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Öğe Psychometric Properties of the Turkish Version of the Inpatient Experience With Nursing Care Scale (IPENCS)(Wiley, 2025) Gul, Duygu; Sonmez, Betul; Onal, Merve; Ileri, SerapThis study aimed to examine the psychometric properties of the Turkish version of the Inpatient Experience with Nursing Care Scale (IPENCS). A methodological study included 523 inpatients in a university and a training and research hospital located in 2 provinces between April 2023 and April 2024. The language, content (I-CVI: 0.85-1.00; S-CVI: 0.99), and face validity of the scale were established. For construct validity, CFA analyses confirmed the good fit of the original scale. Convergent, divergent, and discriminant validity were established (ASV < MSV < AVE < 0.50; CR < 0.80; AVE < CR). Reliability analysis indicated that the total Cronbach's alpha coefficient was 0.94 and item-total score correlations (0.507-0.687) were adequate. The ICC coefficient for test-retest was 0.705, and parallel form reliability and concurrent validity had a high correlation (r = 0.669, p < 0.05). The results showed that the Turkish version of the scale was a valid and reliable tool to determine the nursing care experience of inpatients. This scale, evaluating patients' nursing care experiences during their hospitalization by focusing on the process rather than the outcome, would be a useful tool for nurses and healthcare managers to use to evaluate the service.Öğe The association between nurse managers' work environment characteristics and psychological resilience: the mediating role of perceived VUCA environment(Bmc, 2025) Gul, Duygu; Sonmez, Betul; Birbudak, Sati; Yildirim, AytolanBackground Nurse managers often operate in environments volatile, uncertain, complex, and ambiguous (VUCA) healthcare environments. Psychological resilience is essential for sustaining effective nursing leadership and ensuring service quality under such conditions. This study examined the associations between nurse managers' perceptions of work environment characteristics and psychological resilience, with a focus on the mediating role of perceived VUCA environment. Methods This cross-sectional and correlational study was conducted with 388 nurse managers from seven regions of T & uuml;rkiye were recruited through online snowball sampling. Data were collected using the Nurse Manager Information Form, the Nurse Manager Practice Environment Scale, the VUCA Scale, and the Brief Resilience Scale. In addition to Pearson's correlation analysis, direct and indirect effects between variables were analyzed with Hayes PROCESS Macro (Model 4). Results The direct effect of nurse managers' overall work environment score on perceived VUCA environment was found to be significantly negative (beta=-0.126, p = 0.025), while its effect on psychological resilience was significantly positive (beta = 0.180, p < 0.001). Perceived VUCA environment had also a significant negative direct effect on psychological resilience (beta=-0.370, p = 0.001). Finally, the indirect effect of the work environment on psychological resilience, partially mediated by the perceived VUCA environment, was statistically significant (beta = 0.047, 95%CI [0.002, 0.094]). This finding indicates that a positive perception of the work environment among nurse managers increases their psychological resilience both directly and by reducing their perception of the VUCA environment. Conclusions The findings of this study highlight the importance of supporting nurse managers in effectively navigating their work environments and enhancing their capacity to adapt to VUCA conditions, thereby enhancing psychological resilience. This study highlights the need for comprehensive strategies that take into account the challenges faced by nurse managers in VUCA environments and transform these challenges into opportunities for development in nursing management. Clinical trial number Not applicable.











