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Permanent URI for this collectionhttps://hdl.handle.net/20.500.14288/3
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Publication Metadata only The use of theory or model in studies on postpartum care: a narrative review(John Wiley and Sons Inc, 2024) Tümkaya, Maide Nur; Eroğlu, Kafiye; Graduate School of Health Sciences; School of NursingPurpose: It is aimed to raise awareness about the science of nursing for women's health and the use of nursing theories and models in research by reviewing the studies using theories or models in postpartum care. Data sources: The data of the study were obtained by searching YÖK National Thesis Center, EBSCOhost, PubMed, Web of Science, Cochrane, and ScienceDirect databases. Reviewed studies were analyzed in terms of the type of research, sample characteristics, purpose, the field of use of theory and model in the research, and research results. Conclusions: As a result of the review, it was noted that in the studies, Orem's Self-Care Deficit Nursing Theory/Model (n = 9), Roy's Adaptation Theory (n = 7), and Kolcaba's Theory of Comfort (n = 7) were the most used theories, theories and models were not used in a systematic structure at every stage of the research, and positive outcomes were obtained with the theory and model-based nursing interventions. Implications for nursing practice: The application of theory and model in postpartum care can be chosen by nurses as it improves patient outcomes. Furthermore, the use of theories and models in research to develop nursing knowledge will benefit nursing science while increasing professional autonomy.Publication Metadata only Investigation of nursing students' knowledge levels and attitudes in incontinence-associated dermatitis management through game-based learning: a mixed methods study(HMP, 2024) Kaya, Nurten; Kirkland-Kyhn, Holly; N/A; Şengül, Tuba; Akyaz, Dilek Yılmaz; Cevizci, Tuğba; Oldaç, Tuğçe; Koyun, Hamza Can; School of Nursing; Koç University HospitalPURPOSE: This study aimed to assess nursing students' knowledge levels and attitudes towards the etiology, risk factors, and preventive measures of incontinence-associated dermatitis (IAD) using an escape room game. DESIGN: A mixed-method study. SUBJECTS AND SETTING: The sample size of the study was 32 students. METHODS: Quantitative data obtained with the Knowledge, Attitude and Practice of Nurses in Managing Incontinence-Associated Dermatitis Questionnaire (KAP-IAD-Q) and qualitative data obtained through FGDs following the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist were analyzed using a thematic approach. RESULTS: The average age of the participants was 22.63 +/- 0.90, 87.5% of them were female (n=28), and 50% were third (n=16) and fourth-year students (n=16). KAP-IAD-Q total posttest score (88.06+7.00) was found to be high. Data obtained from the FGDs were categorized under 3 main themes: main focus areas during participation in the IAD-themed escape room game; advantages and disadvantages of teamwork in IAD management; and the game's contribution to a better understanding and classification of IAD. CONCLUSIONS: The use of the escape room game facilitated high, fast, and efficient learning of IAD knowledge and attitudes. It revealed challenges in collaborative decision-making, accurate diagnosis, distinguishing from other wounds, and attitude development in the management of IAD.Publication Metadata only The effect of position on feeding performance in infants with cleft lip and palate: quasiexperimental study(Wiley, 2024) Erdost, Şerife Kartal; Gözen, Duygu; School of NursingPurpose: This single-group, quasiexperimental study was conducted to determine the effect of feeding position on the physiological parameters and feeding performance of term-born infants with cleft lip and palate (CLP) in the preoperative period. Methods: The study sample consisted of 45 infants aged 0-6 months with CLP followed up preoperatively in our outpatient clinic between January 2021 and 2022. Infants who were being fed with a specialty bottle for babies with CLP and whose families consented to participate in the study were included. After 2 h of fasting, the infants were fed in the elevated supine (ESU) position for the first meal, then in the elevated side-lying (ESL) position for the second meal after another 2 h of fasting. The infants' heart rate and oxygen saturation values before, during, and after each feed and indicators of feeding performance were compared between the positions. Results: There was no significant difference between the positions in terms of heart rate and oxygen saturation before, during, or after feeding (p > .05). There was no statistically significant difference in measures of feeding performance according to the infants' feeding position (p > .05). Conclusion: According to the findings obtained in this study, infants with CLP showed no statistically significant differences in heart rate, oxygen saturation, or feeding performance when fed in the ESL and ESU positions. Practice Implications: However, despite the lack of statistical significance, both physiological values and feeding performance tended to be better when the infants were fed in the ESL position, nurses can practice ESL position according to the infant's opposite direction of the side of the cleft lip or palate.Publication Metadata only Examination of pediatric nurses' knowledge of anaphylaxis: a descriptive study(Taylor & Francis Inc, 2023) Şimşek, Enes; Ocakçı, Ayşe Ferda; Graduate School of Health Sciences; School of NursingAnaphylaxis is a vital systemic allergic reaction. A rapid diagnosis of anaphylaxis is lifesaving. In most cases, nurses are the first to encounter and intervene in anaphylaxis. Therefore, they have a vital responsibility in such cases. The aim of this study is to create a questionnaire and evaluate the anaphylaxis knowledge levels of pediatric nurses. This is a descriptive type of study. The study took place in Turkey. 80 pediatric nurses who work in pediatric intensive care, neonatal intensive care, child service, and pediatric emergency service participated in the study. The sociodemographic data collection form and the anaphylaxis knowledge level assessment form was used for the study. ANOVA and t-test are used to evaluate the data. The average anaphylaxis knowledge score of the pediatric nurses was found 12.61 +/- 2.61, therefore it's moderate. The reliability of the questionnaire was high. Knowledge levels were moderately sufficient in diagnoses and insufficient in treatment and follow-up. Considering how critical anaphylaxis is, the moderately sufficient and insufficient knowledge levels are not substantial and should be increased advancedly. The questionnaire created for this study can be used in future studies. Health institutions should plan training regarding anaphylaxis and recompose anaphylaxis training in general, elaborate treatment and follow-up, and assess pediatric nurses' knowledge periodically.Publication Metadata only The effect of clinical decision support systems on patients, nurses, and work environment in ICUs: a systematic review(Lippincott Williams and Wilkins, 2024) Sarıköse, Seda; Çelik, Sevilay Şenol; School of NursingThis study aimed to examine the impact of clinical decision support systems on patient outcomes, working environment outcomes, and decision-making processes in nursing. The authors conducted a systematic literature review to obtain evidence on studies about clinical decision support systems and the practices of ICU nurses. For this purpose, the authors searched 10 electronic databases, including PubMed, CINAHL, Web of Science, Scopus, Cochrane Library, Ovid MEDLINE, Science Direct, Tr-Dizin, Harman, and DergiPark. Search terms included "clinical decision support systems,""decision making,""intensive care,""nurse/nursing,""patient outcome,"and "working environment"to identify relevant studies published during the period from the year 2007 to October 2022. Our search yielded 619 articles, of which 39 met the inclusion criteria. A higher percentage of studies compared with others were descriptive (20%), conducted through a qualitative (18%), and carried out in the United States (41%). According to the results of the narrative analysis, the authors identified three main themes: "patient care outcomes,""work environment outcomes,"and the "decision-making process in nursing."Clinical decision support systems, which target practices of ICU nurses and patient care outcomes, have positive effects on outcomes and show promise in improving the quality of care;however, available studies are limited.Publication Metadata only The effects of the work environment on nurse burnout in emergency department(Emergency Medicine Association of Turkey, 2011) Akyolcu, Neriman; N/A; Kebapçı, Ayda; Faculty Member; School of Nursing; 203808Objectives: This study examines the relationship between burnout and work environment among nurses working in emergency departments (ED) in Istanbul. Methods: The subjects were ED nurses who met the research criteria (n=132). Data were collected by questionnaire to determine the demographic characteristics of the subjects as well as their emotions and opinions about their Professional life. Nurses' burnout was measured by the Maslach Burnout Inventory and nurses' work environment was determined by the Work Environment Scale. Results: In this study Emotional Exhaustion and Depersonalization levels have been found low in nurses who like their job and work places and with longer duration of Professional work. On the other hand, hard working conditions or unexpected overtime, inability to spare time for social activities, dissatisfaction of socio-economic situation and having trouble with team members were all associated with increased levels of Emotional Exhaustion and Depersonalization. It was found that there were significant positive relationship between Work Environment Scale-Employee Fears states and Emotional Exhaustion with Depersonalization; Work Environment Scale-Job Satisfaction state and Emotional Exhaustion, and significant negative relationship between Work Environment Scale-Quality Management, Professional Relationships and Physical Resources states and Emotional Exhaustion, Depersonalization and Personal Accomplishment (p<0.05). Conclusions: Personal qualifications and volunteerism should be considered when selecting nurses working in the emergency departments. In an ED it have seen that equipment, adequate space and number of employees, which facilitates the treatment and care of patients, have positive impact on nurse's burnout levels. Time allocation opportunity for participation in social activities or hobbies should be given to the employees. Incompatibility and conflict within the team should be avoided by properly setting the job descriptions of the team members.Publication Metadata only Oncology nurses' perspectives on safe handling precautions: a qualitative study(Taylor & Francis, 2017) Topcu, Sevcan; Beşer, Ayşe; Faculty Member; School of Nursing; 143490Background: Oncology nurses can be exposed to hazardous drugs during their preparation, administration, transfer and storage and elimination of their waste. Aim: This study was directed towards describing attitudes, opinions and experiences of nurses administering these drugs about safe handling precautions. Methods: A qualitative study design was used. Fifteen nurses working for at least three months involved in preparation, administration and transfer of antineoplastic drugs and management of wastes. Findings: Experiences, viewpoints and attitudes of nurses about safe handling precautions were analyzed in accordance with basic components of Health Belief Model. Conclusions: Based on experiences, viewpoints and attitudes emphasized most by nurses, the most important factors about safe handling precautions were perceived barriers and cues to action. As well as heavy work schedules and high number of patients per nurse, lack of equipment and insufficient knowledge were found to be barriers to taking safe handling precautions.Publication Metadata only Reducing the modifiable risks of cardiovascular disease in Turkish patients with type 2 diabetes: the effectiveness of training(Sage Publications Inc, 2015) Çevik, Ayfer Bayındır; Satman, İlhan; N/A; Özcan, Hüsniye Şeyda; Faculty Member; School of Nursing; 108311Our goal was to reduce the number of modifiable risk factors for cardiovascular disease (CVD) through providing lifestyle adjustment training and counseling to patients with type 2 diabetes. In this pre-post intervention study, 139 patients with diabetes were provided with training to reduce the modifiable risks of CVD. One hundred three patients attended the post-training evaluation. Two phone counseling sessions were provided with 1-month intervals. Consumption of red meat and processed food decreased and water consumption, carrying on the recommended diet, and the frequency of exercise increased (p = .000), A1C decreased (p = .05), and the use of aspirin increased (p = .03). Thus, a contribution to the reduction of CVD risk factors in patients with type 2 diabetes was achieved. The training program for reducing CVD risk factors in patients with type 2 diabetes was effective in improving nutrition and lifestyle behaviors and decreasing glycemic control.Publication Metadata only Experiences of breast cancer survivors during the COVID-19 pandemic: a qualitative study(Oncology Nursing Soc, 2021) N/A; N/A; N/A; Department of Computer Engineering; N/A; Seven, Memnun; Bağçivan, Gülcan; Paşalak, Şeyma İnciser; Özkasap, Öznur; Selçukbiricik, Fatih; Faculty Member; Faculty Member; PhD Student; Faculty Member; Faculty Member; Department of Computer Engineering; School of Nursing; School of Nursing; Graduate School of Health Sciences; College of Engineering; School of Medicine; 32470; 261422; 125009; 113507; 202015Purpose: This study aimed to explore the impacts of the COVID-19 pandemic on the quality of life of breast cancer survivors. Methods: This qualitative descriptive study included 18 breast cancer survivors who completed cancer treatment within the last five years in Istanbul, Turkey. A directed content analysis was performed using the quality-of-life domains as guiding themes. Results: The mean age was 51 ± 5.9, and the average months since active treatment were 26.5 ± 9.8 (9-48). Six themes and associated categories are as follows: Physical functioning; Changes in physical activity and weight, new physical symptoms, Role functioning; Work-life, changes in household chores, Emotional functioning; Emotional changes, fear of having the COVID-19 infection, Cognitive Functioning; Risk Perception about the COVID-19 infection, reactions to the COVID-19 pandemic' measures, Social Functioning; Familial relationship changes, social interactions, General Health/Utilization of Healthcare services; Changes in routine follow-ups, changes in diet. Conclusion: Breast cancer survivors had different challenges causing new physical and psychological symptoms such as lymphedema, pain, burnout, and anxiety that may have long-term effects on their quality of life.Publication Metadata only Development and psychometric property testing of a medical device-related pressure injuries knowledge and practice assessment tool(Wiley, 2023) Aktan, Derya Cobanoglu; Cakar, Vildan; Demirer, Erdinç; Karadağ, Ayişe; Master Student; Faculty Member; Graduate School of Health Sciences; School of Nursing; N/A; 3549Aims We aimed to develop and test the psychometric properties of a Medical Device-related Pressure Injuries Knowledge and Practice Assessment Tool. BackgroundAssessment of nurses' knowledge and practices is critical in the prevention of Medical Device-related Pressure Injuries. DesignThis was an instrument development and testing study. MethodsThe sample of the study consisted of nurses (n = 189). The study was conducted in three phases between January and February 2021. In the first phase, multiple-choice items contained within Aetiology/Risk Factors, Prevention Interventions, and Staging domains were created. In the second phase, content validity and criterion validity were evaluated, and the tool was pre-tested. The third phase examined item difficulty, discrimination index and distractor quality. The test-retest method was used for reliability. ResultsThe Content Validity Index was found to be 0.75, 0.86 and 0.96 for the domains of Aetiology/Risk Factors, Prevention and Staging, respectively. The item difficulty values of the items were between 0.18 and 0.96. A positive, strong and significant relationship was found between the results and a positive, moderate and significant relationship between the tools administered for the proof of scale validity. The Cronbach's alpha reliability coefficient was found to be 0.54. ConclusionsThe tool is a suitable measurement instrument for use in nursing education, research and clinical settings.