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    COVID-19 Fear Level of Surgical Nurses Working in Pandemic and Surgical Units
    (Elsevier Science Inc, 2021) Unver, Seher; Yenigun, Seda Cansu
    Purpose: 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.
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    Patient Safety Attitude of Nurses Working in Surgical Units: A Cross-Sectional Study in Turkey
    (Elsevier Science Inc, 2020) Unver, Seher; Yenigun, Seda Cansu
    Purpose: To determine the attitudes of nurses working in surgical units toward patient safety. Design: A descriptive and cross-sectional study. Methods: The sample in this study was 207 nurses (92% of all the nurses) working in surgical units in a training and research hospital in Turkey, all of whom agreed to participate in this study between April 30 and June 25, 2019. Study data were collected using a demographic characteristics form and the Patient Safety Attitude Questionnaire. Number, mean, SD, percentage calculations, Kruskal-Wallis test, Mann Whitney U test, and the Spearman correlation test were used to analyze the study data. Findings: The mean total attitude score of the nurses was 176.30 26.92. Nurses who previously received training on patient safety had statistically higher attitude scores than those who did not (U = 3883.000; P = .01). Conclusions: Nurses working in surgical units had a positive attitude toward patient safety, and previous training on patient safety significantly improved their attitude scores. A recommendation is to conduct effective in-service training programs for patient safety in hospitals and to encourage participation by nurses in training programs such as courses and conferences that will result in attitude improvement. (c) 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier, Inc. All rights reserved.
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    Personal protective equipment related skin changes among nurses working in pandemic intensive care unit: A qualitative study
    (Elsevier Sci Ltd, 2022) Unver, Seher; Yildirim, Meltem; Yenigun, Seda Cansu
    Aim: The respiratory tract is the main transmission way of the SARS-CoV-2 virus and nurses who care for COVID-19 patients in intensive care units (ICUs) are required to constantly use personal protective equipment (PPE) during their daily work. This study aimed to examine the PPE-related skin changes experienced by the nurses working in pandemic ICU during the COVID-19 pandemic. Methods: Using a descriptive phenomenological approach, semi-structured interviews were conducted between November 1st and December 25th, 2020, in the pandemic ICU of a training and research hospital in Usak, Turkey. The nurses who worked in the pandemic ICU for at least one week and experienced skin changes due to PPE use were included. Individual interviews were carried out online through video conferencing. Colaizzi's method was used in data analysis by using the ATLAS.ti 8.0. Results: The main themes were main causes of PPE-related skin changes, its location along with secondary adverse effects, symptomatology, prevention, and therapeutic interventions used for curing PPE-related skin changes. Nurses mostly reported PPE-related skin changes behind their ears, over their nose, cheeks and jaw due to wearing N95 masks and on the forehead due to wearing face shields. Wearing PPE at least 2 h, the type/quality of PPE, and being dehydrated were identified as the common causes. Conclusion: This study provides a deeper understanding into the PPE-related skin change experiences of pandemic ICU nurses and the importance of the quality of the PPE used. It is recommended to enable shortened working shifts and ergonomic PPE materials for ICU nurses.