The single most important step towards the development of nursing
in any country is the establishment of a system of regulation. Regulation
is controlled by boards or councils of nursing which are statutory
authorities authorized under a Nurses Act (law) to develop administrative
rules and regulations governing professional practice. The International
Council of Nurses promotes the concept of universal standards for
nursing regulation claiming that principles governing nursing education
and practice should be same in every country.

Breaking bad news to patients and their families is a difficult and
unavoidable task for health professionals. Bad news, even if announced
in a correct and sensitive manner by an experienced health professional,
have a long lasting negative impact on both the patient side and the
health personnel. The effects of bad news may be compounded if given
by inexperienced health personel. Inappropriate and insensitive
announcements of bad news may lead to termination of treatment,
disconnecting with the care-giver, changing hospitals and sometimes
even suicide in patients. According to existing literature, health
professionals receive less than adequate training in this area both
during their education and contiuning education programs, and are
reluctant to undertake this task in professional life. This article aims
to introduce the reader to practical guidelines on how to give bad
news to patients and their families.

Fatigue is a common problem in cancer patients as a result of the
disease and its treatment. This problem, which is defined in different
ways by patients, varies in length and frequency according the
progression of the disease and course of treatment administered, and
is a subjective feeling of lack of energy that causes individuals to refrain
from doing their activities of daily living. It is affected by many factors
and is a problem that requires close monitoring and guidance not just
during periods of treatment but after treatment as well. Although the
mechanism of development has not been fully determined there are
different models in the literature that explain for which reasons and
how fatigue develops. Although it is the most common complaint
verbalized by cancer patients there have been very few proven effective
pharmacological and nonpharmacological interventions for the
management of fatigue. In general these interventions are theoretical
and the pharmacological methods generally focus on the determination
and treatment of unique and reversible symptoms related to fatigue
while the nonpharmacological methods focus on exercise, sleep-rest,
adequate nutrition and psychological support in the management of
fatigue.

Neonatal transport service is a system which provides a baby transport
from inborn hospital in case that there are no suitable care centers for
neonatal infant or there is inadequate care level.
Neonatal transport worldwide is a service with high risks because newborn
infants necessitate a special care. In addition there are a lot of several
reasons for transport considering the different environmental organization,
different technological equipment, a high level responsibility and much
financial support required within a regional and national system.
Suggestion for setup neonatal transport system; national birthrate, antenatal
services organization, NICU rate and care level, geographical status, financial
resources must be consider because of that factors major effective. Neonatal
transport services are not desirable level in Turkey because health services
dispersion is not homogeneus. Neonatal intensive care units usually available
metropolis and transport services inadequate. Australia and USA which
are most developed countries that used the first regulation and systematical
neonatal transport system. First studies about the neonatal transport started
since 1970’s. This article indicated which present situation and organization
specialities at neonatal transport in Türkey and in the World.

OBJECTIVE: Our study was aimed to determine reproductive health
problems of women living at Karaa¤aç region of Isparta province. It was
planned to bring about their attitudes, care and knowledge needs related
to reproductive health and new approaches for health institutes giving
services in the region.
METHODS: Our descriptive study was conducted between 04.03.2004
and 20.02.2005, 341 women aged between 15-49 was selected at
random from the region where Karaa¤aç village clinic gives services.
Data was collected from a survey with 63 questions. Data was analyzed
as frequency test by using ‘SPSS for Windows’ istatistical software
programme.
RESULTS: It was found that 45.5% of women selected for this study their
first marriage age was between 14-19 age group and early marriage was
common in general. It was also found that 34.2% of deliveries were
under safe delivery intervals (24 months and below), 10.8% of latest
pregnancy was ended curetage and 74.7% women still use contraseptive
methods while 34.5% used traditional methods. 1/4 of women mentioning
that they received prenatal care at their last pregnancy received only
1-3 times prenatal care. This result showed that the frequency of prenatal
care at pregnancy was not at desirable level. The most often health
problem encountered by women at their last pregnancy was back and
pelvic pain (24.7%), most frequently health problem encountered by
the women after birth during confinement period was bleeding (30.8%).
86% of the women in this study indicated that they had problems during
menstrual period and 78.3% of the women that they had gynecologicial
problems in the past or still. When the women were asked about reproductive health knowledge and attitudes it was observed that they
were inadequate. 86.3% of women did not receive any routine control
without complain, 69.9% did not get any control for their controseptive
methot used, 81.5% did not receive breast exam, 58.4% did not know
self breast exam and 77.5% of women having self breast exam did not
have any monthly reguler control. 68.9% of women did not know about
Pap smear testing, 89.3% did not take the test at all was found.
CONCLUSION: There is an urgent need for training and councelling
services on early diagnose scanning methods and continuous health
education and acquiring attitudes for routine check-ups in Turkey,
where Pap smear testing, routine controls and health scanning practices
are not performed properly. It is necessery to improve the efficiency of
village clinic and to increase on going health services and make it
reachable. There is also a need for cooperation between health institutions
and enhancement quality of health services.

OBJECTIVE: This study was planned with the intention of evaluating
the demographic and burn characteristics of burn patients presenting
at an emergency surgery polyclinic in order to point to the importance
of patient medical records.
METHODS: The sample in the study consisted of 728 burn patients who
had presented at the Emergency Surgery Polyclinic of a University
Hospital over the period 2000-2001. Data for the study was collected
with a questionnaire prepared by the researchers concerning the
demographic and burn characteristics of the patients. Percentages were
used as a statistical method of analysis.
RESULTS: The study indicated that most of the burn cases were children
between the ages of 0-5, male, that the incidences occurred mostly in
winter as compared with other seasons, through scalding by hot liquids,
that the extremities were mostly affected, that burns were mostly of the
2nd degree, that patients had presented at the hospital within the first
24 hours and that first aid and care consisted of the application of
dressing and medical treatment. It was found that information on the
registration forms had not completed in full, the conclusion being
reached that the forms used in the emergency polyclinic had to be
revised in terms of providing adequate information on the patient.
CONCLUSION: It has been recommended in conclusion that, in order to
have precise and accurate patient data accessible for future reference,
hospitals should review their policies on the keeping of medical records,
patient data forms should be revised, and administrative plans should
include providing training that emphasizes the importance of medical
records.