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Öğe Caring for Dying Patients: Feelings, Thoughts, and Attitudes of Nursing Students, A Mixed Methods Study(2020) Köken, Zeliha Özdemir; Karahan, Sabri; Erbaş, Atiye; Seyman, Çiğdem Canbolat; Çelik, Sevilay ŞenolObjective: It is thought that nursing students are not willing toparticipate in the complex care of dying patients. The aim of the study was todetermine feelings, thoughts, and attitudes of nursing students regarding thecare of dying patients. Material and Methods: A partially mixed concurrentdominant status design was used in the study. Focus group interviews were conducted to determine nursing students’ feelings about and views of the care ofdying patients. Five focus group interviews were conducted at the qualitativedata collection stage. Frommelt Attitudes Toward Care of the Dying Scale wasused to measure attitudes. Results: Four themes were identified in the qualitative data analysis: (1) feelings experienced while caring dying patients; (2) difficulties encountered while providing care to dying patients; (3) strategies ofcoping with the difficulties and (4) reasons for feeling incompetent in the careof dying patients. Nursing students reported they experienced intense sadness,desperation, and incompetence in the care of dying patients. The most commonreasons for feeling incompetent were lack of experience, knowledge, and skill.Nursing students’ mean total score on the Frommelt Attitudes Toward Care ofthe Dying Scale was 92.83±18.15. Conclusion: Nursing students were seen tohave positive approach in the caring for dying patients, although they experienced difficulties and were often unable to cope with the situation. Nursing education curriculum for the care of dying patients should be included currenttraining methods such as simulation and case-based learning to improve experience, confidence and competence of nursing students.Öğe Cerrahi Birimlerde Çalışan Hemşirelerin Üriner Kateterizasyonunu Sonlandırmadan Önce Mesane Jimnastiği Yaptırma Durumları ve Bilgi Düzeyleri(2024) Pişkin, Esra; Erbaş, AtiyeAmaç: Cerrahi birimlerde çalışan hemşirelerin mesane kateterizasyonunu sonlandırmadan önce mesane jimnastiği yaptırma durumlarını ve bu uygulamayla ilgili bilgi düzeylerini belirlemektir. Gereç ve Yöntemler: Araştırma bir devlet hastanesi ve bir üniversite hastanesinde çalışan 82 cerrahi hemşiresi ile Temmuz 2022-Ocak 2023 tarihleri arasında tanımlayıcı kesitsel tipte yapılmıştır. Araştırma postoperatif mesane kateterizasyonun sık yapıldığı cerrahi birimlerde (genel cerrahi servisi, ortopedi servisi, kadın doğum servisi, anestezi ve reanimasyon yoğun bakım üniteleri) yapılmıştır. Veri toplama aracı olarak sosyodemografik veri formu, mesane jimnastiği uygulama ve bilgi formu kullanılmıştır. Formların uygulaması 15-20 dakika sürmüştür. Verilerin anlamlılık düzeyi p<0,05 alınarak değerlendirilmiştir. Bulgular: Araştırmaya katılan 82 hemşirenin yaş ortalaması 30,89±7,32; %80,49’ u kadın ve %76.82 ‘si lisans mezunudur. Araştırmada hemşirelerin yarısından fazlası (%53,66) hastalarına mesane jimnastiği yaptırdığını, % 26,83’ ü üriner kateter çıkarılmadan 4 saat önce, %25,61’nin ise 2 saat önce mesane jimnastiği yaptırılması gerektiğini, %43, 90’ı mesane jimnastiği sırasında üriner kateterin bir saat klempli kalması gerektiğini, %32,93’ü ise idrarın drenaj süresinin 30 dakika olması gerektiğini belirtmiştir. Ayrıca araştırmada mesane jimnastiği bilgi anket puanının hemşirelerin eğitim düzeyi arttıkça anlamlı bir şekilde arttığı (p<0,05) belirlenmiştir. Sonuç: Hemşirelere mesleki eğitimleri boyunca ve mezuniyet sonrası dönemde mesane jimnastiği ile ilişkili eğitimler verilmeli, mesane jimnastiği uygulamaları standart protokollerle belirlenmeli ve kanıta dayalı çalışmaların sayısı arttırılmalıdır.Öğe The Effect of Holistic Nursing Competence on Work Engagement, Self-Reflection and Insight in Nurses(Sage Publications Inc, 2022) Aydın, Adeviye; Kaya, Yunus; Erbaş, AtiyeThis study aimed to examine the effects of holistic nursing competence on work engagement, self-reflection and insight in nurses. This descriptive and cross-sectional study was conducted with 309 nurses working in Turkey. Data were collected using the Descriptive Information Form, Holistic Nursing Competence Scale (HNCS), Utrecht Work Engagement Scale (UWES), and Self-Reflection and Insight Scale (SRIS). Pearson correlation analysis and multiple linear regression analysis were used to analyze the data. We found that the HNCS had a moderate positive relationship (r=0.411, p<0.05) with the UWES, and a weak positive relationship (r = 0.324, p <0.05) with the SRIS. In the model established by multiple regression analysis, the effect of the HNCS, age, marital status, position, and performing the profession willingly on work engagement explained 33.7% of the variance. In another established model, the effect of the HNCS, gender, and having children on self-reflection and insight explained 11.5% of the variance. Our findings revealed the effect of holistic competence on nurses' positive attitudes about their work engagement and self-reflection in practice. We recommended developing awareness-based programs for nurses to increase their holistic nursing competence.Öğe Experiences, Difficulties, and Coping Methods of Burn Nurses: An Exploratory-Descriptive Qualitative Study(Oxford Univ Press, 2022) Karahan, Sabri; Erbaş, Atiye; Tunçbilek, ZahideCaring for burn patients is both physically and emotionally exhausting for nurses. Each nurse can experience different emotions and make different senses of these experiences. This study was conducted to determine the experiences of nurses who care for burn patients. The study conducted as an exploratory-descriptive qualitative study. Six nurses participated in the study who work in the burn units of a university hospital. Data were obtained by the semistructured face-to-face interviews. The transcription of audio records from interviews was performed, and these transcriptions were analyzed using the thematic analysis method. Codes and subthemes were extracted and the main themes were reached. These themes were gathered under two contexts and reported. Under the context of experience, the themes of emotional challenge, physical difficulties, and psychological difficulties, and nine subthemes were created. Under the context of coping, the themes of coping methods and motivation as well as eight subthemes, were created under these themes. It was found that nurses who provide care to burn patients face emotional and physical difficulties; however, they do not have effective coping methods and adequate support. The biggest source of support for nurses was again seen to be nurses. In line with these results, it is important that nurses experienced in burn care support junior nurses, nurses who work in such clinics are allowed to use coping mechanisms, and professional support should be provided to these nurses.
