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[Functional Health Pattern Model Based Care Plan for a Depression Diagnosed Patient]. [基于功能健康模式模型的抑郁症患者护理计划]。
Pub Date : 2019-02-01 DOI: 10.26650/FNJN287469
Münire Temel, Fatma Yasemin Kutlu

Depression is the most frequent disorder among mental disorders, with frequent attacks, high suicidal risks, causing loss of labour-force, as well as to loss of serious physical and psycho-social skills, and also is economically and socially overcosting. The aim of nursing care for depression diagnosed patients is to provide security, to support their independence as much as possible, to help the patient rebuild the harmony at pre-diagnosis level, and to continue their well-being. This case applied to the hospital after an attempt to commit suicide, having continuous thoughts of suicide, guilt feelings, unhappiness, unwillingness, and was hospitalised with a diagnosis of medium depressive seizure. The patient was evaluated via nursing care model of Gordon's Functional Health Patterns on the second day of hospitalisation, and was diagnosed with 'Nutrition, imbalanced: less than body requirements, hopelessness, decrease in self-esteem, impaired social interaction, risk of self-harm, ineffective individual coping'. Nursing care was applied to the medication administered patient within the framework of nursing diagnosis. It was seen that the applied care provided positive support to the healing process of the patient.

抑郁症是精神障碍中最常见的疾病,发作频繁,自杀风险高,造成劳动力损失,以及严重的身体和社会心理技能的丧失,而且在经济和社会上造成的成本过高。抑郁症患者护理的目的是提供安全感,尽可能地支持患者的独立性,帮助患者重建诊断前的和谐,并继续他们的幸福。这个病例是在自杀未遂后申请到医院的,他一直有自杀的想法、负罪感、不快乐、不情愿,并被诊断为中度抑郁发作而住院。入院第二天,通过戈登功能健康模式护理模型对患者进行评估,诊断为“营养,不平衡:低于身体需求,无望,自尊下降,社会交往受损,自残风险,个体应对能力低下”。在护理诊断的框架内对给药患者进行护理。可见,应用护理对患者的愈合过程提供了积极的支持。
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引用次数: 0
The Effects of Nursing Education on Critical Thinking of Students: A Meta-Analysis. 护理教育对学生批判性思维的影响:一项meta分析。
Pub Date : 2019-02-01 DOI: 10.26650/FNJN363168
Filiz Kantek, Nezaket Yıldırım

Aim: The present study was aimed at investigating the effect of nursing education on the improvement of students' critical thinking skills in Turkey by using the meta-analysis method.

Method: The literature screening was carried out in online databases using the keywords "nursing", "student", "critical thinking", "Turkey" in English and their Turkish equivalents "hemşirelik", "öğrenci", "eleştirel düşünme", "Türkiye" respectively. Quantitative studies matching the inclusion criteria were included in the study. The number of the participants in those studies was 3792 (2183 first-year students and 1609 last-year students). For the analysis of the data, the CMA (Comprehensive Meta-Analysis Software) statistical package program was used. While the Q and I2 tests were used to test the homogeneity of the studies, the Classic Fail-Safe N test and Kendall's Tau were used to test their publication bias. Fixed and random models were used to calculate the effect size.

Results: The results indicated that 10 studies met the inclusion criteria, and that the studies included in the study were heterogeneous and had no publication bias. The mean effect size was 0.114 at the 95% significance level [CL=0.087-0.440].

Conclusion: The results of the study indicated that nursing students were not able to develop their critical thinking skills and that there is a need for implementations to develop their critical thinking skills. This study will provide guidance for nursing school administrators and educators to develop critical thinking skills of nursing students.

目的:本研究旨在探讨护理教育对土耳其学生批判性思维能力提高的影响。方法:使用英文关键词“nursing”、“student”、“critical thinking”、“Turkey”及其对应的土耳其语词“hem irelik”、“öğrenci”、“ele tirel d nme”、“t rkiye”在在线数据库中进行文献筛选。本研究纳入符合纳入标准的定量研究。这些研究的参与者人数为3792人(2183名一年级学生和1609名一年级学生)。数据分析采用CMA (Comprehensive Meta-Analysis Software)统计软件包程序。虽然Q和I2检验用于检验研究的同质性,但经典失效安全N检验和肯德尔Tau检验用于检验其发表偏倚。采用固定和随机模型计算效应量。结果:10项研究符合纳入标准,且纳入的研究具有异质性,无发表偏倚。在95%显著性水平下,平均效应量为0.114 [CL=0.087-0.440]。结论:本研究结果表明护生批判性思维能力的培养存在不足,有必要采取措施培养护生的批判性思维能力。本研究旨在为护校管理人员及教育工作者培养护生的批判性思维能力提供指导。
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引用次数: 9
[The Effect of Using High Fidelity Birthing Simulator on Satisfaction and Performance of Nursing Students in Developing Obstetric Skills]. 使用高保真分娩模拟器对护生产科技能培养满意度及表现的影响
Pub Date : 2019-02-01 DOI: 10.26650/FNJN341399
Şenay Ünsal-Atan, Duygu Güleç-Şatır, Ruşen Öztürk, Oya Kavlak, Aynur Saruhan, Sezer Güneri, Ümran Sevil

Aim: Research was carried out to examine the effect of training with realizing high fidelity birthing simulator on obstetric skill applications and satisfaction levels of students with in the scope of obstetric diagnostic applications.

Method: The sample of the research, which was conducted in semi-experimental design, consisted of 90 students. In the study, the students in experiment group with high fidelity birthing simulator (n=47) and the students in control group (n=43) using basic-level modeling, not including advanced technology were in obstetric skills training in order to perform physical examination of pregnant and postpartum women. During collection of research data following forms were used; Obstetric Diagnostic Clinical Skills Guides, Satisfaction from Education Methods Survey and Professional Skills Laboratory Feedback Form. The socio-demographic data obtained from study were evaluated with number and percentage distributions using the Statistical Package for Social Science for Windows Version 15.0 package program. Independent Sample T Test, Mann-Withney U Test and Chi-Square Test were used for comparison between groups.

Results: Obstetric skill mean scores of the students in the experiment group were significantly higher than the control group. No significant difference was found between the groups in terms of satisfaction with the education method. The students in the experiment group responded more positively to " the suitability of the laboratory physics environment, the adequacy of the materials and adaptation with theoretical knowledge of the laboratory applications. Eighty one percent of the students in the experiment group and 58% of the students in the control group stated that "Laboratory practice" found sufficient.

Conclusion: When using a high-fidelity birth simulator, students' laboratory skills are more adequate and their feedbacks towards laboratory studies are more positive. As a result of study it is recommended that the simulation-based education is widely used by nursing students at laboratory studies prior to clinic applications in universities providing education at the bachelor degree.

目的:探讨实现高保真分娩模拟器培训对学生产科技能应用及产科诊断应用满意度的影响。方法:本研究样本采用半实验设计,共90名学生。在本研究中,使用高保真分娩模拟器的实验组(n=47)和使用不含先进技术的基础建模的对照组(n=43)进行产科技能培训,以便对孕妇和产后妇女进行体格检查。在收集研究数据时,使用了以下表格:产科诊断临床技能指南、教学方法满意度调查和专业技能实验室反馈表。使用Statistical Package for Social Science for Windows Version 15.0软件包程序对从研究中获得的社会人口统计数据进行了数量和百分比分布的评估。组间比较采用独立样本T检验、Mann-Withney U检验和卡方检验。结果:实验组学生产科技能平均得分显著高于对照组。两组学生对教育方式的满意度无显著差异。实验组学生对“实验室物理环境的适宜性、材料的充分性和与实验室应用理论知识的适应性”的反应更为积极。实验组81%的学生和对照组58%的学生认为“实验室实践”是足够的。结论:使用高保真模拟机后,学生的实验技能更充分,对实验学习的反馈也更积极。根据研究结果,建议在提供学士学位教育的大学中,基于模拟的教育在临床应用之前广泛应用于实验室研究的护理学生。
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引用次数: 1
[The Opinions and Practices of Nursing Students About Preoperative Patient Safety]. 护生对术前患者安全的看法与实践
Pub Date : 2019-02-01 DOI: 10.26650/FNJN418383
Ezgi Seyhan-Ak, Didem Kandemir, Tuluha Ayoğlu, Medine Kübra Ayhan

Aim: This study was conducted to examine the opinions and practices of sophomore nursing students about preoperative patient safety.

Method: This descriptive study was conducted from November 2016 to April 2017 by attendance of 219 sophomore nursing students who are practicing in the surgery departments of two university hospitals and meet the criteria of the study. For collection of data, the data collection form was used, which has been developed by the researchers in line with the literature and includes two parts. The necessary institutions and ethics committee permits were obtained before starting the research. Descriptive statistics and chi-square test were used for data analysis.

Results: It was found out that the average age of the attending students was 20.29±1.65 (years) and 50.2% of them have chosen the profession because of high employment opportunity. It was found that, of the students, 33.8% have taken lesson for patient safety and 26.9% have participated in training events such as seminars, courses, etc. about patient safety. When the situation of carrying out the preoperative patient safety practices by them, it was found that the first three preoperative practices carried out by the students attended the study were measurement of vital signs, checking patient identification and verification of the operation site respectively.

Conclusion: In this study, it was found out that the majority of students did not participate in any training program for preoperative patient safety; however, they performed some applications for patient safety. In line with these results, it can be suggested to increase the knowledge of preoperative patient safety practices by organizing training activities for patient safety and by ensuring the participation of students in these activities and comparing the information and application levels of the larger sample groups with all classes.

目的:了解大二护生对术前患者安全的看法和做法。方法:本研究于2016年11月至2017年4月对219名在两所大学附属医院外科执业的符合研究标准的大二护生进行描述性研究。数据收集采用数据收集表,数据收集表是研究者根据文献开发的,包括两部分。在开始研究之前,获得了必要的机构和伦理委员会的许可。资料分析采用描述性统计和卡方检验。结果:调查结果显示,学生的平均年龄为20.29±1.65岁,其中50.2%的学生是因就业机会大而选择该专业的。调查发现,33.8%的学生参加过患者安全课程,26.9%的学生参加过患者安全研讨会、课程等培训活动。从他们开展术前患者安全实践的情况来看,参加研究的学生开展的前三项术前实践分别是测量生命体征、检查患者身份和验证手术部位。结论:本研究发现,大部分学生未参加术前患者安全培训;然而,他们为患者安全进行了一些应用。根据这些结果,可以建议通过组织患者安全培训活动,确保学生参与这些活动,并将大样本组与所有班级的信息和应用水平进行比较,来增加术前患者安全实践知识。
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引用次数: 2
[Reporting of Nursing Care Preventing Surgical Site Infection in Colorectal Cancer Patients with Omaha System]. 奥马哈系统预防结直肠癌手术部位感染的护理报告
Pub Date : 2019-02-01 DOI: 10.26650/FNJN423269
Azize Karahan, Semra Erdoğan

Aim: To manage and document the nursing care process related to Surgical Site Infection and control in colorectal cancer patient using the Turkish-Nightingale Notes (T-NN) program and test the usability of the program.

Method: The sample of the study consisted of 30 patients who underwent colorectal surgery in a university hospital between 1 March and 31 October 2015. All nursing care data provided at hospital and during discharge are coded into the NN program based on the Omaha System. Analyzes were performed using descriptive statistical tests in the SPSS 22 program.

Results: The 56.7% of patients were women and 43.3% were men. Four patients in thirty were diagnosed by surgical site infection (13.3%). The nine nursing problems were chosen from the T-NN program were 51.1% "Skin", 13,2% "Communicable/infectious Condition", 9.4% "Nutrition" and 0.2% "Sexuality". In the solution of the problems, "Teaching Guidance, and Counseling; Treatments and Procedures; Case Management and Surveillance initiatives were used. Nursing care/ patient outcomes were assessed at the level of "Knowledge", "Behavior" and "Status". Significant improvement was observed at the level of "Knowledge" and "Behavior" in the patients who underwent surgery for potential problems at all levels in patients who developed Surgical Site Infection (CAE) (p<0.001).

Conclusion: Turkish-Nightingale Notes (T-NN) program was sufficient to describe the nursing care process for CAE in colorectal surgery patients. T-NN program could be used by infection control nurses. It was suggested that the program be used in different units and with different problems and samples. These efforts can provide the opportunity to use common language in nursing, to base evidence of nursing practices and to reveal the value of nursing care.

目的:应用土耳其南丁格尔笔记(T-NN)程序对结直肠癌患者手术部位感染及控制相关护理过程进行管理和记录,并检验程序的可用性。方法:研究样本包括2015年3月1日至10月31日在某大学医院接受结直肠手术的30例患者。所有在医院和出院期间提供的护理数据都被编码到基于奥马哈系统的神经网络程序中。采用SPSS 22程序中的描述性统计检验进行分析。结果:女性占56.7%,男性占43.3%。30例患者中有4例诊断为手术部位感染(13.3%)。从T-NN方案中选择的9个护理问题分别为51.1%的“皮肤”、13.2%的“传染性/感染性疾病”、9.4%的“营养”和0.2%的“性”。在问题的解决上,“教学指导与辅导”;治疗和程序;采用了病例管理和监测举措。护理/患者结果在“知识”、“行为”和“状态”三个层面进行评估。在发生手术部位感染(CAE)的患者中,因潜在问题而接受手术的患者在各层次的“知识”和“行为”水平上均有显著改善(p)。结论:突厥-南丁格尔笔记(T-NN)程序足以描述结直肠手术患者CAE的护理过程。T-NN程序可用于感染控制护士。建议在不同的单位、不同的问题和样品中使用该程序。这些努力可以提供在护理中使用共同语言的机会,为护理实践提供证据,并揭示护理的价值。
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引用次数: 0
[Reflections on Nursing Education of Technological Developments]. 科技发展对护理教育的几点思考
Pub Date : 2019-02-01 DOI: 10.26650/FNJN322556
Emine Şenyuva

Technologies like blackboards, overhead projectors and film strips that used to be available in classrooms have been replaced by technologies like computers, internet, simulations, educational videos, mobile devices and social media today and distance education methods like e-learning and mobile learning have gradually become widespread. Educational environments not using these technologies are no more able to meet today's individual and social expectations and needs. Due to all these reasons, every country in today's world has begun restructuring their education by using technological developments and changes. This compilation aims to reveal the effects of rapidly changing and developing technologies on nursing education.

过去在教室里可以使用的黑板、投影仪和胶片条等技术已经被计算机、互联网、模拟、教育视频、移动设备和社交媒体等技术所取代,电子学习和移动学习等远程教育方法也逐渐普及。不使用这些技术的教育环境不再能够满足当今个人和社会的期望和需求。由于所有这些原因,当今世界上的每个国家都开始利用技术的发展和变化来重组他们的教育。本汇编旨在揭示快速变化和发展的技术对护理教育的影响。
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引用次数: 3
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Florence Nightingale hemsirelik dergisi
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