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Research Interests: Medicine and Gynecology
PURPOSE: The purpose of this study was to determine the point prevalence (PP) of general pressure injuries (PIs), hospital-acquired PIs, PI-related risk factors, and PI preventive interventions performed by nurses. DESIGN: Descriptive,... more
PURPOSE: The purpose of this study was to determine the point prevalence (PP) of general pressure injuries (PIs), hospital-acquired PIs, PI-related risk factors, and PI preventive interventions performed by nurses. DESIGN: Descriptive, multicenter, prospective, analytical study. SUBJECTS AND SETTING: The sample comprised 5088 patients cared for in 13 hospitals in 12 geographic regions of Turkey. Data were collected between November 5, 2018, and July 17, 2019. METHODS: The study was carried out in 2 stages. First, nurses who collected data were trained in the diagnosis of PI, risk assessment, staging, and prevalence studies, and informed about the purpose and methods of the study, including data collection. Second, nurses and researchers who had received training related to data collection for this study conducted a PP study for PIs in their inpatient clinics using the ASSIST II method. The PI Prevalence Study Tool and the Braden Scale for Predicting Pressure Sore Risk were also used...
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Son yillarda yasanan teknolojik gelismeler sonucunda bilgisayar ve internet hasta egitiminde yaygin olarak kullanilmaya baslanmistir. Bilgisayar destekli hasta egitiminin bircok avantaji olmasina ragmen beraberinde getirdigi onemli... more
Son yillarda yasanan teknolojik gelismeler sonucunda bilgisayar ve internet hasta egitiminde yaygin olarak kullanilmaya baslanmistir. Bilgisayar destekli hasta egitiminin bircok avantaji olmasina ragmen beraberinde getirdigi onemli dezavantajlari da bulunmaktadir. Bu nedenle hemsirelerin en onemli rollerinden birisi olan egitici rolunu yerine getirirken bilgisayar ve internet kullanan bireyleri dogru bilgi kaynaklarina yonlendirebilmesi ve bu konuda danismanlik islevlerini yerine getirebilmesi son derece onemlidir.
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Bu tanimlayici calisma, cerrahi hemsirelerinin agri ve ameliyat sonrasi agri yonetimi hakkinda bilgi duzeylerini belirlemek icin yapildi. Arastirma, Şubat-Mart 2010 tarihleri arasinda, Gazi Universitesi Tip Fakultesi Hastanesinde,... more
Bu tanimlayici calisma, cerrahi hemsirelerinin agri ve ameliyat sonrasi agri yonetimi hakkinda bilgi duzeylerini belirlemek icin yapildi. Arastirma, Şubat-Mart 2010 tarihleri arasinda, Gazi Universitesi Tip Fakultesi Hastanesinde, calismaya katilmayi kabul eden 57 cerrahi hemsiresiyle gerceklestirildi. Veriler, agri ve agri yonetimine iliskin toplam 35 sorunun yer aldigi anket formu ile toplandi. Anket genel demografik veri ve agri yonetimi sorulari (8 tane agri fizyolojisi, 6 tane agri degerlendirmesi,17 tane agri tedavisi ve 4 tane agri yonetimi sorusu) olmak iki bolumden olustu. Verilerin degerlendirilmesinde yuzdelik ve tek yonlu varyans analizi testleri kullanildi. Calisma sonuclarina gore, ortalama basarinin %44.8 oldugu ve hemsirelerin cogunun agri yonetimi konusunda yeterli bilgiye sahip olmadiklari saptandi. Konulara gore basari oranlari incelendiginde en fazla dogru yanitin agri ve fizyolojisi (%71.4), en az dogru yanitin ise agri tedavisi (%32.1) sorularinda oldugu saptan...
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Amaç: Bu araştırma, öğrencilerin klinik uygulama öncesi yapılan interaktif vaka tartışmalarına ilişkin görüşlerini belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı tipteki araştırmanın örneklemini 234 hemşirelik öğrencisi... more
Amaç: Bu araştırma, öğrencilerin klinik uygulama öncesi yapılan interaktif vaka tartışmalarına ilişkin görüşlerini belirlemek amacıyla yapılmıştır. Yöntem: Tanımlayıcı tipteki araştırmanın örneklemini 234 hemşirelik öğrencisi oluşturmuştur. Araştırma verileri araştırmacılar tarafından geliştirilen anket formu ile Haziran 2019’da toplanmıştır. Araştırma için kurum izni, etik onay ve öğrencilerden yazılı onam alınmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel yöntemler kullanılmıştır. Bulgular: Araştırmada öğrencilerin %92.7’si ders kapsamında klinik uygulama öncesi yapılan interaktif vaka tartışmalarının yararlı olduğunu belirtmiştir. Öğrencilerin özellikle “aktif katılımlı-görsel öğrenme ve uygulama ortamı oluşturma (%26.1)”, “teorik bilgiyi pekiştirme ve bilginin kalıcılığını sağlama (%24.3)” ve “klinik uygulama öncesi bilgi ve beceri düzeyini artırma (%22.6)” yönünden uygulamaları faydalı buldukları belirlenmiştir. Öğrenciler interaktif vaka tartışmalarının mesle...
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This study was conducted for the purpose of determining the effect of cold vapor applied for sore throat in the early postoperative stage. A quasi-experimental design was used. The study sample consisted of 60 patients who underwent... more
This study was conducted for the purpose of determining the effect of cold vapor applied for sore throat in the early postoperative stage. A quasi-experimental design was used. The study sample consisted of 60 patients who underwent lumbar disc herniation surgery in the Neurosurgery Clinic of Gazi University Health Research and Practice Center in Ankara, Turkey. The study involved two intervention groups and one control group. The study data were collected through questionnaire and observation forms. 65% (n = 39) of patients experienced sore throat. There were no statistical differences between the groups in terms of sore throat and hoarseness (P > .05); however, a significant difference was determined in the group to whom oxygen together with cold vapor was applied for dry throat (4th and 8th hours) and swallowing difficulties(8th and 12th hours) (P < .05). Cold vapor did not have an effect on sore throat on its own; however, it decreased hoarseness and swallowing difficulties when applied together with oxygen.
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Research Interests: Medicine and Gynecology
Objectives: This study was conducted for determining nurses’ interventions to preventive nosocomial infections seen in a neurosurgery intensive care unit (ICU). Materials and methods: The study population was comprised of with 10 nurses... more
Objectives: This study was conducted for determining nurses’ interventions to preventive nosocomial infections seen in a neurosurgery intensive care unit (ICU). Materials and methods: The study population was comprised of with 10 nurses who worked in the neurosurgery ICU of a university hospital in Ankara. The data were collected using a questionnaire and an interventions form. In the analysis of data number of the account was used. Results: Mean knowledge level of the study population was 10.4 on 28 points in the questionnaire. While it is noted that the nurses take measures to prevent some of the nosocomial infections, which are included intervention form, there were no measures against surgical wound infections, meningitis, shunt infections that are seen infrequently in the neurosurgical units.
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... letiflim (C orrespondence): Dr. Hülya Bulut. ... acil serviste sunulan hizmetlerden biri de, hastalarn taburcu olduktan sonraki takiple-rinin yaplmasdr. Bakmn takibi anlamna gelen ve Hasta Takibi (Follow Up) olarak... more
... letiflim (C orrespondence): Dr. Hülya Bulut. ... acil serviste sunulan hizmetlerden biri de, hastalarn taburcu olduktan sonraki takiple-rinin yaplmasdr. Bakmn takibi anlamna gelen ve Hasta Takibi (Follow Up) olarak adlandrlan bu hizmetle, hastann sa¤lk durumu, yaplan ...
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Many ostomy patients experience peristomal skin lesions. A descriptive study was conducted to assess the validity, usability, and reliability of the Peristomal Skin Lesions Assessment instrument (SACS instrument) adapted to Turkish from... more
Many ostomy patients experience peristomal skin lesions. A descriptive study was conducted to assess the validity, usability, and reliability of the Peristomal Skin Lesions Assessment instrument (SACS instrument) adapted to Turkish from English. The SACS Instrument consists of 2 main assessments: lesion type (utilizing definitions and photographs) and lesion area by location around the ostomy. The study was performed in 2 stages: 1) the SACS language was changed and its content validity established; and 2) the instrument\'92s content validity and inter-observer agreement (consistency) were determined among pairs of nurses who used the tool to assess peristomal skin lesions. Patients (included if they were >18 years old and receiving treatment/observation at 1 of the 4 participating stomatherapy units) and 8 stomatherapy nurses also completed appropriate sociodemographic questionnaires. Of the 393 patients screened during the 7-month study, 100 (average age 56.74 \'b1 14.0...
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AIM This study was conducted to determine the impact of tailored training provided to nurses for preventing pressure injuries (PIs) on nurses' knowledge levels and the PI point prevalence (PP). MATERIALS AND METHODS This... more
AIM This study was conducted to determine the impact of tailored training provided to nurses for preventing pressure injuries (PIs) on nurses' knowledge levels and the PI point prevalence (PP). MATERIALS AND METHODS This interventional study was carried out in a university hospital with a bed capacity of 1114 in an urban center in Turkey. Ethics committee approval (28.06.2018/31) and institutional permission were obtained for the study, in addition to the nurses' written, informed consent. The study was completed in three stages. In the first stage an initial PP study was conducted in the clinics with the participation of the nurses and the members of the research team (n = 422 patients). In the second stage the knowledge levels of 194 nurses were measured before training was given on following-up and preventing PIs. The nurses then participated in the tailored training and their knowledge levels were re-measured afterwards. All the nurses were given individual advice related to the prevention of PIs for 30 days after they had completed the training. In the third stage a second PP study was conducted four months after the first PP study (n = 454 patients). The data were collected using the Pressure Injury Prevalence Form, the Braden Pressure Ulcer Risk Assessment Tool and the Knowledge Level Measurement Form. Descriptive values, the paired samples t-test, Pearson's chi-squared test and Fisher's Exact test were used to evaluate the data. RESULTS The nurses' pretest mean knowledge score was 55.36% ± 14.40 and their posttest mean score was 69.92% ± 9.73. The difference between these scores was statistically significant (p < 0.05). The study found no significant difference between the first PP ratio and the second PP ratio (p > 0.05), and the nurses were better able to evaluate skin and PIs after the training. CONCLUSION The study determined that the tailored training given to the nurses increased their knowledge; however, it had no impact on the PP after four months. It is recommended that any training programs using this model be continued and that PP studies of institutions be conducted annually.
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Research Interests: Program Evaluation, Nursing, Socialization, Turkey, Social Support, and 14 moreAdolescent, Medicine, Humans, Locus of Control, Nursing Education, Nursing Students, Pilot study, Self Concept, Adult, Mentors, Psychological Theory, Pilot Projects, Internal- External Locus of Control, and Nursing Student
This study aimed to investigate the effect of a discharge training program structured according to the Roy adaptation model (RAM) on patient outcomes (quality of life, coping-adaptation, self-esteem) following gynecologic oncology... more
This study aimed to investigate the effect of a discharge training program structured according to the Roy adaptation model (RAM) on patient outcomes (quality of life, coping-adaptation, self-esteem) following gynecologic oncology surgery. This nonrandomized intervention studies consisted of two stages. In the first stage, patients were interviewed, patient needs after discharges were determined. Interview data were analyzed, and RAM-based training booklet was prepared. This booklet was prepared in line with a number of themes. In the second stage, the study was conducted with a sample of 36 control and 36 intervention patients, who were included in the discharge training program. Data was collected preoperatively, at 9th and 13th weeks after discharge. The mean quality of life and coping/adaptation scores of the intervention group at 13th weeks were significantly higher than those of the control group, however, no significant difference was found between the groups in terms of mean...
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PURPOSE: The aim of this study was to describe nurses' views on their research activities and their views towards research and nurses' needs of knowledge. TYPE OF STUDY: This study was conducted as a descriptive research type.... more
PURPOSE: The aim of this study was to describe nurses' views on their research activities and their views towards research and nurses' needs of knowledge. TYPE OF STUDY: This study was conducted as a descriptive research type. DATA COLLECTION METHODS AND DATE: Data were collected between the dates of 24 March-25 May of the year 2000. This study was conducted
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Many ostomy patients experience peristomal skin lesions. A descriptive study was conducted to assess the validity, usability, and reliability of the Peristomal Skin Lesions Assessment instrument (SACS instrument) adapted to Turkish from... more
Many ostomy patients experience peristomal skin lesions. A descriptive study was conducted to assess the validity, usability, and reliability of the Peristomal Skin Lesions Assessment instrument (SACS instrument) adapted to Turkish from English. The SACS Instrument consists of 2 main assessments: lesion type (utilizing definitions and photographs) and lesion area by location around the ostomy. The study was performed in 2 stages: 1) the SACS language was changed and its content validity established; and 2) the instrument\'92s content validity and inter-observer agreement (consistency) were determined among pairs of nurses who used the tool to assess peristomal skin lesions. Patients (included if they were >18 years old and receiving treatment/observation at 1 of the 4 participating stomatherapy units) and 8 stomatherapy nurses also completed appropriate sociodemographic questionnaires. Of the 393 patients screened during the 7-month study, 100 (average age 56.74 \'b1 14.0...
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Families, especially mothers, experience problems providing home care after their child&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s surgery for developmental dysplasia of the hip (DDH). To assess the problems... more
Families, especially mothers, experience problems providing home care after their child&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s surgery for developmental dysplasia of the hip (DDH). To assess the problems experienced by parents providing postoperative home care to their child after DDH surgery. This was a descriptive cross-sectional study. The sample consisted of 33 parents. Data were collected through a survey conducted at the hospital following the child&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s surgery and by telephone 4-6 weeks after surgery. Frequencies, means, percentages, and chi-square tests were used to analyze the data. The parents (93.9% women) provided postoperative care for approximately 3 months. Nearly all of the parents (97%) had physical (96.9%), psychological (65.6%), and social (75.0%) problems in addition to child care problems. We recommend preparing a comprehensive discharge-training package for parents after their child&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s DDH surgery, supplementing home care instructions with visual training materials, and providing telephone counseling to parents after discharge.
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The purpose of this study is to estimate the degree of Inappropriate Patient Days (IPDs) in a teaching hospital in Turkey using the Appropriateness Evaluation Protocol (AEP) criteria. One day was randomly chosen in 1995 for review and a... more
The purpose of this study is to estimate the degree of Inappropriate Patient Days (IPDs) in a teaching hospital in Turkey using the Appropriateness Evaluation Protocol (AEP) criteria. One day was randomly chosen in 1995 for review and a second day was chosen close to the randomly selected day to indicate possible differences between a weekday and a weekend. Total hospital days reviewed were 221 with 114 days on Sunday and the remaining 107 days on a Tuesday. The evaluation indicates that more than 22 percent of patient days were inappropriate in the university hospital in Turkey. Multiple logistic regression equations were estimated to identify the determinants of IPDs. The results imply that age and sex of patient, clinical diagnosis at admission and type of health insurance coverage affect IPDs significantly. However, most of the IPDs occurred during the initial few days of hospital stay. Therefore, to improve the productivity of hospital resources, the gap between the admission date and the date of medical or surgical interventions should be reduced.
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This study evaluated the effectiveness of a 14-week mentoring program for first year nursing students and their ways of coping with stress and locus of control. The study was designed as a quasi-experimental study. Sixty-six first year... more
This study evaluated the effectiveness of a 14-week mentoring program for first year nursing students and their ways of coping with stress and locus of control. The study was designed as a quasi-experimental study. Sixty-six first year students (mentees) and 66 fourth year students (mentors) were eligible to be in the mentoring program. Mentors and mentees contacted each other weekly, as required, to provide information and support. In order to determine the efficiency of the mentoring program, a Locus of Control Scale, the Ways of Coping Inventory and Mentoring Assessment Form were filled out by mentees. In this study the mentoring program increased students' internal locus of control and active coping with stress. The increase in internal locus of control showed parallelism with students' behaviors of seeking social support. It is recommended that in nursing schools, the mentoring program be used as an additional program.
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The number of elderly patients presenting to emergency services is gradually increasing. Given that the needs of older patients differ from those of other patients, the quality of emergency care for this patient group also varies. This... more
The number of elderly patients presenting to emergency services is gradually increasing. Given that the needs of older patients differ from those of other patients, the quality of emergency care for this patient group also varies. This mixed-method study aimed to reveal the views of emergency service staff concerning ageing and elderly patients. Participants were 19 physicians and 17 nurses employed by the adult emergency service of a university hospital. Data were gathered using questionnaires and focus group interviews. Frequency and percentages were used to evaluate quantitative data. Open-ended questions used to gather quantitative data were analysed using thematic analysis and four themes (including understanding older patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; situations, good nursing care and medical treatment, affecting good nursing care and medical treatment, emotions experienced) were determined. Emergency department staff identified older patients as dependent individuals requiring health care. Nurses indicated that good care for older patients included ensuring that their physical, social, and psychological needs were met; whereas, physicians identified good treatment as improving the quality of life. Impediments to the care and treatment of older patients were identified as staff shortages, emergency service crowding, and lack of proper training for emergency department staff. Emergency department staff also indicated that they experienced weariness and exhaustion while providing health care for older patients. Emergency nurses and physicians were aware of older patients and their needs but experienced difficulties regarding patient density, physical settings, staff shortages, and a lack of training.