Cennet ÇİRİŞ YILDIZ

Scopus Publications

The Relationship Between Work Environment and Missed Nursing Care in Nurses: The Moderator Role of Profession Self-Efficacy
Cennet Çiriş Yildiz, Seda Değirmenci Öz, Berra Yilmaz Kuşakli, and Irem Korkmaz
Ovid Technologies (Wolters Kluwer Health)
Aims This study aimed to examine the relationship between work environment and missed nursing care (MNC) in nurses and determine whether profession self-efficacy has a moderator role in this relationship. Design A quantitative, cross-sectional, correlational study design was used to test the study model. Methods The study was conducted with 433 nurses in 2 city hospitals in Istanbul, Turkey. Data were collected between November 2022 and February 2023 using the “MISSCARE Survey-Turkish,” the “Work Environment Scale,” and the “Nursing Profession Self-Efficacy Scale.” Results The participants had a mean Nursing Profession Self-Efficacy Scale score of 66.67 ± 14.37, a mean Work Environment Scale score of 84.96 ± 13.62, a mean elements of MNC score of 1.30 ± 0.73, and a mean reason for MNC score of 3.18 ± 0.78. Nursing profession self-efficacy was determined to be positively related to the work environment of the participants and their reasons for MNC (respectively, r = 0.276 and r = 0.114) and negatively related to elements of MNC (r = −0.216) (P < 0.05). There was also a negative relationship between the work environment and elements of MNC (r = −0.249; P < 0.05). Profession self-efficacy had a significant moderator role in the relationship between the work environment and elements of MNC. Having low or moderate levels of profession self-efficacy moderated the negative effects of the work environment on elements of MNC. Conclusions There is a need for interventions to reduce elements of missed nursing care in nurses. Especially nurses and/or nurse managers may have difficulties in improving their work environment, considering its multifaceted structure. In such cases, administrators can reduce missed nursing care by increasing the profession self-efficacy of nurses. Therefore, profession self-efficacy should be considered in addition to interventions for the work environment to improve care.

Hypoglycaemia fear, treatment adherence, and the quality of life in patients with type 2 diabetes and its determinants
Dilek Yildirim, Cennet Çiriş Yildiz, Emine Ergin, and İrem Özbay
Wiley
AbstractAimThis work aims to evaluate the relationship between the fear of hypoglycaemia, treatment adherence, and the quality of life in patients with type 2 diabetes mellitus (T2DM) and its determinants.MethodsThis descriptive and cross‐sectional study sample recruited 1060 T2DM outpatients in a health centre between January and July 2022. The Hypoglycemia Fear Survey (HFS), Type 2 DM Treatment Patient Compliance Scale, and the 5‐Level EuroQol 5‐Dimension (EQ‐5D‐5L) were used for data collection.ResultsThere was a positive correlation between age, duration of T2DM, and the scores obtained from the HFS and its subscales (p < 0.001). There was a positive, moderate correlation between the total HFS score and the TCS (p < 0.001). There was a negative correlation between the scores obtained from the HFS and the EQ‐5D‐5L (p < 0.001). The multiple regression analysis showed that the quality of life scores of the patients were significantly predicted by hypoglycaemia fear, duration of T2DM diagnosis, and age. (F = 91.691, p < 0.001). Hypoglycaemia fear, duration of T2DM diagnosis, and age explained 38.1% of the quality of life of patients.ConclusionWe determined that the increase in hypoglycaemia fear resulted in a decrease in treatment adherence. Besides, hypoglycaemia fear increased with increasing age and duration of T2DM diagnosis.

Effects of a Mindfulness-Based Stress Reduction Program on Stress, Depression, and Psychological Well-being in Patients with Cancer: A Single-Blinded Randomized Controlled Trial
Dilek Yildirim, Cennet Çiriş Yildiz, Ferda Akyuz Ozdemir, Merve Harman Özdoğan, and Gulbeyaz Can
Ovid Technologies (Wolters Kluwer Health)
Background A mindfulness-based stress reduction program combined with music therapy is one of the interventions designed to help patients cope with stress and depression. Objective The aim of this study was to examine the effects of an online mindfulness-based stress reduction program combined with music therapy on stress, depression, and psychological well-being in adult patients with cancer. Methods This study was a single-blinded, prospective, randomized-controlled experimental design. One hundred twenty cancer patients were recruited (60 each in the intervention and control groups). Patients in the intervention group received a 10-day mindfulness-based stress reduction program combined with music therapy. Stress was measured with the State Trait Anxiety Inventory-State, psychological well-being was measured with the Psychological Well-being Scale, and depression was measured with the Beck Depression Inventory at baseline and the end of the study. Results The intervention group showed significantly lower stress and depression scores than the control group in the total scores at 10 days (P < .05). The intervention group had significantly higher scores in the psychological well-being (P < .001) than the control group at 10 days. Intragroup comparison of the stress and depression scores showed that posttest score of the intervention group was significantly lower than its pretest score (P < .05). Conclusion Mindfulness-based stress reduction program combined with music therapy reduced the levels of stress and depressive symptoms and improved psychological well-being in cancer patients. Implications for Practice A nurse-led mindfulness-based stress reduction program combined with music therapy is an innovative and effective psychological intervention that may be integrated with regular patient care for adults receiving treatment of cancer.

Development of ethical conflict scale for nurses in extraordinary circumstances and psychometric testing
Cennet Çiriş Yıldız, Dilek Yildirim, Emine Ergin, Irem Korkmaz, and Zeynep Coşkun
Wiley
AbstractAimThe aim of this study was to develop and psychometrically test the Ethical Conflict Scale for Nurses in Extraordinary Circumstances (ECSNEC).DesignThis study is designed to develop and validate an instrument.MethodsThere are four basic steps in the development process of ECSNEC: (1) establishment of the conceptual framework, (2) creation of the item pool, (3) preliminary evaluation and (4) psychometric evaluation. The data were gathered from 519 nurses who worked in two different hospitals operating in Istanbul between June 2022 and October 2022.ResultsThe scale had good content validity. The exploratory factor analysis revealed a three‐factor construct which explained 47.31% of the total variance in the measured variable. The corresponding construct was confirmed by the confirmatory factor analysis. The Cronbach's alpha coefficients were greater than .60 for all dimensions. The test–retest reliability coefficient value of the scale was 0.90.ConclusionECSNEC is a valid and reliable tool to determine the ethical conflict experienced by nurses in extraordinary circumstances.ImpactThe established scale allows the identification of factors influencing the ethical challenges nurses face in extraordinary circumstances. Thus, policies can be developed to prevent such ethical conflicts.Patient or Public ContributionNo patient or public contribution.

The Relationship Between Ethical Climate Perception, Organizational Trust and Psychological Resilience in Nurses
Seda Değirmenci Öz, Cennet Çiriş Yıldız, and Ayşe Karadaş
Association of Nurse Managers

The Effects of Reality Shock on Job Stress and Turnover Intention in Newly Graduated Nurses
Cennet Çiriş Yıldız, Dilek Yıldırım, Emine Ergin, Ece Uysal Kasap, and İrem Korkmaz
Association of Nurse Managers

The relationship between nurses’ personality profiles, perception of conscience, and their tendency to medical error
Cennet Çiriş Yıldız, Dilek Yildirim, Esra Bayrak, Kader Çalışkan, and Pinar Ermiş Barış
Informa UK Limited

The effects of post-COVID-19 fatigue in nurses on organizational outcomes
Cennet Çiriş Yıldız, Dilek Yildirim, Sercan Kara, and Esra Karagöz
Wiley
AbstractThis study was conducted to determine the effects of fatigue in nurses with confirmed COVID‐19 infection on organizational outcomes. The study was carried out with the participation of 200 nurses who had tested positive for COVID‐19 in the last eighteen months and had COVID‐19‐related fatigue complaints. Data were collected between October 2022 and February 2023 using a questionnaire consisting of the Chalder Fatigue Scale, the Work Alienation Scale, the Turnover Intention Scale, and the Employee Performance Scale. Fatigue was the most common symptom of COVID‐19 in this study, as in other results. The number of being infected with COVID‐19 and education levels were found to be significant predictors of post‐COVID‐19 fatigue. Post‐COVID‐19 fatigue had an effect on turnover intention and alienation to work, but it did not affect employee performance. In this study, the effects of post‐COVID‐19 fatigue on organizational outcomes such as employee performance, turnover intention, and work alienation were determined. Therefore, regardless of its source, fatigue should be dealt with managerially, and preventive policies and procedures should be developed.

The Relationship of Death Anxiety With Loneliness and Psychological Well-Being in the Elderly Living in a Nursing Home
Emine Ergin, Dilek Yildirim, Cennet Çiriş Yildiz, and Sevinc Yildirim Usenmez
SAGE Publications
This descriptive correlational study aimed relationship of death anxiety with loneliness and psychological well-being in the elderly living in a nursing home. The study was conducted on the elderly living in a nursing home in Istanbul, Turkey, between November 2021-February 2022. The study sample included 165 nursing home residents. The Sociodemographic Characteristics Form, Death Anxiety Scale (DAS), Loneliness Scale for the Elderly (LSE) and Psychological Well-Being Scale were used as data collection tools. The elderly participants obtained a mean score of 6.10 ± 3.50 from DAS, a mean score of 9.01 ± 4.08 from LSE, and a mean score of 38.97 ± 10.05 from Psychological Well-Being Scale. When death anxiety scale mean score of the elderly was compared with their mean scores of loneliness scale and psychological well-being scale, a weak and negative correlation was determined between psychological well-being and loneliness ( p < 0.001). As the mean score of psychological well-being scale increases, loneliness scale mean score decreases.

Knowledge and practices about cervical cancer and human papilloma virus among the women and the influencing factors
Dilek Yildirim, Cennet çiriş Yıldız, and Duygu Dokumaci
Informa UK Limited

The effect of personal protective equipment use on nurses’ tendencies to make medical errors and types of their medical errors: a cross-sectional study
Cennet Çiriş Yildiz, Dilek Yildirim, and Kardelen Günay
Informa UK Limited
This study was conducted to determine the effect of nurses' use of Personal Protective Equipment (PPE) during their care practices on their tendency to make medical errors and types of medical errors. The study was conducted with 505 nurses in Turkey between May 2021 and June 2021. Descriptive statistics, Kruskal-Wallis H test, Spearman's correlation test, and Mann-Whitney U test were used to analyze the data. During the COVID-19 pandemic, nurses often used PPE on different levels. A significant relationship was determined between the type of PPE used by the nurses and falls, hospital infections and patient monitoring/material safety (p < 0.05). The conclusions in this study reveal the necessity of increasing the usability, safety and effectiveness of PPE used by nurses in health institutions.

The Effects of Disaster Nursing Education Program on Beliefs in General Disaster Preparedness, Disaster Response Self-Efficacy, and Psychological Resilience in Nursing Students: A Single-Blind, Randomized Controlled Study
Cennet Çiriş Yildiz and Dilek Yildirim
Ovid Technologies (Wolters Kluwer Health)
Abstract AIM This study was conducted to evaluate the effects of a disaster nursing and management education program on beliefs in general disaster preparedness, disaster response self-efficacy, and psychological resilience in nursing students. METHOD The sample consisted of nursing students receiving undergraduate education in Istanbul, Turkey. Participants were randomly divided into the intervention (n = 65) and control (n = 66) groups. The intervention group was given an eight-module education program with theoretical and applied components. Data were collected using the Belief in General Disaster Preparedness Scale, the Disaster Response Self-Efficacy Scale, and the Brief Resilience Scale. RESULTS The mean Belief in General Disaster Preparedness Scale, Disaster Response Self-Efficacy Scale, and Brief Resilience Scale scores of the intervention group were higher than those of the control group. CONCLUSION The disaster nursing and management education program provided to nursing students was determined to increase beliefs in general disaster preparedness, disaster response self-efficacy, and psychological resilience.

The Effect of Mindfulness-Based Breathing and Music Therapy Practice on Nurses' Stress, Work-Related Strain, and Psychological Well-being During the COVID-19 Pandemic: A Randomized Controlled Trial
Dilek Yıldırım and Cennet Çiriş Yıldız
Ovid Technologies (Wolters Kluwer Health)
Infectious diseases cause psychological problems for health care workers and especially nurses. Nurses who provided coronavirus disease-2019 (COVID-19) patients with care experience negative feelings such as stress, work-related strain, discomfort, and helplessness related to their high-intensity work. The aims of this study are to investigate the effect of the mindfulness-based breathing and music therapy practice on stress, work-related strain, and psychological well-being levels of nurses who provided COVID-19 patients with care. This randomized controlled trial was conducted in a COVID-19 department at a university hospital in Turkey. Nurses who care for patients infected with COVID-19 were randomly divided into an intervention group (n = 52) and a no-treatment control group (n = 52). The intervention group received mindfulness-based breathing and music therapy. In data collection, the Personal Information Form, State Anxiety Inventory, Work-Related Strain Scale, and Psychological Well-Being Scale were used. The data from the study showed that mindfulness-based breathing and music therapy decreased stress and work-related strain (P < .05) and increased psychological well-being (P < .05). The control group showed no statistically significant changes on these measures (P > .05). The mindfulness-based breathing and music therapy practice reduced nurses' stress and work-related strain and increased psychological well-being during the COVID-19 pandemic.

The Effects of the Authentic Leadership Perceptions on the Positive Work Environment Perceptions of Nurses Working at a Research and Training Hospital
Yasemin Ergün, Tuğba Uluocak Köse, Hasan Atar, Cennet Çiriş Yıldız, and Birgül Kahraman
Association of Nurse Managers
Introduction: In this age, where technological change is rapid because of the fast access to information about health, patients’ demand for quality service, administrations’ competitive approach to work, difficulties experienced in meeting health expenses, and changes in health policies require the adoption of creative, effective, and efficient leadership approaches rather than traditional administrative approaches (Catton, 2020; Duygulu and Kublay, 2008). Authentic leadership is considered an ethical leadership approach that ensures that employees are strong and positive. It supports an ethical climate and develops a vision based on high trust. An organizational culture, which focuses on quality care and security of patients and the personnel, is recommended to be formed and disseminated based on an authentic leadership approach (Huston, 2008). Method: This study aims to determine the authentic leadership and positive working environment perceptions of nurses at a research and training hospital and the impact of their authentic leadership perceptions on a positive working environment. The cross-sectional, descriptive, and correlational study was conducted with 173 nurses working at a research and training hospital in Istanbul. Survey forms regarding sociodemographic data, the “Authentic Leadership Scale,” and the “Nursing Work Index-Assessment of the Nurses’ Work Environment” were used as data collection tools. Data obtained within the study context were evaluated by the SPSS for Windows (Version 21.0, Statistical Package for Social Sciences) program. Descriptive statistical methods such as numbers, percentages, averages, standard deviation, and Pearson’s Correlation and Regression analysis were performed in the data analysis. The results were evaluated at a 95% confidence interval and 5% significance level due to the analysis. Results: Of the nurses, 50.3% were aged between 26-35, 67.6% were females, 81.5% worked in shifts, 93.1% were nurses, and 58.4% had five years of less institution experience. It was found that 46.8% of the nurses who participated in the study were satisfied with the working environment, 62.4% were informed about a positive working environment, 52% did not know about authentic leadership, 18.5% had leaders who showed authentic leadership properties, and more than half of them (%57.8) believed that there was a relationship between a positive work environment and authentic leadership. The Nurses’ Work Environment Scale total score average and general score average of the Authentic Leadership Scale were 2.29 and 3.26, respectively. A weak significant correlation in the positive direction was found between the “Assessment of the Nurses’ Work Environment” and “authentic leadership general” (r=0.31; p<0,001). The regression analysis to detect the causal relationship between the evaluation of authentic leadership and the nurses’ work environment Abstract Aim: This study aims to determine the authentic leadership and positive working environment perceptions of nurses at a research and training hospital and the impact of their authentic leadership perceptions on a positive working environment. Method: The cross-sectional, descriptive, and correlational study was conducted with 173 nurses working at a research and training hospital in Istanbul. Survey forms regarding sociodemographic data, the” Authentic Leadership Scale,” and the “Nursing Work Index-Assessment of the Nurses’ Work Environment” were used as data collection tools. The data were evaluated using descriptive statistical methods, Pearson’s correlation, and regression analysis. Results: Of the participants, 50.3% were aged between 26-35, 71.7% had a graduate degree, and 21.9% worked in intensive care. The nurses’ Work Environment Scale total score average and general score average of the Authentic Leadership Scale were 2,29 ± 0,52 (1-4) and 3,26 ± 0,78 (1-5), respectively. A significant correlation of weak levels in the positive direction was found between the “Assessment of the Nurses’ Work Environment” and “authentic leadership general” (r=0.31; p<0,001). According to the regression analysis, authentic leadership perceptions explain 9% of nurses’ perceptions of the working environment (F=18.23; p<0,001). Conclusion: Nurses’ perceptions of authentic leadership and the work environment were moderate. The manager’s perception as an authentic leader leads to a positive perception of the working environment. Especially in healthcare organizations, managers can create a positive working environment by developing and demonstrating authentic leadership skills.

Immunization in health employees: Relationship of confidence and attitude
Dilek Yildirim, Cennet Ciris Yildiz, and Berna Dincer
Informa UK Limited
This is a cross-sectional online survey study performed to identify whether the health employees' confidence in the vaccine besides their confidence in the administrators about the vaccine had any effect on their attitudes toward the vaccine. The study was carried out on February 2021 with the participation of 402 health employees working in the pandemic hospitals. Approximately 33% of the participant health employees stated that they did not think of being vaccinated during the COVID-19 pandemic. Insufficient testing for the vaccines that are developed to fight against pandemics, having fear about their side effects, and finding them unreliable give rise to vaccine hesitancy in health employees. Besides, it was identified that the health employees' confidence in the vaccines and their confidence in the administrators about the vaccines affected their attitudes toward vaccination.

Developing the personal protective equipment comfort scale
Cennet Ciris Yildiz and Dilek Yildirim
Informa UK Limited

COVID-19 pandemic and personal protective equipment: Evaluation of equipment comfort and user attitude
Cennet Çiriş Yildiz, Hülya Ulaşli Kaban, and F. Şule Tanriverdi
Informa UK Limited
Abstract This study aimed to evaluate the comfort of personal protective equipment (PPE) used during the COVID-19 and attitudes of healthcare professionals regarding the use of PPE. Descriptive research was conducted with 553 healthcare professionals, who work in a pandemic center in Turkey. Findings showed that all participants used masks, 99.3% wore gloves, 89% wore protective glasses, and 89% wore aprons during the COVID-19. The most-reported physical complaints have been dryness, irritation, and wound on the hands. Age and gender, as well as PPE discomfort, has been determined to affect the use of PPE. It might be concluded that age and sex, as well as the discomfort caused by PPE, affected the use of PPE and the attitudes of healthcare professionals.

The Relationship Between Nurses Trust in the Manager and Nurses’ Turnover Intentions During the COVID-19 Epidemic
Cennet Çiriş Yıldız and Dilek Yıldırım
Association of Nurse Managers

Development and psychometric testing of the Reality Shock Scale for newly graduated nurses
Cennet Çiriş Yildiz and Yasemin Ergün
Wiley
AIM This study aimed to develop and psychometrically test a Reality Shock Scale for newly graduated nurses. DESIGN An instrument development and validation study. METHOD A four-phase structure was used: (1) determining the conceptual foundation (2) creating the items, (3) preliminary evaluation of items and (4) refining the scale and evaluating psychometric properties. The scale was evaluated in terms of content and construct validity. To assess its reliability, the scale was tested for internal consistency and a test-retest approach was applied. The psychometric characteristics of the scale were tested with 1310 newly graduated nurses working in different positions at 19 hospitals. Data were collected over the period January 2018-July 2019. RESULTS Prior to the creation of the scale items, a scan of the literature was carried out, after which individual face-to-face, semi-structured in-depth interviews were held with the newly graduated nurses. The scale's Content Validity Index was 0.97. A 47-item scale containing four subdomains (Relations and Cooperation, Professional Knowledge, Responsibilities, Performance) was developed as a result of the analyses; the scale explained 48.4% of total variance. The confirmatory factor analysis confirmed the scale's four-factor construct. Cronbach's α was calculated as .95 for the overall scale. CONCLUSION The Reality Shock Scale that was developed is a valid and reliable measure that can be used to determine the extent to which newly graduated nurses experience reality shock. IMPACT The developed tool makes it possible to determine the reality shock experienced by newly graduated nurses and influencing factors. Thus, educational institutions as well as health institutions have the means to develop policies to prevent reality shock experienced among newly graduated nurses.

The effect of acupressure on vital signs, acute pain, stress and satisfaction during venipuncture: Single-blind, randomized controlled study
Dilek Yildirim and Cennet Ciris Yildiz
Elsevier BV

Cennet ÇİRİŞ YILDIZ

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Scopus Publications