Posttraumatic growth (PTG) describes positive psychological changes following highly stressful events, including organ transplantation. Kidney and liver transplantation improve survival but pose significant psychosocial challenges for recipients and living donors. Understanding PTG and its correlates is important for strengthening psychosocial care. To synthesise quantitative evidence on post-traumatic growth (PTG) among adult kidney and liver transplant recipients and living donors. Following PRISMA 2020 guidelines, five databases (CINAHL, PubMed, Web of Science, ScienceDirect, and Scopus) were searched between 18 March and 11 May 2025 for peer-reviewed, English-language quantitative observational studies (2015–2025) involving adult (≥ 18 years) kidney or liver transplant recipients or living donors assessed with validated PTG measures (e.g., PTGI). Data on study characteristics, PTG levels, and associated factors were narratively synthesized. Methodological quality was appraised using Joanna Briggs Institute checklists. Out of 276 records screened, 19 studies from eight countries were included (13 recipient-only studies, four donor-only studies, one study including both recipients and donors, and one study including recipients and family members/caregivers. PTG was generally reported at moderate-to-high levels, with higher scores commonly observed in domains related to relating to others, appreciation of life, and personal strength (as reported across studies). Study-reported positive associations with PTG included female sex, marital status, socioeconomic status, living donor graft type, time since transplantation, better perceived health, resilience, social support, adaptive coping, and spirituality. Negative associations were reported for depressive symptoms, alexithymia, and avoidant coping. Across the limited longitudinal evidence, PTG appeared higher in earlier post-transplant periods and tended to decrease over time. Methodological quality was appraised using JBI checklists; most studies had low-to-some concerns, with key limitations in confounding control and attrition reporting. PTG is commonly reported among transplant recipients and donors. The findings highlight potentially modifiable psychosocial correlates (e.g., resilience, coping, and social support) that may inform supportive care strategies across the transplant trajectory. CRD420251020904.

The aim of the study is to determine the stigmatization perceived by individuals with intestinal ostomy to recognize these issues and assist them in the adjustment to having an ostomy. The study is descriptive and qualitative study. Interviews were conducted with a total of 14 individuals who were able to communicate, and had a permanent intestinal ostomy in the outpatient center of a university hospital. The content analysis method was used in data analysis. Three main themes and seven subthemes were identified. The main themes were “perceived stigma”, “changes in life” and “emotional responses”. The majority of the patients experienced internalized stigma. In this study, individuals with intestinal ostomies perceveid both internalized and experienced stigma. Negative feelings with perceived stigma restricted social lives, decreased relationships with relatives, neighbors, and friends, reduced the desire to go out and negatively affected body image and sexual life. Education programs can be organized to help them cope with this situation.

OBJECTIVE:This study synthesizes qualitative research on the lived experiences of individuals awaiting kidney transplantation, with particular attention to their emotional, psychological, and social journeys during the waiting period. METHODS:A meta-ethnographic approach was employed, guided by Noblit and Hare's seven-phase framework. Systematic searches were conducted across six databases-PubMed (MEDLINE), Scopus, Web of Science, ScienceDirect, Wiley, and Ovid-resulting in 5452 records. After applying predefined eligibility criteria, eight qualitative studies published between 2015 and 2025 were included. First-order constructs (participants' accounts) and second-order constructs (researchers' interpretations) were integrated to generate third-order interpretive themes. RESULTS:Six overarching themes were identified: (1) navigating uncertainty, (2) sustaining hope and anticipation, (3) psychological strain and emotional weight, (4) readiness and coping resources, (5) support systems and communication, and (6) identity transformation and personal growth. These themes emphasize the complexity of the experience of waiting for a transplant, which is characterized by temporal ambiguity, emotional vulnerability, and existential reflection. Support from peers and healthcare professionals, as well as adaptive coping strategies, played a pivotal role in fostering psychological resilience. CONCLUSION:Waiting for a kidney transplant profoundly reshapes patients' perceptions of self, time, and well-being. Insights from this synthesis can guide the design of targeted psychosocial interventions and patient-centered support programs. These findings hold relevance for nurses, transplant coordinators, and mental health practitioners involved in caring for this population.

Background and Objectives: Chronic venous insufficiency negatively affects the quality of life and reduces the job performance of nurses, who are important components of the healthcare system. The aim of this study was to assess the risk factors of venous insufficiency according to demographic characteristics among nurses working at a foundation university hospital. Materials and Methods: This study used an analytical cross-sectional approach. The sample consisted of 100 nurses working at a foundation university hospital in a metropolitan city of Turkey. Data were collected using a demographic characteristics form, VEINESQOL/Sym, and a CEAP classification form. The condition of varicose veins among the nurses was diagnosed by a cardiovascular surgeon using Doppler ultrasonography. Results: The prevalence of chronic venous insufficiency (CVI) among nurses was 65%, with 48% at a C1 level according to the CEAP classification. CVI was higher among those with chronic diseases (p = 0.027) and those who had pregnancy (p = 0.021). In addition, the risk of CVI (+) was 7.68 times higher among those aged older than 26.5 years and 36.14 times higher for women (p < 0.001). A 0.9-fold increase in the risk of CVI (+) among nurses produced a one-unit decrease in venous-insufficiency-related quality of life (p = 0.006, OR = 0.94, 95% CI:(0.896–0.982)). Conclusions: The prevalence of CVI among nurses was found to be high, especially among women, those with chronic diseases, and pregnant individuals. In this context, it is recommended to implement risk screening and prevention education programs for CVI among nurses.

OBJECTIVES:The most effective treatment for end-stage renal failure is renal transplant. Nonadherence to medication is one of the most important factors in organ rejection and an important problem in pediatric renal transplant and an important cause of graft failure. Adherence is the most important modifiable factor that affects treatment outcomes. Factors such as low education level and socioeconomic level, complexity of the treatment, lack of belief in the effectiveness of the treatment, cost, insufficient education, drug toxicity, and adverse effects negatively affect adherence to treatment. Although medication adherence has been studied in pediatric patients, conflicting results remain on which practices are effective. In this systematic review study, we aimed to determine which interventions are effective in increasing medication adherence in pediatric renal transplant. MATERIALS AND METHODS:We searched for randomized, nonrandomized, and other interventional studies conducted between 1980 and 2024 through PubMed, Cochrane, EBSCO, SCOPUS, Web of Science, and National Thesis Center and TÜBİTAK (TR Index) databases. We searched the following medical subjects headings, which included Turkish science terms: "renal transplantation" AND ("medication" OR "immunosuppressive") AND ("compliance" OR "adherence") AND ("child" or "pediatrics"). We included randomized controlled trials, quasi-experimental, and interventional studies on individuals aged <18 years with only renal transplant or with other solid-organ transplants and immunosuppressive treatment. We also examined references of review studies. PRISMA guide was used in reporting the study. RESULTS:Our search identified 970 articles, with 10 studies that met the inclusion criteria. Only 1 study included children under the age of 12 years was found to be eligible after quality assessment for systematic review. The intervention in this study was based on the self-management model. CONCLUSIONS:Multicomponent interventions may be useful to improve medication adherence in children with renal transplant.

Introduction: Low back pain is a common problem among operating room personnel. The study was performed to determine low back pain (LBP) factors and effects on daily activities in operating room personnel. Methods: The descriptive study was conducted in January 2018 in Ankara, Türkiye. The study sample consisted of 210 operating room personnel. Data from the study were collected using the Oswestry Low Back Pain Disability Questionnaire and Socio-Demographic Characteristics and Low Back Health Question Form. Results: The majority of operating room personnel had LBP. The mean disability score of the Operating room personnel was 9.69±6.49. A total of 8.1% of operating room personnel had severe disabilities. The disability score of the operating room personnel was higher in women, nurses, and personnel who worked over 8 hours a day, those who had any level of stress, and those who lifted patients without assistance. Conclusion: LBP remains an important problem in operating room staff and negatively affects daily activities. Considering the disability caused by LBP, to prevent LBP, developing comprehensive programs with hospital management including exercise, coping with stress, smoking cessation, and regulation of the working environment and conditions is suggested.

During the pandemic process, nurses felt more anxious and nervous compared to other health professionals and were frequently exposed to verbal-emotional-psychological violence. This study was conducted to determine the anxiety levels of nurses, their exposure to violence, and the factors affecting the anxiety and witnessed violence of nurses during the COVID-19 pandemic in Turkey. The descriptive study data were collected in the period between October 2020 and March 2021 via the online questionnaire published on the Turkish Nurses Association’s website. The study sample consisted of 3,230 nurses. In this study, it was found that the majority of participants in the study were women (83,5%), working 24-hour shifts (49.3%) at hospitals run by the Ministry of Health (68.7%), caring for COVID-19 patients (82.1%). Nurses experienced very high levels of anxiety and were exposed to violence from patients, family members, or other healthcare professionals during the COVID-19 pandemic. Also, this study shows that nurses experienced high anxiety levels and increased exposure to violence in association with the high number of patients to provide care for, long working hours, being forced to work despite COVID-19 symptoms, working with COVID-19 patients, the fear of infecting family members, having difficulties in caring for family members, financial losses, and the unavailability of changing rooms. In line with the results of this study, the responsibility range of managers and decision-makers is wide in protecting the physical and mental integrity of nurses, anticipating, and addressing their needs and resolving their problems, and managing the nurse manpower and the supply of PPE in accordance with standards so that nurses can provide qualified and safe nursing practices. The findings of this study will help to ensure that nursing care is safe, consistent, and competent, as well as guide future planning.

During the COVID-19 pandemic, health professionals had to spend much of their time working in hospitals, which may have caused psychological distress to their children. This study was in the form of a case study pattern, one of the qualitative research methods aimed to identify the psychosocial effects of the COVID-19 pandemic on the primary school children of health professionals. Its sample consisted of health professionals (n = 60) and their children (n = 60), who were all at primary school. Data were collected from the parents using a questionnaire, and from the children by asking them to create drawings and explain them. Descriptive and content analysis were carried out. The findings were grouped under the headings of "Spatial and Social Effects on the Child's Daily Life," "Effects on the Child's Emotions," and "Effects on the Parent From the Child's Perspective." It is recommended that interventions to maintain the psychosocial well-being of children be planned.

Amaç: Araştırmanın amacı Türkiye’de görev yapan hemşirelerin COVID-19 pandemisi nedeniyle yaşadıkları sorunları ve deneyimleri belirlemektir. Yöntem: Araştırmada, retrospektif bir nicel çalışmanın açık uçlu sorusuna içerik analizi yapılmıştır. Araştırmanın evrenini Türkiye’de COVID-19 pandemi döneminde çalışan hemşireler oluşturmaktadır. Türk Hemşireler Derneği web sitesi, resmi instagram ve facebook adresleri ve whatsappta çevrimiçi yer alan anketi Ekim 2020-Mart 2021 tarihleri arasında 3230 hemşire doldurmuştur. Ankette yer alan “COVID-19 sürecine yönelik yaşadığınız sorunlar ve deneyimleriniz nedir?” açık uçlu soruya verilen yanıtlar transkripte edilmiştir. Transkripte edilen ifadelere betimleyici ve yorumlayıcı kodlama yapılarak tema ve alt temalar belirlenmiştir. Bulgular: Hemşirelerin yaş ortalaması 31.95±8.40’dır. Hemşirelerin %83.5’i kadın, %49.7’si 24 saatlik nöbet tutmakta ve %62.2’si haftalık 40-48 saat arasında çalışmaktadır. Açık uçlu soruya verilen yanıtlarda hemşirelerin %98.6’sı COVID-19 sürecinde en az bir sorun yaşadıklarını bildirmiştir. Bu sorunlar üzerinden yapılan içerik analizinde, “aile yaşamı, çalışma koşulları, COVID-19 pandemi süreci, mobinge maruz kalma ve politik kararlar” olmak üzere 5 ana tema belirlenmiştir. Sonuç ve Öneriler: Bu çalışma hemşirelerin COVID-19 pandemi sürecinde yaşadıkları sorunların ve deneyimlerin boyutunu ve etkilerini ortaya koymaktadır. Türk Hemşireler Derneği, hasta ve çalışan güvenliğini tehlikeye atan durumlara ve hemşirelerin sağlık hizmeti sunumunda yaşadıkları sorunlara dikkat çekerek, hemşirelerin talep ve isteklerini dile getirerek sorunlara çözüm getirilmesini sağlamaya çalışmaktadır.

PURPOSE:The aim of this study was to determine sleep problems and the sleep quality of individuals with intestinal stomas.DESIGN:Descriptive quantitative design was used.SUBJECTS AND SETTING:The research was carried out from September 2018 to September 2019 at 3 university hospitals with stoma units located in Ankara, Turkey. The study sample comprised 222 individuals with intestinal ostomies who were being monitored in these 3 centers. Approximately half (N = 113, 50.9%) had an ileostomy and 68.5% (N = 152) had a temporary stoma. More than half of the participants (N = 116, 52.3%) reported current sleep problems, 59.5% (N = 132) reported that their stoma affected their sleep, and 64% (N = 142) had problems at night due to their stomas, reporting that they woke up frequently during their main sleep period due to ostomy-related problems.METHODS:Three instruments were used to measure study outcomes: the researcher-designed instrument determining the descriptive characteristics of individuals with intestinal stomas, the Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale.RESULTS:The mean Pittsburgh Sleep Quality Index score was found to be above 5 (13.42, SD: 3.01) indicating poor sleep quality. The mean Epworth Sleepiness Scale score was 7.54 (SD: 6.37) indicating that participants had daytime sleepiness. The mean Pittsburgh Sleep Quality Index scores of participants with ileostomies ( P = .002) and those with temporary stomas ( P = .009) were found to be significantly higher.CONCLUSIONS:Study findings indicate that individuals with intestinal stomas have poor sleep quality and problems with daytime sleepiness; those with ileostomies and temporary stomas had the worst quality of sleep.

BACKGROUND: Alarm fatigue is an important technological hazard that adversely affects patient safety and the healthcare team. Nurses can be exposed to an excessive amount of alarms during their work which may lead to alarm fatigue. OBJECTIVE: To determine the experiences of alarm fatigue among nursesworking in intensive care units and other inpatient clinics. METHODS: This descriptive study was conducted in university hospitals in five cities in Turkey between August and December 2019. A total of 592 nurses participated in this study. The data was collected using questionnaires and the Visual Analog Scale (0 to 10 points) was used to determine the level of alarm fatigue. RESULTS: More than half of the nurses experienced problems, especially false alarms, caused by devices. Alarm fatigue decreased with increasing age and working years. Nurses reported appropriate actions in solving problems, but also had practices that may increase the risk of error, such as turning off or muting alarms or turning off equipment. CONCLUSION: Alarm fatigue is mostly caused by false alarms. It can lead to physical fatigue, increased workload and decreased concentration, resulting in an increased possibility of error. Management of alarm fatigue is necessary in preventing a compromise in patients' safety and improving quality of care.

AIMS:This study aimed to determine thermal comfort among nurses working with personal protective equipment in COVID-19 clinic.METHODS:In this study, a descriptive design was carried out between June and September 2020. Sample of the study consisted of 246 nurses (77.6%) who worked in the COVID-19 clinics with personal protective equipment. We used a questionnaire to determine thermal comfort of nurses; a follow-up form to determine the factors affecting thermal comfort; and the ASHRAE Thermal Sensation Scale. Four measurements and follow-ups were made three times.RESULTS:More than half of nurses complained of ambient temperature and ventilation, one-third complained of humidity and nearly half complained of poor air quality. The mean thermal comfort score of nurses working in COVID-19 clinics was 1.19 (SD = 0.75). The thermal comfort of the nurses was negatively affected in all measurements except before wearing personal protective equipment. The highest scores were measured leaving the patient room and before removing personal protective equipment (M = 2.65, SD = 0.58).CONCLUSION:The thermal comfort, work performance and stress levels of the nurses were negatively affected by working with personal protective equipment. This study reveals the necessity of improving the working conditions of nurses, including working hours, environment and personal protective equipment.

Tum dunyayi etkisi altina alan Covid-19 pandemisi, pek cok sektorun yukunu arttirmis, pandemi ile mucadelede suphesiz en buyuk yuk ise saglik sektorune dusmustur. Salgin surecinde pek cok ulkede saglik sistemi donem donem cokmus ya da oldukca zorlanmistir. Kisitli kaynaklarla artan saglik hizmeti talebini karsilarken, hizmetinin nitelikli ve guvenli sunumunu saglama sorumlulugu buyuk olcude saglik calisanlarina yuklenmistir. Hemsireler salginla mucadelenin en on safhasinda topluma ihtiyac duydugu bakimi kesintisiz saglamistir. Kuresel bir kriz olarak tanimlanan Covid-19 salgini ile etkin mucadele icin de hemsirelerin potansiyel gucunden faydalanilmasi, hemsirelerin hem karar hem uygulama hem de degerlendirme sureclerinde yer almasi elzemdir. Ancak ulkemizde pandemi yonetimi, saglik hizmeti sunumu ve hemsirelerin bu surece dahil edilmeleri tartisilir bir seyir izlemistir. Pandemi surecince hemsirelerin, 24 saat kesintisiz calismasi, haftalik calisma saatlerinin insani kosullari asacak duzeyde artmasi, bir hemsireye dusen hasta sayisinin mevzuatta yer alan duzenlemelerin cok ustunde olmasi gibi olumsuz kosullarda calistigi da Turk Hemsireler Dernegi tarafindan cesitli calismalarla ortaya konmustur. Bu surecte, Saglik calisanlarina, hasta ve ailesi yaninda yonetim, sendika ve diger saglik calisanlari tarafindan uygulanan siddet ise basli basina ele alinmasi gereken bir sorun olarak karsimizda durmaktadir. Yasamin ne kadar kutsal ve degerli oldugu bilinci ile Covid-19 hastaligi ile savasan hemsirelerin, bu savastan yorgun, tukenmis, endiseli, umutsuz, hasarli ve kayipla cikmamalari icin yoneticilere ve karar vericilere buyuk sorumluluk dusmektedir.

Karaciğer yetersizliğinin en etkili tedavisi karaciğer naklidir. Karaciğer nakli sonrasında erken ve geç dönem ciddi komplikasyonlar ortaya çıkabilmekte, bu durum hasta ve hasta yakınlarının bakımda zorluk yaşamasına, rejeksiyon ve enfeksiyon gibi nakledilen organın işlevinin kaybına neden olan ciddi sorunların ortaya çıkmasına neden olabilmektedir. Hastanın gereksinimlerine yönelik, öz yönetimin geliştirilmesine odaklı ekip çalışması ile gerçekleştirilen etkili bir taburculuk eğitimi komplikasyonları, tekrarlı yatışları ve greft kaybını önlemektedir. Taburculuk eğitimi, hasta ve yakınlarının beklentileri, öncelikleri ve gereksinimleri dikkate alındığında etkili olabilmektedir. Hemşireler, sağlık ekibi içinde nakil hastalarının taburculuk eğitiminde kilit noktadadırlar ve taburculuk sonrası dönemin yönetilmesinde önemli sorumlulukları bulunmaktadır. Özellikle rejeksiyon ve enfeksiyon gibi komplikasyonlar yaşamı tehdit eden ciddi sorunların ortaya çıkmasına neden olabilmektedir. İlaç uyumu ise bu komplikasyonların önlenmesinde büyük önem taşımaktadır. Hastalar, ameliyat sonrası çok sayıda ilaç kullanmakta ve başta ilaçların yan etkileri olmak üzere farklı nedenlerle ilaçları düzenli kullanmamakta ya da ilaçları bırakmaktadırlar. İlaç yönetimi, hemşirelerin önemli sorumluluklarındandır ve hemşireler ilaç yönetimi konusunda hastaları taburculuk sonrası dönemde de desteklemelidir. Benzer şekilde enfeksiyon karaciğer nakli olan hastalarda morbidite ve mortalitenin en önemli nedenlerinden biridir. Enfeksiyonların önlenmesi ise yine etkili bir taburculuk eğitimi ile mümkün olacaktır. Bu makalede, karaciğer nakli olan hastalar ve yakınlarına yönelik taburculuk eğitimi kapsamında yer alması gereken konular ele alınmış olup taburculuk eğitimi sürecinde hemşirelere katkı sağlayacağı öngörülmektedir.

Amaç: Bu çalışma bağırsak stoması olan bireylerin stomaya uyumlarının ve etkileyen faktörlerin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntem: Tanımlayıcı nitelikteki bu çalışma bir üniversite hastanesinin cerrahi bölümüne başvuran ve en az üç ay ile iki yıl arasında bağırsak stoması açılan 71 hasta ile tamamlanmıştır. Veriler, hasta tanıtıcı bilgi formu ve Ostomi Uyum Ölçeği kullanılarak toplanmıştır. İstatistik analiz için, sayı, yüzde, ortalama ve Mann-whitney U ve Kruskal Wallis testleri yapılmıştır. Bulgular: Çalışmada, yaş ortalaması 56.62±13.39 olan hastaların, %77.5’i kadın, %74.6’sı evli, %52.1’i lise mezunudur. Hastaların %83.2’sine kanser tanısı nedeniyle açıldığı; %69.0’unun bir yıldan daha az süredir stomaya sahip olduğu; %62.0’sine işlem öncesinde stoma açılmasına ilişkin bilgi verildiği belirlenmiştir. Hastaların Ostomi Uyum ölçeğinin alt gruplarından kaygı puanının üniversite mezunu olanlarda daha düşük olduğu, üniversite mezunun olanların sosyal uyum puanlarının daha yüksek olduğu belirlenmiştir. Sonuç: Çalışmada stoması olan hastaların Ostomi Uyum Ölçeği puan ortalamaları ve ölçeğin alt boyut puan ortalamaları orta düzeyde saptanmıştır.

U yku; çevreye geçici olarak tepkisizlik ve göreceli olarak çevreyle bağlantının kesildiği nörodavranışsal ve tekrarlayan bir durumdur. [1]Zihinsel ve fiziksel sağlığımızı her gün yenilememiz için önemli olan uyku, yaşamımızın üçte birini kapsayan aktif bir dönemdir