Yazar "Akyuz, Elif" seçeneğine göre listele

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    Patients' Experiences of Informed Consent and Preoperative Education
    (SAGE PUBLICATIONS INC, 2020) Akyuz, Elif; Erdem, Yurdagul
    The aim of this descriptive cross-sectional study was to determine adult surgery patients' experiences of informed consent and preoperative education. Research was conducted between September 2018 and February 2019. The sample consisted of 201 adult patients of a university hospital in Turkey. Data were collected using a 48-item questionnaire developed by the researchers based on literature. More than half of the participants (54.2%) were fully informed while 36.8% were partially informed about their surgery process and 61.2% were informed by physicians. Overall, 33.3% had unanswered questions about surgery, with questions relating mostly to the type of surgery (26.8%) and its effect on their body (25.4%). Participants were least informed about preoperative deep breathing and cough exercises (47.8%). More than half (58.4%) of participants expected healthcare professionals to avoid using medical terminology when informing them. Physicians and nurses perform invasive interventions on patients and, therefore, should be sensitive about informing patients.
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    Perception of Privacy: An Ethnocentric Study of Turkish Muslim Female Surgical Patients
    (Elsevier Science Inc, 2024) Ergol, Sule; Akyuz, Elif
    Purpose: This study aimed to investigate the perception of privacy among Turkish Muslim female patients who have undergone surgery. Design: A descriptive -qualitative study design was employed. Methods: In-depth interviews were conducted with 10 study participants. Findings: The findings revealed three main themes and two subthemes. The main themes were physical privacy, the influence of culture, and responses to privacy violations. The subthemes pertained solely to responses to privacy violations and included behavioral and emotional responses. Conclusions: The participants' perception of privacy was primarily focused on the physical aspects of privacy. Muslim and Turkish cultures played a significant role in shaping the patients' perception of privacy. The participants reported experiencing emotional and behavioral responses when their privacy was violated. This study reveals the perception of privacy among 10 Turkish Muslim female patients, emphasizing the significance of understanding and considering this perception in nursing care. (c) 2024 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
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    Perceptions and Experiences of Privacy Among Persons With an Ostomy Receiving Treatment and Care A Mixed-Methods Study
    (Lippincott Williams & Wilkins, 2022) Akyuz, Elif; Erdemir, Firdevs; Ugurlu, Ziyafet; Ustundag, Cigdem
    PURPOSE: The aim of this study was to determine ostomy patients' experiences and opinions on protection of privacy during treatment and care. DESIGN: Mixed-methods, descriptive correlational study. SAMPLE AND SETTING: The study sample comprised 80 patients with an ostomy receiving treatment and care in a university hospital in Turkey. METHODS: Data were collected using a form developed by the researchers based on literature review. The survey consisted of statements that examined demographic characteristics, experiences, and opinions of patients with an ostomy. RESULTS: For participants, 64.8% (n = 35/54) defined privacy from a physical dimension, 64.1% (n = 25/39) suffered from ostomy-related psychosocial discomfort, 48.7% experienced ostomy-related discomfort mostly during nursing care (n = 19/39), 48.7% (n = 39/80) were uncomfortable when their ostomy was seen by others, Approximately 56.3% (n = 45/80) thought that they disturbed other patients and their families during ostomy care, and 46.3% (n = 37/80) stated that healthcare professionals discussed information about their ostomy when other patients and their families were present. In addition, 21.3% (n = 17/80) opined that the physical conditions of patient rooms failed to provide privacy. Analysis revealed no significant relationship between education levels and reading the Patient Rights Regulation (P = .129). Analysis also found no significant relationships between age (P = .086), marital status (P = .382), educational background (P = .143), hospitalization experience (P = .427), and satisfaction with perceptions of privacy when receiving ostomy care. CONCLUSION: Patients with an ostomy reported physical and psychosocial problems concerning privacy, felt uncomfortable about the way information on their ostomy was discussed, and thought that physical conditions were not suitable for ostomy care. We recommend that healthcare professionals be provided with more training on psychosocial problems and privacy for patients with ostomy and that institutional policies and procedures be developed to address patients' problems.
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    Physicians' and Nurses' Use and Determinants of Mechanical Methods for Prophylaxis of Deep-Vein Thrombosis
    (Ataturk Univ, 2023) Altun, Suleyman; Akyuz, Elif
    Objective: This study was conducted to determine the use of mechanical methods and determining factors of prophylaxis of deep-vein thrombosis by physicians and nurses. Methods: The study was conducted between December 2020 and February 2021. The participants of this study consisted of 234 physicians and 303 nurses working in surgical and internal medicine clinics/intensive care units of a university hospital in Turkey. Data were collected using forms developed by the researchers and analyzed using mean and standard deviation, number and percentage distributions as descriptive statistics. Results: The mechanical method most used by the physicians and nurses was anti-embolism stockings. Factors determining the use of mechanical methods were routine practices in the clinic, ease of application, suitability for the patient use, presence of devices/materials in the clinics, and preference of the physician. Some of the nurses reported that they had difficulties using mechanical methods (39.3%). These difficulties were as follows: patients' compliance problems related to the use of mechanical methods (38.9%), inability to apply mechanical methods correctly (27.9%), inability to evaluate/monitor it (20.0%), and having trouble with hospital procedures (13.2%). Physicians noticed the wrong/missing use of mechanical methods (57.7%). These were improper application of the mechanical methods (54.1%) and failure to choose the right mechanical method for the patients (22.5%). Conclusion: Considering the guidelines, effective and safe mechanical methods suitable for the patient should be used in clinics. Care protocols should be developed for the use of mechanical methods to standardize care, and health professionals should be trained to provide quality care.
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    Surgical nurses' knowledge and practices about informed consent
    (Sage Publications Ltd, 2019) Akyuz, Elif; Bulut, Huelya; Karadag, Mevluede
    Background: Informed consent involves patients being informed, in detail, of information relating to diagnosis, treatment, care and prognosis that relates to him or her. It also involves the patient explicitly demonstrating an understanding of the information and a decision to accept or decline the intervention. Nurses in particular experience problems regarding informed consent. Research question and design: This descriptive study was designed to determine nurse knowledge and practices regarding their roles and responsibilities for informed consent in Turkey. The research was performed using 92 nurses who work at the surgical clinics. Data collection form was prepared by the researchers with assistance from the literature, and the data were evaluated by the SPSS 12.0 data analysis program. Ethical consideration: This study was approved by the Medicine and Health Sciences Research and Ethics Committee of the university. Written consent was received from the nurses. Findings: Among the nurses who participated in this study, 39.1% indicated that they were responsible for obtaining informed consent. It was also found that 90.2% of the nurses informed patients before providing nursing interventions and 32.6% of the nurses obtained consent from patients, and 90.0% of the nurses who indicated that they obtain patient consent only obtain verbal consent. Among all of the nurses, 21.7% agreed that informed consent needs to be obtained in order to protect the medical staff legally. Discussion: It is argued that a lack of official procedures at hospitals regarding informed consent and insufficient information being provided to healthcare providers has caused problems regarding informed consent. Conclusion: The nurses in this study lacked information regarding their role in obtaining informed consent from patients and they often performed incomplete and/or incorrect practices within the framework of their required role. It is believed that an increased level of education along with the creation of official policies and procedures would contribute towards solving these problems.
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    The Effects of Virtual Reality Used in Healthcare Education on Cybersickness and Sense of Presence: A Systematic Review
    (Mit Press, 2024) Erbas, Atiye; Akyuz, Elif; Ergol, Sule
    The purpose of this systematic review was to present the current state of the science related to healthcare students' outcomes associated with virtual reality effects on cybersickness and sense of presence. Results of the database searches of MEDLINE/PubMed, Scopus, ISI Web of Science, CINAHL, and Cochrane identified 101 articles. Seven articles were isolated for inclusion in this review. The primary search terms were healthcare students, virtual reality, cybersickness, and sense of presence. The studies were published between 2016 and 2020 and were conducted in Israel, the United States, the United Kingdom, Singapore, Belgium, and Brazil. The research design was quasi-experimental in six studies and experimental design in one study. Interventions were mostly carried out with nursing, medical, and dental students. Three studies used immersive virtual reality simulation with a head-mounted display, while the others used non-immersive three-dimensional visuals. According to the results, students perceived a high sense of presence and a low level of cybersickness in virtual reality simulations. There is limited robust research exploring healthcare students' outcomes related to virtual reality on cybersickness and sense of presence.
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    The use of Hub Devices to reduce catheter-related infections in dialysis patients: A narrative review
    (Sage Publications Ltd, 2024) Fiorina, Elisabetta; Giustivi, Davide; Gotti, Federica; Akyuz, Elif; Privitera, Daniele
    Introduction: Catheter-related bloodstream infections are among the most critical issues associated with central venous catheters used for dialysis treatment. To reduce the incidence of this life-threatening complication, various strategies have been developed. Among these, Hub Devices have been introduced in clinical practice to prevent microbial growth at the hub of the catheter.Methods: A review was conducted to assess the effectiveness of Hub Devices in reducing bloodstream infections in central venous catheters for dialysis, compared to solid caps. The review analyzed existing literature from three bibliographic databases (PubMed, Embase, and CINAHL) to provide evidence-based recommendations for clinical practice.Results: After a thorough review of the available data, it was found that out of the 873 records screened, only six trials met the inclusion criteria. Albeit the number of patients observed in these trials was more than 25,000, due to the differences in the mechanism of action of different Hub Devices and the lack of a standardized criterion to identify and measure the outcomes, it is difficult to draw a firm conclusion. It is worth noting, however, that in five out of six trials examined, the Hub Devices exhibited a protective effect when compared to solid caps.Conclusions: The use of Hub Devices appears to be associated with a reduction in catheter-related bloodstream infections in the central venous catheter dialysis population. However, the Hub Devices show interesting results that should be investigated with further well-designed prospective studies.