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Öğe 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 HilalAim 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.Öğe Challenges experienced by nursing students during the COVID-19 pandemic(Wiley, 2022) Cengiz, Zeliha; Gurdap, Zuleyha; Isik, KevserPurpose 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.Öğe Comparison of cold spray and shotblocker to reduce intramuscular injection pain: A randomized controlled trial(Wiley-Hindawi, 2022) Gurdap, Zuleyha; Cengiz, ZelihaWhat 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.Öğe Compassion Fatigue and Ethical Attitudes in Nursing Care in Intensive Care Nurses During the COVID-19 Pandemic(Lippincott Williams & Wilkins, 2023) Gurdap, Zuleyha; Cengiz, ZelihaBackground: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.Öğe 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 CevikThe 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.Öğe Nurses' attitudes toward artificial intelligence applications and their clinical decision-making competence: A cross-sectional study(Churchill Livingstone, 2026) Gurdap, Zuleyha; Oner, UgurBackground: The increasing integration of artificial intelligence (AI) into healthcare has generated interest in its potential role within nursing practice, particularly in relation to clinical decision-making and care delivery processes. Objectives: This study aimed to examine the relationship between nurses' attitudes toward AI and their clinical decision-making tendencies. Design: This was a cross-sectional and descriptive study. Methods: Data were collected from 323 nurses working in various clinical units of a training and research hospital in Turkey. The Artificial Intelligence Attitude Scale for Nurses and the Nursing Decision-making Instrument were used. Data were analyzed using descriptive statistics, correlation, and regression analyses. Results: The mean score for nurses' attitudes toward AI was 107.19 +/- 24.43, indicating a generally positive attitude. For clinical decision-making, the mean score was 67.17 +/- 7.12, indicating an analytical decision-making tendency. A strong and significant negative correlation was found between attitudes toward AI and decision-making scores (r = -0.662, p < 0.001). Consistent with the instrument's scoring, these lower scores reflect an analytical decision-making tendency. Simple linear regression analysis demonstrated that attitudes toward AI significantly predicted decision-making scores, explaining 43.8% of the total variance. Additionally, marital status, educational level, professional experience, and clinical unit were significantly associated with both AI attitudes and decision-making tendencies (p < 0.05). Conclusion: The findings indicate that nurses generally report positive attitudes toward AI, and that these attitudes are associated with analytical tendencies in clinical decision-making. AI technologies may function as supportive tools in clinical practice and may be associated with patient safety and care quality. Integrating AI-related competencies into nursing education may support evidence-based and systematic clinical decision-making.Öğe Opinions of nursing students about clinical practice; A qualitative study(2021) Cengiz, Zeliha; Gurdap, Zuleyha; Karaca, Ela; Acun, MerveAim: 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.Öğe Public image perception of nursing during the COVID-19 pandemic(Sage Publications Inc, 2025) Gurdap, Zuleyha; Cengiz, ZelihaBackground: Public perceptions of nursing influence views and attitudes towards the profession. The COVID-19 pandemic was a critical period for promoting the professional identity and value of nursing in society. Objective: This study aimed to determine public perceptions of the nursing profession and the factors influencing these perceptions during the COVID-19 pandemic. Methods: This cross-sectional descriptive study was conducted online between 1 May 2022 and 24 August 2022. A total of 811 individuals participated in the study. Data collection included a personal information form and the Attitude Scale for the Nursing Profession. Results: The mean age of the participants was 29.71 years (SD: 10.79). They scored 3.95 (SD: 0.87) on the sub-dimension of characteristics of the nursing profession, 3.55 (SD: 0.72) on the sub-dimension of intention to choose the nursing profession, 3.46 (SD: 0.54) on the sub-dimension of general attitude towards the nursing profession, and the total scale score was 3.65 (SD: 0.57). The regression model showed that the frequency of news coverage and the importance of working conditions predicted public perceptions of nursing. The variables in the model explained 6.5% of the variance in perception (R = 0.068; R2 = 0.065; p < 0.001). Conclusions: Public perception of the nursing profession was positive, with media visibility positively influencing this perception and demanding working conditions negatively influencing it. It is important to continue to research and identify the factors that most influence or change the public perception of the nursing profession.Öğe The effect of thyme oil on asthma symptoms and respiratory parameters in patients with asthma: a single-blind randomised controlled trial(Elsevier Gmbh, 2026) Oner, Ugur; Gurdap, Zuleyha; Cengi, ZelihaObjective This study aimed to evaluate the effectiveness of thyme oil inhalation as a complementary aromatherapy method in reducing asthma symptoms and improving respiratory function in hospitalised patients with asthma. Materials and methods A single-blind, placebo-controlled, pretest-posttest randomised controlled trial was conducted in the pulmonary ward of a tertiary hospital between 01 November 2024 and 20 May 2025. A total of 156 patients diagnosed with asthma were randomly assigned to three groups: intervention (n = 52), placebo (n = 52), and control (n = 52). The intervention group received thyme oil inhalation three times daily for four days. The placebo group received a neutral carrier oil inhalation, while the control group received routine care. Data were collected using standardised forms. Posttest evaluations were conducted on day four. Results After controlling for pretest scores, weight, and smoking habits using ANCOVA, the intervention group showed significant reductions in asthma symptoms, including dyspnoea, cough, nocturnal and chest wheezing, and secretion, compared with placebo and control groups (P < 0.05). Respiratory function, particularly forced expiratory volume in one second and forced expiratory volume in one second/forced vital capacity ratios, also improved. Conclusion Thyme oil inhalation appears to be an effective, safe, and nonpharmacological complementary therapy for asthma management. These findings suggest that thyme oil can significantly improve both clinical symptoms and respiratory function test results. It may be recommended as supportive care alongside standard asthma treatments. Further large-scale, long-term studies are necessary to establish optimal protocols and confirm these results.
