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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 Metadata only A comparison of parenting dimensions between deaf and hearing children(Sage Publications Inc, 2016) Ekim, Ayfer; N/A; Ocakçı, Ayşe Ferda; Faculty Member; School of Nursing; 1729Effective parenting is vital for intellectual, physical, social, and emotional development of a child. This study examined the differences between the parenting dimensions of deaf children and healthy ones. The sample of the study consisted of 292 children and their parents (146 of them deaf children and 146 of them healthy ones). Dimensions of parenting (warmth, rejection, structure, chaos, autonomy, and coercion) were measured using the Parent as Social Context Questionnaire. The mean scores of the positive parenting dimensions of warmth and autonomy of deaf children were significantly lower; however, the mean scores of the negative dimensions of chaos and coercion of deaf children were significantly higher than those of healthy ones. Deaf children can become successful adults with the help of their parents. Our results regarding parenting dimensions will be a guide for future nursing interventions planned to develop the relationships between deaf children and their parents.Publication Metadata only A qualitative evaluation of online active learning modalities in the chronic wound management lecture of nursing students' experiences in Turkey(Elsevier, 2022) Shoqirat, Noordeen; Singh, Charleen; Mahasneh, Deema; N/A; Şengül, Tuba; Karadağ, Ayişe; Faculty Member; Faculty Member; School of Nursing; School of Nursing; 59230; 3549N/APublication 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 A survey of Turkish nurses' knowledge of incontinence-associated dermatitis(Lippincott Williams & Wilkins, 2019) Sahin, Firdevs; Avsar, Pinar; N/A; Karadağ, Ayişe; Faculty Member; School of Nursing; 3549PURPOSE: The purpose of this study was to determine the knowledge of incontinence-associated dermatitis (IAD) among nurses working in intensive care units. DESIGN: Descriptive study. SUBJECTS AND SETTING: The study was conducted in 6 intensive care units of a 550-bed academic research hospital in Turkey. Licensed practical and registered nurses with a minimum of a Bachelor of Science in Nursing degree employed full-time on these units were invited to participate. METHODS: The survey consisted of statements that examined the demographic characteristics (14 questions) and knowledge levels (59 statements) of the nurses. For each statement, nurses were required to mark only one of the following options: "correct," "incorrect," or "no knowledge." Data were collected from July to September 2016. The Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis H test, post hoc multiple comparison test, and Spearman's correlation coefficient were used to analyze the data. RESULTS: Of the 126 RNs who participated in the study, 46.83% (n = 59) had an undergraduate degree in nursing. The majority (29.37%) practiced in gastroenterology surgery and urology intensive care units. The mean knowledge score was 33.05 +/- 10.16 (min = 0, max = 59). The most correctly answered statement (94.44%; n = 119) was "The pH of the skin plays a role in skin barrier function." The statement with the most incorrect or "no knowledge" answers (96.03%; n = 120) was "The natural moisturizing factor found in the structure of corneocytes helps the skin to maintain its oil levels." Based on correctly answered statements, we found knowledge levels of the prevention and treatment of IAD were higher among nurses with a master of science degree in nursing (40.67 +/- 4.32) and lower among licensed practical nursing (29.12 +/- 10.08) (P < .05). CONCLUSION: In this study, knowledge of the nurses on identification, prevention, and treatment of IAD was low. Comprehensive basic nursing education and in-service training programs on IAD are recommended.Publication Metadata only Advanced practice pediatric oncology nursing as imagined or in place in four lower- and upper-middle-income countries(Elsevier Science Inc, 2024) Samba, Vera Larfi; Diaz, Dorian René Navarro; Punjwani, Rehana; Challinor, Julia; Semerci, Remziye; School of NursingObjectives: The implementation of pediatric oncology advanced practice nurse (s) roles in low- and middleincome countries (LMICs) presents opportunities and challenges. The authors explore the implications of pediatric oncology advanced practice nursing roles in Pakistan, Cameroon, Turkey, and Mexico. Potential bene fits and drawbacks of advanced practice nursing roles, impacts on nursing care, and strategies for advanced practice nursing role development in LMIC settings are considered. Methods: Information from scholarly articles, policy documents, and four LMIC pediatric oncology nurse expert perspectives on existing and imagined advanced practice nursing roles in pediatric oncology in LMIC were synthesized. Results: Current literature and policies point to efforts across LMICs to establish a wide variety of advanced nursing practices, not necessarily aligned with internationally accepted advanced practice nursing standards of practice or education. The LMIC nurses describe a wide range of national general nurse education and government advanced practice nurse recognition/licensing. Challenges to achieving or strengthening advanced practice nursing roles include, for example, healthcare professional resistance, government unwillingness to recognize/license advanced practice nurses, and lack of advanced practice nursing faculty. To promote a pediatric oncology advanced practice nursing role in LMICs requires navigating the national nursing scope of practice and nursing culture. Conclusion: The strategic introduction of pediatric oncology advanced practice nursing roles in LMICs has the potential to signi ficantly enhance patient care by, for example, addressing healthcare workforce shortages and facilitating timely care delivery. However, challenges related to role complexity, resistance from traditional healthcare structures, and role overlap must be considered. Tailoring these roles to local contexts and fostering stakeholder collaboration are essential for successful implementation. Implications for Nursing Practice: The adoption of advanced practice nursing roles can lead to improved quality of care for pediatric oncology patients and their families in LMICs, where cancer care is challenging. The positive impact of pediatric oncology advanced practice nurses on patient outcomes and healthcare delivery cannot be discounted but must align with local nursing and healthcare culture and expectations. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Publication Metadata only Ambivalent sexism of nursing students in Turkey and South Korea: a cross-cultural comparison study(Wiley, 2020) Park, Sihyun; Kerman, Kader Tekkaş; Beşer, Ayşe; Faculty Member; Faculty Member; School of Nursing; School of Nursing; 34111; 143490Culture has become increasingly important concepts in nursing in the era of globalization. Nurses' cultural biases and prejudices are huge obstacles to their caring for patients from diverse cultural backgrounds. Therefore, this study examined sexism among nursing students from two patriarchal societies: Turkey influenced by Islam, and South Korea influenced by Confucianism. For this comparative study, we used the survey data from the sample of 560 nursing students, 309 from Turkey and 251 from South Korea. The findings showed that both samples showed high levels of sexism, both hostile and benevolent. When comparing the two samples, Turkish nursing students showed significantly higher sexism than did Korean students. Additionally, in both countries, male participants showed higher scores on sexism, especially hostile sexism. In terms of age, older students in Turkey showed lower levels of benevolent sexism. We hope the findings of this study can provide evidence to develop customized transcultural nursing education content in the context of different ethnicities and to help nurses and nursing students from specific cultural backgrounds in becoming aware of their own cultures.Publication Metadata only An examination of gender stereotypes, ambivalent sexism, and dating violence as potential predictors of nursing students’ beliefs about intimate partner violence: a cross-sectional correlational study(Elsevier Sci Ltd, 2022) Öztürk, Fatma Ozlem; N/A; Kerman, Kader Tekkaş; Faculty Member; School of Nursing; 34111Aim: This study aimed to examine the role of the feminine or masculine gender stereotypes, ambivalent sexism and dating violence to predict nursing students' beliefs about intimate partner violence.Background: Although there has been a growing interest in understanding the sociocultural contexts and the factors of the intimate partner violence, there is a serious lack of empirical research on different dimensions of this problem among nursing students.Design: A cross-sectional correlational design was used.Methods: The data were collected from a sample of 520 university students from three nursing schools in Istanbul, Turkey. Participants were selected through convenience sampling. Data were collected with the sociodemographic form, the Beliefs About Wife Beating Scale, the Ambivalent Sexism Inventory, the revised Conflict Tactics Scale, and the Bem Sex Role Inventory.Results: Results revealed that male participants were more prone to justify wife beating and believe that battered women benefitted from beating. Based on the results of the study, in addition to sex, region of birth, representing feminine or masculine gender stereotypes, hostile sexism, psychological aggression and having an injury due to experiencing violence in the latest relationship were the important predictors of nursing students' beliefs about intimate partner violence.Conclusions: Nursing curricula should include courses to enhance students' awareness towards violence against women, sexism and gender equality. More, universities should provide counseling services for nursing students who experienced violence.Publication Metadata only An exploratory study of positive life changes in Turkish women diagnosed with breast cancer(Elsevier Sci Ltd, 2010) N/A; N/A; Güner, Perihan; Faculty Member; School of Nursing; 101859Purpose: The present study explored the prevalence of positive changes in Turkish women with breast cancer and the possible relationships between these changes and patient variables such as socio-demographic and illness-related information. It also explored the nature of positive life changes reported by Turkish women with breast cancer. Methods and sample: The study was conducted at Hacettepe University Oncology Hospital in Ankara. Participants were 84 women with breast cancer and open-ended questionnaires eliciting patient narratives were primarily used to collect the data. Socio-demographic and illness characteristics, as well as any positive changes in the participants' life after the breast cancer diagnosis was also collected. For the participants who indicated positive changes a further open-ended question was asked: "Could you write down the positive changes that occurred in your life after being diagnosed with breast cancer?". Content analysis was used to analyze the qualitative data gathered from the participants who mentioned a positive change in their life following the breast cancer diagnosis. Results: Positive life changes were reported by 50% (n = 42) of the women and these changes were found to increase only with an increase in the patients' educational level. Qualitative analysis of the data indicated four main themes of positive changes: self-perception, empowerment, greater appreciation of life, and changes in interpersonal relations. Conclusion: If nurses are aware of positive changes following the illness, they can help their patients to understand, adapt better and cope with their illness.Publication Metadata only Analysis of the prevalence and risk factors of pressure injuries in the hospitalized pediatric population: a retrospective study(Elsevier Sci Ltd, 2023) Yilmaz, Dilek; Semerci, Remziye; Umaç, Eyşan Hanzade; Karadağ, Ayişe; School of Nursing; Graduate School of Health SciencesBackground: Pressure injury (PI) is an essential indicator of the quality of nursing care and affects hospitalized newborns and children. However, studies on the prevalence of PI and associated risk factors in children are limited. Aims: This study aimed to analyze the prevalence of PI and risk factors affecting the development of PI in the hospitalized pediatric population. Methods: This was a descriptive, retrospective study. Data were obtained via electronic medical records of 6350 pediatric patients admitted to a university hospital between January 2019 and April 2022. Ethics committee approval was obtained. Patient medical records and data associated with PI and medical treatment were collected through the 'Information Form,' 'Braden Scale,' 'Braden Q Scale,' 'Pressure Ulcer Staging Form,' and 'Pediatric Nutrition Risk Score (PNRS).' Data were analyzed using descriptive statistics, correlation analysis, Mann-Whitney U test, Kruskal Wallis test, and Multilinear Regression analysis. Results: More patients (66.2%) were males, and 49.2% of the children were 0-12 months old. 2368 out of 6350 pediatric patients were treated in the PICU. It was determined that a total of 143 PI occurred in 59 patients from PICU. The PI prevalence was 2.25% for all patients and 6.04% for PICU patients. Twenty-one percent of the patients had medical device-related PI (MDRPIs), 35.7% of PI occurred in the occiput, 13.3% in the coccyx/ sacrum, and 67.1% of PI was Deep Tissue Injury. In the multiple regression model, children's albumin level, hemoglobin level, PNRS scores, Body Mass Index, and length of hospital stay significantly affected BRADEN scores. They were explained 30.3% of their scores of Braden. Conclusion: Despite the limitations of the retrospective study, the prevalence of PI in the pediatric population in this study was lower than that reported in previous studies, but the prevalence of MDRPIs was higher. Based on the study results, it is recommended to implement preventive interventions for MDRPIs and plan prospective studies.