https://hdl.handle.net/20.500.12809/254 2026-04-16T14:19:37Z https://hdl.handle.net/20.500.12809/11055 Effectiveness of dignity therapy in the context of culturally competent care in people with palliative care needs: a systematic review of systematic reviews Johnston, Bridget; Dönmez, C. Fulya; Juliao, Miguel Purpose of reviewThis review aims to synthesise the evidence from systematic reviews and meta-analyses on the efficacy of dignity therapy (DT) in relation to psychosocial and spiritual outcomes in the context of person-centred and culturally competent care for people with supportive and palliative care needs.Recent findingsThirteen reviews were found, including seven conducted by nurses. Most reviews were of high quality, including various study populations such as cancer, motor neurone disease and non-malignant conditions. Six psychosocial and spiritual outcomes were identified: quality of life, anxiety, depression, hopefulness, meaning and purpose in life, and suffering based on the cultural variations in the implementation of DT.SummaryDT has a positive impact on anxiety, depression, suffering, and meaning and purpose in life for people with palliative care needs, but the evidence is somewhat conflicted as to whether DT is effective in improving hope, quality of life and spiritual outcomes in the context of culturally competent care. Nurse-led DT seems desirable given its pivotal role when caring for people with palliative care needs. More randomised controlled trials should be conducted for people with different cultural backgrounds to provide person-centred, culturally competent supportive and palliative care. 2023-01-01T00:00:00Z https://hdl.handle.net/20.500.12809/10909 Assessing psychometric properties of the Turkish version of the Fear of COVID-19 Scale for Nurses Hancerlioğlu, Sadık; Toyğar, İsmail AimThe purpose of this study was to evaluate the validity and reliability of the Turkish version of the Fear of COVID-19 Scale (FCV-19S). MethodsThe study used a descriptive design and was conducted between April and May 2020. The participants were 213 nurses who were working in 12 hospitals in eight cities in Turkey. Content validity index, exploratory factor analysis and confirmatory factor analysis were used to evaluate validity. Cronbach's alpha, item-scale correlation and test-retest reliability were used to evaluate reliability. ResultsThe CVI was 0.92 (0.81-1.00). A one-factor solution was identified and the factor loading of items in scale varied from 0.377 to 0.909. The Cronbach's alpha value was 0.889 in the current study. Item-scale correlations ranged between 0.570 and 0.815. Intraclass correlation coefficient ranged from 0.71 to 0.93. ConclusionThe Turkish version of the FCV-19S for nurses was found to be valid and reliable measure of the fear of nurses towards COVID-19. 2023-01-01T00:00:00Z https://hdl.handle.net/20.500.12809/10822 Effect of the Educational Intervention on the Balance of Diabetic Foot Amputees: A Randomized Controlled Study Toygar, İsmail; Suçeken, Sevda; Eti Aslan, Fatma; Çelebi, Mehmet Emin; Batar, Suat This study aimed to evaluate the effect of educational intervention on the balance of diabetic foot amputees. There were 2 groups and 60 patients (30 in each group) in the study. The patients were divided into 2 groups using block randomization to provide equal distribution of the minor and major amputations in groups. An education program was prepared in line with Bandura's Social Cognitive Learning theory. Education was administered to the intervention group before the amputation. Three days after the education, the patients’ balance was examined using Berg Balance Scale (BBS). There were not any statistically significant differences between the groups regarding the sociodemographic and disease-related characteristics except for marital status (P =.038). The mean BBS scores were 31.4 ± 17.6 for the intervention group and 20.3 ± 17.8 for the control group. We demonstrated that the intervention lowered fall risk after minor (P =.045) but not major amputation (P =.067). We recommend using education for the patients who will undergo amputation and further studies in larger and different populations. 2023-01-01T00:00:00Z https://hdl.handle.net/20.500.12809/10767 Relationship between the insulin use and stigma in type 2 diabetes mellitus Aslan Özdemir, Emine; Toygar, İsmail; Feyizoğlu, Güneş; Polat, Selda; Eti Aslan, Fatma Aims: This study aimed to investigate the relationship between insulin use and stigma in Type 2 Diabetes Mellitus (T2DM). Methods: The study was carried out in the endocrinology and metabolic disorders outpatient clinic of a state hospital between February and October 2022. The study was carried out with 154 patients, 77 of them were treated with insulin while 77 were treated with peroral antidiabetic drugs (PAD). The patient identification form and Type 2 Diabetes Stigma Assessment Scale (DSAS-2) were used for data collection. The data were analyzed by using IBM SPSS 26.0 software. Results: DSAS-2 total score, treated differently, blame and judgment, and self-stigma subscales were higher in insulin-treated T2DM patients compared to the patients treated with PAD. There was a positive relationship between the number of daily injections and the DSAS-2 total score (r = 0.554). Multiple linear regression showed that type of the treatment, treatment duration, number of daily injections and perceived level of health were the determinants of the DSAS-2 score. Conclusions: Stigma was high in insulin-treated T2DM patients and as the number of daily injections increased, the level of the perceived stigma increased. We recommend considering the high level of perceived stigma in insulin-treated T2DM patients while preparing nursing investigations 2023-01-01T00:00:00Z