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Öğe Academic dishonesty among health science school students(Sage Publications Ltd, 2016) Oran, Nazan Tuna; Can, Hafize Ozturk; Senol, Selmin; Hadimli, Aytul PelikBackground: Academic dishonesty has become a serious problem at institutions of higher learning. Research question: What is the frequency of academic dishonesty and what factors affect the tendency of dishonesty among Turkish health science school students? Research design: This descriptive and cross-sectional study aims to evaluate academic dishonesty among university nursing, midwifery, and dietetic students. Participants and research context: The study sample consisted of 499 health science students in Turkey. The tendency toward academic dishonesty was investigated using the Academic Dishonesty Tendency Scale. Ethical considerations: Institutional review board approved the study. Written permission was obtained from the researcher to use Turkish version of the Academic Dishonesty Tendency Scale. Findings: Of all the students, 80.0% claimed to refer to Internet during homework preparation and 49.1% of students reported to cite the references at the end of article on some instances. Of the students, 56.1% claimed never to have cheated in the exams. It was found that academic dishonesty was partly low (1.80-2.59) in students. For students using a library while doing their homework, mean scores were significantly lower (p < 0.05). There were also statistically significant difference between mean scores and student's year in school, student's perception of school success, and frequency of Internet use while doing homework (p < 0.05). Discussion: The tendency of academic dishonesty was lower among students who use Internet and library more frequently. These findings are consistent with previous studies. Conclusion: Measurements to take against academic dishonesty should be directed toward not only students but institutions and instructors as well.Öğe Böbrek Transplantasyonu Sonrası Gebelik ve Disiplinlerarası Yaklaşım (The Pregnancy Following Kidney Transplantation and Interdisciplinary Approach: Review)(2010) Koçak, Yeliz Çakır; Oran, Nazan Tuna…Öğe Comparison of Mediterranean, Western and Japanese Diets and Some Recommendations(Asian Pacific Organization Cancer Prevention, 2008) Ogce, Filiz; Ceber, Esin; Ekti, Rabia; Oran, Nazan TunaDuring the past thousands of years, food systems, and thus human diets, have been and are shaped by climate, terrain, seasons, location, culture, and technology. In this context, many types of diet patterns have emerged. Nowadays, numerous epidemiological studies are being conducted in many countries in order to find relationships between empirically identified dietary factors and the occurrence of illnesses. Today, some dietary patterns are described as healthy eating models while others are generally qualified as unhealthy.Öğe Doğum Ağrısında Masajın Etkisi: Sistematik Derleme(2022) Türkmen, Hülya; Oran, Nazan TunaAmaç: Bu çalışmanın amacı doğum ağrısında masaj uygulamasının etkisine yönelik yapılan çalışmaların sonuçlarını sistematik olarak gözden geçirmektir. Gereç ve Yöntem: Çalışma 2000-2017 tarihleri arasında yayınlanmış olan orijinal müdahale çalışmaları Pubmed, Science Direct, Cochrane Library, Wiley Online Library veri tabanlarında kontrol edilerek yürütülmüştür. Tarama doğum ağrısında masaj uygulamanın etkisi kapsamında yapılmış randomize kontrollü müdahale çalışmaları (RKÇ) ve randomize olmayan kontrollü müdahale çalışmaları incelenerek İngilizce dilinde “labor pain” ve “massage” anahtar kelimeleri kullanılarak gerçekleştirilmiştir. Araştırmaların çalışmaya dahil edilme ölçütleri PICO’ya (Population, Intervention, Comparison, Outcome) uygun olarak belirlenmiştir. Tarama da ilgili başlıklar ve özetler incelemeye alınmıştır (n=95). 2000-2017 tarihleri arasında yayınlanan çalışmalar (n=93) arasında başlık ve özetlere göre çalışma ile ilgili olmayan çalışmalar tespit edilmiştir (n=54). Müdahale araştırması olmayan (n=14) ve tam metne ulaşılamayan makalelerin (n=10) çıkarılması sonucunda değerlendirmeye 15 makale alınmıştır. Ancak 5 makalenin yinelendiği saptanmış ve tarama sonucunda toplam 10 makaleye ulaşılmıştır. Bulgular: İncelemeye alınan randomize ve randomize olmayan kontrollü müdahale çalışmaların örneklemini min.20-max.51 doğumun I. evresinde olan çoğunlukla primipar gebeler oluşturmaktadır. Sistematik inceleme sonucunda omuz, sırt, abdominal bölge, sakrum, el ve ayak gibi bölgelere yaklaşık 30 dakika masaj uygulamasının özellikle aktif fazda olmak üzere doğumun I. evresinde ağrı algısını azalttığı bulunmuştur. Sonuç: Doğumun I. evresinde omuz, sırt, abdominal bölge, sakrum, el ve ayak gibi bölgelere masaj uygulanmasının doğum ağrısının azaltılmasında etkili olduğu, çalışmaların sonucunda bulunmuştur. Bu nedenle doğum eyleminde masaj uygulamasının ülkemizdeki sağlık kuruluşlarında daha yaygın hale getirilmesi önerilmektedir.Öğe Ebelik Mesleğinde Duygusal Emek(2020) Can, Hafize Öztürk; Hacıvelioğlu, Dilek; Oran, Nazan TunaÇalışanların hizmet verdikleri kişide duygu yaratma çabası olarak tanımlanan duygusal emek, sağlık alanında daima tartışma konusu olan bir kavramdır. Sağlık çalışanları hizmet ve bakım sürecinde etkili sonuca ulaşmak için duygusal emek sergilemek durumundadır. Ebelik mesleği de duygusal emek gerektiren bir meslektir. Gebelik ve doğum olayı sürece dâhil olan herkes için duygusal açıdan olumlu ya da olumsuz çok fazla deneyim barındırır. Bu duygularla başa çıkmada ve ailelere destek sağlamada ebeler kilit rol oynamaktadır. Anne ve çocuk sağlığı açısından önemli bir konumda olan ebelik mesleğinin duygusal yönlerinin incelenmesi önem taşımaktadır. Bu derleme, ebelik mesleğinde duygusal emeği literatür bilgileri eşliğinde incelemek ve literatüre katkı sağlamak amacıyla yazılmıştır.Öğe Ebelik Öğrencilerinin Empatik Eğilim ve Empatik Beceri Düzeyleri(2019) Oran, Nazan Tuna; Kurul, ŞebnemAmaç: İnsan ilişkilerinin en yoğun olarak yaşandığı mesleklerden biri olan ebelik mesleğinde ebe adaylarının eğitimleri sırasında empatik becerileri kazanmaları önemlidir. Bu çalışmada, ebelik öğrencilerinin empatik eğilim ve becerilerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Kesitsel tipte araştırmanın evrenini, Sağlık Yüksekokulu’nun Ebelik Bölümünde öğrenim gören 358 öğrenci oluşturmuştur. Öğrencilerden 256’sı çalışmaya gönüllü olarak katılmıştır. Veriler; tanıtıcı form, Empatik Eğilim Ölçeği (EEÖ) ve Empatik Beceri Ölçeği-B (EBÖB) formu aracılığıyla elde edilmiştir. Verilerin kodlama süreci, formları tam ve hatasız dolduran 148 öğrenci ile tamamlanmıştır. Bulgular; sayı-yüzde, ortalama, t testi ve tek yönlü varyans analizi kullanılarak değerlendirilmiştir. Bulgular: Öğrencilerin EEÖ puan ortalaması 70.56±8.29, EBÖ ise 141.01±21.03 olarak saptanmıştır. I., II., III. ve IV. sınıf ebelik öğrencileri arasında empatik eğilimleri arasında istatistiksel olarak anlamlı fark yoktur (p>0.05). Sınıflar arasında empati beceri puanları farklılık göstermiştir; ikinci sınıf öğrencilerin anlamlı düzeyde daha yüksek (154.75±21.25) empatik iletişim becerisine sahiptir (p<0.05). Sonuç: Çalışmamızda ebelik öğrencilerinin empatik eğilim ve empatik beceri düzeylerinin orta düzeyde olduğu belirlenmiş, eğitim yılı arttıkça her iki ölçek puanlarının arttığı saptanmıştır.Öğe Ebelik Öğrencilerinin Kamu Personeli Seçme Sınavına İlişkin Görüşlerinin İncelenmesi(2019) Oran, Nazan Tuna; İçke, Sibel; Bay, Habibe; Yüksel, EsmaEbelik, ülkemizde eğitim yolu ile edinilen ilk kadın mesleklerindendir. Sağlık Bakanlığı’nın bünyesinde kadrolu istihdam edilmek için diğer meslek grupları gibi, ebelerin önündeki en büyük engel Kamu Personeli Seçme Sınavı (KPSS)’dır. Bu çalışmada, ebelik öğrencilerinin mesleğe geçiş yapabilmeleri için başarmak zorunda oldukları KPSS’ye ilişkin görüşlerinin incelenmesi amaçlanmıştır. Bu araştırmada betimsel tarama yöntemi kullanılmıştır. Araştırmanın örneklemini 2016-2017 Eğitim-Öğretim yılında bir devlet üniversitesinin sağlık yüksekokulunun 3. ve 4. sınıfında öğrenimlerine devam eden ebelik bölümü öğrencileri (n=168) oluşturmuştur. Veri toplama aracı olarak anket formu ve KPSS ile ilgili ifadelerin yer aldığı form kullanılmıştır. Verilerin analizinde her soruya ve ifadeye yönelik frekans ve yüzde dağılımları yapılmıştır. Araştırmaya katılan ebelik öğrencilerinin %53’ü 3. sınıf, %47’si ise 4. sınıftır. Öğrencilerin %74,4’ü KPSS’nin sağlık alanında eğitim almış kişilerin atanması için uygun bir sınav olmadığı, %73,2’si KPSS yerine mesleki becerilere yönelik uygulamayı değerlendiren sınavların olması gerektiği, %69,6’sı KPSS’nin iki yılda bir yapılmasının doğru bir uygulama olmadığı, %70,8’i KPSS’de yer alan soru sayısının adayların bilgisini ölçmek için yeterli olmadığı, %79,2’si KPSS’nin mesleki bilgi ve beceriyi ön plana çıkaran bir sınav olmadığı, %75’i KPSS’ye hazırlanmanın yıpratıcı bir süreç olduğu gibi görüşlere sahiptir. Araştırmadan elde ettiğimiz bulgulara göre, kamu kurumlarına atamalarda uygulanan sınav içeriğinin mesleki bilgi ve becerilerin ölçülebildiği şekilde düzenlenmesinin daha uygun olabileceği sonucuna ulaşılmıştır.Öğe Effects of Progressive Muscle Relaxation Exercises Accompanied by Music on Low Back Pain and Quality of Life During Pregnancy(Wiley, 2014) Akmese, Zehra Baykal; Oran, Nazan TunaIntroductionBack pain is commonly experienced by pregnant women. Evidence suggests that progressive muscle relaxation (PMR) therapy, a complementary therapy widely used by pregnant women, may improve the physical and psychological outcomes of pregnancy. The aim of this study was to investigate the effects of PMR training accompanied by music on perceived pain and quality of life (QOL) in pregnant women with low back pain (LBP). MethodsThis was a prospective randomized controlled trial. The study was designed to examine the effects of PMR accompanied by music on pregnant women with LBP. In total, 66 pregnant women were assigned randomly to a PMR group or a control group (33 women in each). A personal information form was used as a data collection tool; a visual analog scale was used for measuring pain; and the Short Form-36 was used to evaluate QOL. ResultsThe control and intervention groups were comparable at baseline. Significant differences were observed between the 2 groups after 4 and 8 weeks of intervention. The intervention group showed significant improvement in all QOL subscales after the intervention. The intervention group, but not the control group, showed significant improvement in perceived pain after the intervention. The intervention group experienced a greater decrease in perceived pain and improved QOL than the control group. DiscussionOur findings show that PMR accompanied by music may be an effective therapy for improving pain and QOL in pregnant women with LBP. Large randomized studies are recommended to confirm these results. (C) 2014 by the American College of Nurse-Midwives.Öğe Fig seed oil improves intestinal damage caused by 5-FU-induced mucositis in rats(Wiley, 2024) Alan, Nurten; Oran, Nazan Tuna; Yilmaz, Pinar Akokay; Celik, Asli; Yilmaz, OsmanIntestinal mucositis poses a significant concern associated with cancer therapy. This study aims to investigate the protective and/or healing effect of fig seed oil (FSO) on 5-fluorouracil (5-FU)-induced intestinal mucositis by targeting inflammatory markers and histologic changes in rats. Albino Wistar adult rats were randomly divided into four groups, including three male and three female animals. All the animals in the four groups had a normal standard diet and water throughout the experimental period, which lasted up to 11 days. Rats were administered FSO 0.6 mL (mucositis FSO group) and FSO 0.2 mL (mucositis FSO-R group) daily throughout the experiment. These two groups and one additional group (mucositis group) were given an intraperitoneal injection of 5-FU (300 mg/kg) on Day 5 of the experiment. In contrast, the fourth group (Control group) was given an intraperitoneal saline injection on Day 5 of the experiment. FSO treatment ameliorated 5-FU-induced intestinal mucositis. On immunohistologic examination, FSO suppressed significantly the activation of NF-kappa B and expression of IL-beta and TNF-alpha of the harvested intestinal tissue. The reduced dose FSO (mucositis FSO-R) was as effective as the full dose (mucositis FSO) in suppressing IL-beta and TNF-alpha production, but was not as effective as the full dose in suppressing NF-kappa B. On light microscopy, FSO attenuated significantly 5-FU-induced anomalies, such as the reduction of intestinal villus length and Goblet cell count. The reduced dose FSO (mucositis FSO-R) was as effective as the full dose (mucositis FSO) in restoring villus length, but was not as effective as the full dose in restoring Goblet cell count. The findings of the study suggest that FSO inhibits 5-FU-induced intestinal mucositis via modulation of mucosal inflammation.Öğe Health Promotion Lifestyle and Cancer Screening Behaviors: A Survey among Academician Women(Asian Pacific Organization Cancer Prevention, 2008) Oran, Nazan Tuna; Can, Hafize Ozturk; Senuzun, Fisun; Aylaz, Rukiye DurmazBreast self examination (BSE), screening mammography and Pap smear screening can significantly reduce mortality from breast and cervical cancer. In an effort to understand the factors that influence BSE, mammography, and Pap smear behavior of woman academicians, we here explored the relation between health promotion life-style and women's cancer screening practice. A total of 750 woman academicians working in a university were enrolled, 350 of them responding to the survey. The study instruments used were the Health Promotion Life-Style Profile (HPLP) scale and a questionnaire of demographic data. There was a significant relationship between age-group, marital status, presence of cancer in the family, history of cervical erosion and doing BSE, having mammography and a Pap smear. Additionally, both the general mean and nearly all domains of HPLP were significantly related to BSE, mammography, and Pap smear behavior. This study demonstrated strong relationships between breast and cervical cancer screening behavior and health promoting lifestyle in this subgroup of women, making an important contribution to understanding the factors influencing women's health behavior.Öğe Hemodiyaliz hastalarında venöz katetere heparin kilidi uygulama sıklığının tıkanıklığın önlenmesine etkisinin incelenmesi(Ege Üniversitesi, 2004) Oran, Nazan Tuna; Eşer, İsmet98 ÖZET HEMODİYALİZ HASTALARINDA SANTRAL VENÖZ KATETERE HEPARÎN KİLİDİ UYGULAMA SIKLIĞININ TIKANIKLIĞIN ÖNLENMESİNE ETKİSİNİN İNCELENMESİ Bu çalışma, hemodiyaliz hastalarında santral venöz katetere heparin kilidi uygulama sıklığının tıkanmayı önlemede etkisini belirlemek amacıyla yapılmış, deneysel ve analitik bir çalışmadır. Araştırma, Sosyal Sigortalar Kurumu İzmir Tepecik Eğitim Hastanesi Hemodiyaliz Ünitesi'nde Nisan 2003 - Mart 2004 tarihleri arasında yürütülmüştür. Araştırma kapsamına; Sosyal Sigortalar Kurumu İzmir Tepecik Eğitim Hastanesi Hemodiyaliz Ünitesi'nde hemodiyaliz tedavisi programına alman, yeni geçici santral venöz kateter yerleştirilen, kanama diyatezi olmayan ve antiagregan ilaç kullanmayan 30 hasta alınmıştır. Olasılıksız örneklem yöntemiyle seçilen 15 hasta uygulama grubunu, 1 5 hasta ise kontrol grubunu oluşturmuştur. Geçici santral venöz kateter takılan hastalardan kontrol grubundakilere araştırmacı tarafından kateterizasyonun ilk gününden başlayarak diyaliz ünitesinde haftanın 3 günü katetere heparin kilidi uygulanmıştır. Uygulama grubundaki hastalara ise kateterizasyonun ilk gününden başlamak üzere, diyaliz tedavisi aldığı günlerde hemodiyaliz ünitesinde, diyaliz tedavisi yapılmayan günlerde hastanede, taburcu olduktan sonra ise evinde araştırmacı tarafından haftada 6 kez heparin kilidi uygulanmıştır. Hastaların izlemleri geçici santral venöz kateterleri çıkartılıncaya kadar devam etmiştir. Verilerin analizi Ki-kare, Fisher's Kesin Ki-kare ve Mann-Whitney U testi kullanılarak yapılmıştır.99 Araştırma sonuçlarına göre; haftada 6 kez heparin kilidi uygulama ile, yaygın kabul görmüş uygulama olan haftada 3 kez diyaliz günlerinde heparin kilidi uygulaması karşılaştırıldığında, haftada 6 kez heparin kilidi uygulamanın kateterin tıkanmasını önlemede etkili olmadığı saptanmıştır. Ancak bu yöntemin; kateterden serum flaşı güçlüğünü (kateter içi trombüs birikimi) azaltmada, kateter aspirasyon güçlüğünün (kateter ucu/çevresi trombüs oluşumu) ilk ortaya çıkma zamanını geciktirmede dolayısıyla diyaliz makinesi akım hızını daha yüksek seviyede tutmada etkili olduğu belirlenmiştir. Haftada 3 kez yerine 6 kez katetere heparin kilidi uygulamak pratik bir yöntem gibi gözükmese de, daha kesin bulgular ve öneriler elde etmek için bu uygulamanın daha çok sayıda hasta üzerinde yapılması, hastalara hastanede yattıkları sürece haftada 6 kez heparin kilidi uygulaması önerilmektedir. Anahtar Kelimeler: hemodiyaliz, santral venöz kateter, heparin kilidi, tıkanmaÖğe Influence of prenatal risks of pregnant women on mental symptoms(Cumhuriyet Univ Tip Fak Psikiyatri Anabilim Dali, 2014) Oran, Nazan Tuna; Bilge, Aysegul; Can, Hafize Ozturk; Kocak, Yeliz Cakir; Demgreloz, Mahide; Karslioglu, Serap; Sogukpinar, NerimanObjective: In this study, it was aimed to investigate the influence of prenatal risk indicator scores of pregnant women on mental symptoms. Methods: This cross-sectional study was carried out with 142 pregnant women who were admitted to obstetrics clinic of a state hospital in Izmir province and who stated that they were not diagnosed with any psychiatric diseases. A form questioning socio-demographic and obstetric characteristics of pregnant women, Prenatal Risk Indicator aiming at determining risk of pregnant women and Brief Symptom Inventory (BSI) aiming at screening mental symptoms were used for data collection. Results: The most common risk factors according to risk indicator were detected as experiencing urinary tract infection during the current pregnancy, being nulliparous, receiving late or insufficient prenatal care and inadequate weight gain and almost half of the pregnant women were found to be high risk. In addition, it was found that BSI scores were low, paranoid thought scores were high in high risk women and there was a positive correlation and phobic anxiety scores of all pregnant women were equal. Conclusion: High risk pregnant women were detected to have paranoid thoughts and all pregnant women found to experience phobic anxiety equally.Öğe Investigation of the Effect of Laughter Yoga on Stress-Coping Behaviors in Nursing Students' Starting University(Wiley, 2024) Alan, Nurten; Ugur, Ozlem; Bedez, Gulsah; Oran, Nazan TunaAim. This study was aimed to investigate whether the practice of laughter yoga in nursing students who just started university can help them cope with stress. Design. An experimental randomized controlled study was conducted. Methods. The research was conducted with first-year students (n = 38) who were willing to participate in the study. The intervention group took part in six 45-50 minute laughter yoga sessions twice a week for three weeks. Results. The comparison of the mean and total scores obtained from the Coping Behavior Inventory and Physio-Psycho-Social Response Scale by the participants in the control and intervention groups before and after the implementation of the laughter yoga practices demonstrated that there was a statistically significant difference between the two tests in the intervention group and the difference was especially evident between the pre- and posttest scores obtained from the Coping Behavior Inventory. Conclusions. In this study, laughter yoga practice helped the participating nursing students who just started university to cope with stress. It can be recommended that laughter yoga should be integrated into the curriculum in schools where nursing education is provided as a way of coping with stress, that its use should be expanded, and that randomized controlled experimental studies in which its physiological and psychological effects in different groups are investigated with objective and subjective parameters should be conducted.Öğe Massage and heat application on labor pain and comfort: A quasi-randomized controlled experimental study(Elsevier Science Inc, 2021) Turkmen, Hulya; Oran, Nazan TunaAim: The aim of this study was to determine the effects of sacral massage and heat application on the perceptions of labor pain and comfort level in pregnant women. Methods: This was a quasi-randomized controlled experimental study. The data were collected under three groups in 2016: the heat application group (HAG), the massage group (MG), and the control group (CG). Each group included 30 primiparous pregnant women (range of age: 17-35) whose cervix was dilated to 4-5 cm. At 4-5 cm, 6-7 cm, and 8-9 cm cervical dilation, sacral massage was applied to MG, and sacral heat application was applied to HAG. Each group received standard midwifery care during labor. The data were collected using the Childbirth Comfort Questionnaire (CCQ) and the Numerical Rating Scale (NRS). The data were analyzed by using the Chi-square test, the Friedman test, Paired sample t -test, ANOVA, the Kruskal-Wallis test, and Wilcoxon signed-ranks test Results: The mean pain score in HAG (4.56 +/- 0.67) during 4-5 cm of cervical dilation was significantly lower than those in MG (5.03 +/- 1.06) or CG (5.23 +/- 0.72) (p < 0.05). The mean pain scores in HAG (6.80 +/- 0.7) and MG (7.30 +/- 0.8) during 6-7 cm of cervical dilation were significantly lower than that in CG (7.70 +/- 0.5) (p < 0.001). Moreover, a statistically significant difference was found between the mean CCQ total scores (HAG: 31.06 +/- 3.46, CG: 27.66 +/- 3.85, p < 0.05), mean CCQ physical comfort scores (HAG: 13.16 +/- 1.89, CG: 11.03 +/- 1.80, p < 0.001), mean CCQ relief comfort level score (HAG: 11.23 +/- 1.43, CG: 10.00 +/- 2.01, p < 0.05) and mean CCQ transcendence comfort level scores (HAG: 19.83 +/- 2.37, CG: 17.66 +/- 2.15, p < 0.05) and both HAG and CG during 8-9 cm of cervical dilation. Conclusions: Heat application and massage can be used as a safe and effective midwifery intervention to reduce the perception of pain in pregnant women and provide comfort during labor. (c) 2020 Elsevier Inc. All rights reserved.Öğe Nursing Students’ Employment Hope: Türkiye Example: Cross-Sectional Descriptive Study(2022) Alan, Nurten; Oran, Nazan TunaObjective: Today, unemployment has become an in- creasing problem. In general, the reason for attending university in our country, Türkiye, is the anxiety about getting a job. The authors’ aim was to investigate undergraduate nursing students’ employment hope levels and to determine the factors affecting employment hope. Material and Methods: In this study, the descriptive-survey research method was used. The sample of the study consisted of undergraduate nursing students who attended the nursing faculty of a public university in the 2018-2019 academic year. The Sociodemographic Characteris- tics Questionnaire, Employment Hope Scale and Beck Hopelessness Scale were used as data collection tools.Results: The sample group of the study consists of 645 students and the participation rate was 59.12%. In the study, 53.5% preferred nursing of their own free will, 82.5% wanted to improve themselves in the profession and to stay in the profession after they graduated, and 89.3% worried about finding a job. The analysis of the correlation between the variable choosing nursing by one’s own preference and the employment hope levels revealed that, though statistically not significant, the variable positively correlated with the “psychological empowerment” subscale (p=0.067), and sig- nificantly positively with the “goal-oriented pathways” subscale (p<0.001). Conclusion: It is recommended to provide the participants with guidance services on the psychological effects of unemployment and methods to cope with these effects, and to gain them various per- spectives to view nursing from different aspects by acquainting them with the fields they are to work in after graduationÖğe An online communication skills education program for midwifery students: A quasi-experimental study(Churchill Livingstone, 2024) Akmese, Zehra Baykal; Demir, Emine; Oran, Nazan TunaBackground: Communication and entrepreneurship skills, which have a very important place among the 21st century skills, are among the basic skills that a midwife should have. Objective: This study was carried out to investigate the effect of the Communication Skills Education Program on the communication and entrepreneurship skills of the midwifery students. Design: This study was designed a quasi-experimental study. Settings: Online. Participants: First grade Bachelor of Midwifery Science students (n = 117). Methods: In this study, the Communication Skills Education Program was given to midwifery students. The Communication Skills Assessment Scale and University Students Entrepreneurship Scale were administered before the education program was implemented (pre-test), when the training program was completed (post-test), and six months after the education program was completed (post-test). Classified data were given in numbers and percentage distribution. Pearson correlation coefficient was used to determine the relationship between the variables. In order to test the significance of the difference between pre-test, post-test and follow-test the repeated measures Analysis of Variance (ANOVA) was performed. Results: The mean age of the participating students was 19.46 +/- 1.74 (min. 18.0, max: 31.0) years. While 8.5 % of the students received training on communication previously, 7.7 % of the students received education on entrepreneurship previously. Statistically significant differences were determined between the scores the students obtained at the pre-test, post-test and follow-up test [F = 224.38, p = .00/F = 325.13, p = .00]. The Bonferroni test performed to find out from which tests the difference stemmed demonstrated that there was a significant difference between the mean scores obtained at all the tests. According to the analysis of the relationship between the mean scores the students obtained from the scales, there was a moderately significant positive correlation only between their pre-test mean scores. Conclusions: In conclusion, we determined that the Communication Skills Education Program improved the students' communication and entrepreneurship skills.Öğe Perspectives on the use of ChatGPT in academic publications(Oxford University Press, 2024) Kardes, Guzin; Oran, Nazan TunaThe use of ChatGPT, an artifcial intelligence-based language model, in article writing has raised ethical issues such as authorship, plagiarism, and errors in references. In this research, we aimed to examine the use of ChatGPT in academic publications from an ethical perspective. In the procedures published by many publishers, it is stated that ChatGPT cannot be accepted as an author, but support can be received from them in cases such as translation, and this support should be clearly stated in the acknowledgment section of the article. However, there is a need for programs that can objectively evaluate the sections where ChatGPT is used, rather than relying on the subjective statements of the authors regarding for which parts of the article they have received support from ChatGPT. With the correct use of this technology, it is thought that concerns in the field of academia can be eliminated in the near future.Öğe Postpartum Excessive Social Support Scale: A Scale Development and Psychometric Testing Study(Sage Publications Inc, 2024) Turkmen, Hulya; Oran, Nazan Tuna; Gurol, Serpil; Ince, Kuebra AydinIntroduction: In Turkey and other collectivist cultures, child-rearing is a communal effort provided by multiple family members, especially female relatives such as mothers-in-law, aunts, and sisters. Environments with excessively controlling social factors can adversely affect their maternal roles. This study was conducted to develop a measurement tool for determining postpartum excessive social support. Methods: This is a scale development and psychometric evaluation study. In the study, a draft of the Postpartum Excessive Social Support Scale (PESSS) was created, subsequently submitted to expert opinion, and administered to mothers in the postpartum period of 1 to 6 weeks online between March and December 2023 (n = 440). A factor analysis (including explanatory factor analysis [EFA] and confirmatory factor analysis) was conducted to determine the construct validity of the scale, while Cronbach's alpha was examined to establish its reliability. Response bias (Hotelling T-2) and additivity (Tukey's test of additivity) of the scale were also determined in the study. Results: For the content validity of the scale, 10 experts from the field of midwifery were consulted (content validity index [CVI] = 0.80). As a result of the EFA, Kaiser-Meyer-Olkin value was found as 0.916. Through factor analysis using the direct oblimin rotation technique, a four-factor structure was identified for the scale, explaining 64.197% of the total variance (social pressure, effect of environmental factors on paternal role, effect of environmental factors on maternal role, and barriers in mother-infant interaction). The internal reliability coefficient of the scale was highly reliable (Cronbach's alpha = 0.936). There was no response bias in the scale (Hotelling's T-2 = 433.558, p < .001) and it was additive (Tukey's Non-additivity = 0.000, p < .001). Discussion: The PESSS is a 20-item scale measuring excessive social support between 1 and 6 weeks postpartum. The PESSS serves as a guiding tool for health care professionals to identify excessive environmental pressure hindering mothers' maternal role and to provide care accordingly. In this context, health care professionals can readily utilize the PESSS in routine postpartum assessments for mothers.Öğe The Pregnancy Following Kidney Transplantation and Interdisciplinary Approach: Review(Ortadogu Ad Pres & Publ Co, 2010) Kocak, Yeliz Cakir; Oran, Nazan TunaA sizable portion of females that are 15 to 49 years old in reproductive age become pregnant following kidney transplantation. After a successful transplantation, renal and endocrine functions quickly return to normal in many women and ovulation ensues as well normal sexual life continues. Data exist in medical literature about the increased rate of live births and pregrancy following dialysis and especially transplantation. Five percent of women in reproductive age, who underwent transplantation can conceive. However, permission which is given 18 to 24 months after transplantation for conceiving, is important for maternal and fetal well being. Today, transplantation became a frequently utilized option for the treatment of end stage kidney disease. With technical improvements, pregnancy following transplantation is considered frequently and live birth rates are increased along with. According to the "The National Transplantation Pregnancy Registry (NTPR)" 2008 data, which is the center for the registry of pregnant patients underwent kidney transplantation, a total 1.262 births from 1.226 pregnancies (including twins and triplets) are seen in 787 patients after kidney transplantation. Maternal and fetal risks should always be considered although succesful pregnancy rates have been reported to be increased in female patients following kidney transplantation. For successful pregnancy following transplantation, physician, nurse and midwifes contribute together for continuity for the antepartum, intrapartum and postpartum follow up, care, treatment that are given as interdisciplinary approach.Öğe Prevalence of restless leg syndrome and effects on quality of life during pregnancy(Springer Heidelberg, 2021) Oran, Nazan Tuna; Yuksel, Esma; Ruzgar, SebnemPurpose Restless leg syndrome (RLS) is a movement disorder which constitutes the most common and major risk group during pregnancy. The purpose of this study was to determine prevalence and severity of RLS during pregnancy and to investigate the effect of RLS on quality of life in pregnant women. Methods This cross-sectional study was conducted in antenatal clinics of four different public hospitals. Data collected were pregnancy assessment form, RLS diagnostic criteria form, RLS severity scale, and SF-12 quality of life scale. Results Among 718 pregnant women, mean age was 28.3 +/- 5.9 years (range 19 to 45). According to the diagnostic criteria of RLS, RLS prevalence was 22% (n=159). of the 159 women with RLS, 41% had moderate severity and 40% had severe RLS. Prevalence of RLS in pregnant women increased with gestational week, working time during pregnancy, weight before pregnancy, total weight gain during pregnancy, and pre-pregnancy body mass index. Physical health scores, physical functioning scores, pain scores, emotional role difficulty scores, and social function scores were significantly lower in the pregnant women with RLS than without RLS (p <0.05). Conclusions Approximately one-fifth of the pregnant women had RLS, mostly in the third trimester, and the severity of RLS was predominantly moderate and severe. Pregnant women with RLS had poorer quality of life than pregnant women without RLS.
