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Öğe Determining the Cultural Care Needs of Infertile Couples in Turkey: A Qualitative Study Guided by the Cultural Competence Model(Springer, 2022) Derya, Yesim Aksoy; Altiparmak, Sumeyye; Ay, Cigdem Karakayali; Ozsahin, ZelihaThe cultural competence model is an ethnographic model created to improve the cultural understanding of people's status in the context of health, health promotion and illness. This study aimed to use the Purnell Model for Cultural Competence for determining the cultural care needs of couples undergoing infertility treatment. This study with a qualitative design was conducted at a private in vitro fertilization center in eastern Turkey. The sample of the study consisted of 10 infertile couples with unexplained infertility problems (n = 20). The 12 cultural domains were used as a basis in determining the cultural care needs of the infertile couples, and these domains formed the themes. Data were collected using the method of interpretative phenomenological analysis. The emotions defined in the spirituality theme were seeing it as destiny or seeing it as a test to be passed in terms of religion and visiting holy tombs, applying to faith healers and making vows. The first three emotions that came to the fore in the pregnancy and childbearing theme were feelings of deficiency/illness/stigmatization, deterioration in body image and unsatisfactory inability to feel love for own child. In the healthcare practitioners theme, it was determined that compliance with treatment was partially sufficient, but the religious-cultural influence was high.Öğe The effect depression levels in midwives have on burnout and their level of job satisfaction(European Publishing, 2021) Altiparmak, Sumeyye; Yilmaz, Ayse N.INTRODUCTION This study aimed to determine the effect of depression levels in midwives on burnout and job satisfaction. METHODS The sample of this descriptive study consisted of 322 midwives working in a province located in the eastern region of Turkey. Data were collected by using the Personal Information Form, Beck Depression Inventory (BDI), Maslach Burnout Inventory (MBI), and Minnesota Job Satisfaction Questionnaire (MJSQ) Short Form. RESULTS The rate of midwives experiencing depression was found to be 9.6%. The mean score of MJSQ was 64.59 +/- 13.29, while the mean scores for the sub-dimensions of MBI were: emotional burnout 18.57 +/- 6.65, decrease in sense of personal accomplishment 21.65 +/- 3.93, and depersonalization 6.25 +/- 3.86. It was found that midwives who did not experience depression (90.4%) had a higher level of job satisfaction and a higher sense of personal accomplishment (p<0.05). On the other hand, midwives experiencing depression (9.6%) had higher levels of emotional exhaustion and depersonalization. It was found that there was a negative weak relationship between BDI and job satisfaction and personal accomplishment, and a positive weak relationship between BDI and emotional exhaustion (p<0.05). CONCLUSIONS It was determined that midwives with depression have lower levels of job satisfaction and personal success, and experience emotional exhaustion more frequently. In addition, it was observed that as the level of depression decreased, job satisfaction and personal success increased significantly, whereas emotional exhaustion decreased.Öğe THE EFFECT OF COVID-19 PHOBIA ON THE SATISFACTION WITH LIFE AND FAMILY SENSE OF BELONGING LEVELS OF MIDWIFERY STUDENTS(Dokuz Eylul Univ Inst Health Sciences, 2021) Altiparmak, Sumeyye; Yilmaz, Ayse Nur; Derya, Yesim A. K. S. O. Y.Purpose: This research was conducted with the purpose of determining the impact of COVID-19 phobia on the satisfaction with life and family sense of belonging levels of midwifery students. Methods: Sample of this cross-sectional research consisted of 484 students studying at Midwifery Departments of two universities located in the eastern of Turkey. The data was collected with Personal Information Form, Satisfaction with Life Scale, Family Sense of Belonging Scale and Coronavirus 19 Phobia Scale. Average, standard deviation, percentage distribution and Pearson Correlation Analysis were used in the statistical assessment. Results: The average score that midwifery students get from Satisfaction with Life Scale was found as 13.54 +/- 4.37, their average score from Family Sense of Belonging Scale was found as 64.59 +/- 13.29 and average score from Coronavirus 19 Phobia Scale was found as 50.02 +/- 17.36.It was determined that Family Sense of Belonging Scale total and all sub-dimension average scores increased significantly as the Coronavirus 19 Phobia Scale Psychological Phobia sub-dimension average score increases (p<0.05). In addition, it was determined that Family Sense of Belonging Scale Family Sense of Belonging sub dimension average score increased significantly as the Coronavirus 19 Phobia Scale Social Phobia sub dimension average score increases (p<0.05). However, it was determined that Satisfaction with Life decreased significantly as Coronavirus 19 Phobia Scale Psychosomatic Phobia and Economic Phobia sub-dimension average scores increase (p<0.05). Conclusions: It was determined that midwifery students have moderate level of COVID-19 phobia and psychological and social phobia levels regarding COVID-19 increase family sense of belonging, but psychosomatic and economic phobia levels decrease satisfaction with life.Öğe The effect of marital adjustment on mother-baby bonding and breastfeeding self-efficacy level(2021) Altiparmak, Sumeyye; Yilmaz, Ayse Nur; Aksoy Derya, YeşimAbstract: This study was conducted to determine the effect of marital adjustment on mother-baby bonding and breastfeeding self-efficacy. This cross-sectional study is conductedon 510 postpartum women, who delivered a baby in a public hospital in the eastern region of Turkey, between January and June 2019. Data were collected using PersonalInformation Form, Marital Adjustment Scale (MAS), Mother-Infant Bonding Scale (MIBS) and Breastfeeding Self-Efficacy Scale Short Form (BSES). Data were analyzedby descriptive statistics and t test and Pearson correlation analysis were used in independent groups. The mean age was 29.2 ± 6.67 and it was found that 78.8% ofthe postpartum women had a desired / planned pregnancy, 48.4% breastfed their baby within the first half hour after birth, and 70.2% gave only breast milk within thefirst 24 hours after birth. The mean MAS score was 44.29 ± 8.06; the mean MIBS score was 22.97 ± 2.58; and the mean BSES score was 59.02 ± 9.84. It was found thatpostpartum women with an adjusted marriage relationship (59%) had a statistically higher level of mother-infant bonding and breastfeeding self-efficacy compared topostpartum women with non-adjusted marital relationships (p <0.05). It was found that there was a weak positive correlation between the mean MAS score and the meanMIBS score (r = 0.278, p = 0.000). It was also found that there was a moderate positive correlation between the mean MAS score and the mean BSES score (r = 0.507, p= 0.000). It was found that postpartum women who had an adjusted marital relationship had higher levels of mother-infant bonding and breastfeeding self-efficacy thanthose leading a non-adjusted marital relationship. In addition, it was observed that mother-infant bonding and breastfeeding self-efficacy increased as marital adjustmentincreased in postpartum women.Öğe The effects of fertility-supporting health training on healthy lifestyle behaviors and infertility self-efficacy in infertile women: A quasi-experimental study(Elsevier Science Inc, 2018) Altiparmak, Sumeyye; Aksoy Derya, YesimIntroduction: It is important to change behaviours and situations that affect fertility in a negative way (e.g. obesity, smoking and stress). Healthy lifestyle behaviours supporting fertility involve changing these habits. The development of healthy lifestyle behaviours which can support fertility can be achieved through taking personal responsibility to change unhealthy behaviours. This study was aimed at determining the effects of fertility supporting health training on healthy lifestyle behaviours and self-efficacy in infertile women. This study aimed to determine the effects of fertility supporting health training on changing healthy lifestyle behaviours and self-efficacy in infertile women. Methods: The study used a pre-test/post-test quasi-experimental model with a control group and was carried out between March and October 2017. The power analysis calculated the number of infertile women in each group as 62 (N = 124). The women in the experimental group were provided with two sessions of fertility-supporting health training. Eight weeks after the first session, the post-test data were collected. Data collection included a Personal Information Form, the Healthy Lifestyle Behavior Scale II (HLBS-II) and the Infertility Self-Efficacy Scale - Short Form (ISE-SF). Results: The HLBS-II post-test mean values were 136.52 +/- 19.25 in the experimental group and 126.90 +/- 17.02 in the control group, and the difference was significant (p < 0.05). The ISE-SF post-test mean values were significantly different for the experimental group (23.16 +/- 4.13) compared to the control group (20.43 +/- 4.19) (p = 0.000). Conclusions: Women being treated for infertility may wish to participate in initiatives that promote fertility. Training, adopting healthy lifestyle behaviours and perceptions of self-efficacy can be improved.Öğe Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety(Elsevier Sci Ltd, 2021) Derya, Yesim Aksoy; Altiparmak, Sumeyye; Akca, Emine; Gokbulut, Nilay; Yilmaz, Ayse NurAim: This study aims to examine pregnancy and birth planning during COVID-19 and the effects of a tele-education offered to pregnant women for this planning process on prenatal distress and pregnancy-related anxiety. Method: The population of this quasi-experimental study was composed of pregnant women who applied for the antenatal education class of a public hospital in the east of Turkey during their past prenatal follow-ups and wrote their contact details in the registration book to participate in group trainings. The sample of the study consisted of a total of 96 pregnant women, including 48 in the experiment and 48 in the control groups, who were selected using power analysis and non-probability random sampling method. The data were collected between April 22 and May 13, 2020 using a Personal Information Form, the Revised Prenatal Distress Questionnaire (NuPDQ) and the Pregnancy Related Anxiety Questionnaire-Revised 2 (PRAQ-R2). An individual tele-education (interactive education and consultancy provided by phone calls, text message and digital education booklet) was provided to the pregnant women in the experiment group for one week. No intervention was administered to those in the control group. The data were statistically analyzed using descriptive statistics (frequency, percentage, mean, standard deviation, min-max values) and t-test in dependent and independent groups. Results: The posttest NuPDQ total mean scores of pregnant women in the experiment and control groups were 8.75 +/- 5.10 and 11.50 +/- 4.91, respectively, whereby the difference between the groups was statistically significant (t=-2.689, p=0.008). Additionally, the difference between their mean scores on both PRAQ-R2 and its subscales of fear of giving birth and worries of bearing a physically or mentally handicapped child was statistically significant (p<0.05), where those in the experiment group had lower anxiety, fear of giving birth and worries of bearing a physically or mentally handicapped child. Conclusion: The tele-education offered to the pregnant women for pregnancy and birth planning during COVID-19 decreased their prenatal distress and pregnancy-related anxiety.Öğe Pregnancy and birth planning during COVID-19: The effects of tele-education offered to pregnant women on prenatal distress and pregnancy-related anxiety (vol 92, 102877, 2021)(Elsevier Sci Ltd, 2021) Aksoy Derya, Yesim; Altiparmak, Sumeyye; Akca, Emine; Gokbulut, Nilay; Yilmaz, Ayse Nur[Abstract Not Available]Öğe Turkish validity and reliability study for the person-centered maternity care scale(Wiley, 2021) Ozsahin, Zeliha; Altiparmak, Sumeyye; Aksoy Derya, Yesim; Kayhan Tetik, Burcu; Inceoglu, FeyzaAim The objective was to adapt the person-centered maternity care scale (PCMCS) developed by Afulani et al. in 2017 to Turkish and to perform the validity and reliability study of this scale. Methods The population of this methodological study consisted of 280 mothers who were referred to the postpartum service of a public hospital in eastern Turkey. Linguistic validity, context validity, and pilot practice studies regarding the PCMCS that could be used in the first nine postpartum weeks were performed. Explanatory factor analysis and confirmatory factor analysis were performed to assess the construct validity of the form. Reliability of PCMCS was tested through the Cronbach's alpha internal consistency coefficient, total item correlation, and test-retest analysis. Results The Turkish version of the PCMCS a 21-item scale with three sub-dimensions was obtained. These three sub-dimensions found as a result of explanatory factor analysis and confirmatory factor analysis supported the scale structure. Cronbach's alpha reliability coefficient scale was adequate for total and sub-dimensions. Conclusion Turkish version of PCMCS was found to be a valid and reliable instrument to be used for assessing the person-centered maternity care for women in the postpartum period.Öğe The Turkish validity and reliability study of the London measure of unplanned pregnancy(Wiley, 2021) Altiparmak, Sumeyye; Yilmaz, Ayse N.; Aksoy Derya, YesimAim This study aims to adapt the London Measure of Unplanned Pregnancy (LMUP) developed by Barrett et al. to Turkish by checking its validity and reliability. Method The sample of this methodological study consisted of 596 pregnant women who were referred to the antenatal outpatient clinics of a public hospital in eastern Turkey. Data were collected from those who agreed to participate in the study, by using a personal information form and the six-item LMUP. Data were analyzed using SPSS 25.0 and AMOS 24.0 statistical package programs, and statistically assessed using descriptive statistics such as number, percentage, mean and SD, language and content validity, explanatory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha reliability coefficient, and test-retest analysis. Results The EFA revealed that the Turkish version of the LMUP consisted of five items and one factor. The items' factor loadings were above 0.30, and explained 68.89% of the total variance. The CFA supported the one-factor structure of the scale, which was revealed by the EFA. As a result of the CFA, the fit indices were found to be very good. The Cronbach's alpha coefficient of the scale was determined as 0.90. Conclusion The Turkish version of the LMUP is a valid and reliable instrument to evaluate unplanned pregnancy.
