Publications by authors named "Nesibe S Kutahyalioglu"

3 Publications

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Implementation and Practice Barriers of Family-Centered Care Encountered by Neonatal Nurses.

Adv Neonatal Care 2021 Sep 30. Epub 2021 Sep 30.

School of Nursing, George Mason University, Fairfax, Virginia (Drs Kutahyalioglu, Scafide, and Mallinson); and College of Nursing, University of Rhode Island, Kingston (Dr D'Agata).

Background: Approximately 7 out of every 100 births in the United States result in admission to the neonatal intensive care unit (NICU), which contributes to a delay in initial physical contact between the parents and their newborn. While family-centered care (FCC) increases opportunities for parent-infant connection, implementation barriers persist in clinical practice. Research has yet to examine whether organizational and nursing factors of empowerment and compassion fatigue (CF) in the NICU are associated with FCC practice.

Purpose: The aim of this study was to determine the relationship between empowerment, CF, and FCC practices among NICU nurses.

Methods: This quantitative portion of a mixed-methods study used a cross-sectional, descriptive correlational design. Bedside NICU nurses with at least 6-month experience were recruited to complete an anonymous online survey using established, valid, and reliable instruments.

Results: Except for organizations with Magnet status, there were no significant differences in FCC practice within individual and institutional characteristics. Hierarchical linear regression model indicated nurse empowerment was a strong predictor of FCC practice (β = 0.31, R2 = 0.35, P < .001). There was only a weak, inverse association between CF and FCC practices (r = - 0.199, P < .001).

Implication For Research And Practice: Further qualitative research will integrate these findings to understand the process by which neonatal nurses engage in FCC practices in the context of NICU setting. Future studies should examine facilitators and barriers of FCC practice in the NICU. Strategies (eg, policies and trainings) to increase nurse empowerment and support for FCC implementation should be developed and evaluated.
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September 2021

Development and Pilot Analysis of the Bruise Visibility Scale.

SAGE Open Nurs 2021 Jan-Dec;7:23779608211020931. Epub 2021 Jun 7.

College of Health and Human Services, George Mason University, Fairfax, Virginia, United States.

The accuracy of assessing and documenting injuries is crucial to facilitate ongoing clinical care and forensic referrals for victims of violence. The purpose of this cross-sectional, pilot study was to evaluate the inter-rater reliability and criterion validity of a newly developed Bruise Visibility Scale (BVS). The instrument was administered to a diverse sample (n = 30) with existing bruises. Bruises were assessed under fluorescent lighting typical of an examination room by three raters who were randomly selected from a pool of eight experienced clinical nurses. Colorimetry values of the bruise and surrounding tissue were obtained using a spectrophotometer. The BVS demonstrated good single (ICC = 0.71, 95% CI = 0.54 - 0.84) and average agreement (ICC = 0.88, 95% CI = 0.78 - 0.94) between raters. A significant, positive moderate correlation was found between mean BVS scores and overall color difference between the bruise and surrounding skin (Pearson's r = 0.614,  < 0.001). With further research, the BVS has the potential to be a reliable and valid tool for documenting the degree of clarity in bruise appearance.
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June 2021

Quantifying the Degree of Bruise Visibility Observed Under White Light and an Alternate Light Source.

J Forensic Nurs 2021 Jan-Mar 01;17(1):24-33

School of Public Health, Georgia State University.

Background: Documentation of injuries associated with abuse and assault has pivotal impacts on clinical and legal outcomes. Before this study, no reliable and valid tools to consistently document the clinical visibility of bruises existed. The purpose of this study was to systematically evaluate reliability and validity of the Bruise Visibility Scale for documenting bruises visualized in normal (white) light and the Absorption Visibility Scale for documenting bruises visualized using an alternate light source (ALS).

Methods: Bruises were induced using a paintball on the upper arms of 157 participants stratified into six skin color categories. Bruises were visualized 21 times over 4 weeks under white light and 10 ALS wavelength/goggle color combinations. Bruise size was measured using a metric ruler; bruise color was measured using a spectrophotometer. Interrater reliability was calculated using kappa and intraclass correlations coefficients. Construct validity was evaluated using generalized linear mixed modeling of associations between bruise size and color with both visibility scales.

Results: Interrater agreement for bruise detection was over 90% for all but two ALS wavelength/goggle combinations. Kappa values indicated adequate interrater agreement under white light (κ = 0.76) and ALS (κ = 0.78). The visibility scale intraclass correlation coefficients were .91 for normal light and .93 for ALS. Statistical modeling showed greater bruise size was associated with higher visibility using either scale, and greater contrast in color or lightness was associated with higher Bruise Visibility Scale values.

Implications For Practice: Both visibility scales showed satisfactory reliability and validity. Forensic nurses can use the scales to consistently document bruises.
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May 2021