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    Do the Fluids Consumed by Surgical Patients in the Postoperative Period Affect Their Gastrointestinal Motility? A Correlational Study
    (Elsevier Science Inc, 2022) Sayilan, Aylin Aydin; Topcu, Sacide Yildizeli
    Purpose: The aim of this study was to determine the relationship between gastrointestinal (GI) motility and oral fluid intake levels in the postoperative period. Design: This descriptive and correlational study was performed in an education and research hospital between June and September 2019. Methods: The sample in this study consisted of individuals aged 18 to 80 years who had undergone laparoscopic abdominal surgery. No sampling was performed, and all patients volunteering to take part were included. Findings: Patients were started on oral nutrition in a median of 6 hours (min: 6 max: 8) after surgery and received 500.00 mL (min: 100 max: 500) oral fluid on the first day after surgery, 600.00 mL (min: 200 max: 1200) on the second, and 725.00 mL (min: 652.47 max: 759.52) on the third. Median time to passage of flatus was 22.50 hours (min: 6 max: 36), and median time to stool production was 39.00 hours (min: 16 max: 70). A positive correlation was found between the amount of oral fluid consumption on the first day and time to passage of flatus, while a negative correlation was observed between the amount of fluid consumption on the second day and time to both flatus and stool production. Conclusions: Time to flatus production increased in line with the amount of fluid consumed via the oral route on the first day postoperatively, while times to production of flatus and stool decreased as the amount of fluid consumed orally on the second day increased. (c) 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
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    Qualitative determination of occupational risks among operating room nurses
    (Australian Nursing Federation, 2020) Celikkalp, Ulfiye; Sayilan, Aylin Aydin
    Objective: The purpose of this study was to determine the occupational risks faced by operating room nurses, their working conditions and health problems, and the protective measures adopted. Background: Since operating rooms are high-risk environments, the nurses working in them are exposed to correspondingly greater health risks. Method: This qualitative descriptive study design involved 17 operating room nurses and was performed in a public hospital in Turkey. Data were collected by the author during face-to-face interviews using a semi-structured form constructed on the basis of the study aims. Theme establishment continued until new data emerged from the analysis of all interviews. Data were then subjected to qualitative content analysis. Results: Three main themes were determined in the study, worker safety, working conditions, and training. At interview, operating room nurses reported being exposed to several occupational risks, including radiation, sharp implements, long working hours, and working standing up. They also reported experiencing, or were anxious about encountering in the future, various health problems associated with these risks. They also identified activities associated with education and protective measures as inadequate. Discussion and conclusion: Several occupational risk factors in the operating room environment adversely affect the health of nurses working in the unit. We recommend that standards aimed at protecting against occupational risks be applied on a regular basis in order to preserve the personal health and safety of operating room staff. Implication for nursing and health policy: Nurses are responsible for the constant care of their patients under all conditions and environments but may face the risk of compromise of their own health as a result. Training, certification, and nursing policies aimed at protecting the health of employees in clinical settings should be implemented. What is already known about the topic? Operating room nurses are known to experience severe health problems arising from their working environment. Many nurses have to cope or live with these health problems. What this paper adds: The study reveals the need for operating room nursing education programs. It also stresses the importance of legislation and monitoring to ensure a safe working environment for nurses in Turkey.