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Öğe Comparison of the efficiency of nail pick and brush used for nail cleaning during surgical scrub on reducing bacterial counts(Mosby-Elsevier, 2012) Alcan, Aliye Okgun; Korkmaz, Fatma DemirBackground: Although the surgical scrub is a mandatory and routine procedure, there is no standard recommendation for nail cleaning during the scrub. This study compared the efficacy of nail picks and brushes used for nail cleaning during the surgical scrub in reducing bacterial counts. Methods: Sixty circulatory nurses were included in the survey. The nurses were randomized to undertake 1 of 3 surgical hand scrub protocols: using surgical scrub alone (control group), using a nail pick during the surgical scrub, or using a brush during the surgical scrub. Bacterial counts were measured on the dominant hand immediately before the scrub and 1 hour after the scrub using the glove juice method. Results: The bacterial counts at 1 hour after the surgical scrub were lower in the control group than in the 2 intervention groups, and there was no significant difference between the 2 intervention groups (F = 2.063; P = .136; P > .05). Conclusion: Using nail picks and brushes on nails during the surgical scrub does not provide additional decontamination. Copyright (C) 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.Öğe Determining the Relationship Between Death Anxiety and Decision on Organ Donation(Asoc Regional Dialisis Trasplantes Renales, 2024) Koze, Burcak Sahin; Alcan, Aliye OkgunIntroduction: Individuals' thoughts and concerns about death can affect the decision-making process for organ donation. Objective: This descriptive study aims to determine the relationship between death anxiety and decision-making for organ donation. Material and Methods: The population of the study consisted of individuals aged 18 and over from Turkish society. The study sample consisted of 232 participants aged 18 and over who could actively use the Internet and voluntarily agreed to participate. The study data were collected using the Thorson-Powell Death Anxiety Scale and the Organ Donation Decision-Making Questionnaire via the Internet between February and April 2021. Results: In this study, 84.5% of the participants were women; the average age was 30.14 +/- 10.0. Participants' Thorson-Powell Death Anxiety Scale total score average was 43.95 +/- 16.93. The Organ Donation Decision Making Questionnaire advantage score average was 24.57 +/- 5.13, disadvantage mean score was 16.31 +/- 5.77, and decision mean score was 1.76 +/- 0.92. It was observed that there was a positive and weak correlation (r = .20, p = .002) between the Thorson-Powell Death Anxiety Scale total scores of the participants and the decision score averages of the Organ Donation Decision Questionnaire. Conclusions: It was observed that the organ donation decisions of the participants with death anxiety were positive. It is recommended to carry out more studies and organize training programs to determine the factors that will affect the organ donation decision of individuals. Conducting qualitative studies examining beliefs about death and cultural factors in deciding on organ donation is recommended.Öğe Do patients with mechanical heart valves have the appropriate knowledge regarding warfarin therapy and can they adhere to the correct dosage?(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2015) Korkmaz, Fatma Demir; Alcan, Aliye Okgun; Karacabay, KevserBackground: This study aims to determine the knowledge level regarding warfarin therapy and adherence to therapy of patients with mechanical heart valve. Methods: This descriptive study included 114 patients (56 males, 58 females; mean age 53.0 +/- 13.5 years; range 18 to 80 years) who received warfarin therapy for at least three months at the Department of Cardiovascular Surgery of Ege University Medical Faculty Hospital between 4 October 2012 and 30 May 2013. Patients who agreed to participate in the study were older than 18 years of age and literate. Data were collected by using sociodemographic profiles and a questionnaire form on knowledge of and adherence to warfarin therapy. A score of 1 (one) was given to patients' correct answers, and 0 (zero) was given to incorrect or "I don't know" answers for each item on the scale, and mean scores were obtained. Patients' adherence to warfarin was measured by four questions involving (i) regular use of the medication as prescribed by doctors, (ii) forgetting to take the medication, (iii) delaying for more than 24 hours, and (iv) frequency of overuse. The answers to these four questions were evaluated based on a 100 mm visual analog scale. Results: Patients' mean score regarding anticoagulant therapy was 9.8 +/- 3.9 (lowest: 2, highest: 20) out of 22. Of the patients, 62.3% (n=71) stated that they used warfarin precisely as prescribed by doctors (100%). Conclusion: It was determined that patients with mechanical heart valve and using warfarin had low level of knowledge regarding warfarin therapy and that they experienced problems in terms of their adherence to the medication.Öğe Effect of patient position on endotracheal cuff pressure in mechanically ventilated critically ill patients(Elsevier Science Inc, 2017) Alcan, Aliye Okgun; van Giersbergen, Meryem Yavuz; Dincarslan, Gulin; Hepcivici, Ziynet; Kaya, Erdem; Uyar, MehmetBackground: Endotracheal tube cuff pressure must be maintained within 20-30 mH(2)O to prevent complications. There is limited literature reporting the impact of nursing care on endotracheal cuff pressure. However, few studies have reported the effect of nursing care on endotracheal cuff pressure. Objectives: This study was performed to investigate the effects of body position on endotracheal cuff pressure. Methods: Twenty-five patients receiving mechanical ventilatory therapy were placed in a baseline position (semirecumbent position with the head of the bed elevated at 30. and head in a neutral position) with endotracheal tube cuff was adjusted to 25 cmH(2)O. The patients were moved into 16 different positions: anteflexion of the head; hyperextension of the head; left lateral flexion of the head; right lateral flexion of the head; rotation of the head to the left; rotation of the head to the right; semirecumbent position with 45. elevation of the head of the bed; recumbent position with 10. elevation of the head of the bed; supine position; trendelenburg position 10.; left lateral position at 30., 45., and 90.; and right lateral position at 30., 45., and 90.. The endotracheal tube cuff pressure was measured and recorded after each position change. Results: Among the 400 endotracheal tube cuff pressure measurements (25 patients x 16 positions) 10 (2.5%) were lower than 20 cmH2O; 201 (50.3%) were between 20-30 cmH2O and 189 (47.3%) were higher than 30 cmH2O. Mean endotracheal tube cuff pressure increased from 25 to 32.59 +/- 4.08 cmH(2)O after changing the patients' position. Friedman test indicated a statistically significant deviation in the ETCP across the 16 positions (X2: 122.019, p: 0.0001). Conclusions: Body positioning during daily nursing care effected the endotracheal tube cuff pressure, suggesting that endotracheal tube cuff pressure should be measured after changing a patient's position and adjusted within the recommended range. (C) 2016 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.Öğe An evaluation of health-promotion lifestyle behaviors following coronary artery bypass graft surgery(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2017) Alcan, Aliye Okgun; Korkmaz, Fatma Demir; Cakmakci, HaticeBackground: This study aims to evaluate pre- and postoperative health-promoting lifestyle behaviors among patients undergoing coronary artery bypass graft surgery. Methods: A total of 208 patients (170 males; 38 females; mean age 57.1 +/- 8.5 years; range 32 to 78 years) without communication problems who underwent elective coronary artery bypass graft surgery in Kartal Kosuyolu Yuksek I htisas Training and Research Hospital, were included. Health-promoting lifestyle behaviors were assessed preoperatively and at six weeks following surgery using the Health Promotion Lifestyle Behaviors Scale. Results: The mean scores for Health-Promoting Lifestyle Behaviors of the patients at six weeks following surgery significantly increased than the preoperative scores. There was also a significant increase in the scores for the self-actualization and interpersonal support sub-dimensions of the scale. The scores for the health responsibility, exercise, and stress management sub-dimensions significantly decreased at six weeks following surgery. Conclusion: Coronary artery bypass graft surgery affects health-promoting lifestyle behaviors of the patients. It can be concluded that self-actualization skills of the patients and communication with their immediate family increase, where as their responsibility toward their own health, exercise levels, meal arrangements, and stress management decrease at six weeks following surgery.Öğe An evaluation of quality of life following coronary artery bypass graft surgery(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2015) Korkmaz, Fatma Demir; Alcan, Aliye Okgun; Aslan, Fatma Eti; Cakmakci, HaticeBackground: This study aims to evaluate pre- and postoperative quality of life of the patients who underwent coronary artery bypass graft (CABG) surgery. Methods: The study included a total of 195 patients (159 males, 36 females; mean age 56.8 +/- 8.5 years; range, 32 to 78 years) above 18 years of age who had no communication problem and underwent elective CABG in a training and research hospital in Istanbul. The quality of life was measured using the Short-Form 36 (SF-36) preoperatively and at six weeks and one year postoperatively. Results: Patients' mean scores for sub-aspects of the quality of life were significantly increased at six weeks and one year postoperatively compared to preoperative values (p<0.001). Compared to preoperative period, the most significant increases were in scores for social function, physical role, and changes in health status during the preceding year at one year postoperatively. Conclusion: The quality of life of the patients increased in all aspects in the postoperative period.Öğe An evaluation of quality of life following coronary artery bypass graft surgery(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2015) Korkmaz, Fatma Demir; Alcan, Aliye Okgun; Aslan, Fatma Eti; Cakmakci, HaticeBackground: This study aims to evaluate pre- and postoperative quality of life of the patients who underwent coronary artery bypass graft (CABG) surgery. Methods: The study included a total of 195 patients (159 males, 36 females; mean age 56.8 +/- 8.5 years; range, 32 to 78 years) above 18 years of age who had no communication problem and underwent elective CABG in a training and research hospital in Istanbul. The quality of life was measured using the Short-Form 36 (SF-36) preoperatively and at six weeks and one year postoperatively. Results: Patients' mean scores for sub-aspects of the quality of life were significantly increased at six weeks and one year postoperatively compared to preoperative values (p<0.001). Compared to preoperative period, the most significant increases were in scores for social function, physical role, and changes in health status during the preceding year at one year postoperatively. Conclusion: The quality of life of the patients increased in all aspects in the postoperative period.Öğe An evaluation of quality of life following coronary artery bypass graft surgery(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2015) Korkmaz, Fatma Demir; Alcan, Aliye Okgun; Aslan, Fatma Eti; Cakmakci, HaticeBackground: This study aims to evaluate pre- and postoperative quality of life of the patients who underwent coronary artery bypass graft (CABG) surgery. Methods: The study included a total of 195 patients (159 males, 36 females; mean age 56.8 +/- 8.5 years; range, 32 to 78 years) above 18 years of age who had no communication problem and underwent elective CABG in a training and research hospital in Istanbul. The quality of life was measured using the Short-Form 36 (SF-36) preoperatively and at six weeks and one year postoperatively. Results: Patients' mean scores for sub-aspects of the quality of life were significantly increased at six weeks and one year postoperatively compared to preoperative values (p<0.001). Compared to preoperative period, the most significant increases were in scores for social function, physical role, and changes in health status during the preceding year at one year postoperatively. Conclusion: The quality of life of the patients increased in all aspects in the postoperative period.Öğe Forensic Cases in the Operating Room: Knowledge and Practices of Physicians and Nurses(Elsevier Science Inc, 2020) Ozsaker, Esma; Kaya, Ahsen; Alcan, Aliye Okgun; van Giersbergen, Meryem Yavuz; Aktas, Ekin OzgurPurpose: the purpose of this study was to investigate physicians' and nurses' knowledge and practices regarding forensic cases in the operating room. Design: This is a descriptive study. Methods: the sample consisted of 139 physicians and 59 nurses working in the operating rooms of a university hospital. Data were collected via a question form prepared by the researchers. Findings: Approximately half of the physicians and nurses did not know whether a patient brought to the operating room was a forensic case. Most of the physicians and nurses working in the operating room felt their knowledge and practice regarding the preservation and storage of evidence in forensic cases was inadequate. Conclusions: the results of this study highlight the necessity of an increased focus on forensic case process. (c) 2019 American Society of PeriAnesthesia Nurses. Published by Elsevier, Inc. All rights reserved.Öğe Healing Status of Pressure Injuries Among Critically Ill Patients in a Turkish Hospital: A Descriptive, Retrospective Study(Hmp, 2019) Alcan, Aliye Okgun; van Giersbergen, Meryem Yavuz; Dincarslan, Gulin; Hepcicici, Ziynet; Kaya, ErdemEvaluating the healing status of pressure injuries is important to planning medical and nursing care. PURPOSE: A descriptive, retrospective study was conducted to determine the healing status of pressure injuries among critically ill immobile patients. METHODS: Data were obtained via medical record review of all patients admitted to a Turkish university hospital's anesthesiology intensive care unit (ICU) between January 2008 and December 2015. Demographic (age, gender), medical (comorbidities, diagnosis, length of ICU stay), and pressure injury characteristics (number, location, stage, healing status, length, width, exudate amount, tissue type) were evaluated along with Pressure Ulcer Scale for Healing (PUSH) Tool scores. Data from all patients >18 years of age with an ICU stay >24 hours who had a pressure injury and whose records were complete were included in the study. Data were expressed as number, percentage, and mean and median values. Wilcoxon test, Spearman's correlation analysis, and chi-square test were performed as appropriate. Pressure injuries were considered healed when the PUSH score equaled zero. RESULTS: the study sample comprised 359 patients (60.97 +/- 19.31 [range 19-95] years, 217 men, median length of stay 25 [range 1-363] days) with 672 pressure injuries. Most pressure injuries were located on the coccyx (278 [41.4%]), and 153 (22.8%) healed during ICU stay. Older age (r = 0.167; P = .002) and length of ICU stay (r = 0.238; P = .0001) were significantly correlated with having multiple pressure injuries. There was a statistically significant relationship between pressure injury location and stage and healing status (chi(2) = 28.993, P = .0001 and chi(2) = 60.200, P = .001, respectively). the lowest percentage of injuries healed were on the coccyx and were stage 4 and unstageable. Overall, the mean first PUSH score was significantly higher than the last assessment score (8.99 +/- 3.82 to 7.28 +/- 5.22, respectively; z = -10.807; P = .0001). CONCLUSION: Many immobile ICU patients had multiple pressure injuries, especially patients who were older and who had a longer length of stay. Healing scores for pressure injuries were better at discharge or transfer and 22% of injuries were healed. Prospective studies comparing all factors that may contribute to pressure injury healing are warranted.Öğe INVESTIGATION OF INTENSIVE CARE EXPERIENCES OF THE ELDERLY PATIENTS(Gunes Kitabevi Ltd Sti, 2013) Ozsaker, Esma; Alcan, Aliye Okgun; Korkmaz, Fatma DemirIntroduction: This is a descriptive study which has been carried out to investigate the experiences of the elderly patients in the intensive care unit. Materials and Method: This research was carried out between February and May 2010. The study sample consisted of 116 patients, over the age of 65, who were admitted to the surgery intensive care unit of a university hospital, and who were transferred to the clinic after staying at least 24 hours in the intensive care unit. In collecting the data, an information form about the socio-demographic characteristics and the Intensive Care Experience Scale were used. Results: The mean age of the patients was 71.99+/-6.42, and 61.2% of them were men. It was determined that 45.7% of the patients were ventilated and their mean duration of stay was 1.49+/-0.65 days in the intensive care unit. The mean total scale score was found to be 62.77+/-7.40 showing that elderly patients in the intensive care unit had a partially negative experience, there was a weak negative correlation (p <0.05) between the total score of the scale and the length of stay in the intensive care unit, and the type of intensive care unit significantly affected the experiences of intensive care patients (p <0.001) and recalling of the experience (p <0.001). Conclusion: It was determined that the elderly patients in the intensive care units had a partially negative experience. Most of the negative experiences were about feeling unsafe and the duration of stay in the intensive care unit and the type of intensive care unit affected their experiences.Öğe INVESTIGATION OF INTENSIVE CARE EXPERIENCES OF THE ELDERLY PATIENTS(Gunes Kitabevi Ltd Sti, 2013) Ozsaker, Esma; Alcan, Aliye Okgun; Korkmaz, Fatma DemirIntroduction: This is a descriptive study which has been carried out to investigate the experiences of the elderly patients in the intensive care unit. Materials and Method: This research was carried out between February and May 2010. The study sample consisted of 116 patients, over the age of 65, who were admitted to the surgery intensive care unit of a university hospital, and who were transferred to the clinic after staying at least 24 hours in the intensive care unit. In collecting the data, an information form about the socio-demographic characteristics and the Intensive Care Experience Scale were used. Results: The mean age of the patients was 71.99+/-6.42, and 61.2% of them were men. It was determined that 45.7% of the patients were ventilated and their mean duration of stay was 1.49+/-0.65 days in the intensive care unit. The mean total scale score was found to be 62.77+/-7.40 showing that elderly patients in the intensive care unit had a partially negative experience, there was a weak negative correlation (p <0.05) between the total score of the scale and the length of stay in the intensive care unit, and the type of intensive care unit significantly affected the experiences of intensive care patients (p <0.001) and recalling of the experience (p <0.001). Conclusion: It was determined that the elderly patients in the intensive care units had a partially negative experience. Most of the negative experiences were about feeling unsafe and the duration of stay in the intensive care unit and the type of intensive care unit affected their experiences.Öğe The Operating Room Experiences of Nursing Students: A Focus Group Study(Elsevier Science Inc, 2016) van Giersbergen, Meryem Yavuz; Ozsaker, Esma; Dirimese, Elif; Alcan, Aliye OkgunPurpose: The purpose of this study was to evaluate operating room (OR) experiences of student nurses. Design: The focus group interview from qualitative research methods was used. Methods: This study was carried out between February and March 2011 in an OR practice at a university school of nursing. The grounded theory method was used to collect and analyze semistructured interview. Interviews were held with a total of 26 students in three focus group interviews. Each interview was tape recorded and was supported by taking notes. The audiotapes were listened and relistened by the researchers and transcribed. Findings: Four themes were determined as a result of this study. These are information, determination of career preference, period of internship and/or rotation, and fear and/or anxiety. Conclusions: The students stated that the period of OR practice was insufficient, the opportunities for being able to implement were limited, they mostly observed, and they experienced feelings of being alone and fear in the OR. Despite all of these, the students stated that the OR practice provided a major contribution to their education and was effective in the determination of their career preferences after graduation.Öğe Prevention of ventilator-associated pneumonia: Use of the care bundle approach(Mosby-Elsevier, 2016) Alcan, Aliye Okgun; Korkmaz, Fatma Demir; Uyar, MehmetBackground: The ventilator-associated pneumonia (VAP) care bundle consists of evidence-based practices to improve the outcomes of patients receiving mechanical ventilatory therapy. This study aimed to investigate the implementation of the care bundle on VAP rates in this quasiexperimental study. Methods: The protocol of this study consisted of 3 phases. In the initial phase, observations were made to determine the VAP care bundle adherence of intensive care unit (ICU) nurses. In the second phase, education was provided to ICU nurses on the subject of the VAP care bundle. For the third phase, the effect of VAP care bundle adherence on the VAP rates after education was investigated. Results: The nurses' VAP care bundle adherence improved after education from 10.8% (n = 152) to 89.8% (n = 1,324) and showed statistically significant improvement (P =.0001 and P <.05). In this study, the VAP rates were determined as 15.91/10(3) ventilator-days before education and 8.50/10(3) ventilator days after education. It was found that the VAP rates after the education period were significantly lower than the VAP rates before education. Conclusion: VAP care bundle implementation with education prepared according to evidence-based guide-lines decreased VAP rates. Thus, implementation of the VAP care bundle on mechanically ventilated patients care is recommended. (C) 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.Öğe Urinary Catheter-Related Meatal Pressure Injury Risk Factors in Male Critical Care Patients: A Prospective Repeated-Measures Study(Lippincott Williams & Wilkins, 2024) Avci, Hasan; Alcan, Aliye OkgunOBJECTIVE: Urinary catheter-related meatal pressure injury (UCR-MPI) is a preventable and serious complication of indwelling urinary catheter use. This prospective study aimed to determine the prevalence and risk factors of UCR-MPI in male critical care patients. METHODS: A total of 138 male patients 18 years and older using an indwelling urinary catheter were included in the study. Participants' perineal areas were assessed daily for the development of MPI. RESULTS: The UCR-MPI prevalence was 26.1% (n = 36/138). Most patients (61.1%) had a grade I UCR-MPI with intact skin and mucosa and nonblanchable erythema. Urinary catheter irrigation (P = .001), lower Braden Scale scores (P = .040), lower Glasgow Coma Scale score (P = .002), higher Itaki Fall Risk Scale score (P = .040), higher dependency level (P = .027), hypoalbuminemia (P = .002), and perineal edema (P = .001) were risk factors for UCR-MPI. CONCLUSIONS: The prevalence of UCR-MPI was high in this sample. Providers should take preventive measures to prevent UCR-MPI in patients with a penis including early and frequent risk assessment.
