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• MakaleAçık Erişim2026Scopus SJRQ1/r/bayburt/12696
  Nurses’ 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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  AtıfScopus1·OpenAlex1

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• MakaleAçık Erişim2026Scopus SJRQ1/r/bayburt/12661
  Associations 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.

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• MakaleAçık Erişim2026Scopus SJRQ1/r/bayburt/11028
  Nurses’ 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.

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• EditoryalAçık Erişim2025Scopus SJRQ2/r/bayburt/12737
  Effect of geriatric massage in elderly patients with type 2 diabetes: A randomized controlled trial

  Apaydın, Emine; Hintistan, Sevilay

  Objective: This randomized controlled trial examined the effects of geriatric massage on diabetes-related symptoms and blood parameters in older adults with type 2 diabetes. The study included 59 participants (29 in the geriatric massage group and 30 in the control group). Methods: Data were collected using the Older Adults Information Form, the Diabetes Symptoms Checklist, and the Blood Parameters Monitoring Form. Participants in the intervention group received 30-minute geriatric massage sessions twice weekly for 12 weeks. Statistical analyses included the Shapiro–Wilk test, Mann–Whitney U test, ANOVA, Friedman test, Wilcoxon test, Chi-square test, Fisher–Freeman–Halton test, Greenhouse–Geisser correction, Bonferroni adjustment, and paired and independent t-tests. Results: Compared with the control group, participants receiving geriatric massage showed a significant reduction in diabetes symptoms (p < 0.001), an increase in HDL cholesterol levels, and decreases in other blood parameters (p < 0.05). Discussion: Geriatric massage may help reduce diabetes symptoms and improve selected blood parameters in older adults with type 2 diabetes.

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  AtıfScopus1·WoS1·OpenAlex1

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• MakaleAçık Erişim2025Scopus SJRQ1/r/bayburt/11522
  Metabolic syndrome index measurement tool (MSI): scale development, reliability and validity study

  Akeren, Zahide; Apaydın, Emine

  Aim: Identifying the risks of metabolic syndrome (MetS) can lead to early targeted interventions and thus contribute to improved quality of life by reducing the risk of developing MetS, diabetes or heart disease in the future. We aimed to develop a valid and reliable measurement tool to measure the MetS risk of the population. Materials and methods: In the methodological study, an item pool was created by reviewing the literature. Pre-application was performed after the weighting of the items whose content validity was ensured by taking expert opinions. Data were collected from 43 patients with MetS from a state hospital affiliated to the Ministry of Health and 405 individuals without MetS from the community, from a total of 448 individuals using the Individual Information Form, Finnish Diabetes Risk Scale (FINDRISC) and Metabolic Syndrome Index (MSI). The data obtained were evaluated using SPSS 22.0 and MedCalc 19.1 statistical programmes. Scale discrimination was analyzed by independent samples t-test between the upper and lower 27% groups. The cut-off point of the scale score in predicting the diagnosis of MetS was tested by ROC analysis. Correlation analysis was performed with the parallel form for criterion validity. Results: As a result of the ROC analysis, a perfectly compatible scale with a sensitivity of 100%, a specificity of 85.43% and a cut-off score of 48 was obtained. When the correlation analyses between MSI and FINDRISC scores were examined for criterion validity, a positive moderate (r = 0.632, p < 0.001) correlation was found between FINDRISC and MSI. When the discrimination of the scale was analysed, it was found that there was a significant difference between the lower 27% and upper 27% groups (p < 0.05) and it was revealed that the MSI made sensitive measurements to discriminate. Conclusions: The MSI scale is a valid and reliable tool for early detection of MetS risk.

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  AtıfScopus2·WoS2·OpenAlex2

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• MakaleYayıncıda açık erişim2025Scopus SJRQ1/r/bayburt/11365
  Breaking the silence on late-life depression: uncovering the drivers of help-seeking in Türkiye’s ageing population

  Ercan, Uğur; Apaydın, Emine; Alkan, Ömer

  Background: Due to the prevalence of physical health issues among older adults, depression remains a significant health concern, which is often overlooked. Understanding the factors influencing the likelihood of seeking psychological support plays an important role in effectively managing depression in later life, where psychological support has a crucial role. This study aims to examine the factors associated with the likelihood of receiving psychological support among individuals aged 60 years and older experiencing depression in Türkiye. Methods: This study used microdata from the Türkiye Health Surveys conducted by Turkish Statistical Institute in 2016, 2019, and 2022. Gompit, binary logistic regression, and CHAID analyses were used to identify variables associated with psychological support-seeking behavior among older adults with depression. Results: The analysis revealed that general health status, illness status, gender, education level, and difficulty in healthcare payment significantly influenced the likelihood of receiving psychological support among older adults with depression. Conclusion: The results achieved in this study indicate that among older adults experiencing depression, women, those with higher educational levels, and those with existing illnesses are more likely to seek psychological support. Based on these results, it is recommended to develop educational programs to raise societal awareness about the importance of psychological support and to inform health policies accordingly.

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  AtıfScopus4·WoS4·OpenAlex4

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• MakaleAçık Erişim2024/r/bayburt/16471
  COVID-19 Pozitif Sağlık Çalışanlarının Semptom, Laboratuvar ve Toraks Bilgisayarlı Tomografi Bulgularının Değerlendirilmesi: Rektrospektif Çalışma

  Hintistan, Sevilay; Kazak, Aysun; Kuralay, Çıgdem; Apaydın, Emine; Akeren, Zahide

  Amaç: Araştırma, Türkiye'nin kuzeydoğusunda COVID-19 pozitif sağlık çalışanlarının semptomlarını, laboratuvar ve toraks bilgisayarlı tomografi bulgularını incelemek amacıyla yapılmıştır. Gereç ve Yöntem: Tanımlayıcı, kesitsel ve retrospektif tasarıma sahip bu araştırmanın örneklemini COVID-19 pozitif olan 146 sağlık profesyoneli oluşturmuştur. Veriler, hastane bilgi yönetim sisteminin elektronik verileri ve sağlık çalışanlarının kişisel sağlık kayıtları kullanılarak toplanmıştır. Bulgular: COVID-19 pozitif sağlık çalışanlarının %52,7'si hemşire, ebe ve sağlık memuru, %50,6'sının semptomatik, %49,4'ünün asemptomatik olduğu ve semptomatik olanların en fazla öksürük, kas-eklem ağrısı ve yorgunluğu yaşadığı belirlendi. Sağlık çalışanlarının lökosit, nötrofil, lenfosit, trombosit ortalaması, C reaktif protein, D-dimer değerlerinin yüksek olduğu ve %24,1'inin COVID-19 uyumlu toraks bilgisayarlı tomografisi olduğu tespit edildi. Semptomatik sağlık çalışanlarının asemptomatik sağlık çalışanlarına kıyasla lökosit sayısı medyanının daha düşük, C reaktif protein ve prokalsitonin değerleri medyanının daha yüksek olduğu bulundu. COVID-19 uyumlu toraks bilgisayarlı tomografisi olan sağlık çalışanlarının lökosit, medyan ve trombosit değerleri ortalamasının daha düşük, C reaktif protein medyanının daha düşük ve D-dimer medyanının daha yüksek olduğu belirlendi. Sonuç: Çalışmada sağlık çalışanlarının yarısının semptomatik olduğu ve lökosit, nötrofil, lenfosit, C reaktif protein ve trombosit değerlerinin COVID-19 uyumlu torasik bilgisayarlı tomografi gelişimini etkilediği belirlenmiştir. Sonuçlar, araştırmalar için bilgi tabanı oluşturmak, sağlık çalışanları ve kurum yetkilileri tarafından korunma düzeylerini iyileştirmeye yönelik yöntemleri uygulamak için kullanılabilir.

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• MakaleAçık Erişim2023/r/bayburt/15690
  Yoğun Bakım Hemşirelerinin Deliryum Hakkındaki Bilgi ve Yaklaşımlarının Değerlendirilmesi: Nitel Bir Çalışma

  Yılmaz, Emel Bahadır; Çobanoğlu, Asuman; Apaydın, Emine

  Amaç: Bu nitel çalışma, yoğun bakım hemşirelerinin deliryum hakkındaki bilgi ve yaklaşımlarını değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntem: Çalışmanın örneklemini dahiliye, cerrahi, nöroloji ve koroner yoğun bakımlarda çalışan 15 hemşire oluşturmuştur. Veriler, 15 Nisan-30 Haziran 2019 tarihlerinde yarı yapılandırılmış görüşme formu hazırlanarak Google Form aracılığıyla toplanmıştır. Verilerin analizinde içerik analizi yöntemi kullanılmıştır. Bulgular: Araştırmaya katılan hemşirelerin yaş ortalaması 37,73±9,43 olup hepsi kadındır. Hemşirelerin %40’ı cerrahi, %26,7’si koroner, %20’si dahiliye ve %13,3’ü nöroloji yoğun bakımda çalışmaktadır. Meslekteki çalışma yılı ortalaması 17,27±10,40 ve yoğun bakımda çalışma yılı ortalaması 8,20±7,42’dir. Deliryumlu hastaya hepsi bakım vermiş ama sadece %33,3’ü deliryum hakkında eğitim almıştır. Yapılan içerik analizinden beş ana tema elde edilmiştir: Deliryumu tanımlama, deliryumu yönetme, bakımda yaşanan sorunlar, fiziksel ve ruhsal sorunlar yaşama ve bilgi ve beceri eksikliği. Sonuç: Yoğun bakımdaki hemşirelerin deliryum konusunda bilgi gereksinimlerinin olduğu belirlenmiştir. Yoğun bakım hemşirelerine yönelik deliryum hakkında düzenli eğitimlerin planlanması önerilmiştir.

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  AtıfOpenAlex4·TR Dizin2

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• MakaleAçık Erişim2022/r/bayburt/16678
  The Use of Life Activities-Based Nursing Model in the Care of Individuals with Buerger's Disease

  Apaydın, Emine; Akeren, Zahide

  Buerger's disease (Thromboangiitis obliterans) is a non-atherosclerotic segmental inflammatory disease that mainly affects small and medium-sized arteries, veins, and arm and leg nerves. Although the mortality rate is not high, the symptoms it causes signi ficantly reduce the quality of life. The Life Activities Model is a nursing model that solves the problem with a humanistic approach by considering the individ- ual as a whole to support patients to increase their quality of life. In this case, care management of a 51-year-old male patie nt whose quality of life decreased due to severe pain and whose lower extremity thrombosis developed due to treatment-resistant Buerger's disease was presented using a nursing model based on life activities. By using the Life Activities-Based Nursing Model in the care of the individual with B uerger's disease, we increased the patient’s compliance by supporting them to perform the activities of daily living in the best way possible.

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• MakaleAçık Erişim2022/r/bayburt/16677
  Hemşirelik Öğrencilerinin Hastalar Tarafından Değerlendirilme Ölçeği'nin Türkçe Versiyonunun Geçerlik ve Güvenirliği: Metodolojik Bir Çalışma

  Kurt, Yeter; Bal, Betül; Apaydın, Emine; Kaba, Nagihan Köroğlu

  Amaç: Bu araştırmanın amacı, Hemşirelik Öğrencilerinin Hastalar Tarafından Değerlendirilme Ölçeği’nin [The Evaluation of Nursing Students by Patients Instrument (ENSPA)] Türkçe geçerlilik ve güvenirliğini yapmaktır. Gereç ve Yöntemler: Araştırmanın evrenini Karadeniz Bölgesi'nde bulunan bir universite hastanesinde yatan tum hastalar oluştururken örneklemi 321 hasta oluşturmuştur. Veriler “kişisel bilgi formu” ve “ENSPA” ile toplanmıştır. Ölçekte sırasıyla dil ve kapsam geçerliği, yapı geçerliği, güvenirlik analizleri yapılmıştır. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 50,24±19,97 olup, %54,4’ü kadın, %34,2’si ilkokul mezunudur. ‘ENSPA’ ölçeğinin dil geçerliliği için çeviri-geri çeviri tekniği kullanılmıştır. Ölçek maddelerine ait kapsam geçerlik oranlarının 0,80-1,00 arasında değiştiği, kapsam geçerlik indeksinin ise 0,96 olduğu belirlenmiştir. Doğrulayıcı faktör analizinde, 2/serbestlik derecesi=3,43, yaklaşık hataların ortalama karekökü=0,08, Uyum İyiliği İndeksi=0,90, Karşılaştırmalı Uyum İndeksi=0,93 ve Normlaştırılmış Uyum İndeksi=0,89 olarak hesaplanmıştır. Cronbach Alpha katsayısı “güven” alt boyutu için 0,91, “birey-odaklılık” alt boyutu için 0,87, “ilgili olma” alt boyutu için 0,88, “dürüstlük/doğruluk” alt boyutu için 0,75, toplam ölçek için 0,95 olarak bulunmuştur. Sonuç: Araştırmada, hastalar tarafından öğrenci hemşirelerin klinik uygulamalarını değerlendirmeye yarayan 19 maddelik “ENSPA”nın geçerli ve güvenilir bir ölçek olduğu, öğrenci hemşirelerin klinik uygulama performans ve becerilerini doğru ve tutarlı bir şekilde ölçülebildiği belirlenmiştir. Hastaları, hemşirelik öğrencilerinin klinik uygulama değerlendirmesine dâhil etmek, bireysel, bütüncül ve hümanistik bakım ve hemşirelik eğitimi açısından önemli bir adım olacağı düşünülmektedir.

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  AtıfOpenAlex1

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