Nurcan Özyazıcıoğlu

The Effect of Training Programs on Traditional Approaches that Mothers Use in Emergencies

INTRODUCTION The approach of the residents of central Kars, Turkey, to emergencies in our conservative district is shaped by the effect of the culture. In emergency actions, many traditional approaches are preferred, using herbs and other available materials. Some of these approaches might be directly hazardous and some create danger indirectly as they prolong the treatment period. METHODS The study was performed using a one-group pretest/posttest design. Data were collected between June 3, 2006, and August 28, 2007. Two thousand sixty mothers completed the sociodemographic pretest and survey and attended the educational program. The final sample included 1754 mothers who completed the sociodemographic and pretest survey, attended the educational program, and completed the posttest survey. The posttest survey was administered 6 months following the educational program. RESULTS In this study; the percentage of mothers resorting to traditional approaches in the pretest were at burns, 29.0%; lacerations, 21.4%; fractures, 25.7%; and poisoning, 45.1%; and in the posttest burns, 16.1%; lacerations, 12.7%; fractures, 15.6%; and poisoning, 34.4%. Mothers with higher educational levels were less likely to use traditional practices and the educational program significantly reduced the prevalence of using traditional practices. The training program had a positive effect in decreasing the incidence of resorting to traditional practices for certain emergencies. DISCUSSION It was proven that the application of various harmful traditional practices had been used in first aid cases and that the rate decreased in the post training period. It is interesting to note that an additional 540 mothers who did not complete the pretest and sociodemographic questionnaire also attended the educational program because word of the program had spread throughout the region.

Commentary on Allan HT, Smith P & O’Driscoll M (2011) Experiences of supernumerary status and the hidden curriculum in nursing: a new twist in the theory‐practice gap? Journal of Clinical Nursing 20, 847–855

The findings from the study by Allan et al. (2011) reveal the perceptions of students towards teaching by link lecturers in the practice area and lends support to the need for regular practice-based teaching. In our view one of the most important of these factors is the students’ opinions on this topic. The aim of one of our studies with 205 nursing students was to increase understanding about how student nurses’ experiences contribute to the theory-practice gap in nursing (Koh 2002). In regard to the teaching of theory, only 40% thought this equipped them for practice with 39% reporting that they thought the theoretical information given in class was insufficient to inform their nursing care with 29% of students being unsure about this. With regard to the course content and curriculum 39% of students felt that the course did not equip them for clinical practice. In relation to clinical practice, most of the students (64%) agreed with the idea that the repetition of practice increases the process of learning but 55% of the students indicated that their instructors did not take part in practice actively and 50% indicated that instructors did not contribute to any improvement in their clinical ability. We believe that clinical role modelling is important to validate students’ experiences in practice. As such, the lecturer’s educational expertise should be brought to the practice area to create a good learning environment, thus bridging the theory-practice gap.

ÇOCUKLARDA PERİFERAL KANÜL UYGULAMALARI

Cocuk hastalarda intravenoz tedavi uygulamasi etkili ve emniyetlidir. Bununla birlikte cocuklarda intravenoz tedavi icin kanul yerlestirme uygulamasi klinik bilgi ve teknik uzmanlik gerektirmektedir. Hasta yasi, aktivitesi, kanulun guven ve emniyeti, kanul cesidi bolge secimi ve kanulun yerlestirilmesine ozel onem verilmelidir. Bebek ve prematureler icin bolge seciminde bas, ust ve alt extremiteler kullanilabilir. Kanul yerlestirme icin secilen bolgede hasta ve kanulun emniyetinin devaminda extremitenin hareketsizligi saglanmalidir.

ÇOCUK ACİL KLİNİĞİNE BAŞVURAN 0-18 YAŞ GRUBU

Bu cal i s ma pediatrik acil klini g ine ba s vuran 0-18 ya s grubu olgular i n ozelliklerini incelemek amac i yla yap i lm i s t i r. Ara s t i rman i n evrenini 01.03.2002-30.05.2002 tarihleri aras i nda Aziziye Ara s t i rma Hastanesi Cocuk Acil Klini g ine ba s vuran 298 acil olgu olu s turmu s tur. Orneklem secimine ba s vurulmadan evrenin tumu ara s t i rmaya dahil edilmi s tir. Veriler SPSS 10.0 program i nda yuzdelik ve ki-kare testleri kullan i larak de g erlendirilmi s tir. Ara s t i rmaya al i nan 298 cocu g un %43.2’si 12-18 ya s grubunda, %57.7’si de erkektir. Acile ba s vuru nedenlerinin co g unlu g unu YDY olu s turmaktad i r. Ya s lara gore yaralanma tiplerinde; yabanc i cisim aspirasyonu (100.0) 0-5 ya s grubunda, k i r i k (%40.8) 6-11 ya s grubunda ve zehirlenme de (100.0) 12-18 ya s grubunda yuksek oranda gozlenmi s tir. Cinsiyete gore yaralanma tiplerinde; yumu s ak doku yaralanmalar i na erkeklerde (%62.2), zehirlenme (%75.0), yan i k (%62.5), yabanc i cisim aspirasyonuna da (%66.7) k i zlarda en s i k rastlan i lm i s t i r. Acile ba s vuran 298 hastadan 139’u acil klini g inde de g erlendirildikten sonra eksterne edilmi s , 79’u hastaneye yat i r i lm i s t i r. Acil klini g inde olum olay i gercekle s memi s tir