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Öğe Bir eğitim hastanesinde hastaların hemşirelik hizmetlerinden memnuniyet düzeylerinin incelenmesi(2011) Demir, Yurdanur; Arslan, Gürol Gülşah; Eşer, İsmet; Khorshid, LeylaAmaç: Bu çalışma, hastaların hemşirelik hizmetlerine yönelik memnuniyetlerini ve memnuniyeti etkileyen değişkenleri belirlemek amacıyla yapıldı. Yöntem: Araştırmanın örneklemini, bir eğitim hastanesinde araştırmaya katılmaya gönüllü 165 hasta oluşturmuştur. Veriler, anket formu ve Demir & Eşer tarafından (2004) geliştirilmiş “Hemşirelik Hizmetlerinden Memnuniyet Ölçeği” (HHMÖ) kullanılarak toplandı. Bulgular: Araştırma kapsamına alınan hastaların; yaş ortalamasının 51.35±16.28, %54.5’inin kadın olduğu saptandı. Hastaların; %57.6‘sının 3-7 gün arasında hastanede kaldıkları saptandı. Bu çalışmada hastaların toplam memnuniyet puanı 132.48±20.90 (yüksek) olarak bulundu. Hastaların cinsiyet ve eğitim durumlarına göre puanları açısından anlamlı bir fark bulunmazken (p>0.05), yaş gruplarına göre hastaların puan ortalamalarının genç yaş grubundaki hastalara göre istatistiksel olarak anlamlı şekilde yüksek olduğu saptandı (p<0.05). Hastaların daha önce hastaneye yatma durumu, hastanede kalma günü ve refakatçisinin bulunma durumuna göre memnuniyet toplam puan ortalamaları arasında istatistiksel olarak anlamlı bir fark olmadığı saptandı (p>0.05). Sonuç: Çalışma sonucunda, araştırma kapsamına alınan hastaların hemşirelik hizmetlerinden memnuniyet düzeylerinin yüksek olduğu, hastaların yaşının memnuniyet puanlarını etkilediği saptandı.Öğe Cultural validation of the "use of intuition by nursing students scale - Turkish version"(Sage Publications Inc, 2012) Demir, Yurdanur; Denat, Yıldız; Khorshid, Leyla; Eser, İsmetPurpose: It is well known that intuition ability directly affects patient care quality and outcomes in nursing practice and is therefore an important aspect of nursing education. This study tests the validity and reliability of the Turkish version of the Scale of Use of Intuition by Nursing Students. Design and Methods: The sample for this methodological study was composed of 250 nursing students. Each item of the scale was translated into Turkish by the researchers and validated for Turkish use. Results: The item-total correlation was between .30 and .56 and its Cronbach alpha coefficient was .86. There was a statistically significant positive relationship between the level of clinical experience and the total points scored on the physical awareness, emotional awareness, and physical sensations subscales and from the total scale. Conclusions: Based on these results, the Turkish version of the Scale of Use of Intuition by Nursing Students is valid and reliable.Öğe The effect of cold application in combination with standard analgesic administration on pain and anxiety during chest tube removal: A single-blinded, randomized, double-controlled study(Elsevier Science Inc, 2010) Demir, Yurdanur; Khorshid, LeylaThe aim of this study was to investigate the effect of cold application on pain and anxiety during chest tube removal (CTR) in patients who had undergone cardiac surgery. A single-blinded randomized design was used in this study. Ninety patients aged 18-74 years, hospitalized in the intensive care unit (ICU), who had a chest tube for a duration of at least 24hours were used for this convenience sample. The application of cold, placebo, or control therapies was randomized into three different groups. Sixty minutes before CTR was scheduled, an ICU nurse administered 10mg/kg paracetamol intravenously to all study subjects. Cold and warm packs covered with gauze dressing were applied to the area surrounding the chest tubes for 20minutes. Pain intensity, pain quality and situational anxiety for CTR were measured. Variance analysis and the latent growth model were used in the analysis of the data. Patients in the cold group had significantly lower pain intensity than the placebo group. The perception of pain intensity measured by visual analog scores of patients in the cold group showed the least variation. There was no statistically significant difference in McGill Melzack Pain Questionnaire scores or in change of anxiety level between the three groups. The application of cold prolonged the length of time until analgesics were needed after CTR. Results showed that cold application reduced patients' intensity of pain due to CTR but did not affect anxiety levels or the type of pain. Cold application is recommended as a pain-relieving technique during CTR. (C) 2010 by the American Society for Pain Management NursingÖğe Factors affecting experiences of intensive care patients in Turkey : patient outcomes in critical care setting(Pakistan Medical Assoc, 2013) Demir, Yurdanur; Korhan, Esra Akın; Eser, İsmet; Khorshid, LeylaObjectives: To determine the factors affecting a patient's intensive care experience. Methods: The descriptive study was conducted at an intensive care unit in the Aegean Region of Turkey, and comprised 158 patients who spent at least 48 hours at the unit between June and November 2009. A questionnaire form and the Intensive Care Experience Scale were used as data collection tools. SPSS 11.5 was used for statistical analysis of the data. Results: Of the total, 86(54.4%) patients related to the surgical unit, while 72(45.5%) spent time at the intensive care unit. Most of the subjects (n=113; 71.5%) reported that they constantly experienced pain during hospitalisation. Patients receiving mechanical ventilation support and patients reporting no pain had significantly higher scores on the intensive care experience scale. Patients who reported pain remembered their experiences less than those having no pain. Conclusions: Interventions are needed to make the experiences of patients in intensive care more positive.Öğe Factors affecting experiences of intensive care patients in Turkey: Patient outcomes in critical care setting(2013) Demir, Yurdanur; Korhan, Esra Akın ; Eser, İsmet; Khorshid, LeylaObjectives: To determine the factors affecting a patient's intensive care experience. Methods: The descriptive study was conducted at an intensive care unit in the Aegean Region of Turkey, and comprised 158 patients who spent at least 48 hours at the unit between June and November 2009. A questionnaire form and the Intensive Care Experience Scale were used as data collection tools. SPSS 11.5 was used for statistical analysis of the data. Results: Of the total, 86 (54.4%) patients related to the surgical unit, while 72 (45.5%) spent time at the intensive care unit. Most of the subjects (n=113; 71.5%) reported that they constantly experienced pain during hospitalisation. Patients receiving mechanical ventilation support and patients reporting no pain had significantly higher scores on the intensive care experience scale. Patients who reported pain remembered their experiences less than those having no pain. Conclusions: Interventions are needed to make the experiences of patients in intensive care more positive.Öğe Hemodiyaliz hastalarında yorgunluğa etki eden faktörlerin değerlendirilmesi(2014) Usta, Yasemin Yıldırım; Demir, YurdanurThe aim of this study is to evaluate the factors affecting fatigue in patients undergoing hemodialysis due to chronic renal failure. The study was conducted as an analytic study in two dialysis units (a state and a private unit). Data was collected from 90 patients 18 year old or over who underwent hemodialysis due to chronic renal failure and agreed to participate in the research. A "Patient Information Form" was used to obtain information about the patients' socio-demographic and disease-related characteristics and the "Visual Analog Scale" was used to determine the patients' level of fatigue in the pre-dialysis, during the dialysis treatment and in the postdialysis period. It was found that the patients had been diagnosed with renal failure for 6.4±4.9 years, 30% had been under hemodialysis treatment for 4-6 years, 84.4% received dialysis treatment three times or more in a week, 68.9% had another chronic disease. It was also determined that the patients suffered from fatigue by 52.2% in the pre-dialysis period, by 43.3% during the dialysis application and by 84.4 in the post-dialysis period. A significant positive relationship was found between the patients' age and their fatigue score means in the postdialysis period (r:0.36 p<0.01). It was found that the patients receiving hemodialysis treatment had higher levels of fatigue particularly in the post-dialysis period and their fatigue in the pre-dialysis, during the dialysis treatment and in the post-dialysis period affected their daily lives. It was concluded that preparing education programs for the patients' post-hemodialysis fatigue management and arranging weekly patient group meetings for them to share their experiences of fatigue would be beneficial.Öğe Nurses' perspective on positive attitudes to cancer patients in Turkey: a qualitative study(Asian Pacific Organization Cancer Prevention, 2012) Usta, Yasemin Yıldırım; Demir, Yurdanur; Yağmuroğlu, HuriyeObjective: The aim of this study was to investigate the meaning of "positive attitude" for medical surgical nurses in caring for cancer patients. Methods: A qualitative method was used in this qualitative descriptive study with data from nurses who had volunteered to participate in an in-depth interview that was conducted between January and February 2012. A total of 10 nurses in general medical and surgical wards of a district hospital were interviewed. Results: The study used three broad themes to describe this multifaceted construct: showing empathy, seeing positively and behaving positively. The nurses were aware of their attitudes towards being positive with cancer patients and its significance in support for cancer patients. Conclusions: The findings of this study can serve as a platform upon which educational and other support programmes can be developed in order to meet the needs of those general nurses working with cancer patients. Future studies are recommended to examine nurses' beliefs about cancer that are thought to affect positive attitudes toward cancer patients.Öğe Nursing students' attitudes toward ageism in Turkey(Elsevier Ireland Ltd, 2012) Usta, Yasemin Yıldırım; Demir, Yurdanur; Yönder, Melike; Yıldız, AynurThis research involved a descriptive study with the goal of examining the attitudes of 145 Turkish nursing students studying toward ageism and the factors affecting ageism views. A Student Description Form and the Ageism Attitude Scale (AAS) were the data collection instruments used in this study. Statistical evaluation of the data included percentage, median and Kruskal Wallis Test and Mann-Whitney U-test. The average age of student participants was 20.10 +/- 3.52; further 37.9% of these students were 1st year nursing students, 25.5% of were 2nd year, 11.7% were 3rd year, and 24.8% were 4th year students. Of the students in this study 63.4% had completed coursework in elderly health as part of undergraduate study. Average scores on the AAS students were 84.01 +/- 7.61 points. Most female students who completed classes related to elderly health, either lived with or planned to live with at least one elderly parent after starting a family or already experienced having an elderly relative in their home. These students tended to have positive attitudes toward aging. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
