Hacettepe University Faculty of Health Sciences Nursing Journal - 2008; 15(1)

De�erli Okurlar�m�za

Prof.Dr. Fethiye ERD�L — 2008-01-01

Nurse Managers and Their Staff Nurses' Assessment on Leadership and Nurse Managers Leadership Characteristics

�g.G�r.Dr. Serg�l DUYGULU, Prof. Dr. G�l�mser KUBLAY — 2008-01-01

Nursing's focus today is on delivering quality and cost-effective patient care rather than on accomplishing a list of nursing tasks. This focus requires that nurses fulfill leadership role effectively. This study was designed as a descriptive research to determine unit charge nurses (UCN) and staff nurses' assessment on leadership and investigate charge nurses' leadership qualities. Sample was consisted of 30 UCN with baccalaureate degree and their 151 staff nurses at two Hospitals of university- based on voluntary participation. Data was collected through Nurses Data Sheet which is developed by researcher. Descriptive statistics were used for data analysis. Sixty seven percent of UCN had a professional aim, 80,0% of them saw themselves as a leader. While 58,6% of them regarded physicians as a leader, 56,0% of staff nurses identified nurses as leaders at their work settings. Fifty nine percent of staff nurses saw themselves as a potential leader. While hardworking was the most often reported leadership quality by the UCN (23,3%), the most prominent leadership quality was reported by their co-workers (staff nurses) as being knowledgeable (25,2%). In contrast, the quality of “having vision”, which should be a characteristic of an administrator was reported by 56,7% of UCN, whereas “good communication skills” was the most repeated leadership quality according to 44.4% of staff nurses. Both UCN (50,0%),and staff nurses (51,7%) identified “responsibility” as represent the power. Both UCN and staff nurses (50,0%, 51,7%, respectly) identified the quality of “accountability” as characteristics, which represent the power. UCN determined at most (53,3%) “being responsible” as strengths and “being emotional” (33,3%) as their “weaknesses”. According to results of the study, recommendations were stated for developing unit charge nurses' leadership skills and characteristics.

Beastfeeding Behaviour of Women During Postpartum First Six Months and Effect of Prenatal Breastfeeding Attitude on Postpartum Breastfeeding

Yrd. Do�. Dr. Zehra G�LBA�I, ��r.G�r.Dr. G�lten KO� — 2008-01-01

This descriptive study was carried out to determine the breastfeeding behaviours during the first six months and the effect of women's attitude towards breastfeeding on postpartum breastfeeding behaviour. The universe of study included pregnant women who attended to Hacettepe University, Gynecology and Obstetric Clinic between 1 December -31 December 2001. Pregnant women (203 pregnant women) were interviewed on prenatal period and the sample of study consisted of 90 women who could reached on postpartum period. Data were obtained by “Individual Information Form”, “Breastfeeding Attitude Scale” and “Postpartum Breastfeeding Behaviour Assesment Form”. Data were evaluated by frequency and t test in computer. According to result of this study, the average of breastfeeding attitude point was 111.36 �12.02 and according to this, 55,6% of women were below the average point and 44,4% of them were above the average point. During the interviews by phone on postpartum period, it was found 94.4 of women were breastfeeding, only 17,7% of women were not giving addition food, 34,3% of women who gives addition food had started it after forth month and 21,4% of women had started it after first month. It was determined that 50,6% of women expressed that they would continued to breastfeeding 12 month period. It was found that there was no important difference statistically between the women whose the points were below the average point and the women whose the points were above the average point related to first breastfeeding time after birth, only breastfeeding, the month where addition food is started and total breastfeeding duration.

Factors that Effect the Choices of Primipars on the Mode of Delivery

Ar�.G�r.Fatma G�Z�KARA, Prof.Dr.Kafiye ERO�LU — 2008-01-01

This study was carried out as a descriptive retrospective study to determine the factors that effect the choices of primipar on the mode of delivery. The sampling included 350 inpatient primipara women who accepted to join the research with written acception form in the postnatal clinic of Dr. Zekai Tahir Burak Obstetric Training and Research Hospital of the Turkish Ministry of Health. It was determined that the women mostly became pregnant in a planned manner without any medical treatment, received prenatal care during pregnancy, and that they planned a delivery (%86,2), but chose the caesarean delivery at a rate higher than what they planned (%38,6). The predominant reason of choosing the delivery mode was expressed as the desire of an easier and postnatal painless (%36,4), and the expectation of an easier and faster postnatal recovery (%32,4). However, the fear of delivery/delivery pain (%71,1) and the expectation of a safer delivery for the newborn (%15,5) were the predominant reasons to choose the caesarean mode. The statistical evaluations demonstrated significant differences in terms of the planned mode of delivery and family type, actual mode of delivery, age, and medical treatment for pregnancy (p<0.05). Consequently, it was suggested for the nurses to enlighten and guide the women and their families during pregnancy on the delivery and modes of delivery.

The Behaviours of the Students in Dormitory of Baskent University Against Sexual Role Patterns

Dr. G�l PINAR, Prof. Dr. Lale TA�KIN, Prof.Dr. Kafiye ERO�LU — 2008-01-01

This study has been carried out to investigate the attitudes behaviors of the students staying in students' dormitory of Baskent University against the sexual role patterns (woman-man conception). One hundred and thirty two male and 218 female out of 350 students who were residing at the dormitory composed the sample of this study. Two instruments, including the Woman-Man Understanding Attitude Scale and Identifier Information Forms were used to collect data. The mean score of students were X= 112.86 from the Woman-Man Understanding Attitude Scale. This result was higher than average score (X=100.00), which indicates that most of the students were under the influence of traditional perception of the sexual role patterns. It is recommended to arrange training programs towards changing the social sexual perceptions of the students in the university.

Opinions of Last Year High School Girls About Nursing

Ar�.G�r. Zehra ESK�MEZ, Yrd.Do�.Dr. G�rsel �ZTUN�, Prof. Dr. Nazan ALPARSLAN — 2008-01-01

This research has been planned to search the opinions of the girls about nursing who are in the last classes at high schools. This research has included 416 girls who are in the last classes at high schools which are connected with The Ministry of Education. Data has been collected with a questionnaire which has stated the students’ socio-demographic characteristics, their opinions about nursing, also about nurses and their job preferences. Data have been analyzed by utulizing SPSS for Windows, to obtain result for percentages and Chi Square Test. The average age of the students are 17.0�0.6, their average number of siblings is 3.0�1.65, 85.3 percent of them have a nucleus family, 31.5 percent of them have primary school education fathers, 37.7 percent of them have free-lance working fathers, 39.4 percent of them have primary school education mothers, 85.3 percent of their mothers are housewives, 24.5 percent of their family income is 150-549 TLs., 72.8 percent of think that being a teacher an ideal job for women, 49.3 percent of them have hospital experiences, 71,2 percent of them never prefer nursing was determined. The end of this investigation, it was observed that although the students expressed positive opinions, they still haven’t enough information about nursing.

Elder Abuse and Neglect

Prof.Dr. Nuran AKDEM�R, Ar�.G�r. �lk� G�RG�L�, Y�k.Hem. Fatma �lknur �INAR — 2008-01-01

The geriatric period is a time that includes increase in dependency due to the declines in functions, loss of status as a result of the changes in cultural values and traditional extended family structure, and decrease economical power because of the loss of productivity and retirement. Social and physical problems that occur during the geriatric period, the issues that old person and family members have related to these above mentioned have brought up the elder care and approach issue. Abuse and neglect of the elderly among cases of approach to old people is especially important social issue that has been discussed in the world-wide. It is important to know the signs of neglect and abuse, and risky groups in avoiding abuse and neglect of the elderly. Abuse and neglect can be seen in all the old people. But, especially sensitive old people who have mental disorder, dependence others to meet basic needs or have depression or patient constitute the risk groups. Old people constitute a valuable and important part of human resources of community. Any kind of abuse and neglect of the elderly is not acceptable. Therefore, it's required to prevent and determine abuse and neglect of the elderly by means of the measurements are to be taken and various attempts.

Nursing Approach Toward Children with Divorced Parents

��r.G�r.Dr. Berna AR�FO�LU, Prof.Dr. Fatma �Z — 2008-01-01

Divorce is a crisis situation which develops within the family lifecycle and causes imbalance in psychology by changing the roles of the family members. This process is especially difficult, confusing, stressful and complex for children whose coping skills are limited. Researches indicate that, the divorced family children have more problems in terms of family relations, psychological, behavioral and academic. In addition, these children are twice more likely to develop psychiatric problems than others. Nurses have the key role of identifying these risk groups and developing protective and preventive measures in this field. In this article, it was aimed to identify problems experienced by divorced family's children, point out a nursing approach specific to this group, and raise awareness of nurses.