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Öğe Determining the relationship between death anxiety and decision on organ donation(Asoc Regional Dialisis Trasplantes Renales, 2024) Koze, Burcak Sahin; Alcan, Aliye OkgünIntroduction: Individuals' thoughts and concerns about death can affect the decision-making process for organ donation. Objective: This descriptive study aims to determine the relationship between death anxiety and decision-making for organ donation. Material and Methods: The population of the study consisted of individuals aged 18 and over from Turkish society. The study sample consisted of 232 participants aged 18 and over who could actively use the Internet and voluntarily agreed to participate. The study data were collected using the Thorson-Powell Death Anxiety Scale and the Organ Donation Decision-Making Questionnaire via the Internet between February and April 2021. Results: In this study, 84.5% of the participants were women; the average age was 30.14 +/- 10.0. Participants' Thorson-Powell Death Anxiety Scale total score average was 43.95 +/- 16.93. The Organ Donation Decision Making Questionnaire advantage score average was 24.57 +/- 5.13, disadvantage mean score was 16.31 +/- 5.77, and decision mean score was 1.76 +/- 0.92. It was observed that there was a positive and weak correlation (r = .20, p = .002) between the Thorson-Powell Death Anxiety Scale total scores of the participants and the decision score averages of the Organ Donation Decision Questionnaire. Conclusions: It was observed that the organ donation decisions of the participants with death anxiety were positive. It is recommended to carry out more studies and organize training programs to determine the factors that will affect the organ donation decision of individuals. Conducting qualitative studies examining beliefs about death and cultural factors in deciding on organ donation is recommended.Öğe Determining the spiritual care and comfort needs of patients having undergone open-heart surgery: Cross-sectional descriptive study in Turkey(Springer, 2024) Zaman, Fatma; Ergin, EdaThis study was aimed at determining the spiritual care and comfort needs of patients having undergone open-heart surgery. This cross-sectional descriptive study was conducted with 147 patients in the Cardiovascular Surgery Intensive Care Unit of a training and research hospital in Izmir, a province in western Turkey, between May 1, 2022 and November 1, 2022. The comfort level of the patients who had undergone open-heart surgery was moderate, and the levels of their spiritual care needs were high. A statistically significant relationship was found between the patients' Perianesthesia Comfort Scale total score and the Spiritual Care Needs Inventory (p < 0.05). We concluded that the patients' comfort levels decreased as their spiritual care needs increased. We recommend authors to conduct studies in the future which should include different sample groups and compare the data obtained before and after the surgery.Öğe Nurse's spiritual sensitivity scale (NSSS): A validity and reliability study in Turkey(Springer, 2024) Tektaş, Pınar; Şahan, SedaNurses carry out spiritual care based on ethical principles, and they must have spiritual sensitivity to meet spiritual care needs. Seen from this angle, it is important to determine nurse's spiritual sensitivity in order to meet patient's spiritual care needs, to increase patient-nurse communication and to adopt a holistic approach to care. For this reason, the aim of this study was to test the validity and reliability of the Turkish Nurse's Spiritual Sensitivity Scale. In the present study, a sample size of 207 nurses was reached in the data collection stage. The Turkish Nurse's Spiritual Sensitivity Scale (NSSS) is a Likert-type scale consisting of 20 items and a single factor. There are no reverse-scored statements on the scale. A score of zero shows no spiritual sensitivity, and four shows higher spiritual sensitivity. The minimum score on the scale is zero, and the maximum score is 80. It was seen in this study that the Nurse's Spiritual Sensitivity Scale is a valid and reliable measurement instrument for a Turkish sample. This scale can be used by professionals to determine the spiritual sensitivity of Turkish nurses.Öğe The effect of hand massage on fatigue in women with cancer receiving brachytherapy: randomized clinical trial(Springer, 2025) Arslan, Dilek Efe; Akça, Nazan Kılıç; Aslan, DiclePurpose This randomized controlled study was conducted to analyze the effect of hand massage on the fatigue level of the women receiving brachytherapy. Methods It was determined that 12 patients were included in each group (control and hand massage group), so 24 women with gynecologic cancer were included in the study. The application was performed on each hand for 5 min, a total of 10 min in hand massage group. Hand massage was applied before each brachytherapy (at the first, second, and third sessions, a total of three times) every other day for 1 week in the hand massage group. No intervention was performed to the control group during the study. The data were collected using the Patient Information Form and Brief Fatigue Inventory (BFI). Results At the end of the brachytherapy, the fatigue severity score and impact of fatigue on activities of daily living scores of the group that applied hand massage were determined to be lower than the control group (p < 0.05). Conclusion It was determined that hand massage effectively controlled fatigue and the impact of fatigue on activities of daily living. Hand massage is a safe and economical method that can be performed by certified nurses. Trial registration This clinical trial is registered at ClinicalTrials.gov (NCT06056713-09/21/2023).Öğe Knowledge levels of oncology nurses regarding evidence-based practices in the assessment and management of chemotherapy-induced peripheral neuropathy(Elsevier Science Inc, 2024) Çelik, Ayşegül; Yesilbalkan, Oznur UstaObjective: The study aimed to determine the level of oncology nurses' knowledge of evidence-based practice for assessing and managing chemotherapy-induced peripheral neuropathy (CIPN). Methods: This study employed a descriptive and cross-sectional research design. It was carried out with oncology nurses who were working at a university hospital in the Western Region of Turkey and who were members of the Oncology Nursing Association. The sample of the study consisted of 96 nurses who met the inclusion criteria. Results: The study sample comprised 94.8% female oncology nurses, 57.3% of whom held an undergraduate degree, and over half (58.5%) of whom were employed as clinical nurses. A majority of nurses (76.0%) indicated that they had not received any training in peripheral neuropathy. 35.4% of the nurses assessed patients receiving neurotoxic chemotherapy for peripheral neuropathy at each visit/each chemotherapy cycle. A total of 43.8% of nurses indicated that they frequently assessed patients for peripheral neuropathy at the conclusion of the treatment protocol. The oncology nurses assessed the patient-reported symptoms of motor neuropathy (58.3%), sensory neuropathy (56.3%), autonomic neuropathy (51.0%), neuropathic pain (55.2%), and co-occurring symptoms (52.1%) on a frequent basis. The nurses reported that they assessed muscle strength (56.3%), gait and balance (58.3%), and quality of life (52.1%) frequently. In contrast, they assessed deep tendon reflex (41.7%), neurological tests (36.5%), and social activities (46.8%) rarely. Conclusions: The study findings indicated that oncology nurses require further education and training in evidencebased practices for the assessment and management of CIPN.Öğe Vitex agnus-castus (VAC) plant commonly used in Aydın province, Turkey: women's menstrual and menopausal symptoms(Elsevier Gmbh, 2024) Çetin, Serpil Abalı; Mutlu, FatmaIntroduction: This study was conducted to evaluate the effects of using Vitex agnus-castus (VAC) plant on menstrual and menopausal symptoms in district where VAC is commonly used. Methods: The menstrual and menopausal symptoms of a total of 225 women aged between 18-65, living in Ayd & imath;n province, Turkey, and its districts, who either used VAC or not were compared, following purposive sampling method. The research data were collected with an online survey form between March and December 2021. The data collected from the women in the VAC group (n=104, 46.2%) and the women in the non-VAC (n=121, 53.8%) group were compared in this study. Results: It was found that the rate of experiencing symptoms before menstruation was higher in women who did not take VAC compared to the women who took VAC (P < 0.05). Almost all of those who experienced menopausal symptoms were in the group that did not take VAC. Conclusion: The type, duration and time of VAC use were associated with the effect of menstruation on daily life, but not with menopausal symptoms.Öğe Effects of simulation-based education on nursing students' perceptions of positive birth and natural birth approaches(Elsevier Science Inc, 2024) Satir, Duygu Gulec; Atan, Senay Unsal; Kavlak, Oya; Ertem, Gul; Sezer, Hale; Kazankaya, Figen; Tetik, SumeyyeBackground: Nursing education should be adjusted to align with national health priorities. In this study, we examined how simulation-based education impacted nursing students' knowledge, skills, and approaches to natural childbirth, as well as their self-confidence, perceptions of positive birth, and educational satisfaction. Methods: A total of 56 undergraduate nursing students were enrolled in this comparative, quasi-experimental, pre- and post-test designed study and were randomly assigned to a hybrid simulation (HS) or a video-model (VM) group. Results: Students in the HS group had significantly higher natural childbirth skill levels and positive perceptions than those in the VM group (p < .05). Natural birth knowledge levels significantly increased in both groups (p < .05). No significant differences in nursing students' self-confidence and satisfaction levels were found between the two groups (p > .05). Conclusion: HS improved nursing students' natural birth approach skills and positively affected their perceptions. Simulation-based education may enhance maternity care practice. Simulation scenarios should be integrated into the nursing curriculum to provide comprehensive support for positive birth experiences. ClinicalTrials.gov Identifier: NCT06241443Öğe Effects of virtual reality application on pain, anxiety, and vital signs due to port catheter needle insertion: Randomized controlled study(Elsevier Sci Ltd, 2025) Ibek, Esra; Çınar, DeryaPurpose: This study aims to examine the effects of virtual reality applications on pain, anxiety, and vital signs during port catheter needle insertion in adult cancer patients. Methods: The research followed a randomized controlled design as intervention and control groups. In the intervention group, patients received virtual reality sessions with five images in addition to routine procedures during the port catheter needle insertion. We measured the pain, anxiety, and vital parameters resulting from the port catheter needle insertion. Assessments were measured twice: at baseline (before port catheter needle insertion, T0) and at the end of the proceduce (after port catheter needle insertion, T1). Results: The virtual reality application significantly reduced the levels of pain (p=0.45) and anxiety (p<0.001) at T1 in the intervention group compared to the control group. The virtual reality application showed no difference between T0 and T1 in the vital parameters of the intervention group. Conclusions: Virtual reality application during the port catheter needle insertion procedure reduced pain levels and anxiety levels in cancer patients. The virtual reality applications to reduce pain and anxiety levels during the port catheter needle insertion procedure can be recommended.Öğe The level of nursing students' self-regulated learning and academic locus of control predicting self-confidence and anxiety in clinical decision-making(Churchill Livingstone, 2025) Bektaş, İlknur; Kudubes, Asli Akdeniz; Ayar, Dijle; Bektas, MuratAim: This study examined the extent to which nursing students' self-regulated learning and academic locus of control predict self-confidence and anxiety in clinical decision-making. Design: This study was a cross-sectional, descriptive, and correlational study. Methods: The study sample was 627 undergraduate nursing students. Data were collected with the Student Introductory Information Form, Self-Regulated Learning Scale for Clinical Nursing Practice, Academic Locus of Control Scale, and Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM). Multiple linear regression analysis evaluated the predictive level of the variables on the self-confidence and anxiety scale subscale scores in clinical decision-making. Results: The external locus of control and learning strategies significantly explain all sub-dimensions of the selfconfidence scale in clinical decision-making. The internal locus of control and learning strategies meaningfully explain the sub-dimensions of the anxiety scale in clinical decision-making using resources to obtain information, fully listening, and knowing and taking action. Conclusion: Self-regulated learning levels of nursing students affect clinical decision-making. It was determined that students with an internal locus of control had higher self-confidence in clinical decision-making and lower anxiety levels.Öğe The effects of virtual reality and stress ball distraction on procedure-related emotional appearance, pain, fear, and anxiety during phlebotomy in children: A randomized controlled study(Elsevier Science Inc, 2024) Gerceker, Guelcin Ozalp; Bektaş, İlknur; Yardimci, FigenBackground: Virtual reality (VR) and stress balls can be used during phlebotomy in school-age children. Objectives: This randomized controlled study was conducted to evaluate the effect of distraction methods using VR and stress balls on the emotional behavior, pain, fear, and anxiety associated with phlebotomy in children aged 7-12. Methods: A parallel trial with a three-arm design approach was adopted for this randomized controlled trial, guided by the CONSORT checklist. The study sample (n = 150) was divided into VR, stress ball, and control group using stratified randomization. The mean scores obtained from the Children's Emotional Manifestation Scale, Wong-Baker FACES Pain Rating Scale, Child Anxiety Scale-State, and Child Fear Scale were compared between the groups. Linear regression analysis and correlation analysis were performed. Results: Significant differences were found in phlebotomy-related pain, fear, and anxiety. While there was no difference in emotional behavior before the phlebotomy, a significant difference was found after the phlebotomy. Being in the virtual reality group explained 30.8 % of the difference between the before and after phlebotomyrelated-emotional behavior scores. A strong, positive, and significant relationship was found between emotional behavior scores after phlebotomy and phlebotomy-related fear, pain, and anxiety scores (p < .01). Conclusion: Virtual reality and stress ball distraction were found to be effective in reducing pain, fear, and anxiety during phlebotomy. Virtual reality distraction is effective in reducing negative emotional behaviors. Application to practice: The VR distraction can be used in the pediatric population in pain, fear, anxiety, and emotional behavior management during phlebotomy. ClinicalTrials.gov Identifier: NCT05818761 (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe How does training given to pediatric nurses about artificial intelligence and robot nurses affect their opinions and attitude levels? A quasi-experimental study(Elsevier Science Inc, 2024) Karaarslan, Duygu; Kahraman, Ayse; Ergin, EdaPurpose: This study was conducted to investigate the effect of training provided to pediatric nurses on their knowledge and attitude levels about artificial intelligence and robot nurses. Design and methods: In this study, a single -group pre- and post-test quasi -experimental design was used. Data were collected from pediatric nurses working in Training and Research Hospital located in western Turkey. Forty-three pediatric nurses participated in the study. The study data were collected using the Pediatric Nurses' Descriptive Characteristics Form , Artificial Intelligence Knowledge Form , and Artificial Intelligence General Attitude Scale . Results: The mean scores of the participating pediatric nurses obtained from the Artificial Intelligence Knowledge Form before, right after and one month after the training were 41.16 +/- 14.95, 68.25 +/- 13.57 and 69.06 +/- 13.19, respectively. The mean scores they obtained from the Positive Attitudes towards Artificial Intelligence subscale of the Artificial Intelligence General Attitude Scale before and after the training were 3.43 +/- 0.54 and 3.59 +/- 0.60, respectively whereas the mean scores they obtained from its Negative Attitudes towards Artificial Intelligence subscale were 2.68 +/- 0.67 and 2.77 +/- 0.75, respectively. Conclusions: It was determined that the training given to the pediatric nurses about artificial intelligence and robot nurses increased the nurses' knowledge levels and their artificial intelligence attitude scores, but this increase in the artificial intelligence attitude scores was not significant. Practice implications: The use of artificial intelligence and robotics or advanced technology in pediatric nursing care can be fostered. (c) 2024 Elsevier Inc. All rights reserved.Öğe The effect of video streaming with virtual reality glasses on on pain anxiety and satisfaction applied in peripheral intravenous catheter process(Elsevier Science Inc, 2024) Guler, Sevil; Şahan, Seda; Ozturk, SelcukBackground: Peripheral intravenous catheter (PIC) implementation is among the most frequent and highly invasive nursing initiatives. PIC leads to anxiety with procedural pain, causing individuals to reject these procedures or negatively affecting the process's success. Aim: The study was conducted to determine the effect of virtual reality glasses (VRG) on pain, anxiety, and patient satisfaction during the peripheral intravenous catheter (PIC) process in adults. Design: An experimental study. Settings: An emergency department of a university hospital. Methods: Individuals who were admitted to the emergency unit of the university hospital were recruited between the data collection dates. Data from individuals' Patient Information Form, Visual Pain Scale, Visual Anxiety Scale, and Visual Satisfaction Scale were collected. VR-Box 3D Glasses was used as virtual reality glasses. Results: In our study, when the pain point averages with VAS were compared during the PIC process, the pain score average of the patients in the control group was 5.78 +/- 1.23 visual anxiety scale 5.89 +/- 1.23 and patient satisfaction scale 3.86 +/- 2.48, The visual pain score average of patients in the VRG group is 4.12 +/- 2.16, visual anxiety scale 3.14 +/- 1.76 and visual patient satisfaction scale 7.64 +/- 3.26. In short, it has been detected that the pain, anxiety, and patient satisfaction score averages of patients in the VRG group are statistically significant compared to the pain score averages of patients in the control group (p < .005). Our study unearthed a statistically significant relationship at an average level of negative direction between PIC post-treatment pain, anxiety, and patient satisfaction (r = - 0.476). Conclusion: Utilization of VRG has been detected to reduce pain and anxiety felt during the PIC process in adult patients and increase process satisfaction. VRG, a non-pharmacological, non-invasive, inexpensive, and feasible nursing initiative, may be recommended for use in pain and anxiety control in patients undergoing PIC treatment. (c) 2024 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe The effects of nurse-led supportive care program on quality of life in women with breast cancer receiving adjuvant chemotherapy: A randomized controlled pilot study(Elsevier Science Inc, 2024) Kucuk, Banu Yazicioglu; Bahçeli, Pınar ZorbaObjectives: This study was to evaluate the effects of nurse -led supportive care program on quality of life in women with breast cancer receiving adjuvant chemotherapy. Methods: The study was carried out a parallel group randomized controlled pilot study with repeated -measures design in general surgery unit of a training and research hospital. Forty-two women with newly diagnosed breast cancer were randomly assigned to the intervention and control groups. The intervention group received nurse -led supportive care program for 8 weeks, 4 weeks in face-to-face sessions and 4 weeks through phone sessions. The control group received only routine treatment. The women in both groups completed the EORTC-QLQ-C30 (version 3.0) Quality of Life questionnaires at baseline and ninth week. Results: There was a signi ficant increase in the mean global health status and functional status scores of the women with breast cancer in the intervention group compared to the women in the control group in the ninth week compared to the baseline. The women in the intervention group had a lower mean symptom status score in the ninth week than the women in the control group and there was a statistically signi ficant difference in the change in the mean scores of the groups over time. Conclusions: Our nurse -led supportive care program is an effective, safe and acceptable method to support women with BC receiving adjuvant chemotherapy. Implications for Nursing Practice: The nurse -led supportive care program can be used as a reliable and effective nursing intervention to increase the quality of life of women breast cancer receiving adjuvant chemotherapy. Clinical Trial Registration: NCT05399160. (c) 2024 Elsevier Inc. All rights reserved.Öğe Transition from virtual reality to metaverse: students' experiences regarding the future of nursing education(Taylor & Francis Inc, 2024) Sezer, Hale; Ergin, EdaThe study was aimed at determining the effect of educational intervention on nursing students' awareness of virtual reality (VR), augmented reality (AR), and metaverse in nursing education, both on their level of virtual presence, and their knowledge of, attitudes towards, and awareness of metaverse. A quasi-experimental study with a single-group pretest-posttest design study was conducted at a university. Ninety-three nursing students participated in the present study. Descriptive statistics, independent t-tests, and Pearson's correlation analysis were used for data analysis. Of all the participants, 60.2% had heard of metaverse, 50.5% had VR experience, and 62.4% said that metaverse could be used in nursing education in the future. The participating nursing students' experiences regarding their transition from VR to metaverse revealed that their level of readiness for e-learning and knowledge and awareness of metaverse was high. It was concluded that metaverse could be used in nursing education within the possibilities provided by today's technology.Öğe Exploring nursing students' attitudes and readiness for artificial fi cial intelligence: A cross-sectional study(Elsevier Science Inc, 2024) Yalcinkaya, Turgay; Ergin, Eda; Yucel, Sebnem CinarBackground: Understanding nursing students' attitudes towards and readiness for artificial intelligence (AI) is crucial for the effective integration of AI into nursing education and practice. AI has the potential to enhance clinical decision-making and personalize patient care. Aim: This study aimed to determine nursing students' attitudes towards and readiness for AI. Methods: This was a cross-sectional descriptive study conducted at a nursing faculty in the west of Turkey and included 291 nursing students. Data were collected using the Individual Information Form, the General Attitudes towards Artificial Intelligence Scale (GAAIS), and the Medical Artificial Intelligence Readiness Scale for Medical Students (MAIRS-MS). Results: The mean scores for Positive GAAIS, Negative GAAIS, and MAIRS-MS were 3.86 +/- 0.62, 3.23 +/- 0.82, and 76.93 +/- 13.63, respectively. Fourth-year students scored significantly higher on the MAIRS-MS compared to second-year students (F = 3.750, p = 0.011). A positive correlation was found between MAIRS-MS and GAAIS scores (r = 0.330, p < 0.01). Conclusions: The findings are anticipated to guide nursing faculties and academicians in incorporating AI into the curriculum. (c) 2024 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe Health protection and improvement sensitivity for Covid-19 pandemic: Turkey's case(Routledge Journals, Taylor & Francis Ltd, 2024) Ergin, Eda; Sezer, Hale; Çınar, Derya; Öztürk, Seren DüzenliThis descriptive study was aimed at identifying the anxiety levels of Turkish people in the first three months of the pandemic, the coping methods they use to control this anxiety, and their knowledge and behavior about protection and prevention against COVID-19. The data were collected from 571 individuals. Of the individuals, 84.6% had anxiety. The anxiety levels of those who kept working during the pandemic were significantly higher than were the anxiety levels of those who did not (p < .05). The participants experienced a moderate level of anxiety, and they mostly used relaxation techniques, music therapy, and prayer/worship to cope with anxiety. The knowledge level of the individuals about COVID-19 was moderate.Öğe Determination of opinions on HPV infection and HPV vaccine among nursing students by focus group discussion(Mary Ann Liebert, Inc, 2024) Çetin, Serpil Abalı; Çınar, DeryaPurpose: This study aimed to determine nursing students' opinions about human papillomavirus (HPV) infection and HPV vaccine.Methods: This is a qualitative focus group discussion study, in which a state university in Western Turkey, undergraduate nursing students are recruited through purposive sampling. The research data were collected on an online platform with the focus group interview method by using the Participant Information Form and Semistructured Interview Form.Results: Three main themes (HPV infection/vaccine perception, severity perception, and suggestions and requests/facilitators) and eight subthemes were developed based on the thematic analysis of the research findings.Conclusions: According to the findings, it was concluded that nursing students' opinions on HPV infection and HPV vaccine were affected by factors related to cultural, religious, and sexual behaviors. Based on study results, it is suggested to organize national cervical screening programs to increase public's knowledge and awareness on the subject in accordance with the sociocultural norms of the society with the agreement and cooperation of educated health service providers, policy makers, and educators.Öğe Urinary catheter-related meatal pressure injury risk factors in male critical care patients: A prospective repeated-measures study(Lippincott Williams & Wilkins, 2024) Avci, Hasan; Alcan, Aliye OkgünOBJECTIVE: Urinary catheter-related meatal pressure injury (UCR-MPI) is a preventable and serious complication of indwelling urinary catheter use. This prospective study aimed to determine the prevalence and risk factors of UCR-MPI in male critical care patients. METHODS: A total of 138 male patients 18 years and older using an indwelling urinary catheter were included in the study. Participants' perineal areas were assessed daily for the development of MPI. RESULTS: The UCR-MPI prevalence was 26.1% (n = 36/138). Most patients (61.1%) had a grade I UCR-MPI with intact skin and mucosa and nonblanchable erythema. Urinary catheter irrigation (P = .001), lower Braden Scale scores (P = .040), lower Glasgow Coma Scale score (P = .002), higher Itaki Fall Risk Scale score (P = .040), higher dependency level (P = .027), hypoalbuminemia (P = .002), and perineal edema (P = .001) were risk factors for UCR-MPI. CONCLUSIONS: The prevalence of UCR-MPI was high in this sample. Providers should take preventive measures to prevent UCR-MPI in patients with a penis including early and frequent risk assessment.Öğe Evaluating the knowledge levels and attitudes regarding pressure injuries among nurses in Turkey(Lippincott Williams & Wilkins, 2024) Şahan, Seda; Guler, SevilOBJECTIVETo determine nurses' knowledge levels and attitudes regarding pressure injury (PI) in Turkey and to reveal the relationship between these two variables.METHODSThis study was conducted with 604 nurses to obtain 98% power based on the G*Power analysis. The authors used the Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0 and Attitude toward Pressure Ulcer Prevention (APuP) instrument for data collection. Regression, correlation analysis, independent-sample t test, and analysis of variance were used in data analysis.RESULTSNurses' mean total PUKAT 2.0 score was 9.40 +/- 2.47 (46.72% correct). Nurses' mean total score on the APuP instrument was 32.39 +/- 2.752. The total knowledge score and total attitude score were positively correlated (rho = 0.761; P = .007). According to the results of linear regression analysis, the demographic variables of sex, education, seniority, and unit significantly predicted PUKAT 2.0 scores and APuP scores.CONCLUSIONSNurses' knowledge of PI prevention was insufficient, and their attitudes were average. A significant and positive relationship was identified between nurses' knowledge and attitudes regarding PI.Öğe The effects of laughter therapy on perceived stress and quality of life in women with breast cancer receiving chemotherapy a parallel-group randomized controlled pilot trial(Lippincott Williams & Wilkins, 2024) Karakaş, Hacer; Bahçeli, Pınar Zorba; Akyol, MuratBackground Women with breast cancer experience various symptoms secondary to chemotherapy that reduce their quality of life and increase their stress levels. Objective To evaluate the effects of laughter therapy on perceived stress levels and quality of life in women with breast cancer receiving chemotherapy using a parallel-group randomized controlled pilot trial. Methods Forty-two women were randomly assigned to intervention and control groups. The intervention group received 40 minutes of laughter therapy twice a week for 8 weeks. The control group received routine treatment. The women in both groups completed the Perceived Stress Scale and SF-12 Health Survey at baseline, week 5, and week 9 after randomization. Results There was a significant decrease in the mean Perceived Stress Scale scores in the intervention group compared with those in the control group at weeks 5 and 9 compared with baseline, and the difference between groups by measurement week was significant (P < .001). Women in the intervention group had higher Physical Component Summary-12 and Mental Component Summary-12 scores in weeks 5 and 9 compared with those in the control group, and there was a significant difference between groups in terms of change in the Physical Component Summary-12 and Mental Component Summary-12 mean scores over time (P < .001). Conclusion Laughter therapy is possible to use as a nursing intervention to reduce the perceived stress levels and increase the quality of life of women receiving chemotherapy for breast cancer. Implications for Practice Nurses can apply laughter therapy in the symptom management of women receiving chemotherapy.