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Öğe A pathway for nurses from work strain to anger: mediation of social intelligence(BioMed Central Ltd, 2025) Tiryaki Şen, Hanife; Türkmen, Emine; Kuşcu Karatepe, Hilal; Yurtsever, DemetBackground: This study aimed to determine the mediating role of social intelligence in the effect of nurses’ work-related strain on trait anger and anger expressions. The challenging working conditions for nurses often result in increased strain and anger. Social intelligence could help to manage anger. Methods: This cross-sectional, descriptive study was conducted with 446 nurses at a public hospital in Türkiye between April and May, 2021. The questionnaire consisted of socio demographics, Trait Anger and Anger Expression Inventory, Tromso Social Intelligent Scale, and Work-Related Strain Inventory. The data was collected face to face. Descriptive statistics and Pearson’s correlation coefficient were conducted using SPSS (v.26) and mediation analysis was conducted using PROCESS macro (Hayes, model 4). Findings: Social intelligence played a mediating role in the effect of work-related strain on trait anger, anger-in, anger-out, and anger-control (β = 0.105, β = 0.100, β = 0.131, β=-0.136, respectively). Social intelligence reduced the effect of work-related strain on trait anger and anger in/out expressions, while increasing anger control. Conclusion: The findings of this study show that social intelligence could be used to manage anger of nurses. Nurse managers could implement initiatives aimed at managing nurses’ anger and anger expressions through the decreasing of work-related strain and increasing of nurses’ social intelligence. © The Author(s) 2024.Öğe Development And Implementation Of Nurse Performance Appraisal Tools İn A State Hospital(Fenerbahçe Üniversitesi, 29 Aralık 2023) Gedük, Ebru Aydemir; Yıldırım, Aytolan; Baykal, Ülkü; Türkmen, EmineThis one-cycle action research was conducted to develop and implement appraisal tools for the assessment of nurse performance. This study was conducted in four stages at a 336-bed public hospital employing 239 nurses in one province in the central Anatolia region of Turkey. In the first stage of the study, a list of the tasks performed by nurses and the key points of nurse performance were created through job analysis and observations. The opinion and expectation form applied in the second stage showed that 76.4% of the nurses wanted an open evaluation by their unit nurse manager, and 94.7% thought that nurses in different units should be evaluated with different criteria. In addition, nurse performance evaluation tools were developed at this stage. These nurse performance appraisal tools included nine key performance standards for staff nurses and seven for nurse managers. The content validity index of the tools was calculated as .99–1.00 and intraclass correlation coefficients were found .85–.93. During the third stage, the nurses were evaluated by the unit nurse managers and the unit nurse managers were evaluated by the executive nurse with the performance appraisal tools. In the last stage, the satisfaction of nurses and nurse managers with the performance evaluation system was measured and they expressed that they were satisfied.Öğe The effect of structured virtual patient visits (sVPVs) on COVID-19 patients and relatives' anxiety levels in intensive care unit(Wiley, 2021) Kebapcı, Ayda; Türkmen, EmineAim and objectives: To determine the effect of structured Virtual Patient Visits (sVPVs) on the anxiety, satisfaction, hospital anxiety and depression levels of intensive care unit (ICU) COVID-19 patients and their relatives. Background: There is no evidence regarding the direct effect of virtual patient visits in the ICU. Design: The STROBE statement guided this study. This investigator-initiated, prospective and single-centre study included COVID-19 patients and their relatives in an adult ICU between July and December 2020. We implemented daily sVPVs between all patients and their relatives. The study's primary outcome was the daily anxiety levels of patients and relatives immediately before and after sVPVs. The secondary outcomes were as follows: 1) hospital anxiety (HADS-A) and depression (HADS-D) levels during admission to and after discharge from the ICU and 2) satisfaction levels regarding the ICU and sVPVs of patients' relatives. Results: A total number of 301 daily sVPVs were conducted between 50 patients and their relatives. There was a significant difference between daily anxiety levels before and after sVPVs in both patients (2.97 vs. 1.49) and their relatives (5.70 vs. 3.53; p > .05). Whereas the anxiety levels of patients with basic face or high flow nasal cannula and non-invasive mechanical ventilation decreased statistically significantly more than those with IMV after a sVPV (p < .001), there was not a significant difference in decreased anxiety levels of patients' relatives according to the type of respiratory support provided to the patient (p > .05). HADS-A levels of relatives decreased statistically significantly after discharge/death. There was no statistically significant difference in HADS-A and HADS-D levels after discharge/death between the relatives of patients who died or did not die (p > .05). Furthermore, the overall ICU satisfaction rates were statistically significantly lower in relatives of patients who died than those who did not die (p < .05). Conclusion: Regardless of whether the patients were intubated, sVPVs reduced the anxiety levels of all patients and relatives. The sVPV programme offered emotional support to patients and family members, with high levels of satisfaction, as well as provided regular informative updates and the opportunity for daily visits or final goodbyes. Relevance for clinical practice: The sVPV programme is essential for all ICUs during the COVID-19 pandemic.Öğe Experiences of Mothers with Infants Admitted to Neonatal Intensive Care During the COVID-19 Pandemic: A Qualitative Study(Galenos Yayınevi, 2024) Albayrak, Selvinaz; Türkmen, Emine; Göktepe, Nilgün; Çağlayan, SabihaObjective: The aim of this study was to reveal the experiences, opinions, and suggestions of mothers with infants admitted to the neonatal intensive care unit (NICU) during the period of the Coronavirus disease-2019 (COVID-19) pandemic, as parental participation in the NICU. Method: The study’s data were obtained through semi-structured interview form and the sample of this qualitative study consisted of 11 volunteer mothers with infants admitted to the NICU between May 4 and June 24, 2021. Face-to-face, individual, in-depth interviews were conducted with the mothers. The data were analyzed using the thematic analysis method. Results: Two themes and six sub-themes were obtained. The two main themes were: (1) Difficulties of being a mother during the pandemic, and (2) difficulties experienced during mothers’ participation in infant care during the pandemic. Mothers stated that they were unable to experience motherhood; that they experienced constant fear, anxiety and worry; and that they did not receive adequate support from their families and health professionals. They reported that they could only visit their infants when close to the discharge date, could not participate in the care process, did not receive adequate information from healthcare professionals, and did not feel fully prepared to care for their infants after leaving hospital. Conclusion: This study showed that due to visitation restrictions, NICU mothers struggled to fulfill their maternal role, demonstrating the inadequacy of family-centered care practices during the-COVID-19 pandemic. During crisis periods such as pandemics, strategies must be employed to develop infantmother attachment and increase mothers’ participation in the care of their infants.Öğe Experiences of mothers with infants admitted to neonatal intensive care during the COVID-19 pandemic: a qualitative study(Galenos publ house, 2024) Albayrak, Sabiha; Türkmen, Emine; Göktepe, Nilgün; Çağlayan, SelvinazObjective: The aim of this study was to reveal the experiences, opinions, and suggestions of mothers with infants admitted to the neonatal intensive care unit (NICU) during the period of the Coronavirus disease -2019 (COVID-19) pandemic, as parental participation in the NICU. Method: The study's data were obtained through semi -structured interview form and the sample of this qualitative study consisted of 11 volunteer mothers with infants admitted to the NICU between May 4 and June 24, 2021. Face-to-face, individual, in-depth interviews were conducted with the mothers. The data were analyzed using the thematic analysis method. Results: Two themes and six sub -themes were obtained. The two main themes were: (1) Difficulties of being a mother during the pandemic, and (2) difficulties experienced during mothers' participation in infant care during the pandemic. Mothers stated that they were unable to experience motherhood; that they experienced constant fear, anxiety and worry; and that they did not receive adequate support from their families and health professionals. They reported that they could only visit their infants when close to the discharge date, could not participate in the care process, did not receive adequate information from healthcare professionals, and did not feel fully prepared to care for their infants after leaving hospital. Conclusion: This study showed that due to visitation restrictions, NICU mothers struggled to fulfill their maternal role, demonstrating the inadequacy of family -centered care practices during the-COVID-19 pandemic. During crisis periods such as pandemics, strategies must be employed to develop infantmother attachment and increase mothers' participation in the care of their infants.Öğe Nurse performance: A path model of clinical leadership, creative team climate and structural empowerment(John Wiley and Sons Inc, 2022) Kuşçu Karatepe, Hilal; Türkmen, EmineAims and Objectives: This study aimed to: (a) identify and examine the influence of clinical leadership, creative team climate (CTC) and structural empowerment (SE) on the nurse performance (NP) of clinical nurses in hospitals in Turkey, and (b) establish a model designed to verify the fit and effect of these factors. Background: Nurse performance is a significant indicator of work efficiency, patient care quality and patient safety. Existing studies explaining the mechanisms that lead to higher nurse performance have been limited. Design: This descriptive, cross-sectional study used relation prediction modelling and adhered to STROBE guidelines. Methods: This study used an online survey to collect data from volunteered 664 clinical nurses working in hospitals in Turkey. The data were analysed using SPSS version 26.0 and the AMOS 24.0 program. Path analysis was used to verify/test the hypothetical model, and the fit was evaluated by ?2/df, GFI, AGFI, NFI, CFI, IFI, RFI, TLI, RMR and RMSEA. Results: The fit index of the modified path model was ?2/df = 3.730, GFI = 0.904, AGFI = 0.892, NFI = 0.907, CFI = 0.923, IFI = 0.923, RFI = 0.906, TLI = 0.912, RMR = 0.078 and RMSEA = 0.064. Through creative team climate and structural empowerment, clinical leadership had the greatest standardised direct (? =.35) and indirect (? =.17) effects on clinical nurse performance, the final outcome variable. Creative team climate (? =.23) and structural empowerment (? =.19) also had a significant standardised direct effect on nurse performance. Clinical leadership, creative team climate and structural empowerment explained 39% of the total variance of nurse performance. Conclusions: This study shows that clinical nurse performance in hospitals was significantly influenced by clinical leadership, creative team climate and structural empowerment. The results suggest that intervention programmes considering these factors could be implemented to enhance nurse performance. Relevance to Clinical Practice: Improved nurse performance requires strong clinical leadership, creative team climate and structural empowerment. Therefore, healthcare organisations may implement initiatives to enhance nurse performance by taking these factors into account. © 2022 John Wiley & Sons Ltd.Öğe Nursing Principles Practice Basic Competencies Scale – Turkish Adaptation Study(Marmara University, 30 Eylül 2024) Uysal, Nurcan; Türkmen, Emine; Orak, Nuray Şahin; Demirdağ, HaticeObjective: The main objectives of clinical education in nursing education are to develop the student’s competences in cognitive, affective and psychomotor areas. Reliable measurement tools are needed for the evaluation of these competences that begin to be gained with the first clinical practice. This methodological study investigated the cultural and Turkish validity of the Core Competence in Basic Nursing Practice Scale (CCFNPS) for undergraduate nursing students. Methods: A methodological research has been carried out on the cultural validation and adaptation of the scale. The construct’s validity was examined using both exploratory and confirmatory factor analysis in a sample of 466 students. The scale’s internal consistency reliability was evaluated using Cronbach’s alpha. Test-retest reliability was assessed using a dependent sample t-test and intraclass correlation with a sample of 30 students. Results: The scale’s content validity index was 0.98. The results of exploratory factor analysis revealed a five-factor structure similar to the original scale, the variance explained was 69.62%, but four items were removed from the scale due to low factor loading. Confirmatory factor analysis results (fit indices values) applied to the twenty – one items and five sub-dimensional structure were found to be acceptable. Scale Cronbach’s alpha values were above 0.70. Conclusion: The 21-item Turkish version of CCFNPS was found to be a valid and reliable scale for measuring the competencies acquired by students after their first clinical training.Öğe Nursing Principles Practice Basic Competencies Scale – Turkish Adaptation Study(Marmara Üniversitesi, 31.10.2024) Uysal, Nurcan; Türkmen, Emine; Orak, Nuray Şahin; Demirdağ, HaticeObjective: The main objectives of clinical education in nursing education are to develop the student’s competences in cognitive, affective and psychomotor areas. Reliable measurement tools are needed for the evaluation of these competences that begin to be gained with the first clinical practice. This methodological study investigated the cultural and Turkish validity of the Core Competence in Basic Nursing Practice Scale (CCFNPS) for undergraduate nursing students. Methods: A methodological research has been carried out on the cultural validation and adaptation of the scale. The construct’s validity was examined using both exploratory and confirmatory factor analysis in a sample of 466 students. The scale’s internal consistency reliability was evaluated using Cronbach’s alpha. Test-retest reliability was assessed using a dependent sample t-test and intraclass correlation with a sample of 30 students. Results: The scale’s content validity index was 0.98. The results of exploratory factor analysis revealed a five-factor structure similar to the original scale, the variance explained was 69.62%, but four items were removed from the scale due to low factor loading. Confirmatory factor analysis results (fit indices values) applied to the twenty – one items and five sub-dimensional structure were found to be acceptable. Scale Cronbach’s alpha values were above 0.70. Conclusion: The 21-item Turkish version of CCFNPS was found to be a valid and reliable scale for measuring the competencies acquired by students after their first clinical training.Öğe Opinions and experiences of healthcare professionals regarding structured virtual patient visits in ICUs: A qualitative study(John Wiley and Sons Inc, 2022) Türkmen, Emine; Kebapçı, AydaObjectives: This study aimed to reveal the experiences of healthcare professionals regarding a structured Virtual Patient Visit (sVPV) program implemented in an ICU during the coronavirus disease 2019 (COVID-19) pandemic and to share the process of establishing the program. Design: This qualitative, exploratory study was conducted using a semi-structured, in-depth interview method. Setting: The study was conducted in a university hospital ICU in Turkey (where a sVPV program was implemented) and comprised one physician, eight nurses, and one clerk who volunteered to participate in the study. The data were evaluated with content analysis, and themes and sub-themes were determined. Findings: Five themes and 13 subthemes were obtained: (1) an essential program during the pandemic, (2) contributing to patient's recovery, (3) family-centered care, (4) innovativeness, and (5) sustainability. Conclusion: The results show that the sVPV program is highly innovative and effective and contributed to positive patient outcomes and family-centered care practices during the COVID-19 pandemic. In addition, it was revealed that in order to conduct sVPVs effectively, organizational planning, such as legal processes, and the employment of experienced and competent healthcare professionals, should be well managed. Clinical relevance: A well-designed sVPV program specific to the setting alleviates anxiety among patients and family members, increases patient motivation and healing, and decreases the workloads of healthcare professionals. It is recommended that the sVPV program, which can be easily used during not only COVID-19 pandemics but also during other crises, be adopted in all ICUs and carried out by a dedicated nurse or healthcare provider. © 2022 Sigma Theta Tau International.Öğe Predicting work performance and life satisfaction of nurses and physicians: The mediating role of social capital on self-efficacy and psychological resilience(Wiley, 2022) Karatepe, Hilal Kuşçu; Tiryaki Sen, Hanife; Türkmen, EminePurpose:To examine the mediating role of social capital in the effects of self?efficacy and psychological resilience on nurses' and physicians' work performanceand life satisfaction.Design and Methods:In this cross?sectional study, data were collected using anonline questionnaire.Findings:Social capital had 0.04 indirect effects of general self?efficacy andpsychological resilience on work performance, and accounted for 48% and 35% ofthe total effect, respectively. Social capital had 0.11 and 0.07 indirect effects ofgeneral self?efficacy and psychological resilience on life satisfaction, and accountedfor 16% and 19% of the total effect, respectively.Practice Implications:The study suggests the existence of social capital whennurses' and physicians' self?efficacy and psychological resilience affect their workperformance and life satisfaction.Öğe The Relationship Between Neonatal Nurses’ Attitudes, Evidence- Based Practice Leadership Evidence Based Practice Work Environment, and the Involvement of Parents on in Family Centered Care Practices: A Cross-Sectional Study(11.12.2024) Albayrak, Selvinaz; Öntürk, Zehra Kan; Türkmen, Emine; Göktepe, Nilgün; Çağlayan, SabihaAim: This study aimed to: a) examine the effects of neonatal intensive care nurses’ attitudes towards evidence-based practices and perceptions of evidence-based practices leadership and work environment on attitudes towards parental participation, and (b) determine the effects of such attitudes and perceptions of nurses on parental involvement in neonatal intensive care unit family center care activities. Method: This cross-sectional study was conducted with 218 neonatal intensive care nurses in Turkey using an online questionnaire. The data were collected using the demographic questionnaire, the Evidence-based Practices Work Environment Scale, the Evidence- based Practices Leadership Scale, the Attitude Towards Evidence-Based Nursing Questionnaire, the Parental Participation Attitude Scale, and the number of parental involvement direct care activities. Data were analyzed with descriptive statistics, Pearson correlation, and multiple regression analysis (backward). Results: Nurses’ attitudes towards parental participation were affected by evidence-based nursing attitudes (R2=0.35, Durbin- Watson=2.078, p<0.001). The number of parent-delivered interventions related to family center care activities in the neonatal intensive care unit was affected by the evidence-based practices environment and completion of neonatal intensive care unit certification (R2=0.11, Durbin-Watson=1.972, p<0.001). Conclusions: Nurses' attitudes towards parental involvement affects by their own evidence-based practices knowledge and awareness. The establishment of an evidence-based practices work environment at the organizational level and the provision of special training for nurses increased parent-delivered interventions.Öğe The Relationship Between Nurses' Communication Practices, Personality Traits and Organizational Silence Behavior(Fenerbahçe Üniversitesi, 29 Aralık 2023) Yalçın, Begüm; Göktepe, Nilgün; Türkmen, EmineThe use of organizational silence has been described as an active and conscious action employed to deliberately withhold information about an organization. The aim of this study was to examine the effects of nurses' communication practices and personality traits on organizational silence behaviors. This cross-sectional study was conducted with 220 nurses. The survey contained questions concerning nurses’ individual/professional characteristics and their choices about whether or not to remain silent about issues in the workplace and it also contained the Organizational Silence Behavior Scale and the Ten-Item Personality Inventory. Descriptive statistics, and regression analyses were used to analyze the data. Nurses’ mean score of the Organizational Silence Behavior Scale was 2.6 (.81). Multiple regression analysis indicated that nurses' organizational silence behavior was negatively affected by the choice to remain silent when their relationships with colleagues were put at risk, when they felt they may be excluded if they expressed their opinions, when they did not believe that sharing their ideas would improve the unit, and when their personality trait was determined to be emotionally stable. Organizational silence behavior is influenced by the choice to remain silent and an emotionally stable personality type.Öğe Validity and Reliability of the Nurse Manager Performance Assessment Scale(Sedat Bostan, 30 Nisan 2024) Aslan, Saliha Koç; Türkmen, Emine; Özdemir, Dilek; Saygı, Hülya ÖzkolBackground: The performance of nurse managers is significantly important in providing quality and safe patient care services in hospitals, as well as in retaining the nurse workforce. There are limited number of measurement instruments for which validity and reliability have been tested in order to assess nurse managers' level of performance. Objective: This study was conducted to examine the psychometric testing of the “Nurse Manager Performance Assessment Scale,” which is used to assess the annual performance of nurse managers working in a private chain hospital group in Turkey. Method: The sample of this methodological study was composed of 165 nurse managers. The data were obtained from the Hospital Information Management System, retrospectively. Results: The average score of the eight-item scale items ranged between 3.3 (0.8) and 3.7 (0.8). The Cronbach's alpha coefficient, indicating the internal consistency, was found to be 0.943, while the Spearman-Brown coefficient, indicating intraclass consistency, was found to be 0.910. The two-factor scale obtained using exploratory factor analysis was examined using confirmatory factor analysis, and the model was found to be significant. Conclusion: In this study, the results of psychometric analysis of the “Nurse Manager Performance Assessment Scale,” which is used to assess the annual performance of nurse managers, indicated that the scale is a valid and reliable instrument. It is recommended that the scale be applied in different institutions and that it be tested in practice based on pilot application results.Öğe Yönetici Hemşire Becerilerini Değerlendirme Ölçeği: Bir Ölçek Geliştirilme Çalışması(Yönetici Hemşireler Derneği, 11.12.2024) Çiftçioğlu, Gülcan; Türkmen, Emine; Baykal, UlkuGiriş: Hastanelerde olumlu hasta sonuçları ve örgütsel hedeflere ulaşılması açısından yönetici hemşireler çok önemli rol, görev ve sorumluluklar üstlenmiştir. Yönetici hemşirelerin bu rol, görev ve sorumlulukları tam olarak yerine getirebilmesi için gerekli yönetsel becerilere sahip olmaları gerekmekte olup ulusal düzeyde yönetici hemşirelerin becerilerini değerlendirmek amacıyla kullanılan geçerli ve güvenilir bir ölçme aracına ulaşılamamıştır. Amaç: Bu çalışma, yönetici hemşirelerin yönetsel becerilerinin astları tarafından değerlendirilmesine yönelik bir ölçme aracının geliştirilmesi amacıyla gerçekleştirilmiştir. Yöntem: Metodolojik tasarımdaki bu çalışma, çevrimiçi anket yöntemi ile Şubat – Haziran 2022 tarihleri arasında Türkiye’deki çeşitli hastanelerde çalışan 698 hemşire ile yapılmıştır. Veri toplama aracı olarak, araştırmacılar tarafından konuya ilişkin alan yazın incelenerek oluşturulan taslak ölçek formu kullanılmıştır. Araştırmada ölçeğin kapsam ve dil açısından anlaşılırlığı (görünüş) için 10 uzman görüşü alınmış, ölçeğin yapı geçerliliği için AFA ve DFA uygulanmıştır. Güvenirlik için madde analizleri, Cronbach alfa, %27 alt ve üst dilim puan korelasyonu, yarıya bölme yöntemi ve test-tekrar test analizi kullanılmıştır. Bulgular: Taslak ölçek, 66 maddeden oluşup bir madde dışında 65 maddenin kapsam geçerlik indeksi 0,80-1,00 arasında bulunmuştur. Yapı geçerliliği incelemesi için yapılan açıklayıcı faktör analizinde (AFA) binişiklik veya kuramsal yapıya uymadığı için çıkarılarak yapılan son AFA sonuçlarına göre, üç alt boyutta ve 34 maddeden oluşan ölçeğin toplam varyansın %72,22’i açıkladığı belirlenmiştir. Toplam ölçeğin Cronbach alfa katsayısı 0,99 ve test-tekrar test korelasyon katsayısının 0,78 olduğu saptanmıştır. Sonuç: Çalışmada, 34 maddeden ve üç alt boyuttan oluşan ölçeğin geçerlilik ve güvenirlik ölçütlerini karşıladığı görülmüştür. Gelecek çalışmalarda yapı geçerliliği çalışmalarının tekrarlanması ve uygulamada kullanılarak sonuçlarının tartışılması yararlı olacaktır.
