Leyla Erdim

Yenidoğan Tarama Testlerinde Örnek Alınması Ve Gönderilmesinde Hemşirelerin Sorumlulukları / Taking Samples and Sending in Newborn Screening Tests and Responsibilities of Nurses

Ulke duz eyinde yenidogan bebeklerin yasama daha saglikli baslamalarini saglaya bilmek icin tarama prog ramlari yurutulmektedir. Yenidogan tarama programlarinin amaci bazi konjenital hastaliklari belirtileri ortaya cikmadan once belirlenmek, bu sayede durumun uzun vadeli sonuclarini onlemek veya iyilestirilmesi icin tedavinin mumkun olan en erken donemde baslamasini saglamaktir. Bircok etkilenen bebek taramalarla erken donemde belirlendiginde, dogumdan kisa sure sonra baslayan tedaviler ile normal ve saglikli bir yasam surdurebilmektedir. Bu makalede, metabolik tarama testleri icin kan ornegi alinmasi ve gonderilmesinde hemsirenin sorumluluklari konusundaki farkindaliklarinin arttirilmasi amaclanmistir.

Reliability and validity of the Bristol Breastfeeding Assessment Tool in the Turkish population

BACKGROUND breast milk is a natural source of nourishment, with a high level of bioefficacy that is easily digestible, easy to deliver, providing all the fluids, energy and nutrients that are needed for the optimum growth and development of a newborn. OBJECTIVE this research aims to conduct a reliability and validity study of the Bristol Breastfeeding Assessment Tool (BBAT) in the Turkish population. DESIGN the research was conducted in methodological design. SETTING the Child Health Follow-up Polyclinic of a university hospital in Istanbul. PARTICIPANTS the participants were 217 breastfed infants and their mothers. FINDINGS the internal consistency of the Turkish version of Breastfeeding Assessment Tool (Cronbachs alpha = 0.77) and the intraclass correlation level are high (ICC = 0.89). Breastfeeding Assessment Tool displayed a high correlation with LATCH (Latch Audible, Swallowing, Type of Nipple, Comfort of Breast/Nipple, H-Hold/Position) (Pearson r = 0.76; p = 0.000). CONCLUSIONS Breastfeeding Assessment Tool was successfully adapted into Turkish as a reliable and valid breastfeeding assessment tool that can be quickly and easily administered, and it was shown that the instrument could be readily adapted into other languages as well. IMPLICATIONS FOR PRACTICE the Turkish version of Breastfeeding Assessment Tool is now available to Turkish midwives and nurses, who will be able to employ an instrument for breastfeeding assessment that has been proven effective. More studies are needed to demonstrate the efficacy of the instrument.

Psikiyatrik Hastalığı Olan Ebeveynle Yaşamanın Çocuklar Üzerine Etkisi

Toplumun en kucuk birimi olan ailenin, insan hayatinda onemli bir yeri vardir. Kisilerin beden ve ruh sagligi icin gerekli sevgi, yakin ilgi ve bakim aile ortaminda saglanir. Bireyin olumlu davranis ozelliklerini kazandigi ve gelistirdigi bir yer olan aile ortami, zaman zaman olumsuz bazi yasantilarin orseleyici sonuclarinin ortaya ciktigi bir ortama donusebilir. Ozellikle psikiyatrik hastaligi olan ebeveyn/ebeveynlerin bulundugu aileler de ki cocuklar bircok olumsuz durumla karsilasmaktadirlar. Cocuklarin bu zorlu surecten saglikli sekilde cikmasi icin saglik profesyonellerine onemli gorevler dusmektedir. Bu nedenle saglik profesyonellerinin psikiyatrik hastaliga sahip ebeveyn tutumlarinin cocugun psikolojini nasil etkiledigi anlamasi cok onemlidir. Bu makale saglik profesyonellerinin bu konudaki farkindaligini arttirmak icin hazirlanmistir.

Doğal Afet Nedeniyle Post Travmatik Stres Bozukluğu Yaşayan Bir Olguda Hemşirelik Bakımının Planlanmasında Fonksiyonel Sağlık Örüntüleri Modeli’nin Kullanılması

Dogal Afet Nedeniyle Post Travmatik Stres Bozuklugu Yasayan Ornek Bir Olguda Hemsirelik Bakiminin Planlanmasinda Fonksiyonel Saglik Oruntuleri Modeli’nin Kullanilmasi

71 Reliability and Validity of Turkish Version of the Physical Activity Questionnaire for Older Children (PAQ-C)

Background and aims The aim of this study was to examine the psychometric properties of Turkish version of the Physical Activity Questionnaire for Older Children (PAQ-C) developed by Kowalski et al. The PAQ-C is a validated self-report measure of physical activity widely used to assess physical activity in children (8–14 years of age). Methods This study was methodological design. The PAQ-C consists of nine questions was rated on a 5-point likert scale. The PAQ-C was translated using a translation/back-translation method. The subjects were 549 Turkish school children. The internal consistency of the PAQ-C was assessed using Cronbach’s alpha. Content validity was based on an experts’ panel and assessed by using a content validity index. Results The study was completed with 549 children (49.8% female, 50.2% male). Mean age of the participant was 10.30 years (SD= 0.71, range, 8–11 years). The overall Content validity index (CVI) was 98.75% which signified that the PAQ-C has good content validity. Correlation values of scale items were found between 0.21– 0.70 for all items as the result of item total score analysis. Cronbach’s alpha coefficient was found as 0.86. The scale had a fairly good test-retest reliability (r= 0.64, p<0.001). Conclusions Psychometric analyses of the Turkish version of PAQ-C indicate high reliability and good content and construct validity. The PAQ-C is a useful instrument for assess to physical activity patterns in Turkish children.

GÜVENLİ BAĞIŞIKLAMADA EBE VE HEMŞİRELERİN SORUMLULUKLARI

Dunya Saglik Orgutu verilerine gore gelismekte olan ulkelerde, bebek olumlerinin 1/5’i asi ile onlenebilir hastaliklardan olmaktadir. Bagisiklama ozellikle bebek olumlerinin azaltilmasi, bircok hastaligin kokunun kazinmasi ve cocugun sagliginin korunmasindaki yeri goz onunde bulunduruldugunda cok degerli, maliyeti dusuk koruyucu bir hizmettir. Cocuk sagliginin korunmasinda cok onemli yeri olan guvenli bagisiklama hizmetinin amacina ulasabilmesi icin asinin uretiminden cocuga uygulanmasina kadar gecen surecte ve sonrasinda pek cok kisi ve kurulusun sorumlulugu vardir. Ebe ve hemsireler guvenli bagisiklamada egitici, arastirici, planlayici ve uygulayici rolleri ile cocuk sagligini, dolayisi ile toplum sagliginin korunmasinda tartismasiz onemli hizmetler sunmaktadir. Bagisiklama hizmetinin planlanmasindan, sonucunun degerlendirilmesine kadar olan surecte ebe ve hemsirelerin sorumluluklari; bagisiklamanin yararlarini bilme ve toplumdaki her bireye ogretme, asinin etkinligini surdurmek icin soguk zincir kurallarina uyma, asi kontrendikasyonlarini bilme, uygulama sirasinda dikkat edilecek genel ilkelere uyma ve uygulama sonrasi gelisecek reaksiyonlara yonelik onlemler almaktir.