Yazar "Yildirim, Meltem" seçeneğine göre listele
Listeleniyor 1 - 10 / 10
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Approach to Pediatric Patients during Surgical Interventions(Galenos Yayincilik, 2013) Unver, Seher; Yildirim, MeltemA child's surgical period usually contains unpleasant and difficult experiences, for the child and the parents. The child in this period experiences greater anxiety and distress. On the other hand, pediatric patients have complex states that directly effects their perioperative care during. Because their perioperative care includes not only the knowledge of general surgical procedure and care of a patient in the operating room. It also includes the specific understanding of a child's airway, anatomy and physiology, the understanding of child development and care of the child and family. This review is prepared to present these differences of the pediatric surgical patients and the care during their perioperative period.Öğe Assessment of Painful Facial Expressions by Nurses and Its Relation with Their Clinical Experience(Istanbul Univ, Fac Nursing, 2014) Yildirim, Meltem; Unver, Seher; Kanan, Nevin; Akyolcu, NerimanAim: To investigate the ability of nurses to assess the painful facial expressions of pain patients and its relation with their clinical experience. Method: The nurses who were a member of a social networking website were informed about the study and asked to participate. The study was carried out descriptively with 126 voluntary nurses. An online survey system was used for data collecting. The survey contained 15 questions for demographic information and clinical experiences. The nurses asked to score the pain level of the individuals in 12 photos obtained online by searching the keyword pain patient. For evaluation of pain; 0-10 Numeric Pain Scale was used. The data were evaluated with descriptive statistics, Mann Whitney U, Kruskal Wallis Test and Spearman's Correlations Analyses. Results: Female nurses were giving higher pain scores than male nurses (p<0.05). As much as the nurses stated that they believe their patient's pain; the scores they gave to the photos were increased (p<0.05). The nurses who think that the patients exaggerate their pain behaviors; gave lower scores (p<0.05). Conclusion: Nurses' perception of pain behaviors can be affected by gender and their pain beliefs. Therefore; behavioral sciences related in-service training programs can be done to increase empathic tendency and provide a better nursepatient communication in painful situations.Öğe Challenges experienced by cardiac intensive care nurses during first out-of-bed patient mobilization after open-heart surgery: A descriptive phenomenological qualitative study(Wiley, 2024) Unver, Seher; Yildirim, Meltem; Akbal, Sevim; Sever, SedaAim To investigate the potential challenges experienced by cardiac intensive care unit (ICU) nurses in the first out-of-bed patient mobilization after open-heart surgery and propose solutions. Design A qualitative study design using the descriptive phenomenological approach. Methods Individual face-to-face interviews were conducted via a widely used videoconferencing program between 28 July and 22 October 2022, in the tertiary cardiac ICU of a university hospital. Nurses who had at least 1 year of cardiac ICU experience and actively participating in patient care were included. The COREQ criteria and checklist were followed in this investigation and the data were analysed by using the ATLAS.ti 8.0. Findings Nurses reported that they experience challenges when mobilizing patients, such as patients' fear, reluctance or resistance; nurses having insufficient experience, strength or lack of team members. Despite these challenges, they highlighted some positive outcomes of mobilization, such as feeling happy, reinforced team communication and nurse-patient relationship. The nurses also suggested some facilitators, such as patient motivation and an explanation of the process. Conclusion Nurses experience various patient-related and nurse-related challenges during the first out-of-bed mobilization of the patient after open-heart surgery. It is recommended that healthcare institutions should implement effective strategies to address the staffing shortages and to support nurse motivation to ensure adequate nursing care. Impact This study provides valuable insights into the existing literature by examining the potential challenges and strategies of the first out-of-bed patient mobilization in the cardiac ICU. It shows that patient education and organizational adaptations are effective ways to overcome the challenges. It also suggests that motivating and informing patients before the mobilization can make the process easier. Moreover, it reveals that successful patient mobilization makes nurses happy, improves team communication and strengthens nurse-patient relationship. Patient and Public Involvement and EngagementNo patient or public contribution.Öğe Concept Analysis of Pressure Sores(Istanbul Univ, Fac Nursing, 2014) Unver, Seher; Yildirim, Meltem; Akyolcu, Neriman; Kanan, NevinSome of the medical terms used in the field of health are just quoted from foreign languages or are used incorrect provision of Turkish meaning. Some of these terms belong to the pressure sores. This rewiev aimed to determine all the terms used to describe pressure sores and to be a guide for one Turkish type usage of the term for pressure ulcers.Öğe The effect of self-affirmation on anxiety and perceived discomfort in patients who have undergone open-heart surgery. A randomized controlled trial(W B Saunders Co-Elsevier Inc, 2023) Yildirim, Meltem; Akbal, Sevim; Turkoglu, MeryemBackground: Self-affirmations help one focus on positive outcomes and adapt to new situations both psycho-logically and physiologically by the repetition of positive affirmation sentences. This method, which has promising results in symptom management, is predicted to have effective results in the management of pain and discomfort in patients undergoing open-heart surgery.Aim: To investigate the effect of self-affirmation on anxiety and perceived discomfort in patients who have undergone open-heart surgery.Methods: This study adopted a randomized controlled pretest-posttest follow-up research design. The study was conducted at a public training and research hospital (Istanbul, Turkey) specialized in thoracic and cardiovascular surgery. The sample consisted of 61 patients randomized into two groups: intervention (n = 34) and control (n = 27). The participants of the intervention group listened to a self-affirmation audio recording for three days after surgery. Anxiety levels and perceived discomfort regarding pain, dyspnoea, palpitations, fatigue and nausea were measured daily. The State Trait Anxiety Inventory (STAI) was used to measure the level of anxiety, meanwhile perceived discomfort regarding pain, dyspnoea, palpitations, fatigue and nausea were measured by a 0 to 10 Numeric Rating Scale (NRS).Results: The control group had significantly higher anxiety than the intervention group three days after surgery (P < 0.001). The intervention group had less pain (P < 0.01), dyspnoea (P < 0.01), palpitations (P < 0.01), fatigue (P < 0.001) and nausea (P < 0.01) than the control group.Conclusions: Positive self-affirmation helped reduce anxiety and perceived discomfort in patients who underwent open-heart surgery. ClinicalTrials.gov Identifier: NCT05487430.Öğe From Correct Words to Correct Care: Usage of The Term Pressure Sore Among Turkish Nurses(Istanbul Univ-Cerrahapasa, 2016) Unver, Seher; Yildirim, Meltem; Akyolcu, Neriman; Kanan, NevinAim: Aim of this study is to determine the current situation of the term used for pressure sores among nurse. Method: This descriptive study was carried out between April 29th-May 30th, 2013 with 166 voluntary nurses who work at different hospitals via using an online survey system with 13 questions for data collecting. Demographic information was collected for descriptive purposes. Closed-ended questions asked to determine the participant's usage of the term for pressure sores. Multiple-choice questions focused on clinical usage of term between nurses and on the forms they use at hospital. Results: The mean age of the nurses was 27.71 +/- 5.65 years. A hundred-seventeen of the nurses were graduated from bachelor and associate's degree and 35 (21.1%) were master degree. Also, 45.1% (n=75) of the nurses were working in special hospitals, 28.3%(n= 47) in goverment hospitals and 26.5% (n= 44) in university and education-research hospitals. While fifty-seven point two percent of the nurses (n= 95) were using the term press sore, 56.6% (n= 94) used the term decubitus and 48.2% (n= 80) used bed sore. Eighty-five of these nurses used press sore to make a search about these sores via internet. Conclusion: To define pressure caused by the deterioration of tissue integrity, using the term pressure injury would be appropriate according to standardization and Turkish Language.Öğe Healthcare professionals' social distance towards immigrant patients: A descriptive cross-sectional study(Wiley, 2021) Sen, Sevim; Yildirim, Meltem; Aygin, Dilek; Erkorkmaz, UnalObjective: This study aimed to determine the attitudes, beliefs, experiences, and the level of social distance among healthcare professionals who provide healthcare to refugee patients. Design: Descriptive cross-sectional study. Place and Duration of Study: The researchers obtained the ethical approval of the study from the Non-Interventional Ethical Committee of Sakarya University Faculty of Medicine on 23/11/2018. The study was carried out between December 2018 and February 2019 at Sakarya University Research and Training Hospital. Methodology: A total of 1484 healthcare professionals work at clinics which are likely to offer care to refugee patients. Descriptive analyses were performed for the study. The data were collected by a questionnaire created by the researchers in light of related literature to investigate the sociodemographic characteristics of the participants and their work-related descriptive characteristics (such as, experience, beliefs, etc.) which may affect their attitudes while providing healthcare to refugee patients. The form was prepared by the researchers based on the literature knowledge. For determining the level of social distance towards refugee patients, Arkar's(28) social distance scale was used. Results: Health professionals show a serious level of social distance towards refugee patients due to various difficulties but mainly because of the language barrier. Conclusion: Healthcare professionals have great social distance to refugee patients. Moreover, they can continue their professional attitudes towards patients in emotional terms.Öğe Pain-related fear among adult patients undergoing open-heart surgery: an interpretative phenomenological analysis(Routledge Journals, Taylor & Francis Ltd, 2023) Unver, Seher; Yildirim, Meltem; Eyi, Semra; Huseyin, SerhatBackgroundOne of the sources of anxiety and fear among patients undergoing open-heart surgery is the possibility of experiencing pain, such as sternotomy-related chest pain. Giving them the chance to express their feelings about the potential pain may be effective in reducing their anxiety and may support their coping strategies.ObjectivesTo examine pain-related fear among patients undergoing open-heart surgery and to understand the underlying reasons of their fears.MethodsA qualitative interview based on Heidegger's interpretative phenomenological approach was conducted adhering to the COREQ guidelines. Sixteen patients who were undergoing open-heart surgery in the following day were interviewed at the cardiovascular surgery ward of a university hospital. The organization and mapping of the qualitative data was done by using ATLAS.ti 8.0.ResultsThe patients who were afraid of experiencing pain after surgery seemed to be more concerned about open-heart surgery itself (such as pain from sternotomy and chest tubes) and the possibility of prolongation of postoperative pain. To cope with these fears, the patients employed a variety of social and self-coping strategies. Trusting the healthcare team, having a high pain tolerance, and having personal thoughts that take precedence over pain-related fear were the key factors explaining not being afraid of experiencing pain.ConclusionsThis study provides a deeper understanding of the underlying reasons and the needs of patients in controlling their pain-related fears before open-heart surgery. Trusting the healthcare professionals is one of the main factors for patients to control their pain-related fears. To develop a supportive sense of trust and to help patients in controlling their pain-related fears, surgical nurses must dedicate enough time for understanding patients' concerns while planning their nursing care plans. Future studies may focus on exploring the role of nursing interventions and multidisciplinary team approaches on the management of preoperative pain-related fear.Öğe 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 CansuAim: 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.Öğe The Relationship Between Emotional Intelligence and Fear of Pain in Patients Undergoing Elective Surgery(Elsevier Science Inc, 2024) Eyi, Semra; Unver, Seher; Yildirim, Meltem; Culha, IlkayPurpose: This study aimed to investigate the effect of emotional intelligence levels on the fear of pain for patients undergoing surgical intervention. Design: This descriptive and cross-sectional study consisted of 254 patients. Methods: Data were collected using the Personal Characteristics Information Form, Modified Schutte Emotional Intelligence Scale, Fear of Pain Questionnaire-III, and Numerical Pain Form. A correlational analysis was performed. Findings: The mean age of patients was 47.33 +/- 17.70 years, and 57.9% (n = 147) were female. More than half of the patients (n = 174) were experiencing a certain degree of preoperative pain. A positive and statistically significant correlation was observed between the mean scores of the Fear of Pain Questionnaire-III and the Emotional Intelligence Scale. Female patients had significantly more fear of pain and higher scores in the Fear of Pain Questionnaire-III (optimism/mood regulation, utilization of emotions) and the Emotional Intelligence Scale. Conclusions: The patients who manage optimism/mood regulation and have increasing levels of Emotional Intelligence could have a relatively higher fear of experiencing severe pain in the preoperative period. Despite the fear of experiencing severe pain, the patients tried to turn this negative situation into a positive one, as the dimensions of their emotional intelligence that provide and manage optimism/mood regulation were at a high level. The increasing level of Emotional Intelligence and appraisal of emotions might result in a decrease in the levels of fear of minor pain and medical pain. (c) 2024 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
