This mixed‐methods study aimed to determine nurses’ views on the use of the Turkish version of the World Health Organization's Surgical Safety Checklist (SSC). Phase 1 of the study consisted of a survey of perioperative and surgical nursing unit nurses’ perceptions on the use of the SSC. The results showed that personnel believed that every step of the checklist was not always applied and that an increased workload and the lack of team cooperation negatively affected the use of the checklist. Phase 2 of the study involved RN circulator interviews and focused on their experiences using the SSC, the obstacles to SSC implementation, and ways to increase compliance. We interviewed 126 nurses during phase 1 and 20 nurses during phase 2. We analyzed the interviews and identified three themes: the importance of using the SSC, barriers to using the checklist, and compliance with the checklist and applicability.
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This study was conducted to determine the effect of a structured education program on the ability of nurses to identify and evaluate forensic cases. The study is an intervention study with a pretest, post-test, and follow-up test design. The population of the study is composed of 130 nurses working in a University Research and Application Hospital in Central Anatolia in Turkey. The sample size was not calculated as the aim was to reach the whole population. The study was completed with 42 nurses who agreed to participate in the study. The data of the study were collected by using the Nurse Information form and Forensic Cases Identification and Evaluation Knowledge form. The pre-test was done one week earlier than the training, the post-test was done just after the training, and follow-up was done one month later after the training. The average age of the nurses was found to be 30.11±4.87, 69% of the participants were married, and 59.5% hold a bachelor's degree. When nurses' Forensic Case Identification and Evaluation Information Form mean scores were compared, the mean score was 4. 57±1.98 in the pre-test, 11.73±4.09 in post-test, and 9.88±3.40 in follow-up done one month later. It was determined that there was a significant increase in nurses' average of the post-test and follow-up scores according to pre-test (p<0.05). It was found that the number of the nurses' correct answers regarding the collection of evidence increased significantly after training and in the follow-up. It has been determined that education has a positive effect on the level of knowledge about the identification and assessment of forensic cases. It is recommended that nurses be given in-service training on the evaluation of forensic cases and evidence identification, collection, and recording. Also, forensic nursing certificate programs can be made more common.
The aim of this study is to determine the effect of cooperation between physicians and nurses working in surgical clinics on the tendency of nurses to make medical errors. The research was carried out in a descriptive manner at Yozgat Bozok University Research and Application Center surgical units between April-May 2021. 130 surgical nurses and 40 surgeons were included in the study. In the evaluation of the data, independent two-sample t-test, Mann-Whitney U test, one-way analysis of variance, Duncan test, Kruskal Wallis test, Pearson correlation coefficient, and regression analysis were used. When the Jefferson Physician and Nurse Professional Collaboration Scale mean scores of physicians and nurses were examined; the mean score of nurses was 52.2±5.8, and the mean score of physicians was 50.7±4.6. Nurses' Malpractice Tendency Scale mean score was determined as 236.1±16.5. It was determined that when the Jefferson Physician and Nurse Professional Collaboration Scale score of the nurses increased by one unit, the Malpractice Tendency Scale score increased by 1.247. Statistically, it was determined that there was a weak positive relationship (p<0.05). The existence of a healthy and effective cooperation system between physicians and nurses in surgical units is important in preventing medical errors. In our study, it was determined that the physician-nurse relationship in surgical units had an effect on the medical error tendency of nurses. In line with the data obtained, it is recommended to measure the reflections of the trainings on the cooperation in order to increase the effective trainings in changing the professional communication within the team on doctor-nurse cooperation in a positive way and to strengthen the concrete data.
COVID-19 pandemi döneminde hem hasta beklentileri hem de hastane içi alınması gereken tedbirler değişmiştir. Hastane içerisinde bulaş riskini en aza indirecek maske, mesafe ve hijyen gibi unsurlar önem kazanmıştır. Bu bağlamda da sağlık hizmeti sunan kurumların hasta beklentilerini karşılayarak kaliteli hizmet sunma parametrelerini iyileştirmeleri gerekmektedir. Özellikle pandemi döneminde, cerrahi tedavi alan hastalar için ameliyat öncesi, anı ve sonrası hareketlilik nedeniyle bulaş ve ölüm korkusunun artabileceği ve hizmet kalite algısının etkilenebileceği düşünülmüştür. Bu çalışmada COVID-19 pandemi döneminde hastanelerde sağlık hizmeti alan cerrahi hastaların algıladıkları hizmet kalitesine ilişkin görüşlerinin belirlenmesi amaçlanmıştır. Bu araştırmada, nitel araştırma desenlerinden durum çalışması kullanılmıştır. Araştırma evrenini, Yozgat Bozok Üniversitesi Araştırma ve Uygulama Hastanesi cerrahi servislerinde yatan hastalar oluşturmaktadır. Araştırma örneklemi 15.11.2021-15.12.2021 tarihleri arasında cerrahi birimlerde yatan; operasyon geçirmiş, araştırmaya katılmaya gönüllü olan ve iletişim problemi olmayan 30 hastadan oluşmaktadır. Veriler tanıtıcı bilgi formu ile araştırmacılar tarafından oluşturulmuş yarı yapılandırılmış görüşme formu ile toplanmıştır. COVID-19 pandemisi döneminde cerrahi servislerde yatan hastaların sağlık hizmet kalitesine ilişkin görüşlerinin olumlu olduğu, cerrahi servislerde yatan birimlerde koronavirus salgını merkezli tedbirlerin üst düzeyde alındığı, afiş ve bilgilendirme çalışmalarının ise iyileştirilebileceği sonucuna varılmıştır.
Objective: This study is a descriptive study conducted to examine skin dryness, pH level, skin turgor and the affecting factors in the elderly staying in nursing homes. Method: The study population was composed of 53 elderly who stayed in a care and rehabilitation center. 50 elderly who met the participant selection criteria and who gave their consent to participate were included. Elderly Information Form and devices that measure skin moisture and pH were used as the data collection tools. Descriptive statistics, Man-Whitney U test and Spearman correlation test were used. Results:The results of the study revealed that the rate of arm dryness in the female elderly was higher compared to the male elderly and that skin turgor duration was longer in the elderly with cardiovascular diseases. When the relationship between water-fluid consumption of elderly and skin turgor duration was examined, it was seen that the duration of skin turgor extends as water-fluid consumption decreases. Conclusion: Dry skin was observed in all the elderly staying in the nursing homes; the duration of skin turgor extended; and skin pH was at normal levels. It was further revealed that daily water-fluid intake of the elderly affected the duration of skin turgor.
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