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Öğe The acquisition and effectiveness of IDEAL standards in discharge planning and education with simulation method(Bmc, 2025) Kececi, Ayla; Demiray, Ayse; Kiziltepe, Selin Keskin; Ilaslan, Nagihan; Acil, Ayseguel; Erturk, FilizBackground Basically, although all members of the health care team are responsible for the education of the patient and his/her family, discharge planning to provide self-care skills is the responsibility of the nurse. However, unfortunately, the satisfaction of patients with discharge education is not at the desired level. This study aims to examine the improvement of nursing students' discharge education competencies through simulation method aligned with the IDEAL discharge planning model-Include, Discuss, Educate, Assess, and Listen-developed by the Agency for Healthcare Research and Quality (AHRQ). Methods A mixed-method design was used in the study. Nineteen second-year nursing students enrolled in surgical nursing courses during the 2023-2024 academic year participated in a five-session simulation, with each session lasting approximately one hour. General Self-Efficacy Scale and Simulation Design Scale were used to obtain quantitative data, and semi-structured individual in-depth interview form was used to obtain qualitative data. Mean, standard deviation, and paired t-test were used to evaluate quantitative data; descriptive content analysis was used to analyze qualitative data, and participants were selected through purposive sampling based on their involvement in all simulation activities. Results Quantitative results showed an increase in post-test scores across all discharge education sessions (General total pretest = 55.86 +/- 6.59, posttest = 57.63 +/- 6.70). The most significant improvement was observed in the continuation effort and persistence sub-dimension of the General Self-Efficacy Scale during the fourth session (p <.05). Among the Simulation Design Scale components, support sub-dimension received the lowest (X +/- sd = 4.24 +/- 0.56) and fidelity the highest (X +/- sd = 4.58 +/- 0.52) scores. Qualitative findings indicated that as simulation sessions progressed, students reported greater confidence and communication skills; however, challenges remained in applying some IDEAL components, particularly discussing patient goals and involving families in the process. Conclusions As a result, it was determined that the simulation intervention improved the discharge education skills of nursing students and increased their self-confidence. Incorporating the IDEAL framework can foster more patient-centered care by emphasizing the inclusion of patients and their families in the discharge planning process. By supporting patients' understanding of post-discharge instructions, this approach can promote greater adherence to treatment plans and contribute to improved long-term health outcomes.Öğe Relationship between nursing students' global climate change awareness, climate change anxiety and sustainability attitudes in nursing: a descriptive and cross-sectional study(Bmc, 2024) Ilaslan, Nagihan; Orak, Nuray SahinBackgroundAs a major global health threat, climate change is an important issue for nurses who play a pivotal role in health protection and improvement, and in the development of climate-smart healthcare systems. Sustainability attitudes in nursing should be developed together with awareness and concern for climate change.AimThe aim of this study was to determine the relationship between nursing students' global climate change awareness, climate change anxiety, and sustainability attitudes in nursing.MethodsThis descriptive, correlational study was conducted with 289 nursing students at a state university. Data were collected using the Descriptive Characteristics Form, the Global Climate Change Awareness Scale, the Climate Change Anxiety Scale, and the Sustainability Attitudes in Nursing Survey. Mean and percentage distributions, the Independent Samples t-test, ANOVA test, Pearson correlation and multiple regression analysis were used to analyze the data. The STROBE checklist was used to report this study.ResultsGlobal climate change awareness of the nursing students was at a moderate level, and the levels of climate change anxiety and sustainability attitudes in nursing were above average. There was determined to be a moderate positive correlation between climate change awareness and sustainability attitude in nursing, between anxiety and sustainability attitude in nursing, and between climate change awareness and anxiety. Climate change awareness and anxiety explained 25.1% of the sustainability attitude in nursing.ConclusionsThe study provides evidence of the relationship between nursing students' global climate change awareness and anxiety, and sustainability attitudes in nursing. It can be recommended that climate change and sustainability awareness-raising content are integrated into the nursing curriculum. The development of a sustainability attitude in nursing will contribute to the development of sustainable and low-carbon healthcare practices.Öğe Turkish Adaptation of Nursing Students Competence Instrument(Marmara Univ, Inst Health Sciences, 2023) Cakar, Merve; Acil, Aysegul; Ilaslan, Nagihan; Sisman, Nuriye YildirimObjective: The study was conducted to examine the validity and reliability of the Nursing Students Competence Instrument, which was developed in order to evaluate the competences of nursing students, for the Turkish society.Methods: This methodological study was conducted with the participation of 224 third and fourth-year nursing students studying at a state university in Turkey. Identifying Information Form and Nursing Students Competence Instrument were used for data collection. In order to determine the validity of the scale, linguistic content validity analysis and confirmatory factor analysis were performed. In order to identify the reliability of the scale, test-retest and Cronbach's alpha analysis were used.Results: In line with the validity and reliability analyses of the scale, it was determined that the model was compatible according to fit indices of confirmatory factor analysis (X2/sd= 2.42, RMSEA= 0.08, SRMR= 0.07). The Cronbach's alpha coefficient of the scale was determined to be 0.96, and the Cronbach's alpha coefficients of the subscales varied between 0.92 and 0.94.Conclusion: It was determined that the Turkish adaptation of the Nursing Students Competence Instrument was a valid and reliable scale for measuring the competence levels of nursing students. It is recommended to administer the scale to larger samples and to plan interorganizational comparative studies in order to identify nursing students' competences.Öğe Web-based standardized patient simulation for taking anamnesis: an approach in nursing education during the pandemic(Bmc, 2023) Demiray, Ayse; Ilaslan, Nagihan; Kiziltepe, Selin Keskin; Acil, AysegulBackground To address the challenges in nursing education brought about by the pandemic, this study aimed to evaluate the use of a web-based standardized patient practice in the development of nursing students' anamnesis taking skills and their views about its application.Method We conducted a descriptive intervention study with 39 s-year nursing students. The students completed anamnesis using the standardized patient practice in line with a scenario with real standardized patients in a web-based environment with audio and video.Results The total scores of students' anamnesis skills were low. The agreement between the total scores, scores obtained from the health patterns, and each item in the control list was statistically significant (p < 0.05).Conclusion Web-based standardized patient practice is an alternative for clinical practice facilitating the gaining of competencies in making holistic nursing diagnoses under conditions that limit face-to-face interactions, such as pandemics.
