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Öğe An innovative method to prevent infection when measuring the arterial blood gas SpO2 saturation(German Medical Science-Gms, 2024) Sahan, Seda; Guler, Sevil; Gectan, Eliz; Aygun, HakanBackground: Patients are hospitalized for extended periods, particularly in intensive care units (ICUs). As a result, the saturation probe (pulse oximeter) remains attached for an extended period and microorganisms can grow in the wet environment. If the pulse oximeters are not reprocessed, cross -infection may occur. The literature contains several studies in which gloves were used for the measurement while various SpO2 (peripheral arterial oxygen saturation) measurements were compared with each other. However, such comparisons have yet to be made with the results of arterial blood gas SpO2 measurements by pulse oximeter, considered as the gold standard. The present study aimed to compare arterial blood gas values with the fingertip saturation measurement performed by having adult patients wear gloves of different colors, one after the other, on their fingers and determining the effect of the differently colored gloves (transparent, white, black, light blue) on saturation values. Methods: The study was conducted on 54 patients in an ICU. Intra-arterial blood gas SpO2 results were measured. Oxygen saturation was measured while the patient 1. did not wear gloves and 2. sequentially wore a series of gloves of different colors. Paired t -test, correlation analysis, and Bland Altman charts were used to evaluate the results. Results: The mean SpO2% value of the participants' intra-arterial blood gas measurements was 97.76 +/- 2.04. The mean SpO2% value obtained from the measurements of the fingers with a transparent glove was 0.43 points lower than the mean SpO2% value of the intra-arterial blood gas measurements (t=0.986, p=0.61). The mean SpO2% value obtained from the measurements of the fingers with a white glove was 0.93 points lower than the mean SpO2% value of the intra-arterial blood gas measurements (t=1.157, p=0.093). Conclusion: Of the measurements performed with a glove, the mean SpO2% value obtained from the measurements of the fingers with a transparent glove was more consistent with the mean SpO2% value of the intra-arterial blood gas measurements than measurement of the fingers without a glove.Öğe Can artificial intelligence and robotic nurses replace operating room nurses? The quasi-experimental research(Springernature, 2023) Ergin, Eda; Karaarslan, Duygu; Sahan, Seda; Bingol, UmranOperating room nurses, who have an important place in the professional healthcare team, should be able to use technology effectively and adapt to innovations. This study is expected to shed light on how effective the development of robotic technologies and artificial intelligence and their integration into operating room nursing will be in fulfilling the requirements of contemporary nursing philosophy. This study was designed as a single group pre- and post-test quasi-experimental study. The quasi-experimental (pretest-posttest) research design was utilized to conduct the study in a Training and Research Hospital in Western Turkey. The nurses (n = 35) working in the operating room of the aforementioned hospital were included in the study. In this study, we aimed to determine whether operating room nurses experienced anxiety due to the use of artificial intelligence and robotic nurses, and the effectiveness of the training given to them in order to raise their awareness. The following three tools were used for data collection: The Nurses' Descriptive Characteristics Form, Artificial Intelligence Knowledge Questionnaire, and Artificial Intelligence Anxiety Scale. Data extraction and analysis were performed in a narrative and tabular way. According to this study, the training given to the operating room nurses significantly increased their knowledge levels about artificial intelligence and robotic nurses, and increased their artificial intelligence- and robotic nurse-related anxiety significantly (p < 0.05). The participating operating room nurses experienced limitations regarding current information, training programs and learning opportunities on robotic surgery. We recommend that the operating room nurses should be provided with trainings on artificial intelligence technologies and robotic nurses, and that they should be enabled to use these information technologies regarding future technologies actively.Öğe Comparison of forearm and intra-arterial blood pressure measurements according to body and arm positions in obese patients(Wiley, 2025) Ismailoglu, Elif Gunay; Aygun, Hakan; Sahan, Seda; Ergin, Eda; Gectan, ElizRationaleNoninvasive blood pressure (BP) monitoring is very important also difficult for accurate diagnosis and monitor of obese patients.AimsThe study aimed to assess the agreement between forearm arm BP and intra-arterial BP values in a different body and arm positions in obese patients.MethodsThe descriptive study was carried out on 60 intensive care patients with a body mass index above 30 kg/m2 who were monitored with invasive radial BP in the general and surgical intensive care units. BP values obtained from the upper arm and forearm with different arm and body positions were compared with intra-arterial BP results. Bland-Altman analysis and correlation coefficient were used for the accuracy of upper and forearm noninvasive BP reading in different positions.ResultsThe best agreement was found between the forearm systolic BP in the supine and half-sitting position with the arm down and intra-arterial BP values. Also, the best agreement in diastolic BP was found between the half-sitting and half-sitting position with the arm down and intra-arterial BP.ConclusionsForearm systolic BP measurement, especially in the supine and half-sitting position with the arm below the heart level position, was best agreement with intra-arterial measurement, regarded as the gold standard. For this reason, it is more appropriate to use forearm BP measurement in obese patients monitored in intensive care to obtain accurate results.Öğe Effect of aromatherapy on the pain of arteriovenous fistula puncture in patients on hemodialysis: a systematic review(Coll Public Health Sciences, Chulalongkorn Univ, 2022) Yildiz, Aysegul; Sahan, SedaPurpose This study aims to determine the effect of aromatherapy used in reducing the pain caused by fistula puncture in hemodialysis patients. Design/methodology/approach In this study, the effect of aromatherapy application on fistula puncture was analyzed and carried out by scanning the relevant literature. The literature review was conducted between August and October 2020. While reviewing the literature, the authors used aromatherapy, pain, fistula, puncture, hemodialysis keywords and various combinations of these; moreover, Google scientist, Pubmed, Cochrane, ScienceDirect, Web of Science, Medline and Ovid databases and studies, which were conducted in the last 10 years were reviewed. As a result of the literature review, 1183 studies were reached and seven of them were included in the study by taking the inclusion criteria into account. Findings The randomized controlled studies are six studies and nonrandomized controlled experimental 1 study were added to the scope of the study and seven studies were included in the sample. In these studies, personal information forms developed by the researchers as data collection tools and the VAS scale, Numerical pain rating, the numeric rating scale were used to evaluate pain. Practical implications It has been determined that aromatherapy application in hemodialysis patients has positive effects on reducing pain due to puncture fistula intervention. Originality/value This study provides reduction or elimination of fistula needle insertion pain in hemodialysis patients.Öğe The effect of foot reflexology on fatigue in hemodialysis patients: a meta-analysis study(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2023) Sahan, Seda; Guler, SevilObjective: this meta-analysis study analyzed the effect of foot reflexology on fatigue in hemodialysis patients by combining the results of independent studies on this subject. Method: meta-analysis study. A literature search was conducted in seven databases. The methodological quality of the included studies was assessed using tools proposed by the Joanna Briggs Institute. Comprehensive Meta-Analysis v3 was used for meta-analysis. Results: eight studies were included in the meta-analysis. The result of the meta-analysis standardized mean difference = 1.580 (95% Confidence Interval = 1.075 - 2.085 p = 0.000). The result of the subgroup analysis performed based on the number of foot reflexology sessions standardized mean difference = 1,478 (95% Confidence Interval = 1,210 - 1,747, p = 0.000). Conclusion: it was concluded that foot reflexology can be used to reduce fatigue in hemodialysis patients. No information was provided in the investigated studies about the possible side effects and negative effects of foot reflexology.Öğe The effect of video-based fistula care education on hemodialysis patients' self-care behaviors: A randomized controlled study(Wiley, 2023) Sahan, Seda; Yildiz, Aysegul; Ozdemir, Cevriye; Ismailoglu, Elif GunayObjective: This study aimed to determine the effect of face-to-face and video-based education for fistula care on hemodialysis patients' self-care behaviors.Methods: The study was conducted as a randomized controlled experimental study. Accordingly, 60 patients were included in the study for 95% strength. Fistula care training was given to the patients in the control group using face-to-face education technique. Fistula care training was given to the patients in the experimental group using a video-based technique.Results: The analysis showed that the post-test second week (p = 0.044) and fourth week (p = 0.00) mean scores of the experimental group were higher compared to those of the control group.Conclusion: These results showed that the video-based education given to hemodialysis patients was more memorable and instructive than the verbal education, and it was observed that the video-based education showed a higher level of success in developing self-care skills.Öğe El efecto de la reflexología podal sobre la fatiga en pacientes en hemodiálisis: un estudio de metaanálisis(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2023) Sahan, Seda; Guler, SevilObjetivo: analizar el efecto de la reflexolog & iacute;a podal sobre la fatiga en pacientes en hemodi & aacute;lisis, combinando los resultados de estudios independientes sobre este tema. M & eacute;todo: estudio de metaan & aacute;lisis. Se realiz & oacute; una b & uacute;squeda bibliogr & aacute;fica en siete bases de datos. La calidad metodol & oacute;gica de los estudios incluidos se evalu & oacute; mediante las herramientas propuestas por el Joanna Briggs Institute. Para el metaan & aacute;lisis se utiliz & oacute; el programa Comprehensive Meta-Analysis v3. Resultados: en el metaan & aacute;lisis se incluyeron ocho estudios. El resultado de la diferencia de medias estandarizada del metaan & aacute;lisis = 1,580 (Intervalo de Confianza de 95% = 1,075 -2,085 p = 0,000). El resultado del an & aacute;lisis de subgrupos realizado sobre la base de la diferencia de medias estandarizada en el n & uacute;mero de sesiones de reflexolog & iacute;a podal = 1,478 (Intervalo de Confianza de 95% = 1,210 -1,747, p = 0,000). Conclusi & oacute;n: se concluy & oacute; que la reflexolog & iacute;a podal puede utilizarse para reducir la fatiga en pacientes en hemodi & aacute;lisis. En los estudios investigados no se proporcion & oacute; informaci & oacute;n sobre los posibles efectos secundarios y negativos de la reflexolog & iacute;a podal.Öğe Evaluating the Knowledge Levels and Attitudes Regarding Pressure Injuries among Nurses in Turkey(Lippincott Williams & Wilkins, 2024) Sahan, Seda; Guler, SevilOBJECTIVETo determine nurses' knowledge levels and attitudes regarding pressure injury (PI) in Turkey and to reveal the relationship between these two variables.METHODSThis study was conducted with 604 nurses to obtain 98% power based on the G*Power analysis. The authors used the Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0 and Attitude toward Pressure Ulcer Prevention (APuP) instrument for data collection. Regression, correlation analysis, independent-sample t test, and analysis of variance were used in data analysis.RESULTSNurses' mean total PUKAT 2.0 score was 9.40 +/- 2.47 (46.72% correct). Nurses' mean total score on the APuP instrument was 32.39 +/- 2.752. The total knowledge score and total attitude score were positively correlated (rho = 0.761; P = .007). According to the results of linear regression analysis, the demographic variables of sex, education, seniority, and unit significantly predicted PUKAT 2.0 scores and APuP scores.CONCLUSIONSNurses' knowledge of PI prevention was insufficient, and their attitudes were average. A significant and positive relationship was identified between nurses' knowledge and attitudes regarding PI.Öğe Implementation of stethoscope disinfection: an observational study on nursing staff practice and knowledge(German Medical Science-Gms, 2024) Sahan, Seda; Guler, Sevil; Korkmaz, EmineBackground: Healthcare -associated infections cause high mortality and morbidity, and lack of stethoscope disinfection is one of the reasons for healthcare -associated infections. Nurses who frequently use stethoscopes in the clinic do not disinfect stethoscopes at high rates. This study aimed to identify the frequency of stethoscope disinfection by nurses and their knowledge about the same. Methods: This was a mixed -methods observational study. The quantitative part of the study included 202 nurses, the qualitative part included 12. Two researchers who made observations during stethoscope use recorded the procedures the nurses performed on the Observation Form. Semi -structured in-depth interviews were conducted based on phenomenological methods. Results: 23.7% of the nurses disinfected their stethoscopes before contact with patients, 11.8% after contact with patients and 6.4% before and after contact with patients. The nurses used a stethoscope on an average of 7.42 patients without disinfecting it. In the qualitative interview, some nurses stated that they did not have information about the disinfectants to be used for stethoscopes and their effectiveness. Some of the participants in the present study stated that they did not receive training on stethoscope disinfection and that they did not know that there were guidelines about it. Conclusion: Since there were deficiencies in the implementation of stethoscope disinfection as well as knowledge, the transfer of knowledge in this context must receive more attention in education and training.Öğe Nurse's Spiritual Sensitivity Scale (NSSS): A Validity and Reliability Study in Turkey(Springer, 2024) Tektas, Pinar; Sahan, SedaNurses carry out spiritual care based on ethical principles, and they must have spiritual sensitivity to meet spiritual care needs. Seen from this angle, it is important to determine nurse's spiritual sensitivity in order to meet patient's spiritual care needs, to increase patient-nurse communication and to adopt a holistic approach to care. For this reason, the aim of this study was to test the validity and reliability of the Turkish Nurse's Spiritual Sensitivity Scale. In the present study, a sample size of 207 nurses was reached in the data collection stage. The Turkish Nurse's Spiritual Sensitivity Scale (NSSS) is a Likert-type scale consisting of 20 items and a single factor. There are no reverse-scored statements on the scale. A score of zero shows no spiritual sensitivity, and four shows higher spiritual sensitivity. The minimum score on the scale is zero, and the maximum score is 80. It was seen in this study that the Nurse's Spiritual Sensitivity Scale is a valid and reliable measurement instrument for a Turkish sample. This scale can be used by professionals to determine the spiritual sensitivity of Turkish nurses.Öğe O efeito da reflexologia podal sobre a fadiga em pacientes em hemodiálise: um estudo de metanálise(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2023) Sahan, Seda; Guler, Sevil[Abstract Not Available]Öğe Sağlık Bakımı Profesyoneli Olarak Yetişen Öğrencilerin COVID-19 Pandemisi İle İlgili Bilgi Düzeyi Ve Farkındalıklarının İncelenmesi(2024) Özdemir, Handan; İsmailoğlu, Elif Günay; Sahan, SedaAmaç: sağlık bakım profesyoneli olarak yetişecek öğrencilerin COVID-19’a ilişkin doğru bilgi sahibi olmaları çevresindeki toplumun doğru bilgilenmesi açısından önemlidir. Bu araştırmada sağlık bakım profesyoneli öğrencileri arasında COVID-19 ile ilgili bilgi düzeylerinin, tutum ve farkındalıklarının ne düzeyde olduğunun ortaya çıkarılması amaçlanmıştır. Gereç ve Yöntemler: Araştırma, anket çalışması olup tanımlayıcı olarak yapılmıştır. Araştırmanın örneklemini, 2019-2020 eğitim öğretim yılında Türkiye’deki bir devlet üniversitesinin sağlık bilimleri fakültesinde öğrenim gören öğrencilerden araştırmaya katılmayı kabul eden ve ulaşılabilen 239 öğrenci oluşturmuştur. Araştırma verileri Haziran-Ekim 2020 tarihleri arasında Google formlar aracılığı ile toplanmıştır. Bulgular: Öğrencilerin %86,6’sının (n=207) bölümünü isteyerek seçtiği, %66,5’inin (n=159) pandemi sürecinin mesleklerine bakış açılarını olumlu yönde etkilediği saptanmıştır. Öğrencilerin %57,3’ü (n=137) COVID-19 hakkında kısmen bilgili hissettiklerini, %54,4’ü (n=130) COVID-19 ile ilgili bilgileri sosyal medyadan öğrendiklerini, %87’si (n=208) COVID-19 hakkında endişe duyduklarını ve %81,2’si (n=194) endişe düzeyinin 6-10 puan arasında olduğunu belirtmiştir Öğrencilerin Covid-19 pandemisine ilişkin bilgi puan ortalaması 91,92± 9,11(min-max 30-100) dir. Sonuç: Öğrencilerin COVID-19 pandemisine ilişkin bilgi düzeylerinin ve genel olarak tutumlarının yüksek olduğu saptanmıştır.Öğe Searching for Health Information on the Internet; Determining the Relationship Between Nurses' Cyberchondria Levels, Health Anxiety, and Effective Factors(Galenos Publ House, 2024) Sahan, Seda; Kacmaz, Elif DenizObjective: Rapid technological developments have increased the search for health-related information on the internet. It has also affected nurses, who have high concerns about diseases due to the nature of their profession. This study was conducted to examine the relationship between nurses' cyberchondria levels and health anxiety and the influencing factors. Method: Health anxiety inventory and cyberchondria severity scale were used as data collection tools in this study conducted with 388 nurses working in a state hospital in Turkey. The t-test, One-Way ANOVA, correlation, and logistic regression analyses were used in the data analysis. Results: It was determined that the total score of the nurses on the health anxiety scale was 26.34 +/- 2.66 and the total mean score of the nurses on the cyberchondria severity scale was 34.92 +/- 3.77. A high positive correlation was found between cyberchondria and health anxiety (rho=0.986; p=0.013). It was found that demographic variables significantly predicted cyberchondria scale scores and health anxiety. Conclusion: Because of the analysis, it was determined that the health anxiety and cyberchondria severity of the nurses participating in the study were moderate. It is thought that nurses' professional knowledge and awareness of diseases increase their health anxiety, and they conduct more research on health problems via the internet. Considering the prevalence of internet use today, it is recommended to plan in-service training on internet literacy for nurses.Öğe Spiritual Care and Death in Intensive Care from the Perspective of Nursing Students in Turkey: An Exploratory Mixed Study(Springer, 2023) Sahan, Seda; Kacmaz, Elif DenizThis mixed methods research study aimed to determine spiritual care competencies and death anxiety levels of nursing students practicing in intensive care. The quantitative part of this study included 33 students while the qualitative part included 17 students. Nursing students' spiritual care competence was detected to be above medium and their death anxiety was high. Two themes emerged from the qualitative data collected through in-depth interviews with 17 nursing students: (a) Views on spiritual care competencies and (b) Views on death. These findings are significant to reduce nursing students' death anxiety, increase spiritual care competencies and the quality of patients' end-of-life care.Öğe The effect of music on comfort, pain, and anxiety in patients with bone marrow aspiration and biopsy in Turkey: a mixed-methods study(BMC, 2024) Sahan, Seda; Korkmaz, Emine; Korkmaz, SerdalAim This study was conducted to determine the effect of music on the pain, anxiety, and comfort levels of patients who underwent bone marrow aspiration and biopsy. Methods This study was conducted on patients with hematological malignancies. Music was used with the intervention group. Patients' pain, anxiety, and comfort levels were measured. In addition, qualitative data were obtained through in-depth interviews with patients. Results A significant difference (p < 0.05) was found between the experimental and control groups regarding pain, comfort and anxiety levels following the application of music. It was found that there was a negative correlation between comfort and pain (r=-0.442 p < 0.001) and between comfort and anxiety (r=-0.544 p < 0.001). As a result of qualitative interviews, patients mentioned the relaxing effect of music and the reduction of anxiety and pain levels. They also stated that music can be utilized as an alternative method. Conclusion According to the results of the present study, music reduced the pain and anxiety levels of the patients in bone marrow aspiration and biopsy and increased their comfort levels. We can say that music can be used in the clinic as a non-pharmacological method for pain, anxiety and comfort. Clinical Trials Number NCT05895357 (Date:08/06/2023).Öğe The Effect of Stress Ball Utilization on Dyspnea Severity and Anxiety Level in Patients Receiving Nebulizer Therapy: Randomized Controlled Study(Wiley, 2025) Ceyhan, Yasemin; Guler, Sevil; Sahan, SedaAim: The study primarily aimed at examining the effect of stress ball utilization on dyspnea and anxiety during nebulizer therapy. The secondary aim was to determine the effect of stress ball utilization on the duration of therapy and vital signs. Methods: The study has a randomized controlled experimental design. The study population consisted of inpatients receiving nebulizer therapy. A total of 80 patients, 40 in the intervention group and 40 in the control group, were included in the sample. The study was conducted between October 2023 and March 2024. Patients in the intervention group were asked to use a stress ball during nebulizer therapy. Data were collected using a Patient Information Form, the Visual Analog Scale, and the State-Trait Anxiety Inventory. Descriptive statistics, Chi-square, paired test, and one sample t-test were used in data analysis. Results: The mean age of the patients was 65 years and over and 78% of them had COPD. Stress ball utilization caused a significant effect on the severity of dyspnea (intervention: t = 2.862, p < 0.001; control: t = 2.755, p < 0.001) and anxiety levels (intervention: t = 4.647, p < 0.001; control: t = 6.597, p < 0.001) in intragroup comparisons. In intergroup comparisons, a significant difference (t(& imath;) = 4.455, p < 0.001) was obtained in anxiety level with a high effect (d = 0.70). In addition, the durations of nebulizer (minutes) administration were significantly (p < 0.001) longer in the intervention group (19.10 +/- 11.95) than in the control group (13.16 +/- 3.02). Stress ball utilization did not affect vital signs and saturation values (p > 0.05). Conclusions: Utilization of a stress ball during nebulizer therapy has a positive effect on reducing anxiety levels and prolonging the duration of nebulizer use.Öğe The Effect of Video Streaming With Virtual Reality Glasses on on Pain Anxiety and Satisfaction Applied in Peripheral Intravenous Catheter Process(Elsevier Science Inc, 2024) Guler, Sevil; Sahan, Seda; Ozturk, SelcukBackground: Peripheral intravenous catheter (PIC) implementation is among the most frequent and highly invasive nursing initiatives. PIC leads to anxiety with procedural pain, causing individuals to reject these procedures or negatively affecting the process's success. Aim: The study was conducted to determine the effect of virtual reality glasses (VRG) on pain, anxiety, and patient satisfaction during the peripheral intravenous catheter (PIC) process in adults. Design: An experimental study. Settings: An emergency department of a university hospital. Methods: Individuals who were admitted to the emergency unit of the university hospital were recruited between the data collection dates. Data from individuals' Patient Information Form, Visual Pain Scale, Visual Anxiety Scale, and Visual Satisfaction Scale were collected. VR-Box 3D Glasses was used as virtual reality glasses. Results: In our study, when the pain point averages with VAS were compared during the PIC process, the pain score average of the patients in the control group was 5.78 +/- 1.23 visual anxiety scale 5.89 +/- 1.23 and patient satisfaction scale 3.86 +/- 2.48, The visual pain score average of patients in the VRG group is 4.12 +/- 2.16, visual anxiety scale 3.14 +/- 1.76 and visual patient satisfaction scale 7.64 +/- 3.26. In short, it has been detected that the pain, anxiety, and patient satisfaction score averages of patients in the VRG group are statistically significant compared to the pain score averages of patients in the control group (p < .005). Our study unearthed a statistically significant relationship at an average level of negative direction between PIC post-treatment pain, anxiety, and patient satisfaction (r = - 0.476). Conclusion: Utilization of VRG has been detected to reduce pain and anxiety felt during the PIC process in adult patients and increase process satisfaction. VRG, a non-pharmacological, non-invasive, inexpensive, and feasible nursing initiative, may be recommended for use in pain and anxiety control in patients undergoing PIC treatment. (c) 2024 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
