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Öğe Adaptation of Parental Self-Efficacy Scale for Child Autonomy Toward Minor Surgery to Turkish(Elsevier Science Inc, 2022) Semerci, Remziye; Unver, Seher; Topcu, Sacide Yildizeli; Turan, Fatma Nesrin; Kostak, Melahat Akgun; Findik, Ummu YildizPurpose: The purpose of the study was to conduct validity and reliability testing of the Turkish version of the Parent Self-Efficacy Scale for Child Autonomy toward Minor Surgery (PSESCAMS). Design: The research is a methodological study. Methods: Data were collected using an Introductory Form and the PSESCAMS. Factor analysis, Cronbach's alpha, and item-total score analysis were used for the data analysis. Findings: The scale consisted of 18 items and four subscales. The Cronbach's alpha coefficient for the overall scale was 0.95, and the Cronbach's alpha values for the subscales were 0.64-0.92. The total factor loading was > 0.45 for both exploratory and confirmatory factor analyses. GFI, AGFI, and CFI were > 0.90, RMSEA was 0.06. Conclusion: PSESCAMS was found to be a valid and reliable measurement tool for Turkish culture. (c) 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.Öğe Approach to Pediatric Patients during Surgical Interventions(Galenos Yayincilik, 2013) Unver, Seher; Yildirim, MeltemA child's surgical period usually contains unpleasant and difficult experiences, for the child and the parents. The child in this period experiences greater anxiety and distress. On the other hand, pediatric patients have complex states that directly effects their perioperative care during. Because their perioperative care includes not only the knowledge of general surgical procedure and care of a patient in the operating room. It also includes the specific understanding of a child's airway, anatomy and physiology, the understanding of child development and care of the child and family. This review is prepared to present these differences of the pediatric surgical patients and the care during their perioperative period.Öğe Assessment of Painful Facial Expressions by Nurses and Its Relation with Their Clinical Experience(Istanbul Univ, Fac Nursing, 2014) Yildirim, Meltem; Unver, Seher; Kanan, Nevin; Akyolcu, NerimanAim: To investigate the ability of nurses to assess the painful facial expressions of pain patients and its relation with their clinical experience. Method: The nurses who were a member of a social networking website were informed about the study and asked to participate. The study was carried out descriptively with 126 voluntary nurses. An online survey system was used for data collecting. The survey contained 15 questions for demographic information and clinical experiences. The nurses asked to score the pain level of the individuals in 12 photos obtained online by searching the keyword pain patient. For evaluation of pain; 0-10 Numeric Pain Scale was used. The data were evaluated with descriptive statistics, Mann Whitney U, Kruskal Wallis Test and Spearman's Correlations Analyses. Results: Female nurses were giving higher pain scores than male nurses (p<0.05). As much as the nurses stated that they believe their patient's pain; the scores they gave to the photos were increased (p<0.05). The nurses who think that the patients exaggerate their pain behaviors; gave lower scores (p<0.05). Conclusion: Nurses' perception of pain behaviors can be affected by gender and their pain beliefs. Therefore; behavioral sciences related in-service training programs can be done to increase empathic tendency and provide a better nursepatient communication in painful situations.Öğe Attitude of Nursing Students Toward Scientific Research: A Cross-Sectional Study in Turkey(LIPPINCOTT WILLIAMS & WILKINS, 2018) Unver, Seher; Semerci, Remziye; Ozkan, Zeynep Kizilcik; Avcibasi, IlkerBackground: Nursing, a social applied science, is a dynamic profession. Professional nurses must be curious, investigative, and open to learning as well as practice critical and analytic thinking to sustain their professionalism. Purpose: The aim of this study was to determine the attitudes of nursing students toward scientific research. Methods: A descriptive and cross-sectional study design was used. This study was conducted at a nursing department of a university in Turkey. A sample of 375 nursing students participated. Data were collected using the "Personal Information Form'' and "Attitude Scale towards Scientific Studies.'' Standard descriptive statistical methods, correlation, Mann-Whitney U, Kruskal-Wallis, and post hoc Bonferroni were used in data analysis. Results: Nearly all (90.1%) of the participants were female, and 33.9% were sophomore (second-year) students. Junior (third-year) students held the most positive attitudes toward research, as compared with the participants in other academic years. Participants who had participated in scientific activities held more positive attitudes toward research than those who had not. Participants who had prior experience doing scientific research showed more positive attitudes toward research and researchers than those without this experience. Being older, having scientific research experience, following the continuous broadcasts related to nursing, and participating in scientific activities all significantly influenced attitude toward research (p<.05). Conclusions/Implications for Practice: Although nursing students who participated in this study exhibited generally positive attitudes toward scientific research, they had relatively little experience participating in scientific activities. Therefore, to foster a positive scientific research culture among undergraduate students, grants should be provided that encourage wider participation in scientific activities and offer opportunities for undergraduate students to do scientific research.Öğe Attitudes of surgical nurses towards pressure ulcer prevention(Elsevier Sci Ltd, 2017) Unver, Seher; Findik, Ummu Yildiz; Ozkan, Zeynep Kizilcik; Surucu, CaglaStudy aim: Nurses play the key role in prevention of pressure ulcers, and negative attitudes of them may affect preventive care strategies. This research aimed to identify surgical nurses' attitudes towards pressure ulcer prevention. Materials and methods: A descriptive and cross-sectional study design was used to collect data between March 31-May 16, 2016 on 101 voluntary nurses (66.01% of all nurses) working in surgical units of a university hospital in Turkey. Attitude towards Pressure Ulcer Prevention Instrument and Nurse Information Form were used to investigate nurses' attitude toward preventing pressure ulcer. Descriptive statistics, Mann-Whitney U test, independent samples t-test, Pearson's chi-squared, and correlation tests were used to analyse the data. Results: The mean age of nurses' was 32.0 +/- 6.3 years and, the average duration of clinical experience was 72.3 +/- 61 months. A total of 54.5% were working in surgical wards and, 40.6% gained additional education about pressure ulcer care. The mean total attitude score was found to be 80.5% (41.8 +/- 4.8). Previous education significantly affected the total attitude score of nurses (p < 0.05). Conclusion: The total scale score showed that surgical nurses had a positive attitude towards pressure ulcer prevention and nurses who had previous education about pressure ulcer care has higher attitude score than who had not. It is recommended that effective in-service education programs be developed at hospitals or that nurses be required to attend courses to help them to improve their pressure ulcer care. (c) 2017 Published by Elsevier Ltd on behalf of Tissue Viability Society.Öğe Challenges experienced by cardiac intensive care nurses during first out-of-bed patient mobilization after open-heart surgery: A descriptive phenomenological qualitative study(Wiley, 2024) Unver, Seher; Yildirim, Meltem; Akbal, Sevim; Sever, SedaAim To investigate the potential challenges experienced by cardiac intensive care unit (ICU) nurses in the first out-of-bed patient mobilization after open-heart surgery and propose solutions. Design A qualitative study design using the descriptive phenomenological approach. Methods Individual face-to-face interviews were conducted via a widely used videoconferencing program between 28 July and 22 October 2022, in the tertiary cardiac ICU of a university hospital. Nurses who had at least 1 year of cardiac ICU experience and actively participating in patient care were included. The COREQ criteria and checklist were followed in this investigation and the data were analysed by using the ATLAS.ti 8.0. Findings Nurses reported that they experience challenges when mobilizing patients, such as patients' fear, reluctance or resistance; nurses having insufficient experience, strength or lack of team members. Despite these challenges, they highlighted some positive outcomes of mobilization, such as feeling happy, reinforced team communication and nurse-patient relationship. The nurses also suggested some facilitators, such as patient motivation and an explanation of the process. Conclusion Nurses experience various patient-related and nurse-related challenges during the first out-of-bed mobilization of the patient after open-heart surgery. It is recommended that healthcare institutions should implement effective strategies to address the staffing shortages and to support nurse motivation to ensure adequate nursing care. Impact This study provides valuable insights into the existing literature by examining the potential challenges and strategies of the first out-of-bed patient mobilization in the cardiac ICU. It shows that patient education and organizational adaptations are effective ways to overcome the challenges. It also suggests that motivating and informing patients before the mobilization can make the process easier. Moreover, it reveals that successful patient mobilization makes nurses happy, improves team communication and strengthens nurse-patient relationship. Patient and Public Involvement and EngagementNo patient or public contribution.Öğe Concept Analysis of Pressure Sores(Istanbul Univ, Fac Nursing, 2014) Unver, Seher; Yildirim, Meltem; Akyolcu, Neriman; Kanan, NevinSome of the medical terms used in the field of health are just quoted from foreign languages or are used incorrect provision of Turkish meaning. Some of these terms belong to the pressure sores. This rewiev aimed to determine all the terms used to describe pressure sores and to be a guide for one Turkish type usage of the term for pressure ulcers.Öğe COVID-19 Fear Level of Surgical Nurses Working in Pandemic and Surgical Units(Elsevier Science Inc, 2021) Unver, Seher; Yenigun, Seda CansuPurpose: Nurses who care for COVID-19 patients are more likely to be affected psychologically than nurses who do not, and reactions such as increased fear may lead to psychological problems among nurses. The aim of this study was to determine the COVID-19 fear level of surgical nurses by using the Fear of COVID-19 Scale. Design: A descriptive and cross-sectional study. Methods: Totally, 202 surgical nurses who take care of suspected or infected COVID-19 patients working in pandemic and surgical units of a university hospital were included in the study. For data collection, Nurse Characteristics Form and Fear of COVID-19 Scale were used. Study data was analyzed with the descriptive statistics, Mann-Whitney U test, Spearman Correlation test. Findings: The mean total COVID-19 fear score of the nurses was 25.09 7.29 (min: 7, max: 35) and nurses who received training related to COVID-19 had statistically lower fear than those who did not (U = 3773.500; P= .027). Losing a patient because of COVID-19, being older and experienced in nursing significantly affected the total fear score of nurses (respectively, U = 3899.000; P= .004; rs = 0.152; P = .031, rs = 0.205; P = .003). Conclusions: Surgical nurses have a moderate level of COVID-19 fear and it is recommended to conduct appropriate on-line training programs to develop psychological support strategies. (c) 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.Öğe Deep breathing exercise education receiving and performing status of patients undergoing abdominal surgery(Acad Publishing & Translation, 2018) Unver, Seher; Kivanc, Gamze; Alptekin, Hatice MerveObjectives: This study aimed to explore deep breathing exercise education receiving and performing status of patients undergoing abdominal surgery and the relation between them. Methodology: This descriptive and cross-sectional study was conducted at the surgical ward of a university hospital with 130 patients between August 17 and October 15, 2015. A patient information form and a deep breathing exercise questionnaire were used for data collection. The patients were visited in their rooms after their surgeries and were asked to answer these questions through face-to-face interviews. Descriptive statistics, the Mann-Whitney U test, Spearman's correlation, and Pearson's Chi-squared test were used for analyzing the data. Results: Of the patients, 56.2% of the patients received education about deep breathing exercises, and 51.5% of them performed it. A total of 60.3% of the patients received their education from nursing students. Furthermore, 54.8% of them received this education after surgery. A strong correlation was found between the status of receiving education and performing statuses of patients (P < 0.001). Conclusion: The study results indicated that the surgical patients did not receive adequate education about deep breathing exercises and most of them received this education after their surgeries. As a good finding, receiving education affected patients' exercise performing statuses positively. It is advised from this study that clinical nurses should receive in-service education on the importance of pre-operative deep breathing exercise education to improve the exercise application rate among surgical patients.Öğe Development of a New and Simple Postoperative Pain Fear Scale for Elective Surgeries in Adult Patients(Galenos Yayincilik, 2021) Unver, Seher; Turan, Fatma NesrinAim: There is a need to assess the pain fear levels of surgical patients simply and appropriately before the surgery. This study aimed to develop and test the psychometrics of an instrument to evaluate the fear of postoperative pain. Methods: This methodological study was conducted at four surgical clinics including general surgery, orthopedics and traumatology, neurosurgery, heart and vessel surgery of a university hospital between 28 March and 19 October 2018. Totally, 150 patients who were scheduled for elective surgery and at their preoperative day were included. This scale contained 10 items related to the postoperative pain sources and aimed to identify the pain fear of patients preoperatively. To measure the sampling adequacy, Kaiser-Meyer-Olkin index and Bartlett's test of sphericity was used. Explanatory and confirmatory factor analyses were conducted to evaluate the construct validity. The internal consistency of the scale was evaluated by Cronbach's alpha calculation. All hypotheses were tested in two directions. Results: The total variance explained 55.5% of the variance for one factor structure consisting of 10 items. The model fit index values through the confirmatory factor analysis were found to support this structure. Conclusion: The scale is appropriate to be used in clinical settings to quickly evaluate the elective surgical patients' fear level of postoperative pain preoperatively.Öğe The effect of anti-fatigue floor mat on pain and fatigue levels of surgical team members: A crossover study(Elsevier Sci Ltd, 2023) Unver, Seher; Organ, Esra MakalAs ergonomics is important to maintain comfort, this study aimed to examine the effect of anti-fatigue floor mats on pain and fatigue levels of surgical team members. Thirty-eight members participated in this crossover -designed study with no-mat and with-mat conditions, separated by a one-week washout period. They stood on the 15 mm thick rubber anti-fatigue floor mat and on the standard antistatic polyvinyl chloride flooring surface during the surgical procedures. Subjective ratings of pain and fatigue levels were measured pre and after-surgery for each experimental condition using the Visual Analogue Scale and Fatigue-Visual Analogue Scale scales. The after-surgery pain and fatigue levels for the with-mat condition were significantly lower than the no mat con-dition (p < .05). Consequently, anti-fatigue floor mats are effective in decreasing pain and fatigue levels of surgical team members during surgical procedures. Using anti-fatigue mats may be a practical and easy way to prevent discomfort that is often experienced by surgical teams.Öğe The Effect of Balloon-Blowing Exercise on Postoperative Pulmonary Functions in Patients Undergoing Total Hip Arthroplasty(Lippincott Williams & Wilkins, 2021) Kizilcik Ozkan, Zeynep; Yanik, Fazli; Unver, Seher; Yildiz Findik, UmmuGeneral anesthesia, prolonged immobilization, and pain may adversely affect pulmonary function in patients undergoing prosthetic surgery. The aim of this study was to evaluate the effect of balloon-blowing exercises on pulmonary functions in patients undergoing total hip arthroplasty. The patients in the experimental group performed three sets of balloon-blowing exercises in the morning, at noon, and in the evening on the first to third days postoperatively. The increase in forced vital capacity (FVC) values between the control and experimental groups in the postoperative period was statistically significant (p < .001), in favor of the experimental group. The increase in forced expiratory volume during the first second (FEV1)/FVC ratio was found to be significantly higher in the experimental group than in the control group (p < .001). Patients who performed balloon-blowing exercises increased their FVC and FEV1/FVC ratio.Öğe Effect of Giving Brochures to Ventriculoperitoneal Shunted Children's Mothers About Preventing Shunt Infections(Aves Yayincilik, Ibrahim Kara, 2020) Unver, Seher; Tutunculer, Banu; Ozkan, Zeynep Kizilcik; Findik, Ummu YildizObjective: The aim of this study was to evaluate and compare the effectiveness of giving oral information and printed informative brochures on information and application levels of mothers with VP shunted children to prevent infections. Material and Methods: A prospective, randomized controlled trial design was conducted. Nine mothers in the study group were given printed informative brochures after a 15-minute oral informative session, whereas nine mothers in the control group were given only oral information. The effectiveness of these interventions was assessed at 15th and 90th days. Results: Mothers in both groups achieved significantly higher information and application level scores at 15th and 90th days when compared to their initial evaluation (p<0.05). In the study group, 90 days after the informative session, the mothers achieved statistically higher information level scores than the mothers in the control group (U=8.000, p=0.019). Conclusion: Giving printed informative brochures is more effective than giving only oral information on mothers' knowledge about preventing VP shunt infections. Printed informative brochures about preventing VP shunt infections could improve mothers' level of knowledge in the long term and avoid shunt infections.Öğe Effect of Short Message Service Use on Bowel Preparation Quality in Patients Undergoing Colonoscopy(Lippincott Williams & Wilkins, 2020) Kizilcik Ozkan, Zeynep; Unver, Seher; Yildiz Findik, Ummu; Albayrak, Dogan; Fidan, SukriyeThis study aimed to determine the effect of SMS use on the bowel preparation quality and satisfaction in patients who underwent colonoscopy. This study was conducted as an experimental-control study with 200 patients who had received colonoscopy in the endoscopy unit of a university hospital in Eastern Thrace of Turkey between December 1, 2016, and June 30, 2017. All patients received a standard bowel preparation. The SMS was sent in addition to the standard bowel preparation to patients in an SMS group. In the SMS group, patients were informed about the standard bowel preparation practices via SMS 3 days before colonoscopy. Patient identification, bowel preparation quality, and patient satisfaction forms were used for data collection. Chi-square and independent sample t tests were used in data analysis. The average age of the participants was 57.57 +/- 12.37 years, and it was determined that most of the participants were male (64.5%) and had colonoscopy experience (55%). The bowel preparation quality was significantly higher in the SMS group than in the no-SMS group (p = .044), and most patients (91%) were very satisfied with being informed via SMS. Sending SMS about bowel preparation practices to colonoscopy patients improves bowel preparation quality and patient satisfaction. Integrating SMS into standard care may help patients manage the bowel preparation process.Öğe Effect of stoma model based education on knowledge and skill levels of student nurses: a quasi-experimental study from Turkey(Pakistan Medical Assoc, 2019) Findik, Ummu Yildiz; Yesilyurt, Duygu Soydas; Unver, Seher; Ozkan, Zeynep KizilcikObjective: To determine the effect of education with a stoma model on knowledge and skill levels of student nurses. Methods: The quasi-experimental study was conducted at a professional education and skills laboratory of the Nursing Department within a health sciences faculty in Turkey between March 2015 and November 2016. The sample comprised an experimental group that had students who took a surgical diseases nursing course during the spring, and a control group that had students who took the same course during the autumn. A student information form, a knowledge level evaluation form, and a skill level evaluation form were used data collection. SPSS 20 was used for data analysis. Results: Of the 133 students, 69(52%) were in the experimental group and 64(48%) in the control group. It was determined that the skill level of the experimental group was higher than the control group (p<0.05) and there was a positive correlation between knowledge and skill levels of student nurses in both groups (p<0.05). Conclusion: Education with a stoma model increased student nurses' skills and promotes their knowledge.Öğe Effect of the pandemic on stress perception of nursing students during clinical internships: A cross-sectional study(Elsevier Science Inc, 2024) Topcu, Sacide Yildizeli; Ozkan, Zeynep Kizilcik; Organ, Esra Makal; Unver, Seher; Soydas, Duygu; Findik, Ummu YildizBackground and Aim: In nursing education, which has been significantly affected by the pandemic, continuing clinical internships, depending on the awareness that students have developed against coronavirus, has been an important source of stress. This study aims to determine the perceived stress of nursing students who resumed internships in surgical clinics after the pandemic and the role of their coronavirus awareness in it. Methods and Materials: This descriptive and cross-sectional study was carried out with the participation of 161 nursing students who received education in the nursing department of a university between May and June 2021 and performed the clinical practice of the Surgical Diseases Course. The Student Information Form, Coronavirus Awareness Scale (CAS), and Perceived Stress Scale for Nursing Students (PSSNS) were used to collect the data. Results: It was found that the mean score of the PSSNS was 77.8 +/- 23.6. and of the CAS was 64.7 +/- 9.8. It was found that the PSNS total and subscales' scores have negative correlations with the Awareness of Following Current Developments subscale of the CAS. Conclusion: It was determined that the stress level of the nursing students who resumed internships in surgical clinics after the pandemic was above average. Stress levels of the students were related to their awareness of following current developments regarding coronavirus. Although the pandemic has ended, the stress that nursing students may perceive when resuming face-to-face education in similar situations that may arise in the coming years and some factors that may be related should be determined. (c) 2023 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights reserved.Öğe Effectiveness of a Group Game Intervention in Reducing Preoperative Anxiety Levels of Children and Parents: A Randomized Controlled Trial(Wiley, 2020) Unver, Seher; Gueray, Ozlem; Aral, SedaSurgical experiences are often stressful for children and their parents. This study aimed to determine the effect of a group game intervention on the preoperative anxiety levels of 94 parent-child dyads who were awaiting elective minor surgery at a pediatric surgery clinic. The experimental group intervention included routine preoperative preparation and a group (ie, child, parent, and researcher) game. After the parent dressed the child for surgery, a research team member assessed the child's and parent's anxiety levels using the Facial Affective Scale and Visual Facial Anxiety Scale, respectively. Before the child was transferred to the OR, the research team member reassessed both anxiety levels. When compared to the control group, the results showed that children and parents involved in facilitated group play experienced significantly decreased anxiety levels (P < .001).Öğe Effects of Footbath on Postoperative Pain and Sleep Quality in Patients With Lumbar Degenerative Disc Disease: A Randomized Controlled Study(Lippincott Williams & Wilkins, 2023) Unver, Seher; Colakoglu, Ulku; Akinci, Ahmet TolgayBACKGROUND: Pain management and good sleep are essential for patients after surgical procedures. This study aimed to evaluate the effects of footbath on postoperative pain severity and sleep quality levels of patients who have undergone degenerative lumbar spine surgery. METHODS: Sixty patients were randomly assigned to the footbath intervention group or the control group. The intervention was a 20-minute footbath in 42 & DEG;C water before patients fell asleep on the evening of the surgery day. On the morning of the surgery day and the morning of postoperative day, the patient's pain severity and sleep quality scores were obtained using the visual analog scale and the Visual Analog Sleep Scale. RESULTS: There was no significant difference between the pain severity scores of the study groups (P > .05). The sleep quality level of the intervention group was statistically significantly higher than that of the control group (P < .05). CONCLUSION: Consequently, a footbath is effective in increasing sleep quality levels of patients who have undergone degenerative lumbar spine surgery. It may be used as a simple and practical nonpharmacological nursing strategy for improving patients' sleep quality.Öğe The Effects of Game Intervention on Postoperative Anxiety and Pain Levels in Children: A Randomized Controlled Study(Galenos Yayincilik, 2021) Unver, Seher; Guray, Ozlem; Aral, SedaAim: Surgery is a stressful and painful experience for children and it is important to control postoperative anxiety and pain. The aim of this study is to evaluate the effects of game intervention on postoperative anxiety and pain levels in children. Materials and Methods: A randomized controlled trial design was employed in the current study. Seventeen children in the intervention group started to play a game at their bedside with their parents at 15 minutes after their arrival at the service from the recovery room (pre-intervention period); while the twenty children in the control group only obtained the routing service protocol without any game intervention. The effectiveness of the game intervention was assessed at 60 minutes after arrival at the service from the recovery room (post-intervention period) using the facial affective scale for anxiety and the visual analog scale for pain. The analgesic needs of children after the surgery were recorded. Results: In both groups, the pre-intervention anxiety and pain were significantly decreased in the post-intervention period (p<0.05). The reduction of anxiety in the control group was significantly higher than the intervention group (p=0.006) and there was no significant difference between the post-intervention pain levels of the groups. The rate of analgesic need in the control group was significantly higher than the rate in the intervention group (p=0.048). Conclusion: The results indicate that children who took part in the game intervention with their parents did not have lower levels of anxiety or pain than children in the control group; however, the intervention was effective in decreasing both anxiety and pain levels after surgery. Based on the decreased rates of analgesic needs, it is recommended that nurses encourage parents to play with their children after surgery.Öğe Evaluating the pain management methods of patients with carpal tunnel syndrome(Kare Publ, 2016) Ozkan, Zeynep Kizilcik; Unver, Seher; Basar, AyseObjectives: This study sought to evaluate pain severity and pain management methods of patients with carpal tunnel syndrome. Methods: This descriptive study was conducted with patients who were diagnosed with carpal tunnel syndrome (n=99) in the neurology clinic of the university hospital between August 2014 and December 2015. Patient data form, visual analog scale (VAS) and a pain management inventory were used to collect data. Results: Of the total, 64.6% of the patients experienced pain. Patients used prescription medication, massage, and exercise to control pain, and reported that the most useful method was exercise, followed by massage and, finally, prescription medication. Conclusion: Healthcare professionals may share the findings of relative benefit according to method of pain management and encourage patients to use non-pharmacological methods.