life and emotional well-being. Strengthening older adults' social ties and developing educational and intervention programs may help reduce loneliness and alleviate death anxiety.
- 24 October 2025
- Published by Taylor & Francis in Psychology, Health & Medicine
- Vol. 31 (9) , 1-13
The relationship between loneliness, death anxiety, and social networks in community-dwelling older adults
The aim of this study was to determine the relationship between loneliness, death anxiety, and social networks in community-dwelling older adults. A descriptive correlational study was conducted with 250 participants aged ≥65 years (mean age: 70.04 ± 5.65) between January and March 2024. Data were collected using the Loneliness Scale for Older Adults, Death Anxiety Scale, and Lubben Social Network Scale. A positive and moderate relationship was found between loneliness and death anxiety (r = 0.406, p < .001), and a negative and moderate relationship was found between loneliness and social network (r = -0.410, p < .001). While there was no significant relationship between death anxiety and social network scores, a negative and low-level relationship was found between the social network of friends and the sub-dimension scores of thinking about death and witnessing (p < .05). These results highlight that understanding loneliness, death anxiety, and social networks in older adults is important for improving their quality of life and emotional well-being. Strengthening older adults' social ties and developing educational and intervention programs may help reduce loneliness and alleviate death anxiety.
- Open Access
- 17 July 2025
- Published by Hacettepe University in Global Nursing Insights
- Vol. 12 (2) , 148-158
Determination of Genital Hygiene Behaviors of Women Working in a Factory and Associated Factors
Aim: The aim of this study was to examine the genital hygiene behaviors of women employed in a factory in Türkiye, identifying individual (age, education, income) and environmental (workplace hygiene conditions) factors influencing these behaviors. It also seeks to assess how workplace hygiene impacts women’s health and to propose practical recommendations for occupational health nurses. Material and Methods: : This descriptive study was conducted with 181 women working in a factory, selected through purposive sampling, between September 1, 2022, and May 1, 2023. Data were collected through a researcher-developed Personal Information Form and the Genital Hygiene Behavior Inventory. Descriptive statistics (mean, percentage) were used, and independent samples t-tests, chi-square tests, and analysis of variance (ANOVA) were conducted for group comparisons. Results: The mean the Genital Hygiene Behavior Inventory score was 50.65±0.78, indicating suboptimal genital hygiene behaviors. Significant relationships were found between Genital Hygiene Behavior Inventory scores and factors such as parental status, shift hours, income level, menstrual product affordability, and factory toilet hygiene (p
- 17 July 2025
- Published by Hacettepe University in Global Nursing Insights
- Vol. 12 (2) , 148-158
Open AccessDetermination of Genital Hygiene Behaviors of Women Working in a Factory and Associated Factors
Aim: The aim of this study was to examine the genital hygiene behaviors of women employed in a factory in Türkiye, identifying individual (age, education, income) and environmental (workplace hygiene conditions) factors influencing these behaviors. It also seeks to assess how workplace hygiene impacts women’s health and to propose practical recommendations for occupational health nurses. Material and Methods: : This descriptive study was conducted with 181 women working in a factory, selected through purposive sampling, between September 1, 2022, and May 1, 2023. Data were collected through a researcher-developed Personal Information Form and the Genital Hygiene Behavior Inventory. Descriptive statistics (mean, percentage) were used, and independent samples t-tests, chi-square tests, and analysis of variance (ANOVA) were conducted for group comparisons. Results: The mean the Genital Hygiene Behavior Inventory score was 50.65±0.78, indicating suboptimal genital hygiene behaviors. Significant relationships were found between Genital Hygiene Behavior Inventory scores and factors such as parental status, shift hours, income level, menstrual product affordability, and factory toilet hygiene (p
- Open Access
- 2 June 2025
- Published by Springer Nature in BMC Public Health
- Vol. 25 (1) , 1-15
The effect of simulation-based breast health education on breast cancer awareness and breast self-examination skills of Afghan refugee women: a randomized controlled trial
The aim of this study was to examine the effects of simulation-based breast health education on Afghan women's awareness of breast cancer, including knowledge of its risk factors, signs, and symptoms, as well as to improve their breast self-examination skills. This study was a pre-test, post-test, parallel-arm randomized controlled trial. The study sample consisted of 46 Afghan women, with 23 participants assigned to each of the intervention and control groups using block randomization. This study was conducted at the Social Development and Aid Mobilization (SGDD-ASAM) in Ankara, Türkiye. The intervention group received simulation-based breast health training. Each session of breast health education was 180 min. The simulation used a one-to-one show-and-do technique, which took approximately 120 min. Data were collected using the Breast Cancer Awareness Measure and the Breast Self-Examination Skill Assessment Form. The data were analyzed with the IBM SPSS 26 program. Descriptive statistics were used to evaluate the study data, including mean, standard deviation, percentage, and frequency distribution. The Shapiro–Wilk normality test was applied for further analysis. The Chi-Square (X2) Test was used to compare outcomes between groups. The significance level of p < 0.05 was considered. After the simulation-based training, there was a significant increase in confidence, skills, and behavior awareness among participants in the intervention group compared to the control group (p < 0.001). While there was no change in the control group, awareness of breast cancer, knowledge, and skills in the intervention group were predominantly rated as sufficient. The simulation-based breast health education intervention for Afghan refugee women was found to be a practical and innovative approach to raising breast cancer awareness and providing breast self-examination skills. This intervention may play a significant role in identifying at-risk individuals and raising their awareness. If sustained, this could potentially increase future screening participation and early detection, ultimately contributing to improved patient outcomes. It is recommended that policymakers and health professionals prioritize the integration of simulation-based health education into prevention and health promotion strategies targeting disadvantaged populations, such as refugees and migrants, to improve early diagnosis and advance health equity. Clinical Trials Number is NCT06051331. Registration date is 22.11.2023.
- 2 June 2025
- Published by Springer Nature in BMC Public Health
- Vol. 25 (1) , 1-15
Open AccessThe effect of simulation-based breast health education on breast cancer awareness and breast self-examination skills of Afghan refugee women: a randomized controlled trial
The aim of this study was to examine the effects of simulation-based breast health education on Afghan women's awareness of breast cancer, including knowledge of its risk factors, signs, and symptoms, as well as to improve their breast self-examination skills. This study was a pre-test, post-test, parallel-arm randomized controlled trial. The study sample consisted of 46 Afghan women, with 23 participants assigned to each of the intervention and control groups using block randomization. This study was conducted at the Social Development and Aid Mobilization (SGDD-ASAM) in Ankara, Türkiye. The intervention group received simulation-based breast health training. Each session of breast health education was 180 min. The simulation used a one-to-one show-and-do technique, which took approximately 120 min. Data were collected using the Breast Cancer Awareness Measure and the Breast Self-Examination Skill Assessment Form. The data were analyzed with the IBM SPSS 26 program. Descriptive statistics were used to evaluate the study data, including mean, standard deviation, percentage, and frequency distribution. The Shapiro–Wilk normality test was applied for further analysis. The Chi-Square (X2) Test was used to compare outcomes between groups. The significance level of p < 0.05 was considered. After the simulation-based training, there was a significant increase in confidence, skills, and behavior awareness among participants in the intervention group compared to the control group (p < 0.001). While there was no change in the control group, awareness of breast cancer, knowledge, and skills in the intervention group were predominantly rated as sufficient. The simulation-based breast health education intervention for Afghan refugee women was found to be a practical and innovative approach to raising breast cancer awareness and providing breast self-examination skills. This intervention may play a significant role in identifying at-risk individuals and raising their awareness. If sustained, this could potentially increase future screening participation and early detection, ultimately contributing to improved patient outcomes. It is recommended that policymakers and health professionals prioritize the integration of simulation-based health education into prevention and health promotion strategies targeting disadvantaged populations, such as refugees and migrants, to improve early diagnosis and advance health equity. Clinical Trials Number is NCT06051331. Registration date is 22.11.2023.
- 27 May 2025
- Published by Wiley in Journal of Child and Adolescent Psychiatric Nursing
- Vol. 38 (2) , e70026
The Mediating Role of School Burnout in the Relationship Between Adolescents' Perception of Loneliness and Quality of Life
Problem: Adolescence is a challenging period of development characterised by social, physical, and cognitive changes. During this period, adolescents are particularly vulnerable to experiencing loneliness, burnout, and depressive symptoms. This study was conducted to determine the mediating role of school burnout in the relationship between adolescents' perception of loneliness and quality of life.Methods: This descriptive and correlational study was conducted with 301 adolescent students from a public high school in the capital of Türkiye. The data were collected using the Personal Information Form, the UCLA Loneliness Scale Short Form, the Quality of Life Scale for Children, and the School Burnout Scale. Descriptive statistics, Kruskal–Wallis analysis of variance, Mann–Whitney U test, and Spearman correlation analysis were conducted to evaluate the data. The mediating role of school burnout was examined through mediating variable analysis using Model 4 with the SPSS PROCESS macro.Findings: As a result of the research, loneliness, school burnout, and quality of life of adolescents are at medium levels. Loneliness negatively impacts adolescents' quality of life, with school burnout serving as a mediating factor. Addressing school burnout may improve outcomes.Conclusion: In line with the study's results, not only nurses but also teachers, counselling units and families should participate in planning traning and practices that will positively affect adolescents' loneliness, quality of life and school burnout. Social support mechanisms in schools should be strengthened.
- 27 May 2025
- Published by Wiley in Journal of Child and Adolescent Psychiatric Nursing
- Vol. 38 (2) , e70026
The Mediating Role of School Burnout in the Relationship Between Adolescents' Perception of Loneliness and Quality of Life
Problem: Adolescence is a challenging period of development characterised by social, physical, and cognitive changes. During this period, adolescents are particularly vulnerable to experiencing loneliness, burnout, and depressive symptoms. This study was conducted to determine the mediating role of school burnout in the relationship between adolescents' perception of loneliness and quality of life.Methods: This descriptive and correlational study was conducted with 301 adolescent students from a public high school in the capital of Türkiye. The data were collected using the Personal Information Form, the UCLA Loneliness Scale Short Form, the Quality of Life Scale for Children, and the School Burnout Scale. Descriptive statistics, Kruskal–Wallis analysis of variance, Mann–Whitney U test, and Spearman correlation analysis were conducted to evaluate the data. The mediating role of school burnout was examined through mediating variable analysis using Model 4 with the SPSS PROCESS macro.Findings: As a result of the research, loneliness, school burnout, and quality of life of adolescents are at medium levels. Loneliness negatively impacts adolescents' quality of life, with school burnout serving as a mediating factor. Addressing school burnout may improve outcomes.Conclusion: In line with the study's results, not only nurses but also teachers, counselling units and families should participate in planning traning and practices that will positively affect adolescents' loneliness, quality of life and school burnout. Social support mechanisms in schools should be strengthened.
- 18 May 2025
- Published by SAGE Publications in Journal of Transcultural Nursing
- Vol. 36 (5) , 535-545
Navigating Family Planning—Insights for Culturally Sensitive Reproductive Health Among Afghan Refugee Men in Türkiye: A Qualitative Study
Introduction: Men’s decisions regarding family planning and reproductive health are as crucial as women’s especially in societies where patriarchal norms are strong, such as among Afghan communities. In this context, there is a need for studies on the opinions and experiences of Afghan men who have immigrated to Türkiye regarding family planning. Method: The study employed a phenomenological design and involved 20 Afghan refugee men. Data collection was performed through in-depth, semi-structured interviews. Results: Three main themes and their subthemes emerged from interviews: reproductive health and gender equity, enhancing family planning understanding, and navigating complex realities of family planning. Discussion: The influence of cultural and religious teachings on Afghan men’s reproductive choices is evident, shaping their perceptions of familial and social responsibilities. The study offers evidence that the social norms of host countries may influence Afghan men’s attitudes toward reproductive health and family planning.
- 18 May 2025
- Published by SAGE Publications in Journal of Transcultural Nursing
- Vol. 36 (5) , 535-545
Navigating Family Planning—Insights for Culturally Sensitive Reproductive Health Among Afghan Refugee Men in Türkiye: A Qualitative Study
Introduction: Men’s decisions regarding family planning and reproductive health are as crucial as women’s especially in societies where patriarchal norms are strong, such as among Afghan communities. In this context, there is a need for studies on the opinions and experiences of Afghan men who have immigrated to Türkiye regarding family planning. Method: The study employed a phenomenological design and involved 20 Afghan refugee men. Data collection was performed through in-depth, semi-structured interviews. Results: Three main themes and their subthemes emerged from interviews: reproductive health and gender equity, enhancing family planning understanding, and navigating complex realities of family planning. Discussion: The influence of cultural and religious teachings on Afghan men’s reproductive choices is evident, shaping their perceptions of familial and social responsibilities. The study offers evidence that the social norms of host countries may influence Afghan men’s attitudes toward reproductive health and family planning.
- 29 August 2024
- Published by Taylor & Francis in Issues in Mental Health Nursing
- Vol. 45 (11) , 1210-1217
A Pilot Study Investigating the Feasibility, Reach-Out, Acceptability, Fidelity, and Efficacy of a Group Laughie Prescription on the Well-Being of Earthquake Survivors in Türkiye
Mental health and quality of life may be negatively impacted among earthquake survivors. This pilot study evaluates the use of and reports on the preliminary effects of participating in a 1-minute Laughie (Laugh Intentionally Everyday) Laughter Prescription on well-being in earthquake survivors in Türkiye. A Group Laughie intervention was delivered using a within-subject (n = 20; M age = 34.78 ± 6.65; 14 female) pretest-posttest design. Group Laughies were delivered once a day over 2 weeks with participants prescribed to further laugh with the Group Laughie recording twice a day, resulting in 3 minutes of intentional laughter daily. Data were collected using a range of questionnaires to track feasibility, reach-out, acceptability, fidelity, and efficacy, including Laughie Checklists, a Post-Intervention Perceived Impact Measure (PIPIM) in the form of the Positive Psychology One-off Post-intervention measure (PPOP), and the World Health Organization (WHO-5) well-being index. Results indicated high intervention fidelity using Laughie Checklists and positive post-intervention perceived impact using the 11-point Likert-scaled PPOP (x = 7.62 ± 1.44). After the intervention, a statistically significant difference (p < 0.001) was found between WHO-5 well-being index pretest scores (x = 2.16 ± 1.00) and post-test (x = 4.08 ± 0.24). This study demonstrated beneficial effects of the Laughie prescription on earthquake survivors. This is the first intervention to explore an online Group Laughie intervention. Health professionals and especially nurses can use the 1-minute Laughie prescription in the form of a Group Laughie intervention to increase the well-being of individuals and improve perceived mental health.
- 29 August 2024
- Published by Taylor & Francis in Issues in Mental Health Nursing
- Vol. 45 (11) , 1210-1217
A Pilot Study Investigating the Feasibility, Reach-Out, Acceptability, Fidelity, and Efficacy of a Group Laughie Prescription on the Well-Being of Earthquake Survivors in Türkiye
Mental health and quality of life may be negatively impacted among earthquake survivors. This pilot study evaluates the use of and reports on the preliminary effects of participating in a 1-minute Laughie (Laugh Intentionally Everyday) Laughter Prescription on well-being in earthquake survivors in Türkiye. A Group Laughie intervention was delivered using a within-subject (n = 20; M age = 34.78 ± 6.65; 14 female) pretest-posttest design. Group Laughies were delivered once a day over 2 weeks with participants prescribed to further laugh with the Group Laughie recording twice a day, resulting in 3 minutes of intentional laughter daily. Data were collected using a range of questionnaires to track feasibility, reach-out, acceptability, fidelity, and efficacy, including Laughie Checklists, a Post-Intervention Perceived Impact Measure (PIPIM) in the form of the Positive Psychology One-off Post-intervention measure (PPOP), and the World Health Organization (WHO-5) well-being index. Results indicated high intervention fidelity using Laughie Checklists and positive post-intervention perceived impact using the 11-point Likert-scaled PPOP (x = 7.62 ± 1.44). After the intervention, a statistically significant difference (p < 0.001) was found between WHO-5 well-being index pretest scores (x = 2.16 ± 1.00) and post-test (x = 4.08 ± 0.24). This study demonstrated beneficial effects of the Laughie prescription on earthquake survivors. This is the first intervention to explore an online Group Laughie intervention. Health professionals and especially nurses can use the 1-minute Laughie prescription in the form of a Group Laughie intervention to increase the well-being of individuals and improve perceived mental health.
- 27 July 2024
- Published by SAGE Publications in Clinical Nursing Research
- Vol. 33 (8) , 620-629
Knowledge, Attitudes, and Cultural Beliefs of Afghan Refugee Women Toward Gynecological Cancer: A Qualitative Study
Gynecological cancers constitute an important global health problem with increasing incidence and prevalence. The aim of this study was to explain gynecologic cancer knowledge, attitudes, and cultural beliefs of Afghan refugee women living in Türkiye. This research was carried out as a descriptive phenomenological design for qualitative research. The study was conducted at the Refugee Support Center Association in Eskişehir, Türkiye, and data were collected between January and April 2023, guided by a semi-structured interview guide. Nineteen Afghan refugee women were interviewed. A purposive sampling method was used to recruit participants. Content analysis method was used for data analysis. Four overarching themes that described Afghan women’s gynecologic cancer knowledge, attitudes, and cultural beliefs were identified: (a) limited awareness and knowledge of gynecological cancer among women, (b) women’s attitudes toward gynecological cancers, (c) women’s cultural beliefs regarding gynecological cancer, and (d) healthcare system factors. In line with the main themes, subthemes were created for each main theme. Afghan refugee women, who were in the double risk group as both women and refugees, had insufficient knowledge of gynecological cancers, and their cultural beliefs and attitudes played an essential role in their access to gynecological cancer-related preventive healthcare services. It is recommended that training be planned to increase the awareness and knowledge of Afghan women on gynecological cancers, considering their cultural characteristics.
- 27 July 2024
- Published by SAGE Publications in Clinical Nursing Research
- Vol. 33 (8) , 620-629
Knowledge, Attitudes, and Cultural Beliefs of Afghan Refugee Women Toward Gynecological Cancer: A Qualitative Study
Gynecological cancers constitute an important global health problem with increasing incidence and prevalence. The aim of this study was to explain gynecologic cancer knowledge, attitudes, and cultural beliefs of Afghan refugee women living in Türkiye. This research was carried out as a descriptive phenomenological design for qualitative research. The study was conducted at the Refugee Support Center Association in Eskişehir, Türkiye, and data were collected between January and April 2023, guided by a semi-structured interview guide. Nineteen Afghan refugee women were interviewed. A purposive sampling method was used to recruit participants. Content analysis method was used for data analysis. Four overarching themes that described Afghan women’s gynecologic cancer knowledge, attitudes, and cultural beliefs were identified: (a) limited awareness and knowledge of gynecological cancer among women, (b) women’s attitudes toward gynecological cancers, (c) women’s cultural beliefs regarding gynecological cancer, and (d) healthcare system factors. In line with the main themes, subthemes were created for each main theme. Afghan refugee women, who were in the double risk group as both women and refugees, had insufficient knowledge of gynecological cancers, and their cultural beliefs and attitudes played an essential role in their access to gynecological cancer-related preventive healthcare services. It is recommended that training be planned to increase the awareness and knowledge of Afghan women on gynecological cancers, considering their cultural characteristics.