Magfiret Kasikci

Using self‐efficacy theory to educate a patient with chronic obstructive pulmonary disease: A case study of 1‐year follow‐up

Kasikci MK. International Journal of Nursing Practice 2011; 17: 1–8 Using self-efficacy theory to educate a patient with chronic obstructive pulmonary disease: A case study of 1-year follow-up Self-efficacy is important in determining which activities or situations an individual will perform or avoid. This is a case study report to explore the utility of structured education programme on strengthening self-efficacy in an older adult with chronic obstructive pulmonary disease (COPD). To comprehensively evaluate this intervention, a combined qualitative and quantitative approach was used. Although qualitative data were collected following the interview guide, quantitative data were collected by the demographic data form and the COPD Self-Efficacy Scale (CSES) at the preprogramme and postprogramme stage. The patients self-efficacy scores improved after 8 weeks of the structured education programme and remained relatively constant on all the repeated measurements after education. Qualitative data were identified as ‘difficulties’ and ‘facilities’. This study indicates that, by applying a self-efficacy theory, a planned education programme could be useful in improving both short-term and long-term self-efficacy in patients with COPD.

The effect of education given to patients with type 2 diabetes mellitus on self‐care

Karakurt P, Kasikci MK. International Journal of Nursing Practice 2012; 18: 170–179 The effect of education given to patients with type 2 diabetes mellitus on self-care This research was performed as a single group pretest—posttest experimental design to determine the effect of education given to patients with type 2 diabetes mellitus on self-care. The research was performed between October 2007 and June 2008 in the Internal Medicine Outpatient Clinics located in A and B Blocks of Erzincan State Hospital. The research population included 100 patients with type 2 diabetes mellitus who attended the above mentioned units between the specified dates and met the inclusion criteria. Patients were subjected to a pretest using a patient identification form, Diabetes Self-Care Scale (DSCS) form in Turkish language and metabolic control parameters. A statistically significant difference was found between the mean values of pre-education and posteducation DSCS scores with an increase in mean posteducation scores. These results demonstrate that the education given to patients improves their self-care and metabolic control variables.This research was performed as a single group pretest--posttest experimental design to determine the effect of education given to patients with type 2 diabetes mellitus on self-care. The research was performed between October 2007 and June 2008 in the Internal Medicine Outpatient Clinics located in A and B Blocks of Erzincan State Hospital. The research population included 100 patients with type 2 diabetes mellitus who attended the above mentioned units between the specified dates and met the inclusion criteria. Patients were subjected to a pretest using a patient identification form, Diabetes Self-Care Scale (DSCS) form in Turkish language and metabolic control parameters. A statistically significant difference was found between the mean values of pre-education and posteducation DSCS scores with an increase in mean posteducation scores. These results demonstrate that the education given to patients improves their self-care and metabolic control variables.

Assessment of four different methods in subcutaneous heparin applications with regard to causing bruise and pain

Subcutaneous administration of the anticoagulant heparin sodium is a frequently performed nursing intervention. Subcutaneous heparin injection often causes problems such as bruise, pain, induration, and hematoma at the injection site. Bruising that result from heparin injections may lead to anxiety, disruption of body image, the rejection of the treatment in patients, and the reduction of the reliance of patient to nurse. The purpose of this study was to determine and compare the effects of four different injection technique pain and on bruising associated with subcutaneous heparin. The research involved ninety-five patients. Each subject received four injections by the same investigator using four different techniques. Site bruising was measured at forty-eight and seventy-two after each injection. The bruising size was measured using milimetric transparent palyethylene wrap and the verbal pain scale. There was significant difference in the incidence or size of bruises and pain perception the subject among techniques. Results of the study show that use of air lock technique without aspiration and two-minute cold application to the area of injection with methods reduce bruise and pain.Subcutaneous administration of the anticoagulant heparin sodium is a frequently performed nursing intervention. Subcutaneous heparin injection often causes problems such as bruise, pain, induration, and hematoma at the injection site. Bruising that result from heparin injections may lead to anxiety, disruption of body image, the rejection of the treatment in patients, and the reduction of the reliance of patient to nurse. The purpose of this study was to determine and compare the effects of four different injection technique pain and on bruising associated with subcutaneous heparin. The research involved ninety-five patients. Each subject received four injections by the same investigator using four different techniques. Site bruising was measured at forty-eight and seventy-two after each injection. The bruising size was measured using milimetric transparent palyethylene wrap and the verbal pain scale. There was significant difference in the incidence or size of bruises and pain perception the subject among techniques. Results of the study show that use of air lock technique without aspiration and two-minute cold application to the area of injection with methods reduce bruise and pain.

Development of the Attitude Scale for Nursing Profession.

There is a need to have an appropriate instrument to measure the attitudes towards nursing profession. This study was carried out to develop an Attitude Scale for Nursing Profession (ASNP). The population of the study is composed of final-year students of high schools, the patients, the nurses and students of nursing department. A total of 600 participants were included in this study. The people in the sampling group were asked to write a composition containing their feelings and thoughts about nursing. These compositions were analysed and 89 items about positive and negative attitude were determined. These items were presented to expert opinion and after necessary editions, reliability and validity analyses were conducted. The resulting ASNP consists of 40 items across the following three domains: properties of nursing profession prefer to nursing profession, general position of nursing profession. The final model in confirmatory factor analysis showed that this 40-item ASNP indicated a good fit of the model. The value of the Cronbachs α for the total scale was 0.91. The ASNP is determined to be quite highly valid and reliable, sufficient measuring instrument to determine attitude towards the profession.

Validity and reliability of the Turkish version of the Diabetes Self-Care Scale

The purpose of this study was to evaluate the validity and reliability of the Turkish version of the Diabetes Self-Care Scale. Self-care in diabetes is influenced by various factors, and it is important that the diabetes healthcare providers evaluate the efficacy of self-care activities. Accurate and careful measurements of diabetes self-care activities/levels provide important information both for healthcare providers and researchers to enable deeper understanding of appropriate management of and attitude towards self-care in patients with diabetes. Language properties of a Turkish adaptation of the Diabetes Self-Care Scale were ensured with the translation-backtranslation method, content validity by soliciting specialist opinions. Reliability, consistency over time (test-retest reliability), item-total item correlation analysis, and internal consistency were also analyzed. Data were collected between May and July 2007. The Cronbach’s alpha reliability coefficient was 0.81. The Diabetes Self-care Scale is a valid and reliable scale to evaluate self-care activities of diabetics.