Browsing by Author "Todil, Tugba"

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Burnout, Intrinsic Motivation, and Emotion Regulation Profiles Among Pediatric Nurses in Turkey: A Latent Profile Analysis
(Elsevier Science Inc, 2026) Askan, Fahri; Yuruk, Emel; Todil, Tugba; Karad, Mustafa; Sata, Mehmet; Turgut, Mehmet Alperen; Celik, Baris
Objective: This study aimed to identify latent profiles based on burnout, intrinsic motivation, and emotion regulation among pediatric nurses and to examine their associations with psychological resilience, life satisfaction, depression, anxiety, and stress. Methods: A cross-sectional study involving 563 pediatric nurses was conducted between February and May 2025 in five hospitals across four provinces in Turkey. Data were collected via the Maslach Burnout Inventory, Intrinsic Motivation Scale, Emotion Regulation Scale, Satisfaction Life Scale, Brief Resilience Scale, and DepressionAnxiety-Stress Scale. Latent profile analysis was used to analyze the latent profiles of pediatric nurses, and multinomial logistic regression was used to explore the predictors of these profiles. Results: Three profiles were identified: Balanced (52.8%), Burnt-out (8.3%), and Optimistic group (38.9%). Lower resilience (OR = 0.47) and life satisfaction (OR = 0.27) increased the likelihood of being in the burnt-out profile, whereas higher resilience (OR = 1.85), higher life satisfaction (OR = 1.46), and gender (OR = 0.60) increased the likelihood of belonging to the optimistic profile. Age, depression, anxiety, and stress were not significant predictors. Conclusion: High psychological resilience and life satisfaction were associated with a greater likelihood of pediatric nurses being classified into more adaptive profiles characterized by lower burnout, higher intrinsic motivation, and more effective emotion regulation. Female nurses were more likely to belong to the burnout profile, highlighting the importance of gender-sensitive support strategies. Practical implications: Integrating profile-based assessments of burnout, intrinsic motivation, and emotion regulation into pediatric nursing practice can guide targeted individual and institutional interventions. (c) 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
E-Health Literacy of Nursing Students and Investigation of Factors Affecting E-Health Literacy During Covid-19 Pandemic Process: a Cross-Sectional Study
(Lippincott Williams & Wilkins, 2022) Cetinkaya, Senay; Askan, Fahri; Gunes, N. Ecem Oksal; Todil, Tugba; Yuruk, Emel
The lack of knowledge on health literacy affects all segments of society, particularly health workers. The objectives were to identify nursing students' means of accessing information during the coronavirus disease 2019 pandemic, their level of health literacy, and the factors that affect it. This cross-sectional study was conducted in Turkey among 398 nursing students of cukurova University and Van Yuzuncu Yil University between June 1 and June 30, 2020. As a data collection tool, E-Health Literacy Scale was used, with students' characteristics and personal information form related to Internet use. These forms were converted to the online format. The survey link was sent to the students' smartphones and/or e-mails to ask them to participate. Majority of participants were Van Yuzuncu Yil University nursing students (63.8%). E-SYO score average of all students was found to be 29.42 +/- 4.39 (min = 14, max = 40); it was is found be at a good level. They used the Internet as the first source of information about coronavirus disease 2019 (65.1%).Among the participants, 65.8% stated that it was important to access the health resource on the Internet and 19.1% of the participants thought that it was very important. It was found that Internet use was being used for >3 times a day (72.9%). The age, class, gender, family type, income level, high school from which they graduated from, and their working status significantly were statistically affecting their health literacy (P < .05). The health literacy scale scores were significant and higher than those who did not know the concept of health literacy, and those who perceived Internet skills well and very well than those who perceived them poorly (P < .05). Nursing students were found to have good average health literacy averages. Improving the health literacy is important for making individuals healthier.
Effects of Mandala Art Therapy (Coloring) on Nausea, Vomiting, Pain and Anxiety in Children and Youth Receiving Outpatient Chemotherapy
(Elsevier Science Inc, 2026) Yuruk, Emel; Todil, Tugba; Askan, Fahri; Kara, Mustafa; Hacisalihoglu, Aslihan
Purpose: This study was designed as a randomized controlled trial (RCT) with a pretest-posttest design to investigate the effects of mandala art therapy on nausea, vomiting, pain, and anxiety in children and youth undergoing outpatient chemotherapy. Method: This study was conducted between April 15 and October 15, 2024, at the Pediatric Outpatient Chemotherapy Unit of a hospital. The study included children and youth aged 9-17 diagnosed with hematological malignancies, solid tumors, or hematological disorders accompanied by oncological conditions. The experimental group received mandala art therapy, while the control group continued with the standard protocol. The study utilized the Personal Information Form, Nausea-Vomiting Thermometer, Wong-Baker Faces Pain Rating Scale, and the State-Trait Anxiety Inventory for Children (STAIC). Data were summarized using descriptive statistics and normality was assessed using the Shapiro-Wilk test. For data that did not follow a normal distribution, the Mann-Whitney U and Wilcoxon Signed Rank tests were applied. Results: Significant differences were observed between the experimental and control groups in the of nausea, vomiting, pain, and anxiety levels post-treatment. In the experimental group, a significant reduction was observed in the nausea-vomiting and pain scores before and after the treatment (p < 0.01), while no change was noted in the control group (p > 0.05). Additionally, a significant decrease in the anxiety scores was found in the experimental group after treatment, whereas no significant difference was observed in the control group (p > 0.05). Conclusions: Mandala art therapy effectively reduces nausea, vomiting, pain, and anxiety in children undergoing outpatient chemotherapy and it appears to be a feasible and effective psychosocial intervention that could be integrated into routine supportive care in pediatric oncology. Future studies should investigate its long-term effects and in different pediatric age groups. (c) 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.