Journal of Life Long Nursing, Year 2026 Issue 1

Nursing, Science, and Sensitivity

Makbule Tokur Kesgin — 2026-04-30

Examining the Relationship Between Occupational Stressors and Burnout Levels of Nurses

Burcu CULHASevecen ÇELİK İNCE — 2026-04-30

Abstract:

Aim: The aim of this study is to examine the relationship between occupational stressors to which nurses are exposed and burnout level.

Methods: This study is cross-sectional and correlational. The study was conducted with nurses working in the clinics of a state hospital between May-July 2024. The sample of the study consisted of 217 nurses. In this study, data were collected by using personal information form, maslach burnout scale and nurses’occupational stressor scale.

Results: As a result of this study, nurses the mean total score of the occupational stressor scale was 62.57±9.85. The maslach burnout scale emotional exhaustion sub-dimension score of the nurses was 18.55±6.14, personal achievement sub-dimension score was 20.92±3.71, and depersonalisation sub-dimension score was 6.13±3.39. There was a significant positive relationship between occupational stressors and burnout levels of nurses. As a result, it was determined that the occupational stress levels of nurses were above average, they experienced moderate emotional exhaustion, depersonalisation was at a low level and personal achievement perception was at a moderate level.

Conclusion: It was found that emotional burnout levels of nurses increased as occupational stressors increased. Nurses to protect and strengthen mental health by identifying occupational stressors interventions are recommended.

Assessment of Alarm Fatigue of Intensive Care Nurses

İrem Yeşiltaş Selma ATAY — 2026-04-30

Aims: The aim of this study, designed as a descriptive study, was to address the alarm fatigue of nurses assigned to intensive care units and the affecting factors.

Method: This study was conducted with 192 nurses who were employed for intensive care units of state and university hospitals located in a city to the west of Türkiye. The date were collected using the face-to-face survey method. “Demographics Information Form” and “Alarm Fatigue Questionnaire” were used for data collection. Frequency and percentage distribution were used for the analysis of nurses’ demographics, and the unpaired t tests, one-way analysis of variance, Mann-Whitney U test, and Kruskal-Wallis test were used to compare the scores on the alarm fatigue questionnaire with the demographics.

Results: Of nurses, 76.0% were women, 70.8% had a bachelor's degree, and 48.4% have been working in the intensive care unit for 1-9 years. Average of scores achieved by nurses on the alarm fatigue questionnaire was 13.71±6.018. There was a statistically significant difference in the nurses’ ages, training on the medical devices and alarm management and average scores on the alarm fatigue questionnaire (p<0.05), but there was no relationship between the gender, marital status, professional experience and education variables and the average scores on the alarm fatigue questionnaire (p>0.05).

Conclusion: As a result, nurses’ level of alarm fatigue was determined to be close to average. It may be suggested that in-service training provided to intensive care nurses should focus more on the alarm management.

The Predictive Role of Spirituality on Dialysis Symptom Burden in Individuals Undergoing Hemodialysis Treatment: A Cross-Sectional Study

Esra ÇavuşoğluEsra KÖSE — 2026-04-30

Aim: This cross-sectional correlational study investigates the impact of clinical, psychosocial, and spiritual factors on dialysis symptoms in patients undergoing hemodialysis in Türkiye.
Methods: Data were collected from 154 patients treated at a university hospital using the Spirituality Scale and the Dialysis Symptom Index. Descriptive statistics were applied, including frequencies, percentages, means, and standard deviations, along with t-tests, ANOVA, Pearson correlation, and hierarchical regression analyses.
Results: A strong negative correlation was found between spirituality and dialysis symptom burden. Spirituality alone accounted for 50.4% of the variance in symptom severity, which increased to 90.2% when complications, comorbidities, family history, and caregiver support were included. Patients with higher spirituality levels and caregiver support reported milder symptoms, whereas those experiencing complications and limited support reported more severe symptoms.
Conclusion: These findings suggest that incorporating spiritual support into nursing care may enhance treatment adherence and reduce the severity of dialysis-related symptoms in hemodialysis patients.

The Relationship Between Surgical Nurses’ Patient Safety Culture and Their Propensity for Medical Errors

Elif CANKATARŞükriye İlkay GÜNER — 2026-04-30

Abstract:
Aim: This study was conducted to examine the relationship between the patient safety culture of nurses working in surgical clinics and their tendency to make medical errors.
Methods: The study was conducted as a cross-sectional descriptive study with nurses working in the surgical clinics of Etlik City Hospital between 20.05.2024 and 10.06.2024. When determining the sample size, 95% power and 0.05 margin of error parameters were used, and it was found that 146 nurses needed to be reached. Stratified sampling method was used and the study was completed with 167 nurses. While collecting the research data, the Introductory Information Form, the Patient Safety Culture Scale (PSCS) and the Medical Error Tendency Scale (MERS) were used. Data were collected through face-to-face interviews with nurses. Descriptive statistics (mean, standard deviation, frequency and percentage) analyses, independent samples t-test, ANOVA Variance Analysis and Post-Hoc Tukey, Pearson correlation analysis, Regression analysis tests were used in the analysis of the data. The analyses were performed using the SPSS 22.0 programme. A significance level of p<0.05 has been selected.
Results: It has been determined that there are significant differences in the sub-dimensions of Management and Leadership, Employee Behaviour, Unexpected Events and Error Reporting, and Maintenance Environment of the PSCS, depending on the service they work in. Management and Leadership, Employee Behaviour, Unexpected Event and Error Reporting, Employee Training, PSCS total scores showed a significant difference based on educational level, attributable to nurses with postgraduate education (p<0.05).
Conclusion: It was found that the patient safety culture of the nurses participating in the study was good and their tendency to medical errors was low. It has been determined that as patient safety culture increases, medical error tendencies decrease.

Turkish Validity And Reliability Study Of Basic Life Support Application and Automated External Defibrillator Use Training Scale

İlknur ToğuşluFatma Avsar — 2026-04-30

Aim: This study was conducted methodologically as a scale adaptation study to determine the validity and reliability of the Turkish form of the Cardiopulmonary Resuscitation and Outomated External Defibrillator Training and Placement Bilingual Questionnaire.
Methods: The research sample consisted of 274 people who received first aid training at Tokat Provincial Health Directorate First Aid Training Centre. The data were collected using the Descriptive Information Form and Cardiopulmonary Resuscitation and Outomated External Defibrillator Training and Placement Bilingual Questionnaire. Confirmatory Factor Analysis and Content Validity Index were calculated for the validity of the scale. For the reliability of the scale, Cronbach Alpha reliability analyses, test-retest and item correlation analyses were performed.
Results: The individuals who participated in the study, 81.8% were male, and the proportion of individuals between the ages of 25-34 was high (63.9%). The Cronbach's alpha coefficient of the scale's sub-dimensions were found 0.90 and 0.84. Kaiser-Meyer-Olkin test was found to be 0.81. RMSEA value was 0.06, NFI value was 0.94, CFI value was 0.97.
Conclusion: The Turkish form of the Cardiopulmonary Resuscitation and Automated External Defibrillator Training and Placement Bilingual Questionnaire is valid and reliable for the Turkish population.

Empathic Tendency, Between Sensitive Love and Ontological Well-Being in Nursing Students: The Role of Parenting Attitudes

Hilal Merve BelenFatma ÖZ — 2026-04-30

Aim:Developing affective and relational qualities, such as sensitive love, empathic tendency, and emotional and ontological well-being, is essential in nursing education. These factors influence students’ academic success and their ability to provide compassionate, person-centered care. Exploring the relationships between these variables and perceived parental attitudes can inform strategies to strengthen emotional and professional development among nursing students.

Methods:This study used a descriptive and correlational design. It was conducted during the 2022–2023 academic year with first- and second-year nursing students from a foundation and a state university in Ankara, Türkiye. Data were collected online using the Responsive Love Scale, Emotional Well-Being Scale, Ontological Well-Being–Life Project Scale, Leuven Perceived Parenting Scale, and Empathic Tendency Scale. Descriptive statistics and t-tests were employed to analyze the data.

Results:Of the participants, 67.9% were from a foundation university, 90.7% were female, and the mean age was 20 years. Significant differences were observed in the ontological well-being sub-dimensions “regret” and “taking action” by school type (p<0.05). Male students showed higher positive emotional well-being, whereas female students reported higher maternal behavioral control (p<0.05). Empathic tendency correlated positively with positive emotional well-being, hope, and parental sensitivity and negatively with negative emotional well-being and ontological nothingness (p<0.01).

Conclusion:Enhancing emotional and ontological well-being, empathy, and sensitive love through integrated nursing curricula may foster students’ holistic development and readiness to deliver compassionate, person-centered care.

Validity and Reliability of the Turkish Version of the Patient Perspective of Arrhythmia Questionnaire: A Methodological Study

Ömer Fahri ÖZDEMİRYasemin YILDIRIM USTA — 2026-04-30

Abstract:
Aim: This study was conducted to determine the validity and reliability of the Turkish version of the Patient Arrhythmia Perception Scale.
Methods: This methodological study was completed with 264 patients between August and November 2025. Data were collected using the Patient Information Form and the Patient Arrhythmia Perception Scale. For validity, language, content, and construct validity were assessed; for reliability, Cronbach’s Alpha, McDonald’s Omega, Kuder-Richardson-20, and 27% lower-upper group analyses were used.
Results: The content validity index was found to be 1.00. In the confirmatory factor analysis, model fit indices were at an acceptable level, and factor loadings ranged from 0.539 to 0.839. Cronbach’s Alpha was 0.913, McDonald’s Omega was 0.915, and the Kuder-Richardson-20 coefficient was 0.823. The difference between groups in item discrimination was significant (p<0.001).
Conclusion: The Turkish version of the Patient Arrhythmia Perception Scale has been determined to be a valid and reliable tool for evaluating disease perception in arrhythmia patients. The scale is expected to contribute to the development of clinical care plans.

A Bibliometric Analysis of Randomized Controlled Trials Conducted in the Field of Nursing on the Quality of Life of Patients Diagnosed with Cancer: A Descriptive Study

Zeynep KARAKUŞÜmmühan DUMAN ,Fatma ARIKAN ,Zeynep ÖZER — 2026-04-30
Aim: This study was conducted to examine global trends and scientific collaboration networks in randomized controlled trials in the field of nursing on the quality of life of individuals diagnosed with cancer using bibliometric analysis. Methods: Data were obtained in October 2025 from the Web of Science database using the keywords “cancer,” “quality of life,” and “randomized controlled trial.” The initial search yielded 9,392 records, from which 508 English-language research articles were identified after applying the relevant filters. After title and abstract screening, 296 studies were included in the analysis and analyzed using R software. Results: The analysis found that the highest number of publications in this field was published in 2025, and that the country with the most publications and the most citations was China. The author with the most publications and collaborations in this field is Choi KC. Author keyword analysis revealed that the top three most frequently used keywords and trend topics were "quality of life," "breast cancer," and "cancer". Conclusion: It is anticipated that this study will shed light on existing trends, emerging topics, and areas requiring further research in the field, thereby guiding the development of high-quality, evidence-based studies in the future.

Improving the Quality of Web Surveys: Turkish Adaptation of the Checklist for Reporting Results of Internet E-Surveys (CHERRIES)

Ayten YILMAZ YAVUZMurat Bektaş ,Ayla Hendekçi ,Hacer Gök Uğur — 2026-04-30

for Reporting Results of Internet E-Surveys' (CHERRIES), which was developed to improve the methodological quality of web-based surveys, for use in Turkey.
Methods: The study was methodologically designed and conducted between August 2024 and February 2025. The developers of the checklist provided permission. The Turkish version of the checklist was created by comparing the forms provided by language experts with those of the researchers. Both the Turkish and original forms were sent to five academics specializing in web surveys, and expert opinions were obtained.
Results: The form was used by researchers in an online e-survey study after the Turkish version of the CHERRIES Checklist was finalised. It was determined that the Turkish version could be used to report the results of online surveys and enhance their quality. The CHERRIES Checklist consists of categories such as “design, ethical review board, development and pre-testing; recruitment process and description of the sample having survey administration, response rates, preventing multiple entries from the same individual and analysis”. Articles that report on studies conducted online using the CHERRIES Checklist will provide reviewers and readers with a more effective and higher-quality understanding of sample selection and potential deviations from a 'representative' sample.
Conclusion: The Turkish adaptation of the CHERRIES checklist is a valid measurement tool that can be used to report on and improve the quality of online e-survey studies.

African International Students’ Views On Female Genital Mutilation

Nevin Çıtak BilginZoenabou SİMPORE — 2026-04-30

Female genital mutilation is a common practice in many African countries and adversely affects women’s health.
Aim: This study examined the views of African students enrolled at a university regarding female genital mutilation.
Method: The descriptive and cross-sectional study was conducted in 2024 with 230 African international students studying at a state university in Turkey. Data were collected using a descriptive information form. Data were evaluated using frequency, percentage, mean, and chi-square analyses using the SPSS program.
Results: The average age of the students was 23.45±3.13 years, with 49.6% female and 50.4% male. 84.8% of students stated that they knew about female circumcision and 38.3% stated that a relative had undergone female circumcision. 19.3% of female students reported that they themselves had undergone the practice. It was found that 47.4% of students believed that female circumcision was performed for social/cultural reasons. 75.7% of students stated that they would like to participate in education related to female genital mutilation. When students' views on female genital mutilation were evaluated according to gender, it was seen that women agreed more than men that this practice negatively affects women's physical, psychological, and sexual health (p<0.05). It was determined that women, compared to men, viewed female circumcision as violence against women and a violation of human rights, and did not want female circumcision to continue (p<0.05).
Conclusion: Approximately one-fifth of African female students had experienced female genital mutilation. Views differed by gender. Educational interventions may improve awareness.

Yara Bakımında Kanıta Dayalı Hemşirelik Uygulamaları ve Bulgaristan Bağlamında Öneriler

Dr. Öğretim Üyesi Diana PaskalevaEsra Uğur — 2026-04-30

The need for effective and high-quality wound care management is attracting the attention of more and more healthcare professionals worldwide. Nurses play a key role in preventing injuries, which are among the indicators of quality nursing care, and treating unpreventable wounds with evidence-based practices. Practices vary depending on the type and characteristics of the wound. Healthcare professionals conduct high-level research in this area, and professional organizations publish evidence-based wound management guidelines. It is crucial for nurses to increase their knowledge and competence in wound care, and for healthcare organizations to incorporate wound care guidelines into their clinical protocols. This article is presented as a literature review to examine evidence-based studies on wound care and to offer recommendations for nursing education and practice in Bulgaria.

Decision-Making Process In Choosing Surgical Treatment In Breast Cancer

Hatice BALCIHilal Aybüke DOĞAN ,Ecem GÜLEÇ — 2026-04-30
Breast cancer is the most common malignancy and a leading cause of cancer-related mortality among women worldwide. Surgery remains a cornerstone of treatment, with mastectomy and breast-conserving surgery (BCS) being the most frequently utilized methods, particularly in early-stage cases. Clinical evidence suggests that both approaches offer comparable long-term survival outcomes in eligible patients. However, the choice of surgical procedure is not determined solely by clinical or biological factors; patients' psychological states, sociodemographic characteristics, cultural values, and the guidance of healthcare professionals play significant roles in this process. This review aims to examine the multidimensional factors influencing the surgical decision-making process in light of the current literature. The study highlights the importance of body image perception, fear of recurrence, and the shared decision-making model, while also addressing the critical role of nurses in providing patient information and psychosocial support. In conclusion, patient-centered decision-making processes conducted through a multidisciplinary approach appear to increase treatment satisfaction and reduce decisional conflict.

Nonpharmacological Care Approaches in Symptom Management After Coronary Bypass Surgery

Hatice BALCIEcem GÜLEÇ ,Hilal Aybüke Doğan — 2026-04-30
Patients undergoing coronary artery bypass grafting (CABG) surgery experience numerous interrelated symptoms, primarily pain, cardiac anxiety, and sleep disturbances. These symptoms slow the healing process and limit quality of life. Current literature emphasizes the effectiveness of non-pharmacological interventions, such as mind-body techniques, exercise-based rehabilitation, and music therapy, in symptom management, in addition to conventional drug therapies. The aim of this review is to comprehensively examine non-pharmacological interventions used in the management of pain, cardiac anxiety, and sleep quality problems observed in patients undergoing CABG surgery in the postoperative period. In this context, mind-body techniques, exercise and cardiac rehabilitation programs, music therapy, and other complementary methods, as well as educational and psychosocial support approaches, are discussed. Literature review reveals that non-pharmacological interventions are effective in reducing symptom severity, improving psychological well-being, and enhancing quality of life. The effectiveness of these interventions is thought to arise through regulatory effects on the autonomic nervous system, neuroendocrine response, and inflammatory processes. In conclusion, integrating non-pharmacological approaches into post-CABG care processes with a holistic understanding significantly contributes to improving patient outcomes. Further research in this area is recommended to focus particularly on long-term effects and multi-component interventions.