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    PublicationOpen Access
    Nursing-sensitive indicators for nursing care: a systematic review (1997-2017)
    (Wiley, 2020) Öner, Beratiye; Zengül, Ferhat D.; Öner, Nurettin; Ivankova, Nataliya V.; Patrician, Patricia A.; Karadağ, Ayişe; Faculty Member; School of Nursing; 3549
    Aim: to provide a systematic review of the literature from 1997 to 2017 on nursing-sensitive indicators. Design: a qualitative design with a deductive approach was used. Data sources: Original and Grey Literature references from Cochrane Library, Medline/PubMed, Embase, and CINAHL, Google Scholar Original and Grey Literature. Review methods: quality assessment was performed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Results: a total of 3,633 articles were identified, and thirty-nine studies met the inclusion criteria. The quantitative assessment of investigated relationships in these studies suggests that nursing staffing, mortality, and nosocomial infections were the most frequently reported nursing-sensitive indicators. Conclusion: this review provides a comprehensive list of nursing-sensitive indicators, their frequency of use, and the associations between these indicators and various outcome variables. Stakeholders of nursing research may use the findings to streamline the indicator development efforts and standardization of nursing-sensitive indicators. Impact: this review provides evidence-based results that health organizations can benefit from nursing care quality.
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    The effect of a biofeedback-based virtual reality game on pain, fear and anxiety levels during port catheter needle insertion in pediatric oncology patients: a randomized controlled study
    (ELSEVIER SCI LTD, 2024) Bayram, Cengiz; Umaç, Eyşan Hanzade; Semerci, Remziye; Graduate School of Health Sciences; School of Nursing
    Purpose: It is essential to control pain, fear, and anxiety related to medical procedures to improve the well-being of the child and family trying to cope with the disease process. This study investigated the impact of the biofeedback-based virtual reality game (BioVirtualPed) on pain, fear, and anxiety levels during port needle insertion in pediatric oncology patients (POPs). Methods: This randomized controlled study was conducted at a hospital between August and December 2023 involving 62 POPs aged 6-12 and their mothers. The intervention group wore a virtual reality headset and a respiratory sensor during the procedure. Data were collected using the Descriptive Information Form, Wong-Baker Pain Assessment Scale, Child Fear Scale, Children's State Anxiety, Satisfaction Scoring-Visual Analog Scale, and ADXL354 Sensor. Statistical analysis was performed using IBM SPSS for Windows Version 24.0. Results: The intervention group showed lower mean pain scores than the control group (p < 0.001). There was no difference in pre-procedure fear and anxiety scores between groups (p > 0.05 and p > 0.05, respectively). Post-procedure fear and anxiety scores were lower in the intervention group (p < 0.001 and p < 0.001, respectively). The intervention group's mean respiratory rates were lower (p < 0.001), and their satisfaction scores were higher (p < 0.001). Agreements between POPs and mothers on pain, fear, and anxiety scores were good and excellent across groups (p < 0.001). Conclusions: The BioVirtualPed reduced procedure-related pain, anxiety, and fear, increased care satisfaction, and had a positive effect on the mean respiratory rate, hence it shows promising results, but these findings need further comfirmation.