E-ISSN 2757-9204

Journal of Education and Research in Nursing

JOURNAL OF EDUCATION AND RESEARCH IN NURSING - J Educ Res Nurs: 18 (1)
Volume: 18  Issue: 1 - 2021
EDITORIAL
1.Editorial
Kafiye Eroğlu
Page XII

RESEARCH ARTICLE
2.Investigation of Workload Perception, Patient Safety Attitude and Affecting Factors of Nurses Working in Surgical Clinics
Elif Karahan, Sevim Çelik, Selma Sugeçti
doi: 10.5152/jern.2021.65983  Pages 1 - 9
INTRODUCTION: The aim of this study was to investigate the workload perception, patient safety attitude and affecting factors of nurses working in surgical clinics.
METHODS: The study was descriptive type and 240 nurses who were working in surgical clinics and volunteered to participate in the study between August and December 2018 were included. The data were collected with a descriptive form, individual workload perception scale and patient safety attitude scale. In evaluating the data, descriptive tests, student t test, one-way ANOVA, Kruskal Wallis, Pearson Correlation analysis were used.
RESULTS: : It was determined that 72.5% of the nurses were women and 70% of them worked in the clinic willingly and 79.2% of them took courses on patient safety. The mean score of the Individual Workload Perception Scale of the Nurses was 103.80 ± 15.24 and the mean score of the Patient Safety Attitude Scale was 151.97 ± 21.03. The Individual Workload Perception Scale and Patient Safety Attitude Scale score of the nurses who worked willingly in the clinic were high; the mean score of the individual workload perception scale of the nurses who took the courses related to the patient safety was high (P <.05). There was a positive correlation between nurses’ individual workload perception and patient safety attitude (P <.05).
DISCUSSION AND CONCLUSION: It was concluded that the positive workload perception of the nurses positively affected the patient safety attitude.

3.Determining the Stress Sources of Nursing Students
Ayşe Demiray, Selin Keskin Kızıltepe, Ayşegül Açıl, Nagihan Ilaslan
doi: 10.5152/jern.2021.68878  Pages 10 - 17
INTRODUCTION: This study was conducted to determine the nursing students’ stressors.


METHODS: This descriptive study was carried out between March-April 2018 with 565 volunteer students out of 768 nursing students. The data was gathered by the researchers using Personal Information Form and The Stressors in Students Scale. In the analysis of data descriptive statistical methods, Mann Whitney U, Kruskal Wallis, independent groups t test and ANOVA test were used.
RESULTS: It was found in this study that 75.0% of nursing students are women, 49.0% are between ages 17-20, 26.4% are in their 3rd year, mothers of 54.2% are primary school graduates, and 75.2% are living in dormitories. The overall score students got from The Stressors in Students Scale was determined to be 37.00 ± 7. 91. It was detected that the scores of The Stressors in Students Scale and dimension scores of the scale differed in accordance with the year the students were studying in, whether they wanted the nursing department or not, and their mothers’ educational status (P <.05).
DISCUSSION AND CONCLUSION: It has been determined that the stressors of nursing students are at a medium level and the situations that cause stress in students are mostly due to education. From this point of view, it is suggested that the nursing curriculum should include training for coping and stress management of students.

4.Adaptation of Bricolage Scale to Turkish: Validity and Reliability Study
Bediye Öztaş, Gönül Kurt, Elif Gezginci, Gülcan Bağçivan
doi: 10.5152/jern.2021.68916  Pages 18 - 23
INTRODUCTION: Bricolage is defined as making innovation by collecting current resources in a creative way. The use of innovative approaches such as bricolage in the healthcare will increase patient satisfaction and provide quality and cost-effective treatment and care. For that, it is important to determine the bricolage activities of healthcare providers. The purpose of this study is to evaluate the validity and reliability of the Turkish version of the Bricolage Scale, which is used to measure nurses’ perceptions of bricolage activities.

METHODS: The sample of the study consists of 100 nurses working in an educational and research hospital and agreeing to participate in the research. The data of the study were collected using the “Nurse Information Form”, “Bricolage Scale” and “Nursing Individual Innovativeness Scale”. In order to evaluate the validity of the scale, the language, surface-structure and criterion validity of the scale were tested. To evaluate reliably of the scale internal consistency and test-retest reliability were tested.
RESULTS: The internal consistency factor calculated for the reliability of the scale is.905. The mean total score of the Bricolage Scale was 31.88 ± 3.99 and the retest total score was 32.16 ± 3.43. A statistically significant positive correlation was found between scale total score and retest total score (r =.905, P <.001). A significant and moderate correlation was found between Bricolage Scale and The Individual Innovativeness Scale, scores (r =.256; P =.010).

DISCUSSION AND CONCLUSION: The results of this study showed that the Turkish version of Bricolage Scale is a valid and reliable measurement tool that can be used to measure the perceptions of nurses about bricolage activities in our country.

5.Relationship between Cultural Sensitivity and Self-Determination (Assertiveness) in Nursing Students
Yasemin Gümüş Şekerci
doi: 10.5152/jern.2021.76753  Pages 24 - 30
INTRODUCTION: This study was conducted to determine the relationship between cultural sensitivity and self-determination in nursing students.
METHODS: This cross-sectional study was conducted at a university in one of Turkey’s border provinces. The study sample consisted of 248 nursing students. Data were collected by using the descriptive information form, which included sociodemographic and sociocultural characteristics, Intercultural Sensitivity Scale and Self-Determination (Assertiveness) Scale. Data evaluated using descriptive statistics, dependent groups t-test, One-way analysis of variance (One-way ANOVA), Tukey HSD test and correlation analysis.
RESULTS: The mean age of the participants was 21.05 ± 2.03 and 62.9% were female. 44.8% of the students speak foreign languages, 27.8% go to different countries, 50% communicate with people from different countries through social media, 58.1% follow the mass media of different countries, 56.5% of patients from different cultures nursing and 41.9% reported that they provided information, health education or counseling to patients and healthy individuals from different cultures. The students scored 83.30 ± 19.40 for Intercultural Sensitivity Scale and 96.83 ± 15.24 for Self-Determination (Assertiveness) Scale. Many socioeconomic and sociocultural factors affecting students’ cultural sensitivity and assertiveness were identified. It was concluded that students’ cultural sensitivity was positively correlated with confidence while shyness was negatively correlated with moderate level (P <.001).

DISCUSSION AND CONCLUSION: In the study, it was determined that students had moderate cultural sensitivity and assertiveness levels. Self-confident nursing students had higher cultural sensitivity. It was concluded that educating the students as individuals with high self-confidence during nursing education will contribute to providing patient-specific and culture-sensitive care.

6.Determination of Communication Skills of Nursing Education Instructors
Fatih Yerlikaya, Şefika Dilek Güven
doi: 10.5152/jern.2021.57625  Pages 31 - 36
INTRODUCTION: This research was conducted in order to determine the communication skills of the instructors who teach nursing education by evaluating the instructors and students.
METHODS: The research was conducted with 35 lecturers and 326 students studying at the School of Health Nursing Department of a state university in the Central Anatolia Region in the fall semester of the 2016-2017 academic year. The data were collected with the survey form and the Teacher Communication Skills Scale (TCSC). Data were evaluated by frequency, percentage, mean, standard deviation, independent two-sample t-test and ANOVA.
RESULTS: It was determined that instructors almost always showed communication behaviors in sub-dimensions, whereas students indicated that instructors showed these behaviors most of the time. A statistically significant difference was found between the mean scores of empathy, transparency, equality, effectiveness, adequacy and total scores when the mean scores of TCSCs of the instructors and students were compared (P <.001).
DISCUSSION AND CONCLUSION: According to the results of the research, it was found that there has been a difference about communication skills between teaching staff and students and the teaching staffs’ opinions about their communication skills were more adequate than the opinions of the students.

7.Determination of Personality Characteristics and Leadership Orientation of Nursing and Midwifery Students
Elif Gürsoy, Mehtap Uzun Aksoy
doi: 10.5152/jern.2021.32744  Pages 37 - 43
INTRODUCTION: In this study, it was aimed to determine the personality characteristics and leadership orientations of the nursing and midwifery students.

METHODS: The sample of this cross-sectional study consisted of 457 nursing and midwifery students studying at the faculty of health sciences of a university between April and June in 2019. The data of the study was collected using the “Socio-Demographic Characteristics Form of the Individual”, “Bortner Self-Rating Scale Short Form” and “Leadership Orientation Scale”. Independent t-test and one-way ANOVA tests were used to analyze the data.
RESULTS: Of the students, 66.9% were nursing, 81.2% were female and the mean age was 20.66 ± 1.84 years. 79.8% of the students are graduated from anatolian high school. 59.7% of the students show A type personality. There was no significant difference in terms of leadership orientations according to the age, parents’ education status, department, place of residence and economic status. It was found that leadership orientations showed significant differences according to gender, personality type and degree of students’ class variables. When the students with A type personality exhibited human oriented, structure oriented and symbolic leadership orientations, male students showed structure oriented, political and symbolic leadership orientations towards more than women.
DISCUSSION AND CONCLUSION: As a result, more than half of the students have A type personality types and students with A type personality traits have higher leadership orientation scores. When the personality types differ according to the academic grade point average of the students, leadership orientations differ according to gender, personality type and class.

8.Determining the Needs of the Family Members who Have Inpatients in the Intensive Care Unit
Havva Coşkun, Emine Kol
doi: 10.5152/jern.2021.77775  Pages 44 - 51
INTRODUCTION: Background: Theaim of this study is to determine needs of family members who have inpatients at intensive care unit.
METHODS: Methods: The research was conducted at intensive care units in three public hospitals in province of Antalya between the dates of 01.10.2016 and 28.02.2017. Only one family member of each inpatient was evaluated, and research sample was formed by 346 family members. In the research data was gathered with questionnaire formed by researcher and “Critical Care Family Needs Inventory”.
RESULTS: Results: In the research average age of family members was 40.52 ± 12.36, and 50.9% of the family members are male, 70.5% the family members are married and 96.2% have social security. The Critical Care Family Needs Inventory Score was 140.53 ± 17.53. Point Averages of Sub-scale were determined as Comfort (19.99 ± 3.33), Proximity (26.13 ± 2.24), Confidence (19.23 ± 1.19), Information (32.64 ± 3.1) and Support (42.54 ± 7.58). In the study, 61.8% of family members stayed in their own homes as accommodation during intensive care, 71.6% stated that they used their own or their relatives’ home as the place where they met their eating and drinking needs and 49.1% stated that they used hospital canteen.
DISCUSSION AND CONCLUSION: Conclusion: According to the results of the research, the first priority needs of the family members who are hospitalized in intensive care units are to feel that their patients are safe. The majority of family members prefer the home environment for their physical needs.

9.Determination of Hypothermia Prevalence and Nursing Interventions for Prevention in Patients during Surgery Process
Seher Gürdil Yılmaz, Gülay Altun Uğraş, Zübeyde Uzanmaz, M. Özgür Türkmenoğlu3
doi: 10.5152/jern.2021.81084  Pages 52 - 56
INTRODUCTION: Background: In the study, was aimed to determine the prevalence of hypothermia in patients during the surgical process and nursing interventions for its prevention.

METHODS: Methods: The sample of this descriptive study consisted of 242 patients in the general surgery clinic and operating room recovery unit of a university hospital between May and August 2018. The data were collected using the data collection form prepared by the researchers and the observation form containing guideline recommendations for the prevention of hypothermia. Descriptive statistics (frequency, percentage, mean, standard deviation) were used for data analysis.
RESULTS: Results: In the study, hypothermia was seen in 2.5% of the patients in the preoperative period, in 97.1% in the recovery unit after surgery and in 74% in the first measurement when they came to the clinic. The majority of patients in the recovery unit and all patients in the clinic was used passive heating.
DISCUSSION AND CONCLUSION: Conclusion: This study demonstrated that postoperative hypothermia is a common problem in patients, passive warming methods are frequently used to prevent it, and not all guideline recommendations for preventing hypothermia are implemented. In order to prevent hypothermia in patients during the surgical process, it may be recommended to inform nurses about the guidelines for the prevention of hypothermia with in-service trainings and to prepare protocols in compliance with the guideline recommendations.

10.Examining the Psychological Well-Being of Nursing Students and the Affecting Factors
Serap Yıldırım, Emel Yılmaz, Dilem Yalçın, Cansu Güler
doi: 10.5152/jern.2021.57615  Pages 57 - 64
INTRODUCTION: The aim of this study was to investigate the psychological well-being of nursing students and the factors affecting them.
METHODS: 576 nursing students participated into this descriptive study. The data were collected with Descriptive Information Form and- Psychological Well-being Scale. For data analysis, percentages distribution, mean and standard deviation, Independent Sample-t test and OneWay ANOVA test were used.
RESULTS: The mean score of Psychological Well-being Scale was 343.39 ± 43.59. The total Psychological Well-being Scale score of the students was found to be significant according to students’ gender, age groups, classes, family and friends relations, coping with problems, method used to cope with problems, satisfaction with department, physical and mental health (P <.05 P <.01).
DISCUSSION AND CONCLUSION: It was concluded that the psychological well-being of nursing students was affected by some socio-demographic variables, perceived relationship status and coping status and perceived health status.

11.A strategy to strengthen nursing in a globalized world: Advocacy
Deniz Eren, Süheyla Altuğ Özsoy
doi: 10.5152/jern.2021.13284  Pages 65 - 71
Küreselleşme, dünya çapında ekonomi, siyaset, kültür, sağlık, sosyal hayat ve birçok alanda büyük değişimler meydana getirmiştir. Sağlık, küreselleşme sürecinin getirdiği bu değişimlerden en çok etkilenen alanlardandır. Bu sürece bağlı olarak, sağlık hizmeti bir meta ya da ürün olarak görülmeye başlamış, bireylerin sağlık hizmetlerine ulaşımında eşitsizlikler ortaya çıkmıştır. Özellikle hassas grupların (bebek, çocuk, gebe, yaşlı, engelli ve yoksul bireyler), bu eşitsizliklerden daha ağır şekilde etkileneceği göz önüne alındığında, hemşirelerin savunuculuk rolüne olan gereksinim kaçınılmaz olmaktadır. Hemşireler, savunuculuk rollerini yerine getirirken, hem kendi mesleklerini hem de bireyleri, aileleri ve toplumları güçlendirmektedirler. Öte yandan, cinsiyet ayrımı, yorucu ve uzun vardiya saatleri, görev tanımlarındaki belirsizlikler, tedavi edici hizmetlerin ön plana çıkması gibi birçok sorun hemşirelerin güçlendirilmesi önünde engel oluşturmakta ve çeşitli güçlendirme stratejilerine ihtiyaç duyulmaktadır. Bunlardan biri de, hemşirenin savunucu rolüdür.
Globalization has brought about major changes in economy, politics, culture, health, social life and many other areas around the world. Health is one of the most affected by these changes brought about by the globalization process. Depending on this process, health care has started to be seen as a commodity or product, and inequalities have emerged in the transportation of individuals to health services. Given the fact that particularly vulnerable groups (infants, children, pregnant, elderly, disabled and poor individuals) will be affected more severely than these inequalities, the need for nurses' advocacy role is inevitable. Nurses are empowering their own profession, as well as individuals, families and societies, in advocacy. On the other hand, many problems such as gender discrimination, tiring and long shift hours, uncertainties in job descriptions, and the emergence of therapeutic services are obstacles to strengthening nurses and various strengthening strategies are needed. One of them is the advocacy role of the nurse.

REVIEW
12.Nursing Informatics Competencies and Assessment Tools in 21st Century
Nur Sema Sema, Selda Seçginli
doi: 10.5152/jern.2021.24434  Pages 72 - 76
Sağlık uygulamalarının yapılma şeklini ve içeriğini değiştirmiştir. Bu değişim içinde, hemşire-lerden beklenen, güvenli, yeterli ve kaliteli sağlık bakımını ileri teknolojik ve dijital bir ortamda sunmalarıdır. Bu nedenle günümüzde hemşirelerin hemşirelik bilişimi yetkinliklerinin belirlen-mesi ve geliştirilmesi, çağdaş sağlık bakım ortamlarında etkili ve güvenli hasta bakımının sağ-lanmasında, hemşirelik mesleğinin niteliğinin yükseltilmesinde ve hemşirelerin değişen sağlık bakım ortamlarındaki yapıya uyum sağlamalarında son derece önemlidir. Hemşirelik eğitimini geliştirmek, hemşirelik uygulamalarını iyileştirmek ve bilişim teknolojilerinden yararlanarak hemşirelik mesleğini sağlık alanındaki değişikliklere hazırlamak amacıyla kurulmuş olan Bili-şim Teknolojisi Rehberliğindeki Eğitim Reformu Girişimi’nin (The Technology Informatics Gui-ding Educational Reform- TIGER) hemşirelik bilişimi yetkinlikleri konusunda kapsamlı çabaları bulunmaktadır. Bu makalede, hemşirelik bilişimi yetkinlikleri kavramına ve hemşirelik bilişimi yetkinliklerini değerlendirmek için sık kullanılan araçlara ilişkin bilgi vermek amaçlanmıştır.
The intensive use of health information systems in the health sector has provided effective management of data and information and has changed the way of making and content of health practices. In this change, expected from nurses to offer safe, adequate and quality health care in a high technological and digital environment. For this reason, it is very important for nurses’ to determine and developing of the nursing informatics competencies, to provide effective and safe patient care in contemporary health care environments, in the upgrade the quality of the nursing profession, and nurses’ to make in adaptation to structure in the chang-ing healthcare settings. In order to improve nursing education, improve nursing practices, and to prepare nursing profession for changes in the field of health by utilizing information tech-nologies, the Technology Informatics Guiding Educational Reform (TIGER) has extensive ef-forts on nursing informatics competencies.In this article, it is aimed to give information about the concept of nursing informatics competencies and commonly used tools for evaluating nursing informatics competencies.

13.Writing Title, Abstract, Keywords and Author Informations in Scientific Research Articles
Ayşenur Turan, Gu&776;lu&776;mser Dolgun
doi: 10.5152/jern.2021.52244  Pages 77 - 82
Bilimsel makaleleri nitelikli bir dille yazmak sanattır. Bu sanatın herkes tarafından görülebilen, değerlendirmeye açık ve en çok okunan bölümleri olan başlık ve özet yazımı ise ayrı bir özen ve dikkat gerektirir. Çünkü başlık ve özet makalenin yayına kabulünde, okunmasında ve atıf almasında anahtar roldedir. Belirtilen bölümlerin yazımını konu edinen çalışma sayısı sınırlıdır. Özellikle araştırmaya yeni başlayanlar için bu bölümlerin yazılması oldukça zor olabilmektedir. Bu derlemede bilimsel makale raporlarında makalenin vitrini konumunda olan, makalenin tümünü temsil eden ve okunmasında önemli etkileri bulunan başlık, yazarlar ve adresleri, özet ve anahtar sözcüklerin yazılımı literatür eşliğinde ele alınmıştır.
Writing a scientific articles with a qualified language is an art. The titles and abstracts are the most visible, most assessable and most frequently read sections of this art, so they require a specific diligence and attention. This is because the title and abstract are key components in an article’s acceptance for publication, attracting readers and being referenced. The number of scientific researches on the writing of these chapters is limited. Writing this section can be especially challenging for people who are new to research. This review discuss, together with the literature, how to write the title, writers and their addresses, and abstract and key words, all of which serve as a showcase for a scientific article, represent the whole text, and have an important role in attracting readers to the article.

14.Perinatal Nursing and Its Standards
Tuğba Andaç, Hatice Yıldız
doi: 10.5152/jern.2021.34654  Pages 83 - 90
Perinatoloji hemşiresi, anne/bebek ölüm oranlarının en yüksek olduğu, kadın sağlığı ve yaşam kalitesinin olumsuz etkilendiği perinatal dönemde bütüncül bakım sağlayan bir sağlık uzmanıdır. Kadın, fetüs, yenidoğan ve ailenin prekonsepsiyonel dönemden başlayarak doğurganlık süreçleri boyunca gebelik, doğum ve doğum sonrası dönemlere ilişkin bakım gereksinimlerinin karşılanması önemlidir. Bu gereksinimlerin nitelikli, kaliteli, etkin, kanıt temelli ve profesyonel hemşirelik bakımı çerçevesinde karşılanabilmesi için perinatoloji hemşirelerine önemli rol ve sorumluluklar düşmektedir. Bazı ülkelerde perinatoloji hemşireliğine ilişkin rol ve sorumluluklar ile sahip olması gereken yeterlilikler, ilgili kurumlar tarafından tanımlanmış ve tüm bunlar standartlar halinde rehberlerde yayımlanmıştır. Ülkemizde ise perinatoloji hemşireliğine dair herhangi bir görev, yetki ve sorumluluk tanımlaması yoktur. Bu derleme, Doğum ve Kadın Hastalıkları Hemşireliğinin özel alt alanı olan perinatoloji hemşireliğini tanımlamak, perinatoloji hemşireliğinin önemi, standartları ve yeterliliklerini Amerika ve Kanada örnekleri ile ortaya koymak ve bu bağlamda literatüre katkı sağlamak amacıyla kaleme alınmıştır.
A perinatal nurse is a health professional who provides holistic care during perinatal period when the maternal/infant mortality rates at their highest and women’s health and quality of life are adversely affected. Throughout fertility processes, it is important to fulfil the care needs of women, fetus/newborn, and the family during pregnancy, childbirth and postnatal periods starting from preconceptional stage. Perinatal nurses have critical roles and responsibilities to meet these requirements within the framework of qualified, sufficient, effective, evidence-based and professional nursing care. In some countries, duties and responsibilities of perinatal nursing and qualifications they should have, are defined by the relevant institutions. All these are being published in the guidelines as standards. Whereas, in our country, there is no definition of duties, power, and responsibilities of perinatal nursing.

15.A Novel Concept: “Cardio-Oncology” and Nursing
Sevda Türen, Ibrahim Halil Şahin, Selahattin Turen
doi: 10.5152/jern.2021.98852  Pages 91 - 95
Kanser hastalarının tedavisi ile ilişkili olan veya eşlik eden kardiyovasküler komplikasyonlar morbidite ve mortalitenin en önemli nedenlerindendir. Kardiyo-onkoloji; bu kardiyovasküler komplikasyonları önleme ve yönetmeyi hedefleyen multidisipliner bir alandır. Bu yeni alan, kardiyoloji ve onkoloji bilim dallarının iş birliğine dayanmaktadır. Dünya genelinde kardiyo-onkoloji kliniklerinin açılması ve kardiyo-onkoloji programlarının oluşturulmasının hız kazanmasına paralel olarak, ülkemizde de kardiyo-onkoloji kavramı hızla gelişmeye başlamıştır. Kardiyo-onkoloji ekiplerinin vazgeçilmez üyesi olan hemşirelerin bu toksisiteleri ve komplikasyonları erken dönemde saptayabilmesi ve buna uygun girişimlerde bulunabilmesi kanser hastalarının yaşam kalitesi, morbidite ve mortalitesini yakından ilgilendirmektedir. Bu derlemede, kanser tedavisi ile ilişkili olabilecek kardiyovas-küler sorunlar, bu sorunların yönetiminde multidisipliner bir bakış açısı sağlayan kardiyo-onkoloji programları ve bu programlarda yer alan/alacak hemşirelerin rolleri ele alınmıştır.
Cardiovascular complications concurrent or associated with the treatment of cancer patients are among the most important causes of morbidity and mortality. Cardio-oncology is a multidisciplinary field that aims to prevent and manage these cardiovascular complications. This new field is based on the collaboration of cardiology and oncology departments. The concept of cardio-oncology has started to develop rapidly in our country in parallel with the establishment of cardio-oncology clinics and cardio-oncology programs worldwide. Nurses who are essential members of cardio-oncology teams can detect these toxicities and complications early in the course and make appropriate interventions that is closely associated with the quality of life, morbidity and mortality of cancer patients. In this review, cardiovascular problems that may be associated with cancer treatment, cardio-oncology programs that provide a multidisciplinary perspective in the management of these problems, and the roles of the nurses involved in these programs are discussed.

16.Pain Management in Patients with Multiple Sclerosis and Nursing
Öznur Erbay Dallı, Yasemin Yıldırım
doi: 10.5152/jern.2021.27879  Pages 96 - 100
Ağrının Multipl sklerozun (MS) bir semptomu olmadığı düşüncesi devam etse de, birçok çalışma MS hastalarının yarısından fazlasının ağrı şikayeti olduğunu doğrulamıştır. MS’te ağrının nedeni birçok farklı mekanizma ile ilişkilidir. Ağrıya neden olan durumların çoğu önlenebilir, ortadan kaldırılabilir veya iyileştirilebilir ve kronikleşen durumlarda hastaya uygun stratejiler seçilerek ağrısı yönetilebilir. Ağrı yönetimi multidisipliner bir ekip anlayışını gerektirir. Bu ekip içinde hemşireler önemli bir role sahiptir. Hemşireler, MS hastalarına özgü ağrı tipi ve tedavi seçeneklerinin farkında olmalı ve buna yönelik gerekli olan bakımı sağlamalıdır. Bu makalenin amacı MS hastalığında görülen ağrıların doğası, nedenleri, tedavisi ve hemşirelik bakımı ile ilgili kavramları güncel literatür doğrultusunda tartışmak ve ilgili literatüre katkı sağlamaktır.
Although the idea that pain is not a symptom of Multiple sclerosis (MS) continues, many studies have confirmed that over half of MS patients complain of pain. Different mechanisms are associated with causation of pain in MS. Most of the conditions causing pain can be prevented, eliminated or improved, and the remaining patients with chronic pain are managed with strategies that are useful in approaching chronic pain in other situations. Pain management requires a multidisciplinary team approach. Nurses play an important role in this team. Nurses should be aware of the type of pain and treatment options specific to MS patients and should provide the care. The aim of this article is to discuss the nature, causes, treatment and nursing care of the pain in MS disease in accordance with the current literature and to contribute to the relevant literature.

17.Female Sexual Function Changes and Nursing Approach from Adolescence to Elderly
Merve Çağlar, Ümran Oskay
doi: 10.5152/jern.2021.62582  Pages 101 - 106
İnsan hayatının vazgeçilmez bir parçası olan cinsellik; psikolojik, fizyolojik, sosyal ve kültürel birçok faktörden etkilenmektedir. Kadın cinselliği ise kadınların yaşam dönemleri boyunca yaşadığı fizyolojik ve psikolojik değişimler nedeniyle büyük ölçüde etkilemektedir. Adölesan dönem, gebelik dönemi, postpartum dönem, menopoz ve yaşlılık dönemi gibi kadınları fiziksel, psikolojik ve sosyal yönden etkileyen faktörlerin cinsel yaşam üzerine de önemli etkileri bulunmaktadır. Kadınların cinsel yaşamlarını ve yaşadıkları sorunları en rahat paylaşabildiği sağlık profesyonelleri olan hemşirelerin bu konudaki farkındalığı ve bilgi düzeyi önemlidir. Bu derlemenin amacı adölesan dönemde, gebelik ve postpartum dönemlerinde, menopoz ve yaşlılık dönemlerinde kadın cinsel fonksiyonunu, etkileyen faktörleri ve hemşirelik bakımını literatür doğrultusunda incelemektir
Sexuality, which is an indispensable part of human life, is affected by many psychological, physiological, social and cultural factors. Female sexuality, on the other hand, has a great impact on the physiological and psychological changes that women experience throughout their lifetimes. Factors that affect women physically, psychologically and socially, such as adolescent period, pregnancy period, postpartum period, menopause and old age have important effects on sexual life. The awareness and knowledge level of nurses, who are the health professionals who women can share their sexual lives and problems most, is important. The aim of the review is to examine the factors affecting female sexual function in the periods of adolescent period, pregnancy and postpartum period, menopause and old age and nursing care in the direction of literature.

18.Nursing Role in Children Pain Management
Aslı Akdeniz Kudubeş, İlknur Bektaş, Murat Bektaş
doi: 10.5152/jern.2021.91489  Pages 107 - 113
Çocuklarda ağrı en önemli semptomlardan birisidir. Ağrı uygun şekilde yönetilemezse fizyolojik stres, vücut sistemlerinde değişiklikler, depresyon, yaşam kalitesinde azalma gibi çeşitli sorunlara neden olmaktadır. Bu nedenle ağrının doğru şekilde değerlendirilmesi ve tedavi edilmesi çok önemlidir. Ağrı yönetiminde farmakolojik ve farmakolojik olmayan yöntemler kullanılabilmektedir. Farmakolojik yöntemlerden analjezi, çocuklarda ağrıya bağlı gelişebilecek olumsuz deneyimleri önlemektedir. Farmakolojik olmayan girişimler ise, çocukların ağrı ve stresini azaltmada etkili olmaktadır. Çocuğun ağrısına yönelik bakım yaklaşım, çocuk ve ebeveynin rahatlaması sağlanabilmekte ve bakım kalitesi arttırılabilmektedir. Bu nedenle bu makalede çocuklarda ağrı yönetiminde hemşirenin rolünün orta
ya konması amaçlanmıştır.
Pain is theone of most serious symptoms in pediatric patients. If pain is not managed properly, it causes various problems such as physiological stress, changes in body systems, depression, and decreased quality of life. Therefore it is of paramount importance to accurately assess and treat pain. Analgesia prevents negative experiences arising from pain in children. Also, nonpharmacologic interventions are effective to reduce pain and distress in children. A pain management can provide comfort and improve quality of care for child and parent. Therefore, it is aimed to reveal the nurse role in pain management in children in this article.

19.An Exercise Type in Pregnancy: Prenatal Yoga
Mehtap Uzun Aksoy, Elif Gürsoy
doi: 10.5152/jern.2021.95815  Pages 114 - 117
Gebelikte egzersizin önemi her geçen gün daha fazla anlaşılmaya başlanmıştır. Gebelikte egzersiz, kilo kontrolünün sağlanması, preeklampsi oluşumunun önlemesi, gestasyonel diyabet riski, sezaryen doğum ve müdahaleli vajinal doğum oranlarının azaltması ve postpartum dönemde daha kısa sürede iyileşme sağlaması bakımından oldukça önemlidir. Prenatal yoga ise son yıllarda gebeler tarafından tercih edilen egzersiz türlerinden birisi olmaya başlamıştır. Literatürde prenatal yoganın fizyolojik ve psikolojik yararlarının olduğunu gösteren kaliteli çalışmalar bulun-maktadır. Prenatal yoga gebelik sürecinde kas gücünü ve esnekliğini geliştirmeye, bedenin fit kalmasına, gebelerin kendi bedenini dinlemesine ve psikolojik yönden rahatlamasına yardımcı olmaktadır. Literatürde prenatal yoga yapan gebelerde hipertansiyon, gestasyonel diyabet, pre-eklemsi ve intrauterin gelişme geriliği gibi riskli durumların daha az geliştiği ve doğumdaki gebelik haftasının ve yenidoğan doğum ağırlığının daha fazla olduğu belirtilmiştir. Bunun yanı sıra gebelerin doğumun birinci evresi ve toplam doğum sürelerini kısalttığı, anksiyete ve depresyonu azalttığı ve doğum sürecindeki maternal konforu arttırdığı bildirilmiştir. Dünya’da prenatal yoganın etkisini belirlemeye yönelik çalışmalar bulunmasına karşın, ülkemizde bu konuda sınırlı sayıda çalışmaya rastlanmıştır. Türkiye’de prenatal yoganın gebelere etkisiyle ilgili araştırmalara ve literatüre ihtiyaç duyulduğu görülmektedir. Bu derlemede prenatal yoganın gebeler üzerindeki yararlı etkilerine dikkat çekmek ve bu konuda farkındalık oluşturmak amaçlanmıştır.
The significance of exercise in pregnancy is getting more and more understood. Exercise during pregnancy, weight control, prevention of preeclampsia, gestational diabetes risk, cesarean delivery and operative vaginal delivery rates are very important in terms of reducing rates and providing a shorter time in postpartum period. Prenatal yoga has become one of the preferred types of exercise preferred by pregnant women in recent years. In the literature, there are high quality studies showing that the prenatal yoga has physiological and psychological benefits. Prenatal yoga helps to improve muscle strength and elasticity, to keep the body fit, to listen to the body of the pregnant women and to relax psychologically during pregnancy. It has been reported in the literature that risky conditions such as hypertension, gestational diabetes, preeclampsia and intrauterine growth retardation are less developed and the gestational week and birth weight of newborns are higher in pregnant women who perform prenatal yoga. In addition, it is mentioned that it shortens the first stage of labor and total delivery times, reduces anxiety and depression and increases maternal comfort during delivery. Although there are studies to determine the effect of prenatal yoga in the world, a limited number of studies have been found in our country. Researchs and literature on the effect of prenatal yoga on pregnant women is needed in Turkey. In this review, it is aimed to draw attention to the beneficial effects of prenatal yoga on pregnant women and to raise awareness on this issue.



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