Browsing by Author "Azizoglu, Hatice"

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Caring for Patients Experiencing Itching After Burns: Phenomenological Analysis of Nurses' Views
(Wiley, 2025) Azizoglu, Hatice
Post-burn itching is an important problem that disturbs patients during the treatment and rehabilitation process of burns. This study aims to reflect the clinical views of nurses caring for patients with post-burn itching and to contribute to the healing process and treatment process by contributing to the care process of patients with post-burn itching. This study was conducted with 10 nurses working in the burn unit using a phenomenological design, one of the qualitative research types. The data were collected face-to-face between August and October 2023 using individual in-depth interviews. The data were analysed by the researchers using thematic analysis. Six main themes and 23 sub-themes were identified in the study. Main themes: types of burns with itching, anatomical regions, itching process, problems experienced in care, methods used to relieve itching, and suggestions for dealing with itching. The results of this study reveal the views of nurses on the management of itching after burns. The findings will contribute to the development of more effective care strategies and increase patient satisfaction by increasing the knowledge and awareness of nurses in the clinic regarding itch management.
The Effect of an Improved Environment According To Watson's Theory of Human Care on Sleep, Anxiety, and Depression in Patients Undergoing Open Heart Surgery: a Randomized Controlled Trial
(Mdpi, 2025) Azizoglu, Hatice; Gurkan, Zeynep; Bozkurt, Yasemin; Demir, Canan; Akaltun, Hatice
Background/Objectives: According to Watson's Human Care Theory, an improved environment influences patients' care processes. The purpose of this study was to examine the effect of an improved environment, according to Watson's Human Care Theory, on sleep quality, anxiety, and depression in patients undergoing open heart surgery. Methods: Upon admission to the ward from the postoperative intensive care unit, the experimental group underwent environmental remediation for three days. The environmental arrangements ensured that the patient's room maintained an appropriate temperature range of 18-26 degrees C and humidity values of 30-50%. Monitoring took place at 21:00, 22:00, and 23:00 on Days 1, 2, and 3, at which times, the brightness of the patient rooms gradually decreased. On the morning of the fourth day, the patients were interviewed face to face, and research questionnaires were filled out (ClinicalTrials.gov identifier of the manuscript: NCT06744023). Results: After the implementation of an improved environment in accordance with Watson's Human Care Theory, the sleep duration of the patients in the experimental group (5.91 h) was higher than that of the control group (4.1 h). At the same time, the mean sleep quality score was measured as 300 +/- 15.33 in the experimental group and 116.33 +/- 14.94 in the control group. In addition, anxiety and depression levels were lower in the experimental group (5.63 +/- 0.59; 4.53 +/- 0.42) compared with the control group (12.03 +/- 0.85; 10.03 +/- 0.82). Conclusions: We recommend implementing improved environmental arrangements in accordance with Watson's Human Care Theory to improve sleep quality and reduce anxiety and depression levels in patients undergoing open heart surgery.
The Effect of Local Anaesthetic Agents on Opioid Use and Recovery in Patients Undergoing Open Heart Surgery: a Randomized Controlled Study
(Bmc, 2025) Azizoglu, Hatice; Asam, Mehmet; Gurkan, Zeynep; Bozkurt, Yasemin; Demir, Canan
BackgroundAfter open heart surgery, patients experience high levels of pain at the sternotomy incision site and around the chest tube(s), affecting their recovery. This study was conducted to determine the effects of local anesthetic application around the sternotomy incision site and chest tube(s) on the amount of opioids used and recovery after surgery in patients undergoing open heart surgery.MethodsThis randomized controlled experimental study was conducted with a total of 60 patients, with 30 patients in the experimental group and 30 patients in the control group. In the experimental group, LIDOFAST 40 mg/2 ml + 0.025 mg/2 ml, a local anesthetic agent, was applied to the postoperative sternotomy incision site and around the chest tube(s) in addition to routine treatment. Patients in the control group received only routine treatment. Data were collected using the "Descriptive Characteristics Form" and the "Postoperative Recovery Index".ResultsIt was observed that postoperative pain started later, opioid consumption decreased, and postoperative recovery was faster in the experimental group. As the number of chest tubes increased, recovery was delayed in all groups, and as the number of opioids used increased, postoperative recovery was negatively affected in the control group.ConclusionsIn this study, local anesthetic application to the sternotomy incision site and around the chest tubes after open heart surgery was found to reduce postoperative opioid consumption and positively affect recovery.Trial registrationCurrent Controlled Trials NCT06642077 (Retrospectively registered).
Evaluation of the Effectiveness of "cable Fixing Tool" in Ensuring and Maintaining Patient and Employee Safety in the Operating Room
(Elsevier, 2023) Azizoglu, Hatice; Aslan, Fatma Eti
Aim: This study was designed to improve the "Cable Fixing Tool", which is effective in providing and maintaining patient and employee safety in the operating room, and to evaluate its effectiveness. Material and method: The production stages of the "Cable Fixing Tool" were carried out first in this mixed-methods experimental study. The study was performed with 120 patients who underwent laparoscopic cholecystectomy in the operating room of Van Regional Training and Research Hospital between June 2021 and November 2021, and with 60 healthcare professionals constituting the surgical team, of which 8 were physicians, 41 nurses and 11 caregivers. Results: The total injury rate due to cables and connections was 23.4% in the pre-test conducted with the control group to evaluate the effectiveness of the "Cable Fixing Tool", and 3.3% in the experimental group using the "Cable Fixing Tool". The obtained data indicate that the "Cable Fixing Tool" is effective and provides safety. Conclusion: It is believed that in units with a high number of technical equipment like operating rooms, the widespread use of auxiliary products such as "Cable Fixing Tool", which can ensure cable safety, is necessary in reducing and preventing unwanted incidents caused by cables and connections such as tripping, falling and injuries.
Experiences of Cardiovascular Surgery Intensive Care Nurses in the Care of Patients With Postoperative Cognitive Dysfunction: a Qualitative Study
(Sage Publications inc, 2025) Azizoglu, Hatice
Postoperative cognitive dysfunction (POCD) is the development of cognitive decline following anesthesia and surgery. The incidence of POCD is more pronounced in patients undergoing cardiac surgery than in patients undergoing non-cardiac surgery. This study aims to evaluate the experiences, knowledge status, and clinical practice interventions of nurses caring for patients diagnosed with POCD. Ten nurses working in the intensive care unit of cardiovascular surgery participated in this study, which used a phenomenological design, one of the qualitative research types. We collected the data face-to-face between January and March 2023 using the individual in-depth interview method. The data were analyzed by the researcher using thematic analysis. The study identified 13 main themes: cognitive, behavioral, emotional problems, occupational difficulties, increasing duration, age, premorbid period, psychological resilience, effective coping skills, interaction, restraint, external support systems, and cognitive structuring. After cardiovascular surgery, patients should be evaluated not only for cardiac but also for cognitive, emotional, and behavioral factors. In addition, the risk factors that cause POCD, the difficulties faced by nurses, and their coping skills are the effects that shape the patient care process of POCD.
Providing Spiritual Care to Patients Undergoing Open-Heart Surgery in Turkey: A Phenomenological Analysis of Nurses' Perspectives
(Springer, 2026) Azizoglu, Hatice; Akaltun, Hatice; Gurkan, Zeynep
Open-heart surgery is a physically, psychologically, and spiritually demanding experience, making holistic nursing care essential for supporting patients' overall well-being. This study aimed to explore the spiritual care experiences of nurses providing care to patients undergoing open-heart surgery. A qualitative phenomenological design was used to capture the meaning structures underlying nurses' experiences. The study was conducted in the Cardiovascular Surgery (CVS) intensive care unit and ward of Van Training and Research Hospital. Data were collected between May and June 2025 through face-to-face, in-depth individual interviews with 10 nurses who had experience caring for patients undergoing open-heart surgery. Interviews were audio-recorded with participants' consent, transcribed verbatim, and analyzed using Braun and Clarke's six-phase thematic analysis approach with support from MAXQDA 24. The analysis revealed four main themes and 24 sub-themes reflecting the core meaning of nurses' spiritual care experiences. The main themes are: 1- The nurse's inner world and clinical reflections of spiritual care, 2- Patients' individual spiritual needs, belief systems, and perceptions of illness and death, 3- Implementation of spiritual care: the nurse's role and the texture of care, 4- Barriers and system-level constraints in providing spiritual care. Nurses reported that spiritual care enhanced patients' inner peace, coping capacity, and readiness for surgery while strengthening the therapeutic relationship. However, limited education and inadequate institutional support hindered the consistent delivery of spiritual care. The findings underscore the importance of developing culturally sensitive training programs, establishing institutional guidelines, and promoting multidisciplinary collaboration to strengthen nurses' competence and extend the integration of spiritual care into clinical practice.
Safe Technology Use in the Operating Room and Related Factors
(BMC, 2025) Hacidursunoglu Erbas, Dilay; Azizoglu, Hatice; Ozdere, Baris; Eti Aslan, Fatma
Background The rapid advancement of medical technologies has transformed operating rooms into complex, hightech environments. Ensuring the safe use of these technologies is vital for both patient and staff safety. Objectives This study aimed to assess the level of safe technology use among healthcare professionals in operating rooms and to identify factors influencing these practices. Methods This descriptive and correlational study was conducted between December 2024 and April 2025 in three hospitals in eastern Turkey. A total of 271 healthcare professionals, including surgeons, anesthesiologists, anesthesia technicians, and nurses, participated. Data were collected using a Healthcare professional identification form and the Safe Use of Technology in the Operating Room Scale[SUTORS]. Statistical analyses included Mann-Whitney U, Kruskal-Wallis, and Spearman correlation tests. Results Participants reported high scores across all SUTORS sections: General Practices[M= 4.28 +/- 0.76], Surgical Team[M = 4.29 +/- 0.70], and Anesthesia Team[M = 4.49 +/- 0.51]. Statistically significant differences were observed by profession, education level, and prior training[p<0.05]. Nurses and anesthesia technicians general practices scored higher than surgeons and anesthesiologists. Also as General Practices increased, the anesthesia team's safe technology usage scores increased too [r = 0.686, p < 0.01]. Conclusion Operating room staff generally exhibit positive attitudes and behaviors toward the safe use of technology. Higher education and prior training are associated with improved safety practices. Institutions should implement regular in-service training to support safe and effective technology integration in surgical environments. Clinical trial number Not applicable.
Validity and Reliability Study of the Turkish Form of Post-Discharge Surgical Recovery Scale
(Aves, 2021) Aslan, Fatma Eti; Cinar, Fadime; Korkmaz, Evin; Azizoglu, Hatice
AIM: This study was carried out to adapt the "Post-Discharge Surgical Recovery Scale " developed by Kleinbeck into Turkish and analyze the scale's validity and reliability. METHODS: The study sample consisted of 343 patients who underwent surgery in a state hospital operating in the province of Diyarbakir, in the province of Istanbul. The sample consisted of 271 people due to voluntary participation and reasons for not being able to reach. This research, which is of methodological type, was carried out between April and July 2019. The Individual Information Form and the Post-Discharge Surgical Recovery Scale, which the researchers developed by scanning the literature, were used to collect the data. In the validity and reliability study of the scale; Linguistic equivalence, content validity for expert assessment, the correlation between items for internal consistency/reliability, and calculating Cronbach alpha values and confirmatory and exploratory factor analyzes were performed for construct validity. IBM SPSS Statistics 25 and IBM SPSS Amos 21 programs were used for statistical evaluation of the data. RESULTS: It was determined that the content validity index of the scale was 0.96, the correlation values between the items were r=0.47-0.97, the explained variance was 75.238%, and it was gathered under a single factor. The general reliability of the scale is very high as alpha=0.975. In the confirmatory factor analysis for the scale, the fit indices of the scale were CFI = 0.76; NNFI = 0.93; It was determined that RMR = 0.11 and RMSEA = 0.13, AGFI = 0.69, GFI = 0.77. CONCLUSION: The research results suggest that the Turkish version of the "Post-Discharge Surgical Scale" is a valid and reliable measurement tool and can be used in scientific research and health care institutions to measure recovery post discharge.