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Publication Open Access The situation of nursing education in Turkey during the Coronavirus-19 Pandemic(Aves, 2021) Karaöz, Sümeyye; Üstün, Besti; Doğan, Selma; Eroğlu, Kafiye; Faculty Member; School of Nursing; 6061Aim: in this research, it is aimed to determine how applied education in nursing is carried out in Turkey, the education-teaching methods used, the difficulties experienced, and solution suggestions during the COVID-19 pandemic. Methods: the sample of the descriptive study consisted of nursing education administrators of 80 universities in Turkey that provide undergraduate education in nursing. The data were collected online between February 2021 and March 2021, in the Qualtrics program, through a questionnaire containing 43 questions about the introductory features of the institution and educational management during the epidemic process. In the evaluation of the data, descriptive statistics such as number, percentage, and mean were used. Results: in 56.6% of the institutions, the number of students was over 500, the average number of students per instructor was 36.13 ± 17.71, and there were no instructors at the rate of 13-18.8% in the courses who have intensive credit and clinical practice; 52.5% of the administrators found the skill laboratory equipment in their schools partially sufficient; 52.5% of them had problems with education before the pandemic. During the pandemic, almost all of the schools held meetings (96.1%) on how to conduct education, and the university’s top management (82.5%) and higher education institution (73.7%) were most influential in the decisions taken. It was determined that while all of the theoretical courses were conducted remotely and hybrid, only 8.8% of the laboratories and 12.5% of the clinical/ field practices were conducted face-to-face. Almost all the administrators (96.5%) stated that they could not reach the learning outcomes due to the inability to perform clinical/ field practices. Administrators have easy access to the document of the course of distance education (72.5%); they stated that distance education has positive contributions to save time and flexibility of the course time (48.8%). Conclusion: the problems experienced in nursing education programs due to the COVID-19 pandemic, especially the inability to carry out laboratory and clinical/field applications, made it difficult to reach the educational goals. For this reason, it was concluded that practical education should be made face-to-face and the missing practices should be compensated.Publication Open Access The effect of erythrocyte transfusion on pediatric patient outcomes in non-cardiac(İnönü Üniversitesi, 2022) Karaçay, Pelin; Kebapçı, Ayda; Faculty Member; Faculty Member; School of Nursing; 179331; 203808Non-kardiyak cerrahi girişim geçiren hastalarda eritrosit transfüzyonunun hasta sonuçlarına etkisini inceleyen çalışmaların sayısı oldukça sınırlıdır. Bu çalışmada amaç, non-kardiyak cerrahi girişim geçiren pediatrik hastalarda, eritrosit süspansiyonu (ES) transfüzyonunun hasta sonuçlarına etkisinin belirlenmesidir. Tanımlayıcı ve karşılaştırıcı nitelikte olan bu retrospektif çalışmaya, 2018-2020 yılında özel bir üniversite hastanesinde yatan, elektif non-kardiyak cerrahi girişim geçiren 144 çocuk hasta (ES uygulanan n=52; ES uygulanmayan n=92) dahil edildi. Verilerinin analizinde, tanımlayıcı istatistikler ve hasta sonuçlarının karşılaştırılmasında Mann-Whitney U testi kullanıldı. Çalışmada, hastaların taburculuk sırası hemoglobin (Hgb) düzeyi ve hastanede toplam kalış süreleri primer hasta sonucu ölçütleri olarak belirlendi. Her iki grup arasında taburculuk sırası bakılan Hgb değerleri (10.2 vs 10.8) arasında istatistiksel olarak anlamlı bir fark olmadığı belirlendi. Hastanede toplam yatış süreleri incelendiğinde ise; ES transfüzyonu uygulanan gruptaki hastaların hastanede yatış süresinin uygulanmayanlara göre (19.3 gün vs 6.2 gün) istatistiksel olarak anlamlı şekilde yüksek olduğu belirlendi (p<.01). Eritrosit transfüzyonu, non-kardiyak cerrahi girişim geçiren hastalarda hastanede kalış süresini uzattığını düşündürmüştür. Non-kardiyak cerrahi girişim geçiren pediatrik hastalara yönelik kısıtlayıcı transfüzyon stratejisinin kullanımına gereksinim vardır. Ayrıca multidisipliner ekip ve hemovijilans hemşireleri arasındaki iletişim arttırılarak ve hastaların klinik bulguları ve tanısı dikkate alınarak gereksiz transfüzyonu engelleyecek yaklaşımlar uygulanmalıdır. / The number of studies examining the effect of erythrocyte transfusion on patient outcomes in patients undergoing non-cardiac surgery is very limited. This study aimed to determine the effect of erythrocyte transfusion on patient outcomes in pediatric patients undergoing non-cardiac surgery. This descriptive, comparative, and retrospective study included 144 pediatric patients who underwent elective, non-cardiac surgery in a private university hospital in 2018-2020. In the analysis of the data; the Mann-Whitney U test was applied to compare descriptive statistics and patient outcomes. In the study, the hemoglobin level at the discharged time of the patients and the total hospitalization time were determined as the primary patient outcome criteria. It was determined that there was no statistically significant difference between the two groups in terms of Hgb values (10.2 vs 10.8) at discharge (p > .01). When the hospitalization time was examined; it was determined that the hospitalization period (19.3 days) of the patients in the experimental group was statistically significantly higher than the control group (6.2 days) (p < .01). Erythrocyte transfusion increased hospitalization time in hospital of pediatric patients undergoing non-cardiac surgery. There is a need for the use of a restrictive transfusion strategy for pediatric patients undergoing non-cardiac surgery. In addition, approaches should be implemented to prevent unnecessary transfusions by increasing the communication between the multidisciplinary team and hemovigilance nurses and considering the clinical findings and diagnosis of patients.Publication Open Access Gebelikte belirlenen risk faktörlerinin anne ve bebek sağlığı açısından ortaya çıkardığı sorunların incelenmesi(Düzce Üniversitesi, 2014) Balkaya, Nevin Akdolun; Vural, Gülşen; Eroğlu, Kafiye; Faculty Member; School of Nursing; 6061Araştırma, gebelikteki risk faktörlerini ve bunların ane ve bebek sağlığına etkilerini belirlemek amacıyla prospektif olarak yapılmıştır. Çalışma, Bolu il belediye sınırları içindeki Merkez Sağlık Ocakları’nda gerçekleştirilmiştir. Sağlık Ocakları’na 6 ay içinde başvuran, 1. trimestrı dolduran ve araştırmaya katılmayı kabul eden toplam 184 gebe çalışmaya alınmıştır. İzlem sonucunda gebelerde birden fazla risk faktörü bulunduğu ve risklerin gebelik haftası ilerledikçe artığı gözlenmiştir. Kadınların %6.8’i doğum eyleminde sorun yaşarken, doğum sonrası sadece bir annede sorun görülmemiştir. Gebelikteki bireysel ve ailesel riskler, özelikle obstetrik, tıbi öykü ve şimdiki gebeliğe bağlı çeşitli risk faktörleri düşük tehdidi, erken doğum tehdidi, prematür eylem, preklemsi, doğum korkusu, sezaryen doğum, bebek ölümü, konjenital anomali bebek doğumu, doğum sonrası enfeksiyon ve doğum sonrası ruhsal sıkıntı yaşama riskini artırmıştır. Gebeliği riske sokan faktörler peripartum dönemde ane ve bebeğin sağlığını olumsuz etkilemektedir. Bu nedenle hemşirelerin gebelikteki risk faktörlerini erkenden saptamaları, özelikle risk altındaki gebeleri düzenli ve sık olarak izlemeleri ve riskler ve olası etkilerine yönelik koruyucu bakım, eğitm ve danışmanlık hizmetlerini vermeleri önemlidir. / The study has ben carried out prospectively to determine risk factors in pregnancy and their impacts on both mother’s and newborn’s health in central health-care centers in Bolu. A total of 184 pregnant women who had visited health-care centers within 6 months, had completed first trimester and accepted to attend at research were included. As a result of follow-up, it was observed that attendants had multiple risk factors and risks increased with gestational age. Of women 6.8% experienced problems in delivery, only one mother had no problem postpartum. Various individual and family risk factors were present during pregnancy. Particularly obstetrics, medical history and a variety of present pregnancy related risk factors increased risks of miscarriage, risks of preterm labor, preterm labor, preclampsia, fear of childbirth, cesarean birth, infant mortality, births of babies with congenital anomalies, neonatal infections and postpartum psychological distress. Factors risking pregnancy influence mother’s and newborn’s health in peripartum period adversely. Therefore it is important hat nurses determine risk factors early during pregnancy, follow up especially the pregnant women at risk regularly and frequently and give effective preventive care, education and counseling related to the risks and their possible consequences.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 Hemşirelikte lisans programını değerlendirme ölçeği (HLPDÖ): Geliştirilmesi, geçerliği, güvenirliği(Logos Tıp Yayıncılığı, 2014) Demiralp, Meral; Ünver, Vesile; Güvenç, Gülten; Şengün, Güler; Üstünsöz, Ayfer; Akbayrak, Nalan; Hatipoğlu, Sevgi; Akyüz, Aygül; Faculty Member; School of Nursing; 42416Amaç: Bu metodolojik çalışma, Hemşirelikte Lisans Programını Değerlendirme Ölçeğinin geliştirilmesi ve psikometrik özelliklerinin test edilmesi amacıyla gerçekleştirildi. Yöntem: Çalışmanın örneklemini Ankara’da bir hemşirelik lisans programlarından mezun 202 hemşire oluşturdu. Lisans programının kazandırdığı bilgi ve becerilerin, mesleki yeterlilik ve bireysel gelişime yaptığı katkılarla ilgili hemşirelerin düşüncelerini ve görüşlerini belirlemek için 12 hemşire ile odak grup görüşmesi yapıldı. Niteliksel görüşmeler sonrası oluşturulan ölçek ifadeleri, taslak halinde iki ayrı uzmana sunuldu, alınan geri bildirimlerle ilgili ifadeler aynı başlık altında toplandı, benzer maddeler çıkarılarak ölçeğin son şekli 40 madde olarak belirlendi. Bulgular: Hemşirelikte Lisans Programını Değerlendirme Ölçeği “Mesleki Gelişim ve Yeterliliği Değerlendirme”, “Öğretim Sürecini Değerlendirme”, “Bireysel Gelişimi Değerlendirme”, “Evrensel, Ulusal ve Mesleki Değerleri Kazandırma” olmak üzere toplam dörtPublication 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 Video-based laboratory practice during the covid-19 pandemic: nursing students' skill levels and opinions(İnönü Üniversitesi, 2022) Albayrak, Selvinaz; Karaçay, Pelin; Şengül, Tuba; Yalçın, Begüm; Faculty Member; Faculty Member; Teaching Faculty; School of Nursing; 179331; 59230; N/AThe aim of this research is to evaluate the skill levels and opinions of nursing students in the laboratory practice of the Health Assessment course, which has been done video-based with distance education. The research is in a semi-experimental, single group post-test design. The study sample is consisted of 26 sophomore nursing students who took the Health Assessment Course laboratory practice by distance education. After students recorded and uploaded skills videos, they participated one to one online education sessions with the educators. The data of the research were collected online between February-March 2021 by using “Questionnaire Form” and “Skill Assessment Tool”. Descriptive statistical methods were used in the analysis of the data. It has been determined that, the students' average skill scores were 92.05±6.50 (min-max:76.60-100), the average time of recording and uploading examination video was 2.80±2.13 (min-max:1-10) hours, the average satisfaction with the application was 8.50±1.70 (min-max:4-10), and the average physical examination skills acquired by the students at the end of the course was 7.23±1.36 (min-max:4-10). While 80.8% of the students found the method used in the course adequate, 92.3% stated that their physical examination skills and self-confidence improved. Additionally, of the students; 50% expressed uncertainty about performing the skills on real patients, 96.2% stated that they noticed the skills that needed to be developed in one to one education sessions, they had the most difficulty in making and uploading a video recording of the examination and convincing their family members/friends for examination, and 69.2% recommended this method. As a result, it has been revealed that students' physical assessment skills improved and they had positive opinions about this method. / Bu araştırmanın amacı; hemşirelik öğrencilerinin, uzaktan eğitimle video temelli yürütülen Sağlığın Değerlendirilmesi dersi laboratuvar uygulamasındaki beceri düzeylerinin ve görüşlerinin değerlendirilmesidir. Araştırma yarı deneysel tek grup son test türündedir. Araştırmanın örneklemini, Sağlığın Değerlendirilmesi dersi laboratuvar uygulamasını uzaktan eğitimle alan 26 ikinci sınıf hemşirelik öğrencisi oluşturmuştur. Öğrenciler, becerilerin video kaydını yapıp yükledikten sonra eğitimciler ile birebir çevrimiçi eğitim oturumlarına katılmışlardır. Araştırmanın verileri, Şubat-Mart 2021 tarihinde “Anket Formu” ve “Beceri Değerlendirme Aracı” kullanılarak elektronik ortamda toplanmıştır. Verilerin analizinde tanımlayıcı istatiksel yöntemler kullanmıştır. Öğrencilerin beceri puanlarının ortalaması 92.05±6.50 (min-max:76.60-100), her bir muayenenin video kaydını yapmak ve yüklemek için harcanan sürenin ortalaması 2.80±2.13(min-max:1-10) saat, uygulamadan memnuniyet ortalaması 8.50 ± 1.70 (min-max:4-10), ders sonunda öğrencilerin kazandıkları fiziksel muayene yapma becerisi ortalamasının ise 7.23±1.36 (min-max:4-10) olduğu belirlenmiştir. Öğrencilerin %80.8’i derste kullanılan yöntemi yeterli bulurken, %92.3’ü fizik muayene becerilerinin ve kendine güvenlerinin geliştiğini ifade etmiştir. Ayrıca, öğrencilerin; %50’si gerçek hasta üzerinde becerileri yapabileceğinden emin olmadığını, %96.2’si birebir eğitim oturumlarında geliştirmesi gereken uygulamaları fark ettiğini, en çok zorluğu muayenenin video kaydını yapma ve yükleme ile aile bireylerini/arkadaşlarını muayene etmek için ikna etmekte yaşadıklarını, %69.2 si ise bu yöntemi önerdiklerini belirtmişlerdir. Sonuç olarak, öğrencilerin fiziksel değerlendirme becerilerinin geliştiği ve bu yöntemle ilgili olumlu görüşlerinin olduğu ortaya koyulmuştur.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.