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    A Rare Disease: Nursing Care of Patient with Stevens-Johnson Syndrome in Accordance with The Model of Life
    (Istanbul Univ, Fac Nursing, 2017) Cura, Sengul Uzen; Acaroglu, Rengin
    Stevens-Johnson Syndrome (SJS) is a rare but life-threatening drug allergy disorder, that causes necrosis of the epidermal cell layer. Almost, all of the individual's systems like bio-physiological, psychological, socio-cultural, and economic dimensions are affected due to the disease. The aim of nursing care of the patient with SJS is to enhance the patient's quality of life by anticipating and diagnosing the possible complications early, and taking accurate and appropriate precautions. This review is aimed at providing guidance to the nurses, based on a nursing model of care guidelines for taking care of patients with SJS.
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    Correlation of nurses' mindfulness with their perception of individualized care: A cross-sectional study
    (Wiley, 2022) Cura, Sengul Uzen; Coskun, Ela Yilmaz
    Purpose The objective of this study is to investigate the correlation of nurses' mindfulness with their perception of individualized care. Design and Methods It was designed as a descriptive correlational study. Two hundred seventy-one nurses were included in this study. Findings The mean total score was 4.20 +/- 0.04 on the Mindful Attention Awareness Scale and 3.97 +/- 0.04 on the Individualized Care Scale-Nurse. There was a significant positive correlation between the mean total score on the scales and the subscales (p < 0.01). Practical Implications Therefore, the education and practical training of nurses should include methods designed to improve their levels of mindfulness.
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    Effects of Cold Band Application Treatment on Pain and Quality of Life in Migraineurs: A Self-Controlled Study
    (Marmara Univ, Inst Health Sciences, 2020) Cura, Sengul Uzen; Acaroglu, Rengin
    Objective: The aim of this study was to examine the effect of applying cold band treatment to migraineurs on the duration and severity of migraine headaches, and on migraine-specific life quality. Methods: Patients referred to neurology clinic and diagnosed with migraine by a neurologist were examined prospectively. A self-controlled research design was applied to minimize individual differences. The sample group participating in the study were monitored over the course of four migraine attacks: two before and two during application period. Results: Comparison of the mean values of pain duration for pre-application and application periods revealed no statistically significant difference (p>0.05). However, there was found to be a significant difference between mean pain intensity total scores (p<0.05). At 30th and 60th - minute points, it was noted that the mean value of the total pain scores for the application period decreased significantly (p<0.05). Also, it was recognized that the 24-hour Migraine Quality of Life Scale showed statistically significant increase in total score and in subscale scores when compared to pre-application period (p=0.0001). Conclusion: The application of a cold band to forehead was found to have a positive effect in reducing pain severity and also improving quality of life.
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    Examination of the relationship between nurses' adherence to medication administration principles and their attitudes toward patient safety
    (Wiley, 2024) Coskun, Ela Yilmaz; Ozsaban, Aysel; Cura, Sengul Uzen
    Background: Preventing errors associated with medication administration is achievable through nurses' adherence to correct principles. Objective: This study aims to investigate the relationship between nurses' adherence to medication administration principles and their attitudes toward patient safety. Method: This study adopts a descriptive and relationship-seeking research design. A total of 310 nurses who met the inclusion criteria participated in the study. Data collection tools included the Nurse Information Form, Medication Administration Principles Adherence Form, and Patient Safety Attitude Scale. Results: Among the participating nurses, 32.9% (n = 102) reported experiencing a medication administration error, and 77.7% (n = 241) witnessed such an error. The study revealed a statistically significant positive relationship between nurses' adherence to medication administration principles and their attitudes toward patient safety (p < 0.001). Conclusions: This study underscores the importance of nurses' adherence to medication administration principles in ensuring patient safety.
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    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, Vesile
    Purpose: 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/).
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    Nursing Students' Perceptions of Nursing Diagnoses and Clinical Decision-Making
    (Marmara Univ, Inst Health Sciences, 2020) Inangil, Demet; Cura, Sengul Uzen
    Objective: The objective of this study was to evaluate nursing students' perceptions regarding nursing diagnoses and clinical decision-making skills level and to examine how these perceptions differ according to which nursing model was followed. Methods: A descriptive, cross-sectional, comparative study was conducted. The study was carried out in one nursing department in Istanbul province and one nursing high school in Canakkale province, Turkey. A total sample of 257 students participated. A Structured Information Form, Perception of Nursing Diagnoses Survey and Clinical Decision Making in Nursing Scale were used to collect data. Results: 77.1% of the participants were women, with an average age of 19.09, and their average grade from the Fundamentals of Nursing course was 74.23 +/- 9.41. The total of the PND score for the ADLs group was 2.45 +/- 0.55, in the FHP group it was 2.31 +/- 0.27. This difference in the incidence of value was not significant. The total of the CDMNS score means of the ADLs group was 147.44 +/- 12.95, and the mean of the FHP group was 154.3 +/- 12.29. A statistically significant difference was detected between the groups for the CDMNS score (p = 0.00). Conclusion: From the results, it can be concluded that the use of nursing diagnoses is positively perceived by nursing students and their clinical decision-making perceptions are in the process of development. Nursing models that are used in nursing education may affect clinical decision making.
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    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 Uzen
    The 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.