This study aimed to evaluate the effect of Reiki on stress levels of individuals caring for patients with cancer. The study was conducted a pretest-posttest, single-blind randomized controlled trial and qualitative study using a semi-structured in-depth interview. In this study, women who were primary caregivers of patients with cancer treated in a university hospital were randomized to Reiki and sham Reiki groups. The Reiki group received Reiki to nine main points for 45 min, once a week for 6 weeks, while the sham Reiki group received the same points during the same period without starting energy flow. CSI scores and salivary cortisol levels were evaluated at baseline and at the end of the study, whereas systolic and diastolic blood pressure and pulse rate were evaluated before and after application every week. After the study, the opinions of the Reiki group on Reiki experience were collected by using a questionnaire consisting of semi-structured questions. The study was completed with a total of 42 caregivers. The sample size was calculated based on the difference in Caregiver Strain Index (CSI) scores before and after the intervention. According to the power analysis, with α = 0.05 and β = 0.20, the effect size was 1.71 and the power 99 %. Post-intervention CSI scores declined in the Reiki group compared with that in the sham Reiki group (p < 0.05). No significant difference was found between the groups in terms of saliva cortisol levels (p > 0.05). According to the results of the general linear model repeated measure and Friedman tests, which were conducted to evaluate the change in systolic and diastolic blood pressure and pulse rate over a 6-week period, the values of these parameters decreased before and after each application compared with the caregivers in the sham Reiki group (p < 0.05). All caregivers stated that they found the caring process less stressful after the Reiki sessions and felt relieved compared with the pre-therapy period, and some of their physical complaints decreased. Reiki reduces the stress levels of caregivers, is effective in regulating blood pressure and pulse rate, does not cause a significant change on saliva cortisol level, and provides relief to caregivers.

Objective: This study aims to the effect of role-play-based gamification on the analysis of symptoms in Internal Medicine Nursing, decision making, administration of appropriate nursing care, and the communication skills of nursing students. Methods: The study was designed in participatory action research as a qualitative design. In the action research, gamification elements were constructed on a role-play performance of the students in Nursing Department at a private university in Ankara-Türkiye. A gamification based on systems role play was performed for students taking the internal medicine nursing course (n=10). Checklists for each system regarding the selection and use of equipment appropriate for nursing interventions have been added to the games. At the end of the semester they were asked to evaluate this intervention via qualitative interview. In the in-depth interviews, data were collected by asking the students 9 unstructured open-ended questions prepared by the researchers. Data analysis was carried out by hand coding by the researchers. Codes were created from the research objectives based on Werbach's D6 Model for gamification design. Results: The qualitative analysis revealed six major themes (i) Defining Business Goals (ii) Delineating Target Behaviors (iii) Describing Players (iv) Devising Activity Loops (v) Deploying Tools (vi) Not forgetting the fun. In these themes, students stated that by using game elements in lessons, it became easier to remember and apply theoretical knowledge about internal medicine nursing, improved their practical skills, time management skills and critical decision-making abilities, and that they better understood the importance of effective communication within the team. Additionally, students stated that the experience of learning the basic aspects of internal diseases, which are difficult to learn in theory, became fun with the gamification technique. Conclusion: The use of gamification, students learned nursing care and communication skills related to Internal Medicine Nursing education in a motivated and more permanent manner.

Introduction: Career choice is one of the most important choices students have made in their lifetime. Applications that influence, guide and facilitate this choice will play an important role in improving efficiency and productivity in individuals, educational and business institutions. The present study is the first one in terms of discussing these topics together in the literature. Aim: The aim of this study was to determine the effects of career management practices on career decisions, academic motivations, professional outcome expectations and professional decision regret. Method: This study is in an experimental research design with pre-application and post-application control groups. The study data was collected from the application and control group by face-to-face interview technique. Before and after the application, scales were applied to both groups for the content of the Personal Data Sheet and the research. The data was evaluated in the SPSS 21 package program. Results: The data obtained before and after application (p<0.05) were interpreted at the level of significance. Career management there was a significant difference between career decisions, professional decision regret, professional outcome expectation and academic motivation scores (p<0.05). Conclusion: Career Management Applications are effective in increasing the career decisions, academic motivations, vocational outcome expectation and in decreasing the professional decision regret.

Bu araştırma, klinik uygulamalar sırasında hemşirelik öğrencilerinin karşılaştıkları meslektaş şiddetinin türü, sonuçları, mücadele yöntemleri ve önlemeye ilişkin çözüm önerilerini incelemek amacıyla gerçekleştirilmiştir. Araştırma nitel tasarımda olgu bilimsel desende yapılmıştır. Araştırmanın evrenini bir devlet üniversitesinde öğrenim gören, klinik uygulamalara devam eden 67 son sınıf öğrencisi oluşturmuş, örnekleme ise 31 hemşirelik öğrencisi dâhil edilmiştir. Öğrencilere ait sosyo-demografik verilerin toplanmasında kişisel bilgi formundan yararlanılırken, nitel veriler için yarı yapılandırılmış görüşme formu kullanılmıştır. Öğrencilerin kişisel verilerinin değerlendirilmesinde bilgisayar paket program aracılığıyla, tanımlayıcı istatistikler (yüzdelik, aritmetik ortalama) kullanılmış, nitel verilerin değerlendirilmesinde betimsel ve içerik analiz yöntemleri uygulanmıştır. Araştırma sonucunda hemşirelik öğrencilerinin; klinikte sıklıkla sözel meslektaş şiddetine maruz kaldıkları, buna bağlı olarak bireysel ve mesleki sorgulama yaptıkları, mesleki heyecan ve isteklerinde azalma yaşadıkları, karşılaştıkları sorunlarda genel olarak sessiz kalmayı ve akademisyenlerle iletişime geçmeyi tercih ettikleri tespit edilmiştir. Öğrenciler aslında hemşirelerden hoşgörü ve empati beklemektedirler. Varolan bu şiddete çözüm olarak ise; hemşirelere ilgili eğitimlerin verilmesi, klinikteki stres faktörlerinin azaltılması, gerekli görüldüğü taktirde profesyonel destek almaları ve şiddet davranışlarına ilişkin denetimlerin arttırılmasının etkili olacağını düşündükleri belirlenmiştir. Araştırmadaki öğrencilerin büyük çoğunluğunun meslektaş şiddetinin farklı türlerini deneyimledikleri ve bu durumun öğrenciler üzerinde bireysel ve mesleki alanlarda olumsuz sonuçlarının olduğu belirlenmiştir.

The aim of this study was to examine the effect of Reiki in patients with cardiac disease. This study was a single-blind, pre–post-test, randomized, placebo-controlled study. Patients from the cardiology outpatient clinic of a training and research hospital were randomized into three groups: Reiki (n = 22), sham (placebo) (n = 21), and control (no treatment) (n = 22). Data were collected using a personal information form, biochemical parameters, cortisol levels, Beck Anxiety Inventory, and electrocardiography analysis. The Reiki group received Reiki to nine main points for 30 min, while the sham Reiki group received the same points during the same period without starting the energy flow. On Day 2, distance Reiki was performed for 30 min. After 1 week, the researchers administered the Beck Anxiety Inventory, assessed the biochemical parameters and cortisol levels, and analysed the electrocardiography again. Of the patients, 52.3% were male and 47.7% were female, and the mean age (years) was 60.45 ± 9.67 years. The control group had a significantly higher post-test cortisol level than the other groups (P = 0.002). According to the post hoc analysis, there was a significant difference between the Reiki vs. control groups and sham vs. control groups (P = 0.002). The control group had a significantly higher post-test cortisol level than the pre-test cortisol level (P = 0.008). Reiki group had a significantly lower mean post-test Beck Anxiety Inventory score than the other groups (P < 0.001). There was no difference between the electrocardiography results of the groups (P > 0.05). Reiki reduces blood cortisol levels and anxiety levels in patient with cardiac diseases. ClinicalTrials.gov: NCT05483842

This study investigated the effect of distant Reiki sessions on the holistic well-being of people without no acute/chronic diseases. The study was conducted between February 1 and March 31, 2022. The sample consisted of 180 healthy people living in a city in Turkey. Participants attended 20-minute distant Reiki sessions (intervention) for 4 consecutive days. Pretest data were collected using a personal information form, the Holistic Well-Being Scale (HWBS), the Positive and Negative Affect Schedule (PANAS), and the Subjective Vitality Scale (SVS). Posttest data were collected 2 days (posttest I) and 1 week after the intervention (posttest II) using the HWBS, PANAS, and SVS. There was a statistically significant difference between pretest and posttest I and II HWBS subscale scores (P < .05). There was a statistically significant difference between pretest and posttest PANAS and SVS scores (P < .05). Distant Reiki sessions improved participants' holistic well-being. They also helped them develop a positive mood, experience and perceive less sadness, and develop subjective vitality and cognitive awareness.