Dilek Yildiz

Comparison of the effects of cooperative learning and traditional learning methods on the improvement of drug-dose calculation skills of nursing students undergoing internships

Objective: The aim of this study was to compare the effectiveness of cooperative learning and traditional learning methods on the development of drug-calculation skills. Design: Final-year nursing students (n = 85) undergoing internships during the 2010–2011 academic year at a nursing school constituted the study group of this quasi-experimental study. Setting: Students were divided into two groups: an experimental group and a control group. A cooperative learning method was introduced to the experimental group (n = 32) and a traditional learning method was applied to the control group (n = 40). Pre-test and post-test scores of drug-dose calculation skills were compared. Method: Data were obtained using data collection forms which were developed by the researchers. Statistical analysis was performed using the Statistical Package for the Social Sciences for Windows version 15.0. T-test and Wilcoxon’s signed rank test with Bonferroni correction were used for comparison of drug-dose calculation skill scores between groups and within groups before and after training. Results: No statistically significant difference was found between drug-dose calculation pre-test scores of both groups (p = 0.144). After training, while the post-test mean score of the control group was 92.00 ± 7.90, this score was 87.03 ± 9.98 in the experimental group and the difference was statistically significant (p < 0.05). Conclusion: After training, drug-dose calculation skills of students were increased in both groups. But the traditional learning method was found to be more effective than the cooperative learning method in the development of drug-dose calculation skills.

Development and validation of juvenile autoinflammatory disease multidimensional assessment report (JAIMAR).

There are lots of effects of auto-inflammatory diseases (e.g. pain, fatigue, fear of attack, lifelong drug use, being nervous and angry, problems at school) and those are quite important to patients but have not been measured with the outcome instruments currently included in clinical trials of auto-inflammatory diseases.

Effectiveness of the training material in drug‐dose calculation skills

AIM The aim of study was to evaluate the effectiveness of the training material based on low-level environmental fidelity simulation in drug-dose calculation skills in senior nursing students. METHODS A quasi-experimental design with one group. The sample included senior nursing students attending a nursing school in Turkey in the period December 2012-January 2013. Eighty-two senior nursing students were included in the sample. Data were obtained using a data collection form which was developed by the researchers. A paired-sample t-test was used to compare the pretest and post-test scores. RESULTS The difference between the mean pretest score and the mean post-test score was statistically significant (P < 0.05). CONCLUSION This study revealed that the training material based on low-level environmental fidelity simulation positively impacted accurate drug-dose calculation skills in senior nursing students.

''Ebeveyn-Çocuk Etkileşim Modeli'' Doğrultusunda Hemşirelik Yaklaşımları

ÖZET Ebeveyn-bebek arasındaki etkileşim; doğum öncesi dönemde başlayan, fetüsün hareketleri ile gittikçe artan, doğum ile doruğa çıkan kaliteli ve karşılıklı bir ilişkidir. Bu etkileşim; bebeklikte anne/baba ya da bakım verenlerin bebek ile ten veya ses-göz teması gibi davranışlarına bebeğin olumlu/olumsuz tepkiler vermesi ile gelişir ve ebeveynler ile bebek arasında sağlıklı bir ilişkinin gelişmesine yardım eder. Ebeveynler ile yenidoğan arasında kurulan karşılıklı ilişki temel güven duygusunun oluşmasına ve bebeğin sağlıklı bir kişilik geliştirmesine imkân sağlamaktadır. Annenin bebeği ile yakınlık kurmaya en çok istekli olduğu ve pozitif anne bebek ilişkisinin başlatılması için en uygun dönem özellikle doğum sonrası dönemdir. Bu dönemde, ebeveynbebek arasında sevgi bağı ve etkileşiminin başlatılması, sürdürülmesi, bebeğin ebeveynlere verdiği ipuçlarının farkedilmesi ve doğru değerlendirilmesi, destekleyici bir çevrenin oluşturulması ve stresin azaltılmasında ebeveynler ve bebekle sık görüşen yenidoğan hemşirelerine önemli görevler düşmektedir. Kathryn E. Barnard;bakım veren kişinin bebek üzerinde etkisi olduğu kadar, bebeğin de bakım veren kişi üzerindeki etkisini vurgulamış ve ebeveyn-bebek etkileşimini yenidoğanın dünyayı deneyimlemesinin ilk yolu olarak tanımlamıştır. Barnard’a göre; bu etkileşimde ebeveynler ve kendine özgü mizacı ile yenidoğan karmaşık bir sistemin parçalarıdır. Bu çalışmanın amacı Kathryn Barnard’ın “ebeveyn ve çocuk etkileşim modeli” doğrultusunda yenidoğan ve ebeveynleri arasındaki etkileşime yönelik hemşirelik bakım uygulamalarını açıklamaktır.

Validation of Transition Readiness Assessment Questionaire in Turkish Adolescents with Diabetes

Background: Today, more than 90% of adolescents with chronic conditions survive into adulthood and move from pediatric care to adult care for the management of their chronic illness. It is important to grant autonomy and ensure that adolescents/young adults are ready to use the adult health care system prior to the transfer of care. However, the lack of a transition readiness assessment tool that is validated, patient-centered, and appropriate to developmental differences in pediatric care is a major obstacle for the transition of care from pediatric services to adult services. Aims: This study examined the validity and reliability of the Turkish version of the Transition Readiness Assessment Questionnaire, which assesses the readiness for transition from pediatric to adult health care for adolescents/young adults with diabetes mellitus. Study Design: Methodological study. Methods: Participants were 109 adolescents/young adults with type 1 diabetes mellitus aged 14-21 years. After permission was obtained to adapt the Transition Readiness Assessment Questionnaire, the Turkish Transition Readiness Assessment Questionnaire and self-care scale were administered to participants through face-to-face interviews at two pediatric endocrinology clinics. Validity was evaluated by exploratory and confirmatory factor analysis and content-scope validity assessment; reliability was evaluated by item-total score correlation and continuity methods. Internal reliability was assessed by Cronbach’s alpha coefficient and criterion validity assessment. Results: The item analysis, exploratory factor analysis, and confirmatory factor analysis identified five basic dimensions, with high internal consistency (0.89-0.75). The ratio χ2/df and other conformity indices were a good fit to the data. The correlation coefficient in the analyses of test-retest scores was 0.86 for the total scale (p<0.05), and the Cronbach’s alpha coefficient was 0.88 for overall scale. Conclusion: The Turkish Transition Readiness Assessment Questionnaire is a valid and reliable measure of the transition readiness of adolescents/young adults with diabetes mellitus in Turkey. The Transition Readiness Assessment Questionnaire assesses the self-management abilities and health care transition knowledge of adolescents/young adults with diabetes mellitus who need special health care. It can also serve as a guide for health care professionals in detecting the educational fields that are necessary for acquiring self-management and self-care abilities.

Determination the knowledge, attitude and motivation of voluntary blood donors about being hematopoietic stem cell donor

Aim: The aim of this study is to explore the knowledge and motivations of voluntary blood donors toward allojeneic hematopoietic stem cell donation also, and to determine predictors of hematopoietic stem cell donation motivation among them. Material and methods: The knowledge and motivations of voluntary blood donors toward hematopoietic stem cell donation were evaluated using a questionnaire with 42 items. The sample consisted of 100 voluntary blood donors that admitted to Gulhane Military Medical Faculty Blood Training Center and Blood Bank Department, between May 1st and September 1st, 2015. Results: The mean age of participant was 33.5±6.8 and 83% of them was male. 91% of participant have never get information about hematopoietic stem cell donation and transplantation and 80% of them would like to get information. although 47% of participants keen on for donate ; they haven’t considered such concerns as the deterioration of bodily integrity (75.5%), a negative impact on their health (64.1%) and discomfort (37.7%) before. It was found to be willing for HSC donor both in routine blood donors and in higher education group (respectively values of p,

0-6 Yaş Arası Çocuğa Sahip Annelerin Ateş Düşürücü İlaç Kullanımına İlişkin Bilgi ve Tutumlarının Belirlenmesi

Amac: Calisma, 0-6 yas arasi cocuga sahip annelerin ates dusurucu ilac kullanimina iliskin bilgi ve tutumlarinin belirlenmesi amaciyla yapildi. Yontem: Tanimlayici tipteki bu arastirmanin orneklemini, GATF Cocuk Sagligi ve Hastaliklari ile Cocuk Cerrahisi Polikliniklerine Şubat-Mart 2014 tarihleri arasinda basvuran ve 0-6 yas cocugu sahip olan 156 anne olusturdu. Veriler, ates dusurucu ilac kullanimini ile ilgili 20 sorudan olusan veri toplama formu ile elde edildi. Verileri degerlendirmek icin “SPSS 15.0 for Windows” programi kullanildi. Istatistiksel karsilastirmalar icin ki-kare testi kullanildi; p<0.05 degeri istatistiksel olarak anlamli kabul edildi Bulgular: Annelerin yas ortalamasi 34±6.5’dir. Annelerin %66.7’si 11 yil uzeri egitime sahiptir. Annelerin %92.3’u atesi degerlendirmek icin termometre kullanmaktadir ve %88.5’i hekim recetesi olmadan ates dusurucu ilac kullanmaktadir. Ates dusurucu ilac kullaniminin %83,3’unu parasetamol, %59’unu ibuprofen olusturmaktadir. Annelerin egitim duzeyinin 11 yil uzeri olmasi ile ates dusurucu ilacin yan etkisini bilme durumu arasinda istatistiksel olarak anlamli bir farklilik vardir (p=0.000). Sonuc: Arastirma sonucunda, 0-6 yas grubunda cocuga sahip annelerin, ates dusurucu ilac kullanimina yonelik bilgi eksikliginin oldugu bulundu. Anahtar Kelimeler: Anne, ates dusurucu ilac kullanimi, cocuk.

PO-0882 Determining The Burden Load And The Life Quality Of The Mother And Fathers Of The Children With Cancer Diagnosis And Hematologic Diseases

This research was planned as descriptive study for thepurpose of determining the burden load and the life quality of the mother andfathers of the children with cancer diagnosis and hematologic diseases. Methods The research was carried out in the PediatricsHematology and Oncology Polyclinic and Clinics of Gulhane Military Medical Academy,between December 2011–April 2012. The research sample was composed of 101parents of children with cancer diagnosis and hematologic diseases. The questionnaire form that was prepared by theresearcher, “Caregiving Burden Scale” and “Rolls Royce Life Quality Scale” wereapplied to participants. Results It was determined that the score of careburden of the parents who are in 46–55 age group, who have three and morechildren was higher and a statically significant difference was found among them (p < 0.05). The scores of the care burden of the parents whose children have hadbone morrow transplantation, who say that the disease affects the familybudget, they do not have sufficient information about the treatment of theirchildren was determined high and a statistically significant difference wasfound among them (p < 0.05). The scores of the care burden of the parents whoare younger age group was determined high and a statistically significantdifference was found among them (p < 0.05). According the scores between life quality scale of themother and fathers, it has been found that the life quality of the mothers isaffected by the disease of their children more. It is suggested that the parents shall take part inthe training courses that are given by the nurse about the disease, the nurseis suggested to evaluate the care burden and life quality of parents who havechildren with a chronic disease.

PO-0904 Describing The Knowledge Of Parents About Newborn Screening

Screeningis generally consider part of the routine care for newborns. Newborn screening for phenylketonuria (PKU) has been available since the early 1960s. The fist newborn screening for PKU started in Ankara in Turkey in 1986 and extended country wide in 1993. PKU rate in Turkey occurs 1 in 4000 newborns because of consanguineous marriage. Consanguineous marriage rat in Turkey is 21%. This research was planned to describe the knowledge of parents about newborn PKU screening. A questionnaire was used to gather the data. To determine the effects data were evaulated by using chi square test and percentage analysis on the SPSS 11.0 program package. The study was performed during the period of January 2005 and March 2005 in a University Hospital and 150 mothers in postpartum period were included in the research. The questionnaire was obtained by face to face technique. Results The mean age of mothers was 26.49% of mother were graduated basic school. 74.7%of mother were house wife. 68% of mothers were primipara. 47% of mothers statedthat the test was ‘a IQ test’. Sixty-four percent of mothers didn’t know how toexecute the test. 69.3% of mothers didn’t know how long to continue the test.61.3% of mothers didn’t know how to learn the results of the test. Although99.3% of newborns were seem to be physically healthy, it was stated thatpostpartum screening tests should be applied. Considering this results, inorder to inform the mothers about the obtained results, a PKU educationbrochure was prepared and given to the unit. Conclusions Nurses who understand the pathophysiology and management of PKU in pregnancycan provide the care necessary for maternal and neonatal health. Healthcare providersare responsible for informing parents about the implications of newbornscreening to improve awareness and understanding.

PO-0873 Determination Of Falling Risk For Children In An Education And Research Hospital In Turkey

Objective The aim of this study was to determinate falling risk ofchildren who have been in Gulhane Military Medical Academy Hospital. Methods The study wascaried out at department of paediatric surgery and department of pediatricsbetween February–March 2014 in Gulhane Military Medical Academy Hospital. Thepopulation of the study was consisted of 122 children. Diagnostic Falling RiskScale for Child Patients were used for data collection. Results In the study group 36.1% of patients were female and 69.9%were male. The majority of patients were <3 years of age (32.8%). Thereasons having been in hospital in hospital included pulmonary disease (18.6%),neurological or neuromuscular disorders (13.7%), and cardiac disorders (2%), complicationsof prematurity (8.8%), inguinal region deformity (3%), immunological disease (5.9%), fluid and electrolyte disorders (3.8%),poisoning (%3) and cancer (27.5). It was 57.4% staying in hospital which isrange from one to seven days. It was found that falling risks were high levelwhich is 97.5%. There wasno stastically important difference in falling risks between gender (p?0.005). Conclusion It was found high falling risk for children who have beenin our hospital.