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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 Restricted Allojenik kök hücre naklinden sonra erişkinlerin ve partnerlerinin cinsel fonksiyonları üzerine kesitsel bir araştırma(Koç University, 2019) Gökmen, Özgün; Özcan, Hüsniye Şeyda; 0000-0003-0841-2563; Koç University Graduate School of Health Sciences; Internal Medicine Nursing; 108311Publication Restricted Bağırsak stoması olan bireylerin eşlerinin yaşadıkları sorunların belirlenmesi(Koç University, 2016) Türkmenoğlu, Gözde; Karadağ, Ayişe; 0000-0001-6436-1647; Koç University Graduate School of Health Sciences; 3549Publication Open Access Being able to be mother: traditional practices of women in coping with infertility in Melekli Town of Iğdır(2022) Çetinkaya Şimşek, Şahika; Eroğlu, Kafiye; Faculty Member; School of Nursing; 6061Numerous traditional methods are used in the treatment of infertility around the world. The study of aim is to investigate the knowledge and experience of traditional methods by women to find solutions to infertility in Melekli Town in Iğdır. The research is a descriptive and cross-sectional study. The minimum sample size of the study was determined according to the formula of the incidence of the event in cases with a known population. The research was carried out with 214 women using face-to-face interview method in a town in the easternmost part of Turkey. The data were collected with a pen and ended questions form during the home visits to determine the socio-demographic characteristics of the women and their knowledge and experiences about the methods. The interviews lasted between 30- 45 minutes. Of the responding women, 85% had known traditional practice, and 9.3% had tried traditional methods. The traditional methods known by women to get pregnant were sitting on the vapor, intravaginal applications, vaginal application through the pad, applying heat in the abdominal area, drinking a mixture, wrapping the pelvic area. Having children is significantly affected the use of traditional practices (P < 0.05). Almost all the women participating in the study stated that they knew the traditional method to have children, and very few of them applied the traditional methods they knew to have children. / Dünyada infertilite tedavisinde çok sayıda geleneksel yöntem kullanılmaktadır. Bu çalışmanın amacı, Iğdır Melekli kasabasında yaşayan kadınların infertiliteye çözüm bulmak için kadınların geleneksel yöntemlerle ilgili bilgi ve deneyimlerini araştırmaktır. Araştırma tanımlayıcı ve kesitsel bir çalışmadır. Araştırmanın minimum örneklem büyüklüğü, popülasyonu bilinen olgularda olayın görülme sıklığı formülüne göre belirlenmiştir. Araştırma Türkiye’nin en doğusundaki yer alan Iğdır’ın Melekli kasabasında yüz yüze görüşme yöntemi kullanılarak 214 kadınla gerçekleştirilmiştir. Veriler, ev ziyaretleri sırasında kadınların sosyo-demografik özellikleri ve yöntemlere ilişkin bilgi ve deneyimlerini belirlemek için açık ve kapalı uçlu sorulardan oluşan form ile toplanmıştır. Görüşmeler 30-45 dakika arasında sürmüştür. Yanıt veren kadınların %85’i çocuk sahibi olabilmek için geleneksel yöntemleri bildiklerini ve %9,3’ü ise gebe kalmak için geleneksel yöntemleri denediğini belirtmiştir. Kadınların gebe kalmak için sıklıkla bildikleri geleneksel yöntemler; buhar üzerine oturma, doğrudan vajen içine yapılan uygulamalar, ped aracılığıyla yapılan vajinal uygulamalar, karın bölgesine ısı uygulama, karışım içme, pelvik bölgeyi sarma şeklindedir. Çocuk sahibi olmak için geleneksel uygulamaların kullanımını önemli ölçüde etkilemektedir (P<0.05). Çalışmaya katılan kadınların neredeyse tamamı çocuk sahibi olabilmek için geleneksel yöntemleri bildiğini ve çok az kısmı ise çocuk sahibi olmak için bildikleri geleneksel yöntemleri uyguladığını belirtmiştir.Publication Open Access Case study: an older COVID-19 patient in a Turkish intensive care unit with prolonged stay(Wiley, 2021) Kebapçı, Ayda; Kütük, Kübra; Eker, Emine; Faculty Member; School of Nursing; Koç University Hospital; 203808; N/A; N/AThis paper reports the presentation and management of an older female patient who was diagnosed with Coronavirus disease (COVID-19) and discharged from an intensive care unit (ICU) after prolonged hospitalization. The patient's COVID-19 test was negative; therefore, she was monitored in the COVID-19 general clinic with normal levels of oxygen saturation (SpO(2)). The patient had been taking Plaquenil for rheumatoid arthritis for a long time. Azithromycin was administered first, and then, the treatment continued with favipiravir according to the national treatment protocol in Turkey. On the third day in the COVID-19 general clinic, she was transferred to the ICU because of decreased saturation levels. Owing to worsening respiratory status and SpO(2) <70%, the patient was intubated on the sixth day in the ICU, and every day, she was nursed in a prone position for >16 hours. We believe that the treatment and care activities under qualified and effective nursing care, such as providing appropriate respiratory support at the right time, early initiation and maintenance of anticoagulant therapy, long-term prone positioning, maintaining sufficient fluid resuscitation, and early commencement of balanced enteral nutrition, contributed to the successful discharge of the patient from the ICU. The patient was finally extubated on the 23rd day. Respiratory support was continued with oxygen administered at 2 lt/min through a nasal canula with SpO(2) at 94%. We believe that by combining all these factors, the patient's results improved. She was discharged from the ICU after 25 days without any organ dysfunction. During the 25 days of care in the ICU, infectious disease protection and isolation rules were strictly adhered to, and personal protective equipment was worn.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 Cigarette smoking cessation counselling in pregnant smokers with mental illness/substance use disorders(Sage, 2022) Hall, Lynne A.; Hall, Martin T.; Salameh, Taghreed Nayel Mohammad; Faculty Member; School of Nursing; 329120Our objective was to determine if past-year mental illness and substance use disorders (SUD) among pregnant smokers predicted the probability of receipt of counselling for cigarette smoking cessation. A secondary analysis of data from the National Survey on Drug Use and Health 2016-2019 was conducted. We found that approximately 83% of pregnant smokers (N = 373) received screening for cigarette smoking, and 65% received cessation counselling. Having mental illness predicted the probability of receipt of counselling for smoking cessation in pregnant smokers (adjusted odds ratio [AOR]: 3.75; 95% confidence interval [CI]: 1.25-11.27). However, having SUD (alcohol [AOR: 2.30; 95%CI: 0.57-9.26] or illicit drug use [AOR: 1.32; 95%CI: 0.26-6.82]) or comorbid mental illness and SUD (AOR: 0.23; 95%CI: 0.03-2.03) was not associated with receipt of counselling for smoking cessation. Practice guidelines and policy initiatives are needed to reduce cigarette use and its related adverse health outcomes in pregnant smokers with SUD.Publication Open Access Çocuk hemşireliği’nde sanat uygulamaları(Dokuz Eylül Üniversitesi, 2014) Teksöz, Emel; Ocakçı, Ayşe Ferda; Faculty Member; School of Nursing; 1729Giriş: Hastaneye yatmanın çocuğun gelişimi üzerine olumsuz etkileri vardır. Çocuk için hastane korkutan, rahatsız eden ve hoş olmayan yaşantıları içerir. Travmatize olan çocuk, normalde yapabildiği günlük pek çok işini yerine getiremez, sözel iletişim kurmakta zorlanır. Sözsüz ifade ise ancak sanat gibi bir yöntemle açığa çıkarılabilir. Sanat arzu edilen sonuca ulaşmak için bilgi ve becerinin kullanılmasıdır. Hemşirelikte sanat, hastaların gereksinimleri ve kaygılarını anlamak, hastaların yeterliliğini artıran amaçlar ve uygulamalar geliştirmek, hastaların durumunu iyileştirmek için kullanılır. Çocuk hemşireliği, primer hemşirelik, aile merkezli bakım ve atravmatik bakım bileşenlerinden oluşur. Çocuk hemşireliğinde sanat uygulamaları değerlendirirken bu bileşenler üzerinden değerlendirilmelidir. Bu derlemede, hemşireliğin sanatsal boyutu ile, çocuk hemşireliğinde sanatın yeri ve çocuk sağlığı uygulamaları için önemi tartışılmış, sanat içerikli araştırmaların çocuk sağlığı açısından yararları ortaya konmaya çalışılmıştır. / Introduction: Entering a hospital has negative effects on the development of child. Hospital includes fear, disturbance and bad experiences for a child. The child who is traumatic can not do many daily activities which normally can be performed and has the difficulty of doing verbal communication Non-verbal communication can only be come out with a principle like art. Art is the usage of information and skill in order to arrive a result which is desired. Art in the nursing is understanding the needs of patents and fears, improving the sufficiency of patients and developing principles are used in order to do good for the patients. Childhood nursing is composed of primer nursing, family-based maintenance and traumatic maintenance. While art practices is evaluated, it must be evaluated from this components in this collection the artistic valve of nursing and the place of art in the childhood nursing and child-health practices are debated, the benefits of art based inquires are put forward.Publication Restricted COVID-19 pandemi döneminde hemşirelerin bilinçli farkındalık düzeyleri ile tükenmişlik ve işten ayrılma niyetleri arasındaki ilişkinin incelenmesi(Koç University, 2021) Şağban, Asya; Beşer, Ayşe; 0000-0003-4039-7439; Koç University Graduate School of Health Sciences; Psychiatric Nursing; 143490Publication Open Access Determination of the effect of prophylactic dressing on the prevention of skin injuries associated with personal protective equipments in health care workers during COVID-19 pandemic(Elsevier, 2021) Yıldız, Aybala; Yıldız, Alp; Karadağ, Ayişe; Çakar, Vildan; Faculty Member; School of Nursing; Graduate School of Health Sciences; 3549; N/AAim: the present study was carried out as a comparative observational study in order to determine the effect of prophylactic dressing on the prevention of skin injuries due to the use of personal protective equipment (PPE) in health care workers (HCWs) working with COVID-19 patients. In addition, the effect of nasal strip on the prevention of discomfort in breathing with mask was also investigated. Materials and methods: the present study was carried out with 48 HCWs (Control Group-CG, n = 20; Experimental Group 1-EG1, n = 20; Experimental Group 2-EG2, n = 8) who use PPE on the face region and work with COVID19 patients. Data was collected with Data Collection Form developed by researchers. In participants in CG, normal procedures of the institution in using PPE were followed. In EG1, prophylactic dressing was used on risky areas on the face. In EG2, nasal strip sticky on one side was used in addition to prophylactic dressing. The evaluation of the facial skin was made once a day by a researcher with expertise in wound management. Results: groups were similar in terms of demographic characteristics of participants. Overall rate of skin injuries associated with PPE use was 47.9%. Skin injuries developed in all participants in CG (n = 20), and in two and one participants in EG1 and EG2 respectively, with significant difference between groups. The most common skin injuries were Stage 1 pressure injury (29.2%), blanchable erythema of intact skin (27.1%) and itching (18.8%). No participant in EG2 reported discomfort in breathing (n = 8). Significant difference was found between groups in favor of EG2 in terms of experiencing discomfort in breathing (p < 0.001). Conclusions: in the present study, it was established that using prophylactic dressing under PPE prevents skin injuries on the facial skin and using nasal strip prevents discomfort in breathing with mask. In view of these results, it was recommended that prophylactic dressing should be used under PPE.