Sürdürülebilir Kalkınma Amaçları
Yayınlar
- MakaleYalnız künye2021Geleceğin Annesi Olan Kadınlarda Otizm Farkındalığının Belirlenmesi
Ulutaşdemir, Nilgün; Top, Fadime Ustuner; Uzun, Sevda; Demir, Sevgi; Kulakaç, Nurşen
Otizm Spektrum Bozuklukları (0SB), bireyin sosyal etkileşimler ve iletişiminde devam eden eksiklikler, kısıtlı ve tekrarlayan davranışlar ile karakterize nöro-gelişimsel bir bozukluktur. Otizmde kesin tanı koydurucu bir ölçüt bulunmamaktadır ancak erken tanıyı kolaylaştıracak önemli bazı göstergeler bulunmaktadır. Bu araştırma kadın öğrencilerin otizm konusundaki farkındalığının saptanması, kadınların otizm ile ilgili bilgi eksikliğinin belirlenmesi ve etkileyen faktörlerin belirlenmesi amacıyla yapılmıştır. Türkiye’nin Doğu Karadeniz Bölgesi’nde Gümüşhane, Trabzon, Rize, Artvin, Giresun olmak üzere Doğu Karadeniz Bölgesini en iyi temsil edebileceği düşünülen 5 ilde üniversitede öğrenim gören araştırmaya katılmayı kabul eden 2604 kadın öğrenciye ulaşılmıştır. Araştırmanın sonuçlarına göre öğrencilerin yaş ortalaması 20,81±2,79’dur. Öğrencilerin %72,5’inin otizm hakkında bilgi sahibi olduğu, cevap verenlerin %28,9’unun internetten, %24’ünün yazılı kayaklardan, %23,3’ünün örgün eğitim sürecinde,%13.4’ünün televizyondan ‘otizm’ hakkında bilgi sahibi olduğu belirlenmiştir. Araştırmamızda öğrencilerin %67,5’i annenin hamilelikte radyasyon ve/veya toksik ajanlara maruz kalmasını, %66,3’ü genetik faktörleri, %57,8’ annenin hamilelikte ilaç kullanmasını otizm nedeni olarak belirttiği saptanmıştır. Otizm konusundan kitlesel farkındalığın artırılması için toplum temelli bilinçlendirme programlarının ve radyo, yazılı ve sosyal medya gibi diğer medya platformlarının teşvik edilmesi önerilmektedir. Otizm konusunda farkındalık kampanyaları sayısının artırılarak otizm araştırmalarının geniş örneklemlerde yapılması ve sonuçlar doğrultusunda otizm konusunda stratejik planlamalar yapılması önerilmektedir.
- MakaleYalnız künye2021Determination of Knowledge Level of University Students on Dyslexia (Gümüşhane University Example)
Ulutaşdemir, Nilgün; Uzun, Sevda; Kulakaç, Nurşen; Acar, Meryem
This research was conducted to determine the knowledge level of university students about dyslexia. Gümüşhane University exam constituted the universe of the descriptive research. 1500 students were reached in the study and a questionnaire form was used by the research as a data collection form. The average age of the study is 21.21 ± 1.95. 40.7% of the students are studying at the faculty of health sciences and 42.6% of the students have knowledge about dyslexia. When the students were asked to define dyslexia, 49.1% defined dyslexia as learning disorder, 24.9% defined social communication disorder, 17.7% mental retardation, 4.7% physical disability and 3.7% identified auditory disability. Our research is because they haven't heard of rocker dyslexia concept and haven't read any books on dyslexia. It is recommended to increase the number of possible awareness campaigns and make plans for dyslexia studies to be conducted in large samples and to be put on the market. In addition, systematic research on dyslexia should be done in Turkey, personalized programs and programs to others by drawing others to be prepared.
- MakaleYalnız künye2021Ameliyathane Hemşirelerinde Aleksitimi Düzeyi ve İletişim Becerilerine Etkisi: Doğu Karadeniz Örneği
Cilingir, Dilek; Bal, Demet; Kulakaç, Nurşen
Bu çalışma ameliyathane hemşirelerinde aleksitimi düzeyinin belirlenmesi ve iletişim becerilerine olan etkisinin değerlendirilmesi amacıyla yapıldı. Kesitsel türde yapılan araştırma, Haziran-Aralık 2019 tarihlerinde Türkiye’nin Doğu Karadeniz Bölgesinde bulunan üç hastanede gerçekleştirildi. Araştırmaya katılan 101 ameliyathane hemşiresi araştırmanın örneklemini oluşturdu. Araştırmanın verileri Sosyodemografik bilgi formu, Toronto Aleksitimi Ölçeği (TAÖ-20) ve İletişim Becerileri ÖlçeğiYetişkin Formu (İBÖ-YF) kullanılarak toplandı. Verilerin analizinde SPSS 23 paket programı kullanıldı. Araştırmaya katılan hemşirelerin yaş ortalaması 35.73±7.35 ve %73.3’ü kadındır. Hemşirelerin %84.2’sinin aleksitimiyi daha önce duymadığı ve %69.3’ünün iletişim becerileri ile ilgili eğitim almadığı belirlendi. Hemşirelerin orta derecede aleksitimik oldukları ve aleksitimi puanları ile iletişim becerileri puanları arasında negatif yönde orta düzeyde anlamlı bir ilişkinin olduğu görüldü (r:-0.48, p=0.04). Ameliyathane hemşirelerinin aleksitimi konusundaki farkındalıklarının arttırılması ve iletişim becerilerinin güçlendirilmesi gerektiği sonucuna varılmıştır. Bu konulara ilişkin eğitimlerin düzenlenmesi ile hemşirelerin hasta ve ekip üyeleri ile olan iletişiminin etkili bir şekilde sürdürülmesi sağlanabilir.
- 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.
- MakaleAçık Erişim2021Relationship of Cachexia with Self-Care Agency and Quality of Life in Cancer Patients: The Case of Turkey
Demirag, Hatice; Kulakaç, Nurşen; Hintistan, Sevilay; Çilingir, Dilek
Objective: This study aims to determine the effects of cachexia, causing major problems in the world and Turkey, on self-care agency and quality of life in cancer patients. Methods: The population of this cross-sectional and relationship-seeking study consisted of cancer patients in Turkey from April 1 to April 20, 2021. Using the snowball sampling method, 174 patients were sampled. 'Patient Information Form,' 'The European Organization for Research and Treatment of Cancer C30 Cancer Quality of Life Scale,' and 'Exercise of Self-Care Agency Scale' were used as data collection tools. Results: In the study, 52 patients (29.9%) were found to have cachexia. Function, general well-being, symptom (except insomnia), and self-care agency, which are subdimensions of the quality-of-life scale, were found to be significantly lower in patients with cachexia than patients without cachexia (P < 0.001). It was determined that there was a significant negative correlation between the cachexia status of the patients and the five basic functions in the functional scale (physical, role, emotional, cognitive, and social function), general well-being, and self-care agency, and there was a significant positive correlation between the cachexia status of the patients and the symptom scale (P < 0.001). According to the results of multiple linear regression analysis, it was found that the factor that significantly affected the cachexia status of the patients was their self-care agency (P < 0.001). Conclusions: It was determined that cachexia caused significantly lower self-care agency and quality of life in cancer patients. Furthermore, quality of life was related to self-care agency.
- MakaleYalnız künye2021The effects of noise levels on pain, anxiety, and sleep in patients
Aydın Sayılan, Aylin; Kulakaç, Nurşen; Sayılan, Samet
Background: Intensive care is a noisy environment for patients and one that affects pain, anxiety levels, and sleep quality. Aims and objectives: To determine the relationship between noise levels and pain, anxiety, and sleep levels in patients in intensive care units. Design: A descriptive and observational study design was used. Methods: This study was conducted between June and December 2018 in a public hospital and included 111 patients admitted to surgical critical care for at least 24 hours. Three Benetech Gm1351 manual sound level metres were used to measure noise. A Patient Information Form, a pain Visual Analog Scale (VAS), the Spielberger State-Trait Anxiety Inventory, and the Richards Campbell Sleep Questionnaire (RCSQ) were used for data collection. Results: The mean age of the patients was 57.29 years. The mean noise level detected in the intensive care unit was 66.52 dB (dB). Patients' mean pain VAS score was 3.79 ± 1.72, the mean State Anxiety Inventory score was 39.74 ± 2.98, and the mean total RCSQ score was 25.10 ± 13.17. Our findings show that patients in the intensive care unit are exposed to high noise levels and that, while this has no effect on pain, it significantly impacts anxiety and quality of sleep. Conclusions: Noise levels in intensive care units significantly exceed recommended thresholds, and this adversely affects patients' anxiety levels and sleep quality. It is important for suitably restful conditions to be provided for patients, to be aware of the potential for anxiety, and for these factors to be borne in mind when planning nursing interventions. Relevance to clinical practice: Further studies on the effects of noise levels on pain, anxiety, and sleep levels in patients admitted to intensive care units are needed.
- MakaleAçık Erişim2021The effect of COVID-19 anxiety levels of healthcare professionals on the quality of working life and related factors
Aydın, Aykut; Kulakaç, Nurşen; Aydın Sayılan, Aylin
Aim: This study aims to determine the effect of COVID-19 anxiety levels of healthcare professionals on their working life quality. Method: The sample of the descriptive, cross-sectional and correlational study consisted of healthcare professionals working in two university hospitals in western Turkey between May and July 2021. We used the “Personal Information Form, Coronavirus Anxiety Scale, and Working Life Quality Scale” as data collection tools. We used numbers and percentage calculations, arithmetic mean, median (25th–75th percentile), Mann–Whitney U test, Spearmen correlation analysis and Linear Regression analysis to analyse the data. Results: The mean score on the Quality of Life Scale of healthcare professionals was 3.74 ± 0.28, and the mean score on the Coronavirus Anxiety Scale (CAS) was 9.66 ± 6.06 (min. 0; max. 20). We found a negative and weakly significant relationship between the mean score of the CAS of healthcare professionals and the mean score of the employee quality of life scale. According to the results of the multiple linear regression analysis, we found the factors significantly affecting the anxiety states of healthcare professionals related to the Coronavirus are the quality of working life, age, sex and the state of caring for a patient with COVID-19. Conclusion: As a conclusion of this study, it was determined that healthcare professionals experienced anxiety, and anxiety decreased as ages, working years and the number of children they have increased. In addition, it was determined that as the anxiety of healthcare professionals increased, the quality of working life decreased.
- MakaleAçık Erişim2021Burnout levels and sleep quality of COVID-19 heroes
Aydin Sayilan, Aylin; Kulakaç, Nurşen; Uzun, Sevda
Purpose: This study was carried out to determine the burnout levels and sleep quality of nurses in the coronavirus disease-2019 process. Design and Methods: The population of this descriptive and cross-sectional study consisted of all nurses working in hospitals in Turkey. Findings: Nurses' mean scores were compared by gender. The emotional burnout and personal achievement scores of male nurses were higher than those of female nurses. Single nurses had significantly higher emotional exhaustion and depersonalization scores than married individuals. Nurses mostly experienced emotional exhaustion, and burnout levels increased in line with insomnia. Implications for Nursing Practice: Nurses struggling on the frontline during the pandemic were determined to be at risk of insomnia and burnout.
- MakaleAçık Erişim2021The relationship between anxiety levels and anger expression styles of nurses during COVID-19 pandemic
Bayrak, Nurten Gülsüm; Uzun, Sevda; Kulakaç, Nurşen
Objective: This study was carried out in a cross-sectional and correlational design to explore the relationship between anxiety levels and anger expression styles of nurses during the COVID-19 pandemic. Methods: The sample of this cross-sectional and correlational type of study consisted of 618 nurses calculated with the snowball sampling method. The data were collected using a questionnaire developed by the researchers, the state anxiety inventory, and the trait anger and anger expression scale and was conducted between May 10 and 20, 2020 using an online questionnaire form. Percentage, mean, standard deviation, the Mann–Whitney U test, Kruskal–Wallis test, Spearman correlation analysis, and multiple linear regression analysis were used to evaluate the data. Results: The mean age of nurses was 34.98 ± 8.36 years (min: 20; max: 53), 87.4% were women, and 81.7% experienced a high level of anxiety. The anger scores of the participants were found to be 20.04 ± 4.43, the anger-in score was 15.55 ± 3.34, the anger-out score was 14.01 ± 2.87, and the anger control score was 22.93 ± 3.6. Being married, the presence of chronic disease, living in the Marmara region, working shifts, presence of an individual over 65 years of age at home, and having a COVID-19 test were found to be risk factors that significantly increase nurses' anxieties. A significant positive relationship was found between the anxiety scores, trait anger (r = 0.249, p = 0.000), anger-in (r = 0.174, p = 0.000) and anger-out (r = 0.205, p = 0.000) scores of nurses, and a significant negative relationship was found between the anxiety scores and anger control (r = 0.249, p = 0.000) score. Conclusion: The study revealed that in the COVID-19 pandemic the anxiety levels of the nurses were high and that the high anxiety level negatively affected the style of anger expression, but the nurses were successful in maintaining anger control. In line with these results, it is important that nurses develop effective coping strategies to reduce their anxiety levels and that they receive increased levels of support in managing anger expression.
- MakaleAçık Erişim2020Psikiyatri Hemşireliği Dersi Alan Öğrencilerin ŞizofreniyeYönelik Tutumlarının Çizme-Yazma Tekniği ile İncelenmesi
Uzun, Sevda; Kulakaç, Nurşen
T Amaç: Sağlık çalışanlarının şizofreni hastalığına karşı damgalayıcı tutumları, hastaların yaşamlarını olumsuz etkileyebilir. Geleceğin sağlık profesyonelleri olan hemşirelik son sınıf öğrencilerinin şizofreni konusundaki tutumları oldukça önemlidir. Bu araştırmanın amacı psikiyatri hemşireliği dersi alan hemşirelik son sınıf öğrencilerinin şizofreniye yönelik tutumlarının (düşünce, duygu ve inançlarının) çizme-yazma tekniği ile belirlenmesidir. Gereç ve Yöntemler: Çalışmada nitel araştırma modeli kapsamında durum çalışması deseni kullanılmıştır. Çalışmaya psikiyatri hemşireliği dersi alan 67 hemşirelik son sınıf öğrencisi katılmıştır. Verilerin toplanmasında çizme-yazma tekniğinden yararlanılmıştır. Verilerin analiz edilmesinde içerik analizi kullanılmıştır. Bulgular: Çalışma sonucunda öğrencilerin şizofreni kavramına ilişkin çizimlerinin analizinden 7 kategori, açıklamalarının analizinden 8 kategoride bilişsel ifade (tanımlama, anlama, yorumlama) belirlenmiştir. Katılımcıların şizofreniye yönelik tutumlarının yoğunlaştığı kategorilerin şizofreninin özellikleri, şizofrenili hastanın algıları, şizofrenili hastaya bakış açısı kategorileri olduğu tespit edilmiştir. Öğrencilerin şizofreninin özelliklerine yönelik düşünceleri kategorisinin, daha çok halüsinasyon, sanrı ve saldırganlık, şizofrenili hastanın algıları kategorisinin yalnızlık, mutsuzluk ve şizofreniye bakış açısıkategorisinin stigma ve toplumdan soyutlama (şizofreni hastasının kendisini) alt kategorilerinde yoğunlaştığı tespit edilmiştir. Sonuç: Araştırma sonucuna göre, tüm kategorilerde katılımcıların şizofreni kavramıyla ilgili farklı tutumlara (duygu, düşünce ve inanç) sahip oldukları görülmüştür. Öğrencilerin şizofreni hastalığını tanıdıkları ancak özellik ve tedavisine ilişkin yanlış bilgilere sahip oldukları belirlendi. Öğrencilerin büyük bir kısmının şizofreni hastalarına ilişkin damgalayıcı tutum sergiledikleri, şizofreni hastalarını saldırgan buldukları ve şizofreni tanılı bireylerin topluma kazandırılması konusunda önemli oranda olumsuz düşünce, inanç ve duyguya sahip oldukları sonucuna varıldı.
- MakaleAçık Erişim2020Determining the quality of life and the sleep quality in patients with benign prostate hyperplasia
Kulakaç, Nurşen; Sayılan, Aylin Aydın
Research question: How is the quality of life and quality of sleep affected in patients with benign prostatic hyperplasia?. Research problem: The aim of this study was to evaluate the quality of life and quality of sleep in patients with benign prostatic hyperplasia (BPH) and to identify the relationship between them. Nocturia is one of the main symptoms associated to BPH, causing significant sleep disturbances, including sleep interruptions. Such sleep interruptions may significantly impair quality of life. Literature review: The assessment of nocturia and its impact on quality of life and sleep quality in patients living with benign prostatic hyperplasia (BPH) has been poor in terms of clinical research; moreover, there is a lack of specific methods to assess this impact. Methodology: The sample of this descriptive study consisted of all patients with the diagnosis of BPH who were admitted to the urology outpatient clinic of a state hospital in Turkey. The data were collected from 212 patients with BPH who accepted to participate in the study in January-June 2018. All patients gave consent prior to inclusion in the study. The Pittsburgh Sleep Quality Index and the WHOQOL-BREF (World Health Organization Quality of Life Scale - Brief Form) were used as the principle data collection tools. Percentage, t test, correlation and one-way variance analysis test were used to evaluate the data. Results: The mean age of the patients was 67.50 ± 8.89 years and 63.2% of them were first diagnosed with benign prostatic hyperplasia 2.13 years ago. The lowest and the highest average scores that the patients obtained from the WHOQOL-BREF were their social and environmental domains scores, respectively. In all, 20.2% of the patient were found to have poor sleep quality (global score ≥ 5). The results showed that there was a positive correlation between the mean scores of the sleep quality of the patients and their quality of life physical domain subscale. It was also found that there was a significant negative correlation between night urination and the sleep quality in BPH patients (P <.05). Conclusions: It was determined that low quality of life in BPH patients is associated with low sleep quality. Personal characteristics, frequent night urination and working status are important determinants of the relationship between quality of life and sleep quality.
- MakaleYalnız künye2019Kamu Hastaneleri Performans Ölçüm Yaklaşımının Sağlık Yöneticileri Tarafından Değerlendirilmesi
Köse Ünal, Aslı; Kulakaç, Nurşen
Yaşadığımız yüzyılda değişim etkisi kuşkusuz heralanda farklı yeniliklerle etkisini göstermektedir.Sağlık sektörü de değişimin yaşandığı sektörlerdenbiridir. Sağlık alanında hasta algı düzeyindekideğişiklikler, hastaların memnuniyet düzeyleri vekaliteli hizmet beklentileri politika yapıcıları yeniarayışlara yönlendirmiştir. Bu alandakiuygulamalardan biri de kamu hastanelerinin veyöneticilerinin performanslarının değerlendirilmesidir.Performans yönetimin etkinliğini de ölçmedekullanılan ölçütlerden biridir. Kamu hastanelerininperformansını ölçen yöntem kurumsal karneyaklaşımını içermektedir. Bu model, kamuhastanelerinin performansını, tıbbi ve idari boyutlardadeğerlendirmektedir. Bu çalışma kamu hastanebirliklerinin kurulması ile yönetici başarısını ölçmeyeçalışan performans yönteminin sağlık yöneticileritarafından nasıl değerlendirildiğini anlamak amacıylayapılmıştır. Sağlık yöneticilerinin performans ölçümyöntemi hakkındaki görüşlerini değerlendirmeamacına yönelik nitel araştırma yöntemindenyararlanılmıştır. Sağlık yöneticilerinin performansölçüm yöntemi değerlendirilmelerine göre başarı vebaşarısızlık unsurları belirlenmiştir