Hemşirelik Bölümü Koleksiyonu
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- ItemEffect of motivational interviewing on medication adherence in patients with bipolar disorder: systematic review(Lut Tamam, 2024-10) Erkuş, Şeyma; Babaoğlu, Elçin; 372023This systematic review was conducted to examine the effect of motivational interviewing method on compliance with medication treatment in individuals diagnosed with bipolar disorder. In this systematic review, the literature was searched in the databases of ''Cochrane, SpringerLink, Ovid, Science Direct, PubMed, ProQuest, Networked Digital Library of Theses and Dissertations (NDLTD), ULAKBIM, YÖKTEZ'', published in the last 5 years, in English language, using the keywords and combinations of ''motivational interviewing'', ''bipolar disorder'', ''adherence''. The titles and abstracts of the studies were reviewed and 6 studies, including 4 randomized controlled trials and 2 nonrandomized studies, that met the inclusion criteria were included in the systematic review. As a result of this systematic review, it was determined that the motivational interviewing method was effective in increasing medication compliance in patients diagnosed with bipolar disorder. In the studies, it was determined that motivational interviewing was applied alone, with medication reminder system or with an educational program. It was determined that motivational interviewing was applied twice a week or twice a month, between 20-60 minutes and between 3-6 sessions. Subjective and objective measurement tools assessing medication adherence and symptoms were used to evaluate the effect of motivational interviewing. It is recommended to increase randomized controlled experimental research examining the effect of motivational interviewing method on medication adherence in patients diagnosed with bipolar disorder and to use motivational interviewing techniques and skills by mental health professionals to increase patients' medication adherence.
- ItemHope and psychological resilience in primary caregivers of patients with a chronic mental illness followed in a community mental health center(Elsevier, 2024-03) Erkuş, Şeyma; Babacan Gümüş, Aysun; 372023Purpose: The aim of this study is to examine hope and psychological resilience in primary caregivers of patients with a chronic mental illness. Design and methods: The descriptive study was conducted on 297 caregivers in community mental health centers in Turkey. Data were collected using the Introductory Information Form, Dispositional Hope Scale and the Resilience Scale for Adults. Findings: Hope and psychological resilience of primary caregivers of patients with a chronic mental illness were moderate. To sociodemographic and caregiver characteristics; caregivers who are over 40 years old, lost his/her spouse, low education level, housewife or retired, unemployed, who evaluated their incomes low, mother, living in the same house with the patient, caring for ten years or more, caring for another patient and not getting help in care had lower hope and resilience levels. Compared to patients with a diagnosis of bipolar disorder, caregivers of patients with schizophrenia had lower hope and psychological resilience levels. Conclusions: Primary caregivers of patients with a chronic mental illness should be supported in terms of hope and psychological resilience.
- ItemHow close are interprofessional debriefers to meet the INACSL standards of debriefing practices? a qualitative study(2023-12) Özata, Kevser; Caz, Büşra; Sarmasoğlu Kılıkçıer, Şenay; 167438Aim: This study aims to determine whether the debriefings performed by different health professions for nearly a decade meet the INACSL standards of best debriefing practices. Methods: In order for learning to occur in simulation, there must be a adequate debriefing session. An adequate debriefing should be based on the criteria described in the standards of best practices published by the International Nursing Association for Clinical Simulation and Learning (INACSL). A high quality, adequate, and effective debriefing must be carried out in accordance with each standard. Results: Most of the debriefers are female. Over half had two years or less experience with simulation, and a quarter had training in simulation or debriefing. The results are presented in five contexts (Competent Debriefer, Environment, Effective Debriefing, Theoretical Framework, and Objectives and Outcomes.), which conform to the four standards covered by the INACSL standards of best practices. Conclusions: Except for the feedback, the debriefings do not meet the INACSL standards of best practices. However, the debriefers are aware of the importance of debriefing and are willing to improve their skills. Most of the debriefers have learned debriefing from observation or the literature. With this study, it was ensured that debriefers gained awareness in terms of INACSL standards. At the same time, this study will also provide awareness about the standards for the literature.
- ItemMultisource reflections on assessment of nursing students' first clinical practice and predictions for 360-degree assessment: a qualitative study(Hacettepe Üniversitesi, 2023-12) Bayzat, Çiğdem; Sarmasoğlu Kılıkçıer, Şenay; 167438Aim: This study was conducted to explain the current situation regarding the assessment of nursing students during their first clinical practice and to determine the views on 360-degree assessment, an innovative approach, from a multi-source perspective. Material and Methods: In this qualitative case study, individual interviews were conducted with nine instructors, focus group interviews were conducted with twenty-three nursing students, and documents were examined. Data were collected between 7 August 2019–22 November 2020. The data were analyzed in line with the descriptive analysis approach. Results: While reflections on the current situation were generated in line with the findings obtained from three data sources, the context of predictions on 360-degree assessment was generated in line with the findings obtained from interviews with students and instructors. Reflections on the current situation context are analyzed under assessors, competencies, methods and tools, feedback, challenges, and suggestions themes. Predictions on 360- degree assessment context are analyzed under assessors, frequency, tools, setting, benefits, and challenges themes. Conclusion: According to the results of the data triangulation, the most important issues regarding the assessment of nursing students during first clinical practice were the high student/instructor ratio and the fact that only instructors are officially assessors. Instructors and students approached positively to the 360-degree assessment, but they also shared some concerns.
- ItemThe effect of an educational video on patients' bowel preparation before colonoscopy: a single-blind randomized controlled study(Termedia Publishing House LTD, 2023) Güneş, Ayşegül; Tekin, Yasemin Eda; El, Çiçek; Bektaş, Hasan; 292320Background. The objective of this research was to assess the efficacy of bowel preparation (BP) and colonoscopy compliance of video training given to patients prior to colonoscopy. Material and methods. In this single-blind randomized controlled study, patients in the control group received traditional written instructions with the same content as oral instructions. A total of 139 patients were included in the study, 70 of whom were allocated to the video education group, and 69 to the traditional education group. After the procedure, both groups’ BP quality and satisfaction with education were measured. Sociodemographic Characteristics Form, Boston Bowel Preparation Scale, Colonoscopy Preparation Compliance Form, and Education Satisfaction Form were used in the study. Results. The BP quality scores of the patients in the video group were found to be higher than the traditional method (p<0.05). In addition, it was found that the educational satisfaction scores, general BP compliance score, solid diet compliance scores, and liquid diet compliance scores were higher in the video group than in the traditional method patients (p<0.05). Conclusions. Video-based colonoscopy preparation training is an effective alternative to traditional methods.
- ItemThe effect of conscious mindfulness-based program (MBP) applied to emergency nurses on their anxiety and quality of life: A randomized controlled study(Kare, 2024-09) Çalışkan, Behice Belkıs; Güneş, Ayşegül; Tekin, Yasemin Eda; Ayvaz, Meryem Yıldız; Kızıl, Hamiyet; 292320Objectives: This study aimed to examine the effect of a mindfulness-based program applied to nurses working in the emergency department on their anxiety and professional quality of life. Methods: The study was conducted as a randomized controlled experimental study with 50 nurses working in the emergency department. Data were collected with a sociodemographic information form, state-trait anxiety & imath;nventory (STAI), and quality of life scale for employees (ProQOL-30). Mindfulness-Based Program (FTP), which lasted for 8 weeks and was an application of 2.5 h/week, was applied to the experimental group. A pre-test before the application and a post-test after the application (1 week after the application was completed) were administered to the experimental and control groups. In evaluating the data, number, percentage, mean, standard deviation, Kurtosis, Skewness, Chi-Square, and Fisher's exact tests were used. Results: It was found that the STAI state and trait anxiety pre-test mean scores of emergency nurses were not significantly different between the experimental and control groups (p>0.05), but the STAI state anxiety post-test mean score was significantly lower in the experimental group (t=-3.527, p=0.01). In addition, no significant difference was detected between the ProQOL-30 scale general and all subscale pre-test scores of the experimental and control groups (p>0.05). In addition, while there was no significant difference between the ProQOL-30 scale general and sub-dimension pre-test and post-test scores of the control group (p>0.05), it was found that the ProQOL-30 general score average increased significantly after the application (t=-2.113). Conclusion: It was concluded that the mindfulness-based program is a program that reduces the anxiety levels of emergency room nurses and increases their work-life satisfaction levels.
- ItemThe effects of two different cold application times on edema, ecchymosis, and pain after rhinoplasty: a randomized clinical trial(Elsevier, 2024-01) Tekin, Yasemin Eda; İyigün, Emine; Karakoç, Ömer; 292320Purpose: This study was performed to determine the effects of different cold application times to the periorbital area after rhinoplasty on edema, ecchymosis, and pain. Design: A randomized clinical study. Methods: Patients were divided into two groups, and cold application was applied to one group for 4 hours and to the other for 48 hours. The cold application was applied with ice packs for 20 minutes every hour to the periorbital region in both groups. Data were collected with the Patient Information Form, Scoring Diagram for Edema, the Scoring Diagram for Ecchymosis, and the Visual Analogue Scale for Pain. Findings: Periorbital edema, eyelid ecchymosis, and pain were not significantly different between the two groups. The mean edema score of the 48-hour group was 0.87 ± 0.93, while the mean edema score of the 4-hour group was 0.70 ± 0.87 (P = .48) on the 2nd day. The mean ecchymosis score was found as 2.03 ± 1.12 in the 48-hour group and 2.10 ± 1.09 in the 4-hour group (P = .817). The mean pain score was 12.50 ± 17.40 in the 48-hour group and 13.00 ± 16.00 in the 4-hour group (P = .98). Conclusions: The effects of 48-hour and 4-hour cold applications are similar. Cold application for 4 hours may be recommended to patients who undergo rhinoplasty, as it is more practical and easier to apply than the 48-hour practice.