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Öğe The impact of high-fidelity simulation on knowledge, critical thinking, and clinical decision-making for the management of pre-eclampsia(Wiley, 2020) Akalin, Ayse; Sahin, SevilObjective To investigate the impact of high-fidelity simulation on nursing students' knowledge, critical thinking, and clinical decision-making in the management of pre-eclampsia, and to explore the students' views and learning experiences. Methods A mixed-methods design study was conducted on 107 third-year nursing students. The students were randomly assigned to the control group (n=54) or the experimental group (n=53). The students in the experimental group attended the simulation training using a high-fidelity simulator, while the students in the control group attended only the classical training on the management of pre-eclampsia. Results Knowledge (P<0.001), critical thinking (P<0.05), and clinical decision-making (P<0.05) scores of students in the experimental group increased after the simulation. In the focus group interviews, five themes were identified: learning development; closing the gap between theory and practice; confident decision-making and self-confidence; professional preparation; and recommendations. Conclusion High-fidelity simulation is efficacious for improving the management of pre-eclampsia among nursing students.Öğe Intimate Partner Violence against Women in Turkey during the COVID-19 Pandemic(Taylor & Francis Inc, 2021) Akalin, Ayse; Ayhan, FatmaThis study aims to determine the prevalence of and risk factors for intimate partner violence (IPV) during the COVID-19 pandemic. The cross-sectional study was conducted with 1,036 women in Turkey who were either married or had an intimate partner. The data were collected between June 20 and July 10, 2020. Experience of any form of IPV (physical (10.1%), sexual (4.0%), psychological (32.2%) or economic (11.5%) was reported by 35.5% of the participants. Regression analyses revealed that exposure to IPV during the pandemic was significantly associated with being married, having children, unemployment, poor marital/relationship satisfaction, an increased workload in the household and the negative effect of quarantine on mood (p < 0.05). Educational programs need to be prepared for the prevention of IPV during the COVID-19 pandemic and for the acquisition of protective behaviors toward women victims of IPV.Öğe Obstetric simulation in undergraduate nursing education: An integrative review(Wiley, 2020) Akalin, Ayse; Sahin, SevilBackground Simulation as an innovative teaching method is an effective form of pedagogical approach. A wealth of evidence shows that simulation in nursing education provides an opportunity for undergraduate students to improve learning outcomes. Aim The aim of this review was to systematically appraise and synthesize evidence that examine the effects of obstetric simulation in an undergraduate nursing program. Methods Integrative review method guided this review. Four electronic databases were searched using CINAHL (EBSCOhost), Science Direct, OVID, and WILEY to identify original research published between 2008 and 2018. Search and MeSH terms included: obstetric, maternal, simulation, nursing, and student. Results Seventeen articles were included in this review. The results of content analysis revealed three essential themes: cognitive and psychomotor (knowledge-skills) skill, affective (self-confidence, anxiety, critical thinking-self-efficacy) skill, and students' views on obstetric simulation. In all of the studies, it was determined that the simulation method was a safe and effective teaching strategy. Conclusion The use of obstetric simulation in an undergraduate nursing program has a positive effect on the level of self-confidence, anxiety, critical thinking-self-efficacy, psychomotor skills, and level of anxiety.Öğe Psychometric testing and the predictive validity of the Postpartum Depression Predictors Inventory-Revised (PDPI-R): A longitudinal study with Turkish women(Elsevier Ireland Ltd, 2024) Ayhan, Fatma; Akalin, Ayse; Balsak, Habip; Erden, ArzuObjective: The aim of this study was to investigate the validity and reliability of the prenatal and postnatal versions of the Postpartum Depression Predictors Inventory-Revised (PDPI-R) and to examine the predictive validity of PDPI-R in Turkish women, considering two gold standards to determine postpartum depression (PPD). Methods: This prospective longitudinal study was conducted between August 2021 and September 2023. A total of 301 pregnant women participated in the study. Participants completed the PDPI-R during the third trimester of pregnancy (T1) and at 4 weeks postpartum (T2). At T2, participants also completed the Edinburgh Postnatal Depression Scale (EPDS), and women were interviewed using the Structured Clinical Interview for DSM-IV Disorders. Results: The prenatal version of the PDPI-R predicted PPD with 64% (R:0.64) accuracy on the basis of the EPDS and 78% accuracy (R:0.78) according to DSM IV criteria. The postnatal version of the PDPI-R predicted PPD with 71% (R:0.71) accuracy on the basis of the EPDS and 81% accuracy (R:0.781) based on DSM IV criteria. The cutoff points exhibited the highest sensitivity and specificity values at 8.5 for the prenatal version and 10.5 for the postnatal version. Conclusions: The PDPI-R is a valid and reliable screening tool for identifying Turkish women at high risk of developing PPD and for estimating the psychosocial risk associated with PPD.Öğe Sexual myths and attitudes regarding sexuality of nursing students: A mixed method study(Wiley, 2021) Akalin, Ayse; Ozkan, BirgulPurpose To determine the nursing students' sexual myths and attitudes regarding sexuality, and to explore their views towards sexual care in practice. Design and Methods A mixed-method sequential explanatory design was used. Data were collected using Questionnaire Form, Sexual Myths Scale (SMS), Sexual Attitude and Beliefs Scale (SABS), and Focus-Group Interview Form. Findings The average scores on the SMS and the SABS were 58.66 +/- 18.74 and 37.50 +/- 6.97, respectively, indicating students' sexual myths and their attitudes regarding sexuality were moderate. A positive, significant correlation was found between SMS and SABS scores (p < 0.001). In the interviews, the views on the barriers and facilitators in sexual care and the negative effect of sexual myths on sexual care were revealed. Practice Implications Courses regarding sexuality should include into nursing curriculum from the first years of undergraduate education.
