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    Investigation of pain associated with endotracheal aspiration and affecting factors in an intensive care setting: A prospective observational study
    (Elsevier Ireland Ltd, 2023) Özsaban, Aysel; Üzen Cura, Şengül; Yılmaz Coşkun, Ela; Kibar, Dilanur
    Background: Endotracheal aspiration is a painful nociceptive procedure. There is still a gap in the literature on studies to determine the pain level and nursing interventions for aspiration. Objectives: This study evaluated pain during endotracheal aspiration and examined the factors affecting pain. Methods: This prospective observational study was conducted with 105 inpatients meeting the inclusion criteria in the internal intensive care unit of a public hospital. Two hundred ten aspiration procedures were monitored for pain and other variables. ASPMN 2019 Position Statement recommendations were followed in designing the study and determining the procedure. The pain score range obtained from The Critical Care Pain Observation Tool was 0–8. A score of 2 or more is considered to indicate the presence of pain. The primary outcome measures were pain associated with endotracheal aspiration and affecting factors in this study. The generalised linear mixed model established for aspiration procedure-associated pain and affecting factors was analysed. Results: Patients' mean pain score was 1.24 ± 2.05 before, 3.07 ± 2.17 during, and 2.35 ± 1.94 after aspiration and 0.89 ± 1.40 at 15 min after aspiration. The pain rate was 26.1% before, 71% during, and 60.9% after the aspiration procedure and 18.8% after 15 min. There was a statistically significant difference between all pain scores evaluated. The difference in aspiration-related pain scores by age, respiratory diseases, sedation status, aspiration pressure, and tube diameter was statistically significant. Conclusions: The pain score due to aspiration procedure increased significantly in intensive care unit inpatients and is an important risk factor for patient safety. More focus is needed on the causes and measures of aspiration-related pain.
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    Spirituality, Spiritual Care Perceptions and Moral Sensitivity of Senior Nursing Students: A Multicenter and Cross-Sectional Study
    (2022) Cura, Şengül Üzen; Özsaban, Aysel; Coşkun, Ela Yılmaz; Yıldız, Ebru; Uslu, Esra; Aşkan, Fahri
    Aim: The objective of this study was to investigate the perception of spiritual care and moral sensitivity of senior nursing students receiving education in five different regions of Turkiye. Method: This study used a multicenter, descriptive and cross-sectional survey design.Data were collected with the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire in the research. A total of 590 senior nursing students, studying in five different universities in five different regions of Turkiye, participated in this research. Results: The mean total score of students on the Spirituality and Spiritual Care Rating Scale was 4.06±0.70 and Moral Sensitivity Questionnaire was 5.44±1.12. There was a significant relationship between the mean total scores on the Spirituality and Spiritual Care Rating Scale and the Moral Sensitivity Questionnaire (p<0.05). Conclusion:It is recommended to benefit from different and innovative educational practices related to spirituality and moral sensitivity in nursing education, and to conduct interventional and longitudinal studies on these issues.
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    Turkish version of the 5-item Compassion Measurement Tool: A validity and reliability study
    (W.B. Saunders Co-Elsevier, Inc., 2023) Özsaban, Aysel; Üzen Cura, Şengül; Kömürkara, Sema
    The aim of this methodological study with a cross-sectional design study was to examine the validity and reliability of the Turkish form of the 5-item Compassion Measurement Tool. The sample was 402 patients in a university hospital. The Content Validity Index was 0.96. Total item correlation values were between 0.559 and 0.685. Cronbach's alpha coefficient was 0.83. The scale could be used as five items, under a single factor as in the original version. A high correlation was found between patients' compassion perception and nursing care satisfaction scores. Turkish version of the 5-item Compassion Measurement Tool is a valid and reliable tool.