Browsing by Author "Sir, Ozkan"

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Attitudes and Behaviors of Intensive Care Nurses Towards End-Of Care and Death in Turkey
(Lippincott Williams & Wilkins, 2025) Sir, Ozkan; Ebubekir, Kaplan; Aylin, Ozakgul; Secil, Erden Melikoglu
BackgroundEnd-of-life care is administered to individuals in the terminal stages of their life, typically when their health is steadily declining. This form of care is integral to palliative care, encompassing the alleviation of physical symptoms; the delivery of emotional, social, and spiritual assistance; and the honoring of the preferences of both patients and their families.AimThis research aimed to explore the attitudes and behaviors of intensive care nurses regarding end-of-life care and the experience of death.DesignThis study employed a descriptive and correlational research design. The participant pool comprised 306 nurses actively engaged in the intensive care units of a hospital during the period from June to December 2022.MethodsData were gathered through the utilization of 3 instruments: "Individual Characteristics Form," "The Scale of the Attitudes and Behaviors of Intensive Care Unit Nurses Intended for End-of-Life Care," and the "Death Attitude Profile-Revised."ResultsThe results indicated that the attitudes and behaviors of nurses concerning end-of-life care and death were, on average, at a moderate level. Married nurses, those with postgraduate education, individuals working in the intensive care unit, those with 11 or more years of experience, and those who perceived their knowledge about end-of-life issues as adequate demonstrated more favorable attitudes and behaviors towards end-of-life care compared to other groups.ConclusionsThe study revealed that nurses with postgraduate education and those employed in the intensive care unit exhibited more favorable attitudes towards death. To enhance these attitudes and provide necessary support, it is advisable to implement supportive interventions and organize in-service training programs.
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.
The Mediating Role of Moral Resilience in the Relationship Between Moral Distress and End-of-Life Care Attitudes and Behaviours Among Intensive Care Nurses
(Wiley, 2025) Sir, Ozkan; Kasikci, Magfiret; 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 (beta;-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.
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 Demir
AIM: 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.
The Role of Psychological Well-Being in the Effect of Spirituality on Stigma in Individuals with Epilepsy
(W B Saunders Co Ltd, 2025) Sarpdagi, Yakup; Kiraz, Mustafa; Orlin, Muhammet Okay; Sir, Ozkan; Kaplan, Ebubekir; Atan, Kemal; Yildiz, Metin
Objective The aim of this study is to examine the mediating role of psychological well-being in the effect of spirituality on stigma in individuals with epilepsy. Methods This cross-sectional and descriptive study was conducted between March 2024 and January 2025 at a training and research hospital in Van, Turkey, with 257 individuals aged 18 and above diagnosed with epilepsy. Data were collected using a Personal Information Form, the Spirituality Scale, the Psychological Well-being Scale, and the Stigma Scale for Epilepsy Patients. Data were analyzed using SPSS, R programming language 4.1.3 and G*Power software. Results This study showed that an increase in spirituality was positively associated with psychological well-being (beta = 0.976, p < 0.001) and negatively associated with stigmatization (beta = -0.752, p < 0.001). Furthermore, psychological well-being was found to be a partial mediator of the relationship between spirituality and stigmatization (indirect effect = -0.2938, 95% CI: -0.4506, -0.1418), suggesting that spirituality may be related to levels of stigmatization not only directly but also through psychological well-being. Conclusion The findings of this study indicate that spirituality plays a significant role in reducing stigma among individuals with epilepsy, with psychological well-being acting as a partial mediator in this relationship. As levels of spirituality and psychological well-being increase, perceived stigma decreases. These results highlight the importance of spirituality and psychological well-being in interventions aimed at reducing stigma and improving mental health.