Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2026Scopus SJRQ1Nurses’ Workplace Discrimination Experiences and Their Reflections on Career Development: A Qualitative Study
Koroglu Kaba, Nagihan; Apaydin, Emine; Kulakaç, Nurşen
Aim: This study was conducted to examine how nurses experience discriminatory behaviors in the workplace and how these experiences are reflected in their career development. Background: Although discrimination constitutes a significant challenge in nurses’ professional lives, qualitative research examining how these experiences influence their career development processes remains limited. Methods: This phenomenological study was conducted with nurses working in a public hospital in Turkey. Semi-structured individual interviews were conducted with 21 nurses during the study. Participants were selected from various clinical settings through purposive sampling. Data were analyzed using Colaizzi's seven-step content analysis method. Ethics committee approval was obtained for this study. The Consolidated Criteria for Reporting Qualitative Research checklist guided the study reporting. Results: Five main themes with seven subthemes emerged: (1) Discrimination Experiences (types of discrimination, sources of discrimination, emotions/feelings), (2) Reporting Behavior (decision and consequences of reporting, reasons for not reporting), (3) Impact of Discrimination on Career Development (supportive effect, hindering effect), (4) Coping Strategies, and (5) Suggestions for Preventing Discrimination. Discussion: These themes highlight that discrimination is a multidimensional phenomenon and that holistic approaches must be developed at emotional, structural, professional, and institutional levels to cope with it. Conclusion: For some nurses, discrimination acts as a transformative process that supports career development, while for others, it represents a significant barrier to professional advancement. Implications for Nursing/Nursing Policy: The findings highlight the need to strengthen reporting mechanisms, establish a supportive work culture, and implement inclusive institutional policies that promote career development.
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İncele - MakaleAçık Erişim2026Scopus SJRQ1Associations between technology use, perceived burdensomeness, and independence among rural older adults
Bal, Betül; Apaydin, Emine
Objective: This study aims to examine the relationships among perceived burdensomeness, technology use habits, and activities of daily living (ADL) in older adults residing in rural areas. Methods: This descriptive correlational study was conducted with 384 older adults living in rural areas in two different regions of Turkey. Data were collected using an Information Form, the Geriatric Perceived Burdensomeness Scale, the Barthel Index for Activities of Daily Living, and the Technology Use Habits Scale. Results: Perceived burdensomeness was moderately and negatively correlated with ADL (r = − 0.484, p < 0.001), whereas technology use habits were weakly but positively correlated with BADL (r = 0.192, p < 0.001). In the hierarchical regression analysis, technology use habits showed a positive and statistically significant association with ADL in the initial model (β = 0.189, p < 0.001). When perceived burdensomeness was added to the model, it emerged as a strong negative predictor of ADL (β = −0.497, p < 0.001), substantially increasing the explained variance. In the fully adjusted model, perceived burdensomeness, age, digital device use, and duration of digital device use were significantly associated with ADL, whereas age did not significantly affect the relationship between perceived burdensomeness and ADL. Overall, perceived burdensomeness and technology use habits were identified as key factors related to functional independence among rural older adults. Conclusion: The findings of this study indicate that perceived burdensomeness and technology use habits are closely associated with independence in activities of daily living among older adults living in rural areas. These findings indicate an association between technology use and perceived burdensomeness and provide a foundation for future research in nursing practice and rural health services. Future research is recommended to focus on evaluating technology-based and psychosocial interventions that support independence and psychosocial well-being in rural older populations. Clinical trial number: Not applicable.
- MakaleAçık Erişim2026Scopus SJRQ1Nurses’ Ethical Reasoning About Digital Ethical Risks: A Vignette-Elicited Qualitative Study
Bal, Betül; Köroğlu Kaba, Nagihan; Apaydin, Emine
Aim: This qualitative study aimed to explore how nurses reason ethically about potential digital ethical risks arising from the routine use of digital systems in clinical practice and the strategies they propose to address these risks in response to vignette-based scenarios. Background: Digital systems shape nursing documentation, monitoring, communication, education, and decision-making. Although they support care, digital ethical risks may arise when digital outputs are accepted without clinical verification, patients are not adequately informed, or data protection is weak. Design: A vignette-elicited qualitative design was used. Methods: The study was conducted in September 2025 with 16 nurses working in three public hospitals in Central Anatolia, Türkiye. Data were generated through face-to-face interviews using seven vignette-based scenarios and analyzed using Braun and Clarke's reflexive thematic analysis. Results: Three main themes were generated through the analysis of nurses’ ethical reasoning in response to the vignette-based scenarios: (i) nurses’ purposes for using digital systems, (ii) digital ethical risks in nursing, and (iii) strategies to prevent digital ethical risks. The findings within Themes 2 and 3 were organized into four subthemes—nonmaleficence and beneficence, autonomy and respect for persons, justice and equity, privacy and confidentiality—and further structured across three researcher-developed categories: nurse, digital system, and organization. Conclusions: Participants’ interpretations of the vignette-based scenarios highlighted potential digital ethical risks that may require nurses to combine clinical judgment with ethical reasoning when using digital systems. Implications for Nursing: Participants’ responses may inform digital ethics education by highlighting the importance of verifying digital data through bedside assessment, questioning potentially unsafe digital outputs, protecting confidentiality, obtaining meaningful consent, and recognizing potential risks in documentation, alarms, communication, and data sharing. Implications for Health Policy: Participant-identified priorities may inform institutional consideration of protocols for documentation, alarm management, mobile communication, image sharing, access control, patient information, accessibility, and accountability in digital nursing care.
