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Öğe The effect of structured virtual patient visits (sVPVs) on COVID-19 patients and relatives' anxiety levels in intensive care unit(Wiley, 2021) Kebapcı, Ayda; Türkmen, EmineAim and objectives: To determine the effect of structured Virtual Patient Visits (sVPVs) on the anxiety, satisfaction, hospital anxiety and depression levels of intensive care unit (ICU) COVID-19 patients and their relatives. Background: There is no evidence regarding the direct effect of virtual patient visits in the ICU. Design: The STROBE statement guided this study. This investigator-initiated, prospective and single-centre study included COVID-19 patients and their relatives in an adult ICU between July and December 2020. We implemented daily sVPVs between all patients and their relatives. The study's primary outcome was the daily anxiety levels of patients and relatives immediately before and after sVPVs. The secondary outcomes were as follows: 1) hospital anxiety (HADS-A) and depression (HADS-D) levels during admission to and after discharge from the ICU and 2) satisfaction levels regarding the ICU and sVPVs of patients' relatives. Results: A total number of 301 daily sVPVs were conducted between 50 patients and their relatives. There was a significant difference between daily anxiety levels before and after sVPVs in both patients (2.97 vs. 1.49) and their relatives (5.70 vs. 3.53; p > .05). Whereas the anxiety levels of patients with basic face or high flow nasal cannula and non-invasive mechanical ventilation decreased statistically significantly more than those with IMV after a sVPV (p < .001), there was not a significant difference in decreased anxiety levels of patients' relatives according to the type of respiratory support provided to the patient (p > .05). HADS-A levels of relatives decreased statistically significantly after discharge/death. There was no statistically significant difference in HADS-A and HADS-D levels after discharge/death between the relatives of patients who died or did not die (p > .05). Furthermore, the overall ICU satisfaction rates were statistically significantly lower in relatives of patients who died than those who did not die (p < .05). Conclusion: Regardless of whether the patients were intubated, sVPVs reduced the anxiety levels of all patients and relatives. The sVPV programme offered emotional support to patients and family members, with high levels of satisfaction, as well as provided regular informative updates and the opportunity for daily visits or final goodbyes. Relevance for clinical practice: The sVPV programme is essential for all ICUs during the COVID-19 pandemic.Öğe Nurse performance: A path model of clinical leadership, creative team climate and structural empowerment(John Wiley and Sons Inc, 2022) Kuşçu Karatepe, Hilal; Türkmen, EmineAims and Objectives: This study aimed to: (a) identify and examine the influence of clinical leadership, creative team climate (CTC) and structural empowerment (SE) on the nurse performance (NP) of clinical nurses in hospitals in Turkey, and (b) establish a model designed to verify the fit and effect of these factors. Background: Nurse performance is a significant indicator of work efficiency, patient care quality and patient safety. Existing studies explaining the mechanisms that lead to higher nurse performance have been limited. Design: This descriptive, cross-sectional study used relation prediction modelling and adhered to STROBE guidelines. Methods: This study used an online survey to collect data from volunteered 664 clinical nurses working in hospitals in Turkey. The data were analysed using SPSS version 26.0 and the AMOS 24.0 program. Path analysis was used to verify/test the hypothetical model, and the fit was evaluated by ?2/df, GFI, AGFI, NFI, CFI, IFI, RFI, TLI, RMR and RMSEA. Results: The fit index of the modified path model was ?2/df = 3.730, GFI = 0.904, AGFI = 0.892, NFI = 0.907, CFI = 0.923, IFI = 0.923, RFI = 0.906, TLI = 0.912, RMR = 0.078 and RMSEA = 0.064. Through creative team climate and structural empowerment, clinical leadership had the greatest standardised direct (? =.35) and indirect (? =.17) effects on clinical nurse performance, the final outcome variable. Creative team climate (? =.23) and structural empowerment (? =.19) also had a significant standardised direct effect on nurse performance. Clinical leadership, creative team climate and structural empowerment explained 39% of the total variance of nurse performance. Conclusions: This study shows that clinical nurse performance in hospitals was significantly influenced by clinical leadership, creative team climate and structural empowerment. The results suggest that intervention programmes considering these factors could be implemented to enhance nurse performance. Relevance to Clinical Practice: Improved nurse performance requires strong clinical leadership, creative team climate and structural empowerment. Therefore, healthcare organisations may implement initiatives to enhance nurse performance by taking these factors into account. © 2022 John Wiley & Sons Ltd.Öğe Opinions and experiences of healthcare professionals regarding structured virtual patient visits in ICUs: A qualitative study(John Wiley and Sons Inc, 2022) Türkmen, Emine; Kebapçı, AydaObjectives: This study aimed to reveal the experiences of healthcare professionals regarding a structured Virtual Patient Visit (sVPV) program implemented in an ICU during the coronavirus disease 2019 (COVID-19) pandemic and to share the process of establishing the program. Design: This qualitative, exploratory study was conducted using a semi-structured, in-depth interview method. Setting: The study was conducted in a university hospital ICU in Turkey (where a sVPV program was implemented) and comprised one physician, eight nurses, and one clerk who volunteered to participate in the study. The data were evaluated with content analysis, and themes and sub-themes were determined. Findings: Five themes and 13 subthemes were obtained: (1) an essential program during the pandemic, (2) contributing to patient's recovery, (3) family-centered care, (4) innovativeness, and (5) sustainability. Conclusion: The results show that the sVPV program is highly innovative and effective and contributed to positive patient outcomes and family-centered care practices during the COVID-19 pandemic. In addition, it was revealed that in order to conduct sVPVs effectively, organizational planning, such as legal processes, and the employment of experienced and competent healthcare professionals, should be well managed. Clinical relevance: A well-designed sVPV program specific to the setting alleviates anxiety among patients and family members, increases patient motivation and healing, and decreases the workloads of healthcare professionals. It is recommended that the sVPV program, which can be easily used during not only COVID-19 pandemics but also during other crises, be adopted in all ICUs and carried out by a dedicated nurse or healthcare provider. © 2022 Sigma Theta Tau International.Öğe Predicting work performance and life satisfaction of nurses and physicians: The mediating role of social capital on self-efficacy and psychological resilience(Wiley, 2022) Karatepe, Hilal Kuşçu; Tiryaki Sen, Hanife; Türkmen, EminePurpose:To examine the mediating role of social capital in the effects of self?efficacy and psychological resilience on nurses' and physicians' work performanceand life satisfaction.Design and Methods:In this cross?sectional study, data were collected using anonline questionnaire.Findings:Social capital had 0.04 indirect effects of general self?efficacy andpsychological resilience on work performance, and accounted for 48% and 35% ofthe total effect, respectively. Social capital had 0.11 and 0.07 indirect effects ofgeneral self?efficacy and psychological resilience on life satisfaction, and accountedfor 16% and 19% of the total effect, respectively.Practice Implications:The study suggests the existence of social capital whennurses' and physicians' self?efficacy and psychological resilience affect their workperformance and life satisfaction.
