Hacettepe University Faculty of Health Sciences Nursing Journal - 2014; 1(3)

De�erli Okurlar�m�za

Do�.Dr. Serg�l DUYGULU — 2014-07-01

Determining the Perception Level of Nurses Regarding Spirituality and Spiritual Care and the Factors that Affect their Perception Level

Asl� Sis �EL�K, Funda �ZDEM�R, Hatice DURMAZ, T�rkan PAS�NL�O�LU — 2014-07-01

Aim: The aim of this study was to determine nurses' perception level and related factors of spirituality and spiritual care . Methods: Study was carried out with nurses working at two university hospitals and four state hospitals in the East Anatolian Region. No sampling method was used; total 554 nurses were included in the study. A “Personal Information Form” and “Spirituality and Spiritual Care Rating Scale” were used for data collection. The highest total score for scale is 69, 31 for spirituality and spiritual care subscale, 16 for religiosity subscale and personalized care subscale. Results: Half of (56.5%) nurses had 1-5 working years, 56% of them was working as contract staff and 55% of them working 40 hours per week. Also, 53.2% of nurses were working at department of internal medicine, 55.2% of them were day shift nurses. Nurses' mean score for spirituality and spiritual care subscale was found as 24.32�3.53, for spirituality subscale 10.79�2.37, and for personal care 13.49�1.90. Nurses Spirituality and Spiritual Care Rating Scale total mean score was found as 53.40�5.33. Statistically significant difference was found between total mean scores and nurses' marital status, educational levels of their mothers, having a dependent relative, believe in evil eye and attitudes towards patients' traditional practices related with spirituality (p<0.05). There was no statistically significant difference between total mean scores and nurses' total working years, permanent or temporary job position, working hours per week, department, shift type and hospitalization experience (p>0.05). Conclusion: It can be concluded that total working years, permanent or temporary job position, working hours per week, department, shift type and hospitalization experience did not affect nurses perception levels of spirituality and spiritual care. Nurses whose mothers had high school or higher education level, single, have dependent relative, do not believe in evil eye and think patients traditional spirituality practices should not be performed since they are useless, had a high perception level of spirituality and spiritual care. Nurses had a high perception level of spirituality and spiritual care but still need information about spirituality and spiritual care.

Self-Directed Learning Readiness Levels of Nursing Students

�enay SARMASO�LU, Selma G�RG�L� — 2014-07-01

Aim: This descriptive study conducted to determine self-directed learning readiness levels of nursing students. Material and Method: Study was carried out with 256 nursing students enrolled in theoretical courses of nursing, during the 2008-2009 spring semester at Hacettepe University Faculty of Health Sciences Nursing Department. Data were collected by using Demographic information sheet and Self-directed Learning Readiness Scale. Chi square, Fisher Exact Chi square, Mean, Median and Percentages, were used for data analysis. Results: According to the findings, 76.6% of the students' Self-directed Learning Readiness Levels total scores' mean was found as 160.7 � 21.4 above 150 cut-off point. There was no statistical difference between Self-directed Learning Readiness average scores and students' age and educational level. However, statistically significant differences were found between the self-directed readiness level scores and students' educational status (high school graduation average and academic performance, reasons for choosing nursing as career ) as well as their self-development behaviors (e.g. desire to continue with postgraduate study and reading habits). Conclusion: Nursing baccalaureate programs should include teaching methods (e.g. case study, etc.) that support self-development behaviors and self-directed learning experiences of students.

Factors Affecting Women's Preferences for Cesarean Birth in a University Hospital

�ule ERG�L, Meltem K�RT�NC� — 2014-07-01

Objective: To determine the frequency of cesarean birth and factors affecting women's preferences for cesarean in a university hospital. Material and Method: Study was carried out with 72 women in a university hospital's postpartum service as cross-sectional and descriptive survey study in Zonguldak. Data were analyzed by descriptive statistical methods, Chi-Square, Fisher's Exact and Student's t tests. Results: Almost eighty (79.2) percent of women participated in the study were gave birth by caesarean section. Of 26.4% planned to gave vaginal birth, gave birth by cesarean section. There were no statistically significant relationships between types of birth and educational level, pregnancy-related problems, current work status; whereas statistically significant difference was found between types of birth and living places(p=0.04). Half of (47.4%) the women who gave birth by caesarean section stated that they preferred cesarean birth because they are afraid of vaginal birth. Conclusion: Women's preferences of the cesarean birth were considerably affected by the delivery itself and fear of pain in labor.

Migrant Families' Health-Related Behaviour and Opinions About Health

2014-07-01

Objective: This study was carried out to determine migrant families', living in low socioeconomic level and migration area of Erciyes University Health, Education and Research region, health-related behaviour and opinions about health, to plan nursing services delivery. Materials-Methods: Study was conducted between the dates May 1st – 15th, 2008. Sample size was determined as 354 houses, by using “sampling from finite population” formula. Snowball method was used for selection of families. Data was collected with 33 item questionnaire. Data was analysed with percentage and chi-square tests. Findings: It was found that 59% of families migrated from Middle Anatolia Region, 52.5% of them migrated for job opportunities and 33.6% of them migrated for having better life conditions. It is determined that, 41.3% of them had been living in Kayseri for 10 or less years and Turkish was mother language for 89.8% of them. The reasons for their sickness were stated as lack of care (38.5%), lack of hygiene (26%) and as punishment for their religion practices (12.4%). 25% of families who had migrated from East/Southeast Anatolia region stated they believed that sicknesses are the punishment of their religion practices. It is also determined that families migrated from East/Southeast Anatolia Region are using traditional methods for fractures (27.3%), burns (35.2%), headache (19.3%), stomach ache (43.2%), high fever (40.9%) and diarrhoea (40.6%), (p<0.05). Result: This study determined migrant families' health-related behaviour and opinions about health. It can be concluded that while most of migrant families' prefer to admit to hospitals for health related concerns, there is still good portion prefer to seek traditional methods.

Use of Group Psychoeducation in Nursing Care of Elderly

Hatice TAMBA�, Fatma �Z — 2014-07-01

Psycho-education, including variety of methods and educational information which based on behavioral and psychotherapy interventions, is one of the psychological help type. Psychoeducation can be carried out with the group programs. Psycho-education programs by providing the necessary information or skills to a person in an individual, social, educational, or occupational area aim to prevent psychological problems and enable people to cope with those problems. Besides, the use of psycho-education in groups, there are also benefits such as interaction among the members, social learning, and social support. Nurses with the roles of direct care, support, education, and counseling are have important standing in running psycho-education groups. Nurse working with elderly people can be effective in care by providing assistance with handling emotional problems, physical care and dealing with physical disabilities. This study reviews the literature and discusses the up-todate information on the use of psycho-education in nursing care of elderly.

Prevention of Pressure Ulcers in Patients Undergoing Surgery

�enay G�L — 2014-07-01

Pressure ulcers, common in post-operative patients, is an important health problem affecting quality of life adversely, causing pain and leading serious financial losses. All health care professionals, especially nurses, working at the operating room should know risk factors leading development of pressure ulcers in patients who underwent surgery and apply necessary prevention interventions. In this article, the risk factors triggering the development of pressure ulcers and prevention-oriented interventions in patients who underwent surgery have been reviewed.

A Concept Analysis: Power in Nursing

Seher BA�ARAN, Serg�l DUYGULU — 2014-07-01

Power is the one of the important concept for both staff and organizational development. Managers and staffs have responsibilities for development of powerful staff and organizations. Power concept is really important for health care organizations and nurses like other organizations. This article reviews the power concept and power sources, power sources of nurses, nursing and power relation, factors affect nurses' use of power sources, nurses and nurse managers' roles and responsibilities in development of power sources for nurses.

D�zeltme

2014-07-01