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    Death anxiety and death literacy among Turkish patients with chronic diseases: a cross-sectional study
    (Bmc, 2025) Semerci Cakmak, Vahide; Seven, Ahmet; Sonmez Sari, Ebru
    Background Death anxiety is common in patients with chronic diseases. Death literacy is a novel theoretical framework that enables patients to discuss death, accept it as a natural aspect of life, and get a deeper comprehension of it. However, it is unclear whether there is a relationship between death literacy and death anxiety. Furthermore, death literacy has not been sufficiently researched in Turkish society. This study investigated the levels of death anxiety and death literacy among Turkish patients with chronic diseases and the factors affecting death anxiety. Methods This was a cross-sectional study. The sample consisted of Turkish patients with chronic diseases (n = 225). The data were collected with the Turkish Death Anxiety Scale and the Death Literacy Index. Pearson correlation, independent samples t test, One-Way ANOVA, and multiple linear regression were employed to analyse the data. Results There exists a negative moderate correlation between death anxiety and death literacy. It has been determined that the factors that most influence patients' fear of death are their level of death literacy and gender. These factors explained 12.8% of the variance in death anxiety (R2 = 0.128, F = 3.153, p < 0.001). Conclusions The results suggest that death literacy level and gender were found to be factors affecting death anxiety of patients. Women have higher death anxiety scores. While the level of death literacy of Turkish patients with chronic diseases increases, their death anxiety decreases. The findings of the study were believed to offer a comprehensive information for healthcare practitioners in the management of such patients.
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    Death Literacy Index Short Form: Cultural Adaptation and Psychometric Evaluation of the Turkish Version
    (Sage Publications Inc, 2025) Semerci Cakmak, Vahide; Sonmez Sari, Ebru; Seven, Ahmet
    The aim of this study was to adapt the short form of Death Literacy Index (DLI-9) into Turkish and to examine its psychometric properties. This study has a methodological cross-sectional design. The study was conducted with a sample of 400 adults across T & uuml;rkiye during October-November. Content Validity Index, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Convergent and Discriminant Validity Analyses, 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. In the EFA analysis, the scale consisted of 2 factors. The original two-factor structure of the scale was confirmed by CFA. CFA model fit values were found as CMIN/DF = 2.078, RMSEA = 0.074, RMR = 0.077, SRMR = 0.0455, CFI = 0.960, NFI = 0.927, TLI = 0.945, GFI = 0.946, and AGFI = 0.906. The total Cronbach's alpha reliability coefficient of the DLI-9 was found to be 0.84. This study indicates that scale is a reliable tool for evaluating death literacy in the Turkish population.
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    Nurses' Fear of COVID-19 and Job Motivation Levels: A Cross-Sectional Study
    (2023) Semerci, Vahide; Seven, Ahmet
    Objective: This study determined nurses' fear of COVID- 19 and job motivation levels. Materials and Methods: The study was conducted cross- sectionally with 147 nurses working in a public hospital between April 1 and April 30, 2022. Data were collected using the Personal Information Form, COVID-19 Fear Scale, and Nurse Job Motivation Scale. Data were evalua- ted using number, percentage, mean, and nonparametric tests. Results: The mean age of the nurses was 29.95±6.12 years (min=22, max=51); 89.1% were female, 59.2% were mar- ried, and 68.7% were undergraduate graduates. The total score on the COVID-19 Fear Scale was 15.85±5.73 (min=7, max=35), and the total score on the Nurse Job Motivation Scale was 60.70±8.66 (min=37, max=75). The- re was a significant difference between the total scores of the Nurse Job Motivation Scale and educational status, willingly choosing the unit where the nurses work, being satisfied with the unit where they job, and finding the nur- sing profession suitable for themselves (p<0.05). In addi- tion, female nurses' mean COVID-19 Fear Scale scores were higher than male nurses (p<0.05). Conclusion: The study's results showed that nurses' fear of COVID-19 was close to average, and their work motivation was above average.
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    Nurses' Fear of COVID-19 and Job Motivation Levels: A Cross-Sectional Study
    (2023) Semerci, Vahide; Seven, Ahmet
    Objective: This study determined nurses' fear of COVID- 19 and job motivation levels. Materials and Methods: The study was conducted cross- sectionally with 147 nurses working in a public hospital between April 1 and April 30, 2022. Data were collected using the Personal Information Form, COVID-19 Fear Scale, and Nurse Job Motivation Scale. Data were evalua- ted using number, percentage, mean, and nonparametric tests. Results: The mean age of the nurses was 29.95±6.12 years (min=22, max=51); 89.1% were female, 59.2% were mar- ried, and 68.7% were undergraduate graduates. The total score on the COVID-19 Fear Scale was 15.85±5.73 (min=7, max=35), and the total score on the Nurse Job Motivation Scale was 60.70±8.66 (min=37, max=75). The- re was a significant difference between the total scores of the Nurse Job Motivation Scale and educational status, willingly choosing the unit where the nurses work, being satisfied with the unit where they job, and finding the nur- sing profession suitable for themselves (p<0.05). In addi- tion, female nurses' mean COVID-19 Fear Scale scores were higher than male nurses (p<0.05). Conclusion: The study's results showed that nurses' fear of COVID-19 was close to average, and their work motivation was above average.
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    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, Vahide
    AimTo 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.
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    Validity and Reliability of the Turkish Version of the Death Literacy Index
    (Sage Publications Inc, 2024) Semerci, Vahide; Sari, Ebru Soenmez; Seven, Ahmet
    Death literacy is defined as a set of knowledge and skills that make it possible to gain access to, understand, and act upon end-of-life and death care options. This study was conducted to test the validity and reliability of the 29-item original version of the Death Literacy Index (DLI) in Turkish society. The scale was applied on a sample of 436 Turkish adults determined using the snowball sampling method. Explanatory and confirmatory factor analyses were performed. The scale consisted of 6 subscales. The test-retest analysis of this study showed a strong and highly significant positive correlation between overall DLI (.98) and its subscales (.73-.98). The total Cronbach's alpha reliability coefficient of DLI was found to be .90. It was observed that the Turkish version of DLI was a valid and reliable tool and suitable for use in Turkish society.
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    Validity and Reliability of the Turkish Version of the Death Literacy Index
    (SAGE Publications Inc., 2024) Semerci Çakmak, Vahide Semerci; Sönmez Sari, Ebru; Seven, Ahmet
    Death literacy is defined as a set of knowledge and skills that make it possible to gain access to, understand, and act upon end-of-life and death care options. This study was conducted to test the validity and reliability of the 29-item original version of the Death Literacy Index (DLI) in Turkish society. The scale was applied on a sample of 436 Turkish adults determined using the snowball sampling method. Explanatory and confirmatory factor analyses were performed. The scale consisted of 6 subscales. The test-retest analysis of this study showed a strong and highly significant positive correlation between overall DLI (.98) and its subscales (.73–.98). The total Cronbach’s alpha reliability coefficient of DLI was found to be.90. It was observed that the Turkish version of DLI was a valid and reliable tool and suitable for use in Turkish society. © The Author(s) 2022.