Melek Ardahan

Ege University, İzmir, Izmir, Turkey

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Publications (10)14.16 Total impact

  • Melek Ardahan, Ayla Bayik Temel
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    ABSTRACT: Visual inspection with acetic acid (VIA) is an attractive screening method for early-phase cervical cancer in underdeveloped countries. This study addressed the validity of VIA in cervical cancer screening by comparing results with colposcopy findings. Of 350 women screened at the Ege University clinic using the Papanicolaou test, colposcopy and VIA were used additionally to screen 50 of these women. Colposcopy, VIA, and Papanicolaou test results were compared. A sociodemographic data questionnaire and a VIA questionnaire were used. When VIA findings were compared with Papanicolaou test findings, the sensitivity of VIA was 82.14%, specificity was 50.00%, positive predictive value (PPV) was 67.64%, and negative predictive value (NPV) was 68.75%. When the method of VIA was compared with colposcopy, VIA had a sensitivity of 85.29%, specificity of 68.75%, PPV of 85.29%, and NPV of 68.75%. In the screening of cervical cancer, the sensitivity of VIA was high, whereas the corresponding specificity was only at an acceptable level. The PPV and NPV of VIA were found to be high. In other words, the validity of VIA during early-phase screening is high in terms of sensitivity and acceptable for specificity and predictive values. Visual inspection with acetic acid is an acceptable screening method for cervical cancer and seems to be an efficient and cost-effective method to detect high-level dysplasia.
    Cancer nursing 01/2011; 34(2):158-63. · 1.88 Impact Factor
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    ABSTRACT: This study was conducted to identify barriers to research utilisation in practice among nurses in Turkey. It is clear from the nursing literature that there are several factors that can impede the use of research in practice. It is important that these are identified and addressed. Survey. This descriptive study was carried out with 216 nurses from government and private hospitals in Izmir between January-April 2007. The data collection instrument used for the study consisted of the Barriers to Research Utilization Scale and a self-administered questionnaire form that contained demographic data, educational background and nurses' involvement in research activities. More than half of the nurses did not receive research education before graduation, and 85.2% did not receive an in-service education. Only 58.3% of nurses give great importance to research, and 24.5% are interested in research. Involvement in research activities is inadequate. Five out of the top 10 barriers were related to 'setting', three to 'nurse' and two to 'presentation'. Educational level, undergraduate research education and involvement in research activities were predictor factors of perceived barriers to research utilisation. Identifying the barriers to research utilisation is the first step in overcoming the barriers. It is hoped that research capability in the health care field in Turkey can be enhanced. Creating an organisational climate that values research use and supports nurses to participate in such activities is crucial. The study findings provide key factors and the top barriers to research utilisation to nurse administrators in developing strategies to increase the utilisation of research findings in clinical practices.
    Journal of Clinical Nursing 10/2010; 19(23-24):3443-52. · 1.32 Impact Factor
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    ABSTRACT: ERGUL, S., ARDAHAN, M., TEMEL, A.B. & YILDIRIM, B.Ö. (2010) Bibliometric review of references of nursing research papers during the decade 1994–2003 in Turkey. International Nursing Review57, 49–55Aim:  To identify important information on the state of academic nursing and the characteristics of academic nursing publications in Turkey.Methods:  The study consists of retrospective bibliometric research. The selected sample of the research consisted of six Turkish nursing journals published between 1994–2003 from a total population of ten journals. Seventy-four issues of these six journals were included and 825 research papers were analysed. A series of classic bibliometric indexes were used.Results:  The average number of references per scientific paper is 16.19 [±standard deviation (SD) 8.56]. The changes in the number of references taken from journals over time do not show strong fluctuations but were statistically significant (P < 0.001). The average number of references per paper is 17.71 (±SD 8.09) for research papers, while it is 14.50 (±SD 8.76) for reviews. The Price's index is 23.8% and the insularity index is 31.8%.Conclusions:  The number of references used for papers has been increasing in recent years. The use of journals within references is high while the use of books is low. The Price's index tendency is decreasing. The high insularity index observed in the articles may be considered as a negative indicator of nursing journals in Turkey.
    International Nursing Review 02/2010; 57(1):49 - 55. · 0.94 Impact Factor
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    ABSTRACT: The purpose of this study was to compare the quality of life (QoL) of cancer patients and their family caregivers and determine associations. A total of 93 paired patients and caregivers from an outpatient chemotherapy unit of the oncology units were recruited at a large university hospital in İzmir, all completing the Quality of Life Scale (QoLS). The mean age of patients was 45.2 years, and of their family caregivers was 40.5. The results indicated that the patients perceived a poorer quality of life than their family caregivers. There was a middle and positive correlation between the social participation and work performance dimensions of patients' QoL and social participation and work performance dimension of family caregivers' QoL (r =0.273, p< 0.01). The study revealed that the gender, education level, employment and marital status were not statistically significant factors affecting the patients' quality of life (p> 0.05). Caregivers' employment status was found to have an affect on their quality of life (p < 0.05). Cancer affects not only the patients but also their family caregivers. Both should be taught communication skills, financial planning and distress management skills and be given spiritual support to decrease effects of cancer on their quality of life.
    Asian Pacific journal of cancer prevention: APJCP 01/2010; 11(6):1575-9. · 1.50 Impact Factor
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    Ayla Bayik Temel, Melek Ardahan, Esra Sesli
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    ABSTRACT: To our knowledge, there has hitherto been no research to determine the beliefs of female teaching staff, who are highly educated and form a special risk group regarding breast cancer, towards mammography scanning in Turkey. Definitive research was planned to determine the beliefs of the female teaching staff working in a university. Data were collected by researchers via face-to-face interview using a sociodemographic questionnaire and " Health Belief Model ". The point average of the teaching staff in the mammography benefits sub-scale is 19.6 ± 3.87, their average item score is 3.91. The point average of the teaching staff in the mammography obstacles sub-scale is 21.17 ± 6.87, their average item score is 1.92. They agree on the benefits of the mammography, but they do not agree on the obstacles to mammography.
    Asian Pacific journal of cancer prevention: APJCP 01/2010; 11(2):453-9. · 1.50 Impact Factor
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    Melek Ardahan, Oznur Usta Yesilbalkan
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    ABSTRACT: The purpose of this study was to examine the percieved family support of the women with breast cancer and the affecting factors. The subjects were breast cancer cases undergoing treatment (n=240). The sample for this study was formed by women who accepted participation, were in the facility between the dates and hours when the study was applied, and who were selected with a nonprobability sampling technique (n=120). Two thirds of the women with breast cancer were in the 40-59 age group. The lowest score women with breast cancer for perceived family support scale was 0.00 and the highest was 40.0, with a mean of 30.1±8.85. In this study, it was determined that perceived family support of Turkish women with breast cancer was reasonable.
    Asian Pacific journal of cancer prevention: APJCP 01/2010; 11(5):1425-9. · 1.50 Impact Factor
  • Melek Ardahan, Başak Akçasu, Esra Engin
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    ABSTRACT: This descriptive study has been planned to analyze the professional collaboration among the students of Ege University, Faculty of Medicine and School of Nursing. The study group consisted of 137 5th and 6th grade students from the Faculty of Medicine and 142 3rd and 4th grade students from the School of Nursing. The participation rate is 94%. For data collection, a questionnaire form (30 questions) which was specially developed for the purpose of the study and the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (15 questions) were used. Permission was granted for the research by Ege University School of Nursing Ethical Committee and the Office of the Dean of the Faculty of Medicine. The professional collaboration mean score of the students from the Faculty of Medicine who participated in the study was 30.40+/-5.82 and the professional collaboration mean score of the students from the School of Nursing was 26.11+/-5.27. The difference between the mean scores of professional collaboration was found to be significant in terms of their profession (p<0.01). Physicians expressed more positive attitudes toward collaboration than nurses while female physicians expressed more positive attitudes toward collaboration than male physicians.
    Nurse education today 10/2009; 30(4):350-4. · 0.91 Impact Factor
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    ABSTRACT: This paper is report of a study designed to assess the psychometric properties of the Turkish version of the Barriers to Research Utilization Scale. The original Barriers to Research Utilization Scale was developed by Funk et al. in the United States of America. Many researchers in various countries have used this scale to identify barriers to research utilization. A methodological study was carried out at four hospitals. The sample consisted of 300 nurses. Data were collected in 2005 using a socio-demographic form (12 questions) and the Turkish version of the Barriers to Research Utilization Scale. A Likert-type scale composed of four sub-factors and 29 items was used. Means and standard deviations were calculated for interval level data. A P value of <0.05 was considered statistically significant. Language equivalence and content validity were assessed by eight experts. Confirmatory factor analysis revealed that the Turkish version was made up of four subscales. Internal consistency reliability coefficient was 0.92 for the total scale and ranged from 0.73 to 0.80 for the subscales. Total-item correlation coefficients ranged from 0.37 to 0.60. The Turkish version of the scale is similar in structure to the original English language scale.
    Journal of Advanced Nursing 09/2009; 66(2):456-64. · 1.53 Impact Factor
  • Suheyla Altug Ozsoy, Melek Ardahan
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    ABSTRACT: This paper reports a questionnaire-based investigation into the knowledge sources used by nurses in two Turkish university hospitals, and whether these knowledge sources were related to sociodemographic variables. 78.5% of the nurses said that practice should be based on evidence and 75.9% stated that this evidence should come from research. 80.7% stated that evidence-based practice was useful. However, evidence that was not based on research constituted the first three most frequently used sources of knowledge. Sources of evidence-based on research were detected as being in the 4th, 5th, 6th, 8th, and 10th positions regarding the frequency of use. The nurses expressed a belief that nursing practices should be based on evidence, but did not reflect this belief in their behavior.
    Nurse Education Today 08/2008; 28(5):602-9. · 1.22 Impact Factor
  • Süheyla A Ozsoy, Melek Ardahan, Dilek Ozmen
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    ABSTRACT: Colorectal cancer is the third leading cause of cancer death in Turkey. The emphasis of the healthcare services in Turkey is on curative rather than preventive and rehabilitative approaches. Although the Ministry of Health provides many healthcare services for prevention and early detection, their availability and accessibility are very low. The purpose of this study was to test the reliability and validity of the Turkish language version of Champion's Health Belief Model Scales in measuring Turkish women's and men's beliefs about colorectal cancer. This study was carried out in Izmir, the third most populous city in Turkey. The Champion's Health Belief Model Scales was translated using a back-translation technique. A convenience sample of 470 individuals was recruited from January 2004 through March 2004. Descriptive statistics were computed for the demographic characteristics. Reliability was assessed by interpreting the item-total subscale score correlation, test-retest reliability, and Cronbach alpha coefficients. For testing the relationship between item performance and scale performance, corrected item-total correlations ranged from 0.41 to 0.79 for all 5 subscales. Cronbach alpha coefficients for the 5 subscales ranged between .54 and .88, and test-retest reliability coefficients ranged from 0.72 to 0.91. The study showed that the Turkish version of the Champion's Health Belief Model Scales has good structural characteristics and is a reliable and valid instrument that can be used for measuring beliefs related to colorectal cancer.
    Cancer nursing 01/2007; 30(2):139-45. · 1.88 Impact Factor