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    Effectiveness of the transitional care model in total knee arthroplasty patients: A randomized controlled trial
    (Wiley, 2024) Gullu, Ayla; Tosun, Betul
    AimThis study has aimed to assess the effectiveness of the transitional care model (TCM) on functional status, perceived self-efficacy and healthcare utilization in patients undergoing total knee arthroplasty (TKA).MethodThis randomized controlled study was conducted between February and November 2021 in a public hospital. The study randomly assigned patients to either a 6-week 'TCM' program or usual care. The sample size was n = 70, with each group comprising 35 individuals. Patient outcomes, including self-efficacy, functional status and healthcare service readmission rates, were monitored for TKA patients.ResultsNursing care based on the 'TCM' was found to enhance functional status and increase the level of self-efficacy among TKA patients, leading to a decrease in healthcare service readmissions.ConclusionsThe study recommends preparing patients and their families for the preoperative and postoperative processes. It emphasizes the importance of providing necessary training and consultancy services under the leadership of orthopaedic nurses responsible for TKA patient care, guided by the principles of TCM. What is already known about this topic? Treatment for knee osteoarthritis aims to alleviate pain, maintain joint functions and improve the quality of life. The success of transitional care relies on effective hospital discharge planning, post-discharge follow-up and home support to reduce adverse events.What this paper adds? Patients receiving TCM demonstrated improved outcomes and reduced healthcare service readmission rates. Nursing care based on the transitional care model positively affected the functional status of TKA patients. TCM increased patients' self-efficacy levels.The implications of this paper: Patient training and consultancy services should be led by nurses responsible for TKA patients, guided by the principles of TCM. TCM should serve as a valuable guide for nurses when planning care for TKA patients.
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    Evaluation of emergency service nurses' patient handover and affecting factors: A descriptive study
    (Elsevier Sci Ltd, 2022) Gungor, Serap; Akcoban, Sumeyye; Tosun, Betul
    Aim: The aim of the study was to determine the patient handover efficacy level of emergency room nurses and the influencing factors. Method: This descriptive, cross-sectional study was completed with (n = 120) emergency room nurses of two different state hospitals from April 26 to May 26, 2021. The Nurses descriptive information form and Handover Evaluation Scale were used as data collection forms. Results: The mean age of the nurses was 29.53(6.327 years, 70.8% of them were female, and 76.7% of them had a bachelor's degree. The mean number of handovers was 3.25 (SD = 3.17) for one nurse in a shift, and the mean handover duration for a patient was 10.16 (SD = 9.23) minutes. More than half of the nurses (61.7%) carried out oral handover at the bedside. The mean score of the handover evaluation scale was 53.31 (SD = 9.55). The mean score of the nurses who performed the handover with all the nurses on the shift (spelling and relieving) together was 56.47 (SD = 9.21) and higher than that of the nurses who performed the handover in small groups 49.84 (SD = 9.70), (p = 0.012). Conclusion: The results of this study may contribute to promoting patient safety and improving patient handover processes in emergency rooms. It is recommended that standardized and comprehensive written handover forms be used, that all emergency room nurses should attend the handover process, and that further observational and interventional studies should be conducted.
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    Evaluation of the Handover Training Program Given to Nursing Students Using the Kirkpatrick Model: A Quasi-Experimental Observational Study
    (Sage Publications Inc, 2024) Akcoban, Sumeyye; Gungor, Serap; Dirgar, Ezgi; Tosun, Betul
    Background: Patient handover training given to nursing students is important to ensure patient safety. There are a variety of evaluation models that can be used to evaluate the impact of education in nursing, one of which is the Kirkpatrick model. Objective: This study aims to evaluate the patient handover training given to nursing students according to the Kirkpatrick model. Methods: A pretest and posttest design was used with a convenience sample of 33 nursing students. The training provided was evaluated according to the reaction, learning, behavior, and result levels of the Kirkpatrick model. In the study, data were collected by researchers observing students through face-to-face interactions and bedside observations using Handoff Evaluation Scale (Handoff CEX). Results: It was found that 42.1% of the nursing students practiced verbal, 19.7% taped, and 36.8% bedside handovers before the training, while all the students practiced taped, verbal, and bedside handovers after the training. While the mean (SD) scores of patient handover (2.87 [0.95]) were at an insufficient level before the training, the scores after the training (7.12 [1.06]) increased to a high level. The difference between the mean patient handover scores before and after the training was statistically significant (P < .001). Conclusions: After the training provided in the study, it was observed that nursing students improved their patient handover levels and styles, handover participation, and information transfer. Patient handover training given to undergraduate student nurses can be evaluated using the Kirkpatrick model.
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    Evaluation of the relationship between individual workload perception and compliance with isolation measures of emergency and critical care nurses
    (Ios Press, 2023) Akcoban, Sumeyye; Yava, Ayla; Koyuncu, Aynur; Tosun, Betul
    BACKGROUND: As a result of the coronavirus 2019 (COVID-19) pandemic, compliance with isolation measures has become challenging. OBJECTIVE: To evaluate the individual workload perception and compliance with isolation measures of nurses working in the emergency service and critical care unit during the COVID-19 outbreak. METHODS: This descriptive correlational study was carried out in the emergency service and critical care unit of a public hospital between April 20 and May 20, 2021. A total of 153 nurses working in the emergency service and critical care unit who agreed to participate in the study were included in the study. RESULTS: Nurses from a state hospital's emergency department and critical care unit (n = 153) were included in the study sample. The impression of overall individual workload by nurses and compliance with isolation (r = 0.153; p < 0.05) had a positive, weak, and significant relationship. The Isolation Measures Compliance Scale resulted in a mean score of 70.70 +/- 5.35. The mean score on the Individual Workload Scale for nurses was moderate (3.22 +/- 0.54). CONCLUSION: The low perception of individual workload of nurses working in the emergency service and critical care unit during the COVID-19 pandemic increased the compliance with isolation measures.

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