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Öğe Effect of a Hydration Management Program on Older Adults' Fluid Consumption and Dehydration Parameters: A Quasi-Experimental Study(Slack Inc, 2021) Uyanik, Gulcin; Daghan, SafakThe purpose of the current study was to assess effects of a hydration management program on the fluid consumption and dehydration parameters (i.e., dehydration risk scores, urine specific gravity, and urine color) of older adults. The study was conducted as a pre-/post-test quasi-experimental study with a control group (intervention group: n = 42, control group: n = 37). The hydration management program applied to the intervention group was completed in 1 week. After the intervention, the knowledge and awareness of the intervention group regarding fluid consumption increased (p = 0.001). The dehydration risk score of the intervention group was significantly lower than that of the control group (p = 0.0001). There was a significant change in average 3-day water intake (p = 0.0001), urine specific gravity value (p = 0.01), and urine color scale score (p = 0.0001) in the intervention group between pre- and post-test. The hydration management program provided a significant improvement in daily water intake and dehydration risk score and increased knowledge and awareness among older adults concerning the importance of fluid intake.Öğe Effect of structured training programme on the knowledge and behaviors of breast and cervical cancer screening among the female teachers in Turkey(Biomed Central Ltd, 2017) Temel, Ayla Bayik; Daghan, Safak; Kaymakci, Senay; Donmez, Renginar Ozturk; Arabaci, ZeynepBackground: Breast cancer and cervical cancer are the most common cancers among women in the world. Many studies on the early detection of cancer have been conducted among women worldwide, but few studies have been performed in the world on female teachers regarding breast self-examination (BSE), mammography (MMG) and Pap smear test (PST). As teachers interact with students, this could play an important role in health education and in developing healthy behavior such as cancer screening. The main objective of this study was to evaluate the effect of a structured teaching program on breast and cervical cancer screening on the knowledge and practice of teachers. The other objective was to encourage teachers to transfer this knowledge to the women who attended their courses. Methods: Semi -experimental designs with pre-intervention, post-intervention and six month follow-up tests were used in this study. The data were collected from 37 volunteer teachers and their 64 volunteer students with a sociodemographic form, a questionnaire form for breast and cervical cancer, and a Transtheoretical Model of behavior change for BSE, MMG and PST. Behavior of the teachers related to BSE, MMG, PST was evaluated in pre-training and in the first, third and sixth months post-training, and the behavior of the students was evaluated with point follow-up in the sixth month. Results: In post-training, it was determined that the teachers' knowledge of breast cancer increased from 11.70 +/- 2. 80 to 14.81 +/- 3.22 and their knowledge of cervical cancer increased from 7.75 +/- 5.60 to 17.68 +/- 3.79. For BSE behavior, 47.8% of teachers were in the action and maintenance stage in pre-training, but this ratio was 81.1% in the sixth month post-training. For MMG behavior, all of the teachers were in the precontemplation stage in pre-training, and 38.9% of them were in the action and maintenance stage in the sixth month post-training. For PST, while 24.3% were in the action and maintenance stage in pre-training, this ratio was 45.9% in the sixth month post-training. Conclusion: It was determined that the behavior change for BSE, MMG, PST was positive. Similarly, knowledge transfer from teachers to students was also effective.Öğe An exploratory study of intercultural effectiveness scale in nursing students(Elsevier Sci Ltd, 2020) Yilmaz, Medine; Sari, Hatice Yildirim; Daghan, SafakCulture is a fundamental element of intercultural relationships and contributes to its effectiveness. This methodological study's purpose is to test the Turkish version of the Intercultural Effectiveness Scale. the scale is a reliable and valid. It is important to include intercultural communication competence in nursing curriculum programs to ensure that students gain all these awareness, skills and behaviors.Öğe Factors Affecting eHealth Literacy of Early Adolescents: School-based Research(Taylor & Francis Inc, 2022) Daghan, Safak; Kalkim, Asli; Unlu, Emine; Sahin, Hatice Kubra; Yuksel, MerveThe purpose of the research were to describe eHealth literacy and identify factors affecting the eHealth literacy of early adolescents. This descriptive and correlational study was conducted in a government secondary school in the west of Turkey. The research sample consisted of 1347 adolescents in the sixth, seventh, and eighth grades in the academic year 2016-2017. An adolescents' description form and the eHealth Literacy Scale (eHEALS) were used to collect the data. The mean score on eHEALS was 23.81 +/- 6.94. Multiple regression analysis showed that being in the 11-12 year age group (beta = 0.528, p < 0.001), having a father with a high school or university level education (beta = 0.055, p = 0.038), and carrying out research in the internet on health related topics (beta = 0.118, p < 0.001) were determinant at 32% (F = 56.901, p < 0.001, R-2 = 0.32) on the adolescents' eHealth literacy. The mean eHEALS score in the study demonstrated that the e-health literacy of the adolescents was rather low and inadequate, and that there were gaps in the adolescents' knowledge and skills about how and where to find quality eHealth information. Nurses are expected to provide eHealth literacy training that will help to find information on the internet and interpret and assess it, and this will develop eHealth literacy of adolescents. Integrating online health information sources into the school health education curriculum in line with developed strategies can be suggested because it is an attempt to improve the eHealth literacy of adolescents.Öğe Knowledge and Practices of Mothers Regarding Use of Vitamin D for Infant Health(Galenos Yayincilik, 2019) Daghan, Safak; Toraman, Aynur Uysal; Yelten, Gulcin; Taskiran, Gulcan; Savan, FatmaINTRODUCTION: Vitamin D insufficiency affects almost 50% of the population worldwide. The groups most affected by this situation are infants, pregnant women, and elderly people. This study examines the knowledge and practices of mothers regarding the use of vitamin D for infant health. MATERIALS and METHODS: This descriptive study was conducted at six Family Health Centers in Izmir, Turkey. Data was collected using a questionnaire developed based on the literature by the researchers. The questionnaire was administered to 286 mothers who had registered to the centers and volunteered for participating in the study. RESULTS: It was determined that 46.9% of the mothers received education on the use of vitamin D during pregnancy, with 30.1% of them stating that they received education from nurses or midwives. It was found that 88.1% of the mothers who had received education on the use of vitamin D used vitamin D supplements during their pregnancy, whereas 57.7% of the mothers who had not received any education did not use vitamin D supplements during their pregnancy (X-2 = 32.28, p<0.05). Furthermore, 87.8% of the mothers gave oral supplementations of vitamin D to their infants, whereas 75.9% of them put their babies outside to increase their exposure to sunlight. CONCLUSIONS: The level of knowledge the mothers had on the relationship between infant health and vitamin D was not satisfactory. Health care professionals, especially midwives and nurses, should increase the monitoring of mothers and infants regarding use of vitamin D and provide education and counselling to protect and improve the health of mothers and infants.Öğe Nursing Students' Perceptions of Spirituality and Spiritual Care and Their Spiritual Care Competencies: A Correlational Research Study(Lippincott Williams & Wilkins, 2018) Kalkim, Asli; Midilli, Tulay Sagkal; Daghan, SafakThis research aimed to describe nursing students' perceptions of spirituality and spiritual care and their spiritual care competencies and to investigate the relationship between these variables. The sample of this descriptive and correlational study consisted of 325 nursing students. The questionnaires used in the study were the Student Nurse Information Form, the Spirituality and Spiritual Care Rating Scale, and the Spiritual Care Competency Scale. The mean scores of the Turkish versions of Spirituality and Spiritual Care Rating Scale and Spiritual Care Competency Scale were 3.90 +/- 0.45 and 3.69 +/- 0.68. Importance to giving spiritual care to the patients in nursing care, willingness to receive training in spiritual care, and listening to patients to meet their spiritual requirements accounted for 17% of the spirituality and spiritual care perceptions of the students (F = 16.118, P = .001, R-2 = 0.17). The participants' spirituality and spiritual care perception levels accounted for 14% of their spiritual care competences (F = 16.851, P = .001, R-2 = 0.14). It was determined that the students' perceptions of spiritual care competence were not at the desired level and that they should be improved. Therefore, it is recommended that changes should be made in the curricula and that training programs should be improved in order to strengthen students' spiritual care competency.Öğe Nursing Students' Perceptions of Spirituality and Spiritual Care; An Example of Turkey(Springer, 2018) Daghan, SafakThis descriptive survey study aimed to explore how nursing students perceive spirituality/spiritual care and investigate the variables acting on their perception. Data were collected using the Spirituality and Spiritual Care Rating Scale with 500 students from the Faculty of Nursing. The students' median score regarding their perception of spirituality and spiritual care indicates a "conceptual confusion" related with these concepts. Female students have higher scale scores than male students (z = 2.19, p < 0.05). Students' awareness of spirituality and related concepts, and their acquisition of spiritual care skills will allow them to provide spiritual care after graduation.Öğe PREVALENCE OF TOBACCO USE AMONG SCHOOL TEACHERS AND EFFECT OF TRAINING ON TOBACCO USE IN WESTERN TURKEY(Natl Inst Public Health, 2016) Mermer, Gulengul; Daghan, Safak; Bilge, Aysegul; Donmez, Renginar Ozturk; Ozsoy, Suheyla; Gunay, TurkanBackground and Aim: Tobacco consumption is still a prevalent issue. Given that teachers are respected in society, they have a great responsibility for tobacco control. This study examines, using the Transtheoretical Model (TTM), the prevalence of tobacco use among teachers and their different stages of tobacco use. It also evaluates teachers' views on smoking and the effectiveness of training on tobacco use. Methods: This study is quasi-experimental. Pre-test and post-test were used first with a cross-sectional group, then with a single group to determine the frequency of tobacco use. The research participation complied with the voluntary principles and the participation rate was 84.9%. The research sample comprised 450 teachers working at schools (N =17) under the Kemalpasa Directorate of Education. The data form contained 29 questions about socio-demographic characteristics and smoking habits. The Fagerstrom Test for Nicotine Dependence (FTND), Smoking Decisional Balance Scale (SDBS), and the Stage of Change were used. A pre-test was also administered, and training was given between January 13 and March 4, 2014. After the training sessions, two short messages (SMS) were sent on March 12 and March 19, 2014. A post-test was administered between April 1 and May 21, 2014. The relevant institutions and participants gave the requisite permission for the data used in this study. Percentage distribution, dependent t-tests and chi-square tests were used to evaluate the research data. Results: The median age of the teachers was 37.49 +/- 7.84. The teachers' mean score for the pre-test of FIND was 5.7 +/- 2.03, and their mean score for the post-test was 3.25 +/- 2.07. Post-test scores were remarkably lower than the pre-test scores. It was found that teachers' mean scores for SDBS were different before and after training. After training, anti-smoking attitudes increased (pros-cons scores: pre-test: -3.64 +/- 4.68, post-test: -11.25 +/- 5.48). The training helped the entire group to make progress in the process change. Conclusion: After training on "the health effects of smoking", teachers' anti-smoking attitudes rose on the smoking decision balance scale, their nicotine dependency was reduced, and they were able to move forward in a positive direction.Öğe Psychometric Evaluation of the Turkish Form of the Spiritual Care Competence Scale(Springer, 2019) Daghan, Safak; Kalkim, Asli; Midilli, Tulay SagkalThe methodological study was aimed to assess the psychometric properties of the Turkish version of the Spiritual Care Competence Scale (SCCS-T). The research was conducted on final-year Turkish nursing students (n=297) in the faculties of nursing and health science in two cities in the western part of Turkey. Exploratory factor analysis revealed that three factors accounted for 75.18% of the explained variance. The Cronbach's alpha coefficient for the SCCS-T was .97. The three-factor model of the SCCS-T was found to be a reliable and valid scale for evaluating spiritual care competencies of Turkish nursing students and nurses.Öğe Psychometric properties of the Turkish version: The Osteoporosis Smoking Health Belief Scale(Taylor & Francis Inc, 2018) Kalkim, Asli; Daghan, Safak; Toraman, Aynur Uysal; Eren, DenizBackground: Smoking-related health beliefs regarding osteoporosis may be of use to health professionals in helping those at risk of osteoporosis or those with osteoporosis to reduce or stop smoking. Aims: The aim of the study was to evaluate the psychometric properties of the Turkish version of the Osteoporosis Smoking Health Belief Scale (OSHBS). Design and methods: The methodological study sample consisted of 168 people. Cronbach alpha, Spearman-Brown, Guttman split-half method, item-total subscale correlation, and base and ceiling effects were used for reliability analysis. Validity was examined using content validity, construct validity, and contrasted group comparison. Construct validity was examined using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: EFA revealed that three factors accounted for 67.36% of the explained variance. CFA validity testing supported the three-factor structure and the construct validity. The Cronbach's alpha coefficients were 0.91 for the benefit subscale, 0.87 for the barrier subscale, and 0.91 for self-efficacy. Conclusion: The scale was found to be a reliable and valid tool for determining the health beliefs of Turkish people concerning smoking in relation to osteoporosis. Health professionals can use the Turkish version of the OSHBS for research and evaluation of the health beliefs of Turkish people concerning smoking in relation to osteoporosis.Öğe Sharp Object Injuries of Family Health Workers Working in Primary Health Care Services and Related Factors(Istanbul Univ-Cerrahpasa, 2021) Toraman, Aynur Uysal; Daghan, Safak; Korkmaz, Ebru Konal; Ates, Esin; Calt, Aysun CobadakAIM: The aim of this study was to evaluate family health workers' exposure to injuries with needlestick and sharp instruments and its related factors. METHOD: The universe of the relational descriptive study consisted of 150 family health workers working in 26 family health centers in the Bornova district, and the study was completed with 115 family health workers who voluntarily accepted to participate in the research. The data consisted of 4 sections and 26 questions in total: the questionnaire form created by the researchers in line with the literature, the sociodemographic information form, the questions regarding the needlestick and sharp injuries. In the evaluation of the data, using SPSS 20.0 package program, number, percentage distributions, mean and standard deviation were calculated, and Kruskal-Wallis analysis and logistic regression analysis were performed. RESULTS: All of the family health workers included in the research were women and the average age was 38.6 +/- 6.38. It was determined that 81.7% of family health workers received occupational health and safety training, and the average score they gave to the level of knowledge about what to do in case of a cutting-edge injury was 7.62 +/- .96. In the study group, the ratio of history of needlestick and sharp instrument injury was 79.1%, and the average number of injuries was 6.72 +/- 4.01. CONCLUSION: As a result of the research, it has been determined that family health workers' occupational health and safety training increases the use of protective equipment, where the rate of injuries is high and the rate of reporting in case of injury is very low.Öğe Theory-based Osteoporosis Prevention Education and Counseling Program for Women: A Randomized Controlled Trial(Elsevier Science Inc, 2017) Kalkim, Asli; Daghan, SafakPurpose: The purpose of this research was to investigate the effect of an osteoporosis prevention program based on the Health Belief Model for women between the ages of 30 years and 45 years at risk of osteoporosis. Methods: This study was conducted with randomized control group pretest, post-test and follow-up trial. Intervention group (n = 37) and control group (n = 36) participated in the research. Data were collected using a sociodemographic data questionnaire, the Osteoporosis Knowledge Test, the Osteoporosis Health Belief Scale, the Osteoporosis Self-efficacy Scale, a monitoring form for estimated dairy calcium intake, and a monitoring form for estimated weekly exercise. Intervention program was composed of a 4-week education program and a 24-week counseling program. Data were collected pretest, post-test 15 days after the end of the education program, follow-up 1 after 3 months, and follow-up 2 after 6 months. Mann Whitney U test, chi-squaretest,Friedman test, Bonferroni test, two means test and Wilcoxon signed-rank test were used for statistical analysis. Results: After the education and counseling program, a significant increase was seen in comparison with the control group in the mean scores of the intervention group on the Osteoporosis Knowledge Test and its subscales (p < .001), on the Osteoporosis Health Belief Scale and its subscales (p < .001), on the Osteoporosis Self-efficacy Scale and its subscales (p < .001), and in their daily calcium intake (p < .001) and duration of weekly exercise (p < .001). Conclusion: The results of this study were evidence that showed the effects of Health Belief Model ebased osteoporosis prevention education and counseling program conducted by nurses. (C) 2017 Korean Society of Nursing Science, Published by Elsevier Korea LLC.Öğe What do female nursing students know about osteoporosis: A survey study(Mattioli 1885, 2018) Kalkim, Asli; Daghan, SafakAim: The aim of the study was to examine female nursing students' knowledge of osteoporosis and its affecting factors. Methods: This is a descriptive survey conducted in the faculty of nursing of a state university in the west of Turkey. The sample of the study consisted of 701 female students. A nursing student information form and the Revised Osteoporosis Knowledge Test were used to collect the data. Results: Most of the students had heard of osteoporosis but they had inadequate knowledge. The multiple regression analysis showed that being a third or fourth year student and obtaining information on osteoporosis from the internet accounted for 13% of the nursing students' knowledge of osteoporosis. Conclusion: Nurses take on responsibilities for the prevention and early diagnosis of osteoporosis. For this reason, it is of the utmost importance for students, who are the nurses of the future, to fill the gaps in the knowledge which they will feel the need of in helping at-risk groups in society to gain information, awareness and preventive behaviors with regard to osteoporosis.