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Öğe Beyond the physical realm: exploring the relationship between spiritual well-being and spiritual care competence(Bmj Publishing Group, 2025) Olmaz, Dilek; Ozden, Gurkan; Parlar Kilic, SerapObjectives This study aimed to investigate the relationship between nurses' spiritual well-being and their competence in providing spiritual care, and to identify influencing factors among Turkish nurses.Methods A descriptive and correlative design was employed, involving 520 nurses from two hospitals in eastern Turkey. Data were collected online using Google Forms, which included a demographic questionnaire, the three-factor Spiritual Well-being Scale and the Spiritual Care Competence Scale. The study was conducted between August 2019 and June 2020.Results A significant positive correlation was found between nurses' spiritual well-being and their spiritual nursing competence (r=0.320, p=0.019). Factors, such as work duration, marital status, patient load, experience, education and information, influenced these attributes. Ageing has also been found to reduce well-being and competence.Conclusions Nurses' spiritual well-being and competence in providing spiritual care were moderately positively and significantly correlated. Education, experience and engagement in religious activities enhanced these attributes. Future research should explore additional influencing factors and incorporate spirituality into nursing education to improve the quality of holistic care.Öğe Care Burden and Quality of Life in Family Caregivers of Palliative Care Patients(Routledge Journals, Taylor & Francis Ltd, 2021) Cengiz, Zeliha; Turan, Mensure; Olmaz, Dilek; Erce, CigdemThis research was conducted for the purpose of examining the care burden and quality of life in family caregivers of palliative care patients. The research design was a descriptive correlational study conducted with the caregivers of 163 patients residing in palliative care units. Data were collected via a demographic survey, The Zarit Burden Interview (ZBI) and the World Health Organization Quality of Life Assessment (WHOQOL). The results showed that there was a negative correlation between ZBI and WHOQOL scores. Further, there was a significant negative correlation between many subdimensions of the ZBI (general quality of life, general perception of health, being satisfied with daily life skills, home conditions, energy and self-satisfaction) and the WHOQOL. Quality of life thus appeared to be reduced in family members with a high level of care burden and that the quality of life of caregivers depends on the individual characteristics of the caregiver. Social workers, nurses and physicians should regularly assess the burden and quality of life of caregivers.Öğe Effects of Pre-Aspiration Chest Physiotherapy Techniques on Vital Signs, Blood Gas Values and Secretions in Mechanically Ventilated Patients(Wiley, 2026) Olmaz, Dilek; Parlar Kilic, SerapBackground: Accumulation of secretions in the airways of patients on mechanical ventilation (MV) can lead to serious complications. Chest physiotherapy (CP) techniques can be used prior to endotracheal aspiration to facilitate the removal of secretions accumulated in the respiratory tract. Aim: This study was carried out to determine the effect of CP techniques applied before aspiration on the vital signs, blood gas values and amount of secretion in patients on MV support. Study design: This randomised controlled trial was conducted in a State Hospital critical care unit with patients on MV support. The study was designed to include three groups: a percussion vibration (PV) group (n = 26) an expiratory rib compression (ERCC) group (n = 26) and a control group (n = 26). All three groups underwent two aspirations, three hours apart. Three hours after the first aspiration, CP techniques were applied to the two experimental groups, but not to the control group. A second aspiration was then performed. Vital signs and blood gases were measured before and after both aspiration procedures, and the amount of secretion collected during the two aspiration procedures was weighed. Results: The study was completed with 78 patients. During the second aspiration, ERCC patients showed significant increases in diastolic blood pressure (DBP: 69.38 +/- 10.58 -> 73.23 +/- 11.84 mmHg; p = 0.004; 95% CI: -3.250, 3.327) and heart rate (81.35 +/- 10.43 -> 85.73 +/- 11.39 bpm; p = 0.004; 95% CI: -3.250, 3.327). Respiratory rate and body temperature also increased significantly (p = 0.006 and p = 0.034). SpO2 increased in both PV (97.35 +/- 1.67 -> 97.81 +/- 1.55%; p = 0.014) and ERCC (96.01 +/- 2.66 -> 96.67 +/- 2.58%; p = 0.039) groups. No significant changes were observed in secretion weight or volume across groups, although PV and ERCC showed an increasing trend and the control group a decreasing trend (p > 0.05). Conclusions: It was determined that CP techniques had an effect on DBP, heart rate, respiratory rate and SpO2 in patients under MV support, but had no effect on other parameters. Relevance to clinical practice: The use of CP techniques by critical care nurses before aspiration may facilitate the removal of secretions in patients receiving MV support, prevent complications related to secretions and positively improve vital signs and hemodynamic indices. Trial registration: ClinicalTrials.gov. No: NCT06277817.Öğe Mekanik ventilasyon desteğinde olan hastalarda aspirasyon öncesi uygulanan göğüs fizyoterapi tekniklerinin yaşam bulguları, kan gazı değerleri ve sekresyon miktarına etkisi(İnönü Üniversitesi, 2023) Olmaz, Dilek; Kılıç, Serap ParlarAmaç: Bu araştırma mekanik ventilasyon desteğinde olan hastalarda aspirasyon öncesi uygulanan göğüs fizyoterapi tekniklerinin yaşam bulguları, kan gazı değerleri ve sekresyon miktarına etkisinin belirlenmesi amacıyla yapıldı. Materyal ve Metot: Randomize, kontrollü ve deneysel olarak yapılan bu araştırma Mayıs 2021-Mayıs 2023 tarihleri arasında Tunceli Devlet Hastanesi yoğun bakım ünitelerinde mekanik ventilasyon desteğinde olan hastalar ile yürütüldü. Araştırma perküsyon vibrasyon grubu (n=26), ekspiratuar göğüs kafesi kompresyon grubu (n=26) ve kontrol grubu (n=26) olmak üzere toplamda 78 hasta ile tamamlandı. Veriler "Hasta Tanıtım Formu", "Yaşam Bulguları Kayıt Formu", "Kan Gazı Değerleri Kayıt Formu" ve "Sekresyon Miktarı Kayıt Formu" ile toplandı. Her üç gruba üç saat ara ile iki aspirasyon işlemi yapıldı. Birinci aspirasyondan üç saat sonra iki deney grubuna göğüs fizyoterapi teknikleri uygulandı, ancak kontrol grubuna uygulanmadı. Ardından ikinci aspirasyon işlemi yapıldı. Her iki aspirasyon işlemi öncesi ve sonrası yaşam bulguları, kan gazları ölçüldü ve iki aspirasyon işlemi sırasında toplanan sekresyon miktarı tartıldı. Bulgular: Gruplar arası zamana göre karşılaştırmada; birinci aspirasyon sürecinde kalp hızında, ikinci aspirasyon sürecinde ise diyastolik kan basıncı ve solunum sayısında istatistiksel olarak anlamlı değişim bulundu (p<0.05). Gruplar arası bağımsız karşılaştırmada; diyastolik kan basıncı, solunum sayısı ve periferik SpO2 değerinde istatistiksel olarak anlamlı farklılık bulundu (p<0.05). Grup içi karşılaştırmalarında; sekresyon ağırlık ve miktar ortalamaları her üç grupta anlamlı bir değişim göstermezken (p>0.05), perküsyon-vibrasyon ve ekspiratuar göğüs kafesi kompresyonu gruplarında artma eğiliminde, kontrol grubunda ise azalma eğiliminde olduğu bulundu. Sonuç: Göğüs fizyoterapi tekniklerinin mekanik ventilasyon desteğindeki hastalarda diyastolik kan basıncı, kalp hızı, solunum sayısı ve periferik SpO2 üzerinde etki sağladığı, diğer parametrelerde bir etki yaratmadığı belirlendi.Öğe Perception of spiritual care among palliative care nurses: cross-sectional study in eastern Turkey(Mark Allen Group, 2021) Cengiz, Zeliha; Olmaz, Dilek; Turan, MensureBackground: Spiritual care is an integral part of palliative care. A nurse's perception of spiritual care is an effective factor for giving spiritual care. Aim: To determine the perception of spiritual care and the variables that might affect the perception of spiritual care among palliative care nurses. Methods: This cross-sectional study included 51 nurses working in the palliative care units. Perceptions of spiritual care was measured with the Spiritual Support Perception Scale. Findings: The mean score of the perception of the spiritual care of the nurses was found to be 64.22 +/- 9.25. A negative correlation was found between the nurses' mean score of the perception of spiritual care and the number of patients to whom those nurses provided daily care. Conclusion: This study has found that palliative care nurses had a high level of perception of spiritual care. Based on the study results, it was determined that the number of patients receiving daily care was a predictor for the perception of spiritual care.
