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Öğe A qualitative study on Turkey's earthquakes, the century's catastrophe: Perspectives and coping methods of surviving nursing students(Wiley, 2025) Sari, Ebru Sonmez; Terzi, HandanAimTo understand the experiences and coping strategies of nursing students who were impacted by Turkey's once-in-a-century catastrophic earthquakes in 2023.BackgroundNursing students rarely experience a disaster in person, and their imagination can be limited.MethodsThis study used a descriptive-qualitative study design. It was conducted with 17 first-year nursing students, studying at a university in the northeastern part of Turkey, who survived the earthquake. A personal information form and a semistructured questionnaire were used to collect the data. The data were collected between March and April 2023 and analyzed using the content analysis method and the MaXQDA programme.ResultsThe data were grouped into three main themes-What 'earthquake' was and what it is now?, Am I aware of the 'earthquake' now?, and Coping mechanisms and supporting systems-and categorized into seven subthemes.ConclusionsThe experiences of earthquake-affected nursing students emphasized the importance of being prepared for disasters and meeting their emotional needs.Implications for nursing practice and policiesIncluding specific courses and case studies regarding disasters, whether natural or human-made, in education programs can ensure better prepared nurses. Also, the integration of content about management and coping with such crises into nursing curricula is considered vital.Öğe Cross-cultural adaptation and psychometric evaluation of the Turkish version of the Smombie Scale for Adolescents(Wiley, 2024) Sari, Ebru Sonmez; Mert, Zeynep Temel; Cakmak, Vahide Semerci; Atli, Pelin SevgilBackgroundSmombie has become an important problem especially in terms of adolescent health. The aim of this study was to translate the Smombie Scale for Adolescents (SSA) into Turkish and to examine its psychometric properties.MethodsThis study has a methodological design. The study was conducted between March and April 2024. The sample of the study consisted of 430 adolescents. The data were collected by using Personal Information Form and SSA. Content Validity Index, Confirmatory Factor Analysis (CFA), test-retest reliability, Cronbach's alpha coefficient, item-total score correlation, 27% upper-lower group item analysis and Hotelling T2 test were used in data analysis.ResultsThe four-factor structure of the scale showed a good fit in CFA (chi-square minimum discrepancy [CMIN] = 187.463, degrees of freedo (DF) = 83, CMIN/DF = 2.259, root mean square error of approximation = 0.054, root mean square residual = 0.033, goodness of fit index = 0.947, adjusted goodness of fit index = 0.923, normed fit index = 0.930, tucker-lewis index = 0.949 and comparative fit index = 0.959). Cronbach's alpha coefficient of the scale was found to be 0.86. The item-total score correlation of the scale was found between 0.212 and 0.721. The test-retest intraclass correlation coefficient of the scale was found to be 0.876.ConclusionsThis study shows that the scale is a reliable tool for assessing adolescents' smombie tendencies. It is thought that the scale will contribute to the protection and development of adolescent health.Öğe Development of the diabulimia knowledge level scale(W B Saunders Co-Elsevier Inc, 2023) Ozdemir, Serap Cetinkaya; Semerci, Vahide; Sari, Ebru SonmezThe aim of this study was to develop the Diabulimia Knowledge Level Scale. The nurses voluntarily participated in the research (n = 384). The Diabulimia Knowledge Level Scale consists of 19 items and four factors. The four factors that make up the scale according to the results of Exploratory Factor Analysis explain 68.53 % of the total variance. The total Cronbach alpha coefficient of the scale was found to be 0.92. The Diabulimia Knowledge Level Scale is the first scale developed to determine the level of diabulimia knowledge among nurses. The scale is valid and reliable.Öğe The effect of nurse-led motivational interviewing based on the trans-theoretical model on promoting physical activity in healthy older adults: A randomized controlled trial(Wiley, 2024) Sari, Ebru Sonmez; Kitis, YeterAimThe aim of this study was to evaluate the effect of motivational interviewing based on the trans-theoretical model promoting physical activity in older adults.MethodsA randomized controlled trial study was conducted with 117 older adults (intervention group: 58, and control group: 59) between April and November 2019. The data were collected via a questionnaire, trans-theoretical model scales, the Physical Activity Scale for the Elderly, the Katz Activities of Daily Living scale and a pedometer. The 24-week intervention consisted of regular motivational interviewing. The control group received usual care at the family health centre.ResultsFollowing the intervention, the Intervention Group showed significant improvements Exercise Processes of Change Scale, Exercise Self-Efficacy Scale and Perceived Benefits of the Decisional Balance Scale for Exercise. There was a significant difference between the groups in terms of stages of change. In the Intervention Group, 81.5% were in the contemplation stage in the pre-test, while in the post-test, 70.4% had transitioned to the action stage. In contrast, in the control group, 62.5% were in the contemplation stage initially, but in the post-test, only 9.3% had reached the action stage. The mean number of step counts increased significantly in favour of the Intervention Group, as did the Physical Activity Scale for the Elderly total score.ConclusionThe trial indicated that after the trans-theoretical model-based motivational interviewing, the stages of change among the older adults improved, as did their exercise behaviours. It is recommended that the trans-theoretical model and motivational interviewing be used by nurses to improve healthy lifestyle stage behaviours in older adults. What is already known about this topic? Physical immobility ranks fourth among the leading risk factors for mortality globally. Older adults constitute the age group which leads the most sedentary life in society and is most affected by physical inactivity. In Turkey, one out of every two people undertakes insufficient physical activity, and this rate increases with advancing age.What this paper adds? Nurse-led motivational interviewing based on the trans-theoretical model was effective in increasing the physical activity levels of the older adults.The implications of this paper: It is recommended that the trans-theoretical model and motivational interviewing should be used by nurses to improve healthy lifestyle behaviours in older adults. It is recommended that studies be conducted to assess the effectiveness of interventions aimed at promoting physical activity in older adults via both qualitative and quantitative methods.Öğe Experiences of adults with type 2 diabetes mellitus with low socioeconomic status: a qualitative study(Bmc, 2025) Cakmak, Vahide Semerci; Sari, Ebru Sonmez; Ozdemir, Serap CetinkayaBackgroundAdults with diabetes encounter various challenges related to managing their condition. In this study, we explored the experiences of adults with type 2 diabetes mellitus with low socioeconomic status in T & uuml;rkiye.MethodsThis study was conducted as a phenomenological qualitative research. The purposive sampling method was used to select adults with type 2 diabetes. Data saturation was achieved with 20 patients. The data were collected through a demographic information form and a semi-structured questionnaire. The participants were interviewed by phone. The interviews were conducted in a quiet environment where the participants could respond comfortably. During the data analysis process, the content analysis approach suggested by Graneheim and Lundman (2004) was used. This method involves identifying meaningful units within the text, coding these units, and developing sub-themes and main themes. The MAXQDA 20 software was used for data management.ResultsThe participants were between 41 and 71 years old. Four main themes and ten subthemes were identified in the analysis. Themes: The identified themes included difficulties with dietary management of diabetes, individual difficulties, difficulties with self-management in diabetes, and coping strategies. According to Theme 1, it was observed that the participants experienced difficulties in managing nutrition in diabetes due to the economic aspect of diet and the inability to adapt to the diet. According to Theme 2, it was observed that the participants faced physical, psychological, and social difficulties. According to Theme 3, it was observed that the participants faced difficulties related to diabetes self-management, including blood glucose monitoring, insulin injection administration, and maintaining glycemic control. According to Theme 4, it was observed that the participants attempted to cope with diabetes-related difficulties through healthy lifestyle habits and family support.ConclusionOur findings indicate that adults with type 2 diabetes in low socioeconomic status face challenges related to biopsychosocial factors, nutrition, and diabetes self-management. However, these individuals managed their difficulties by adopting healthy lifestyle behaviors and relying on family support. The challenges faced by adults with diabetes may be alleviated through awareness training on dietary management and glycemic control.Öğe Fear of Falling Avoidance Behavior on Daily Living Activities and Physical Activity in Older Adults: A Cross-Sectional Study(Wiley, 2025) Keskin, Sultan Turkmen; Sari, Ebru Sonmez; Canbulat, Sahinde; Ozturk, Fatma OzlemThe aim of this study was to investigate the effect of avoidance behavior due to fear of falling on dependency levels in activities of daily living and physical activity levels in older adults. This study is a cross-sectional research design. Data were collected between November 2023 and March 2024. A total of 506 individuals aged 65 years and over participated in the study (mean age 71.26). It was determined that the older adults had low level of fear of falling avoidance behaviors were fully independent in activities of daily living and had low level of physical activity. The multiple linear regression analysis showed that age, marital status, education, living with and fear of falling avoidance behavior affected daily living activities; age, place of residence, gender, income status, chronic disease status, and fear of falling avoidance behavior affected physical activity level (R2 = 0.183; R2 = 0.197, respectively). This study revealed the necessity of interventions to prevent fear of falling avoidance behaviors in order to increase the activities of daily living and physical activity levels among older adults.Öğe Hypoglycaemic confidence levels and experiences related to the hypoglycaemia of patients with diabetes: A mixed methods study(Wiley, 2024) Sari, Ebru Sonmez; Cakmak, Vahide Semerci; Ozdemir, Serap Cetinkaya; Sefer, Betul EssizAimsThis study had three aims: to determine the hypoglycaemic confidence levels of participants, to identify factors affecting hypoglycaemic confidence levels of participants and to assess experiences related to hypoglycaemia of participants.DesignThe explanatory-sequential-mixed method was used in this study.MethodsThe quantitative stage included a sample of 177 people, and the qualitative stage included a sample of 18 people. Data of the study were collected between April and June 2023 with the Hypoglycemic Confidence Level Scale, Personal Information Form and Semi-Structured Interview Form. Descriptive statistics, independent samples t-test, one-way ANOVA and multiple linear regression analysis were used for quantitative data analysis. For the qualitative data analysis, content analysis was performed in the MaxQda program.ResultsThe scale items are scored between 1 and 4, and an increase in the score obtained from the scale indicates an increase in confidence levels. The mean hypoglycaemic confidence level score of the participants was 3. The data obtained in the qualitative stage were grouped under three main themes: Experiences Related to Hypoglycaemia, Reasons for Experiencing Hypoglycaemia and Managing Hypoglycaemia.ConclusionIdentifying hypoglycaemic confidence levels and hypoglycaemia experiences of patients with diabetes can guide health professionals, especially nurses, in promoting person-centred care interventions.ImpactThe study discussed the hypoglycaemic confidence levels of diabetic patients and their experiences related to hypoglycaemia. The factors affecting the hypoglycaemic confidence level of the participants were educational status, income status, fear of experiencing hypoglycaemia, ability to self-administer insulin, receiving hypoglycaemia training and frequency of experiencing hypoglycaemia. The results of this study may provide guidance for the development of appropriate prevention and coping strategies for hypoglycaemia. Identifying the experiences of patients with diabetes with hypoglycaemia can guide health professionals, especially nurses, in promoting person-centred care interventions.Reporting MethodThe Good Reporting of a Mixed Methods Study (GRAMMS) checklist was used for reporting.Patient or Public ContributionNo patient or public contribution.Öğe Perceptions of Good Death and Death Literacy Levels of Nurses Working in Palliative Care: A Cross-Sectional Study(Wiley, 2025) Seven, Ahmet; Sari, Ebru Sonmez; Semerci, VahideAimTo determine the perceptions of good death and death literacy levels of Turkish nurses working in palliative care services and the factors affecting their perceptions of good death.BackgroundDeath literacy is defined as the acquisition of the knowledge and skills necessary to understand end-of-life care and contribute to a good death.MethodsFor this cross-sectional study, sample consisted of 162 Turkish nurses working in palliative care services. The data were collected using the Socio-demographic Information Form, Good Death Scale (GDS), and Death Literacy Index (DLI). The data were analyzed by Pearson correlation, independent sample t test, and one-way ANOVA. Hierarchical regression analysis was performed to determine the predictors of good death perception. The STROBE checklist was used in the study.FindingsThe mean GDS score was 59.53 +/- 4.49, and the mean DLI score was 100.70 +/- 12.11. It was determined that those who are older, male, married, have worked longer in the clinic, and have knowledge about a good death have higher average scores on the GDS. The models explain 91.8% of the variance in the perception of good death.DiscussionOur study shows that as death literacy increases, nurses' perceptions of a good death tend to decrease. This situation suggests that as nurses' knowledge and awareness of death increase, the inadequacies of the healthcare system and the impact of limited resources may cause them to develop a more negative perception. Death literacy in nurses is a new concept, and further studies are needed in different cultures.ConclusionsIn the study, it was observed that death literacy levels and good death perceptions of nurses were above average, and as the death literacy level of nurses increased, their good death perceptions decreased. Age, gender, marital status, working time in the clinic and knowledge about good death affect the perception of good death of nurses working in palliative care.Implications for nursingBy improving their understanding of death literacy and the principles of a good death, palliative care nurses can achieve greater job satisfaction and develop a more positive attitude toward end-of-life care. In addition, systematically incorporating death literacy into nursing education curricula and continuing professional development programs, and the establishment of evidence-based clinical guidelines and standard care protocols will improve the quality of palliative care services.Öğe Social Media Addiction and Cognitive Behavioral Physical Activity Among Adolescent Girls: A Cross-Sectional Study(Wiley, 2025) Sari, Ebru Sonmez; Terzi, Handan; Sahin, DidemObjectiveTo measure a multivariate analysis of social media addiction and cognitive-behavioral physical activity associated with several sociodemographic characteristics in adolescent girls.Design and MethodsA cross-sectional study. The sample consisted of adolescent girls studying in a vocational high-school in the Middle-Black-Sea region in T & uuml;rkiye (n = 333). A questionnaire, Social Media Addiction Scale-for-Adolescents (SMAS-A), and Cognitive-Behavioral Physical Activity Questionnaire (CBPAQ) were used to collect the data.ResultsThe mean age was 15.35 (SD = 1.15), and 29.4% were the ninth-class students. Of the adolescent girls, 85.9% were social-media users, 59.8% used the internet 2-hours-or-more/daily, 67.9% declared themselves as moderately-active. The mean scores of the SMAS-A and the CBPAQ were 3.40 (SD = 1.61) and 21.03 (SD = 7.64), respectively. There was a significantly-negative correlation between cognitive-behavioral physical activity and social-media addiction levels. The One-Way MANOVA results showed significant differences in the academic level, family income, mother education, and physical activity measurement application usage affected to cognitive-behavioral physical activity. Social media usage habit affected to the social media addiction level.ConclusionsDaily internet usage time and self-declared physical activity level were the mutually affected factors. School nurses should act to improve healthy social media usage habits to promote well-being and encourage the positive attitudes towards regular physical activity in this population.Öğe The Effect of Health Literacy Level of Caregivers of Individuals With Diabetes on Care Activities and Supportive Behaviours(Wiley, 2025) Cakmak, Vahide Semerci; Akeren, Zahide; Sari, Ebru Sonmez; Kalyoncuo, ServetBackgroundTo determine the effect of the health literacy levels of caregivers of individuals with T2DM on caregiving activities and supportive behaviours.MethodsCross sectional study. The sample for the study comprised of people who provided care for 442 individuals who were diagnosed with diabetes. The data were collected using the Personal Information Form, HLS-14 and D-CASS. Descriptive statistics, Independent samples t test, One-Way ANOVA and multiple linear regression analysis were used to analyse the data.ResultsAccording to the results of the multiple linear regression analysis, the model was found to be statistically significant, and the variables that were incorporated into the model were able to explain 68.1% of the variance. Among the variables included in the model, HLS-14, educational status, employment status, income status and diabetes-related education were found to affect the care activities and supportive behaviours of caregivers of individuals with diabetes.ConclusionIn the research, it was determined that care activities and supportive behaviours were higher in those with higher levels of HL, higher levels of education, those who were not employed, those with higher income levels, and those who received education about diabetes. Nurses should develop training programmes to increase the HL levels of caregivers.Öğe The effect of sociodemographic characteristics and polypharmacy on loneliness and social isolation in community-dwelling older adults(Mosby-Elsevier, 2024) Sari, Ebru Sonmez; Ozdemir, Serap Cetinkaya; Cakmak, Vahide Semerci; Kurt, FatmaThe aim of this study was to assess the impact of sociodemographic factors and polypharmacy on loneliness and social isolation in older adults. This cross-sectional study included 370 older adults with and without polypharmacy. The data were gathered via the Personal Information Form, Loneliness Scale for Elderly, and Lubben Social Network Scale-Revised. A multivariate ANOVA (MANOVA) was conducted to assess the impact of independent variables on the combined dependent variables. Loneliness and social isolation were found higher in older adults with polypharmacy. In addition, loneliness and social isolation are more common in women, individuals with low educational attainment, single individuals, individuals with low income, individuals living in rural areas, individuals with poor family relationships, individuals not living with their families and individuals with chronic diseases. It is thought that the findings of this study will be guiding for all health professionals working in the field of elderly health in interventions to be planned for the elderly population. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
