Browsing by Author "Kaplan, Ebubekir"

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The Effect of Cold Spray Applied Before Local Anesthesia on Anxiety and Pain in Coronary Angiography Procedure: A Randomized Controlled Study
(Elsevier Science inc, 2025) Sir, Oezkan; Kaplan, Ebubekir; Akbulut, Tayyar
Purpose Cardiovascular diseases are a leading cause of morbidity and mortality worldwide. Clinically, various techniques are used to diagnose coronary artery diseases. Coronary angiography is considered the gold standard for the diagnosis of coronary artery disease. The aim of this study is to determine the effect of cold spray applied before local anesthesia on pain and anxiety during coronary angiography procedures. Design The study was designed as a randomized controlled trial. Methods The study was conducted in the angiography unit of a training and research hospital between January and March 2023. Data collection tools included a patient information form, Visual Analog Scale, and State-Trait Anxiety Inventory. Results When the total mean scores of the Visual Analog Scale of the individuals in the intervention and control groups were examined, a statistically significant difference was found between the mean scores of the patients in the intervention group and the control group (P < .05). A significant difference was found between the individuals in the intervention and control groups in terms of the total scores of the state anxiety scale after cold spray (P < .001), with the mean scores of the control group higher than the intervention group. Conclusions The application of cold spray before local anesthesia in coronary angiography significantly reduced pain and anxiety levels. (c) 2025 American Society of Peri Anesthesia Nurses. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
The Effect of Nursing Care Based on Comfort Theory of Kolcaba on Comfort, Satisfaction and Sleep Quality of Intensive Care Patients
(Wiley, 2025) Kaplan, Ebubekir; Ozakgul, Aylin
BackgroundIt has been reported that factors such as immobility, pain, invasive interventions, separation from family, presence of unfamiliar people, constant noise and frequent sleep interruptions in intensive care units cause deterioration in comfort and sleep problems associated with deterioration in comfort, high levels of anxiety and restlessness. AimThe aim of this randomized controlled trial was to investigate the effect of nursing care based on Kolcaba's Comfort Theory on the comfort, satisfaction and sleep quality of intensive care unit patients. Study DesignThe sample of the study consisted of 40 experimental and 40 control group patients who agreed to participate in the study between April 2023 and July 2023. The data were collected by the Patient Information Form, General Comfort Questionnaire (GCQ), Newcastle Satisfaction with Nursing Scale (NSNS), Richard-Campbell Sleep Questionnaire (RCSQ) and Comfort Behaviour Checklist (CBC). Patients in the control group received conventional care by intensive care nurses. Patients in the experimental group received individualized nursing care based on the Comfort Theory of Kolcaba during their stay in the intensive care unit. The SPSS 26 program was used for statistical analyses of the data. ResultsThe experimental and control groups were homogeneous in terms of demographic and disease characteristics, and no significant difference was found between the groups in terms of pre-test GCQ, NSNS, RCSQ, CBC and pain level mean scores. Compared with the pre-test evaluation of the experimental group, the post-test GCQ, NSNS, RCSQ and CBC total scores increased (p < 0.001). There was a significant difference in GCQ, NSNS, RCSQ and CBC levels between the experimental and control groups (p < 0.001). There was a significant decrease in pain scores between the experimental and control groups (p < 0.001). ConclusionsAs a result of this study, it was found that nursing care based on Comfort Theory of Kolcaba had a positive effect on the comfort, satisfaction and sleep quality of intensive care patients. Relevance to Clinical PracticeNursing care based on the Comfort Theory can be considered an appropriate method in clinical practice, especially in improving the quality of care of patients in the coronary intensive care unit.
The Effect of Religious Coping and Prosocial Behaviors on Secondary Traumatic Stress in Nurses
(BMC, 2025) Sarpdagi, Yakup; Yigit, Muhammet Faruk; Kaplan, Ebubekir; Sir, Ozkan; Ciftci, Necmettin; Orakci, Hakan; Yildiz, Metin
BackgroundNurses are routinely exposed to traumatic events as part of their professional duties, placing them at risk of developing secondary traumatic stress (STS). This condition can negatively impact both their psychological well-being and job performance. Although religious coping strategies and prosocial behaviors are thought to play a protective role against STS, these effects remain understudied in the literature.MethodsThis descriptive and cross-sectional study was conducted with the participation of 516 nurses. Data were collected between April and August 2024 using the 'Sociodemographic Data Form', Religious Coping Scale', "Prosocial Behavior Scale" and "Secondary Traumatic Stress Scale". In the study, hierarchical regression analysis was applied to examine the effect of independent variables on the dependent variable.Results58.6% of the nurses were between the ages of 18-31, 58.4% were undergraduate graduates, and 82.6% had experienced a traumatic event. The mean score of prosocial behavior was 3.04 +/- 0.63 and the mean score of secondary traumatic stress was 48.98 +/- 13.52. Positive religious coping (mean = 20.02 +/- 4.31) showed a moderate negative correlation with secondary traumatic stress (r=-0.563, p = 0.001). Hierarchical regression revealed that religious coping strategies (positive and negative religious coping) alone explained 31.8% of the variance in secondary traumatic stress (R-2=0.318), and when prosocial behavior was added, this percentage increased to 33.9%.ConclusionsThis study highlights the critical role of positive religious coping and prosocial behavior in reducing secondary traumatic stress among nurses frequently exposed to traumatic events. Positive religious coping emerged as the strongest protective factor, while prosocial behavior also contributed significantly to the reduction of stress levels. Strengthening positive coping mechanisms and promoting prosocial behaviors may be effective strategies to support nurses' mental health and resilience in trauma intensive care settings.Clinical implicationsPositive religious coping and prosocial behaviors were found to be effective in reducing nurses' secondary traumatic stress. It is recommended that training and support programmes that support nurses' positive coping skills should be expanded in clinical practice.
The Effect of Secondary Traumatic Stress and Cognitive Flexibility on Psychological Well-Being in Health Education Students
(Bmc, 2025) Sarpdagi, Yakup; Kaplan, Ebubekir; Sir, Ozkan; Yildiz, Metin; Kaymaz, Devlet; Ciftci, Necmettin; Sarpdagi, Sevgi
Aim The aim of this study is to examine the effects of secondary traumatic stress and cognitive flexibility on the psychological well-being of nursing and midwifery students and to model these relationships with machine learning approaches. Background While nursing and midwifery students are at risk of secondary traumatic stress (STS), cognitive flexibility is an important factor in coping with this stress. This study aims to develop strategies to improve students' mental health by examining the effects of STS and cognitive flexibility on psychological well-being using machine learning methods. Methods This cross-sectional descriptive study was conducted with 620 nursing and midwifery students between March and August 2024. Data were collected using a Personal Information Form, the Cognitive Flexibility Scale, the Psychological Well-Being Scale, and the Secondary Traumatic Stress Scale. Data analysis was performed using SPSS 22.0, G*Power 3.1, and R programming language 4.1.3. Results Hierarchical regression estimation showed that the model was significant and usable (F(2,617) = 112.473, p = 0.001). Secondary traumatic stress level and cognitive flexibility levels together explained 26.7% (R2 = 0.267) of the total variance in psychological well-being. It was determined that the decrease in students' secondary traumatic stress level (t = -7.724, p < 0.001) and the increase in cognitive flexibility level (t = 10.755, p < 0.001) caused a statistical increase in the level of "Psychological Well-Being". Shapley Additive Explanations (SHAP) were used to understand the importance and contribution of each variable in the model. Cognitive Flexibility was found to be the most important variable in the prediction of Psychological Well-Being. Conclusions It was determined that the decrease in the level of secondary traumatic stress and the increase in the level of cognitive flexibility caused an increase in the level of psychological well-being. Longitudinal studies on students' psychological well-being levels are recommended. Clinical implications This study emphasises the importance of cognitive flexibility strategies to support health education (nurse and midwife) candidates to cope with secondary traumatic stress. It may contribute to the training of healthier and more resilient professionals by increasing the psychological well-being of students in nursing and midwifery education.
Evaluation of Nursing Students' Sociotropic-Autonomic Personality Characteristics and Their Orientation To Care Roles
(Istanbul Univ-cerrahpasa, 2022) Kaplan, Ebubekir; Kaya, Hatice
AIM: In this study, the aim is to evaluate student nurses' sociotropic-autonomic personality traits and orientation to the caring role in line with these advancements and requirements in the profession. METHOD: This descriptive study included 372 nursing students studying in the 2018-2019 spring term. A 9-question questionnaire, 60-item Sociotropy Autonomy Scale and 24-item Nursing Care Role Orientation Scale were used to collect data. In the analysis of the data, descriptive statistics such as frequency, percentage, arithmetic mean, standard deviation, minimum and maximum were applied. An independent sample t-test was used to compare the means of two independent groups and a one-way ANOVA test was used to compare more than two independent groups. Written consent was obtained from the participants. RESULTS: It was determined that the total Sociotropy Autonomy Scale (SAS) average score of the students was 152.35 +/- 19.96 while the total score of the Nursing Care Role Orientation Scale (NCROS) was 79.48 +/- 7.51. In addition, there were significant differences in SAS score averages related to age, gender, parental education status, and parental attitudes. Meaningful differences were also found in the total scores of NCROS according to age, gender, class grade, mother's education level, and willingness to choose the nursing department. There was no statistically significant correlation between SAS total score and NCROS total score (p >.05). CONCLUSION: In line with the results obtained from the research, it can be recommended that the courses which can contribute to the orientation of the students to the sociotropic and autonomic personality characteristics and the orientation of nursing care roles contents should be developed, and the training and activities of awareness should be conducted.
The Mediating Role of Moral Resilience in the Relationship Between Moral Distress and End-Of Care Attitudes and Behaviours Among Intensive Care Nurses
(John Wiley and Sons Inc, 2025) Sir, Özkan; Kaşıkçı, Maǧfiret Kara; Kaplan, Ebubekir
Background: Intensive care nurses experience moral distress due to moral conflicts, which negatively impact their attitudes and behaviours towards end-of-life care. Moral resilience is considered a potential factor in mitigating these negative effects. Aim: This study aims to examine the mediating role of moral resilience in the relationship between moral distress and intensive care nurses' attitudes and behaviours towards end-of-life care. Study Design: A descriptive and cross-sectional study was conducted in accordance with the guidelines for observational studies (STROBE). The study was conducted with 228 intensive care nurses between December 2024 and February 2025. Data were collected using the ‘Personal Information Form’, ‘Moral Distress Scale’, ‘Moral Resilience Scale’ and ‘Scale of Attitudes and Behaviours of Intensive Care Nurses Towards End-of-Life Care’. Statistical analyses were performed using SPSS 26.0 and AMOS V 24.0. Results: The moral distress levels of female nurses were higher and significantly higher than male nurses (OR 0.245; 95% CI 0.074–0.598; p = 0.011). Nurses with 11 years or more of work experience had a higher and significant level of moral distress compared to other nurses (OR 0.053; 95% CI 0.080–0.115; p = 0.012). The moral resilience level of nurses with 3–6 years of work experience was higher and significantly higher than other nurses (OR 0.067; 95% CI 0.048–0.107; p = 0.023). Moral distress negatively affects nurses' attitudes and behaviours towards end-of-life care. Moral resilience has a significant and positive effect on attitudes and behaviours. Moreover, moral resilience mediated the relationship between moral distress and attitudes and behaviours towards end-of-life care (β;-0.266, CI 95% −0.301–0.197). Conclusions: Moral distress negatively influences intensive care nurses' attitudes and behaviours in end-of-life care. Enhancing moral resilience can help mitigate these effects. The findings highlight the need for nursing education programmes and workplace interventions to strengthen nurses' moral resilience and improve their ability to manage moral distress. Relevance to Clinical Practice: While moral distress damages intensive care nurses' attitudes towards end-of-life care, moral resilience may help to reduce its negative effects. Supporting nurses is thought to improve the quality of adverse end-of-life care. © 2025 Elsevier B.V., All rights reserved.