İrem Nur Ozdemi̇r

Objective: This study aimed to examine the relationship between nurses’ job satisfaction and their patient-centered care competence, and to identify factors associated with these variables.Materials and Methods: This descriptive study was conducted with 336 nurses working in a city hospital in Istanbul between April and July 2026. Data were collected using a Descriptive Characteristics Form, the Job Satisfaction Scale (JSS), and the Patient-Centered Care Competence Scale (PCCS). Descriptive statistics, independent samples t-test, one-way ANOVA with Bonferroni correction, and Pearson correlation analysis were used for data analysis. Results: The mean Job Satisfaction Scale score was 55.71 ± 9.14, indicating moderate job satisfaction. The mean Patient-Centered Care Competence Scale score was 68.51 ± 9.04, reflecting a relatively high level of competence. A moderate, positive correlation was found between job satisfaction and patient-centered care competence (r = 0.495; p < 0.001). Nurses who received patient-centered care training had significantly higher job satisfaction scores (p < 0.05). Patient-centered care competence differed significantly according to nurses’ perceived professional competence (p < 0.05). Conclusion: The findings indicate that higher job satisfaction is associated with greater patient-centered care competence among nurses. Supporting nurses’ job satisfaction and providing patient-centered care training may enhance the quality of care. Healthcare administrators should consider strategies aimed at improving working conditions and professional development opportunities to strengthen both job satisfaction and patient-centered care competence.

Human papillomavirus (HPV) is a common sexually transmitted infection associated with most cervical cancers. Despite the effectiveness of HPV vaccines, awa

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.

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.

Purpose: The aim of this study is to reveal the impact of skin cancer and sun knowledge on sun protection behavior in young people. In addition, identifying predictors influencing sun protection behaviors in young people is also aimed. Methods: A cross-sectional study was conducted with 424 young people in Turkey. Data were collected using Skin Cancer and Sun Knowledge Scale, Self-Efficacy Scale for Sun Protection, and Sun Protection Behavior Scale. The independent samples t-test was used to determine differences between the mean scores of sociodemographic characteristics, Bonferroni-corrected one-way ANOVA was used to determine differences among three or more groups, and the relationship between scale score means was analyzed using Pearson correlation analysis. Factors influencing sun protection behavior were identified using multiple linear regression. Results: Of the young people, 43.4% use sunscreen continuously throughout the year, 10.10% go to solarium, and 25.7% perform self-examinations of their skin. In youth, high sun protection self-efficacy (β = 0.486), being female (β = 0.077), regular use of sunscreen throughout the year (β = 0.464), and avoiding tanning beds (β = 0.075) positively influence sun protection behavior scores. Spending more than 6 hours in the sun during the summer months (β= -0.118) negatively affects sun protection behavior. Conclusion: The level of skin cancer sun knowledge, sun protection self-efficacy, and sun protection behaviors of young people are moderate and there is a positive correlation among them. The study's findings indicate the necessity to increase awareness of skin cancer risk factors among young people and initiate effective interventions to promote sun protection behaviors.

OBJECTIVE: Young women are more prone to engaging in risky sexual behaviors, making them vulnerable to sexually transmitted diseases and unintended pregnancies. Considering that sexual health literacy may positively influence women’s protective behaviors against sexually transmitted diseases, this study examines the effect of sexual health literacy on protective behaviors in young adult women. MATERIAL and METHODS: This descriptive and relational study was conducted between May and September 2024 in an education and research hospital in Istanbul, with 256 women aged 18–24 years. The sample size was determined using power analysis. Data were collected through the Participant Information Form, the Sexual Health Literacy Scale, and the Protective Behaviors Against Sexually Transmitted Diseases Scale. The data were analyzed using statistical software, reliability was assessed with Cronbach’s alpha coefficient, and the significance level was set at 0.05. RESULTS: The average age of the participants was 21.67±1.84 years, with the majority being university graduates and single. A total of 46.1 percent had received sexual health education. Sociodemographic factors significantly influenced sexual health literacy and protective behaviors. Participants working part-time and those who consumed alcohol occasionally had higher sexual health literacy scores. Those who had received sexual health education scored higher on both scales. Participants who used the internet for social media and video watching obtained higher scores in both scales. As sexual knowledge and attitudes improved, protective behaviors also increased. A positive relationship was found between sexual health literacy and protective behaviors. CONCLUSION: The sexual health literacy levels of young adult women positively influence their protective behaviors against sexually transmitted diseases. Sociodemographic characteristics, education level, and sources of information play a significant role in this process. The findings highlight the importance of education and awareness programs to improve women’s sexual health literacy. Keywords: sexually transmitted diseases, young adults, safe sex, health literacy, reproductive health

This study aimed to determine the relationship between nurses' levels of lifelong learning and their Web-based information search and interpretation strategies and digital literacy. This descriptive correlational study was conducted at a training and research hospital in Istanbul province. Data were obtained from 302 nurses who consented to participate in the study between April 17 and June 23, 2023. The data were collected using a questionnaire, the Lifelong Learning Scale, the Digital Literacy Scale, and the Web-Based Information Search and Interpretation Strategies Scale. The mean age of the nurses was 31.52 ± 7.4 years. A positive correlation was found between nurses' lifelong learning levels and digital literacy levels. In addition, nurses' lifelong learning levels positively affect Web-based information search and interpretation strategies. It was determined that the mean scores of the subdimensions of the Scale of Information Search and Interpretation Strategies in the Web Environment were high. Nurses with an average age of 31 years and above have a high level of lifelong learning and level of digital literacy. Nurses' willingness to learn throughout their lives has positively affected their digital literacy levels. Nurses use different sources and professional Web sites more frequently when seeking information than other strategies.

Background: Individuals with type 2 diabetes are at risk of delaying or not performing diabetes health promotion self‐care behaviours because of their social or self‐stigmatization.Aim: The study aimed to reveal the effect of stigmatization on diabetes health promotion self‐care behaviours and predictors of stigma and diabetes health promotion self‐care behaviours in individuals with type 2 diabetes.Methods: This cross‐sectional study included 235 individuals with type 2 diabetes. The Diabetes Stigma Assessment Scale (DSAS) and Diabetes Health Promotion Self‐Care Scale (DHPSCS) were used for data collection.Results: There was a significant, negative correlation between the DSAS and DHPSCS scores. High mean scores on the DSAS and its subscales treated differently, blame/judgement and self‐stigma were predictors of a negative effect on diabetes self‐care behaviours. Poor health status, alcohol intake and diabetes complications are predictive of stigma. Insulin use and self‐monitoring blood glucose are predictors of self‐care behaviours.Conclusion: Stigma negatively affects diabetes self‐care behaviours in individuals with type 2 diabetes. Nurses could provide education on improvement of health status, harms of alcohol intake and management of diabetes complications. Counselling for coping with stigma and performing self‐care could be provided. Nurses could organize interventions to raise awareness about diabetes in society.

Women’s Health Literacy Levels and Health Beliefs Concerning Cervical Cancer and Pap Smear Test in Türkiye - Medical Journal of Bakirkoy

Objective: The aim of this study was to determine the change in the thoughts and feelings after the orientation education of nurses who started work during the COVID-19 pandemic. Methods: This research was designed as a semi-experimental study with a single group applied with pre-test and post-test. The study was conducted with 358 nurses. The data were collected using the “Nurse Info Form”, “Pre-Orientation Evaluation Form” and “Post-Orientation Evaluation Form”. Approval for the study was granted by the Clinical Research Ethics Committee and permission was also received from the institution where the study was conducted. Data obtained in the study were analyzed statistically using Number Cruncher Statistical System Statistical Software (Utah, USA). Results: In the examination of the positive feelings, there was seen to be a statistically significant increase after the orientation education compared to before concerning feeling self-motivated, satisfied, and safe. In the examination of the negative feelings, there was seen to be a statistically significant decrease after the orientation education compared to before concerning feeling anxious. Conclusions: The planning and application of orientation education taking the thoughts and feelings of nurses into account will facilitate adaptation to work.