Person: YILMAZ, DİLEK
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YILMAZ
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DİLEK
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Publication The effect of duration of pressure on bruising and pain in the subcutaneous heparin injection site(Wiley, 2020-02-05) Yılmaz, Dilek; Düzgün, Fatma; Durmaz, Havva; Çınar, Hava Gökdere; Dikmen, Yurdanur; Kara, Habibe; YILMAZ, DİLEK; Düzgün, Fatma; Durmaz, Havva; GÖKDERE ÇİNAR, HAVA; Kara, Habibe; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü.; Bursa Uludağ Üniversitesi/Tıp Fakültesi.; 0000-0001-7269-8493; 0000-0002-3122-5099; 0000-0002-5792-5958; AAI-7933-2021; V-6292-2018; EUT-2267-2022; ICN-9303-2023; FDS-4879-2022Aim The aim of this study was to determine the effect on pain and bruising of pressure applied for different durations after subcutaneous heparin injection.Methods This research was a quasi-experimental study. The research was performed with 60 patients. Two different injection techniques were applied at an interval of 24 hr to each patient taking part in the study. Method A: after the low molecular weight heparin (LMWH) injection, pressure was applied with dry cotton for 10 s directly after the needle was withdrawn. Method B: after the LMWH injection, pressure was applied with dry cotton for 60 s directly after the needle was withdrawn. After the injection process was completed, the dimension of the bruising formed were evaluated. Also, after the injection process was completed, the patients were asked to show on a visual analog scale the severity of pain felt during the injection. Statistical analysis of the research data was performed with the statistics package IBM SPSS 22.0. The Wilcoxon signed rank test and the Mann-Whitney U test were used in the analysis of the data.Results The results of the statistical analysis showed no statistically significant difference between the mean size of bruising and pain level according to the duration of pressure applied to the injection area (p > .05).Conclusions It was concluded in this study that the duration of pressure applied to the injection site after subcutaneous LMWH injection did not affect the size of bruising or the severity of pain, and, unlike in the literature, that 60 s of applied pressure did not have a positive effect. Also, it was found that gender had an effect on the formation of bruising and the severity of pain, and body mass index had an effect on pain severity. Ten seconds of pressure applied to the injection site after subcutaneous LMWH injection may be enough to reduce complications.Publication Nursing students' levels of tendency to commit medical errors(Aves, 2020-06-01) Aslan, Sinan; Yılmaz, Dilek; YILMAZ, DİLEK; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü; 0000-0001-7269-8493; GXI-1202-2022BACKGROUND/AIMSThe determination of nursing students' tendency to commit medical errors and having knowledge about the erroes before they affect patients may ensure taking necessary precautions. The aim of this study was to determine the nursing students' tendency to commit medical errors and the variables that affected it.MATERIAL and METHODSThis was a cross-sec t lanai study. The sample of the study consisted of 167 nursing students who voluntarily accepted to participate in the study. The Student Identification Form and the Medical Error Tendency in Nursing Scale were used to collect the data. Descriptive statistics, number, percentage, independent t test and ANOVA test were used for statistical analysis by Statistical Package For Social Science 22.0 (IBM Corp.; Armonk, NY, USA) package program.RESULTSThe mean age of the students was 21.23 +/- 2.48 years. 65.3% of them were female, 37.1% of them were second year students. The mean score of the nursing students on the whole Medical Error Tendency in Nursing Scale was 214.71 +/- 25.58. Lower dimension score average of the scale was found to be 79.39 +/- 9.94 in the "Medication and Transfusion Applications" lower dimension, 53.10 +/- 7.07 in the "Prevention of Infections" lower dimension, 38.56 +/- 5.24 in the "Patient Follow-Up and Material-Device Safely" lower dimension, 21.67 +/- 3.36 in the "Prevention of Falls" lower dimension and 21.97 +/- 3.45 in the "Communication" lower dimension. There were statistically significant differences between the students' mean scores on the whole Medical Error Tendency in Nursing Scale according to their grades, and it was observed that the fourth grade students had a statistically lower tendency to commit medical errors compared to the second grade students.CONCLUSIONIn conclusion, it was found that the nursing students' tendency to commit medical errors was low and their grades affected their tendency to commit medical errors.Publication Effect of the cough technique during subcutaneous heparin injection on pain severity and individual satisfaction(Univ Sao Paulo, Escola De Enfermagem De Ribeirao Preto, 2023-01-01) Düzgün, Fatma; Yılmaz, Dilek; YILMAZ, DİLEK; Ayhan, Dilan; Yılmaz, Derya Uzelli; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Anabilim Dalı.; 0000-0002-1903-7132; JCP-4844-2023Publication Determination of the personal values of the university students in different departments(Springer, 2020-06) Tunç, Gülseren Çıtak; Yılmaz, Dilek; Özyazıcıoğlu, Nurcan; ÇITAK TUNÇ, GÜLSEREN; YILMAZ, DİLEK; ÖZYAZICIOĞLU, NURCAN; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü; 0000-0001-7269-8493; 0000-0001-9645-7221; ADO-4343-2022; AAI-6835-2021; V-6292-2018This research aims to examine the personal values of the first-year university students studying in different departments. This is a descriptive cross-sectional survey study. Research population is composed of first-grade students approving to participate and studying in the Nursing Department in the School of Health, Biology Department in the Faculty of Science and Letters and the Department of Early Childhood Education in the Faculty of Education of Uludag University. "Student Information Form" and "Schwartz Values Inventory" were used for data collection. When the values inventory is examined, it is seen that the point averages of the students are the highest in safety sub-dimension and the lowest in power sub-dimension. Power, achievement, and hedonism and tradition point averages of the students in the Nursing Department of Health Sciences are higher than those of the students in the departments of science and educational sciences, and the difference in between was found out to be statistically significant. Point average in the achievement sub-dimension was found out to be high among male students (p < 0.01). It was found out that the point averages of female students for hedonism, universalism, benevolence and conformity are higher than those of male students, while the achievement point averages were higher among male students.Publication Clinical decision-making levels of nursing students and affecting factors(Galenos Publ House, 2022-12-01) Arkan, Burcu; ARKAN, BURCU; Çınar, Hava Gökdere; GÖKDERE ÇİNAR, HAVA; Uzun, Rabia; Yılmaz, Dilek; YILMAZ, DİLEK; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Anabilim Dalı.; 0000-0001-7269-8493; E-6291-2017BACKGROUND/AIMS: Although clinical decision-making is an integral part of nursing practice, there are very few studies which investigate the factors affecting decision-making. This study was conducted to find out nursing students' levels of clinical decision-making and their affecting factors.MATERIALS AND METHODS: This research was carried out with a cross-sectional and descriptive design. This research was carried out on 3621st, 2nd, 3rd and 4th grade students studying at a faculty of health sciences department of nursing. The data of this research were collected by using a "Sociodemographic Data Collection Form" and "The Clinical Decision-Making in Nursing Scale (CDMNS)." In the analysis of the data, numbers, percentages, and means were used with Mann-Whitney U test and Kruskal-Wallis test.RESULTS: The mean age of the students was 20.75 +/- 1.91 years, 80.9% of the students were female and 63% were graduates of elite Anatolian or science high schools. The students' total "CDMNS" score mean was 100.81 +/- 18.06. It was found that variables such as grade, gender, the high school of graduation, the number of people living in the family, education and employment status of the parents, having chosen the department willingly, and income and employment status did not affect the clinical decision-making status of the students (p>0.05).CONCLUSION: As a result of this study, it was found that the students' status of clinical decision-making is at a medium level. It is recommended to repeat this study on students studying in different curricula in nursing, on a larger sample group and to analyze the students' level of clinical decision-making in terms of variables such as critical thinking, problem solving and their clinical learning environment.Publication Nursing care satisfaction among patients infected with COVID-19: A Turkish perspective(Ivano-frankivsk Natl Medical Univ, 2022-03-01) Gündoğdu, Handenur; Tanrıkulu, Fatma; Erol, Funda; Koç, Ferhat; Yılmaz, Dilek; Dikmen, Yurdanur; YILMAZ, DİLEK; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü; V-6292-2018The aim of this study was to determine the satisfaction with nursing care among patients diagnosed with Covid-19 and related factors.Materials and Methods. The study was conducted between June and July 2020. The population of the study consisted of 102 patients treated in the Covid-19 clinics of the University Teaching and Research Hospital. The data were collected using the Newcastle Satisfaction with Nursing Care Scale with a total of 19 items, and the Patient Description Form designed to record the sociodemographic characteristics and medical histories. The data were evaluated using the program package IBM SPSS 20.0. To test the significance of the difference between two independent groups, the Student's t-test was used, and the one-way ANOVA was used to test the significance of the difference between more than two groups.Results. The results showed that most patients were satisfied with nursing care. A higher level of satisfaction was seen in patients treated in the Covid-19 intensive care units, those with chronic conditions, and those who received information about their health state from nurses. Patients' family type, sharing fears and worries with nurses, getting information from nurses and the quality of nursing care were the variables significantly associated with patient satisfaction with nursing care.Conclusions. Satisfaction with nursing care among Covid-19 patients was moderate. When nurses use effective communication skills to meet patients' care needs, provide patients with adequate information, allow them to express their feelings, and keep them safe, this will further enhance patient satisfaction.Publication Efficacy of buzzy(r)on pain and anxiety during catheterization in children(Wiley, 2020-09-09) Duygulu, Şengül; Demirtaş, Zeliha; Yılmaz, Dilek; YILMAZ, DİLEK; Özyazıcıoğlu, Nurcan; ÖZYAZICIOĞLU, NURCAN; Çıtak Tunç, Gülseren; ÇITAK TUNÇ, GÜLSEREN; Aydın, Ayla İrem; AYDIN, AYLA İREM; Atak, Meryem; ATAK, MERYEM; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Meslek Yüksek Okulu.; 0000-0001-7269-8493; 0000-0001-9645-7221; AAE-2648-2019; HJZ-4896-2023; AAG-2640-2021; ADO-4343-2022; AAI-6835-2021Background: The use of a peripheral intravenous cannula is a common clinical practice, and it is known to be a major source of pain and anxiety in children. The aim of this study was to examine the effect of the use of the Buzzy(R)on pain and anxiety in children during peripheral cannula application.Methods: The research sample consisted of 60 children between the ages of 8 and 16. For children in the experimental group, external cold and vibration were applied by means of the Buzzy(R)device. Before and during the peripheral intravenous cannula procedure, the levels of fear and anxiety relating to the procedure of the child patients in both the experimental and control groups were assessed by the children themselves and by an independent observer. Immediately after the vein entry procedure had been carried out, the level of pain felt by the children was determined.Results: The results of the statistical analysis showed no statistically significant difference between the anxiety levels of the groups before and after the procedure (P> 0.05). The results of the statistical analysis also showed no statistically significant difference between the postprocedural mean pain scores of the children as reported by the children themselves and by the observer (P> 0.05).Conclusions: In this study, unlike most studies in the literature, the conclusion was reached that the use of the Buzzy(R)to reduce pain and anxiety during the application of a peripheral intravenous cannula in children was not effective.Publication Pain acceptance levels of patients with chronic pain(Lippincott Williams & Wilkins, 2020-04-01) Akın, Esra; YILMAZ, DİLEK; GÖKDERE ÇİNAR, HAVA; 0000-0001-7269-8493; 0000-0002-5792-5958; V-6292-2018; GXI-1202-2022This study was conducted with the aim of determining pain acceptance levels in patients with chronic pain attending an algology outpatients' department. The research was conducted as a descriptive and cross-sectional study. The population of the study consisted of 97 patients with chronic pain who attended the Algology Outpatients' Department of the Health Implementation and Research Center of Bursa Uludag University. A Patient Description Form and a Chronic Pain Acceptance Questionnaire (CPAQ) were used to collect research data. The participants' mean sub-score for accomplishing activities by patients with chronic pain was found to be 31.10 +/- 11.84, their mean sub-score for pain willingness was 36.65 +/- 10.37, and their mean score for the total scale was 67.76 +/- 18.30. A statistically significant difference was found between the participants' total score means and their sub-score means according to their education level and frequency of experiencing pain (P < .05), but no statistically significant difference was found according to such factors as age, profession, marital status, or medications used (P > .05). It was found that female sex was generally exposed to chronic pain, and factors such as age, marital status, and drug treatment did not differ in the rate of acceptance of chronic pain, and the rate of acceptance of pain in workers was higher, those with lower education level were lower. There is a need that new studies with larger sample groups regarding the factors affecting the acceptance of chronic pain.Publication A comparison of the effect on pain management of two non-pharmacological methods used during administration of Pfizer-BioNTech COVID-19 vaccine (BNT162b2): A randomized controlled study(Wiley, 2023-03-31) Yılmaz, Dilek; Kutlu, Münevver; Baki, Elmas; YILMAZ, DİLEK; Kutlu, Münevver; Baki, Elmas; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü; Bursa Uludağ Üniversitesi/Tıp Fakültesi; 0000-0001-7269-8493; V-6292-2018; HZS-2436-2023; IAI-8000-2023Aims: This study was conducted with the aim of examining the effect on pain intensity of the vibration technique applied at the injection site and squeezing a stress ball during the administration of Pfizer-BioNTech COVID-19 vaccination.Methods: This was a randomized controlled single-blind experimental study. The study included 120 adults who were randomly selected between July and November 2022. One experimental group (n = 40) received local vibration by means of a Buzzy (R) device, and the other (n = 40) were given a stress ball to squeeze. Routine vaccination procedure was performed with the control group (n = 40). The level of pain felt during the vaccination procedure was assessed on a visual analog scale.Results: The pain score of individuals during the vaccination procedure was found to be significantly lower in the vibration group than in the control group (P = .005) and the stress ball group (P = .036), but there was no significant difference between the control and stress ball groups (P = .851). Also, it was found that the variables of gender, age and body mass index did not affect the average pain intensity of individuals during the vaccination procedure.Conclusions: It was found that local vibration applied by means of the Buzzy (R) device was effective in reducing the levels of pain relating to administration of the Pfizer-BioNTech COVID-19 vaccination. Nurses should think of the application of vibration as a choice in the management of pain relating to Pfizer-BioNTech COVID-19 vaccination.Publication A phenomenological analysis of experiences and practices of nurses providing palliative and end of life care(Sage Publications, 2021-08-03) Uzelli Yılmaz, Derya; Yılmaz, Dilek; Düzgün, Gönül; Akın, Esra; YILMAZ, DİLEK; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Bölümü.; 0000-0001-7269-8493; GXI-1202-2022The aim of this study was to describe the experiences and practices of nurses providing palliative and end of life care. The study was conducted in the palliative care unit of a territory hospital in Turkey. The sample consisted of 11 nurses who had been working as palliative care nurses for at least one year. The face to face interview method was used to collect data, with a semi-structured in-depth individual interview. 5 main themes and 24 sub-themes were emerged in relation to the experiences and practices of the nurses. The majority of participant nurses pointed that inadequacy in the number of nurses, secondary nursing care activities, refusal of treatment, cultural and ethical problems were barriers in the provision of nursing care. They frequently experienced ethical issues when caring for end of life patients, and for this reason they felt the need for ethics counselling which they could consult.