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Öğe Examining the hand hygiene beliefs and practices of nursing students and the effectiveness of their handwashing behaviour(Wiley Online Library, 2020) Ceylan, Burcu; Güneş, Ülkü; Baran, Leyla; Ozturk, Huri; Sahbudak, GulAims and objectives: To examine the hand hygiene beliefs and practices of Turkish nursing students and the effectiveness of their handwashing. Background: Handwashing is the most important part of preventing cross-infection, but there is a considerable amount of evidence that shows that the handwashing technique of nurses and nursing students is not always very effective. Design/methods: This research was carried out in two stages and is type of descriptive, analytical and observational. The study comprised 563 students from a Faculty of Nursing. Besides evaluating the nursing students' sociodemographic data, we assessed their beliefs and hand hygiene practices using a Hand Hygiene Beliefs Scale (HHBS) and Hand Hygiene Practices Inventory (HHPI) and also used with "Derma LiteCheck" device to assess how effectively they washed their hands. The STROBE checklist was used. Results: The handwashing frequency of the female students was significantly higher. The scores on both the HHBS and the HHPI were significantly higher among the female students compared to the males. The dirtiest areas of the hand were determined as nails (nail beds, beneath the nails), skin between the fingers and fingertips. Conclusions: The results of our study indicate that although student nurses have positive perceptions about hand hygiene and appear to have developed good habits, the effectiveness of their handwashing is poor. Relevance to clinical practice: It is of great importance that UV light and florescent gel are made readily available both at nursing schools and in hospitals and other health institutions since these elements are useful in providing immediate visual feedback for a full assessment of handwashing behaviour.Öğe Examining the hand hygiene beliefs and practices of nursing students and the effectiveness of their handwashing behaviour(Journal of Clinical Nursing, 2020) Baran, Leyla; Ceylan, Burcu; Güneş, Ülkü Yapucu; Öztürk, Huri; Sahbudak, GülAims and objectives: To examine the hand hygiene beliefs and practices of Turkish nursing students and the effectiveness of their handwashing. Background: Handwashing is the most important part of preventing cross-infection, but there is a considerable amount of evidence that shows that the handwashing technique of nurses and nursing students is not always very effective. Design/Methods: This research was carried out in two stages and is type of descriptive, analytical and observational. The study comprised 563 students from a Faculty of Nursing. Besides evaluating the nursing students' sociodemographic data, we assessed their beliefs and hand hygiene practices using a Hand Hygiene Beliefs Scale (HHBS) and Hand Hygiene Practices Inventory (HHPI) and also used with “Derma LiteCheck” device to assess how effectively they washed their hands. The STROBE checklist was used. Results: The handwashing frequency of the female students was significantly higher. The scores on both the HHBS and the HHPI were significantly higher among the female students compared to the males. The dirtiest areas of the hand were determined as nails (nail beds, beneath the nails), skin between the fingers and fingertips. Conclusions: The results of our study indicate that although student nurses have positive perceptions about hand hygiene and appear to have developed good habits, the effectiveness of their handwashing is poor. Relevance to clinical practice: It is of great importance that UV light and florescent gel are made readily available both at nursing schools and in hospitals and other health institutions since these elements are useful in providing immediate visual feedback for a full assessment of handwashing behaviour.Öğe Frequency of Clinical Alarms in Intensive Care Units and Nurses' Sensitivity to Them: An Observational Study(26.05.2021) Ceylan, Burcu; Baran, Leyla; Güneş, ÜlküBackground All clinical alarms require nurses to respond even if an intervention is not needed. Nurses are expected to respond appropriately to each alarm and establish priorities among their care practices accordingly. This study was conducted to examine the number and types of clinical device alarms used in intensive care units, the duration of their activation, and nurses’ degree of sensitivity to them. Methods This observational study was conducted in 4 intensive care units in a university hospital in Turkey. A total of 20 nurses (5 from each unit) were observed for a total of 80 hours. The alarms were categorized as valid, false, or technical. Results During the study observation period, the mean number of alarms sounding per hour per bed was 1.8. A total of 144 alarms were recorded, of which 70.8% were valid, 15.3% were false, and 13.9% were technical. The mean duration of alarm activation was 8 minutes for valid alarms, 14 minutes for false alarms, and 53 minutes for technical alarms. Conclusions Nurses’ responses to alarms differ depending on alarm type; for alarms that do not require an emergency intervention, nurses tend to respond late or not at all.Öğe Frequency of clinical alarms in intensive care units and nurses’ sensitivity to them: An observational study(American Journal of Critical Care, 2021) Baran, Leyla; Ceylan, Burcu; Güneş, Ülkü YapucuBackground All clinical alarms require nurses to respond even if an intervention is not needed. Nurses are expected to respond appropriately to each alarm and establish priorities among their care practices accordingly. This study was conducted to examine the number and types of clinical device alarms used in intensive care units, the duration of their activation, and nurses’ degree of sensitivity to them. Methods This observational study was conducted in 4 intensive care units in a university hospital in Turkey. A total of 20 nurses (5 from each unit) were observed for a total of 80 hours. The alarms were categorized as valid, false, or technical. Results During the study observation period, the mean number of alarms sounding per hour per bed was 1.8. A total of 144 alarms were recorded, of which 70.8% were valid, 15.3% were false, and 13.9% were technical. The mean duration of alarm activation was 8 minutes for valid alarms, 14 minutes for false alarms, and 53 minutes for technical alarms. Conclusions Nurses’ responses to alarms differ depend-ing on alarm type; for alarms that do not require an emergency intervention, nurses tend to respond late or not at all. (American Journal of Critical Care. 2021;30:186-192).Öğe Medication administration error reporting rate and perceived barriers among nurses in Turkey(30.12.2020) Güneş, Ülkü; Baran, Leyla; Ceylan, BurcuThis study was planned to determine the barriers perceived by nurses in medication administration error (MAE) reporting. The data of this descriptive and crosssectional study were collected between January and April 2017. The universe of the study consisted of nurses working in two hospitals in Turkey (N=547). The sample of the study consisted of nurses who met the inclusion criteria of the study and agreed to participate in the study (n=253). The overall response rate is 64%. 90.5% of nurses are women. The mean age of the nurses was 33.5 years. Their mean nursing experience was 10.4 years (SD 8.43 years). Of the study population, only 32% experienced a medication administration error during their working lives and who had a medication error experience, 23.5% reported their error. The most common perceived barriers among nurses are “heavy workload” (81.4%), “fear of being accused by supervisor” (80.6%) and “management believes that medication administration error is caused by individual factors rather than system factors” (80.2%). It was observed that the nurses made a medication administration error, but the majority were not reported.
