Kadriye Buldukoğlu

A randomized controlled trial of the effects of nursing care based on Watson's Theory of Human Caring on distress, self‐efficacy and adjustment in infertile women

AIMS To investigate the effects of nursing care based on the Theory of Human Caring on distress caused by infertility, perceived self-efficacy and adjustment levels. BACKGROUND Infertility leads to individual, familial and social problems. Nursing care standards for women affected by infertility have yet to emerge. DESIGN A randomized controlled trial. METHODS This study was conducted from May 2010-February 2011, with 105 Turkish women with infertility (intervention group: 52, control group: 53). We collected data using the Infertility Distress Scale, the Turkish-Infertility Self Efficacy Scale Short Form and the Turkish-Fertility Adjustment Scale. The intervention group received nursing care based on the Theory of Human Caring. Data were analysed using t-tests, chi-square tests and intention-to-treat analyses. RESULTS The intervention and control groups significantly differed with regard to infertility distress, self-efficacy and adjustment levels. The intervention groups mean self-efficacy score increased by seven points and adjustment score decreased by seven points (in a positive direction). In addition, there was a significant reduction in infertility distress scores in the intervention group, but there was no change in the control group. CONCLUSION Nursing care based on the Theory of Human Caring decreased the negative impact of infertility in women receiving infertility treatment and increased self-efficacy and adjustment.

Maternal punishment practices in a rural area of Turkey

OBJECTIVE We examined a number of maternal characteristics that influence punishment practices in a rural area of Turkey. METHODS Questionnaires were filled out in face-to-face interviews with 539 mothers who agreed to participate in this study. RESULTS The majority findings of this study were as follows: all of the mothers had used various forms of punishment on their children; hitting other children was the primary reason for punishment, and hitting was the most common form of punishment used by mothers. Another interesting finding of this study was that mothers did not demonstrate the same responses to their children when they were alone as when others were present. Mothers commonly felt regret in the post-punishment period. CONCLUSION These findings can be useful in establishing parental educational programming that is directed at decreasing the rates of punishment practices.

A Case Study Based On Watson’s Theory of Human Caring Being an Infertile Woman in Turkey

Nursing theories and models form a framework for systematizing nursing practices. In Turkey, nurses are generally organized on the basis of the medical model, which makes the essence of nursing invisible. The authors here aim to explain how to maintain a theory-based care approach for nurses working with persons experiencing infertility. The interaction between an infertile woman and a nurse is shared within the framework of Watson’s theory of human caring. Watson’s theory has been found useful for the infertile group in practice.

The association of nursing care perception with coping skills and posttraumatic growth in mental disorders

WHAT IS KNOWN ON THE SUBJECT?: Although it is well known that coping with mental disorder is a traumatic experience, studies of the relationships between posttraumatic growth and the variables that can affect it are rarely found in the literature. The studies that do exist usually focus on posttraumatic growth after posttraumatic stress disorder has developed as a result of traumatic life events such as earthquakes, wars, accidents or physical disease. In the literature, there exist few studies of patients diagnosed with psychosis. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study shows that posttraumatic growth can be seen in patients after the diagnosis of mental disorders. Patients who use effective coping methods show more posttraumatic growth. In addition, patients who are satisfied with the nursing care received in the clinic show more posttraumatic growth. This indicates that care delivered by psychiatric nurses contributes to the posttraumatic growth of the patients. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Psychiatric nurses who recognize that suffering a mental disorder is a traumatic experience and that patients can grow from this experience can contribute to the posttraumatic growth of those in their care. When they see signs of posttraumatic growth, nurses can teach patients how to cope with that stress effectively and how to share their feelings, thoughts and experiences related to the situation. In addition, psychosocial interventions such as trauma-focused cognitive behavioural therapy and eye movement desensitization can be used to aid posttraumatic growth. ABSTRACT Introduction Although it is recognized that suffering a mental illness is a traumatic experience, the fact that this can lead to posttraumatic growth and the variables that may affect the situation are rarely discussed in the literature. Aim This study was conducted to determine the effects of coping styles and nursing care perceptions on posttraumatic growth in mental disorders. Method The descriptive study was conducted at a psychiatric clinic with a personal information form and three-scale test. Results In the study, completed with 122 psychiatric inpatients, it was found that patients were using effective methods to cope with stress, were satisfied with nursing care and had high posttraumatic growth. Moreover, it was found that effective coping styles and satisfaction with nursing care positively affected the posttraumatic growth level of patients. Discussion The results support the proposition that using effective coping styles and seeking professional support after traumatic life events influence posttraumatic growth levels. Implications for practice Psychiatric nurses should be aware of the fact that developing a mental disorder is a traumatic life event after which posttraumatic growth can occur. They should encourage posttraumatic growth by teaching effective coping methods, providing psychiatric care and using psychosocial interventions such as trauma-focused cognitive behavioural therapy and eye movement desensitization.