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Öğe Arteriovenous fistula self-care behaviors in patients receiving hemodialysis treatment: Association with health literacy and self-care agency(Sage Publications Ltd, 2023) Bülbül, Elif; Ayvaz, Meryem Yıldız; Yeni, Tuğba; Turen, Sevda; Efil, SevdaBackground: Arteriovenous fistula-related self-care behaviors, self-care agency and health literacy are important for vascular access patency, which is vital in the continuation of hemodialysis treatment. The purpose of this study was to determine the arteriovenous fistula-related self-care behaviors of patients receiving chronic hemodialysis treatment and the relationship between these behaviors and their health literacy and self-care agency levels. Methods: In this descriptive correlational study, the data were collected from 216 chronic hemodialysis patients. Results: The rate of the patients who had good self-care behaviors levels was 83.96%. The sociodemographic variables that were significantly related to AVF-related self-care behaviors were education, employment status and age. It was found that the patients who had had AVF for a longer time had better self-care behaviors regarding their management of symptoms and findings (p < 0.05). As the self-care agency of the patients (r = 0.612, p < 0.001) and their health literacy (r = 0.421, p < 0.001) increased, their AVF-related self-care behaviors also increased. Conclusion: Age, education status, health literacy and self-care agency were identified to affect AVF-related self-care behaviors.Öğe Burnout levels and care behaviours in intensive care nurses: A cross-sectional, multicentre study(Elsevier Sci Ltd, 2022) Efil, Sevda; Turen, Sevda; Ayvaz, Meryem Yildiz; Bulbul, Elif; Yeni, TugbaObjective: To examine the relation between burnout levels and caring behaviours in intensive care nurses in Turkey, and the affecting factors. Research methodology/design: The research was conducted as a descriptive, cross-sectional and multi-centred study. Setting: In this study, an online questionnaire was applied in April and May 2021, using Google Form. A total of 460 intensive vare nurses responded to the questionnaire. Main outcome measures: Burnout was assessed with the Maslach Burnout Inventory, and care behaviours with the Caring Behaviours Inventory-24. Results: The nurses reported a high level of emotional exhaustion (73.9%) and depersonalization (52.2%), and a medium level of personal accomplishment (40%). The nurses' levels of perception of care quality were high (5.4 +/- 0.6). It was found that their highest score on the subdimensions was on knowledge and skills (5.6 +/- 0.5), and the lowest was on connectedness (5.2 +/- 0.7). There was a very weak, respectively weak correlation, between nurses' emotional exhaustion (r = -0.1), respectively depersonalization (r = -0.2), and poor care behaviours. There was a strong correlation between low personal accomplishment scores and poor care behaviours (r = 0.8). It was found that the mean scores of the nurses' exhaustion and care behaviours varied according to many descriptive characteristics, such as education, age, professional experience, the unit where they worked, communication difficulties, living conditions and whether they had chosen nursing willingly. Conclusions: It appears that the level of personal accomplishment, is the only subscale reflecting risk of burnout, that strongly correlates with care behaviour.Öğe Compassion, stress and coping strategies in family caregivers of patients with heart failure(Mosby-Elsevier, 2024) Kalkan Uğurlu, Yasemin; Akaca Doğan, Derya; Efil, Sevda; Çelik Çaka, HaticeThe requirements of caring for individuals with diseases with excess care burden like heart failure (HF) comprise a source of stress for the caregiver. This situation affects the health of caregivers and may cause a reduction in their level of compassion. However, compassion is associated with psychological benefits and coping strategies like positive mood in caregivers. The aim of this study was to investigate the correlations between compassion, coping strategies and stress levels of family members caring for individuals with HF. We found that the dysfunctional coping strategies were determined to play a partial mediating role in the relationship between caregiver compassion levels and stress levels. Caregivers with higher compassion levels reported lower stress levels. This situation may be linked to their use of relatively fewer dysfunctional coping strategies. Findings help to examine the correlations between compassion, coping strategies and stress levels of family members caring for individuals with HF.Öğe COVID-19’UN SOLUNUM SİSTEMİ ÜZERİNE ETKİLERİ VE HEMŞİRELİK BAKIMI(Yoğun Bakım Hemşireler Derneği, 2021) Efil, Sevda; Enç, NurayKoronavirüs hastalığı 2019 (COVID-19), şiddetli akut solunum sendromu koronavirüs-2'nin (SARS-CoV-2) neden olduğu bir hastalıktır. Tüm dünyada küresel sağlığı tehdit eden COVID-19’da primer akciğer tutulumunun olması, solunum sistemini olumsuz etkilemektedir. Ayrıca bireyin yaşına, bağışıklık sistemine ve komorbiditelerine bağlı olarak bu etkiler kritik düzeye gelebilmektedir. Şiddetli COVID-19'un en yaygın klinik görünümü, akut solunum sıkıntısı sendromu (ARDS) ile uyumlu akut solunum yetmezliğidir. Bununla birlikte ağır pnömoni, kardiyojenik şok veya çoklu organ yetmezliği gelişebilir. COVID-19 ile ilişkili ARDS tablosuna ciddi solunum sıkıntısının eşlik etmesi, mekanik ventilasyona ihtiyaç duyan hasta sayısında artışa neden olmuştur. Bu nedenle pandemi nedeni ile artmaya devam eden sağlık bakım gereksinimlerinin karşılanması, morbidite ve mortalite riskinin azaltılması için güvenli ve yüksek kaliteli bakım gerçekleştirilmelidir. COVID-19 hastalarında solunum sistemi etkileri ve hemşirelik bakımı ile ilgili doğru ve güvenilir bilgiye sahip olmak tedavide başarıyı arttıracaktır. Fakat COVID-19'un solunum sistemi üzerindeki etkileri ve bakıma yönelik mevcut kaynaklar sınırlıdır. Bu nedenle oluşabilecek sorunlar ve hemşirelik bakımı ile ilgili bilgiye ihtiyacı vardır. Bu derlemede COVID-19’un solunum sistemi üzerine etkilerini açıklamak ve hemşirelik bakımı ile ilgili bilgi vermek amaçlanmıştır.Öğe Effect of training provided to patients with chronic obstructive pulmonary disease on drug management(Wiley, 2020) Efil, Sevda; Enc, Nuray; Ece, TurhanAim Wrong use of an inhaler arising from a lack of knowledge can negatively affect treatment management. Therefore, this study was performed with the aim of determining the effects on treatment management of inhaler training carried out under the leadership of a nurse in individuals with medium and advanced stage chronic obstructive pulmonary disease (COPD). Methods This was an experimentally designed pre-test post-test study with a control group. Participants were interviewed four times in 1 year. The experimental group performed inhaler training. A Patient Description and Follow-Up Form, an Inhaler Drug Use Skill Chart, the Morisky eight-item Medication Adherence Scale, the COPD Assessment Test, and the St. George Respiration Questionnaire were used to collect data. Data analysis was performed by SPSS, using nonparametric tests. Results Although there was no significant difference between the groups, a reduction in hospital visits and admissions because of attacks was seen in the experimental group (p= .239,p= .492). It was found there was a greater increase in the correct use of the inhaler in the experimental group than in the control group, and that correct use of the handihaler increased significantly (p= .008). Also, the increases in adherence to treatment (p= .006) and quality of life (p= .010) in the experimental group were significantly different from the control group. In the control group, the annual decline in forced expiratory volume in 1 s increased significantly (p= .016). Conclusions It was seen that long-term inhaler training given by nurses at regular intervals made a significant contribution to treatment management.Öğe İç Hastalıkları Hemşireliği Dersi Klinik Uygulamasında Öğrencilerin Hazırladıkları Bakım Planlarının İncelenmesi(2020) Efil, SevdaAmaç: Bu çalışma, İç Hastalıkları Hemşireliği dersi klinik uygulamasında öğrencilerin hazırladıkları bakım planlarının incelenmesi amacıyla yapılmıştır. Yöntem: Tanımlayıcı tipte olan araştırmanın evrenini bir Sağlık Bilimleri Yüksekokulunda İç Hastalıkları Hemşireliği dersini alan öğrencilerin hazırladığı 320 bakım planı oluşturmaktadır. Örneklemi ise, çalışmaya dâhil edilme kriterlerine uyan 182 bakım planı oluşturmuştur. Veriler “2015-2017 Kuzey Amerika Hemşirelik Tanıları Birliği (NANDA)”, “İç Hastalıkları Hemşireliği Uygulama Öğrenci Eğitim Modülü” ve “İç Hastalıkları Hemşireliği Dersi Bakım Planı Değerlendirme Kriterleri Formu” kullanılarak toplanmıştır. Bulgular: 13 NANDA alanından 10’nuna yönelik en az bir tane olmak üzere toplam 52 hemşirelik tanısının belirlendiği saptanmıştır. İlk üç sırada belirlenen hemşirelik tanılarının “aktivite intoleransı”, “akut ağrı” ve “uyku örüntüsünde bozulma” olduğu bulunmuştur. Öğrencilerin hemşirelik süreci aşamalarını uygulama durumlarına bakıldığında; tanımlayıcı özellik, ilişkili faktörler, sonuç belirleme ve planlama aşamalarında yeterli olanların daha yüksek olduğu görülmüştür. Sonuç: Fizyolojik sorunlara yönelik bakım planı hazırlamada yeterli olan öğrencilerin çoğunlukta olduğu görülürken, en çok değerlendirme aşamasında sorun yaşadıkları belirlenmiştir.Öğe Intensive care nurses' compassion and patience levels and their attitude towards elderly people(Sage Publications Ltd, 2024) Turen, Sevda; Efil, Sevda; Turkoglu, Meryem; Issever, MerveBackgrounds: Intensive care nurses' attitudes towards the elderly and their emotional readiness before giving care can have an impact on the quality of care.Aims: The objective of this study was to investigate intensive care nurses' compassion and patience levels and their attitude towards elderly people.Methods: 'Data Gathering Form', the 'Compassion Competence Scale', the 'Patience Scale and the University of California at Los Angeles Geriatrics Attitude (UCLA-GA) were used.Results: A total of 212 intensive care nurses participated in the study. It was found that nurses whose time working in the intensive care unit and total professional experience were 6 years or more and those who were married and had children had higher levels of both compassion and patience. In addition, patience levels were significantly higher in nurses aged 29 or more. It was found that the nurses' sociodemographic and professional characteristics did not affect their UCLA-Geriatrics Attitudes total score.Conclusion: It was found in the study that there was a significant positive correlation between the nurses' compassion and patience levels and their attitudes toward elderly people.Öğe Investigation Of Nurses' Level Of Skills In Peripheral Venous Catheter Application(Ankara Üniversitesi, 2019) Cura, Şengül Üzen; Atay, Selma; Efil, SevdaObjective: This study was carried out as a descriptive study in order to examine the peripheral venous catheterization skills of nurses. Methods: The target population of the study consisted of 74 nurses working in inpatient care units of a university hospital where peripheral venous catheter application is performed frequently. The sample was composed of 33 nurses who were selected by simple random sampling method and volunteered to participate in the study. Prior to the study, institution permission and ethics committee permission were obtained from the institution where the research would be conducted. The data were collected by using ‘Information Form’ and ‘Peripheral Venous Catheter Application Form’ prepared by the researchers in line with the literature. Each nurse was observed during three separate peripheral venous catheter applications. A total of 99 observations were performed in the study which 33 nurses participated in. A separate observation and total observation score were determined by giving “1 point” for each correct application and “0 point” for each wrong or no application. Data were analyzed using descriptive statistical analysis in SPSS 25.0 package program. Results: The mean age of the nurses was 30.18 ± 6.45 years, the mean professional experience was 7.8 ± 2.4 years, and 69.7% of them were undergraduate. In 82.8% of the observations made during the peripheral venous catheter application, the nurses did not wash their hands; in 95.9%, the asepsis of the area was ensured using 70% ethyl alcohol, however, in 65,6% the vein was palpated again after ensuring the asepsis of the area, and in 71.7% it was observed that the aseptic solution was not expected to dry. The mean total score acquired during the observation of the nurses was found to be 39.1 ± 4.4 (27-49). Conclusion: As a result of the study, it was observed that the nurses did not apply some of the steps missing or applied them wrongly during the application of peripheral venous catheter. In order to be able to prevent possible catheter-related complications, it is important for nurses to make complete steps in the application of the peripheral venous catheter and to make an effort to improve the steps of misuse.2 [TR] Amaç: Bu araştırma, hemşirelerin periferik venöz kateter (PVK) uygulama becerilerinin incelenmesi amacıyla tanımlayıcı olarak yapıldı. Gereç ve Yöntem: Çalışmanın evrenini bir üniversite hastanesinin periferik venöz kateter uygulamasının sıklıkla yapıldığı yataklı tedavi birimlerinde çalışan toplam 74 hemşire oluşturmuş, örneklemi ise basit rastgele örnekleme yöntemi ile seçilen ve çalışmaya katılmaya gönüllü olan 33 hemşire oluşturmuştur. Araştırmaya başlamadan önce araştırmanın yapılacağı kurumdan kurum izni ve etik kurul izni alınmıştır. Veriler literatür doğrultusunda araştırmacılar tarafından hazırlanan ‘Bilgi Formu’ ve ‘Periferik Venöz Kateter Uygulama Form’’u kullanılarak toplanmıştır. Her bir hemşire üç ayrı PVK uygulaması sırasında gözlenmiştir. 33 hemşirenin katıldığı çalışmada toplam 99 gözlem yapılmıştır. Hemşirelerin doğru yaptığı her uygulamaya “1 puan”, yanlış yapılan ya da yapılmayan her uygulamaya “0 puan” verilerek her bir gözlem ve toplam gözlem puanı belirlenmiştir. Verilerin değerlendirilmesi SPSS 25.0 paket programında tanımlayıcı istatistiksel analizler kullanılarak yapılmıştır. Bulgular: Hemşirelerin yaş ortalaması 30,18±6,45, mesleki yıl deneyim ortalaması 7,8±2,4, %69,7’sinin lisans mezunu olduğu belirlenmiştir. PVK uygulama sırasında yapılan gözlemlerin %82,8’inde hemşirelerin el yıkamadığı, %95,9’unda bölgenin asepsinin %70lik etil alkolle yapıldığı, buna rağmen %65,6’sında bölgenin asepsisinden sonra yeniden venin palpe edildiği ve %71,7’sinde aseptik solüsyonun kurumasının beklemediği gözlenmiştir. Hemşirelerin gözlem sırasında elde edilen toplam puan ortalaması ise 39,1±4,4 (27-49) olarak bulunmuştur. Sonuç: Çalışma sonucunda, hemşirelerin PVK uygulama sırasında bazı basamakları eksik ya da yanlış uyguladıkları görülülmüştür. Kateterle ilişkili olası komplikasyonların önlenebilmesi için hemşirelerin PVK uygulama basamaklarını eksiksiz yapmaları ve hatalı uygulama basamaklarını iyileştirmeye yönelik çaba göstermeleri önemlidir.Öğe Knowledge and Behaviors of Foot Care in Muslims With Diabetes Mellitus: Does Islamic Ritual Ablution Make a Difference?(SAGE Publications Inc., 2024) Efil, Sevda; Akça Doğan, Derya; Kalkan Uğurlu, Yasemin; Camci, Gazi BaranIntroduction: This study aimed to determine the relationship between ablution ritual and foot knowledge, self-care behaviors, and the presence of diabetic foot ulcers in Muslims with type 2 diabetes mellitus (T2DM).Methodology: A descriptive, comparative method was utilized to identify ablution ritual and foot knowledge, self-care behaviors, and the presence of diabetic foot ulcers.Results: There were 228 persons with T2DM, with 162 participants (71.1%) in the ablution group and 66 participants (28.9%) in the no-ablution group, with 19.7% having diabetic foot ulcers. Diabetic foot knowledge and foot self-care behaviors of persons with T2DM were below a medium level, and there was a significant difference between ablution behavior and the presence of diabetic foot ulcers (x(2) =6.646, p<.05).Discussion: Culturally congruent interventions that acknowledge and understand the cultural practices and beliefs of Muslims with T2DM may be recommended to enhance their knowledge levels and promote positive behavior changes.Öğe Nurses' COVID-19 fears and patient safety attitudes in the pandemic(Publishing Office of the University of Rzeszow, 2023) Efil, Sevda; Turen, Sevda; Demir, ElifIntroduction and aim. The fear experienced by nurses during the COVID-19 pandemic may threaten patient safety. This study was conducted with the aim of examining nurses' COVID-19 fears and attitudes to patient safety in the pandemic. Material and methods. The research had a descriptive and cross-sectional design. The research sample consisted of 245 nurses working at a teaching and research hospital in Istanbul, Turkey's most populous province. Research data were collected in June-July 2021. A Nurse Characteristics Form, the Fear of COVID-19 Scale (FCV-19S) and the Patient Safety Attitude Questionnaire were used to collect data. The data evaluation was performed using descriptive statistics, Student t test, one-way variance (ANOVA), and Pearson correlation analysis. Results. The nurses' mean score for fear of COVID-19 was 16.67±6.88, and their mean score for patient safety attitude was 141.70±27.78. Their COVID-19 fear levels and mean patient safety attitude scores were found to differ according to their intention to leave the job, their education on COVID-19 and their age. Conclusion. Nurses' experiencing of physical, social and psychological problems relating to the COVID-19 pandemic should be followed up in the long term. © 2023 Publishing Office of the University of Rzeszow. All Rights Reserved.Öğe Nurses’ Compliance with Isolation Precautions and Their Attitudes to Patient Safety(2023) Efil, Sevda; Engin, Buğçe; Türen, SevdaBackground/Purpose: Nurses’ compliance with isolation measures is extremely important for patient safety. This research was conducted to examine nurses’compliance with isolation precautions and patient safety attitudes. Methods: This is a cross-sectional and relational study. The data of the study were collected between January and March 2022 in a tertiary education and research hospital. A Nurse Descriptive Form, an Isolation Precautions Compliance Scale and a Patient Safety Attitude Scale were used to collect data. Results: Three hundred and sixty-two nurses participated in the study. The total mean score of the nurses’ Isolation Precautions Compliance Scale was 75.74±11.58, and the total mean score of the Patient Safety Attitude Questionnaire was 127.28±34.29. It was found that the mean patient safety attitude score of the nurses was significantly different according to age and whether they were caring for COVID-19 patients (p<0.05). It was also found that the level of compliance of the nurses with the isolation measures did not vary according to their socio-demographic and descriptive characteristics. There was a positive and very weak correlation between worker and patient safety and teamwork climate (p=0.02, r=0.123), safety climate (p=0.04, r=0.105), and hand hygiene and use of gloves and teamwork climate (p=0.04, r=0.109). Conclusion: It was determined that the level of compliance of the nurses with the isolation measures was high and their attitudes toward patient safety were positive. It was determined that there was no significant relationship between the level of compliance of nurses with isolation precautions and their attitude toward patient safety.Öğe Nurses’ Images of the Nursing Profession and Their Caring Behaviors(2022) Efil, Sevda; Şahin, Selin Balaban; Yariş, ZeynepBackground: It is important for good quality nursing care that nurses display nursing care at a good level. It is known that nurses’ caring behaviors are influenced by society’s image of nursing. However, it is not known how the perception of the nursing profession among nurses themselves affects their caring behaviors. Aim: This study was conducted with the aim of assessing nurses’ images of the nursing profession and their caring behaviors and determining the correlation between them. Methods: This descriptive and correlational study was conducted with 98 nurses working at a university hospital. A Questionnaire Form, the Caring Behaviors Inventory 24, and the Image of the Nursing Profession Scale were used to collect data. Continuous variables were expressed with mean ± standard deviation and categorical variables with numerical values and percentages. The Mann–Whitney U test, the Kruskal–Wallis test, and Spearman’s correlation analysis were used in the evaluation of the data. Results: It was found that 65.3% of the nurses had a good image perception of the nursing profession. According to the care behaviors scale, they had the highest scores on the sub-scale of knowledge and skills (5.46 ± 0.55) and the lowest on connectedness (4.88 ± 0.75). The assurance, respectfulness, and caring behavior total scores of those who chose the profession willingly were found to be higher (P < .05). It was determined that there was a significant positive correlation between their perceptions of the image of the nursing profession and the caring behavior total and its sub-scales (P < .05). Conclusion: In the current study, the nurses had a good perception of the image of the nursing profession and that their caring behavior levels were high. In addition, as their professional image perception scores rose, their caring behaviors perception scores also rose.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 Occupational risk perception of nursing students, affecting factors and their association with occupational accidents: A crosssectional, multicenter study(Rabia YILMAZ, 2022) Türen, Sevda; Efil, Sevda; Bülbül, Elif; Yeni, Tuğba; Ayvaz, Meryem Yıldız; Yılmaz, Rahime AtakoğluAim: Occupational risks by leading to accidents and diseases can adversely affect the health of nursing students and can cause serious injuries. Therefore, students are expected to be aware of these risks in order to be aware of occupational accidents or diseases and take precautions. This study was aimed to evaluate the occupational risk perception of nursing students and the factors affecting it and their association with occupational accidents. Material and Methods: Study was carried out with 728 nursing students in six universities. The data were collected using “Data Gathering Form” prepared by researchers and “Occupational Risk Perception Scale (ORPS)”. Results: The mean age was 20.8±1.65 (min.18-max.35) years and the majority (82.0%) of the participants were females. Clinical practice areas were defined as high risk areas by the 65.1% of the students. Number of the students encountered any health threatening occupational accidents in clinical practice was 223 (30.6%). ORPS score was significantly higher in women, health vocational high school graduates, students with previos occupational health and safety training and students those who encountered occupational accidents before (p [TR] Amaç: Mesleki riskler kazalara ve hastalıklara yol açarak hemşirelik öğrencilerinin sağlığını olumsuz etkileyebilir ve ciddi yaralanmalara neden olabilir. Bu nedenle öğrencilerinin mesleki kazalar veya meslek hastalıklarının farkında olmaları ve önlem alabilmeleri için bu risklerin farkında olmaları beklenmektedir. Bu çalışmanın amacı, hemşirelik öğrencilerinin mesleki risk algılarını, etkileyen faktörleri ve bunun mesleki kazalar ile ilişkisini değerlendirmektir. Gereç ve Yöntemler: Çalışma altı üniversitede 728 hemşirelik öğrencisi ile gerçekleştirildi. Veriler, araştırmacılar tarafından hazırlanan “Veri Toplama Formu” ve “Mesleki Risk Algısı Ölçeği (MRAÖ)” kullanılarak toplanmıştır. Bulgular: Ortalama yaş 20,8±1,65 (en az 18-en fazla 35) yıl olup, katılımcıların çoğunluğu (%82,0) kadındı. Klinik uygulama alanları, öğrencilerin %65,1'i tarafından yüksek riskli alanlar olarak tanımlandı. Klinik uygulamada sağlığı tehdit eden herhangi bir mesleki kaza ile karşılaşan öğrenci sayısı 223'tü (%30,6). MRAÖ puanı kadınlarda, sağlık meslek lisesi mezunlarında, daha önce iş sağlığı ve güvenliği eğitimi almış öğrencilerde ve daha önce mesleki kaza geçirmiş öğrencilerde anlamlı olarak daha yüksekti (pÖğe Perceived Spousal Support and Activities of Daily Living in Individuals With COPD(Sage Publications Inc, 2024) Efil, Sevda; Kalkan Uğurlu, Yasemin; Akça Doğan, Derya; Budak, DilekBackground: The relationship between perceived spousal support and activities of daily living in patients with chronic obstructive pulmonary disease (COPD) is unclear. Purpose: The aim of this study was to explore the relationship between spousal support perceived by those with COPD and their activities of daily living. Methods: This study was a cross-sectional and descriptive study. Data collection was conducted between September 2022 and April 2023. A Data Gathering Form, the Spousal Support Scale, and the London Chest Activity of Daily Living Scale were used to collect data. A total of 132 adults were included in this study. Results: The mean (SD) scores of individuals with COPD for perceived spousal support and activities of daily living were 62.40 (14.66) and 32.91 (15.72), respectively. Levels of perceived spousal support and activities of daily living varied according to sex, employment status, admission to the emergency service or hospitalization, use of antidepressants, and the severity of the illness (P < .05). Those with better spousal support felt less dyspnea when performing the activities of daily living (r = -0.205, P < .05). Conclusions: Knowing the potential factors affecting perceived spousal support and activities of daily living can provide an opportunity to determine appropriate strategies to increase the level of independence of individuals with COPD. Educational interventions to help spouses understand COPD may help increase spousal support.Öğe Relationship Between Intensive Care Nurses' Attitudes and Behaviors Toward End-of-Life Care and Ethical Attitudes(Lippincott Williams & Wilkins, 2023) Efil, Sevda; Turen, Sevda; Demir, GulBackground: Nurses are in a central position to improve care for dying patients and their families by challenging current end-of-life practices in their settings. Nurses who care for such patients experience the associated ethical dilemmas. However, the relation between their attitude and behavior regarding end-of-life care and their ethical attitudes is not known.Objectives: The aim of this study was to examine the relation between the attitudes and behaviors of intensive care unit nurses to end-of-life care and their ethical attitudes in the care process.Methods: The research was conducted in Antalya, one of the most populous provinces in Turkey, with 287 intensive care nurses working in 4 different hospitals. The research data were collected between June 30 and August 30, 2021. Self-report data were collected using a Nurses' Description Form, the Attitudes and Behaviors of ICU Nurses to End-of-Life Care Scale, and the Ethical Attitude Scale for Nursing Care.Results: The mean score of the intensive care nurses for attitude and behaviors to end-of-life care was 62.36 +/- 13.22, and their mean score for ethical attitude for nursing care was 149.76 +/- 24.98.Conclusion: It was found that intensive care nurses' attitudes and behaviors to end-of-life care had a positive correlation on their ethical attitudes in the care process (P < .001).Discussion It would be of interest to understand how these attitudes impact clinical decision-making for the ultimate understanding of whether nurses' attitudes can be a barrier to the delivery of quality end-of-life care.Öğe Relationship between perceived fear of COVID-19 and self-care management in heart failure patients(Publishing Office of the University of Rzeszow, 2024) Yeni, Tuğba; Bülbül, Elif; Efil, Sevda; Yıldız-Ayvaz, Meryem; Türen, Sevda; Hiçerimez, AyferIntroduction and aim. The fear of contracting COVID-19, which affects human health biopsychosocially, is expected to affect the self-care management of patients with heart failure (HF). This study was conducted to investigate the relationship between perceived fear of COVID-19 and self-care management in HF patients. Material and methods. The study was conducted with 115 HF patients. “Sociodemographic characteristics form”, “Fear of COVID-19 tool” and “Nine-item European Heart Failure Self-care Behavior Scale (EHFScB Scale-9)” were used to collect data. Results. 51.3% of the participants in the study are in the 40–60 age range, 53.7% are male, 92.2% live with their family, 64.3% have a diagnosis of HF for less than 5 years. Levels of COVID-19 fear, and self-care management were found to be high in the participants who are 40 years old or younger, has higher education level, diagnosed within 1 to 3 years, received psychological support during the pandemic process, received training from doctor or nurse about COVID-19. Fear level and self-care levels were moderately positively correlated. Conclusion. During the COVID-19 pandemic, it is necessary to develop effective care strategies to identify individuals with diseases such as HF who should have high self-care management skills.Öğe Social vulnerability and medication adherence in individuals with chronic obstructive pulmonary disease(Publishing Office of the University of Rzeszow, 2024) Efil, Sevda; Bükrük, Ceren Mina; Özen, EbruIntroduction and aim. The association between social vulnerability and medication adherence in individuals with chronic obstructive pulmonary disease is unclear. The aim of this study was to show the correlation of social vulnerability and medication adherence in individuals with chronic obstructive pulmonary disease. Material and methods. Data collection was conducted by face to face interview in November 2022 and May 2023. Social vulnerability and medication adherence were evaluated using the Social Vulnerability Scale and the Medication Adherence Report Scale respectively. Results. The mean scores of individuals with chronic obstructive pulmonary disease for social vulnerability and medication adherence were 20.02±6.69 and 22.76±3.29 respectively. Levels of social vulnerability varied according to comorbidity, hypertension, heart failure, visit to emergency service in the last three months due to COPD exacerbation, and using herbal products instead of medication (p<0.05). Mean scores for medication adherence were lower in women, never smokers, and those who used herbal products instead of medication (p<0.05). Conclusions. Having a higher level of social vulnerability is associated with worse medication adherence (r=-0.31, p<0.01). Individuals using herbal products are found to be at risk for social vulnerability and non-adherence to medication (p<0.05).Öğe The correlation between nursing students’ levels of fear and stress related to the COVID-19 pandemic and their compliance with standard precautions(Publishing Office of the University of Rzeszow, 2023) Kurt, Fatma Yilmaz; Alankaya, Naile; Atay, Selma; Efil, SevdaIntroduction and aim. University students have been demonstrated in the literature to be a group particularly vulnerable to mental health problems during the COVID-19 pandemic. The aim of this study was to examine the correlation between the fear and anxiety levels of nursing students regarding the COVID-19 pandemic and their compliance with standard precautions. Material and methods. The sample consisted of 509 volunteer students. Data were collected using a Personal Information Form, the Fear of COVID-19 Scale (FCV-19S), the COVID-19 Anxiety Scale (CAS) and the Compliance with Standard Precautions Scale (CSPS). Results. The FCV-19S, CAS, and CSPS mean scores of the students were respectively 17.49±5.24 1.99±3.54 and 13.46±3.61. There was a moderate correlation (p<0.05) between the FCV-19S and CAS of the students, but no correlation was detected between CSPS and FCV-19S (p>0.05) and CAS (p>0.05). Conclusion. It was determined that students had a moderate fear of COVID-19 and a low level of anxiety over COVID-19. However, fear of COVID-19 and COVID-19 anxiety levels were not correlated with compliance with standard precautions. © 2023 Authors. All rights reserved.Öğe The Relationship Between Perceived Spouse Support with Medication Adherence, Diet and Fluid Restriction in Hemodialysis Patients(Yoğun Bakım Hemşireler Derneği, 2024) Temel, Gül; Efil, SevdaObjective: This study aims to investigate the relationship between perceived spouse support, and medication adherence, diet, and fluid restriction as well as the factors influencing this relationship in hemodialysis patients. Methods: The research was conducted between November 2021, and January 2022 at a university hospital's hemodialysis unit. A total of 271 participants were included in the study. Data were collected using the "Patient Identification Form," "Spouse Support Scale," "Fluid Control Scale in Hemodialysis Patients," "Dialysis Diet, and Fluid Nonadherence Questionnaire,", and "Medication Adherence Report Scale." A total of 271 participants were included in the study. Results: Participants' mean scores for perceived spouse support, fluid control, dialysis diet, and fluid restriction nonadherence, and medication adherence were 57.64±20.14, 56.82±13.55, 16.91±10.31, and 16.56±6.18 respectively. The relationship between perceived spouse support mean score, and fluid control (r=0.99), and medication adherence (r=0.99) was in the direction positive, while the relationship with dialysis diet, and fluid restriction nonadherence (r=-0.91) was very strong in the direction negative (p<0.01). Conclusion: Know potential factors influencing perceived spouse support in hemodialysis patients may provide an opportunity to identify appropriate strategies to enhance adherence to medication, fluid control, dialysis diet, and fluid restriction
