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Öğe Effective academic-practice partnership models in nursing students' clinical placement: A systematic literature review(Churchill Livingstone, 2020) Pedregosa, Sara; Fabrellas, Nuria; Risco, Ester; Pereira, Mariana; Dmoch-Gajzlerska, Ewa; Senuzun, Fisun; Zabalegui, AdelaidaObjectives: This systematic review examines the effectiveness of academic-practice partnership models which include clinical faculty and clinical mentor roles in improving nursing students' clinical learning when compared with traditional models. Review methods: PubMed, CINAHL, PsycINFO and Cochrane Library were searched to locate Randomized Control Trials and quasi-experimental studies published from 1999 to 2020. the Joanna Briggs Institute critical appraisal tools were used to ensure methodological quality. Results: Fourteen studies were included in the review. the Collaborative Teaching Model and the Dedicated Education Unit model were tested in randomized controlled trials. Dedicated Education Unit, Dedicated Education Centre, Clinical Education Units, Education Partnership model, Collaborative educational-practice model and Collaborative clinical practicum model were evaluated in four experimental studies and ten quasi-experimental studies. Studies did not include patient participation, and staff and faculty had anecdotal presence. Conclusion: There is limited evidence on the effectiveness of academic-practice partnership models. However, the complementary roles of clinical faculty and clinical mentor, in addition to education and health institutions managers commitment could successfully facilitate students' clinical learning.Öğe Effects of Data Entry Tools on Health Professionals' Productivity: A Survey(Acad Conferences Ltd, 2012) Sahin, Yasar Guneri; Celikkan, Ufuk; Senuzun, Fisun; Gasco, MThe use of electronic health records (EHR) has become an important issue for accurate medical diagnosis. However, there exist two main difficulties in the creation of electronic health records which make EHR systems hard to deploy: collection of EHR data is time consuming and it is an error prone process. Selection of the most appropriate methods and tools is, therefore, significant for data entry by the health care providers at the point of care in order to maximize productivity. We have conducted a questionnaire to record health care professionals' perceptions of data entry process and determine the functions that, in the view of the professionals', would facilitate the process. The questionnaire consists of 18 basic questions, posted on several web sites which host questionnaires, and was also mailed to health care professionals working in various hospitals over a period of 10 months. Totally, 533 medical care professionals from 29 different countries participated in the survey, of which 284 were M. D., 127 were nurses and the remainder was other medical professionals. The questions focused on the following: workload, performance, productivity, data entry methods that are currently in use or preferred, potential productivity increase from using technological tools in creating EHR and motivational factors for the acceptance of a convenient data entry tool. The results indicate that the health care professionals have an excessive workload, and the use of convenient data entry tools would contribute to increase in productivity. While the clear majority of participants involved in data entry use keyboard and mouse, most expressed a preference for more convenient methods, such as voice recognition or touch screen. Furthermore, physicians reported rarely spending more than 15 minutes for each consultation and conducting 21-30 examinations a day. The main motivation for creating an efficient direct data entry was therefore, to increase time for patient examination and improve accuracy of the diagnosis.Öğe Effects of home-based cardiac exercise program on the exercise tolerance, serum lipid values and self-efficacy of coronary patients(Lippincott Williams & Wilkins, 2006) Senuzun, Fisun; Fadiloglu, Cicek; Burke, Lora E.; Payzin, SerdarBackground Exercise-based cardiac rehabilitation improves exercise capacity and reduces cardiac risk factors. The purpose of this pilot study was to examine the effects of a home-based cardiac exercise program (HBCEP) on exercise tolerance, serum lipids, and self-efficacy in coronary heart disease patients in Turkey. Self-efficacy theory provided the framework for this study's intervention. Design The study design was a pre-test and post-test experimental, randomized assignment. Method The study included 30 participants in a home-based cardiac exercise program (HBCEP; mean age = 54.7 +/- 7.8) and 30 in control (C; mean age = 52.7 +/- 6.5). The Phase II cardiac exercise program included three 45-60-min sessions per week for 12 weeks, and the enhancement of self-efficacy through educational sessions and the use of goal setting, modelling, and physiological feedback strategies. Both groups were comparable in their medical regimen, exercise capacity, and other measured variables pre-intervention. At baseline and after 12 weeks, exercise capacity was evaluated by exercise testing using the Bruce Protocol, self-efficacy was measured with the Cardiac Exercise Self Efficacy Index, and serum lipid values were measured. Results At the completion of the 12-week exercise program, the exercise capacity (P < 0.001), total cholesterol (P = 0.004), triglycerides (P = 0.048), high-density lipoprotein-cholesterol (P = 0.001), low-density lipoprotein-cholesterol (P = 0.039), and self-efficacy (P < 0.001) of the HBCEP Group were significantly improved compared to the control group. Conclusion These results suggest that a first-time HBCEP in Turkey can be successful in having patients adhere to a prescribed exercise program and reduce risk factors. Enhanced self-efficacy may have mediated the improved behavioural outcomes.Öğe ELCARE: A Novel Approach for Educating Caretakers of Elderly(Acad Conferences Ltd, 2015) Zincir, Ibrahim; Basarici, Samsun; Rana, Ahmed; Senuzun, Fisun; Jefferies, A; Cubric, MElderly care, or simply eldercare, is the fulfillment of the special needs and requirements that are unique to senior citizens. Elderly care emphasizes the social and personal requirements of senior citizens who need some assistance for daily activities and health care, but who desire to age with dignity. With the improvements made in health technologies, the life expectancy in EU is increasing and more than 80 million people are aged over 60 in Europe today. Experts believe that the increasing number of elderly people who need help with basic tasks, but have been left to struggle by an unprecedented withdrawal of state-funded social care, create a huge problem; lack of nurses/caretakers for the elderly. This paper discusses an e-learning system for elderly care that simply educates/trains the people who want to take care of the elderly; either those who want to become professional caretakers or those who are volunteers or social workers. The novel system inherits web and mobile apps and will be deployed multilingual. The main goal of the system is to increase the social, intellectual and cognitive abilities of the target group like increasing the patience, devotion, physical endurance etc. The system is buildup of modules that have a linear character, i.e. user has to pass a module successfully in order to proceed to the next one.Öğe Health Promotion Lifestyle and Cancer Screening Behaviors: A Survey among Academician Women(Asian Pacific Organization Cancer Prevention, 2008) Oran, Nazan Tuna; Can, Hafize Ozturk; Senuzun, Fisun; Aylaz, Rukiye DurmazBreast self examination (BSE), screening mammography and Pap smear screening can significantly reduce mortality from breast and cervical cancer. In an effort to understand the factors that influence BSE, mammography, and Pap smear behavior of woman academicians, we here explored the relation between health promotion life-style and women's cancer screening practice. A total of 750 woman academicians working in a university were enrolled, 350 of them responding to the survey. The study instruments used were the Health Promotion Life-Style Profile (HPLP) scale and a questionnaire of demographic data. There was a significant relationship between age-group, marital status, presence of cancer in the family, history of cervical erosion and doing BSE, having mammography and a Pap smear. Additionally, both the general mean and nearly all domains of HPLP were significantly related to BSE, mammography, and Pap smear behavior. This study demonstrated strong relationships between breast and cervical cancer screening behavior and health promoting lifestyle in this subgroup of women, making an important contribution to understanding the factors influencing women's health behavior.Öğe Implementing dedicated education units in 6 European undergraduate nursing and midwifery students clinical placements(Bmc, 2021) Pedregosa, Sara; Fabrellas, Nuria; Risco, Ester; Pereira, Mariana; Stefaniak, Malgorzata; Senuzun, Fisun; Martin, SandraBackground Undergraduate students' clinical experience, working directly with patients and the healthcare team is essential to ensure students acquire the necessary competence for practice. There are differences in the quality of clinical environments and in students' clinical placement experiences and not all clinical sites are optimal learning environments. The Dedicated Education Unit clinical education model allows students to develop the practical knowledge, skills and professionalism they will need as nurses/midwives. Methods We employed the Consolidated Framework for Implementation Research to identify and compare barriers and facilitators in the implementation of the Dedicated Education Unit in 6 European undergraduate nursing/midwifery student clinical placement settings and to describe the experience of nurses/midwives involved in the Dedicated Education Unit model implementation and evaluation. A pre-post implementation interpretive assessment was based on participants' responses to the Consolidated Framework for Implementation Research construct questions. Results Although Dedicated Education Unit model implementation in our project was heterogeneous, no main implementation barriers were perceived. Qualitative data showed that educational-service collaboration, including a focus on mutual goals, organizational communication and networking, satisfaction of educational and healthcare professionals, and the establishment of a safe space for professional discussion and feedback, were considered facilitators. Conclusions This study describes the key elements guiding educational and healthcare stakeholders in Dedicated Education Unit implementation, engaging participants in the entire process, and offering other organizations the opportunity to consider the benefits of this clinical education model.Öğe Interactive Videoconference Supported Teaching in Undergraduate Nursing: A Case Study for ECG(Ieee Computer Soc, Learning Technology Task Force, 2013) Celikkan, Ufuk; Senuzun, Fisun; Sari, Dilek; Sahin, Yasar GuneriThis paper describes how interactive videoconference can benefit the Electrocardiography (ECG) skills of undergraduate nursing students. We have implemented a learning system that interactively transfers the visual and practical aspects of ECG from a nursing skills lab into a classroom where the theoretical part of the course is taught. The students and the instructor in the classroom observe the activities in the skill lab in real time, while communicating with the nurse in the lab via audio and video links. An experiment was performed with the participation of 13 male and 57 female (total 70) second year nursing students-36 of who were assigned to Videoconference group (experimental group-VCG) and the other 34 were assigned to Traditional Classroom groups (control group-TCG). In the experiment, ECG knowledge levels of participants were measured by repeated tests (pretest, posttest I and posttest II) and data were analyzed with repeated measures of variances and covariance, the results demonstrating that videoconferencing contributed significantly to the improvement of ECG skills of the participants. In addition, a questionnaire was given to students along with posttest II, and the result of which indicated overwhelming satisfaction with videoconference based lecture.Öğe Interactive Videoconference Supported Teaching in Undergraduate Nursing: A Case Study for ECG(Ieee Computer Soc, Learning Technology Task Force, 2013) Celikkan, Ufuk; Senuzun, Fisun; Sari, Dilek; Sahin, Yasar GuneriThis paper describes how interactive videoconference can benefit the Electrocardiography (ECG) skills of undergraduate nursing students. We have implemented a learning system that interactively transfers the visual and practical aspects of ECG from a nursing skills lab into a classroom where the theoretical part of the course is taught. The students and the instructor in the classroom observe the activities in the skill lab in real time, while communicating with the nurse in the lab via audio and video links. An experiment was performed with the participation of 13 male and 57 female (total 70) second year nursing students-36 of who were assigned to Videoconference group (experimental group-VCG) and the other 34 were assigned to Traditional Classroom groups (control group-TCG). In the experiment, ECG knowledge levels of participants were measured by repeated tests (pretest, posttest I and posttest II) and data were analyzed with repeated measures of variances and covariance, the results demonstrating that videoconferencing contributed significantly to the improvement of ECG skills of the participants. In addition, a questionnaire was given to students along with posttest II, and the result of which indicated overwhelming satisfaction with videoconference based lecture.Öğe Nurses, midwives and students' reports of effective dedicated education units in five European countries: A qualitative study(Wiley, 2024) Pedregosa, Sara; Zabalegui, Adelaida; Fabrellas, Nuria; Risco, Ester; Pereira, Mariana; Dmoch-Gajzlerska, Ewa; Senuzun, FisunAimTo investigate nursing/midwifery students, Clinical Mentors, Link Teachers and Head Nurses experiences within Dedicated Education Unit model in 6 European clinical placements and analyse the necessary elements for a powerful clinical learning environment.DesignA multi-country, phenomenological, qualitative study.MethodsFocus group interviews were performed to identify the personal and organizational factors of importance for students and nurses/midwives.ResultsData analysis produced 4 main themes (1) Clinical placement organization, (2) students' clinical knowledge and skill acquisition, (3) students, and nurses/midwives' experiences within the DEU model and (4) factors for creating an effective learning environment.ConclusionsA close educational-service collaboration, a realistic clinical placement planning, a focus on student learning process and an investment in professionals' education and development among others, are elements to set up a powerful clinical learning environment.Implications for the professionIt is considered advisable and urgent to improve the working conditions of nurses/midwives and the learning environments of students as a strategy to alleviate the global shortage of nurses and respond to the increasingly demanding health needs of the population.ImpactDue to the close relationship between students' learning and features of the clinical environment nurse educators seek innovative models which allow students to manage patient care and their transition to professional practice. To implement new learning strategies, identifying students, nurses and midwives perceptions and suggestions is a powerful information to evaluate implementation process and outcomes.Public ContributionOur findings could help academic and clinical managers to meet the human and organizational requirements to create a successful learning environment in every student placement.Öğe Perceived Usefulness of Data Entry Tools in Medical Encounters: A Survey(Springer, 2013) Celikkan, Ufuk; Sahin, Yasar Guneri; Senuzun, FisunElectronic Health Records allows direct data entry and is an important factor for accurate diagnosis. However, two drawbacks of this system is the time needed to create them, which can reduce health care professional productivity, and the fact that it is error prone. It is important, therefore, to select the most appropriate methods and tools for data entry by the health care providers at the point of care in order to minimize a loss of productivity. The study aims to understand health care professionals' perceptions of the data entry process, and determine the appropriate methods, tools and functions that would facilitate the process, minimize loss of productivity and improve quality. A questionnaire which consisting of 18 basic questions (including demographic data) was posted on a web site which hosts questionnaires, on an established online community space and also mailed to health care professionals who are working in various hospitals for a duration of 10 months. Totally, 533 medical care professionals who are primarily from Turkey participated in the survey, of which 284 were medical doctors, 127 were nurses and the rest, other medical professionals. While the clear majority of participants involved in data entry use keyboard and mouse, most expressed a preference for more convenient methods, such as voice recognition or touch screen. Furthermore, physicians reported rarely spending more than 15 min for each consultation and conducting 21-30 examinations a day. The main motivation for creating an efficient direct data entry is to increase time allowed for patient examination, and to improve accuracy of diagnosis. Despite a heavy workload, health care professionals are very receptive to the idea of using a convenient data entry tool and keeping electronic patient records. Emergent data entry technologies in health sector can improve the quality of examinations, physicians' productivity and can decrease the percentage of medical misdiagnosis.Öğe Urinary incontinence at the women living in a nursing home and the quality of life of the women with urinary incontinence(Drunpp-Sarajevo, 2011) Uslu, Seyma; Uysal, Yurdagul; Sari, Dilek; Sahin, Sevnaz; Tekin, Nil; Senuzun, FisunObjectives: The objective of our study is to determine the prevalence of UI among the population who live in a nursing home and the effect of this significant problem on their quality of life. Methods: The sample of this cross-sectional research consisted of 211 elderly women who live in a nursing home in Izmir. Three forms - Information Form for the Elderly, Form for Characteristics of UI and Incontinence Quality of Life Scale (I-QOL)-were used to gather the data related to this research. Results: UI was determined among 23.2% of the elderly women included in the research. The rate of such women who sought medical advice was found to be 14.3%. It was found that almost half of the elders (46.9%) had MUI, 30.6% of elders had SUI and 22.5% of them had UUI. It was determined that majority of old women with UI did not take any treatment (85.7%) and used menstruation pad as the protective material (71.4%). The mean I-QOL score was found to be 72.80 +/- 18.97. Conclusion: Despite the fact that UI is a frequently encountered geriatric syndrome in the elderly, it has a low diagnosis rate. This problem affects the quality of life of the individual negatively in physical, economic, and psychosocial terms. As a consequence, the awareness of both women and healthcare professionals should be raised about the importance of the complaint of UI.
