Browsing by Author "Eren H."

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Effect of Fist Clenching on Vein Visibility and Palpability: An Observational Descriptive Study
(2022-09-01) Eren H.; Caliskan N.; Durmus Iskender M.
No information exists on the minimum number of times that fist clenching should be performed to increase vein visibility and palpability. In this study, the researchers aimed to determine the average number and duration of fist clenching to increase vein visibility and palpability before peripheral intravenous catheter insertion. This observational study included 207 healthy individuals. Participants meeting the inclusion criteria were asked to perform fist clenching. The number and duration of fist clenches performed to increase dorsal metacarpal vein and cephalic vein grade were determined. The participants carried out fist clenching 7.57 ± 4.26 times for the first increase and 22.16 ± 7.93 times for the second increase in dorsal metacarpal vein grade. Fist clenching was carried out 10.05 ± 7.30 times for the first increase and 21.30 ± 7.86 times for the second increase in cephalic vein visibility. A statistically significant, weak, but positive relationship was observed between the duration of fist clenching and the change in dorsal metacarpal vein grade and anxiety level (r = 0.194, P <.005). However, the relationship was negative between room temperature and the duration of fist clenching in dorsal metacarpal vein grade (r = -0.207, P =.003). This inexpensive and simple technique should be performed in specified numbers before catheter insertion.
Effect of preoperative in-bed exercises and mobilization training on postoperative anxiety and mobilization level
(2020-10-01) Iskender M.D.; Bektas O.; Eren H.
Aim: This study examines the effect of preoperative training on postoperative mobility and anxiety levels in patients undergoing total knee arthroplasty. Methods: This was a randomized controlled study. The sample of this study consisted of 60 (30 experimental group, 30 control group) total knee arthroplasty patients who were admitted to a public hospital's orthopedic department between January 2019 and May 2019. To collect data, a demographic information form, patient mobility scale, observer mobility scale, and state–trait anxiety inventory were used. The patients in the intervention group practiced bed exercise and mobilization training before total knee arthroplasty surgery. The control group had no intervention. Results: It was determined that the patient mobility scale (2.0 ± 0.83) and observer mobility scale scores (6.93 ± 1.61) of the patients in the experimental group were significantly lower than the patients in the control group (respectively: 4.16 ± 1.31, 11.0 ± 1.74; p <.05). In the postoperative period, the mean scores of the state (38.86 ± 6.11) and trait anxiety scores (38.26 ± 3.85) of the patients in the experimental group were found to be significantly lower than the patients in the control group (respectively: 59.03 ± 9.10, 43.80 ± 4.38; p <.05). Conclusion: Preoperative training reduced the postoperative anxiety and increased the level of patient mobility after total knee arthroplasty in this study.
Ethical Discourse of Medical Students on the Phenomenon of Death: A Qualitative Study
(2021-01-01) Keleş Ş.; Gül Ş.; Yıldız A.; Karabulut S.D.; Eren H.; İskender M.D.; Baykara Z.G.; Yalım N.Y.
The aim of this study is to discover medical students’ ideas on the phenomenon of death; produce information on how these students interpret the value-related problems regarding death that they come across in different units of hospitals; and assess this data in ethical terms. This study included a qualitative research in which 12 focus group interviews were conducted with 92 fifth- and sixth-year medical students. Data obtained from interviews were assessed using a thematic content secondary analysis. The main themes were specified according to the medical students’ statements and were reviewed under the contexts of the “dying process”; “effects of death”; “attitude and behavior of health professionals”; “seeing a dead body/looking at a dead body”; “accepting death”; and “forms of expressions of death.” Medical students’ encounters with death in different units of hospitals leads them to question their values and familiarize themselves with the borders of their areas of profession.
Nursing Students’ Experiences With Death and Terminal Patients During Clinical Education
(2022-08-01) Gül Ş.; Demir Karabulut S.; Eren H.; Durmuş İskender M.; Göçmen Baykara Z.; Keles Ş.; Yıldız A.; Yalim N.Y.
The aim of this study is to explore nursing students’ experiences with death and terminal patients during clinical education. A secondary analysis of qualitative data that were collected through 11 focus group interviews with nursing students was performed. Data obtained from the interviews were analyzed using thematic analysis. There were a total of 9 themes across 3 contexts. Data were grouped under the following themes: feelings experienced when encountering death for the first time, reactions to the first encounter with death, factors affecting the reactions to death, involvement in terminal patient care, being informed about the physical process that terminal patients are going through, students’ approach toward terminal patients and their relatives, health professionals’ approach toward terminal/dying patients/their relatives, changes in the ideas about death, and changes in the ideas about terminal/dying patients. The study shows a lack of guidance on the part of teachers who also avoid patients and families who are considered terminally ill.
The effect of COVID-19 vaccine literacy on attitudes towards COVID-19 vaccine among university students
(2023-09-01) Durmuş Iskender M.; Eren H.; Durmuş A.
The effect of professional education on medical and nursing students’ attitudes toward death
(2022-01-01) Gocmen Baykara Z.; Keles S.; Demir Karabulut S.; Gul S.; Eren H.; Durmus Iskender M.; Yildiz A.; Kavas M.V.; Yalim N.Y.
This qualitative study aims to reveal the effect of professional education on medical and nursing students’ attitudes toward death. The study was carried out with nursing and medical students (N = 197). Research data was collected through semi-structured interview questions and 23 focus group interviews. The data was assessed using thematic analysis method. The themes were evaluated within the context of perception of death, ethical dilemmas, and, death education. To achieve professional competency in attitudes toward death, it is imperative to form a common educational curriculum and practice that would help students develop a mutual language and value system about death.
The relationship between emotional labor level and moral distress
(2023-01-01) Iskender M.D.; Eren H.; Çalışkan N.; Yılmaz E.
Background: The coronavirus disease (COVID-19) pandemic has implications for health professionals. Aim: The aim of this study was to explain the relationship between emotional labor levels and moral distress in health professionals during the COVID-19 pandemic using the Structural Equation Modeling (SEM) technique. Research design: A descriptive and cross-sectional study was adopted. Participants and research context: Data were collected between 7 February and 7 March 2021. 302 health professionals who were not on leave (annual leave, sick leave, prenatal and postnatal leave, etc.) at the time of the research and who volunteered to participate in the research were included. Research data were collected using a “Personal Information Form,” the “Emotional Labor Scale” and the “Moral Distress Thermometer.” Ethical considerations: The Ethics Committee approved the study (dated 07.01.2021 and numbered 2021/1-3). The participants were informed of the study aim and written consent was obtained before completing the survey. Findings: In the present study, the mediator role of emotional labor in the effect of providing service to a patient with COVID-19 and having had COVID-19 on moral distress was examined in health professionals and it was found that there was a correlation between providing service to a patient with COVID-19 and moral distress regardless of whether or not emotional labor had a role in this relationship. Conclusion: In this study, the relationship between the level of emotional labor and moral distress in health professionals during the COVID-19 pandemic was evaluated with a structural equation model.