International Science Index

International Journal of Nursing and Health Sciences

Views of Health Field Periodical Editors about the Publication Process
Aim: The purpose of this study is to investigate views and suggestions of health field editors about the publication process. Materials and methods: 275 journal editors recorded in Turkish Reference Index in 2014. The study involved 42 journal editors who accepted to participate in the study. The data were collected through 70-item Editor Views Questionnaire. Results: Unjustified authorship (40.5%), duplicate publication (33.3%), and falsification (26.2%) are the most common problems they encountered related to publication ethics. An analysis of the problems encountered in the initial evaluation stage revealed the top three issues as articles that did not follow the writing rules of the journal (33.3%), unqualified articles (30.1%), and negligence of the author(s) (14.3%). Analyzing problems with peer review stage in the journal publication process, failure to complete the evaluation within the given time, the referees (28.6%) was seen as the first problem. Conclusion: Identification of journal editors’ views and problems is an important step for the solution to these problems; it could thus contribute to improving the quality of publication process and journal quality.
Evidence-Based Practices regarding the Post-Operative Care for Children with Gastrostomy and Jejunostomy
Providing sufficient energy and essential nutrients is vital for normal growth and development in childhood. Ideally, nutrition should be provided through oral intake. However, if the person's gastrointestinal system is functional, enteral tube feeding can be applied in cases when nutritional requirements of the person cannot be provided orally. Tube feeding in pediatric patients is a method that has positive effects on attaining the nutrition the child needs as well as managing the disease. Nurses should manage post-operative care well and be aware of the potential tube problems and complications so that this important process can be maintained successfully. The purpose of post-operative nursing care in children is to monitor position and functionality of the tube; follow nutrition intolerance, growth, hydration, and nutritional assessment; and perform metabolically and complication follow-ups. It is very important to monitor post-operative patients especially in terms of complications. These complications can be collected under 5 groups which are mechanic, gastrointestinal,metabolic, infectious, and pulmonary complications. In conclusion, tube feeding in pediatric patients is a very beneficial method that has positive effects on controlling and managing diseases and attaining the appropriate food supply for children. Nurses should manage post-operative care well and be aware of the treatment process as well as potential tube problems and complications so that this important process can be maintained successfully. This way, potential problems can be prevented appropriately, interfered and the process can be continued successfully. Some important steps in the post-operative care include making enteral feeding practices appropriate to evidence-based guides, sharing outcomes at evidence level with nurses working in clinical settings, creating enteral feeding guides in clinical settings, providing the patient and his/her family with training in line with these guides, and maintaining follow-ups in these families at home as well. This study has investigated evidence-based practices regarding the post-operative care for children with gastrostomy and jejunostomy.
Evaluating the Physical Symptoms of Peritoneal Dialysis Patients: Relation with Some Variables and Self-Care
The research was carried out to evaluate the physical symptoms of the patients who take peritoneal dialysis therapy and determine the relation of socio-demographic features which affect the physical symptoms with the disease and self care. The sample of this descriptive research consists of 120 patients who are kept under surveillance in peritoneal dialysis clinic of two hospitals located in center of Trabzon. The data was collected by using ‘Patient Identification Form’, ‘Charlson Comorbidity Index’ ‘Dialysis Symptom Index’ and ‘Self-care Ability Scale Oriented Chronic Dialysis Patients’. Count, percentage, average, Independent T Test, One-Way Anova, Mann Whitney-U Test, Kruskal Wallis Test and Correlation Analysis were used to analyze the data. The average of age of the under-researched patients is 48.93±14.60 year and %60.8 of them is male. According to the dialysis symptom index the symptoms that the patients experienced most are in turn, constipation (%64.2), being nervous (%62.5), sleep onset-insomnia (%60.8) and sleep-maintenance insomnia (%60.0). Self-care ability scale total point average oriented the illnesses of chronic dialysis patients is 27.60±6.19. While performing peritoneal dialysis the the point average of supported patients was higher than the group and it was found meaningful with respect of dialysis symptom index (p < 0.05). The total point average of medicine sub-dimension and self-care ability of the patients who don’t take support while applying dialysis is higher and the difference among the groups is statistically meaningful (p < 0.05). Total point average self-care ability scale, medicine sub-dimension and hyciene sub-dimension is (p < 0.01) and between diet sub-dimension and self following sub-dimension there is a negative correlation (p < 0.05).As a result the patients who are lack of self-care ability have to compete with more and severe symptoms. The nurses must develop some implementation to enhance self-care ability of patients to cope with and get onder control the experienced symptoms.
Leadership Power Type Perceptions and Preferences of Health Staff Working at Primary Healthcare Center: A Case Study in Turkey
Objectives: The relationship between an organization structure and power types affects organizational commitment, job satisfaction and motivation. Appropriate understanding and effective use of power by leaders are required to strengthen employees and relations between managers and employees. In our country at primary healthcare centers, physicians can choose the health personnel to work with. Health staff can be an emergency medical technician, a high school or university graduate nurse or a medical officer regardless of their qualitative or quantitative properties in accordance with physicians’ choice. Family health staffs working at primary healthcare centers are in charge of a wide range of tasks such as the treatment of the patient, preparation-storage-disposal of training and medical supplies, monitoring pregnant women and vaccination. Physicians are responsible for supervising the work and the management of the institution. When the contract ends, it is the physician who decides whether to re-recruit the health staff or not. Applying appropriate type of leadership power to employees working at primary healthcare center is effective in the realization of organizational goals. Aims: The aim of this study was to reveal the type of leadership power which was perceived and preferred by health care staff at primary healthcare centers. Methods: The study was completed 1-28 February 2016 with 59 volunteer medical staff working at primary health care center in a city in the Eastern Black Sea Region. Data was collected through face-to-face interview method using a socio-demographic form and a 13-item Perceived Leader Power Index questionnaire . Statistical analysis was performed with SPSS program using percentages, number, one-way ANOVA, Kruskal Wallis, Man Whitney U test and correlation analyses. Results: Perceived powers detected in the study were legitimate power (5.18 ± 1.48), coercive force (4.10 ± 1.06), reinforcing power (2.21 ± 1.42 in) and the preferred powerswere reinforcing power (5.30 ± 0.18), legitimate power (4.51 ± 0.56) coercive force (3.58 ± 0.99). According to the education level, there was a significant difference between perceived and preferred powers of health vocational high school graduates +associate degree +2 more years (to complete bachelor degree via transferring a distance education program) (p
Pain Prevalence and Methods for Overcoming Pain among Old People Living in Keşap Town Center, in Giresun City
The research was carried out as descriptive one to identify elderly people’s pain prevalence and methods to cope with pain. The sample of the research was composed of 255 elderly people living in Keşap town in Giresun city. The research was done by home visits between March 2015 and June 2015. The data was collected by using Personal Information Form, Geriatric Pain Measure and Pain Coping Questionnaire. Numbers, percentage, average, Oneway Anova, Kruskall Wallis and Students t-tests were used to evaluate data. Pain prevalence of the elderly participants in last month was detected as 92.5% and chronic pain prevalence as 73.7% for any reason. The elderly participants’ average point of Geriatric Pain Measure was stated as 55.03±25.80. When investigating sub-dimensions’ point averages of Pain Coping Questionnaire, points were found; Self-Management as 18.71±6.89, Helplessness as 11.11±5.69, Conscious Cognitive Attempts as 12.20±4.56 and Medical Remedies as 9.69±5.68. Significant difference was found between Geriatric Pain Measure and Helplessness point average; and age, gender, education, marital status, economic condition, the person who is responsible for nursing the elderly, need for assistance in daily life activities and chronic disease. Significant difference was found statistically between average points of Self-Management and education; between average points of Conscious Cognitive Attempts and gender, education, need for assistance in daily life activities; between average points of Medical Remedies and age, marital status, economic condition, the person who is responsible for nursing the elderly, need for assistance in daily life activities and chronic disease. As a result, it was revealed that pain prevalence was high in the elderly; sociodemographic variables such as being elderly, low education level, female gender, poor economic condition caused elderly people feel more pain, affected coping with pain negatively and made elderly people feel more helpless.
Smiling and Accessible Health Services: Assessment of Patients
Objective: Smiling and effective communication makes access of the patients to health care staff easier. The current study was done to determine whether or not smiling and accessible health care services were provided to the patients. Methods: The study, designed in descriptive model, was conducted at Training and Research Hospital of RTE University after official permissions were taken from Public Hospitals Union in Rize. The sample of the study was composed of 188 patients who were selected through the 2015 data and visited hospitals. The data of the study were collected using a questionnaire form consisted of 15 questions about patients’ socio-demographic characteristics and their views about smiling and accessible health care services between 9-30 March 2016 and were assessed using percentages, means, chi-square test. Findings: 58'% of the patients were female, 53% of them were aged ≥31 years. 13% of them were hospitalized at least once a month and 80% of them stayed in hospitals nearly for 10 days. In the selection of the health care personnel; 62% of the patients paid attention to the fact that health care personnel should be caring and behave well. 49% of the patients found physicians understanding, 48% of them found nurses understanding and 29% of them found medical secretaries understanding; 51% of them found physicians smiling, 461 of them found nurses smiling and 39% of them found medical secretaries smiling and 45% of them found doctors informative, 46% of them found nurses informative and 39% of them found medical secretaries informative. However; 83% of the patients stated that they could contact nurses easily while only 2% of the patients stated that they could reach physicians easily. 61% of the patients emphasized that health care personnel were unable to solve problems due to high number of patients. When the problems were not solved; the patients complained that 46% of them felt anger and 47% of them underwent negative situations most. It was identified that patients who were single (p=0.024) and were satisfied with health care services told that they were treated more easily and female patients were satisfied with health care services more (p=0.038). Besides; it was found that patients who were satisfied with health care services at the hospital did not avoid health care personnel (p=0.009) and when they came across a negative situation they did not complain either (p=0.007). Result: Patients thought that nurses were more smiling and accessible than physicians and particularly medical secretaries. Yet, it was understood that two of five patients told that their complaints were not solved and more than half of the patients did not complain when they came across a negative situation.
Determination of Student Centered Effective Learning Strategies in Clinical Practices in Nursing Education
Clinical experience process that follows clinical practices in nursing education gives students the chance to pass from theory to practice as well as from being student to being a professional. Educators, in particular, nurses and other health care workers, universities and students bear important responsibilities in clinical education that are shaped by physical setting and school-hospital collaboration so that the nursing students should be trained in the best way. To this end; e and f articles of 9th clause and an article of 5th clause were prepared under Nursing Code dated 03.2010 and numbered 27515. However; these articles do not include an explicit and sufficient information about how clinical nurse, student nurse, and hospital management should approach these responsibilities. From this point of view; the current study aims at developing a new code for internship of students in clinics that will help policy makers. The aim of the researchers is to point out that problems can be seen more easily and analyzed more appropriately by the experts in each law and code to be enacted by governments and thus more systematic and effective results can be achieved. The current study is also important in the sense that it will be a message to law-makers that a nursing group who may be effective in policy-making exists.
Women's Health Development Behaviours for Osteoporosis during the Menopause
The study was performed as descriptively to determine the women's health development behaviors during the menopause. The sample was created between January and February 2014 by 191 women who accepted to join the study. The study was realized by face to face interviews and making home visits to women during menopause who live in city center. Data were collected by using Questionnaire and Healthy Lifestyle Behaviors Scale-II. Frequency, mean, percentage and multiple linear regression tests were used in the analysis of data. Results of multiple linear regression analysis; career, number of children, income, the age at menopause and chronic illness story and having menapause complaint, smoking status, coffee or fizzy drinks consumption, the proportion of salt in the food, using of osteoporosis drugs and story of osteoporosis in the family affects the women's healthy life form behaviors. Health development behavior related with osteoporosis is medium-level in women during menopause. Individual and group educations for improving health about osteoporosis should be given.
Verbal Abuse of Nursing Students by Patient and the Patinet’s Relatives in Turkey
This study was planned as descriptive. The sample was formed by 190 nursing students who study in 3. and 4. classes. Nursing students meet with low rate physical violence (%5.2-6.2), around half of them meet with verbal and behavioral violence from employees and patients or relatives of patients. Students who meet with violence have higher level furor, aggression and anger feelings, meaninglessness, sense of instability, self-harm, guilt feelings, psychological problems, feeling himself nervous/unhappy in the school and difference is significant as statistically. Cases of violence in the clinical environment should be defined. Violence should be reduced by cooperation that between nursing schools and hospital management.
Factors Affecting Comfort of Patients Hospitalized in the Coronary Care Unit
Comfort, a concept associated with the art of nursing, is important for reducing the negative impact of hospitalization in a coronary care unit (CCU). Providing nursing interventions that ensure patient comfort is important for patients to respond positively to treatment. Ain to determine the factors affecting comfort and the comfort levels patients hospitalized in the coronary care unit. A descriptive study. The study was conducted between December 2015 and February 2015 in the CCU of a state hospital located in Trabzon, Turkey. The sample consisted of 119 patients who complied with the criteria of inclusion for the study. Data were collected using the “Patient Information Form” and a “General Comfort Questionnaire.” The mean patient comfort score was 3.22±0.33, and we found significant relationships between comfort scores and age (r=-0.19 p=0.03) and communication by nurses and doctors (p
Status of Male University Students’ Perception of Sexuality and Family Planning
Objective: Reproductive problems among university students remain on the agenda in our country. Aim: This descriptive study was done to determine knowledge level and behaviors of male university students about sexuality and family planning. Method: The study was conducted with students who studied at a state university located in Trabzon Province between January and March 2012. The study was done with 433 voluntary students with whom the author encountered at the campus during a day of the week determined by the author and who were informed about the aim of the study. The study data were gathered using a questionnaire form targeting socio-demographic information and family planning in line with the literature. For the statistical analyses; numbers, percentages, arithmetic means and chi-square test were used. Findings: 57% of the participant students were aged between 18 and 22, 77% of them studied at the Faculty of Engineering, and 29% of them were fourth-year students. It was found out that most of the students lived in the city centers, 81% of them had nuclear families, and 41% of them had two siblings. It was identified that 73% of the students did not know the definition of the family planning, 56% of them thought that they had enough knowledge about birth control methods, 67% of them told that they received information about contraceptive methods from internet, 90% of them knew condoms as a birth preventive method, 61% of them were of the opinion that using birth preventive methods were necessary and 46% of them told that pre-marital sex should be experienced and 51% of them told that they wanted information about family planning. 79% of the students had knowledge about preservatives and vasectomy, 68% of them supported preservative-use, 64% of them expressed that they did not prefer vasectomy at all even when they did not want to have children. In the study, it was identified that there were significant differences between students’ knowing the definition of family planning and their academic grades, between students’ knowledge of preservative and vasectomy and the number of siblings and between students’ supporting preservative-use and family type, age of fathers (p
Determination of Self-Esteem Levels of Nursing Students Who Temporarily Migrated
Introduction: Migration is a temporary or permanent geographical movement of people in order to lead a part of or whole of their lives in the future. Students, who temporarily migrate due to their university education, have to cope with physical and psychological growth due to sudden changes and therefore they may face positive or negative situations about their self-esteem. The current study was done in order to determine how nursing students who temporarily migrated perceived their self-esteem when they compared themselves to others. Methodology: This descriptive study was done with students who temporarily migrated (140) and accepted to take part in the study (101, 72.14%) among 174 1st year students after necessary official permissions were obtained from Dean’s Office of Faculty of Health Sciences of Karadeniz Technical University. The data were gathered using an Information Form and Social Comparison Scale between the 3rd and 9th of May 2016 and were assessed through frequency, arithmetical means, Mann Withney U and Kruskall Wallis tests. Findings: 85% of the students were female, and 36% of them were aged ≤18 years. 49% of them lived in city centers, 84% of them had nuclear families and families of 46% of the students had moderate level of socio-economic level. Families of 77% of the students demonstrated a democratic attitude towards the students. 37% had two siblings, and 37% of the students were the first child. Mothers of 79% of the students were housewives, and 77% of them had secondary education degree. Fathers of 49% of the students had university degrees, and 30% of the fathers were self-employed (craftsmen, construction foremen, etc.). The students temporarily migrated from all over Türkiye and abroad to Trabzon Province in order to have university education. 52% of the students were from Black Sea Region and 80% of them lived in student hostels and student dormitories. 30% of the students had temporarily left their families before. Mean total score that the students obtained from Social Comparison Scale was 80.485±15.303. It was found out that students whose families demonstrated a democratic attitude (U=623.500, p=0.027) and those who had temporarily left their families before (U=633.000, p=0.003) had higher total scores than others. Conclusion: Self-esteem of the students who temporarily migrated due to university education was high. Besides, self-esteem of the students whose families demonstrated a democratic attitude and those who had temporarily left their families before was higher.
Stories Are Thought-Machines: Digital Story Telling in Nursing
Introduction: Nursing profession is a profession in which individuals learn by observing, gain experience by practicing, and at the end of this process turn knowledge into behavior. Therefore; different learning methods should be used to increase learning levels of the students. In this sense, one of these methods is digital stories. Digital story-telling is a process through presenting a story based on “sounds, pictures, graphics, images, music and texts in interactive media.” In this process; sounds, music, and narration used bring a deep dimension and memorability to terms and characters. Thus; by noticing their personal limits, students may eliminate difficulties in learning settings and may learn how to cope with these difficulties through facilitating their sharing of thoughts and feelings. Aim: The current study was done in order to explore perceptions of education and learning processes of the students who narrated patient data through digital stories. Method: The sample of the study, which was qualitatively done between the 4th and 11th of April 2016 was composed of 14 students who studied at Nursing School of a Faculty of Health Sciences and took Nursing Basics Course, and the data were gathered before clinical internship. Before the implementation of the study, the students received an applied training about bitstript program, and after the training, real patient stories which would be narrated by the instructors were shared with the students. The students assessed the data individually and dubbed characters using bitstript program via computer and created their digital stories. Content analyses were used in order to evaluate scenes and stories. Findings: 83% of the students were female while 17% of them were male and mean age was 19. 76% of the students found composing digital story entertaining and funny, 97% of them liked this technique, and 80% of them finalized the story with a positive ending. Two themes were determined in the scenes evaluated. It was identified that student statement about “Education with digital stories” was “Characters and objects used in the process were interesting in terms of composing the story” and student statement about “Learning process with digital stories” was “It helped me to understand cases in a shorter time and effectively.” It was seen that in addition to communication among patients, nurses and doctors; such topics as empathy, problem-solving and real hospital environment were emphasized more in the scenes. Result: As a result of the analyses of the student data, students found education with digital stories interesting and thought that use of digital stories was effective in explaining cases during learning process.
Coping Methods Used for Labor Pain by Turkish Women
During child birth, women use a range of coping strategies for pain. Apparently women using coping strategies during labor have a beneficial impact on their pain experience. However, not all women make use of coping strategies. The aim of this study is to explore labor pain coping methods among Turkish parturients. Descriptive statistics were used to analyze data on demographics and coping methods from 698 healthy parturients who were recruited from the delivery unit in a major hospital in Trabzon, Turkey. The study was conducted between January-December 2013. To assess the methods of coping with labor pain among Turkish parturients, a self-report, and forms of coping with labor pain was used. A demographic questionnaire that was developed for this study measured age, marital status, socioeconomic status, education, employment status, and obstetrical history. Pain coping behaviors of pregnant women in labor from the beginning (the start of regular uterine contractions) to the end of birth were recorded through observation by the researcher. The average parturients in this study had a mean age of 26.94±5.2 years, with a range of 17 to 45, was married, had a primary school and below level education, was a middle income, homemaker, and did not receive any training for labor pain (87.7%). Number of deliveries ranged from 0 to 11. All deliveries in this sample were singletons. Four labor pain-coping methods including physiological (breathing 43.0%, walking 23.1%, standing/swinging 24.9%, grabbing things 44.6%, massage 18.9) psychological (screaming/screaming loudly 55.9%, crying 31.9%, restlessness/panicking 22.9%, moaning 19.8%), spiritual (praying 43.3%, trusting God 43.7%), and cognitive (imagery 2.7%) methods were reported. This study confirms previous findings regarding coping methods and adds new knowledge on coping with labor pain among Turkish parturients. This study emphasizes the significance of child birth education as a means of informing Turkish women about coping with labor pain in addition to the important roles that nurses and midwives can play as educators and supporters during labor.
The Effect of Frequent Interventions during Labor on Maternal Satisfaction
Today, the basic approach regarding labor is that it is a physiological process and requires medical interventions at a very minimum level. However, today contrary to this view it is still seen that medical interventions are widely used during labor. Therefore, this study was planned both to investigate the effect of frequent interventions during labor on maternal satisfaction and to provide evidence-based recommendations for the decisions of labor management. This descriptive study was conducted between May-December 2015 at the Obstetrics and Gynecology Department of the Kars Harakani Region and Research Hospital in Kars, Turkey. The sample included 351 healthy postpartum women. A questionnaire form and The Scale for Measuring Maternal Satisfaction in Normal Birth were used to collect data. In analyzing the data, the normality distribution of the scale was analyzed (Kolmogorov - Smirnov) and descriptive statistical methods (frequency, percentage, mean, and standard deviation) were used as well as non-parametric tests (the Mann-Whitney U test and Kruskal-Wallis test) which were performed because the scores were not normally distributed (p
To Investigate the Relationship Between Self-Esteem and Continuing Anger and Anger Expression Style in Nursing Students
Purpose: To investigate the relationship between self-esteem and continuing anger and anger expression style in nursing students. Material and Methods: The study was conducted by the students of Department of Nursing, Faculty of Health Sciences, Karadeniz Technical University, in the spring semester of 2015- 2016 academic year. 509 students agreed to participate in the study and on the basis of voluntary without sampling were enrolled. The data collection tools; student information form, Rosenberg Self-Esteem Scale, Trait Anger Expression Scale and continuing anger were used. In analyzing the data, Kruskal-Wallis H test and Mann-Whitney U test (One Way) were used. Results: Female students control better their anger than men. The students with one or more siblings were angrier. Dead or alive, the level of education and having or not a job of parents has been found not to affect anger status. The students grew up by a mother were less angry. The shortcoming of revenue had a negative impact all size of anger, except anger management situation. The students who had good family relations were less angry. The students who subjected to violent criminal due to their errors were angrier. It was found that the student having any hobby were less angry. It was found that Students' self-esteem was not to be affected by gender, a number of siblings, where they live, the case of income, parents’ alive or dead, education of parents and having or not a job of parents. However, the self-esteem of the students was found to be higher in the students who had a good family relationship, participate in family decision, pleased their body, alerted the appropriate language instead of punishment due to their mistakes. Conclusion: We can conclude that The self-esteem of students is high, they are anger at the mid-level, they prefer to route their anger interior rather than out. In other words, individuals with high self-esteem can control better their anger.
Nurses’ Communication with the Patients with Sexually Explicit Conduct
Some inpatients seem to have sexually explicit conduct. This is not usually because patients cannot meet their sexual needs as they stay in the hospital for a long time. This situation occurs due to the desire to draw attention to the power of feminity/ masculinity, to deny the concerns regarding succumbing to disease and being dependent as an uncontrolled, impulsive reaction in response to the severity of the disease. However, it is seen as one of the problematic behaviors of patients by nurses. In such patients, the nurses may show emotional and behavioral reactions such as feeling helpless, furious and indifferent and ignoring and refusing the patient. This study was carried out to evaluate the communicative behavior of nurses toward the patients with sexually explicit conduct. This descriptive study was carried out with the nurses who voluntarily agreed to participate in the study in a province in the Eastern Black Sea region between January and May 2014. The entire population of the study was tried to be reached without performing sampling. 80% of the population was reached, and the study was completed with a total of 276 nurses. The data were collected using a questionnaire prepared by the researchers reviewing the literature. The data were analyzed using numbers, percentage, chi-square test in the SPSS program and evaluated at 95% confidence interval, and p
Drawings Say More Than Words: Storytelling in Nursing
Introduction: Methods used in nursing education, which requires theories to be put in practice, need to address students’ cognitive and affective areas through discovering the correlation between theory and practice. To achieve this; storytelling, one of the creative teaching techniques, is utilized by improving students’ problems solving skills and imagination; thus, their creativity is supported, and social development is positively affected. It is known that such methods as classic narration and presentation techniques are not effective in nursing education and students want to have an education with different methods. Therefore; when students acquire a memorable method they may use theoretical knowledge in relation with practice in a more productive way and adapt them in their professional lives. Aim: The study was conducted in order to determine perceptions of the students who narrated patient data by drawing method about nurses and patients. Method: The sample of the study, which was qualitatively done between the 4th and 11th of April 2016 was composed of 14 students who studied at Nursing School of a Faculty of Health Sciences and took Nursing Basics Course and the data were gathered before clinical internship. Therefore; real patient data which would be narrated were prepared by course-instructors and the students were sorted into two groups and the data were shared with the student groups. The students assessed the data through intra-group discussions and prepared a group-presentation after one week. Following the presentation, the students were asked to draw the case in a paper of six squares, to write contents of each square with their words and to create a story using the data. Findings: 93% of the students were female, and the mean age was 18. It was identified that 71% of the students did not like drawing, 93% of them found this technique useful, and 89% of them told that it affected their thoughts of patients. It was seen in the drawings evaluated that students dealt with “staying with patients, touching, listening, relaxing, nurse-patient interaction, empathy, protection and advocacy, recognizing patients, use of technology and humor” themes in relation with their perceptions of nurses whereas they discussed “trust, communication, asking for help, meeting physiological needs, respect and support” themes in relation with their perceptions of patients. Result: It was identified that their drawings, students expressed the topics and nursing care constituents that are expected to be perceived by analyzing data.
Oral Mucositis in Patients Receiving Chemotherapy and Radiotherapy
Background: Oral mucositis is an inflammatory response against side effect of radiotherapy and chemotherapy in cancer patients. This study was performed for determining oral mucositis frequency and risk factors on patients who hospitalized because of chemotherapy and radiotherapy. Methods: This is a cross-sectional and descriptive study. 127 patients who hospitalized because of chemotherapy and radiotherapy in clinic of oncology of two hospitals in Trabzon between October 2014 and December 2015 participated to study. Data was collected via patient information form concerning clinical and sociodemographic data and World Health Organization ‘’Mucositis Grading Scale’’. For analysis of data; number, percentage, mean and chi-square test were used. Results: In our study, incidence of oral mucositis percent was found 55.1%. More than half of patients had mild or moderate oral mucositis (67.1%). Most common oral problems of oral mucositis were dry lips and lip cracks (58.6%), dry mouth (55.7%), decreased sense of taste (47.1%), anorexia (42.9%), dysphagia (28.6%) and hoarseness (28.6%). It was found that elderly, smoking, lung cancer, use of oral care products were risk factors for patients with oral mucositis and they were statistically significant (p < 0.05). Conclusions: Oral mucositis was observed in half of patients who hospitalized because of chemotherapy and radiotherapy. Oral mucositis affects patients' quality of life and comfort adversely. Therefore, oral care should be applied correctly to prevent oral mucositis problems.
Pregnancy and Birth Experience, Opinions regarding the Delivery Method of the Patients' Vaginal Deliveries
The purpose of this study was the determination of factors which impact the pregnancy, birth experience and the opinions regarding the delivery type of the puerperants, after vaginal birth. This descriptive study includes 349 patients who gave births with normal birth in one of the hospital in İstanbul in May- November 2014. After birth, we interview with these women face to face. The descriptive information form and Perception of Birth Scale were used as data collection tool. SPSS (Statistical Package for the Social Sciences) was used for statistical analysis. The average age of patients was 27.13, and the average score was 76.93±20.22. The patients are primary school graduate, and they do not have a job. They expressed an income outcome equality. More than half of women did not get educated before birth. Among educated patients, few women got educated overcoming the pain during labor process. As the time spent in the hospital for the birth increases, the birth perception of mothers is affected negatively. %86.8 of participants gave assisted delivery. Spontaneous vaginal birth has positive effects on birth perception. Establishing a vascular access, induction of labor performing enema, restriction of orally intake and movement, fundal pressure, episiotomy, nor to perform skin to skin contact with the baby after birth has adverse effects on the birth perceptions.
Evaluation of Symptoms in Heart Failure Patients
Heart failure is a common cause of hospital readmissions in addition to being most important reason illness and hospitalization. In heart failure patients are aimed to eliminate or alleviate the symptoms, improve the quality of life with successful symptom management and reduce hospitalizations due to acute worsening. The research was planned descriptive in order to evaluate the frequency and size of the symptoms which cause hospital readmission for heart failure patients and to determine to affect them sociodemographic and disease-related features. The sample of the study consisted of 117 patients hospitalized in cardiology service. The data was collected by the researcher using “Patient Information Form”, “Heart Failure Memorial Assessment Scale (MSAS-HF)” . In the analysis of data, number, percentage, mean and regression analysis was used. The mean age of patients in the study were 68.60 ± 12.55 and 66.7% were male. 40.2% of patients have diagnosed with heart failure 1-3 years ago. According to New York Heart Association (NYHA) classification, 59.8% of patients had class III heart failure. Of the patients, 58.1% had 10%-25% ejection fraction, 42.7% were hospitalized 1-3 times due to heart failure within 1 year. The most common symptoms experienced by patients were day and night shortness of breath (82.1%;81.2%), difficulty sleeping (77.8%), fatigue (65.8%), difficulty breathing when lying flat (59.8%), feeling bloated (59.8%). Regression analysis revealed that marital status, alcohol, family history of heart disease, diagnosis time of heart failure, ejection fraction, daily weight monitoring and sleep patterns were related to overall scale score (R:,633 R2:401 F:10.408 p:0.000). As a result, heart failure patients try to cope with the burden of symptoms and live with frequent rate and severity of symptoms. Nurses should develop strategies to minimize these symptoms and should focus on the symptoms which are particularly severe and affecting hospitalization.
Causes of Stress Experienced by Nurses and Effects of Stress on Nurses
Problem and contribution: Intense stress causes individuals to suffer from physical, psychological and work-related problems. The study was conducted to identify causes of stress experienced by nurses and negative effects of stress on nurses. Method: This descriptive and comparative study were conducted with 256 of 542 nurses at a university and a state hospital in Rize. The data were collected with a questionnaire addressing nurses’ demographic features and the factors and effects of stress between the 9th and the 30th of March 2016. Findings: Of the nurses, 91% were female, 35% were aged between 25 and 34 years, 47% had baccalaureate degrees and 48% had a work-experience of ≥ 11 years. 50% of them were partly satisfied with work-environment and 41% partly had problems about working-hours. The nurses underwent high level of stress due to negative attitudes of patients or their families (57%), work-environment caused by lack of nurse and other personnel (56%), inability to spare time for themselves and their families (45%), the fact that their rights were not protected (37%), not being employed at the units where they wanted to work (37%), being criticized by physicians (31%). Besides; nurses who worked at general clinics/units underwent a higher level of stress than other nurses working at other departments due to inability to spare time for themselves and their families (p < 0.05). However, 70% of the nurses felt physically tired, 63% suffered from psychological sleep disorders, and 59% had professional burnout due to stress. Nurses who had a work-experience of ≤10 years and 18-24 years old had more sleep disorders (p < 0.05). In conclusion, nurses suffer from high level of stress mainly due to negative attitudes of patients and their families and lack of nurse and other personnel, and stress leads to fatigue, sleep disorders and burnout among the nurses.
The Proficiency and the Satisfaction States of Nurse Students regarding Nursing Practices in a Skill Laboratory and the Clinics
Reconstruct professional skills laboratory plays a key role in improving professional knowledge and skills of the nurse students before they meet patients in the same way as other schools that caught up with today’s technology and to transform it into a laboratory where simulation education with technical equipments and tools was offered. This study was conducted to evaluate whether the students trained with one to one practical training in a skills laboratory equipped with advanced technology, simulator models etc. to have proficiency to the nursing practices at the clinics, and to determine the satisfaction levels of students regarding the practical training in the laboratory, its environment and the practical training at the clinics. The population of this interventional and descriptive study was composed of 181 student nurses who attended first grade of Nursing School of Health Sciences Faculty of KTU and studied Nursing Basics–II course. No sampling was made in the study, and the whole population was targeted. The study on laboratory and clinical practice was conducted with 181 students while the study on student satisfaction was carried out 172 students. The data were gathered using an information form, laboratory and clinical satisfaction forms and 19 basic skill checklists of Nursing Basics–II course. Training on laboratory and clinical practices was provided by the course instructors through demonstration and practice techniques and students were evaluated through observation by instructors who used these techniques. 78%-98% of the students were successful in 15 of 19 practices on their first try. Besides; the level that students considered themselves sufficient ranged from 4.57±0.66 to 3.98±1.09; which was high. Also; students did some of the practices in the clinics in a shorter time. Additionally; students were highly satisfied with both laboratory practices (4.44±0.69) and clinical practices (4.33±0.76). As a result; it may be suggested that practical training provided to students in an equipped laboratory was effective and affected clinical practices of the students positively and most of the students satisfied with these practices.
Quality of Life of Patients with Tracheostomy after Discharge
Background: This study was performed as cross-sectional and descriptive in patients who had total laryngectomy surgery in order to determine quality of life after discharge and affecting factors. Methods: 36 cancer patients were included in to study who had total laryngectomy surgery in Okmeydanı Training and Research Hospital- Clinic of Otolaryngology and discharged from hospital in 2015. Patients information form which includes socio demographic properties and EORTC QLQ-C30 quality of life scale were used to collect data. Results: EORTC QLQ-C30 quality of life scale level was detected as 47.6±14.4 (under average). In functional status, cognitive status (74.0±13.4) and emotional status (48.1±24.4) most affected negative. For subscale of symptoms in quality of life scale, it was determined that fatigue (70.3 ± 20.0) and somnipathy (69.4 ± 24.3) affected quality of life negatively. When subscales analyzed according to demographic characteristics; age and family affected subscale of symptoms, working status affected functional status, family and living place affected general well-being (p < 0.05). When quality of life analyzed according to variables that may affect the quality of life, time after discharge affected general well-being (p < 0.05). Conclusions: Particularly in physical status, quality of life was found fallen. In addition, quality of life was found fallen severely for patients who live alone.
Incidence of and Risk Factors for Development of Oral Mucositis in Patients Undergoing Cancer Chemotherapy
Background: Oral mucositis (OM) is the inflammation of oral mucosa from redness up to serious ulcerations. Mucositis usually occurs 7-10 days after the start of chemotherapy. Objectives: We investigated the incidence and stages of, and risk factors for oral mucositis and other oral complications in patients undergoing outpatient cancer chemotherapy. Methods: The current study was descriptively conducted with 147 patients who received outpatient cancer chemotherapy at the Chemotherapy Unit of a University Hospital between February and April, 2015. The data were gathered using a questionnaire form, intraoral examination and World Health Organization 'Mucositis Grading Scale'. Results: In the study, frequency of oral mucositis was found to be 51.7%. In the majority of the patients were determined low/mild level of oral mucositis (81.6%). The most commonly seen oral problems of the patients during the treatment were mouth dryness (55.1%), reduced/changed sense of taste (52.4%), lack of appetite (47.6%) and lip dryness and lip cracks (41.5%). Most of the patients (87.8%) did not have taken mouth care for the prevention of oral complications. According to the results of logistic regression analysis; risk factors for oral mucositis were found to be advanced age, lack of appetite and the duration of chemotherapy (p
First Step into a Smoke-Free Life: The Effectivity of Peer Education Programme of Midwifery Students
Today the habit of cigarette smoking is among one of the most important public health concerns because of the health problems it leads to. The most important and hazardous group to use tobacco and tobacco products is adolescents and teenagers. And one of the most effective ways to prevent them from starting to smoke is education. This research is a kind of educational intervention study which was carried out in order to evaluate the effect of peer education on the teenagers' knowledge about smoking. The research was carried out between October 15, 2013 and September 9, 2015 at Ege University Ataturk Vocational Health School. The population of the research comprised of the students that have been studying at Ege University Atatürk Vocational Health School, Midwifery Department (N=390). The peer educator group that would give training on smoking consisted of 10 people, and the peer groups that would be trained were divided into two groups via simple randomization as experimental group (n=185) and control group (n=185). Questionnaire, information evaluation form, and informed consent forms were used as date collection tools. The analysis of the data which were collected in the study was carried out on Statistical Package for Social Science (SPSS 15.0). It was found out that 62.5 % of the students who were in peer educator group had smoked in some period of their lives; however, none of them continued to smoke. When they were asked about their reasons to start smoking, 25% said they just wanted to try it, and 25% of them answered that it was because of their friend groups. When the pre-peer education and post-peer education point averages of peer educator group were evaluated, the results showed that there was a significant difference between the point averages (p < 0.05). When the cigarette use of experimental group and the control group were evaluated, it was clear that 18.2% of the experimental group and 24.2%of the control group still smokes. 9.1% of the experimental group and 14.8% of control group stated that they started smoking because of their friend groups. Among the students who smoke 15.9% of the ones who belongs to the experimental group and 21.9% of the ones who belong to the control group stated they are thinking of quitting smoking. It was clear that there is a significant difference between the pre-education and post-education point averages of experimental group statistically (p ≤ 0.05); however, in terms of control group, there were no significant differences between the pre-test post-test averages statistically. Between the pre-test post-test averages of experimental and control groups there were not any statistically significant differences (p > 0.05). It was found out in the study that the peer education programme is not effective on the smoking habit of Vocational Health School students. When the future studies are being planned in order to evaluate the peer education activity, it can be taken into consideration that the peer education takes a long term and the students in the educator group will be more enthusiastic and a kind of leader in their environment.
Current Situation of Midwifery Student Organization in Turkey
Introduction: Midwifery organization in Turkey became official in 1954 with the foundation of Midwifery Association. Today there are two Professional organizations representing midwives: ‘Midwifery Association’ and ‘Association for Education, Research and Development in Midwifery (AERDM)’. In recent years, conjuction with the increase in the numbers of midwives, professional consciousness and professional organization conscious is increasing. The undergraduates of Midwifery Department of Ege University İzmir Ataturk School of Health have come together for their professions when they’re stil students, so they founded ‘Midwifery Community of Ege University (MCEU) (EGEBET in Turkish)’ in counseling within structors and the confirmation of the university in 2013. Objective: The aim of this presentation is to reveal the activities and grades of an undergraduate community in-three-years, founded by the undergraduates in order to raise awareness in pregraduate Professional organization. Thus it is aimed to be aware towards postgraduate Professional organization, and to reflect Professional unity and solidarity, alongside personal development to midwifery services by maintaining Professional development. In-the-presentation it is aimed to explain what dimension the organization of midwifery students in Turkey is, and to be a stimulus so that ICM can be more active on undergraduate communities. Findings: MCEU’s an activity that has launched in the scope of Social Responsibility Lecture instructed in curricula of second grade in the Midwifery Department. The community have performed lots activities to reach their objectives between the years of 2013-2016. MCEU have had 65 members in a very-soon period. Today the community that goes on its activities on social network in order to abolish the distances and reach more midwifery students’ve 444 members. MCEU aiming to make all the students of the Midwifery Department a member of this association also accepts the applications of national and international midwifery students. More over the community has published two student periodical magazine and carries out activities on Midwifery Day each year. Conclusion: In conjuction with the national introduction of MCEU in the student congress in 2013, it has received consultancy from the members of MCEU as a sample model in the student organization of midwifery department of other universities in Turkey, and stil remains receiving. Furthermore a student community has been founded under the roof of association with the demand of community’s members. Also academician has a responsibility to give direction to the future and shape the future. Therefore, it is thought that the study can be an instance for all branches of science students and academics. Acknowledgment: We thank to founder members of MCEU and all the other students remaining to perform activities because of their contributions to Professional organization.
Nursing Students Satisfaction regarding High Fidelity Simulation at Arab American University of Jenin (AAUJ)
Recently high fidelity simulation practice becomes important aspects in nursing education which have an excellent modality in enhancing nursing student’s clinical skill confidence and satisfaction. Besides, elevating the educational outputs and providing the community with highly skilled nurses has been the objective of all educational institutions in the field of nursing. Fore that the objectives of this study are to assess the effect of high-fidelity simulation (HFS) on nursing students regarding their self-confidence and satisfaction. The research design was a quantitative, cross-sectional descriptive study, with a total of 381 nursing students (in the second, third and fourth year of their BSc program) at the Arab American University of Jenin (AAUJ). It sis worthwhile mentioning that AAUJ is the first university that introduced HFS lab in their curriculum among Palestinian Universities. Data collected has used: (a) demographic survey, (b) Student Satisfaction and Self-Confidence in Learning survey developed by NLN which consists of 13 items with a five-point Likert scale. The majority of the participants were female (51.2%), age 21-24(48.3%).The findings in Most (58.5%) of the participants were second-year students, and 56.4% of the total participants taking adult health nursing course. The main results of this study revealed that the majority of nursing students were satisfied (81.6%) and self-confident (77.5%) with the simulation-based learning in nursing education. Moreover, No statistically significant differences were identified between age, gender, students GPA and the total means score from the questionnaire, However, Specialty course and year level, there was a significant difference between groups (P
Exclusive Breastfeeding Abandonment Among Adolescent Mothers: A Cohort Study
Background: Exclusive breastfeeding (EBF) up to 6 months old infant have been considered one of the most important factors in the overall development of children. Nevertheless, as resources are scarce, it is essential to identify the most vulnerable groups that have major risk of EBF abandonment, in order to deliver the best strategies. Children of adolescent mothers are within these groups. Aims: To determine the EBF abandonment rate among adolescent mothers and to analyze the associated factors. Methods: Prospective cohort study of adolescent mothers in the southern area of Santiago, Chile, conducted in primary care services of public health system. The cohort was established from 2014 to 2015, with a sample of 105 adolescent mothers and their children at 2 months of life. The inclusion criteria were: adolescent mother from 14 to 19 years old; not twin babies; mother and baby leaving the hospital together after birthchild; correct attachment of the baby to the breast; no difficulty understanding the Spanish language or communicating. Follow-up was performed at 4 and 6 months old infant. Data were collected by interviews, considering EBF as breastfeeding only, without adding other milk, tea, juice, water or other product that not breast milk, except drugs. Data were analyzed by descriptive and inferential statistics, by Kaplan-Meier estimator and Log-Rank test, admitting the probability of occurrence of type I error of 5% (p-value = 0.05). Results: The cumulative EBF abandonment rate at 2, 4 and 6 months was 33.3%, 52.2% and 63.8%, respectively. Factors associated with EBF abandonment were maternal perception of the quality of milk as poor (p
The Effects of Supportive Care Interventions with Psychotherapeutic and Exercise Approaches on Depressive Symptoms Among Patients with Lung Cancer: A Meta-Analysis
Objective: To examine the effects of supportive care interventions on depressive symptoms in patients with lung cancer. Methods: The databases of Cochrane Central Register of Controlled Trials (CENTRAL), Ovid EMBASE, PubMed, and Chinese Electronic Periodical Services (CEPS) were searched from their inception until September 2015. We included the studies with randomized controlled trial design that compared standard care with supportive care interventions using psychotherapeutic or exercises approach. The standardized mean differences (SMD) (Cohen’s d) were calculated to estimate the treatment effects. The Cochrane Risk of Bias Tool was used for quality assessment and subgroup analysis was conducted to identify possible sources of heterogeneity. Results: A total of 1472 patients with lung cancer were identified. Compared with standard care, the overall effects of all supportive care interventions significantly reduced depressive symptoms (SMD = -0.74 with 95% CI = -1.07 to -0.41), and the effect was maintained at the 4th, 8th, and 12th weeks of follow-up. Either psychotherapy combined with psychoeducation or exercise alone produced significant improvements in depressive symptoms, while psychoeducation alone did not. The greater improvements in depressive symptoms occurred in lung cancer patients with severe depressive symptoms at baseline, total duration of interventions of less than ten weeks, and intervention provided through face-to-face delivery. Conclusions: Psychotherapy combined with psychoeducation can help patients manage the causes of depressive symptoms, including both symptom distress and psychological trauma due to lung cancer. Exercise can target the impaired respiratory function that is a cause of depressive symptoms in lung cancer patients.