Korkmaz Binay, Sengul; Özakgül, Aylin

Background: Adherence to oral antiviral therapy is essential to reduce progression from chronic hepatitis B (CHB) to cirrhosis and hepatocellular carcinoma. Aim: To evaluate the effect of education on oral antiviral use on medication adherence and quality of life (QoL) in patients with CHB. Methods: This randomised controlled trial included 60 of 105 eligible patients with CHB. All completed the study. The intervention, delivered by the researcher, consisted of individualised education and telephone counselling tailored to patients' learning needs and focused on medication adherence. The control group received usual care. Data were collected using the MARS-5, MedTake test, LDSI, SF-12 and PLNS at baseline and 3 months. Data were analysed using SPSS 26. Results: At baseline, there were no significant differences between the groups in medication adherence and laboratory parameters (p > 0.05). Mean baseline PLNS scores were 154.43 +/- 3.61 in the control group and 162.63 +/- 9.6 in the intervention group. At 3 months, the proportion of patients achieving medication adherence above 80% was significantly higher in the intervention group (p < 0.01). The intervention group showed significant improvements in MARS-5, MedTake Test scores, SF-12 and LDSI scores, with lower HBV-DNA, ALT and AST levels (p < 0.01). Conclusion: Individualised education may improve medication adherence and QoL in patients with CHB.

Gedik, Özlem; Ülke Şimdi, Refika; Kıbrıs, Şerife; Derya Kara, Sivuk

Objectives: Workplace violence is a major issue in society, business and healthcare settings. It adversely affects both employee safety and their ability to provide healthcare services. Aim: This study examined the association between workplace violence, emotional exhaustion, job satisfaction and turnover intention among nurses during the COVID-19 pandemic. Methods: We collected data from 513 nurses. We conducted ‘Process Macro’ analysis. Firstly, we included three mediators in the model: job satisfaction, workplace violence and emotional exhaustion. Secondly, we used work hours and anxiety as moderators of the relationship between workplace violence and turnover intention. Results: The findings revealed statistical significance that job satisfaction and workplace violence mediated the relationship between emotional exhaustion and nurse turnover intentions. Work hours and anxiety also moderated the relationship between workplace violence and nurses’ turnover intention. Conclusion: Respondents indicated that they were most affected by verbal violence during this time. Workplace violence is a negative factor that affects nurses’ work, affecting them physically and psychologically. This occupational risk should be considered when evaluating nurses exposed to violence, as it affects job satisfaction and turnover intentions. The main theoretical contribution of this research is the identification of the association between workplace violence, emotional exhaustion, job satisfaction and turnover intention among nurses during the COVID-19 pandemic. It is clear that the research findings will be useful for healthcare professionals. The findings may have practical implications for healthcare administrators and their staff.