Sosyal Hizmet Bölümü Koleksiyonu

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12514/2459

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Acil Serviste Hasta Güvenliği
(Nobel Akademik Yayıncılık, 2023) Baran, Leyla
Özet Acil servis; acil sağlık hizmeti ihtiyacı olan hastalara sağlık hizmeti sunulan poliklinik ve yataklı servis işlevi görebilen sağlık tesisi bölümüdür. Tüm gün kesintisiz olarak acil sağlık hizmeti veren acil servisler doğal olarak hastane içinde en fazla karmaşanın olduğu yerlerdir. Acil servisler hasta güvenliği açısından oldukça riskli servislerdir. Tıbbi hata, hastaya sunulan sağlık hizmetleri sırasında ortaya çıkan herhangi bir olumsuzluğun nedeni olup sağlık kurumlarının ve çalışanlarının yetersiz bilgisi, beceri eksikliği, deneyimsizliği veya ilgisizliği sonucunda gerçekleştirdikleri, kabul gören uygulama standartlarının altında kalan tedavi ve işlemler sonucunda, hastanın zarar görmesine, yaralanmasına veya ölümüne neden olan, çoğunlukla mesleki ihmalle ortaya çıkmış zararlardır. Kontrol edilemeyen iş yükü, öngörülemeyen çok sayıda hasta, tedavi ve bakıma farklı disiplinlerden çok sayıda sağlık profesyonellerinin katılımı acil servislerde hata için risk faktörüdür. Hasta güvenliğinde temel hedef; sağlık hizmetleri sunumu sırasında tıbbi hataları engelleyerek hatalar nedeniyle hastayı olası zararlardan koruyacak ve hata olasılığını ortadan kaldıracak bir sistemin kurulmasıdır. Hasta güvenliğindeki ortak eksiklikler; yetersiz iletişim, liderlik, ekip çalışması ve güvenlik süreçleri konusunda yetersiz bilgilendirmeler, advers olayların analizlerindeki ve raporlamadaki eksiklikleri içerir. Tıbbi hataların önlenmesinde hasta güvenliği kültürünün geliştirilmesi önemli faktörlerin başındadır. Sağlık kurumlarında güvenlik kültürü; bireysel ve ekip olarak sağlık profesyonellerinin hasta güvenliği konusunda bilinçlenmelerini ve hastaların zarar görmelerini önlemeyi/zarar veren durumların oluşmamasını hedeflemektedir. Sağlık hizmetlerinde meydana gelen hataların tanımlanmasını ve bu hatalardan dolayı hastaların zarar görmesinin engellenmesini sağlayan en önemli yöntem, tıbbi hataların raporlanması ve analizidir. Hasta güvenliği kültürünün oluşturulması ve yaygınlaştırılması, sağlık kurumlarında tıbbi hataları azaltacak organizasyonların oluşmasını sağlayacak ve bu şekilde hem sağlık çalışanları hem de hastaların zarar görmesi engellenmiş olacaktır.
Adaptation and Future Expectations of Syrian Refugees Living in Mardin: Comparison Between 2014 and 2021
(2022) Apak, Hıdır
The aim of this study is to reveal the changes to the adaptation process for Syrian refugees over the years and to determine their future expectations. The study represents a quantitative research effort in which the survey model was used. In this study, the integration and future expectations of Syrian refugees were examined comparatively for two samples showing similar characteristics in two different time periods. The research is descriptive in order to understand and make sense of the change in Syrian refugees' adaptation, and their future expectations. The study sample consists of 178 Syrian refugees living in Mardin, Turkey since 2013. It was determined that the majority did not have difficulties adapting to Mardin, Turkey and there has been a negative change in their adaptation status over the years. The main result of the study with regard to future expectations is that the majority of the participants complained about the "uncertainty" they experienced, let alone drawing a positive picture of what kind of future awaits them. It has also been determined that this uncertainty has increased compared to 2014. The present study is valuable in that it reveals various results within a relational analysis model.
Assessment of preoperative anxiety and negative automatic thoughts in patients waiting for corneal transplantation
(Publishing Office of the University of Rzeszow, 2024) Tanrıverdi, Seher; Şen, Mehmet Ali; Genç, Hasan
Introduction and aim. In patients waiting for organ transplantation, increased waiting time can increase anxiety by creating negative automatic thoughts. The aim of this study is to examine the relationship between corneal transplant recipients' negative automatic thoughts and anxiety before organ transplantation. Material and methods. The population of this correlational descriptive study consisted of 108 patients waiting for cornea transplantation in the Eye Bank unit of a hospital in the south east region of Türkiye. The data were obtained from the patients presented to the ophthalmology clinic for transplantation between September and December 2022. A patient information form, the Negative Automatic Thoughts Scale, and the Trait Anxiety Scale were used to collect the data. Percentage distribution, arithmetic mean, logistic regression and correlation analysis were used in the data analysis. Results. It was determined that the mean score of the negative automatic thoughts of the transplant patients participating in the study was 100.69±47.83, and the trait anxiety mean score was 53.06±6.07. There was a positive relationship between negative automatic thoughts and trait anxiety at a moderate level, which was statistically significant (p<0.05, r=0.53). Conclusion. It was determined in the study that the patients' negative automatic thoughts and trait anxiety were high, and their anxiety increased as the negative automatic thoughts increased.
COVID -19’ un sağlık çalışanlarının ruh sağlığına etkisi ve ruhsal travmaların önlenmesi
(DergiPark, 2021) Tanrıverdi,Ömer; Tanrıverdi, Seher
Dünyada hızla yayılıp yaklaşık 2 milyon insanın ölümüne sebep olan coronavirüs (COVID-19), ilk olarak Çin’in Wuhan Eyaleti’nde 2019 yılı Aralık ayının sonlarında ortaya çıkarak, solunum yolu enfeksiyonuna neden olup, insandan insana bulaşabilen bir virüstür. Önce Asya sınırlarına, sonra tüm Avrupa’ya yayılan COVID-19 WHO tarafından pandemi olarak kabul edildi. Pandemi sürecindeki bu müdahaleler bireysel ve toplumsal ruh sağlığı üzerinde oldukça olumsuz etkiler oluşturmaktadır. Toplumun salgınla mücadele sürecinin en önemli üyelerinden olan sağlık çalışanları da bu olumsuz etkilere en fazla maruz kalan meslek gruplarından olup fiziksel ve psikolojik yönden birçok tehdite maruz kalmaktadırlar. COVID-19 salgınının ilk ortaya çıktığı Wuhan kentinde sağlıkçılar üzerinde gerçekleştirilen ilk çalışmada, salgının hemen ardından sağlık ekiplerinin %71,3'ünde eşik altı ve hafif düzeyde, %22,4'ünde orta düzeyde, %6,2’sinde ciddi düzeyde ruhsal bozuklukların meydana geldiği belirlenmiştir. COVID-19 pandemisinde sağlık çalışanlarının ruhsal travmalardan korunması için; yeterli uyku, yoga, meditasyon gibi gevşeme uygulamaları stres azaltıcı, müzik dinleme, resim çizme gibi yöntemler faydalı olacaktır.
Determination of body image and self-efficacy levels in patients after cornea transplantation
(Elsevier, 2024) Genç, Hasan; Tanrıverdi, Seher; Şen, Mehmet Ali
Purpose: The study aimed to determine body image and levels after surgery in cornea transplant patients. Materials and methods: The population of this cross-sectional study was composed of 383 patients presented to the Eye Bank unit of a University Hospital after corneal transplantation. Sample size of 193 patients was calculated with 0.5 power, a margin of error of 5%, representing 95% of the universe. The data were collected through face-to-face interviews with the patients by the researcher and the study was completed with 178 patients in September-November 2022. The data were collected using a Patient Information Form, the Body Image Scale, and the General Self-Efficacy Scale. Parametric tests, Pearson Correlation, Student's t-test, and One-Way Analysis of Variance tests were performed were used in the data analysis. Results: It was determined that the mean Body Image Scale score of the transplant patients participating in the study was 159.41 ± 36.99 and the mean Self-Efficacy Scale score was 30.37 ± 8.31. When the comparison of the mean scores was examined, the difference between the mean scores of gender, marital status, occupation, and body image scale was statistically significant (p < .05), while the difference between the self-efficacy mean scores was not statistically significant (p > .05). There was a positive, moderately strong significant relationship between body image and the self-efficacy of the patients (p < .01) (r = .57). Conclusion: It was found that the patient's body image and self-efficacy levels were high, and self-efficacy increased as the body image increased.
THE DETERMINATION OF NURSING DIAGNOSIS AND PROCESSKNOWLEDGE OF NURSING SENIOR STUDENTS
(2023) Özdemir, Handan; Baran, Leyla
ABSTRACT The study was conducted to eliminate the use of nursing diagnosis and process knowledge by senior nursing students. The research was carried out on 71 senior nursing students who had practice experience in different clinics before. The data were gathered by using the “Individual identification form” and “Nursing diagnosis and process knowledge Form”. It was found that the mean age of the students was 22.61±1.35, 53.5% were female, 32.4% preferred the nursing profession. While 94.4% of the students reported that a nursing diagnosis was necessary, 33.8% of them stated that they found themselves at a sufficient level in determining a nursing diagnosis. Although approximately half of the students knew the types of nursing diagnosis, only 2.8% of them knew the collobrative diagnosis. While 59.2% of the students were able to list all the stages of the nursing process, it was determined that 47.9% of them found themselves partially sufficient in the practice of the nursing process. Most of the students stated that they had the most difficulties in the assessment phase of the nursing process and that they applied the most comfortable evaluation phase.
The effect of acupressure on postoperative pain of lumbar disc hernia: A quasi-experimental study
(ELSEVIER SCI LTD, 2018) Tanrıverdi, Seher; Sarıtaş, Serdar
Lumbar disc herniation (LDH) is a disease characterized by lumbar and leg pain that occurs as a result of compression of the lumbar spinal root by the degenerated disc. The results of the study showed that 80% of humans experienced lumbar pain in any period of their lives [[1], [2], [3]]. Comprising an important part of lumbar pain; lumbar disc herniation (LDH) has an prevalence of approximately 15–56% per year [4,5]. One of the treatment methods preferred for patients diagnosed with lumbar disc herniation is surgery. Patients, who undergo surgery, experience intense pain in the early postoperative period [6]. It is known that medications are commonly used in pain control. Analgesic treatment used for pain control is the most preferred treatment method for pain relief as it has a rapid action and is administered easily [7,8]. Damages in both individual and national economy due to preferring carelessly and frequently analgesics affect negatively some physiological functionings and have negative effects such as development of addiction with the increase of dosages every time especially in cases where narcotics are preferred [9]. Thus, it is indicated that the administration of non-pharmaceutical methods by nurses to relieve the postoperative pain in patients in addition to medications increases the action of medications [8]. It is anticipated that there are numerous non-pharmaceutical methods which are efficient in pain management, such as distraction, relaxation, therapeutic touch, transcutaneous nerve stimulation (TENS), informing, hypnotherapy, acupuncture, massage, aromatherapy, music and meditation, yoga, attention-grabbing, imagination, cognitive-behavioral techniques. But, it is known that nurses do not use these methods adequately to relieve pain [10]. It may be asserted that non-pharmaceutical treatments are among independent nursing roles of professional nurses who have theoretical knowledge and problem solving ability. Nurses are required to take a role in non-pharmaceutical interventions in order to meet the health needs of individuals, families and society [11]. One of the non-pharmaceutical treatment methods used in pain relief is acupressure. Applied with touch pressuring on the acupuncture points using hands, fingers, thumbs or small beads according to the traditional Chinese medicine; acupressure is a non-pharmaceutical pain relief example that balances energy in the body [[12], [13], [14]]. Advantages of acupressure include low cost, learning convenience and non-invasive characteristics [14]. Besides, randomized clinical studies conducted to compare physiotherapy and acupressure in decreasing lumbar pain (LBP) have reveal that acupressure might be effective [[15], [16], [17]]. The use of acupressure in nursing practices by taking all its positive effects into consideration will contribute to the establishment of qualified nursing care standards.
The effect of acupressure on postoperative pain of lumbar disc hernia: A quasi-experimental study
(ELSEVIER, 2018) Tanrıverdi, Seher; Sarıtaş, Serdar
The effect of acupressure on postoperative pain of lumbar disc hernia Background: This study has been conducted for the purpose of examining the effect of acupressure on postoperatıve paın of lumbar disc hernia. Methods: This research was conducted between January 2015- July 2016 at the Neurosurgery Clinics of Turgut Özal İnönü University and Malatya State Hospital as a quasi-experimental research with pretest-posttest designs. The study population consisted of patients who were hospitalized in these clinics after operation of lumbar disc hernia. The sample group consisted of 112 patients selected with random sampling and stayed in these clinics after the power analysis (56 test, 56 control). This research data was collected between January 2016 - March 2016. Patient identification forms and visual analog scales (VAS) were used for data collection. Patient identification form was applied to the patients in the experimental group, after acupressure was applied to patients for 15-20 minutes, their level was determined with the VAS. When the acupressure was stopped, their pain was determined with the VAS. Whereas in the control group, their pain was determined with the VAS and taking the end of the time during which acupressure was applied to experimental group into consideration, their pain level was reevaluated in the 20th minute. Data were evaluated with percentage, arithmetic average, chi-square test and independent groups t test. Results: The research result showed that owing to the effect of acupressure the pain level of the experimental group decreased from 7.75±1.67 to 2.58±1.18. (p= .00). Conclusions: Hence this result suggests the effectiveness of acupressure on postoperatıve paın of lumbar disc hernia.
The Effect of Progressive Muscle Relaxation on Abdominal Pain and Distension in Colonoscopy Patients
(ELSEVIER, 2023)
Purpose:This study was conducted to examine the effect of progressive muscle relaxation on abdominal pain and distension in colonoscopy patients. Design:A randomized controlled experimental design. Methods:The experimental group was informed about progressive muscle relaxation(PMR) and anaudio recording was provided. After the colonoscopy,abdominal pain(VisualAnalogueScale(VAS)pain) and distension (VAS distension) scores were assessed, then PMR was applied for 30 minutes and pain scores were determined again.VAS pain and VAS distension scores of the control group were determined after colonoscopy and 30 minutes later.VAS abdominal pain and VAS distension scores were evaluated at the 2nd,4th, 8th,12th,16th,and 24th hour after the procedure on all patients.The day after thec olonoscopy, post-test data were collected. Findings:The pretest VAS pain and VAS distension mean scores were similar in thei ntervention and control groups(P>.05). The mean VAS pain and VAS distension scores decreased significantly in thei ntervention group post procedure(P<.05). Conclusions:PMR was determined to be effective in reducing abdominal pain and distension after colonoscopy.
The Effect of Progressive Muscle Relaxation on Abdominal Pain and Distension in Colonoscopy Patients
(ScienceDirect, 2022) Tanrıverdi, Seher; Parlar Kılıc, Serap
Abstract Purpose This study was conducted to examine the effect of progressive muscle relaxation on abdominal pain and distension in colonoscopy patients. Design A randomized controlled experimental design. Methods The experimental group was informed about progressive muscle relaxation (PMR) and an audio recording was provided. After the colonoscopy, abdominal pain (Visual Analogue Scale (VAS) pain) and distension (VAS distension) scores were assessed, then PMR was applied for 30 minutes and pain scores were determined again. VAS pain and VAS distension scores of the control group were determined after colonoscopy and 30 minutes later. VAS abdominal pain and VAS distension scores were evaluated at the 2nd, 4th, 8th, 12th, 16th, and 24th hour after the procedure on all patients. The day after the colonoscopy, post-test data were collected. Findings The pretest VAS pain and VAS distension mean scores were similar in the intervention and control groups (P > .05). The mean VAS pain and VAS distension scores decreased significantly in the intervention group post procedure (P < .05). Conclusions PMR was determined to be effective in reducing abdominal pain and distension after colonoscopy.
Enteral Beslenme Uygulamaları
(Akademisyen Kitabevi, 2021) Baran, Leyla
AMAÇ: Nazogastrik tüp uygulamasında aşağıdaki amaçlar yer almaktadır: Mideye doğrudan bazı maddeler vermek; • Besin alımında sorun olan, ancak sindirim ve emilim bozukluğu olmayan bireyleri tüp aracılığıyla beslemek (gavaj), • Mide kanamasını durdurmak için buzlu su vermek, • Zehirli maddeleri nötralize etmek için ilaç ya da su vermek, • Kontrast madde vermek, Mide içeriğini boşaltmak; • Kaza ya da kasıtlı olarak alınan zehirli maddeleri veya aşırı dozda alınan ilacı dışarı çıkarmak, mideyi yıkamak (lavaj), • Majör travma ya da cerrahi sonrası aspirasyonu önlemek için mide içeriğini dışarı almak, • Kardiyopulmoner resusitasyon sırasında midede biriken havayı çıkarmak, • Bulantı ve kusmanın önlenmesi için mide içeriğini boşaltmak, • Midedeki sıvı ve gazları boşaltarak mide basıncını azaltmak (dekompresyon), • Mide kanamasında mide içeriğini boşaltmak, • Bağırsak tıkanıklığında ve diğer gastrointestinal hastalıklarda gerginliği azaltmak, Mide işlevini ya da içeriğini test etmek; • Laboratuvar incelemesi için mide içeriğinden numune almak (gastrik analiz/ mide tubajı), • Mide basıncını veya motor sistemin etkinliğini test etmek.
Examining the hand hygiene beliefs and practices of nursing students and the effectiveness of their handwashing behaviour
(Journal of Clinical Nursing, 2020) Baran, Leyla; Ceylan, Burcu; Güneş, Ülkü Yapucu; Öztürk, Huri; Sahbudak, Gül
Aims and objectives: To examine the hand hygiene beliefs and practices of Turkish nursing students and the effectiveness of their handwashing. Background: Handwashing is the most important part of preventing cross-infection, but there is a considerable amount of evidence that shows that the handwashing technique of nurses and nursing students is not always very effective. Design/Methods: This research was carried out in two stages and is type of descriptive, analytical and observational. The study comprised 563 students from a Faculty of Nursing. Besides evaluating the nursing students' sociodemographic data, we assessed their beliefs and hand hygiene practices using a Hand Hygiene Beliefs Scale (HHBS) and Hand Hygiene Practices Inventory (HHPI) and also used with “Derma LiteCheck” device to assess how effectively they washed their hands. The STROBE checklist was used. Results: The handwashing frequency of the female students was significantly higher. The scores on both the HHBS and the HHPI were significantly higher among the female students compared to the males. The dirtiest areas of the hand were determined as nails (nail beds, beneath the nails), skin between the fingers and fingertips. Conclusions: The results of our study indicate that although student nurses have positive perceptions about hand hygiene and appear to have developed good habits, the effectiveness of their handwashing is poor. Relevance to clinical practice: It is of great importance that UV light and florescent gel are made readily available both at nursing schools and in hospitals and other health institutions since these elements are useful in providing immediate visual feedback for a full assessment of handwashing behaviour.
Examining the hand hygiene beliefs and practices of nursing students and the effectiveness of their handwashing behaviour
(Wiley Online Library, 2020) Ceylan, Burcu; Güneş, Ülkü; Baran, Leyla; Ozturk, Huri; Sahbudak, Gul
Aims and objectives: To examine the hand hygiene beliefs and practices of Turkish nursing students and the effectiveness of their handwashing. Background: Handwashing is the most important part of preventing cross-infection, but there is a considerable amount of evidence that shows that the handwashing technique of nurses and nursing students is not always very effective. Design/methods: This research was carried out in two stages and is type of descriptive, analytical and observational. The study comprised 563 students from a Faculty of Nursing. Besides evaluating the nursing students' sociodemographic data, we assessed their beliefs and hand hygiene practices using a Hand Hygiene Beliefs Scale (HHBS) and Hand Hygiene Practices Inventory (HHPI) and also used with "Derma LiteCheck" device to assess how effectively they washed their hands. The STROBE checklist was used. Results: The handwashing frequency of the female students was significantly higher. The scores on both the HHBS and the HHPI were significantly higher among the female students compared to the males. The dirtiest areas of the hand were determined as nails (nail beds, beneath the nails), skin between the fingers and fingertips. Conclusions: The results of our study indicate that although student nurses have positive perceptions about hand hygiene and appear to have developed good habits, the effectiveness of their handwashing is poor. Relevance to clinical practice: It is of great importance that UV light and florescent gel are made readily available both at nursing schools and in hospitals and other health institutions since these elements are useful in providing immediate visual feedback for a full assessment of handwashing behaviour.
Frequency of Clinical Alarms in Intensive Care Units and Nurses' Sensitivity to Them: An Observational Study
(2021) Ceylan, Burcu; Baran, Leyla; Güneş, Ülkü
Background All clinical alarms require nurses to respond even if an intervention is not needed. Nurses are expected to respond appropriately to each alarm and establish priorities among their care practices accordingly. This study was conducted to examine the number and types of clinical device alarms used in intensive care units, the duration of their activation, and nurses’ degree of sensitivity to them. Methods This observational study was conducted in 4 intensive care units in a university hospital in Turkey. A total of 20 nurses (5 from each unit) were observed for a total of 80 hours. The alarms were categorized as valid, false, or technical. Results During the study observation period, the mean number of alarms sounding per hour per bed was 1.8. A total of 144 alarms were recorded, of which 70.8% were valid, 15.3% were false, and 13.9% were technical. The mean duration of alarm activation was 8 minutes for valid alarms, 14 minutes for false alarms, and 53 minutes for technical alarms. Conclusions Nurses’ responses to alarms differ depending on alarm type; for alarms that do not require an emergency intervention, nurses tend to respond late or not at all.
Gerontolojiye Yunan Mitolojisinden Bakmak
(2020) Apak, Hıdır
İnsanlık tarihi, geçmişin mirasını paylaşıp üzerine eklenen yenilik ve değişikliklerle şekillenmeye devam etmektedir. Bu durum kendini, insan yaşamının bir evresi olan yaşlılıkta da göstermektedir. Yaşlılık, kronolojik yaşın ilerlemesine paralel olarak biyolojik, psikolojik ve sosyolojik boyutlar kazanan bir dönem olarak tanımlanabilir. Tarihin başlangıcından beri, yaşlanma süreci ve ölümün üstesinden gelmeye ilişkin çabalar insanların sözlü tarihinin ve kültürünün en önemli birleşimlerinden olan mitlerde de yer almıştır. Yaşlanma sürecine ilişkin mitlerle ruhsal bir derinlik ve temel insanlık geleneklerini eklemek, gerçekçi ve kalıcı sonuçlar ortaya koyacaktır. Yunan mitolojisi kültür veya bölgeden bağımsız olarak, gerontolojinin daha iyi anlaşılması için değerli bir bilgi kaynağı olarak görülebilir. Bu çalışma, Antik Yunan mitolojisinin imgesel ufkundan yola çıkarak gerontolojiye yansımalarını tartışmaktadır. Çalışmada gerontoloji ile mitoloji ilişkisi Yunan mitolojisi üzerinden incelenmiştir. Yaşlılık ile ilgili mitolojik referanslar, mitoslar ve Tanrılar üzerine analizler yapılmaya çalışılmıştır. Yunan mitolojisinde yaşlılık tedavi edilmesi ve savaşılmesı gereken, insanın başına musibetler açan, ölümsüzlüğü engelleneyen, istenmeyen ve güçsüzlük olarak tanımlanmaktadır. Bu mitolojik anlatılardan bazıları bugün hala yaşlılık olgusunu anlamada ışık tutmaktadır.
Hastaların ve Hemşirelerin Algıladığı Bakım Davranışları ve Bakım Memnuniyeti
(2023) Akça,Derya; Tanrıverdi, Seher; Pehlivan,Seda
Amaç: Hemşirelerin, kendi bakım davranışlarını değerlendirmesi ve aynı bakım davranışlarının hastalar tarafından nasıl değerlendirildiğini anlaması oldukça önemlidir. Bu araştırma, hastaların ve hemşirelerin algıladığı bakım davranışları ve bakım memnuniyeti arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır. Yöntem: Tanımlayıcı olarak yapılan bu araştırma, iç hastalıkları ve cerrahi kliniklerinde çalışan 119 hemşire ve bakım verdikleri 100 hasta ile gerçekleştirilmiştir. Veriler, hastalar ve hemşireler için ayrı veri toplama formları kullanılarak yüz yüze görüşme yöntemi ile toplanmıştır. Veri toplama formları; bireyin tanıtıcı özellikleri formu, Vizüel Analog Skala ve Bakım Davranışları Değerlendirme Ölçeği-Kısa Formundan oluşmuştur. Bulgular: Algılanan bakım davranışları toplam puan ortalaması, hastalarda ve hemşirelerde sırasıyla; 88,50 (SS=23,14) ve 111,44 (SS=16,52) olarak bulunmuştur. Bakım memnuniyeti puan ortalaması, hastalarda ve hemşirelerde sırasıyla; 6,66 (SS=2,07) ve 7,42 (SS=2,12) olup hemşirelerin algıladığı bakım davranışları (p<0,001) ve memnuniyet düzeyleri (p<0,01) hastalara göre istatistiksel olarak anlamlı bir şekilde yüksek saptanmıştır. Hastaların ve hemşirelerin algıladığı bakım davranışları puanı ile memnuniyet puanı arasında istatistiksel olarak olumlu yönde ilişki bulunmuştur (sırasıyla 0,591; 0,316; p<0,01). Sonuç: Hastaların ve hemşirelerin algıladığı bakım davranışları ve bakım memnuniyetinin orta düzeyin üzerinde olduğu ve algılanan bakım davranış düzeyi arttıkça bakım memnuniyetinin arttığı sonucuna ulaşılmıştır. Bu doğrultuda, hastalar tarafından algılanan bakım davranışlarını ve memnuniyet düzeyini arttırmak için uygulanabilecek yaklaşımlar ile ilgili araştırmalar yapılmalı ve stratejiler geliştirilmelidir.
Hemşirelerin Deprem Kaygısının Stres Düzeyine Etkisinin İncelenmesi
(2023) Baran, Leyla; Işık, Zozan
Bu araştırmanın amacı hemşirelerde deprem sonrası oluşan travmanın stres düzeyine etkisinin incelenmesidir. Araştırmanın evrenini Mardin Eğitim ve Araştırma Hastanesinde çalışan 430 hemşire oluşturmaktadır. Örneklemi ise, araştırmanın içleme kriterlerine uyan ve çalışmaya katılmayı kabul eden 248 hemşire oluşturmaktadır. Araştırmada veri toplamak için; Birey Tanıtıcı Bilgi Formu, Deprem Sonrası Travma Düzeyini Belirleme Ölçeği (DSTDBÖ) ve Hemşire Stres Ölçeği (HSÖ) kullanılmıştır. Verilerin analizinde tanımlayıcı istatistiklerden ve parametrik olan ve parametrik olmayan verilerde kullanıma uygun korelasyon tekniklerinden yararlanılmıştır. Araştırmaya katılan hemşirelerin yaş ortalaması 29.93±6.36 (Min-Max=21-60) olup, %62.5’i kadındır. Hemşirelerin %59.3’ü depreme mesai saatinde denk gelmiş olup %71.8’i deprem anında ne yapılması gerektiğini bildiğini belirtmiştir fakat sadece %10.1’i deprem anında ne yapması gerektiğini açıkça ifade etmiştir. HSÖ’den alınan toplam puan ortalaması= 83.84±18.50’dir (Min-Max=38-136) ve DSTDBÖ’dan alınan toplam puan ortalaması= 59.14±13.80 (Min-Max=26-92) olarak hesaplanmıştır. Hemşirelerde deprem kaygısı ile stres düzeyi arasında pozitif yönde bir ilişki olduğu belirlenmiştir (r=0.319). Ayrıca hemşirelerin %63.3’ü en az bir depremzedeye bakım verdiğini belirtip, %62.1’i hastanın depremzede olmasından kaynaklı bakımlarının etkilendiğini belirtmiştir. Hemşirelerin %36.7’si depremde en az bir kayıp yaşadığını, 60.1’’i korku nedeniyle deprem bölgesinde çalışmak istemediğini belirtmiştir. Öte yandan hemşirelerin %61.7’si eğitim hayatında, %43.1’i meslek hayatında doğal afetlerle ilgili eğitim aldığını belirtmiş olup, sadece %0.8’i deprem anında soğuk kanlılığını koruyabildiğini bildirmiştir. Hemşirelerin %96’sında mevcut durumda doğal afetlerle ilgili eğitim almak isteği saptanmıştır. Normal şartlarda mesleğini sürdürürken birçok stres faktörüyle mücadele eden hemşireler deprem sonrasında; depremzede oldukları halde insani ve mesleki değerler doğrultusunda diğer depremzedelere bakım vermiş ve yakınlarını kaybetme sonrası yas süreçlerini ertelemişlerdir. Bu durum sonucunda, hemşirelerin fiziksel ve ruhsal travma düzeylerindeki artışın stres düzeylerini etkilemesi kaçınılmaz bir sonuçtur.
Hemşirelik Öğrencilerinin Özyeterlilik Düzeyleri ile Psikomotor Becerileri Arasındaki İlişkinin İncelenmesi
(2020) Baran, Leyla; Güneş, Ülkü; Khorshid, Leyla
Bu çalışma hemşirelik öğrencilerinin özyeterlilik düzeyleri ile intravenöz kateter yerleştirme psikomotor becerisi arasındaki ilişkinin incelenmesi amacıyla planlanmıştır. Tanımlayıcı nitelikte olan bu çalışmanın verileri Kasım 2017 ve Ocak 2018 tarihleri arasında toplanmıştır. Araştırmanın evrenini bir hemşirelik fakültesinde öğrenim gören 2. sınıf öğrencileri (N=298), örneklemini ise araştırmaya katılmayı kabul eden öğrenciler oluşturmuştur (n=94). Verilerin toplanmasında “Birey Tanıcı Bilgi Formu”, “Genel Özyeterlilik Ölçeği” ve “İntravenöz Kateter Yerleştirme İşlem Basamakları Kontrol Listesi” kullanılmıştır. Çalışma sonucunda öğrencilerin özyeterlilik düzeylerinin orta düzeyde olduğu ve özyeterlilik düzeyleri ile İntravenöz kateter yerleştirme psikomotor becerileri arasında istatistiksel olarak anlamlı bir ilişki olmadığı saptanmıştır. Çalışmada sadece bir psikomotor beceri değerlendirilmiştir. Bu nedenle, özyeterlilik ve psikomotor beceriler arasındaki ilişkiye odaklanan ve diğer psikomotor becerilerin de kullanıldığı ileri araştırmalara gereksinim duyulmaktadır.
How Job Satisfaction Is Associated with Psychological Well-Being among Social Workers in Turkey: The Mediating Role of Meaning in Life
(Routledge, 2023) Tatlıcıoğlu, Oktay; Kılıç, Adem; Apak, Hıdır; Koçak, Orhan
The job satisfaction of social workers working with disadvantaged groups plays a crucial role in providing quality service. Social workers derive their psychological wellbeing by finding meaning in their work, which is essential in their work with clients. This study aimed to examine the mediating role of meaning in life and the moderating role of spiritual orientation in the relationship between job satisfaction and psychological wellbeing among social workers. The study was conducted online, using a quantitative cross-sectional design with 303 social workers in Turkey. The researchers utilized scales measuring job satisfaction, psychological wellbeing, meaning in life, and spiritual orientation. Confirmatory factor analysis, correlation, direct, indirect, and moderation analyses were performed using AMOS, SPSS, and Process Macro programs. The results showed that job satisfaction had a positive relationship with meaning in life and psychological wellbeing, and meaning in life mediated the relationship between job satisfaction and psychological wellbeing. The study also found that spiritual orientation moderated the relationship between job satisfaction and psychological wellbeing among social workers. Further examination of these factors in future studies may shed light on the preparation of more comprehensive interventions and policies for social workers.
Investigation of the Necessity of Aspiration During the Intramuscular Injection Administered in the Ventrogluteal Site and Its Effect on Pain: A Randomized Controlled Trial
(Sage Journals, 2022) Baran, Leyla; Güneş, Ülkü; Dönmez, Hilal
This experimental study, which was conducted to examine the necessity of aspiration procedure and its effect on pain in intramuscular (IM) injections made into the ventrogluteal site (VGS), is randomized controlled and double-blind. The patients in the study group (n = 834) were assigned to the IM group with the aspiration period of 5 to 10 seconds (Implementation Group A-IGA), the aspiration period of 1 to 2 seconds (Control Group-CG), and no aspiration (Implementation Group B-IGB) according to stratified block randomization list. Patients’ pain levels were evaluated with the Visual Analog Scale (VAS). No bleeding was observed when aspiration periods of 1 to 2 and 5 to 10 seconds were followed during the injections administered to the VGS. The difference between the pain medians of patients in IGB and the CG were not significant (p =.521). It can be said that there is no need to apply aspiration in IM applied into the VGS if the correct site is determined

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