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Öğe Ameliyat sonrası ağrı şiddetinin dört farklı ağrı ölçeği ile karşılaştırılması(Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 2015) Temiz, Zeynep; Özer, NadiyeThe study aimed at comparing postoperative pain intensity with four different scales and examining its influence on some activities of daily-life. Methods: A hundred and thirty one patients who had appendectomy, transurethral resection, herniated disk, open reduction operation under general anaesthesia between the dates 20 December 2009 and 20 May 2010 comprise the samples in this descriptive study. The patients between the ages 18-65, communicative, with the ASA scores of I, II or III, staying in hospital for three days were included in the study. In data collection, Visual Analog, Face Pain, Numerical Scale, Verbal Descriptive were utilized.Percentile distribution, t-test, variance analysis, Kruskal Wallis and Pearson's Correlation Test were used in data evaluation. Results: When the pain score averages were compared between them during the repeated measurement of the scales, it was detected that averages were decreasing gradually in each scale and the difference between them was statistically important (VAS p= .000; FPS p= .000; NRS p= .000; VDS p= .000). The highest correlation between the scales were VAS - FPS (r= .768) on day 0; VDS - NRS (r= .767) on day 1; VAS- NRS (r= .867) on day 2; VAS - VDS and FPS - NRS (r= .935) on day 3. However, there were statistical differences as well as similarities when the patients' descriptive qualities and pain score averages were compared through the four scales. Conclusion: Consequently pain intensity was decreasing day by day in each scale and there were correlations among four scales.Thus, it can be recommended that the studies in which descriptive characteristics were examined should be conducted to determine measurement tools to be used to evaluate pain intensityÖğe Analysis of mental health symptoms and insomnia levels of intensive care nurses during the COVID-19 pandemic with a structural equation model(Blackwell Publishing Ltd, 2021) Kandemir, Didem; Temiz, Zeynep; Özhanlı, Yasemin; Erdoğan, Hatice; Kanbay, YalçınBackground: Faced with this critical situation and directly involved in the treatment and care of COVID-19 patients, front-line healthcare workers are at high risk in terms of mental health symptoms. Aims and Objectives: To determine the stress, anxiety, depression, and insomnia levels of intensive care nurses during the pandemic with a structural equation model. Design: A multi-site survey study. Methods: The study was performed with 194 nurses working in the intensive care units of five hospitals in Istanbul in July 2020. Data were collected using the Depression Anxiety Stress-21 Scale and Insomnia Severity Index electronically. The data were evaluated with descriptive statistics in SPSS package program. In order to test the structural model and hypotheses of the research, path analysis was performed with LISREL statistical software program. A validation study for the suitability of these scales to the study sample was done by the researchers using the confirmatory factor analysis method. The study conforms to the TREND checklist. Results: In this study, the majority of the intensive care nurses had moderate to extremely severe depression (65.5%), anxiety (58.3%) and stress (72.3%) scores; in addition, 39.7% of the nurses experienced moderate or severe insomnia. Within the framework of a structural model; the effects of stress, anxiety and insomnia on depression, which is the dependent variable, were found to be statistically significant (p <.001). Conclusions: It was found that the majority of the intensive care nurses fighting COVID-19 on the front-line experienced stress, anxiety, depression and insomnia at levels ranging from moderate to extremely severe; in addition, it was determined that there is a positive relationship between stress, anxiety, insomnia and depression. Relevance to clinical practice: This study, in which we have determined the mental health symptoms and insomnia levels of intensive care nurses, who are in the front-line during the COVID-19 pandemic, constitutes the scientific basis for the effective coping strategies that the authorities will take in this subject.Öğe Cerrahi birimlerde çalışan hemşirelerin etik duyarlılıklarının belirlenmesi(Atatürk Üniversitesi Hemşirelik Fakültesi, 2017) Temiz, Zeynep; Öztürk, Didem; Ünver, Seher; Tohumat, Gözde; Akyolcu, Neriman; Nur, Fethiye; Kanan, NevinAmaç: Cerrahi birimlerde çalışan hemşirelerin etik ikilemlere karşı duyarlılık düzeylerinin belirlenmesidir. Yöntem: Tanımlayıcı türde yapılan bu araştırma, 22 Aralık 2013-15 Ocak 2014 tarihleri arasında çalışmaya katılmayı kabul eden 90 hemşire ile yürütüldü. Veriler, bireysel özellikler formu ile Ahlaki Duyarlılık Anketi kullanılarak toplandı. Verilerin analizinde tanımlayıcı istatistikler ile Mann Whitney U ve Kruskal-Wallis testi kullanıldı. Bulgular: Cerrahi hemşirelerinin Ahlaki Duyarlılık Anketi toplam puan ortalamasının 89.77±19.43 olduğu; otonomi alt boyut puan ortalamasının 18.35±5.51, çatışma alt boyut puan ortalamasının 13.96±2.97, yarar sağlama alt boyut puan ortalamasının 12.92±3.95, uygulama alt boyut puan ortalamasının 12.34±3.94, bütüncül yaklaşım alt boyut puan ortalamasının 12.00±4.88 ve oryantasyon alt boyut puan ortalamasının 8.13±3.88 olduğu saptandı. Hemşirelerin çalışma süreleri ile bütüncül yaklaşım ve oryantasyon alt boyut puan ortalamaları arasındaki farkın anlamlı olduğu saptandı (p<0.05). Mesleki derneklere üye olma durumu ile Ahlaki Duyarlılık Anketi toplam ve alt boyut puan ortalamaları karşılaştırıldığında; otonomi, bütüncül yaklaşım ve oryantasyon alt boyut puan ortalamaları arasındaki farkın anlamlı olduğu bulundu (p<0.05). Sonuç: Cerrahi birimlerinde çalışan hemşirelerin orta düzey etik duyarlılığa sahip olduğu saptandı. Hemşirelerin etik sorunları tanıma ve çözüm sağlamada mezuniyet öncesi eğitim programlarının güçlendirilmesi, mezuniyet sonrası sürekli eğitim programlarının ise hemşirelerin yaş grupları ve deneyim süresi göz önüne alınarak planlanması, önerilebilir.Öğe Content and quality of online videos about ostomy pouch changes: a descriptive study(NLM (Medline), 2022) Temiz, Zeynep; Kandemir, DidemBACKGROUND: Many health-related videos are available online. One type of health-related video is related to stoma pouch change. However, a system to evaluate the quality and content of these videos is lacking. PURPOSE: To evaluate the content and quality of YouTube videos on colostomy pouch change. METHODS: A descriptive study was carried out by searching for videos on March 15, 2021, using the key words "colostomy care," "colostomy bag/pouch change," and "ostomy bag/pouch change." A 5-point Global Quality Scale was used to evaluate the quality of the videos, and a 10-point scale was used to evaluate the content. The videos were classified as "useful" or "useless" according to their content and quality scores. RESULTS: A total of 128 videos were found; 94 videos met the criteria and were included in the study. The content of the 94 videos was examined by 2 independent researchers. The overall content score of the videos was 8.24 ± 1.56, and the overall quality score was 3.14 ± 0.97. A total of 66 (70.21%) videos were useful, and 28 (29.79%) videos were useless. The mean scores of useful videos for content (9.09 ± 0.83) and the average Global Quality Scale scores (3.53 ± 0.76) were significantly higher than those of useless videos (6.17 ± 0.90 and 2.25 ± 0.75, respectively; (P < .05). The results showed that 57.6% of the useful videos were uploaded by universities, professional organizations, and health care professionals, and 67.9% of the useless videos were uploaded by patients; the difference was statistically significant (P < .05). CONCLUSIONS: Results indicated that the majority of online videos evaluated were accurate. Most of these videos were uploaded by universities, professional organizations, health care professionals, or medical advertisers. Although there were many limitations to this study, the authors suggest that health care professionals can direct their patients to these sources after hospital discharge. However, future studies are needed..Öğe Determination of patient learning needs after thyroidectomy(Asian Pacific Organization for Cancer Prevention, 2016) Temiz, Zeynep; Öztürk, Didem; Uğraş, Gülay Altun; Öztekin, Seher Deniz; Şengül, EmelThe purpose of this study was to determine discharge learning needs of patients undergoing thyroidectomy. The population of this descriptive study consisted of patients undergoing thyroidectomy in the Endocrine Surgery Unit of a university hospital between February and December 2013. The study included 251 patients who were discharged after thyroidectomy. Data obtained using the data collection form and the Patient Leaning Needs Scale (PLNS) were analyzed by frequency, mean, standard deviation, Kruskal Wallis and student-t tests. The mean age of the patients was 47.91±13.05 and 76.1% were females. The PLNS total mean score was 208.38±34.91, with the maximum score of 39.23±6.80 on the subscale of treatment and complications and the minimum score of 19.45±4.70 on the subscale of feelings related to condition. It was found that the PLNS total score of the patients was not influenced by age, gender, marital status (p>0.05). This study demonstrated that patients had high learning needs after thyroidectomy.Öğe Determination of ıncidence and risk factors of perioperative pressure ınjury in surgical patients: a descriptive, prospective, and comparative study(Türkiye Klinikleri Yayınevi, 2022) Kandemir, Didem; Temiz, Zeynep; Aydın, Atiye; Yayla, Fatma; Özhanlı, Yasemin; Ayoğlu, TulühaObjective: This study aimed to determine the incidence and risk factors of perioperative pressure injury (PI) in surgical patients. Material and Methods: This descriptive, prospective, and comparative study was conducted with 101 patients who underwent general surgery in a training and research hospital in İstanbul between September 2018 and June 2019. Data were collected using the “Patient Data Form,” the “Braden Scale,” and the “International Pressure Injury Classification System.” Data were analyzed with parametric and nonparametric tests using the SPSS package program. The statistical significance level was taken as p<0.05. The necessary institutional and ethics committee permission was obtained to conduct the study. Results: In this study, it was observed that the incidence of perioperative PI was 12.9% (13/101) in surgical patients, and most developed after pancreaticoduodenectomy (38.5%). Preoperative hemoglobin and serum albumin levels, surgical time longer than 185 minutes, and intraoperative hypotensive episodes were found to be determinant risk factors in the development of PI (p<0.01). Conclusion: Surgical nurses should carefully evaluate individual and surgery-related risk factors and implement evidence-based interventions in the prevention of pressure injuries.Öğe Determining the adaptation of patients to follow-up, medicine, and diet after total thyroidectomy(Bayrakol Medical Publisher, 2019) Sayılan, Samet; Sayılan, Aylin Aydın; Temiz, Zeynep; Aközcan, SerpilAim: Thyroid nodules are a common condition. For this reason, surgeons have lots of operation in this area. There are basic rules that patients should follow after this surgery. In this study, It is aimed to determine the adaptation of patients to follow-up, medicine, and diet after a total thyroidectomy. Material and Method: This cross-sectional study was conducted on 108 patients in the Endocrinology and internal Medicine Clinics at Dr. Sadi Konuk Education and Research Hospital and the Department of Endocrinology. The data were collected using the Patient Assessment Form, the Beliefs About Medication Compliance Scale (BMCS) and the Beliefs about Dietary Compliance Scale (BDCS). Results: The mean age of the patients in the study sample (n=108) 47.03 +/- 10.55 years. The details about the subjects were as follows:50% of them were women, 88.9% were married, 35.2% were graduated from primary school, 36.1% were self-employed, 41.7% were informed about thyroid disease. 34.3% were examined by a physician once in three months, 41.7% thought this frequency of inspections is adequate, 70.4% stated that they will accept to have surgery again if they need any surgery, 41.7% of them used levothyroxine (0.5-1 tb). When the mean scores of the patients in the Beliefs About Medication Compliance Scale (BMCS) and the Beliefs about Dietary Compliance Scale (BDCS) were examined, the highest mean scores were found in the perception of benefit subscale for both scales, 21.14 +/- 2.87 and 23.38 +/- 3.34, respectively. Discussion: It was thought that the perception of benefit and adaptation are positively correlated, it was also thought that informing after the intervention improves the adaptation.Öğe The effect of gum chewing on abdominal pain and nausea caused by polyethylene glycol solution used for ıntestinal cleansing before colonoscopy an endoscopist-blinded, randomized controlled trial(Lippincott Williams & Wilkins, 2020) Sayılan, Aylin Aydın; Seyhan, Ezgi; Temiz, Zeynep; Öztekin, Seher Deniz; Çolak, Sevgi; Pirti, OkayGum chewing is known to have a positive effect on intestinal motility. Most studies have examined its effect on ileus, but there has been no discussion of the effects of polyethylene glycol used in preparation for colonoscopy. The purpose of this study was to determine the effect of gum chewing on abdominal pain and nausea caused by polyethylene glycol solution used for intestinal cleansing before colonoscopy. The study was planned as a single-center, randomized, controlled experimental study. The research sample was determined using power analysis (n = 60). Consecutive patients undergoing colonoscopy were randomized into the experimental and control groups. Patients in the gum group chewed mint-flavored sugar-free gum for 20 minutes every 2 hours until the start of colonoscopy after consuming 2 L of polyethylene glycol solution. Patients in the control group drank only polyethylene glycol solution. Examination of precolonoscopy pain and nausea revealed a statistically significant difference in the gum chewing group (p < .05). Patients using sugar-free gum experienced statistically significant fewer problems after colonoscopy. Gum chewing had a positive effect on abdominal pain and nausea. There are no drawbacks to presolution chewing, and it may be recommended for patients.Öğe The effect of listening to the sound of running water on pain and anxiety experienced during cannulation by hemodialysis patients: A randomized, controlled, open-label study(John Wiley and Sons Inc, 2024) Sayılan, Samet; Aydın Sayılan, Aylin; Temiz, Zeynep; Kandemir, DidemIntroduction: This study was conducted to determine the effect of the sound of running water, which we had not previously encountered being used in dialysis patients, on invasive pain and anxiety experienced during cannulation. Methods: The research was conducted as a randomized, controlled study. A descriptive form, a VAS pain scale, and state–trait anxiety scales were used as a data collection form. The data were analyzed on SPSS version 22.00 for Windows software. The independent groups t-test was applied to compare descriptive statistics such as mean, standard deviation, number, and percentage in independent groups, while categorical data were compared using the chi-square test. The effect of an independent variable on a dependent variable was tested using linear regression analysis. p values < 0.05 were considered statistically significant. Results: The study was completed with 32 experimental and 33 control group patients. There was no significant difference in pre-intervention pain and anxiety between the groups. The pain levels of the patients after the first and 12th cannulations were significantly lower in the experimental group (p < 0.05). State and trait anxiety levels were also significantly lower in the experimental group at the 12th session (p < 0.05). Conclusion: We conclude that the sound of running water has a significant positive effect on pain and anxiety experienced during cannulation by dialysis patients. We recommend that clinicians apply such a simple method as listening to the sound of running water for reducing pain and anxiety during invasive procedures.Öğe The effects of different degrees of head-of-bed elevation on the respiratory pattern and drainage following thyroidectomy: a randomized controlled trial(Makerere Unİv, 2020) Yüksel, Serpil; Öztekin, Seher Deniz; Temiz, Zeynep; Uğraş, Gülay Altun; Şengül, Emel; Teksöz, Serkan; Sunal, Nihal; Öztekin, İlhan; Göksoy, ErtuğrulBackground: The patient’s position is important for ensuring patient comfort and preventing complications after thyroidectomy. Objectives: This study was carried out to determine the effects of different degrees of head-of-bed elevation (HOBE) on the respiratory pattern and drainage following thyroidectomy and to provide suggestions for evidence-based clinical practice. Methods: The sample of this prospective, parallel arm, randomized controlled trial included 114 patients undergoing thyroidectomy in a university hospital in Turkey. The patients were randomly assigned (1:1:1) to supine 0° (baseline), 30° and 45° HOBE groups. Respiratory pattern including respiratory rate (RR), peripheral oxygen saturation (SpO2 ) and dyspnea, and drainage including amount of drainage and hematoma formation were evaluated at the 1st, 2nd, 3rd and 4th hours following thyroidectomy. Results: The majority of the patients (83.3%) were female and 84.2% had undergone total thyroidectomy. The mean RR (18.47, 95% CI=17.85-19.09) of the patients in the supine 30° HOBE group at the 1st hour was significantly higher than that of the patients in the supine 0° group (17.32, 95% CI=16.88-17.76; p<0.05). There was no significant difference between the SpO2 values of the patients in the groups (p>0.05). The amount of drainage was significantly higher in the supine 0° group at the 2nd hour than that of the patients in the supine 45° HOBE group (5.92±5.18; 3.34±5.56 respectively; p<0.05). None of the patients in the groups had hematoma formation. While no patient in the supine 30° HOBE group had dyspnea, dyspnea occurred in 9 patients in the supine 0° group and in 3 patients in the supine 45° HOBE group. Conclusion: This study showed that different HOBE positions resulted in clinically insignificant changes on the RR and amount of drainage during the first 4 hours following thyroidectomy but did not affect SpO2 value.Öğe Effects of different head-of-bed elevations and body positions on intracranial pressure and cerebral perfusion pressure in neurosurgical patients(Lippincott Williams & Wilkins, 2018) Uğraş, Gülay Altun; Yüksel, Serpil; Temiz, Zeynep; Eroğlu, Selin; Şirin, Keziban; Yüksel, TuranThe aim of this study was to evaluate the effects of different head of bed (HOB) elevations and body positions on intracranial pressure (ICP) and cerebral perfusion pressure (CPP) and to identify safe positions for neurosurgical patients with different Glasgow Coma Scale (GCS) scores. Methods: This study with a quasi-experimental, prospective repeated measures is designed with control over the intervention consisted of 30 patients hospitalized in the neurocritical care units (NCU). Patients’ HOB was elevated (degree of 15,30,45) and the patients were at supine, left lateral and right lateral positions. ICP and CPP were recorded for each patient. Results: It was found that ICP increased and CPP decreased at supine, left and right lateral positions with different HOB elevations, which, however, did not reach statistical significance. When patients with a GCS score of 3Y8 were at degree of 15 right and left lateral positions and 45 right lateral position; and when patients with a GCS score of 13Y15 were positioned at degree of 15 left lateral, ICP and CPP changed significantly. Conclusion: The results of this study showed that different positions the patients’ HOB (degree of 15,30,45) led to slight insignificant changes in ICP and CPP; and these values were maintained within the ranges established by recent guidelines.Öğe The effects of training and the use of cranberry capsule in preventing urinary tract infections after urostomy(Elsevier SCI LTD, 2018) Temiz, Zeynep; Çavdar, İkbalPurpose: The study was conducted to investigate the effects of training provided by researcher and the use of cranberry capsule in preventing late term UTIs after urostomy. Methods: The study included 60 patients who underwent ileal conduit diversion between June 2013 and November 2014. The participants were randomly divided into three groups. First group used cranberry capsule, second group received training about UTIs and the other control group. The patients were assessed for a UTI by laboratory analysis at 2, 3, and 4 months after discharge. Results: When the effect of cranberry capsule use and training on the prevention of urinary tract infections were compared, we found that there was a significant difference between the group that used and didn’t use cranberry capsules, favoring the cranberry capsule (log-rank test; p < 0.05). Conclusion: We found that the use of cranberry capsules is effective in the prevention of urinary tract infections.Öğe Incidence, severity and characteristics of medical device-related pressure injuries in adult intensive care patients: A single-centre, cross-sectional study(Tissue Viability Society, 2024) Temiz, Zeynep; Aydın Sayılan, Aylin; Sayılan, Samet; Azum, EsraAim: This study aimed to determine the incidence, severity and characteristics of medical device-related pressure injuries in intensive care units. Methods: This is a cross-sectional study. Data were collected from 187 patients admitted to the Anaesthesia and Reanimation intensive care unit of a university hospital between January and May 2023. The skin of the patients enrolled in the study was assessed for the presence of medical device-related pressure injuries, and all medical devices used were recorded. Data were collected using the Patient Identification Form, the Medical Device-Related Pressure Injury Follow-up Form, and the Braden Scale for Predicting Pressure Ulcer Risk. Results: It was found that 30.6% of the patients developed medical device-related pressure injuries; of these, 73.7% had stage I pressure injuries. We found that 36.8% of the patients were diagnosed with medical device-related pressure injuries within 8–11 days. The results showed that endotracheal tube (61.4%), non-invasive ventilation/oxygen mask (52.6%), Foley catheter (49.1%), and nasogastric tube (36.8%) devices were the most common causes of the development of medical device-related pressure injuries. Patients' demographic characteristics were found to have a significant effect on the development of medical device-related pressure injuries (p < .05). Conclusion: The study found that the incidence of medical device-related pressure injuries was relatively high and that a relationship was observed between the patients' demographic characteristics and medical device-related pressure injuries. It is crucial that ICU nurses, who are more likely to encounter medical device-related pressure injuries, consider these factors when caring for their patients and take appropriate preventive measures to reduce the incidence of these injuries.Öğe The mediating role of epidemic anxiety in the relationship between psychological resilience and burnout in operating room nurses(Sağlık ve Sosyal Yardım Vakfı, 2024) Temiz, Zeynep; Kanbay, Yalçın; Yalap, Osman; Çınar Özbay, SevilAim: In this study, the mediating role of "Epidemic anxiety" in the relationship between "Psychological resilience" and "Burnout" in operating room nurses was investigated. Material and Methods: The population of the study comprised the nurses working in the operating rooms of the medical faculties and state hospitals and training and research hospitals of Turkey. Snowball sampling method was used. The study was conducted with 307 operating room nurses. The "Utkan Epidemic Anxiety Scale", "Brief Resilience Scale", and "Burnout Measure " were employed as data collection tools. Results: The findings revealed that “epidemic anxiety” exerted an indirect and significant effect on “burnout”, thereby playing a mediating role in the relationship between “psychological resilience”and“burnout”. Conclusions: According to the findings, the nurses with a high level of “psychological resilience” had lower levels of “epidemic anxiety”and“burnout”. In contrast, the positive effect of “psychological resilience” on “burnout” decreased when considering “psychological resilience” and“epidemic anxiety” together.Öğe Operating room nurses’ knowledge of and attitudes about pressure injury prevention: a descriptive cross-sectional study(2022) Kandemir, Didem; Özhanlı, Yasemin; Erdoğan, Hatice; Temiz, ZeynepBACKGROUND: Understanding nurses’ knowledge and attitudes might be important in influencing their behaviors of complying with pressure injury prevention measures in the operating room. PURPOSE: The aim of this descriptive and cross-sectional study was to determine operating room nurses’ knowledge and attitudes about pressure injury prevention. METHODS: This study was performed with 174 nurses working in the operating rooms of 5 hospitals in Istanbul between July and October 2020. The data were collected with the Modified Pieper Pressure Ulcer Knowledge Test-MPPUKT and Attitude Towards Pressure Ulcer Prevention Instrument-APuP and analyzed with parametric and nonparametric tests using the SPSS 20.0 package program. The statistical significance level was accepted as P < .05. RESULTS: The total mean score of the MPPUKT of the operating room nurses was 32.72 ± 6.65, and the knowledge level of only 57.5% of the nurses was considered sufficient (MPPUKT score ? 70%); the total mean score of the APuP was 44.67 ± 3.10, and almost all (94.8%) had a satisfactory attitude (?75%). In addition, there was a significant positive correlation between the knowledge and attitudes of the operating room nurses about pressure injury prevention (P = .000). CONCLUSION: This study has shown that the knowledge level of the operating room nurses was weak and their attitudes were satisfactory. It is recommended to improve the knowledge and attitudes of operating room nurses to prevent pressure injuries through effective in-service training programs. Pressure injury is defined as localized damage to the skin or deep tissues, usually on a bony prominence or in association with a medical or other devices.1 Any pressure injury that develops within 48 to 72 hours intra-, inter-, or postoperatively in a patient undergoing surgical intervention is described as a perioperative pressure injury, and the anatomical position is associated with the operating position.2-4 The incidence of perioperative pressure injuries ranges from 1.3% to 51%, and this rate constitutes 45% of all hospital-acquired pressure injuries.3,5,6 Pressure injury is an important indicator of international health care quality.1,3,7 These injuries are usually difficult to heal, painful, negatively affect the health-related quality of life of the individual,7-9 and increase length of hospital stay and health care costs.7,10 Thus, the ideal is to prevent the development of pressure injury4; diagnosis at its earliest stage is essential to allow planning for cost-effective care.9 Although a multidisciplinary team approach plays a key role in preventing pressure injury, nurses are at the forefront of this effort in most healthcare settings.9,11 Monitoring and maintaining skin integrity and preventing skin damage is the primary responsibility of the nurse.7,8,10 In this context, to provide safe and quality nursing care, nurses should routinely evaluate the surgical patient’s skin for the presence of pressure injury during the perioperative period.4 However, pressure injury prevention requires risk assessment that involves a complex interaction of care planning, implementation, and evaluation. To be successful, nurses must be aware of the risk factors associated with the development of pressure injury. In addition, the relevant elements of pressure injury prevention guidelines should be followed after the individual has been evaluated.8,9,12 In the literature, it is recommended to regularly evaluate the knowledge and attitudes of healthcare professionals regarding pressure injury prevention and management to facilitate compliance with clinical guidelines and to identify potential barriers and facilitators when initiating quality improvement initiatives.13 Evaluation of nurses’ knowledge and attitudes about pressure injury prevention contributes to the identification of training needs, opportunities to improve practice and priorities, and helps develop organization-specific interventions.10,13 The relationship between knowledge, attitude, and practice is both complex and not fully understood. In addition, the literature states that there is a gap between nurses’ knowledge and evidence-based practices in pressure injury prevention.10 Understanding nurses’ knowledge and attitudes may be important in influencing the behavior of complying with pressure injury prevention measures that directly lead to pressure injury preventative practices in the operating room.4 However, although there are a few studies2,14,15 on surgical nurses in the literature, there is only one study4 examining the knowledge and attitudes of operating room nurses about pressure injury prevention. Thus, the aim of this study is to determine operating room nurses’ knowledge and attitudes about pressure injury prevention. Research questions were as follows: 1) What is operating room nurses’ knowledge level about pressure injury prevention? 2) What are operating room nurses’ attitudes about pressure injury prevention? 3) Is there a relationship between knowledge and attitudes about pressure injury prevention?Öğe Perioperative management of the suspected/confirmed COVID-19 patient(AVES, 2021) Kandemir, Didem; Temiz, ZeynepIn December 2019, several cases of pneumonia of unknown etiology emerged in Wuhan, China, and it spread worldwide, causing great concern. This disease was named Coronavirus Disease 2019 (COVID-19) by the World Health Organization and declared a pandemic on March 11, 2020. Secondary transmission mainly occurs through contact with contaminated respiratory droplets or aerosolized virion-containing particles, and the virus is found in all body fluids such as the gastrointestinal tract, blood, saliva, and urine, extending the potential transmission routes, health during treatment, and care of suspected/confirmed COVID-19 patients. It worries that health workers may be widely contaminated. Therefore, it is very important that the surgical team is fully aware of the current situation regarding the COVID-19 pandemic, determines appropriate strategies against occupational exposure risk, and takes protective measures. Based on this, this review discussed with the aim of presenting a plan for the response of general surgery clinics to the current pandemic crisis and other pandemic events of similar magnitude, examining effective management strategies before, during, and after surgery of suspected/confirmed COVID-19 patients in the light of the literature, and suggesting measures that will help minimize risk.Öğe Sleep and quality of life in people with ileal conduit(Taylor & Francis Inc, 2016) Çavdar, İkbal; Temiz, Zeynep; Özbaş, Ayfer; Can, Gülbeyaz; Tarhan, Fatih; Fındık, Ümmü Yıldız; Kutlu, Fatma Yasemin; Akyuz, NurayObjective: The aim of this study was to determine the sleep quality and the association between sleep quality and quality of life in people with ileal conduit. Materials and methods: A descriptive and cross-sectional design was adopted. The study sample comprised 111 people with ileal conduit operated on in urology clinics in a state hospital between January 2011 and May 2014. Six months after the operation, they were called by telephone to participate in the study. Data for the study were collected using a questionnaire form, the Pittsburgh Sleep Quality Index (PSQI) and the Stoma Quality of Life Scale (SQLS). Results: The mean ± SD total PSQI score of the people with ileal conduit was 10.20 ± 2.95, mean total score of SQLS was 43.63 ± 7.21, mean Work/Social Function domain score was 37.27 ± 5.80 and mean Stoma Function domain score was 50.0 ± 12.56. The total sleep quality had a low degree of negative correlation with total SQLS score, a medium degree of negative correlation with Work/Social Function (r ¼ –0.327, p < .001) and no correlation with Stoma Function (r ¼ –0.096, p > .001). People using a night drainage system had higher sleep quality. Conclusions: This study determined that quality of life and sleep deteriorate in people with ileal conduit. The quality of life decreases when the sleep quality is poor, and decreased quality of life affects quality of sleep in people with ileal conduitÖğe Sleep quality and factors affecting sleep in individuals with an intestinal ostomy: a descriptive cross-sectional study(HMP Global, 2022) Temiz, Zeynep; Çavdar, İlkbal; Özbaş, Ayfer; Altunsoy, Meral; Akyüz, Nuray; Kutlu, Fatma YaseminBACKGROUND: Multiple factors affect the sleep quality of individuals with intestinal stomas. PURPOSE: This study sought to determine sleep quality and factors affecting sleep in individuals with intestinal ostomies. METHODS: A descriptive cross-sec-tional design was used. This study followed 68 individuals with intestinal stomas at the stoma therapy unit of a university hos-pital. A form was used to gather information about patient demographic and stoma-related data (age, sex, work status, stoma duration, cause and type of stoma, stoma care provider, sleep status during the day, daily coffee consumption, and stoma-re-lated factors affecting sleep), and the Pittsburgh Sleep Quality Index was used to score patient sleep patterns. Descriptive statistics, t-test, chi-square test, Fisher’s exact test, and logistic regression analysis were used for statistical analysis. RESULTS: The patients’ mean age was 53.7 ± 13.8 years; 51.5% were male, and 66.2% were married. Of the 68 patients, 41.2% had a diagnosis of rectal cancer, and 55.9% had ileostomies. Mean stoma duration was 24.1 ± 5.8 months, and 57.4% of participants performed their own stoma care. On a scale of 0 to 21, the participants’ mean sleep score was 9.08 ± 5.03, and 66.2% of patients were found to have poor sleep quality. High sleep quality was significantly positively associated with colostomy (odds ra-tio, 1.78; 95% confidence interval [CI], 1.18–2.69; P = .006) and self-performed stoma care (odds ratio, 1.54; 95% confidence interval, 1.03–2.30; P = .036). CONCLUSION: The results of the current study can provide reference data for future studies and highlight the importance of assessing sleep quality in persons with intestinal stomas.Öğe The mediating role of mammography self-efficacy in the effect of cancer attitudes on fear of breast cancer in women(Elsevier Inc., 2025) Kandemir, Didem; Yüksel, Serpil; Kanbay, Yalçın; Temiz, Zeynep; Altun Uğras, Gülay; Akyolcu, NerimanObjectives: To determine the relationship between the attitudes toward cancer and the fear of breast cancer of women aged 40 to 69 and to examine the mediating role of mammography self-efficacy in this relationship. Methods: This descriptive and cross-sectional study was conducted involving 551 women between May and October 2023. Data were collected using the “Champion Breast Cancer Fear Scale,” “Cancer Measuring Attitudes Survey,” and “Mammography Self-Efficacy Scale.” Statistical analysis was performed using the Statistical Package for Social Sciences version 26.0, Process Macro program, and AMOS 24 package program. Results: The effect of attitude toward cancer on mammography self-efficacy, which is a mediating variable, was found to be negative and significant (P <.001). It was determined that the effect of mammography self-efficacy on the outcome variable, fear of breast cancer, was positive and significant. Furthermore, the direct effect of attitude toward cancer on the outcome variable, fear of breast cancer, was positive and significant (P <.05). Additionally, mammography self-efficacy was found to mediate the relationship between cancer-related attitudes and fear of breast cancer. Conclusions: This study has indicated that as women's negative attitudes toward cancer increase, their mammography self-efficacy levels decrease; that as breast cancer fears increase, mammography self-efficacy levels increase, and that as negative attitudes toward cancer increase, breast cancer fears increase. Additionally, the mediating role of the mammography self-efficacy variable in the relationship between attitude toward cancer and fear of breast cancer was found to have a low-magnitude effect. Implications for Nursing Practice: These results provide a valuable framework for developing educational interventions aimed at improving early diagnosis behaviors and emphasizing the importance of activating programs aimed at increasing self-efficacy and reducing barriers to access to mammography, especially in women with low socio-economic levels.Öğe Which concepts do teachers teach through play? A study based on pre-service teachers’ observation(Artvin Çoruh Üniversitesi, 2017) Temiz, ZeynepThis study particularly focuses on what pre-school education teachers teach through play activities in their class. Therefore, this study is rather crucial to scrutinize the type of concepts teachers utilize to enhance children’s learning in play activities. Convenient sampling was used for the data collection. The research drew its data from 120 play observation reports written by 120 pre-service pre-school education teachers taking “Development of Play in Childhood” course. Content analysis approach described by Berg (2007) was used to analyze the data. The findings show that although Ministry of National Education (MoNE) offers more than 100 concepts, teachers generally choose the same concepts such as colors, geometrical shapes, and simple antonymous concepts. They generally do not prefer to teach alternative concepts like feathery-featherless, sharp-stubby and deep-shallow through play.
