Selma Atay

Hastanede Çalışan Hemşirelerin İş Güvenliği / Occupational Safety of Nurses Working at the Hospital

A mac: Bu calisma hastanede calisan hemsirelerin is guvenligi durumlarinin belirlenmesi amaciyla yapilmistir. Yontem: Kesitsel ve tanimlayici olarak yapilan bu calismanin orneklemini, devlet ve universite hastanesinde calisan toplam 272 hemsire olusturmustur. Verilerin toplanmasinda, hemsirelerin ozelliklerini belirleyen form ve hastanede calisan saglik personeli icin is guvenligi olcegi kullanilmistir. Veriler SPSS 21.0 programinda, sayi yuzde, ortalama kullanilarak degerlendirilmistir. Bulgular: Arastirma bulgularina gore, hemsirelerin % 61.5’i is guvenligine iliskin tebligden haberi olmadiklarini belirtmislerdir. Hemsirelerin % 61.5’icalistiklari kurumda is guvenligi uzmani olup olmadigini bilmediklerini, %52.3’u kurumlarinda calisan guvenligine iliskin komite oldugunu belirtmistir. Hastanelerde is guvenligi olcegi toplam ve alt boyutlar bazinda puan ortalamalarina bakildiginda ise; 2.16±0.98 ve 3.96±1.48araliginda degismistir. Sonuc: Arastirmada, kurumlarda orta duzeyde bir is guvenligini saglanabildigi bulunmustur. Mesleki hastaliklar ve sikâyetler alt olcegi, yonetsel destek ve yaklasimlar alt olcegi boyutunda ise, ortalamanin altinda bulunmustur.

Validity and reliability of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T), Turkish version

ABSTRACT Aim: A methodological type of study was conducted for the purpose of investigating the validity and reliability of the Turkish version of the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) evaluation scale of the clinical learning environment of students, clinical nurses, and educators. Methods: Sample was comprised of 602 Turkish nursing students with clinical practice experience at the hospital. The CLES+T, developed by Saarikoski, was used for data collection. Language equivalency, internal consistency, item-total correlation, and structure validity were conducted within the scope of the validity and reliability study on the CLES +T scale. Results: It was determined that item-total correlations of four items were lower than 0.30, and those items were removed from the scale as a result of item analysis. The Cronbach’s alpha value of the scale was 0.93-0.99; item total point correlations of the scale varied between 0.45 and 0.66; six factors were identified in the CLES+T factor analysis study, with a total variance explained by these six factors of 64%. Conclusion: According to the findings of the research, the CLES+T Turkish version was found to be a valid and reliable scale, which can be used to evaluate satisfaction of nursing students with their clinical education in Turkey.

Phlebitis-related peripheral venous catheterization and the associated risk factors

Background and Aim: Development of phlebitis is a painful and common complication in the application of peripheral intravenous catheter (PIC). This is a prospective observational study performed to identify development rate of phlebitis in application of PIC and the factors that affect the development of phlebitis. Materials and Methods: The study universe comprises of catheters applied on inpatients in the internal diseases clinic of a state hospital, and the sample comprises of catheters eligible to be included in the study. Five hundred and thirty-two PICs applied on a total of 317 patients were reviewed. The patient identification form, information form for peripheral venous catheter and treatment, and visual infusion phlebitis (VIP) assessment scale were used to collect data. Results: 31.8% had phlebitis and a large number of them (79.2%) were Level I phlebitis. There was a significant relationship between having a chronic disease, duration of catheterization and type of fluid used and the development rate of phlebitis. Conclusion: The phlebitis in individuals receiving intravenous (IV) treatment was higher than the rate defined by both the centers for disease control and prevention and IV nurses society. It may be recommended to assess phlebitis by VIP assessment scale and to take preventive measures specifically for development of phlebitis.

Opinions of Nurses about the Evaluation of Risk of Falling among Inpatients

Background: Patient falls and fall-related injuries are an important problem for patients, relatives, caregivers, and the health system at large. Aims: This study aims to identify opinions of nurses about the risk of falling among patients staying in hospitals. Method: This study uses a qualitative descriptive design and employs a semistructured interview method to identify the opinions and experiences of nurses about patient falls. This study evaluated the opinions of a total of 12 staff nurses. Findings: It was found that nurses consider patients in the postoperative period to be most prone to falls. They think that most falls take place during transfers and that the medical diagnosis of the patient plays a crucial role in fall incidents. The most important problem associated with patient falls was symptoms of traumatic brain injury. According to the participating nurses, the risk of fall for every patient should be evaluated upon admission. Measures that the nurses take against patient falls include raising the bed’s side rails and securing the bed brakes. Conclusions: The findings of this research suggest that in-service training programs about the evaluation of the risk of falling should be organized for nurses. Guidelines should be developed for patients with different levels of risk of falling. It is suggested that nurses should be in charge of training patients who are conscious, their relatives, and caregiver personnel. Clinical Relevance: The training of nurses and caregivers helps to prevent the falls of inpatients.

Investigation of suitability of ventrogluteal site for intramuscular injections in children aged 36 months and under

PURPOSE This study was performed to determine suitability of ventrogluteal (VG) site for intramuscular (IM) injections in children aged 36 months and under. DESIGN AND METHODS The present study was designed as a prospective descriptive study and performed between 2016 January and June. The study included a total of 120 children aged 36 months and under that met the study criteria. The subcutaneous tissue thickness and muscle thickness of anterolateral, deltoid, and VG sites were measured and assessed by ultrasound. RESULT A strong and powerful correlation was identified between the measurements of subcutaneous tissue and muscle thicknesses in the injection site by the age groups. The thickness of subcutaneous tissue was deltoid < anterolateral < VG by age groups. The muscle thickness of anterolateral and VG sites was significantly higher than that of deltoid site. PRACTICE IMPLICATIONS This study established that skin thickness of VG site was suitable for IM injection in children aged 36 months and under.