Implementation of clinical practice guidelines, an important strategy in the prevention of pressure injuries, enables the nurse to interpret evidence-based guideline recommendations, reduce errors, ensure compliance and standardisation of complex processes, manage patient-related risks and systematically regulate all preventable conditions.
This study was conducted to ensure the Turkish language and content validity of the Standardised Pressure Injury Prevention Protocol (SPIPP- Adult) Checklist 2.0.
In this methodological research study, a five-stage technique was used in the translation of the SPIPP- Adult Checklist 2.0, which was created and revised by Joyce Pitmann et al. based on the International 2019 Clinical Practice Guidelines, into Turkish. These stages included initial translation, evaluation of initial translation, back translation, evaluation of back translation and expert opinion. Davis technique was used to determine the content validity of SPIPP- Adult Checklist 2.0.
The scale was translated into Turkish and back-translated into the original language and the opinions of nine experts were obtained. The content validity scores of the SPIPP- Adult Checklist 2.0 were found to be between 0.88 and 1.0 and the total CGI score was calculated as 0.99. This value shows that content validity is at an acceptable level. After expert evaluations, it was decided that the final version of the scale was appropriate for use.
This study demonstrated that the SPIPP- Adult Checklist 2.0 is a valid tool. Interventions using the evidence-based checklist should be integrated into the workflow and provide the best opportunity for successful and sustainable pressure injury prevention.
This study aimed to translate the Environmental Health Literacy Scale (EHLS) into Turkish and assess its construct validity and internal consistency.
This research employs a methodological design. The research was conducted during the 2022–2023 academic year with a sample of 500 students from the Faculty of Health Sciences. The data were collected via the introductory information form, the EHLS, and the Environmental Awareness Scale of university students. Subsequently, the data were transferred to the IBM SPSS Statistics 23 and IBM SPSS AMOS 23 software programs. Upon evaluation of the research data, frequency distributions for categorical variables and descriptive statistics for numerical variables were provided. Content validity was evaluated through the acquisition of expert approval. Confirmatory factor analysis was employed for scale validity, while Cronbach's α, test–retest and parallel form analyses were utilized for reliability.
The content validity index of the scale was determined to be 1.00. The scale is constituted of four discrete scales (general, food, air and water), each comprising three dimensions. In consideration of the fit indices, specifically the χ2/df, GFI, TLI, IFI, CFI, RMSEA and SRMR, it can be concluded that the general, food, air and water scales are deemed acceptable. Cronbach's α coefficients for the scales were found to be 0.70, 0.81, 0.83 and 0.79, respectively. In the parallel form analysis, a statistically significant positive relationship was identified between the scales.
The findings of this research indicate that the scale is a reliable instrument for assessing the environmental health literacy levels of undergraduate students enrolled in health sciences programs. It is anticipated that the scale will contribute to the advancement of environmental health literacy awareness.
Rheumatoid arthritis (RA) is a progressive autoimmune inflammatory disease. According to the European League Against Rheumatism (EULAR), the stages of RA progression include pre-RA, preclinical RA, inflammatory arthralgia, arthralgia with positive antibodies, arthralgia suspected of progressing to RA, undifferentiated arthritis and finally established RA. According to the Community Oriented Program for Control of Rheumatic Diseases (COPCORD), the prevalence of RA in Mexico is 1.6% [2], with approximately 10% of health problems addressed at the primary care level.
To assess the implementation of an early referral programme for patients with RA and to reduce the time from symptom onset to specialist referral within the Mexican healthcare system.
This was a prospective, observational cohort study conducted in family medicine units affiliated with the HGZ #17 of the IMSS, Delegación Nuevo León. A pilot early referral programme was implemented as follows. Phase 1: Patients presenting with hand arthralgia during the initial consultation were referred for a pre-consultation, where they were assessed using the EULAR classification criteria for clinically suspicious arthralgia. Phase 2: Patients meeting more than four of these criteria were scheduled for a direct appointment with a rheumatologist within 3–4 weeks. During the same timeframe, these patients were compared to 200 first-time referrals to rheumatology between April and October 2023 who followed the standard referral process. The following time intervals (measured in months) were evaluated: (A) From symptom onset to the first primary care consultation, (B) To the referral consultation, (C) To internal medicine, and (D) To rheumatology consultation.
Patients diagnosed with RA in the early referral group were 14 out of 41 (34.1%) compared to 25 out of 200 (12.5%) in the standard referral group. The total duration from symptom onset to rheumatology consultation was 28.5 months (SD 35.07) in the standard referral group versus 5.4 months (SD 8.9) in the early referral group.
The implementation of this early referral programme significantly reduced the time in months for patients to access rheumatologic care.
The purpose of this study is to compare the efficacy of an artificial intelligence (AI)-based care plan learning strategy with standard training techniques in order to determine how it affects nursing students' learning results in newborn resuscitation.
Seventy third-year nursing students from a state university in Türkiye participated in the study. They were split into two groups: the experimental group, which received care plans based on AI, and the control group, which received traditional instruction. The control group underwent traditional training consisting of lectures and skill demonstrations, while the experimental group underwent 4 weeks of training utilising an AI-based care plan learning approach. Neonatal resuscitation knowledge tests and student information questionnaires were used for pre- and post-test assessments.
When compared to the control group, the AI-based care plan group demonstrated noticeably greater learning achievement in newborn resuscitation. While the two groups' pre-test results were comparable, the AI-based education group's post-test results were noticeably higher than those of the traditional education group. Furthermore, most of the students had favourable opinions on AI applications and acknowledged their advantages for the nursing field.
The study's conclusions highlight the benefits of incorporating AI technology into nursing education and highlight how it might improve student learning outcomes for vital competencies like newborn resuscitation.
Appropriate patient reassurance is an essential feature of clinical practice. My recent experience as a patient, interpreted via my expertise as a health services researcher, led me to insights on ideal and suboptimal reassurance styles in the context of worrisome symptoms. Reassurance is complex: often poorly defined in the scientific literature, rarely rigorously studied, imperfectly understood, and requiring some adaptation to each patient situation. The type and timing of reassurance, balance with additional testing and referrals, paradoxical effects, and myriad patient factors influence reassurance needs and efficacy. My three health problems, occurring in close succession, required numerous consultations, tests, and procedures extending over months. Explicit medically appropriate reassurance notably reduced my concerns and anxiety. Interactions devoid of key reassurance components (acknowledging concerns, contextualising the problem, providing information on risk and next steps and incorporating discussion) exacted an unnecessary psychic toll. The striking differences among my clinicians' approaches illustrate how more thoughtful and salubrious interactions can occur using straightforward existing guidance on best reassurance practices, even without burdensome training, time, or resources.
The article tests the hypothesis that we can draw practical knowledge from the experience of service providers operating in the past. The research questions were formulated: can the historical example of the organization of medical care in the Polish Children's Hospital named after Karol and Maria be used as a viable example today? Is it relevant for contemporary practitioners? And do we still use the knowledge of predecessors? The authors decided to use the interwar Hospital and an operating paediatric ward of the Child-Friendly Hospital for a comparative analysis.
The model of the European Regional Office of the World Health Organization for integrated delivery of health services was adopted as the analysis framework. We based the analysis on descriptive methods, starting with a literature review of routine activities of the Karol and Maria Hospital (historical example) and a paediatric hospital in Poland (contemporary example), then we conducted a comparative transversal study concerning the extent to which integrated care occurs in the WHO model. Finally, the elements of the process evaluation were used in the work.
The research model used enabled us to provide answers to the research questions formulated. The comparative study of a historical hospital and a contemporary one has shown that some problems and ways of solving them constantly reappear in the discussion on the management of evidence-based medical care. Sourcing good practices from the past can be a good research method for current practitioners.
It seems that while the technical aspects of integrated care initiated in the past are developing perfectly, the approach to the evidence-based medicine is waiting to be developed again.
The sense of smell is one of the most developed and important senses that forms the bond between the newborn and the mother and allows the newborn to reach the mother's breast. The sense of smell begins to form during intrauterine life, and the sense of smell can be a marking tool for a newborn baby, so that the baby can recognize both his mother and his immediate environment and develop his behaviour accordingly. This is necessary not only for feeding babies but also for them to feel safe and peaceful in their new environment. In the early stages of life, olfactory stimulation (maternal odour, breast milk odour, amniotic fluid odour, smell of people or different environments) plays an important role in adapting to the environment. Smell stimulation, in particular, is critical for newborns' postnatal survival because it supports a wide range of early regulatory functions and motor responses. This review also aims to examine the current evidence in the field of olfactory skills in mother and infant in the development and care of the infant. Another aim is to summarize the research conducted to determine the effect of the sense of smell on the life of the mother and baby.
The article was written as a comprehensive review using certain keywords.
However, the results on this issue are different. First of all, it is suggested that in the first years of life, the sense of smell can play an important role in social adaptation to the environment, recognition of the environment, mother–infant bonding, and therefore in this case, it is recommended to make olfactory stimulating interventions.
However, more well-designed experimental studies are needed in this regard. We look forward to future studies that closely examine various aspects of how olfactory stimulation affects both mother and baby.
Chronic pelvic pain syndrome (CPPS) is prevalent and a complex multifactorial condition. The incidence is rising. CPPS patients may benefit from multidisciplinary care in a structured care pathway.
The aim of this explorative study is to give an overview of patient and healthcare provider perspectives on the current patient journey to implement these perspectives in a CPPS care pathway.
A Qualitative study was performed using nominal group technique. The participants were nine female patients CPPS and fourteen healthcare providers involved in CPPS care. The perspectives of the stakeholder groups on the individual components of the CPPS patient journey were collected.
Five overarching key topics were identified: structured start of the patient journey, execution of the patient journey, follow-up after the patient journey, administration during the patient journey, and communication and education. The following recommendations were formulated based on the prioritised points: implementation of a multidisciplinary approach from the start of the journey, adding a case manager and expanding the multidisciplinary team, providing a collaborative triage, updating the questionnaires, improving communication, developing a rehabilitation programme, and reducing waiting times.
Stakeholder focus groups using the nominal group technique was a pivotal step in the development of our CPPS care pathway. This step led to fundamental recommendations, of which a personalised treatment plan at an earlier stage in the patient journey might be the most impactful. This is now implemented, and we monitor the effects on outcomes, quality of life and patient's satisfaction.
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