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    Compliance With the Surviving Sepsis Campaign Bundle: A Multicenter Study From Turkey
    (Springernature, 2021) Bahar, Ilhan; Oksuz, Hafize; Senoglu, Nimet; Demirkiran, Hilmi; Aydogan, Mustafa; Tomak, Yakup; Comez, Mehmet
    Objectives Sepsis bundle compliance is not clear. We evaluated rates of compliance with sepsis bundle protocols among health care providers in Turkey. Methods Our study was carried out retrospectively. Forty-five intensive care units (ICU) participated in this study between March 2, 2018 and October 1, 2018. Results One hundred thirty-eight ICUs were contacted and 45 ICUs agreed to participate. The time taken for the diagnosis of sepsis was less than six hours in 384 (59.8%) patients, while if was more than six hours in 258 (40.2%) patients. The median linterquartile range (1QR)1 times for initial antibiotic administration, culturing, vasopressor initiation, and second lactate measurement were 120.0 (60-300) minutes, 24 (12-240) minutes, 40 (20-60) minutes, and 24 (18-24) hours, respectively. The rale of compliance with tissue and organ perfusion follow-up in the first six hours was 0%. The rates of three- and six-hour sepsis bundle protocol compliance were both 0%. The ICU mortality rates for sepsis and septic shock were 22% and 78%, respectively. The ICU mortality rates for sepsis and septic shock were 22% and 78%, respectively. Conclusions The rate of compliance with sepsis bundle protocols was evaluated in Turkey for the first time and determined to be 0%.
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    The needs of the families whose relatives are being treated in intensive care units and the perspective of health personnel
    (2020) Elay, Gulseren; Tanriverdi, Mustafa; Kadioglu, Mustafa; Bahar, Ilhan; Demirkiran, Oktay
    Aim: Meeting the family needs is one of the indicators of the quality of service provided in hospitals. The overlap between the needs and the perspective of the health workers will enable the needs to be met more quickly. Material and Methods: This study was conducted between 01.03.2019 and 01.06.2019 by using face-to-face interviews with the families whose relatives were being treated in the adult general intensive care unit (ICU) providing 26 beds in Ersin Arslan Training and Research Hospital and also with the doctors and nurses working in the same ICU. In the study, the family needs inventory, whose Turkish validity and reliability was approved, was used. The Turkish form of inventory consists of three subscales: “support and comfort need,” “proximity and safety need” and “information need”.Results: 311 family member and 68 health personnel participated in the study. The two of the first five most important family needs, is in the information need subscale, while the others are in the safety and proximity subscale class. All of the first five needs that health workers consider important are included in the safety and proximity subscale.Conclusion: The family needs and the identification of the needs by health care workers are largely overlapped. Awareness of the information subscale needs, should be raised.