Journal of Education and Research in Nursing
1. | Editorial Page II |
RESEARCH ARTICLE | |
2. | The Relation Between Anger Expression Styles and Caretaking Burden of Family Members of Cancer Patients and Affecting Factors Mükerrem Kabataş Yıldız, Mine Ekinci doi: 10.5222/HEAD.2017.176 Pages 176 - 184 INTRODUCTION: This research was carried out to determine the relation between caretaking burden and anger expression styles of the family members who were taking care of a cancer patient. METHODS: This research was carried out between January 2013 and January 2015 at Erzurum Atatürk University Research and Implementation Center and Region Education and Research Hospital Oncology Service Clinics comprised 250 patients’ relatives who accompanied a cancer patient being treated standing or in bed. The research data were gathered using the Explanatory Information Form, Caretaking Burden Scale, and Constant Anger and Anger Expression Style Scale. The accumulated data were evaluated with Unidirectional Variance analysis, Mann Whitney U Test, Kruskal Wallis test, and Pearson Correlation analysis. RESULTS: It was found that the research participants had a distribution of 37.6% living in villages, 53% female, 30% elementary school graduate, 52% with expenditures over income and 57% married. It was also found that the perceptional caretaking burden level was low, while the constant anger, external anger, and internal anger level was medium and the constant anger and anger management level was high. It was indicated that there was a statistically meaningful relationship between the subscale point average of the Constant Anger and Anger Expression Style Scale and the sum average of the Caretaking Burden Scale in a positive direction, while there was a statistically meaningful relationship between the anger management subscale average and the sum average of the Caretaking Burden Scale in a negative direction. DISCUSSION AND CONCLUSION: The demographic findings of the caregivers have shown an effect on the caretaking burden score. Also, as caretakers control anger, the caregiving burden score is affected positively. |
3. | An Investigation of Peer Bullying and Assertiveness Levels among School-Aged Children and Related Factors Sultan Ayaz Alkaya, Fatma Avşar doi: 10.5222/HEAD.2017.185 Pages 185 - 191 INTRODUCTION: The study was conducted to determine peer bullying and assertiveness levels of school-aged children and related factors. METHODS: This study was conducted in a descriptive and crosssectional design. The sample of the study comprised 1509 fifth- and sixth-grade students who agreed to participate in the study. Data were collected by means of a questionnaire, the Assertiveness Scale and the Multidimensional Peer-Victimization Scale. Data were analyzed with frequency, percentage, mean, standard deviation, Mann Whitney U test, Kruskal Wallis H test and correlational analysis. RESULTS: The mean age of the students participating in the study was 11.4±0.7; 53.4% of the students were boys and 56.2% of them were in grade six. About half of the students (58.5%) reported their success in school as good, and also reported peer relations at school (84.6%), relations with their siblings (69%), and relations with their parents (94.3%) as good. It was determined that the Peer Victimization Scale’s victim dimension mean score of the students was 7.7±10.1; the bullying dimension was 3.0±6.4, and the Assertiveness Scale’s mean score was 34.4±7.3. It was determined that there was a significant negative correlation between assertiveness level and being bullies and victims (r=0.229, p<0.05; r= 0.146, p<0.05, respectively). DISCUSSION AND CONCLUSION: It was determined that students’ being bullies or victims was low and the assertiveness level was good. Gender and social relationships (friends, siblings, parents) affected peer bullying and assertiveness. It was concluded that as the students’ levels of assertiveness increased, bullying conditions decreased. |
4. | Investigating the Individual Innovativeness Profiles and Barriers to Innovativeness in Undergraduate Nursing Students Nurcan Ertuğ, Haydar Kaya doi: 10.5222/HEAD.2017.192 Pages 192 - 197 INTRODUCTION: This study was conducted to determine individual innovativeness profiles and the barriers to innovativeness in nursing students. METHODS: A total of 277 nursing students studying at two universities in Ankara, Turkey participated in this descriptive study. The data were collected using a socio-demographic data collection tool, the twentyitem Individual Innovativeness Scale, and the Barriers to Innovativeness questionnaire consisting of three dimensions and forty items. Data were evaluated using mean, t-test and One-way ANOVA analyses. RESULTS: The mean individual innovativeness score was 63.92±10.061. Based on this score, students had “a low level of individual innovativeness”. Taking the innovativeness categories into account, students were included in the “early majority” category. The individual innovativeness scores of female students (64.36±9.911) were higher than male students (60.59±10.728). According to the students, the greatest barrier to innovativeness was “being unable to access information in an efficient way due to the lack of a foreign language”. The majority of the greatest barriers to innovativeness were found in the institutional category. DISCUSSION AND CONCLUSION: The innovativeness profile level of nursing students was low. It is recommended that nursing faculties revise the educational content in nursing schools in order to increase the students’ innovativeness profiles, and more activities should be designed for this goal. |
5. | The University of Virginia Child/Teen Low Blood Sugar Survey: Turkish Validity and Reliability Study Şükriye Şahin, Çağrı Çövener Özçelik doi: 10.5222/HEAD.2017.198 Pages 198 - 203 INTRODUCTION: Hypoglycaemia is the most common acute complication of type 1 diabetes. Severe hypoglycaemia can result in life threatening consequences, including loss of consciousness, seizure, accidents, coma, and death. Adolescents with type 1 diabetes may develop a significant fear of hypoglycaemia in the view of hypoglycaemic episodes and the associated risks for harm. It is very important to evaluate the fear of hypoglycaemia in the management of type 1 diabetes. The aim of the study was to examine the psychometric properties of the University of Virginia Child/Teen Low Blood Sugar Survey (C-LBSS) in Turkish adolescents with type 1 diabetes. METHODS: A total sample of 250 adolescents aged 12-17 years with type 1 diabetes who presented at three diabetes policlinics participated in this study from March to July 2016. Content, construct and face validities, internal consistency reliability, item-total correlations and testretest reliability were analysed in order to determine the psychometric properties of the survey. RESULTS: The construct validity was evaluated with explanatory and confirmatory factor analyses. The factor structure of the Turkish version C-LBSS consisted of two subscales and supported the original two structure. Cronbach’s alpha of the C-LBSS was 0.84 and item-total correlations ranged from 0.19 to 0.54. Test-retest correlation coefficient was 0.997. DISCUSSION AND CONCLUSION: The psychometric analyses of the Turkish version of the University of Virginia Child/Teen Low Blood Sugar Survey indicated high reliability and good content and construct validity for measuring hypoglycaemia fear in Turkish adolescents with type 1 diabetes. |
6. | Domestic Violence, Depression and Anxiety During Pregnancy Sevil Sahin, Kevser İlçioğlu, Alaattin Unsal doi: 10.5222/HEAD.2017.204 Pages 204 - 211 INTRODUCTION: This study was conducted to determine the frequency of domestic violence among pregnant women, to review some variables that are believed to be associated, and to assess depression and anxiety levels. METHODS: This is a cross-sectional study conducted on the pregnant women who presented at the Sakarya Training and Research Hospital Gynecology Polyclinic between 15 January 2013 and 15 July 2013. The study group comprised a total of 817 pregnant women (68.1%) admitted to the gynecology polyclinic of the hospital and agreed to take part in the study. The questionnaire forms prepared by accessing the literature in line with the study objective were completed by the investigators with a face-to-face interview. The women who suffered from a minimum of one form of domestic violence at least once throughout the pregnancy were regarded as having a history of violence during pregnancy. The Beck Depression Inventory was used to assess depression and the Beck Anxiety Inventory was used to assess anxiety level. Data were analyzed with Chi-square test and Mann-Whitney U test. RESULTS: The age of the women in the study group ranged from 18 to 41 with a mean age of 28.28±4.66 years. In our study, pregnant women reported verbal violence most frequently (32.1%) and physical violence least frequently (1.3%). In the study group, frequency of domestic violence was found to be higher in pregnant women whose education level is secondary school and lower, who have an extended family, whose spouse is drug/substance user, married twice or more, whose first marriage age is 22 or below and whose number of pregnancies is 3 or more (p<0.05 for each). The frequency of suspected depression among pregnant women was determined to be 16.8% (n=137). The scores obtained from the Beck Anxiety Inventory by the pregnant women in the study group ranged from 0 to 51 with a mean score of 14.43±10.13. DISCUSSION AND CONCLUSION: Violence during pregnancy affects maternal and child health negatively and causes important physical and emotional disorders, primarily depression, in women. Accordingly, it is recommended to determine risk groups during pregnancy follow-up and to provide spouses of pregnant women with information on changes that occur during pregnancy in order to prevent violence. |
REVIEW | |
7. | Genetic Advances in Oncology and the Effects on Nursing Roles Şeyma İnciser Paşalak, Memnun Seven doi: 10.5222/HEAD.2017.212 Pages 212 - 217 Developments in genetics, which have gained an exciting momentum with the completion of the International Human Genome Project, are bringing new roles to nurses and other health professionals as well as new opportunities for healthcare delivery. In line with this progress in genetics, it has become compulsory for oncology nurses in particular to gain genetics and genomic knowledge, which provides a basis for clinical practice, by following the developments. At the point of intersection of genetics and oncology, the first step that nurses should take in the context of healthcare practices is to identify individuals and families at risk for hereditary cancer. Individuals should develop both healthy lifestyle behaviors and risk-reducing behaviors by provided education and counselling regarding personal risk. Oncology nurses should have knowledge and experience in genetics as well as oncology. Having knowledge of hereditary cancers and their inheritance patterns will allow identification of individuals at risk while taking personal/family history and directing individuals who may benefit from genetic services to appropriate units. In addition, genetic testing, testing processes and possible results, education and counseling on genetic risk communication and risk reduction strategies to at-risk family members are important tasks of oncology nurses. In this review, the impact of genetic advances on the roles of oncology nurses is discussed in line with the literature. |
8. | Reoperation and Nursing Care Aydanur Aydin, Dilek Çilingir doi: 10.5222/HEAD.2017.218 Pages 218 - 222 Reoperation refers to a patient re-undertaking an operation due to the reoccurrence of the condition or to correct the complications of a previous operation. Patients who have an operation may face many problems during the post-surgery period. Problems seen during this period may affect patients negatively and require reoperation in some cases. However, the rate of mortality and possible complications increases among those having an operation for the second time. It is a very difficult situation for the healthcare worker to make the decision for a second operation. In addition to individual factors, reviewing profit and loss balance may be influential upon this decision. It is necessary that surgical nurses working at clinics where patients with reoperation risk stay should have clinical experience so that they can determine the interventions early. Therefore, surgical nurses should thoroughly ask patients about history in pre-surgery period, assess individual factors, and be effective in reducing problems and in complication management by administering effective nursing care. This will contribute to the successful planning of post-operation discharge of the patients. Surgical nurses must know the risks and communicate which measures are to be taken in order to achieve a high-quality recovery. |
9. | Evidence-Based Practices for Mucositis Ezgi Mutluay Yayla doi: 10.5222/HEAD.2017.223 Pages 223 - 227 Mucositis is the inflammation and ulceration of the mucous membranes in the oral and/or gastrointestinal tracts. Mucositis can increase the length of hospital stays, the risk of infection, and the need for total parenteral nutrition and opioid analgesics, which can all affect a patient’s quality of life negatively. The use of evidence-based guidelines developed for prevention and treatment of mucositis is extremely important in clinical areas. Nurses play a significant role in implementing and evaluating evidence-based practice guidelines for managing mucositis. |
10. | Swanson’s Theory of Caring in the Care of Miscarriage Pelin Palas Karaca, Ümran Yeşiltepe Oskay doi: 10.5222/HEAD.2017.228 Pages 228 - 232 Nursing models offer holistic care for individuals by systematizing nursing practices. Additionally, these models not only plan care for the individuals but also help nurses think. By building a bridge between the individual and nurse, Swanson’s Theory of Caring contributes to speeding up the individual’s healing process, understanding the hardships through which individual has gone, getting over the tragic events that individual has experienced, and building the individual’s confidence for future. In addition to them, it also guides nurses by mentioning how to contact individual’s family and team members and how to deal with the caring process. The five processes of the theory¬¬–knowing, being with, doing for, enabling, and maintaining belief¬¬–provide individualoriented care. Nursing care based on Swanson’s Theory of Caring helps women with miscarriages regain their general well-being faster. Due to the fact that Swanson’s Theory of Caring has contributed to women with miscarriages, this compilation is intended to provide information that is related to the theory. |
11. | Time for Nurses to Make the Move: From Evidence Based Practice to Care Bundle Bahar Candaş, Ayla Gürsoy doi: 10.5222/HEAD.2017.233 Pages 233 - 238 Care bundle is defined as the implementation of interventions together that when each one of them are executed individually, the patient outcomes are affected positively. All of the interventions that constituted the concept of the care bundle, which were initiated by the Institute for Healthcare Improvement in 2001, are in accordance with evidence-based practice. Using a care bundle reveals positive results for the patient, institute and healthcare professionals. A multidisciplinary approach, good team work and communication are the key elements of the care bundle. Nurses play important roles in the successful implementation of a care bundle in this multidisciplinary approach because they are the prime healthcare practitioners in the care of patients. The aim of this article is to explain a care bundle in nursing and its role in patient care. |
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