Ayişe Karadağ

Development of an instrument to measure professional attitudes in nursing students in Turkey

The aim of the current study was to develop an instrument to determine the professional attitude of nursing students. The data were collected through a scale developed by the authors with the statements on attitude, including 8 sub-groups and 28 items. This was a Likert-type scale, ranging from 5 to 1. The sampling of the investigation comprised 1339 final-year undergraduate nursing students in Turkey. Eight factors were defined depending on the reliability and validity study of the professionalism instrument for nursing students. These factors accounted for 65.5% of the total variance. The correlation of the sub-factors in the scale ranged from 0.71 to 0.84. Cronbach alpha value was 0.90 and Cronbach alpha coefficient for sub-factors was between 0.71 and 0.84. Item test correlations calculated for the validity and the homogeneity of the instruments items were between 0.30 and 0.63. In conclusion, it was found that the instrument was a valid and reliable assessment tool that can be used to measure professional attitudes of nursing students.

Determining the professional behaviour of nurse executives

This study was carried out with the aim of determining the professional behaviour of nurse executives. The sample of the study included 104 nurse executives working in university, state and private hospitals in Turkey. Data were collected using a questionnaire, which included demographic characteristics of nurses and a Behavioral Inventory Form for Professionalism in Nursing (BIPN). The questionnaire was filled out by the nurses. The BIPN results showed that the mean score of nurse executives was low. Although the scores of nurse executives who had completed postgraduate studies in nursing were the highest, those who had only completed an associate degree programme were the lowest. In conclusion, the professionalism scores for Turkish nurse executives were found to be low; recommendations for improving these scores were made.Hisar F, Karadag A. International Journal of Nursing Practice 2010; 16: 335–341 Determining the professional behaviour of nurse executives This study was carried out with the aim of determining the professional behaviour of nurse executives. The sample of the study included 104 nurse executives working in university, state and private hospitals in Turkey. Data were collected using a questionnaire, which included demographic characteristics of nurses and a Behavioral Inventory Form for Professionalism in Nursing (BIPN). The questionnaire was filled out by the nurses. The BIPN results showed that the mean score of nurse executives was low. Although the scores of nurse executives who had completed postgraduate studies in nursing were the highest, those who had only completed an associate degree programme were the lowest. In conclusion, the professionalism scores for Turkish nurse executives were found to be low; recommendations for improving these scores were made.

Instrument of Professional Attitude for Student Nurses (IPASN): A confirmatory factor analytic study

The purpose of this study is to confirm the indentified factor structure of the Instrument of Professional Attitude for Student Nurses (IPASN) developed by Hisar et al. (2010). Confirmatory factor analysis (CFA) was performed using 1039 voluntary students from 23 schools which were randomly selected from institutions offering an undergraduate education in nursing in the 2009-10 academic year in Turkey. The CFA yielded high fit indices, thus confirming the factor structure of the IPASN with 28 items and 8 factors. The IPASN was found to be appropriate, both theoretically and statistically. Due to these results, it is recommended that the IPASN scale could be used in future studies in Turkey. It is also recommended that the scale could be adapted and used in other cultures.

Peristomal cilt komplikasyonları: Önleme, tedavi ve bakım

GIRIŞ Stoma, gastrointestinal ya da uriner sisteme iliskin kanserlerin, inflamatuar bagirsak hastaliklarinin ve travmalarin cerrahi tedavisinde kullanilan yaygin bir girisimdir (1-4). Stoma sik basvurulan bir cerrahi yontem olmasindan dolayi, cerrahi tekniklerdeki gelismeye ve alinan onlemlere ragmen komplikasyon orani yuksektir (1,2,5-7). Stomali bireylerde, cerrahi isleme, altta yatan patolojiye, yetersiz preoperatif hazirliga ya da postoperatif bakimdaki eksiklige bagli olarak bircok komplikasyon gelisebilmektedir (3,8). Ayrica bireyin yasi, gelir duzeyi, calisma durumu, cerrahi teknik, stomanin acilma nedeni, yeri, turu, suresi ve deri yuzeyinden yuksekligi, preoperatif hazirlik, ameliyata kadar gecen sure, stoma bakimi ve kullanilan urunler gibi bircok faktor stoma komplikasyonlarinin gelisimini etkilemektedir (7,9,10). Stoma komplikasyonlari; hemen gelisen, erken donemde gelisen ve gec donemde gelisen komplikasyonlar diye uc baslik altinda siniflandirilmaktadir. Literaturde ameliyattan sonra 12 saat icinde gelisen komplikasyonlar, hemen gelisen komplikasyonlar basligi altinda yer alip kanama ve iskemi olarak isimlendirilir (11). Erken donem komplikasyonlari; ameliyattan sonra bir aydan daha kisa surede gelisen komplikasyonlardir (11). Kanama, iskemi, fazla cikti, obstruksiyon, retraksiyon, peristomal deri irritasyonu, peristomal abse/fistul ve akut parastomal herniasyon bu baslik altinda yer alir. Gec gelisen komplikasyonlar ise ameliyattan aylar sonra gelisen komplikasyonlardir. Gec donem komplikasyonlari; peristomal deri problemleri, stenoz, retraksiyon, fitik, prolapsus, fistul, perforasyon, sivi-elektrolit kaybi, bobrek tasi ve safra tasidir (7,11,12).

The effect of glyceryl trinitrate on irrigation time and patient satisfaction.

Colostomy changes individual’s styles and quality of life. Patients with a permanent colostomy face physiological, psychological, and sociocultural problems. Colostomy irrigation (CI) may help prevention or resolution of many stoma-related problems and improve patient quality of life, but is time-consuming.1–4 Adding some chemical preparations to the irrigation solution may decrease the fluid inflow time and washout times and enhance the outflow of effluents. This study tests the hypothesis that irrigation with glyceryl trinitrate (GTN) solution may decrease irrigation time and increase patient satisfaction. Fifteen patients carrying out CI with water containing 0.025mg/kg GTN and tap water were compared (one patient was subsequently excluded and the remaining 14 were evaluated). Fluid inflow time, total washout time and haemodynamic changes occurring during GTN irrigation were documented by an independent observer. Subjects recorded episodes of faecal leakage and overall satisfaction on a visual analogue scale. Cramps, headaches and whether or not a stoma bag/cap was used were recorded by patients. Ethical approval was granted by Gazi University Medical Faculty Local Ethics Committee (18.02.2002-2002/32). Patient’s mean age was X – S : 49:9 – 11:56: In all, 57.1% were women, 71.4% carried out irrigation every 24 h. Mean for GTN versus water fluid inflow time was 3.40 – 1.36 versus 4.40 – 1.67 (P < 0.046), whereas washout time was 6.30 – 3.23 versus 11.52 – 6.95 (P < 0.005) (see Table 1). Median for leakage was 1 (0–1) versus 1 (1–1) (P< 0.05), whereas satisfaction was 8 (6.75–10) versus 8 (6.75–10; P > 0.05). This variation can be explained by effective bowel discharge. The numbers of headaches, cramps and stoma bags changing with GTN versus tap water were 3 versus 0 (P> 0.005), 5 versus 4 (P> 0.005) and 7 versus 0 (P > 0.005), respectively. It is evident that GTN solution when compared with tap water significantly decreases CI time and the number of leakages but has not affected satisfaction levels. The side-effects of GTN are potential drawbacks.

Adaptation Of Quality Life Scale For The Ostomy Patients Into Turkish

OZET Amac: Stoma ac›lmas›n›n bireylerin yaflam kalitesini olumsuz yonde etkiledi¤ine iliflkin cok say›da cal›flma bulunmaktad›r. Ancak stomal› bireylere ozgu yaflam kalitesi de¤erlendirme olceklerinin kullan›ld›¤› araflt›rma say›s› s›n›rl›d›r. Bu araflt›rma, Baxter ve ark.1 taraf›ndan ostomili bireylerin yaflam kalitesini de¤erlendirmek icin gelifltirilmifl olan Stoma Yaflam Kalitesi Olce¤i’nin Turkceye uyarlanmas›, gecerlik ve guvenirli¤ini belirlemek amac›yla yap›lm›flt›r. Yontemler: Olce¤in Turkceye uyarlama cal›flmas› iki aflamada yap›lm›flt›r. Birinci aflamada dil uyarlamas› yap›lm›flt›r. Dil uyarlamas› icin olcek, 5 uzman taraf›ndan ‹ngilizceden Turkceye cevrilmifl, uzman goruflune sunulmufl ve geri cevirisi yap›lm›flt›r. Stoma Yaflam Kalitesi Olce¤i, 21 maddeden ve 4 alt faktorden oluflmaktad›r. ‹kinci aflamada Olce¤in gecerlik ve ABSTRACT Objective: There are lots of study shows that having an ostomy is affects patients quality of life. However, the instruments used in the majority of these studies have not been validated specifically for stoma patients. The present study, examined the reliability and validity of the Quality Life Scale on a Turkish sample, which is a scale developed by Baxter et al.1 designed to assess psychosocial adjustment in patients with ostomy. Methods: The adaptation of the scale was carried out in two stages. In the first stage, the language adaptation was made. Language adaptation was made by 5 language experts as from English to Turkish and retranslated. The scale was made up of 21 items and 4 sub factors. In the second one, data was gathered in order to test the validity and reliability of the scale. Seventy patients followed in the Stomatheraphy unit of Gazi University, Centre for OZGUN MAKALE