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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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• MakaleAçık Erişim2026Scopus SJRQ1/r/bayburt/11204
  The Effect of Mindfulness Practices on Positive Thinking and Stress Coping Behaviors of Earthquake Survivor Nursing Students: A Nonrandomized Controlled Study

  Bal, Betul; Kaba, Nagihan Koroğlu

  Purpose: This study was conducted to reveal the effect of mindfulness practices on nursing students’ stress-coping behaviors and positive thinking skills. Method: This was a two-group parallel nonrandomized study. Mindfulness practices were applied to the students in the experimental group. Data were collected using research tools (Personal Information Form, Positive Thinking Skills Scale, and Stress Coping Behaviors Scale for Nursing Students) as pre- and posttests. Findings: After the intervention, there was no significant difference between the two groups in the posttest scores of positive thinking skills (t = 0.624; p = .541) and stress coping behaviors of staying optimistic (t = −0.957; p = .345), transfer (t = −2.028; p = .050), problem-solving (t = −0.663; p = .512), and avoidance (U = 132; p = .230). Conclusions: Mindfulness practices are ineffective in improving earthquake survivor nursing students’ coping behaviors and positive thinking skills.

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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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• MakaleYalnız künye2026Scopus SJRQ1/r/bayburt/10938
  Perceived Organizational Support and Nurses' Job Performance: The Indirect Roles of Burnout and Quiet Quitting

  Koroglu Kaba, Nagihan; Taskiran Eskici, Gülcan; Tiryaki Sen, Hanife

  Perceived organizational support is an important organizational resource that may shape nurses' psychological well-being, workplace engagement, and performance-related outcomes. This study examined the relationship between perceived organizational support and nurses' job performance and explored whether burnout and quiet quitting showed indirect associations consistent with mediation. A cross-sectional correlational study was conducted in a tertiary university hospital in the Black Sea Region of Türkiye. Of 980 eligible nurses, 439 responded (response rate: 44.8%); after excluding 14 questionnaires, 425 nurses were included in the final analysis, representing 43.4% of the eligible population. Data were collected using standardized instruments measuring perceived organizational support, burnout, quiet quitting, and individual work performance. Descriptive statistics, Pearson correlation analysis, and multiple mediation analysis using Hayes' PROCESS macro were performed. Perceived organizational support was positively correlated with job performance (r = 0.27, p < 0.001) and negatively correlated with burnout (r = −0.47, p < 0.001) and quiet quitting (r = −0.37, p < 0.001). Burnout (r = −0.31, p < 0.001) and quiet quitting (r = −0.31, p < 0.001) were negatively correlated with job performance. The total effect of perceived organizational support on job performance was significant (b = 0.23, β = 0.27, p < 0.001). The direct association between perceived organizational support and job performance remained significant even after accounting for burnout and quiet quitting (b = 0.10, β = 0.12, p = 0.025). Significant indirect associations were observed through burnout (b = 0.07, β = 0.08, 95% CI = 0.03–0.12) and quiet quitting (b = 0.06, β = 0.07, 95% CI = 0.03–0.09). These findings suggest that supportive organizational environments may be associated with higher job performance among nurses by reducing burnout and quiet quitting. Given the cross-sectional design, these findings should be interpreted as associations consistent with mediation rather than causal evidence. The study was conducted in a single tertiary university hospital in the Black Sea Region of Türkiye, which may limit generalizability to other settings.

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• MakaleAçık Erişim2025/r/bayburt/15936
  Öğrencilere Uygulanan Kahkaha Yogasının Motivasyon ve Akademik Başarı Üzerindeki Etkisi: Randomize Kontrollü Çalışma

  Kaba, Nagihan Köroğlu; Edikli, Sebiha

  Amaç: Bu çalışma, kahkaha yogasının öğrencilerin motivasyon ve akademik başarılarına etkisinin değerlendirilmesi amacıyla yapılmıştır. Gereç ve Yöntemler: Randomize kontrollü bu araştırma, Karadeniz Bölgesi’nde bulunan bir üniversitedeki 60 öğrenci ile yürütülmüştür. Veriler, sosyodemografik değişkenlerden oluşan soru formu, Üniversite Öğrencilerinde Motivasyon Ölçeği ile toplanmıştır. Ayrıca sınav sonuçlarına göre akademik başarı puanları elde edilmiştir. Çalışmada, kahkaha grubundaki öğrencilere 7 haftalık toplam 14 seanstan oluşan kahkaha yogası programı uygulanırken kontrol grubundaki öğrencilere herhangi bir girişimde bulunulmamıştır. Veri toplama araçları, kontrol ve deney gruplarındaki öğrencilere ön-test (müdahalelerden önce) ve son-test (müdahalelerden sonra 8. haftada) olarak verilmiştir. Çalışma, Deneylerin Raporlanmasında Birleştirilmiş Standartlarda belirtilen kurallara uygun olarak raporlanmıştır. Bulgular: Randomize olarak kahkaha ve kontrol grubuna atanan öğrencilerden kahkaha grubundakilerin yaş ortalaması 21,17±1,87 olup, %73,3’ü kadın ve %70’i devlet yurdunda yaşamaktadır. Kontrol grubundakilerin ise yaş ortalaması 21,23±3,13 olup, %80’i kadın ve %60’ı devlet yurdunda yaşamaktadır. Yedi haftalık müdahalenin sonunda, kahkaha grubundaki öğrencilerin içsel, dışsal ve toplam motivasyon puanları kontrol grubuna kıyasla daha yüksekti (p<0,05). Ayrıca kahkaha grubundaki öğrencilerin, akademik başarı puanları da kontrol grubundakilerden yüksekti (p<0,05). Sonuç: Kahkaha yogası öğrencilerin motivasyonlarını ve akademik başarılarını artırdı. Bu kapsamda kahkaha yogası, öğrencilerde motivasyonu ve akademik başarıyı artırmak için faydalı, farmakolojik olmayan ve uygun maliyetli bir yaklaşım olarak kullanılabilir.

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• MakaleAçık Erişim2025Scopus SJRQ1/r/bayburt/11545
  The effect of laughter yoga on disease acceptance, treatment adherence and comfort in hemodialysis patients: A randomized controlled study

  BAL, Betül; KÖROĞLU-KABA, Nagihan; ÖZTÜRK, Havva; KURT, Yeter; ÖZSABAN, Aysel

  The aim of this study was to determine the effect of laughter yoga on hemodialysis patients' disease acceptance, treatment adherence and comfort levels. This randomized controlled study was conducted with 42 patients (experimental group=21, control group=21) who were treated in the hemodialysis unit. Hemodialysis patients in the experimental group received 12 sessions of laughter yoga for four weeks, three days a week. Data were collected using Patient Information Form, Disease Acceptance Scale, End-Stage Renal Disease Adherence Questionnaire, and Hemodialysis Comfort Scale. A significant difference was found between the disease acceptance scale (t(41) = 4.39, p < 0.001, d = 1.364), end-stage renal failure adaptation scale (t(41) = 2.69, p = 0.010, d = 0.830) and hemodialysis comfort scale (t(41) = 5.58, p = 0.010, d = 1.710) of hemodialysis patients who underwent laughter yoga. In addition for the Disease Acceptance Scale, the SD of the pre-test scores was 7.51. Accordingly, the MCID thresholds were calculated as 3.75 (0.5 SD), 3.11 (1 SEM), and 6.09 (1.96 SEM). For the End-Stage Renal Disease Adherence Questionnaire, the SD was 178.79, and the MCID was calculated as 89.40 (0.5 SD), 63.47 (1 SEM), and 124.39 (1.96 SEM). For the Hemodialysis Comfort Scale, the SD was 6.43, resulting in MCID estimates of 3.21 (0.5 SD), 2.01 (1 SEM), and 3.94 (1.96 SEM). Laughter yoga practiced during hemodialysis increased acceptance of the disease, adherence to treatment, and comfort (p < 0.05). In contrast, no statistically significant difference was found in the control group (p > 0.05). Increasing hemodialysis patients' acceptance of the disease, adherence to treatment, and comfort levels ensure the successful continuation of the disease management process. The practice of laughter yoga in clinics during hemodialysis sessions is recommended to increase disease acceptance, adherence to treatment and comfort levels.

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• MakaleAçık Erişim2025Scopus SJRQ3/r/bayburt/11410
  Experiences of Nurse Managers in the 2023 Kahramanmaras, Turkey Earthquakes: A Qualitative Study

  Koroglu Kaba, Nagihan; Bal, Betul; Ozturk, Havva

  BACKGROUND: Nurse managers play a critical role in disaster response and management; yet research on their experiences in earthquakes remains limited. OBJECTIVE: This study aimed to explore the experiences of nurse managers in the Kahramanmaras, Turkey, earthquakes. METHODS: A phenomenological approach was used to guide this study, exploring the lived experiences of nurse managers who worked during the 2023 earthquakes in Kahramanmaras, Turkey. Purposive sampling identified participants, and data were collected 2-3 months postearthquake, from April to May 2023, via semi-structured interviews conducted via social media. Thematic analysis was applied to analyze the interview data. RESULTS: A total of 11 nurse managers were interviewed for the study. Fifty-five percent were between the ages of 35 and 44, 64% were female and had a bachelor's degree. Five themes emerged from the data: "being unprepared"(predisaster phase), "emotional difficulties,""communication and coordination issues,""resource shortages"(disaster event phase), and "evaluation and professional satisfaction"(postdisaster phase). CONCLUSION: The study found that most nurse managers reported feeling unprepared for the earthquake despite institutional disaster management practices. They struggled with managing their emotions, resource shortages, and communication-coordination issues. These experiences underscore the need for enhanced disaster training and preparedness for nurses. Collaboration among international health organizations, nongovernmental organizations, and governments is essential to develop disaster management plans to optimize nurses as early responders.

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• MakaleYalnız künye2025Scopus SJRQ3/r/bayburt/10862
  The Effects of Laughter Yoga and Mindfulness on Nurses' Fatigue, Work Performance and Attention Levels: A Randomized Controlled Study

  Koroglu Kaba, Nagihan; Ozturk, Havva

  PURPOSE: This study aimed to determine the effects of laughter yoga and mindfulness on nurses' fatigue, attention levels, and work performance. METHODS: This was a 3-arm, parallel-group, randomized controlled study. Data were collected using the Information Form containing questions about nurses' demographic and professional characteristics, the Chalder Fatigue Scale, the Computerized Sustained Attention Test, and the Individual Work Performance Questionnaire. Nurses completed the tools preintervention, midtest, and postintervention. RESULTS: The study included 101 nurses. At the end of the eight-week interventions, fatigue levels among nurses in the laughter yoga and mindfulness groups were lower compared with the control group (F = 8.805, P < .001). In terms of attention levels, there was no overall difference between the groups; however, in the fourth week only, the hard-level attention scores of the laughter yoga group were higher than those of the control group (F = 5.431, P < .05). Additionally, job performance scores were higher in both intervention groups compared with the control group (F = 9.879, P < .01). Moreover, laughter yoga was more effective than the mindfulness practice in reducing nurses' fatigue and improving their attention levels (P < .05). CONCLUSIONS: Laughter yoga and mindfulness were effective in reducing nurses' fatigue and improving their attention levels and work performance.

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• MakaleYayıncıda açık erişim2024Scopus SJRQ4/r/bayburt/14155
  The Turkish Validity and Reliability of Clinical Reasoning Scale for Nursing Students: A Methodological Study

  Bal, Betul; Kaba, Nagihan Koroglu; Öztürk, Havva

  Objective: The aim of the study was to adapt the Clinical Reasoning Scale into Turkish and to evaluate its validity and reliability in nursing students. Methods: The study, which is methodological research, was conducted with 271 nursing students at a university in the Central Anatolia Region. The data were collected with the Personal Information Form and the 'Clinical Reasoning Scale' in its draft form. After the language and content validity of the scale, its construct validity was ensured by confirmatory factor analysis. Cronbach Alpha, item -total correlations, divergent and test -retest methods were used for the reliability of the scale. Results: The fit indices of the Clinical Reasoning Scale for its 4 sub -dimensions, namely awareness of clinical clues, verification of clinical problems, identification and implementation of actions, evaluation and reflection, and a total of 16 items, are above 0.90, and according to these results, the structure of the scale is accepted as valid. The average explained variance of the subdimensions is between 0.476-0.579, and the composite reliability is between 0.778-0.854. The total Cronbach Alpha of the scale is 0.92. There is a significant difference between the top 27% and the bottom 27% groups of the scale and the test -retest correlation coefficient is 0.902. Conclusion: It has been determined that the Clinical Reasoning Scale is a valid and reliable scale that can be used to determine the level of clinical reasoning in nursing students with 16 items and 4 sub-dimensions.

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• MakaleAçık Erişim2024/r/bayburt/16259
  Klinik Hemşireler için Yeterlilik Ölçeğinin Türkçe Geçerlik ve Güvenirlik Çalışması: Metodolojik Çalışma

  Öztürk, Havva; Bal, Betül; Kaba, Nagihan Köroğlu

  Amaç: Bu çalışma Klinik Hemşireler İçin Yeterlilik Ölçeğinin Türk- çe’ye uyarlanarak geçerlik ve güvenirli ğinin sağlanması amacıyla yapıl- mıştır. Gereç ve Yöntemler: Metodolojik tipteki bu ara ştırma, Karadeniz Bölgesinde bulunan bir devlet hastanesindeki 228 hem şire ile yürütülmüş- tür. Veriler, Ağustos- Eylül 2023 tarihleri arasında Google Form kullanıla- rak toplanmıştır. Veriler, Ki şisel Bilgi Formu ve taslak hâlindeki “Klinik Hemşireler İçin Yeterlilik Ölçeği” ile toplanmıştır. Ölçeğin dil ve kapsam geçerliği yapıldıktan sonra yapı geçerliği doğrulayıcı faktör analizi ile sağ- lanmıştır. Ölçeğin güvenirliği için Cronbach alfa, madde-toplam korelas- yonları, ay ırt edicilik ve test-tekrar test yöntemleri kullan ılmıştır. Araştırmanın yapılabilmesi için kurum ve etik kurul izinleri alınmıştır. Bul- gular: Ölçeğin dil geçerliğinin sağlanması için çeviri-geri çeviri tekniği kul- lanılmıştır. Daha sonra kapsam geçerli ğinde Davis tekni ği kullanılmış ve hemşirelikte yönetim alan ında görev yapan 11 hem şire akademisyenden uzman görüşü alınmıştır. Klinik Hem şireler için Yeterlik Ölçe ğinin Kap- sam Geçerlik İndeksi 0,97 olarak tespit edilmiştir. Doğrulayıcı faktör ana- lizi öncesi Kaiser-Meyer-Olkin de ğeri 0,85 ve Bartlett test X2=1594,321; p<0,001 tespit edilmiştir. 18 madde 3 alt boyutta oluşan Klinik Hemşireler İçin Yeterlilik Ölçe ğinin uyum indeksleri X2/sd (CMIN/df)=2,52, Yakla- şık ortalama karekök hatas ı=0,06, Uyum iyiliği indeksi=0,90, Düzeltilmiş uyum iyiliği indeksi=0,90, Karşılaştırmalı uyum indeksi=0,91 ve Ortalama karekök=0,07 olarak hesaplanmıştır. Ölçeğin toplam Cronbach alfas ı 0,87 olup madde toplam korelasyonları 0,378-0,642’dir. Alt ve üst %27 grupları arasında anlamlı farklılık saptanan ölçe ğin test-tekrar test korelasyon kat- sayısı 0,903 olarak belirlenmi ştir. Sonuç: 18 maddelik Klinik Hem şireler İçin Yeterlilik Ölçeği, hemşirelerin yeterliliğinin değerlendirilmesinde kul- lanılabilecek geçerli ve güvenilir bir ölçüm arac ıdır. Hemşirelerin bireysel ve kurumsal özelliklerinin yeterlilik üzerindeki etkisinin incelenmesi, hem- şirelik uygulamalarının geliştirilmesi, klinik yeterliliğin sürekli değerlendi- rilmesi ve hizmet kalitesinin artırılmasının sağlanması için ölçeğin klinikte kullanımı önerilmektedir.

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