Sağlık Bilimleri Fakültesi / Faculty of Health Sciences
Permanent URI for this collectionhttps://hdl.handle.net/11727/1402
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Item 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-9136-2024BACKGROUND: 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.Item Perceptions and Experiences of Privacy Among Persons With an Ostomy Receiving Treatment and Care A Mixed-Methods Study(2022) Akyuz, Elif; Erdemir, Firdevs; Ugurlu, Ziyafet; Ustundag, Cigdem; 36108229PURPOSE: The aim of this study was to determine ostomy patients' experiences and opinions on protection of privacy during treatment and care. DESIGN: Mixed-methods, descriptive correlational study. SAMPLE AND SETTING: The study sample comprised 80 patients with an ostomy receiving treatment and care in a university hospital in Turkey. METHODS: Data were collected using a form developed by the researchers based on literature review. The survey consisted of statements that examined demographic characteristics, experiences, and opinions of patients with an ostomy. RESULTS: For participants, 64.8% (n = 35/54) defined privacy from a physical dimension, 64.1% (n = 25/39) suffered from ostomy-related psychosocial discomfort, 48.7% experienced ostomy-related discomfort mostly during nursing care (n = 19/39), 48.7% (n = 39/80) were uncomfortable when their ostomy was seen by others, Approximately 56.3% (n = 45/80) thought that they disturbed other patients and their families during ostomy care, and 46.3% (n = 37/80) stated that healthcare professionals discussed information about their ostomy when other patients and their families were present. In addition, 21.3% (n = 17/80) opined that the physical conditions of patient rooms failed to provide privacy. Analysis revealed no significant relationship between education levels and reading the Patient Rights Regulation (P = .129). Analysis also found no significant relationships between age (P = .086), marital status (P = .382), educational background (P = .143), hospitalization experience (P = .427), and satisfaction with perceptions of privacy when receiving ostomy care. CONCLUSION: Patients with an ostomy reported physical and psychosocial problems concerning privacy, felt uncomfortable about the way information on their ostomy was discussed, and thought that physical conditions were not suitable for ostomy care. We recommend that healthcare professionals be provided with more training on psychosocial problems and privacy for patients with ostomy and that institutional policies and procedures be developed to address patients' problems.Item Factors Affecting the Thermal Comfort of Perioperative Personnel in the OR(2020) Karahan, Azize; Budak Erturk, Elif; Ugurlu, Ziyafet; Unlu, Hayriye; Akovali, Nukhet; Tepe, Aylin; Ozhan Elbas, Nalan; 32128769Thermal comfort is an important component of any work setting and can be difficult to achieve in the complex OR environment. This comparative descriptive study sought to identify factors affecting the thermal comfort of perioperative personnel in the OR (N = 68). Researchers used the American Society of Heating, Refrigerating and Air-Conditioning Engineers Thermal Sensation Scale and researcher-developed surveys to collect data. The mean reported thermal comfort level was -0.44 (standard deviation 1.3), which is within acceptable parameters. Factors affecting thermal comfort were gender, professional role, and wearing additional clothing. Additionally, participants who complained about temperature or ventilation were less likely to report thermal comfort levels in the normal range. Health care facility leaders should consider the comfort needs of perioperative personnel when making purchasing decisions about ventilation systems and surgical clothing; however, they also should consider other factors (eg, surgeon comfort, permeability of protective clothing to blood and other body fluids).Item Investigation of Occupational Accidents Health Workers in Nursing Services Are Exposed To(2020) Ugurlu, Ziyafet; Ozhan Elbas, Hatice Nalan; Gunay, AylinIntroduction: In this study, occupational accidents experienced by health personnel (nurses, midwives, emergency medical technicians, paramedics, operating room technicians, assistant health technicians and care support personnel) working in the nursing services of our hospital between 2013-2018 were investigated. Materials and Methods: This study was carried out retrospectively. Three hundred and seventy-four occupational accident forms of health personnel (nurses, midwives, emergency medical technicians, paramedics, operating room technicians, assistant health technicians and care support personnel) reported to the nursing services were evaluated. The data were categorized according to age, sex, title and unit, working year, accident, date and time of the accident. Descriptive statistics (number, percentage, median, mean, standard deviation) and chi-square test were used in the evaluation of the data. Results: It was determined that 84.2% of the health personnel who reported occupational accidents were females, 46.9% were in the 18-25 age group, and 93.1% were high school, associate degree and university graduates. The majority of health personnel were nurses (69.5%), approximately half (47.8%) of the health workers reporting accidents were working in surgical units and intensive care units, 77.0% had been working for 5 years or less, and the occupational accident rate was the highest in 2017 (37.2%). When occupational accident reports were examined, it was found that there was no seasonal feature and the frequency of occupational accidents was higher in 08:00-20:00 shifts (67.9%). Considering the classification of occupational accidents, it was found that 53.2% of these injuries were caused by needlestick and sharp injuries, 33.7% by physical risks damaging musculoskeletal system and 13.1% by biological risks due to blood and body fluids exposure. It was found that the highest number of occupational accidents occurred during treatment (34.7%) and 49.7% were caused by needlestick. Conclusion: It was determined that the health personnel working in surgical areas have a higher risk of occupational accidents. Approximately half of the occupational accidents occurred frequently during treatment due to needlestick and consequently, needlestick and sharp injuries took the first place. It is necessary to identify situations that threaten employee health, develop policies aiming to prevent occupational accidents and take preventive measures to prevent infection risk due to needlestick and sharp injuries and biological risks in terms of employee health.Item Determination of sleep quality, fatigue, and concentration in nurses according to their shifts and chronotype(2020) Karahan, Azize; Abbasoglu, Aysel; Ugurlu, Ziyafet; Isik, Sevcan Avci; Kilic, Gulsen; Elbas, Nalan Ozhan