Işın Cantekin

Purpose: To examine the mediating role of death anxiety in the relationship between religious attitudes and spiritual care needs among patients undergoing hemodialysis (HD), with implications for holistic nursing assessment and intervention. Design: A descriptive, correlational, cross-sectional design. Methods: A total of 203 patients receiving HD were recruited. Data were collected using a Descriptive Characteristics Form, the Religious Attitude Scale, the Spiritual Care Needs Scale, and the Death Anxiety Scale (DAS). Mediation was tested using Hayes’ PROCESS Macro with bias-corrected bootstrap confidence intervals (5,000 resamples). Findings: Religious attitudes were significantly associated with spiritual care needs, and death anxiety partially mediated this relationship (indirect effect b = −1.754, 95% confidence interval [−2.95, −0.65]). Mean DAS scores exceeded the clinical threshold, indicating prevalent death anxiety across the sample. Conclusions: Death anxiety functions as a mediating mechanism linking religious attitudes to spiritual care needs in HD patients. Findings support integrating structured death anxiety screening and culturally sensitive religious support into holistic nursing care, operationalizing the holistic caring process.

Bu derleme çalışması geroaşkınlık kavramı ve kavramın hemşirelikte kullanımı ile ilgili bir perspektif oluşturmak amacıyla yapılmıştır. Geroaşkınlık kavramı ‘dünyaya dair materyalist ve rasyonel bir bakış açısından, daha kozmik ve aşkın bir bakış açısına doğru bir değişim’ olarak tanımlanmaktadır. Geroaşkınlık, herkes için mümkün olan doğal bir gelişim süreci olarak kabul edilir. Genç yetişkinlikten sonra geroaşkınlığa doğru hareketin yaşam boyu ve sürekli olduğu varsayılır. Geroaşkınlık sürecinde deneyimlenen değişiklikler bireyin kendini ve başkalarıyla olan ilişkilerini yeniden tanımlamasını ve temel varoluşsal sorunlara dair yeni bir anlayış edinmesini sağlar. Deneyimlenen değişiklikler kozmik boyut, benlik boyutu, sosyal ve kişisel ilişkiler boyutu olmak üzere üç boyutta ele alınır. Geroaşkınlık teorisinin yaşlı bireyler için uygun hemşirelik bakım modelleri geliştirmede yeni pratik fikirler sunabileceği ifade edilmektedir. Hemşireler, yaşlı bireylerin değişen düşünce ve davranış biçimlerini doğru bir biçimde algılayabilmek ve bu bireylere sunacakları bakım faaliyetlerini zenginleştirmek için geroaşkınlık kavramından yararlanılarak oluşturulan kılavuzlardan yararlanabilir. Yaşlı bireylerin bakımında geroaşkınlık teorisinden türetilen kılavuzların kullanımının, hemşirelerin olumlu yaşlanmayı teşvik etmesine katkı sağlayacağı ifade edilmektedir. Bu bilgiler ışığında hemşirelik bakımına yeni bir perspektif kazandırma potansiyeline sahip geroaşkınlığın yer aldığı eğitim, uygulama ve araştırmaların yapılması önerilebilir.

Introduction and Aim: While chemotherapy contributes to the survival of cancer patients, it also leads to various psychological and physiological problems, increasing the need for supportive care. This study aimed to determine the relationship between psychological resilience, chemotherapy symptoms, and supportive care needs in patients undergoing chemotherapy. Method: This is a descriptive and correlational study. Data were collected using the Descriptive Characteristics Form, the Psychological Resilience Scale (PRS), the Nightingale Symptom Assessment Scale (N‐SAS), and the Supportive Care Needs Scale‐Short Form (SCNS‐SF). Data collection was conducted face‐to‐face in the chemotherapy unit of a university hospital. Analyses were performed using the Statistical Package for Social Sciences (SPSS) 29.0 and Hayes Process Macro V3.4. Results: A total of 113 patients participated in the study. The mean age of the participants was 56.91 years (SD = 10.917), the mean PRS score was 106.59 (SD = 5.194), the mean N‐SAS score was 2.14 (SD = 0.423), and the mean SCNS‐SF score was 72.58 (SD = 9.250). The effect of PRS on N‐SAS was primarily direct and statistically significant ( β = −0.019; p = 0.011). However, the effect of PDÖ on SCNS‐SF was not statistically significant ( β = 0.017; p = 0.752). Participants generally demonstrated high levels of psychological resilience, a low impact of symptoms on quality of life, and moderate levels of supportive care needs. Conclusion: The psychological resilience levels of the patients were generally high. The impact of symptoms on patients' quality of life was low. While an increase in symptoms negatively affected psychological resilience, the effect of psychological resilience on supportive care needs was limited and indirect.

Background: This study was conducted to investigate the relationship between frailty levels and quality of life in patients over 65 years of age receiving regular haemodialysis treatment.Materials and Methods: The study was designed as a descriptive and correlational study. Data were collected from patients in a university hospital and two private dialysis centres in Konya between August and September 2023. The study sample consisted of 171 patients. The data collection tools included the Descriptive Characteristics Information Form, the Edmonton Frail Scale (EFS), and the EQ‐5D‐5L Quality of Life Questionnaire. Data analysis was performed using the SPSS software program. Frequency and percentage calculations were obtained for the measurements in the personal information form. Since the data in the personal information form and EFS did not show normal distribution, non‐parametric tests, specifically the Mann–Whitney U‐test and the Kruskal‐Wallis H‐test, were used.Results: The results obtained in the present study showed a significant, moderate, negative correlation between the quality of life and frailty levels of patients over 65 years of age receiving dialysis treatment.Conclusion: This study demonstrated that as quality of life increased, frailty levels decreased. Improvements in patients' quality of life could potentially lead to a reduction in frailty levels.

Amaç: Bu çalışmada; iç hastalıkları hemşireliği dersinde uzaktan eğitim uygulamasının nasıl gerçekleştirildiğinin açıklanması, yüz yüze eğitim deneyimi olan öğrenciler ile uzaktan eğitim deneyimi olanların görüş ve önerilerinin belirlenmesi ve bunların karşılaştırılması amaçlanmıştır. Yöntem: Çalışma, fenomenolojik yaklaşımın kullanıldığı kalitatif bir araştırmadır. Örneklem grubunu dersi yüz yüze eğitim ile alan 12, uzaktan eğitimle alan 8 öğrenci oluşturmuştur. Verilerin toplanmasında katılımcı bilgi formu ve yarı yapılandırılmış görüşme formu kullanılmış, katılımcılarla iki ayrı odak grup görüşmesi yapılmıştır. Nitel verilerin değerlendirilmesinde Colaizzi’nin fenomenolojik yorumlama yöntemi kullanılmıştır. Bulgular: Yaş ortalaması 20.4 olan katılımcıların %57.1’i şehir merkezinde, %42.9’u kırsal yerleşim yerinde yaşamaktadır. Dersi yüz yüze eğitimle alanların %.95.2’si uzaktan eğitimle alanların %85.7’si normal sınıf ortamında ders yapmayı tercih edeceklerini belirtmiştir. Yüz yüze eğitimle ders işleyen grubun %80.9’u, uzaktan eğitimle ders işleyen grubun ise %23.8’i derse ayrılan süreyi yeterli bulmuştur. Sonuç ve Öneriler: Uzaktan eğitimle devam eden grup yüz yüze eğitim alan gruba göre hemşirelik sürecini ve teorik bilgiyi daha iyi öğrendiklerini blirtmiştir. Buna vaka örneklerinin katkısı olduğu, bunun hemşirelik sürecine entegre edilerek uygulanmasının öğrenmeyi ve hemşirelik sürecini kavramayı kolaylaştırabileceği söylenebilir.

Aim : The aim of this study is to determine the relationship between death anxiety and religious attitudes of patients receiving hemodialysis and peritoneal dialysis treatment, and to determine the differences between the two treatment groups according to the affecting factors. Method : It is a descriptive research. The study was completed with 105 individuals receiving dialysis treatment. The study universe is dialysis patients who continue their treatment in the same hospital. The sample size and power was determined by utilizing the results of another study. Descriptive characteristics form, Religious Attitude Scale and Death Anxiety Scale were used to collect data. Results : The mean age, religious attitude scale score and death anxiety scale score of the participants is 57,01 ± 12,969, 3,10 ± 0.612, and 9,55 ± 3,533, respectively. Conclusion : The religious attitude of dialysis patients is moderate and they have death anxiety. Hemodialysis patients have more death anxiety. There is a weak correlation between religious attitude and death anxiety. Recommendations : It can be suggested that nurses who care for dialysis patients, should be aware of the role of religion in the lives of dialysis patients and its relationship with health outcomes, and it may be recommended to apply holistic care for these patients to express their feelings and their concerns about death.

Introduction and aim. With the ongoing COVID-19 pandemic, healthcare workers continue to work selflessly and intensively despite many occupational hazards. Although various studies have been carried out to evaluate the experiences of nurses who play an important role in the fight against the pandemic and the effects thereof, qualitative studies carried out using the photovoice technique are very limited. The aim of this study was to evaluate the experiences of nurses working during the COVID-19 pandemic and show the impact that COVID-19 has had on nurses’ work and daily life using creative photographic data. Material and methods. This qualitative study employed a participatory action research design, and photovoice technique was used. Research data were collected from nurses working in COVID-19 clinics of various hospitals between May and September 2021. Data analysis was performed via a phenomenological interpretation method. Results. Five themes emerged from the data: (1) burnout, (2) anxiety, (3) social isolation, (4) emphasis on professional value, and (5) the value of life. Each theme was presented with representative photographic and written narratives provided by the participants. Conclusion. The findings of this study suggest that nurses experience problems such as burnout, anxiety, and social isolation. All the participants associated these problems with the negative effects of the COVID-19 pandemic on work and daily life. On the other hand, the participants emphasized professional value and the value of life despite all the negativities and risks.

Background: The scarcity of concrete data between loneliness and frailty was found and to fill this gap, the present study aimed to examine the relationship between frailty and loneliness in elderly individuals. The study was conducted to determine the relationship between loneliness and frailty in individuals aged 65 and over.Method: The study had a cross‐sectional descriptive correlational design. The study group consisted of 527 volunteers aged 65 and over who applied to six family health centres between 15.03.2019 and 15.05.2019 and met the inclusion criteria. The Information Form, Tilburg Frailty Indicator (TFI), and Loneliness Scale for the Elderly (LSE) were used to collect the study data.Results: It was found that the mean age of individuals with frailty (69.67 ± 4.38) was found to be higher at a statistically significant level than those without frailty (67.83 ± 3.07) (t = −5.390; P = 0.001). It was found that a total of 89.1% of those who stated they had a serious disease (χ² = 69.688, P < 0.001) and 68.9% (χ² = 24.315, P < 0.001) of those who had a serious disease in a loved one were statistically frail. The mean total score obtained in the LSE was 12.702 ± 5.76 and it was statistically significant at a high level (t = −12.225, P < 0.001) There was a statistically significant relationship between the TFI and its subscales, and the LSE and subscale scores of the individuals who participated in the study.Conclusion: A positive and significant relationship was detected between all subscales of loneliness and frailty; therefore, it can be argued that the negativity in one negatively affects the other. According to these results, it can be recommended to conduct screening and intervention programs to prevent frailty and loneliness in individuals aged 65 and over and prioritise the risk factors that were found in the present study.