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Öğe Artemisinin reduces acute ovarian ischemia-reperfusion injury in rats(Pergamon-Elsevier Science Ltd, 2023) Osmanlioglu, Seyma; Arslan, Mustafa; Dag, Rumeysa Osmanlioglu; Yigman, Zeynep; Ceyhan, Mueserref Seyma; Er, Fatma; Kavutcu, MustafaArtemisinin (ARS) is well known as an effective agent in the treatment of malaria through the rapid elimination of Plasmodium falciparum parasites. This study aims to investigate the effect of ARS in treating adnexal torsion, one of the most common gynecological surgical emergencies. ARS was administered intraperitoneally once 30 min before unilateral ovarian torsion in two different doses (10 mg/kg vs. 50 mg/kg). Torsion was maintained for 3 h and then held in the detorted state for 3 h. Bilateral adnexectomy was performed to measure antioxidant enzyme activities and oxidant levels on the ipsilateral ovary and to make histopathological and immunohistochemical analyses on the contralateral ovary. Ischemia-reperfusion (I/R) injury dramatically upregulated the activities of CAT, GST, and MDA levels in the ipsilateral ovary, which were all downregulated by ARS treatment. A significant increase in follicular cell degeneration, congestion, and edema in the contralateral ovary was seen in the I/R group, which was significantly reduced with ARS treatment. Furthermore, I/R injury resulted in a significant increase in apoptosis as shown by the increased levels of BAX and CASP-3, and decreased levels of BCL-2 whereas ARS significantly reduced the impact of the injury. Our data, based on a rat I/R injury model, show that both ipsilateral and contralateral ovaries are protected with ARS pretreatment, and 50 mg/kg ARS treatment demonstrates to be more effective than the 10 mg/kg ARS.Öğe Causal Attribution Training to Help Nurses Identify Causes of Medical Errors: A Randomized Controlled Trial(2021) Er, Fatma; Erci, BehiceObjective: This research was conducted to determine the effect of the training given in line with the causal attribution theory on the nurses' determination of the causes of medical errors. Material and Methods: The population of this study, which was performed by using pre-test-post-test controlled randomized real trial method consisted of nurses working in inpatient treatment units of Bingöl State Hospital and Elazığ Training and Research Hospital (n=675). In the power analysis performed to determine the sample size of the study, the minimum sample size was determined as 176 nurses (88 in the experimental group, 88 in the control group). The experimental group was provided training on “Determination of the Causes of Medical Errors by Nurses” in line with Causal Attribution Theory. The data were collected using a Personal Information Form and the Causal Dimension Scale II. Results: An intergroup comparison of the mean post-test scores of the experimental and control groups revealed that there was a statistically significant difference between the groups. Conclusion: While there was no significant change between the groups in the pre-test evaluation of the experimental and control group mean scores, it was determined that there was a significant difference between the groups in the experimental group compared to the control group in the post-test evaluation. After the training given to the experimental group in line with the Causal Attribution Theory, it was determined that there is consistency in the uploads of the nurses regarding the causes of medical errors.Öğe The effect of health anxiety levels experienced by nurses in the COVID-19 period on conscience perceptions: A cross-sectional study Health Anxiety Experienced by Nurses(Routledge Journals, Taylor & Francis Ltd, 2022) Er, Fatma; Kizilkeci, Cihan VolkanThis study sought to determine the effect of health anxiety levels experienced by Turkish nurses upon their perceptions of conscience during COVID-19. The study was a cross-sectional study involving nurses working in X Hospital (n:207). The study data were collected using Personal Information Form, Health Anxiety Inventory, and Perception of Conscience Scale. The average total Health Anxiety Inventory score was 15.34 +/- 5.93 (low). The mean total Perception of Conscience Scale score was 65.67 +/- 10.27 (high). The independent variables were effective on perception of conscience at an effect size of 0.11.Öğe The effect of nurses’ work-family conflicts on their work performance(2022) Er, FatmaAim: This research was conducted to determine the effect of nurses' work family life conflict on job performance. Methods: The population of this cross-sectional study consists of nurses (N=900) working at Turgut Özal Medical Center. In the study, the sample selection method was not used, and the whole universe was tried to be reached. The study was completed with 278 nurses who voluntarily participated in the study. Work-Family Conflict Scale and Task Performance Scale were used as data collection tools. Results: In the study, the total mean score of the Work-Family Conflict Scale of the nurses was 31.89±7.47, and the mean score for the sub- dimensions was 19.28±4.65 for Work-Family Conflict, 12.61±4.72 for Family-Work Conflict. As a result of this research, the total mean score of the nurses' Task Performance Scale was determined as 45.50±7.11. It was determined that the work-family conflict of nurses did not affect their job performance (R2=0.011, p>0.05). Conclusion: Nurses were found to have moderate work-family conflict and their task performance was found to be higher than the average. In addition, it was determined that the work-family conflict of nurses did not affect their job performance.Öğe The effects of perceived organizational support on attitudes toward medical errors in surgical nurses: A cross-sectional study(Wiley, 2023) Er, Fatma; Ozkan, MeralAimThis study aims to determine the effects of perceived organizational support on attitudes toward medical errors in surgical nurses.BackgroundNurses exhibit high performance in a work environment that supports, satisfies, and motivates them. Organizational support is one of the factors affecting the work environments of nurses. A strong nursing and hospital leadership supports the daily professional practices and well-being of nurses and is important in creating a positive work environment for nurses.Materials and methodsThe population of this cross-sectional study was composed of nurses (N = 414) in the surgical clinics of the Turgut ozal Medical Center. To reach the necessary sample size, the purposive sampling method, which is a nonprobability sampling method, was used. The data were collected using a personal information form, the Perceived Organizational Support Scale and the Scale of Attitudes toward Medical Errors.ResultsIt was determined that 91.1% of the participants had positive attitudes toward the importance and reporting of medical errors and moderate perceived organizational support (3.04 & PLUSMN; 0.67). The organizational support perceived by the participants did not have a statistically significant effect on their attitudes toward medical errors (& beta; = 0.015; p = 0.865). The multiple linear regression model established in the study revealed that education level and previous medical error status were significant predictors of the attitudes of the participants toward medical errors.ConclusionIt was determined that surgical nurses had positive attitudes toward the importance and reporting of medical errors and moderate perceived organizational support levels, and perceived organizational support did not significantly affect attitudes toward medical errors in surgical nurses.Implications for nursing practice and health policyIn this study, it was determined that the perceived organizational support levels of surgical nurses did not have a significant effect on their attitudes toward medical errors. Assuming that adequate organizational support will reduce medical error rates, it is considered important to develop and implement policies to increase organizational support levels. Likewise, the use of safety reporting systems should be expanded to reduce medical error rates, reports should be used only to prevent and reduce risks, and systems and strategies should be developed instead of blaming individuals. In addition to the reporting of confirmed medical errors to ensure patient safety, the reporting of so-called near misses is also very important. For this reason, institutional support should be provided regarding the importance of near miss events in error reporting. Necessary practices should be provided to identify, report, correct, and prevent these events.Öğe Factors Affecting the Occupation Choices of Intern Nursing Students and Their Effects on Professional Value Perceptions: A Cross-Sectional Study(2022) Er, FatmaAim: This study aimed to determine the effects of the factors affecting the occupation choices of intern nursing students on their perceptions of professional values. Method: The population of this cross-sectional study consisted of intern nursing students (N:280) studying at the Faculty of Nursing at a public university. No sample selection method was used in the study, aiming to reach the entire population. 181 students agreed to participate in the study. The study data were collected using a Personal Information Form, the Vocational Choices in Entering Nursing Scale, and the Nurses Professional Values Scale-Revised. Results: In the occupation choices of the participants, the most effective factors were found to be related to the items “I have always wanted to help people” (69.83±2.98) and “I believe that one cannot become unemployed in nursing” (61.87±3.07). It was determined that the independent variables were effective on the perception of professional values with an effect size of 0.25. Conclusions: The occupation choices of intern nursing students affect their perceptions of professional values. In line with the results of this study, to enable students who will take university exams to make the right choice of occupation, programs containing information about the nursing profession may be organized in the nursing departments of universities, and guidance can be provided in this regard.Öğe Nedensel yükleme kuramı doğrultusunda verilen eğitimin hemşirelerin tıbbi hata nedenlerini belirlemelerine etkisi(İnönü Üniversitesi, 2016) Er, FatmaBu araştırmanın amacı, hemşirelere verilen nedensel yükleme eğitiminin hemşirelerin tıbbi hatalarla ilgili doğru nedensel yüklemeler yapmalarına etkisini belirlemek için yapılmıştır. Materyal ve Metot: Ön test-son test kontrol gruplu gerçek deneme modeli olarak yapılan bu araştırmanın evrenini, Bingöl Devlet Hastanesinin ve Elazığ Eğitim ve Araştırma Hastanesinin, yataklı tedavi birimlerinde görev yapan hemşireler oluşturmuştur (N=675). Araştırma örnekleminin oluşturulmasında güç analizi yapılmıştır ve örneklem büyüklüğü en az 176 hemşire olarak belirlenmiştir. (88 deney, 88 kontrol grubu) Hemşireler olasılıklı örnekleme yöntemlerinden basit rastgele örnekleme yöntemi ile örneklem grubuna seçilmiştir. Araştırma 80 hemşire deney, 80 kontrol grubu olarak tamamlanmıştır. Veriler, Ocak–Nisan 2016 tarihleri arasında toplanmıştır ve verilerin elde edilmesinde Kişisel Bilgi Formu ve Nedensel Boyutlar Ölçeği II kullanılmıştır. Deney grubundaki hemşirelere araştırmacı tarafından Nedensel Yükleme Kuramı doğrultusunda, "Hemşirelerin Tıbbi Hataların Nedenlerini Belirlemesi" konulu eğitim verilmiştir. Kontrol grubundaki hemşirelere herhangi bir girişim uygulanmamıştır. Verilerin değerlendirilmesinde sayı, yüzdelik, ortalama, standart sapma, ki-kare, bağımlı gruplarda t testi, bağımsız gruplarda t testi ve Cronbach Alpha Katsayısı kullanılmıştır. Bulgular: Deney ve kontrol grubu ön test puan ortalamalarının gruplar arası karşılaştırılmasında; Nedensel Boyutlar Ölçeği II'nin Nedensellik Odağı, Dışsal Kontrol ve İstikrar alt boyutlarının puan ortalamaları yönünden gruplar arasındaki farkın istatistiksel olarak önemli olmadığı saptanmıştır (p>0.05). Deney ve kontrol grubu son test puan ortalamalarının gruplar arası karşılaştırılmasında; Nedensel Boyutlar Ölçeği II' nin Nedensellik Odağı, İstikrar ve Kişisel Kontrol alt boyutlarının puan ortalamaları yönünden gruplar arasındaki farkın istatistiksel olarak önemli olduğu belirlenmiştir (p=0.005, p=0.000, p=0.002). Sonuç: Deney grubuna Nedensel Yükleme Kuramı doğrultusunda verilen eğitim sonrasında, hemşirelerin tıbbi hataların nedenlerine yönelik yaptıkları yüklemelerde tutarlılık olduğu (Nedensel Boyutlar Ölçeği II' nin alt boyutlarından Nedensellik Odağı alt boyutunun puanının artması, İstikrar alt boyutunun puanının azalması gibi) belirlenmiştir.Öğe The Relationship Between Nursing Students’ Education Stress Level and Their Perception Level Professional Values(2021) Er, FatmaAim: The purpose of this study was to determine the relationship between nursing education stress levels and senior year nursing students’ perception level of professional values. Introduction: In addition to the difficulties of university education, nursing students experience intense stress during theoretical and clinical practice due to encounters related to patients, patient relatives, educators, and the hospital environment. In addition, stress may negatively affect academic functioning, reduce educational efficiency, and negatively impact learning, performance, and professional identity acquisition. Method: This research is relational and descriptive. A total of 300 a nursing faculty senior year students were recruited for the study. A sampling method was not used in the study; instead, it aimed to reach participants worldwide. The research was completed with 255 students who agreed to participate in the research. The research data were collected using the Personal Information Form, Nursing Education Stress Scale, and the Nurses’ Professional Values Scale. Results: The study found that nursing students in their senior year had high stress levels, and their perception of professional values were positive. It was determined that there was a significant positive correlation between the total and sub-dimensions mean scores of the Nursing Education Stress Scale, the Nurses’ Professional Values Scale total, and factors’ mean scores (p<0.05). It was observed that, as stress increased, their perception of professional values also increased. Conclusions: In line with the results of this research, it is recommended to determine the factors that cause stress in the academic and clinical application areas of the students and to reorganise nursing education programs to create programs to help nursing students cope with these stress factors.Öğe Validity and Reliability of The Turkish Version of The Solid Waste Management Scale in Health Institutions(2021) Er, Fatma; Sever Aslan, Derya; Alaman, Mehtap; Çetin, Yasin; Erci, BehiceAim: This research was conducted with the aim to determine the validity and reliability of the Turkish version of the Solid Waste Management Scale in health institutions. Method: The study population consisted of nurses working in two different hospitals (918 + 939 = 1857 nurses). The samples were selected from the universe using the improbable sampling method. The data were collected by a Personal Information Form and the Solid Waste Management Scale in Healthcare Institutions. The data were analyzed based on the computations of descriptive statistics including mean, standard deviation, frequencies, percentages , Cronbach’s alpha reliability coefficient, Pearson Product Moments Correlation, Factor Analysis, Bartlett’s Test, and Kaiser-Meyer-Olkin Test. Results: The content validity index of the scale was found to be 0.98. The Cronbach’s alpha reliability coefficients of the scale ranged between 0.59, and 0.73, while the item factor loads between 0.31, and 0.94, and the item-total correlation values between 0.21, and 0.77. The factorial structure of the scale was confirmed as a result of the Exploratory and Confirmatory Factor Analyses. Conclusion: The Turkish version of the Solid Waste Management Scale in Health Institutions showed that it is a valid and reliable tool for determining the level of knowledge and attitudes of nurses working in health institutions about solid waste management. This scale, whose validity and reliability has been tested, can be used to determine the attitudes and knowledge levels of nurses working in health institutions on solid waste management.
