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Article Lomber Disk Hernisi Ameliyatı Olan Hastalar İçin Geliştirilen Hasta Güvenliği Öğretim Planının Hastaların Günlük Yaşam Aktiviteleri ve Yaşam Kalitesi Üzerine Etkisi(2024) Çetinkaya, Meral Yıldırım; Bayraktar, Nurhan; Yıldırımçetinkaya, MeralAmaç: Araştırmanın amacı; lomber disk hernisi cerrahisi için başvuran hastalara uygulanan hasta güvenliği öğretim planının, günlük yaşam aktivitesi ve yaşam kalitesine etkisini değerlendirmektir. Gereç ve Yöntemler: Araştırmanın türü ön – son test düzeninde yarı deneysel tasarımdır. Evreni, Ankara Üniversitesi İbn-i Sina Hastanesi Beyin Cerrrahisi servisine Lomber Disk Hernisi ameliyatı için kabul edilen hastalar oluşturmuştur Örneklemi 60 hasta oluşturmuştur. Deney ve kontrol grubunda 30 hasta yer almıştır. Veri toplama aracı olarak; Kişisel Bilgi Formu, Bilgi Düzeyi Belirleme Formu, Günlük Yaşam Aktiviteleri Formu ve SF-36 Yaşam Kalitesi Ölçeği kullanılmıştır. Deney grubuna “Hasta Güvenliği Öğretim Planı” uygulanmıştır. Kontrol grubu rutin hemşirelik bakımını almışlardır. Analizde sayı ve yüzde, Kolmogrov-Smirnov, ki-kare ve Mann-Whitney U testi kullanılmıştır.. Bulgular: Tanıtıcı özellikler deney ve kontrol gurubunda benzer bulunmuştur. Deney grubunun bilgi ve günlük yaşam aktiviteleri puan ortancaları istatistiksel olarak anlamlı düzeyde yüksek olduğu belirlenmiştir (p0,05). Sonuç: Hasta güvenliği öğretim planı lomber disk hernisi cerrahisi geçirenlerin bilgilerini ve günlük yaşam aktivitelerini olumlu yönde geliştirirken, yaşam kaliteleri üzerinde olumlu bir etki oluşturmamıştır. Lomber disk hernisi tanısı konan bireylere yönelik olarak hazırlanan öğretim planının yaşam kalitesi içeriğinin güncellenerek ve aralıklı izlemler yapılarak kliniklerde kullanımı önerilmektedir.Article Citation - WoS: 11Citation - Scopus: 10Nursing Care and Barriers for Prevention of Venous Thromboembolism in Total Knee and Hip Arthroplasty Patients: a Qualitative Study(Dove Medical Press Ltd, 2023) Al-Mugheed, Khalid; Dikmen, Burcu Totur; Bayraktar, Nurhan; Abdelaliem, Sally Mohammed Farghaly; Alsenany, Samira AhmedPurpose: To determine barriers to preventing venous thromboembolism in total knee and hip arthroplasty patients by surgical nurses. Methods: This qualitative study used a phenomenological approach. The semi-structured interview questionnaire included two questions focused on nursing care practices for VTE prevention and barriers faced during VTE prophylaxis in total knee and hip arthroplasty patients. Study data were collected from 10 surgical nurses through semi-structured interviews in July 2021. Results: After analyzing the data, two main themes, five categories, and fourteen subcategories were developed. The main themes included "Nursing care" and "Barriers." Two categories were reflected in terms of nursing care: general care and mechanical prophylaxis. Regarding barriers, the analysis of the interview reflected three main categories: "lack of professional competence", "work conditions challenges", and "resistance from patients". Conclusion: Educational institutions must play a critical role in preparing surgical nurses by establishing clinical nurse specialist programs and post-graduate diplomas programs that sufficiently prepare nurses for clinical settings.Article Citation - WoS: 1Evaluation of Patient Safety Culture of Nurses in Northern Cyprus(Galenos Publ House, 2022) Kaymakci, Senay oezen; Dikmen, Burcu Totur; Bayraktar, Nurhan; Dal Yilmaz, Uemran; Aydin, Nida; Yılmaz, Umran DalBACKGROUND/AIMS: Patient safety culture is the outcome of values, perceptions, attitudes, skills and behaviors of an individual or group that determine the style, competence and promises of an institution in health and safety management. Nurses play an important role in improving quality in health care through initiatives and strategies for patient safety. This study was conducted to evaluate patient safety culture in nurses working in a university hospital in Northern Cyprus.MATERIALS AND METHODS: This survey was planned as a cross-sectional descriptive study and 130 nurses were included in the sampling. The survey data were collected using the Personal Information Form and the Patient Safety Culture Scale (PSCS).RESULTS: In this study, the total mean score of the nurses from the PSCS was 2.82 +/- 0.44. The mean scores of the nurses' subscales related to PSCS were determined as follows: 2.88 +/- 0.54 in the "care environment", 2.83 +/- 0.56 in the "employee behavior", 2.83 +/- 0.59 in the "employee training", 2.81 +/- 0.50 in the "management and leadership", and 2.68 +/- 0.54 in the "unexpected incident and error reporting" subscales. The total Cronbach's alpha reliability coefficient of the scale was 0.963 and between 0.807-0.963 for the subscales.CONCLUSION: It was determined that the nurses' PSCS scores were above the average level. Developing a patient safety culture in institutions is important for quality improvements which are rapidly advancing in healthcare services nowadays.Article Citation - WoS: 5Citation - Scopus: 8Compliance of Non-Pharmacological Preventive Practice of Venous Thromboembolism Among Jordanian Nurses(Lippincott Williams & Wilkins, 2022) AL-Mugheed, Khaild; Bayraktar, Nurhan; Nashwan, Abdulqadir J.; Al-Bsheish, Mohammad; AlSyouf, Adi; Jarrar, Mu'tamanMany practices, such as non-pharmacological preventive practices, have demonstrated significant improvement and reduced the venous thromboembolism incidence. This study aims at investigating the compliance with non-pharmacological preventive practice of venous thromboembolism guidelines among Jordanian intensive care and medical and surgical nurses. Descriptive and cross-sectional with the non-participant observational design was used. This study recruited 271 registered nurses in adult medical-surgical units and intensive care units of 12 different government hospitals in Jordan's middle and north regions. The observational checklist included 10 preventive practices based on the non-pharmacological preventive of venous thromboembolism guidelines. In the observational checklist, the highest score was 20, and the lowest was 0. If the nurse received equal to or higher than (>14) score were classified as sufficient compliance, while insufficient compliance was (<= 14) score. The observations period started from September 2019 until March 2020. The participants' overall mean venous thromboembolism compliance score was insufficient compliance (10.6 +/- 1.6). The majority of nurses were classified as insufficient compliance 67%. "Doing foot exercise and early ambulation 2 times per day 50.3%" and "checked the integrity of the patient's skin at regular intervals 50.0%" were the highest practices done rightly and completely by half of the participants. The participants who had a bachelor of nursing degree, staff nurse, and works in the intensive care unit, are less experienced and have no previous venous thromboembolism education reported low venous thromboembolism compliance. This study presents expanded compliance regarding venous thromboembolism preventive practices among Jordanian intensive care and medical & surgical nurses, so the policymakers need to develop an initiative to improve nurses' compliance.Article Citation - WoS: 36Citation - Scopus: 44Effectiveness of game-based virtual reality phone application and online education on knowledge, attitude and compliance of standard precautions among nursing students(Public Library Science, 2022) Al-Mugheed, Khaild; Bayraktar, Nurhan; Al-Bsheish, Mohammad; AlSyouf, Adi; Aldhmadi, Badr K.; Jarrar, Mu'taman; Alkhazali, MoathGame-based virtual reality phone applications can create a realistic environment to prepare for clinical applications and improve students' knowledge of and compliance with standard precautions. An experimental study was performed among 126 nursing students' from the third and fourth nursing levels to determine the effect of online education and game-based virtual reality phone applications related to standard precautions. Students were divided randomly into two groups; the experimental group used online education and game-based virtual reality phone applications, while the control group used traditional education. The study was performed between July and August 2019 to prevent clashes with lectures and midterm and final examinations. A tool package including knowledge, attitude, and compliance with standard precautions was used in pre-and post-tests among nursing students. The results showed that the knowledge of, attitudes towards, and compliance with standard precautions differed between the two groups. The performance of the experimental group of nursing students significantly improved with online instruction and game-based virtual reality phone applications. This study demonstrated the effectiveness of online education and game-based virtual reality phone application among nursing students.Article Citation - WoS: 3Citation - Scopus: 6Outcomes of Pain Management Among Postoperative Patients: a Cross-Sectional Study(Elsevier Science inc, 2024) Akire, Sandra Chirota; Bayraktar, NurhanPurpose: Postoperative pain management has always been a significant challenge for both hospital staff and surgical patients. Determination of pain management outcomes among surgically treated patients may help develop pain management strategies, improve health services that would yield better outcomes, and increase patient satisfaction. This study aimed to assess the outcomes of pain management among postoperative patients. Design: The study was a descriptive cross-sectional study. Methods: The research was performed on postoperative patients at two university hospitals in North Cyprus from July to September 2019. The study sample consisted of 90 patients from both hospitals. The Turkish Version of the revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-TR) was used for data collection. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was used to report the present study. Findings: This study showed that the overall mean for pain severity and the worst pain experienced by patients after 24 hours was slightly higher than medium. Examination of interference of the pain with functions demonstrated that patients experienced problems with physical activities and sleeping. The most experienced side effects were nausea and drowsiness, and the most common emotions were anxiety and helplessness during the postsurgery period. The satisfaction rate of the patients with postoperative pain management was relatively high. Conclusions: A holistic approach with evidence-based practices is crucial for adequate postoperative pain management. The recommendations include the development of individual pain outcome strategies to improve overall satisfaction with pain management among postoperative patients. (c) 2024 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.Master Thesis Determination of University Students’ Attitudes towards Menstruation and Hygiene Habits(2024) Şahin, Dilara; Bayraktar, NurhanBu çalışma, üniversite öğrencilerinin menstruasyona ilişkin tutumlarının ve hijyen alışkanlıklarının belirlenmesi amacı ile gerçekleştirilmiş tanımlayıcı bir araştırmadır. Çalışmaya Atılım Üniversitesinde Sağlık Bilimleri Fakültesi Hemşirelik Bölümü ve İşletme Fakültesinde öğrenim gören araştırmaya katılmayı kabul eden 151 kişi dahil edilmiştir. Veriler Etik Kurul onayının alınmasının ardından 1 Kasım 2023 ile 1 Ocak 2024 arasında, Tanıtıcı Bilgi Formu, Genital Hijyen Davranışları Ölçeği ve Menstruasyon Tutum Ölçeği kullanılarak toplanmıştır. Araştırmaya katılan öğrencilerin, %90.7'sinin menstruasyon öncesi bilgi aldığı, bilgi kaynağının çoğunlukla (%85.5) anne olduğu belirlenmiştir. Öğrencilerin, Genital Hijyen Davranışları Ölçeği toplam puan ortalamaları 95.76 (Min-Maks: 41.00-114.00) ve Menstruasyon Tutum Ölçeği toplam puan ortalamaları 2.57 (Min-Maks: 1.29-3.45) bulunmuştur. Katılımcıların Genital Hijyen Davranışları Ölçeği toplam puan ortalamaları ile Menstruasyon Tutum Ölçeği toplam puan ortalamaları arasında ilişki saptanmamıştır. Fakat Genital Hijyen Davranışları Ölçeği anormal bulgu farkındalığı alt boyut puanı ile Menstruasyon Tutum Ölçeği toplam puanı ve Menstruasyon Tutum Ölçeği -doğal bir olgu olarak menstruasyon alt boyut puan arasında pozitif yönlü ve zayıf düzeyde anlamlı ilişki belirlenmiştir. Araştırmadan elde edilen sonuçlar doğrultusunda, toplumda menstruasyona ilişkin olumlu tutum geliştirmeye yönelik politikalar ve çok yönlü stratejiler geliştirilmesi önerilmektedir.Article Nurses' Hand Hygiene Beliefs and Practices: A Cross-Sectional Study(2025) Bayraktar, Nurhan; Bakare, Oluwasegun GaniyuAim: Healthcare-associated infections (HAIs) are related to significant morbidity, mortality, and increased hospital costs. Hand hygiene has been demonstrated to be an effective measure in preventing HAIs. This study aimed to evaluate nurses’ beliefs and practices concerning hand hygiene. Material and Methods: This cross-sectional study was conducted in two university hospitals in North Cyprus between November and December 2020, involving a total of 80 nurses. Data were collected using the Turkish revised version of the Hand Hygiene Belief Scale and the Hand Hygiene Practices Inventory. Descriptive statistics, Mann-Whitney U test and Kruskall Wallis test were used to compare the groups. Results: The findings revealed that the overall hand hygiene belief score among nurses was 3.99±1.74, while the overall hand hygiene practice score was 4.85±0.84. Comparisons between hand hygiene belief and practice scores and nurses' demographic data indicated no statistically significant difference. Conclusions: Nurses had positive hand hygiene beliefs and a high level of practice score of hand hygiene. Notably, the practice scores exceeded the belief scores. Implication for nursing practice/management or policy: Educational strategies to improve the hand hygiene beliefs of the nurses are recommended. Future studies could expand the participation rate, extending the research across multiple healthcare institutions.Master Thesis Hemşirelerin İçselleştirilmiş Kadın Düşmanlığı ve Benlik Saygılarının Değerlendirilmesi(2025) Dilci, Funda; Bayraktar, NurhanBu araştırmanın amacı, hemşirelerin içselleştirilmiş kadın düşmanlığı ile benlik saygılarının belirlenmesi ve içselleştirilmiş kadın düşmanlığı ile benlik saygılarının arasındaki ilişkinin ve sosyodemografik özelliklerin içselleştirilmiş kadın düşmanlığı üzerinde ve benlik saygılarına etkisini incelemektir. Bu tez çalışması tanımlayıcı, kesitsel ve ilişki arayıcı tipte yapılmıştır. Araştırmanın evrenini Ankara Etlik Şehir Hastanesi'nde çalışmakta olan 2294 kadın hemşire oluşturmaktadır. Örneklem için Ankara Etlik Şehir Hastanesi'nde bulunan 8 ana binada çalışan kadın hemşire sayısı tespit edilmiştir ve tespit edilen kadın hemşire sayısına göre minimum hemşire sayısı 226 olarak belirlenmiştir. 26 Ocak- 11 Mart 2024 tarihleri arasında yapılan çalışmamıza 720 hemşire gönüllü katılım sağlamıştır. Veri toplama sürecinde Sosyodemografik Bilgi Formu, İçselleştirilmiş Kadın Düşmanlığı Ölçeği ve Rosenberg Benlik Saygısı Ölçeği olmak üzere üç farklı ölçme aracı kullanılmıştır. Bulgular, hemşirelerin içselleştirilmiş kadın düşmanlığı orta- yüksek düzeyde olduğunu göstermiştir. İçselleştirilmiş kadın düşmanlığı alt boyutları olan kadını değersizleştirme eğilimi orta seviyede, kadına güvenmeme orta- yüksek seviyede, erkeklere kadından daha fazla değer verme eğiliminin ise yüksek olduğu sonucuna ulaşılmıştır. Hemşirelerin benlik saygısının orta düzeyde olduğu belirlenmiştir. Hemşirelerin içselleştirilmiş kadın düşmanlığı ve benlik saygısı arasında negatif yönde düşük düzeyde ilişki saptanmıştır. Aile yapısı tutucu- geleneksel, öğrenim durumu ön lisans, yaş grubu 31-40 yaş aralığında ve Onkoloji hastanesinde çalışan hemşirelerde içselleştirilmiş kadın düşmanlığı daha yüksek olduğu belirlenmiştir. İçselleştirilmiş kadın düşmanlığına yönelik bilgi ve farkındalığın yükseltilmesi, farklı çalışmalar ile ilişki düzeylerinin tespit edilmesi konunun çok yönlü olması ve aydınlatılması açısından önemli veri kaynağı olacaktır.Article Citation - WoS: 4A Qualitative Study of Medical-Surgical Intensive Care Unit Nurses' Experiences in Caring for Critical Patients(Univ Sao Paolo, 2022) Dikmen, Burcu Totur; Bayraktar, Nurhan; Yilmaz, Uemran DalObjective: To describe the meaning attributed to nurses' clinical experience in a medical -surgical intensive care unit in Northern Cyprus. Method: The qualitative study was conducted in two medical-surgical intensive care units at a university hospital. Data were collected through in-depth interviews with 17 nurses. Giorgi's descriptive phenomenological approach was used to analyze nurses' experiences. The consolidated criteria for reporting a qualitative research checklist were followed in this study. Results: The data analysis led to the extraction of the 5 themes and 19 subthemes. The themes identified for the study were competence, the emotional universe, stress resources, the meaning of nursing care, and profoundly affecting events. The study results show that the nurses expressed that having gained much experience in intensive care units and working there has contributed significantly to their professional development. Conclusion: It was indicated that the nurses had meaningful, caring experiences in intensive care units, which were perceived, however, as stressful experiences as well. The study has important implications for nurses, faculty members, and administrators to gain positive care experiences in terms of intensive care units.
