Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki

Nurşen Kulakaç

doi:10.37989/gumussagbil.1275719

Research Article

The Relationship Between Nurses' Compliance with Isolation Precautions and Communication Skills and Mindfulness Levels in Surgical Intensive Care Units

Year 2023, Volume: 12 Issue: 3, 1164 - 1171, 26.09.2023

Nurşen Kulakaç

https://doi.org/10.37989/gumussagbil.1275719

Abstract

This study was conducted to determine the relationship between nurses' compliance with isolation measures and their communication skills and mindfulness levels in surgical intensive care units. The descriptive and correlational study was completed with 237 nurses working in surgical intensive care units in Turkey between 1-30 January 2023. The data were collected using the Personal Information Form, the Compliance with Isolation Measures Scale (ACMAS), the Mindfulness Scale (MBS), and the Communication Skills Scale-Adult Form (CBS-Adult Form). The questionnaire was designed with Google Forms web application and sent to the smart phones of nurses via WhatsApp messaging programme. Percentage, mean, standard deviation, Pearson Correlation analysis and Linear Regression analyse were used to evaluate the data. The mean age of the nurses participating in the study was 37.87±6.55 (min. 19, max. 50) and 51.9% of them were female. It was determined that nurses' compliance with isolation measures was at a good level. It was determined that the factors significantly affecting nurses' compliance with isolation precautions were conscious awareness status and exposure to nosocomial infections. It is thought that conscious awareness-based practices should be supported to increase nurses' compliance with isolation measures.

Keywords

Nurse, Isolation precautions, Communication skills, Mindfulness

References

1. Dhedhi, N.A, Ashraf, H. and Jiwani, A. (2021). Knowledge of standard precautions among healthcare professionals at a Teaching Hospital in Karachi, Pakistan. Journal of Family Medicine and Primary Care, 10 (1), 249–253. doi: 10.4103/jfmpc.jfmpc_1622_20.
2. Ayed, A, Eqtait, M. and Fashafsheh, I. (2015). Knowledge & compliance of nursing staff towards standard precautions in the Palestinian hospitals. Advances in Life Science and Technology, 36 (1), 21–30. http://repository.aaup.edu/jspui/handle/123456789/1247
3. Center of Disease Prevention and Control (CDC) (2012). Center of Disease Prevention and Control. Atlanta, USA: 2012. Glossary of terms.
4. Gammon, J. and Hunt, J. (2018). A review of isolation practices and procedures in healthcare settings. Br J Nurs, 27 (3), 137–140. doi: 10.12968/bjon.2018.27.3.137.
5. Hammoud, S, Khatatbeh, H, Zand, A. and Kocsis, B. (2021). A survey of nurses’ awareness of infection control measures in Baranya County, Hungary. Nursing Open, 1–7. doi: 10.1002/nop2.897.
6. Abdulraheem, I, Amodu, M, Saka, M, Bolarinwa, O. and Uthman M. (2012). Knowledge, awareness and compliance with standard precautions among health workers in north eastearn Nigeria. J Community Med Health Educ, 2 (3), 1–5.
7. Pereira, F.M.V, Lam, S.C, Chan, J.H.M, Malaguti-Toffano, S.E. and Gir, E. (2015). Difference in compliance with Standard Precautions by nursing staff in Brazil versus Hong Kong. Am J Infect Contr, 43 (7), 769–772.
8. Acharya, A.S, Khandekar, J, Sharma, A, Tilak, H.R. and Kataria, A. (2013). Awareness and practices of standard precautions for infection control among nurses in a tertiary care hospital. Nursing Journal of India, 104 (6), 275–279.
9. Kulkarni, V, Papanna, M, Mohanty, U, Ranjan, R, Neelima, V, Kumar, N.… and Unnikrishnan, B. (2016). Awareness of medical students in a medical college in Mangalore, Karnataka, India concerning infection prevention practices. Journal of Infection and Public Health, 6 (4), 261–268. doi: 10.1016/j.jiph.2013.02.006.
10. Al-Faouria, I, Okour, S.H, Alakour, N.A. and Alrabadi, N. (2021). Knowledge and compliance with standard precautions among registered nurses: A cross-sectional study. Annals of Medicine and Surgery, 62, 419–424. doi: 10.1016/j.amsu.2021.01.058.
11. Kruk, M.E, Gage, A.D, Arsenault, C, Jordan, K, Leslie, H.H, Roder-DeWan, S, Adeyi, O, Barker, P, Daelmans, B, Doubova S.V, et al. (2018). High-quality health systems in the Sustainable Development Goals era: Time for a revolution. Lancet Glob. Health, 6, e1196–e1252. doi: 10.1016/S2214-109X(18)30386-3.
12. Dingley, C, Daugherty, K, Derieg, M.K. and Persing, R. (2008). Improving Patient Safety Through Provider Communication Strategy Enhancements. In: Henriksen, K, Battles, J.B, Keyes, M.A, Grady, M.L, editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools) Agency for Healthcare Research and Quality; Rockville, MD, USA.
13. Ceravolo, D.J, Schwartz, D.G, Foltz, K.M. and Castner, J. (2012). Strengthening communication to overcome lateral violence. J. Nurs. Manag, 20, 599–606. doi: 10.1111/j.1365-2834.2012.01402.x.
14. Boyd, C. and Dare, J. (2015). Communication Skills for Nurses. John Wiley & Sons, Inc.; New York, NY, USA.
15. Pangh, B, Jouybari, L, Vakili, M.A, Sanagoo, A. and Torik, A. (2019). The effect of reflection on nurse-patient communication skills in emergency medical centers. J. Caring Sci, 8, 75–81. doi: 10.15171/jcs.2019.011.
16. Clements, A, Curtis, K, Horvat, L. and Shaban, R.Z. (2015). The effect of a nurse team leader on communication and leadership in major trauma resuscitation. Int. Emerg Nurs, 23, 3–7. doi: 10.1016/j.ienj.2014.04.004.
17. Tan, T.C, Zhou, H. and Kelly, M. (2017). Nurse-physician communication -An integrated review. J. Clin. Nurs, 26, 3974–3989. doi: 10.1111/jocn.13832.
18. Amudha, P, Hamidah, H, Annamma, K. and Ananth, N. (2018). Effective Communication between Nurses and Doctors: Barriers as Perceived by Nurses. J Nurs Care, 7, 1–6. doi: 10.4172/2167-1168.1000455.
19. Deniz, M.E. ve Erus, S.M. (2017). Büyükcebeci A. Bilinçli farkındalık ile psikolojik iyi oluş ilişkisinde duygusal zekanın aracılık rolü. Türk PDR Dergisi, 7 (47), 17-31. Available from: http://pdrdergisi.org/index.php/pdr/ article/view/516/438
20. Taşkiran, N.A. (2020). Yoğun bakım ünitesinde çalışan hemşirelerin hastane enfeksiyonlarını önlemede izolasyon uyum düzeylerinin belirlenmesi. Yüksek Lisans Tezi. Aydın Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü. Aydın.
21. Kulkarni, V, Papanna, M, Mohanty, U, Ranjan, R, Neelima, V, Kumar, N.… and Unnikrishnan, B. (2016). Awareness of medical students in a medical college in Mangalore, Karnataka, India concerning infection prevention practices. Journal of Infection and Public Health, 6 (4), 261–268. doi: 10.1016/j.jiph.2013.02.006.
22. Al-Faouria, I, Okour, S.H, Alakour, N.A. and Alrabadi, N. (2021). Knowledge and compliance with standard precautions among registered nurses: A cross-sectional study. Annals of Medicine and Surgery, 62, 419–424. doi: 10.1016/j.amsu.2021.01.058.
23. Zeb, S. and Ali, T.S. (2021). Factors associated with the compliance of standard precaution: Review article. The Journal of the Pakistan Medical Association, 71 (2(B)), 713–717. doi: 10.47391/JPMA.416.
24. Tayran, N. ve Ulupınar, S. (2011). Bir Ölçek Geliştirme Çalışması: İzolasyon Önlemlerine Uyum Ölçeğinin Geçerlik ve Güvenirliği, İstanbul Üniversitesi Florence Nightingale Hemşirelik Yüksek Okulu Dergisi, 19 (2), 89-98.
25. Özyeşil, Z, Arslan, C, Kesici, Ş. ve Deniz, M. E. (2011). Bilinçli farkındalık ölçeğinin geçerlik ve güvenirliği. Eğitim ve Bilim, 36 (160), 224-35. Available from: http://egitimvebilim.ted.org.tr/index.php/EB/article/view/697/271
26. Korkut-Owen, F. ve Demirbaş-Çelik, N. (2017). Yetişkinlerde kişilik özelliklerine göre iletişim. 18-21 Ekim 2017 tarihlerinde gerçekleştirilen I. Uluslararası Akademik Çalışmalar Kongresinde sözlü sunulan bildiri. https://www.inescongress.com/.
27. Lim, S.H, Bouchoucha, S.L, Alowenia, F. and Suhari, N.A.B. (2020). Evaluation of infection prevention and control preparedness in acute care nurses: Factors influencing adherence to standard precautions. Infect Dis Health, 26 (2), 132-138. doi: 10.1016/j.idh.2020.11.005.
28. Lee, S.J, Park, J.Y. and Jo, N. (2017). Influence of knowledge and awareness on nursing students’ compliance of standard infection control guidelines. Journal of Korean Academy of Nursing Administration, 23 (4), 347–358. doi: 10.11111/jkana.2017.23.4.347.
29. Park, S, Yang, Y. and Song, E. (2021). Factors influencing knowledge, awareness, and compliance with standard precautions among psychiatric nurses. Arch Psychiatr Nurs, 35 (6), 625–630. doi: 10.1016/j.apnu.2021.09.002
30. Lam, S.C. (2014). Validation and cross-cultural pilot testing of compliance with standard precautions scale: self-administered instrument for clinical nurses. Infect Control Hosp Epidemiol, 35 (5), 547–555.
31. Nofal, M, Subih, M. and Al-Kalaldeh, M. (2017). Factors influencing compliance to the infection control precautions among nurses and physicians in Jordan: a cross-sectional study. J Infect Prev, 18 (4), 182–188. doi: 10.1177/1757177417693676.
32. Warren, K. and Ryan, R.M. (2006). Perils and promise in defining and measuring mindfulness: observations from experience. Clin Psychol, 11 (3), 242–248. doi: 10.1093/clipsy.bph078.
33. Shapiro, S. L, Carlson, L.E, Astin, J.A. and Freedman, B. (2006). Mechanisms of Mindfulness. Journal of Clinical Psychology, 62, 373-386. https://doi.org/10.1002/jclp.20237
34. Garland, E, Gaylord, S. And Park, J.J.E. (2009). The role of mindfulness in positive reappraisal. Explore (NY), 5 (1), 37-44. doi: 10.1016/j.explore.2008.10.001.
35. White, L. (2014). Mindfulness in nursing: an evolutionary concept analysis. J Adv Nurs, 70 (2), 282–294. doi: 10.1111/jan.12182.
36. Van der Riet, P, Levett-Jones, T. and Aquino-Russell, C. (2018). The effectiveness of mindfulness meditation for nurses and nursing students: an integrated literature review. Nurse Educ Today, 65, 201–211. doi: 10.1016/j.nedt.2018.03.018.
37. Conversano, C, Di Giuseppe, M, Miccoli, M, Ciacchini, R, Gemignani, A. and Orrù G. (2020). Mindfulness, age and gender as protective factors against psychological distress during COVID-19 pandemic. Frontiers in Psychology, 11, 1900.
38. Saricali, M, Satici, S.A, Satici, B, Gocet-Tekin, E. and Griffiths, M. D. (2022). Fear of COVID-19, mindfulness, humor, and hopelessness: A multiple mediation analysis. International Journal of Mental Health and Addiction, 20 (4), 2151-2164. doi: 10.1007/s11469-020-00419-5.
39. Gilmartin, H, Goyal, A, Hamati, M.C, Mann, J, Saint, S. and Chopra, V. (2017). Brief mindfulness practices for healthcare providers–A systematic literature review. The American Journal of Medicine, 130 (10), 1219.e1–1219.e17.

Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki

Year 2023, Volume: 12 Issue: 3, 1164 - 1171, 26.09.2023

Nurşen Kulakaç

https://doi.org/10.37989/gumussagbil.1275719

Abstract

Bu çalışma cerrahi yoğun bakım ünitelerinde hemşirelerin izolasyon önlemlerine uyumları ile iletişim becerileri ve bilinçli farkındalık düzeyleri arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır. Tanımlayıcı ve ilişki arayıcı türdeki araştırma 1-30 Ocak 2023 tarihleri arasında Türkiye’deki cerrahi yoğun bakım ünitelerinde çalışan 237 hemşire ile tamamlanmıştır. Veriler Kişisel Bilgi Formu, İzolasyon Önlemlerine Uyum Ölçeği (İÖUÖ), Bilinçli Farkındalık Ölçeği (BFÖ) ve İletişim Becerileri Ölçeği-Yetişkin Formu (İBÖ-YF) ile toplanmıştır. Anket Google Forms web uygulaması ile düzenlenerek hemşirelerin akıllı telefonlarına WhatsApp mesajlaşma programı aracılığıyla gönderilmiştir. Verilerin değerlendirilmesinde yüzdelik, ortalama, standart sapma, Pearson Korelasyon analizi ve Lineer Regresyon analizi kullanılmıştır. Araştırmaya katılan hemşirelerin yaş ortalaması 37.87±6.55 (min. 19, max.50) olup %51.9’u kadındır. Hemşirelerin izolasyon önlemlerine uyumlarının iyi düzeyde olduğu belirlenmiştir. Hemşirelerin izolasyon önlemlerine uyumlarını önemli ölçüde etkileyen faktörlerin; bilinçli farkındalık durumları ve hastane enfeksiyonlarına maruziyet olduğu belirlenmiştir. Hemşirelerin izolasyon önlemlerine uyumlarını arttırmak için bilinçli farkındalık temelli uygulamaların desteklenmesi gerektiği düşünülmektedir.

Keywords

Hemşire, İzolasyon Önlemleri, İletişim becerisi, Bilinçli farkındalık

References

1. Dhedhi, N.A, Ashraf, H. and Jiwani, A. (2021). Knowledge of standard precautions among healthcare professionals at a Teaching Hospital in Karachi, Pakistan. Journal of Family Medicine and Primary Care, 10 (1), 249–253. doi: 10.4103/jfmpc.jfmpc_1622_20.
2. Ayed, A, Eqtait, M. and Fashafsheh, I. (2015). Knowledge & compliance of nursing staff towards standard precautions in the Palestinian hospitals. Advances in Life Science and Technology, 36 (1), 21–30. http://repository.aaup.edu/jspui/handle/123456789/1247
3. Center of Disease Prevention and Control (CDC) (2012). Center of Disease Prevention and Control. Atlanta, USA: 2012. Glossary of terms.
4. Gammon, J. and Hunt, J. (2018). A review of isolation practices and procedures in healthcare settings. Br J Nurs, 27 (3), 137–140. doi: 10.12968/bjon.2018.27.3.137.
5. Hammoud, S, Khatatbeh, H, Zand, A. and Kocsis, B. (2021). A survey of nurses’ awareness of infection control measures in Baranya County, Hungary. Nursing Open, 1–7. doi: 10.1002/nop2.897.
6. Abdulraheem, I, Amodu, M, Saka, M, Bolarinwa, O. and Uthman M. (2012). Knowledge, awareness and compliance with standard precautions among health workers in north eastearn Nigeria. J Community Med Health Educ, 2 (3), 1–5.
7. Pereira, F.M.V, Lam, S.C, Chan, J.H.M, Malaguti-Toffano, S.E. and Gir, E. (2015). Difference in compliance with Standard Precautions by nursing staff in Brazil versus Hong Kong. Am J Infect Contr, 43 (7), 769–772.
8. Acharya, A.S, Khandekar, J, Sharma, A, Tilak, H.R. and Kataria, A. (2013). Awareness and practices of standard precautions for infection control among nurses in a tertiary care hospital. Nursing Journal of India, 104 (6), 275–279.
9. Kulkarni, V, Papanna, M, Mohanty, U, Ranjan, R, Neelima, V, Kumar, N.… and Unnikrishnan, B. (2016). Awareness of medical students in a medical college in Mangalore, Karnataka, India concerning infection prevention practices. Journal of Infection and Public Health, 6 (4), 261–268. doi: 10.1016/j.jiph.2013.02.006.
10. Al-Faouria, I, Okour, S.H, Alakour, N.A. and Alrabadi, N. (2021). Knowledge and compliance with standard precautions among registered nurses: A cross-sectional study. Annals of Medicine and Surgery, 62, 419–424. doi: 10.1016/j.amsu.2021.01.058.
11. Kruk, M.E, Gage, A.D, Arsenault, C, Jordan, K, Leslie, H.H, Roder-DeWan, S, Adeyi, O, Barker, P, Daelmans, B, Doubova S.V, et al. (2018). High-quality health systems in the Sustainable Development Goals era: Time for a revolution. Lancet Glob. Health, 6, e1196–e1252. doi: 10.1016/S2214-109X(18)30386-3.
12. Dingley, C, Daugherty, K, Derieg, M.K. and Persing, R. (2008). Improving Patient Safety Through Provider Communication Strategy Enhancements. In: Henriksen, K, Battles, J.B, Keyes, M.A, Grady, M.L, editors. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools) Agency for Healthcare Research and Quality; Rockville, MD, USA.
13. Ceravolo, D.J, Schwartz, D.G, Foltz, K.M. and Castner, J. (2012). Strengthening communication to overcome lateral violence. J. Nurs. Manag, 20, 599–606. doi: 10.1111/j.1365-2834.2012.01402.x.
14. Boyd, C. and Dare, J. (2015). Communication Skills for Nurses. John Wiley & Sons, Inc.; New York, NY, USA.
15. Pangh, B, Jouybari, L, Vakili, M.A, Sanagoo, A. and Torik, A. (2019). The effect of reflection on nurse-patient communication skills in emergency medical centers. J. Caring Sci, 8, 75–81. doi: 10.15171/jcs.2019.011.
16. Clements, A, Curtis, K, Horvat, L. and Shaban, R.Z. (2015). The effect of a nurse team leader on communication and leadership in major trauma resuscitation. Int. Emerg Nurs, 23, 3–7. doi: 10.1016/j.ienj.2014.04.004.
17. Tan, T.C, Zhou, H. and Kelly, M. (2017). Nurse-physician communication -An integrated review. J. Clin. Nurs, 26, 3974–3989. doi: 10.1111/jocn.13832.
18. Amudha, P, Hamidah, H, Annamma, K. and Ananth, N. (2018). Effective Communication between Nurses and Doctors: Barriers as Perceived by Nurses. J Nurs Care, 7, 1–6. doi: 10.4172/2167-1168.1000455.
19. Deniz, M.E. ve Erus, S.M. (2017). Büyükcebeci A. Bilinçli farkındalık ile psikolojik iyi oluş ilişkisinde duygusal zekanın aracılık rolü. Türk PDR Dergisi, 7 (47), 17-31. Available from: http://pdrdergisi.org/index.php/pdr/ article/view/516/438
20. Taşkiran, N.A. (2020). Yoğun bakım ünitesinde çalışan hemşirelerin hastane enfeksiyonlarını önlemede izolasyon uyum düzeylerinin belirlenmesi. Yüksek Lisans Tezi. Aydın Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü. Aydın.
21. Kulkarni, V, Papanna, M, Mohanty, U, Ranjan, R, Neelima, V, Kumar, N.… and Unnikrishnan, B. (2016). Awareness of medical students in a medical college in Mangalore, Karnataka, India concerning infection prevention practices. Journal of Infection and Public Health, 6 (4), 261–268. doi: 10.1016/j.jiph.2013.02.006.
22. Al-Faouria, I, Okour, S.H, Alakour, N.A. and Alrabadi, N. (2021). Knowledge and compliance with standard precautions among registered nurses: A cross-sectional study. Annals of Medicine and Surgery, 62, 419–424. doi: 10.1016/j.amsu.2021.01.058.
23. Zeb, S. and Ali, T.S. (2021). Factors associated with the compliance of standard precaution: Review article. The Journal of the Pakistan Medical Association, 71 (2(B)), 713–717. doi: 10.47391/JPMA.416.
24. Tayran, N. ve Ulupınar, S. (2011). Bir Ölçek Geliştirme Çalışması: İzolasyon Önlemlerine Uyum Ölçeğinin Geçerlik ve Güvenirliği, İstanbul Üniversitesi Florence Nightingale Hemşirelik Yüksek Okulu Dergisi, 19 (2), 89-98.
25. Özyeşil, Z, Arslan, C, Kesici, Ş. ve Deniz, M. E. (2011). Bilinçli farkındalık ölçeğinin geçerlik ve güvenirliği. Eğitim ve Bilim, 36 (160), 224-35. Available from: http://egitimvebilim.ted.org.tr/index.php/EB/article/view/697/271
26. Korkut-Owen, F. ve Demirbaş-Çelik, N. (2017). Yetişkinlerde kişilik özelliklerine göre iletişim. 18-21 Ekim 2017 tarihlerinde gerçekleştirilen I. Uluslararası Akademik Çalışmalar Kongresinde sözlü sunulan bildiri. https://www.inescongress.com/.
27. Lim, S.H, Bouchoucha, S.L, Alowenia, F. and Suhari, N.A.B. (2020). Evaluation of infection prevention and control preparedness in acute care nurses: Factors influencing adherence to standard precautions. Infect Dis Health, 26 (2), 132-138. doi: 10.1016/j.idh.2020.11.005.
28. Lee, S.J, Park, J.Y. and Jo, N. (2017). Influence of knowledge and awareness on nursing students’ compliance of standard infection control guidelines. Journal of Korean Academy of Nursing Administration, 23 (4), 347–358. doi: 10.11111/jkana.2017.23.4.347.
29. Park, S, Yang, Y. and Song, E. (2021). Factors influencing knowledge, awareness, and compliance with standard precautions among psychiatric nurses. Arch Psychiatr Nurs, 35 (6), 625–630. doi: 10.1016/j.apnu.2021.09.002
30. Lam, S.C. (2014). Validation and cross-cultural pilot testing of compliance with standard precautions scale: self-administered instrument for clinical nurses. Infect Control Hosp Epidemiol, 35 (5), 547–555.
31. Nofal, M, Subih, M. and Al-Kalaldeh, M. (2017). Factors influencing compliance to the infection control precautions among nurses and physicians in Jordan: a cross-sectional study. J Infect Prev, 18 (4), 182–188. doi: 10.1177/1757177417693676.
32. Warren, K. and Ryan, R.M. (2006). Perils and promise in defining and measuring mindfulness: observations from experience. Clin Psychol, 11 (3), 242–248. doi: 10.1093/clipsy.bph078.
33. Shapiro, S. L, Carlson, L.E, Astin, J.A. and Freedman, B. (2006). Mechanisms of Mindfulness. Journal of Clinical Psychology, 62, 373-386. https://doi.org/10.1002/jclp.20237
34. Garland, E, Gaylord, S. And Park, J.J.E. (2009). The role of mindfulness in positive reappraisal. Explore (NY), 5 (1), 37-44. doi: 10.1016/j.explore.2008.10.001.
35. White, L. (2014). Mindfulness in nursing: an evolutionary concept analysis. J Adv Nurs, 70 (2), 282–294. doi: 10.1111/jan.12182.
36. Van der Riet, P, Levett-Jones, T. and Aquino-Russell, C. (2018). The effectiveness of mindfulness meditation for nurses and nursing students: an integrated literature review. Nurse Educ Today, 65, 201–211. doi: 10.1016/j.nedt.2018.03.018.
37. Conversano, C, Di Giuseppe, M, Miccoli, M, Ciacchini, R, Gemignani, A. and Orrù G. (2020). Mindfulness, age and gender as protective factors against psychological distress during COVID-19 pandemic. Frontiers in Psychology, 11, 1900.
38. Saricali, M, Satici, S.A, Satici, B, Gocet-Tekin, E. and Griffiths, M. D. (2022). Fear of COVID-19, mindfulness, humor, and hopelessness: A multiple mediation analysis. International Journal of Mental Health and Addiction, 20 (4), 2151-2164. doi: 10.1007/s11469-020-00419-5.
39. Gilmartin, H, Goyal, A, Hamati, M.C, Mann, J, Saint, S. and Chopra, V. (2017). Brief mindfulness practices for healthcare providers–A systematic literature review. The American Journal of Medicine, 130 (10), 1219.e1–1219.e17.

There are 39 citations in total.

Details

Primary Language	Turkish
Subjects	Health Care Administration
Journal Section	Original Article
Authors	Nurşen Kulakaç 0000-0002-5427-1063
Publication Date	September 26, 2023
Published in Issue	Year 2023 Volume: 12 Issue: 3

Cite

APA	Kulakaç, N. (2023). Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(3), 1164-1171. https://doi.org/10.37989/gumussagbil.1275719
AMA	Kulakaç N. Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. September 2023;12(3):1164-1171. doi:10.37989/gumussagbil.1275719
Chicago	Kulakaç, Nurşen. “Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları Ile İletişim Becerileri Ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12, no. 3 (September 2023): 1164-71. https://doi.org/10.37989/gumussagbil.1275719.
EndNote	Kulakaç N (September 1, 2023) Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12 3 1164–1171.
IEEE	N. Kulakaç, “Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 12, no. 3, pp. 1164–1171, 2023, doi: 10.37989/gumussagbil.1275719.
ISNAD	Kulakaç, Nurşen. “Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları Ile İletişim Becerileri Ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12/3 (September 2023), 1164-1171. https://doi.org/10.37989/gumussagbil.1275719.
JAMA	Kulakaç N. Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12:1164–1171.
MLA	Kulakaç, Nurşen. “Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları Ile İletişim Becerileri Ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 12, no. 3, 2023, pp. 1164-71, doi:10.37989/gumussagbil.1275719.
Vancouver	Kulakaç N. Cerrahi Yoğun Bakım Ünitelerinde Hemşirelerin İzolasyon Önlemlerine Uyumları ile İletişim Becerileri ve Bilinçli Farkındalık Düzeyleri Arasındaki İlişki. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12(3):1164-71.

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