Browsing by Author "Karan, Esra"

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The Effect of Climate Crisis on Bipolar Disorder: a Qualitative Study About Experiences of Individuals Diagnosed With Bipolar Disorder
(Sage Publications Ltd, 2025) Aktas, Mehmet Cihad; Ayhan, Cemile Hurrem; Karan, Esra
Introduction: It can be said that the bipolar disorder is influenced by weather events. It is stated that climate change can have direct and indirect effects on bipolar disorder. Determining the impact of the climate crisis on individuals with bipolar disorder may assist in the development of preventive, protective and active treatment interventions for this group. Aim: The aim of this study was to determine the views and experiences of people with bipolar disorder about the impact of the climate crisis on their illness. Method: The study was conducted using the phenomenological method, one of the qualitative study methods. Purposive sampling was used to select the sample for the study. In-depth individual interviews were conducted with the selected sample group. Data saturation was reached with 11 participants and data collection was finalized. The study data was collected using a personal information form and an open-ended structured interview form in which participants were asked about their views and experiences of the climate crisis. Voice recordings were transcribed, and categories, sub-themes and themes were formed. Results: Based on the statements of people with a bipolar diagnosis, the study formed the themes of emotional impact, negative physical impact, impact on daily life, impact on symptoms, negative impact on recovery and ways of coping. Conclusion: People with a bipolar diagnosis are negatively affected by the impact of the climate crisis in many areas. There is a need to develop intervention programmes to arm people with a bipolar diagnosis against the negative effects of the climate crisis.
Psychiatric Nurses' Experiences of Patient Violence on Acute Psychiatric Units in Turkey: a Qualitative Study
(Bmc, 2025) Ayhan, Cemile Hurrem; Aktas, Mehmet Cihad; Karan, Esra
Background Previous research has found that nurses working in psychiatric clinics in an environment where patient violence is common due to patient-nurse interactions. Mental health nurses are often subjected to violent and aggressive behavior from patients. The experiences of assault have inflicted physical and psychological stress on mental health nurses, adversely impacting the quality of patient treatment. This study aims to explore psychiatric nurses' experiences with patient-related violence. Methods A phenomenological descriptive design one of the qualitative methods guided this study that included 10 semi-structured interviews with a purposeful sample of 10 registered nurses who self-reported experiencing patient violence within acute care inpatient psychiatry in Turkey. The data was analyzed using inductive qualitative content analysis to create themes and categories within the research. The confirmability, transferability, credibility and consistency of the study were checked. Results Nurses reported experiencing physical, emotional and verbal violence. Thematic analysis of interview data found five themes as well as 14 subthemes: (i) Perceived Normalization of Violence; for many nurses violence was normal, because patients are mentally sick; (ii) Contributing factors to patient violence (iii) Impact of patient violence; (iv) Ways of coping with violence; (v) Strategies to Prevent Patient Violence. Conclusion This study provides comprehensive multidimensional insights into the causes, consequences and prevention of patient violence experienced by psychiatric nurses. The descriptions of nurses' experiences of violence illustrate the severity of violence and its negative impact on nursing care. Patient violence can be minimized if psychiatric nurses receive psychological support to cope with the emotions caused by the violence, focus on and address the facility's deficiencies and are trained in therapeutic interventions.