Browsing by Author "Cetinkaya, A"

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    Exploring birth experience of mothers, based on comfort theory
    Okuyan, YC; Bolsoy, N; Cetinkaya, A
    Objective: To analyse the phenomenon of giving birth on the basis of the lived experiences of women and midwives. Method: The qualitative study was conducted in the delivery room of a mother-friendly hospital in western Turkey from March 1 to December 30, 2019, and comprised primiparous women aged 18-35 years having a spontaneous vaginal birth, and midwives who delivered the babies. Data was collected through indepth interviews that were audiorecorded. Additionally, women's written birth stories and researcher's observation regarding the participants were used. Data was subjected to content analysis using NVIVO 12 Pro software. Results: Of the 28 subjects 15(53.6%) were lay women with mean age 24.2 +/- 3.87 years (range: 18-30 years), and 13(46.4%) were midwives with mean age 42.61 +/- 4.50 years (range: 37-50 years). The most referred conceptual themes in Kolcaba's Theory of Comfort were enhanced comfort, mother-friendly hospital policy, and midwives'comforting interventions. Under the theme of Increasing Comfort, women cared about psychological and environmental comfort. Women had the most psychospiritual comfort and environmental comfort as well as physical and sociocultural comfort. Women cared about psychological and environmental comfort that facilitated birth. Conclusion: The mother-friendly hospital policy increased and contributed to the support and comfort provided to women. Kolcaba's Comfort Theory was an appropriate and working theory for birth and midwifery care, indicating that women's comfort should be ensured in the psychospiritual, environmental, physical and sociocultural contexts.
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    Reliability and validity of the Turkish version of the Individual-Level Abortion Stigma Scale: a methodological study
    Cetinkaya, A; Özmen, D; Uyar, F; Tayhan, A
    Objectives The aim of this study was to assess the reliability and validity of the Turkish version of the Individual-Level Abortion Stigma Scale. Setting Three hospitals affiliated to Public Hospitals Union General Secretariat in Manisa, a city located in Western Turkey. Design This was a methodological study. Participants A total of 230 women aged 22-49 years who previously underwent abortion and volunteered to participate in the study. Primary and secondary outcome measures Data analysis was performed using the SPSS and LISREL software. The Content Validity Index was calculated based on the values obtained from expert opinions. In the reliability analysis, Cronbach's alpha values were calculated for the overall scale and its subscales. To test the stability of the scale over time, the scale was readministered to 30 women in the study 15 days later and the test-retest values (Pearson's correlation coefficients) were determined. In the validity analysis, the exploratory and confirmatory factor analyses were performed. In the exploratory factor analysis, the principal component analysis was performed using the varimax rotation and the factor loading of the scale was examined. Confirmatory factor analysis was performed to investigate the item-factor construct of the scale. Results The Content Validity Index was calculated as 0.86. The Cronbach's alpha values ranged between 0.83 and 0.94. The item-total correlation coefficients ranged between 0.36 and 0.72, and the test-retest reliability was 0.96 for the overall scale and its subscales (p<0.05). The total variance revealed by five factors was 75%. Confirmatory factor analysis of the scale revealed an acceptable compliance level (root mean square error of approximation=0.092, chi(2)/df=2.91, Goodness of Fit Index=0.831, Comparative Fit Index=0.928, p<0.001). Conclusions The results suggest that this scale has the potential for use in research and clinical settings to measure abortion stigma among women.
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    Emergency Service Perceptions and Experiences of Patients: Not A Great Place, But Not Disturbing
    Mutlu, S; Cetinkaya, A; Yilmaz, E
    This study was conducted to determine the emergency department experiences and perceptions of a group of patients who applied to the tertiary emergency department. The study was carried out using a qualitative approach. Forty patients who were admitted to the emergency department were included in the study. Data were collected by face-to-face interview. The frequency count (f) and participant codes (P) were used for the presentation of the findings. The themes and frequency counts obtained by analyzing the interviews with the patients were as follows: Uncertainty/Obscurity: Anxiety and fear (f = 108), Waiting/being patient (f = 39), Pain and procedures (f = 119), Doctor and nurse comforting attitudes (f = 98), Being treated and recovering (f = 48), Calm and comfortable environment (f = 14). This study showed that the emergency department is generally perceived as a healing environment, the most important need of the participants is to relieve the anxiety and fear caused by the unknown and the pain they feel.