Hacettepe University Faculty of Health Sciences Nursing Journal - 2011; 18(2)

De�erli Okurlar�m�za

Prof.Dr. Fethiye ERD�L — 2011-06-01

The Relation Between Nurses'Sociotropy-Autonomy Personality Features and their Burnout Levels

Ar. G�r. Bahanur MALAK, Prof. Dr. Besti �ST�N — 2011-06-01

Objective: Definitive study was held to determine the relation between the nurses' sociotropicautonomic personality features and burnout levels. Methods: We used nurses identifier information form, Sociotropy-Autonomy Scale with �ahin et al's validity and reliability study (1993) and Maslach Bornout Scale with Ergin's validity and reliability study (1992) for data collection. Number, percent, average and Pearson Correlation Analysis were used for data analysis. Results: The most stressful 3 factors at work for nurses are; work load, conflict with patients' family and team members. There was a very weak positive correlation between sociotropicautonomic personality features and average emotional exhaustion subscale point. There wasn't a relation between depersonalization subscale average point of burnout and sociotropy average point. There was a very weak positive relation between average depersonalization and average autonomy point and the relation was statistically significant. However there wasn't a relation between personal accomplishment subscale and sociotropy average point. There was a very weak positive relation between average personal accomplishment and average autonomy point and the relation was statistically significant. Conclusion: Therefore, it was recommended to form training programs and curriculum contents which develop sociotropic-autonomic personal features collectively, and to develop training programs increasing awareness about sociotropy-autonomy. These programs will help develop a strategy to prevent and cope with burnout.

Examination of Negative Sign-Symptoms Seen During Bloodletting and the Level of Anxiety from Individuals which are Donating Blood

Yard. Do�. Dr. Fatma B�RG�L�, �eng�l AYDIN — 2011-06-01

Objective: This descriptive study was carried out with the purpose of examining the negative symptoms, anxiety and pain in individuals which are donating blood. Material and Methods: The population of the study was consisted of individuals, the sample of 142 who are donating blood participating in a Laboratory. The data were collected between 2011 until January-February. Questionnaire, visuel analog-state anxiety scala was used in collecting data. Kruskal-Wallis, t test, Wilcoxon One-Way ANOVA and Pearson’s correlation coefficient was used in analysing the data. Written consent was obtained from institutions and verbal consent was obtained from individuals, necessary to study. Results: Thirtyone percent of the individuals were in 18-30 age group, 56.3% were female, 36.6% are high school graduates, 69.7% were donated bloodletting for the first time, 2.1% were defered to go to health facilities for fear of giving blood, 20.4% were afraid of hurt the needle during the blood collection. The mean pain intensity was found as 2.33�1.23 during bloodletting in donors. Training status of individuals were found to be significantly correlated with the state anxiety scale total score (p<0.05). Coclusion: Individuals who were donating blood are feeling low level pain. It was observed that in approximately half of individuals were experiencing negative symptoms afterwards bloodletting.

Determination of Sexual Harassment of Nurses by Patients

2011-06-01

Objective: To determine the prevalence and details of sexual harassment of nurses by patients and nursing reactions. Methods: This descriptive, cross-sectional study on sexual harassment against nurses by patients was conducted with 184 nurses working in three hospital in Ad�yaman and Sivas. Data was collected by questionnaire survey consist of two part and 13 questions. Data analysis was performed using the Statistical Package Program for the Social Sciences (SPSS, version 11.0). Percentage and chi- square tests were used in the data analysis. Results: Most of the nurses (71.7% ) indicated that they had been sexually harassed by patients. According to types of sexual harassment of the nurses. “Gazing at nurses in a lewd matters” was reported to be the most encountered type of sexual harassment by 61.4 % of the sexually harassed nurses. 29.3 % of the participants reported that they ask for help from manager or colleagues. Limitation of the communication with patients and herself behaviours are the remarkable suggestions of the participant nurses. Conclusion: Most of the nurses they had been sexually harassed by patients. Most of them give passive reactions and their coping methods are not towards to problem.

The Early Period Complications in Patients who were Performed Abdominal Surgery Intervention and the Nursing Practices for These Complications

Aynur �zkum �ZVEREN, Yard. Do�. Dr. �mran DAL — 2011-06-01

Objective: This research was done as a descriptive study to determine the early complications after abdominal surgery intervention and to determine the appropriate nursing practices related to these complications. Materials: The research sample consisted of 67 patients who had abdominal surgery in between September 15, 2009 and January 15, 2010 in Turkish Republic of Northern Cyprus in Government Hospital's surgery ward. Data collection was done with a questionnaire which was constructed by the researcher based on the related literature. The data was collected by the researcher through face to face interviews with the patients and the analyzing the patient's files. Percentage calculations, Pearson chi-square test and Fisher's Exact Test were used to evaluate the data. Results: According to the research results; the most common problems during the early postoperational period were pain in the surgery area, coughing, nausea, swallowing difficulties, constipation, trapped gas. It has been seen that nursing practices as doctor's order and drug administration, giving as appropriate position, making the patient stand up earlier and activepassive exercises and, monitorization of vital functions were more commonly used comparing with the other nursing practices. Conclusion: Based on the research; it was suggested that the appropriate post-operative procedures to be done by the nurses should be determined and training of clinical nurses and in this regard the sufficient reason of the aspects of nursing care in practice should be investigated.

Hatay Health School Students' Healthy Lifestyle Behaviors and Influencing

Yard. Do�. Dr. Hatice TAMBA� — 2011-06-01

Objective: The study was conducted to determine the health school nursing students' healthy lifestyle behaviors and influencing factors. Methods: The study is descriptive. Population of the study comprised 220 first, second, third and fourth class health school students from Hatay Mustafa Kemal University in 2010-2011 academic year. And the sample included 197 students who agreed to participate in the study. Data was collected by performing the personal information form and scale of healthy lifestyle behaviors. Frequency, percentage, t test, Mann-Whitney U, One-Way ANOVA and Tukey's HSD test were used to evaulate the data. Results: Students' healthy lifestyle behaviors general score is determined as 122.09 � 16.93. Responsibility for nutrition and health sub-scale scores of female students were higher than males and significant (p <0.05). The exercise subscale mean scores of male students were significantly higher than female students (p <0.05). Conclusion: As a result, students' healthy life style behaviors were generally found to be medium level in this study. Generating education programs by considering healthy lifestyle behavior influencing factors and making these programs a part of curriculum in a way of extending all years is recommended.

Profesionalizm and Nursing in Turkey

��r. G�r. Dr. Fato� KORKMAZ — 2011-06-01

Whether nursing is a profession or not is in debate for a long time . Considering the scope of criteria of professionalism, nursing is not fully match those criteria but after 1980, there was a significant progress in this way. However, nursing have some weaknesses in gaining autonomy and having scientific based knowledge so those areas in particular need to be strenghthened. In this study, status of nursing in Turkey are discussed with in context of the criteria of professionalism.

Empowerment of Self Via Cognitive Approach

��r.G�r. Dr. Duygu H��DURMAZ, Prof. Dr. Fatma �Z — 2011-06-01

Self is an organised thought, emotion and behavior structure developed as a result of experiences and interactions with parents and other people throughout developmental process. Cognitive theorists explain self as a self-schema. The self schema about self determines our thinking way and which information we remember about ourselves. As self concept shapes thoughts and memory, interventions made to prevent and heal self related mental health problems should be based on cognitive approach. Use of cognitive approach for problems about self can be via self awareness, catching, analyzing and replacing automatic thoughts with realistic ones, when doing this realising one's negative self attributions and cognitive errors, changing one's coping patterns with stressful conditions. Nurses can face with people having self problems not only in psychiatric wards, but in general wards and community. Nurses' being capable of realising and intervening this kind of problems is related firstly them to have a healthy self concept and then to have knowledge and ability to prevent and early diagnose this kind of problems. By this way by preventing and early intervening self related problems, mental health problems will be prevented, individuals will have a productive and happy life.

Nursing Care of Demented Patient and Care Models

��r. G�r. Dr. �matullah AKYAR — 2011-06-01

Parallel with rapid increase in elderly population, common problems seen in old age becoming a problem for community. A major health problem of aging society's dementia becomes due to vascular-degenerative changes and follows a progressive and irreversible process. The main objectives for dementia care is to protect the functionality and reduce disability of the patient, regulation of environment and the relations to maintain stability, to compensate the losses caused by disease, and to ensure the therapeutic environment to protect and ensure the quality of life. To achieve these goals nurses are expected to recognize the needs of patient with current and practical information, to choose the right tools and give appropriate care; and to support the caregivers in all stages of disease, diagnosis, treatment and care process.

A Way to Prevent the Increase in Cesarean Birth: Vaginal Birth After Cesarean Instead of “Once a Cesarean Always a Cesarean” Approach and the Roles of Nurse

Ar. G�r. Dr. Fatma G�Z�KARA, Prof. Dr. Kafiye ERO�LU — 2011-06-01

There has been a rapid increase in rates of cesarean delivery across the world. Mother requested (elective) cesarean after cesarean section has a large share in this increase. Hovewer the cesarean section which is a surgical intervention can be life saving for mother and baby when necessary, it increases maternal mortality and morbidity rate when compared with vaginal birth. It is also an intervention places a burden on the country's economy. For these reasons, efforts to reduce the rates of cesarean section have gained importance in recent years. One of these efforts is vaginal birth after cesarean section. It is indicated that vaginal birth after cesarean section is a successful and safe method in appropriately selected cases. All health care practitioners especially nurses who mostly interact with pregnant women and their families play an important roles in reducing cesarean delivery rates. This article aims to focus on the cesarean birth rates in the world and Turkey, reasons for preferring cesarean section, new approaches to reduce cesarean section, criteria for vaginal birth after cesarean section and nurses' roles in decision making for delivery method.