Eda Kilinç İşLeyen

In this study, it was aimed to determine the effect of religious attachment in nursing students on their spiritual care competence levels. This cross-sectional study was conducted with Turkish nursing students in 2022 (n = 348). The sociodemographic information form, spiritual health scale-short form (SHS-SF), and spiritual care competence scale (SCCS-T) were used for data collection. A significant relationship was found between religious attachment and SCCS-T (r = 0.211; p = 0.000). The study results showed that the SCCS-T scores of the students who took courses/training on spiritual care were higher (p < 0.05). The predictors of the spiritual care competence of the nursing students were religious attachment (β = 1.002) and spiritual care course/training (β = 7.957). The study findings indicate that nursing students’ spiritual care competence was related to their religious attachment. In general, nursing students with a higher level of religious attachment have a higher perception of spiritual care competence. The results emphasize the integration of psychosocial-related concepts into the nursing curriculum to increase nursing students’ spiritual care competence.

Objective: Given that elderly people with diabetes are at high risk for cardiovascular complications, it is essential to understand the relationship between eHealth literacy and health beliefs regarding cardiovascular diseases. This study was conducted to examine the relationship between e-health literacy and health beliefs regarding cardiovascular disease in elderly individuals with type 2 diabetes. Methods: This study is a descriptive and cross-sectional study. The study was conducted between February 2024 and June 2024 with 326 individuals with type 2 diabetes. The study data collected descriptive characteristics form, e-Health Literacy Scale (e-HLS) and Health Beliefs Related to Cardiovascular Disease Scale (HBCVDS). Results: The mean age of the elderly individuals with type 2 diabetes included in the study was 70.21±6.18 years and 53.10% were female. The mean score on the e-HLS and HBCVDS were moderate. The factors affecting e-HLS were smoking, smartphone use, Accessing health resources from the internet, average daily internet usage time (91 minutes or more), positive effect of the internet on health. Conclusions: In this study, both the e-health literacy and the health beliefs related to heart disease of elderly individuals with diabetes were found to be at a moderate level. As the electronic health literacy of individuals with diabetes increases, their health beliefs about heart disease also improve. Therefore, educational programs aimed at enhancing electronic health literacy and the promoting use of digital tools offer an important opportunity to improve these individuals' health beliefs and behaviors related to cardiovascular diseases.

Internet is women's primary source of information about cervical cancer and human papillomavirus. The aim of this study was to determine the associations of electronic health literacy with cervical cancer and human papillomavirus awareness among women of reproductive age. This is a cross-sectional study. The research sample consisted of 330 women of reproductive age (15-49 years), who were admitted to family health centers. The data were collected between July and August 2023 using eHealth Literacy Scale and the Cervical Cancer and Human Papillomavirus Awareness Questionnaire. Multiple linear regression analysis was performed to explore the predictors of cervical cancer and human papillomavirus awareness. In this study, the mean score of women's knowledge about cervical cancer and human papillomavirus was found to be low (4.54 ± 3.94), and the mean score of threat perception was found to be moderate (45.60 ± 6.54). eHealth literacy was found to be a predictor of women's knowledge about cervical cancer and human papillomavirus and threat perception. This result suggests that eHealth literacy should be considered for interventions to increase knowledge and awareness of women about cervical cancer and human papillomavirus.

Objective: This study was conducted to examine the relationship between disaster literacy and disaster preparedness of the community. Methods: This cross-sectional study was conducted on adult participants after a major earthquake that occurred in Türkiye on February 6, 2023 (n = 414). Convenience sample was used in sample selection. Data collection instruments are the Disaster Literacy Scale-DLS and Disaster Preparedness Scale-DPS. Descriptive statistics, independent samples t test, correlation, and multiple linear regression analysis were used to analyze the data. Results: Participants’ DLS score was 33.08 ± 6.72 (limited disaster literacy) and DPS score was 31.89 ± 5.15 (moderate level). A positive correlation was found between DLS and DPS scores (r = 0.242; P = 0.000). Disaster literacy scores are higher for those with higher education levels, those who have taken disaster-related training/courses, those who have a disaster plan at home, and those who have a disaster kit (P < 0.05). In community, increasing disaster literacy, having a disaster kit, insuring the house, and making family plans against disasters positively affect disaster preparedness. Conclusions: The disaster literacy level of the participants is limited, and the disaster preparedness level is moderate. To increase the disaster literacy levels of individuals, it is recommended that public health nurses strengthen public education and disseminate disaster training in community.

Aim: The study was carried out to investigate the effect of tele-nursing based motivational interviewing on diabetes self-efficacy, self-management, and metabolic control parameters in individuals with Type 2 diabetes. Method: A parallel-group randomized controlled trial. The study was completed with 70 participants (intervention: 36; control: 34). The data were collected using the Socio-demographic and Health Related Questionnaire, the Diabetes Self-Efficacy Scale, the Diabetes Self-Management Scale. The intervention group received eight sessions tele-nursing based motivational interviewing. Instruments were administered to both groups before the intervention, at the end of the last motivational interviewing session (post-test, 3rd-month), and at 6th-month follow-up. The data were analyzed using chi-square test, independent sample t-test, and one-way ANOVA. Results: In the pre-test, there was no difference between the intervention and control groups in terms of independent variables (p > 0.05). Self-efficacy and self-management scores increased in the post-test and follow-up test of the group to which telenursing-based MI was applied, and there was a difference between the groups (p < 0.05). FBG and triglyceride levels of the intervention group decreased significantly in the post-test and follow-up test (FBG = 217.46 ± 73.88, 166.13 ± 50.71, and 161.41 ± 50.50, respectively; triglyceride = 225.28 ± 148.32, 159.68 ± 68.62, and 161.09 ± 73.06, respectively) (p < 0.05). HbA1c% level decreased significantly only in the post-test. However, no significant differences were found in terms of other metabolic parameters (p > 0.05). Conclusions: This result shows the positive effectiveness of tele-nursing based MI intervention on self-efficacy, self-management, HbA1c%, FBG, triglyceride. Public health nurses should be provided with tele-nursing based MI to individuals with type 2 diabetes in primary health care institutions. Study registration. The study was registered in ClinicalTrials NCT05628259 (prospective). Trial registration number and date of registration for prospectively registered trials. The study was registered in ClinicalTrials NCT05628259 (prospective). 2023–02-01.

Aim: This research was conducted to examine the relationship between the e-health literacy level and obtaining and verifying health information from digital media behaviours in individuals with type 2 diabetes. Material and Methods: This cross-sectional study was conducted in a training and research hospital (n=251). Data were collected using the Descriptive Characteristics Form, e-Health Literacy Scale and Verifying Health Information from Digital Media Scale. Descriptive analyses, independent sample t-test, one-way ANOVA, and correlation analyses were used to evaluate the data. Results: The average age of individuals with type 2 diabetes in the hospital where this study was conducted is 61.17±12.40. In this study, the mean age of individuals with type 2 diabetes was 61.17±12.40. Type 2 diabetic individuals were found to have low e-health literacy (mean=16.78, SD=10.61), obtaining health information from digital media (mean=4.82, SD=2.70), and low confirmation level (mean=4.98, SD=2.62). A positive strong relationship was found between obtaining health information via e-health literacy (r=0.758), digital health information (r=0.759), and digital confirmation (r=0.537) (p

Background: Many models and theories are used to increase the self‐management of individuals with type 2 diabetes. This study aims to examine the effect of information, motivation, behavioural skills (IMB) model‐based diabetes education and motivational interviewing program on health belief, self‐efficacy, self‐management, and metabolic control in adults with type 2 diabetes.Method: The study is a single‐blind, randomised controlled trial. The study was conducted between 2021 and 2022 with intervention (n = 30) and control groups (n = 30). The intervention group applied the diabetes education and motivational interviews program for 12 weeks that was created based on the IMB model. The study data were collected with a socio‐demographic questionnaire, Diabetes Knowledge Scale, Health Belief Scale, Self‐Efficacy Scale, and Self‐Management Scale.Results: In the post‐test and follow‐up measurements, the mean scores of the intervention group on the knowledge, health belief, self‐efficacy, and self‐management scale were significantly higher than those of the control group, while the HbA1c% and body mass index (BMI) values of the intervention group showed a significant decrease over time. However, there was no difference between the groups in the post‐test BMI and HbA1c% values.Conclusion: The nurse‐led intervention was found to be effective in increasing information, health belief, self‐efficacy, self‐management, and decreasing HbA1c%, BMI in adults with type 2 diabetes.Study Registration: The study was registered in ClinicalTrials NCT05030844.

Background: Stroke is a disease that affects the arteries leading to and within the brain. Stroke usually creates a range of disabilities such as physical deficits and difficulty in performing daily activities. These long‐term needs and the continuous caregiving sequence affect the care burden and spiritual well‐being of caregivers.Method: The correlational study population consisted of caregivers of stroke older patients (N = 100). Burden Interview Scale, Spiritual Well‐Being Scale and Religious Coping Scale were used. Descriptive analyses, independent sample t‐test, one‐way analysis of variance, correlation, regression analyses were used to evaluate the data.Results: The mean age of caregivers was 48.38 ± 13.52 years. The score of Burden Interview Scale was 31.41 ± 15.13 (light/moderate), Negative Religious Coping was 7.39 ± 3.17 (moderate), Positive Religious Coping was 24.30 ± 4.34 (high), and Spiritual Well‐Being was 21.65 ± 6.73 (low). There is a significant relationship between Burden Interview and Negative Religious Coping (r = 0.274; P = 0.006), Burden Interview and spiritual well‐being (r = −0.563; P = 0.000), and spiritual well‐being and positive religious coping (r = 0.228; P = 0.026). The predictors that affect the spiritual well‐being of caregivers were found to be Burden Interview (β = −0.571) and Positive Religious Coping (β = 0.181) (P < 0.05).Conclusion: Nurses play an important role in increasing the spiritual well‐being levels and religious coping behaviours of caregivers. Nurses should communicate empathically with caregivers, understand their feelings, and provide emotional support.