The relationship between surgical intensive care unit nurses' patient safety culture and adverse events

Background: Adverse events are often encountered in surgical intensive care units (ICUs), and most of them occur due to preventable errors. Establishment of a patient safety culture is recommended for preventing and reducing these errors. Aims: This study was performed to investigate the relationship between surgical ICU nurses' patient safety culture and adverse events. Design: This was a cross-sectional descriptive study. Methods: The study was performed in the surgical ICUs of four university hospitals in Izmir province, Turkey and was conducted in accordance with the Declaration of Helsinki and approved by an Ethics Committee. The sample comprised 113 nurses working in the surgical ICUs of the hospitals between November 2018 and February 2019. Data were collected using a questionnaire that comprised a demographic form, adverse events form, and patient safety culture hospital questionnaire. Student's t test, one-way analysis of variance, and logistic regression analyses were used to evaluate the data. P values .05 were considered significant. Results: At the end of the study, nurses' level of patient safety culture was found to be intermediate (65.5%), with the highest average positive response rate (PRR) obtained for teamwork within the units (65.5%) and the lowest average PRR obtained for the frequency of adverse event reporting (25.3%). There was a significant correlation between patient safety culture and adverse events (r = 0.027, P .05). Conclusions: Surgical ICUs nurses' level of patient safety culture was average, and there was a significant correlation between patient safety culture and adverse events. Relevance to clinical practice: Managers should establish a reliable system for reporting adverse events and encourage ICU nurses to report them. It is very important to adopt a non-punitive approach at instances when an adverse event is reported. © 2021 British Association of Critical Care Nurses.We would like to thank to all nurses for their replying our questionnaire

Sexual counseling provided by cardiovascular nurses: Attitudes, beliefs, perceived barriers, and proposed solutions

Background: Although sex lives of patients with cardiovascular disease (CVD) are affected in various ways and degrees, nurses working with these patients refrain from talking about sexual matters with their patients or encounter barriers trying to do so. Objective: The purpose of this descriptive study was to identify attitudes and beliefs of cardiovascular nurses regarding talking to their patients about sexual problems, perceived barriers, and proposed solutions. Methods: The sample included 170 nurses working for the cardiology and cardiac surgery departments of 1 university hospital, 2 ministry of health hospitals, and 2 private hospitals in Turkey. Data were collected between April and August 2015 through a 4-section questionnaire including the Sexual Attitude and Beliefs Scale. Descriptive, parametric, and nonparametric statistics were used to analyze the data. Results: Most (73.5%) reported not talking to their patients about sexual issues, and only 35.9% stated that they had been educated on how to do so. The major reason for nurses avoiding discussions about sex with their patients was not considering sexuality as a patient care priority (86.4%). Establishing privacy for the patient (91.2%) was the solution proposed by most nurses. The average score of the nurses on the Sexual Attitude and Beliefs Scale was only medium. Conclusion: Most of the nurses were untrained about how to talk about sexual problems with their patients and therefore were unable to talk about it freely. © 2018 Wolters Kluwer Health, Inc. All rights reserved

Cardiovascular surgery nurses' level of knowledge regarding delirium

Background: Studies have shown that nurses have a crucial role in the recognition of delirium; however, they have insufficient knowledge regarding the issue. Objective: The aim of the study is to determine the knowledge level of cardiovascular surgery nurses regarding delirium. Methods: A survey design was used. The population of the study consisted of 124 nurses employed at the cardiovascular surgery wards and intensive care units of universities as well as state and private hospitals located in two different cities in Turkey between May and June 2014. The sample consisted of 97 nurses employed at the aforementioned institutions and time. Data were collected using the questionnaire form depicting the demographic characteristics of the nurses and the knowledge form including the level of nurses' knowledge regarding delirium. For the evaluation of data, number, percentage, Kruskal-Wallis, Mann-Whitney U- and independent-samples t-test were used. Results: Nurses were between 18 and 47 years of age with a mean 29·8 (SD = 6·80, the youngest = 18 and the oldest = 47) years. They spent a minimum of 1, a maximum of 25 and a median value of 3 (interquartile range, IQR: 5) years working in cardiovascular surgery. As for the scores received from the knowledge form regarding delirium, the lowest was zero, the highest was 60, and the average score was 41·18 ± 12·50 (a moderate level of knowledge). It was found that the nurses working in intensive care units, those who were chief nurses and those who received in-service training scored higher than the others. Conclusions: Cardiovascular surgery nurses had a moderate level of knowledge regarding delirium. This may result in the neglect of delirium or a misdiagnosis. Relevance to clinical practice: It is recommended that training is provided that includes recognition, assessment and application of appropriate interventions to minimise the incidence of delirium. © 2015 British Association of Critical Care Nurse

Cold vapour generation and on-line trapping of cadmium species on quartz surface prior to detection by atomic absorption spectrometry

A quartz trap for on-line preconcentration of Cd species was designed. The cold vapour generation technique was used for the generation of Cd species. The trapping medium was formed by external heating of the inlet arm of a quartz T-tube. The generated analyte species were trapped on a quartz surface heated to the collection temperature, 350 degreesC, and the collected species were revolatilized when the trap was heated further to revolatilization temperature, 1000 degreesC, and hydrogen gas was introduced in the trapping medium. Two-level fractional factorial design and central composite design were used to optimize generation conditions in the flow injection mode. The results of the fractional factorial design demonstrated that the factors and their interactions were statistically significant. Three factors, length of reaction coil, carrier HCl concentration and NaBH4 concentration, were considered to be the most significant parameters in the optimization and their optimum values were found to be 30 cm, 0.3 M and 3% (m/v), respectively. Sea-water (BCR), tomato leaves (NIST 1573a) and oyster tissue ( NIST 1566b) standard reference materials were analyzed to assess the accuracy of the proposed method. For a collection period of 3.0 min, i.e., 6.0 ml sample volume, the 3sigma limit of detection was 1.8 pg ml(-1); the enhancement factor for LOD was found to be 90 as compared with FI-HGAAS. The sample throughput rate was 12 h(-1)

Analysis of the effects of two different assessment methods on the learning process in cardiopulmonary resuscitation training

WOS: 00031189930007

An examination of the effect two different evaluation methods used in CPR training have on the learning process [Analiza utjecaja dviju razlicitih metoda koje se koriste za procjenjivanje usvojenosti tehnike kardiopulmonalne reanimacije na proces ucenja]

The aim was to analyze the effects of two different assessment methods on the learning process in CPR training. This quasi-experimental study design included two groups consisting of 152 third-year students. Group I students evaluated themselves by watching the videotapes and performing the CPR practice once again, while Group II students were evaluated by their trainers and asked to perform this skill again after receiving feedback. It was found that there was no significant difference between the self-assessment method and the feedback provided by their trainers (F=1.8362, p=.245, p>0.05). It was determined that with the videotapes used by Group I students, insufficient/incorrect practices were easier to spot during the self-assessment process. © 2016, FACTEACHEREDUCATION. All rights reserved

Parvovirus B19 infection among pregnant women in our region and its effect on fetus

12th Annual Meeting of the European-Society-for-Clinical-Virology -- SEP 27-30, 2009 -- Istanbul, TURKEYWOS: 000270629000240…European Soc Clin Viro

Quality of life in coronary artery bypass surgery: comparison of preoperatively, 6 months and a year after

WOS: 00032873500011