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Öğe The effect of acupressure or reiki interventions on the levels of pain and fatigue of cancer patients receiving palliative care: A randomized controlled study(ScienceDirect, 2022) Utli, Hediye; Dinç, Mahmut; Utli, Medical Doctor AdilObjective: Taking pain under control is important to calm the individual and reduce complications. This research was conducted with the aim of determining the effect of Acupressure or Reiki interventions on the levels of pain and fatigue of stage III and IV cancer patients receiving palliative care. Method: The research was a single-blind, repeated measures, randomized controlled study. Research data were collected between February and November 2022. The research sample consisted of Acupressure and Reiki intervention groups and a control group with 52 patients in each group for a total of 156 patients. Acupressure or Reiki was applied to their intervention groups for a total of eight sessions of 20 min each over four weeks, once a day on two days a week. Data were collected by means of a patient description form, an analgesic follow-up form, the Numeric Pain Rating Scale, and the Brief Fatigue Inventory. Results: In comparison with the control group, a significant reduction was seen over time in the levels of pain (p < 0.001), analgesic use (p < 0.001), and fatigue (p < 0.001) in the Acupressure or Reiki intervention groups. Conclusion: Acupressure or Reiki interventions were found to effective in reducing levels of pain, analgesic use, and fatigue. It was seen that in addition to their use in routine nursing care, both treatments can be accepted as effective nursing interventions that reduce pain and fatigue in stage III and IV cancer patients receiving palliative care.Öğe The Effect of COVID-19 Fear in Patients and Clinical Nurses on Night Nursing Care(Sage Journals, 2023) Utli, Hediye; Dinç, Mahmut; Oner, UgurThis study was conducted with the aim of determining the effect of fear of COVID-19 in patients and clinical nurses on night nursing care. This was a cross-sectional study. The research sample consisted of 604 patients and 270 clinical nurses selected by the convenience sampling method. Data were collected between August 2021 and July 2022 using a Patients’ Information form, a Nurse’s Information form, the Fear of COVID-19 scale, and the Night Nursing Care instrument. No significant difference was found between the total mean scores of the patients and the nurses on the Fear of COVID-19 scale or the Night Nursing Care instrument (rho = –0.017, p = .702; rho = –0.020, p = .741). It was found that patients’ and nurses’ fears of COVID-19 did not affect their perceptions of night nursing care.Öğe The Effect of Reiki on Anxiety, Stress, and Comfort Levels Before Gastrointestinal Endoscopy: A Randomized Sham-Controlled Trial(ScienceDirect, 2022) Utli, Hediye; Vural Doğru, BirgülPurpose: This study’s aim is to determine the effect of Reiki when applied before upper gastrointestinal endoscopy on levels of anxiety, stress, and comfort. Design: This single-blind, a pretest and post-test design, randomized, sham-controlled study was held between February and July 2021. Methods: Patients who met the inclusion criteria were separated by randomization into three groups: Reiki, sham Reiki, and control. A total of 159 patients participated in the study. In the intervention groups (Reiki and sham Reiki), Reiki and sham Reiki were applied once for approximately 20 to 25 minutes before gastrointestinal endoscopy. Findings: When the Reiki group was compared to the sham Reiki and control groups following the intervention, the decrease in the levels of patient stress (P < .001) and anxiety (P < .001) and the increase in patient comfort (P < .001) were found to be statistically significant. Conclusions: Reiki applied to patients before upper gastrointestinal endoscopy was effective in reducing stress and anxiety and in increasing comfort.Öğe The effect of the COVID-19 pandemic on self-management in patients with type 2 diabetics(Elsevier, 2021) Utli, Hediye; Vural Doğru, BirgülAims: The research was conducted with the aim of determining the effect of the COVID-19 pandemic on levels of self-management in individuals with type 2 diabetes. Methods: This cross-sectional descriptive type of study was conducted between 21 December 2020 and 1 April 2021. It was performed with 378 individuals with type 2 diabetes attending the endocrinology clinic and outpatients' department of a government hospital who agreed to participate in the research. In the collection of data, a Patient Identification Form, Visual Analog Scales (an Anxiety VAS and a Stress VAS), and the Diabetes Self-Management Questionnaire (DSMQ) were used. The Wilcoxon test, Independent Sample t test, One-Way Anova and binary logistic regression were used in the analysis of data. Results: The Diabetes Self-Management Questionnaire (DSMQ) total mean score of the individuals with type 2 diabetes participating in the study during the COVID-19 pandemic was 5.25 ± 1.04. Their anxiety total mean score was 0.32 ± 1.56, and their total mean stress score was 7.06 ± 1.62. Being male, over the age of 65, married and having a diagnosis of diabetes for 6-11 years, increased smoking, the COVID-19 pandemic, reduced physical activity (not walking) and support obtained from health professionals, and increased anxiety and stress levels were found to be risk factors affecting diabetic self-management. Conclusions: The findings show that the COVID-19 pandemic has had a negative effect on the self-management levels of individuals with type 2 diabetes.Öğe Effect of therapeutic touch on daytime sleepiness, stress and fatigue among students of nursing and midwifery: A randomized sham-controlled trial(Complementary Therapies in Clinical Practice, 2021) Utli, Hediye; Vural Doğru, Birgül; Şenuzun Aykar, FisunObjectives: This study was conducted to assess the effect of therapeutic touch on stress, daytime sleepiness, sleep quality and fatigue among students of nursing and midwifery. Methods: 96 students were randomized into three groups: the therapeutic touch (TT) group, the sham therapeutic touch (STT) group, and the control group. In this randomized sham-controlled study, the TT group was subjected to therapeutic touch twice a week for four weeks with each session lasting 20 min. Results: When the TT group was compared to the STT and control groups following the intervention, the decrease in the levels of stress (p < 0.001), fatigue (p < 0.001) and daytime sleepiness (p < 0.001), and the increase in the sleep quality (p < 0.001) were found to be significant. Conclusion: It was found that TT, which is one form of complementary therapy, was relatively effective in decreasing the levels of stress, fatigue and daytime sleepiness, and in increasing the sleep quality of university students of nursing and midwifery.Öğe Effects of Massage Therapy on Clinical Symptoms of Older People(Journal of education and research in nursing (Online), 2022) Utli, HediyeNurses can improve outcomes of patient care by integrating complementary and alternative therapies with traditional medical practices. Among the non-pharmacological methods that can be used in geriatrics and gerontology are massage, aromatherapy, relaxation, meditation, therapeutic touch, biofeedback (neurotherapy), guided affective imagery (creative psychotherapy), reflexology, acupressure, and naturopathy. Massage therapy attracts the attention of healthcare professionals, patients, and families because it improves many symptoms, it has no side effects, it is easy to learn and apply, and is safe, effective, and economical. Massage therapy is used in geriatric patients for various purposes. For instance, it is effective in the management of pain, agitation, stress, anxiety, worry, and depression, it relieves constipation and improves the range of motion of the joints. Massage therapy together with pharmacological treatments reduces many symptoms of neurological diseases and neurological disease-associated risks, and it has a safe, supportive and positive effect. It is thought that this review, based on the effects of massage therapy, can be a guide especially for nurses working with elderly patients in the neurology clinic.Öğe The effects of Reiki and back massage on women's pain and vital signs post-abdominal hysterectomy: A randomized controlled trial: The Effects of Reiki and Back Massage on Women's Pain and Vital Signs(Elsevier, 2021) Utli, Hediye; Yağmur, YurdagülBackground: Using Reiki and back massage to support pharmacological treatments is increasingly common in nursing. This study aimed to determine the effects of Reiki and back massage on pain, analgesic use, and vital signs among women who had undergone an open abdominal hysterectomy. Methods: This experimental study involved a single, blinded, pretest-posttest design. The study population comprised women who had undergone an abdominal hysterectomy at the obstetrics clinics of Gazi Yasargil Training and Research Hospital and Dicl ¸ e University Hospital between July 2017 and February 2018. Patients were divided into three groups: a Reiki group, a back massage group, and a control group. Each group comprised 34 patients. Reiki or back massage was applied to patients in the respective non-control groups for 20 min once a day. Data were collected using a patient information form, the “Numeric Pain Rating Scale,” and the “Vital Signs and Postoperative Analgesic Follow-up Form.” Results: Statistically significant differences in pain intensity and analgesic use were observed between the women in the Reiki group and the women in the back massage and control groups (p < 0.001). Significant differences in vital signs were observed between the groups before and after their respective procedures; in the Reiki group, they tended to decrease, while in the back massage and control groups, they tended to increase. Conclusion: This study’s findings confirmed that pain, analgesic use, and vital signs decreased after Reiki among women who had undergone an abdominal hysterectomyÖğe Hemşirelik Lisans Öğrencileri İçin Fiziksel Muayenede Algılanan Öz Yeterlik Ölçeği’nin Türkçe Geçerlik ve Güvenirliği(İzmir Katip Çelebi University Faculty of Health Science Journal, 13/07/2023) Utli, Hediye; Dinç, Mahmut; Bütün, AhmetAmaç: Araştırmada, Hemşirelik Lisans Öğrencileri için Fiziksel Muayenede Algılanan Öz Yeterlik Ölçeği’nin Türkçe geçerlik ve güvenirliğinin yapılması amaçlandı. Gereç ve Yöntem: Bu çalışma, Mart-Eylül 2022 tarihleri arasında, 265 hemşirelik öğrencisi ile metodolojik bir araştırma olarak yürütüldü. Verilerin toplanmasında “Öğrenci Tanıtım Formu” ve “Hemşirelik Lisans Öğrencileri için Fiziksel Muayenede Algılanan Öz Yeterlik Ölçeği” kullanıldı. Verilerin değerlendirilmesinde sayı, yüzde, ortalama, standart sapma, minimum, maksimum, Cronbach Alpha güvenirlik katsayısı, faktör analizi yöntemleri ve korelasyon analizi kullanıldı. Bulgular: Katılımcı öğrencilerin yaş ortalaması 22,21±2,42 yıldır. Ölçeğin kapsam geçerlik indeksinin 0,87-1,00 aralığında olduğu saptandı. Ölçeğin, doğrulayıcı faktör analizinde uyum indekslerinin kabul edilebilir uyuma sahip olduğu belirlendi. Ölçeğin orijinal çalışmasında bildirilen altı faktör (yüz ve boyun, göz, kardiyovasküler, kulak, burun ve boğaz, göğüs ve diğer beceriler), Türkçe versiyonunda da doğrulandı. Ölçeğin güvenirliği için Cronbach Alpha değerinin 0,986 olduğu saptandı. Ölçeğin test-tekrar test arasında istatistiksel olarak anlamlı farklılıklar, orta güçte ve pozitif korelasyon olduğu bulundu (r= 0,514; p=0,000). Sonuç: Kırk sekiz maddelik ve altı alt boyuttan oluşan “Hemşirelik Lisans Öğrencileri için Fiziksel Muayenede Algılanan Öz Yeterlik Ölçeği” Türk toplumu için geçerli ve güvenilir bir ölçme aracıdır.Öğe Hemşirelik ve Ebelik Öğrencilerinin Bireysel Yenilikçilik Özelliklerinin Değerlendirilmesi(Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 2018) Utli, Hediye; Doğru, Birgül VuralBu çalışma hemşirelik ve ebelik öğrencilerinin bireysel yenilikçilik özelliklerinin değerlendirilmesi amacıyla yapılmıştır. Araştırma, 23 Kasım 2017- 24 Ocak 2018 tarihleri arasında yapılmıştır. Araştırmanın örneklemini bir üniversitenin Sağlık Yüksekokulu hemşirelik ve ebelik bölümünde öğrenim gören ve araştırmaya katılmayı kabul eden 256 öğrenci oluşturmuştur. Verilerin toplanmasında sosyo-demografik özellikleri belirlemek için öğrencilere Anket Formu ve yenilikçilik düzeylerini tespit etmek için hemşireliğe uyarlanmış “Bireysel Yenilikçilik Ölçeği” (BYÖ) kullanılmıştır. Verilerin değerlendirilmesinde ortalama, yüzde, sayı ve Mann-Whitney U testi ile Kruskal-Wallis testi uygulanmıştır. Öğrencilerin %73,4’ü kadın, %26,6’sı erkektir. BYÖ toplam puan ortalaması 59,11±8,29’dur. Öğrencilerin cinsiyetine göre bireysel yenilikçilik ölçeği toplam puan ortalamaları arasındaki farkın istatistiksel olarak anlamlı olduğu saptanmıştır (p<0,05). Öğrencilerin okudukları bölüme göre bireysel yenilikçilik ölçeği alt boyut ve toplam puan ortalamaları arasındaki farkın anlamlı olduğu bulunurken (p<0,05), sınıf, yaşadığı yer ve medeni duruma göre bireysel yenilikçilik ölçeği alt boyut ve toplam puan ortalamaları arasındaki farkın anlamlı olmadığı belirlenmiştir. (p>0,05). Araştırmaya alınan öğrencilerin yenilikçilik düzeyi gelenekselci olup erkek öğrencilerin kadın öğrencilere göre daha gelenekselci ve kuşkucu oldukları saptanmıştır. Hemşirelerin ebelere göre daha gelenekselci oldukları tespit edilmiştir. Bu farklılığın da hemşirelik bölümünde erkek öğrencilerin bulunmasından kaynaklandığı düşünülmektedir.Öğe Multi-Faceted Evaluation of Psychosocial Function of Elderly Subjects(Cyprus Journal of Medical Sciences, 2022) Vural Doğru, Birgül; Utli, HediyeBACKGROUND/AIMS: With aging, physical, psychological and social changes occur and individuals lose their independence and become semi-or full dependent. Accordingly, physical, psycho-social problems can be seen in the older people and their functionality decreases. For this reason, the study was carried out for the purpose of multidimensional evaluation of cognitive and psycho-social functions of older people. MATERIALS and METHODS: The study was conducted between April 2018 and November 2018. This descriptive and cross-sectional study was performed in two different family health centers in Mardin province. The research was completed with a total of 200 older people who agreed to participate in the study. The data were collected using “Patients Information Form”, “Katz Index of Independence in Activities of Daily Living (Katz ADL)” and “Multidimensional Observation Scale for Elderly Persons (MOSES)”. The number, percent, mean, Mann-Whitney U, Kruskal-Wallis test and Spearman correlation analysis were used in the data analysis. RESULTS: The mean age of participants was 70.03±8.48 years. 54.2% of older people were female and 45.8% were male. The mean score of Multidimensional Observation Scale for Elderly Persons was 24.36±22.38. The mean score of the Katz Index of Independence in Activities of Daily Living was 16.32±3.14. There was a weak positive correlation between age and Multidimensional Observation Scale for Elderly Persons (p<0.001, r=0.43), and a moderate negative correlation was found between Katz Index of Independence in Activities of Daily Living and MOSES (p<0.001, r=-0.56). CONCLUSIONS: This study revealed that older people had high functional and independence levels, and this is due to the fact that older people who come to family health care centers form a sample group. However, multidisciplinary studies periodically are needed to evaluate the cognitive, psychological and social functioning of older people living at home.Öğe Nursing Students' Experienced Ethical Problems in Clinical Practicum and Clinical Self-Regulated Learning Levels: A Cross-Sectional Study(2023) Utli, Hediye; Dinç, Mahmut; Bütün, AhmetABSTRACT During the coronavirus disease-2019 (COVID-19) pandemic, clinical training, which is essential to nursing practice, has been largely delayed. The aim of this study is to identify the predictors of nursing students' experienced ethical problems in clinical practicum and self-regulated learning levels during the COVID-19 pandemic. The sample of this cross-sectional study consisted of 306 nursing students studying in the third and fourth grades of 2 universities located in the east of Türkiye. The data were collected by using a Student Introduction Form, the Scale of Ethical Problems in Clinical Teaching in Nursing, and the Self-Regulated Learning Scale for Clinical Nursing Practices form. The independent sample t-test, one-way ANOVA F test, Pearson correlation test, and multiple regression were used in the analysis of the data. It was determined that there was a positive and moderately significant relationship between the total mean score of the Scale of Ethical Problems in Clinical Teaching in Nursing and the Self-Regulated Learning Scale for Clinical Nursing Practices, total mean score (r=509, p<0.001). A regression model indicated that 4 predictors (clinical educator, health professionals, learning strategies, and self-regulated learning levels) explained 28% of the variance (R=0.516, Adjusted R2=0.284, F=13.255, p<0.001) in their ability to identify ethical problems in clinical practicum. In this study, it was determined that health professionals and self-regulated learning levels positively affected students' ability to identify ethical problems in the clinical practice setting. The level of clinical educator was found to negatively affected students' ability to identify ethical problems in the clinical practice setting. Keywords: COVID-19; clinical practicum; ethics; nursing students; self-regulated learning ÖZET Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisi sırasında hemşirelik uygulamaları için gerekli olan klinik eğitim büyük ölçüde ertelenmiştir. Bu çalışmanın amacı, pandemi sürecinde hemşirelik öğrencilerinin klinik uygulamada yaşadıkları etik sorunlar ve klinik öz-düzenlemeli öğrenme düzeylerinin yordayıcılarını belirlemektir. Kesitsel tipteki bu araştırmanın örneklemini, Türkiye'nin doğusunda yer alan 2 üniversitenin 3 ve 4. sınıflarında öğrenim gören 306 hemşirelik öğrencisi oluşturdu. Veriler, Öğrenci Tanıtım Formu, Hemşirelikte Klinik Öğretimde Etik Sorunlar Ölçeği ve Klinik Hemşirelik Uygulamalarına Yönelik Öz Düzenlemeli Öğrenme Ölçeği ile toplandı. Verilerin analizinde bağımsız gruplarda t-testi, tek yönlü ANOVA F testi, Pearson korelasyon testi ve çoklu regresyon kullanıldı. Hemşirelikte Klinik Öğretimde Etik Sorunlar Ölçeği toplam puan ortalaması ile Klinik Hemşirelik Uygulamaları İçin Öz-Düzenli Öğrenme Ölçeği toplam puan ortalaması arasında pozitif yönde ve orta düzeyde anlamlı bir ilişki olduğu belirlendi (r=509, p<0,001). Bir regresyon modeli, 4 yordayıcının (klinik eğitimcisi, sağlık profesyonelleri, öğrenme stratejileri ve öz-düzenlemeli öğrenme düzeyleri) klinik uygulamada etik sorunları saptama yeteneklerindeki varyansın %28'ini açıkladığını göstermiştir (R=0,516, adjusted R2=0,284, F=13,255, p<0,001). Bu araştırmada, sağlık profesyonelleri ve öz-düzenlemeli öğrenme düzeylerinin, klinik uygulamada öğrencilerin etik sorunları saptama becerilerini olumlu yönde etkilediği saptandı. Klinik eğitimci düzeyinin ise klinik uygulamada öğrencilerin etik sorunları saptama becerilerini olumsuz yönde etkilediği saptandı. Anahtar Kelimeler: COVID-19; klinik uygulama; etik; hemşirelik öğrencileri; öz-düzenlemeli öğrenmeÖğe The Theory-Practice Gap in Nursing Education During the Pandemic Period from the Perspective of Stakeholders: A Qualitative Study(Clinical and Experimental Health Sciences, 2022) Utli, Hediye; Yurt, SeherObjective: The purpose of this study was to understand the experience of theoretical and practical nursing education carried out by distance education during the COVID-19 pandemic and the theory-practice gap in nursing education in Turkey. Methods: This qualitative study used a descriptive qualitative study. This research was conducted with nursing lecturers and students from two universities in two different geographical regions. Lecturers and undergraduate students participated in the research. The data for the research were collected using the online Zoom program during four focus-group discussions. Results: Three main themes emerged for the categories of theoretical and practical education emerged during the study: strong structural conditions (technological integration and accessibility) both strong and weak structural conditions (asynchronous participation and changing comfort levels/routines) and weak structural conditions (cold contact and inequality of opportunity). Conclusion: This study revealed the strengths and weaknesses in the experience of distance nursing education and will guide future planning of nursing education programs and clinical fields.
