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Permanent URI for this collectionhttps://hdl.handle.net/20.500.14288/6
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Publication Open Access The effect of colostomy and ileostomy on acts of worship in the Islamic faith(Lippincott Williams and Wilkins (LWW), 2016) Akgül, Betül; Karadağ, Ayişe; Faculty Member; School of Nursing; 3549PURPOSE: The aim of this study was to determine the impact of colostomy and ileostomy on Muslim patients' acts of worship. DESIGN: This was a cross-sectional, descriptive study. SUBJECTS AND SETTING: The research setting was a stoma therapy unit of a 500-bed capacity training and research hospital in Ankara, Turkey. The study sample comprised 150 patients with colostomies (40.7%) or ileostomies (59.3%); their mean age was 51.6 +/- 12.9 (mean +/- standard deviation), more than half (60.7%) were men, and 84.7% were married. METHODS: Participants were queried about specific religious practices following ostomy surgery including those related to salat, fasting, and pilgrimage. Data were collected using forms specifically designed for this study; respondents were interviewed either face-to-face or via telephone. Descriptive statistics were used to characterize the influence of a fecal ostomy on specific religious activities. RESULTS: Participants reported decreasing the frequency of daily and Friday prayers (25.2% and 22.7%, respectively) or stopped practicing these activities all together (12.0% and 14.0%, respectively). Respondents tended to increase the frequency of acts of absolution while reducing acts of fasting. Perceptions of cleanliness, central to performance of salat within the Islamic faith, emerged as a central concern. CONCLUSIONS: Ostomy surgery influences multiple religious acts practiced by Muslims. Awareness of the potential impact of a fecal ostomy on religious acts within the Islamic faith, combined with specialized education about spiritual practices delivered by the WOC nurse or a knowledgeable resource person, is strongly recommended for all persons following ostomy surgery.Publication Open Access Challenges faced by doctors and nurses in wound care management during the COVID-19 pandemic in Turkey and their views on telehealth(Elsevier, 2021) Karadağ, Ayişe; Şengül, Tuba; Faculty Member; Faculty Member; School of Nursing; 3549; 59230Aim: this study aimed to determine the problems faced by physicians and nurses dealing with chronic wound care during the COVID-19 pandemic and their views on telehealth. Materials and methods: a descriptive and cross-sectional design was used in this study. The sample comprised physicians (n = 74) and nurses (n = 271) interested in chronic wound care. Data were collected through a questionnaire form consisting of open- and closed-ended questions. Results: of the participants, 21.4% (n = 74) were physicians and 78.6% (n = 271) were nurses. Of the physicians, 45.9% (n = 34) were obliged to work in another unit during the COVID-19 period, while 43.2% continued their service related to chronic wound care, and only 17.0% (n = 18) in the wound care service before the pandemic. These rates are 51.3% (n = 139), 51.6% (n = 157) and 36.8% (n = 128) for nurses, respectively. 40.7% of the physicians (n = 33) and 34.9% of the nurses (n = 106) stated that their time had been reduced for chronic wound care. When the telehealth experiences were examined, 32.4% (n = 24) of the physicians utilized telehealth, 29.7% (n = 22) used e-visit, 77.0% (n = 57) stated that they thought telehealth was a good option, 47.3% (n = 35) utilized it for wound evaluation and treatment, and 31.9% (n = 59) used smart phones. These rates for nurses were 16.6% (n = 45), 14.0% (n = 38), 72.7% (n = 197), 33.9% (n = 92), and 27.0% (n = 182), respectively. Conclusions: the COVID-19 pandemic negatively affected the manner of delivery, duration, and quality of service regarding wound management. During this period, face-to-face contact times with patients were reduced, some diagnosis and treatment attempts were not performed, and wound care services were suspended temporarily or permanently. On the other hand, a positive result was achieved in that the physicians and nurses gave positive feedback for the telehealth experience.Publication Open Access “Noise Factory”: a qualitative study exploring healthcare providers’ perceptions of noise in the intensive care unit(Elsevier, 2020) Güner, Perihan; Kebapçı, Ayda; Faculty Member; School of Nursing; 203808Objectives: this study aimed to explore healthcare providers’ perceptions of noise in the intensive care unit. Design: a qualitative exploratory study was conducted using group interviews. Setting: the setting comprised a total of 15 participants (five physicians and ten registered nurses) working in an 18-bed medical surgical intensive care unit at a teaching hospital in Istanbul, Turkey. Semi-structured questions were formulated and used in focus group interviews, after which the recorded interviews were transcribed by the researchers. Thematic analysis was used to identify significant statements and initial codes. Findings: four themes were identified: the meaning of noise, sources of noise, effects of noise and prevention and management of noise. It was found that noise was an inevitable feature of the intensive care unit. The most common sources of noise were human-induced. It was also determined that device-induced noise, such as alarms, did not produce a lot of noise; however, when staff were late in responding, the sound transformed into noise. Furthermore, it was observed that efforts to decrease noise levels taken by staff had only a momentary effect, changing nothing in the long term because the entire team failed to implement any initiatives consistently. The majority of nurses stated that they were now becoming insensitive to the noise due to the constant exposure to device-induced noise. Conclusion: the data obtained from this study showed that especially human-induced noise threatened healthcare providers’ cognitive task functions, concentration and job performance, impaired communication and negatively affected patient safety. In addition, it was determined that any precautions taken to reduce noise were not fully effective. A team approach should be used in managing noise in intensive care units with better awareness.Publication Open Access Geolocator tracking of Great Reed-Warblers (acrocephalus arundinaceus) identifies key regions for migratory wetland specialists in the Middle East and sub-Saharan East Africa(American Ornithological Society (AOP), 2016) Horns J.J.; Buechley, E.; Chynoweth, M.; Çoban, E.; Kirpik, M. A.; Herman, J. M.; Şaşmaz, Y.; Şekercioǧlu, Ç. H.; School of Nursing; Koç University HospitalWetland-dependent migratory songbirds represent one of the most vulnerable groups of birds on the planet, with >67% of wetland-obligate species threatened with extinction. One of the major hurdles for conservation efforts is determining the migration routes, stopover sites, and wintering sites of these species. We describe an annual migration cycle revealed by geolocator tracking of Great Reed-Warblers (Acrocephalus arundinaceus) breeding in the Aras River wetlands of eastern Turkey. Because of its relatively large size and breeding ground fidelity, the Great Reed-Warbler is an excellent candidate for geolocator studies and can serve as an indicator species for other wetland songbirds, many of which are particularly threatened in the Middle East. All birds made use of at least 2 wintering grounds in South Sudan, on the Indian Ocean coast and on the western shores of Lake Malawi, as well as several important stopover sites. We also identified a counterclockwise migration path into and out of Africa. Throughout the year, these birds encountered 277 Important Bird Areas, >40% of which had little or no protection. Many species of wetland songbird, particularly threatened species, may be too rare or too small to be the focus of similar studies. Our results not only allow for comparisons with other Great Reed-Warbler populations, but also reveal previously unknown stopover and wintering locations to target conservation efforts that will help wetland-dependent bird species in the Middle East and East Africa.Publication Open Access Healthcare workers' anxieties and coping strategies during the COVID-19 pandemic in Turkey(Wiley, 2021) Özçevik Subaşı, Damla; Sümengen, Aylin Akça; Şimşek, Enes; Ocakçı, Ayşe Ferda; PhD Student; Faculty Member; Graduate School of Health Sciences; School of Nursing; N/A; N/A; N/A; 1729Purpose: this study aimed to investigate the anxiety levels of healthcare workers and the coping strategies they used for stress during the COVID-19 pandemic. Design and methods: this descriptive cross-sectional study was carried out in April 2020 in Turkey with 444 healthcare workers via three online questionnaires: A participant information form, the State Anxiety Inventory (SAI), and the Ways of Coping Questionnaire. Findings: healthcare workers might be considered to experience more anxiety during the pandemic than shown in the studies conducted before the pandemic. Significant differences in SAI score were found in terms of age, gender, and education status. Practice implications: age, gender, and some variables related to the pandemic affected the anxiety levels and coping strategies of healthcare workers.Publication Open Access The relationship between work-related variables, job satisfaction, and perceived professional autonomy of radiation oncology nurses in Turkey(Kare Yayıncılık, 2020) Mert, Şahika; Türkmen, Emine; Faculty Member; Semahat Arsel Nursing Education, Practice and Research Center / Semahat Arsel Hemşirelik Eğitim, Uygulama ve Araştırma Merkezi (SANERC); School of Nursing; 109503Introduction: this study analyzed the relationship between work-related variables, job satisfaction, and perceived professional autonomy in Turkish radiation oncology nurses. Methods: this descriptive cross-sectional study was conducted with 138 radiation oncology nurses employed at university, public, and private hospitals. Data were collected using a data collection form that included demographic variables and the 30-item Nursing Activity Scale. Multiple logistic regression analysis was used to evaluate the impact of independent variables on the perceived professional autonomy and job satisfaction of nurses. Results: The nurses’ perceptions of professional autonomy and job satisfaction were moderate. Experience, being a ward head/outpatient clinic nurse, and training affected the level of professional autonomy of nurses (OR: 2.90, 2.62, and 2.56, respectively). Additionally, the type of hospital, perceived level of professional autonomy, and position affected the level of job satisfaction (OR: 4.05, 3.23, and 2.35, respectively). Discussion and conclusion: Radiation oncology nurses with a moderate level of professional autonomy and job satisfaction and those completing undergraduate and graduate education perceived lower levels of autonomy than other nurses did, indicating a significant clinical problem. It is recommended that healthcare and nursing directors increase radiation oncology nurses’ professional autonomy based on job requirements and responsibilities because low autonomy may cause job stress and burnout. / Giriş ve amaç: bu çalışma, Türk radyasyon onkolojisi hemşirelerinin otonomi düzeyi, iş doyumu ve işle ilgili özellikleri arasındaki ilişkiyi ortaya koymak amacıyla yapılmıştır. Yöntem ve gereçler: bu tanımlayıcı, kesitsel çalışma, üniversite, devlet ve özel hastanelerde görev yapan 138 radyasyon onkolojisi hemşiresinin katılımı ile gerçekleştirilmiştir. Veriler, demografik özellikler ve 30-maddeli Hemşirelik Aktivite Ölçeği’ni içeren soru formu kullanılarak elde edilmiştir. Hemşirelerin mesleki otonomi ve iş doyumu algısı üzerine etki eden etmenler çoklu lojistik regresyon analizi ile incelenmiştir. Bulgular: radyasyon onkolojisi hemşirelerinin mesleki otonomi algısı ve iş doyumu orta düzeyde bulunmuştur. Hemşirelerin mesleki otonomisi üzerine deneyim, yönetici/eğitimci olma ve eğitimin etkili olduğu (sırasıyla OR: 2.90, 2.62, 2.56) belirlenmiştir. Hemşirelerin iş doyumuna ise çalıştıkları hastane türü, algılanan profesyonel otonomi düzeyi ve çalıştıkları pozisyonun etkili olduğu (sırasıyla OR: 4.05, 3.23, 2.35) ortaya konmuştur. Tartışma ve sonuç: genel olarak radyasyon onkolojisi hemşirelerinin algıladığı mesleki otonomi ve iş doyumunun orta düzeyde olması ve lisans/lisansüstü düzeyde eğitim almış hemşirelerin otonomi düzeyini diğerlerine göre düşük algılaması önemli bir sorundur. Bu durum, iş stresine ve tükenmişliğe yol açabileceğinden, sağlık ve hemşirelik yöneticilerinin, radyasyon onkolojisi hemşirelerinin yaptıkları işin gerekleri ve sorumluluklarına uygun olacak şekilde yetkilerini artırmaları önerilir.Publication Open Access Impact of education based on type 1 diabetes management model(Medknow Publications, 2015) Ocakçı, Ayşe Ferda; Faculty Member; School of Nursing; 1729The diabetes management is considered to be adversely affected when adolescent-specific education methods are not used. In this study, Type 1 Diabetes Management Model which ensures standardisation of the diabetes education and is based on the health promotion model and formed by applying health promotion model (HPM) according to the mastery-learning theory was used. The study was performed to determine effectiveness of diabetes education based on “Type 1 Diabetes Management Model” on adolescents. In total, 36 adolescents at ages 13–17 with type 1 diabetes participated. A quasi-experimental study was conducted as a pretest-posttest design on a single group study, which included nine interactive type 1 diabetes education sessions over 8 days, with assessments at baseline and after 3 months. Diabetes management skills and self-management levels were measured with Diabetes Behaviour Rating Scale, General Self Efficacy Scale and diabetes knowledge measured with type 1 diabetes rating form and unit follow-up tests. After 3 months, diabetes management skills (p = 0.000) and self-management levels (p = 0.002) were improved, haemoglobin A1C levels were decreased (p = 0.035) and diabetes knowledge was increased (p = 0.000). No improvement was observed in levels of taking the responsibility of skills (p = 0.958). Education programs based on Type 1 Diabetes Management Model may be suggested as an efficient model for adolescents with type 1 diabetes to improve their diabetes management skills, and also, diabetes nurses will be able to form education programs they arrange within the framework of a specific standard.Publication Open Access The use of theories in psychiatric nursing-II(Kare Yayıncılık, 2016) Pehlivan, Tuğba; Güner, Perihan; PhD Student; Faculty Member; School of Nursing; N/A; 101859The use of theory in the mental health field can be traced back before the 19th century. Later, with the detection of biological causes for the formation of mental health problems, psychosocial theories and biological approaches began to be used together. Accordingly, some authors tried to define the theoretical framework of psychiatric nursing, and it has been said that the biological and psychosocial theories used in the mental health field can also be used in the field of psychiatric nursing. This article discusses how psychiatric nurses can use the theories that constitute the framework of psychiatric nursing, and it explores this concept through the perspectives of the theories’ authors. / Ruh sağlığı alanında teorilerin kullanımı 1800’lü yılların öncesine dayanmaktadır. Daha sonra ruhsal sorunların oluşumunda biyolojik nedenlerin saptanması ile birlikte psikososyal teoriler ve biyolojik yaklaşımlar birlikte kullanılmaya başlanmıştır. Bu doğrultuda bazı yazarlar tarafından psikiyatri hemşireliğinin kuramsal çerçevesi tanımlanmaya çalışılmıştır ve ruh sağlığı alanında kullanılan biyolojik ve psikososyal teorilerin psikiyatri hemşireliği alanında da kullanılabileceği ifade edilmiştir. Bu makalede, kuramsal çerçeveleri oluşturan yazarların bakış açısından, psikiyatri hemşireliğinin kuramsal çerçevesini oluşturan teorilerin psikiyatri hemşireliği alanında nasıl kullanılabileceği tartışılmıştır.Publication Open Access The effect of online laughter therapy on depression, anxiety, stress, and loneliness among nursing students during the Covid-19 pandemic(Elsevier, 2022) Öztürk, F. O.; Kerman, Kader Tekkaş; School of NursingBackground: nursing students experienced mental symptoms when they switched to distance education due to the pandemic. Aims: This study was conducted to evaluate the effects of online laughter therapy sessions on depression, anxiety, stress, and loneliness levels in first-year nursing students. Methods: in this randomized controlled trial, 61 healthy nursing students were randomly assigned to intervention (n = 32) and control groups (n = 29). The intervention group received online laughter therapy twice weekly for four weeks. The control group received no intervention. The data were collected using a demographic questionnaire, the Depression Anxiety Stress Scale, and the De Jong Gierveld Loneliness Scale at the study initiation and week four in both groups. Results: there was no difference between the mean scores of the groups in the pre-test (p > 0.05). There was a statistically significant difference between groups in terms of depression after online laughter therapy sessions (p < 0.05), but there was no significant difference between anxiety, stress, and loneliness levels (p > 0.05). Conclusions: online laughter therapy sessions significantly reduced depression but had no effect on anxiety, stress, and loneliness. During the COVID-19 pandemic, online laughter therapy can be organized to reduce depression levels.Publication Open Access Experience and views of nurses on nursing services and personal protective equipment in Covid-19 pandemic the case of Turkey: a cross-sectional study(Wiley, 2022) Özbaş, Azize Atlı; Kovancı, Mustafa Sabri; Savaş, Hafize; Çelik, Yusuf; Çelik, Sevilay Şenol; Faculty Member; School of Nursing; 5676Background: during the COVID-19 pandemic, there were difficulties in planning the nursing workforce and personal protective equipment. Aim: the purpose of this study was to identify the experiences and views of nurses on personal protective equipment use and nursing workforce planning in Turkey. Methods: this descriptive and cross-sectional study was conducted between 23 December 2020 and 3 May 2021, among 362 nurses who agreed to participate in this study voluntarily. Results: the findings showed that the satisfaction scores were significantly higher for those nurses who worked in 8-h shifts, were not assigned to different clinics, were notified by an official letter and 1 week or month in advance before assignment compared with nurses in other categories. Conclusions: the problems that have arisen in the COVID-19 pandemic process have made it clear that there is a need for a nursing services management model in the event of an epidemic. Implications for nursing management: this study reveals the need for the ‘Nursing Services Management Model in the Event of an Epidemic’ by discussing the problems of nurse workforce planning and protective personal equipment management from the perspective of nurses who experienced these problems at first hand.