Researcher:
Kebapçı, Ayda

Profile Picture
ORCID

Job Title

Faculty Member

First Name

Ayda

Last Name

Kebapçı

Name

Name Variants

Kebapçı, Ayda

Email Address

Birth Date

Filters

2011 - 201952020 - 202212

Advanced Search

Filter by

Settings

Researcher Of Publications: search.filters.isAuthorOfPublication.dc2714c7-004a-4974-b765-09f46d40b125

Search Results

Now showing 1 - 10 of 17
  • Placeholder
    PublicationMetadata only
    The effects of the work environment on nurse burnout in emergency department
    (Emergency Medicine Association of Turkey, 2011) Akyolcu, Neriman; N/A; Kebapçı, Ayda; Faculty Member; School of Nursing; 203808
    Objectives: This study examines the relationship between burnout and work environment among nurses working in emergency departments (ED) in Istanbul. Methods: The subjects were ED nurses who met the research criteria (n=132). Data were collected by questionnaire to determine the demographic characteristics of the subjects as well as their emotions and opinions about their Professional life. Nurses' burnout was measured by the Maslach Burnout Inventory and nurses' work environment was determined by the Work Environment Scale. Results: In this study Emotional Exhaustion and Depersonalization levels have been found low in nurses who like their job and work places and with longer duration of Professional work. On the other hand, hard working conditions or unexpected overtime, inability to spare time for social activities, dissatisfaction of socio-economic situation and having trouble with team members were all associated with increased levels of Emotional Exhaustion and Depersonalization. It was found that there were significant positive relationship between Work Environment Scale-Employee Fears states and Emotional Exhaustion with Depersonalization; Work Environment Scale-Job Satisfaction state and Emotional Exhaustion, and significant negative relationship between Work Environment Scale-Quality Management, Professional Relationships and Physical Resources states and Emotional Exhaustion, Depersonalization and Personal Accomplishment (p<0.05). Conclusions: Personal qualifications and volunteerism should be considered when selecting nurses working in the emergency departments. In an ED it have seen that equipment, adequate space and number of employees, which facilitates the treatment and care of patients, have positive impact on nurse's burnout levels. Time allocation opportunity for participation in social activities or hobbies should be given to the employees. Incompatibility and conflict within the team should be avoided by properly setting the job descriptions of the team members.
  • Placeholder
    PublicationMetadata only
    Executive nurses’ views about nursing work environment: a qualitative study
    (Yönetici Hemşireler Derneği, 2020) Topçu, İbrahim; Miral, Mukaddes Turan; Serbest, Şehriban; Özcan, Duygu; N/A; Göktepe, Nilgün; Türkmen, Emine; Kebapçı, Ayda; Albayrak, Selvinaz; Faculty Member; Faculty Member; Faculty Member; Teaching Faculty; Semahat Arsel Nursing Education, Practice and Research Center / Semahat Arsel Hemşirelik Eğitim, Uygulama ve Araştırma Merkezi (SANERC); School of Nursing; School of Nursing; School of Nursing; School of Nursing; 106155; 109503; 203808; 106119
    Aim: This study was conducted to evaluate executive nurses’ views and experiences about nursing work environment at hospitals. Method: In this descriptive and qualitative study, which was conducted in Istanbul, 18 individualized in depth interviews were per- formed with executive nurses working in private and public hospitals using semi-structured questions. Data were collected with a tape recorder and content analyzes were performed thematically. Results: Three main themes were determined including leadership and management practices, nursing staffing and management, and management of relationship and collaboration. It was revealed that the executive nurses’ autonomy was at a low level and par- ticipation to hospital executive decisions was inadequate, and they provided coordination of non-nursing supportive services such as housekeeping activities. Executive nurses stated that although there were training and development activities and promotional opportunities in hospitals, the quality, and quantity of nurses were very inadequate. Additionally, they specified that nurses had increased workload, and very high turnover rates, working conditions were not good, and they had difficulty in managing different generations. It was also stated that problems were experienced in cooperation and communication between themselves , nurses and doctors. Conclusion: Results from individual in-depth interviews have shown that executive nurses have many managerial problems in terms of nursing work environment. It is recommended that executive nurses strengthen their communication and collaboration with their teams, managers and policy makers in order to implement healthy workplace standards. /Öz: Amaç: Bu çalışma, üst düzey yönetici hemşirelerin hastanelerde hemşirelik çalışma ortamı hakkındaki görüş ve deneyimlerini ortaya koymak amacıyla yapılmıştır. Yöntem: Bu tanımlayıcı ve nitel çalışma, İstanbul’da gerçekleştirilmiş olup, özel ve devlet hastanelerinde çalışan 18 üst düzey yö- netici hemşire ile yarı yapılandırılmış bireysel derinlemesine görüşmeler yapılmıştır. Veriler kayıt cihazı ile kaydedilmiş ve tematik olarak içerik analizi yapılarak değerlendirilmiştir. Bulgular: Liderlik ve yönetim uygulamaları, hemşire insan kaynağı ve yönetimi, iletişim ve ilişki yönetimi olmak üzere üç ana tema belirlenmiştir. Yönetici hemşirelerin özerkliğinin düşük olduğu, hastane yönetim kararlarına katılımının yetersiz olduğu ve yönetici hemşirelerin temizlik faaliyetleri gibi hemşirelik dışı destek hizmetlerin koordinasyonunu sağladıkları saptanmıştır. Yönetici hem- şireler, hastanelerde eğitim-geliştirme faaliyetleri ve terfi olanaklarının yanı sıra hemşirelerin nitelik ve niceliklerinin çok yetersiz olduğunu, iş yükü ve devir hızlarının çok yüksek olduğunu, çalışma koşullarının iyi olmadığını ve özellikle kuşakları yönetmede çok zorlandıklarını belirtmişlerdir. Ayrıca hemşire-hekim ve hemşire-hemşire arasındaki iş birliği ve iletişimde sorunlar yaşandığına da değinmişlerdir. Sonuç: Bireysel derinlemesine görüşmelerden elde edilen sonuçlar, yönetici hemşirelerin hemşire çalışma ortamıyla ilgili sorunlar yaşadıklarını göstermektedir. Yönetici hemşirelerin sağlıklı çalışma ortamı standartlarını yaşama geçirebilmeleri için kendi ekipleri, birlikte çalıştıkları yöneticiler ve politika yapıcılar ile iletişim ve iş birliklerini güçlendirmeleri gerekmektedir.
  • Placeholder
    PublicationMetadata only
    The effect of structured virtual patient visits (sVPVs) on COVID-19 patients and relatives' anxiety levels in intensive care unit
    (Wiley, 2022) Türkmen, Emine; N/A; Kebapçı, Ayda; Faculty Member; School of Nursing; 203808
    Aim and objectives To determine the effect of structured Virtual Patient Visits (sVPVs) on the anxiety, satisfaction, hospital anxiety and depression levels of intensive care unit (ICU) COVID-19 patients and their relatives. Background There is no evidence regarding the direct effect of virtual patient visits in the ICU. Design The STROBE statement guided this study. This investigator-initiated, prospective and single-centre study included COVID-19 patients and their relatives in an adult ICU between July and December 2020. We implemented daily sVPVs between all patients and their relatives. The study's primary outcome was the daily anxiety levels of patients and relatives immediately before and after sVPVs. The secondary outcomes were as follows: 1) hospital anxiety (HADS-A) and depression (HADS-D) levels during admission to and after discharge from the ICU and 2) satisfaction levels regarding the ICU and sVPVs of patients' relatives. Results A total number of 301 daily sVPVs were conducted between 50 patients and their relatives. There was a significant difference between daily anxiety levels before and after sVPVs in both patients (2.97 vs. 1.49) and their relatives (5.70 vs. 3.53; p > .05). Whereas the anxiety levels of patients with basic face or high flow nasal cannula and non-invasive mechanical ventilation decreased statistically significantly more than those with IMV after a sVPV (p < .001), there was not a significant difference in decreased anxiety levels of patients' relatives according to the type of respiratory support provided to the patient (p > .05). HADS-A levels of relatives decreased statistically significantly after discharge/death. There was no statistically significant difference in HADS-A and HADS-D levels after discharge/death between the relatives of patients who died or did not die (p > .05). Furthermore, the overall ICU satisfaction rates were statistically significantly lower in relatives of patients who died than those who did not die (p < .05). Conclusion Regardless of whether the patients were intubated, sVPVs reduced the anxiety levels of all patients and relatives. The sVPV programme offered emotional support to patients and family members, with high levels of satisfaction, as well as provided regular informative updates and the opportunity for daily visits or final goodbyes. Relevance for clinical practice The sVPV programme is essential for all ICUs during the COVID-19 pandemic.
  • Placeholder
    PublicationMetadata only
    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.
  • Placeholder
    PublicationMetadata only
    Endotracheal tube cuff pressure management an observational study guided by the SEIPS model
    (Lippincott Williams and Wilkins (LWW), 2022) Özkaynak, Mustafa; N/A; Kebapçı, Ayda; Faculty Member; School of Nursing; 203808
    Introduction: The aim of the rigorous endotracheal tube cuff pressure (ETTCP) management is to maintain cuff pressures within the recommended values during the mechanical ventilation period. However, hyperinflation or hypoinflation of cuff has been reported because of inconsistent clinical practices in intensive care unit (ICU) settings. Furthermore, there is no available best evidence for clinical decision-making regarding the ETTCP management provided by international institutes.
  • Placeholder
    PublicationMetadata only
    Relationship between nurses' practice environments and nursing outcomes in Turkey
    (Wiley, 2016) Topçu, İbrahim; Miral, Mukaddes; Serbest, Şehriban; Özcan, Didem; N/A; N/A; N/A; N/A; N/A; Türkmen, Emine; Badır, Aysel; Göktepe, Nilgün; Albayrak, Selvinaz; Kebapçı, Ayda; Faculty Member; Faculty Member; Faculty Member; Teaching Faculty; Faculty Member; School of Nursing; School of Nursing; School of Nursing; School of Nursing; School of Nursing; 109503; N/A; 106155; 106119; 203808
    Aim: This study aimed to understand nursing practice environment characteristics in Istanbul-area hospitals in Turkey, the relationship between these characteristics, nurse burnout levels and nurses' intentions to leave work. Background: A well-known relationship exists in many countries between nursing practice environments and nurse burnout and intention to leave work. However, little is known about the relationship between practice environment characteristics and nursing outcomes in Turkey. Methods: This cross-sectional study was conducted among 2592 nurses in 20 Ministry of Health and 29 private hospitals in Istanbul, Turkey. A demographic questionnaire, Practice Environment Scale of the Nursing Work Index and Maslach Burnout Inventory were used for data collection. Results: Almost half of nurses suffered from high-level burnout related to emotional exhaustion and personal accomplishment, and one-third reported depersonalization and the intent to leave their jobs within a year. A poor nursing practice environment was the leading factor, increasing nurses' burnout levels in all subdimensions. Burnout related to emotional exhaustion, personal accomplishment and poor practice environment increased intention to leave. Permanent positions decreased intention. Discussion: There was a relationship between poor practice environments and nursing outcomes in Turkey. Limitations: The use of a survey data collection method is a potential study limitation. Quantitative and qualitative methods could be combined to obtain more detailed objective data about nursing practice environments. Conclusion: Poor practice environments, high-level burnout and intention to leave work are significant problems in Istanbul, Turkey. Favourable practice environments and job security should be provided to improve nursing outcomes. Implications for nursing policy: Policymakers and nurse managers should be aware of any negative issues regarding nursing practice environments and job security to improve nursing outcomes.
  • Placeholder
    PublicationMetadata only
    Effects of nurse-led clinical pathway in coronary artery bypass graft surgery: a quasi-experimental study
    (Wiley, 2018) Kanan, Nevin; N/A; Kebapçı, Ayda; Faculty Member; School of Nursing; 203808
    Aims and objectivesTo develop and evaluate the effects of a nurse-led clinical pathway for patients undergoing coronary artery bypass graft surgery. BackgroundA clinical pathway is a multidisciplinary care plan, based on evidence and guidelines to provide consistent, quality care to patients and improve outcomes. DesignProspective, quasi-experimental design. MethodsPatients hospitalised for coronary artery bypass graft between April 2014-November 2015 in a hospital in Turkey were studied. First 42 usual care patients were enrolled to determine outcomes and plan for the development of the clinical pathway followed by 40 patients in the newly developed clinical pathway. The primary outcome was length of stay and secondary outcomes related to recovery from surgery (e.g., time to extubation, first feeding). ResultsThe mean age for the clinical pathway group was 60 and for usual care was 63years. Most were male (CP=78%, UC=69%). There were significant differences between groups for the primary outcome. Length of stay in the intensive care unit was 38.9hr for CP and 50.7hr for usual care patients p<.01. Total hospital time was 144.4hr for clinical pathway and 162.2hr for usual care, p<.05. For secondary measures, the following times were less for the clinical pathway group than for the usual care: time to extubation and nasogastric tube removal (5.7 vs. 8.6hr, p<.01), first oral feeding (4.7 vs. 10.9hr, p<.001), first mobilisation (8.4 vs. 22.9hr, p<.001) and first bowel movement (69.8 vs. 85.9hr, p<.01). There were no statistically significant differences in the 3-month readmission rates and complication rates between the groups, except the renal complication rates were higher in the usual care (n=16, 38%) than in the clinical pathway (n=7, 17.5%) (p<.05). ConclusionThe nurse-led clinical pathway was effective in improving length of stay in both the ICU and hospital as well as the secondary outcomes. Relevance to clinical practiceThis study contributes to previous studies supporting clinical pathway use can improve the length of stay and quality of care in patients undergoing coronary artery bypass graft surgery.
  • Placeholder
    PublicationMetadata only
    İnterrater reliability in pupillary assessment among intensive care nurses
    (Elsevier Sci Ltd, 2020) N/A; N/A; Kebapçı, Ayda; Topçu, Serpil Akkuş; Faculty Member; Teaching Faculty; School of Nursing; School of Nursing; 203808; 106103
    Background: Pupillary abnormalities are a common and reliable finding of brain herniation, ischaemia, and acute brain injury in critically ill patients. Reliable pupil assessment is a vital evaluation in diagnostic and therapeutic procedures for neurocritical patients. aim: To evaluate inter-rater reliability of pupillary assessment among intensive care. Methods: in this prospective, blind observational study, intensive care nurses and two researchers evaluated the pupil size, reactivity and symmetry of 200 patients with neurosurgery or neurological diseases. a total of 200 pupillary measurement sets were completed independently and blindly. Results: Three observers -two researchers and the nurse- found fair-to-good and excellent agreements in initial pupil size evaluations of right and left pupils, respectively (ICC = 0.70, 95%; ICC = 0.75, 95%). in patients with pupil size >= 4 mm, the observers found fair-to-good agreements in both right and left pupil initial size measurements (ICC = 0.52; ICC = 0.65). agreement in pupil symmetry was moderated (K = 0.58), and reactivity was near perfect (K = 0.89) between the three observers. Conclusion: although the two researchers found near perfect agreement in pupil size, symmetry and reactivity assessment, two researchers and the nurse found moderate agreement in pupil symmetry and fair-to-good agreement in pre- and post-light stimulation pupil size. (C) 2020 Elsevier Ltd. .
  • Placeholder
    PublicationMetadata only
    Experiences of Turkish intensive care nurses during the COVID-19 outbreak
    (Koç Üniversitesi HYO Semahat Arsel Hemşirelik Eğitim ve Araştırma Merkezi (SANERC), 2020) Kıraner, Ebru; Terzi, Banu; Bozkurt, Gülçin; N/A; N/A; Türkmen, Emine; Kebapçı, Ayda; Faculty Member; Faculty Member; School of Nursing; School of Nursing; 109503; 203808
    The Covid-19 pandemic, which emerged in December 2019 and influenced the world, revealed the importance of intensive care units and intensive care nursing, which holds very an important place in the survival of critically ill patients. During this process, intensive care nurses in Turkey and from all around the world made extraordinary efforts with their knowledge and compassionate touch and wrote down their experiences from the beginning of the pandemic. This review article presents the experiences of intensive care nurses during the first trimester of the pandemic and describes the supportive activities carried out by the Turkish Intensive Care Nurses Association. / Aralık 2019’ta ortaya çıkan ve tüm dünyayı etkisi altına alan COVID-19 salgını, kritik hastaların yaşama tutunmasında çok önemli bir yeri olan yoğun bakım üniteleri ve yoğun bakım hemşireliğinin değerini ortaya koymuştur. Bu mücadele sürecinde, dünyanın her yerinde olduğu gibi Türkiye’de de yoğun bakım hemşireleri bilgileri, becerileri ve sevecen dokunuşlarıyla olağanüstü emek harcamış ve salgının bu başlangıç döneminde başarılı hikayeler oluşturmuştur. Bu derleme makalede, salgının ilk üç aylık döneminde yoğun bakım hemşirelerinin yaşadığı deneyimler ve Türk Yoğun Bakım Hemşireleri Derneği’nin yürüttüğü destekleyici faaliyetler sunulmaktadır.
  • Placeholder
    PublicationMetadata only
    Effects of ehealth-based interventions on adherence to components of cardiac rehabilitation a systematic review
    (Lippincott Williams & Wilkins, 2020) Ozkaynak, Mustafa; Lareau, Suzanne C.; N/A; Kebapçı, Ayda; Faculty Member; School of Nursing; 203808
    Objective The aim of this study was to determine the effects of eHealth-based interventions on patient adherence to components of cardiac rehabilitation (CR). Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guided this review. Medline, CINAHL, Embase, and Cochrane Library databases were searched for studies published from January 1996 to December 2017. All studies were included in which eHealth-based components of CR and its effects on patient adherence were measured. Because this review included a heterogeneous group of study designs, the authors qualitatively described the effect of eHealth on adherence into a narrative approach. Results A total of 1520 studies were identified, with 1415 excluded after screening. Of the remaining 105 studies, 90 were excluded after full text assessment, leaving 15 studies for analysis. Most (11) of the 15 studies reported on medication adherence. Other studies focused on adherence to diet, physical activity, vital signs, weight, step counts, smoking, and fluid restriction. The type of eHealth used also varied, ranging from telemonitoring and web-based applications to telephone calls. Of the 15 studies, 7 reported significant improvements with eHealth-based components of CR on adherence. Discussion and Conclusion This review summarizes the effects of eHealth on components of CR and revealed variations in measurement and evaluation methods. The telemonitoring and web-based applications for self-care behaviors were most effective in promoting adherence. The measurement of adherence should be based on an explicit definition of adherence and should be measured with validated scales tested in the CR population.