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Öğe Assessment of Nursing and Technical Sciences Students' Perceptions of the Health Locus of Control(2019) Önler, Ebru; Yıldız, Tülin; Topçu, Birol; Bahar, Semiha; Güler, Mehmet CanAim: This research aimed to assess the perception of the health locus of control in nursing and technical sciencesstudents.Methods: The study conducted at one state university in 2014 and consisted of 413 (192 nursing, 222 technicalsciences) students. Data were obtained with the Multidimensional Health Locus of Control Scale, and a surveyabout the socio-demographic and some of the health behaviors of students and evaluated with percentage,frequency, median, standard deviation, ANOVA, t and Tukey tests.Results: The school type of students were observed to affect their health locus of control perceptions. Studentswho exercised regularly had more internal control, whereas students who do not drink alcohol were moredeterministic in terms of their health.Conclusion: Students should be encouraged to improve a sense of responsibility in health and disease, andenhance internal health locus of control.Öğe Assessment of nursing students' stress levels and coping strategies in operating room practice(Elsevier Sci Ltd, 2015) Fındık, Ümmü Yıldız; Özbaş, Ayfer; Çavdar, İkbal; Topçu, Sacide Yildizeli; Önler, EbruThe aim of this study was to evaluate the stress levels and stress coping strategies of nursing students in their first operating room experience. This descriptive study was done with 126 nursing students who were having an experience in an operating room for the first time. Data were collected by using Personal Information Form, Clinical Stress Questionnaire, and Styles of Coping Inventory. The nursing students mostly had low clinical stress levels (M = 27.56, SD = 10.76) and adopted a self-confident approach in coping with stress (M = 14.3, SD = 3.58). The nursing students generally employed a helpless/self-accusatory approach among passive patterns as their clinical stress levels increased, used a self-confident and optimistic approach among active patterns as their average age increased, and those who had never been to an operating room previously used a submissive approach among passive patterns. The results showed that low levels of stress caused the nursing students to use active patterns in coping with stress, whereas increasing levels of stress resulted in employing passive patterns in stress coping. The nursing students should be ensured to maintain low levels of stress and use active patterns in stress coping. (C) 2014 Elsevier Ltd. All rights reserved.Öğe Cerrahi birimlerde yatan hastalarda uyku kalitesi(2008) Önler, Ebru; Yılmaz, AytülAmaç: Araştırma, genel cerrahi birimlerinde yatan hastaların uyku kalitelerinin değerlendirilerek, uykularını etkileyen etmenlerin belirlenmesi amacıyla tanımlayıcı olarak planlandı. Yöntem: istanbul Üniversitesi istanbul Tıp Fakültesi Genel Cerrahi Birimlerinde, yatışının en az birinci haftasını doldurmuş 164 hastaya, Kişisel Bilgi Formu, Uyku Kalitesini Etkileyen Etmenler Formu ve Pittsburg Uyku Kalitesi Ölçeği (PUKÖ) uygulanarak elde edilen veriler yüzdelik dağılım ve tek yönlü varyans analizi ile değerlendirildi. Sonuç ve Öneriler: Hastaların uyku kalitelerinin sıklıkla ağrı, anksiyete, yapılacak girişimlerle ilgili yeterli bilgi verilmemesi ve çevredeki gürültülerden etkilendiği belirlenerek, ağrının giderilmesi için etkin ağrı kontrol yöntemlerinin kullanılması, hastaların hastalıkları ve yapılacak girişimlerle ilgili bilgilendirilmesi, hastaları dinlemek için zaman ayrılarak anksiyete düzeylerinin belirlenmesi ve anksiyete düzeyi yüksek olan hastaların profesyonel yardım almalarının sağlanması, gürültüye neden olan etmenlerin bir çalışmayla belirlenip, azaltılması ya da yok edilmesi önerildi.Öğe Cerrahi Birimlerde Yatan Hastaların Hemşirelik Hizmetlerinden Memnuniyet Düzeyinin Belirlenmesi(Namık Kemal Üniversitesi, Tıp Fakültesi, 2014) Yıldız, Tülin; Önler, Ebru; Başkan, Bihter; Koluaçık, Barış; Malak, Arzu; Özdemir, Ayşegül; Aydınyılmaz, HamideAmaç Bu çalışma hastanede yatan hastaların hemşirelik bakımından duydukları memnuniyet düzeyleri ile ilişkili faktörleri belirlemek amacıyla planlandı. Materyal ve Metod Tanımlayıcı olarak yapılan araştırmanın örneklemini cerrahi birimlerde yatan 184 hasta oluşturdu. Veriler tanıtıcı özellikleri içeren anket formu ve "Hastaların Hemşirelik Hizmetlerinden Memnuniyet Ölçeği (HHMÖ)" kullanılarak toplandı. Bulgular Araştırmaya katılan hastaların hemşirelik hizmetlerinden memnuniyet puan ortalamasının yüksek (146.1±18.5) olduğu bulundu. Hastaların HHMÖ puan ortalaması ile tanıtıcı özelliklerden daha önceki hastane deneyimi izlenimi karşılaştırıldığında memnun olanlarda 146.36 (%94.6), memnun olmayanlarda 124.88 (%5.4) olan ortalamalar arasındaki fark anlamlı bulundu (p=0.045). Sonuç Memnuniyet ölçümlerinin geçerli ölçüm araçlarıyla, belirli aralıklarla yapılması ve benzer çalışmaların daha geniş örneklem grubuyla gerçekleştirilmesi önerilmektedir.Öğe Evaluation of Nurses' Attitudes Toward Medical Errors(2021) Önler, Ebru; Yıldız, Tülin; Aktaş Kılıç, EsraAim: This study was realized with the aim to evaluate nurses’ attitudes toward medical errors. Method: Data were collected from 149 nurses in a university hospital in Turkey, using the Scale of Attitudes toward Medical Errors developed by Güleç and Seren Intepeler (2013) and a staff information form prepared in line with the literature data . Results: Nurses’ attitudes toward errors were generally positive, and intensive care unit (ICU) nurses were found to have more positive attitudes toward errors than ward nurses. The factors that caused medical errors included an increasing number of patients per shift, a workforce shortage, an intensifying workload, and lack of knowledge and experience. While the majority of the nurses believed that reporting errors decreased the number of errors, most of them refrained from reporting errors for which they were responsible. Conclusion: The results may be useful for nurse managers and leaders to reach a more comprehensive understanding of nurses’ attitudes toward medical errors and to encourage them to support their staff and improving their working environment.Öğe Evaluation of operating room staff's attitudes related to patient safety: A questionnaire study(Elsevier Inc, 2019) Önler, Ebru; Akyolcu, NerimanPurpose: This research was performed in order to evaluate the safety attitudes of operating room staff according to some personal and professional characteristics and their inter-professional relationships which can affect safety attitudes. Method: Data were collected from 290 operating room staff including nurses, anesthetists, and surgeons at the two university hospitals in Turkey. A Turkish translation of SAQ-OR and employee information form were used to collect data. Results: The following factors significantly contributed to an increase in safety attitudes among operating room staff: having worked 11 years or more, working only in the day time, and working in operating rooms that have 2–5 surgery per day. Also, operating room staff exhibit a higher level of team collaboration and communication with their colleagues and nurses than other operating room staff. Conclusion: Patient safety culture and teamwork between OR staff should be improved. © 2019 Elsevier Inc.Öğe Evaluation of the communication skills of operating room staff(Elsevier Inc, 2018) Önler, Ebru; Yıldız, Tülin; Bahar, SemihaPurpose The purpose of this study was to evaluate operating room staff communication skills. Methods The Communication Skills Assessment Scale and staff information form were used to collect data. The sample group included 179 staff: 62 nurses (34.6%), 73 surgeons (40.8%), and 44 anaesthetists (24.6%). Results Staff that are 51 years or older, have 21 years or more job experience and working years in the current unit, and nurses' communication skills scores are statistically high (p < 0.05). The nurses' communication skills score was higher than the scores of anaesthetists and surgeons. The communication skills score increased with age, job experience and working years in the same unit. Conclusion The results provide direction on how leaders can improve communication between OR staff. In order to evaluate the communication skills of OR staff more concretely it is suggested that the results of studies which were carried out in this subject at different hospitals are increased. © 2017 Elsevier Inc.Öğe Hemşirelikte meslek seçimi ölçeğinin güvenilirlik ve geçerliliği(2010) Önler, Ebru; Saraçoğlu Varol, GamzeGiriş: Öğrencilerin mesleği nasıl algıladıkları, mezuniyet öncesi eğitiminden yararlanma ve mezuniyet sonrası hizmet niteliklerini etkilemesi nedeniyle sorgulama gerektiren önemli bir durumdur. Amaç: Hemşirelikte Meslek Seçimi Ölçeğinin (HMSÖ) Türkçe Formunun geçerlilik ve güvenilirliğinin araştırılması amacıyla metodolojik tipte yapılmıştır. Yöntem: Çalışma, Namık Kemal ve Trakya Üniversitelerinin Hemşirelik Bölümlerinde öğrenim gören 365 öğrenciye, orijinali Zysberg ve Berry tarafından geliştirilen HMSÖ Türkçe formu ve yapılandırılmış bilgi formu uygulanarak, metodolojik olarak gerçekleştirilmiştir. Veriler, t testi, pearson korelasyon ve faktör ve iç tutarlılık analizleriyle değerlendirilmiştir. Bulgular: Ölçeğin dil geçerliği çalışmasında, üç uzman tarafından Türkçe’ye çevirisi, bir uzman tarafından İngilizce’ye geri çevirisi yapılmıştır. İçerik geçerliği için 10 uzmandan görüş alınmış, yapılan analizde uzman görüşleri arasında uyum olduğuna karar verilmiştir. Toplam varyansın %47.44’ünün açıklandığı iki faktörlü yapıda, F1 varyansın %30.21’ini, F2 ise %17.23’ünü açıklamaktadır. Cronbach ?; F1 için .77, F2 için .63, tüm ölçek için .79, test-tekrar test güvenilirliği için 74 katılımcıya yapılan uygulamada .84 bulunmuştur. Toplam ölçek puan ortalamaları arasında anlamlı fark bulunmamıştır. Eş değerlilik analizinde, GKSÖ (Güdülenme Kaynakları ve Sorunları Ölçeği) ile HMSÖ arasında pozitif yönde, çok güçlü ve anlamlı (r= .95, p< .000) ilişki bulunmuştur. Sonuç: HMSÖ Türkçe formu hemşirelik öğrencilerinin meslek seçme kararlarını etkileyen faktörlerin belirlenmesinde kullanılabilecek geçerli ve güvenilir bir araçtır.Öğe Is Standard Urine Bag or Urofix? Which is More Usefull in Surgical Nursing Care? Accuracy of Urine Output Monitoring(2020) Yıldız, Tülin; Yazıcı, Cenk Murat; Türker, Polat; Önler, Ebru; Malak, Arzu; Eren, ElifObjective: The aim of this study is to evaluate and compare the accuracy of urine output measurement performed by standard urine bags and urofix. Methods: This is a prospective study conducted at a 22-bed urology unit. Urine volume was measured either by a standard urine bag or urofix, verified by scaled container measurements in patients dressed with urinary catheter and expected to stay with it for 24 hours or more. In total, 1048 measurements were obtained for 131 patients. Results: The difference between median, maximum and minimum values of urine volumes from the scaled container and nurse’s forecast was evaluated for each of 4 measurements. When the urine volume was measured with the standard urine bag, the average volume was 550 cc in the first measurement while it was 300 cc with urofix. Mean values for the second, third and fourth measurements with standard urine bag and urofix were as follows respectively; 590 cc and 335 cc, 500 cc and 300 cc, 600 cc and 300 cc. The difference was statistically significant in all measurements (p<0.001). Conclusion: In this study, urofix was the most reliable method for measuring urine output and fluid management. Furthermore, if the patient has a standard urine bag, it is recommended to confirm the urine output with a scaled container.Öğe Nursing Students Exposed to Domestic Violence and Their Perspectives on Violence(Namık Kemal Üniversitesi, Tıp Fakültesi, 2014) Yıldız, Tülin; Önler, Ebru; Malak, Arzu; Avcıbaşı, İlker Murat; Baç, Adnan; Alp, RecepAim The study was performed in order to evaluate the domestic violence that the nursing students exposed and their perspectives on violence. Materials and Methods The sample was consisted of 229 students who were selected by simple random sampling method. Percentage, Pearson's chi-square and Fisher's exact tests were used in order to perform statistical analysis by the SPSS 17.0. Results 26.6% of students were exposed to domestic violence, 34.4% of these students were exposed to psychological violence, 26.2% of them were exposed to physical violence, 39.3% of them were exposed to both psychological and physical violence. Among the students who were exposed to domestic violence, the violence application rate was significantly high (p<0.01). Conclusion Our results has showed, predisposition to violent tendencies of the individuals who are personally exposed to domestic violence or any member of their family is exposed to domestic violence increase in a way that cannot be overlooked.Öğe Opinions of Operating Room and Surgical Ward Staff Toward Surgical Safety Checklist(2020) Önler, Ebru; Yıldız, Tülin; Arar, Makbule Cavidan; Horozoğlu, Fatih; Nair, FatmaAim: This research is aimed at evaluating operating room and surgical ward staff’s opinions regarding the WHO surgical safety checklist. Materials and Methods: The questionnaire includes questions about gender, age, job role, and years of experience. Every item on the checklist was evaluated, and responders were permitted to provide freehand comments on the subject. The researchers visited a hospital and collected data from December 2017 - January 2018. The sample population includes 27 surgeons, 34 anaesthetists, and 19 operating room and 38 surgical ward nurses at a university hospital in western Turkey. The collected data were analysed using SPSS 18.0 with frequencies, percentages, mean, and standard deviation. Results: Of the sample population 61% were women, 47% were under 30 years old, and 83.1% had over 1 year of job experience. The mean score of item importance varied from 4.25 to 4.79. The items “patient's identity, procedure, operation site verification” (4.79±0.50) and “preoperative fasting” (4.76±0.53) had the highest scores. “Blood glucose control” (4.25±1.08) and “team members introduced” (4.32±0.53) had the lowest scores. It was suggested that “allergy” and “prophylaxis of antibiotic and deep vein thrombosis” be transferred to the “before the patients leave the ward” section. It was also suggested to add a compact checklist for local and emergency surgeries and employ artificial intelligence, like chatbots, to prevent surgery from starting before the checklist is completed. Conclusion: All checklist items were considered necessary. However, “Patient’s identity, procedure and site verification” was perceived as the most important item on the checklist. It was also suggested to add a compact checklist for local and emergency surgeries.Öğe Reporting of Workplace Violence Towards Nurses in 5 European Countries - A Cross-Sectional Study(Nofer Inst Occupational Medicine, Sw, 2020) Babiarczyk, Beata; Turbiarz, Agnieszka; Tomagova, Martina; Zelenikova, Renata; Önler, Ebru; Sancho Cantus, DavidObjectives: This study aimed to assess country-specific evidence of physical and non-physical acts of workplace violence towards nurses working in the health sector in 5 European countries, and then to identify reasons for not reporting violence experienced at work. Material and Methods: This retrospective cross-sectional study was conducted in 5 participating countries (Poland, the Catch Republic, the Slovak Republic, Turkey, and Spain). All registered nurses working in selected healthcare settings for at least 1 year were invited to participate in the study. A questionnaire adapted from the Workplace Violence in the Health Sector Countly Case Study -Questionnaire, developed jointly by the International Labour Office, the International Council of Nurses, the World Health Organization and Public Services International, was used. The selection of healthcare settings and the distribution of the questionnaire were conducted according to the recommendations of the questionnaire authors. Results: In total, 1089 nurses submitted completed questionnaires which could be included in the study. Of these, 54% stated that they had been exposed to non-physical violence and 20% had been exposed to physical violent acts. A total of 15% of the surveyed nurses experienced both forms of workplace violence. In addition, 18% of the respondents confirmed having witnessed physical violence in their workplace. The most common perpetrators were patients and patients' relatives. In about 70% of these cases, no actions were taken after the act of violence to investigate its causes. About half of the study group did not report workplace violence as they believed it was useless or not important. The most common consequences of workplace violence included being superalert or watchful and on guard. Conclusions: Nurses internationally are both victims of and witnesses to workplace violence. Workplace violence is often seen by nurses as an occupational hazard and, as such, it remains not reported. The first step in preventing workplace violence is not only to acknowledge its existence but also to ensure the appropriate reporting of violent acts.Öğe Reporting of workplace violence towards nurses in 5 european countries – a cross-sectional study(Nofer Institute of Occupational Medicine, 2020) Babiarczyk, B.; Turbiarz, A.; Tomagová, M.; Zeleníková, R.; Önler, Ebru; Cantuş, D.S.Objectives: This study aimed to assess country-specific evidence of physical and non-physical acts of workplace violence towards nurses working in the health sector in 5 European countries, and then to identify reasons for not reporting violence experienced at work. Material and Methods: This retrospective cross-sectional study was conducted in 5 participating countries (Poland, the Czech Republic, the Slovak Republic, Turkey, and Spain). All registered nurses working in selected healthcare settings for at least 1 year were invited to participate in the study. A questionnaire adapted from the Workplace Violence in the Health Sector Country Case Study – Questionnaire, developed jointly by the International Labour Office, the International Council of Nurses, the World Health Organization and Public Services International, was used. The selection of healthcare settings and the distribution of the questionnaire were conducted according to the recommendations of the questionnaire authors. Results: In total, 1089 nurses submitted completed questionnaires which could be included in the study. Of these, 54% stated that they had been exposed to non-physical violence and 20% had been exposed to physical violent acts. A total of 15% of the surveyed nurses experienced both forms of workplace violence. In addition, 18% of the respondents confirmed having witnessed physical violence in their workplace. The most common perpetrators were patients and patients’ relatives. In about 70% of these cases, no actions were taken after the act of violence to investigate its causes. About half of the study group did not report workplace violence as they believed it was useless or not important. The most common consequences of workplace violence included being “super-alert” or watchful and on guard. Conclusions: Nurses internationally are both victims of and witnesses to workplace violence. Workplace violence is often seen by nurses as an occupational hazard and, as such, it remains not reported. The first step in preventing workplace violence is not only to acknowledge its existence but also to ensure the appropriate reporting of violent acts. © 2020 Nofer Institute of Occupational Medicine. All rights reserved.Öğe The effect of a structured patient education intervention on the quality of life for coronary artery bypass grafting patients: A prospective randomised controlled study(SAGE Publications Ltd, 2021) Özdemir, Buket; Önler, EbruThis study aimed to determine the effectiveness of structured patient education on the quality of life for coronary artery bypass grafting patients. The research included 80 patients (40 control, 40 experimental) who underwent coronary artery bypass graft surgery at the cardiovascular surgery ward of a university hospital in Western Turkey and met the criteria to be included in the sample. The following documents were used to collect data: Patient Information Form, Knowledge Level Form and SF36 Quality of Life Scale. It was determined that the structured planned patient education for coronary artery bypass grafting patients effectively improved the patients’ knowledge level and quality of life. © The Author(s) 2020.Öğe The Sleep Quality of the Patients in Surgical Units(Istanbul Univ, Fac Nursing, 2008) Önler, Ebru; Yılmaz, AytulPurpose: This descriptive study was conducted for the purpose of determining the sleep quality and to examine factors that affect this quality. Method: The study was carried out on 164 patients in Istanbul University < stanbul Medical Faculty. In collecting data, the below tools were made use of : a patient information form prepared seperately in the light of literature, an information form of factors that affect sleep quality and Pittsburg Sleep Quality Inventory. Percentage and Oneway Anova were also made use of in analysing tha data obtained from this study. Results and Conclusion: It was determined quality of sleep was influenced by such factors as pain, anxiety, noise and not to give sufficient information about procedures. It was proposed to use effective pain control methods, give sufficient information to patients about prodecures, determine to patients' level of anxiety and if it is so high, direct them for professional aid and determine factors that is the cause of noise in the hospital for reducing and existing them.Öğe Translation, cultural refinement, content re-validation & application of OTAS and METEOR instruments in Turkish operating rooms: An observational study(Elsevier Inc, 2020) Önler, Ebru; Hull, Louise; Russ, Stephanie; Sevdalis, Nick; Yıldız, Tülin; Gürdal, Sibel Özkan; Yazıcı, Cenk MuratObjective: The aim of this study was to translate, culturally adapt, content validate, and test the reliability of The Observational Teamwork Assessment for Surgery (OTAS) and the Metric for Evaluating Task Execution in the Operating Room (METEOR) in Turkish operating rooms (ORs). Methods: This study used an observational design. After translation of OTAS and METEOR in Turkish, 22 OR experts rated the degree to which each OTAS and METEOR items contributes to teamwork, patient safety, and efficiency. Afterward, real-time observations were conducted using both tools in 20 elective general surgeries to evaluate feasibility of use and reliability of scoring. Kappa and intraclass correlation coefficients were used to evaluate reliability. Results: OR experts deemed all OTAS and METEOR items to be content valid. Perfect, very good, and good interobserver agreement were found for 75.4% of OTAS and 86.25% of METEOR items (kappa coefficient ? 0.61). Interrater reliability of OTAS ratings ranged from 0.43 to 0.80. The surgical team's OTAS scores were significantly lower than the nursing and anesthetic teams, while the anesthetic team's scores were significantly higher than the nursing team's scores (p < 0.05). The preoperative OTAS scores were statistically higher than the intraoperative and postoperative scores, while the intraoperative scores were significantly higher than the postoperative scores (p < 0.05). Conclusion: OTAS and METEOR are content valid tools that are feasible to use reliably in Turkish ORs. © 2020 Elsevier Inc.Öğe Turkish surgical nurses' attitudes related to patient safety: A questionnaire study(Wolters Kluwer Medknow Publications, 2020) Bahar, S.; Önler, EbruBackground: Surgical nurses work in demanding environments and play a vital role in maintaining and promoting patient safety due to the nature of their work. Hence it is important to know their attitudes toward patient safety. Aim: This research aimed to evaluate the patient safety attitudes of Turkish surgical nurses. Methods and Materials: This was a descriptive cross-sectional and questionnaire research. Data were collected from August 2015-January 2016 using the staff information form and the safety attitudes questionnaire (SAQ). The study population included 231 nurses who work in operating rooms, surgical intensive care, and surgical wards of four hospitals in western Turkey. Data were analyzed with frequency, percentage, mean, standard deviation, the Mann Whitney U test, and Kruskal Wallis tests using the SPSS 18. Results: The teamwork and safety climate scores of operating room nurses were higher than the scores of surgical intensive care and ward nurses. The stress recognition scores of surgical ward nurses were the highest, followed by the scores of the operating room and surgical intensive care nurses. The perception of management scores of operating room nurses was higher than those of surgical ward nurses, and nurses ages 18-30 were higher than those of nurses ages 31-40. None of the six domains of safety culture, including job satisfaction, teamwork, safety climate, the perception of management, stress recognition, and working conditions achieved a positive mean score over 75. Conclusion: This research paper provides an evaluation of the safety attitudes of surgical nurses. Findings can provide information for healthcare leaders to improve the safety culture.Öğe Violence against nurses working in the health sector in five European countries-pilot study(Wiley, 2019) Babiarczyk, Beata; Turbiarz, Agnieszka; Tomagova, Martina; Zelenikova, Renata; Önler, Ebru; Cantus, David SanchoAim To provide initial data regarding country-specific evidence of workplace violence towards nurses working within the health sector in five European countries. Methods This is a descriptive and cross-sectional pilot study, conducted in June 2016. The sample consisted of 260 nurses working in selected health care settings in five participating countries (Poland, Czech Republic, Slovakia, Turkey, and Spain). The questionnaire used was adapted from the International Labour Office/International Council of Nurses/World Health Organisation/Public Services International Workplace Violence in the Health Sector Country Case Study-Questionnaire. Results A large number of participants confirmed that they had been physically attacked or verbally abused in the workplace in the last 12 months. In most cases, the physical and verbal abuse was inflicted by patients and to a lesser degree by relatives of patients, staff members, or managers/supervisors. In the majority of cases, no action was taken to investigate the causes of the incidents. In most cases, participants believed there was no point in reporting the incidents. However, the reasons for not reporting or discussing incidents of workplace violence varied depending on the country. Conclusion Workplace violence towards nurses is a serious problem internationally, and violence prevention strategies need to be implemented.
