Sürdürülebilir Kalkınma Amaçları
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- MakaleYalnız künye2026Intensive care nurses' perspectives on the quality of nurse-patient communication in the prevention and management of delirium: A qualitative study
Şengün Inan, Figen; Canbolat, Özlem; Aslan, Kübra; Tuncer, Gülsüm Zekiye
Background Nurses play a key role in the care of patients with delirium; however, there is a lack of research exploring intensive care nurses' communication-related experiences in this context. Purpose This qualitative study aims to explore nurses' experiences related to communication in the prevention and management of delirium in intensive care settings. Methods This descriptive qualitative study was conducted with nurses working in the intensive care unit of a university hospital in Türkiye. Data were collected through semi-structured individual interviews. The sample consisted of 15 nurses. To ensure the analysis of the data, the content analysis method was used. Results Findings were categorized into five themes: (1) perceptions, (2) elements of effective communication, (3) obstacles to effective communication, (4) results of effective communication, and (5) results of ineffective communication. Conclusion The results revealed that nurses perceived communication in delirium management as an important therapeutic component of nursing care. In their view, effective communication supported patient care and family cooperation. Beyond individual efforts, organizational leaders may play a crucial role in improving delirium care by allocating adequate time and resources to structured educational programs that enhance communication competencies and delirium-specific knowledge.
- MakaleAçık Erişim2024The Association Between Glycemic Variability and Mortality in Critically Ill Patients: A Multicenter Prospective Observational Study
Emgin, Omer; Yavuz, Mehmet; Sahin, Adem; Günes, Murat; Eser, Mustafa; Yavuz, Tunzala; Kökalan, Damla; Ergün, Bisar; Rollas, Kazim; Çakirgöz, Mensure Yilmaz
Background: Glycemic variability (GV) is a prevalent and significant condition observed in critically ill patients. This study aimed to investigate the relationship between early glycemic variability parameters and 28-day mortality in critically ill patients. Methods: A multicenter, prospective, and observational study was performed at five tertiary intensive care units (ICUs) in Turkey. All patients who had more than six blood glucose level (BGL) measures per 24 h were included. The parameters of GV including the SD, MGL, MGD (the difference between the maximal and minimal glucose level), and the CV (the percentage of SD to the MGL) in the first 24 h were recorded. Results: A total of 578 eligible patients were enrolled in the study, of whom 43.6% were women. The mean age of the patients was 68.09 +/- 16.62 years. Overall mortality was 31.5% (n = 182). The glycemic parameters of the CV, SD, and MGD were significantly higher in the non-survivor group than in the survivor group (p = 0.040, 0.006, and 0.002, respectively). The multivariate logistic regression analysis revealed that the CV (OR 1.023; 95% CI 1.004-1.042; p = 0.017) was an independent factor that increased mortality. Spearman's rho correlation analysis revealed a strong (r:0.871) and statistically significant correlation (p < 0.001) between the CV and MGD. Conclusions: The CV calculated within the first 24 h of ICU admission is independently associated with 28-day mortality. The MGD is correlated with the CV and is maybe a practical tool to predict increased risk of mortality at the bedside. However, further studies are needed to establish the independent association of the MGD with mortality.
- 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.