TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14365/4
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Article The Turkish Version of Hydration Risk Assessment Tool in Older Patients: Cross-Cultural Adaptation and Psychometric Evaluation(Galenos Publishing House, 2025-08-28) Söylemez, Burcu Akpınar; Akyol, Merve Aliye; Küçükgüçlü, Özlem; Atasoy, EzgiObjective: Dehydration is a common and serious issue among older adults, with significant implications for their health and well-being. Preventing dehydration in older adults requires a multifaceted approach that involves early identification of risk factors, accurate detection methods, targeted interventions, and ongoing monitoring to ensure adequate hydration. For this reason, the study was designed to assess the validity and reliability of the Turkish adaptation of the Northumbria Assessment of Hydration (T-NoAH) among older patients. Materials and Methods: A methodological and descriptive approach was utilized in this investigation. After establishing linguistic validity, the study was conducted with a convenience sample of 360 older patients within 24 hours of admission to the hospital, using a descriptive information form and T-NoAH for data collection. The analyses performed included exploratory factor analysis, confirmatory factor analysis (CFA), discriminant validity assessment, internal consistency evaluation via Cronbach’s alpha, item-total correlation analysis, examination of ceiling and floor effects, and Hotelling’s T-squared test. Predictive accuracy was examined in the sample using a receiver operating characteristic curve, with serum osmolality as the reference test. Results: The tool had sufficient linguistic validity. The instrument consisting of 8 items and one factor was identified. This factor explained 39.24% of the total variance. Model fit indices were ≥0.90, as per CFA. Cronbach’s alpha was determined to be 0.73. There was no response bias identified, and there were no floor or ceiling effects. The optimal cut-off point (5 or more) showed sensitivity (70%) and specificity (89%) (area under the curve =0.795, 95% confidence interval, p<0.001) compared to non-dehydration group. Conclusion: This tool is a short, easily understandable and applicable measurement for assessing older patients’ hydration risk. It can be used by nurses to evaluate the risk of dehydration in older patients and to implement and evaluate effective interventions according to risk situations.Article Türk Erişkin Nöroloji Uzmanlarında Tükenmişlik(Galenos Publ House, 2023-09-15) Uysal, Hasan Armagan; Keskin, Ahmet Onur; Güllüoğlu, Halil; Yildiz, Fatma Gokcem; Sarikaya, Fatma Gokcem YildizAmaç: Tıp doktorlarında tükenmişlik hasta bakımını veya klinisyenin fiziksel performansını kötü etkileyebilir. Çalışmamızda Türk nöroloji uzmanlarındaki tükenmişlik oranını ve tükenmişlikle ilişkili faktörleri araştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya Türkiye’deki nöroloji uzmanları dahil edildi. Katılımcılardan çeşitli düşünce ve deneyimler ile ilişkili 33 sorudan oluşan bir anketi doldurmaları istendi. Katılımcılar sorulara şu şekilde cevap verdiler: Kesinlikle katılmıyorum, kısmen katılıyorum, katılıyorum, kuvvetle katılıyorum, kesinlikle katılıyorum. Sorunun anlamına göre (negatif veya pozitif), verilen cevap 1-5 arasında puanlandırıldı. Puanların toplamının maksimum (165) puana bölünmesiyle tükenmişlik oranı elde edildi. Bulgular: Ortalama yaş 38,78 (±8,42) yıl, kadın/erkek oranı 461/255 olarak bulundu. Ortalama tükenmişlik oranı %46,73 (±8,95) idi. Erkek cinsiyet, akademisyenlik, akademik derecenin yüksek olması, tıp fakültesi hastanesinde çalışmak, düşük maaş, bekar olmak, ebeveyn olmamak, nöbet tutmak, icapçı olmamak veya yoğun bakım ünitesinde çalışmak daha yüksek tükenmişlik oranı ile ilişkili bulundu. Tükenmişlik oranı, yaş, muayene edilen hasta sayısı ve çalışma saatleri ile pozitif, yardımcı sağlık personeli veya nörolog sayısı ile negatif korelasyon içindeydi. Sonuç: Bizim çalışmamız, Türk erişkin nöroloji uzmanlarından oluşan büyük bir örneklemde yüksek tükenmişlik oranını gösteren ilk çalışmadır. Erkek olmak, ileri yaş, akademisyen, profesör veya bekar olmak, ebeveyn olmamak, tıp fakültesi hastanesinde veya yoğun bakım ünitesinde çalışmak, düşük maaş, nöbet tutmak, yüksek hasta sayısı veya çalışma saati tükenmişlikle ilişkili görünmektedir.Article Citation - Scopus: 1Operating Room Nurses’ Metaphorical Perceptions of Coronavirus Disease 2019, Quarantine, and Mask Concepts: A Qualitative Study(AVES, 2023-09-04) Savsar, Adile; Damar, Hale Turhan; Ogce, Filiz; Turhan Damar, Hale; Öğce Aktaş, FilizAmaç: Bu çalışmanın amacı ameliyathane hemşirelerinin COVID-19, maske kullanımı ve karantina sürecine ilişkin algılarını, metaforlar aracılığıyla ortaya çıkarmaktır. Yöntemler: Bu tanımlayıcı kalitatif çalışma ameliyathane hemşireleri ile yapılmıştır (n = 96). Çalışma verileri tanıtıcı özellikler formu ve yarı yapılandırılmış form kullanılarak Eylül 2020-Mart 2021 tarihleri arasında toplanmıştır. Ameliyathane hemşirelerinden “COVID-19”, “maske kullanımı” ve “karantina süreci” kavramlarını neye benzettiklerini, benzetme nedeniyle birlikte yazması istenmiştir. Veriler, “içerik analizi” yöntemiyle incelenmiştir. Bulgular: Araştırmadaki üç farklı kavrama ilişkin toplam 181 metafor üretilmiştir. “COVID-19” kavramına ilişkin benzetmeler “Kontaminasyon ve mutasyon,” “Zarar verici” ve “Başetme ve uyum süreci” olarak üç kategoride toplanmıştır. “Karantina süreci” kavramına ilişkin benzetmeler “Özgürlüğün Kısıtlaması” ve “Değişim Süreci” olarak iki kategoride toplanmıştır. “Maske kullanımı” kavramına ilişkin benzetmeler ise “olumlu yönleri,” “olumsuz yönleri” ve “hem olumlu hem de olumsuz” olarak üç kategoride toplanmıştır. Sonuç: Bu çalışma ameliyathanelerde çalışan hemşirelerin pandemide yaşadıkları zorlukların yansıra bu sürecin olumlu yönlerine de odaklandığını göstermektedir.Article The Experience of Women Infected by the Covid-19 During Pregnancy: a Qualitative Study(Galenos Publ House, 2023-03-23) Ugurlu, Meltem; Kıratlı, Didem; Yavan, TülayObjective: To gain deeper understanding of experiences of pregnant women infected with coronavirus disease-2019 (COVID-19) during the Methods: This study, which was planned as a descriptive qualitative study, was performed out with 15 pregnant women infected with COVID-19. The data were collected between January 5th and March 15th, 2021 using a semi-structured interview form and in-depth interview method. Content analysis, one of the qualitative research method, was used to evaluate the data. The research was planned based on the Qualitative Research Reporting Consolidated Criteria checklist, which is a guide for qualitative research. Results: Four main themes were found in experiences of pregnant women infected with COVID-19: (1) psychosocial health; (2) change in daily routines on quarantine days, (3) coping and (4) perinatal period changes. Pregnant women experienced both psychological and physical difficulties. They used the expression closed box to describe the anxiety and anxious state experienced due to the uncertainty of the perinatal outcomes brought about by COVID-19 during pregnancy. Conclusion: Understanding the experiences of pregnant women infected with COVID-19 is the first step in determining treatment and care management for nurses and healthcare professionals. During the pandemic period, pregnant women need to reach prenatal care services on time, to support them physically and psychosocially, to provide information with e-health services, and to provide remote follow-up support to cope with the process.Article Citation - WoS: 4Validitiy and Reliability of the Turkish Version of the Cultural Competence Assessment Tool N Nursing Students(Marmara Univ, Inst Health Sciences, 2022-06-30) Digrak, Ebru; Tezer, Ayfer; Tezel, AyferObjective: Increased cultural diversity in society like Turkey is becoming increasingly important to give a holistic nursing care to meet cultural requirements. It is important to assess cultural competence in order to provide appropriate care for cultural needs. The purpose is to adapt the Cultural Competence Assessment Tool (CCATool) for nursing students into the Turkish language and to determine its validity and reliability. Methods: A total of 400 nursing students were included in the methodological study in Ankara, Turkey. In the validity study of the CCATool were performed language validity, content validity, construct validity, tool response bias and in the reliability study were performed test-retest reliability and internal consistency analysis. Results: In the content validity analysis the Item Content Validity Index was .91 and the Scale Content Validity Index was .90. The tool Cronbach's a value is .876 and the Cronbach's a values of the sections vary between .706-.821. The scale was determined there is a statistically positive relationship between test-repeat test score averages of the scale. Conclusions: The results showed that CCATool adapted to Turkish is a valid and reliable scale in determining the cultural competence level of nursing students.Article Citation - WoS: 3The Role of Community-Based Health Practice on the Improvement of Healthcare Students' Communication, Empathy and Perception of the Elderly: a Qualitative Study at Izmir University of Economics(Istanbul Univ, Fac Communication, 2021-08-25) Aksoy, Zeynep; Gokdemir, Ozden; Şemin, Makbule İlgi; Semin, IlgiInterpersonal communication involving empathy is of great importance in therapeutic relationships in healthcare. To equip medical/healthcare students with interpersonal communication skills, community-based health education provides real-life contexts in which they engage with the community as part of the curriculum. A community-based health practice (CBHP) was implemented at Izmir University of Economics (IUE) to improve students' communication, empathy and perception towards the elderly. Within an interdisciplinary collaboration among the medicine, nursing, elderly-care and physiotherapy programs, a total of 111 students participated in the project. This study aimed to evaluate the role of the CBHP on students' communication, empathy and perception of the elderly. Taking a qualitative approach, focus group interviews were organized with students (n=22). Descriptive analysis of the qualitative data revealed that students witnessed the loneliness of elderly individuals, their physical and psychosocial needs, which resulted in a high degree of empathy. Furthermore, the study also aimed to gain insights from elderly participants via in-depth interviews (n=9). Results demonstrated that the participants felt valued and useful during the communication processes with the students. In conclusion, CBHP contributed to students' perceptions and empathy towards the elderly; meanwhile the elderly individuals were satisfied with the interest of the medical, nursing and healthcare students.Article Citation - WoS: 1Evaluation of Perioperative Practices According To Eras Protocol in Elective Cesarean Surgery(Cukurova Univ, Fac Medicine, 2020) Ozkececi, Fulden; Yavan, Tulay; Ozkeçecı, Fulden; Ozkececı, FuldenPurpose: This study was conducted as a descriptive and prospective study to evaluate perioperative practices in elective cesarean operations according to the Enhanced Recovery After Surgery (ERAS) protocol. Materials and Methods: The research was conducted between 01 August 2016 and 31 May 2017 at an Education and Research Hospital Obstetrics Clinic. The sample consisted of 100 volunteer women that planning elective cesarean surgery. Data collecting form consisted of some descriptive characteristics of women and ERAS protocol proposals. Results: Mean preoperative solid food restriction time was 12,17 +/- 3,37 hours, mean preoperative fluid restriction time was 10,36 +/- 2,85 hours. 77% of women was applied spinal anesthesia; 23% of them was applied general anesthesia; in order to prevent intraoperative hypothermia, all women underwent a heating under mattress and air blankets in the wake unit. Surgical incision size was found to be 15,83 +/- 0,81 cm. Postoperatively, it was calculated that the time of remove of urinary catheter was an average of 7,99 +/- 2,86, the time of release of gas was an average of 15,29 +/- 6,36 hours and the time to start solid food was an average of 16,46 +/- 5,85 hours. Conclusion: According to the findings obtained in the study, most of the practices were compatible with the ERAS protocols. About practices that are different; It is recommended to review preoperative information, preoperative fasting, starting postoperative food intake and initiation of breastfeeding.Article The Need for Information and Support Among First-Degree Relatives of Patients With Breast Cancer What Do We Know?(Galenos Publ House, 2022-12-16) Ozkan, Sevgi; Ogce, Filiz; Ozen Cinar, Ilgun; Goral Turkcu, Sinem; Çınar, İlgün Özen; Türkcü, Sinem GöralObjective: Since first-degree female relatives (FDFRs) of women with breast cancer (BC) also have a high risk of developing BC, providing them information and support is important and this should not be overlooked. The purpose of the study is to determine the needs of primary relatives of women with BC in Turkey for information and support.Methods: This article is a descriptive research. A total of 199 volunteer relatives of patients with BC were reached and interviewed by nurses in a university hospital's oncology clinic. They completed the Information and Support Needs Questionnaire. Parametric, non parametric, and multiple regression tests were used in statistical analysis.Results: In the study, a statistically significant difference was observed between the information and support needs and demographics of FDFRs (p<0.05). The rate of information need was higher among those who had a risk of BC and who practiced protective behaviors regularly. And also the rate of unmet support need was higher among those who had a risk of BC and who did not practice protective behaviors (p<0.05). The need for information and support is increasing in the FDFRs of women with BC whose diagnosis time prolonged.Conclusion: This study showed that FDFRs of patients with BC needed information and psychosocial support. Nurses should have an important role in communicating with relatives of patients with BC.