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    Behaviours and experiences of nurses during the COVID-19 pandemic in Turkey: A mixed methods study
    (Wiley-Hindawi, 2021) Cengiz, Zeliha; Isik, Kevser; Gurdap, Zuleyha; Yayan, Emriye Hilal
    Aim The aim of this work is to present behaviours and experiences of nurses in Turkey during the current coronavirus pandemic. Background The coronavirus pandemic leads to difficulties for most health care workers, especially for nurses who mostly accompany patients and are on the front line. Methods In the study, a parallel mixed pattern converging quantitative and qualitative research methods was used. Results The model revealed that 41 years old or older, diabetic, female, single professionals, working in the pandemic department took more personal measures. Five main themes appeared regarding the experiences of the nurses during the pandemic period: (1) psychological and mental strain; (2) personal protective equipment; (3) organizational, physical, and social strains; (4) change in professional values; (5) turning the crisis into an opportunity. Conclusions Personal measures are associated with the risk status. There is a need to protect nurses with significant measures by providing psychosocial support, meeting their basic needs, and preventing all complications likely to occur due to increasing workload. Implications for Nursing Management More efforts should be made to ensure good work, fair treatment, no tolerance for discrimination, and equal compensation conditions.
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    Challenges experienced by nursing students during the COVID-19 pandemic
    (Wiley, 2022) Cengiz, Zeliha; Gurdap, Zuleyha; Isik, Kevser
    Purpose This study was conducted to assess the challenges faced by nursing students during the pandemic and to examine the factors affecting these challenges. Design and Methods This qualitative study involved 344 nursing students at a university in eastern Turkey. Findings Five main themes, each with its own subthemes, indicated the psychological difficulties experienced by students, insufficiencies and uncertainties regarding education, restrictions regarding social life, family conflicts, and the possibility to turn crises into opportunities. Practice Implications The themes emphasizing the lives of nursing students showed that there was a need for important measures, such as psychosocial support, determination of best practices for online education, supporting students with telemental applications by university counseling centres, and organization of action courses.
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    Comparison of cold spray and shotblocker to reduce intramuscular injection pain: A randomized controlled trial
    (Wiley-Hindawi, 2022) Gurdap, Zuleyha; Cengiz, Zeliha
    What is known and objective It is important to identify effective, easy-to-use and cost-effective non-pharmacological methods in the management of pain caused by medical interventions. The purpose of this study is to compare the effects of cold spray and ShotBlocker on pain in adults in reducing pain caused by intramuscular injection in the adult emergency department. Methods This is a randomized controlled trial with two experimental groups, two placebo groups and a control group. The study was conducted on 195 adults who received diclofenac sodium injections. In the study, the injection procedure was performed by following the same injection protocol in all five groups. In the injection process, cold spray or ShotBlocker was used in the intervention groups based on the group, and cold spray with distilled water or the smooth surface of the ShotBlocker was used in the placebo groups. Following the injection, the pain caused by the injection was evaluated using the Visual Analog Scale. Results and discussion The study was completed with the remaining 195 patients. In the study, the average pain scores due to injection of the individuals in the cold spray group were lower than those of the control group (p < 0.05). There was no statistically significant difference between the pain score averages due to injection of the individuals in the ShotBlocker group and cold spray, control, ShotBlocker placebo and cold spray placebo groups. What is new and conclusion The routine use of a fast-acting, cost-effective and easy-to-use method, cold spray, to reduce pain in the intramuscular injection will be beneficial in increasing patient satisfaction and quality of care.
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    Compassion Fatigue and Ethical Attitudes in Nursing Care in Intensive Care Nurses During the COVID-19 Pandemic
    (Lippincott Williams & Wilkins, 2023) Gurdap, Zuleyha; Cengiz, Zeliha
    Background:Intensive care unit (ICU) nurses faced an increased risk of compassion fatigue and ethical concerns during the COVID-19 pandemic.Purpose:To evaluate compassion fatigue of ICU nurses and their ethical attitudes in care during the COVID-19 pandemic and analyze contributing factors.Methods:An exploratory cross-sectional research design was used.Results:A total of 103 ICU nurses participated. The nurses' compassion fatigue and ethical attitude scores were high. Compassion fatigue was explained by the following variables: considering resigning, receiving support for ethical decisions, willingness to work in the ICU, duration of providing activities of daily living in a shift, and number of patients per nurse.Conclusions:Compassion fatigue was high in nurses working in the ICU during COVID-19. The high level of ethical attitudes shows commitment to professional ethics and reflects the development of the nurses' professional identity. Implementation of interventions that help improve compassion fatigue among nurses is needed.
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    Developing nursing students' self-efficacy and problem solving skills via high-fidelity simulation
    (Elsevier Science Inc, 2023) Cengiz, Zeliha; Gurdap, Zuleyha; Oltuluoglu, Hatice; Aslan, Hakime; Aktura, Seher Cevik
    The research was conducted to examine the effect of using high-fidelity simulation on students' problemsolving skills and self-efficacy. This randomized controlled study was conducted with 112 first-year students. The post-test self-efficacy score was higher in the experimental group than in the control group. The posttest problem solving score was lower in the experimental group than in the control group. Use of high-fidelity simulation in nursing education improved students' self-efficacy and problem-solving skills. (c) 2023 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights reserved.
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    Opinions of nursing students about clinical practice; A qualitative study
    (2021) Cengiz, Zeliha; Gurdap, Zuleyha; Karaca, Ela; Acun, Merve
    Aim: This study was conducted to determine the factors affecting clinical education of nursing students and to evaluate their learning processes from their own perspectives. Materials and Methods: This study, in which the phenomenology pattern based on the qualitative design was used, was carried out with fourth-year nursing students studying at a university in eastern Turkey. In the study, sample selection was not made the number of participants was determined according to the data saturation. The data were collected from a total of 30 nursing students who agreed to participate in the study. The thematic analysis method was used to evaluate qualitative data. NVIVO 10 program was used for the transcription and thematic analysis of the interviews held in the virtual classroom environment. Results: The sample of the study was composed of 15 female and 15 male students aged between 21 and 25 years. As a result of thematic analysis, 5 main interrelated themes emerged: (1) Effective and reassuring communication; (2) Adaptation to real working environment; (3) Nurses with high self-confidence; (4) transition to professionalism, and (5) recognizing competencies, strengths, and limitations. Conclusion: The results showed that clinical experiences increased the communication skills of the students, helped them to adapt to the real work environment, gave them self-confidence and practicality, and enable them to gain different experiences. Students’ statements pointed out that clinical practice improves the students in many aspects and is a holistic process.