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Öğe Artificial intelligence in pediatric oncology care: Pediatric nurses' perspectives and future implications(ELSEVIER, 2025) Çınar Özbay, Sevil; Gelin, Dilek; Durmuş Sarıkahya, SelmaObjectives: This study aimed to explore pediatric oncology nurses' perspectives on the integration of artificial intelligence (AI) into pediatric oncology care, focusing on its potential advantages, implementation challenges, and ethical considerations. Methods: A hermeneutically informed descriptive phenomenological qualitative design was employed. One-to-one, semistructured interviews were conducted with 18 pediatric oncology nurses between April and June 2025. All interviews were audio-recorded, transcribed verbatim, and analyzed thematically in MAXQDA using Braun and Clarke's six-phase framework (2006). Reporting followed the COREQ checklist. Results: Participants' mean age was 36.8 ± 6.9 years, and most had >10 years of professional experience. Thematic analysis identified five main themes with related subthemes: (1) the potential of AI in pediatric oncology care; (2) implementation challenges and concerns; (3) nurse-AI collaboration; (4) ethical considerations; and (5) competence and training needs. Nurses highlighted AI's potential to accelerate diagnostic/treatment processes, reduce error, and enhance patient safety, while also noting barriers related to infrastructure, ethics, and professional skills. Conclusions: Pediatric oncology nurses perceived AI as a valuable tool to support clinical decision-making, improve patient safety, and increase care efficiency; however, ethical concerns, infrastructural limitations, and insufficient training constrain effective integration. Implications for nursing practice: Strengthening technological competencies, ensuring ethical safeguards, and providing continuous training are essential for successful AI integration. Combining clinical expertise with AI competence may promote safer, more effective pediatric oncology care.Öğe Experiences and practices of nurses providing palliative and end-of-life care to oncology patients: A phenomenological study(Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing, 2023) Durmuş Sarıkahya, Selma; Gelin, Dilek; Çınar Özbay, Sevil; Kanbay, YalçınAIM: The objective of this study was to describe the experiences and practices of nurses who provide palliative and end-of-life care to oncology patients, to determine the difficulties they encounter in this regard, and to determine how they cope with it. METHOD: Data were collected between December 10 and 27, 2022, at a hospital’s palliative care clinic. The descriptive phenomenological approach, which is a qualitative research method, was used in this study. The sample of the study consisted of 12 nurses who provided palliative and end-of-life care to oncology patients in a city hospital. The research data were collected with the nurse descriptive form and a semi-structured interview form. Descriptive statistics and the thematic content analysis method were used in the analysis of the data. RESULTS: The themes that emerged as a result of the interviews with nurses who provided palliative and end-of-life care to oncology patients in palliative units were “various learning experiences,” “responsibilities in caregiving,” “nursing care practices,” “personal motivation sources for nurses,” “difficulties,” and “experience in coping with difficulties.” CONCLUSION: In this study, it was determined that nurses who provide palliative and end-of-life care to oncology patients are exposed to some difficulties as a result of their professional experience, that, in addition, they had various learning experiences, and that their coping skills were team cohesion and training. In line with the results of the study, it is recommended to structure palliative in-service training after graduation, to arrange for palliative care centers, and to consider the problems experienced in determining the needs.Öğe The mediating role of loneliness in the effect of physical activity barriers on quality of life(John Wiley and Sons Inc, 2024) Durmuş Sarıkahya, Selma; Terzi, Amine; Kanbay, Yalçın; Çınar Özbay, Sevil; Gelin, DilekBackground: This study aims to examine the mediating role of loneliness in the effect of physical activity barriers on quality of life. Methods: The sample of the study consisted of 374 people over the age of 65 who applied to a hospital. The data collection tools used in the study are ‘Personal Information Form’, ‘Physical Activity Barriers Questionnaire’ ‘World Health Organization Quality of Life Instrument-Older Adults Module’ and ‘Loneliness Scale for the Elderly’. The mediating effect analysis was conducted through the ‘Process Macro’ developed by Hayes. Results: According to the obtained results, loneliness mediates the relationship between physical activity barriers and quality of life. Individuals with high levels of loneliness and physical activity barriers have lower levels of quality of life. When the results of the regression analysis indicating the mediating effect were analyzed, it was determined that the effect of physical activity barriers on quality of life were negative and significant. As the level of physical activity barriers increases, the level of quality of life decreases. Conclusion: In conclusion, it was determined that loneliness plays a mediating role in the relationship between physical activity barriers and the level of quality of life. The study results suggest that adopting a physically active lifestyle is important to reduce adverse health outcomes in the elderly.Öğe Trauma-informed care in pediatric oncology nursing(John Wiley and Sons Ltd, 2025) Çınar Özbay, Sevil; Gelin, Dilek; Durmuş Sarıkahya, Selma; Boztepe, HandanBackground: Childhood cancer is highly stressful and potentially traumatic for families. While trauma-informed care (TIC) aims to address these impacts, little is known about how pediatric oncology nurses understand and use TIC in practice. Method: This study was conducted using a qualitative descriptive design to explore pediatric oncology nurses' perceptions of trauma and trauma-informed care. Fifteen nurses with at least 1 year of experience working in a pediatric oncology unit in a city hospital in Türkiye were recruited through purposive sampling. Data were collected between June and July 2025 through face-to-face interviews using a semi-structured interview guide based on the Trauma-Informed Care Pyramid, and analyzed using Braun and Clarke's six-phase thematic analysis approach. Results: Five major themes were identified: (1) family- and child-centered communication and care, (2) understanding the health effects of trauma, (3) interprofessional collaboration, (4) understanding one's own history and reactions, and (5) screening and evaluation processes. Additionally, metaphor analysis revealed that nurses frequently described trauma as destructive objects, dark colors, natural disasters, harsh seasons, and bitter tastes underscoring perceptions of trauma as overwhelming and difficult to endure. These findings highlight both the potential for TIC integration and the current gaps in systematic training and organizational support. Conclusion: Pediatric oncology nurses recognize the effects of trauma and the need for psychosocial care, yet structured TIC practices remain limited. Integrating TIC principles into nursing education, strengthening team collaboration, and implementing systematic screening are key to improving holistic, family-centered care.
