Mehmet Bulduk

Objective: This study aimed to examine the relationship between perceived spousal support and prenatal attachment among pregnant women diagnosed with threatened preterm labor. Materials and Methods: The sample of this cross-sectional study consisted of pregnant women hospitalized and followed in the perinatology clinic of a state hospital between May and December 2024. Data were collected using a Personal Information Form, the Spousal Support Scale, and the Prenatal Attachment Inventory. Regression tree analysis was applied, and the Chi-squared Automatic Interaction Detection (CHAID) method was employed as the decision tree technique. The study was completed with a total of 213 participants. Results: The analysis revealed statistically significant differences between educational level, number of children, planned pregnancy status, and spousal support scale scores with prenatal attachment scores (p<0.05). Findings indicated that women with higher perceived spousal support and planned pregnancies exhibited stronger prenatal attachment, highlighting the positive influence of social support on prenatal bonding. Conclusion: In women experiencing pregnancy complications such as threatened preterm labor, the importance of spousal support in promoting prenatal attachment should be emphasized. The spouse represents a critical source of social support, and both the partner’s and other social support sources’ roles should be considered during prenatal follow-up. Nurses can effectively enhance maternal-fetal bonding and improve psychosocial adaptation in high-risk pregnancies by incorporating these support mechanisms into prenatal care interventions.

Objective: This study aims to examine the relationship between atopic dermatitis (AD), one of the most common dermatological conditions in children, and environmental factors, including meteorological variables and air pollution. Methods: This retrospective cross-sectional study analyzed the medical records of 21,407 pediatric patients aged 0 to 18 years who presented to the city hospital in Agri, Turkey, between 2020 and 2024. Admission dates were matched with meteorological data (wind speed, atmospheric pressure, humidity, temperature) and air pollution indicators (PM₁₀, SO₂, NO₂, NOx, NO, O₃). Statistical analyses included t-tests, correlation analyses, binary logistic regression, and a CHAID decision tree model. Results: AD accounted for 10.1% of all dermatology-related visits. AD admissions increased particularly during the first half of the year and were significantly associated with higher O₃ levels, whereas increased PM₁₀ levels were associated with a lower likelihood of AD admissions. Logistic regression showed that age, sex, semiannual period, atmospheric pressure, PM₁₀, and O₃ were significant predictors of AD. The decision tree model identified age, period, and O₃ as the strongest discriminating variables for AD. Conclusion: AD was found to be more sensitive to environmental and seasonal variations compared with other dermatitis types. In particular, elevated ozone levels and temporal factors played a notable role in increasing AD presentations. These findings may inform environmental risk management and preventive strategies for children with AD.

Amaç: Bu çalışma ile Rotavirüs enfeksiyonu (RVE) nedeniyle hastaneye yatırılan çocukların ebeveynlerinin bilgi düzeyi ve davranışlarının değerlendirilmesi amaçlanmıştır. Yöntem: Çalışma, Aralık 2022-Mart 2023 tarihleri arasında, 122 RVE tanısı almış çocuğun ebeveyniyle yüz yüze görüşülerek kesitsel tanımlayıcı tipte gerçekleştirilmiştir. Veriler, sosyo-demografik özellikler ve RVE bilgisi üzerine hazırlanmış bir anketle toplanmıştır. Değerlendirmede; aritmetik ortalama, standart sapma, ortanca, minimum-maksimum, yüzde-sayı değerleri ve ki kare testi kullanılmıştır. Veri toplama sürecinde etik ilkelere uyulmuştur. Bulgular: Çalışmada, ebeveynlerin %43.4’ünün RVE hakkında bilgi sahibi olduğu, %13.9’unun RVE aşısını yaptırdığı tespit edilmiştir. Ebeveynlerin %73’ü RVE konusunda eğitim almak istediği, aşı yaptırmayanların ise %67.6’sında bilgi eksikliğinden dolayı olduğu saptandı. Ebeveynlerin %90.2’sinde RVE aşısının aşı takvimine eklenmesi görüşü hakimdi. Ayrıca, ebeveynlerin eğitim durumu ve gelir düzeylerinin; RVE’yi bilme, RVE’nin bulaşıcı olduğunu bilme, RVE aşısını bilme, RVE aşısını yaptırma ve yaşanılan yer ile RVE’nin bulaşıcı olduğunu bilme arasında istatistiksel olarak anlamlılık olduğu tespit edildi (p

Objective: This study aims to investigate how neonatal nurses' knowledge and attitudes toward individualized developmental care influence their job motivation and job satisfaction. Material and Method: This cross-sectional study included 98 neonatal nurses working in Neonatal Intensive Care Units (NICUs) of two hospitals in eastern ofTürkiye. Data were collected using the Individualized Developmental Care Knowledge and Attitude Scale, the Nurses' Job Motivation Scale, and the Minnesota Satisfaction Questionnaire. Descriptive statistics, t-tests, ANOVA, Pearson correlation, and logistic regression analyses were conducted. Results: A significant positive correlation was observed between job motivation and job satisfaction (p < 0.001). Regression analysis revealed that NICU work experience, work schedule, individualized developmental care knowledge perception, and job motivation were significant predictors of job satisfaction. Gender significantly influenced individualized developmental care knowledge and attitudes (p = 0.014), while job motivation was affected by education level, satisfaction with NICU work, and previous training on individualized developmental care (p < 0.05). Conclusions: Neonatal nurses demonstrated moderate-to-high levels of knowledge and positive attitudes toward individualized developmental care, along with moderate job motivation and satisfaction. Higher job motivation was associated with greater job satisfaction. Findings highlight the need for structured training programs to enhance individualized developmental care knowledge application and policies to optimize work schedules.

Hayatımızın her alanında olduğu gibi hemşirelik mesleğinde de teknoloji ve yapay zeka (YZ) uygulamaları artan bir sıklıkta kulanılmaya başlanmıştır. Bu araştırma, hemşirelerin YZ farkındalıklarının ve bu farkındalıkları etkileyen faktörlerin belirlenmesi amacıyla yapılmıştır. Nicel araştırma yöntemlerinden kesitsel-tanımlayıcı desenin kulanıldığı bu araştırma, 01 Kasım 2023 – 30 Mart 2024 tarihleri arasında Türkiye’nin doğusundaki bir ilde yer alan devlet hastanesinde yürütülmüştür. Veriler, literatür taranarak oluşturulan “Kişisel Bilgi Formu” ve “Yapay Zekâ Kullanım Farkındalığı (YZKF)” anket formları kullanılarak yüzyüze ve çevirimiçi olarak toplanmıştır. Araştırmanın örneklemini 416 hemşire oluşturmuştur. Araştırmadan elde edilen bulguların analizi sonucunda, hemşirelerin YZ farkındalıklarının orta değerin üstünde olduğu tespit edilmiştir. Araştırmada, teknolojiyi takip edenlerin, eğitim düzeyi daha yüksek olanların, yaşı genç olanların, meslekte çalışma yılı ve haftalık çalışma saatleri daha az olanların, yoğun bakım (yetişkin-yenidoğan) ve cerrahi klinikte çalışanların ve ameliyathane hemşiresi olanların YZ farkındalıklarının daha yüksek olduğu belirlenmiştir. Araştırmada hemşirelerin YZ farkındalıklarını belirlemek için ayrıca “Karar Ağacı Modeli” kullanılmıştır. Kullanılan bu modele göre bir hemşirenin yapay zeka ile ilgili farkındalık düzeyi %70 oranda teknolojiyi takip edip etmemesine, teknoloji yoğunluklu bir ortamda çalışıp çalışmadığına ve çalıştığı klinikteki görevine bakılarak tahmin edilebilir. Bu araştırmada, hemşirelerin YZ farkındalıkların orta değerin üstünde olduğu, hemşireler arasında eğitim düzeyi, yaş, mesleki deneyim, çalıştığı klinik, klinikteki görevi, haftalık çalışma süresi ve teknolojiyi takip etme durumu gibi faktörlerin YZ farkındalıklarını etkilediği sonucuna ulaşılmıştır. Hemşirelere yönelik YZ ve etkileyen faktörlerin dikkate alındığı eğitimlerin verilmesi ve hemşirelik müfredatına dahil edilmesi önerilebilir.

Objective: This study aimed to evaluate the relationship between the inertia levels of nurses working in paediatric clinics and their tendency to make medical errors.Methods: This descriptive study was conducted between April 2023 and June 2023 with nurses working in the paediatric clinics of a training and research hospital in a province in eastern Turkey. The Descriptive Information Form, Inertia Scale (IS) and Nursing Tendency to Medical Errors Scale (NTMSE) were used as data collection tools. The entire population was targeted without using a sampling method, and the study was completed with 221 nurses.Results: Of the nurses, 52.9% were between 26 and 33 years of age, and 52.0% were female. Additionally, 66.1% were single, 50.7% had an income less than their expenses, and 77.8% held a bachelor's degree. Inertia was significantly associated with age, marital status, income level, professional experience, duration of work and medical error training, while it was found to be lower among nurses who followed scientific publications (p < 0.05). However, there was no statistical correlation between the mean total score of the NTMSE and the descriptive characteristics (p > 0.05). An association was found between age and the falls subscale of the NTMSE, while nurses working in paediatric units exhibited higher malpractice tendencies in the falls, patient monitoring, and material safety subscales (p < 0.05). No statistically significant correlation was found between the IS and NTMSE (p > 0.05).Conclusion: The study determined that the inertia levels of nurses working in paediatric clinics were moderate and their tendency to make medical errors was low. Regular training programmes and professional development activities should be planned to reduce inertia levels and enhance professional performance. Additionally, improving the working conditions of nurses and strengthening supportive monitoring mechanisms are essential to prevent medical errors.