Nurten Kaya

The reliability of site determination methods in ventrogluteal area injection: A cross-sectional study

BACKGROUND While administering medication through intramuscular injection, the ventrogluteal site must be used instead of the dorsogluteal site, and it is of great significance to locate the ventrogluteal site correctly. OBJECTIVE To determine the reliability of two different methods used to determine the ventrogluteal site in intramuscular injection practice. DESIGN A cross-sectional study. SETTINGS A university hospital in Istanbul. PARTICIPANTS The study population comprised 120 randomly selected healthcare personnel at a university hospital. METHODS The ventrogluteal site was determined using the geometric (G method) and V method and these sites were scrutinized under ultrasonography. It was investigated whether there was any anatomic vessels or neural structure present, and also determined the thickness of subcutaneous tissue, musculus gluteus medius, and musculus gluteus minimus. RESULTS Of the participants, 65.8% were female and the average age was 32.30 years and body mass index was 25.31 kg/m(2). The results showed that G and V methods were statistically significant in terms of variables. It was also found that sex affects subcutaneous tissue thickness and the skin-bone margin in the G and V method, and that body mass index determines subcutaneous tissue, musculus gluteus medius thickness and skin-bone margin. CONCLUSION When the ventrogluteal site is used for intramuscular injection purposes, the site must be determined in line with the geometric method.

Personal and professional values held by baccalaureate nursing students

Background: Values are ideals and beliefs that individuals and groups uphold and lie at the core of the diverse world of human behaviour and are expressed in every human decision and action, both consciously and unconsciously. They represent basic beliefs of what is right, good or desirable and motivate both personal and professional behaviour. In the context of nursing profession, values are essential in order to maintain high standards of the nursing care. Objectives: This study was planned to examine changes in nursing students’ personal and professional values between entering and graduating from an undergraduate nursing programme. Ethical considerations: Measures to protect participants included obtaining Deaconship of Nursing Faculty approval, obtaining signed informed consent and maintaining confidentiality. Methods: This study was designed as longitudinal quality. The research population included 143 students registered at a first grade of a nursing faculty for the 2009–2010 academic year. Data were collected with a Questionnaire Form, the Value Preferences Scale, the Professional Values Precedence Scale and the Nursing Professional Values Scale. Findings: According to the results, social values have statistical differences in 4-year nursing education. Nursing students in second class have higher score in terms of social values than those in third class. Also, majority of students ranked human dignity as first and justice as second and third from first to fourth classes, and they have very high scores on Nursing Professional Values Scale and its subscales and stated that all items of Nursing Professional Values Scale are very important. Conclusion: As a result, nursing education has vital role in acquiring and maintaining professional values.

The feelings of guilt and shame experienced by Nursing and Midwifery students

AIM Feelings of guilt and shame might affect the abilities of nursing and midwifery students when fulfilling their roles assertively and with professional autonomy during the interdisciplinary care and treatment process. The present study was conducted in order to examine the feelings of guilt and shame experienced by nursing and midwifery students with respect to certain variables. METHODS The population of this study, which had a cross-sectional design, comprised a total of 1002 students from three training locations: a school of nursing, the nursing program of a health vocational school, and the midwifery program of a health vocational school. From this population, 667 students were recruited to the study by a stratified random sampling method. Personal Information Forms and a Guilt-Shame Scale were used as data collection tools. RESULTS From amongst the students, 88.6% were women. The average age was 20.57 years; the mean scores of the guilt and shame subscales were 50.51 and 43.63, respectively. Statistically significant differences were observed between the guilt-shame scores of the students by the variants of gender, age, school, and year at school. CONCLUSIONS The present study concluded that midwifery and nursing students experience measurable feelings of guilt-shame and that the levels of guilt-shame had an impact on their targets regarding nursing/midwifery. Therefore, it is suggested that guidance programmes be established and that the related problems be resolved.

The Assessment of the Risk of Unplanned Extubation in an Adult Intensive Care Unit.

Background:In order to plan and implement nursing intervention to reduce the incidence rate of unplanned extubation problem in the intensive care unit (ICU), it is necessary to determine the risk factors of unplanned extubation and the patients under risk. Aims:This study was undertaken with the aim of evaluating the risk of unplanned extubation of endotracheal tube in adult ICU. Design:This was a case-control study. Methods:The population constituted patients hospitalized in the adult ICU during 1-year period in a university hospital. The sample from this population was composed of patients whose extubation was unplanned (30 patients) and the randomly selected patients (60 patients) who were intubated at the same time in the ICU for each patient whose extubation was unplanned. In data collection, the Richmond Agitation-Sedation Scale, Glasgow Coma Scale, Acute Physiology and Chronic Health Evaluation II were utilized. Findings:According to the findings, the variables such as sex, age, mechanical ventilation period, and Acute Physiology and Chronic Health Evaluation II and Glasgow Coma Scale scores did not have any effect on the unplanned extubation, but variables such as internal medicine diseases and Richmond Agitation-Sedation Scale did have an effect. It was also revealed that there was no extubation plan in most of the unplanned extubation group, the nurse was anticipating the unplanned extubation, the patient was intubated again, and a complication occurred. Conclusion:The patients who are provided inadequate sedation and analgesia and who have problems in their respiratory system are under risk of unplanned extubation. Relevance to Clinical Practice:In order to prevent unplanned extubation, an adequate amount of sedation and private nursing care should be provided to patients in the ICU.

Innovation in Nursing: A Concept Analysis

The healthcare industry has experienced a proliferation of innovations for enhancing the life expectancy, quality of life, diagnostic, treatment and caring options, as well as the efficiency and cost effectiveness of the healthcare systems. Information technology has also played a vital role in the innovation of nursing care. The term in nursing innovation is widely used throughout nursing and allied health literature; however, the meaning of the term is not clear. This paper is a report of an analysis of the concept of innovation in nursing and provides a greater understanding of innovation and its use in the nursing profession.

The Relationship Between Nurses’ Sociotropy–Autonomy Personality Characteristics and Trait Anger: Anger Expression Styles

The aim of the study is to determine the relationship between the nurses’ sociotropy–autonomy personality characteristics and trait anger–anger expression styles. This study was conducted in a cross-sectional design, and the sample included 776 nurses in a university hospital. The sample consisted of 370 nurses who were selected by stratified random sampling method in a university hospital. The Sociotropy–autonomy Scale and the State-Trait Anger Scale were used in data collection. The mean value of the Anger-In subscale was 16.24 point, the Anger-Out subscale was 15.38 point, and the Anger Control subscale was 22.86 point. The mean value of the sociotropy level of nurses was 66.71, and the mean value of the autonomy level of nurses was 75.41. Statistically significant relationships were observed between the Sociotropy–autonomy Scale and the Trait Anger–Anger Expression Scales scores. The higher the sociotropy–autonomy personality characteristics of the nurses are in an investigation, the higher the Trait Anger, Anger-In, and Anger-Out scores are. Furthermore, the anger control expression style was only related to the “Concern About Disapproval” in a negative way.

Attitudes toward Honor and Violence against Women for Honor in the Context of the Concept of Privacy: A Study of Students in the Faculty of Health Sciences

The study was conducted to examine the attitudes of students of health sciences towards violence against women for honor within the context of the concept of privacy and to determine how the attitudes of midwifery students towards honor differ from those of other students. The research design chosen for this study is that of a survey. The subjects of the research consisted of students of health sciences (N=952), and the sample amounted to 473 students who were selected from this population by stratified random sampling method (departments and classes were taken as stratum criterion). A Student Information Form, the Attitudes towards Honor Scale (AHS), and the Attitudes towards Violence against Women for Protecting Honor Scale (AVWPHS) were used in the data collection. By considering that gender is an important confounding factor in attitudes towards honor, data were presented by dividing subjects into three groups: an all-female group from the midwifery department (MS, n=97), female students in other departments (FSOD, n=227), and male students in other departments (MSOD, n=148). It was observed that there was no difference between MS and FSOD scores for both AHS and AVWPHS. However, MSOD scores were statistically significantly higher than MS and FSOD scores. Although the attitudes of midwifery students in this respect are similar to those of female students in other departments of the faculty, they are different from the attitudes of male students.

The Effect of Neiguan Point (P6) Acupressure With Wristband on Postoperative Nausea, Vomiting, and Comfort Level: A Randomized Controlled Study

Purpose: To determine how usage of wristband acupressure at pericardium 6 (P6) Neiguan point application affects nausea, vomiting, and comfort level in the postoperative period. Design: A randomized controlled experimental study. Methods: The study was implemented at an obstetrics hospital. The study was conducted on 97 patients (47 experimental and 50 control subjects) who underwent gynecologic surgery other than caesarian section. In the experimental group, wristband acupressure was applied during the first 12 hours after operation. The control group received antiemetics during and after operation. Findings: Although P6 acupressure application was effective at preventing vomiting, its effect on nausea intensity was even better. Also, the P6 acupressure application enhanced patient comfort. Conclusions: Because of its effectiveness and feasibility, wristband P6 acupuncture point acupressure application is a great alternative to pharmacologic methods in the gynecologic surgery population.

Nursing Care on Patients with Constipation in the Neurosurgery Intensive Care Unit

* N Turan, Yrd. Doç. Dr. İstanbul Üniversitesi Florence Nightingale Hemşirelik Fakültesi, İstanbul Yazışma Adresi / Address for Correspondence: İstanbul Üniversitesi Florence Nightingale Hemşirelik Fakültesi Abide-i Hürriyet Cd. 34381 Şişli/İstanbul Tel.: 0 212 440 00 00 /27086 Faks: 0 212 224 49 90 e-posta: nkaraman@istanbul.edu.tr, nuray_karaman@yahoo.com ** T Atabek Aştı, Prof. Dr Bezmialem Vakıf Üniversitesi, Sağlık Bilimleri Fakültesi, İstanbul *** N Kaya, Doç. Dr. İstanbul Üniversitesi Sağlık Bilimleri Fakültesi, İstanbul ÖZ

Quality of Life and Influencing Factors in Caregivers of Patients with Cancer

Amac: Arastirma, kanserli bireyin bakimindan sorumlu yakinlarinin yasam kalitesi ve etkileyen faktorleri saptamak amaci ile tanimlayici kesitsel turde yapildi. Yontemler: Arastirmanin evreni, bir universite hastanesinin Kulak Burun Bogaz (KBB) servisinde yatan kanser hastalari ve bakimindan sorumlu yakinlarindan, orneklem ise gelisiguzel ornekleme yontemi ile secilen 112 kanser hastasi ve yakinindan meydana geldi. Veri toplama araci olarak Hasta ve Yakini Tanitim Formu, Aile-Yasam Kalitesi Olcegi (AYKO) kullanildi. Bulgular: Hasta yakinlarinin AYKO puan ortalamalarinin orta sinirlarda oldugu ve yasam kalitelerini “hastanin cocuk sahibi olma ve cocuk sayisi, calisma ve gelir durumu, bazi semptomlari”, “hasta yakininin cinsiyeti, cocuk sahibi olma ve hasta ile ayni evde yasama, bakmakla yukumlu oldugu baska birinin ve kronik hastaliginin bulunma durumu” faktorlerinin etkiledigi goruldu. Sonuc: Kanserli bireylerin bakimindan sorumlu kisilerin yasam kalitesini etkileyen biyolojik, psikolojik, sosyo-kulturel, cevresel ve politiko-ekonomik faktorler bulunmaktadir. Dolayisi ile kanserli ve bakimindan sorumlu bireylerin bakim gereksinimlerinin karsilanmasinda soz konusu faktorler dikkate alinmalidir.