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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) Bulbul, Elif; Ayvaz, Meryem Yildiz; Yeni, Tugba; 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 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 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 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.
