Mualla Yılmaz

Preoperative anxiety, sleep disturbances and postoperative delirium are common complications among patients undergoing cardiac surgery and are associated with adverse perioperative outcomes. This scoping review aimed to synthesise evidence on the relationship between these factors and identify implications for perianaesthesia nursing practice. A literature search was conducted in PubMed, Scopus and Web of Science for studies published between 2016 and 2026. Twenty-five studies met the inclusion criteria. The findings indicated that preoperative anxiety and poor sleep quality were consistently associated with an increased risk of postoperative delirium. Several studies also reported beneficial effects of educational, psychosocial and sleep-focused nursing interventions on perioperative outcomes. The evidence suggests that anxiety, sleep disturbances and delirium are interrelated and potentially modifiable risk factors. Integrating psychological assessment, sleep evaluation and routine delirium screening may support earlier identification of high-risk patients and improve postoperative recovery.

Objective: This research was conducted to determine the feelings, thoughts, experiences, and expectations of oncology patients regarding communication with healthcare professionals.Method: This descriptive qualitative research was conducted with 35 patients diagnosed with cancer and applied to the outpatient clinic of an oncology hospital in Turkey for follow-up. Data were collected using an in-depth interview technique with each patient. The data were analysed using content analysis.Results: The average age of the oncology patients participating in the study was 48.11 ± 8.006 years. It was found that 45.7% of the oncology patients were primary school graduates, 80% were female, 48.6% had breast CA, 28.6% were in stage II and IV of the disease, and 68.6% one year or less had passed since the diagnosis of their disease. The research identified two main themes: (1) patterns of communication between oncology patients and healthcare professionals and (2) expectations of oncology patients from healthcare professionals. Six subthemes emerged regarding these main themes.Conclusion: The findings of this research show that positive communication between healthcare professionals and cancer patients is an important factor in achieving positive health outcomes. The findings emphasise the importance of improving healthcare professionals' communication skills to better engage with patients. This research can provide support and guidance to health professionals about what they should pay attention to in their communication with oncology patients. It is recommended that healthcare professionals should be provided with practical verbal/nonverbal communication training to help them improve their communication skills and more specifically their ability to explain a cancer diagnosis.

Giriş: Farklı kuşaklarda yer alan hemşirelerin mesleğine ve birbirlerine yönelik görüşleri hemşirelik mesleğinin gelişimi ve olumlu bir çalışma ortamının oluşturulabilmesi için oldukça önemli bir etmendir. Ancak farklı kuşaklarda yer alan hemşirelerin görüşlerinin belirlendiği sınırlı çalışma bulunmaktadır.Amaç: Bu çalışma farklı kuşaklarda yer alan hemşirelerin mesleğe ve birbirlerine yönelik görüşlerinin belirlenmesi amacıyla yapılmıştır.Yöntem: Bu kalitatif çalışma, kartopu örneklem yöntemi kullanılarak 01 Ocak- 15 Ekim 2024 tarihleri arasında 23 hemşire ile yarı yapılandırılmış görüşmeler yapılarak gerçekleştirilmiştir. Veri analizinde tümevarım yaklaşımıyla tematik analiz gerçekleştirilmiştir. Bulgular: Yapılan tematik analizde, iki ana tema (Değiştiremediklerimiz, Zamanın Dokunuşu) ve altı alt tema belirlenmiştir. Çalışmada, hemşirelerin olumsuz mesleki imajda kendilerinin görünmez olmasının etkili olduğu ve mesleğe ilişkin ambivalans duyguları olduğu belirlenmiştir. Dahası, Y kuşağı hemşirelerin mesleğe başladıktan sonra düşüncelerinin daha fazla olumsuz olarak değiştiği, X kuşağı hemşirelerin daha çok mesleğini sevdiği saptanmıştır. Hemşirelerin birbirlerine yönelik olarak X ve Z kuşağının diğer kuşaktan olan meslektaşlarına olumsuz düşünceleri olduğu belirlenmiştir.Sonuç: Çalışma bulguları kapsamında hemşirelerin belirttikleri mesleğin gelişmesine ilişkin maddeler irdelenerek olumlu bir çalışma ortamı sağlanmalıdır. Kuşaklararası farklılıklara yönelik ekip işbirliği ve farklı kuşaklardan öğrenme ortamı sağlanmalı ve kuşaklararası farklılıkları irdeleyen daha fazla araştırmalar yapılmalıdır.

Background: Postoperative delirium remains a frequent and serious complication following open heart surgery, often linked with prolonged hospital stays and increased morbidity. Since the causes are multifactorial, non‐pharmacological strategies such as psychosocial nursing interventions are being explored for their preventive potential. Aim: This randomised controlled trial aimed to evaluate the effectiveness of psychosocial nursing interventions on sleep quality, anxiety levels and the occurrence of delirium in patients undergoing open heart surgery. Study Design: A prospective, two‐arm randomised controlled trial. Sixty patients scheduled for elective open heart surgery at a university hospital in southern Türkiye were randomly assigned to the intervention group ( n = 30) or the control group ( n = 30). The control group received standard nursing care. The intervention group received structured psychosocial care including eye masks, earplugs and brief 45‐min cognitive behavioural therapy (CBT) sessions before and after surgery. Anxiety was assessed before surgery and on day 2 after surgery, while sleep quality was assessed before surgery and on days 1 and 2 after surgery. Patients‘ anxiety and sleep quality were assessed before and after surgery using the Richard Campbell Sleep Questionnaire and the State Anxiety Inventory. The Confusion Assessment Method for the Intensive Care Unit (CAM‐ICU) was used to assess delirium after surgery. Adherence to sensory aids was monitored via nursing checklists. Outcome assessors for delirium were blinded to group assignment. Results: Groups were demographically and clinically comparable at baseline ( p > 0.05). Post‐intervention, anxiety and pain levels significantly declined in the intervention group, with improved sleep scores ( p < 0.001). Delirium incidence was 0% in the intervention group versus 30% in controls ( p < 0.05). Duration of mechanical ventilation and hospital stay was significantly reduced in the intervention group. Effect sizes (Cohen's d ) and 95% confidence intervals were reported for major outcomes. Conclusions: Psychosocial nursing interventions combining cognitive and sensory strategies effectively enhance postoperative outcomes by reducing anxiety, improving sleep quality and preventing delirium. These findings support integrating such non‐invasive, low‐cost strategies into routine nursing care for patients undergoing cardiac surgery. Relevance to Clinical Practice: Delirium is a critical postoperative complication after open heart surgery. Psychosocial interventions can be incorporated into nursing care to prevent delirium in intensive care units.

This study was conducted as a randomized controlled experimental trial with the aim of determining the effect of MBSR program on the mental health and care

Background: Critical care nurses often experience low work–life quality due to the highly stressful nature of their working conditions. Nurses often turn to stimulants like caffeine to boost alertness and performance in the challenging work environment. Aim: This study aimed to investigate the correlation between caffeine use disorder, perceived stress and quality of work life among nurses working in critical care settings of a state hospital in Turkey. Study Design: This descriptive and correlational study included 130 nurses working in critical care units. Method: Data were collected using the Personal Information Form, the Caffeine Use Disorder Scale, the Perceived Stress Scale and the Quality of Work Life Scale. The data were analysed using descriptive statistics, independent samples t‐tests, one‐way ANOVA and Pearson correlation analysis. Results: The caffeine consumption rate among nurses was remarkably high, especially among those who were dependent on caffeine, believed it had a positive impact on their care and consumed it during stressful situations ( p < 0.05). There was no significant relationship between caffeine use disorder and perceived stress levels ( r = 0.096, p > 0.05, 95% CI [−0.078, 0.264]). However, as quality of work life decreased, perceived stress ( r = −0.243, p < 0.01, 95% CI [−0.398, −0.073]) and caffeine use disorder ( r = −0.186, p < 0.05, 95% CI [−0.347, −0.014]) increased. Based on the Caffeine Use Disorder Scale, 7.69% of the nurses scored 25 or above, indicating a moderate to high level of caffeine use disorder. Conclusion: As caffeine use disorder and perceived stress levels increased, nurses' quality of work life decreased. Therefore, it is recommended that nurses receive psychoeducational interventions to enhance their knowledge of caffeine use disorders and adaptive coping strategies. Relevance to Clinical Practice: This study highlights the need to address caffeine use disorder and stress among critical care nurses to improve work–life quality and well‐being. Implementing educational programs on healthy caffeine use and stress management can enhance nurses' resilience, job performance and patient care outcomes, promoting a sustainable work environment in high‐stress settings.

Giriş: Üniversite öğrencileri arasında psikolojik esneklik ve bilinçli öz bakımın ruh sağlığını korumada önemli etkisinin olduğu belirtilmektedir. Ancak literatürde hemşirelik öğrencilerinde psikolojik esneklik ve bilinçli öz bakım kavramlarının ilişkilerinin irdelendiği araştırma bulunmamaktadır. Amaç: Bu araştırma hemşirelik öğrencilerinde bilinçli öz bakım ve psikolojik esneklik düzeyleri arasındaki ilişkiyi incelemek amacıyla yapılmıştır. Yöntem: Bu araştırma, kesitsel ve ilişki arayıcı tasarımda yürütülmüştür. Araştırma bir devlet üniversitesinde öğrenim gören 291 hemşirelik öğrencisi ile yapılmıştır. Veriler; Katılımcı Bilgi Formu, “Bilinçli Öz bakım Ölçeği” ve “Psikolojik Esneklik Ölçeği” ile toplanmıştır. Bulgular: Psikolojik Esneklik Ölçeği ile Bilinçli Öz Bakım Ölçeği toplam puan ortalamaları arasında istatiksel olarak anlamlı ve pozitif yönde orta düzeyde bir ilişki olduğu saptanmıştır (r = 0.565, p< 0.01). Ayrıca Psikolojik Esneklik Ölçeği toplam puanı ile destekleyici ilişkiler (r = 0.456, p < 0.01), bilinçli rahatlama (r = 0.579, p < 0.01), öz-duyarlık ve amaç (r = 0.413, p < 0.01) ve destekleyici yapı (r = 0.449, p < 0.01) alt boyutları ile orta düzeyde istatiksel olarak anlamlı ve pozitif yönde bir ilişki olduğu bulunmuştur. Bilinçli öz bakımın psikolojik esneklik üzerindeki etkisini saptamaya yönelik yapılan regresyon sonuçlarına göre istatiksel olarak pozitif anlamlı sonuçlar tespit edilmiştir (F=48.078, p<0.05). Sonuç: Hemşirelik öğrencilerinde bilinçli öz bakımın psikolojik esnekliği orta düzeyde etkilediği bulunmuştur. Bu doğrultuda öğrenci hemşirelerde psikolojik esnekliği arttırmaya yönelik müdahale çalışmalarında bilinçli öz bakım uygulamalarının kullanılması önerilmektedir.

Although lesbian, gay, bisexual, transgender, and intersex (LGBTI) people have become more visible in recent years, in many countries, people with different sexual orientations continue to face discrimination, exclusion, labeling, violence, fines, and death penalties. Individuals with different sexual orientations are subjected to homophobic attitudes that are considered not only by society but also by their closest social environment, such as family. Homophobia within the family can lead to a loss of self-confidence, self-esteem and negative situations such as migration and homelessness. In addition to the difficulties they experience, their inability to benefit from health services negatively affects their mental health. Studies show that the rates of suicide among LGBTI people are higher than among heterosexuals due to difficulties and mental problems. In order to reduce the suicide risk of individuals with different sexual orientations, the lack of knowledge of society and healthcare professionals should be eliminated. LGBTI individuals should be supported in the coming out process, and school-family-health worker cooperation should be ensured due to the higher risk of suicide during adolescence. Preventive interventions should be prioritized, and the cultural competencies of healthcare professionals should be gained in order to determine whether individuals who commit suicide were previously receiving psychological support in some of the studies conducted. Training should be organized for health professionals to gain cultural competencies, courses for those with different sexual orientations should be added to the curriculum, and care guidelines should be created. This review aims to address the factors in suicidal behaviors of those with different sexual orientations and the strategies that can be implemented to address these factors. It is thought that this review can be used as a resource for creating training and care guidelines, which are essential factors in gaining future cultural competencies of healthcare professionals.

Kardiyovasküler hastalıklar (KVH) dünya çapında en yaygın başlıca ölüm nedenlerindendir. Yetişkin ve ileri yaşlardaki bireylerde sık rastlanan kalp hastalıklarının tedavi yöntemleri arasında cerrahi tedavi önemli bir yer tutmaktadır. Açık kalp ameliyatı süreci, bakım ve izlemi yoğun bakım süreci, taburculuk ve evde bakımı kapsayan yoğun bir süreçtir. Bu süreç içerisinde bireyde anksiyete, stres, depresyon, deliryum, uyku bozuklukları ve yetersiz sosyal destek, rol karmaşası gibi psikososyal sorunlar görülebilmektedir. Cerrahi girişim öncesi, sonrası yoğun bakım ünitesinde hastalarda yaşanabilecek bu sorunlara yönelik, bireye özgü bakımın planlanması ve uygulanması durumunda bu sorunlar önemli düzeyde önlenebilmektedir. Hemşirelerin kalp damar cerrahisi öncesi ve sonrasında oluşabilecek sorunlar hakkında farkındalığı olmalıdır. Bu sorunlara yönelik hemşirelerin kanıt temelli müdahaleleri bakım planlarına dahil etmesi önem taşımaktadır. Bu derlemenin amacı, açık kalp ameliyatı sürecinde bireyin yaşadığı psikososyal sorunlara yönelik uygulanan kanıt temelli müdahaleleri gözden geçirmek ve bu konu hakkında hemşireleri bilgilendirmektir.