Introduction: In surgical intensive care units, monitoring and interventions are performed utilizing advanced technologies. The warning alarms of these devices jeopardize patient safety by inducing fatigue in staff. Aim: The objective is to assess the impact of alarm fatigue on the tendency for medical errors among nurses in surgical intensive care units. Method: The current study employed a cross-sectional and correlational design. Data were gathered from 201 surgical intensive care nurses through an online survey approach and snowball sampling technique. The data collection instruments employed were the “Personal Information Form”, the “Alarm Fatigue Scale”, and the “Medical Error Tendency Scale in Nursing”. Results: The mean total score for alarm fatigue among nurses in surgical intensive care units was found to be 16.42 ± 5.47, while the mean total score for the tendency to make medical errors was 180.57 ± 24.32. A negative moderate correlation was identified between alarm fatigue and a tendency for medical errors. This finding indicates that as alarm fatigue increases, the score reflecting the tendency to make medical errors decreases; however, this decrease suggests an actual increase in the tendency for medical errors. Nurses’ alarm fatigue accounted for 14.5% of the total variance in the tendency to commit medical errors. A unit increase in alarm fatigue was found to correlate with a 0.381 unit increase in the likelihood of medical errors. Conclusions: Nurses exhibited moderate levels of alarm fatigue and a tendency for medical mistakes. The tendency for medical errors escalated markedly with the rise in alarm fatigue.

Amaç: Bu çalışma vardiya sistemi ile çalışan hemşirelerin uyku kalitesini ve etkileyen faktörleri belirlemek amacıyla yapılmıştır. Gereç ve Yöntem: Araştırma, Mart-Mayıs 2018 tarihleri arasında bir üniversite hastanesinde vardiya sistemi ile çalışan hemşireler ile tanımlayıcı ve kesitsel olarak yürütülmüştür. Araştırmada 243 hemşire örneklemi oluşturmuştur. Veriler, çalışmaya katılmayı kabul eden hemşirelerden kişisel bilgi formu ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ) kullanılarak toplanmıştır. Bulgular: Çalışmaya katılan hemşirelerin, yaş ortalamasının 27,00±6,03 olduğu, %78,6’sının kadın olduğu, %57,2’sinin bekar olduğu saptanmıştır. Çalışmada hemşirelerin Pittsburgh Uyku Kalitesi İndeksi’nden aldıkları puan ortalaması 12,70±4,27 (min: 3; maks: 20) olarak belirlenmiştir. Hemşirelerin uyku kalitesinin çocuk sahibi olma, gelir düzeyi, düzenli ilaç kullanma, ek iş yapma, gece nöbetinde zorluk yaşama, sosyal hayat ve aile ilişkileri değişkenlerinden etkilendiği tespit edilmiştir.Sonuç: Bu çalışmanın sonucunda vardiya sistemi ile çalışan hemşirelerin uyku kalitelerinin düşük olduğu saptanmıştır. Hemşirelerin uyku kalitesinin artırılmasında aralıklı vardiya ile çalışmanın faydalı olabileceği düşünülmektedir. Bu bağlamda yöneticilerin duyarlılığını artırmak amacıyla farklı vardiya sistemiyle çalışan hemşirelerden oluşan daha büyük örneklemlerle yapılacak benzer çalışma sonuçlarının duyurulması önerilebilir.

Objective: This study aims to determine the capacity to tolerate discomfort by women who undergo mammography. Materials and Methods: The data were obtained using the face-to-face interview method immediately after the procedure with women who undergo mammography (n=132). Demographic data collection form and the Discomfort Intolerance Scale was used for data collection. Results: Among the women, 78.8% experienced pain during mammography and the pain intensity was determined as 3.55 (standard deviation=3.00) on the 0-10 Visual Analogue Scale. Women who were not on pain relievers and nonsmokers have high discomfort tolerance. Women who were consuming substances containing methylxanthine (eg. chocolate) tend to avoid discomfort. Women with a history of breast mass and abnormal test results did not avoid discomfort as much as women who undergo regular checkup mammograms. Most of the women experience pain during mammography, and avoidance from discomfort increases as the perceived pain during the procedure increases. Conclusion: Conducting different studies using the same scale can be useful in evaluating the discomfort experienced during mammography and its contribution to reducing pain.

Background: This study aimed to determine the preoperative surgical fear levels, postoperative pain intensity, and sleep quality of metabolic and bariatric surgery patients and to examine the relationship between them. Methods: This study was a single-center descriptive and correlational design and was completed with 115 patients. The data of the study were collected by using the Personal Information Form, Surgical Fear Questionnaire, Richards-Campbell Sleep Questionnaire, and Visual Analog Scale. Descriptive statistics, Pearson correlation, and multiple linear regression analysis were used for data analysis. Results: In the study, the mean total score of the preoperative Surgical Fear Questionnaire was 24.73 ± 16.32, and the mean total score of the Richards-Campbell Sleep Questionnaire on the 1st postoperative day was 53.85 ± 20.53. The mean postoperative pain intensity scores were 7.44 ± 1.74 at the 1st hour, 5.19 ± 1.61 at the 12th hour, and 3.24 ± 1.85 at the 24th hour. In addition, it was determined that surgical fear and postoperative pain significantly predicted sleep quality (p < 0.05). Conclusions: It was determined in the study that sleep quality decreased as the level of surgical fear and pain intensity of the patients increased. Considering the relationship between fear of surgery, postoperative pain, and sleep quality, it may be beneficial to develop support and counseling services for patients according to current guidelines.