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Öğe Aile sağlığı merkezlerinde çalışan hemşirelerin COVID-19 pandemisi sürecinde karşılaştıkları etik sorunlar: Bir nitel çalışma(İstanbul Üniversitesi, 2021) Esin, Melek Nihal; Dost, Ayşe; Gülyenli, NurselAmaç: Bu araştırmada aile sağlığı merkezlerinde çalışan hemşirelerin COVID-19 pandemisi sırasında karşılaştıkları etik sorunların belirlenmesi amaçlandı. Gereç ve Yöntem: Araştırma, fenomenolojik desenli bir nitel çalışma olarak gerçekleştirildi. Araştırmanın örneklemini İstanbul İli Avrupa Bölgesi’nde yer alan yedi farklı aile sağlığı merkezinde çalışan ve kartopu örnekleme yöntemi ile ulaşılan sekiz hemşire oluşturdu. Veriler, Haziran-Temmuz 2021 tarihleri arasında çevrimiçi bir platform kullanılarak derinlemesine görüşme yöntemiyle toplandı ve kaydedildi. Veriler 12 sorudan oluşan görüşme formu doğrultusunda toplandı. Verilerin deşifre edilmesinden sonra MAXQDA 2020 programı kullanılarak içerik analizi yapıldı. Bulgular: Görüşmeler sonucunda dokuz kod ve 44 alt kod elde edildi. Bu kodlar; çalışma koşulları, hizmet sunumu ve psikolojik süreçler ile ilgili etik sorunlar olmak üzere üç temel kategoride ele alındı. Çalışma koşulları ile ilgili etik sorunlar kategorisinde hemşireler; fiziksel alan, kişisel koruyucu ekipman ve artan iş yüküne ilişkin sorunlarını ifade ettiler. Hizmet sunumu ile ilgili etik sorunlar kategorisinde; rutinde uygulanan hizmetlerin sunumundaki değişimler, aksayan/ertelenen hizmetler, yapılamayan hizmetler ve yeni eklenen hizmetler/ görevler kodlarının altında yaşadıkları sorunları ve zorlukları ifade ettiler. Psikolojik süreçler ile ilgili etik sorunlar kategorisinde ise pandemiye ve sürece ilişkin algılarından ve motivasyonlarına ilişkin yaşadıkları zorluklardan bahsettiler. Sonuç: Çalışmanın bulguları ışığında aile sağlığı merkezinde çalışan hemşireler tarafından kronik hasta izlemlerinin yapılmaması, rutin hizmetlerin aksaması ya da gerçekleştirilememesi ve yeni verilen görevlerle iş yükünün artması gibi olumsuzluklar sıklıkla ifade edilmiş olup, uygulamaları sırasında yaşadıkları etik sorunların en fazla adalet, yararlı olma ve zarar vermeme etik ilkeleriyle ilgili olduğu saptandı.Öğe Comparison of nutritional intake and dietary behaviors in overweight/obese and non-obese university students: A school-based study(Marmara University, 2021) Dost, Ayşe; Esin, Melek Nihal; Hızlı Güldemir, HilalObjective: This study was conducted to determine of nutritional intake and dietary behaviors in overweight/obese and non-obese university students. Methods: The sample of this descriptive comparative study consisted of 220 students randomly selected among the university students who were divided into two groups as overweight / obese and non-obese. Data were collected using a daily nutrition log, anthropometric measurements and questionnaire. Results: Of the 220 students admitted to our study, 110 were overweight/obese and 110 were non-obese. Obesity was correlated with the reason for skipping meals, smoking, amount of physical activity (p<0.05). Overweight/obese students have a high scores of Perceived Health Status scale and a low Self-Efficacy to Regulate Eating Habits scale (p=0.00). The scores of the Health Promotion Lifestyle Profile Nutrition scale and the Perceived Health Status scale of the non-smoking students were significantly high (p<0.05). The Health Promotion Lifestyle Profile Exercise scale was significantly higher in the students with high frequency of physical activity (p=0.00). Overweight/obese students had high daily energy, fat, cholesterol, and sodium intake, while all students consumed insufficient amounts of key nutrients like fiber, folate, and calcium (p=0.00). Conclusions: These results emphasize the need to provide students health promotion programs should be implemented at universities to and raise young people’s awareness about making healthy choices that will affect their future.Öğe Effects of the UNI-PAHNP on physical activity and nutrition behaviors in overweight/obese university students in Turkey(Wiley, 2022) Dost, Ayşe; Esin, Melek NihalPurpose This study aimed to determine the effectiveness of a Pender's health promotion model-based Physical Activity and Healthy Nutrition Program for University Students (UNI-PAHNP) as a means for improving university students' nutrition and physical activity behaviors. Method A total of 110 overweight and obese students were randomized into study and control groups. Findings Students in the intervention group showed significant decreases in body mass index and waist circumference and significant increases in step count, physical activity, nutrition and exercise scores, vegetable and water intake frequency, and self-efficacy to regulate nutrition and exercise from pre-intervention to six months post-intervention (p < 0.05). Practice Implications This study shows the value of utilizing nurses to implement a health promotion program for overweight/obese university students.Öğe Experiences and perceptions of Turkish intensive care nurses providing care to Covid-19 patients: A qualitative study(Wiley, 2022) Sezgin, Duygu; Dost, Ayşe; Esin, Melek NihalAim To describe the experiences of intensive care nurses who provided care to Covid-19 patients and their perceptions towards the disease and their work conditions during the pandemic. Introduction Identification of experiences and perceptions of intensive care nurses towards disease, care and their workplace conditions when providing care to Covid-19 patients will inform decision-makers about improvements that can be implemented. Background The Covid-19 pandemic has led to increased strain and workplace-related health risks to intensive care nurses, but it has also provided a unique experience and opportunities for learning and development. Methods A descriptive qualitative study was conducted with 10 intensive care unit nurses working in seven hospitals in Istanbul, Turkey. Snowball sampling method was used, and the data were collected by semistructured online interviews. A thematic analysis was performed. The Consolidated Criteria for Reporting Qualitative Research were followed. Findings Five major themes were identified: 'death and fear of death', 'impact on family and social lives', 'nursing care of Covid-19 patients', 'changing perceptions of their own profession: empowerment and dissatisfaction', and 'experiences and perceptions of personal protective equipment and other control measures'. Discussion Intensive care nurses experience an increased risk of infection and psychological burden, and they lack a sense of professional satisfaction. Improvements to working conditions are needed to support nurses caring for patients during the pandemic. Conclusion The pandemic increased the workload and responsibilities of intensive care nurses and led to increases in their work-related health risks and challenges with care. However, it also increased nurses' awareness about the importance of their professional roles. Implications for nursing practice and policies There is a need to improve working conditions and develop nursing standards for the care of Covid-19 patients in intensive care units.Öğe Predictor scales of cognitive factors affecting physical activity in individuals surviving cancer: psychometric properties of Turkish versions(2025) Kaya, Şura; Esin, Melek NihalBackground: Increasing physical activity in individuals surviving cancer is crucial in reducing treatment-related side effects and recurrence. Valid and reliable measurement tools are needed that will enable the factors affecting exercise to be addressed holistically and theoretically. This study aimed to adapt the Exercise Goal-Setting Scale, Exercise Planning and Scheduling Scale, Multidimensional Outcome Expectations for Exercise Scale, and Physical Activity Neighborhood Environment Scale into Turkish language and to explore psychometric properties of the Turkish versions of these scales in individuals surviving cancer. Methods: This methodologically designed research collected data from 153 participants at a hospital in Istanbul, Türkiye. The scales used in the study were adapted to the Turkish language through forward and backward translation and expert opinion. Content validity was assessed with a 2-week test-retest reliability, Cronbach's α reliability coefficient for stability, item-total correlation, and confirmatory factor analysis. Results: The scales showed good content validity (CVI = 0.95-0.99). Internal consistencies were acceptable to excellent (Cronbach's α =.79-.94), and moderate to good reproducibility estimates were observed (r =.67-.84). The MOEES factor structure also showed excellent fit. Conclusions: This study demonstrates that the adapted scales evaluated are valid and reliable for examining physical activity based on social cognitive processes in individuals surviving cancer in Türkiye. The scales examined in the study can be used to determine the cognitive factors affecting activity and to plan effective programs when providing physical activity counseling to individuals surviving cancer in Türkiye.Öğe Using the Omaha System to determine health problems of urban Syrian immigrants(Wiley, 2019) Ardıç, Aysun; Esin, Melek Nihal; Koç, Şerife; Bayraktar, Bilgenur; Sunal, NihalObjective(s)This study assessed the health problems of Syrian immigrants living in urban areas using the Omaha System. DesignA descriptive and observational study was conducted in Istanbul. SampleThe sample included 51 Syrian immigrant families and 248 Syrian refugees. MeasuresData were collected using the Omaha System-Problem Classification List and a sociodemographic questionnaire. ResultsThe average household size was 6.36; 71% of those over the age of 18 were not employed. Only 8.5% of children aged 0-15 were vaccinated; 15 nursing problems and 46 signs and symptoms were diagnosed using the Problem Classification List scale. Personal care was the most frequently diagnosed problem, followed by Sanitation, Communication with community resources, Mental health, and Residence. ConclusionsHealth and social problems are common Syrian immigrants living in urban areas. The Omaha System-Problem Classification List can be used as a tool by public health nurses to identify health problems encountered by immigrants.
