Person: ERBAY DALLI, ÖZNUR
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ERBAY DALLI
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ÖZNUR
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Publication The effect of music on delirium, pain, sedation and anxiety in patients receiving mechanical ventilation in the intensive care unit(Elsevier Sci Ltd, 2023-02-16) Dallı, Öznur Erbay; Yıldırım, Yasemin; Aykar, Fisun Şenuzun; Kahveci, Ferda; ERBAY DALLI, ÖZNUR; KAHVECİ, FERDA ŞÖHRET; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/İç Hastalıkları Hemşireliği Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı/Yoğun Bakım Bölümü.; 0000-0003-2282-0846 ; ABI-1236-2020; CYR-2043-2022Objectives: To examine the effects of music for patients under mechanical ventilation support in the intensive care unit on their delirium, pain, sedation, and anxiety. Research methodology/design: A single-blind, randomized, controlled trial. Setting: The study was conducted with delirium positive patients between August 2020 and September 2021 in the medical/surgical intensive care unit of a university hospital in Turkey. Methods: The study sample was selected through a simple and stratified randomization method; patients who met the inclusion criteria were assigned to the music, noise reduction or control group. The data were collected by using a Confusion Assessment Method for the ICU (CAM-ICU), CAM-ICU-7, Critical Care Pain Observation Tool (CPOT), Richmond Agitation-Sedation Scale (RASS), Facial Anxiety Scale (FAS), PRE-DELIRIC model, and Glasgow Coma Scale (GCS). The interventions were repeated twice a day for five days. Results: A total of 36 patients were included, with 12 patients in each group. Significant decreases were found in the severity of delirium and pain and the level of sedation and anxiety in the music compared to the other groups (p < 0.05). The number of patients with delirium and the number of days with mechanical ventilation was found to be significantly lower in the music group compared to the other groups (p < 0.05). Conclusion: Music intervention may be used as a nursing intervention to control delirium, pain, need for sedation and anxiety in intensive care unit patients. However, additional studies with larger sample is needed to validate findings.Publication Reliability and validity of the Turkish version of pressure ulcer knowledge assessment tool-updated version (pukat 2.0)(Elsevier Sci Ltd, 2022-02-08) Yıldırım, Yasemin; Çalışkan, Gülbahar; Dallı, Öznur Erbay; ERBAY DALLI, ÖZNUR; Girgin, Nermin Kelebek; KELEBEK GİRGİN, NERMİN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anestezi ve Reanimasyon Anabilim Dalı.; 0000-0003-2282-0846; 0000-0002-5882-1632; ABI-1236-2020Objective: This study aimed to determine the reliability and validity of the Turkish version of the measurement tool developed and updated by Manderlier et al. to evaluate the nurses' evidence-based knowledge about pressure ulcers. Materials and methods: A methodological study design was used. The instrument was translated to Turkish and back-translated to English. A group of faculty members, including physicians and nurses who are experts in the subject area, evaluated the content validity of the tool with the Lawshe technique. A group of 240 nurses who met the inclusion criteria were reached, and then a pilot study was conducted with 35 nurses by using the testretest method to determine the invariance of the tool over time. The nurses in the pilot study were excluded from the overall sample, and the evaluations were performed with 205 nurses. Item difficulty index and discrimination index were used for the validity of the items since they were multiple-choice items; Kuder-Richardson 20 analysis was used to determine the internal consistency. Results: The translated and modified instrument demonstrated acceptable psychometric properties as follows: 1) overall content validity index was 0.90, 2) overall test-retest reliability was 0.83 (0.70-0.92 for the sub-themes), 3) item difficulty indexes were 35-75%, 4) discrimination indexes were 0.44-0.92, and 5) overall Cronbach's alfa for the internal consistency was 0.72. Conclusions: Similar to the earlier version, the Turkish version of PUKAT 2.0 was demonstrated to be a valid and reliable tool to evaluate the nurses' knowledge of evidence-based current information about pressure ulcers.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 Psychometric properties of the Turkish version of modified freedman questionnaire for sleep quality(Springer Japan Kk, 2022-05-05) Yıldırım, Yasemin; Dallı, Öznur Erbay; ERBAY DALLI, ÖZNUR; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Anabilim Dalı.; 0000-0003-2282-0846; ABI-1236-2020To investigate the psychometric characteristics of the modified Freedman Sleep Quality Questionnaire (mFSQQ) to assess sleep in Turkish intensive care unit (ICU) patients. This prospective cross-sectional study was conducted between December 2020 and August 2021 with patients older than 18 years, who stayed in the ICU for >= 24 h and were cooperative with a Glasgow Coma Scale score >= 10 in medical and surgical ICUs of a university hospital. During the adaptation of the items of the mFSQQ, language, content, and construct validity were examined, and the test-retest method and internal consistency were used to examine its reliability. The content validity index of the questionnaire was 0.82. The Kaiser-Meyer-Olkin measure of sampling adequacy was 0.71, which indicates adequate sampling; Bartlett's test of sphericity was chi(2) = 2868.97, p < 0.001. The Turkish version had three subscales. The factor loadings of the items were above 0.30, and the factors explained 60.59% of the total variance. The test-retest reliability coefficient was 0.85, indicating high consistency. The Cronbach alpha reliability coefficient was 0.80, indicating high reliability. The item-total correlations were found to be sufficient (between 0.25 and 0.78). The Turkish version of the mFSQQ showed good psychometric characteristics and can be used as a routine evaluation instrument to determine sleep quality by the ICU team and to promote sleep.Publication Practices of the abcdef care bundle in intensive care units as reported by nurses: A cross-sectional study from Turkey(Wiley, 2023-08-15) ERBAY DALLI, ÖZNUR; AKÇA DOĞAN, DERYA; PEHLİVAN, SEDA; BAYRAM, RIDVAN; Bayram, Rıdvan; Yıldız, Hicran; YILDIZ, HİCRAN; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/HemşirelikAnabilim Dalı.; 0000-0003-2282-0846; 0000-0001-7040-2732; 0000-0002-1670-0672; 0000-0003-4241-5231; KIG-7211-2024; AAI-6539-2021; ACM-4054-2022; AAK-5246-2021; ABI-1236-2020; ABG-1164-2020Background: Recent critical care guidelines recommended the evidence-based ABCDEF care bundle for intensive care unit (ICU) patients. However, limited information is available on the implementation of the bundle in Turkish ICUs.Aim: To assess the current practices of the ABCDEF care bundle as reported by ICU nurses.Study Design: A cross-sectional study using a web-based survey was conducted. Researchers invited nurses with at least 1 year of ICU experience to participate by sending the link to the research questionnaires they created in Google Forms to the one ICU nurse association and one communication group of which they are members.Results: A total of 342 ICU nurses completed the survey. Although 92% of the participants performed pain assessments in their ICUs, 52.7% reported not using protocols. Based on the responses of the nurses, spontaneous awakening and breathing trials are performed in 88.8% and 92.4%, respectively, of ICUs. Fewer than half of the participants reported following a sedation protocol in their ICUs. Only 54.7% of ICU nurses surveyed reported routinely monitoring patients for delirium. It was reported that early mobilization was practised in 68.7% of ICUs, but non-ventilated patients were mobilized more frequently (70.2%), and 9.7% of ICUs had mobilization teams. Family members were actively involved in 95% of ICUs; however, 9.7% used dedicated staff to support families and 3.5% reported that their unit was open 24 h/day for visits.Conclusions: While the implementation of most pain and sedation evaluations in ICUs were reported by nurses, many of them did not use structured delirium assessments. There is a need to encourage early mobilization programs and family participation.Relevance to Clinical Practice: Health institutions can improve patient care and outcomes by establishing and standardizing a protocol for each component of the ABCDEF care bundle in ICUs.Publication Validity and reliability study of the Turkish version of multiple sclerosis self-management scale(Lippincott Williams & Wilkins, 2020-06-01) Erbay, Öznur; Yeşilbalkan, Öznur Usta; Yüceyar, Nur; Baklan, Meltem; Karadakovan, Ayfer; Tekindal, Mustafa Agah; ERBAY DALLI, ÖZNUR; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Yoğun Bakım Anesteziyoloji ve Reanimasyon Anabilim Dalı.; 0000-0003-2282-0846; ABI-1236-2020OBJECTIVEThis study aimed to establish the equivalence, reliability, and validity of the Multiple Sclerosis Self-Management Scale Turkish Version (MSSM-T).METHODSThis methodological study consisted of 240 multiple sclerosis (MS) patients who were followed in an outpatient clinic of a university hospital between October 2016 and April 2017. Data were collected using the demographic characteristics form and the 24-item MSSM-T. Language equivalence, content validity, and construct validity methods were used for the validity of the scale; internal consistency, item analysis, and test-retest methods were used for the reliability. Explanatory factor analysis was used for construct validity, and principal component analysis and varimax rotation were used in the analysis of factor structure.RESULTSThe item-total correlations for the Turkish version were found to be sufficient (between 0.238 and 0.674). The Cronbach alpha reliability coefficient was 0.85, indicating high reliability. The test-retest reliability coefficient was 0.84, indicating high consistency. The Turkish version was found to have 5 factors for the 24 items (F1, healthcare provider relationship/communication; F2, knowledge and information about MS; F3, treatment adherence/barriers; F4, maintaining health behavior; and F5, social/family support), which accounted for the 62.584% of the characteristics in question.CONCLUSIONThe MSSM-T is valid and reliable in determining the self-management behaviors of patients with MS for Turkish patients.Publication Medical device-related pressure injury knowledge assessment for nurses: Development and psychometric validation of a multiple choice test(Ma Healthcare Ltd, 2023-06-01) Dallı, Öznur Erbay; ERBAY DALLI, ÖZNUR; Girgin, Nermin Kelebek; KELEBEK GİRGİN, NERMİN; Bursa Uludağ Üniversitesi/Sağlık Bilimleri Fakültesi/Hemşirelik Anabilim Dalı.; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anestezi ve Reanimasyon Anabilim Dalı.; 0000-0003-2282-0846; 0000-0002-5882-1632; ABI-1236-2020Objective: This study aimed to develop a valid and reliable test to measure nurses' knowledge of medical device-related pressure injuries (MDRPIs). Methods: The data were collected between May and July 2022. An extensive literature review was performed to develop the instrument. Face and content validity were evaluated in a three-round e-Delphi procedure by an expert panel of 12, including: two wound care nurses; two medical professors; two academic professors/associate professors of nursing with at least 10 years of experience in pressure injuries (PIs) and their care in Turkey; two international professors/ associate professors of nursing who have been involved in the National Pressure Injury Advisory Panel and other wound care organisations; and nurses from each of four different fields. Results: A sample of 155 nurses and 108 nursing students participated to enable evaluation of the validity of the multiple-choice test items (item difficulty, discriminating index), and to construct validity, internal consistency and stability of the instrument. A 16-item test reflecting six themes was developed to assess MDRPI knowledge (MDRPI-KAT). The item difficulty index of the questions ranged from 0.36-0.84, while values for item discrimination ranged from 0.31-0.68. The one-week test-retest intraclass correlation coefficient (stability) was 0.82. The overall internal consistency reliability was 0.77. Group scores of nurses with a (theoretically expected) high level of expertise were found to be statistically significantly higher than those of participants with (theoretically expected) less expertise (p<0.05). Conclusions: The MDRPI-KAT showed acceptable psychometric properties, and can be used in research and practice to evaluate nurses' knowledge of MDRPIs. Declaration of interest: This research did not receive any specific grant from funding agencies in the public, commercial or not-forprofit sectors. The authors have no conflicts of interest to declare.Publication Letter to the editor (Behind Closed Doors)(Lippincott Williams & Wilkins, 2020-06-01) Erbay, Öznur; ERBAY DALLI, ÖZNUR; Bursa Uludağ Üniversitesi/Yoğun Bakım Anesteziyoloji ve Reanimasyon Anabilim Dalı; 0000-0003-2282-0846; ABI-1236-2020Publication Incidence, characteristics and risk factors of medical device-related pressure injuries: An observational cohort study(Elsevier Sci Ltd, 2022-02-22) Dallı, Öznur Erbay; Ceylan, İlkay; Girgin, Nermin Kelebek; ERBAY DALLI, ÖZNUR; KELEBEK GİRGİN, NERMİN; Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı/Yoğun Bakım Bölümü.; 0000-0003-2282-0846; ABI-1236-2020; DTU-3148-2022Objectives: This study aimed to investigate the cumulative incidence, characteristics, and risk factors of medical device-related pressure injuries (MDRPIs), including patient outcomes, in the intensive care unit (ICU) of a university hospital.Research methodology/design: A prospective observational cohort study.Setting: The study was conducted in an university hospital between November 2019 and October 2020.Methods: The study included patients over the age of 18 years who had a device in situ and stayed in the ICU for more than 24 h. Each device was monitored twice a day for 15 days; the clinical assessment was performed daily until ICU discharge or death. The Case Report Form, MDRPI Monitoring Form, Sequential Organ Failure Assessment (SOFA) score, Acute Physiology and Chronic Health Evaluation (APACHE-II), Braden Scale, National Pressure Injury Advisory Panel (NPIAP) staging and categories, and Glasgow Coma Scale (GCS) were used for data collection. Patients with and without MDRPIs were compared for demographic and clinical characteristics, length of ICU stay, and mortality by using t-test and Chi-square test. Cumulative incidence was calculated. Logistic regression model was used to investigate risk factors.Results: The incidence rate of MDRPIs was 48.8% (84/172 patients). Most of the MDRPIs developed in the mucosa; hence, they could not be staged (63.7%). Of the remaining MDRPIs on the skin, 18.7%, 13%, and 4.6% were categorized as Stage I, II, and III, respectively. In terms of anatomical locations, most commonly occurred in the head and neck region (62.3%). Among the twelve medical devices that caused MDRPIs, endotracheal tubes (61 cases), urinary catheters (46 cases), nasogastric tubes (30 cases) and non-invasive masks (17 cases) were most commonly reported. In multivariate analysis, age (46-64 years) (p = 0.008, OR = 12.457), history of cardiovascular diseases (p = 0.021, OR = 0.044), administration of vasopressors (p = 0.013, OR = 0.089), length of ICU stay (>= 22 days, p = 0.048, OR = 0.055) and requirement for mechanical ventilation (p = 0.028, OR = 10.252) were identified as independent risk factors of the occurrence of MDRPI.Conclusions: This study provides a comprehensive understanding of the risk of MDRPI in critically ill adults. The incidence of MDRPIs was high and was associated with several factors. It is critical that MDRPIs are taken seriously by all members of the healthcare team, especially nurses, and that protocols should be established for improvements.