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Article Citation - WoS: 2Attitudes of Couples Towards Withdrawal Method in Birth Control(Cukurova Univ, Fac Medicine, 2019) Turk, Rukiye; Terzioglu, FusunPurpose: The aim of this study was to determine the attitudes of couples towards withdrawal method. Materials and Methods: 245 couples (490 individuals) between the ages 15-49 who use the withdrawal method took part in the study. Data was collected using a questionnaire and the Withdrawal Method Attitude Scale were used for data collection.. Results: The study shows that average scores and positive attitudes towards the withdrawal method was higher in women than men, higher in people with lower levels of education than high levels of education. The differences in all cases were statistically significant. Women also recorded higher scores and more positive attitudes than men when it came to the five sub dimensions of the withdrawal method attitude scale and the differences between them were statically significant. Conclusion: This study provides important information for health professionals, due to the positive attitudes of couples towards the withdrawal method. It is recommended that the withdrawal method should be integrated into the education and consultancy services provided in the field of family planning.Article Citation - WoS: 29Citation - Scopus: 33Health Literacy of Nursing Students and Its Effective Factors(Wiley-hindawi, 2019) Ozen, Nurten; Ozkaptan, Bilge Bal; Coskun, Sabahat; Terzioglu, FusunBackground The insufficiency of health literacy negatively affects the national economy as it leads to increased health service expenditure. It is very important for individuals to have accurate health-related information to reduce these negative effects. Aim The aim of the study is to examine the health literacy of nursing students and its effective factors. Methods This descriptive study was carried out with students from the nursing department of a vocational school of health sciences between September and October 2018 in Turkey. A semi-structured questionnaire regarding the descriptive features of the participants and the European Health Literacy Scale were used for data collection. Results The study included 283 nursing students; 29.3% had a problematic-limited health literacy level. The study found a statically significant difference between student year, high school graduation and family's income level and the total mean score of the HLS-EU scale. Conclusion The subject of health literacy should be integrated into the educational program of nursing students. The nurses are the most important workforce in health services, and awareness about this subject should be raised.Article Citation - WoS: 22Citation - Scopus: 22The impact of the using high-fidelity simulation and standardized patients to management of postpartum hemorrhage in undergraduate nursing students: A randomized controlled study in Turkey(Taylor & Francis inc, 2019) Karadas, Merve Mert; Terzioglu, FusunWe examined the efficiency of different simulation methods for the improvement of knowledge and skills of nursing students in the management of postpartum hemorrhage. A total of 84 nursing students participated in the study. Data were obtained using a Semi-Structured Questionnaire Form, Student Satisfaction Evaluation Form, Effective Communication Skills Checklist, Spielberger's State-Trait Anxiety Inventory, and Skills Evaluation Form for Postpartum Bleeding Management. We suggest that the use of different simulation methods may be effective in improving the knowledge and skills of nursing students in the management of postpartum hemorrhage.Article Citation - WoS: 28Citation - Scopus: 32Interprofessional Simulation-Based Training in Gynecologic Oncology Palliative Care for Students in the Healthcare Profession: a Comparative Randomized Controlled Trial(Churchill Livingstone, 2020) Uslu-Sahan, Fatma; Terzioglu, FusunBackground: Preprofessional palliative care education may be inadequate, leaving a gap in health professional students' knowledge and understanding of managing patients with gynecologic cancer and their families. Interprofessional simulation-based training may be useful in helping health professional students gain the necessary skills required for palliative care. Objective: This study aimed to determine the effectiveness of different simulation methods used for interprofessional training on gynecologic oncology palliative care knowledge, interdisciplinary education perceptions, and teamwork attitudes of health professional students and to compare these methods. Design: A comparative randomized controlled trial was conducted with a pre-test and two post-tests. Settings: This study was conducted at a university in Ankara, Turkey, in 2016-2017. Participants: A convenience sample of 84 interprofessional students (nursing, medical, nutrition-dietician, and social work) was used in the study. Methods: Students were stratified by their profession and randomized by four blocks into high-fidelity simulation, hybrid simulation, and a control group. Data were collected using a semi-structured questionnaire form, palliative care knowledge test, interdisciplinary education perception scale, and teamwork attitudes questionnaire. Results: The high-fidelity simulation and hybrid simulation groups improved their palliative care knowledge, interdisciplinary education perception, and teamwork attitudes from pre-test to first and second post-tests compared to the control group. Conclusion: The introduction of high-fidelity simulation and hybrid simulation or hybrid simulation-based interprofessional training in undergraduate education can increase students' palliative care knowledge, interdisciplinary education perception, and teamwork attitudes. Training programs that are used together with highfidelity simulation and hybrid simulation applications in interdisciplinary training should be integrated into the undergraduate curricula of future cooperating health professions.Article Citation - WoS: 59Citation - Scopus: 71Effects of Reflexology and Progressive Muscle Relaxation on Pain, Fatigue, and Quality of Life During Chemotherapy in Gynecologic Cancer Patients(Elsevier Science inc, 2019) Dikmen, Hacer Alan; Terzioglu, FusunPurpose: Our aim was to investigate the effect of reflexology and progressive muscle relaxation (PMR) exercises on pain, fatigue, and quality of life (QoL) of gynecologic cancer patients during chemotherapy. Methods: Eighty participants were randomly assigned to one of four groups: reflexology, progressive muscle relaxation (PMR) exercises, both (reflexology + PMR), or a control group. Data were collected with a general data collection form, Brief Pain and Fatigue inventories, and Multidimensional Quality-of-Life Scale-Cancer. Results: In reflexology and reflexology + PMR groups, a significant decrease in pain severity and fatigue and an increase in QoL were found (p < .05). In the PMR alone group, pain severity and fatigue decreased significantly (p < .05), but there was no significant change identified in QOL (p > .05). Conclusions: Reflexology and PMR exercises given to gynecologic cancer patients during chemotherapy were found to decrease pain and fatigue and increase QoL. (C) 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.Article Citation - WoS: 41Citation - Scopus: 46The Association of Missed Nursing Care and Determinants of Satisfaction With Current Position for Direct-Care Nurses-An International Study(Wiley, 2020) Bragadottir, Helga; Burmeister, Elizabeth A.; Terzioglu, Fusun; Kalisch, Beatrice J.Aim To describe the association of missed nursing care and to identify the determinants of satisfaction with current position for direct-care nurses. Background Missed nursing care and job satisfaction are important issues regarding quality patient care and safety in health care, globally. Method This was a cross-sectional quantitative study usingMISSCARE Surveydata. Participants were 7,079 nursing staff providing direct patient care in hospitals in Australia, Iceland, Turkey and the USA. Multivariable nested models were used to identify the relationship between missed nursing care and nurses' satisfaction with current position. Results More missed nursing care was associated with less satisfaction with current position. Other determinants of job satisfaction included country, nursing experience, overtime worked, adequacy of staffing and the number of shifts missed during the previous 3 months. Conclusion(s) Internationally, more missed nursing care is associated with less nursing job satisfaction and is influenced by work experience, overtime worked, levels of staffing and absenteeism. Implications for Nursing Management This study identifies that the association between missed nursing care and satisfaction with nursing position is of global concern. Other factors requiring the attention of nurse managers are staffing levels, absenteeism and work experience.Article Citation - WoS: 52Citation - Scopus: 52Hopelessness, Death Anxiety, and Social Support of Hospitalized Patients With Gynecologic Cancer and Their Caregivers(Lippincott Williams & Wilkins, 2019) Uslu-Sahan, Fatma; Terzioglu, Fusun; Koc, GultenBackground Gynecologic cancer can create hopelessness and death anxiety and alter the lifestyle of the affected women and their caregivers. Perceived social support may facilitate coping with this illness. Objective The aim of this study was to determine whether hospitalized patients with gynecologic cancer and their caregivers differ in feelings of hopelessness and death anxiety and how those conditions may be related to their social support. Methods Two hundred patients with gynecologic cancer and their 200 caregivers from 1 university hospital were enrolled in this descriptive correlational study. Study measures included a demographic form, the Perceived Social Support Scale, the Beck Hopelessness Scale, and the Thorson-Powell's Death Anxiety Scale. Data were analyzed using Student t test, Pearson correlation test, and linear regression analyses. Results Patients had higher hopelessness and death anxiety compared with caregivers (P < .001). Patients' perceived social support explained 35% of the total variance in hopelessness and 28% of the variance in death anxiety; caregivers' perceived social support explained 40% of the total variance in hopelessness and 12% of the variance in death anxiety. Conclusion Patients felt hopelessness and death anxiety in greater rates than caregivers. Social support had a significant effect on hopelessness and death anxiety of patients and their caregivers.Article Citation - WoS: 6Citation - Scopus: 7Individualized Care: Perceptions of Gynecologic Oncology Patients and Nurses(Springer, 2021) Bukecik, Esra; Terzioglu, FusunThe purpose of the descriptive study was to assess the individualized care perceptions of gynecologic oncology patients and nurses. The study was conducted between June 1, 2015, and September 30, 2015, at a university hospital and at a training and research hospital in Ankara, Turkey. The study sample included 152 patients who received inpatient treatment at the selected hospitals' gynecologic oncology clinics, and 29 nurses are working at these clinics. The number of the patients was determined by using One-Sample t-Test Power Analysis. The questionnaire was filled by the researcher using face-to-face interview method. The data were analyzed by using Independent Samples t Test, the Mann-Whitney U test, ANOVA, and Kruskal-Wallis H tests. The Kolmogorov-Smirnov and Shapiro-Wilk tests were used to determine whether distribution of the parameters was normal. Patients' perception on "nurses support their individuality" was found to be X= 3.07 +/- 0.97 and their perception on "nurses provide individual care" was X = 2.33 +/- 0.69. As patients' perception on "nurses support their individuality" increased, their perception on "nurses provide individual care service" also increased (r = 0.736; p = 0.001). The patients' satisfaction with care was at a moderate level (63.16 +/- 14.97). The level of perception on "nurses support the individuality of patients during care practices (X= 1.65 +/- 0.58) and provide individual care service to the patients (X = 1.61 +/- 0.62)" was low. Nurses stating that they supported the individuality of patients provided individual care to their patients (r = 0.828; p = 0.001). The nurses' perception on "they support patients' individuality" and "they provide individual care service" was lower than patients' perception on "nurses support their individuality" and "nurses provide individual care." The nurses' job satisfaction (general satisfaction) was at a moderate level (3.08). In this study, nurses' perception on individualized care was lower than patients' perception.Article Citation - WoS: 56Citation - Scopus: 70Effects of Massage and Acupressure on Relieving Labor Pain, Reducing Labor Time, and Increasing Delivery Satisfaction(Lippincott Williams & Wilkins, 2020) Gonenc, Ilknur Munevver; Terzioglu, FusunBackground: Several recent studies have documented the effects of massage and acupressure in reducing labor pain and labor time and in satisfaction with the delivery. However, few studies have investigated the comparative effects of these two therapies. Purpose: The aim of this study was to compare the effects of massage and acupressure on labor-related pain management, duration, and satisfaction with delivery. Methods: This randomized controlled trial (n = 120) included three intervention groups (massage only, acupressure only, and massage + acupressure) and one control group, in which patients received no massage or acupressure treatment. A personal information form, Pregnant Watch Form, and Visual Analog Scale (VAS) were used to collect data. Frequency and percentage calculations, chi-square test, Student's t test, Tukey's honestly significant difference test, and one-way variance analysis were used for data analysis. Results: In the latent phase of labor, the mean VAS scores of the massage-only group and massage + acupressure group were lower (4.56 +/- 1.36 and 4.63 +/- 1.52, respectively) than that of the control group (6.16 +/- 1.46; p < .01). In the active and transition phases, the mean VAS scores of the massage-only group, acupressure-only group, and massage + acupressure group were significantly lower than that of the control group (p < .01 and p < .001, respectively). During postpartum, the mean VAS score of the massage + acupressure group was lower (2.30 +/- 0.70) than that of the control group (2.96 +/- 0.72; p = .003). Cervical dilatation completion time and 1- and 5-minute Apgar scores were similar among all of the groups (p > .05). The three intervention groups reported relatively more positive feelings than the control group, and all three of the interventions were found to be effective in improving satisfaction.Article Citation - WoS: 28Citation - Scopus: 29Nursing Students' Perceived Stress: Interaction With Emotional Intelligence and Self-Leadership(Wiley, 2022) Yildirim-Hamurcu, Sevda; Terzioglu, FusunPurpose The aim of the current study was to determine how emotional intelligence and self-leadership levels could be related to perceived stress. Design and Methods A total of 341 nursing students were enrolled in this descriptive correlational study. Study measures included a sociodemographic form, Emotional Intelligence Evaluation Scale, Revised Self-Leadership Questionnaire, and Perceived Stress Scale for Nursing Students. Findings Results showed that ''assignments and workload'' as well as "taking care of patients" were the highest sources of stress in clinical training. The emotional intelligence and self-leadership levels had a significant negative correlation with the perceived stress. Practice Implications Perceived stress affects students' academic and social success negatively. Therefore, it is important to develop students' emotional intelligence levels, self-leadership perceptions.
