Ismet Eşer

Abant İzzet Baysal Üniversitesi, Claudiopolis, Bolu, Turkey

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Publications (15)13.2 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: To determine the factors affecting a patient's intensive care experience. The descriptive study was conducted at an intensive care unit in the Aegean Region of Turkey, and comprised 158 patients who spent at least 48 hours at the unit between June and November 2009. A questionnaire form and the Intensive Care Experience Scale were used as data collection tools. SPSS 11.5 was used for statistical analysis of the data. Of the total, 86 (54.4%) patients related to the surgical unit, while 72 (45.5%) spent time at the intensive care unit. Most of the subjects (n=113; 71.5%) reported that they constantly experienced pain during hospitalisation. Patients receiving mechanical ventilation support and patients reporting no pain had significantly higher scores on the intensive care experience scale. Patients who reported pain remembered their experiences less than those having no pain. Interventions are needed to make the experiences of patients in intensive care more positive.
    Journal of the Pakistan Medical Association 07/2013; 63(7):821-5. · 0.41 Impact Factor
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    ABSTRACT: It is well known that intuition ability directly affects patient care quality and outcomes in nursing practice and is therefore an important aspect of nursing education. This study tests the validity and reliability of the Turkish version of the Scale of Use of Intuition by Nursing Students. The sample for this methodological study was composed of 250 nursing students. Each item of the scale was translated into Turkish by the researchers and validated for Turkish use. The item-total correlation was between .30 and .56 and its Cronbach α coefficient was .86. There was a statistically significant positive relationship between the level of clinical experience and the total points scored on the physical awareness, emotional awareness, and physical sensations subscales and from the total scale. Conclusions: Based on these results, the Turkish version of the Scale of Use of Intuition by Nursing Students is valid and reliable.
    Journal of Transcultural Nursing 08/2012; 23(4):369-76. · 0.51 Impact Factor
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    ABSTRACT: The aim of this study was to investigate intensive care unit (ICU) nurses' views and practices on oral care and to define the factors related to oral care measures. A study was carried out in eight ICUs of a teaching hospital in 2008. One hundred one nurses constituted the study sample. The data were collected using 'Oral Care Practices Survey' which included demographic characteristics (5 items) and current oral care practices (13 items). Oral care was given the highest priority by nearly 60% of the nurses. The most commonly used solution was sodium bicarbonate (79.2%), and the most frequently used equipment was foam swab (82.2%). Oral care was carried out less than every 4 h per day by 44.5% of the nurses. The oral care products and solutions were reported to be different in almost every unit. The relationship between the use of toothpaste and the place of employment was statistically significant (x(2) = 24.566, d.f. = 6, P = 0.000). There was a statistical significance between the clinics and frequency of oral care (x(2) = 81.486, d.f. = 42, P = 0.000). This study suggests that there is a wide variety of type and frequency of oral care measures among ICU nurses. Optimal oral care supported by evidence is an effective prevention method for eliminating oral complications.
    International Journal of Nursing Practice 08/2012; 18(4):347-53. · 0.88 Impact Factor
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    ABSTRACT: To evaluate the impact of lying on the ear on the measurement of body temperature by a tympanic thermometer. Participants in the study were healthy young people of the Nursing Department of the College of Health, Izmir, Turkey. Sixty-eight participants who agreed to participate, and who had no discharge or infection of the ear and no upper respiratory tract infection, were included in the study. Immediately after the first temperature reading, measurement had been performed five times. Non-probability sampling method was used and the study was conducted in January 2007. Tympanic thermometer body temperature results were significantly higher (p < 0.05) when measurements were taken following lying on the ear compared to those when the subject did not lie on the ear prior to temperature measurement. There are significant differences in tympanic temperature caused by the subject lying on his or her ear. This is important to keep in mind during health workers' assessments.
    Journal of the Pakistan Medical Association 11/2011; 61(11):1065-8. · 0.41 Impact Factor
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    ABSTRACT: There are limited studies on nursing diagnoses of the elderly living in nursing homes worldwide. This study aimed to define the most frequent nursing diagnoses in the elderly residents of a nursing home elder care and rehabilitation center. Seventy-four elderly individuals were included in the study. Data were collected using the "Elderly Individual's Introduction Form" between April 2007 to August 2007. The content of the form was based on a guide to gerontologic assessment, and Gordon's Functional Health Patterns. The nursing diagnoses (NANDA-I Taxonomy II) were identified by the 2 researchers separately according to the defining characteristics and the risk factors. The consistency between the nursing diagnoses defined by the 2 researchers was evaluated using Cohen's kappa (κ). There was an 84.7% agreement about nursing diagnoses defined by the 2 researchers separately. The weighted kappa consistency analyses showed there was an adequate level of consistency (κ = 0.710), and the findings were significant (p < 0.0001). The most frequent diagnoses were ineffective role performance (86.5%), ineffective health maintenance (81.2%), risk for falls (77%), and impaired physical mobility (73%). The diagnosis of ineffective role performance was more frequent in patients with dementia (x(2) =10.993, df = 1, p = 0.001). There was a very significant relationship between dementia and the diagnosis of impaired verbal communication (x(2) = 32.718, df = 1, p = 0.0001). The relationship between mobility disorder and self-care deficit was also significant (x(2) = 19.411, df = 1, p = 0.0001). To improve quality in patient care, nurses should use nursing diagnoses with a systematic assessment and should help the elderly in health promotion or use of the maximum current potential.
    Nursing outlook 06/2011; 60(1):21-8. · 1.54 Impact Factor
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    ABSTRACT: The purpose of this study was to compare the effectiveness of the polyethylene covers versus carbomer eye drops to prevent dry eye syndrome in intensive care unit patients. Concerns about eye care for critically ill patients remain an issue. Few studies have focused on the effect of polyethylene covers and eye drops. In addition, there are no studies comparing polyethylene covers and carbomer eye drops for critically ill patients. A prospective, randomised and contralateral eye study was conducted. The study took place in an intensive care unit in 2007. Thirty-six eyes of 18 patients, who were under mechanical ventilation or unconscious for more than 24 hours in the intensive care unit, were studied. After examining the eyes of the patients with the Schirmer 1 test and fluorescein dye test, suitable patients were included in the study. One eye of the patient was randomly covered with a polyethylene cover every 12 hours, and carbomer drops were instilled on the other eye every six hours. All eyes were checked for an ocular surface abnormality by the same ophthalmologist everyday. The study interventions were continued until a defect was detected or for five days. Patients with a defect detected completed the study and were recorded as positive for the primary endpoint. Results.  Carbomer drop was effective in prophylaxis of dry eye syndrome in only three of 18 patients, whereas polyethylene cover showed greater effect in 18 of 18 eyes at the end of the study (SD 0·3835, Z = -3·873, p < 0·001). A negative effect of greater rima palpebra in the resting position was observed in the efficacy of carbomer drop (r = -0·476, p < 0·05). This study suggests that a polyethylene cover is significantly effective in prevention of dry eye syndrome in intensive care patients. As an eye care intervention, the effectiveness of polyethylene cover should be supported by further studies. This study, which is an initial step in preventing dry eye syndrome in critically ill patients, also offers a new and effective eye care method in these patients.
    Journal of Clinical Nursing 03/2011; 20(13-14):1916-22. · 1.32 Impact Factor
  • Gülşah Gürol Arslan, Ismet Eşer
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    ABSTRACT: This research, conducted at two rest homes in Manisa, Turkey, was undertaken to examine the effect of castor oil pack (COP) administrations on constipation in the elderly. Study participants were monitored for 7 days before, 3 days during, and 4 days after COP administration utilizing the Recall Bias and Visual Scale Analog (RB-VSAQ) as well as the Standard Diary developed by Pamuk et al. Wilcoxon Signed Ranks, Repeated Measures, Bonferroni, and Mann-Whitney U tests were used for data analysis. Eighty percent of study subjects had been constipated for 10 years or longer. COP administration did not have an effect on the number of bowel movements or amount of feces, but decreased the feces consistency score, straining during defecation and feeling of complete evacuation after a bowel movement, thus decreasing symptoms of constipation. We conclude that COP may be used for controlling symptoms of constipation.
    Complementary therapies in clinical practice 02/2011; 17(1):58-62.
  • Nazan Tuna Oran, Ismet Eser
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    ABSTRACT: A prospective analysis was conducted comparing dysfunction attributable to catheter thrombosis in subjects who received a heparin catheter lock three times a week (n = 15) to those who received a heparin lock six times a week (n = 15) immediately after the insertion of a temporary haemodialysis catheter. Thrombus related catheter removal occurred in two patients in control but no patients in the experiment group. Heparin locking six times a week was found to be effective in prolonging the mean of the first day where difficulty was experienced in aspiration. It also prevented any possible difficulty in catheter flushing. Increased locking frequency prevents any thrombus accumulation within the temporary catheter, while it has limited but significant preventive effect on thrombus accumulated around the catheter.
    Journal of Renal Care 01/2009; 34(4):199-202.
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    ABSTRACT: This study was planned as a descriptive study for the purpose of determining what nursing diagnoses are used by nursing students and their opinions about nursing diagnoses. The response rate was 70% (n= 346). Research data about the nursing diagnoses students used and their opinions about them were collected on a semi-structured questionnaire developed by the researchers after reviewing related information in the literature. Of the students, 76.9% knew what nursing diagnosis was, but 31.5% had difficulty stating patient care needs as nursing diagnoses. The majority of students in this study agreed that nursing diagnoses are a priority subject in the nursing profession, that nursing diagnoses needed to be used on the wards, and that nursing diagnoses needed to be documented in medical records on the wards. It is recommended that nursing diagnoses be given more concentration in the nursing curriculum and that courses about nursing diagnoses be prepared for the purpose of giving students more detailed information.
    International Journal of Nursing Terminologies and Classifications 01/2009; 20(4):162-8. · 0.36 Impact Factor
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    ABSTRACT: The aim of this descriptive study was to examine the sleep quality of older adult nursing home residents and the factors that affect it. The research population included all of the older adult residents of three nursing homes (n = 992) in Izmir, Turkey. The sample comprised those who met the inclusion criteria for the research and agreed to participate (n = 540). Research data were collected using the Elderly Individual's Introduction Form and the Pittsburgh Sleep Quality Index (PSQI). The mean age of the residents was 75.49 (SD = 6.56 years), and 54.1% were women. The sleep quality for the majority of the residents (60.9%) was determined to be poor. Nurses can enhance older adults' quality of sleep and therefore improve their quality of life.
    Journal of Gerontological Nursing 11/2007; 33(10):42-9. · 0.81 Impact Factor
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    ABSTRACT: This paper is a report of a study to measure subcutaneous tissue thickness at the dorsogluteal and ventrogluteal sites and to determine optimal needle length for dorsogluteal and ventrogluteal intramuscular injections in adults with a body mass index of more than 24.9 kg/m2. Problems can arise if drugs designed to be absorbed from muscle are only delivered into subcutaneous tissue. Increasing obesity in all developed and many developing countries makes this an increasing concern. Ultrasound measurements were made of the subcutaneous tissue of overweight, obese and extremely obese people at the dorsogluteal and ventrogluteal sites with the probe held at a 90 degrees angle to the plane of the injection site. Subcutaneous tissue thickness was measured in 119 adults whose body mass index was >or=25 kg/m2. The data were collected in 2005-2006. Mean subcutaneous tissue thickness at the dorsogluteal site was 34.5 mm for overweight adults, 40.2 mm for obese adults and 51.4 mm for extremely obese adults, and at the ventrogluteal site was 38.2 mm for overweight adults, 43.1 mm for obese adults and 53.8 mm for extremely obese adults. Intramuscular injections administered at the dorsogluteal site in 98% of women and 37% of men, and at the ventrogluteal site in 97% of women and 57% of men, would not reach the muscles of the buttock. A needle longer that 1.5 inches should be used in women whose body mass index is more than 24.9 kg/m2, the dorsogluteal site may be used in all overweight and obese men, and the ventrogluteal site may be used in overweight men only.
    Journal of Advanced Nursing 07/2007; 58(6):552-6. · 1.53 Impact Factor
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    ABSTRACT: The aim of the present study was to test the effects of different body on BP readings in a Turkish healthy young adults. It is known that many factors influence an individual's blood pressure measurement. However, guideliness for accurately measuring blood pressure inconsistently specify that patient's position and they should keep feet flat on the floor. Although there are more information on arm position in blood pressure measurement, surprisingly little information can be found in the literature with respect to the influence of body position on the blood pressure readings in healthy young people. A total of 157 healthy young students who had accepted to participate in the study were randomly selected. In all subjects the blood pressure was measured subsequently in four positions: Sitting blood pressure was taken from the left arm, which was flexed at the elbow and supported at the heart level on the chair. After at least one minute of standing, the blood pressure was then taken standing, with the arm supported at the elbow and the cuff at the heart level. After one minute of rest, the blood pressure was subsequently taken supine position. Finally, after one minute the blood pressure was again taken in this last position with supine position with crossed legs. The blood pressure tended to drop in the standing position compared with the sitting, supine and supine with crossed legs. Systolic and diastolic blood pressure was the highest in supine position when compared the other positions. There was a difference between systolic blood pressures and this was statistically significant (P < 0.001) but the difference between diastolic blood pressure was not statistically significant (P > 0.05). All changes in systolic blood pressure were statistically significant except those from supine to supine position with crossed legs. When assessing blood pressure it is important to take the position of the patient into consideration. Also, blood pressure measurement must be taken in sitting position with the arms supported at the right a trial level.
    Journal of Clinical Nursing 01/2007; 16(1):137-40. · 1.32 Impact Factor
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    ABSTRACT: The aim of this study was to determine whether a disposable thermometer was at least as accurate as a tympanic thermometer when compared with a mercury-in-glass thermometer and to investigate the waiting periods of mercury-in-glass thermometers. Although different methods of temperature measurement have been widely studied and described during the last decade, comparison between readings obtained when measuring body temperature using disposable, mercury-in-glass and tympanic thermometers is little documented and there is confusion about the waiting periods of mercury-in-glass thermometers. This research was descriptive and comparative. Temperature measurements included three sequential readings using first a tympanic thermometer in the left ear, then a disposable thermometer in the left axillary area and finally a mercury-in-glass thermometer in the right axillary area. All the temperatures were measured on the Celsius (degrees C) scale. To identify the stabilization periods of the mercury-in-glass thermometers, the temperature measurement was repeated until the reading stabilized. F-tests were used to compare readings of the mean temperatures. It was found that body temperature readings measured by tympanic thermometer were higher than axillary mercury-in-glass thermometer by 0.12 degrees C, body temperature readings measured by tympanic thermometer were higher than axillary disposable thermometer readings by 0.65 degrees C and body temperature readings measured by axillary mercury-in-glass thermometer were higher by 0.53 degrees C than readings measured by axillary disposable thermometer. It was found that readings measured by mercury-in-glass thermometer stabilized in the eighth minute. When assessing body temperature it is important to take the type of thermometer into consideration. In addition, axillary mercury-in-glass thermometers must be kept in place a minimum of eight minutes.
    Journal of Clinical Nursing 05/2005; 14(4):496-500. · 1.32 Impact Factor
  • Ulkü Yapucu Güneş, Ismet Eşer
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    ABSTRACT: To compare the effect of a honey dressing vs an ethoxy-diaminoacridine plus nitrofurazone dressing in patients with pressure ulcers. This 5-week randomized clinical trial evaluated the effect of a honey dressing on pressure ulcer healing. Thirty-six patients with a total of 68 stage II or III pressure ulcers referred from a university hospital in Izmir were enrolled in the study. Twenty-six subjects completed the trial. Ulcers were measured with acetate tracings and Pressure Ulcer Scale for Healing (PUSH) evaluations. Fifteen patients with 25 pressure ulcers were treated with honey dressings, and 11 patients with 25 pressure ulcers were treated with ethoxy-diaminoacridine plus nitrofurazone dressings. Wound healing was assessed weekly using the PUSH tool, version 3.0. The primary outcome measure was the change in PUSH tool scores in each group at 5 weeks. The two groups were statistically similar with regard to baseline and wound characteristics. After 5 weeks of treatment, patients who were treated by honey dressing had significantly better PUSH tool scores than subjects treated with the ethoxy-diaminoacridine plus nitrofurazone dressing (6.55 +/- 2.14 vs 12.62 +/- 2.15, P < .001). By week 5, PUSH tool scores showed that healing among subjects using a honey dressing was approximately 4 times the rate of healing in the comparison group. The use of a honey dressing is effective and practical.
    Journal of WOCN 34(2):184-90. · 0.93 Impact Factor
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    ABSTRACT: Multiple studies have examined the quality of life of cancer patients before or after treatment, but few have evaluated the impact of a specific course of treatment on cancer patients' quality of life. Using a longitudinal design, we examined the quality of life of 24 women and 8 men before receiving their initial course of chemotherapy and again at 21 days after the first course of chemotherapy. The study was carried out at the outpatient chemotherapy unit of a university hospital located in the city of Izmir, West Turkey. Research data were collected using a patient demographic form and the Rolls Royce Model Quality of Life Scale. All of the postchemotherapy mean scores from the quality-of-life instrument were statistically significantly lower at day 21, except for the cognitive functioning subscale. Overall, initial chemotherapy was found to have a significantly negative effect on the quality of life of cancer patients. Nurses can help patients prepare for an initial decrease in their quality of life early in treatment.
    Cancer nursing 31(6):E19-23. · 1.88 Impact Factor

Publication Stats

70 Citations
13.20 Total Impact Points

Institutions

  • 2013
    • Abant İzzet Baysal Üniversitesi
      Claudiopolis, Bolu, Turkey
  • 2012
    • Adnan Menderes University
      • Division of Health School
      Güsel Hissar, Aydın, Turkey
  • 2007–2012
    • Ege University
      • • Fundamentals of Nursing
      • • Izmir Ataturk School of Health
      Ismir, İzmir, Turkey
  • 2011
    • Celal Bayar Üniversitesi
      Saruhan, Manisa, Turkey
    • Dokuz Eylul University
      • Department of Fundamental Nursing
      İzmir, Izmir, Turkey