Amaç: Çalışmada yoğun bakım hemşirelerinin nozokomiyal enfeksiyonların önlenmesine ilişkin izolasyon yöntemlerine uyumları ve ilişkili faktörlerin incelenmesi amaçlanmıştır.Yöntem: Tanımlayıcı bir çalışma olarak Ege ve Marmara Bölgelerinde bulunan bir devlet ve iki sağlık uygulama ve araştırma hastanelerin cerrahi yoğun bakım ünitelerinde gerçekleştirilmiştir. Çalışmaya toplam 103 hemşire dahil edilmiştir. Verilerin toplanmasında yoğun bakım ünitelerinde yüz yüze görüşme tekniği kullanılmıştır. Verilerin toplanmasında geliştirilen ‘Sosyodemografik Bilgi Formu’ ve ‘İzolasyon Önlemlerine Uyum Ölçeği’ kullanılmıştır. Bulgular: Çalışmada hemşirelerin İzolasyon Önlemlerine Uyum Ölçeği puan ortalaması 77.72±9.12 bulunmuştur. Ölçeğin alt boyutları olan bulaşma yolu, çalışan ve hasta güvenliği, çevre kontrolü ve el hijyeni-eldiven kullanımı puan ortalamaları sırası ile 21.93±2.61, 25.66±3.60, 17.04±2.38 ve 13.07±2.60 bulunmuştur. Kadın, lisans üstü eğitim, 25-30 yaş arası, bir yıldan az deneyimi olan, haftada 40 saatten az çalışan ve dört hastaya bakım veren hemşirelerde izolasyon önlemleri uyum puan ortalamaları diğerlerine göre yüksek bulunmasına rağmen istatistiksel olarak anlamlı fark bulunmamıştır (p˃0.05). Kadın hemşirelerde çalışan ve hasta güvenliği puan ortalaması erkeklere göre istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur (p˂0.05).Sonuç: Çalışmamızda hemşirelerin izolasyon önlemlerine uyumları yüksek bulunmuştur. Kurumların hemşirelere ilişkin haftalık çalışma saatlerinin azaltılması ve lisans üstü eğitimi desteklemeleri ayrıca hasta bakımı ve tedavisine ilişkin izolasyon önlemlerine ilişkin hizmet içi eğitimin önemli olduğu düşünülmektedir.

The purpose of the study was to examine the experiences of patients undergoing emergency surgery during the Covid-19 pandemic. In-depth semi-structured interviews were conducted with 15 patients. Data analysis was performed using MAXQDA 20 software, and the descriptive and relational analysis method was used in the analysis of the data. Three themes were defined in the study: (a) Categories of the theme of corporate obligation: Corporate protective precautions, Covid-19 related training, individual protective precautions, and preoperative preparation; (b) Categories of the theme of challenging dilemma related to surgery: psychological factors and the difficulties of surgery in the pandemic; and (c) Categories of the theme of development of professional values: Communication with health workers, support, professionalism, and patient–institute trust relationship. We determined in the study that participants had positive and negative deep experiences. In the relational analysis, participants expressed opinions about trust in hospital staff and health workers, as well as about professionalism, environmental hygiene, physical distance, and mask necessity. The results of this study could help nurses identify the needs of patients undergoing emergency surgery during the Covid-19 pandemic, including informing and training about the surgery and discharge process, healthy communication, and psychological support.

Background: The compliance of the intensive care unit (ICU) nurses regarding infection control assessment is essential for safe and quality health care. It has been seen that the knowledge of ICU nurses about nosocomial infections (NIs) is not sufficient, and they do not apply standard-contamination precautions. Objectives: This study aimed to examine the knowledge and behaviors of intensive care nurses about NIs and related factors. Methods: This descriptive-observational research was carried out in the surgical intensive care units of three hospitals in Turkey. A total of 103 eligible nurses were included in the study. An 80% classification system was used to evaluate the data. Results: The mean score of nurses' knowledge about NIs prevention was 41.52 ± 2.86. The participants' mean knowledge scores on preventing ventilator-associated pneumonia, catheter-related bloodstream infection, catheter-related urinary tract infection, and surgical site infection were 15.86 ± 1.54, 13.08 ± 1.54, 5.98 ± 0.83, and 6.59 ± 0.95, respectively. The mean behavior score for NIs prevention was found as 15.86 ± 1.54. The participants' mean scores on prevention of ventilator-associated pneumonia, catheter-related bloodstream infection, catheter-related urinary tract infection, and surgical site infection were 6.93 ± 0.89, 4.77 ± 0.82, 4.67 ± 0.71, and 1.10 ± 0.31, respectively. The mean scores of female nurses' knowledge on NIs prevention were higher than males (P < 0.05). A statistically significant difference was found between the nurses' weekly working hours and their knowledge and behavior scores regarding NIs prevention (P < 0.05). Conclusions: It was determined that the knowledge and behaviors of intensive care nurses regarding the prevention of NIs were insufficient. Also, gender and weekly working hours contribute to knowledge and behaviors related to NIs prevention.