Hacettepe University Faculty of Health Sciences Nursing Journal - 2022; 9(1)

Editorial

Do�. Dr. Serg�l DUYGULU — 2022-04-01

The Effect of Nursing Students' Occupat�onal Interests on Lateral Thinking

Esin �ET�NKAYA USLUSOY, M�berra �NG�R — 2022-04-01

Aim: This descriptive study was conducted to examine student nurses' occupational interests and lateral thinking levels according to their socio-demographic characteristics and the effect of their occupational interests on lateral thinking. Material and Methods: The study population consisted of all the nursing students in the department, and the sample consisted of 385 students who agreed to participate in the study. Socio-demographic characteristics questionnaire, Occupational Interest Scale (OIS), and Lateral Thinking Disposition Scale (LTDS) were used to collect data. Data were analyzed using frequency, mean, t-test, ANOVA, Mann Whitney U, Kruskal Wallis tests, and correlation tests. Results: 53% of the students are between the ages of 17-20, 77.9% of them are women. As a result of the analysis, the total mean score of the students for LTDS was 32.48 � 6.58, and the total mean score of the OIS was 162.55 � 24.82. The study determined that the mean scores of the OIS and LTDS scales differ according to some socio-demographic characteristics. In addition, it was found that there was a positive, close to moderate correlation between OIS and LTDS. Conclusion: It was determined that the students� lateral thinking tendencies and their interest in the profession were above the average and at a good level.

Physical Activity Levels, Perceived Exercise Benefits and Barriers of Hemodialysis Patients and Related Factors

Birg�l VURAL DO�RU, Kadriye SAYIN KASAR — 2022-04-01

Aim: The study aims to determine the physical activity levels, perceived exercise benefits and barriers, and related factors in hemodialysis patients. Material and Methods: The sample of this relational study consisted of 101 patients who received treatment in dialysis units of two institutions in Central Anatolia and the Mediterranean region between October and December 2019. Results: The mean score of the Exercise Benefits and Barriers scale was 62.47�10.60. While the most common perceived exercise benefits were preventing muscle atrophy and improving quality of life, the most common exercise barrier was exercise may cause thirst and fatigue. There was a weak positive correlation between the physical activity levels of the patients and the Exercise Benefits and Barriers Scale sub-dimensions and the total score (r=0.415, 0.404, 0.487, respectively; p <0.001). There was a weak negative correlation between the age of the patients and the Perceived Exercise Benefits sub-dimension (r=-0.368, p<0.001), and a moderate negative correlation between the Exercise Barriers sub-dimension and the total scale score (r=0-.529, p<0.001; r=-0.536, p<0.001). There was a weak negative correlation between body mass index, Exercise Barriers and Benefits sub-dimension and total scale score (r=-0.248, p=0.013; r=-0.284, p=0.004; r=-0.301, p=0.002, respectively). Conclusion: It has been determined that the physical activity levels of chronic kidney patients receiving hemodialysis treatment are not sufficient to maintain health. Patients' perceived exercise benefits are higher than exercise barriers. Increasing the physical activity levels according to the patients' tolerance and developing individual-specific interventions to overcome the obstacles perceived in exercise are recommended.

The Effect of Training Given in the Simulation Laboratory on the Intravenous Catheterization Skills of Nursing Students

Bediye �ZTA�, Belg�zar KARA, H�lya ZENG�N, Aylin G��L�, Bahar ON — 2022-04-01

Aim: This study aims to evaluate the effect of scenario-based high-fidelity simulation training on students' intravenous catheterization skills and anxiety levels. Material and Methods: The research was planned and conducted as quasi-experimental. The population and sample of the study consisted of 48 first-grade nursing students. A questionnaire containing the descriptive characteristics of the students, "State-Trait Anxiety Scale" and "Intravenous Catheterization Skill Checklist" were used to collect the data. A simulator capable of simulating the human body was used in a room equipped as a patient room for training in the simulation laboratory. Results: 81.2% of the students participating in the study are women, and 95.8% are high school graduates. The difference between the scores of the students from the intravenous catheterization skill checklist after the demonstration training and after the scenario-based high-fidelity simulation training was statistically significant (p<0.05). The difference between the students' state and trait anxiety scores before and after the demonstration training and before the demonstration training and after the simulation training was significant (p<0.05). The difference between the anxiety levels after the demonstration training and after the simulation training was not significant (p>0.05). Conclusion: The use of scenario-based high-fidelity simulation method in the education of nursing students positively affected their intravenous catheterization skills, but did not affect their anxiety levels.

Determination of Medical Error Attitudes of Physicians and Nurses Working in a University Hospital

Esin KAVURAN, Funda �ET�NKAYA — 2022-04-01

Aim: This descriptive study aims to determine the medical error attitudes of physicians and nurses working in a university hospital. Materials and Methods: The research data were collected in a university hospital between September and October 2020. The study sample consisted of 110 nurses and 91 physicians. Data were collected using the individual identification form and the Attitudes towards Medical Errors Scale Results: It was determined that 48.4% of the physicians were between the ages of 30-39, 69.2% were men, 48.2% of the nurses were between the ages of 20-29, and 73.8% were women. Physicians' Medical Error Attitude Scale mean total score was 3.11�.59, and the total mean score of the nurses was 3.06�.61. There was a statistically significant difference between physicians' and nurses' mean scores of the Medical Error Attitude Scale sub-dimension "Medical Error Perception" and "Medical Error Approach" (p<0.05). It was determined that the mean score of the scale was not affected by age, gender, service worked, working style, and weekly working hours (p>0.05). Conclusion: As a result of the study, it was determined that nurses and physicians were aware of medical errors and error reporting.

Nurses� Perceptions Of Risk Factors For Phlebitis

Esra ERTU�RUL, Y�ld�z DENAT — 2022-04-01

Aim: This study was carried out to determine nurses� perceptions of risk factors for phlebitis. Material and Methods: This descriptive study was conducted with 237 nurses. The data were collected using a questionnaire to determine nurses� perceptions of phlebitis risk factors. Results: It was found that most nurses perceived phlebitis as a moderate problem and an indicator of the quality of care. It was noted that nurses have perceptions that the incidence of phlebitis could be reduced if experienced nurses inserted catheters, the insertion point of the catheter was regularly assessed on a scale and recorded, and the area was cleaned with antiseptic solution before the procedure. They also have perceptions that phlebitis could develop in the 24-96-hour period after termination of catheterization, and the risk of phlebitis developing in the foot was high and low in the forearm. Conclusion: It was determined that the nurses' perception of phlebitis risk factors was at the desired level in terms of many factors, but it was not in a way that supports the current literature in terms of some basic factors. Regularly evaluating nurses' knowledge, perception, and practices regarding phlebitis and risk factors and organizing evidence-based educational activities can be recommended.

Does the Knowledge of Nurses on Blood Pressure Measurement Affect Their Practice?

Bedriye YEL, Nazike DURUK — 2022-04-01

Aim: This study was performed to evaluate whether nurses follow the measurement steps accurately while measuring blood pressure, whether they have accurate information about the procedure, and whether they apply their knowledge correctly during practice. Material and Methods: This observational study was conducted with 106 nurses working in the internal medicine and surgical department of a university hospital in Turkey from March 15 to May 15, 2016. In the study, nurses' knowledge and application of the measurement steps were determined by observation and face-to-face interview methods. The obtained data were recorded in the information and observation forms. The same researcher made all observations, and each nurse was observed once. Results: None of the participants fulfilled the following four steps in measuring blood pressure 1) "allowing 30 minutes for the patient to relax if the patient is tired or has been smoking", 2) "inflating the blood pressure cuff until radial artery pulse is lost", 3) "waiting for one minute following the deflation of the blood pressure", 4) "inflating the blood pressure cuff until the scale reads around 30 mm Hg above the reading from the radial artery". In contrast, a considerable proportion (respectively, 77.4%, 71%, 70%, 60%) of nurses knew these steps. Further, none of the nurses who accurately knew the same steps performed them in practice (p<0.05). Conclusions: The study showed that while measuring blood pressure, the nurses did not comply with the steps for measuring blood pressure and did not put their theoretical knowledge of the required steps for the procedure into practice.

Evaluation of Patients' Health Literacy and Nursing Care Satisfaction Levels According to Some Descriptive Characteristics

Ertu�rul KARAKIZ, Bet�l TOSUN — 2022-04-01

Aim: This descriptive Study aimed to determine the relationship between the level of health literacy and the level of nursing care satisfaction in patients and to evaluate it according to some descriptive characteristics. Materials and Methods: This Study was conducted with 230 patients who were hospitalized in the internal medicine and general surgery inpatient ward of a city hospital and accepted to participate in the Study. The Newcastle Nursing Care Satisfaction Scale (NNCSS) and the Health Literacy Scale (HLS) were used to collect data. Results: The NNCSS mean scores of the men, of the employees, those who hospitalized in that hospital before, those who use computers or smart phones, and those who use social media accounts were high (p<0.05). When the patients� Health Literacy Scale mean scores were evaluated, a statistically significant difference was found in terms of education status, employment status, income status, and those who searched for their disease on the internet(p<0.05). There was positive and moderate correlation between the NNCSS and HLS total scores (r=0.507, p<0.001). Conclusion: It was found that as the level of health literacy increased, nursing care satisfaction increased, and the level of health literacy and patient care satisfaction changed according to some descriptive characteristics. It is recommended that nurses should be aware of the relationship between care satisfaction and health literacy levels and the factors that reduce it, and plan their interventions about the factors that can change this.

The Relationship between Nutritional Literacy and Self-Effectiveness and Diabetes Self-Care Activities in Individuals Diagnosed with Type 2 Diabetes Mellitus

Ezgi DURAK, Medine YILMAZ — 2022-04-01

Aim: This correlational study aimed to examine the relationship between nutritional literacy, self-efficacy, and self-care activities of individuals aged 18-64 years with a Type 2 Diabetes Mellitus (T2DM) diagnosis. Material and Methods: The study was carried out between December 2018 and May 2019 with 200 adults diagnosed with T2DM registered in a family health center located in the metropolitan city center. The study data were collected using the Information Form, Nutrition Literacy Assessment Scale, Diabetes Self-Care Scale, and Diabetes Self Efficacy Scale. In statistical analysis, t-test, One-Way Analysis of Variance, Pearson Correlation Analysis, Chi-square, and Fisher Exact chi-square tests were used. P values less than 0.05 were considered statistically significant at the 95% confidence interval. Results: 65% of the participants in the study were women, and the mean age was 52.9�9.34 years. While the nutrition literacy level was sufficient in 74.5% of the participants, it was at borderline in 24.9% and insufficient in 2%. While the senior high school and university graduates had an adequate nutrition literacy level, primary / junior high school graduates had borderline nutrition literacy levels (p<0.000). The participants' mean scores from the overall self-care and self-efficacy were 88.03�14.77 and 69.87�16.60, respectively. There was a significant relationship between nutritional literacy total scale scores and self-care (p=0.001) and self-efficacy scores (p=0.000). Conclusions: According to the study results, there was a relationship between nutritional literacy, self-efficacy, and self-care behaviors. It will be essential practices for the effective management of diabetes that health care team members, starting from primary care, determine the nutritional literacy levels of individuals, plan individual education, prepare education materials according to their nutritional literacy levels and use them in education.

The Effect of Acupressure on the Management of Cancer-Related Pain and Anx�ety: A Systemat�c Review

Zeynep KARAKU�, �efika Tu�ba YANG�Z, Zeynep �ZER — 2022-04-01

Aim: This systematic review aims to evaluate the effect of acupressure in the management of cancer-related pain and anxiety. Material and Methods: Science Direct, Web of Science, SCOPUS, Springer Link, Networked Digital Library of Theses & Dissertations, Ovid, CINAHL, Pubmed, Cochrane Library, Proquest, Y�K National Thesis Center, ULAKBIM databases were searched without year limitation. This systematic review has been prepared and presented according to the current Cochrane guidelines and PRISMA checklist. Results: Six studies, four randomized controlled studies and two quasi-experimental studies, were included in this systematic review. In the studies included in the review, the frequency of application of acupressure in the management of pain was stated as every day, the session duration as 15 minutes, and the number of sessions as 4-42 sessions. The frequency of application of acupressure in the management of anxiety is stated as every day and throughout the day, since it is applied with a wristband, the session duration is 15-30 minutes, and the number of sessions is 5-42 sessions. Conclusion: In this study, acupressure was found to have a positive effect in the management of cancer-related pain and anxiety. No adverse effect was reported in the included studies.

A Rare Disease: X-Linked Childhood Cerebral Adrenoleukodystrophy and Nursing Care

G�zide �ZDEN AKCAN, Rabiye G�NEY — 2022-04-01

The cerebral childhood form of X-linked Adrenoleukodystrophy is a rare peroxisomal disease with progressive neurodegenerative symptoms affecting the brain's white matter and the adrenal cortex. This disease, which is not seen before the age of 2.5, begins to show its initial symptoms between 4-10 when demyelination peaks. Initially, nonspecific symptoms make diagnosis difficult. Definitive diagnosis is made by determining the mutation in the ABCD1 gene by molecular genetic testing. It is a disease that can be treated with hematopoietic stem cell transplantation in patients without severe neurological dysfunction. Alternative nutrition strategies, primarily Lorenzo's oil, have been developed to slow the progression of neurological degeneration. Quality care provided to these patients who need full-time nursing care can significantly improve their quality of life.

Evidence-Based Integrative Approaches in the Management of Fat�gue of Hemod�alysis Patients

S�meyra Mihrap �LTER, �zlem OVAYOLU — 2022-04-01

Hemodialysis is the most common renal replacement therapy option for individuals diagnosed with end-stage renal disease. In patients who continue this treatment, while the signs and symptoms due to kidney failure are controlled with hemodialysis treatment, the treatment process and the continuation of life depending on the hemodialysis machine also cause different problems. Fatigue, which is frequently experienced among these problems, severely limits the daily life activities of individuals. Therefore, effective management of fatigue, especially in patients receiving hemodialysis treatment, contributes to improving the quality of life of patients and their relatives. In the light of this information, this review focuses on evidence based integrative approaches in managing fatigue and its clinical use.

A New Perspective on Nurse Workforce Management: Talent Management

Duygu G�L, Bet�l S�NMEZ — 2022-04-01

Employing talented individuals and maintaining such talent have become important in the success of institutions. Changes in healthcare services gradually increase institutions' need for talented employees, and talent management is required to provide high-quality healthcare services. Therefore, the talents of nurses who constitute the largest group of health workforce should be managed effectively. Talent management in nursing includes the practices of attracting, developing, and retaining talented nurses. Attracting talents is about attracting talented nurses to healthcare institutions. Developing talents indicates helping nurses improve their current skills and develop new skills they may need in the future. Moreover, retaining talents indicates the practices carried out to prevent the talented nurse from leaving the institution. Nurse managers play a vital role in the management of talent in nursing. Nurse managers can increase nurses� satisfaction and prevent them from leaving the institution by enabling them to work in areas suiting their talents and helping them improve their talents. This review explains the concept of talent management that brings a new perspective to nurse workforce management, and it presents the studies on talent management in nursing and discusses the role of nurse managers.

Nursing Approach for Breastfeeding in Tandem and Pregnancy

Hamide CO�KUN ER�EL�K — 2022-04-01

The vital significance of breastfeeding for mothers and infants have been widely acknowledged. Mothers in Turkey breastfeed their babies for variable durations. However, breastfeeding mothers who get pregnant again are often uncertain about continuing breastfeeding, and in many cases, they stop doing so. Some mothers, on the other hand, continue breastfeeding while pregnant and they breastfeed both the newborn and the older baby (tandem breastfeeding) after delivery. In this regard, mothers will particularly benefit from the efficient education, care and counseling services to be provided by nurses. Despite a considerable number of studies on breastfeeding, little evidence has been reported whether or not mother should continue breastfeeding unconditionally. Therefore, it is of utmost importance for nurses and other medical personnel to inform and guide mothers properly. Consequently, this review aims to explore the influences of tandem breastfeeding and breastfeeding in pregnancy on maternal and child health with a nursing approach, to raise nurses� awareness towards tandem breastfeeding and breastfeeding in pregnancy, and to present evidence-based suggestions that can be used in breastfeeding education.

Interruption in Nursing Practice: Literature Review

Selma ATAY, G�k�e �R�C� — 2022-04-01

Aim: �nterruption of nursing practices directly affects the performance of nurses, complicates the decision-making process in complex activities that require intense concentration, and negatively affect productivity. This literature review aims to investigate the studies on the problem of interruption in nursing practices. Material and Methods: This literature review was carried out using the keywords "nursing practices�, �interruption�, �interruption� and �nursing practices�, �interruption� and �nursing care" in Google Scholar, MEDLINE, Pubmed, CINAHL, Science Direct, Ebscohost databases and Turkish Council of Higher Education Thesis database. Turkish and English-language articles published in 2010-2020 with full-text access were included in the study. A total of 385 studies were found as a result of the literature search. Nineteen studies were selected in accordance with the research inclusion criteria. Results: Of the studies reviewed, 14 were descriptive, 4 were pre-test, post-test quasi-experimental, and 1 was a randomized controlled trial. In the studies, it was found that the sample size consisted of at least five nurses and at most 278 nurses. Observation, interview, and questionnaire forms were used to collect the data. Most of the research has focused on interruptions in the drug administration process. According to the findings of the studies included in the review, it was determined that the nurses frequently encountered the problem of interruption, generally experienced an interruption in the drug administration process, the main reason was human-induced, and the number of divisions experienced decreased with the attempts to reduce it. Conclusion: Although there has been an increase in the number of studies on the problem of interruption in nursing practice in recent years, it has been seen that most of them are related to its frequency and causes. It can be recommended to carry out studies on the management of the interruption problem in nursing practices.

Using Virtual Reality in Procedural Pain Management

Esra DO�AN YILMAZ, Nigar �NL�SOY D�N�ER — 2022-04-01

Many medical diagnostic and treatment procedures cause acute pain that is very uncomfortable for the individual. The pain experienced during medical procedures is called procedural pain, and it is among the factors that play a role in individuals' acceptance or rejection of these procedures. Procedural pain can also lead to anxiety and, if not controlled, can have negative consequences for the cardiovascular and respiratory systems. It is vital to control the pain experienced in these procedures, which are essential in the early diagnosis and treatment of diseases. Along with the developments in technology, the use of virtual reality technology, which is a computer technology that creates a three-dimensional simulated virtual environment in pain management, has also become widespread. With virtual reality, individuals feel as if they are in the prepared virtual environment by completely getting away from the environment they are in. Virtual reality is used during medical procedures to divert the patient's attention from the procedure, reduce sensitivity to pain and increase tolerance. This article was prepared with the traditional review method to examine the use of virtual reality in procedural pain management by reviewing some studies.

How Should the Story Board be for Nurse Educators?

Emine Tu�ba YORULMAZ, Zehra BELHAN, Ezgi KOCA, Vildan KOCATEPE, Vesile �NVER — 2022-04-01

Visual and audio materials can be an effective way to communicate with students, as they can have a greater impact than written words. Videos present information that can not be delivered with traditional printed materials to students in the form of a mosaic supported by graphics, text, and sound. Aside from the control given to the students in the creation of video through the selection of the content, having the chance to pause, rewind, fast forward, and change the speed of the video encourages students to actively participate in the process of the lecture, this can also increase concentration and result in better retention. A video with a specific topic that targets a particular audience can increase students� motivation. The use of "Storyboard" in video design, consisting of three stages as pre-production, production, and post-production, is a technique that can be used to define and organize information. �Storyboard� brings significant advantages both in terms of time and cost. Moreover, �Storyboard� guides all the video creation steps as it allows for selecting, prioritizing, and editing information and ensures adherence to set goals. To draw attention to the critical points in the "Storyboard", which has certain learning objectives, the places where the audio and visual materials will be used should be specified, and it should be made easier to make the video that will be formed interactive. Videos created using "Storyboard" should be kept short and associated with other lessons materials.