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    The effect of ethnocentrism and moral sensitivity on intercultural sensitivity in nursing students, descriptive cross-sectional research study
    (Churchill Livingstone, 2021) Kaya, Yunus; Arslan, Sevda; Erbas, Atiye; Yasar, Beril Nisa; Kucukkelepce, Gulhan Erkus
    Background: Factors affecting intercultural sensitivity and care are becoming an increasingly important issue due to ethnic diversity. Nurses play a crucial role in care and therefore should keep up with this trend and improve their intercultural sensitivity. Objective and design: This descriptive cross-sectional study investigated the effects of ethnocentrism and moral sensitivity on intercultural sensitivity in nursing students. Methods and participants: Data were collected using a demographic characteristics questionnaire and the Intercultural Sensitivity Scale, Generalized Ethnocentrism Scale, and Moral Sensitivity Scale. The sample consisted of 1343 nursing students. The Pearson correlation coefficient was used to determine correlations between scale scores. Multiple linear regression was used to determine the effects of ethnocentrism, moral sensitivity, and demographic characteristics on intercultural sensitivity. Results: Intercultural sensitivity was found to be negatively correlated with ethnocentrism and positively correlated with moral sensitivity. Ethnocentrism predicted intercultural sensitivity more than moral sensitivity. Ethnocentrism and moral sensitivity explained 16.8% of the total variance of intercultural sensitivity. However, ethnocentrism affected intercultural sensitivity more than moral sensitivity did (beta = -0.406). Conclusion: Nursing education should adopt strategies to reduce ethnocentrism by helping students develop cultural competence and intercultural sensitivity. Such education can equip nurses to provide higher quality care to patients of different cultural backgrounds.
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    Effectiveness of the Situation-Background-Assessment-Recommendation method in emergencies with simulation-based education for nursing and paramedic students
    (Elsevier Sci Ltd, 2025) Erbas, Atiye; Kiziltepe, Selin Keskin; Kilic, Umit
    Introduction: Effective handover skills play a crucial role in communication between pre-hospital and hospital staff. However, nursing and paramedic students rarely have the opportunity to practice them. Objective: Our study aimed to evaluate the effectiveness of the Situation-Background-AssessmentRecommendation (SBAR) method in emergency settings using simulation-based education for nursing and paramedic students. Methods: We conducted a single-group quasi-experimental study involving 39 nursing and 42 paramedic students. The students' patient handover skills were evaluated through simulation-based training using a structured handover method. Data were collected using the Personal Data Form, Patient Handover Information Form, Patient Handover Skill Evaluation Form, and Video Observation and Evaluation Form. For data analysis, we used the Mann-Whitney U test, the Friedman test, the Cohen's kappa coefficient, and the Pearson correlation test. Results: The knowledge scores of nursing (N) and paramedic (P) students (N: 16 [11-20]; P: 15 [10-19] pretraining) increased post-training (N: 18 [15-20]; P: 18 [10-21]), post-simulation (N: 18 [14-21]; P: 17 [13-20]), and one-month after the post-simulation (N: 18 [14-21]; P: 17 [14-20]). The group participants, 50%, received scores between 12.50 and 16.25 and acquired medium handover skills. Conclusion: We found that theoretical education and simulation-based applications were effective in enhancing students' knowledge level of handover processes, which are critical for patient safety, and that simulation supported their learning. It is recommended that patient handover training be conducted using simulation-based methods with different student groups, integrated into educational curricula, and updated regularly.
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    The Effects of Virtual Reality Used in Healthcare Education on Cybersickness and Sense of Presence: A Systematic Review
    (Mit Press, 2024) Erbas, Atiye; Akyuz, Elif; Ergol, Sule
    The purpose of this systematic review was to present the current state of the science related to healthcare students' outcomes associated with virtual reality effects on cybersickness and sense of presence. Results of the database searches of MEDLINE/PubMed, Scopus, ISI Web of Science, CINAHL, and Cochrane identified 101 articles. Seven articles were isolated for inclusion in this review. The primary search terms were healthcare students, virtual reality, cybersickness, and sense of presence. The studies were published between 2016 and 2020 and were conducted in Israel, the United States, the United Kingdom, Singapore, Belgium, and Brazil. The research design was quasi-experimental in six studies and experimental design in one study. Interventions were mostly carried out with nursing, medical, and dental students. Three studies used immersive virtual reality simulation with a head-mounted display, while the others used non-immersive three-dimensional visuals. According to the results, students perceived a high sense of presence and a low level of cybersickness in virtual reality simulations. There is limited robust research exploring healthcare students' outcomes related to virtual reality on cybersickness and sense of presence.
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    Nursing Professional Pride Scale: Turkish adaptation and psychometric properties
    (Wiley, 2021) Aydin, Adeviye; Erbas, Atiye; Kaya, Yunus
    Purpose This study established the Turkish validity and reliability of the Nursing Professional Pride Scale (NPPS). Design and Methods The study was a descriptive and cross-sectional conducted in Turkey. The sample consisted of 301 nurses with at least one year of work experience. Data were collected online between August and September 2020 and analyzed using the SPSS 25.0 and LISREL 8.80. Confirmatory factor analysis, linguistic and content validity, and reliability analyses were performed. Findings The Turkish version of the Nursing Professional Pride Scale (NPPS-TR) had a content validity index of 0.95 and Cronbach's alpha of 0.89 and a five-factor structure with acceptable psychometric properties (chi(2)/df = 2.85, RMSEA = 0.079, CFI = 0.92, SRMR = 0.08). Practice implications The NPPS-TR is a valid and reliable measure of professional pride in Turkish nurses.
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    A Qualitative Analysis on the Experiences of Mothers of Children in Burn Intensive Care Unit: She burned on the outside, me inside...
    (Oxford Univ Press, 2024) Karahan, Sabri; Kaatsiz, Melike Ayca Ay; Erbas, Atiye; Kaya, Yunus
    Mothers closely follow the complex process due to the burning of their children. Caring for and supporting the child can pose various challenges for mothers. With the phenomenological method, this study was conducted to investigate mothers' experiences staying with their children in the pediatric burn intensive care unit. Twelve mothers participated in the study. The semistructured face-to-face interviews obtained data. After each interview, the research team transcribed the interviews verbatim. Interpretive Phenomenological Analysis was used to analyze the data. The experiences of the mothers were classified in four contexts as a result of the interpretative phenomenological analysis; first reactions to burn trauma related to the awareness that the child has been burned, being a mother in the burn intensive care unit related to caring for the child as a companion in the burn intensive care unit, coping related to how they cope with the problems throughout the whole process, and requirements regarding the subjects it needs in the process. It was determined that mothers went through a physically and emotionally challenging process from the beginning of the burn trauma and throughout the intensive care unit. During this challenging process, it was observed that mothers could not use effective coping methods and did not receive the necessary professional support. In line with these results, it is recommended that psychological support programs be applied to the mothers and that care focused on the needs of the mothers should be provided.
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    Two important factors in virtual reality simulations: Nursing students' experiences of cybersickness and sense of presence
    (Elsevier Science Inc, 2025) Erbas, Atiye; Akyuz, Elif; Giustivi, Davide; Privitera, Daniele
    Background: With the increasing popularity of employing virtual reality simulations in nursing education comes the need for more research examining their effects on users besides learning outcomes. This study explored nursing students' perceptions of a sense of presence and experiences of cybersickness in virtual reality simulations. Method: A descriptive-analytic research design was employed. Between March and July 2024, 102 secondyear undergraduate nursing students participated in an immersive virtual reality simulation focused on postoperative colorectal surgery care. Data were collected using the Sociodemographic Characteristics Form, the Presence Questionnaire, and the Virtual Reality Sickness Questionnaire. Student's t-test, Mann- Whitney U test, and Kruskal-Wallis test were used to compare variables. Results: The study revealed that nursing students experienced high levels of presence and only slight symptoms of cybersickness. Additionally, a statistically significant difference was observed both between gender and the adaptation/immersion subdimension of sense of presence, and between the presence of vision problems and the disorientation subdimension of cybersickness. Conclusions: Since virtual reality is anticipated to become the leading teaching method in future nursing education, and therefore to maximize its potential, efforts should focus on increasing the sense of presence and reducing cybersickness. (c) 2025 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.