Browsing by Author "Gülşen M."
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Item Adaptation and validation of the Turkish version of the Caring Culture Survey(John Wiley and Sons Inc, 2021) Gülşen M.; Kutlu A.Aim: To assess the validity and reliability of the Caring Culture Survey in a sample of Turkish nurses. Background: Health care institutions have increased their focus on the caring culture to improve the satisfaction of both employees and patients. However, there is a lack of valid and reliable tools in Turkish that measure nurses’ perceptions of caring culture. Method: This two-phase psychometric study was conducted by recruiting 240 nurses from one university hospital between August and October 2019. In phase 1, the scale's adaptation was implemented. In phase 2, construct validity was determined by confirmatory factor analysis. Reliability was tested by internal consistency and item–total correlation coefficients. Results: Adaptation results showed that the Turkish version of the scale is adequate for linguistic and content validation. Confirmatory factor analysis indicated a significantly good fit for a three-factor model. Cronbach's alpha coefficient was 0.84 for the overall scale. Conclusion: The Turkish version of the Caring Culture Survey showed consistently acceptable psychometric properties of reliability and validity. Implications for Nursing Management: The Turkish version of the Caring Culture Survey can be used as an instrument to assess nurses' perceptions of caring culture by health care and nurse managers. © 2021 John Wiley & Sons Ltd.Item Can Aortic and Renal Arteries Calcium Scores Be New Factors to Predict Post-Operative Renal Function After Nephron Sparing Surgery?(Elsevier Inc., 2022) Akarken İ.; Bilen C.Y.; Özden E.; Gülşen M.; Üçer O.; Şahin H.Introduction: This study aims to investigate whether the calcification of renal arteries and aorta may be risk factors for developing chronic kidney disease (CKD) after Nephron sparing surgery (NSS). Materials and Methods: The patients that underwent either open or laparoscopic NSS from 2000 to 2019 in 4 different centers were retrospectively assessed. Of these patients, 328 had a non-contrast-enhanced computer tomography. Calcium scores of the renal arteries and abdominal aorta were measured in the non-contrast-enhanced images with the calcium score plugin (version 2.0) of Horos™. Univariate and multivariate logistic regression analysis was performed to determine significant risk factors for developing CKD at the last check-up. Roc curve analysis was performed to determine the optimal cut-off values of age and abdominal aorta calcium scores. Results: A total of 302 patients, of which 52 (16,6%) with CKD and 252 (83,4%) without CKD at the last check-up, were included in the analysis. The mean warm ischemia duration was significantly higher in patients with CKD (18,79±6,72 vs 16,38±5,57 minutes, p=0,016). The mean size of the tumor diameter and the number of the patients with ≥stage T1b were higher in the group with CKD (p=0,024 and 0,005, respectively). The median calcium scores of the aorta and renal arteries were higher in the group with CKD (p<0,001 and p<0,001, respectively). In multivariate analysis, age >60 years (OR:3,65, p=0,022), calcium score of the aorta (OR:4,07, p=0,029), tumor diameter (OR:1,03, p=0,026) and pre-operative CKD stage (OR:10,13, p<0,001) found the be significant factors for predicting last check-up CKD. Conclusion: The calcium score of the aorta may be used as an additional risk factor to predict post-operative CKD risk after NSS with sensitivity over 80%. © 2021Item The effectiveness of a training program on perceptions of caring culture among Turkish nurses: A quasi-experimental trial(John Wiley and Sons Inc, 2024) Gülşen M.; Kutlu A.Aim: To assess the effectiveness of a training program on perceptions of caring culture among Turkish nurses and investigate the relationships among caring culture, job satisfaction, and intention to leave. Background: Every organisation has its on culture with its vairous components including values, symbols, practices and policies. Healthcare organizations need a favorable caring culture to support nurses and other professional working in the organisation. Methods: This was a quasi-experimental trial of an educational intervention conducted between October and December 2020 at a university hospital in Turkey. The sample of the study consisted of 86 nurses. A four-week training program based on caring culture was provided for the training group. The data were collected using a Personal Information Form, the Turkish version of the Caring Culture Survey, and the Job Satisfaction Scale. Intention to leave was measured with a single question. Findings: The mean total caring culture and personal caring scores of the training group were significantly higher after the training than before (p < 0.05). There were significant positive correlations between the mean caring culture total and subscale scores of the participants and their total job satisfaction scores. Besides, there were significant negative correlations between the caring culture total and subscale scores of the participants and their intentions to leave, but these relationships were weak or moderate (p < 0.05). Conclusion: This training program based on caring culture can contribute to improving the caring culture perceptions of nurses. Caring culture is positively related to job satisfaction and negatively related to intentions to leave. Implications for nursing and health policy: Healthcare organizations should prioritize creating a caring culture and designing initiatives that focus on caring culture. The perceptions of nurses about caring culture should be measured and identified regularly. © 2023 The Authors. International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.Item Measuring the impact: Severity of harm from laboratory errors in 195 tests(Oxford University Press, 2025) Çubukçu H.C.; Cihan M.; Alp H.H.; Bolat S.; Zengi O.; Uçar K.T.; Topcu D.İ.; Kılınçkaya M.F.; Özdemir H.; Gülşen M.; Canbaz H.; Yücel D.; Serdar M.A.Objectives: This study aimed to objectively assess the potential severity of harm associated with erroneous results in 195 laboratory tests by surveying 514 specialist physicians and medical biochemistry experts. Methods: The survey obtained participants’ (75 medical biochemists, 439 clinicians) opinions on severity of harm for the erroneous results of 195 tests. The comprehensive list of errors and their effects on test results were obtained from the literature, and then matched with severity of harm scores, from 1 (negligible effect) to 5 (life-threatening injury/death), obtained from the survey responses. Results: Participants perceived tests such as cardiac biomarkers, blood gases, coagulation parameters (activated partial thromboplastin time, prothrombin time, international normalized ratio, and dimerized plasmin fragment D), critical ions (potassium, sodium), toxic trace elements (lead, mercury), and specific serum drug levels (lithium, digoxin) to have a greater potential for patient harm in case of errors. Medical biochemistry specialists assigned higher severity scores to some laboratory tests, including total bilirubin, pseudocholinesterase, platelet indices, and some drug levels (cyclosporine, methotrexate, vancomycin). Conclusions: A substantial agreement (91%) was observed between medical biochemists and clinicians in terms of the most frequently chosen severity of harm score. The study provided objective severity scores and identified high-risk tests for targeted quality improvement. © The Author(s) 2024. Published by Oxford University Press on behalf of American Society for Clinical Pathology. All rights reserved.Item Lived Experiences of Turkish Internationally Educated Nurses: A Phenomenological Study(John Wiley and Sons Inc, 2025) Gülşen M.; Akan D.D.; Tosun S.The international mobility of the nursing workforce is growing. In recent years, Türkiye has seen a notable increase in the number of nurses seeking employment abroad. This study aimed to describe lived experiences of Turkish internationally educated nurses (IENs). A qualitative design with a descriptive phenomenological approach was employed, and the results are reported following the consolidated criteria for reporting qualitative research (COREQ) checklist. Data were collected from September to November 2023 through in-depth, individual online interviews using a semi-structured interview form. Sixteen Turkish IENs were interviewed. Through thematic analysis, four themes emerged: push factors of migration, pull factors of migration, positive experiences following migration, and negative experiences following migration. The migration of Turkish nurses to higher-income countries significantly enhanced their professional and personal lives but also presented considerable challenges. This study underscores the dual nature of migration, offering both opportunities and challenges. © 2025 The Author(s). Nursing & Health Sciences published by John Wiley & Sons Australia, Ltd.