Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2025The Effect of the Central Venous Catheter Care Bundle on Intensive Care Unit Infection Level: Prospective Control Group Cohort Study
Özkan, Esra; Kulakaç, Nurşen; Kasap, Reyhan İnce
Objective: This study aims to determine the effectiveness of a care bundle in preventing central venous catheter-associated bloodstream infections in patients treated in the intensive care unit. Material and Methods: A prospective control group cohort study design. Using 105 patients treated in the intensive care unit (ICU)of a state hospital located in northern Türkiye. Following the training provided to physicians and nurses working in the ICU regarding the care bundle, the intervention was implemented on the patients for 1 year, and daily follow-ups were conducted to monitor the development of catheter infections. Data were collected using patient information form and central venous catheter care bundle data. Results: No significant difference was found between the descriptive characteristics of the experimental and control group patients. Throughout the study period, 5 patients in the control group and only 1 patient in the experimental group developed a central venous catheter-associated bloodstream infection. A decrease in the rate of central venous catheter-associated bloodstream infection was identified in the experimental group (p<0.001). Conclusion: The implementation of the care package approach was found to be highly effective in preventing central venous catheter-associated bloodstream infections, so should be adopted as a routine protocol in patients hospitalized in the ICU with a catheter indication.
- MakaleAçık Erişim2025Protocol for an umbrella review of systematic reviews evaluating the efficacy of digital health solutions in supporting adult cancer survivorship care
Keane, Danielle; Calbimonte, Jean-Paul; Pawlowska, Ewa; Kassianos, Angelos P.; Medina, Joan C.; Gregório, Joao; Serra-Blasco, Maria; Celebic, Aleksandar; Di Meglio, Antonio; Asadi-Azarbaijani, Babak
Introduction The growing number of people living with, through and beyond cancer poses a new challenge for sustainable survivorship care solutions. Digital health solutions which incorporate various information and communication technologies are reshaping healthcare; offering huge potential to facilitate health promotion, support healthcare efficiencies, improve access to healthcare and positively impact health outcomes. Digital health solutions include websites and mobile applications, health information technologies, telehealth solutions, wearable devices, AI-supported chatbots and other technologically assisted provision of health information, communication and services. The breadth and scope of digital health solutions necessitate a synthesis of evidence on their use in supportive care in cancer. This umbrella review will identify, synthesise, and compare systematic reviews which have evaluated the efficacy or effectiveness of digital solutions for adult cancer survivorship care with a particular focus on surveillance and management of physical effects, psychosocial effects, new cancer/ recurring cancers and supporting health promotion and disease prevention.Methods and analysis An umbrella review of published systematic reviews will be undertaken to explore the types of digital health solutions used, their efficacy or effectiveness as a form of supportive care, and the barriers and enablers associated with their implementation. The umbrella review will be reported according to the Preferred Reporting Items for Overviews of Reviews (PRIOR) checklist. A search will be conducted across key databases. Records will be assessed independently by two review authors for eligibility against predefined criteria and will undergo two stage title, abstract and full text screening. All systematic reviews that meet the inclusion criteria will be assessed for quality using the AMSTAR 2 checklist with quality assessment and data extraction by two reviewers. The degree of publication overlap of primary studies across the included reviews will also be calculated and a mapping of the evidence will also be presented.Ethics and dissemination As this research proposes using systematic reviews that are already published, ethical approval is not required. Results from this umbrella review will be published in a peer-reviewed journal where any significant deviations from the protocol will be justified.
- MakaleYalnız künye2022The Effect of COVID-19 Pandemic Knowledge Levels of Students Studying in Health-Related Departments on Their Resilience and Mental Well-Being
Özkan, Esra; Cilingir, Dilek; Kulakaç, Nurşen
Objective: The aim of the study is to determine the effect of the COVID-19 pandemic knowledge level of students studying in health-related departments on their resilience and mental well-being state. Materials and Methods: The population of this descriptive-cross-sectional design study consisted of students studying in health-related departments of two universities in Turkey. The students were under quarantine, so the data were collected between 15-25 March 2020 using an online questionnaire form created by the researchers, the Brief Resilience Scale, and the Warwick-Edinburgh Mental Well-Being Scale. Percentage, mean, standard deviation, Mann Whitney U Test, Kruskal-Wallis Test, and Spearman correlation analysis were used to evaluate the data. Results: According to the results, the mean age of the students was 20.0±1.87, 71.9% were female, and 62.8% were studying in an associate degree program. The mean scores of the brief resilience scale and the mental well-being scale were 19.0±4.4 and 42.0±7.0, respectively. The students’ mean knowledge level of COVID-19 disease was 26.5±3.5. There was a moderate positive correlation between the brief resilience scale and mental well-being scale (p<0.05), and a positive correlation between the knowledge level score of COVID-19 disease and the mean scores of resilience and mental well-being (p<0.05). Conclusion: It is thought that there is a significant relationship between the resilience scale and mental well-being scale of students in the quarantine due to the COVID-19 pandemic.
- MakaleAçık Erişim2021Surgical nurses’ knowledge levels about hemodynamic monitoring
Özkan, Esra; Sahin, Ceyda Uzun; Cilingir, Dilek; Kulakaç, Nurşen
Aim: This study was carried out to determine surgical nurses’ knowledge levels about hemodynamic monitoring. Material and Method: The research was carried out in a descriptive design to determine the knowledge levels of surgical nurses related to hemodynamic monitoring. Nurses working in the surgical clinics of three hospitals in the Eastern Black Sea Region. 156 surgery nurses took part in the study. The data were collected through a questionnaire developed by the researchers. Percentage, mean, standard deviation, median, Kolmogorov-Smirnov test, t-test in independent groups, and variance analysis in multiple groups were used to evaluate the data in the research. Results: The mean score of the nurses’ knowledge about hemodynamic monitoring was 65.3±7.9. There was a significant difference between nurses’ receiving education on monitoring, gender, marital status, education level and the mean scores of their knowledge about hemodynamic monitoring (p<0.05). Conclusion: The study revealed that nurses had a lack of knowledge about hemodynamic monitoring, which was reflected in nursing care and practices. It is recommended that surgical nurses are provided detailed and regular training on hemodynamic monitoring methods and follow-up including nursing care.
- MakaleAçık Erişim2021Privacy Awareness of Nursing Students
Özkan, Esra; Sahin, Ceyda Uzun; Cilingir, Dilek; Kulakaç, Nurşen
Objective: This study was conducted in a descriptive design type to determine the privacy awareness of nursing students and associated factors. Material and Methods: The sample of this descriptive study consisted of 490 nursing students studying in Gümüşhane University Health Sciences Faculty Nursing Department and Recep Tayyip Erdogan University Health Sciences Faculty Nursing Department. The data were collected with the questionnaire developed by the researchers and the Patient Privacy Scale. To evaluate the data, continuous variables were expressed as mean, standard deviation, median (25th-75th percentile), and categorical variables as numbers (percent). A comparison of variables that did not show normal distribution between groups was evaluated by the Mann-Whitney U test, KruskalWallis, Post-Hoc Tukey test and the relationship between numerical variables was evaluated by Spearman correlation analysis. Results: The study revealed that gender, place of residence, and education on privacy were the factors affecting privacy awareness. The reasons for the violation of privacy were determined as "careless work of nurses", "heavy workload of nurses", "environmental deficiencies", and "emergencies". The privacy scale scores of the students who chose 'emergencies' as the factor causing privacy violation were found significantly high in the confidentiality of private life (p=0.021), sexual privacy (p=0.014), physical privacy (p=0.039), ensuring a favorable environment (p=0.014), and privacy scale scores (p=0.007). Conclusion: It was found that the students had high scores on privacy, and patient privacy was affected by the students’ level of knowledge about gender, privacy, and place of residence. We suggest that training for privacy practices should be repeated at regular intervals when students start the profession.