Researcher:
Badır, Aysel

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Aysel

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Badır

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Badır, Aysel

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2003 - 200972010 - 201711

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    Turkish critical care nurses' views on end-of-life decision making and practices
    (Wiley-Blackwell, 2016) Topcu, Ibrahim; Miral, Mukaddes; Ersoy, Nermin; Akin, Esra; N/A; Badır, Aysel; Türkmen, Emine; Göktepe, Nilgün; Faculty Member; Faculty Member; Faculty Member; School of Nursing; School of Nursing; School of Nursing; N/A; 109503; 106155
    BackgroundLife-sustaining treatments are increasingly used in intensive care units (ICUs) for EOL care, but the decision to use these may cause ethical issues. Aims and objectivesThe aim of this study was to investigate the views and practices of critical care nurses in Turkey on the end-of-life (EOL) care. DesignThis was a cross-sectional study. MethodsThe research was conducted in 32 second- and third-level ICUs of 19 Ministry of Health research hospitals in Turkey. The Views of European Nurses in Intensive Care on EOL Care tool was used for data collection. ResultsThe total sample size was 602. While half of the nurses stated that the withholding and withdrawal of life support were ethically different decisions, 40% felt both decisions were unethical. The expected quality of life as viewed by the patient, the medical team, the family and the nursing team (904%, 854%, and 834%, respectively) was an important factor in EOL decision making. The majority of the nurses (757%) were not directly involved in the EOL decision making and 784% of nurses were committed to family involvement in EOL decisions. When withdrawing treatment, 872% of ICU nurses agreed that the patient and family members should perform their final religious and spiritual duties. Further results showed that after withdrawing treatment, a majority of nurses (86%) agreed to continue pressure sore prevention, effective pain relief (855%), nutritional support (776%) and hydration (648%). Almost half (482%) indicated that keeping the patients in the ICU was unnecessary. ConclusionICU nurses expressed a range of experiences and practices regarding EOL care. ICU nurses should be more involved in the decision-making process about EOL care. Relevance to clinical practiceDue to their unique relationship with patients, nurses should be involved in EOL care decision making; however, patients, families or nurses are not often involved in the decision-making process in Turkey.
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    How should be the nutrition of intensive care patients?
    (Logos Yayincilik Ticaret A.S., 2011) Diker, Tuǧba; Aslan, Fatma Eti; Öntürk, Zehra Kan; Badır, Aysel; Faculty Member; School of Nursing; N/A
    Almost all of the medical conditions requiring intensive care can cause deficient nutrition. Inadequate nutrition disrupts organ functions, aggravates clinical course and increases inflammatory response. Inadequate nutrition eventually prolongs recovery period in intensive care patients, and also reduces their survival rates. Accordingly nutritional support of intensive care patients is as important as any other supportive treatment. In this article selection of nutritional support, importance of early nutrition, enteral and parenteral nutritional methods and their compaative advantages in intensive care patients have been discussed.
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    The effects of certain characteristics of physicians and nurses on attitudes related to principles about dying with dignity
    (Dokuz Eylül Üniversitesi Hemşirelik Fakültesi, 2017) Dağ, Ayten; N/A; Badır, Aysel; Faculty Member; School of Nursing; N/A
    Background: Dying with dignity is a basic human right. It signifies the following characteristics: minimal symptom distress and limited invasive treatment, maintaining autonomy and independence, and receiving dignified care in a calm and safe environment. Objectives: The aim of this study is to examine the effects of certain characteristics of the physicians and nurses who provide care for people who are dying on their attitudes related to dying with dignity and peace. Methods: This definitive research was conducted on 590 health professionals (355 nurses, 235 physicians) employed in a university hospital from September 2015 to November 2015. The research data were collected using Sociodemographic and Work- Related Characteristics Questionnaires, Assessment Scale of Attitudes towards Principles about Dying with Dignity and the Thorson Powell Scale of Death Anxiety. Definitive statistics of variable were performed in data assessment and the data were assessed using Mann-Whitney U Test, Kruskal-Wallis H Test and Regression Analysis. Results: The level of adaptation of principles about dying with dignity by the physicians were found to be higher than that of nurses and physicians and nurses agreed with the principles related to intimacy, pain and symptom control, moral support, ability to receive care outside the hospital, determining the individuals who will be with the patient at the last moment. The level of adaptation of principles by the nurses provided training on palliative care were found to be higher than that of the nurses who are not provided training. The variables of professions, ages, professional experiences and training on palliative care of the physicians and nurses were found to be correlated with their attitudes towards principles about dying with dignity. Conclusion: It is recommended that principles about dying with dignity be adopted in institutions offering healthcare. Öz/Saygın ölüm, temel bir insan hakkıdır ve semptomların, invaziv işlemlerin azaltılması, özgürlüğü ve otonomiyi koruma, güvenli bir ortamda huzurlu ve saygın bir bakım alma özelliklerini taşır. Amaç: Yaşamının son günlerinde olan bireylere bakım veren hekim ve hemşirelerin bazı özelliklerinin saygın ölüm ile ilgili tutumları üzerine etkisini incelemektir. Yöntem: Bir üniversite hastanesinde çalışan 590 kişiye (355 hemşire, 235 hekim) Eylül-Kasım 2015 tarihleri arasında yapılan tanımlayıcı tipte bir araştırmadır. Veriler; Tanımlayıcı ve Mesleki Özellikler Veri Formu, Saygın Ölüm İlkelerine İlişkin Tutumları Değerlendirme Ölçeği, Thorson Powell Ölüm Kaygısı Ölçeği ile toplanmıştır. Verilerin değerlendirmesinde değişkenlerin tanımlayıcı istatistikleri yapılmış, veriler Mann-Whitney U Testi, Kruskal-Wallis H Testi ve Regresyon Analizi ile değerlendirilmiştir. Bulgular: Hekimlerin saygın ölüm ilkelerini benimseme düzeyleri hemşirelerden yüksek bulunmuş; mahremiyet, ağrı ve semptom kontrolü, manevi destek, hastane dışında bakım alabilmek, son anında yanında olacak bireyleri belirlemek ile ilgili ilkelere hekim ve hemşireler yüksek oranlarda katılmışlardır. Palyatif bakım eğitimi alan hemşirelerin ilkeleri benimseme düzeyleri de eğitim almamış olanlardan yüksek bulunmuştur. Hekim ve hemşirelerin meslek, yaş, mesleki deneyim ve palyatif bakım eğitimi alma değişkenleri saygın ölüm ilkelerine ilişkin tutumları ile ilişkili bulunmuştur. Sonuç: Sağlık bakımı sunan kuruluşlarda saygın ölüm ilkelerinin benimsenmesi önerilmektedir.
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    Family presence during CPR: a study of the experiences and opinions of Turkish critical care nurses
    (Pergamon-Elsevier Science Ltd, 2007) N/A; Badır, Aysel; Sepit, Diler; Faculty Member; Researcher; Semahat Arsel Nursing Education, Practice and Research Center / Semahat Arsel Hemşirelik Eğitim, Uygulama ve Araştırma Merkezi (SANERC); School of Nursing; N/A; N/A; N/A
    Background: The concern over family witnessed cardiopulmonary resuscitation has been a frequent topic of debate in many countries. Objectives: The aim of this descriptive study is determine the experiences and opinions of Turkish critical care nurses about family presence during cardiopulmonary resuscitation and to bring this topic into the critical care and the public limelight in Turkey. Methods: Study population consisted of critical care nursing staff at four hospitals affiliated with the Ministry of Health, three hospitals affiliated with universities and three hospitals affiliated with Social Security Agency Hospitals. A total of 409 eligible critical care nurses were surveyed using a questionnaire which is consisted of 43 items under 3 areas of inquiry. Results: None of the hospitals that participated in this study had a protocol or policy regarding family witnessed resuscitation. More than half of the sample population had no experience of family presence during cardiopulmonary resuscitation and none of the respondents had ever invited family members to the resuscitation room. A majority of the nurses did not agree that it was necessary for family members to be with their patient and did not want family members in resuscitation room. In addition, most of the nurses were concerned about the violation of patient confidentiality, had concerns that untrained family members would not understand CPR treatments, would consider them offensive and thereby argue with the resuscitation team. The nurses expressed their concern that witnessing resuscitation would cause long lasting adverse emotional effects on the family members. Conclusion: This study reveals that critical care nurses in Turkey are not familiar with the concept of family presence during cardiopulmonary resuscitation. In view of the increasing evidence from international studies about the value of family presence during cardiopulmonary resuscitation we recommend educational program about this issue and policy changes are required within the hospitals to enhance critical care in Turkey. (c) 2005 Elsevier Ltd. All rights reserved.
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    The development of patient safety in Turkey constraints and limitations
    (Lippincott Williams & Wilkins, 2009) N/A; Badır, Aysel; Faculty Member; School of Nursing; N/A
    Patient safety is a complex multifaceted issue linked with quality management. Evidence reveals that nurses are pivotal to the success of quality management and patient safety initiatives. There are many studies about patient safety in developed countries, but less is known about nursing care and patient safety in developing or mid-level economies such as Turkey. The aim of this paper is to discuss the quality management and patient safety developments in the Turkish healthcare sector.
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    Standardizing handoff communication: content analysis of 27 handoff mnemonics
    (Lippincott Williams and Wilkins (LWW), 2016) Nasarwanji, Mahiyar F.; Gürses, Ayşe P.; Badır, Aysel; Faculty Member; School of Nursing; N/A
    This study synthesizes information contained in 27 mnemonics to identify what information should be communicated during a handoff. Clustering and content analysis resulted in 12 primary information clusters that should be communicated. Given the large amount of information identified, it would be beneficial to use a structured handoff communication tool developed using a participatory approach. In addition, we recommend local standardization of information communicated during handoffs with variation across settings.
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    Awareness of coronary heart disease risk factors among undergraduate nursing students
    (Lippincott Williams & Wilkins, 2013) Tekkas, Kader; N/A; Badır, Aysel; Topçu, Serpil Akkuş; Faculty Member; Teaching Faculty; School of Nursing; School of Nursing; N/A; 106103
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    How do intensive care nurses assess patients’ pain?
    (Wiley-Blackwell, 2003) Aslan, Fatma Eti; Selimen, Deniz; N/A; Badır, Aysel; Faculty Member; School of Nursing; N/A
    Identification and evaluation of pain in critical care patients may be difficult because of communication problems. Moreover, at present there are very few nursing studies that examine the attitudes of critical care nurses towards the assessment of patients’ pain. This study was designed to determine the approach of critical care nurses towards assessing patients’ pain levels, and to evaluate the problems in nursing diagnosis of those having difficulty in articulating their pain symptoms. We used a questionnaire to assess nurses attitudes to patients’ pain. The study sample consisted of 91 critical care nurses who were recruited between January and February 2002. The results suggest that patient pain was considered undesirable by 44% of nurses. About 70·3% of the nurses reported resorting to administering analgesics to relieve their patients’ pain. Some 57·1% of nurses stated that they would have investigated whether the patients had really been experiencing pain, prior to administering the prescribed analgesics to patients. Some 85·7% of the sample indicated that the patients themselves would make the most accurate evaluation of their pain. The data suggested that 39·6% of nurses did not know how to evaluate pain symptoms in critical care patients suffering from complicated problems, and that 37·4% evaluated pain by monitoring the patients’ behaviours. The study demonstrated that most of the critical care nurses did not know how to evaluate pain in patients having communication problems. The paper concludes by suggesting that there is a clear need to address nursing education and training with regard to evaluation and management of patients’ pain whilst in critical care environment. © 2003, John Wiley and Sons Inc. All rights reserved.
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    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/A
    This 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.
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    Using high-fidelity simulation as a learning strategy in an undergraduate intensive care course
    (Lippincott Williams & Wilkins, 2015) N/A; N/A; N/A; N/A; N/A; N/A; N/A; Badır, Aysel; Zeybekoğlu, Zuhal; Karaçay, Pelin; Göktepe, Nilgün; Topçu, Serpil Akkuş; Yalçın, Begüm; Kebapçı, Ayda; Dikeç, Gül; Faculty Member; Other; Faculty Member; Faculty Member; Teaching Faculty; Teaching Faculty; Faculty Member; Teaching Faculty; School of Nursing; N/A; School of Nursing; School of Nursing; School of Nursing; School of Nursing; School of Nursing; School of Nursing; N/A; N/A; 179331; 106155; 106103; N/A; 203808; 45171
    Using high-fidelity simulations to facilitate student learning is an uncommon practice in Turkish nursing programs. The aim of the present study was to understand students' perceptions of the use of simulation in nursing courses. Subjects included 36 senior nursing students taking an intensive care course. This study revealed that high-fidelity simulation is an ideal method of promoting learning by helping students transfer theory into practice, build confidence and teamwork, and raise professional awareness.