1 Berra Yilmaz Kusakli, Istanbul Esenyurt University, Faculty of Health Sciences, Department of Nursing, Istanbul, Turkey. Muhteber Husmenoglu, PhD candidate, Istanbul University, Cerrahpasa-Istanbul, Turkey. Zuleyha Inceoz, PhD candidate, Swansea University, Swansea, Wales, UK. Fatih Velibeyoglu, chief physician, Hatem Konasoglu, quality director, and Emray Aksoy, Istanbul Büyükçekmece Mimar Sinan State Hospital, Istanbul, Turkey.