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Tosun B. Cultural competence in nursing education: examining the nexus of cultural sensitivity and effectiveness among nursing students. Evid Based Nurs 2024; 27:74. [PMID: 38050028 DOI: 10.1136/ebnurs-2023-103863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/10/2023] [Indexed: 12/06/2023]
Affiliation(s)
- Betül Tosun
- Faculty of Health Sciences, Department of Nursing, Hasan Kalyoncu Universitesi, Gaziantep, Turkey
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Dirgar E, Gider NY, Tosun B. Determination of Incidence and Risk Factors of Medical Device-Related Pressure Injury in the ICU: A Descriptive Study. Adv Skin Wound Care 2024; 37:1-6. [PMID: 38393711 DOI: 10.1097/asw.0000000000000113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2024]
Abstract
OBJECTIVE To determine the incidence and risk factors of medical device-related pressure injury (MDRPI) in the ICU. METHODS In this descriptive study, the researchers collected data through systematic observation of patients (n = 58) in the ICU. The patients were evaluated within 24 hours of ICU admission and then followed up until they were discharged. A total of 482 patient-days were followed. The researchers used the MDRPI follow-up form, the patient descriptive form, the MDRPI follow-up form, and the Braden Scale for Predicting Pressure Sore Risk for data collection. RESULTS Overall, 39.7% of the 58 patients hospitalized in the ICU developed an MDRPI, and 5.2% of the MDRPIs were evaluated as stage 2. These injuries occurred in an average of 5 days after the patient was admitted to the ICU. Among the MDRPIs that developed, 31.9% were located in the nose, 21.3% in the mouth, and 14.9% on the cheeks. Intubation tubes were used in 7.3% of the patients, nasogastric tubes in 22.4% of the patients, and radial artery catheters in 10.5% of the patients. CONCLUSIONS The development of MDRPI is correlated with the type of medical device used. Providers should establish a planned care protocol based on the anatomic placement of the medical device and take necessary precautions to prevent MDRPI.
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Affiliation(s)
- Ezgi Dirgar
- Ezgi Dirgar, PhD, RN, is Assistant Professor, Department of Midwifery, Faculty of Health Sciences, Gaziantep University, Turkey. Neslihan Yağmur Gider, MSc, RN, is Nurse, Ceyhan State Hospital, Adana, Turkey. Betül Tosun, PhD, RN, is Associate Professor, Department of Nursing, Faculty of Health Sciences, Hasan Kalyoncu University, Gaziantep, Turkey. The authors have disclosed no financial relationships related to this article. Submitted April 4, 2023; accepted in revised form July 24, 2023
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Leyva-Moral JM, Tosun B, Gómez-Ibáñez R, Navarrete L, Yava A, Aguayo-González M, Dirgar E, Checa-Jiménez C, Bernabeu-Tamayo MD. From a learning opportunity to a conscious multidimensional change: a metasynthesis of transcultural learning experiences among nursing students. BMC Nurs 2023; 22:356. [PMID: 37798717 PMCID: PMC10552190 DOI: 10.1186/s12912-023-01521-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 09/19/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND Several educational activities in nursing schools worldwide have been implemented to promote transcultural nursing and cultural competence. Despite the diversity of their experiences and outcomes, the available evidence has not been systematically reviewed and reinterpreted. This study aimed to review and reinterpret all rigorous qualitative evidence available, providing an opportunity to understand how students learn transcultural nursing and assisting faculties, researchers, managers, and practitioners in designing new interventions to improve transcultural training. METHODS A meta-synthesis was conducted to review and integrate qualitative studies of these phenomena. English, Spanish and Portuguese articles were searched in Pubmed and Scopus databases. Only peer-reviewed journals in which qualitative approaches were used were included. Quality was assessed using the CASP qualitative version checklist. The metasynthesis technique proposed by Noblit and Hare was used to analyse the data. RESULTS Twenty-nine studies were included in the analysis. Most studies used phenomenological approaches that were conducted in Australia and the United States of America, with international internships being the most popular learning method. The data revealed one central theme, "From learning opportunity to conscious multidimensional change," and six subthemes. The transcultural nursing learning experience is not a simple or linear process. Instead, it appears to be a complex process formed by the interaction between a) self-awareness, b) reflective thinking, c) Cultural Encounters, d) cultural skills, e) Cultural Desire, and f) Cultural Knowledge. CONCLUSIONS Transcultural nursing learning is a multifaceted process that arises from specific learning opportunities. This process is still to evolving. Therefore, specific educational strategies should be implemented to encourage attitudinal change and promote reflective thinking.
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Affiliation(s)
- Juan M Leyva-Moral
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Avda. Can Domènech s/n, 08193 Bellaterra, Barcelona, Spain
| | - Betül Tosun
- Nursing Department, Faculty of Health Sciences, University of Hasan Kalyoncu, Gaziantep, Turkey
| | - Rebeca Gómez-Ibáñez
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Avda. Can Domènech s/n, 08193 Bellaterra, Barcelona, Spain.
| | - Laura Navarrete
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Avda. Can Domènech s/n, 08193 Bellaterra, Barcelona, Spain
- Consorci Corporació Sanitaria Parc Taulí, Barcelona, Spain
| | - Ayla Yava
- Nursing Department, Faculty of Health Sciences, University of Hasan Kalyoncu, Gaziantep, Turkey
| | - Mariela Aguayo-González
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Avda. Can Domènech s/n, 08193 Bellaterra, Barcelona, Spain
| | - Ezgi Dirgar
- Midwifery Department, Faculty of Health Sciences, University of Gaziantep, Gaziantep, Turkey
| | - Caterina Checa-Jiménez
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Avda. Can Domènech s/n, 08193 Bellaterra, Barcelona, Spain
| | - M Dolors Bernabeu-Tamayo
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Avda. Can Domènech s/n, 08193 Bellaterra, Barcelona, Spain
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Yava A, Tosun B, Papp K, Tóthová V, Şahin E, Yılmaz EB, Dirgar E, Hellerová V, Tricas-Sauras S, Prosen M, Ličen S, Karnjus I, Tamayo MDB, Leyva-Moral JM. Developing the better and effective nursing education for improving transcultural nursing skills cultural competence and cultural sensitivity assessment tool (BENEFITS-CCCSAT). BMC Nurs 2023; 22:331. [PMID: 37752481 PMCID: PMC10523685 DOI: 10.1186/s12912-023-01476-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 08/31/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND A clear need for the development of new comprehensive, reliable, sensitive and valid measurement tools to adequately asses the cultural competence and cultural sensitivity of nursing students exists. This study aimed to develop a new measurement tool to assess the nursing students' cultural competence and sensitivity. METHODS This cross-sectional, instrument development study's first phase included postgraduate nursing students (n = 60) for the piloting study, and the second one included undergraduate nursing students (n = 459) for the main survey. This study used two data collection forms: The Student Descriptive Information Form and the Better and Effective Nursing Education for Improving Transcultural Nursing Skills Cultural Competence and Cultural Sensitivity Assessment Tool (BENEFITS-CCCSAT) draft. The content validity index was calculated using the Davis method. Cronbach's α coefficient and the item total correlation were calculated during the reliability analysis. The Kaiser-Meyer-Olkin (KMO) coefficient test, Bartlett significance test, and explanatory factor analysis (EFA) were used to evaluate the validity of the assessment tool. RESULTS Scale validity and reliability analyses showed that the BENEFITS-CCCSAT included 26 items and five sub-dimensions: respect for cultural diversity; culturally sensitive communication; achieving cultural competence; challenges and barriers in providing culturally competent care; and perceived meaning of cultural care. CONCLUSION The BENEFITS-CCCSAT appears to be a valid and reliable instrument for measuring the cultural sensitivity and cultural competence of nursing students. This can be of great use, especially before attending clinical areas, and can offer both students and faculty reliable information to promote reflective and critical thinking, especially in areas where improvement is needed.
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Affiliation(s)
- Ayla Yava
- Faculty of Health Sciences, Nursing Department, Hasan Kalyoncu University, Gaziantep, Turkey
| | - Betül Tosun
- Faculty of Health Sciences, Nursing Department, Hasan Kalyoncu University, Gaziantep, Turkey.
| | - Katalin Papp
- Nursing Department, Faculty of Health Sciences, University of Debrecen, Nyíregyháza, Hungary
| | - Valérie Tóthová
- Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, University of South Bohemia, České Budějovice, Czech Republic
| | - Eda Şahin
- Faculty of Health Sciences, Nursing Department, Giresun University, Giresun, Turkey
| | - Emel Bahadir Yılmaz
- Faculty of Health Sciences, Nursing Department, Giresun University, Giresun, Turkey
| | - Ezgi Dirgar
- Gaziantep University, Faculty of Health Sciences, Department of Midwifery, Gaziantep, Turkey
| | - Věra Hellerová
- Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, University of South Bohemia, České Budějovice, Czech Republic
| | - Sandra Tricas-Sauras
- Department of Healthcare, Design and Technology, Erasmus Hogeschool Brussel, Brussels, Belgium
- Social Approaches to Health Research Centre, School of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium
| | - Mirko Prosen
- Faculty of Health Sciences, Department of Nursing, University of Primorska, Polje 42, Izola, 6310, Slovenia
| | - Sabina Ličen
- Faculty of Health Sciences, Department of Nursing, University of Primorska, Polje 42, Izola, 6310, Slovenia
| | - Igor Karnjus
- Faculty of Health Sciences, Department of Nursing, University of Primorska, Polje 42, Izola, 6310, Slovenia
| | | | - Juan M Leyva-Moral
- Faculty of Medicine, Nursing Department, Universitat Autònoma de Barcelona, Barcelona, Spain
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Tosun B, Dirgar E, Pehlivan K, Atay E, Yava A, Leyva-Moral JM. Examination of individualised care behaviours and ethnocentrism of nurses caring for refugees: A descriptive and exploratory study. J Clin Nurs 2023. [PMID: 37245069 DOI: 10.1111/jocn.16769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Revised: 04/17/2023] [Accepted: 05/15/2023] [Indexed: 05/29/2023]
Abstract
BACKGROUND Qualified individualised nursing care should be provided to all communities and ethnic groups with free of ethnocentrism. AIMS To evaluate nurses' individualised care behaviours and ethnocentric attitudes and predict the relationship between their individualised care behaviours and ethnocentric attitudes. DESIGN A descriptive and exploratory study. METHODS This study was conducted with 250 nurses working in a public and two private hospitals in a city, an area with many refugees. Data were collected using the Ethnocentrism Scale and Individualised Care Behaviours Scale. Structural equation model analysis to test hypothetical model and descriptive statistics were used. RESULTS Nurses working in the private hospitals had a higher individualised care decision control mean score. Those nurses who enjoyed spending time with people from different cultures had lower mean ethnocentrism scale scores, higher individualised care clinical status, personal life and decision control status subscales mean scores compared to other nurses. Mean scores of the individualised care personal life and decision control status subscales of the nurses who followed the literature on transcultural nursing was higher. A significant relationship between the ethnocentrism levels and individualised care behaviours was identified. Accordingly, the ethnocentric attitudes of the nurses negatively affected their individualised care behaviours, and the model established between the two concepts is statistically appropriate. CONCLUSIONS Nurses who work in private hospitals, receive intercultural nursing education and enjoy spending time with different cultures have higher individualised care behaviours and lower ethnocentrism levels. Ethnocentric attitudes of the nurses negatively affected their individualised care behaviours. Care strategies should be developed that consider the factors that will maximize individualised care practices that minimize ethnocentric behaviours among nurses. IMPLICATIONS FOR THE PROFESSION Increasing awareness on individualised care behaviours, ethnocentric attitudes and effected factors will contribute to improve of nursing care quality of nurses while giving care to individuals from different cultures.
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Affiliation(s)
- Betül Tosun
- Department of Nursing, Hasan Kalyoncu University, Faculty of Health Sciences, Gaziantep, Turkey
| | - Ezgi Dirgar
- Department of Midwifery, Gaziantep University, Faculty of Health Sciences, Gaziantep, Turkey
| | - Kadiriye Pehlivan
- Department of Nursing, Hasan Kalyoncu University, Faculty of Health Sciences, Gaziantep, Turkey
| | - Eda Atay
- Department of Nursing, Hasan Kalyoncu University, Faculty of Health Sciences, Gaziantep, Turkey
| | - Ayla Yava
- Department of Nursing, Hasan Kalyoncu University, Faculty of Health Sciences, Gaziantep, Turkey
| | - Juan M Leyva-Moral
- Department of Nursing, Faculty of Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain
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Özkaptan BB, Tosun B, Dirgar E, Özen N. Validity and reliability study of the Turkish version of the Eye Care Clinical Competence Questionnaire related to eye care of intensive care patients by nurses. Cent Eur J Nurs Midw 2021. [DOI: 10.15452/cejnm.2021.12.0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Dirgar E, Tosun B, Berşe S, Tosun N. Evaluating the Novel Coronavirus infection outbreak surveillance results in a state hospital: a retrospective study. Afr Health Sci 2021; 21:1107-1116. [PMID: 35222573 PMCID: PMC8843257 DOI: 10.4314/ahs.v21i3.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Background Coronavirus disease (COVID-19) has raised the global public health concern and has been declared a pandemic by the World Health Organization. Objectives This study was aimed to examine the clinical course and outcomes of the patients with COVID-19 in the southeastern part of Turkey. Methods This retrospective study was conducted on the files of 173 patients who were diagnosed with COVID-19. The “COVID-19 Case Information Form” in the patients' medical records was used. Results Of the patients with COVID-19, 64.2% were male and 16.2% had a chronic disease. Their mean age was 34.76±25.75 years. Cough and fatigue were the most common clinical symptoms at admission with 38.7%. The patients at the age of 65 and over were treated mostly in the intensive care unit, and the symptoms associated with the cardiovascular and nausea and vomiting were observed more often (p<0.05). Conclusions It was found that the majority of the patients were male and there were differences between the age groups in terms of transmission route, the clinic where they were being followed-up, some symptoms, and clinical status outcome. It is recommended that multi-center, prospective, experimental, or observational studies with larger samples should be and the patients should be followed-up for longer periods.
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Affiliation(s)
- Ezgi Dirgar
- Hasan Kalyoncu University, Faculty of Health Sciences, Nursing Department, Gaziantep, Turkey
| | - Betül Tosun
- Hasan Kalyoncu University, Faculty of Health Sciences, Nursing Department, Gaziantep, Turkey
| | - Soner Berşe
- Gaziantep University, Faculty of Health Sciences, Nursing Department, Gaziantep, Turkey
| | - Nuran Tosun
- Hasan Kalyoncu University, Faculty of Health Sciences, Nursing Department, Gaziantep, Turkey
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Dirgar E, Tosun B, Arslan S. Evaluation of Turkish nurses' attitudes to workplace incivility. Cent Eur J Nurs Midw 2021. [DOI: 10.15452/cejnm.2020.11.0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Tosun B, Sinan Ö. Knowledge, attitudes and prejudices of nursing students about the provision of transcultural nursing care to refugees: A comparative descriptive study. Nurse Educ Today 2020; 85:104294. [PMID: 31786486 DOI: 10.1016/j.nedt.2019.104294] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 10/19/2019] [Accepted: 11/17/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVES The aim of this study was to determine the knowledge, attitudes, and prejudices of nursing students regarding the provision of transcultural nursing care to refugees. METHODS The sample of this comparative descriptive study was composed of 317 volunteering nursing students living in Ankara, Turkey. Descriptive statistics were presented as number, percentage, and mean ± standard deviation. The relationships among dependent and independent variables were analyzed with Pearson chi-square test. p ≤ 0.05 was accepted as statistically significant. RESULTS The mean age of the students was 21.19 ± 1.66 years; 88.6% were female. Only 30.0% (n = 95) of students (predominantly seniors) were educated on transcultural nursing. Statistically significant differences were found among grades of nursing students on the answers to the items, "Refugees are under coverage of general medical insurance system," "The concept of 'Health' differs from culture to culture," "Cultural features of the patient are important for caring nurse," "In order to provide care to only refugees and foreign patients, nurses from other cultures should be employed in hospitals," "Interpreters should be employed in hospitals 24 hours for services for refugees," and "According to my observations, refugees and their relatives admitted to the hospital are not respecting the healthcare workers and hospital rules." In addition, there was a statistically significant difference in students' comfort level with nursing care activities between those students who were literate in a foreign language and those who were not literate in a foreign language. CONCLUSIONS Our findings show that attending lectures on transcultural nursing in a curriculum of seniors and being literate in a foreign language had a positive impact on the attitudes of students in terms of the provision of medical care to refugees. It is recommended that nursing programs integrate lectures on transcultural nursing into the curricula of all four grades of nursing education and encourage students in language learning to better serve our disadvantageous guests.
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Affiliation(s)
- Betül Tosun
- Hasan Kalyoncu University, Faculty of Health, Department of Nursing, Gaziantep, Turkey.
| | - Özlem Sinan
- Ankara Yıldırım Beyazıt University, Faculty of Health Sciences, Department of Public Health Nursing, Ankara, Turkey.
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Abstract
OBJECTIVE Unhealed amputation stumps after transtibial amputation are common and often require reamputation futher up the leg. The aim of our study is to describe our experience with medial gastrocnemius muscle flap coverage following a transtibial amputation. METHOD We retrospectively examined the records of patients who had an unhealed transtibial amputation stump who were then treated with a medial gastrocnemius muscle flap. RESULTS We identified seven patients, all had diabetes mellitus and an initial amputation by the long posterior flap technique. All of the flap reconstructions of the amputation stumps ultimately survived. A mild knee flexion contracture was seen in two amputees, whereas full range of motion in the knee was observed in the remaining five amputees. None have required further surgical intervention. CONCLUSION Medial head of gastrocnemious flap is an option for the reconstruction of the unhealed stump, particularly in the cases where stump shortening will not be feasible.
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Affiliation(s)
- B Tosun
- Associate Professor of Orthopaedics, Kocaeli University School of Medicine, Department of Orthopaedics and Traumatology, Izmit, Turkey
| | - O Selek
- Assistant Professor of Orthopaedics, Kocaeli University School of Medicine, Department of Orthopaedics and Traumatology, Izmit, Turkey
| | - U Gok
- Orthopaedic Specialist, Izmit Seka State Hospital, Clinic of Orthopaedics, Izmit, Turkey
| | - O Tosun
- Famiy Doctor, Kocaeli Directorate of Public Health, Izmit, Turkey
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Tosun B, Aslan Ö, Tunay S, Akyüz A, Özkan H, Bek D, Açıksöz S. Turkish Version of Kolcaba's Immobilization Comfort Questionnaire: A Validity and Reliability Study. Asian Nurs Res (Korean Soc Nurs Sci) 2016; 9:278-84. [PMID: 26724235 DOI: 10.1016/j.anr.2015.07.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2014] [Revised: 04/10/2015] [Accepted: 06/09/2015] [Indexed: 10/23/2022] Open
Abstract
PURPOSE The purpose of this study was to determine the validity and reliability of the Turkish version of the Immobilization Comfort Questionnaire (ICQ). METHODS The sample used in this methodological study consisted of 121 patients undergoing lower extremity arthroscopy in a training and research hospital. The validity study of the questionnaire assessed language validity, structural validity and criterion validity. Structural validity was evaluated via exploratory factor analysis. Criterion validity was evaluated by assessing the correlation between the visual analog scale (VAS) scores (i.e., the comfort and pain VAS scores) and the ICQ scores using Spearman's correlation test. The Kaiser-Meyer-Olkin coefficient and Bartlett's test of sphericity were used to determine the suitability of the data for factor analysis. Internal consistency was evaluated to determine reliability. The data were analyzed with SPSS version 15.00 for Windows. Descriptive statistics were presented as frequencies, percentages, means and standard deviations. A p value ≤ .05 was considered statistically significant. RESULTS A moderate positive correlation was found between the ICQ scores and the VAS comfort scores; a moderate negative correlation was found between the ICQ and the VAS pain measures in the criterion validity analysis. Cronbach α values of .75 and .82 were found for the first and second measurements, respectively. CONCLUSIONS The findings of this study reveal that the ICQ is a valid and reliable tool for assessing the comfort of patients in Turkey who are immobilized because of lower extremity orthopedic problems.
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Affiliation(s)
- Betül Tosun
- Department of Fundamentals of Nursing, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey.
| | - Özlem Aslan
- Department of Fundamentals of Nursing, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey
| | - Servet Tunay
- Department of Orthopedics and Traumatology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey
| | - Aygül Akyüz
- Department of Obstetrics and Gynecology Nursing, School of Nursing, Koc University, Istanbul, Turkey
| | - Hüseyin Özkan
- Department of Orthopedics and Traumatology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey
| | - Doğan Bek
- Department of Orthopedics and Traumatology, School of Medicine, Gulhane Military Medical Academy, Ankara, Turkey
| | - Semra Açıksöz
- Department of Fundamentals of Nursing, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey
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Aslan Ö, Tosun B. Cardiovascular Surgery Patients: Intensive Care Experiences and Associated Factors. Asian Nurs Res (Korean Soc Nurs Sci) 2015; 9:336-41. [PMID: 26724243 DOI: 10.1016/j.anr.2015.10.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Revised: 11/19/2014] [Accepted: 10/02/2015] [Indexed: 10/22/2022] Open
Abstract
PURPOSE The purpose of this study was to determine the intensive care unit (ICU) experiences of cardiovascular surgery (CS) patients and to define the associations between their ICU experiences and related factors. METHODS The study used a descriptive design. In total, 106 CS patients were interviewed at least 24 hours after discharge from an ICU in an educational research hospital in Ankara, Turkey between January and July 2012. Data were collected using the Intensive Care Experience Scale (ICES), a sociodemographic and clinical characteristics data form and two open-ended questions inquiring about smells and light. Statistical analyses were conducted using SPSS 15.0. RESULTS The patients were moderately aware of their ICU environments, partly recalled their ICU experiences, highly recollected frightening experiences, and expressed good satisfaction with care. Age, education, marital status, and pain were associated with ICU experiences. Patients who sensed smell had higher scores of frightening experiences than those who did not. Patients who were annoyed with excessive light reported less satisfaction with care than those who were not. CONCLUSIONS The results suggest that measuring the patients' characteristics and environmental factors may be beneficial for healthcare teams to improve the recovery of CS patients in the ICU.
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Affiliation(s)
- Özlem Aslan
- Department of Fundamentals of Nursing, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey.
| | - Betül Tosun
- Department of Fundamentals of Nursing, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey
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Affiliation(s)
- Betül Tosun
- Department of Fundamentals of Nursing, School of Nursing; Gulhane Military Medical Academy; Ankara Turkey
| | - Ayla Yava
- Department of Surgical Nursing, School of Nursing; Gulhane Military Medical Academy; Ankara Turkey
| | - Cengizhan Açıkel
- Department of Biostatistics, School of Medicine; Gulhane Military Medical Academy; Ankara Turkey
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