Introduction: This study was conducted in order to evaluate the adaptation control onVAP prevention bundle adaptationcontrol in terms of VAP speed, length of stay at hospital and adaptation of healthcare staff to bundle application. Method:The data of the study, which was conducted in cross sectional pattern on controlled and uncontrolled groups for ten months each, was gathered via Introductory Features Form, VAP Prevention Bundle Application List and VAP Prevention Bundle Control List. Gathered data was presented in numbers, percentages, averages and standard deviations. The data was analyzed via chi square test, Mann-Whitney U and Kruskal-Wallis tests.Results: It was found out that the length of stay at hospital for controlled group (X=11.41±12.29) is fairly shorter than of uncontrolled group (X=31.41±36.41); and it was also found out that, in comparison with the controlled group (4.7%) the VAP development rate is higher with the uncontrolled group (19.6%) and the difference in percentages is statistically meaningful. With the uncontrolled group the VAP speed is measured as 7.12 ventilator days while the time is 4.14 with the controlled group; and difference in time spent on mechanical ventilator is found to be statistically highly meaningful. In this study, it was found out that the adaptation rate of doctors and nurses working at ICUs to ventilator bundle are 69.89%. Conclusion:In accordance with the gathered data, it was determined that, controlled and uncontrolled groups have similar characteristics in terms of introductory features; although the adaptation rate with controlled group is lower than the average numbers in literature, while the VAP rate and speed is higher with the uncontrolled group, these numbers decrease to statistically meaningful levels with the controlled group. In our study it was observed that, in comparison with the uncontrolled group, the length of time spent at hospital and on mechanical ventilator is statistically shorter with the controlled group.
Hemşirelik öğrencilerinin öğrenme süreçlerinde yaşadıkları stres, hem profesyonel kimlik gelişimlerini hem de sağlıklarını olumsuz yönde etkileyebilir. Bu çalışmada, bir üniversitenin Sağlık Bilimleri Fakültesi Hemşirelik Bölümünde eğitim alan son sınıf öğrencilerinin algılanan stres ve stresle baş etme davranışlarını belirlemek amacı ile yapıldı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Araştırma tanımlayıcı tiptedir. Çalışma hemşirelik son sınıf öğrencileri (190) ile birlikte yürütüldü. Veriler; "öğrenci bilgi formu", "Hemşirelik Öğrencileri İçin Algılanan Stres" ve "Stresle Baş Etme Davranışları" Ölçekleri ile toplandı. Çalışmada elde edilen bulgular SPSS 22,00 paket programı ile değerlendirildi. Tüm analizlerde anlamlılık düzeyi p<0,05 olarak kabul edildi. B Bu ul lg gu ul la ar r: : Çalışmaya katılan öğrencilerin 147 (%77,4)'si kadın olup, yaş ortalamaları 22,43 yıldır. Algılanan stres ölçeği alt boyutuna göre öğrencilerin ilk üç sıradaki stres kaynaklarının öğretim elemanı/hemşirelerden, hastaya bakım verirken yaşanan zorluklardan ve ödevler ve iş yükünden kaynaklandığı belirlendi. Öğrencilerin stresle başa çıkmak için en sık kaçınma davranışı gösterdikleri belirlenmiştir. Korelasyon analizinde algılanan stres ve stresle baş etme davranışları arasında pozitif yönde (0,311**) anlamlı ilişki bulundu. S So on nu uç ç: : Öğrencilerin stresle başa çıkmak için en sık kaçınma davranışı gösterdikleri ve algıladıkları stres düzeyi arttıkça kaçınma stratejisini daha sık kullandıkları belirlendi. Akademik ve klinik uygulama stres düzeylerini yönetmek ve olumlu baş etme stratejilerini artırmak için her sınıfa uygun destek sağlayacak danışmalık programları oluşturulması önerilebilir.
The aim of this study is to determine the effect of scenario-based High-Fidelity Simulation (HFS) training on the level of team cooperation, problem solving skills and autonomy of senior nursing and medical students. Material and Methods: This research was carried out in the pre-posttest single-group experimental design model, at the Simulation Center. The sample of the study consisted of a total of 210 students studying in the last year of the faculty of health sciences, department of nursing (105) and faculty of medicine (105). Within the scope of the research, a total of 35 groups were formed in groups of 6 students. Each week, the training of a group was carried out in a total of 7 stages over 2 consecutive days. The study was carried out with a multidisciplinary team. Results: In the study, it was found that before the simulation training, the nursing students' attitude towards physician-nurse cooperation was more positive and their problem-solving skills were higher, but after the training, the positive attitudes of the medical students towards physician-nurse cooperation and their problem-solving skills increased, the autonomy level of the nursing students was lower before the simulation training, but the training It was found that thereafter it increased. After the simulation training, both nursing and medical students reported that they found the scenario applied to them sufficient and important in the training process. Conclusion: It has been concluded that with an effective scenario and a HFS training, the team cooperation, problem-solving skills and autonomy level of nursing and medical students can be increased.
Aim: Central venous catheters are used extensively in intensive care units but can sometimes lead to catheter related blood stream infections. This study was carried out to determine the effect of guidelinebased care bundle on possible catheter-related bloodstream infection in the application and care of central venous catheter in patients receiving follow-up and treatment in anesthesia intensive care unit. Method: The study is a retrospective and experimental one. The study population consisted of patients who were treated in an anesthesia intensive care unit of a university hospital between June 2015 and June 2016, to whom the central line was inserted in this unit by the team working in the unit and who required central line insertion for at least 48 hours. The patients in the study population also comprised the study sample. The guideline-based application and care bundle was administered under the supervision of the researcher in the intensive care unit and the patients were evaluated on a daily basis for bloodstream infection. Results: When comparing data obtained from the study with data from the previous period, it was found that the guideline-based application and care bundle decreased the catheter-related bloodstream infection rate from 10.59/1000 to 2.88/1000 and this reduction was considered statistically significant (p<0.05). Conclusion:According to this study's data, the guideline-based care bundle is an effective and useful way to reduce infection.
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