Araştırma Makalesi
BibTex RIS Kaynak Göster

Web Tabanlı Eğitimin Yoğun Bakım Hemşirelerinin Sedasyon Yönetimi Bilgi ve Uygulamalarına Etkisi

Yıl 2024, Cilt: 6 Sayı: 1, 95 - 108, 25.04.2024

Pelin Çelik Hatice Tel Aydın

https://doi.org/10.46413/boneyusbad.1403724

Öz

Amaç: Araştırma, web tabanlı eğitimin, yoğun bakım hemşirelerinin sedasyon yönetimi hakkındaki bilgi ve uygulamalarına etkisini değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntem: Tek grup, ön test-son test desende gerçekleştirilen çalışmada, 62 yoğun bakım hemşiresinin, sedasyon yönetimi konusundaki bilgi düzeyleri ve uygulamaları değerlendirilmiştir. Hemşirelere web tabanlı sedasyon yönetim eğitimi verilmiş, eğitimden bir ay sonra araştırmaya katılan hemşirelerin yoğun bakım hastasında sedasyon yönetimi konusundaki bilgi düzeyleri ve uygulamaları tekrar değerlendirilmiş, eğitim öncesi ve sonrası veriler analiz edilerek eğitimin etkinliği değerlendirilmiştir.
Bulgular: Web tabanlı eğitim sonrasında, hemşirelerin sedasyon yönetimine ilişkin ifadeleri doğru yanıtlama oranlarında anlamlı artış olduğu belirlenmiştir. Hemşirelerin ajitasyonu önlemeye ve hastaların sedasyon ihtiyacını azaltmaya yönelik hemşirelik girişimlerini uygulama oranlarının eğitim sonrasında anlamlı şekilde arttığı saptanmıştır.
Sonuç: Web tabanlı eğitimin, yoğun bakım hemşirelerinin sedasyon yönetimi konusundaki bilgi ve uygulamalarının arttırılmasını destekleyen bir yaklaşım olduğu belirlenmiştir. Yoğun bakım hemşirelerinin etkili ajitasyon-sedasyon yönetimi gerçekleştirebilmelerinde web tabanlı eğitim programlarının desteklenmesi önerilmektedir.

Anahtar Kelimeler

Yoğun bakım hemşireliği Sedasyon Uzaktan eğitim

Destekleyen Kurum

SİVAS CUMHURİYET ÜNİVERSİTESİ BİLİMSEL ARAŞTIRMA PROJELERİ (CÜBAP)

Proje Numarası

SBF- 074

Kaynakça

  • Abbott/American Association of Critical-Care Nurses/Saint Thomas Health System Sedation Expert Panel Members. (2004). Consensus Conference on Sedation Assessment: A Collaborative Venture by Abbott Laboratories, American Association of Critical-Care Nurses, and Saint Thomas Health System. Critical Care Nurse, 24(2), 33-41.
  • Abdar, M. E., Rafiei, H., Abbaszade, A., Hosseinrezaei, H., Abdar, Z. E., Delaram, M., Ahmadineja, M. (2013). Effects of nurses practice of a sedation protocol on sedation and consciousness levels of patients on mechanical ventilation. Iran J Nurs Midwifery Res,18: 391–395.
  • Aitken, L. M., Marshall, A. P., Elliott, R., McKinley, S. (2009). Critical care nurses’ decision making: sedation assessment and management in intensive care. Journal of Clinical Nursing, 18(1), 36-45.
  • Akın Korhan, E., Khorshid, L., Uyar, M. (2011). The effect of music therapy on physiological signs of anxiety in patients receiving mechanical ventilatory support. Journal of Clinical Nursing, 20(7-8), 1026-1034.
  • Aktaş, Y. Y., Koraş, K., Karabulut, N. (2017). Yoğun bakım hemşirelerinin teknolojiye ilişkin tutumları. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 4(2), 36-48.
  • Alasad, J. A., Tabar, N. A., Ahmad, M. M. (2015). Patients' experience of being in intensive care units. Journal of Critical care, 30(4), 859-e7.
  • Almeida, T. M. L. D., Azevedo, L. C. P. D., Nosé, P. M. G., Freitas, F. G. R. D., Machado, F. R. (2016). Fatores de risco para desenvolvimento de agitação em pacientes críticos. Revista Brasileira de Terapia Intensiva, 28, 413-419.
  • Ateş, E. (2019). Omurilik hasarlı bireylere verilen web tabanlı eğitimin komplikasyon kontrolü ve yaşam kalitesine etkisi. Gazi Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
  • Ayasrah, S. (2016). Care-related pain in critically ill mechanically ventilated patients. Anaesthesia and intensive care, 44(4), 458-465.
  • Barisone, M., Bagnasco, A., Aleo, G., Catania, G., Bona, M., Scaglia, S. G., ... Sasso, L. (2019). The effectiveness of web-based learning in supporting the development of nursing students’ practical skills during clinical placements: A qualitative study. Nurse education in practice, 37, 56-61.
  • Barr, J., Fraser, G. L., Puntillo, K., Ely, E. W., Gélinas, C., Dasta, J. F., ... Jaeschke, R. (2013). Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Critical care medicine, 41(1), 263-306.
  • Bion, V., Lowe, A. S., Puthucheary, Z., Montgomery, H. (2018). Reducing sound and light exposure to improve sleep on the adult intensive care unit: an inclusive narrative review. Journal of the Intensive Care Society, 19(2), 138-146.
  • Brown, D. T., Westbury, J. L., Schüz, B. (2015). Sleep and agitation in nursing home residents with and without dementia. International psychogeriatrics, 27(12), 1945-1955.
  • Burk, R. S., Grap, M. J., Munro, C. L., Schubert, C. M., Sessler, C. N. (2014). Predictors of agitation in critically ill adults. American journal of critical care, 23(5), 414-423.
  • Celis-Rodríguez, E., Birchenall, C., De la Cal, M. Á., Arellano, G. C., Hernández, A., Ceraso, D., ... Rubiano, S. (2013). Clinical practice guidelines for evidence-based management of sedoanalgesia in critically ill adult patients. Medicina Intensiva (English Edition), 37(8), 519-574.
  • Chang, Y. Y., Yu, H. H., Loh, E. W., Chang, L. Y. (2016). The efficacy of an in-service education program designed to enhance the effectiveness of physical restraints. Journal of Nursing Research, 24(1), 79-86.
  • Choi, J., Tate, J. A., Rogers, M. A., Donahoe, M. P., Hoffman, L. A. (2016). Depressive symptoms and anxiety in intensive care unit (ICU) survivors after ICU discharge. Heart Lung, 45(2), 140-146.
  • Christensen, M. (2007). Noise levels in a general intensive care unit: a descriptive study. Nursing in critical care, 12(4), 188-197.
  • Chuang, Y. H., Tsao, C. W. (2013). Enhancing nursing students' medication knowledge: the effect of learning materials delivered by short message service. Computers & Education, 61, 168-175.
  • Çelik, Ş., & Çelik, P. (2022). An Evaluation of the Opinions of the First and Emergency Aid Students on Online Education During the Covid-19 Pandemic Period. Turkish Journal of Science and Health, 3(2), 85-91.
  • Çevik, B., Kılıç, G., Sultan, K. A. V., Karahan, A., Eşer, A. K., Doğan, N. (2020). Hemşirelerin invaziv arteriyel kan basıncı ölçümüne yönelik bilgi düzeyleri ve yaşadıkları güçlükler. Yoğun Bakım Hemşireliği Dergisi, 24(2), 89-98.
  • Çömez, S. (2016). Meme kanseri olan kadınlar ve eşleri için oluşturulan web tabanlı eğitimin yaşam kalitesi ve eş uyumuna etkisi. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
  • Da Silva, P. S. L., Fonseca, M. C. M. (2012). Unplanned endotracheal extubations in the intensive care unit: Systematic review, critical appraisal, and evidence-based recommendations. Anesthesia and Analgesia, 114(5): 1003–1014.
  • Davidson, J. E., Winkelman, C., Gelinas, C., Dermenchyan, A. (2015). Pain, agitation, and delirium guidelines: nurses’ involvement in development and implementation. Critical care nurse, 35(3), 17-31.
  • Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5,194-197.
  • de Groot, R. I., Dekkers, O. M., Herold, I. H., de Jonge, E., Arbous, M. S. (2011). Risk factors and outcomes after unplanned extubations on the ICU: a case-control study. Crit Care, 15(1): R19.
  • Dean, E. (2016). Anxiety. Nursing Standard., Jul 13; 30(46):15.
  • Devlin, J. W., Skrobik, Y., Gélinas, C., Needham, D. M., Slooter, A. J., Pandharipande, P. P., ... Alhazzani, W. (2018). Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Critical care medicine, 46(9), e825-e873.
  • Eliassen, K. M., Hopstock, L. A. (2011). Sleep promotion in the intensive care unit—a survey of nurses’ interventions. Intensive and Critical Care Nursing, 27(3), 138-142.
  • Erden, S. (2015). Yoğun Bakımda Ağrı Yönetiminde Hemşirenin Anahtar Rolleri. Van Tıp Dergisi, 22(4): 332-336. Feeley, K., Gardner, A. (2006). Sedation and analygesia management for mechanically ventilated adults: Literature review, case study and recommendations for practice. Australian Critical Care, 19(2), 73-77.
  • Girard, T. D., Kress, J. P., Fuchs, B. D., Thomason, J. W., Schweickert, W. D., Pun, B. T., ... Ely, E. W. (2008). Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. The Lancet, 371(9607), 126-134.
  • Grap, M. J., Munro, C. L., Wetzel, P. A., Best, A. M., Ketchum, J. M., Hamilton, V. A., ... Sessler, C. N. (2012). Sedation in adults receiving mechanical ventilation: physiological and comfort outcomes. American Journal of Critical Care, 21(3), e53-e64.
  • Grounds, M., Snelson, C., Whitehouse, T., Willson, J., Tulloch, L., Linhartova, L., ... Deanery, W. M. (2014). Intensive Care Society Review of Best Practice for Analgesia and Sedation in the Critical Care.
  • Guttormson, J. L., Chlan, L., Weinert, C., Savik, K. (2010). Factors influencing nurse sedation practices with mechanically ventilated patients: a US national survey. Intensive and Critical Care Nursing, 26(1), 44-50.
  • Hansen, M. V., Halladin, N. L., Rosenberg, J., Gögenur, I., Møller, A. M. (2015). Melatonin for pre- and postoperative anxiety in adults. Cochrane Database of Systematic Reviews. Issue 4. Art. No: CD009861
  • Ho, K. M. (2016). Pitfalls in haemodynamic monitoring in the postoperative and critical care setting. Anaesth Intensive Care, Jan;44(1):14-9.
  • Inoue, S., Hatakeyama, J., Kondo, Y., Hifumi, T., Sakuramoto, H., Kawasaki, T., ... Nishida, O. (2019). Post‐intensive care syndrome: its pathophysiology, prevention, and future directions. Acute medicine & surgery, 6(3), 233-246.
  • Jackson, D. L., Proudfoot, C. W., Cann, K. F., Walsh, T. S. (2009). The incidence of sub-optimal sedation in the ICU: a systematic review. Critical Care, 13(6), 1-14.
  • Juneja, D., Deepak, D., Nasa, P. (2023). What, why and how to monitor blood glucose in critically ill patients. World J Diabetes, 15;14(5):528-538.
  • Kamdar, B. B., King, L. M., Collop, N. A., Sakamuri, S., Colantuoni, E., Neufeld, K. J., ... Needham, D. M. (2013). The effect of a quality improvement intervention on perceived sleep quality and cognition in a medical ICU. Critical care medicine, 41(3), 800.
  • Karabağ Aydın, A. (2013). Web tabanlı öğretimin hemşirelik öğrencilerinin aritmetik ve ilaç dozu hesaplama becerilerine etkisi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara
  • Karakuş Selçuk, A., Yanikkerem, E. The effect of web-based education on Pap smear behaviours of teachers. Eur J Cancer Care (Engl). 2020 May;29(3):e13202.
  • Kröller-Schön, S., Daiber, A., Steven, S., et al. (2018). Crucial role for Nox2 and sleep deprivation in aircraft noise-induced vascular and cerebral oxidative stress, inflammation, and gene regulation. Eur Heart J., 39:3528–39.
  • Luz, M., Brandão Barreto, B., de Castro, R. E. V., Salluh, J., Dal-Pizzol, F., Araujo, C., ... Gusmao-Flores, D. (2022). Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU): an international survey before and during the COVID-19 pandemic. Annals of intensive care, 12(1), 9
  • Melhuish, K., Falloon, G. (2010). Looking to the future: M-learning with the iPad.
  • Nilius, G., Richter, M., Schroeder, M. (2021). Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit. Nature and Science of Sleep, 13 751–762.
  • Oliveira, C. R., Bernardo, W. M., Nunes, V. M. (2017). Benefit of general anesthesia monitored by bispectral index compared with monitoring guided only by clinical parameters. Systematic review and meta-analysis. Braz J Anesthesiol, 67(1):72-84.
  • Osborne, M. T., Radfar, A., Hassan, M.Z.O., et al. (2020). A neurobiological mechanism linking transportation noise to cardiovascular disease in humans. Eur Heart J., 41:772–82.
  • Özgürsoy Uran, B. (2017). İnflamatuar barsak hastalarında web tabanlı eğitimin hastalık aktivitesine, semptom yönetimine ve yaşam kalitesine etkisi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir
  • Öztürk, D., Dinç, L. (2014). Effect of Web-Based Education on Nursing Students' Urinary Catheterization Knowledge and Skills. Nurse Education Today, 34(5), 802-808
  • Pal, J., Taywade, M., Pal, R., Sethi, D. (2022). Noise Pollution in Intensive Care Unit: A Hidden Enemy affecting the Physical and Mental Health of Patients and Caregivers. Noise Health, Jul-Sep;24(114):130-136.
  • Payen, J. F., Bosson, J. L., Chanques, G., Mantz, J., Labarere, J., Dolorea Investigators. (2009). Pain Assessment Is Associated with Decreased Duration of Mechanical Ventilation in the Intensive Care Unit: A Post HocAnalysis of the DOLOREA Study. The Journal of the American Society of Anesthesiologists, 111(6), 1308-1316.
  • Perpiñá-Galvañ, J., Richart-Martínez, M. (2009). Scales for evaluating self-perceived anxiety levels in patients admitted to intensive care units: a review. American Journal of Critical Care, 18(6), 571-580.
  • Ramoo, V., Abdullah, K. L., Tan, P. S., Wong, L. P., Chua, P. Y. (2016). Intervention to improve intensive care nurses' knowledge of sedation assessment and management. Nursing in critical care, 21(5), 287-294.
  • Randen, I., Bjørk, I. T. (2010). Sedation practice in three Norwegian ICUs: a survey of intensive care nurses’ perceptions of personal and unit practice. Intensive and Critical Care Nursing, 26(5), 270-277.
  • Rashidi, M., Molavynejad, S., Javadi, N., Adineh, M., Sharhani, A., Poursangbur, T. (2020). The effect of using Richmond agitation and sedation scale on hospital stay, ventilator dependence, and mortality rate in ICU inpatients: a randomised clinical trial. Journal of Research in Nursing, 25(8), 734-746.
  • Salgado, P.O., Machado-Chianca, T.C. (2011). Identification and mapping of the nursing diagnoses and actions in an Intensive Care Unit. Latinoam. Enfermagem, 19(4): 928-935.
  • Schweickert, W. D., Kress, J. P. (2008). Strategies to optimize analgesia and sedation. Critical Care, 12, 1-10.
  • Shahab, M., Yousefi, H., Yazdannik, A. R. (2016). The effect of daily sedation interruption protocol on early incidence of ventilator-associated pneumonia among patients hospitalized in critical care units receiving mechanical ventilation. Iran J Nurs Midwifery Res., 21(5): 541–546.
  • Shetty, R. M., Bellini, A., Wijayatilake, D. S., Hamilton, M. A., Jain, R., Karanth, S., Namachivayam, A. (2018). BIS monitoring versus clinical assessment for sedation in mechanically ventilated adults in the intensive care unit and its impact on clinical outcomes and resource utilization. Cochrane Database of Systematic Reviews, (2).
  • Silva, R. C. G. D., Marques, P. A. O. (2011). Analysis of a health team's records and nurses' perceptions concerning signs and symptoms of delirium. Revista Latino-Americana de Enfermagem, 19, 81-89.
  • Sinclair, P. M., Bowen, L., Donkin, B. (2013). Professional nephrology nursing portfolios: maintaining competence to practise. Renal Society of Australasia Journal, 9(1), 35-40.
  • Sneyers, B., Laterre, P. F., Perreault, M. M., Wouters, D., & Spinewine, A. (2014). Current practices and barriers impairing physicians’ and nurses’ adherence to analgo-sedation recommendations in the intensive care unit-a national survey. Critical Care, 18(6), 1-12.
  • Taşkın, Ç. V., Akat, Ö. (2010) Araştırma yöntemlerinde yapısal eşitlik modelleme. Bursa: Ekin Yayınevi.
  • Tate, J.A., Devito-Dabbs, A., Hoffman, L.A., Milbrandt, E., Happ, M.B. (2012). Anxiety and Agitation in Mechanically Ventilated Patients, Qualitative Health Research, 22 (2): 157-73
  • Terkeş, N. (2018). Tip 2 diyabetli bireyler için web tabanlı eğitim programı geliştirilmesi ve programın diyabet yönetimine etkisi. Akdeniz Üniversitesi Sağlık Bilimleri Enstitüsü, Antalya
  • Tracy, M. F., Chlan, L. (2011). Nonpharmacological interventions to manage common symptoms in patients receiving mechanical ventilation. Critical care nurse, 31(3), 19-28.
  • Tshibha, N. Nurses’ perceptıons of theır role ın the management of sedatıon ın ıntensıve care unıts (Doctoral dissertation).
  • Tung, C. Y., Chang, C. C., Ming, J. L., Chao, K. P. (2014). Occupational hazards education for nursing staff through web-based learning. International journal of environmental research and public health, 11(12), 13035-13046.
  • Varndell, W., Elliott, D., Fry, M. (2015). Assessing, monitoring and managing continuous intravenous sedation for critically ill adult patients and implications for emergency nursing practice: A systematic literature review. Australasian emergency nursing journal: AENJ, 18(2), 59–67.
  • Walker, N., Gillen, P. (2006). Investigating nurses’ perceptions of their role in managing sedation in intensive care: an exploratory study. Intensive and Critical Care Nursing, 22(6), 338-345.
  • Wit, M., Gennings, C., Jenvey, W. I., Epstein, S. K. (2008). Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients. Critical Care, 12:70.
  • Yoo, H. J., Lim, O. B., Shim, J. L. (2020) Critical care nurses' communication experiences with patients and families in an intensive care unit: A qualitative study. PLoS One, 9;15(7):e0235694.
  • Zhang, Z., Chen, K., Ni, H., Zhang, X., Fan, H. (2017). Sedation of mechanically ventilated adults in intensive care unit: a network meta-analysis. Scientific reports, 7(1), 44979.
  • Zhao, H., Gu, W., Zhang, M. (2020). Massage therapy in nursing as nonpharmacological intervention to control agitation and stress in patients with dementia. Altern Ther Health Med, 26(6),29-33.

The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses

Yıl 2024, Cilt: 6 Sayı: 1, 95 - 108, 25.04.2024

Pelin Çelik Hatice Tel Aydın

https://doi.org/10.46413/boneyusbad.1403724

Öz

Aim: The research was conducted to evaluate the effect of web-based education on the knowledge and practices of intensive care nurses about sedation management.
Material and Method: In this study, which was carried out in a single group, pre-test-post-test design, the knowledge levels and practices of 62 intensive care nurses on sedation management were evaluated. The nurses were given web-based sedation management education, one month after the education, the knowledge levels and practices of the nurses participating in the study on sedation management in intensive care patients were re-evaluated, and the effectiveness of the education was evaluated by analyzing the data before and after the education.
Results: After the web-based education, it was determined that there was a significant increase in the rate of correct answers to the statements about sedation management by nurses. It was determined that the rate of nurses applying nursing interventions to prevent agitation and reduce the sedation need of patients increased significantly after the education.
Conclusion: It has been determined that web-based education is an approach that supports increasing the knowledge and practices of intensive care nurses on sedation management. It is recommended that web-based education programs be supported in order for intensive care nurses to perform effective agitation-sedation management.

Anahtar Kelimeler

Critical care nursing Sedation Distance education

Proje Numarası

SBF- 074

Kaynakça

  • Abbott/American Association of Critical-Care Nurses/Saint Thomas Health System Sedation Expert Panel Members. (2004). Consensus Conference on Sedation Assessment: A Collaborative Venture by Abbott Laboratories, American Association of Critical-Care Nurses, and Saint Thomas Health System. Critical Care Nurse, 24(2), 33-41.
  • Abdar, M. E., Rafiei, H., Abbaszade, A., Hosseinrezaei, H., Abdar, Z. E., Delaram, M., Ahmadineja, M. (2013). Effects of nurses practice of a sedation protocol on sedation and consciousness levels of patients on mechanical ventilation. Iran J Nurs Midwifery Res,18: 391–395.
  • Aitken, L. M., Marshall, A. P., Elliott, R., McKinley, S. (2009). Critical care nurses’ decision making: sedation assessment and management in intensive care. Journal of Clinical Nursing, 18(1), 36-45.
  • Akın Korhan, E., Khorshid, L., Uyar, M. (2011). The effect of music therapy on physiological signs of anxiety in patients receiving mechanical ventilatory support. Journal of Clinical Nursing, 20(7-8), 1026-1034.
  • Aktaş, Y. Y., Koraş, K., Karabulut, N. (2017). Yoğun bakım hemşirelerinin teknolojiye ilişkin tutumları. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 4(2), 36-48.
  • Alasad, J. A., Tabar, N. A., Ahmad, M. M. (2015). Patients' experience of being in intensive care units. Journal of Critical care, 30(4), 859-e7.
  • Almeida, T. M. L. D., Azevedo, L. C. P. D., Nosé, P. M. G., Freitas, F. G. R. D., Machado, F. R. (2016). Fatores de risco para desenvolvimento de agitação em pacientes críticos. Revista Brasileira de Terapia Intensiva, 28, 413-419.
  • Ateş, E. (2019). Omurilik hasarlı bireylere verilen web tabanlı eğitimin komplikasyon kontrolü ve yaşam kalitesine etkisi. Gazi Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara.
  • Ayasrah, S. (2016). Care-related pain in critically ill mechanically ventilated patients. Anaesthesia and intensive care, 44(4), 458-465.
  • Barisone, M., Bagnasco, A., Aleo, G., Catania, G., Bona, M., Scaglia, S. G., ... Sasso, L. (2019). The effectiveness of web-based learning in supporting the development of nursing students’ practical skills during clinical placements: A qualitative study. Nurse education in practice, 37, 56-61.
  • Barr, J., Fraser, G. L., Puntillo, K., Ely, E. W., Gélinas, C., Dasta, J. F., ... Jaeschke, R. (2013). Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Critical care medicine, 41(1), 263-306.
  • Bion, V., Lowe, A. S., Puthucheary, Z., Montgomery, H. (2018). Reducing sound and light exposure to improve sleep on the adult intensive care unit: an inclusive narrative review. Journal of the Intensive Care Society, 19(2), 138-146.
  • Brown, D. T., Westbury, J. L., Schüz, B. (2015). Sleep and agitation in nursing home residents with and without dementia. International psychogeriatrics, 27(12), 1945-1955.
  • Burk, R. S., Grap, M. J., Munro, C. L., Schubert, C. M., Sessler, C. N. (2014). Predictors of agitation in critically ill adults. American journal of critical care, 23(5), 414-423.
  • Celis-Rodríguez, E., Birchenall, C., De la Cal, M. Á., Arellano, G. C., Hernández, A., Ceraso, D., ... Rubiano, S. (2013). Clinical practice guidelines for evidence-based management of sedoanalgesia in critically ill adult patients. Medicina Intensiva (English Edition), 37(8), 519-574.
  • Chang, Y. Y., Yu, H. H., Loh, E. W., Chang, L. Y. (2016). The efficacy of an in-service education program designed to enhance the effectiveness of physical restraints. Journal of Nursing Research, 24(1), 79-86.
  • Choi, J., Tate, J. A., Rogers, M. A., Donahoe, M. P., Hoffman, L. A. (2016). Depressive symptoms and anxiety in intensive care unit (ICU) survivors after ICU discharge. Heart Lung, 45(2), 140-146.
  • Christensen, M. (2007). Noise levels in a general intensive care unit: a descriptive study. Nursing in critical care, 12(4), 188-197.
  • Chuang, Y. H., Tsao, C. W. (2013). Enhancing nursing students' medication knowledge: the effect of learning materials delivered by short message service. Computers & Education, 61, 168-175.
  • Çelik, Ş., & Çelik, P. (2022). An Evaluation of the Opinions of the First and Emergency Aid Students on Online Education During the Covid-19 Pandemic Period. Turkish Journal of Science and Health, 3(2), 85-91.
  • Çevik, B., Kılıç, G., Sultan, K. A. V., Karahan, A., Eşer, A. K., Doğan, N. (2020). Hemşirelerin invaziv arteriyel kan basıncı ölçümüne yönelik bilgi düzeyleri ve yaşadıkları güçlükler. Yoğun Bakım Hemşireliği Dergisi, 24(2), 89-98.
  • Çömez, S. (2016). Meme kanseri olan kadınlar ve eşleri için oluşturulan web tabanlı eğitimin yaşam kalitesi ve eş uyumuna etkisi. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
  • Da Silva, P. S. L., Fonseca, M. C. M. (2012). Unplanned endotracheal extubations in the intensive care unit: Systematic review, critical appraisal, and evidence-based recommendations. Anesthesia and Analgesia, 114(5): 1003–1014.
  • Davidson, J. E., Winkelman, C., Gelinas, C., Dermenchyan, A. (2015). Pain, agitation, and delirium guidelines: nurses’ involvement in development and implementation. Critical care nurse, 35(3), 17-31.
  • Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5,194-197.
  • de Groot, R. I., Dekkers, O. M., Herold, I. H., de Jonge, E., Arbous, M. S. (2011). Risk factors and outcomes after unplanned extubations on the ICU: a case-control study. Crit Care, 15(1): R19.
  • Dean, E. (2016). Anxiety. Nursing Standard., Jul 13; 30(46):15.
  • Devlin, J. W., Skrobik, Y., Gélinas, C., Needham, D. M., Slooter, A. J., Pandharipande, P. P., ... Alhazzani, W. (2018). Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Critical care medicine, 46(9), e825-e873.
  • Eliassen, K. M., Hopstock, L. A. (2011). Sleep promotion in the intensive care unit—a survey of nurses’ interventions. Intensive and Critical Care Nursing, 27(3), 138-142.
  • Erden, S. (2015). Yoğun Bakımda Ağrı Yönetiminde Hemşirenin Anahtar Rolleri. Van Tıp Dergisi, 22(4): 332-336. Feeley, K., Gardner, A. (2006). Sedation and analygesia management for mechanically ventilated adults: Literature review, case study and recommendations for practice. Australian Critical Care, 19(2), 73-77.
  • Girard, T. D., Kress, J. P., Fuchs, B. D., Thomason, J. W., Schweickert, W. D., Pun, B. T., ... Ely, E. W. (2008). Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. The Lancet, 371(9607), 126-134.
  • Grap, M. J., Munro, C. L., Wetzel, P. A., Best, A. M., Ketchum, J. M., Hamilton, V. A., ... Sessler, C. N. (2012). Sedation in adults receiving mechanical ventilation: physiological and comfort outcomes. American Journal of Critical Care, 21(3), e53-e64.
  • Grounds, M., Snelson, C., Whitehouse, T., Willson, J., Tulloch, L., Linhartova, L., ... Deanery, W. M. (2014). Intensive Care Society Review of Best Practice for Analgesia and Sedation in the Critical Care.
  • Guttormson, J. L., Chlan, L., Weinert, C., Savik, K. (2010). Factors influencing nurse sedation practices with mechanically ventilated patients: a US national survey. Intensive and Critical Care Nursing, 26(1), 44-50.
  • Hansen, M. V., Halladin, N. L., Rosenberg, J., Gögenur, I., Møller, A. M. (2015). Melatonin for pre- and postoperative anxiety in adults. Cochrane Database of Systematic Reviews. Issue 4. Art. No: CD009861
  • Ho, K. M. (2016). Pitfalls in haemodynamic monitoring in the postoperative and critical care setting. Anaesth Intensive Care, Jan;44(1):14-9.
  • Inoue, S., Hatakeyama, J., Kondo, Y., Hifumi, T., Sakuramoto, H., Kawasaki, T., ... Nishida, O. (2019). Post‐intensive care syndrome: its pathophysiology, prevention, and future directions. Acute medicine & surgery, 6(3), 233-246.
  • Jackson, D. L., Proudfoot, C. W., Cann, K. F., Walsh, T. S. (2009). The incidence of sub-optimal sedation in the ICU: a systematic review. Critical Care, 13(6), 1-14.
  • Juneja, D., Deepak, D., Nasa, P. (2023). What, why and how to monitor blood glucose in critically ill patients. World J Diabetes, 15;14(5):528-538.
  • Kamdar, B. B., King, L. M., Collop, N. A., Sakamuri, S., Colantuoni, E., Neufeld, K. J., ... Needham, D. M. (2013). The effect of a quality improvement intervention on perceived sleep quality and cognition in a medical ICU. Critical care medicine, 41(3), 800.
  • Karabağ Aydın, A. (2013). Web tabanlı öğretimin hemşirelik öğrencilerinin aritmetik ve ilaç dozu hesaplama becerilerine etkisi. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Ankara
  • Karakuş Selçuk, A., Yanikkerem, E. The effect of web-based education on Pap smear behaviours of teachers. Eur J Cancer Care (Engl). 2020 May;29(3):e13202.
  • Kröller-Schön, S., Daiber, A., Steven, S., et al. (2018). Crucial role for Nox2 and sleep deprivation in aircraft noise-induced vascular and cerebral oxidative stress, inflammation, and gene regulation. Eur Heart J., 39:3528–39.
  • Luz, M., Brandão Barreto, B., de Castro, R. E. V., Salluh, J., Dal-Pizzol, F., Araujo, C., ... Gusmao-Flores, D. (2022). Practices in sedation, analgesia, mobilization, delirium, and sleep deprivation in adult intensive care units (SAMDS-ICU): an international survey before and during the COVID-19 pandemic. Annals of intensive care, 12(1), 9
  • Melhuish, K., Falloon, G. (2010). Looking to the future: M-learning with the iPad.
  • Nilius, G., Richter, M., Schroeder, M. (2021). Updated Perspectives on the Management of Sleep Disorders in the Intensive Care Unit. Nature and Science of Sleep, 13 751–762.
  • Oliveira, C. R., Bernardo, W. M., Nunes, V. M. (2017). Benefit of general anesthesia monitored by bispectral index compared with monitoring guided only by clinical parameters. Systematic review and meta-analysis. Braz J Anesthesiol, 67(1):72-84.
  • Osborne, M. T., Radfar, A., Hassan, M.Z.O., et al. (2020). A neurobiological mechanism linking transportation noise to cardiovascular disease in humans. Eur Heart J., 41:772–82.
  • Özgürsoy Uran, B. (2017). İnflamatuar barsak hastalarında web tabanlı eğitimin hastalık aktivitesine, semptom yönetimine ve yaşam kalitesine etkisi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir
  • Öztürk, D., Dinç, L. (2014). Effect of Web-Based Education on Nursing Students' Urinary Catheterization Knowledge and Skills. Nurse Education Today, 34(5), 802-808
  • Pal, J., Taywade, M., Pal, R., Sethi, D. (2022). Noise Pollution in Intensive Care Unit: A Hidden Enemy affecting the Physical and Mental Health of Patients and Caregivers. Noise Health, Jul-Sep;24(114):130-136.
  • Payen, J. F., Bosson, J. L., Chanques, G., Mantz, J., Labarere, J., Dolorea Investigators. (2009). Pain Assessment Is Associated with Decreased Duration of Mechanical Ventilation in the Intensive Care Unit: A Post HocAnalysis of the DOLOREA Study. The Journal of the American Society of Anesthesiologists, 111(6), 1308-1316.
  • Perpiñá-Galvañ, J., Richart-Martínez, M. (2009). Scales for evaluating self-perceived anxiety levels in patients admitted to intensive care units: a review. American Journal of Critical Care, 18(6), 571-580.
  • Ramoo, V., Abdullah, K. L., Tan, P. S., Wong, L. P., Chua, P. Y. (2016). Intervention to improve intensive care nurses' knowledge of sedation assessment and management. Nursing in critical care, 21(5), 287-294.
  • Randen, I., Bjørk, I. T. (2010). Sedation practice in three Norwegian ICUs: a survey of intensive care nurses’ perceptions of personal and unit practice. Intensive and Critical Care Nursing, 26(5), 270-277.
  • Rashidi, M., Molavynejad, S., Javadi, N., Adineh, M., Sharhani, A., Poursangbur, T. (2020). The effect of using Richmond agitation and sedation scale on hospital stay, ventilator dependence, and mortality rate in ICU inpatients: a randomised clinical trial. Journal of Research in Nursing, 25(8), 734-746.
  • Salgado, P.O., Machado-Chianca, T.C. (2011). Identification and mapping of the nursing diagnoses and actions in an Intensive Care Unit. Latinoam. Enfermagem, 19(4): 928-935.
  • Schweickert, W. D., Kress, J. P. (2008). Strategies to optimize analgesia and sedation. Critical Care, 12, 1-10.
  • Shahab, M., Yousefi, H., Yazdannik, A. R. (2016). The effect of daily sedation interruption protocol on early incidence of ventilator-associated pneumonia among patients hospitalized in critical care units receiving mechanical ventilation. Iran J Nurs Midwifery Res., 21(5): 541–546.
  • Shetty, R. M., Bellini, A., Wijayatilake, D. S., Hamilton, M. A., Jain, R., Karanth, S., Namachivayam, A. (2018). BIS monitoring versus clinical assessment for sedation in mechanically ventilated adults in the intensive care unit and its impact on clinical outcomes and resource utilization. Cochrane Database of Systematic Reviews, (2).
  • Silva, R. C. G. D., Marques, P. A. O. (2011). Analysis of a health team's records and nurses' perceptions concerning signs and symptoms of delirium. Revista Latino-Americana de Enfermagem, 19, 81-89.
  • Sinclair, P. M., Bowen, L., Donkin, B. (2013). Professional nephrology nursing portfolios: maintaining competence to practise. Renal Society of Australasia Journal, 9(1), 35-40.
  • Sneyers, B., Laterre, P. F., Perreault, M. M., Wouters, D., & Spinewine, A. (2014). Current practices and barriers impairing physicians’ and nurses’ adherence to analgo-sedation recommendations in the intensive care unit-a national survey. Critical Care, 18(6), 1-12.
  • Taşkın, Ç. V., Akat, Ö. (2010) Araştırma yöntemlerinde yapısal eşitlik modelleme. Bursa: Ekin Yayınevi.
  • Tate, J.A., Devito-Dabbs, A., Hoffman, L.A., Milbrandt, E., Happ, M.B. (2012). Anxiety and Agitation in Mechanically Ventilated Patients, Qualitative Health Research, 22 (2): 157-73
  • Terkeş, N. (2018). Tip 2 diyabetli bireyler için web tabanlı eğitim programı geliştirilmesi ve programın diyabet yönetimine etkisi. Akdeniz Üniversitesi Sağlık Bilimleri Enstitüsü, Antalya
  • Tracy, M. F., Chlan, L. (2011). Nonpharmacological interventions to manage common symptoms in patients receiving mechanical ventilation. Critical care nurse, 31(3), 19-28.
  • Tshibha, N. Nurses’ perceptıons of theır role ın the management of sedatıon ın ıntensıve care unıts (Doctoral dissertation).
  • Tung, C. Y., Chang, C. C., Ming, J. L., Chao, K. P. (2014). Occupational hazards education for nursing staff through web-based learning. International journal of environmental research and public health, 11(12), 13035-13046.
  • Varndell, W., Elliott, D., Fry, M. (2015). Assessing, monitoring and managing continuous intravenous sedation for critically ill adult patients and implications for emergency nursing practice: A systematic literature review. Australasian emergency nursing journal: AENJ, 18(2), 59–67.
  • Walker, N., Gillen, P. (2006). Investigating nurses’ perceptions of their role in managing sedation in intensive care: an exploratory study. Intensive and Critical Care Nursing, 22(6), 338-345.
  • Wit, M., Gennings, C., Jenvey, W. I., Epstein, S. K. (2008). Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients. Critical Care, 12:70.
  • Yoo, H. J., Lim, O. B., Shim, J. L. (2020) Critical care nurses' communication experiences with patients and families in an intensive care unit: A qualitative study. PLoS One, 9;15(7):e0235694.
  • Zhang, Z., Chen, K., Ni, H., Zhang, X., Fan, H. (2017). Sedation of mechanically ventilated adults in intensive care unit: a network meta-analysis. Scientific reports, 7(1), 44979.
  • Zhao, H., Gu, W., Zhang, M. (2020). Massage therapy in nursing as nonpharmacological intervention to control agitation and stress in patients with dementia. Altern Ther Health Med, 26(6),29-33.
Toplam 75 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Yoğun Bakım Hemşireliği
Bölüm ARAŞTIRMA MAKALELERİ
Yazarlar

Pelin Çelik 0000-0002-1179-4227

Hatice Tel Aydın 0000-0002-1518-8080

Proje Numarası SBF- 074
Erken Görünüm Tarihi 25 Nisan 2024
Yayımlanma Tarihi 25 Nisan 2024
Gönderilme Tarihi 12 Aralık 2023
Kabul Tarihi 11 Şubat 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 6 Sayı: 1

Kaynak Göster

APA Çelik, P., & Tel Aydın, H. (2024). The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, 6(1), 95-108. https://doi.org/10.46413/boneyusbad.1403724
AMA Çelik P, Tel Aydın H. The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. Nisan 2024;6(1):95-108. doi:10.46413/boneyusbad.1403724
Chicago Çelik, Pelin, ve Hatice Tel Aydın. “The Effect of Web-Based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi 6, sy. 1 (Nisan 2024): 95-108. https://doi.org/10.46413/boneyusbad.1403724.
EndNote Çelik P, Tel Aydın H (01 Nisan 2024) The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 6 1 95–108.
IEEE P. Çelik ve H. Tel Aydın, “The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses”, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, c. 6, sy. 1, ss. 95–108, 2024, doi: 10.46413/boneyusbad.1403724.
ISNAD Çelik, Pelin - Tel Aydın, Hatice. “The Effect of Web-Based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 6/1 (Nisan 2024), 95-108. https://doi.org/10.46413/boneyusbad.1403724.
JAMA Çelik P, Tel Aydın H. The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2024;6:95–108.
MLA Çelik, Pelin ve Hatice Tel Aydın. “The Effect of Web-Based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Ve Araştırmaları Dergisi, c. 6, sy. 1, 2024, ss. 95-108, doi:10.46413/boneyusbad.1403724.
Vancouver Çelik P, Tel Aydın H. The Effect of Web-based Sedation Management Education on the Knowledge and Practices of Intensive Care Nurses. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2024;6(1):95-108.
 Kapak Resmi İndir

23788 Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı ile lisanslanmıştır.