Funda Veren

Objective: This study was conducted to determine the level of rational drug use in older adutls and to examine the factors affecting this status. Methods: The cross-sectional study was conducted with 445 individuals aged 65 and over living in the city center of Zonguldak. Data were collected using a sociodemographic data form and the Rational Drug Use Scale. Descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test, Spearman correlation analysis, and multiple linear regression analysis were used in the analysis of the data. Results: The mean rational drug use score was determined as 57.43±8.06. A statistically significant difference was found between the education level of the older adults and their rational drug use scores (p

Aims: To examine the association between compassion fatigue and spiritual care competence amongst palliative care nurses, investigate the mediating role of palliative care quality and determine the moderating effect of job satisfaction. Background: Palliative care nurses face intense emotional demands and end‐of‐life stressors, increasing their risk of compassion fatigue and potentially affecting care delivery. Spiritual care competence is central to holistic palliative nursing; however, its association with compassion fatigue and the organisational factors shaping this relationship remain unclear. Design: A cross‐sectional, correlational study. Methods: Using a convenience sampling approach, 141 nurses working in palliative care units across hospitals in different regions of Türkiye were recruited. Data were collected between April and August 2024 via an online questionnaire including demographic variables and validated instruments measuring compassion fatigue, palliative care quality, spiritual care competence and job satisfaction. Data were analysed using SPSS and PROCESS macro. Results: The mean spiritual care competence score was 107.9 ± 14.7. Compassion fatigue was negatively associated with palliative care quality and spiritual care competence, whereas palliative care quality was positively associated with spiritual care competence. Mediation analysis indicated a significant indirect association between compassion fatigue and spiritual care competence through palliative care quality. Moderated mediation analysis indicated that this indirect effect was significant only amongst nurses reporting higher job satisfaction. Conclusions: Compassion fatigue was negatively associated with palliative care nurses' spiritual care competence. Mediation analysis suggested that this association was statistically explained by palliative care quality, whilst job satisfaction moderated the relationship between compassion fatigue and care quality. Relevance to Clinical Practise: Addressing compassion fatigue as a critical occupational risk in palliative care nursing is essential. Organisational strategies that enhance job satisfaction and support high‐quality care delivery may help sustain nurses' spiritual care competence and promote high‐quality palliative nursing practise. Patient or Public Contribution: No patients or members of the public were involved in this study. Palliative care nurses participated by completing online questionnaires. Reporting Method: This cross‐sectional study was reported in accordance with the STROBE Statement.

Aim: This study was designed to determine the internet addiction and health-promoting behavior levels of adolescents and evaluate the factors affecting these variables. Material and Methods: A cross-sectional design was used in the study, which included students at a high school located in a city in Turkey (N= 645). Data were collected using a Personal Information Form, the Internet Addiction Scale for Adolescents, and the Adolescent Health Promotion Scale-Short Form. Results: The mean Internet Addiction Scale for Adolescents score of the participants was 20.98±6.75, while their mean Adolescent Health Promotion Scale-Short Form score was 69.76±13.34. It was found that daily time spent on the internet, sleep deprivation due to time spent on the internet, absenteeism from school due to time spent on the internet, connecting to the internet instead of participating in social activities, arguments with family due to time spent on the internet, experiencing deprivation when unable to connect to the internet, and non-health-promoting behaviors significantly increased internet addiction levels. Conclusion: It was determined that as the time spent on the internet by the participants and their internet addiction levels increased, their health-promoting behaviors decreased. Increasing internet use among adolescents carries the risk of raising internet addiction in the future and reducing health-promoting behaviors accordingly.