Araştırma Makalesi
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Hemşirelik Öğrencilerinin Hemşirelik, Hasta ve Hasta Güvenliği'ne İlişkin Metaforik Algıları: Nitel Bir Çalışma

Yıl 2026, Cilt: 5 Sayı: 1, 1 - 17, 24.03.2026
https://doi.org/10.61830/balkansbd.1843465
https://izlik.org/JA47HP93PC

Öz

Amaç: Bu çalışmanın amacı hemşirelik öğrencilerinin “hemşirelik”, “hasta” ve “hasta güvenliği” kavramlarına ilişkin algılarını metaforlar aracılığıyla ortaya çıkarmaktır.

Yöntem: Bu çalışma, içerik analizi kullanılarak nitel tanımlayıcı bir tasarım kullanılarak 88 hemşirelik öğrencisinin katılımıyla yürütülmüştür. Veriler Google formu aracılığıyla toplanmıştır. Hemşirelik öğrencilerinden "hemşirelik", "hasta" ve "hasta güvenliği" kavramlarına ilişkin çıkarımlarını metaforlar yoluyla ifade etmeleri istenmiştir. Yanıtlar kategorilere ayrılmış ve bu kategoriler içindeki mantıksal tutarlılık doğrulanmıştır.

Bulgular: Bu çalışmada ‘hemşirelik’ için 7 tema, ‘hasta’ ve ‘hasta güvenliği’ için 4‘er tema belirlendi. ‘Hemşirelik’ kavramı için ‘anne’, ‘su’, ‘sihirli değnek’ gibi metaforlar üretilerek ‘Hemşirelik iyilik ve güzelliktir’ temasında yoğunlaştı. ‘Hasta’ için ‘çiçek’, ‘düdüklü tencere’, ‘telefon’, ‘meyve’ metaforları üretilerek ‘Hastalar bakıma ve korunmaya gereksinim duyar’ temasına odaklandı. ‘Hasta güvenliği’ için ise ‘virüs programı’, ‘aminoasit’, ‘kasko’, ‘kader’ metaforları kullanılarak ‘Hasta güvenliği hastayı korur’ teması öne çıktı.
Sonuç: Bu çalışma, metaforlar aracılığıyla ‘hemşirelik’, ‘hasta’ ve ‘hasta güvenliği’ kavramlarını kapsamlı şekilde anlamaya yönelik bir çerçeve sunmaktadır. Sonuçların, hemşirelik eğitimi ve hasta bakımında bütüncül bir bakış sağlayacağı öngörülmektedir.

Etik Beyan

Araştırmayı yürütmek için Türkiye'deki bir üniversitenin Sağlık Bilimleri Etik Kurulu'ndan (B.30.2.IEUSB.0.05.05-20-068) ve Sağlık Bilimleri Fakültesi Dekanlığı'ndan izin alınmıştır. Çalışmanın amacı anket formunun ön sayfasında açıkça belirtilmiş olup, yalnızca katılmayı kabul edenlerin devam etmesine izin verilmiştir. Bu çalışmada Nitel Araştırma Raporlaması için Konsolidasyon Kriterleri izlenmiştir.

Kaynakça

  • Balcı Akpınar, R., & İpek Çoban, G. (2022). Analysis of nursing students’ perceptions through metaphors for nurse and patient concepts. Journal of Nursology, 25(4), 238-244. https://doi.org/10.5152/JANHS.2022.222746
  • Bozkul, G., Karakul, A., Andı, S., Sönmez Düzkaya, D., Barış Eren, N., & Çamcı, G. (2022). Mesleğe yeni başlayan hemşirelerin algıları: Nitel bir çalışma [Perceptions of nursing students at the beginning of the profession: A qualitative study]. Journal of Samsun Health Sciences, 7(2), 587-602. https://doi.org/10.47115/jshs.1149130
  • Bressan, V., Causero, G., Stevanin, S., Cadorin, L., Zanini, A., Bulfone, G., & Palese, A. (2021). Nursing students' knowledge of patient safety and development of competences over their academic years: Findings from a longitudinal study. Zdravstveno Varstvo, 60(2), 114–123. https://doi.org/10.2478/sjph-2021-0017
  • Çarpar, M. C. (2020) Two qualitative design in sociology: Phenomenologıcal and etnographıc research. The Journal of Social Science, 4(8), 689-704. doi: 10.30520/tjsosci.750923.
  • Çatal, A. T., Cebeci, F., & Uçak, A. (2024). Intern nursing students' perceptions of patient safety culture and their experiences with factors affecting the safety of care in hospital settings: A mixed method study. Nurse Education Today, 135, 106120. https://doi.org/10.1016/j.nedt.2024.106120
  • Cekic, Y., & Yuksel, R. (2021). Metaphors of nursing students on the perception of mental illness: A qualitative study. Journal of Psychiatric Nursing, 12(2), 85–92. https://doi.org/10.14744/phd.2020.79803
  • Çınar, D. (2022). A metaphor analysis with nursing students: Become an oncology nurse. Balıkesir Health Sciences Journal, 11(1), 1-9. https://doi.org/10.53424/balikesirsbd.972590
  • Council of Higher Education. (2022). Hemşirelik ulusal çekirdek eğitim programı [National core education program for nursing (HUCEP)]. https://www.yok.gov.tr/Documents/Kurumsal/egitim_o gretim_dairesi/Ulusal-cekirdek-egitimiprogramlari/hemsirelik_cekirdek_egitim_programi.pdf
  • Dülcek, S., Eryiğit, T., Çoban, N., Beydağ, K. D., & Ortabağ, T. (2022). War and postwar nursing. Fenerbahce University Journal of Health Sciences, 2(2), 515-521. https://doi.org/10.56061/fbujohs.1100549
  • Espin, S., Sears, N., Indar, A., Duhn, L., LeGrow, K., & Thapa, B. (2019). Nursing students’ experiences of patient safety incidents and reporting: A scoping review. Journal of Nursing Education and Practice, 10(4), 26. https://doi.org/10.5430/jnep.v10n4p26
  • Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  • Johnson, M., & Lakoff, G. (1980). Metaphors we live by. University of Chicago Press.
  • Kardaş, Ç., & Ünlüsoy Dinçer, N. (2022). Metaphor analysis for holistic nursing care: Constructing a puzzle. Dokuz Eylul University Faculty of Nursing Electronic Journal, 15(3), 317-327.
  • Kırca, K., & Kaş, C. (2022). Examining nursing students' perspectives on cancer through metaphors in Turkey. Journal of Religion and Health, 61(2), 1451– 1468. https://doi.org/10.1007/s10943-022-01529-1
  • Levett-Jones, T., Andersen, P., Bogossian, F., Cooper, S., Guinea, S., Hopmans, R., McKenna, L., Pich, J., Reid-Searl, K., & Seaton, P. (2020). A cross-sectional survey of nursing students' patient safety knowledge. Nurse Education Today, 88, 104372. https://doi.org/10.1016/j.nedt.2020.104372
  • Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. SAGE Publications.
  • Moser, K. S. (2000). Metaphor analysis in psychology— Method, theory, and fields of application. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 1(2). https://doi.org/10.17169/fqs-1.2.1090
  • Özmen, D., & Çetinkaya, A. (2016). Son sınıf hemşirelik öğrencilerinin mesleki algılarına yönelik nitel bir çalışma [A qualitative study of professional perceptions of senior nursing students]. Journal of Research and Development in Nursing, 18(1), 40-52. https://dergipark.org.tr/tr/download/article-file/986397
  • Ozveren, H., Ozden, D., & Gulnar, E. (2018). The perception of nursing by first-year nursing students: A metaphor analysis. Journal of Health Sciences, 27(2), 162–169. https://dergipark.org.tr/tr/download/articlefile/694166
  • Ramírez-Torres, C. A., Rivera-Sanz, F., Cobos-Rincon, A., Sufrate-Sorzano, T., Juárez-Vela, R., Gea-Caballero, V., Tejada Garrido, C., & et al. (2023). Perception of patient safety culture among nursing students: A crosssectional study. Nursing Open, 10(12), 7596–7602. https://doi.org/10.1002/nop2.1995
  • Şener Özalp, Ş. (2021). Covid-19 pandemisinde hemşirelerin ödediği bedel: Merhamet yorgunluğu [The price paid by nurses in the covid-19 pandemic: Compassion fatigue]. Journal of Innovative Healthcare Practices, 2(2), 80-87. https://dergipark.org.tr/tr/download/articlefile/2004926
  • Svitlica, B. B., Šajnović, M., Simin, D., Ivetić, J., & Milutinović, D. (2021). Patient safety: Knowledge and attitudes of medical and nursing students: Crosssectional study. Nurse Education in Practice, 53, 103089. https://doi.org/10.1016/j.nepr.2021.103089
  • Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042
  • Toygar, İ., Hançerlioğlu, S., & Gacaner, S. (2020). Hemşirelik öğrencilerinin hasta güvenliği konusundaki bilgi ve yetkinlikleri [Nursing students’ knowledge and competence about patient safety]. Journal of Inonu University Health Services Vocational School, 8(3), 618-629. https://doi.org/10.33715/inonusaglik.747782
  • Turan, F. D. (2022). The perceptions of nursing students taking the ethics in nursing course on the concept of ethics: A metaphor study. Ordu University Journal of Nursing Studies, 5(3), 403-412. https://doi.org/10.38108/ouhcd.990016
  • Turan, F. D., & Söyünmez, S. (2022). Perceptions of third and fourth year nursing students enrolled in a pediatric nursing course regarding the concept of child abuse: A metaphorical study. Nurse Education Today, 113, 105359. https://doi.org/10.1016/j.nedt.2022.105359
  • Usta Yeşilbalkan, Ö., Kankaya, H., Karaman, E., & Çinar, D. (2021). Eliciting the concept of cancer in nursing students in Turkey: An exploratory metaphor analysis. Journal of Religion and Health, 60(4), 2925– 2938. https://doi.org/10.1007/s10943-021-01275-w
  • World Health Organization. (2011). Patient safety curriculum guide: Multi-professional edition. https://www.who.int/publications/i/item/9789241501958
  • World Health Organization. (2024, May 3). Nursing and midwifery. https://www.who.int/news-room/factsheets/detail/nursing-and-midwifery
  • Yildirim, A., & Simsek H. (2011). Sosyal bilimlerde nitel araştırma yöntemleri [Qualitative research methods in social sciences] (8th ed.). Seçkin Publishing.
  • Yilmaz, C. K., & Yüksel, A. (2024). Nursing students' metaphorical perceptions of sexuality in older people: An example of metaphor analysis. Nurse Education in Practice, 74, 103853. https://doi.org/10.1016/j.nepr.2023.103853
  • Yılmaz, Ş., & Özbek Güven, G. (2021). Metaphorical perceptions of nursing students about “nurse” concept. Eurasian Journal of Health Sciences, 4(3), 170-178. https://doi.org/10.53493/avrasyasbd.871565

Metaphorical Perceptions of Nursing Students Regarding the Concepts of Nursing, Patient and Patient Safety: A Qualitative Study

Yıl 2026, Cilt: 5 Sayı: 1, 1 - 17, 24.03.2026
https://doi.org/10.61830/balkansbd.1843465
https://izlik.org/JA47HP93PC

Öz

Aims
This study aims to reveal nursing students' perceptions of the concepts of "nursing", "patient" and "patient safety" through metaphors.
Methods
The study was conducted with the participation of 88 nursing students using a qualitative descriptive design using content analysis. Data was collected via Google form. The nursing students were asked to express their inferences regarding the concepts of 'nursing', 'patient', and 'patient safety' through metaphors. The responses were categorized, and logical consistency within these categories was verified.
Results: Seven themes were identified for the profession of "nursing" and four themes were identified for the concepts of "patient" and "patient safety". The metaphors used for the nursing profession included "mother", "water", and "magic wand"; these focused on the theme "Nursing is goodness and beauty". For the concept of "patient" the metaphors included "flower", "pressure cooker", "phone", and "fruit"; these highlighted the theme of "Patients need care and protection". Finally, the metaphors for the concept of " patient safety" were "virus program", "amino acid", "insurance", and "destiny"; these emphasized the theme of "Patient safety protects the patient".

Conclusion: This study provides a framework for comprehending all aspects of the concepts of "nursing", "patient" and "patient safety" through metaphors. The results have the potential to offer a more holistic perspective on these three concepts, especially within the context of nursing education.

Etik Beyan

In order to conduct the research, permission was obtained from the Health Sciences Ethics Committee of a university in Turkey (B.30.2.IEUSB.0.05.05-20-068) and the Dean's Office of the Faculty of Health Sciences. The purpose of the study was clearly stated on the front page of the survey form, and only those who agreed to participate were allowed to proceed. The Consolidation Criteria for Reporting Qualitative Research was followed in this study

Kaynakça

  • Balcı Akpınar, R., & İpek Çoban, G. (2022). Analysis of nursing students’ perceptions through metaphors for nurse and patient concepts. Journal of Nursology, 25(4), 238-244. https://doi.org/10.5152/JANHS.2022.222746
  • Bozkul, G., Karakul, A., Andı, S., Sönmez Düzkaya, D., Barış Eren, N., & Çamcı, G. (2022). Mesleğe yeni başlayan hemşirelerin algıları: Nitel bir çalışma [Perceptions of nursing students at the beginning of the profession: A qualitative study]. Journal of Samsun Health Sciences, 7(2), 587-602. https://doi.org/10.47115/jshs.1149130
  • Bressan, V., Causero, G., Stevanin, S., Cadorin, L., Zanini, A., Bulfone, G., & Palese, A. (2021). Nursing students' knowledge of patient safety and development of competences over their academic years: Findings from a longitudinal study. Zdravstveno Varstvo, 60(2), 114–123. https://doi.org/10.2478/sjph-2021-0017
  • Çarpar, M. C. (2020) Two qualitative design in sociology: Phenomenologıcal and etnographıc research. The Journal of Social Science, 4(8), 689-704. doi: 10.30520/tjsosci.750923.
  • Çatal, A. T., Cebeci, F., & Uçak, A. (2024). Intern nursing students' perceptions of patient safety culture and their experiences with factors affecting the safety of care in hospital settings: A mixed method study. Nurse Education Today, 135, 106120. https://doi.org/10.1016/j.nedt.2024.106120
  • Cekic, Y., & Yuksel, R. (2021). Metaphors of nursing students on the perception of mental illness: A qualitative study. Journal of Psychiatric Nursing, 12(2), 85–92. https://doi.org/10.14744/phd.2020.79803
  • Çınar, D. (2022). A metaphor analysis with nursing students: Become an oncology nurse. Balıkesir Health Sciences Journal, 11(1), 1-9. https://doi.org/10.53424/balikesirsbd.972590
  • Council of Higher Education. (2022). Hemşirelik ulusal çekirdek eğitim programı [National core education program for nursing (HUCEP)]. https://www.yok.gov.tr/Documents/Kurumsal/egitim_o gretim_dairesi/Ulusal-cekirdek-egitimiprogramlari/hemsirelik_cekirdek_egitim_programi.pdf
  • Dülcek, S., Eryiğit, T., Çoban, N., Beydağ, K. D., & Ortabağ, T. (2022). War and postwar nursing. Fenerbahce University Journal of Health Sciences, 2(2), 515-521. https://doi.org/10.56061/fbujohs.1100549
  • Espin, S., Sears, N., Indar, A., Duhn, L., LeGrow, K., & Thapa, B. (2019). Nursing students’ experiences of patient safety incidents and reporting: A scoping review. Journal of Nursing Education and Practice, 10(4), 26. https://doi.org/10.5430/jnep.v10n4p26
  • Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  • Johnson, M., & Lakoff, G. (1980). Metaphors we live by. University of Chicago Press.
  • Kardaş, Ç., & Ünlüsoy Dinçer, N. (2022). Metaphor analysis for holistic nursing care: Constructing a puzzle. Dokuz Eylul University Faculty of Nursing Electronic Journal, 15(3), 317-327.
  • Kırca, K., & Kaş, C. (2022). Examining nursing students' perspectives on cancer through metaphors in Turkey. Journal of Religion and Health, 61(2), 1451– 1468. https://doi.org/10.1007/s10943-022-01529-1
  • Levett-Jones, T., Andersen, P., Bogossian, F., Cooper, S., Guinea, S., Hopmans, R., McKenna, L., Pich, J., Reid-Searl, K., & Seaton, P. (2020). A cross-sectional survey of nursing students' patient safety knowledge. Nurse Education Today, 88, 104372. https://doi.org/10.1016/j.nedt.2020.104372
  • Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. SAGE Publications.
  • Moser, K. S. (2000). Metaphor analysis in psychology— Method, theory, and fields of application. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 1(2). https://doi.org/10.17169/fqs-1.2.1090
  • Özmen, D., & Çetinkaya, A. (2016). Son sınıf hemşirelik öğrencilerinin mesleki algılarına yönelik nitel bir çalışma [A qualitative study of professional perceptions of senior nursing students]. Journal of Research and Development in Nursing, 18(1), 40-52. https://dergipark.org.tr/tr/download/article-file/986397
  • Ozveren, H., Ozden, D., & Gulnar, E. (2018). The perception of nursing by first-year nursing students: A metaphor analysis. Journal of Health Sciences, 27(2), 162–169. https://dergipark.org.tr/tr/download/articlefile/694166
  • Ramírez-Torres, C. A., Rivera-Sanz, F., Cobos-Rincon, A., Sufrate-Sorzano, T., Juárez-Vela, R., Gea-Caballero, V., Tejada Garrido, C., & et al. (2023). Perception of patient safety culture among nursing students: A crosssectional study. Nursing Open, 10(12), 7596–7602. https://doi.org/10.1002/nop2.1995
  • Şener Özalp, Ş. (2021). Covid-19 pandemisinde hemşirelerin ödediği bedel: Merhamet yorgunluğu [The price paid by nurses in the covid-19 pandemic: Compassion fatigue]. Journal of Innovative Healthcare Practices, 2(2), 80-87. https://dergipark.org.tr/tr/download/articlefile/2004926
  • Svitlica, B. B., Šajnović, M., Simin, D., Ivetić, J., & Milutinović, D. (2021). Patient safety: Knowledge and attitudes of medical and nursing students: Crosssectional study. Nurse Education in Practice, 53, 103089. https://doi.org/10.1016/j.nepr.2021.103089
  • Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042
  • Toygar, İ., Hançerlioğlu, S., & Gacaner, S. (2020). Hemşirelik öğrencilerinin hasta güvenliği konusundaki bilgi ve yetkinlikleri [Nursing students’ knowledge and competence about patient safety]. Journal of Inonu University Health Services Vocational School, 8(3), 618-629. https://doi.org/10.33715/inonusaglik.747782
  • Turan, F. D. (2022). The perceptions of nursing students taking the ethics in nursing course on the concept of ethics: A metaphor study. Ordu University Journal of Nursing Studies, 5(3), 403-412. https://doi.org/10.38108/ouhcd.990016
  • Turan, F. D., & Söyünmez, S. (2022). Perceptions of third and fourth year nursing students enrolled in a pediatric nursing course regarding the concept of child abuse: A metaphorical study. Nurse Education Today, 113, 105359. https://doi.org/10.1016/j.nedt.2022.105359
  • Usta Yeşilbalkan, Ö., Kankaya, H., Karaman, E., & Çinar, D. (2021). Eliciting the concept of cancer in nursing students in Turkey: An exploratory metaphor analysis. Journal of Religion and Health, 60(4), 2925– 2938. https://doi.org/10.1007/s10943-021-01275-w
  • World Health Organization. (2011). Patient safety curriculum guide: Multi-professional edition. https://www.who.int/publications/i/item/9789241501958
  • World Health Organization. (2024, May 3). Nursing and midwifery. https://www.who.int/news-room/factsheets/detail/nursing-and-midwifery
  • Yildirim, A., & Simsek H. (2011). Sosyal bilimlerde nitel araştırma yöntemleri [Qualitative research methods in social sciences] (8th ed.). Seçkin Publishing.
  • Yilmaz, C. K., & Yüksel, A. (2024). Nursing students' metaphorical perceptions of sexuality in older people: An example of metaphor analysis. Nurse Education in Practice, 74, 103853. https://doi.org/10.1016/j.nepr.2023.103853
  • Yılmaz, Ş., & Özbek Güven, G. (2021). Metaphorical perceptions of nursing students about “nurse” concept. Eurasian Journal of Health Sciences, 4(3), 170-178. https://doi.org/10.53493/avrasyasbd.871565
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik Eğitimi
Bölüm Araştırma Makalesi
Yazarlar

Adile Savsar 0000-0002-3401-6807

Filiz Öğce Aktaş 0000-0002-5926-3062

Gönderilme Tarihi 16 Aralık 2025
Kabul Tarihi 10 Şubat 2026
Yayımlanma Tarihi 24 Mart 2026
DOI https://doi.org/10.61830/balkansbd.1843465
IZ https://izlik.org/JA47HP93PC
Yayımlandığı Sayı Yıl 2026 Cilt: 5 Sayı: 1

Kaynak Göster

APA Savsar, A., & Öğce Aktaş, F. (2026). Metaphorical Perceptions of Nursing Students Regarding the Concepts of Nursing, Patient and Patient Safety: A Qualitative Study. Balkan Sağlık Bilimleri Dergisi, 5(1), 1-17. https://doi.org/10.61830/balkansbd.1843465

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