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Öğe Acil Servise Başvuran Bireylerde Düşme Riski ve Etkileyen Faktörlerin İncelenmesi(2018) Erdem, Öznur; Atay, SelmaAmaç: Bu araştırma, acil servise başvuran bireylerde düşme riski ve etkileyen faktörlerinbelirlenmesi amacıyla yapılmıştır.Gereç ve Yöntem: Araştırma tanımlayıcı nitelikte tasarlanmış olup bir acil servise başvuran1000 birey ile yürütülmüştür. Verilerin toplanmasında, bireylerin sosyo-demografiközelliklerine yönelik bilgi formu ve acil servis hastalarında kullanılan “KINDER 1” düşmedeğerlendirme aracı kullanılmıştır. Veriler sayı, yüzde ki-kare analizi ile değerlendirilmiştir.Bulgular: Araştırmaya katılan bireylerin %24.5’inin 65 yaş üstünde olduğu, %49.1’inin erkek,%55.9’unun kronik hastalığa sahip olduğu bulunmuştur. Bireylerin %65.3’ünün yüksek düşmeriski taşıdığı saptanmıştır. Düşme riski ile yaş, cinsiyet, kronik hastalığa sahip olma, görmeişitme problemi, düşme öyküsü, sürekli ilaç kullanımı, bilinç durumu arasında istatistikselolarak anlamlı bir fark olduğu bulunmuştur.Sonuç: Acil servise başvuran bireylerin düşme risklerinin yüksek olduğu bulunmuştur. Eldeedilen sonuçlar doğrultusunda; acil serviste bulunan bireylerin düşme risk değerlendirmesininacil servise spesifik değerlendirme araçları ile yapılması önerilebilir.Öğe Annelerin Akılcı İlaç Kullanımına Yönelik Tutumları ve Reçetesiz İlaç Kullanım Durumlarının İncelenmesi(2022) Kurt, Fatma Yılmaz; Kahriman, İlknur; Atay, Selma; Aldemir, FatmaBu çalışma 0-12 yaş aralığında çocuğu olan annelerin reçetesiz ilaç kullanma durumlarını ve akılcı ilaç kullanımına yönelik tutumlarını belirlemek amacıyla yapıldı. Çalışmanın evrenini, Türkiye’nin batısında yer alan bir Üniversite Hastanesinin Çocuk polikliniğine herhangi bir nedenle başvuran 0-12 yaş çocukların anneleri oluşturdu. Araştırma 375 anne ile yürütüldü. Veriler “Tanıtıcı Bilgi Formu” ve “Akılcı İlaç Kullanımına Yönelik Ebeveyn Tutum Ölçeği (AİKYETÖ)” ile toplandı. Verilerin değerlendirilmesinde Mann-Whitney U ve Kruskal Wallis testi kullanıldı. Araştırmaya katılan annelerin yaş ortalaması 33,14±6,10 olarak hesaplandı. Annelerin %43,5 (n=163)’i üniversite mezunudur. Annelerin % 43,5’inin (n=163) son 6 ay içinde çocuklarında reçetesiz ilaç kullandıkları, bu ilaçların en çok antipiretik ve analjezik türünde olduğu ve bu ilaçların çoğunun önceki hekimden, eczacıdan ve tanıdıklardan temin edildiği saptandı. Annelerin AİKYETÖ puan ortalamasının 184,74±10,29; doğru ve bilinçli ilaç kullanımı 140,37±7,35; etkili ve güvenli ilaç kullanım alt boyutu puan ortalaması ise 44,36±5,75 olarak bulundu. Çalışmadan elde edilen sonuçlar annelerin, reçetesiz ilaç kullanma oranlarının yüksek; reçetesiz ilaç kullanım oranının aksine akılcı ilaç kullanımı konusunda tutumlarının oldukça yüksek olduğu görüldü.Öğe Care plans using concept maps and their effects on the critical thinking dispositions of nursing students(Wiley, 2012) Atay, Selma; Karabacak, UkkeAtay S, Karabacak U. International Journal of Nursing Practice 2012; 18: 233239 Care plans using concept maps and their effects on the critical thinking dispositions of nursing students It is expected that nursing education improves abilities of students in solving problems, decision making and critical thinking in different circumstances. This study was performed to analyse the effects of care plans prepared using concept maps on the critical thinking dispositions of students. An experimental group and a control group were made up of a total of 80 freshman and sophomore students from the nursing department of a health school. The study used a pre-test post-test control group design. The critical thinking dispositions of the groups were measured using the California Critical Thinking Disposition Inventory. In addition, the care plans prepared by the experimental group students were evaluated using the criteria for evaluating care plans with concept maps. T-test was used in analysing the data. The results showed that there were no statistically significant differences in the total and sub-scale pre-test scores between the experimental group and control group students. There were also significant differences in the total and sub-scale post-test scores between the experimental group and control group students. There were significant differences between concept map care plan evaluation criteria mean scores of the experimental students. In the light of these findings, it could be argued that the concept mapping strategy improves critical thinking skills of students.Öğe Compliance of patient companions and visitors with hand hygiene: an observational study(W.B. Saunders Ltd, 2023) Kaya, Hanife Nur; Süslü, Başak; Aydın, R.; Atay, SelmaBackground: Hand hygiene is a simple and low-cost practice to prevent the spread of many micro-organisms that cause healthcare-associated infections. Aim: This is a descriptive study designed to investigate the compliance of patient companions and visitors with hand hygiene. Methods: The study included 209 companions and visitors of patients hospitalized in a university hospital in the west of Turkey. A demographics and hand hygiene questionnaire and a hand hygiene practice observation form were used to acquire data. Findings: Of the patient companions and visitors, 96.2% stated that they did not receive training on the importance of handwashing during their stay in the hospital, and 74.6% stated that handwashing was very important in the prevention of diseases. The patient families reported that they most often washed their hands after touching bodily fluids (91.7%), and that they rarely washed their hands before touching a patient (34.0%). The rates were decreased in the observations; the lowest rate for handwashing was before touching a patient (22.4%) and the highest rate for handwashing was after the risk for contamination with body fluids of the patient (68.6%). Conclusion: The patient companions and visitors received no training on the importance of hand hygiene during the hospital stay, and the observed rate of compliance with hand hygiene was lower than stated. Recommendations include delivering planned handwashing training to patient companions and visitors using different teaching methods, and to conduct longer observational studies.Öğe Correlation between mindfulness, empathy and compassion levels of nursing students: A cross-sectional study(W.B. Saunders Co-Elsevier, Inc., 2023) Üzen Cura, Şengül; Atay, SelmaBackground: The concept of mindfulness does not attract enough attention in the field of health. Despite this, it is thought to be effective on the concept of empathy and compassion, which have an importance in nursing practices. Aim: The aim of the study was to investigate the correlation between the mindfulness, empathy and compassion levels of nursing students. Methods: This is a descriptive-correlational and cross-sectional study which comprised 347 students in the nursing department of a university. As data collection tools, the Mindful Attention Awareness Scale, the Basic Empathy Scale and the Compassion Scale. Findings: The results of the study show that no significant correlation was found between the mindfulness, total empathy levels and cognitive empathy levels of the students, and that there was a significant negative correlation between their emotional empathy levels. There was found to be a significant positive correlation between their mindfulness and total compassion levels. Discussion: The findings of this study contribute to the literature that the mindfulness of nursing students is not related to total empathy levels, but is closely related to compassion levels. Some studies in the literature support these findings. Conclusion: It is thought that knowing, teaching and developing the concepts of empathy and compassion in nursing education is important for raising nurses who can provide compassionate care with a high level of empathy. The practice of mindfulness should always have a prominent role in nursing education. Its correlation with empathy and compassion should be consistently highlighted.Öğe Determining Self-efficacy and Quality of Life in Stroke Patients(Galenos Publ House, 2023) Kucukakgun, Hilalnur; Atay, SelmaObjective: Stroke is an important health problem. It causes and impairs their quality of life. Learning the quality of life of the individual and planning treatment are important factors. Self -efficacy is also a concept that has an impact on the quality of life. This study aimed to determine the correlation between self -efficacy and the quality of life in patients. Method: The cross-sectional study was conducted in a neurology outpatient clinic of a public hospital in western Turkey between March and September 2018. The sample of 170 stroke patients. The data collection tools used were: A socio-demographic characteristics information form, the stroke -specific quality of life scale (SSQOLS), and the chronic disease self -efficacy scale (CDSES). In pairwise comparisons, the Mann -Whitney U test was used for variables which were not normally distributed. The correlation between was examined using Spearman correlation test. Results: A strong positive correlation was found between SSQOLS and CDSES mean scores of the individuals. In the present study, it was determined that the patients who were male and married had a higher quality of life as well as a higher self -efficacy level. We observed in the present study that a higher selfefficacy level affected quality of life positively. Thus, we have overemphasized that need to be examined together within the scope of disease management of patients. Conclusion: Such assessments make important contributions to determining individuals care needs. Therefore, nurses play an important role in this section. Quality of life and self -efficacy levels need to be considered while planning the care and rehabilitation of patients.Öğe Effectiveness of transparent film dressing for peripheral intravenous catheter(SAGE Publications, 2021) Atay, Selma; Yılmaz Kurt, FatmaBackground: The intravenous applications are the most common type of such interventions. It is underlined that in cases where the peripheral intravenous catheter is not properly secured in place, even a minor movement inside the vein would result in injury of vein. Objective: The insertion of peripheral intravenous catheter is a common practice. This is a randomized controlled prospective study aiming at investigating the effectiveness of use of transparent film dressing for peripheral intravenous catheter. Methods: The universe of this study included inpatients in the Internal Diseases clinic of a University Hospital, and the sample included a total of 110 peripheral intravenous catheters that were calculated by power analysis. The patient identification form, the peripheral venous catheter and treatment information form, and the visual infusion phlebitis identification scale were used to collect data. The forms were completed by the investigators on the basis of daily observations. The data were assessed by the percentage, chi-square test, and logistic regression analysis via the software SPSS 20.00. Results: The individuals in the study group and the control group included in the sample are comparable in terms of gender, having/not having a chronic disease, the site of peripheral intravenous catheter, use of antibiotics, intravenous fluid therapy, and mean age. There were no statistically significant differences between the groups. There was a significant relationship between the dwell time for the catheter and development of any complications and the groups. Conclusion: The use of transparent film dressing for insertion of peripheral intravenous catheter can be recommended as it increases the dwell time for the catheter and reduces incidence of complications.Öğe Evaluation of the Effect of Sociodemographic Characteristics on the Satisfaction of Mothers in Neonatal Intensive Care Units in Turkey(Mashhad Univ Med Sciences, 2016) Yilmaz, Fatma; Atay, Selma; Arikan, Duygu; Guler, Sedef TekeliBackground: Patient and parent satisfaction is a significant indicator for the evaluation of quality of care in healthcare systems. This study aimed to evaluate the effect of sociodemographic characteristics on the satisfaction of the parents of newborns admitted in neonatal intensive care units (NICUs) in maternity and infant disease hospitals. Methods: This descriptive study was conducted on 113 mothers with infants admitted in the NICU of a state hospital in Turkey during April 1-September 30, 2013. Data were collected using sociodemographic questionnaire and Pediatric Quality of Life Inventory (PedsQL) healthcare satisfaction scale. Data analysis was performed using descriptive statistics (mean and percentage), T-test, Mann-Whitney U test, and Kruskal-Wallis test. Results: In this study, mean score of maternal satisfaction with NICU services was 65.66 +/- 20.01. No statistically significant differences were observed between maternal age, PedsQL satisfaction subscales, and total score of satisfaction. Moreover, statistically significant associations were observed between the following variables: maternal training and total satisfaction, employment status and subscales of PedsQL, technical skills and general satisfaction, and social security status and emotional support. However, no statistically significant differences were observed between the sociodemographic characteristics of newborns, total score of satisfaction, and mean scores of PedsQL satisfaction subscales in mothers. Conclusion: According to the results of this study, level of maternal satisfaction with NICU services was higher than the international average. Therefore, it is recommended that NICU nurses offer sufficient emotional support for both mothers and neonates in this unit and allow mothers to stay with their infants during hospitalization. Furthermore, it is suggested that training programs be implemented on effective communication skills between nurses and patients.Öğe Evaluation of the effect of sociodemographic characteristics on the satisfaction of mothers in neonatal intensive care units in Turkey(Mashhad University of Medical Sciences, 2016) Yilmaz, Fatma; Atay, Selma; Arikan, Duygu; Güler, Sedef TekeliBackground: Patient and parent satisfaction is a significant indicator for the evaluation of quality of care in healthcare systems. This study aimed to evaluate the effect of sociodemographic characteristics on the satisfaction of the parents of newborns admitted in neonatal intensive care units (NICUs) in maternity and infant disease hospitals. Methods: This descriptive study was conducted on 113 mothers with infants admitted in the NICU of a state hospital in Turkey during April 1-September 30, 2013. Data were collected using sociodemographic questionnaire and Pediatric Quality of Life Inventory (PedsQL) healthcare satisfaction scale. Data analysis was performed using descriptive statistics (mean and percentage), T-test, Mann-Whitney U test, and Kruskal-Wallis test. Results: In this study, mean score of maternal satisfaction with NICU services was 65.66±20.01. No statistically significant differences were observed between maternal age, PedsQL satisfaction subscales, and total score of satisfaction. Moreover, statistically significant associations were observed between the following variables: maternal training and total satisfaction, employment status and subscales of PedsQL, technical skills and general satisfaction, and social security status and emotional support. However, no statistically significant differences were observed between the sociodemographic characteristics of newborns, total score of satisfaction, and mean scores of PedsQL satisfaction subscales in mothers. Conclusion: According to the results of this study, level of maternal satisfaction with NICU services was higher than the international average. Therefore, it is recommended that NICU nurses offer sufficient emotional support for both mothers and neonates in this unit and allow mothers to stay with their infants during hospitalization. Furthermore, it is suggested that training programs be implemented on effective communication skills between nurses and patients.Öğe Examining Knowledge, Skill, Stress, Satisfaction, and Self-Confidence Levels of Nursing Students in Three Different Simulation Modalities(Elsevier Science Inc, 2020) Cura, Sengul Uzen; Kocatepe, Vildan; Yildirim, Dilek; Kucukakgun, Hilalnur; Atay, Selma; Unver, VesilePurpose: The aim of this study was to compare the effect of different simulation modalities on knowledge, skill, stress, satisfaction, and self-confidence levels of students receiving undergraduate education in three nursing schools. Method: This was an experimental study. Students applied the scenario of Respiratory Sounds Assessment which was prepared according to three different simulation modalities. In the study, the standardized patient, high-fidelity simulation, and partial task trainer were used as simulation modalities. Results: An increase was observed in postpractice knowledge levels of the three groups which had similar knowledge levels before the practice. Virtual Analog Scale stress levels of the students in the standardized patient group were higher than those of others. The students' mean scores of satisfaction in learning were higher in the standardized patient group. The students in the partial task trainer group had lower scores of self-confidence in learning. Skill scores of the students were lower in the standardized patient practice than those in others. Conclusion: Simulation-based experiences give students the opportunity of experiencing situations they may experience in the actual practice beforehand. Therefore, this may increase their performance in real practices, as reality increases in the standardized patient group. (c) 2020 Korean Society of Nursing Science. Published by Elsevier BV. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Öğe Hastanede Çalışan Hemşirelerin İş Güvenliği(2018) Akkaya, Gülnur; Atay, SelmaAmaç: Bu çalışma hastanede çalışan hemşirelerin iş güvenliği durumlarının belirlenmesi amacıylayapılmıştır. Yöntem: Kesitsel ve tanımlayıcı olarak yapılan bu çalışmanın örneklemini, devlet ve üniversitehastanesinde çalışan toplam 272 hemşire oluşturmuştur. Verilerin toplanmasında, hemşirelerin özelliklerinibelirleyen form ve hastanede çalışan sağlık personeli için iş güvenliği ölçeği kullanılmıştır. Veriler SPSS 21.0programında, sayı yüzde, ortalama kullanılarak değerlendirilmiştir. Bulgular: Araştırma bulgularına göre,hemşirelerin % 61.5’i iş güvenliğine ilişkin tebliğden haberi olmadıklarını belirtmişlerdir. Hemşirelerin %61.5’içalıştıkları kurumda iş güvenliği uzmanı olup olmadığını bilmediklerini, %52.3’ü kurumlarında çalışangüvenliğine ilişkin komite olduğunu belirtmiştir. Hastanelerde iş güvenliği ölçeği toplam ve alt boyutlar bazındapuan ortalamalarına bakıldığında ise; 2.16±0.98 ve 3.96±1.48 aralığında değişmiştir. Sonuç: Araştırmada,kurumlarda orta düzeyde bir iş güvenliğini sağlanabildiği bulunmuştur. Mesleki hastalıklar ve şikâyetler alt ölçeği,yönetsel destek ve yaklaşımlar alt ölçeği boyutunda ise, ortalamanın altında bulunmuştur.Öğe Hemşirelerin Periferik Venöz Katetere Bağlı Komplikasyonların Önlenmesine Yönelik Kanıt Temelli Uygulamaları Kullanma Durumlarının Belirlenmesi(2021) Çukurlu, Dilek; Atay, SelmaAmaç: Bu çalışmada, hemşirelerin periferik venöz katetere (PVK) bağlı yan etkilerin/kompli- kasyonların önlenmesine ilişkin kanıta dayalı uygulamaları kullanma durumlarının incelenmesi amaçlanmıştır. Yöntem: Tanımlayıcı tipteki araştırma, Türkiye’nin batısında bir devlet hastanesinin dahili, cer- rahi ve yoğun bakım birimlerinde Mart-Haziran 2016 tarih aralığında yapılmıştır. Araştırmanın örneklemini araştırmaya katılmaya gönüllü 230 hemşire oluşturmuştur. Veriler, literatür doğrul- tusunda oluşturulmuş form kullanılarak toplanmıştır. Bulgular: Araştırmaya katılan hemşirelerin %75,7’si birimlerinde PVK bölgesinin bir değer - lendirme formuna göre izlenmediğini belirtmiştir. PVK uygulamasına ilişkin sorulara verilen yanıtlarda ise hemşirelerin %55,2’si PVK uygulamalarında poliüretan malzemeden yapılmış kateter kullanılmasının komplikasyon riskini düşürdüğünü, %87’si yetişkinlerde üst extremite venlerinin kullanılması gerektiğini, %41,7’si PVK uygulaması öncesinde ellerin su ve sabunla yıkanmasının yeterli olduğunu belirtmiştir. Ayrıca hemşirelerin, %64,3’ü PVK işlemi süresince daima aseptik teknik kullanılması gerektiğini, %44,3’ü katater giriş bölgesinin temizliği/asepsi- sinin sağlanmasında %70 alkol kullanılmasını, %50’si PVK bölgesinde pansuman değişiminin kirlilik ve gevşeklik vb. gözlendiğinde yapılmasını, %41,3’ü PVK’lerin rutin olarak 49-71 saatte değiştirilmesi gerektiğini vurgulamıştır. Sonuç: Araştırma sonuçlarına göre, PVK’ye bağlı komplikasyonları önlemeye yönelik kanıta dayalı uygulama kılavuzlarının geliştirilmesi ve bunlara ilişkin hizmet içi eğitimlerin verilmesi önerilebilir.Öğe Hemşirelerin Tıbbi Hatalarda Tutumları ve Etkileyen Faktörlerin İncelenmesi(2021) Aktan, Uğur; Atay, SelmaAmaç: Bu araştırma, hemşirelerin tıbbi hatalardaki tutumlarının ve etkileyen faktörlerin incelenmesi amacıyla yapılmıştır. Gereç ve Yöntem: Araştırma kesitsel olarak planlanmış olup, Türkiye’nin batısında bir devlet hastanesinde çalışan 362 hemşireyle yürütülmüştür. Verilerin toplanmasında, hemşireleri tanıtıcı bilgi formu ve Tıbbi Hatalarda Tutum Ölçeği kullanılmıştır. Verilerin değerlendirilmesinde frekans, ortalama, student-t testi, Anova tesi kullanılmıştır. Anova testi sonrası farklılıkları belirlemek için tanımlayıcı post-hoc analiz olarak Games-Howell testi kullanılmıştır. Bulgular: Çalışmaya dahil edilen hemşirelerin %89,9’u kadın, %60,5’i lisans mezunu ve %59,4’ü 40 ve üzeri yaştadır. Hemşirelerin Tıbbi Hata Tutum ölçeği toplam puan ortalamasının 2,36±0,32, “tıbbi hata algısı” alt boyut puan ortalamasının 3,19±0,71, “tıbbi hataya yaklaşım” alt boyut puan ortalamasının 2,24±0,44, “tıbbi hata nedenleri” alt boyut puan ortalamasının ise 2,25±0,44 olduğu saptanmıştır. Hemşirelerin ölçek toplam, tıbbi hata yaklaşımı ve tıbbi hata nedenleri alt boyut puan ortalamaları düşük bulunurken; sadece tıbbi hata algısı alt boyut puan ortalaması, ortalamanın üzerinde bulunmuştur. Cinsiyet, eğitim durumu, çalışılan servis, günlük bakım verilen hasta sayısı ile ölçek toplam puan ortalaması arasında anlamlı bir ilişki bulunmuştur (p<0,05). Alt boyutlardan tıbbi hata algısı alt boyutu ile fazla mesai yapma durumu, tıbbi hataya yaklaşım alt boyutuyla cinsiyet, eğitim durumu, çalıştığı servis, hemşire başına düşen günlük hasta sayısı arasında, tıbbi hata nedenleri alt boyutuyla yaş ve eğitim durumu arasında, anlamlı istatistiksel fark saptanmıştır (p<0,05). Sonuç: Tıbbi hatalar, nedenleri ve önlenmesine ilişkin hizmet içi eğitim programlarının düzenlenmesi, hemşire başına düşen hasta sayısının azaltılmasına yönelik önlemlerin alınması, yeni mezun hemşirelere oryantasyon eğitiminde tıbbi hatalar, nedenleri, önlenmesine yönelik eğitim verilmesi önerilebilir.Anahtar Kelimeler: Tıbbi hatalar, tutum, hemşirelikÖğe Hemşirelik Uygulamalarında Bölünme/Kesinti Sorununa İlişkin: Literatür İncelemesi(2022) Atay, Selma; Örücü, GökçeAmaç: Hemşirelik uygulamalarının kesintiye uğraması, hemşirelerin performansını doğrudan etkileyerek, yoğun konsantrasyon gerektiren karmaşık aktivitelerde karar verme sürecini güçleştirip verimliliği olumsuz etkilemektedir. Bu literatür incelemesinin amacı hemşirelik uygulamalarında bölünme/kesinti sorununa ilişkin yapılan çalışmaları incelemektir. Gereç ve Yöntem: Çalışmada Google Scholar, MEDLINE, Pubmed, CINAHL, Science Direct, Ebscohost, YÖK Tez veri tabanlarında “hemşirelik uygulamaları”, “bölünme/kesinti”, “interruption” and “nursing practices”, “interruption” and “nursing care” anahtar kelimeleri kullanılarak tarama yapılmıştır. Çalışmaya 2010-2020 yıllarında yayın dili Türkçe ve İngilizce olan ve tam metin erişimi bulunan makaleler dâhil edilmiştir. Literatür tarama sonucu toplam 385 çalışmaya ulaşılmıştır. Belirlenen kriterlere uygun olan 19 çalışma araştırmaya dahil edilmiştir. Bulgular: İncelemeye alınan çalışmalardan 14’ünün tanımlayıcı, 4’ünün ön test son test yarı deneysel ve 1’inin de randomize kontrollü çalışma olduğu görülmüştür. Araştırmalarda örneklem sayısının en az 5, en fazla 278 hemşireden oluştuğu, verilerin toplanmasında ise gözlem, görüşme ve anket formu kullanıldığı bulunmuştur. Araştırmaların çoğu ilaç yönetim süreciyle ilgili bölünme/kesintilere odaklanmıştır. Değerlendirilmeye alınan çalışmaların bulgularına göre; hemşirelerin bölünme/kesinti problemi ile sıklıkla karşılaştıkları, genellikle ilaç yönetim sürecinde bölünme/kesinti yaşadıkları, ana nedenin insan kaynaklı olduğu, azaltmaya yönelik uygulanan girişimlerle yaşanan bölünme/kesinti sayısının azaldığı görülmüştür. Sonuç: Hemşirelik uygulamalarında bölünme/kesinti sorununa yönelik araştırmaların sayısında son yıllarda artış olsa da çoğunluğunun sıklığı ve nedenleri ile ilgili olduğu görülmüştür. Hemşirelik uygulamalarında bölünme/kesinti sorununun yönetimine ilişkin çalışmaların yapılması önerilebilir.Öğe Incidence of infiltration/extravasation in newborns using peripheral venous catheter and affecting factors(Univ Sao Paolo, 2018) Atay, Selma; Sen, Selcen; Cukurlu, DilekObjective: The objective of this study was to identify the incidence of infiltration and extravasation in newborns using peripheral venous catheter, and affecting factors. Method: This observational study examined catheters inserted into newborns who received inpatient care in the neonatal intensive care unit of a state hospital located in the west of Turkey. A total of 452 peripheral venous catheters inserted into 152 newborns were observed. The forms were completed by the researchers based on their observations at each shift. Results: The infiltration/extravasation occurred in 45.6% of peripheral venous catheters inserted into newborns; 19.7% were stage I and 11.7% were stage IV. A statistically significant relationship was found between the gestation week as well as the birth weight of newborns and the occurrence of infiltration/extravasation complication. In addition, there were statistically significant relationships between the administration of single or multiple antibiotics, total parenteral nutrition and the incidence of infiltration/extravasation complication. Conclusion: It is recommended to use an appropriate scale for the assessment of infiltration/extravasation as well as to implement measures for preventing the occurrence of infiltration/extravasation.Öğe Investigation of suitability of ventrogluteal site for intramuscular injections in children aged 36 months and under(Wiley, 2017) Atay, Selma; Kurt, Fatma Yilmaz; Akkaya, Gulnur; Karatag, Gulden; Demir, Seyda Ilhan; Calidag, UlviyePurpose: This study was performed to determine suitability of ventrogluteal (VG) site for intramuscular (IM) injections in children aged 36 months and under. Design and Methods: The present study was designed as a prospective descriptive study and performed between 2016 January and June. The study included a total of 120 children aged 36 months and under that met the study criteria. The subcutaneous tissue thickness and muscle thickness of anterolateral, deltoid, and VG sites were measured and assessed by ultrasound. Result: A strong and powerful correlation was identified between the measurements of subcutaneous tissue and muscle thicknesses in the injection site by the age groups. The thickness of subcutaneous tissue was deltoid < anterolateral < VG by age groups. The muscle thickness of anterolateral and VG sites was significantly higher than that of deltoid site. Practice Implications: This study established that skin thickness of VG site was suitable for IM injection in children aged 36 months and under.Öğe Neurological system assessment(Nova Science Publishers, Inc., 2023) Alankaya, Naile; Atay, SelmaNurses deal with patients with neurological disorders in many settings. Neurological system disorders can occur at any point in life, and their symptoms can be mild, moderate, severe, or life-threatening. For skilled nursing care of patients with a neurological disorder, it is important to know the structure and functions of the nervous system and the mechanisms of disease development. © 2023 by Nova Science Publishers, Inc. All rights reserved.Öğe Nurses’ knowledge and experience related to short peripheral venous catheter extravasation(SAGE Publications, 2021) Atay, Selma; Üzen Cura, Şengül; Efil, SevdaBackground: The majority of hospitalized patients receive a Peripheral Venous Catheter (PVC) in the course of their treatment. Extravasation injury is a serious complication of intravenous treatment. Objective: This cross-sectional survey designed study aims to investigate nurses’ knowledge and experience related to short peripheral venous catheter extravasation. Method: The study sample included 145 nurses working in a university hospital in the west of Turkey. A questionnaire developed in accordance with the literature was used for data collection. The data were assessed by frequency and proportions. Results: Of the nurses included in this study, 26.2% reported they had experienced extravasation injury in a patient; 74.5% said they had received no instruction in the management of extravasation during their in-service training program; and 85.5% stated they did not keep a record of extravasation. 89.7% of the nurses reported infused medications as a cause of extravasation, and 81.4% reported catheter sites as a cause. Among the medications reported by the nurses as causing extravasation: 89.7% reported contrast agents; 84.8% TPN solutions; 71.0% cytotoxic agents; and 65.1% mannitol. The symptoms of extravasation reported by nurses included: swelling (97.9%), redness (97.2%), pain (92.4%), rise in temperature (65.5%), and ulceration (60.0%). In responding to the occurrence of extravasation, interventions reported by the nurses included: stopping the flow of fluid (98.6%), elevation (89.7%), cold application (76.6%), and aspiration of drug (40.7%). Conclusion: Based on these results, it is recommended that guidelines are developed for the management of extravasation, that periodic in-service training programs are provided and that observational studies are carried out into the administration of vesicant drugs.Öğe Opinions of Nurses About the Evaluation of Risk of Falling Among Inpatients(Lippincott Williams & Wilkins, 2017) Atay, Selma; Vurur, Sevda; Erdugan, NeclaBackground: Patient falls and fall-related injuries are an important problem for patients, relatives, caregivers, and the health system at large. Aims: This study aims to identify opinions of nurses about the risk of falling among patients staying in hospitals. Method: This study uses a qualitative descriptive design and employs a semistructured interview method to identify the opinions and experiences of nurses about patient falls. This study evaluated the opinions of a total of 12 staff nurses. Findings: It was found that nurses consider patients in the postoperative period to be most prone to falls. They think that most falls take place during transfers and that the medical diagnosis of the patient plays a crucial role in fall incidents. The most important problem associated with patient falls was symptoms of traumatic brain injury. According to the participating nurses, the risk of fall for every patient should be evaluated upon admission. Measures that the nurses take against patient falls include raising the bed's side rails and securing the bed brakes. Conclusions: The findings of this research suggest that in-service training programs about the evaluation of the risk of falling should be organized for nurses. Guidelines should be developed for patients with different levels of risk of falling. It is suggested that nurses should be in charge of training patients who are conscious, their relatives, and caregiver personnel. Clinical Relevance: The training of nurses and caregivers helps to prevent the falls of inpatients.Öğe Problems Encountered by Nurses Due to the Use of Personal Protective Equipment During the Coronavirus Pandemic: Results of a Survey(Hmp, 2020) Atay, Selma; Cura, Sengul UzenThe importance of personal protective equipment (PPE) for nurses in the global fight against the coronavirus disease-19 (COVID-19) pandemic cannot be overstated. PPE must be available, safe, and effective. There is increasing evidence that the use of PPE can cause physical health problems. PURPOSE: The purpose of this study was to further examine PPE-related physical problems experienced by nurses as well as the role of wear time on these problems. METHODS: Using a descriptive cross-sectional design, a survey was conducted among nurses working for state or university hospitals across Turkey who actively cared for patients with COVID-19. Survey questions included demographic variables, type of PPE used, physical problems experienced, and length of time PPE was worn (4 hours or less, or more than 4 hours). Descriptive statistics and logistic regression analysis were used to analyze the data. RESULTS: Three hundred and seven (307) nurses completed the survey. The most commonly reported problems were sweating when wearing a surgical (50.9%) or N95 (64.2%) mask, dry hands from wearing gloves (73.9%), perspiration when wearing overalls/gowns (84.1%), and vision problems when wearing goggles/face shields (47.9%). Logistic regression analysis indicated a signifcant relationship between > 4 hours length of use and the occurrence of the following: redness of the cheeks, dry mouth, redness of the nose bridge, and redness of the ears for N95 masks; dryness of the mouth when wearing surgical masks; skin dryness, sweating, and redness from wearing gloves; headaches from wearing goggles/face shields; and sweating when wearing overalls or a gown (P <.05 for all variables). CONCLUSION: The results of this study show that physical problems related to the use of PPE are common and increase when PPE is worn for more than 4 hours. The availability, safety, and effectiveness of PPE are crucial to help protect nurses. Studies to examine PPE quality, characteristics, efficacy, and optimal use are necessary to maintain the healthy workforce needed to care for patients during this pandemic.
