For decades there have been calls for nurses to be more innovative in
order to address the challenges of scarce resources, continuous change,
expanding knowledge and global workforce shortages. Innovation in
practice requires innovation in education. This paper provides examples
of nursing innovation that reveal the importance of dialogue between
nurse educators and nurse clinicians. They involve people who were
prepared to explore new ways of thinking about nursing education
and practice. Nurse managers can facilitate innovation by providing
an environment in which creativity is valued and encouraged.

It is known that complementary and alternative medicine has existed
for centuries and they have been preferred as a method of treatment
by patients worldwide and also in Turkey presently. Therefore, methods
of complementary and alternative medicine should be taken into
consideration by healthcare professionals. Nurses who adopt a holistic
approach in patient care should have the knowledge of its effects, and
reliability of complementary and alternative treatments. This article
indicates how frequently complementary and alternative treatments
are used, their benefits and drawbacks, and their place in nursing
education.

OBJECTIVE: Changes in the working conditions of nurses in health
care organizations and nursing shortage have been increasing the rates
of burnout among nurses day by day. This study performed to investigate
the factors affecting burnout levels among nurse managers.
METHODS: The descriptive study included a total of 219
nurse managers working in 17 hospitals with 100 beds or over in
Istanbul. Data were collected with a questionnaire composed of five
questions about personal and professional characteristics of nurse
managers and “Maslach Burnout Inventory”. Approval was obtained
from the ethical committee and written informed consent was obtained
from the hospital administrations. Obtained data were evaluated with
a statistical package program and percentages, ANOVA and Tukey
HSD.
RESULTS: The results showed that nurse managers had low levels of
emotional exhaustion and depersonalization and high levels of lack
of personal accomplishment. Workplace and administrative experience
had an impact on emotional exhaustion. Work experience,
administrative experience, age and workplace had an influence on
depersonalization, and administrative experience had an influence on
the feeling of lack of personal accomplishment. However, education
was not found to affect burnout levels among nurse managers.
CONCLUSION: Qualitative studies should be conducted to investigate
factors causing burnout among nurse administrators with severe burnout,
attempts to eliminate those factors should be made and top administrators
should determine strategies to decrease and avoid burnout among nurses.

Handwashing is the most effective and inexpensive method of
preventing nosocomial infections. However, it has been determined
that health care workers do not adequately comply with this effective,
simple method, and only wash their hands haphazardly and when
they are obviously soiled. This article includes handwashing types,
techniques, duration and products that are used for handwashing.

Birth is a special experience for women and their families. Pain
experienced during labor differs from other types of the pain in
that it cannot be controlled and can be extremely difficult. The
level of pain during labor is affected by many factors including the
duration of labor, the amount of epidural analgesics or anesthesia
used and their effectiveness, the use of oxytocin or misoprostol,
amniotomy, size of the fetus and the structure of the pelvis. In
addition to these factors, pain during labor is affected by
individualistic, physiological, psychological and sociological factors.
Both pharmacologic and nonpharmacologic methods were developed
to reduce the pain of childbirth. The most often used
nonpharmacological methods are massage, therapeutic touching,
hot and cold applications, hydrotherapy, attention focusing,
breathing techniques, hypnosis, music therapy, transcutaneous
electrical nerve stimulation, etc. In this article, some of the
nonpharmacologic methods are discussed and their importance is
highlighted in terms of nursing/midwifery.

OBJECTIVE: In this qualitative research, the thoughts and feelings of students
towards the place of psychodrama courses in nursing education and
the effects of psychodrama courses on their personal development
were studied.
METHODS: The study was carried out in Fall Semestre of 2007. The
sample consisted of 12 postgraduate students who enrolled in the
elective Psychodrama course. After course (12 week) the students
responded to two open-ended questions.
RESULTS: The students self reported their skills in expressing their
feelings, self-knowledge, empathizing and creativity improved. All
participants suggested this course for undergraduate programs.
CONCLUSION: As a result, psychodrama can be beneficial for achieving
nursing education goals.