INTRODUCTION: Background: The World Health Organization in its intrapartum care guide states that all women should be encouraged to use different positions according to their preference for a positive birth experience. In evidence-based practices, it is recommended to use vertical positions in which the pelvis is fully mobile and the body’s harmony with gravity, movement, and blood circulation is not restricted.This study aimed to determine the effects of vertical positions on perineal trauma and newborn health, based on primary studies on the delivery positions used in the second stage of labor.
METHODS: Methods: In this study, which is a systematic review and meta-analysis, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement was used during the establishment of the study protocol and the writing of the article. The searches were carried out between November 2019 and January 2020 from PubMed, National Thesis Center, DergiPark, Ulakbim, MEDLINE, the Cochrane Library, and EBSCO search engines. The keywords “(mother or motherhood) and birth and position” were used in the search. In the quality assessment of the studies, Joanna Briggs Institute Critical Assessment Checklists were used in accordance with the research pattern.
RESULTS: Results: In this study, 16 results were reported about the effect of birth positions on perineal trauma and infant health. The combined results of the studies showed that vertical positions do not have an effect on the intact perineum (P >.05) and reduce the possibility of episiotomy (P <.01). The study showed that vertical positions increased the development of first-degree laceration 1.4 times (P <.01), did not affect the development of second-degree laceration (P >.05), and increased one-/second-degree lacerations 1.5 times (P <.01). In this study, it was determined that vertical positions had no effect on anal sphincter damage with third-degree and third-/fourth-degree lacerations (P >.05). In addition, it was found that vertical positions had no significant effect on the admission to the intensive care unit
of the newborn, first minute, and fifth minute (P >.05) APGAR (Activity- Pulse- Grimace- Appereance- Respration) score < 7 (P >.05).
DISCUSSION AND CONCLUSION: Conclusion: In the study, vertical positions used at birth decrease the possibility of episi-otomy application, increase the development of first-degree laser 1.4 times, intact perineum 3-4. grade perineal lacerations, anal sphincter damage did not affect the neonatal APGAR score and intensive care unit admission. In the intrapartum period, the use and dissemina-tion of vertical positions can contribute to the preservation of perineal integrity and the development of women's health.

INTRODUCTION: It is important to identify the factors that affect burnout and examining psychological resilience, which is thought to have a positive impact on burnout. This cross-sectional study was conducted to examine the effects of psychological resilience and other factors on nurses’ burnout levels.
METHODS: Data were collected between June and August 2020 using the snowball sampling method. The sample consisted of 275 nurses working in different facilities across our country. The data collection instruments used were the “Demographic Characteristics Form,” the “Brief Psychological Resilience Scale,” and the “Burnout Scale Short Form.” Data were analyzed with numbers, averages, percentages, and the structural equation model explaining the relationship between the observed/hidden variables.
RESULTS: The goodness-of-fit values of the revised model for estimating factors influencing burnout in the nursing population were acceptable (χ2 = 252.41, χ2/df = 2.25, NFI (Normed Fit Index) = 0.92, TLI (Tucker Leis Index) = 0.94, CFI (Comparative Fit Index) = 0.95, GFI (Goodness of Fit Index) = 0.90, AGFI (Adjustment Goodness of Fit Index) = 0.88, RMSEA (Root Mean Square Error of Approximation) = 0.07, RMR (Root Mean Square Residual) = 0.14). Psychological resilience (t = −6.913; P <.001) in the model had 53% effect on burnout, while job satisfaction (t = −4.815; P <.001) had 31% effect. As can be seen, the level of “psychological resilience” and “job satisfaction” affected burnout in nurses by 59%. As the psychological resilience and job satisfaction levels of nurses increased, the burnout level decreased. However, the gender, age, marital status, family type, seniority, and educational status variables did not contribute significantly to the model.
DISCUSSION AND CONCLUSION: According to the model obtained from the study, it was found that psychological resilience and job satisfaction were variables that influenced burnout levels in the opposite direction. Efforts can be made to enhance the psychological resilience of nurses.

INTRODUCTION: It is known that exposure to chemicals and cosmetic products causes harmful effects on health. Knowing the exposure of pregnant women to chemicals and cosmetic products is important in planning prenatal care. This study is a descriptive study conducted to determine the exposure of pregnant women to chemicals and cosmetic products.
METHODS: The sample of the study consisted of 315 pregnant women. The data were collected by the researchers using a data collection form and face-to-face interview method. The study was conducted between September 2016 and November 2016, in Kayseri Training and Research Hospital, Gynecology and Obstetrics Clinic. Descriptive statistics (number, percentage, and mean) were used in the analysis of the data.
RESULTS: The mean age of the pregnant women was 26.10 ± 5.6 years, 73.7% of them lived in the city center, 42.9% of them were middle school graduates, and 88.3% of them did not work. It was determined that 67.6% of pregnant women used deodorant/perfume during pregnancy, 32.1% used lipstick, and 7.9% used hair dye. In addition, it was revealed that 91.7% of the pregnant women were exposed to bleach, 44.1% to surface cleaner, 34.6% to oil and 21.6% to descaler, and 10.5% to spirit of salt.
DISCUSSION AND CONCLUSION: As a result, exposure rates of pregnant women to chemicals and cosmetic products were high. Women should be educated about the harms of chemicals and cosmetics both in the preconception period and during pregnancy.

INTRODUCTION: Cancer is a deadly disease that affects individuals deeply. The hope of healing of patients and the social support they receive are important in coping with cancer. The aim of this study was to determine the hope and social support levels of patients with gynecological cancer and the relationship between them, and the factors affecting hope and social support.
METHODS: This is an analytical cross-sectional study. Random sampling method was applied in sample selection. One hundred fifteen women with gynecological cancer, whose treatment is still ongoing, were included in the study. The data were collected using the Introductory Information Form, Herth Hope Index, and Cancer Patient Social Support Scale. For statistical analysis, number and percentage calculation, multiple linear regression analysis, and Pearson correlation analysis were used.
RESULTS: The mean age of the patients was 58.91 ± 8.68 years; 77.3% were primary school graduates, and 76.5% were married. The mean score of the Herth Hope Index of the patients was 34.80 ± 4.92, and the mean score of the Cancer Patient Social Support Scale was 132.76 ± 21.36. A positive significant and moderate relationship was found between the Herth Hope Index mean score and the Cancer Patient Social Support Scale mean score (r = 0.664, P <.001). According to the regression analysis, the hope level of women with the disease in the second stage was higher (B = 4.163, P <.05), and the social support level of women with medium or high income was higher (B = 10.502, P <.05).
DISCUSSION AND CONCLUSION: The stage of the cancer affects the hope level, and the income level affects the social support. The hope level of patients with second-stage gynecological cancer is higher. The higher the income level, the higher the level of social support. In patients with gynecological cancer, patients with high social support scores received from the family have high hope scores. It is thought that efforts to evaluate and increase the social support that patients receive from the family can be effective in increasing the hope levels of the patients.

INTRODUCTION: It is important for good quality nursing care that nurses display nursing care at a good level. It is known that nurses’ caring behaviors are influenced by society’s image of nursing. However, it is not known how the perception of the nursing profession among nurses themselves affects their caring behaviors. This study was conducted with the aim of assessing nurses’ images of the nursing profession and their caring behaviors and determining the correlation between them.
METHODS: This descriptive and correlational study was conducted with 98 nurses working at a university hospital. A Questionnaire Form, the Caring Behaviors Inventory‐24, and the Image of the Nursing Profession Scale were used to collect data. Continuous variables were expressed with mean ± standard deviation and categorical variables with numerical values and percentages. The Mann–Whitney U test, the Kruskal–Wallis test, and Spearman’s correlation analysis were used in the evaluation of the data.
RESULTS: It was found that 65.3% of the nurses had a good image perception of the nursing profession. According to the care behaviors scale, they had the highest scores on the sub-scale of knowledge and skills (5.46 ± 0.55) and the lowest on connectedness (4.88 ± 0.75). The assurance, respectfulness, and caring behavior total scores of those who chose the profession willingly were found to be higher (P <.05). It was determined that there was a significant positive correlation between their perceptions of the image of the nursing profession and the caring behavior total and its sub-scales (P <.05).
DISCUSSION AND CONCLUSION: In the current study, the nurses had a good perception of the image of the nursing profession and that their caring behavior levels were high. In addition, as their professional image perception scores rose, their caring behaviors perception scores also rose.

INTRODUCTION: Many situations in the life of the individual can affect health negatively, causing the individual to experience anxiety. Nurses need to be role models in order to inform and guide individuals about healthy behaviors.The study was conducted to determine the health anxiety level of nursing students and their health-promoting and protective behaviors.
METHODS: The research is descriptive and relation-seeking type. The sample consisted of 933 students in the nursing department of a university who agreed to participate in the study. Data were collected using face-to-face personal information form, Health Promotion and Protection Behaviors Scale and Health Anxiety Scale in the classroom environment. Data were analyzed with Mann–Whitney U, Kruskal–Wallis test, and Spearman correlation analysis.
RESULTS: The mean age of the students is 20.80 ± 1.59 years. The mean score of the students’ Health Anxiety is 18.32 ± 6.48, and the mean score of Health Promotive and Protective Behaviors Scale was 80.91 ± 10.36. Physical, psychosocial, and protection subscale mean scores are 3.13 ± 0.47, 3.47 ± 0.55, and 3.47 ± 0.55, respectively. There is a negative and weak level (r = −0.127; P = .001) correlation coefficient between the variables, which is statistically significant (P <.05).
DISCUSSION AND CONCLUSION: The students’ health anxiety is at a low level, and their health-promoting and protective behaviors are at a moderate level. However, the students with low health anxiety have higher health-promoting and protective behaviors. It is recommended to give seminars and trainings in order for nursing students to understand the importance of health protective and improving behaviors, to transform this knowledge into behavior and to be a role model for the society.

INTRODUCTION: It is important that nurses who will provide training and counseling to parents with the aim of preventing home accidents know the knowledge and practices of parents to prevent home accidents. This study was conducted to determine the level of security measures taken by mothers with children in the 0-6 age group against home accidents and related factors.
METHODS: The study was carried out in a descriptive design with 188 mothers with children aged 0-6 who were registered to the family health center in a province between May 2019 and February 2020 and applied to the center for any reason. The data were collected with “Child and Family Information Form” and “Scale for Mother’s Identification of Safety Measures Against Home Accidents for Children of 0-6 Years Age Group.” Data were analyzed with descriptive statistics, Mann–Whitney U, Kruskal–Wallis, and Bonferroni Post Hoc tests.
RESULTS: The “Scale for Mother’s Identification of Safety Measures Against Home Accidents for Children of 0-6 Years Age Group” mean score of the mothers was 75.78 ± 10.73. It was determined that 25% of the children had a home accident in the last month, and the most frequent accidents were falling with a rate of 18.6%. There was a statistically significant difference between mothers’ level of education, their situations of getting education about the home accidents, and their desire to get education about the home accidents, the part of
the house where the child often plays, and the mean scores of mothers of the scale (P <.05).
DISCUSSION AND CONCLUSION: As a result, it was determined that the security measures taken by mothers for home accidents were not sufficient. The mothers’ level of education, their situations of getting education about the home accidents and their desire to getting education about the home accidents, and the part of the house where the child often plays affected the safety measures against home accidents taken by the mothers. In line with the results of the research, it is recommended to plan and implement a comprehensive education on home accidents for mothers with 0-6 age group children.

INTRODUCTION: Background: An evaluation of the symptoms experienced by patients with lymphoma, the reasons for admission and hospitalization, and the treatments admitted in the hospital are important in terms of determining the care programs to be applied.Aim: This study aimed to examine the symptoms experienced by patients diagnosed with lymphoma, reasons for hospital admission, hospitalization, and hospital treatments.
METHODS: Methods: This retrospective, cross-sectional study was conducted by examining the data of 121 patients over 18 years of age with lymphoma who were admitted to a university hospital between 2018 and 2020. Demographic, disease, and treatment-related data were examined, and the common symptoms, hospital admissions, reasons for hospitalization, and treatments administered in the hospital were examined. Standard deviation, mean, frequency, percentage, and chi-square test were used to evaluate the data.
RESULTS: Results: The mean age of patients was 53.63 ± 16.41 years, 67.8% of patients were male, 66.9% admitted to the hematology outpatient clinic and 33.1% to the emergency service, and 66.9% were hospitalized. The most common symptoms experienced by lymphoma patients related to the disease and treatment were fatigue (35.5%), fever (33.1%), and pain (19.8%). The most common reasons for hospitalization were febrile neutropenia (P = .424), anemia (P = .569), and low immunoglobulin G (P = .833). Antibiotics (P = .007), granulocyte-stimulating factor (P = .310), and erythrocyte transfusion (P = .336) were the most common treatments for patients.
DISCUSSION AND CONCLUSION: Conclusion: The results were obtained that lymphoma patients experienced symptoms associated with the disease and treatment, and therefore, most of them were hospitalized and treated. Within the scope of nursing care for lymphoma patients, it was recommended that current nursing interventions should be planned primarily for managing fatigue, fever, pain symptoms, febrile neutropenia, and anemia and monitoring the side effects of immunoglobulin G depletion.

INTRODUCTION: Fear of childbirth is a common problem in pregnant women. A health professionals, as a responsible person, plays an important role in providing advice and giving care to mothers during pregnancy, delivery, and the postpartum period. This study was conducted to develop an evidence-based practice guide to coping with childbirth.
METHODS: The study was conducted methodologically on August 1, 2018 and April 1, 2020 to develop evidence-based practice guidelines for coping with childbirth. The Appraisal of Guidelines Research and Evaluation-II protocol was used in the development process of the guideline. The Grading of Recommendations Assessment, Development, and Evaluation tool was used to evaluate the evidence quality of the studies.
RESULTS: Evidence of guidelines was obtained from the review of 13 randomized controlled trials, 13 pretest-posttest control group quasiexperimental studies, and 5 pretest-post-test controlled quasi-experimental studies. The studies were gathered under 10 intervention titles that are effective in reducing fear of childbirth. The interventions included that psychoeducational group therapy with moderate evidence, individual counseling program, intrapartum supportive care, cognitive behavior therapy, antenatal hypnosis training, group art therapy, Roy adaptation model-based intermittent labor support, and self-efficacy-oriented psychological counseling with low degree of evidence, antenatal education, and heart rate variability biofeedback with very low degree of evidence.
DISCUSSION AND CONCLUSION: It is expected that the fear of birth will be reduced and the negative outcomes of birth fear in the mother and baby will be prevented by using the guidelines developed to reduce the fear of birth in the health care offered to women.

In recent years, the use of traditional and complementary medicine methods has gained significant importance worldwide. It is seen that the use of these methods in children is also very widespread. The most commonly used methods in children and adolescents are biological based treatments, mind–body interventions, and manipulative and body-based approaches. The evidence-based nature of these methods used by the parents is of critical importance. Since nurses are the healthcare professionals who work closest to the children, adolescents, and society, they have important tasks and responsibilities for efficient, reliable, and proper use of applications. In this study, it was aimed to discuss their usage rates, the roles of nurses, and the appropriate and effective use of them by examining the concept of traditional and complementary medicine.

Background: In recent years, especially considering today's conditions, the use of mobile health applications that offer the remote health education, management, and monitoring has been increasing.
Aim: The aim of this study is to present the Turkish form of the mobile health evidence reporting and assessment mobile health checklist, which is a guide for the full and accurate reporting of mobile health applications provided via mobile phones, to the national literature.
Methods: In the first stage of the mobile health evidence reporting and assessment check-list consisting of 16 items, a Turkish translation text was created by 2 authors, and in the second stage, the views of 10 academicians from different disciplines were examined with Kendall's W coefficient.
Results: It was determined that there was agreement among the observers on intelligibility and clarity of items (W = 0.556, P =.000). The minimum set of information required to describe the content, context, and how the mobile health application was implemented was provided with 16 items and explanatory examples regarding how the technological elements are reported, how the content is tested, how participants are involved, and so on were provided on Turkish form of the mERA checklist.
Conclusion: It is thought that mobile health Evidence Reporting and Assessment will ensure the active use of standards that can increase the quality of future publications and bring them to an acceptable level by eliminating the possible evidence gaps in the reporting of research on mobile health applications. With this article, it is envisaged, as first nurses, that all researchers working in the field of health informatics will contribute to the reporting of study evidence.

Women’s health is the state of complete physical, psychological, social, and cultural well-being. Specific nursing practices for women’s health require dynamic and highly autonomous roles that require expert knowledge in order to evaluate, diagnose, and treat actual and potential health problems of individuals, families, and societies. Today, traditional and complementary medicine is practiced in this field by various methods such as acupuncture, homeopathy, ayurveda, massage, reflexology, hypnosis, aromatherapy, yoga, meditation, reiki, therapeutic touch therapy, music therapy, and dance therapy. It is seen that women’s health nurses play an active role in a wide range of these practices. In this review, the role of women’s health nurses in traditional and complementary medicine practices at the international level is discussed with legal frameworks.

Perinatal processes require change and adaptation for each member of the family. However, studies generally have focused on mothers’ well-being. Nevertheless, each individual in the family affects both the experience and is affected by the experience, so each individual affects the well-being of the other. For this reason, the father should not be left out of the perinatal processes but should be considered as an individual who experiences and coordinates this process. Especially, in families with a baby at increased risk such as prematurity, the involvement of fathers has a significant role in providing support to both mothers’ and babies’ well-being. However, becoming a father of a premature infant is mostly related to a wide range of psychological health outcomes such as stress, anxiety, depression, and post-traumatic stress. In addition, fathers of premature babies are prone to experience emotional difficulties and concerns about the baby’s and the mother’s health problems, potentially leading to parental role conflicts. Therefore, this review aims to explain the common experiences of fathers after preterm delivery, particularly paternal mental health and related factors, and to explain the roles of supportive health professionals in the process.

Rare diseases are a group of diseases caused by genetic mutations. Fabry disease is a lysosomal storage disease with a low incidence in society and is caused by the mutation of the GLA gene above the X chromosome. Enzyme replacement therapy and oral chaperone therapy constitute the treatment of the disease. The management of Fabry disease requires the collaboration of various multidisciplinary health professionals. Because Fabry disease is chronic and progressive, the primary role of the nurse is to provide management of symptoms and help the patient and family manage the disease, as well as administer and follow up treatment.

Today, the Jaten procedure, which provides anatomical repair, is a frequently preferred method in the surgical treatment of transposition of the great arteries. This case report aimed to draw attention to the effect of the nursing care given in the postoperative period to the newborn who underwent the Jaten procedure, on the prevention of complications and the reduction of discharge time. In the case report, confidentiality and ethical principles were adhered to, and the written consent of the patient's legal guardian was obtained. The patient underwent the Jaten procedure, peritoneal dialysis was started, he was taken to extracorporeal membrane oxygenation, a pacemaker was inserted, and a tracheostomy was opened. The patient who left extracorporeal membrane oxygenation and peritoneal dialysis, whose pacemaker was turned off, and whose hemodynamics was stable, was taken to the service on the 59th post-operative day and was discharged with recovery 2 days later. Planning the nursing care and evaluating the results of the care for the problems experienced and may be experienced by the newborns undergoing the Jaten procedure are of great importance in preventing the development of complications in the patient and reducing the transfer time from the intensive care unit to the clinic.