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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 Investigation of Satisfaction of Patients' for Nursing Care in a Training Hospital(Istanbul Univ, Fac Nursing, 2011) Demir, Yurdanur; Arslan, Gulsah Gurol; Eser, Ismet; Khorshid, LeylaAim: This study is done for the satisfaction of patients' for nursing care and to determine the varieties which effect the pleasure. Method: The subjects of the survey are 165 volunters patients. Datas are collected by using questionnaire from and Scales of Satisfaction for Nursing Care which is developed by Emir & Eser (in 2004). Results: It is determined that the avarage ages of the patients included in research are 51.35 +/- 16.28, 54% of them are women. It is determined that 57.6% of patients have stayed in hospital 3-7 days. It is found that the total pleasure point is 132.48 +/- 20.90 in this study. It has been determined that according to the patients age, the avarage points are reasonably higher as statistically to the patients in young ages (p<0.005) whereas there is no reasonable difference among their points in the sight of their sex and education (p>0.05). It is determined that there is no reasonable difference as statistically among the avarage of pleasure total point according to the condition and days that they stay in hospital and if they have a companion or not. Conclusion: As a result, the patients included in the study of nursing services, satisfaction levels are high level, patient satisfaction is affected by age.