Browsing by Author "Kav, Sultan"

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Alarm Fatigue Among Nurses Working in Intensive Care and Other Inpatient Clinics
(2023) Karahan, Azize; Kav, Sultan; Cevik, Banu; Citak, Ebru Akgun; Ugurlu, Ziyafet; Fulser, Berrak; 0000-0001-6698-2121; 0000-0003-0361-7498; 0000-0003-1396-854X; 37092200; B-8478-2015; KIH-9136-2024
BACKGROUND: Alarm fatigue is an important technological hazard that adversely affects patient safety and the healthcare team. Nurses can be exposed to an excessive amount of alarms during their work which may lead to alarm fatigue. OBJECTIVE: To determine the experiences of alarm fatigue among nursesworking in intensive care units and other inpatient clinics. METHODS: This descriptive study was conducted in university hospitals in five cities in Turkey between August and December 2019. A total of 592 nurses participated in this study. The data was collected using questionnaires and the Visual Analog Scale (0 to 10 points) was used to determine the level of alarm fatigue. RESULTS: More than half of the nurses experienced problems, especially false alarms, caused by devices. Alarm fatigue decreased with increasing age and working years. Nurses reported appropriate actions in solving problems, but also had practices that may increase the risk of error, such as turning off or muting alarms or turning off equipment. CONCLUSION: Alarm fatigue is mostly caused by false alarms. It can lead to physical fatigue, increased workload and decreased concentration, resulting in an increased possibility of error. Management of alarm fatigue is necessary in preventing a compromise in patients' safety and improving quality of care.
Awareness of Skin Cancer, Prevention, and Early Detection among Turkish University Students
(2016) Ugurlu, Ziyafet; Isik, Sevcan Avci; Balanuye, Berrak; Budak, Elif; Elbas, Nalan Ozhan; Kav, Sultan; 27981144
Objective: The aim of this study was to determine the awareness about skin cancer, prevention, and early detection among university students. Methods: This descriptive cross-sectional study was carried out with 404 students in a university located in Ankara, the capital city of Turkey. A 35-item questionnaire was used for data collection. Results: Less than half of the students (37.9%) had knowledge about skin cancer mostly through the internet (24.5%) and media (24.1%). Half of them aware of the risk factors; mostly as avoiding direct exposure to the Sun between 10 am and 4 pm (45.3%); smoking and alcohol (38.4%); having fair skin color (34.9%); and ultraviolet light exposure (25.7%). Only one-third of them (32.9%) are knowledgeable about skin cancer signs and symptoms, such as a change in color and appearance of the nevus/moles (24%). The majority of the responders (77.3%) did not know about screening tests for skin cancer and only 18 (4.5%) students were practicing skin self-examination. Conclusions: This study showed a lack of knowledge about skin cancer, prevention, and early detection among university students and reported the need for educational interventions to raise awareness in this target group.
Challenges and needs of informal caregivers in elderly care: Qualitative research in four European countries, the TRACE project
(2020) Akgun-Citak, Ebru; Attepe-Ozden, Seda; Kav, Sultan; Acar, Sema; Aksoydan, Emine; Altintas, Atahan; Aytar, Aydan; Baskici, Cigdem; Kiziltan, Gul; 0000-0003-0361-7498; 0000-0002-0484-4687; 31756568; V-9745-2019; ABD-7108-2020
Background: Providing informal care may affects caregivers' life in different ways. Determining the needs of caregivers and supporting them can improve both the quality of life of the caregivers, as well as the elderly they take care of. Objective: To explore the experiences and needs of the informal caregivers in four countries. Design: Qualitative research method was used in the study. Methods: The qualitative data was collected through focus groups and individual interviews between December 2016-May 2017. In all countries interviews were conducted in the mother language of the informants. Informants of the qualitative research were adult people who take primary care of an individual with chronic diseases, aged 65 years or older. Data were collected from 72 informal caregivers from four European countries. Inductive content analysis was performed. Results: Informal caregivers identified 2 themes, 5 subthemes, 19 categories and 7 subtcategories. The themes highlighted two major issues: informal caregiver's challenges and needs related to the management of care of elderly and caregivers' personal needs. Conclusion: The important and charming results of the present study are, difficulties of managing caregiver's own life, and coping with emotions are common in four countries. Identifying challenges and needs of informal caregivers enable healthcare professionals to develop care strategies and plan interventions focused to support and help to reduce the burden of care for elderly with chronic diseases.
The effect of structured education to patients receiving oral agents for cancer treatment on medication adherence and self-efficacy
(2017) Kav, Sultan; Tokdemir, Gamze; 0000-0003-0361-7498; 28966956; V-9745-2019
Objective: This study was conducted to examine the effect of structured education on medication adherence and self-efficacy through the use of the MASCC Oral Agent Teaching Tool (MOATT) for patients receiving oral agents for cancer treatment. Methods: This quasi-experimental study has been conducted at two hospitals; 41 patients were included in the study. Data were obtained using a questionnaire, medication adherence self-efficacy scale (MASES), memorial symptom assessment scale, and a follow-up form (diary). Patients were educated through the use of the MOATT at a scheduled time; drug-specific information was provided along with a treatment scheme and follow-up diary. Phone interviews were completed 1 and 2 weeks after the educational session. At the next treatment cycle, the patients completed the same questionnaires. Results: Majority of the patients were receiving capecitabine (90.2%; n = 37) as an oral agent for breast (51.2%; n = 21) and stomach cancer (24.6%; n = 10) treatment. About 90.2% of patients (n = 37) stated that they did not forget to take their medication and experienced medication-related side effects (78%; n = 32). The total score of MASES was increased after the education (66.39 vs. 71.04, P < 0.05). Conclusions: It was shown that individual education with the MOATT and follow-up for patients receiving oral agents for cancer treatment increased patient medication adherence self-efficacy.
Evaluating Palliative Care Needs in Middle Eastern Countries
(2015) Kav, Sultan; 0000-0003-0361-7498; 25302525; V-9745-2019
Background: Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world. While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease. Objective: To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities. Design: Descriptive survey. Setting/Subjects: Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings. Measurements: Palliative care needs assessment. Results: Improved pain management services are key facilitators. Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time. The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes. Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques. Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly. Conclusions: The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services. Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained.
Hemodiyaliz hastalarının tedavi ve sıvı kısıtlamasına uyum, uyumsuzluk ve öz etkililik durumunun incelenmesi
(Başkent Üniversitesi Sağlık Bilimler Enstitüsü, 2016) Korkmaz, Yasemin; Kav, Sultan
Tanımlayıcı ve kesitsel tipteki bu araştırma hemodiyaliz hastalarının önerilen tedavi, diyet ve sıvı kısıtlamasına uyum, uyumsuzluk ve öz etkililik durumlarının incelenmesi amacıyla yapılmıştır. Araştırma Başkent Üniversitesi Ankara Hastanesine bağlı Ümitköy, Çiğdem ve Yenikent Diyaliz Merkezlerinde gerçekleştirilmiştir. Araştırmanın örneklemini en az 3 aydır hemodiyaliz tedavisi görmekte olan, 18 yaşından büyük ve araştırmaya katılmaya gönüllü 400 birey oluşturmuştur. Verilerin toplanmasında literatürden yararlanılarak hazırlanan anket formu, Genel Öz Yeterlilik Ölçeği ve Diyaliz Diyet ve Sıvı Kısıtlamasına Uyumsuzluk Ölçeği kullanılmıştır. Veriler araştırmacı tarafından yüz yüze görüşerek anket uygulama yoluyla elde edilmiştir. Verilerin değerlendirilmesinde tanımlayıcı istatistiklerin yanı sıra ki-kare, t testi, ANOVA ve Pearson Korelasyon analizi kullanılmıştır. Araştırmaya katılan hastaların yaş ortalamalarının 56.74 ± 16.09 yıl olduğu, hastaların ortalama 112.13 ± 93.98 ay önce KBY tanısı almış ve ortalama 78.44 ± 69.98 aydır diyaliz tedavi almakta olduğu saptanmıştır. Çalışmaya katılan hastaların genel öz yeterlilik ölçeği toplam puanı ortalamasının 30.62 ± 7.69 olduğu belirlenmiştir. Öz- yeterlilik ölçeği puan ortalamasının erkek, evli, çocuğu olmayan, üniversite mezunu olan, il merkezinde yaşayan ve gelir durumu iyi olanlarda daha yüksek olduğu saptanmıştır (p<0.05). Yaş, cinsiyet, kullandığı ilaç sayısı, kronik böbrek yetmezliği dışında bir hastalık olma durumu ve hemodiyaliz süresinin ilaç tedavisine uyumu etkilediği belirlenmiştir. Hastaların yarıdan fazlasının son 2 haftada diyet (%64.2) ve sıvı kısıtlamasına (%60.0) uyumsuzluk gösterdiği saptanmıştır. Bekar, aile bireyleri ile birlikte yaşayan ve sigara kullananların son 2 haftada diyet ve sıvı kısıtlamasına uyumsuzluk derecesinin daha fazla olduğu görülmüştür. The purpose of this descriptive and cross-sectional study was to evaluate hemodialysis patients’adherence, non-adherence to the treatment,dietaryand fluidrestriction recommendations and self-efficacy. This study has been conducted at the Ümitköy, Çiğdem and Yenikent dialysis centers of Baskent University Ankara Hospital. The sample was included 400 individuals receiving dialysis treatment for at least 3 months,aged over 18 years old and volunteer to participatetothis study. In data collection, a questionnaire that was prepared based on the literature, Turkish version of Dialysis Diet and Fluid Non-Adherence Questionnaire and General Selfefficacy Scale were used. The data was obtained by the researcher via face to face interview. Data were analyzed with using descriptive statistics besides Chi-Square, t-test, ANOVA and Pearson Correlation tests. The mean age of the subjects was 56.74 ± 16.09, the patients were diagnoses for chronic renal failure 112.13 ± 93.98 months prior to dialysis; and they were having dialysis treatment for average 78.44 ± 69.98 months period. The average general self - efficacy scale grade was 30.62 ± 7.69 for the subjects who were enrolled to this study. Self-efficacy scores were higher in male, married, university graduates, who lives in city and higher income level groups (p<0.05). Age, gender, number of medication/tablets, having concomitant diseases and dialyses duration had an impact on medication adherence. More than half of the patients were reported non-adherence to diet ( %64.2) and fluid restriction (%60.0) in the previous 2 weeks. Patients who were single, living with family members and smokers reported higher level of non-adherence.
Human Development Index and its association with staff spiritual care provision: a Middle Eastern oncology study
(2019) Kav, Sultan; 0000-0003-0361-7498; 30895381; V-9745-2019
BackgroundAlthough staff spiritual care provision plays a key role in patient-centered care, there is insufficient information on international variance in attitudes toward spiritual care and its actual provision.MethodsA cross-sectional survey of the attitudes of Middle Eastern oncology physicians and nurses toward eight examples of staff provision of spiritual care: two questionnaire items concerned prayer, while six items related to applied information gathering, such as spiritual history taking, referrals, and encouraging patients in their spirituality. In addition, respondents reported on spiritual care provision for their last three advanced cancer patients.ResultsSeven hundred seventy responses were received from 14 countries (25% from countries with very high Human Development Index (HDI), 41% high, 29% medium, 5% low). Over 63% of respondents positively viewed the six applied information gathering items, while significantly more, over 76%, did so among respondents from very high HDI countries (p value range, p<0.001 to p=0.01). Even though only 42-45% overall were positively inclined toward praying with patients, respondents in lower HDI countries expressed more positive views (p<0.001). In interaction analysis, HDI proved to be the single strongest factor associated with five of eight spiritual care examples (p<0.001 for all). Significantly, the Middle Eastern respondents in our study actually provided actual spiritual care to 47% of their most recent advanced cancer patients, compared to only 27% in a parallel American study, with the key difference identified being HDI.ConclusionsA country's development level is a key factor influencing attitudes toward spiritual care and its actual provision. Respondents from lower ranking HDI countries proved relatively more likely to provide spiritual care and to have positive attitudes toward praying with patients. In contrast, respondents from countries with higher HDI levels had relatively more positive attitudes toward spiritual care interventions that involved gathering information applicable to patient care.
Human Development Index and its association with staff spiritual care provision: a Middle Eastern oncology study (vol 27, pg 3601, 2019)
(2019) Kav, Sultan; 0000-0003-0361-7498; 31016423
Kemoterapi semptom yönetimi hasta bilgilendirme rehberi
(2009) Pınar, Gül; Kav, Sultan; Abbasoglu, Aysel; Kural, Nurdan; Çevik, Banu; Kaya, Necibe; Ceylan, Aysun; Turkay, Ummuhan; Eren, Zehra
Kolorektal kanserli bireylerde hastalık algısı ve tanı gecikmesine yol açan bireysel faktörlerin incelenmesi
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2020) Tanrıkulu, Ümran Ege; Kav, Sultan
Bu çalışma; kolorektal kanserli hastalarda ilk belirtiler ile tıbbi yardım arama arasında geçen süreyi, gecikmeye neden olan faktörleri ve hastalık algısını belirlemek amacıyla tanımlayıcı ve kesitsel olarak gerçekleştirilmiştir. Araştırma Ankara Başkent Üniversitesi Hastanesi’nde tıbbi onkoloji polikliniğine 25 Kasım 2019 ile 15 Mart 2020 tarihleri arasında başvuran ve kolorektal kanser tanısı ile izlenen 114 hasta ile gerçekleştirilmiştir. Araştırmanın verileri anket formu ve Kısa Hastalık Algısı Ölçeği kullanılarak elde edilmiştir. Hastaların ilk kolorektal kanser semptomlarını yaşamalarından sağlık kuruluşuna başvuru arasında geçen sürenin 1 aydan az olması normal, 1 aydan fazla olması gecikme, 1-3 ay arası olması uzun süreli gecikme ve 6 aydan fazla olması ise çok ciddi gecikme olarak değerlendirilmiştir. Verilerin analizinde tanımlayıcı istatistiklerin yanı sıra ki kare testi, tek yönlü varyans analizi ve korelasyon testleri kullanılmıştır. Çalışmaya katılan hastaların kolorektal kansere yönelik şikâyetleri başladıktan sonra sağlık kurumuna başvuru süreleri ortalaması 7,27±11,02 ay (min:1 Max: 62,5 ay) olup, %60,6’sında bir ay üzerinde gecikme ve %31,6’sında ise çok ciddi gecikme saptanmıştır. Hastaların çoğunluğu (%76,3) kolorektal kanser belirti ve bulgularını bilmediğini; %16,7’sı kolorektal kansere yönelik bir tarama testi yaptırdığını ifade etmiştir. Kolorektal kanser tanısı öncesi bireylerin, %89,9’unun belirti ve bulgular yaşadığı; en sık yaşanan belirti ve bulguların; barsak alışkanlığında değişim (%20,3), rektal kanama (%14,1) ve karın ağrısı (%10,3) olduğu belirlenmiştir. Bireylerin sağlık kurumuna başvurusunu etkileyen faktörler değerlendirildiğinde, %60’ı herhangi bir faktör olmadığını, %17’si ise semptomları geçici ya da önemli görmedikleri için başvurmadıklarını belirtmiştir. Gecikme süresi ile eğitim düzeyi ve bağırsak alış kanlığında değişim yakınması arasında anlamlı ilişki saptanmıştır (p<0.05). Kısa hastalık algısı ölçeği toplam puan ortalaması 21.74 ± 11.36 (min: 0 - max: 56) olarak bulunmuştur. Hastaların, hastalık algısı ile gecikme ilişkisi incelendiğinde istatiksel olarak anlamlı bir ilişki bulunmamıştır. Hastalar, hastalıklarına neden olduğuna inandıkları en önemli üç faktörü stres (%32,8), beslenme (%24,9) ve üzüntü (%13,6) şeklinde ifade etmişlerdir.Çalışmaya katılan hastaların kolorektal kanser belirtisi olabilecek yakınmaları olmasına rağmen kolorektal kanser belirtileri konusunda farkındalıklarının oldukça düşük olması nedeniyle sağlık kuruluşuna başvurma sürelerinde önemli gecikme olduğu belirlenmiştir.The purpose of this study was to determine the time elapsed between the first symptoms and seeking medical help, factors contributing to the delay and disease perception in patients with colorectal cancer. The study was conducted at the medical oncology outpatient clinic of Başkent University Hospital in Ankara between 25 November 2019 and 15 March 2020 and included 114 patients who were diagnosed with colorectal cancer. The data were obtained by using the questionnaire form and the brief illness perception questionnaire. The elapsed time between patients’ first symptoms and seeking medical health was classified into ‘‘normal’’ when it was less than 1month, ‘‘delay’’ when it was between 1 and 3months, ‘‘long-term delay’’ when it was more than 3months, and ‘‘very serious delay’’ when it was more than 6 months. The mean elapsed time between patients’ first symptoms and seeking medical health was 7,27±11,02 month (min:1 max:62,5 month), 60.6% of patients were delayed over a month and there is a serious delay in 31,6% of them. Most of the patients (76.3%) stated that they did not know the signs and symptoms of colorectal cancer and 16.7% stated that they had a screening test. It was determined that 89.9% of patients experienced symptoms and signs before colorectal cancer diagnosis. The most common complaints were changes in bowel habits (20.3%), rectal bleeding (14.1%) and abdominal pain (10.3%). When the factors contributing to the delay were evaluated, 60% of them did not stated any reason, 17% stated perceiving the symptoms as temporary or insignificant. A significant relationship was found between the delay in diagnosis and level of education and the change in bowel habit (p<0.05) . The mean score of brief illness perception was found to be 21.74 ± 11.36 (min: 0 - max: 56). When the relationship between patients’ perception of disease and delay in diagnosis is examined, no statistically significant relationship was found. It was found that the three most important factors that they believed to cause illness were stress (32.8%), nutrition (24.9%) and sadness (13.6%). Although the individuals participating in the study have symptoms that may be a symptom of colorectal cancer; it has been determined that there was considerable delay in the time to seeking medical help due to lack of awareness about the symptoms of colorectal cancer.
Nurses' Practices in Targeted Therapies in Turkey
(2015) Kav, Sultan; Atay, Sevcan; 0000-0002-4787-0666; 0000-0003-0361-7498; 25778328; D-9607-2018; V-9745-2019
Purpose: The number of targeted agents has increased over the last years. The aim of this study was to explore the current practice and knowledge of nurses about targeted therapies and to identify the gap in their management in Turkey. Methods: Nurses who attended to the oncology nursing educational programs organised by the Turkish Oncology Nursing Association were invited to participate. A total of 187 nurses from 29 cities responded. Data were collected via a 30-item questionnaire on demographics and knowledge and practices on targeted therapies. Following this survey nurses were invited to participate in 'target' courses. Results: More than half of them (57.2%) stated they were willing to receive information on targeted therapies, mostly through in-service education (32.7%). Also, most of them were partly (67.3%) or not satisfied (24.3%) with their knowledge. Only few explained what targeted therapies are and how they work. While most of them responded correctly about how and where to store targeted drugs, few (1.8%) wrote that these agents should be stored in freezer. The majority stated that targeted agents should be prepared like the chemotherapy drugs. Conclusions: Lack of knowledge may cause errors and influence drug effectiveness. Nurses need to be supported with information. This survey revealed the needs in nursing practice over targeted therapies, side-effects and management.
Oncology nurses awareness of drug interactions
(2015) Karahan, Azize; Isik, Sevcan Avci; Kav, Sultan; Abbasoglu, Aysel; 0000-0003-0361-7498; 27981124; V-9745-2019
Objective: The aim of this study was to determine oncology nurses awareness of drug interactions. Methods: This descriptive study was conducted with nurses working in the oncology clinics who are a member of Oncology Nursing Association of Turkey. A total of 115 nurses (response rate %20) were responded to the online survey that consists of 28 questions. Results: The mean age of the nurses was 33 +/- 6.8. The majority of nurses work in university hospital (60%) as a clinical nurse (62.6%) and have a Bachelor Degree in Nursing (63.5%). The mean working years in oncology was 4 years. Half of them stated receiving information on drug interactions mostly through in-service education and courses/congresses in last 5 years. The majority of them (84.3%) indicated that they are considering the possibility of drug interactions when they are scheduling the medication administration time. More than half of the responders (59.1%) encountered drug interactions; however, few explored drug interactions with food, drinks, and nutritional supplements. Their practices to assess possibility of drug interactions were reviewing the drug prospectus (78.3%); consulting with their colleagues (58.3%) and searching on the available website (42.6%) and looking at the drug interaction (39.1%). More than half (65.2%) stated lack of any system to identify drug interactions in their workplace. Nearly half of them indicated to including the drug interaction into patient education mostly for food-drug (73.9%) and drug-drug (63.5%) interactions. Conclusions: Almost all indicated the needs for further education on drug interactions and suggested to have guideline/packet guide.
Oral agents in cancer treatment: Meeting the patients' needs to ensure medication adherence
(2017) Kav, Sultan; 0000-0003-0361-7498; 28966953; V-9745-2019
Sultan Kav, is a Professor at Baskent University, Faculty of Health Sciences Department of Nursing in Ankara, Turkey. She received her Bachelor of Nursing, Master, and PhD degrees from Hacettepe University School of Nursing in Ankara, Turkey. She has over 25 years experiences in oncology nursing; she is an active member of national and international organizations, namely, Turkish Oncology Nursing Association (TONA), International Society of Nurses in Cancer Care (ISNCC), European Oncology Nursing Society (EONS), ONS, and Multinational Association of Supportive Care in Cancer (MASCC). She was served on ISNCC and EONS Board and former president of EONS. She was the principal investigator of several studies of the education of patients receiving oral cancer agents, which led to develop "The MASCC Teaching Tool for Patients Receiving Oral Agents for Cancer MASCC Oral Agents Teaching Tool (MOATT)(c)" and the MOATT (c) User Guide. She is the recipient of the 2010 ONS International Award for Contributions to Cancer Care; before this, she has received MASCC Young Investigator Award in 2004 and MASCC Best Young Investigator Award for her research study "Patient Education and Follow-up for Oral Chemotherapy Treatment in Turkey" in 2005.
Palyatif bakım hastalarının ve hemşirelerinin itibarlı bakıma ilişkin görüşleri
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2018) Eskigülek, Yasemin; Kav, Sultan
Bu çalışma palyatif bakım hastalarının ve bu alanda çalışan hemşirelerin itibarlı bakım konusundaki görüşlerinin incelenmesi ve Hasta İtibar Envanteri’nin Türkçe geçerlilik ve güvenilirliğinin değerlendirilmesi amacıyla gerçekleştirilmiştir. Tanımlayıcı ve metodolojik tipteki bu araştırma iki aşamadan oluşmaktadır. İlk aşama Chochinov ve arkadaşları tarafından Kanada’da geliştirilen “Hasta İtibar Envanteri’nin” Türk toplumunda geçerlilik ve güvenilirlik çalışması olup örneklemini Ankara’da iki üniversite hastanesinin kliniklerinde yatan 127 ileri evre kanser hastası oluşturmuştur. Çalışmada demografik form, Palyatif Performans Skoru, Hasta İtibar Envanteri ve Hastane Anksiyete ve Depresyon Ölçeği kullanılmıştır. Hasta İtibar Envanteri ilk uygulamadan en az bir hafta sonra 32 hastaya tekrar uygulanmıştır. İkinci aşamada ise 10 palyatif bakım hastası ve bu hastalarla çalışan 10 hemşirenin itibarlı bakıma ilişkin görüşleri birebir yarı yapılandırılmış görüşme tekniğiyle incelenmiştir. Çalışma Şubat-Temmuz 2018 tarihleri arasında yapılmıştır. Hasta İtibar Envanteri dil geçerliliği sağlandıktan sonra uzman görüşüne sunulmuş ve uygun bulunmuştur. Cronbach alfa değeri ilk uygulamada 0.94, ikinci uygulamada 0.90 olarak elde edilmiştir. Ölçeğin toplam puanı ilk uygulamada 46.85±18.49 (min:25- max:125), ikinci uygulanmasında ise 40.78±13.96 (min:25-max: 70) olarak bulunmuştur. Ölçeğin yapı geçerliliğini incelemek için açımlayıcı faktör analizi ve doğrulayıcı faktör analizi yapılmıştır. Açımlayıcı faktör analizinde Kaiser-Meyer- Olkin örneklem yeterliği ölçütü değeri 0.89; faktör analizi yeterliği ölçütü Bartlett Küresellik Testi p<0.000 olarak bulunmuştur. Hasta İtibar Envanterinin Türkçe versiyonunun yapı geçerliliği analizleri sonucunda 5 faktör elde edilmiş olup madde dağılımlarında orijinal ölçekle farklılıklar olduğu belirlenmiştir. Elde edilen 5 faktörün varyansın % 68.7’sini açıkladığı saptanmıştır. Hastalarla yapılan görüşmelerin çözümlemesi sonucunda saygınlık, bakım uygulamaları ve yararlılık şeklinde 3 ana tema elde edilmiştir. Hemşirelerle yapılan görüşmelerde ise veriler saygınlığın sürdürülmesi; engeller ve öneriler ile bakımın sonuçları olarak üç ana başlık altında toplanmıştır. Sonuç olarak Hasta İtibar Envanterinin Türk toplumu için geçerli ve güvenilir bir ölçek olduğu belirlenmiştir. Hasta ve hemşirelerle yapılan görüşmelerde itibarlı bakımın hastanın saygınlığını koruyan; sağlık çalışanları ile hasta arasında sağlıklı iletişim kurulmasına ve bireyin kendini değerli ve güvende hissetmesine yol açan olumlu etkilere sahip, hastanın bütüncül bakım almasını sağlayan bir süreç olduğu ve buna bağlı olarak da hemşirenin iş doyumunu artırdığı belirtilmiştir. İtibarlı bakım kültürünü oluşturmak ve sürdürmek için kurumsal politikalar geliştirilmesi; bu politikaların da konuya ilişkin farkındalığı artıracak ve personelin yeterliliklerine göre görevlendirilmelerini sağlayacak; tükenmişliği önleyecek düzenlemeler içermesi önerilmiştir. This study was conducted to investigate the views of the palliative care patients and the nurses working in this field about dignified care and to evaluate Turkish validity and reliability of the Patient Dignity Inventory. This descriptive and methodological study comprise of two phases. The first stage is validity and reliability study of "Patient Dignity Inventory" developed in Canada by Chochinov et al. within the Turkish society with a sample consisted of 127 advanced cancer patients who were hospitalized in the clinics of two university hospitals in Ankara. Demographic form, Palliative Performance Scale, Patient Dignity Inventory and Hospital Anxiety and Depression Scale were used to collect data in the study. Patient Dignity Inventory was reapplied to 32 patients at least one week after the first application. In the second stage, opinions of 10 palliative care patients and 10 nurses working with those patients were investigated relating to dignified care via one-to-one semi-structured interview technique. The study was conducted between February-July 2018. Patient Dignity Inventory was presented to expert opinion after the language validity was provided and, approved by experts. The Cronbach alpha value was calculated as 0.94 for the first application and 0.90 for the second application. The total score of the inventory was 46.85±18.49 (min: 25- max: 125) for the first application and 40.78 ± 13.96 (min: 25-max: 70) for the second application. Explanatory factor analysis and confirmatory factor analysis were performed to examine construct validity of the scale. The Kaiser-Meyer-Olkin sampling adequacy criterion value was found as 0.89 and factor analysis adequacy criterion The Bartlett’s Test of Sphericity was found as p <0.000. Five factors were obtained as result of construct validity analysis of the Turkish version of Patient Dignity Inventory, differing from the original scale in terms of item distribution. It was found that 5 factors obtained by analysis explained 68.7 of total variances. Analysis of the interview data performed with the patients resulted in three themes as respectability, caring practices and usefulness. Three major themes were detected through data of interviews held with nurses such as maintaining respectability; barriers and facilitators and benefits. As a result, it was determined that the Patient Dignity Inventory is a valid and reliable scale for Turkish society. Dignified care is specified through interviews held with patients and nurses as a process that protects patient’s dignity and provides holistic care for the patient resulting in positive effects by establishing healthy communication between healthcare team and patient, and making the patient feel valuable and safe, and therefore enhances job satisfaction of a nurse. Developing institutional policies to build up and maintain a dignified care culture including raising awareness of the issue, assigning staff according to their qualifications and making arrangements to prevent burnout is recommended.
Perspectives in International Palliative Care
(2018) Kav, Sultan; Brant, Jeannine M.; Mushani, Tayreez; 0000-0003-0361-7498; 30122428; V-9745-2019
OBJECTIVES: To explore an international perspective on the needs and challenges for providing palliative care services, the nurse's role, and building capacity for palliative care. DATA SOURCES: Review of the most up-to-date literature related to global palliative care, cancer and nursing. CONCLUSION: The increase of cancer worldwide has added to the need for nurses to develop skills in palliative and end-of-life care. Despite the numerous global challenges nurses face in providing palliative care, a multitude of opportunities and organizations are available that support nurses. IMPLICATIONS FOR NURSING PRACTICE: Palliative care is a foundation of care for most chronic illnesses globally. Nursing practice requires an awareness of palliative care best evidence to provide expert palliative care for patients with cancer and other chronic illnesses.
Radyoterapi alan hasta ve yakınlarının sağlık okuryazarlığı ve gereksinimlerine yönelik öğretim materyali geliştirilmesi
(Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2014) Şeref Özdoğan, Pınar; Kav, Sultan
Bu çalışma, radyoterapi alan hasta ve yakınlarının sağlık okuryazarlığı seviyelerini ve bilgi gereksinimlerini belirleyerek buna uygun yazılı bir öğretim materyali geliştirmek ve bu materyalin uygunluğunu değerlendirmeyi amaçlamaktadır. Çalışma, Dr.Abdurrahman Yurtarslan Onkoloji ve Eğitim Hastanesi Radyasyon Onkolojisi Bölümü’nde radyoterapi alan 200 hasta ve 200 hasta yakını ile yapılmıştır. Bu çalışma 3 aşamadan oluşmaktadır. İlk aşamada, hasta ve yakınlarının bilgi gereksinimleri hazırlanan anket ile, sağlık okuryazarlıkları seviyesi ise REALM(Tıpta yetişkin sağlık okuryazarlığının hızlı tahmini) ve NVS(Yeni yaşam işareti) ölçekleri kullanılarak belirlenmiştir. İkinci aşamada, yazılı öğretim materyali geliştirilmiştir. Son aşamada, bu yazılı materyal 20 uzman kişi tarafından ‘Yazılı Öğretim Materyallerini Değerlendirme Formu’ ve ‘DİSCERN ölçeği’ kullanılarak uygunluk, bilgi kalitesi ve içerik yönünden değerlendirilmiştir. Materyalin okunabilirlik seviyesi araştırmacı tarafından SMOG ve Flesh okunabilirlik formülleri ile belirlenmiştir. Hasta ve yakınlarının yaş ortalamaları sırasıyla, 52.7±12.2 (19-77) ve 44.8 ±12.8 (19-70) dir. Hastalar (%68) ve yakınları (%58.5) çoğunlukla ilkokul mezunudurlar. REALM puan ortalamaları hastalar için 55.8 ± 11.2 (minmax= 23-66) ve yakınları için 57.3 ± 9.5 (min-max=25-66) olup 7.-8.sınıf seviyesinde sağlık okuryazarı oldukları belirlenmiştir. NVS puan ortalamaları hastalar için 0.97 ± 1.6 ve yakınları için 1.3 ± 1.9 olup çok kısıtlı sağlık okuryazarlığı olarak tanımlanmaktadır. Hastaların (%77) ve yakınlarının(%73) çoğunluğuna radyoterapi hakkında öğretim verilmemiştir. Öğretim verilen hastaların %25.5’i ve yakınlarının %35’i verilen öğretimi yeterli bulmuştur. Hazırlanan yazılı öğretim materyalinin okunabilirlik düzeyi SMOG formülüne göre 10. sınıf seviyesinde ve Ateşman’ın uyarladığı Flesh formülüne göre orta güçlükte ve kolay vi anlaşılabilir olarak belirlenirken uzman görüşlerine göre bu materyal içerik ve bilgi kalitesi yönünden yüksek derecede uygun bulunmuştur.
Self-Efficacy, Depression and Self-Care Activities of People with Type 2 Diabetes in Turkey
(2017) Kav, Sultan; Yilmaz, Arzu Akman; Bulut, Yasemin; Dogan, Nevin; 29218959
Background: Self-efficacy related to self-care behaviors in people with type 2 diabetes has been well reported. However no work has been reported in Turkey that uses reliable instruments to examine the relationships among self-care activities, depression and self-efficacy. Aim: This study aims to investigate self-care activities, depression and self-efficacy among people with type 2 diabetes in Turkey. Methods: The sample included 200 patients with type 2 diabetes from an endocrinology out-patient clinic at a university hospital. Self-care activities, self-efficacy, and symptoms of depression were measured using established instruments: The Summary for Diabetes Self Care Activities, the Self-Efficacy Scale, and the Beck Depression Inventory. Descriptive and correlational statistics were used in data analysis. Findings: One in three (37.5%) of participants had depression symptoms. Beck Depression Inventory scores were higher in women and in those with a lower education level, had diabetic complications and difficulty in meeting health care costs. The mean self-efficacy score was 66.5 14.0; those who lived alone, were unemployed and knew their HbA1c level had significantly higher scores (p <.05). Demographic and diabetes characteristics including age, education, social support, diabetes complications, HbA1c level, and having diabetes education were found to be significantly associated with all self-care activities except smoking.Conclusion: The association between self-efficacy and self-care activities was positive. Interventions to improve patients' self-efficacy and self-care are needed in order to maximize diabetes self-management.(C) 2015 Australian College of Nursing Ltd. Published by Elsevier Ltd.
Sleep Quality in The Elderly Either Living at Home or In A Nursing Home
(2014) Daglar, Gulseren; Pinar, Sukran Ertekin; Sabanciogullari, Selma; Kav, Sultan; https://orcid.org/0000-0003-0361-7498; V-9745-2019
Objective Changes in sleep duration, pattern, and quality occur with ageing. The aim of this study was to analyse the sleep quality and affecting factors in the elderly living either at home or in nursing homes. Design Descriptive and cross-sectional study Setting Sivas, a central Anatolian city in Turkey. Subject This study was carried out with 112 individuals; 52 were living in a nursing home and 60 at home. Main outcome measures A personal information form and Pittsburgh Sleep Quality Index (PSQI). Results There was no statistically significant difference between mean scores and sleep qualities of both groups (p > 0.05). The sleep quality of the individuals in both groups was not significantly influenced by personal variables such as age, gender, education, income, having children, and having a physical illness (p > 0.05). Individuals in both groups who reported their sleep as inadequate had sleep problems, and those who reported their sleep was affected for various reasons and who perceived their health as poor had significantly worse sleep quality (p < 0.05). Conclusion The sleep quality of the elderly living either at home were at similar levels and more than half of individuals in both groups had poor sleep quality.
Turkish validity and reliability of the Cancer Stigma Scale (CASS-T)
(2023) Cevik, Banu; Kav, Sultan; Kaynar, Pelinsu; Sahin, Zeynep Kubra; Tekcan, Busra; Ulker, Seymanur; 0000-0003-1396-854X; 35699122
Objectives This study is aimed to evaluate the validity and reliability of the Cancer Stigma Scale for the Turkish population (CASS-T). Methods The sample of the study consisted of 412 students of a foundation university located in Ankara, Turkey. The reliability of the CASS was evaluated using the Cronbach alpha reliability coefficient and item-total score correlations. Exploratory factor analyses were applied to examine the factor structure of the scale and its construct validity. To test the time invariance of the scale, the relationships between the scores obtained from the first and second applications were examined using the intraclass correlation coefficient (ICC). Results The Cronbach's alpha coefficient of CASS-T was 0.83. In the factor analysis, it was confirmed that the scale has a six-dimensional structure in parallel to original version, namely Avoidance, Severity, Responsibility, Policy opposition, Awkwardness, and Discrimination. The ICC values all remained in the range that indicates the reliability of the 0.63-0.71 to be substantial. The contribution of the six factors of the CASS-T scale to the variance is 57.8. Significance in results The Turkish version of the CASS was confirmed to have good reliability and validity for evaluating stigma toward cancer in Turkish society.
Validity and reliability of the Turkish version of the Patient Dignity Inventory
(2021) Eskigulek, Yasemin; Kav, Sultan; 0000-0003-0361-7498; 34169810
Objective The aim of this study was to investigate the validity and reliability of the Patient Dignity Inventory (PDI) in the Turkish society, which was developed to evaluate dignity-related distress in palliative care patients. Methods One hundred and twenty-seven adults with advanced cancer hospitalized in several clinics of two university hospitals were included in the study. The patients whose Palliative Performance Scale score was at least 40% were recruited to study. The data were collected with a patient demographic form, the Turkish version of Hospital Anxiety and Depression Scale (HADS-TR), and the Turkish version of the PDI (PDI-TR). The PDI-TR was finalized and back-translated after translating into Turkish and obtaining 10 expert opinions. Exploratory and confirmatory factor analysis, internal consistency, concurrent validity, and test-retest reliability analysis were performed. Results The Cronbach's alpha coefficient of PDI-TR was 0.94. Factor analysis resulted in a five-factor solution, and all items were loaded on factors. Factors were labeled as symptom distress, existential distress, self-confidence, dependency, and supportive care needs and accounted for 68.70% of the overall variance. The model's normed fit index, comparative fit index, and X-2/SD were found between acceptable range (0.90, 0.93, and 2.64, respectively). A positive and strong correlation was found between subdimension scores of HADS-TR and the total score of PDI-TR (r = 0.70 for anxiety subdimension; r = 0.73 for depression subdimension). The test-retest reliability was conducted with 32 patients within the sample two weeks after the first application, and no significant difference was found between the two application scores as the result of paired-sample t-test (p > 0.05). An intraclass correlation coefficient of test-retest reliability was r = 0.855. Significance of results PDI-TR was found to be a valid and reliable tool in palliative care patients in Turkish society.