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Publication Metadata only Family presence during CPR: a study of the experiences and opinions of Turkish critical care nurses(Pergamon-Elsevier Science Ltd, 2007) N/A; Badır, Aysel; Sepit, Diler; Faculty Member; Researcher; Semahat Arsel Nursing Education, Practice and Research Center / Semahat Arsel Hemşirelik Eğitim, Uygulama ve Araştırma Merkezi (SANERC); School of Nursing; N/A; N/A; N/ABackground: The concern over family witnessed cardiopulmonary resuscitation has been a frequent topic of debate in many countries. Objectives: The aim of this descriptive study is determine the experiences and opinions of Turkish critical care nurses about family presence during cardiopulmonary resuscitation and to bring this topic into the critical care and the public limelight in Turkey. Methods: Study population consisted of critical care nursing staff at four hospitals affiliated with the Ministry of Health, three hospitals affiliated with universities and three hospitals affiliated with Social Security Agency Hospitals. A total of 409 eligible critical care nurses were surveyed using a questionnaire which is consisted of 43 items under 3 areas of inquiry. Results: None of the hospitals that participated in this study had a protocol or policy regarding family witnessed resuscitation. More than half of the sample population had no experience of family presence during cardiopulmonary resuscitation and none of the respondents had ever invited family members to the resuscitation room. A majority of the nurses did not agree that it was necessary for family members to be with their patient and did not want family members in resuscitation room. In addition, most of the nurses were concerned about the violation of patient confidentiality, had concerns that untrained family members would not understand CPR treatments, would consider them offensive and thereby argue with the resuscitation team. The nurses expressed their concern that witnessing resuscitation would cause long lasting adverse emotional effects on the family members. Conclusion: This study reveals that critical care nurses in Turkey are not familiar with the concept of family presence during cardiopulmonary resuscitation. In view of the increasing evidence from international studies about the value of family presence during cardiopulmonary resuscitation we recommend educational program about this issue and policy changes are required within the hospitals to enhance critical care in Turkey. (c) 2005 Elsevier Ltd. All rights reserved.Publication Metadata only From probands to relatives(Lippincott Williams and Wilkins (LWW), 2022) Shah, Lisa L.; Yazici, Hulya; Daack-Hirsch, Sandra; N/A; Seven, Memnun; Faculty Member; School of Nursing; 32470Background The genetic risk communication from proband to relatives varies from family to family, and patients often need support with the communication of genetic test results and making decisions to manage hereditary cancer risks. Objective The aim of this study was to characterize the communication of BRCA1 or BRCA2 (BRCA1/2) genetic risk from proband to first-degree relatives (FDRs) using a social network framework. Methods We characterized network and nonnetwork factors to explore their association with which FDRs were told about the genetic risk and whether or not relatives underwent genetic testing. Ninety-two female probands with hereditary breast and ovarian cancer who have confirmed BRCA1/2 mutations participated in the study. Communication of hereditary breast and ovarian cancer risk was assessed between 92 probands and their 417 FDRs. Results of 92 probands, 94.5% (n = 87) communicated their genetic test result to at least one of their FDRs. of FDRs older than 18 years, 19.9% (n = 72) have genetic testing. Emotional closeness, educational level of the proband, and relative's age were significantly associated with communicating test results with FDRs. Conclusion Communication of genetic risk with the FDRs after having a BRCA1/2 gene-mutation-positive test result was high in this group of cancer patients. However, the rate of genetic testing among FDRs was low. Implications for Practice Probands' educational level and age of relatives for cascade genetic screening should be considered during counseling. Interventions to support women with BRCA1/2 mutations during the communication process and their family members' engagement in testing and risk-reducing strategies are needed.Publication Metadata only The determination of the pain relief approaches in emergency trauma units(Kare Yayıncılık, 2006) Aslan, F.E.; Şelimen, D.; N/A; Karaçay, Pelin; Faculty Member; School of Nursing; 179331This definitive study has been performed to assess the approach to pain relief in emergency trauma units. The study population consisted of patients seen at the emergency trauma clinics of three different, state-owned, research hospitals in the city of Istanbul. A total of 375 patients with an age range of 18-65 were included. The data were obtained from an 18 question data sheet. Trauma was caused by a fall in 46.1% of the patients and 66.7% of the cases were out of building. Blunt trauma was the cause in 85.6%, 31.2% had head trauma, 38.1% exteremity injuries. of the patients enrolled in the study, only 17.1% (64 patients) had recieved analgesics. The most common analgesic medication group used was Nonsteroid Anti Inflammatory Drugs (NSAID). According to these results, 82.9% of patients with pain due to trauma had not recieved analgesics and it can be concluded that pain in trauma patients is undertreated. / Bu çalışma, acil travma ünitelerinde ağrı geçirme yaklaşlımlarının belirlenmesi amacıyla tanımlayıcı ve karşlılaştırmalı olarak yapıldı. Araştırmanın evrenini; İstanbul il sınırları içerisinde yer alan kamuya ait üç farklı kuruma bağlı eğitim hastanelerinin acil travma ünitelerine başvuran hastalar oluşturdu. Örnekleme 18-65 yaş aralığında olan toplam 375 travmalı hasta alındı. Araştırma sonucunda; hastaların %46.1’inde travmanın düşme sonucu ve % 66.7’sinde yolda meydana geldiği, % 85.6’sında künt travma olduğu, %38.1’inin ekstremite bölgesinden yaralandığı, % 31.2’sine kafa travması tanısı konduğu saptandı. Araştırma kapsamına alınan acil hastaların sadece % 17.1’ine (64 kişi) analjezik verildiği, en sık kullanılan analjezik türünün Nonsteroid Antiinşamatuar ‹laçlar (NSA‹‹) olduğu bu ilaçların % 92.2 oranıyla intramüsküler (‹M) uygulandığı belirlendi. Bu sonuçlara göre travmanın doğası gereği tümünde değişik şiddette ağrı olan hastaların % 82.9’una (311 kişi) analjezik verilmediği ve travmalı hastalarda ağrı tedavisine gerekli önemin gösterilmediği söylenebilir.Publication Metadata only Cancer nursing research priorities: a rapid review(Elsevier, 2023) Dowling, Maura; Efstathiou, Nikolaos; Drury, Amanda; Semple, Cherith; Fernandez-Ortega, Paz; Dieperink, Karin Brochstedt; Pape, Eva; Kotronoulas, Grigorios; Miguel, Susana; Colomer-Lahiguera, Sara; N/A; Bağçivan, Gülcan; Faculty Member; School of Nursing; 261422Purpose: Identifying cancer nursing research priorities is central to influencing the direction of cancer care research. The aim of this rapid review was to explore research priorities identified by oncology nurses for cancer care delivery between 2019 and 2022. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis informed the design of the rapid review. MEDLINE, CINAHL, PUBMED, Web of Science, and Cochrane databases were searched for studies published between December 1st, 2018, and September 30th, 2022. This timeframe was chosen to account for the latest relevant evidence synthesis, as well as changes in cancer care necessitated by the COVID-19 pandemic. The Quality Assessment of Diverse Studies tool was used to appraise quality. Results: Four studies met the inclusion criteria. Many of the research priorities identified were influenced by the COVID-19 pandemic. The top cancer nursing research priority identified was the role of technology in improving patient and caregiver symptoms and health outcomes. Other most prevalent research priorities were focused on symptom management, culturally sensitive palliative and psychosocial care, early/integrated palliative care, financial toxicity, modifiable risk factors related to social determinants of health, public and patient involvement in research, and oncology nurses' well-being and scope of practice.Conclusion: The findings indicate a need to steer a strategic programme of cancer nursing research towards digitalisation in cancer care to meet the current needs of people living with cancer and their caregivers. However, cancer nurses' burnout, staff shortages and disparities in specialist education will hinder the implementation of certain models of care.Publication Metadata only A study on the adaptation of the HIV/AIDS-related stigma scale into Turkish(Wiley, 2022) Bahar, Zuhal; Cal, Ayse; Cavusoglu, Figen; Deveci, Aydin; Badur, Selim; Bahar, Ismail Hakki; Beşer, Ayşe; Faculty Member; School of Nursing; 143490Purpose This study aims to test the validity and reliability of the Turkish version of the HIV/AIDS-related Stigma Scale. Design and Methods The study has a methodological design. The sample included a total of 428 participants. of the participants, 198 were HIV/AIDS patients, 230 were HIV-negative individuals. The data were analyzed using the Exploratory and Confirmatory Factor Analysis. Findings The Turkish version of the HIV/AIDS-related Stigma Scale was found to be valid and reliable for the Turkish society. Cronbach's alpha was 0.93 for the community perspectives subscale and 0.89 for the patient perspectives subscale, and all the model fit indices were acceptable. Practice Implications The level of stigmatization revealed by the scale helps gain an insight into the community and patient perspectives on HIV/AIDS.Publication Metadata only Turkish adaptation and validity and verification percentages study of the incontinence-associated dermatitis and it's severity instrument(Kare Yayıncılık, 2019) Avşar, Pınar; Gül, Şenay; N/A; Karadağ, Ayişe; Faculty Member; School of Nursing; 3549Aim: This study aimed to adapt the Incontinence-Associated Dermatitis and Its Severity Instrument into Turkish and to determine its validity and verification percentages. Methods: This methodological study was carried out in two stages between February 2014 and September 2016. In the first stage, language validity was conducted and in the second stage, validity and verification percentages were completed. After obtaining permission from the authors of the instrument, language validity was conducted using the translation-back translation method. The validity of the instrument was carried out by consulting the opinions of nine experts. In addition, the verification percentages were derived by scoring four cases using the instrument with a total of 181 nurses, including 158 nurses working in intensive care units and 23 stoma and wound care nurses. In the analysis of the data, percent, arithmetic mean, frequency, standard deviation validity of content for validity study, and verification percentages were conducted between independent observers. Results: of the nurses who participated in the study (n=181), the average age was 30.9 ± 5.7 and more than half had a university degree and were working intensive care clinics. of the nurses, 12.6% were working in wound care clinics and were giving care to an average of one or two incontinent patients per week. According to the content validity index in the survey, the visibility adjustment was 1.00. Verification percentages with regard to the four cases were between 92% and 99%. Conclusion: It was concluded that the instrument can be used to measure dermatitis and severity of incontinence. / Amaç: İnkontinansa Bağlı Dermatit ve Şiddeti Aracı’nın Türkçeye uyarlanması, geçerlik-gözlemciler arası doğrulama yüzdesinin belirlenmesidir. Yöntem: Bu metodolojik çalışma iki aşamalı olarak gerçekleştirilmiştir. İlk adımda dil geçerliği, ikinci adımda geçerlik ve gözlemciler arası doğrulama yüzdesi çalışması Nisan 2014-Eylül 2016 tarihleri arasında yapılmıştır. Yazarlardan uyarlama izni alındıktan sonra aracın dil eşdeğerliği çeviri-geri çeviri teknikleri kullanılarak yapılmıştır. İnkontinansa Bağlı Dermatit ve Şiddeti Aracı’nın geçerlik çalışması; dokuz uzmanın görüşüne başvurularak gerçekleştirilmiştir. Ayrıca gözlemciler arası doğrulama oranı, yoğun bakım ünitelerinde çalışan 158, stoma ve yara bakım ünitesinde çalışan 23 olmak üzere toplam 181 hemşirenin, 4 vakayı araç yönergesi doğrultusunda puanlamasından elde edilmiştir. Verilerin analizinde; yüzde, aritmetik ortalama, frekans, standart sapma, geçerlik çalışması için içerik geçerliği yapılmış ve doğrulama oranı hesaplanmıştır. Bulgular: Araştırmaya katılan hemşirelerin (n=181) yaş ortalamaları 30.9±5.7, yarıdan fazlası lisans mezunu ve yoğun bakım kliniklerinde çalışmaktadır. Hemşirelerin %12.6’sı yara bakım kliniklerinde çalışmakta olup yarıdan fazlası haftada ortalama bir-iki inkontinanslı hastaya bakım vermektedirler. Araştırmada İçerik Geçerlik İndeksi’ne göre görüş uyumu 1.00’dir. Hemşirelerin dört vakaya ilişkin doğrulama yüzdeleri %92 ila %99 arasındadır. Sonuç: Aracın inkontinansa bağlı dermatit ve şiddetini ölçmek için kullanılabileceği sonucuna varılmıştır.Publication Metadata only The palliative care difficulty levels of the nursing students during clinical practices(Wiley, 2021) Ünver, Seher; Kızılcık Özkan, Zeynep; N/A; Girgin, Beyza Nur; Nurse; N/A; Koç University Hospital; N/APurpose: This study aimed to determine the palliative care difficulties experienced by nursing students during their clinical practice. Design and Methods: This descriptive and cross-sectional study was conducted with 305 nursing students at a university in Turkey. Data were collected using a student identification form and the palliative care difficulties scale. Findings: Nursing students experience a moderate level of difficulty in providing care for palliative care patients and receiving expert support facilitates their care initiatives. Practice Implications: It is important to support nursing students during their nursing education courses and clinical training, along with psychiatric nursing skills.Publication Metadata only Environmental, health, research and nursing(Dokuz Eylül Üniversitesi Hemşirelik Fakültesi, 2015) Aydoğdu, Nihal Gördes; N/A; Faculty Member; School of Nursing; 3918A continuous and mutual interaction is mention of the subject between humans and the environment. The importance of environment for nursing is emphasized by many nurses theorists such as Nightingale until today. One of the main functions of the nurse is person, protection of family and community health and development and minimizing the adverse factors that affects health. There are many environmental risk factors affecting human health. Nurse role in protection of the environment and human health and development, became more important with today's environmental conditions gradually deteriorating. Nurses primarily environmental risk factors in the regions that they serve and the effects on health should consider using the research information. They should plan their interventions in accordance with data obtained from the study that is made or will be made for environmental risks and impacts. They should take a more active role in the studies regarding the effects of the environment and human health. / İnsan ve çevre arasında sürekli ve karşılıklı bir etkileşim söz konusudur. Çevrenin hemşirelik açısından önemi Nightingale’den günümüze birçok hemşire kuramcı tarafından vurgulanmıştır. Hemşirelerin temel işlevlerinden bir tanesi kişi, aile ve toplumun sağlığının korunması ve geliştirilmesi, sağlığı olumsuz etkileyen faktörlerin en aza indirilmesidir. İnsan sağlığını etkileyen pek çok çevresel risk faktörü bulunmaktadır. Hemşirelerin çevre ve insan sağlığının korunması ve geliştirilmesindeki rolleri günümüz çevre koşullarının giderek kötüleşmesi ile daha önemli hale gelmiştir. Hemşireler öncelikle hizmet verecekleri bölgedeki çevresel risk faktörlerini ve bunun sağlık üzerindeki etkilerini araştırma bilgisini kullanarak değerlendirmelidir. Çevresel riskler ve etkilerine yönelik gerek yapılmış olan gerekse planlayacakları çalışmalardan elde edilen veriler doğrultusunda girişimlerini planlamalıdır. Çevre ve insan sağlığına etkileriyle ilgili çalışmalarda daha aktif rol almalıdır.Publication Metadata only Nurses' knowledge and practices related to pressure injury a cross-sectional study(Lippincott Williams and Wilkins (LWW), 2019) Aydin, Arzu Karabag; Gul, Senay; Avsar, Pinar; Baykara, Zehra Goecmen; N/A; Karadağ, Ayişe; Faculty Member; School of Nursing; 3549PURPOSE: The purpose of this study was to determine nurses' knowledge and practices regarding pressure injury and identify relationships between these factors and professional nurse characteristics. DESIGN: Cross-sectional, descriptive study. SETTING and SUBJECTS: The sample comprised 347 nurses attending the 2013 and 2015 Wound Management Congresses. The meetings were organized by the Wound Management Association located in Antalya, Turkey. METHODS: A 35-item data collection form was designed for purposes of this study. It divided into 2 parts: 8 items queried demographic and professional characteristics of nurse respondents. The second part comprised 9 cases describing patients with pressure injury; these cases were associated with 27 items querying pressure injury-related knowledge and practices. Demographic and professional characteristics of nurse respondents were summarized via descriptive statistics. The Kruskal-Wallis H and Mann-Whitney U tests were used to identify relationships between nurse characteristics and pressure injury knowledge and practices. RESULTS: The mean score for the 27 items related to pressure injury knowledge and practices was 57.37 +/- 14.26 out of 100 points. Pressure injury knowledge and practices were positively associated with nurses having a bachelor's and/or postgraduate degree (P = .012), nurses caring for a higher number of patients with pressure injuries per week (P = .042), nurses practicing in intensive care units and wound care clinics (P = .011), nurses with specific education in pressure injury (P = .000), and those indicating adequate skills and knowledge in pressure injury (P = .005). CONCLUSIONS: Nurses' knowledge and practices regarding pressure injuries were lower than anticipated in this sample. We recommend additional education and training activities to increase nurses' knowledge and practices related to pressure injury.Publication Metadata only Effect of chewing gum on the management of chemotherapy-induced oral mucositis in children: systematic review of experimental studies(Wiley, 2022) Kocaaslan, Esra Nur; N/A; Semerci, Remziye; Faculty Member; School of Nursing; 216754Objective It was aimed to systematically synthesise the available literature on examining the effect of chewing gum in the management/reduction of chemotherapy-induced oral mucositis in children. Methods The PRISMA was followed for the systematic review. All published studies obtained from the relevant databases were examined while the research question and inclusion and exclusion criteria were considered. The Joanna Briggs Institute (JBI) critical appraisal tools were used to evaluate the quality of the studies. Results A total of five studies met the inclusion criteria: three randomised controlled trials (RCT) and two quasi-experimental studies with a total of 461 paediatric oncology patients were included. Heterogeneity was found across all studies regarding the application of gum chewing and regarding the effectiveness of gum chewing. Two RTCs and one quasi-experimental study reported that gum chewing is not effective to reduce severe oral mucositis, but effective to reduce moderate and mild oral mucositis, and one RTC reported that gum chewing is not effective to reduce oral mucositis. Conclusion Experimental studies particularly randomised controlled trials using rigorous designs, consistent outcome measures, and larger sample sizes are required to determine the efficacy of chewing gum in reducing chemotherapy-induced oral mucositis in paediatric oncology patients. Study was registered in PROSPERO and number was CRD42022328916.