Hacettepe University Faculty of Health Sciences Nursing Journal - 2011; 18(1)

De�erli Okurlar�m�za

Prof.Dr. Fethiye ERD�L — 2011-01-01

The Effect of Education on Dyspnea, Fatigue and Life Quality Concerning Heart Failure Patients

Hem�ire Fatma EFE, Prof. Dr. Nermin OLGUN — 2011-01-01

This randomized-controlled experimental trial was conducted on a total of 49 patients (24 test, 25 control groups) who have heart failure to determine the effect of education provided by nurses on dyspnea, fatigue and life quality. Data were collected by using Patient Information Form, Basal Dyspnea Index, Visual Similarity Scale for Fatigue and EORTC QLQ C-30 Life Quality Scale. Following first assessment, patients in experimental group were educated, respiration exercises were performed, and fatigue management was taught. No intervention was done to control group during study period. After 3 months, dyspnea, fatigue and life quality of patients re-assessed via home visits. Significant improvements were identified on experimental groups for perception of health status (p<0.01), dyspnea (functional deterioration (p<0.001), amount of work (p<0.001), amount of effort (p<0.001)), fatigue level (p<0.001), energy level (p<0.001), life quality and all sub dimensions (symptom (p<0.001), function (p<0.001) and general goodness (p<0.001). In contrast, except the dyspnea subdimension of life quality scale, considerable decrease was observed in all subgroups of the scale.. In this study it is concluded that education provided by nurses improves dyspnea, fatigue and life quality of patients with heart failure. According to these findings education is recommended on care and management of heart failure patients.

Assessing Validity and Reliability of the Leadership Practices Inventory (LPI) for Nurses in Turkey

2011-01-01

Aim: The aim of this methodological study was to examine the psychometric properties of the Leadership Practices Inventory (LPI) for nurses in Turkey. Methods: Sample of this study consisted 97 unit charge nurses (UCN) and 98 staff nurses (observers) from two university hospitals. Data were collected through Nurses Data Sheet and LPI-Self and Observer. Confirmatory Factor Analysis and Cronbach alpha coefficients were used to test three alternate models of transformational leadership. c2, Goodness of F�t Index (GFI), Comparative Fit Index (CFI), Nonnormed Fit Index (NNFI) , Standardized Root Mean Square Residual (SRMR), and Root Mean Square Error of Approximation (RMSEA) were used to evaluate the models. Results: Third model was found to have a good fit when χ2/df ≤ 2.0, fit indices (CFI, NNFI etc) ≥ .95, RMSEA ≤ .06, and SRMR ≤ .08. According to the χ2/df, fit indices, RMSEA, and SRMR values, third model provided better fit than the other models. The internal reliability of the LPI for nurses was 0,92 for leader and 0,97 for observer. Recommendations: When all of these values were taken into account, validity and reliability of the LPI Turkish version was found sufficient to measure nurses' leadership practices.

Relationships of Nurses' Professional Commitment with other Commitment Forms: Organizational Commitment, Work Commitment and Family Commitment

Do�. Dr. Serap BENL�G�RAY, Yard. Do�. Dr. Harun S�NMEZ — 2011-01-01

The commitment forms of individuals regarding their private and work lives have been subject to various researches in an independent or interactive way for a long time. In this study, relations have been tested for defining the relationship between the nurses' professional commitment and organizational, work and family commitment. With this objective, the study was conducted with the nurses employed in 7 state hospitals with 500 or over bed capacity and 3 university hospitals under the body of Ankara Ministry of Health through questionnaires. In the study, 355 nurses were chosen random via proportional distribution method in stratified sampling. The correlation analysis was performed on data which were obtained from the survey method. As a result of analysis, relation between professional commitment and affective commitment was found out statistically insignificant. There is a significant positive weak relation between nurses' professional commitment and their continuance commitment to the organization they work, their normative commitment, their work commitment and their family commitment.

The Evaluation of Healthy Problems Caused from Working Conditions and Life Habits of Nurses that Working in a Private Hospital

Ar�.G�r.Dr. Makbule Tokur KESG�N, Prof.Dr. G�l�mser KUBLAY — 2011-01-01

Because of their work, nurses defer most of the daily living habits, and experience many health problems due to negative circumstances arising from the work environment. This descriptive study was planned to evaluate the daily living habits and health problems of nurses that arise from working conditions . A total of 158 nurses among 198 nurses working in private hospitals volunteered to participate in the study . It was identified that nurses had inappropriate life habits on sleep and rest, adequate and balanced nutrition, and physical activity, and one dimension of their health problems was associated with working conditions. In conclusion, nurses' shift works should be arranged so that to affect their daily living habits at minimal level and there must be occupational health practices that evaluate nurses health and health habits.

Daytime Sleepiness and Related Factors Among High School Students

Ar. G�r. Dr. Deniz KO�O�LU, ��r. G�r. Selda ARSLAN — 2011-01-01

Aim: The aim of this study was to evaluate the prevalence and risk factors of daytime sleepiness among high school students. Methods: This was a cross – sectional study. The study was conducted on1962 high school student. Data were collected using a questionnaire prepared by researchers, which included sociodemographic – economic characteristics, sleep habits, sleep problems, and daytime sleepiness of participants. Statistical analysis was carried out using the number - percentage range and logistic regression analyses (backward method). Results: The prevalence of daytime sleepiness in students was found 28.7%. According to the logistic regression analyses; the risk factors of daytime sleepiness were being over 17 years, female sex, poor assessment of economic status, perceived future uncertainty, smoking, drinking alcohol, computer/internet using over 2 hours of daily, late bedtime (after 10 pm), early wake times (before 8 am), having difficulties falling sleep, sleep talking , grinding of teeth, and feeling of restlessness before sleep. Conclusion: It was identified that the daytime sleepiness was a common health problem for high school students and perception related to economic situation was important risk factor for daytime sleepiness as well as individual characteristics, habits and problems affecting the quality of sleep.

Cervical Cancer Prevention, Early Diagnosis-Screening Methods and Midwives / Nurses Role

Ar. G�r. Ayla KANBUR, Yard. Do�. Dr. Cant�rk �APIK — 2011-01-01

Cervical cancer ranks second among women after breast cancer in the world. Worldwide 493.000 new cases per year are diagnosed and 274.000 women lose their life due to cervical cancer. In our country, according to 2006 data of the Health Ministry Cancer Control Department, cervical cancers compose 5 per 100.000 of all cancers in women. Cervical cancers are the best examples of protection from genital cancers. Prevention can be achieved by vaccination and lifestyle considerations. Early diagnoses is possible via Pap smear test. Nevertheless, cervical malignancies are an important cause of death in the developing and underdeveloped countries. In our country, cervical cancer still poses a serious problem , due to lack of regular screening. For these reasons, identifying the incidence of cervical cancers, and associated risk factors, investigating the causes, and developing strategies towards prevention and treatment of cervical cancer are important. In this respect, midwives / nurses who have constant communication with the individuals and the community should provide information to individuals about appropriate health behaviours by gathering relevant data and providing counselling. In this article, cervical cancer prevention, early diagnosis, screening tests, and the role of midwives / nurses within this context are discussed.

Cold Applications and Nursing Care

Ar. G�r. Dr. Ebru EREK KAZAN — 2011-01-01

The usage of cold applications has expanded, becomes widespread, and an indispensable method of treatment, especially in the treatment of soft tissue injuries. Therefore, cold applications, especially in orthopedic clinics, are one of the most frequently applications encountered by nurses. However, inappropriate applications and when necessary precautions are not taken, cold applications may cause serious problems that affect the person's health adversely. Thus, nurses have important responsibilities in the realization of the cold applications. In this article, the effects of cold applications to the organism, major cold application methods and nursing care on cold applications are discussed in order to provide basic information to the nurses about cold applications and to guide the care of the patients who have been applied cold applications.

Non-Pharmacological Methods at Pain Management

Yard. Do�. Dr. H�sna �ZVEREN — 2011-01-01

Since pain affects individual physically, psychologically and in social aspects, it is important to control it. Pain control is important forindividual relief, increase of life quality, reduce of complications and shorten of the duration of hospitalization. Today, non-pharmacological methods are also used when pharmacological techniques are not available or in order to increase effect of pharmacological techniques. The purpose of using the non-pharmacological methods is to decrease the usage rate of analgesics and to improve the quality of life by relieving pain.. In this article, the effect of non-pharmacological methods at pain control, and at which conditions and how they could be used are considered in accordance to the relevant literature.

Topical Negative Pressure Therapy in Care of Pressure Ulcer

��r. G�r. Dr. Fato� KORKMAZ — 2011-01-01

The incidence of pressure ulcers is one of the indicator of quality of health care centers' services. The most effective step in reducing the incidence of pressure ulcers is determining the factors associated with pressure ulcers, hence preventing ulcers. Once ulcers occur, the selection of appropriate method is very important to help healing. Topical Negative Pressure Therapy is a non-invasive method which started to be used especially in advanced stages (III and IV. Stage) of pressure ulcers. This method works based on implementation of negative or subatmosferik pressure over wound tissue to promote healing. This article aimed at increasing the awareness of nurses about Topical Negative Pressure Therapy, and to provide a theoretical framework for the mechanism of this method.

Notes from Selimiye to the Future

Prof. Dr. Sevgi HAT�PO�LU — 2011-01-01

Various scientific events were organized in the world and Turkey for the 100th anniversary of Florence Nightingale who effected development of nursing in Turkey. This event, which was organised by four institutions in Turkey, started in Selimiye Barracks, and continued in Marmara University Faculty of Medicine Historical Conference Hall (Ord. Prof. Re�at Kaynar Conference Hall) with the title of “A Short Journey to the Nursing History”¹ .