Hacettepe University Faculty of Health Sciences Nursing Journal - 2020; 7(1)

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Serg�l DUYGULU — 2020-01-01

Table of Content

2020-01-01

Evaluation of Nurses� Knowledge and Attitudes Regarding Catheter-Associated Urinary Tract Infections Control Precautions

�enay KARADA� ARLI, Ay�e Berivan BAKAN — 2020-01-01

Aim: This study was conducted to evaluate the knowledge and attitudes of nurses related to catheter-associated urinary tract infections control precautions. Material and Methods: This descriptive study was conducted with 185 nurses who agreed to participate in the study between November-December 2018 at a hospital in the eastern region of Turkey. Data were collected by using the Descriptive Characteristics Questionnaire and Catheter Associated Urinary Tract Infections Control Precautions Scale. Results: The mean age of the nurses was 29.15 � 6.75 years. According to the findings of the study, the mean total score of the Catheter-Related Urinary System Infections Control Measures Scale was 64.05 � 7.25. In addition, the mean total score of the scale was found to be significantly higher in the nurses who received training on infection control measures (p <0.05). Conclusion: According to the research, the nurses� total score of the Catheter Associated Urinary Tract Infections Control Precautions Scale was found to be high. Additionally, it was determined that the level of knowledge did not increase as the years of employment and age increased.

Medical Error Attitudes of Nurses From Different

Bilgen �ZL�K — 2020-01-01

Aim: The aim of this study was to investigate the medical error attitudes of nurses from different generations. Material and Methods: This descriptive study was conducted between January and February 2017 in a university hospital with 257 nurses. Data were collected with Scale of Attitudes towards Medical Errors. Ethics committee approval, permission from the institution in which the research was conducted and permission of the author who developed the scale were obtained. For statistical analysis, number, percentage, average and ANOVA tests were performed. Results: It was determined that 24.9% of nurses were in Generation X and 68.9% were in Generation Y. The mean score of nurses' attitude towards medical errors was 2.32�0.34. There was a statistically significant difference between the generations and the �medical error perception� and the "causes of medical error" subdimensions (p<0.05). Conclusion: In this study, it was determined that the awareness of �the importance of medical error and error reporting� in all four generations was low. In line with these results, it is recommended to increase medical error trainings and to establish systems to prevent errors and support error reporting in order to raise awareness.

Evaluation of Malnutrition Development in Hospitalized Children

Hatice PARS, Hasibe KAZANCI, G�lperi S�YLEMEZ BAYRAM — 2020-01-01

Aim: The aim of this study was to determine the development of malnutrition and the factors affecting it in hospitalized children. Material and Methods: In this descriptive, cross-sectional study, nutritional status of 80 patients were evaluated using Waterlow and Gomez malnutrition classifications systems. Physical measurements were calculated by z-scores of weight-forlength/ height (WFL/H), weight for age (WFA), height-for-age (HFA) and body mass index�for�age (BMI) at hospital admission and at discharge. Results: While 25% of the children had a z-score index below -2 at hospital admission, this rate was 31.2% during discharge. According to Gomez malnutrition classification system, moderate and severe malnutrition was detected in 17.5% of children (10% moderate malnutrition, 7.5% severe malnutrition) at hospital admission and 25.1% of children at discharge. According to the Waterlow classification system, acute malnutrition was found in 20% of children at hospital admission and 28.8% during discharge. The length of hospital stay was found to be longer in children with a 3% reduction in WFL/H, WFA and BMI standard deviation scores (p <0.05). Conclusion: Malnutrition remains a major problem at admission and hospitalization process. All hospitalized children should be evaluated in terms of nutritional status in order to provide early diagnosis and treatment of malnutrition.

Perceptions of Emergency Nurses Towards Nursing Care

Serpil �NCE, Serap B�NG�L — 2020-01-01

Aim: The aim of this study was to identify the nursing care perception of nurses working in emergency room. Material and Methods: The phenomenological method was used in this qualitative study. The study was conducted with 13 nurses working in the emergency room of a university hospital who agreed to participate in the study. The data were collected with semistructured in-depth individual interview questionnaire form using face-to-face interview technique. Results: Analysis of the research data revealed that the emergency room nurses� perceptions towards care are gathered in three main themes as followed: Difficulty to Name the Care Procedures, Characteristics of Nurses and Barriers to Care. The nurses stated that they were primarily focused on acute problems because of the characteristics of the patients admitted to the emergency room. Conclusion: Nurses defined the concept of care as meeting the physical needs of the patients. The nurses stated that they know that patients have psychological care needs, but intensity, treatment-oriented study constitutes an obstacle to meeting these needs of the patient. It is recommended to plan the trainings by considering the priority care needs of the patients specific to the emergency services (triage, yellow, red and green areas).

A Determinant for Self-Reported Health Level of Sixth Grade Students: Family Health

Erdal AKDEN�Z, Deniz KO�O�LU TANYER — 2020-01-01

Aim: The aim of this study was to investigate the relationship between self-reported health level of students and family health history, sociodemographic characteristics, health status and academic characteristics. Material and Methods: A total of 664 students from two schools determined by lot in Konya city center were included in this descriptive-relational type of study. The data were collected in the classroom environment by a questionnaire form developed by the researchers. Numbers, percentages and Chi-Square test was used in data analysis. Results: It was determined that the perceptions of health based on self-report were more negative in students who are male, have three or more siblings, have a chronic disease, use continuous medication, have a history of surgery and hospitalization, had an accident, have a health problem and have low school satisfaction and school success. When the family characteristics were examined, it was found that the perception of the economic situation as moderate / bad, having a large family structure, and having various health problems of the mother, father, sibling or grandparents had a negative effect on the self-reported health level (p<0.05). Conclusion: It was found that sociodemographic characteristics, some of the health characteristics of the students and his / her families and the characteristics of the students related to the school affect the self-reported health perception.

Barriers Encountered by Nursing Students in Research and Use of Results

Merve �A�LAR, Beyza SARAY, Didem �ENG�L — 2020-01-01

Aim: This study was conducted to determine the obstacles experienced by nursing students in research and use of results. Material and Methods: This study was descriptive type. The universe of the study consisted of 348 nursing students studying in the nursing department of a university between March and May 2019, and the sample consisted of 241 nursing students. The data were collected with an introductory information questionnaire and the Attitude Scale Towards Scientific Research. Results: The mean age of students was 20.97 � 1.51 and 78.0% were women. The percentage of students who didn�t take part in research was 90.9%. Only 21.6% of the students read a scientific publication, and 29.9% followed periodicals in nursing. The �Negative Attitude towards Research" subscale score was found to be 18.71 � 4.98, and the "Positive Attitude towards Research" subscale scores were found to be 23.50 � 5.81. It was determined that negative attitude towards research was significantly higher in students who didn�t know to access data sources (p <0.05), and positive attitude towards research was significantly higher in students who followed periodicals in nursing (p <0.05). Conclusion: According to the study results, it was found that the nursing students did not have sufficient information about the research and the students who did not know how to access the data sources and preferred the nursing department without willingness had negative attitudes towards the research.

Effect of Two Different Simulation Modalities in Environmental Safety Teaching for Stroke Patients on Nursing Students� Stress, Self-Confidence and Satisfaction

Elif ATE�, Vesile �NVER, Bahire ULUS — 2020-01-01

Aim: This study was conducted to evaluate the effect of two different simulation modalities used in environmental safety teaching for stroke patients on self-confidence, satisfaction, knowledge scores and stress perception in nursing students. Material and Methods: The study design was randomized controlled, pre-post-test, mixed-method design. Sixty-two students participated in the study. The students practicing with mannequin formed the control group and those practicing with the standardized patient formed the experimental group (mannequin group: n=31 and standardized patient group: n=31). Results: Satisfaction and self-confidence scores of the students in standardized patient group were higher than the mannequin group and the difference was statistically significant (p=0.01; p=0.04). No significant difference was found between pre-test and post-test scores between the two groups in terms of knowledge levels (p> 0.05). However, in-group comparison, there was a significant difference between the pre and post-test scores of the students in the mannequin group. Stress perceptions of the students were analyzed under two main themes: sources of stress and stress management. Conclusions: Standardized patient simulation increases the satisfaction and self-confidence of the students. However, it was found that both simulation modalities did not make a difference in terms of students� knowledge level. It was determined that usage of simulation in environmental safety teaching for stroke patients was found to cause stress in students, but being well organized was effective in stress management.

Social Skill Levels of Nursing Students and Affecting Factors

Arzu Y�KSEL, Saadet ERZ�NCANLI — 2020-01-01

Aim: The study was conducted to determine the level of social skill levels of nursing students and affecting factors. Material and Methods: In this descriptive study, 249 students studying in the nursing department of a faculty of health sciences constituted the sample of the study. The data were analyzed by percentage, mean, Mann Whitney U and Kruskal Wallis tests. Results: It was determined that the social skill levels of nursing students were moderate (277.39�24.47), the highest mean score was obtained from the social control subscale (51.42�8.20) and the lowest mean score was taken from the affective control subscale (42.41�6.72). It was found that the students� age, their economic perceptions, the high school they graduated from and the place they stayed during their university life did not affect the social skill inventory total score averages. Male students had higher affective control subscale scores than female students. It was found that the students who were involved in social activity had higher scores in emotional expressivity, social expressivity, social control and total social skills inventory than those who were not in social activity. Conclusion: It was determined that the social skill levels of nursing students were at the middle level. It is recommended to prepare training programs in which students can continue their existing social skills and gain new skills.

Educational Needs of Parents of Adolescent Suicide Attempters

Merve �NDER, Dudu KARAKAYA — 2020-01-01

Adolescence is a period in which there is an effort to adapt to physical changes and the role complex is lived intensely. Because of being a complex period, adolescents are exposed many stressors during this period. Adolescents who have difficulty coping with stressors may resort to suicidal behavior as a way of salvation. In recent years, adolescent suicides have become widespread all over the world and have become an important public health problem. Although suicide rates are increasing in adolescents, the World Health Organization states that suicide is preventable behavior and that roles and responsibilities fall to the whole society in ensuring its preventability. A large part of the roles and responsibilities in ensuring preventability belongs to health professionals. Nurses spend the most time with adolescents attempting suicide in the clinical setting and parents in the home environment. Nurses and parents should have sufficient knowledge and skill to be able to recognize a possible suicide at an early stage and to intervene appropriately. In this review, the educational needs of parents of adolescent suicide attempters and nursing interventions for the identified needs are reviewed in the light of the literature.

Pain, Anxiety, Depression Cycle and the Role of Nurses in Lumbar Disc Herniation

Arzu TAT �ATAL, Fatma CEBEC� — 2020-01-01

The incidence of low back pain in society is increasing and lumbar disc hernia is one of the most important causes of low back pain. Anxiety and depression rates are increasing among the individuals whose quality of life is negatively affected due to pain. Depression increases pain perception and pain-related dysfunctions, while anxiety reduces pain tolerance. Pain, anxiety and depression cause individuals to have difficulty in daily activities and inadequate evaluations and treatments leads to worsening of the disease course, increasing health care costs and reducing quality of life. Appropriate assessment of individuals with lumbar disc herniation in terms of pain, anxiety and depression is very important for preoperative, intraoperative and postoperative care and rehabilitation of patients. The fact that nurses have the opportunity to observe the patient more closely and for a long time makes them have a unique position in the detection and solution of patient problems. It is important that nurses, who play an active role in the care of the patient and are responsible for uninterrupted care, recognize, prevent and evaluate the symptoms of pain, anxiety and depression and direct the patients to treatment when necessary. The aim of this review is to present the nursing functions for preventing the cycle of pain, anxiety and depression in patients with lumbar disc herniation before and after the surgery.

The importance of family centered psychosocial care in pediatric cancers

Melike Ay�a AY KAATSIZ — 2020-01-01

Increasing of treatment success and life expectancy in pediatric cancers make early and effective treatment, access to the best service, quality of life and psychosocial care even more important. This process, which is a challenging experience for patients as well as for families, is a traumatic experience that gives parents and healthy siblings a deep shock. Pediatric cancers, like all other diseases, require a multidisciplinary approach in order to achieve positive results both physically and spiritually. In order to achieve positive psychosocial outcomes in the patient and his/her family, there is a need for a teamwork that has both primary and supportive roles for each of the members. Even if the disease is treated, recovery of normality can be long and tiring. Therefore, family-centered psychosocial care is needed. It has been proven that effective interaction between family members and health care professionals by family-centered psychosocial care from diagnosis stage to palliative care and/or grief process provide positive outcomes to both the sick child, family members and the health care team. In addition to all health care professionals, nurses who interact closely with the parents have a major role in this process. Increasing inter-family communication, providing social support, improving coping skills and considering healthy siblings should be ensured by using advanced roles.