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Publication Metadata only Critical care nurses' perceptions of patient safety in Turkey(Lippincott Williams and Wilkins, 2008) N/A; N/A; Badır, Aysel; Herdman, Elizabeth Anne; Faculty Member; Other; School of Nursing; School of Nursing; N/AThis study explored 150 critical care nurses' perceptions of patient safety standards in a selection of private, public, and university hospitals in Turkey Quality management and patient safety programs were more prevalent in private hospitals. Private hospitals were also more likely to encourage reporting, have error/adverse event reporting systems, and less likely to have a punitive response to reported errors. However, respondents who work in private hospitals work both more hours per week and more hours per day.Publication Metadata only Developing a web-based smoking cessation program and evaluating its effectiveness(Lippincott Williams and Wilkins (LWW), 2019) Koyun, Ayşe; N/A; Eroğlu, Kafiye; Faculty Member; School of Nursing; 6061This study, which is based on the Stages of Change Model, aimed to develop a Web-based smoking cessation program and to evaluate its effectiveness. An interventional study with 1 group was conducted with college students from Afyon Kocatepe University. First, the Web-Based Smoking Cessation Program was set up (www.sbp.aku.edu.tr). The sample in this study was composed of the 433 students who were site members. The appropriate stages of the program were then sent to members' e-mail addresses at monthly intervals over a period of 6 months. Second, the effectiveness of the program was evaluated at the baseline, the third, and the sixth months of the study. The study was completed with 314 students. The data were evaluated using descriptive statistics, 1-way analysis of variance, and analysis of variance for repeated measures. There were significant developments in the self-efficacy, cognitive, and behavioral processes of students in the third and sixth months of the study. Students (2.5%) had quit smoking by the third month and 4.5% by the sixth month. These results reveal that the program was able to help students quit smoking, increase their self-efficacy, and develop the process of change regarding smoking cessation.Publication Metadata only Developing and evaluating a mobile foot care application for persons with diabetes mellitus: a randomized pilot study(HMP, 2020) Kılıç, Meryem; N/A; Karadağ, Ayişe; Faculty Member; School of Nursing; 3549Ulceration of the foot is a major complication of diabetes mellitus, and optimal self-care may help prevent its development. Research suggests that mobile applications (apps) may affect behavioral change. OBJECTIVE: The purpose of this study was to develop the Mobile Diabetic Foot Personal Care System (m-DAKBAS) and evaluate its effectiveness for patients with diabetes. METHOD: During Phase 1, a mobile app that included communication features, remote patient monitoring, and information was developed and pilot-tested among 10 patients. The Phase 2 study, conducted from June 2017 to April 2018, used a 2-group, pre-test/post-test design to evaluate the effect of the app on patients' knowledge, behavior, and self-efficacy scores when used for 6 months. Both the experimental (app) and control groups participated in 1 education session at the start of the study. RESULTS: of 106 patients who enrolled, 88 completed the study (44 in the experimental group and 44 in the control group). Only 6 patients had received education about foot care previously. The average age of all participants was 51.63 years (SD = 8.08). There were significantly more women in the experimental group than in the control group (65% vs. 45.5%; P = 0.5). Each participant used the app for 24 weeks, and the data entry rate was 72.9%. Throughout the study, participants had 1977 data entries (blood glucose and foot observation) in total. Differences between pre- and post-intervention test scores were significantly higher for knowledge, behavior, and self-efficacy in both groups, but the difference was greater in the experimental group (P <.05). Only post-test knowledge scores were significantly higher in the experimental compared with the control group (P <.05). Compared to the start of the study, the proportion of participants with cracked/dry skin and inappropriate footwear was significantly lower in the experimental group but not in the control group. CONCLUSION: In this study, education and follow-up via the mobile app and verbal-only instruction increased the knowledge, behavior, and self-efficacy scores of patients in both groups. Post-study knowledge scores were significantly higher in the experimental group than in the control group. Patient education remains a crucial component of optimal care, and further development, refinement, and testing of mobile applications to improve self-efficacy and reduce the risk of diabetic foot are warranted.Publication Open Access Effect of gum chewing on recovery after surgery for colorectal surgery patients: a randomized controlled trial(Lippincott Williams and Wilkins (LWW), 2020) Duluklu, Burcu; Çelik, Sevilay Şenol; Faculty Member; School of Nursing; 5676The aim of this study was to determine the role of chewing gum in bowel functions after left colon and/or rectal surgery. In this randomized controlled study, the sample consisted of adult patients who had undergone elective open left colon and/or rectal surgical interventions under general anesthesia. The sample comprised 17 patients in the experimental group and control group. The patients in the experimental group chewed a sugar-free gum after removal of their nasogastric tubes, 3 times a day for 45 minutes, from the first postoperative morning until they had first flatus. Routine care was maintained for the patients in the control group until their first flatus. The effects of chewing gum on the length of time until first flatus, the first defecation in the postoperative period, and the discharge of patients were investigated. The patients in the experimental group had flatus and defecation earlier, and the duration of their hospital stay was shorter than those of patients in the control group. It was found that gum chewing as a physiological method promotes the early initiation of bowel functions and, consequently, shortens the hospital stay after elective left colon and/or rectal surgery.Publication Metadata only Effects of nurse-led education on quality of life and weight loss in patients undergoing bariatric surgery(Mary Ann Liebert, Inc, 2020) Akyolcu, Neriman; N/A; Güven, Betül; Faculty Member; School of Nursing; Koç University Hospital; N/ABackground: Although bariatric surgery is considered the most effective treatment for morbid obesity, patients' adherence to prescribed postoperative recommendations is important. Aims: To determine the effectiveness of nurse-led education with follow-up services on bariatric surgery patients' weight loss and overall quality of life. Materials and Methods: This study is a quasi-experimental research with a control group. The sample consisted of 102 patients undergoing bariatric surgery. Patients in the intervention group received education sessions as well as follow-up services by phone every 15 days after surgery for a period of 3 months. Bariatric surgery patients' overall quality of life, weight loss, and waist circumferences were measured. Results: In the intervention group, the average scores of the Short-Form Health Survey total and subdimensions were higher 3 months after the surgery, and the differences between the two groups were statistically significant (p < 0.05). Although the weight loss of patients 3 months after the surgery between the two groups was not significant, the decrease in the waist circumference of patients was significant between the two groups. Conclusions: Patient education and follow-ups resulted in significant improvements in patients' overall quality of life. However, the 3-month-long education and follow-up program did not have any effect on weight loss.Publication Metadata only Efficacy of a transition theory-based discharge planning program for childhood asthma management(Wiley, 2016) Ekim, Ayfer; N/A; Ocakçı, Ayşe Ferda; Faculty Member; School of Nursing; 1729PurposeThis study tested the efficacy of a nurse-led discharge planning program for childhood asthma management, based on transition theory. MethodsA quasi-experimental design was used. The sample comprised 120 children with asthma and their parents (intervention group n = 60, control group n = 60). FindingsThe asthma management self-efficacy perception level of parents in the intervention group increased significantly and the number of triggers their children were exposed to at home was reduced by 60.8%. The rates of admission to emergency departments and unscheduled outpatient visits were significantly lower in the intervention group compared with the control group. ConclusionsTransition theory-based nursing interventions can provide successful outcomes on childhood asthma management. Practice ImplicationsTransition theory-based discharge planning program can guide nursing interventions to standardize care of the child with asthma. Combining care at home with hospital care strengthens ongoing qualified asthma management.Publication Metadata only Family functioning, perceived social support, and adaptation to a stoma: a descriptive, cross-sectional survey(HMP, 2020) Baykara, Zehra Gocmen; Demir, Sati; N/A; Karadağ, Ayişe; Faculty Member; School of Nursing; 3549The creation of a stoma is a life-saving surgical procedure that requires major adjustments. PURPOSE: The aim of this study was to examine the relationships among family functioning, perceived social support, and adaptation to living with a stoma. METHOD: A descriptive, cross-sectional survey was conducted between October 2013 and June 2015 among consecutive patients who visited the stomatherapy unit of a university hospital in Ankara, Turkey, for regular follow-up visits. Eligibility criteria stipulated participants must be at least 18 years of age, literate, live with family, have their stoma for at least 2 months, and be willing to participate. Instruments included a demographic and stoma-related information form, the Multidimensional Scale of Perceived Social Support (MSPSS; subscale range 4-28, total score range 12-84; higher scores indicate better perceived support), the McMaster Family Assessment Scale (FAS; range 1.32-3.15; higher scores indicate deteriorating family function), and the Ostomy Adjustment Inventory Scale-23 (OAI-23; range 19-85; higher scores indicate increasing adaptation). Data were entered into stAtıştical software for analysis that included descriptive stAtıştics and Mann-Whitney U and Spearman correlation tests. RESULTS: Among the 75 participants (mean age 55.4 +/- 12.96 years; average stoma duration 3.77 +/- 4.97 years), 41 (54.7%) were male, 59 (78.7%) were married, and mean duration of living with a stoma was 3.77 +/- 4.97 years. The average MSPSS score was 61.0 5 +/- 15.00, the average FAS score was 1.98 +/- 0.38, and the average OAI-23 score was 49.39 +/- 14.62, all within the "moderate" range for their measures. Stoma complications, time since surgery, stoma self-care, marital status, whether the surgery was planned or an emergency, and employment status significantly affected MSPSS, FAS, and OAI-23 scores. As the FAS scores increased, the MSPSS (r = -.399; P =.001), and OAI-23 (r = -.300; P =.009) scores decreased. CONCLUSION: The results suggest wound, ostomy, continence nurses should assess and encourage familial and social support. Prospective studies examining the effect of familial and social support on stoma adjustment are warranted.Publication Metadata only Knowledge level and educational needs of Turkish oncology nurses regarding the genetics of hereditary breast and ovarian cancer(Slack, 2017) Güvenç, Gülten; Kök, Gülşah; N/A; N/A; Seven, Memnun; Paşalak, Şeyma İnciser; Faculty Member; PhD Student; School of Nursing; Graduate School of Health Sciences; 32470; 125009Background: This study evaluated Turkish oncology nurses' knowledge and educational needs regarding genetics of hereditary breast and ovarian cancers. Method: An online survey was used to collect data from 104 Turkish oncology nurses. Results: The mean level of knowledge in oncology genetics was 6.74 +/- 3.85. The majority of nurses (78.7%) were aware of the fact that family history of ovarian or breast cancer is an important risk factor for ovarian or breast cancer; however, a much smaller percentage (25.5%) understood that BRCA1 mutations in women can be transferred by the father. The majority of the nurses (59.6%) were willing to take continuing education in cancer genetics. Conclusion: Turkish oncology nurses have a moderate level of knowledge in cancer genetics. Therefore, educators should develop targeted educational activities in genetics as a part of continuing education programs to enhance nursing practice in cancer care.Publication Metadata only Parental opinions and approaches about childhood vaccinations: are anti-vaccination approaches and indecisiveness parental rights?(Taylor & Francis, 2020) Kaydirak, Meltem Mecdi; Gumusay, Mehtap; Sahin, Nevin Hotun; N/A; Güleç, Yağmur; Nurse; N/A; Koç University Hospital; N/AThis study aimed to analyze parental opinions regarding immunization services and the factors that affect parental decisions regarding the vaccination of their children. We conducted descriptive study with 373 parents. The Parent Information Form and the Public Attitude Toward Vaccination Scale-Health Belief Model developed to evaluate vaccination approaches, were used. of the parents who participated in the study, 35.9% stated that they found the information on childhood vaccinations unreliable or that they doubted the credibility of the information. In addition, most of the parents (71%) stated that they believed that the high number of immigrant children in the country causes contagious diseases to increase. It is found that there are statistically significant higher scores in the subscales of severity, susceptibility, and health motivation among the parents who disagree with the media statements on anti-vaccination attitudes (p < 0,001). Opinions and approaches of parents toward childhood vaccinations are affected by sociodemographic characteristics. In this study, the educational level of parents was found to be the most important variable affecting the approach of parents toward vaccinations.Publication Metadata only Perceptions of parents and children regarding asthma management responsibilities(Wiley, 2013) Ekim, Ayfer; N/A; Ocakçı, Ayşe Ferda; Faculty Member; School of Nursing; 1729PurposeThe purpose of this study was to examine perceptions of children and parents regarding shared responsibilities for asthma management. Design and MethodsThe study included 72 children with asthma who were between the ages of 7 and 12 years and their parents. Asthma management responsibilities were assessed by the Asthma Responsibility Questionnaire. ResultsDisagreements occurred between parents and children on assuming responsibility. Children reported higher asthma management responsibility scores than reported by parents for them. Practice ImplicationsIt is important that nurses provide education and counseling to both children and their families to ensure that children take responsibility for disease management.