Person: KELEBEK GİRGİN, NERMİN
Loading...
Email Address
Birth Date
Research Projects
Organizational Units
Job Title
Last Name
KELEBEK GİRGİN
First Name
NERMİN
Name
4 results
Search Results
Now showing 1 - 4 of 4
Publication Knowledge, perception and prevention performance of intensive care unit nurses about medical device-related pressure injuries(Wiley, 2021-08-22) Dallı, Öznur Erbay; Girgin, Nermin Kelebek; ERBAY DALLI, ÖZNUR; KELEBEK GİRGİN, NERMİN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı/Yoğun Bakım Bilim Dalı; 0000-0003-2282-0846; 0000-0002-5882-1632; ABI-1236-2020; GBC-7197-2022Aim and Objective To examine intensive care unit (ICU) nurses' knowledge, perceptions and prevention performance about medical device-related pressure injuries (MDRPIs). Background Prevention of MDRPIs has been an important part of nursing care, and there is a limited number of studies on nurses' level of knowledge or perception about MDRPIs. Design This study was designed as a cross-sectional survey and conducted according to STROBE Guidelines. Method The data of the study were collected with the Nurse Information Form and the MDRPI Knowledge Assessment Questionnaire. In the first phase, the psychometric properties of the questionnaire were evaluated (content validity, internal consistency and test-retest). A pilot study was conducted with 20 nurses for the test-retest phase. These nurses were excluded from the general sample. Results The study was conducted with 142 ICU nurses. The average percent knowledge score of ICU nurses on MDRPIs was 68.4%. In the survey, the highest rate of correct response was found in the expressions about MDRPIs skin assessment (83.6%), and the lowest was in those about follow-up (50.8%). There was no significant relationship between the total score and age, work experience and specialties (p > .05 for each). However, scores were significantly higher in females than males (65.5 vs. 47.8, p = .020) and in those with a postgraduate degree than those with a bachelor's degree (81.8 vs. 57.9, p = .008). Conclusions Our study demonstrated that nurses do not have sufficient perception of MDRPIs. The findings of the study can be used to improve nursing policies and practices in acute care settings. Additional studies will be needed with nurses and healthcare professionals working in different clinical settings. Relevance to the clinical practice This study demonstrates the nurses' need for more knowledge about MDRPIs and will help inform healthcare institutions and their management teams in developing programs and improving protocols to reduce the incidence of MDRPIs.Publication Reliability of CT angiography scoring systems used for brain death and the effect of cranial interventions on the results(Elsevier Science, 2021-04-19) Özpar, Rıfat; Tonkaz, Mehmet; Girgin, Nermin Kelebek; Bodur, Muhittin; Dinç, Yasemin; Kocaeli, Hasan; Hakyemez, Bahattin; ÖZPAR, RİFAT; TONKAZ, MEHMET; KELEBEK GİRGİN, NERMİN; BODUR, MUHİTTİN; DİNÇ, YASEMİN; KOCAELİ, HASAN; HAKYEMEZ, BAHATTİN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Çocuk Nörolojisi Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Nöroloji Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Beyin Cerrahi Anabilim Dalı.; 0000-0001-6649-9287; 0000-0002-5882-1632; 0000-0002-2588-8195; 0000-0002-3425-0740; IUQ-6999-2023; JAN-9435-2023; AAH-5062-2021; AAH-2684-2021; DZJ-5260-2022; DTU-3148-2022; FDK-3229-2022; AAI-2318-2021Objective: To assess vascular opacifications, the efficiency, and interobserver agreement (IOA) of five different computed tomography angiography (CTA) brain death (BD) scoring systems in patients with and without cranial interventions, for determining alternative findings correctly supporting BD diagnosis by CTA even in cranial intervention presence. Methods: 45 patients clinically identified with BD and evaluated with CTA were included. IOA of five different scoring systems used for CTA BD diagnosis, the effect of intracranial interventions on scoring systems, and vascular opacification were evaluated. Results: IOA was almost perfect (Kappa = 0.843-0.911, p < 0.05) and substantial (Kappa = 0.771-0.776, p < 0.05) in all scoring systems. Significant relationships were observed between craniectomy presence and middle cerebral artery M4 segment and internal cerebral vein (ICV) opacification. No opacification was observed in straight sinus (SS) by observers in any of the craniectomized patients. Conclusion: IOA of CTA scoring systems is adequate. But a significant degree of false-negative results is observed due to ICV filling in craniectomy cases. Opacification presence in SS can give an idea of BD in these cases.Publication Therapeutic plasmapheresis therapy in patient with thyroid storm in the intensive care unit(Galenos Yayıncılık, 2020-01-15) Ertem, Aytül Coşar; Dağdelen, Melike Şeyda; Yıldız, Simge; Kahveci, Ferda Şöhret; Kelebek, Nermin; İsçimen, Remzi; COŞAR ERTEM, AYTÜL; Dağdelen, Melike Şeyda; Yıldız, Simge; KAHVECİ, FERDA ŞÖHRET; KELEBEK GİRGİN, NERMİN; İŞÇİMEN, REMZİ; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı.; 0000-0002-2767-1483; 0000-0003-2613-0084; 0000-0002-5882-1632; 0000-0001-8111-5958; 0000-0001-9020-5453; 0000-0003-4820-2288; AAI-8104-2021; HKP-2533-2023; ABE-2447-2020; DTR-4864-2022; CQC-3738-2022; IMY-6211-2023; GBC-7197-2022Thyroid storm is a rare clinical condition, and failure in management can lead to multiorgan failure and carries a high mortality. The comprehensive treatment approach is the administration of antithyroid drugs and radioactive iodine and thyroidectomy. The treatment option of therapeutic plasmapheresis (TP) should be considered as a stabilizing measure, especially when patients have failed or can not tolerate conventional treatment. This case report aimed to share that TP might be an alternative approach to be added to standard treatment methods in life-threatening conditions.Publication Are the tidal volumes used in intensive care units suitable for lung protective ventilation? Can training ensure compatibility?(Galenos Yayincilik, 2020-09-01) Kaya, Pınar Küçükdemirci; Sayan, Halil Erkan; Girgin, Nermin Kelebek; KELEBEK GİRGİN, NERMİN; Kaya, Murad; KAYA, MURAD; Bursa Uludağ Üniversitesi/Tıp Fakültesi; 0000-0002-5882-1632Objective: Low tidal volume (VT) and lung protective ventilation (LPV) are recommended to prevent lung injury associated with invasive mechanical ventilation (IMV). Present study aimed to determine the patients with risk of high VT application, whether VT calculated according ideal body weight (IBW) values are suitable for the recommended (6-8 mL/kg) and whether a questionnaire on the issue contributes to IMV suitable for LPV.Materials and Methods: Present study is conducted as a multicenter point - prevalence study in the intensive care units of three hospitals in Bursa. Non-ARDS patients receiving IMV and patients who were older than 18 years were included in the study. IMV parameters and demographic data of the patients were collected. Then, the physicians responsible of ventilatory management completed a questionnaire about LPV strategies and VT values required according to the IVA were shown. After 24 hours, mechanical ventilation parameters were re-collected. Body mass index (BMI), average tidal volume applied [VTmean = minute volume (MV)/respiratory rate (RR)] and VTmean for IBW (VTmean/IBW) values were calculated.Results: Fifty-six patients were included in the study. There were 33 male patients (58.9%) and the mean age of the patients was 65.43 +/- 18.87 years. The mean BMI of the patients was 27.84 +/- 7.0. The most commonly used ventilation mode was synchronized intermittent mandatory ventilation (75%). The VTmean was 549.32 +/- 151.00 mL (VTmean/IBW =9.31 +/- 3.07 mL/kg). According to VTmean/IBW, for the use of large VTs, being female (10.77 +/- 2.74 mL/kg) and having BMI >= 30 (10.82 +/- 3.80 mL/kg) posed significantly higher risk than being male (8.31 +/- 2.91 mL/kg) and having BMI <30 (8.67 +/- 2.47 mL/kg) (p=0.002, p=0.015 respectively). The results showed a significant decrease (p=0.026) in VTmean/IBW (8.81 +/- 3.49 mL/kg) values after the physicians completed LPV questionnaire and were shown the VT values (predicted by IBW).Conclusion: VTmean/IBW values were found to be higher than 6-8 mL/kg, the recommended value for LPV. Ventilation with high VT was associated with female gender and having a BMI of >= 30. Completing the LPV questionnaire and seeing the VT values (predicted by IBW) contributed to the number of the patients ventilated with VT values suitable LPV.