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    Emergency service units in Turkey don't have enough resources to implement the one- hour sepsis bundle components and sepsis guidelines recommendations, 238 emergency department directors opinion
    (2020) Elay, Gulseren; Al, Behcet
    Aim: Aim of this study is to investigate whether emergency rooms in Turkey have sufficient resources to treat sepsis patients. Sepsis has a high incidence and can result in multiple organ failure and death within hours if not rapidly intervened. Septic patients, are generally first admitted to the emergency departments. In the management of these patients, it is very important to have well -knowledged team and enough resources.Materials and Methods: A questionnaire regarding whether education and emergency room resources were sufficient to diagnose and treat sepsis was e-mailed to the directors of emergency department. Data collection took place from December 17, 2019 to December 27, 2019.Results: The study included 238 participants, of who worked in university hospitals, training and research hospitals, state hospitals, and inprivate hospitals. The first health care professional to examine emergency patients was a physician in 162 of the hospitals, and a nurse in 76. Sepsis treatment was delayed due to laboratory test delays in 77 hospitals, triage patient non-determinability in 62, and diagnosis delays in 33. Staffing was inadequate, with 54 participants reporting difficulties in reaching an emergency medicine physician, 124 in reaching an infectious disease physician, 203 in reaching a microbiologist, and 125 in reaching an intensive care physician.Conclusion: Emergency rooms in Turkey suffer from limited resources to properly implement sepsis treatment guidelines and bundles. Resources should be improved.
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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.