Aylin Bilgin

Background: Media portrayals of violence against healthcare professionals may influence nursing students’ perceptions of the profession, yet little is known about how such portrayals are experienced and interpreted. Research aim: To explore senior nursing students’ experiences of media portrayals of violence against healthcare professionals and their emotional, professional, and ethical implications. Research design: Descriptive phenomenological study. Participants and research context: Fifteen senior nursing students from four universities in Türkiye participated in semi-structured online interviews. Data were analyzed using Colaizzi’s seven-step phenomenological method. Ethical considerations: Ethical approval was obtained from the Ethics Committee of a University (Decision No.: 25/5, 29 September 2022). Written informed consent was obtained from all participants. Findings/results: Three themes emerged: the dual role of media coverage, media impact on professional futures, and expectations for institutional and media responsibility. Participants described media coverage as both a source of awareness and a contributor to concerns about the normalization of violence. Exposure to violence-related news generated fear, insecurity, and concerns about future professional practice while increasing expectations for responsible media reporting and stronger institutional protections. Conclusions: Media portrayals of violence against healthcare professionals influence nursing students’ professional identity development, perceptions of workplace safety, and future career expectations. Nursing education and responsible media practices may help reduce these negative effects and support professional development.

Objective: Health literacy is an important factor in diabetes management and may be associated with diabetes-related burnout among individuals with type 2 diabetes. The aim of this study is to assess health literacy and burnout levels in individuals with type 2 diabetes, identify associated variables, and examine the relationship between health literacy and burnout.Materials and Methods: This descriptive and correlational study included a sample of 162 patients with type 2 diabetes who attended the diabetes outpatient clinic of a training and research hospital between May and August 2025. Data were collected using a patient identification form, the Diabetes Burnout Scale (DBS), and the Health Literacy Scale (HLS). Results: The participants’ mean total score on the DBS was 30.12±6.06, and the mean total score on the HLS was 42.40±7.00. A strong negative correlation was observed between participants’ total health literacy scores and total burnout scores (r = -0.676; p < 0.001). Moreover, regression analysis indicated that health literacy dimensions explained approximately 51.5% of the variance in burnout scores (R²=0.515).Conclusion: This study demonstrated that health literacy was significantly and negatively associated with burnout, with higher health literacy scores being associated with lower burnout scores.

Bu araştırmada, kronik obstrüktif akciğer hastalığı hastalara özgü solunum ilişkili uyku problemini değerlendirmek için geliştirilmiş olan Manchester Solunum İlişkili Uyku Semptomlar Ölçeğinin, Türkçe geçerlik ve güvenirlik analizlerini gerçekleştirmek amaçlanmıştır. Metodolojik tipte gerçekleştirilen bu araştırmaya, 01 Temmuz- 27 Aralık 2024 tarihleri arasında bir kamu hastanesinde göğüs hastalıkları kliniğinde tedavi gören 92 kronik obstrüktif akciğer hastası dahil edilmiştir. Veriler Hasta Bilgi Formu, Kronik Obstrüktif Akciğer Hastalığı Değerlendirme Testi ve Manchester Solunum İlişkili Uyku Semptomlar Ölçeği kullanılarak elde edilmiştir. Çalışmada dil, kapsam ve yapı geçerliği ile güvenirlik analizleri yapılarak, ölçeğin geçerlik ve güvenirlik analizleri gerçekleştirilmiştir. Hastaların yaş ortalaması 68.15±10.62 yıl olup %65.2’si erkektir. Ölçeğin geçerliği dil, kapsam ve yapı geçerliği analizleri ile incelenmiş, tek faktörlü yapısının uyumlu olduğu belirlenmiştir. Uyum geçerliği kapsamında Kronik Obstrüktif Akciğer Hastalığı Değerlendirme Testi ile Manchester Solunum İlişkili Uyku Semptomlar Ölçeği arasındaki korelasyon pozitif yönlü yüksek düzeyde (r=0.782, p

Objective: This study aims to evaluate quality of life in elderly individuals with chronic diseases through the lens of Health Empowerment Theory, focusing on how health literacy and social support influence health empowerment and quality of life. Design: A descriptive cross‐sectional study. Sample: Participants were required to have no communication problems, and all participants provided informed consent prior to participation. The sample size was determined to ensure adequate statistical power, resulting in a final cohort of 265 elderly individuals. Measurements: Data were collected through structured interviews using a Personal Information Form, the Health Literacy Scale (HLS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Elders Health Empowerment Scale (EHES), and the Older People's Quality of Life questionnaire (OPQOL‐brief). Structural equation modeling (SEM) was utilized for analysis. Results: Quality of life showed a moderate correlation with health literacy and health empowerment and a weak correlation with social support. Health empowerment demonstrated a moderate correlation with health literacy and a weak correlation with social support. SEM indicated a good fit of the proposed model. Health literacy and social support were significantly associated with health empowerment. Both health empowerment and health literacy were positively associated with quality of life. Conclusions: The results highlight the critical role of health literacy and social support in enhancing health empowerment and, consequently, improving the quality of life of elderly individuals with chronic physical illnesses. Public health nurses should play a key role in planning and implementing education and counselling programs to support the life of this elderly population.

Background: Dying with dignity in intensive care units (ICUs) presents ethical and practical challenges, particularly within high-tech environments that often prioritize life-saving interventions over holistic end-of-life care. Respecting patient dignity requires attention to physical, emotional, and spiritual needs, as well as to privacy and family involvement. Aim: This study aimed to explore the experiences of intensive care nurses in providing a dignified death to their patients, with a focus on understanding the factors that influence this process, the challenges encountered, and the care approaches employed. Research design: A descriptive qualitative design was employed. Data were collected through in-depth semi-structured interviews and analyzed using Braun and Clarke’s thematic analysis framework. Participants and research context: Twenty ICU nurses from eight different hospitals participated in the study. Participants were selected through purposive and snowball sampling techniques. Ethical considerations: Ethical approval was obtained from the institutional review board. All participants gave informed consent, and the study followed COREQ guidelines. Findings: Two main themes and eight sub-themes were identified. The first theme, Practices that support death with dignity, included peace of body, ensuring privacy, space for family farewells, fulfilling last wishes, and meeting spiritual needs. The second theme, Obstacles to death with dignity, included lack of staff, desensitization to death, and lack of knowledge. Conclusions: ICU nurses play a vital role in promoting dignified death by addressing patients’ physical, emotional, and spiritual needs. However, systemic barriers such as limited staffing, emotional burnout, and insufficient training hinder the consistent delivery of such care. Institutional reforms focusing on workforce support, education, and culturally sensitive protocols are essential to improve the quality of end-of-life care in ICUs.

Background: Sensory integration, particularly visual feedback, is essential for motor control and balance. Stroboscopic glasses, which intermittently restrict visual input, have emerged as a promising tool for rehabilitation and performance enhancement. Objective: This systematic review and meta-analysis evaluated the impact of balance training with stroboscopic glasses on postural stability and activity levels in patients with chronic ankle instability or multiple sclerosis. Methods: A systematic search of Science Direct, Web of Science, and PubMed was conducted up to September 2024 using relevant keywords. Randomized controlled trials published in English were included, excluding studies with incomplete data or abstract-only publications. From 5,691 screened records, five studies met the criteria, involving predominantly male patients with chronic ankle instability or multiple sclerosis. Result: Balance training with stroboscopic glasses significantly improved postural stability (Z = 4.83, p < 0.001), while changes in activity scores were not statistically significant. Most studies demonstrated low risk of bias and strong methodological quality. Conclusion: Stroboscopic glasses appear effective in enhancing postural stability, though their impact on activity levels remains unclear. Larger, diverse samples and comparative studies with other training methods are needed to validate these findings and explore long-term benefits. Keywords: Activity level; chronic ankle instability; multiple sclerosis; postural stability; stroboscopic glasses.