Browsing by Author "Sir, Ozkan"
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Article 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, MetinBackgroundNurses 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.Article 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, SevgiAim 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.Article The Relationship Between Covid-19 Fear and Prenatal Attachment of Pregnant Women in the Pandemic(Aves, 2022) Sariboga, Yilmaz; Sir, Ozkan; Atas, Sinan; Gokmen, Burcu DemirAIM: The aim of this study was to determine the relationship between COVID-19 fear and the prenatal attachment of pregnant women in the pandemic. METHOD: The sample of this cross-sectional and descriptive study consisted of 377 participants aged 18-45. The study was conducted from August to December 2021 in the east of Turkey. The data were collected using the SocioDemographic Questionnaire, Fear of COVID-19 Scale, and Prenatal Attachment Inventory. RESULTS: The mean Prenatal Attachment Inventory total score was 58.20 +/- 10.61. The mean Fear of COVID-19 Scale total score of the women in the study was 24.43 +/- 6.61. In this study, significant differences in prenatal attachment were observed for age, education, number of pregnancies, pregnancy week, and number of children. Moreover, the fear of COVID-19 was detected as a statistically significant difference between the COVID-19 status and having several children (p < .05). CONCLUSION: There was a link found between fear of COVID-19 and prenatal attachment in pregnant women. Health centers were recommended to provide training and support programs to solve the fear caused by COVID-19 and improve women's prenatal attachment.