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    Intensive care nurses' knowledge and practices regarding medical device-related pressure injuries: A descriptive cross-sectional study
    (John Wiley and Sons Inc, 2024) Kurtgöz, Aslı; Keskin Kiziltepe, Selin; Keskin, Hulya; Sönmez, Münevver; Aşatır, İsmail
    This study aims to determine the levels of knowledge and practices of intensive care nurses regarding medical device-related pressure injuries (MDRPIs). This descriptive cross-sectional study was carried out between September 2023 and February 2024, involving 143 nurses working in intensive care units across three hospitals in Türkiye. The data were collected using the demographic form and the Medical Device-related Pressure Injuries Knowledge and Practice Assessment Tool (MDPI-ASSET). Of the nurses, 74.1% have encountered MDRPIs in their unit, 63.6% feel that their knowledge about MDRPIs is insufficient and 90.2% express a desire to receive training about MDRPIs. The participants' total mean MDPI-ASSET score was 11.12 (out of 21). The nurses achieved the highest mean score on the Aetiology/risk factors sub-scale and the lowest mean score on the Staging sub-scale. The analysis revealed significant differences in the mean MDPI-ASSET total scores among nurses based on the status of previous encounters with MDRPIs (t = 2.342; p = 0.021) and their feelings of responsibility for the development of MDRPIs (t = −2.746; p = 0.007). In this study, the knowledge and practices of intensive care nurses regarding medical device-induced pressure injuries were found to be inadequate. Given the frequent occurrence of MDRPIs in intensive care units, it is necessary to support nurses with continuous organizational-level training to improve the quality of care for critically ill patients. © 2024 Elsevier B.V., All rights reserved.
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    Intensive Care Nurses’ Experiences Related to Dying Patients: A Qualitative Study
    (SAGE Publications Inc., 2024) Keskin Kiziltepe, Selin; Koç, Zeliha
    Objective: To describe intensive care nurses’ experiences of caring for dying patients. Method: This study was carried out between July 15, 2019, and September 15, 2019, in a university hospital’s intensive care unit. We conducted in-depth semi-structured interviews with a purposive sample of 14 intensive care nurses to describe their experiences related to patient deaths. Qualitative thematic analysis was used to identify, analyse and report the identified themes. Results: Four themes were identified: (I) Emotions experienced the first time their patient passed away; (II) feelings and thoughts on impact of death; (III) difficulties encountered when providing care and (IV) coping methods with this situation. Conclusion: Despite the passage of time, nurses are unable to forget their death experiences when they first encountered. They oftentimes use ineffective methods of coping and were negatively affected physically and emotionally. © 2024 Elsevier B.V., All rights reserved.