Hacettepe University Faculty of Health Sciences Nursing Journal - 2012; 19(1)

De�erli Okurlar�m�za

Prof.Dr. Fethiye ERD�L — 2012-01-01

Conflict Resolution Approaches of Nursing Students

Prof. Dr. Fatma �Z, ��r. G�r. Dr. Duygu H��DURMAZ — 2012-01-01

Aim: This research was carried out as descriptive to determine conflict communication approaches of nursing students and factors influencing these approaches. Material and Method: 181 students from a state university faculty of health sciences nursing department constituted the study sample. “Student Data Form” and “Conflict Communication Scale” which was developed by Goldstein were used for data collection. Percentage, arithmetic mean, significance between two means test (t test) and One Way Variance Analysis (ANOVA) were used for data analysis. Results: According to study results; mostly used conflict resolution approaches by students were emotional expression, confrontation and self-disclosure. It is identified that as students' ages and classes are increased, their emotional expression approach usage was also increased. Students whose fathers were literate, were using emotional expression, confrontation and public/private behaviour at least. Usage of emotional expression and self-disclosure were higher in students having nuclear family than students having extended family. Not working students were using public behavior more than others. Conclusion: Students were using emotional expression, confrontation and self-disclosure mostly for conflict resolution. These conflict communication approaches can be valued as positive and efficient. Thus, sustaining and continuing usage of them by students can be suggested.

Nursing Students' Opinions About Simulation Method

2012-01-01

Objective: The aim of the study was to determine nursing students' opinions related to scenario/computerized simulation method's usage in skill education. Materials and Method: Semi-structured focus group interviews containing six questions were used in this study. Sampling constituted 24 voluntary students of a nursing school and three focus group interviews were conducted with each of groups that included 8 students. Results: Majority of students stated that skill development training in laboratory and classroom environment before the clinical practice were useful. However; they though that pre-clinical education was insufficient due to using un-programmable manikins at the skill laboratory and inadequate number of manikins per student. Most students stated that they felt incompetent at the skill practices during clinical practice at the hospital; therefore they experienced problems with nurses, patients and health team members. Conclusion: Owing to student's positive opinions toward usage of simulation teaching strategies and this educational strategy will contribute to improvement in students' clinical skills, students can practice with self-confidence and consequently contribute to educate selfconfident nurses.

Peer Mentoring: A Way of Developing Internal Locus of Control to Empower New Nursing Students

2012-01-01

Objective: This study investigated changes in the locus of control (LOC) of new nursing students in a Turkish University. Students were put through a mentoring program provided by senior students. Material and Methods: Seventy-two new students are included in this twelve week, evaluative, pre- and post-test design study. Da�'s (2002) Locus of Control Scale (LOCS) for Turkish samples was used to assess their personal control beliefs. Lower scores represent an internal orientation of LOC. Following a one-day mentorship orientation program, the seventy-two senior students enrolled in the Nursing Education course were randomly assigned as peer mentors for new students. The faculty provided assistance to both mentees and mentors. Descriptive statistics (mean, standard deviation, median), Kruskall Wallis test and Wilcoxon test were used to evaluate data. Results: The test group's LOC scores showed a decrease in score across a three-month period (p<0.001). The biggest difference was observed in “Personal control” and the smallest difference was observed in the area of “Belief in fate”. Conclusion: In this study, the mentorship program had a favourable effect on new students' internal LOC. Peer mentorship can provide many learning experiences for both new and senior nursing students.

The Usability of the Omaha System in Identifying the Health Needs, Nursing Interventions and Outcomes of the Elderly Living in A Nursing Home

Yard. Do�. Dr. H�lya KULAK�I, Prof. Dr. Oya Nuran EM�RO�LU — 2012-01-01

Objective: This study was carried out to evaluate the usability of the Omaha System in identifying the health needs, nursing interventions and outcomes of the elderly living in a nursing home. Methods: This was a descriptive study. During the study process, 30 elderly people living in the Ke�i�ren Residential Home and Social Welfare Institution, in Ankara followed between 01 November 2009 – 18 June 2010 and nursing care implemented by using Omaha System. Results: According to the Problem Classification Scheme, the most frequently nursing diagnosis was coded in physiological domain and the least frequently nursing diagnosis was coded in environmental domain. A total of 30241 nursing interventions were implemented, and surveillance was the most and case management was the least category used. Conclusion: Omaha System has been found useful in identifying the health needs, nursing interventions and outcomes of the elderly. However, signs-symptoms such as eye redness / itching / gum, swelling of eyelids, wound in the mouth, halitosis, negative body image, sweating, hands / feet tingling / numbness, nose bleeding, not breathing effectively, difficulty falling asleep, irregularities in sleep and rest, inadequate foot care, inadequate perineum hygiene, inadequate oral hygiene, lack of information about illness and treatment plan should be added in Problem Classification Scheme.

The Validity and Reliability Study of the “Functional Autonomy Measurement System” Among 65 Years and Over Age Group

Ar. G�r. Dr. Zahide TUNA, Prof. Dr. Sevilay �ENOL �EL�K — 2012-01-01

Aim: The aim of this study was to investigate the validity and reliability of the Turkish “Functional Autonomy Measurement System” which was developed to evaluate elderly functional independence. Material and Method: This methodological study was conducted with 90 elderly people who live alone or with their family in the Greater Municipality of Ankara, without known psychological and mental disability. In the study, an existing Functional Autonomy Measurement System was used as data collection tool. During the study, language equivalence, content validity, reliability and construct validity of the scale was performed. The data was assessed by using mean, median, standard deviation, Spearman Correlation, Cronbach Alpha coefficient and confirmatory factor analysis. Results: The mean age of study participants was 73.44�6.21 years. Spearman correlation coefficient of the scale for test-retest reliability was 0.98 and the Cronbach alpha coefficient was 0.95. According to fit indexes of confirmatory factor analysis [x2/SD=294,77/272=1,08; RMSEA= 0,031 (%95 CI 0,00 – 0,054); GFI= 0.99; CFI= 1.00; NFI= 0.99] it was found that three factors were appropriate for the scale. Conclusion: The adoption of the translated “Functional Autonomy Measurement System” in Turkey is found reliable and valid to evaluate functional independence of adults over 65 ages.

Perceptions of New Graduate Nurses Regarding Their Competence in Nursing Skills

2012-01-01

Objective: This descriptive and cross-sectional study was planned to investigate the perceptions of newly graduated nurses regarding their specific competences in a range of nursing practices and their needs for further training. Method: Data were collected between January 1 2008 and December 30 2008 for 124 newly graduated nurses starting work at a university hospital. The Clinical Practices Self-Assessment Tool was used for data collection. The senior ward nurse issued the tool to the nurses and explained the aims of the study 2 days after they first started work. Result: The nurses felt themselves most competent in the measurement of vital signs and hand washing, and least competent in disconnection of patients from mechanical ventilation and in the use of electronic devices. Conclusion: Newly trained nurses perceived themselves to be insufficiently prepared in several specific areas; this highlights the need for ongoing dialog between hospitals and educational establishments providing professional training for nurses.

Nurse's Role in the Prevention of Health Problems in Scuba Diving and Divings

2012-01-01

Scuba diving is a sport which is becoming widespread day by day and causing health problems and injuries if necessary precautions were not taken. Barotraumas, decompression disease, pulmonary edema, and problems resulting from the pharmacological and toxic effects of gases are the main health problems encountered in scuba diving. Ensuring safe diving is important in preventing these problems. To ensure safe diving, the precautions including the evaluation of technical equipments, education and health before, during and after diving should be taken. In order to provide safe diving in scuba diving which has become popular today, nursing profession also takes an important role. It is crucial for maintenance, enhancement and development of health that the nurse plays his/her instructional part according to dynamic life conditions and current events. Within these implications health problems of divers during diving will be minimized and safety of diving will be provided.

Risky Period for Type 1 Diabetes Management: Adolescence

��r. G�r. Dr. Handan BOZTEPE — 2012-01-01

Type1 DM is one of the most common chronic disease in childhood and incidence in children is increasing worldwide. Adolescence is the transitional phase of development between childhood and adulthood. This transition in adolescence is often associated with poorer adherence to treatment, deteriorating metabolic control and increased risk for psychological disorders. The current article summarizes psychosocial problems for adolescents with Type 1 DM and recommendations.

Protection of Children from Hazards of Smoking: Community Health Nurse and Primary Responsibilities

Yard. Do�. Dr. Makbule TOKUR KESG�N — 2012-01-01

It is well-known that smoking the health of people of all age groups. Smoking is a substance that is much more risky for children, because in parallel to the growth and development; the process of learning about healthy lifestyle habits are also continuing. Children's health promotion, protection as well as positive lifestyle habits, lead to a healthy childhood, adolescence, adulthood and old age. Healthy children need to be addressed for the future of healthy individuals, and constitute an important group of society. There are important responsibilities for the lawmakers and non-governmental organizations in challenging the hazards of smoking. This article aims at providing information about the responsibilities of community nurses at preventive health care settings towards protecting children from the hazards of smoking beginning from the prenatal period to school age.