Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleAçık Erişim2023Evaluation of moral sensitivity and moral courage in intensive care nurses in Turkey during the COVID-19 pandemic
Goktas, Sonay; Aktug, Cemile; Gezginci, Elif
Background: During the COVID-19 pandemic, intensive care nurses may experience ethical issues related to fear of transmission, limited resources, and increased workload. Nurses' moral sensitivity and courage may have a role in dealing with these problems. Aim: The purpose of this study was to assess intensive care nurses' moral sensitivity and moral courage during the COVID-19 pandemic. Design: Descriptive cross-sectional survey. Methods: A total of 362 nurses working in the intensive care units of pandemic hospitals in Turkey participated in the study between January and March 2021. Data were obtained using a personal information form, the Moral Sensitivity Questionnaire, and the Nurses' Moral Courage Scale. A link to the online data collection tools was sent to the management of participating institutions, who forwarded it to nurses. Reporting followed the CHERRIES guidelines. Results: In this study, the response rate of nurses was 89%. The nurses' total mean moral sensitivity score was 90.70 ± 28.89 and their mean moral courage score was 82.08 ± 13.51. A weak inverse correlation was found between the nurses' moral sensitivity and moral courage scores (r = −.176, p =.001). Total moral sensitivity score differed significantly according to years of Intensive care unit (ICU) experience (p =.007). Total moral courage scores increased significantly with education level (p =.012), years of nursing experience (p =.016), and willingness to work in the ICU (p <.001). Conclusion: The study suggests that nurses working in the intensive care unit during the pandemic had moderate moral sensitivity and high levels of moral courage. Nurses' sociodemographic characteristics and ICU work conditions may affect their moral sensitivity and moral courage. Relevance to Clinical Practice: The results of this study can help guide efforts to improve moral courage and sensitivity and address ethical issues among ICU nurses.
- Derleme MakaleYalnız künye2020When Should Antibiotic Prophylaxis Be Performed to Prevent Surgical Side Infections? A Systematic Review
Gezginci, Elif; Goktas, Sonay; Aktuğ, Cemile
The systematic review was planned to examine the application time of antibiotic prophylaxis to prevent surgical side infections. The keywords, “antibiotic application time”, “antibiotic prophylaxis” and “surgical side infections”, were searched both in Turkish and English in Google Scholar, PUBMED, and EBSCO databases. A total of 5969 studies published between 2009 and 2019 were screened. After the literature review, 5 related studies that met the inclusion criteria were included in the study. Preoperative antibiotic prophylaxis and antibiotic application times were examined. In a study included in the study, it was shown that the risk of developing surgical site infection was reduced in patients who received antibiotics for proclactic purposes 60 minutes before incision line formation. In the remaining four studies, it was stated that prophylactic antibiotherapy applied 30 minutes before surgery minimizes the development of surgical site infection. It was revealed that the application of prophylactic antibiotherapy 30 minutes before the incision line minimizes the risk of infection in the surgical area and the literature should be supported by studies on the time of antibiotic administration.