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Öğe Determining digital burnout in nursing students: A descriptive research study(Churchill Livingstone, 2022) Durmus, Serpil Celik; Gulnar, Emel; Ozveren, Husna Spacing DiaeresisBackground: Nursing students have been spending much more time on digital platforms for educational purposes since the onset of the COVID-19 pandemic. However, prolonged screen time can cause digital burnout. This paper investigated digital burnout levels in nursing students. Design: This was a descriptive study. Settings: The study population consisted of 443 nursing students of the faculty of health sciences of a university in the 2020-2021 academic year. The sample consisted of 361 nursing students who agreed to participate in the study and filled out the data collection forms. Participants were recruited using convenience sampling. The participation rate was 81.5%. Participants: First-, second-, third-, and fourth-year nursing students. Methods: Data were collected using a descriptive characteristics questionnaire and the Digital Burnout Scale (DBS). The data were analyzed using number, percentage, and mean (minimum, maximum) and the student t-test, One way ANOVA, Kruskal-Wallis test, and Mann-Whitney U test. Results: Participants had a total DBS score of 72.28 +/- 18.92. They had a mean DBS digital aging, digital deprivation, and emotional exhaustion subscale score of 37.57 +/- 10.02, 15.66 +/- 5.89, and 19.54 +/- 5.60, respectively. Participants who spent more than five hours a day online had higher DBS scores than those who spent less than five hours a day online (p < 0.05). Participants who were always stressed out had higher DBS scores than those who were sometimes or never stressed out (p < 0.05). Conclusion: Participants had above-average digital burnout levels, which were affected by the average time spent online per day, stress level, physical and psychological health, and economic status. The curriculum should teach nursing students how and how much to use digital media.Öğe An evaluation of the effectiveness of a planned training program for nurses on administering intramuscular injections into the ventrogluteal site(Churchill Livingstone, 2016) Gulnar, Emel; Ozveren, HusnaBackground: Nurses commonly use the dorsogluteal area for administering intramuscular injections. Since the dorsogluteal area has the potential of leading to serious complications, the ventrogluteal area is recommended as the best alternative. Objective: This study was carried out to determine the level of knowledge nurses have about the ventrogluteal site and the effects of the training provided in this context. Method and design: The study was of quasi-experimental design with a single group based on a pre-test/post-test time sequence and was conducted with 81 nurses who consented to participate in the research at a University Hospital. Data in the research were collected with a questionnaire on the identifying features of the nurses and a questionnaire that contained statements about the ventrogluteal area. Results: The results of the study revealed that before the training, 76.5% of the nurses most commonly used the dorsogluteal area and 7.4% the ventrogluteal region. Four months after the training, however, it was found that the rate of nurses using the dorsogluteal area had fallen (48.1%) while the rate of using the ventrogluteal site rose (34.6%). It was seen that there was a significant difference between the nurses' pre-training and post-training knowledge scores and their scores four months after the training. Conclusion: It was concluded that the training offered the nurses about the ventrogluteal area had a positive impact on their knowledge and practices and that the nurses came away from the training with raised awareness about the subject and in increased level of knowledge. (C) 2015 Elsevier Ltd. All rights reserved.Öğe Gluteal muscle and subcutaneous tissue thicknesses in adults: a systematic review and meta-analysis(Sage Publications Ltd, 2023) Gulnar, Emel; Ordu, Yadigar; Bayram, Sule Biyik; Caliskan, NurcanBackground: Nurses often administer intramuscular injections at the gluteal site. This study aimed to determine gluteal muscle and subcutaneous tissue thicknesses in adults. Methods: Systematic review and meta-analysis. The databases Turkish Medline, Ulakbim, National Thesis Center, Cochrane, Web of Science, Science Direct, PubMed, CINAHL Plus with Full text (EBSCO host), OVID and SCOPUS were screened using the keywords 'intramuscular injection', 'subcutaneous tissue thickness', 'muscle tissue thickness' and 'needle length' between April and May 2021. The studies were evaluated with ultrasound. This study was reported according to the PRISMA recommendations. Results: Six studies met the eligibility criteria. The total sample size was 734 (women: 432, men: 302). The V method revealed that the ventrogluteal site had a muscle and subcutaneous tissue thickness of 38.071 +/- 2.119 and 19.927 +/- 2.493 mm, respectively. The geometric method revealed that the ventrogluteal site had a muscle and subcutaneous tissue thickness of 35.989 +/- 4.190 and 19.661 +/- 3.992 mm, respectively. The geometric method also revealed that the dorsogluteal site had a thickness of 42.560 +/- 8.840 mm. According to the V method, females had thicker subcutaneous tissue at the ventrogluteal site than males (Q = 5.37, df = 1, p = 0.0204). Body mass index did not affect the subcutaneous tissue thicknesses at the ventrogluteal site. Conclusion: The results show that gluteal muscle, subcutaneous and total tissue thicknesses vary across injection sites.Öğe Level of nurse-nurse collaboration and influencing factors in Türkiye and Italy: a mixed-methods study(Sage Publications Ltd, 2024) Durmus, Serpil celik; Gulnar, Emel; Marcomini, Ilaria; Ozveren, Huesna; Tessadori, Beatrice; Locatelli, Giulia; Sponton, AnnaBackground: Collaboration between nurses is crucial in improving quality in healthcare and plays a key role in increasing nurses' job satisfaction.Objectives: Our study aimed to investigate the level of collaboration between nurses working in Turkey and Italy and its related factors. The study also deepened the point of view of clinical nurses and nurse managers on this topic.Methods: This study was carried out as mixed-methods research including both qualitative and quantitative methods. The study's quantitative sample included 348 clinical nurses. The Nurse-Nurse Collaboration Scale was used to collect quantitative data. Five open-ended questions were used to analyse the nurses' point of view about intraprofessional collaboration. Individual interviews were conducted with 10 clinical nurses and 10 nurse managers.Results: Nurse-nurse collaboration was above the cut off value in both countries. However, significant inter-country differences were found in the collaboration subscales. Qualitative results emphasised that personal characteristics, a specific training in collaboration, the opportunities for comparison and mutual consultation during working shifts may affect the level of collaboration. Nurse managers argued that factors such as manpower planning, suitable working conditions, sufficient materials, empathy, job satisfaction, motivation and effective communication affect collaboration.Conclusion: Greater efforts should be made to implement collaboration between nurses in healthcare settings. Our results help healthcare services in implementing new collaboration policies.Öğe Obstacles to Providing Urinary Incontinence Care Among Nurses in Turkey: A Descriptive Study(Hmp, 2019) Caliskan, Nurcan; Gulnar, Emel; Aydogan, Sinan; Bayram, Sule Biyik; Yagci, NilayNurses play an important role in identifying, evaluating, monitoring, and managing patients with urinary incontinence (UI). PURPOSE: This study was conducted to determine nurses' knowledge, attitudes, practices, and obstacles to managing patients' UI. METHODS: A descriptive study was conducted between September 2017 and February 2018 at 2 university hospitals, 2 private hospitals, and 4 state hospitals in a metropolitan city in Turkey. All registered nurses present at the times of data collection were eligible to participate. After providing informed consent, they were asked to complete a 25-item demographic characteristic questionnaire, a 7-item UI assessment and care implementation form, a 12-item form assessing obstacles faced during UI care provision, a 24-item UI knowledge questionnaire (higher scores indicated more knowledge; a score of 70% correct was considered adequate), and the Urinary Incontinence Attitude Scale. The latter comprised 15 Likert-type questions that measures attitudes toward UI symptoms, treatment, and prevention (maximum score of 60; higher scores infer positive attitude). Data were collected and entered into a software program for statistical analysis including Mann Whitney U, chi-square, and correlation tests. Incomplete forms were excluded. RESULTS: Of the 475 potential participants, 254 nurses completed all forms; 228 (89.8%) were women, 177 (69.7%) had a bachelor's degree, 146 (57.5%) worked in a state hospital, and 105 (41.3%) worked for 2 to 3 years. The mean score for UI knowledge was 15.22 +/- 3.43 (range 0-24), and the mean attitude score was 46.40 +/- 5.50 (range 15-60). The major nurse- or hospital-related obstacles to providing UI care were a lack of systems for patient follow-up (67.7%) and lack of patient education materials (60.2%). A weak positive correlation was noted between UI knowledge level and attitude (r = 0.263; P =.000). CONCLUSION: Although nurses had a positive attitude toward UI, UI knowledge scores were low. Lack of patient follow-up systems and patient education materials were important obstacles to nurses providing UI care. In addition to addressing these obstacles, postgraduation evidence-based UI education for nurses is needed to optimize care.Öğe The relationship between moral sensitivity and medical errors attitude in nursing students(ELSEVIER SCI LTD, 2020) Gulnar, Emel; Ozveren, Husna; Ozden, DilekThe aim of this descriptive and correlational study was to determine the relationship between nursing students' moral sensitivity and attitudes towards medical errors. The study sample consisted of 309 fourth graders of the school of nursing of a university. Data were collected using a Descriptive characteristics form, the Moral Sensitivity Questionnaire (MSQ) and the Medical Errors Attitude Scale (MEAS). Participants had a mean MSQ and MEAS score of 91.31 +/- 21.29 and 3.77 +/- 0.44, respectively. There was a negative correlation between MEAS and MSQ scores, indicating that the higher the moral sensitivity, the higher the participants' awareness of medical errors and error reporting. It is, therefore, recommended that students be offered moral education based on different teaching methods to help them develop positive attitudes towards medical errors.Öğe Spiritual Care Competence of Nurses(Slack Inc, 2022) Akça, Selen Özakar; Gulnar, Emel; Özveren, HüsnaBackground. Health care has become more patient centered, and spiritual care has become more critical during the past several decades because researchers have identified associations between met spiritual needs and positive health outcomes. This study investigated nurses' spiritual care competence. Method. A cross-sectional, descriptive research design was used. The study sample consisted of 201 nurses of a training and research hospital. Data were collected using a sociodemographic characteristics questionnaire and the Spiritual Care Competence Scale (SCCS). Results. The participants had a mean age of 27.62 +/- 5.28 years. They had a mean SCCS score of 3.88 +/- 0.50. Three factors affected participants' spiritual care competence. First, head nurses had a higher mean SCCS score than nurses (4.16 +/- 0.26 vs. 3.87 +/- 0.50). Second, participants who met patients' spiritual care needs had a higher mean SCCS score than those who could not (4.02 +/- 0.54 vs. 3.09 +/- 1.12). Third, participants who could diagnose patients for spiritual care had a higher mean SCCS score than those who could not (p<.05). Conclusion. These nurses had above-average spiritual care competence. Universities and health care institutions should provide nurses with training to help them develop spiritual care competence.Öğe The views of the academicians related to academic career levels and promotion criteria(Deomed Publ, Istanbul, 2017) Karatas, Tugba; Ozen, Sukru; Gulnar, EmelIn this study, the views of the university faculty members related to academic career process and academic promotion criteria have been discussed. For this reason, fifteen academicians were interviewed. As a result of the study, it has been understood that the career process of the faculty members have been affected by many factors such as personal or environmental factors positively or negatively, faculty members have many anxiety during the scientific research and academic performance evaluation criteria which will be used to evaluate the properties of qualified academics should be qualitative base instead of quantitatively.
