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- MakaleYalnız künye2025Scopus SJRQ2Death Literacy Index Short Form: Cultural Adaptation and Psychometric Evaluation of the Turkish Version
Semerci Çakmak, Vahide; Sönmez Sarı, Ebru; Seven, Ahmet
The aim of this study was to adapt the short form of Death Literacy Index (DLI-9) into Turkish and to examine its psychometric properties. This study has a methodological cross-sectional design. The study was conducted with a sample of 400 adults across Türkiye during October-November. Content Validity Index, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Convergent and Discriminant Validity Analyses, test-retest reliability, Cronbach’s α-coefficient, item-total-score correlation, 27% upper-lower-group item analysis and Hotelling-T2test were used in data analysis. In the EFA analysis, the scale consisted of 2 factors. The original two-factor structure of the scale was confirmed by CFA. CFA model fit values were found as CMIN/DF = 2.078, RMSEA = 0.074, RMR = 0.077, SRMR = 0.0455, CFI = 0.960, NFI = 0.927, TLI = 0.945, GFI = 0.946, and AGFI = 0.906. The total Cronbach’s α reliability coefficient of the DLI-9 was found to be 0.84. This study indicates that scale is a reliable tool for evaluating death literacy in the Turkish population.
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İncele - MakaleAçık Erişim2025Scopus SJRQ1Experiences of adults with type 2 diabetes mellitus with low socioeconomic status: a qualitative study
Semerci Çakmak, Vahide; Sönmez Sari, Ebru; Çetinkaya Özdemir, Serap
Background: Adults with diabetes encounter various challenges related to managing their condition. In this study, we explored the experiences of adults with type 2 diabetes mellitus with low socioeconomic status in Türkiye. Methods: This study was conducted as a phenomenological qualitative research. The purposive sampling method was used to select adults with type 2 diabetes. Data saturation was achieved with 20 patients. The data were collected through a demographic information form and a semi-structured questionnaire. The participants were interviewed by phone. The interviews were conducted in a quiet environment where the participants could respond comfortably. During the data analysis process, the content analysis approach suggested by Graneheim and Lundman (2004) was used. This method involves identifying meaningful units within the text, coding these units, and developing sub-themes and main themes. The MAXQDA 20 software was used for data management. Results: The participants were between 41 and 71 years old. Four main themes and ten subthemes were identified in the analysis. Themes: The identified themes included difficulties with dietary management of diabetes, individual difficulties, difficulties with self-management in diabetes, and coping strategies. According to Theme 1, it was observed that the participants experienced difficulties in managing nutrition in diabetes due to the economic aspect of diet and the inability to adapt to the diet. According to Theme 2, it was observed that the participants faced physical, psychological, and social difficulties. According to Theme 3, it was observed that the participants faced difficulties related to diabetes self-management, including blood glucose monitoring, insulin injection administration, and maintaining glycemic control.” According to Theme 4, it was observed that the participants attempted to cope with diabetes-related difficulties through healthy lifestyle habits and family support. Conclusion: Our findings indicate that adults with type 2 diabetes in low socioeconomic status face challenges related to biopsychosocial factors, nutrition, and diabetes self-management. However, these individuals managed their difficulties by adopting healthy lifestyle behaviors and relying on family support. The challenges faced by adults with diabetes may be alleviated through awareness training on dietary management and glycemic control.
AtıfScopus8WoS6OpenAlex9İncele - MakaleAçık Erişim2025Scopus SJRQ2The Effect of Health Literacy Level of Caregivers of Individuals With Diabetes on Care Activities and Supportive Behaviours
Semerci Çakmak, Vahide; Akeren, Zahide; Sönmez Sarı, Ebru; Kalyoncuo, Servet
Background: To determine the effect of the health literacy levels of caregivers of individuals with T2DM on caregiving activities and supportive behaviours. Methods: Cross sectional study. The sample for the study comprised of people who provided care for 442 individuals who were diagnosed with diabetes. The data were collected using the Personal Information Form, HLS-14 and D-CASS. Descriptive statistics, Independent samples t test, One-Way ANOVA and multiple linear regression analysis were used to analyse the data. Results: According to the results of the multiple linear regression analysis, the model was found to be statistically significant, and the variables that were incorporated into the model were able to explain 68.1% of the variance. Among the variables included in the model, HLS-14, educational status, employment status, income status and diabetes-related education were found to affect the care activities and supportive behaviours of caregivers of individuals with diabetes. Conclusion: In the research, it was determined that care activities and supportive behaviours were higher in those with higher levels of HL, higher levels of education, those who were not employed, those with higher income levels, and those who received education about diabetes. Nurses should develop training programmes to increase the HL levels of caregivers.
AtıfScopus2WoS2OpenAlex3İncele - MakaleAçık Erişim2025Scopus SJRQ1Death anxiety and death literacy among Turkish patients with chronic diseases: a cross-sectional study
Semerci Çakmak, Vahide; Seven, Ahmet; Sönmez Sari, Ebru
Background: Death anxiety is common in patients with chronic diseases. Death literacy is a novel theoretical framework that enables patients to discuss death, accept it as a natural aspect of life, and get a deeper comprehension of it. However, it is unclear whether there is a relationship between death literacy and death anxiety. Furthermore, death literacy has not been sufficiently researched in Turkish society. This study investigated the levels of death anxiety and death literacy among Turkish patients with chronic diseases and the factors affecting death anxiety. Methods: This was a cross-sectional study. The sample consisted of Turkish patients with chronic diseases (n = 225). The data were collected with the Turkish Death Anxiety Scale and the Death Literacy Index. Pearson correlation, independent samples t test, One-Way ANOVA, and multiple linear regression were employed to analyse the data. Results: There exists a negative moderate correlation between death anxiety and death literacy. It has been determined that the factors that most influence patients’ fear of death are their level of death literacy and gender. These factors explained 12.8% of the variance in death anxiety (R2 = 0.128, F = 3.153, p < 0.001). Conclusions: The results suggest that death literacy level and gender were found to be factors affecting death anxiety of patients. Women have higher death anxiety scores. While the level of death literacy of Turkish patients with chronic diseases increases, their death anxiety decreases. The findings of the study were believed to offer a comprehensive information for healthcare practitioners in the management of such patients.
AtıfScopus14WoS15OpenAlex19İncele - MakaleYalnız künye2024Scopus SJRQ1The effect of sociodemographic characteristics and polypharmacy on loneliness and social isolation in community-dwelling older adults
Sönmez Sari, Ebru; Çetinkaya Özdemir, Serap; Semerci Çakmak, Vahide; Kurt, Fatma
The aim of this study was to assess the impact of sociodemographic factors and polypharmacy on loneliness and social isolation in older adults. This cross-sectional study included 370 older adults with and without polypharmacy. The data were gathered via the Personal Information Form, Loneliness Scale for Elderly, and Lubben Social Network Scale-Revised. A multivariate ANOVA (MANOVA) was conducted to assess the impact of independent variables on the combined dependent variables. Loneliness and social isolation were found higher in older adults with polypharmacy. In addition, loneliness and social isolation are more common in women, individuals with low educational attainment, single individuals, individuals with low income, individuals living in rural areas, individuals with poor family relationships, individuals not living with their families and individuals with chronic diseases. It is thought that the findings of this study will be guiding for all health professionals working in the field of elderly health in interventions to be planned for the elderly population.
AtıfScopus6WoS5OpenAlex5İncele - MakaleAçık Erişim2024Scopus SJRQ1Experiences of intensive care nurses providing care to the victims of Kahramanmaraş earthquakes
Çetinkaya Özdemir, Serap; Semerci Çakmak, Vahide; Ziyai, Nasibe Yağmur; Çakir, Emine
Background: Two earthquakes of magnitude 7.7 and 7.6 occurred in the Turkish province of Kahramanmaraş in 2023. The earthquakes resulted in serious losses of life and property in 11 provinces, and the injured were transferred to other provinces for treatment and care. To date, no studies on the experiences of intensive care nurses providing care to earthquake victims after the Kahramanmaraş earthquake sequence have been identified. Aim: The aim of the present study is to explore the experiences of intensive care nurses providing care to earthquake victims who were transferred to other provinces. Study Design: A qualitative descriptive research design with conventional content analysis was used. Snowball sampling was used in the selection of intensive care nurses. Data saturation was achieved with 20 nurses. In-depth interviews were conducted with the participants through phone between March 8 and March 15, 2023. MAXQDA 20 software was used for data analysis. The COREQ checklist was used to guide the reporting of the study. Results: Twenty nurses were recruited. Four themes emerged from the data: challenges in caregiving processes; psychological challenges; ethical situations; urgent need for training and support. Conclusions: After the Kahramanmaraş earthquake sequence, described by some as the disaster of the century, nurses encountered patients with unique needs that they had never encountered before and tried to cope with the constantly changing health conditions. For this reason, they were affected psychologically and experienced challenges in caregiving processes. Relevance to Clinical Practice: Conducting comprehensive training for diseases common among earthquake victims, developing new protocols for providing care to earthquake victims, developing more action plans for nurses, and psychologically supporting intensive care nurses would facilitate the caregiving processes.
AtıfScopus31WoS31OpenAlex31İncele - MakaleAçık Erişim2024Scopus SJRQ2Cross-cultural adaptation and psychometric evaluation of the Turkish version of the Smombie Scale for Adolescents
Sönmez Sari, Ebru; Temel Mert, Zeynep; Semerci Çakmak, Vahide; Sevgil Atli, Pelin
Background: Smombie has become an important problem especially in terms of adolescent health. The aim of this study was to translate the Smombie Scale for Adolescents (SSA) into Turkish and to examine its psychometric properties. Methods: This study has a methodological design. The study was conducted between March and April 2024. The sample of the study consisted of 430 adolescents. The data were collected by using Personal Information Form and SSA. Content Validity Index, Confirmatory Factor Analysis (CFA), test−retest reliability, Cronbach's α coefficient, item-total score correlation, 27% upper−lower group item analysis and Hotelling T2 test were used in data analysis. Results: The four-factor structure of the scale showed a good fit in CFA (chi-square minimum discrepancy [CMIN] = 187.463, degrees of freedo (DF) = 83, CMIN/DF = 2.259, root mean square error of approximation = 0.054, root mean square residual = 0.033, goodness of fit index = 0.947, adjusted goodness of fit index = 0.923, normed fit index = 0.930, tucker-lewis index = 0.949 and comparative fit index = 0.959). Cronbach's α coefficient of the scale was found to be 0.86. The item-total score correlation of the scale was found between 0.212 and 0.721. The test-retest intraclass correlation coefficient of the scale was found to be 0.876. Conclusions: This study shows that the scale is a reliable tool for assessing adolescents' smombie tendencies. It is thought that the scale will contribute to the protection and development of adolescent health.
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