Florence Nightingale hemsirelik dergisi最新文献

Aim: To determine the cost of prenatal care services provided to pregnant women in the city of Aydın, Turkey.

Method: This cross-sectional study was conducted over the period of February-December 2016 at the Aydın Maternity and Children's Hospital. The convenience sampling method was used to recruit 403 women who were in weeks 36-42 of pregnancy into the study. Data for the study were collected with the Descriptive Information Form and the Prenatal Care Service Usage Form. Descriptive statistics, Mann-Whitney U and Kruskal-Wallis tests were used to analyse data.

Results: It was determined that the pregnant women were followed up an average total number of 10.94±4.30 times and 97.0% received care at the state hospital. It was found that for each pregnant woman, the mean total cost of prenatal care was $138.77±$93.44, the sum paid by general health insurance was $96.12±$46.38, individual contributions stood at $25.05±$10.43 and payments made to the private institutions was $110.32±$142.31. It was observed that the total prenatal care cost was not influenced by some of the characteristics of the pregnant women.

Conclusion: It was revealed in the study that most pregnant women received prenatal care at the state hospitals and at family health centers and that they had approximately 11 prenatal care follow-ups amounting to a total mean cost of about $139. A contribution can be made to making prenatal care more cost-effective by organizing the number and scope of prenatal care sites on the basis of the individual characteristics of risk factors pregnant women.

Chemotherapy is one of the treatment methods increasingly used in cancer. In this article, we aimed to share our simulation experiences within the scope of the elective course of Cancer Nursing in the Nursing Internship (4^th year) program in the process of teaching safe chemotherapy administration methods. Simulation-based experience should be designed to attain specified educational goals and expected results as best as possible. Scenario implementation is based on the criteria of the International Nursing Association for Clinical Simulation and Learning standards. A biologically safe drug preparation cabin in the drug preparation room of a simulation center was used, and a medium-fidelity mannequin-based simulator evaluating the vital signs was utilized as the simulator during the simulation implementation. In the patient history prepared within the scope of the scenario, the students were expected to achieve goals. An analysis was performed by a trainer who followed attentively the implementation during the scenario. In the analysis stage, sessions including 8-10 students were held using the Promoting Excellence and Reflective Learning in Simulation. A checklist was used to evaluate the skill steps of the students objectively. It is thought that this simulation scenario maintained in accordance with the standards of best practice of the International Nursing Association for Clinical Simulation and Learning would guide the readers. The simulation is considered to be an effective method for safe medications, and it is recommended to plan different scenarios according to the levels of students.

Aim: Central venous catheters are used extensively in intensive care units but can sometimes lead to catheter related blood stream infections. This study was carried out to determine the effect of guideline-based care bundle on possible catheter-related bloodstream infection in the application and care of central venous catheter in patients receiving follow-up and treatment in anesthesia intensive care unit.

Method: The study is a retrospective and experimental one. The study population consisted of patients who were treated in an anesthesia intensive care unit of a university hospital between June 2015 and June 2016, to whom the central line was inserted in this unit by the team working in the unit and who required central line insertion for at least 48 hours. The patients in the study population also comprised the study sample. The guideline-based application and care bundle was administered under the supervision of the researcher in the intensive care unit and the patients were evaluated on a daily basis for bloodstream infection.

Results: When comparing data obtained from the study with data from the previous period, it was found that the guideline-based application and care bundle decreased the catheter-related bloodstream infection rate from 10.59/1000 to 2.88/1000 and this reduction was considered statistically significant (p<0.05).

Conclusion: According to this study's data, the guideline-based care bundle is an effective and useful way to reduce infection.

Aim: To explore the perceptions of infection control practices among healthcare personnel and evaluate the use of authentic vignettes as a means to alter infection control behavior.

Method: Four authentic vignettes were used as a part of reflective dialogues with healthcare personnel. An evaluation of the dialogues was performed with six healthcare personnel using the focus group technique. Qualitative content analysis was used to analyze the data.

Results: The mind-set to help one another and do one's best in every situation was described as a core aspect in preventing the transmission of microorganisms. Having support, taking personal responsibility, being knowledgeable about infection control practices, and having a reasonable workload were seen to play decisive roles in controlling the spread of infection. Discussing authentic comprehensible vignettes with colleagues during the allotted time was considered a valuable method for improving infection control practices.

Conclusion: Meaningful insights on how best to use vignettes as a means to improve infection control practice were gained. These findings should be considered when designing theory-driven interventions in different contexts, which are aimed at improving infection control practices in health care.

Aim: The aim of this study is to examine the structure of the knowledge creation process in nursing science and to investigate the dissemination of theoretical knowledge in other disciplines by analyzing citations and social network data.

Method: This exploratory study evaluated Metadata to find academic publications. Meleis's Transition Theory was selected as a case study. A majority of the publications that represented the transition theory were assigned as the core of the theory. Forward and backward citations were used as agents of knowledge linkage to determine the dissemination of the theory in the field of science. Social network analysis and visualization were used to depict graphical and structural relations of the research front and the knowledge base.

Results: The knowledge base of the Transition Theory was built on 7 different information networks. The most effective and vast information network consisted of Meleis, AI as a researcher and the central information network, which is the journal of Nursing Research. Oncology, geriatrics, public health, and psychology in the areas of information propagation within the field of nursing were considered as research areas where the theoretical framework provided by the theory was rendered functional.

Conclusion: In recent years, the use of theoretical frameworks has become a necessity to assess the changing needs of the study of nursing science. The method used in the study can be effectively used to analyze the conceptual structures in the nursing education and professional application processes and to understand the origins of these theories. Further research can help to structure the use of informational science-based research designs to understand the connections between theory, clinical practice, and the development of educational contents in nursing faculties.

Aim: The aim of this study was to review interventional studies conducted by nurses about elderly people with urinary incontinence in nursing homes and to match the results to standardized nursing terminology using the Nursing Interventions Classification and the Nursing Outcomes Classification Linkages to the NANDA-I diagnoses guidelines.

Method: A systematic review of quantitative intervention studies was conducted using the PRISMA statement as a guide. The interventional research in English was scanned using the MEDLINE and CINAHL databases from January 2005 to May 2015. Fourteen studies that had at least one nurse researcher were conducted in nursing homes, excluding surgical and pharmacological interventions. The Nursing Outcome Classification and Nursing Intervention Classification Linkages to NANDA-I diagnoses and the Clinical Conditions Part II-U List were used as a guide to select North American Nursing Diagnosis Association International nursing diagnoses, Nursing Outcome Classification Scales, and Nursing Interventions from the data.

Results: We found the frequency of use of various NANDA-I diagnoses, Nursing Interventions, and Nursing Outcomes based on the Nursing Outcomes Classification and Nursing Interventions Classification Linkages to NANDA-I diagnoses and the Clinical Conditions List for incontinence.

Conclusion: Using the Nursing Outcomes Classification and Nursing Interventions Classification Linkages to NANDA-I diagnoses guide may provide new nursing perspectives on non-standardized research. In future studies, this may allow a comparison of data worldwide, enabling nurses to use the results in evidence-based practices.

Aim: The educational environment is the most significant manifestation of the curriculum. The Dundee Ready Education Environment Measure questionnaire is the precise quantitative assessment tool for the EE for medical- and health-related professional schools.

Method: This was a cross-sectional study conducted in Chattagram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh during the study period of 2017-2018. The DREEM questionnaire was distributed to the paraclinical and clinical students in their regular classes. Data were analyzed using SPSS version 19.

Results: A total of 170 students responded to the questionnaire, of which 27.6% were male, and 72.4% were female. The mean total Dundee Ready Education Environment Measure score of the present study was 130.46. Paraclinical students scored statistically significantly higher than clinical students (p=0.040). Students' social self-perceptions were significantly higher for male than for female students (p<0.05). Most of the students opined that a positive learning experience (80.6%), appropriate teaching method (81.2%), and academic self-perceptions were positive (77.1%), and positive learning atmosphere (65.9%) as well as social surroundings were in acceptable range (70.6%) in Chattagram Maa-O-Shishu Hospital Medical College.

Conclusion: The findings and evidences of the present study will hopefully provide the basis to take effective measures to improve teaching and learning environment of this medical school.

Aim: This study aimed to determine the correlation between values and social innovation tendencies of nursing and medical students and examine the effect of values on social innovation tendencies.

Method: This descriptive and correlational study consisted of 524 third-year students at nursing and medical faculties in a public university in Istanbul (response rate of 57.1%). The data of the study were collected using the information form, Portrait Values Questionnaire, and Social Innovation Scale. The data were collected between December 2015 and May 2016. The data were analyzed using descriptive and correlational analyses, and the factors affecting the score of social innovation were analyzed using linear regression analysis (backward).

Results: A positive significant correlation was determined between the total scores of Portrait Values Questionnaire and Social Innovation Scale (r=0.453). The subscale mean scores of Portrait Values Questionnaire had an effect of 26.6% in total score of Social Innovation Scale. In the regression model where significance was determined (F=37.566; p<0.01), the highest effect was observed in the subscale of universalism.

Conclusion: The value of universalism affected the social innovation for both groups at the most, which is an expected result by the nature of these occupations. The value of openness to innovation including self-direction and stimulation in medical students had a significant effect on the total score of social innovation, which is compatible with innovative behavior literature. These results are expected to guide educators and managers in developing socially innovative behaviors.

Aim: The aim of the present study was to examine the relationship between the occupational professionalism level of hospital nurses and their tendency to make medical errors. This was a descriptive, correlational, and cross-sectional study.

Method: The study was conducted between June 2013 and January 2015 in four hospitals providing general diagnosis, treatment, and care services. Four hundred fifty-nine nurses were included in the study. A questionnaire including a Personal Information Form, Professional Manner in Occupation Inventory, and Tendency to Medical Error in Nursing Scale was used to collect data. The study was approved by the hospitals' ethics committees and institutions. Data were analyzed using Cronbach's alpha analysis, frequency and percentage distributions, descriptive statistics, Pearson product-moment correlation coefficient, Dunnett T3 Post Hoc test, simple linear regression analysis, and t-test.

Results: Nurses' occupational professionalism levels were high (M=137.06±15.23), and tendency to medical error levels were low (M=223.24±25.28). The majority of the nurses considered themselves quite professional and had not made any medical errors previously. There was a strong and highly significant negative relationship (p<0.001) between their occupational professionalism and their tendency to medical error. There was a difference between the occupational professionalism levels of nurses who made and did not make an occupational error (p<0.05), as well as significant differences between their tendency to medical error according to their perception of themselves as professionals (p<0.05). The occupational professionalism manner of the nurses was determined to be 30% effective in their tendency to medical error.

Conclusion: The occupational professionalism manner of the nurses was found to negatively affect their tendency to medical error.

There is a need for holistic care for the survival of the elderly, to increase their independence in their daily life activities, to improve their health and their well-being in order to ensure a healthy aging. Integrative nursing principles are a field of application of holistic philosophy and may be a guide to health professionals in improving the health of individuals, families and communities. These principles were first announced in 2014, and have been described as a health approach that takes the individual, family and society as a whole together with their environment and relationships and adopts the principle of using all the healing methods in health care. Integrative nursing principles can be used as a guide to holistic assessment and improvement of the health of the elderly. Interventions who take care of them with the environment they live in (home visits), support their existing healing process (focusing to patient during nursing care), benefit from the healing effect of the nature (spending time in nature), strengthen the relationship (mobilization of the social environment) and use all evidence-based healing methods (yoga, tai chi) should be included in the care of elderly individuals. Health professionals should learn integrative nursing principles and care for these principles in order to improve the health and well-being of the elderly. Giving care according to integrative nursing principles can increase the quality of life of the elderly and reduce health spending.