Florence Nightingale journal of nursing最新文献

It was aimed to explore the serial mediation role of self-efficacy and financial anxiety levels in the impact of health and tourism students' life satisfaction on brain drain perceptions. In this descriptive study, the data from 403 participants were collected using four scales (Brain Drain Attitude, Life Satisfaction, SelfEfficacy, Financial Anxiety) between May and July 2022 in Antalya, Türkiye and serial mediation model and regression analysis were conducted. From the data, 83.3% tourism, 74.8% nursing, 56.5% dentistry, and 55.7% medical school students indicated they were contemplating migrating following graduation. Life satisfaction had a positive effect on self-efficacy and a negative effect on financial anxiety, and self-efficacy on financial anxiety had a positive effect. Life satisfaction had a direct negative effect on brain drain, while self-efficacy and financial anxiety had positive effects on brain drain. Students' perceptions of life satisfaction were important antecedent of brain drain intention, and self-efficacy perception and financial anxiety have mediating effects in this effect. The factors most influencing their intent to migrate were brain drain attitude and faculties. Financial anxiety, self-efficacy, and intention to go abroad were variables affecting the perceptions of brain drain. The migration intentions and brain drain attitudes expressed in this study predict an immediate and severe threat to the sustainability of the country's healthcare and tourism service. Interventions such as improving financial anxiety and providing life satisfaction are required.

This study aimed to adopt the use of the Health Improvement Profile in the Turkish context and to report the findings obtained during its pilot implementation. This descriptive cross-sectional study consisted of 280 individuals, and data were collected using the Patient and Disease Characteristics Form and the Health Improvement Profile between May and December 2019 ın community mental health centers. The total content validity index of the Health Improvement Profile (Female-Male) was 0.97. Among the participants, 57.1% had a physical health problem, 58.1% had a diagnosis of a physical condition, and 41.9% had physical symptoms only. Intergroup comparisons showed that individuals diagnosed with schizophrenia and other psychotic disorders slept for less than 3 hours, individuals diagnosed with bipolar disorder consumed more alcohol, and individuals diagnosed with major depressive disorders slept for more than 8 hours, smoked more, consumed more caffeine, and practiced safe sex less consistently than individuals diagnosed with other psychiatric disorders (p < .05). The Health Improvement Profile is an assessment tool that psychiatric mental health nurses can use to evaluate the physical health of individuals diagnosed with serious mental illness. The use of Health Improvement Profile in routine practice may allow determining the redflagged parameters and provide an opportunity improving these parameters with evidence-based interventions.

The objective of this study was to adapt the pediatric nurse parent partnership scale into Turkish and assess its validity and reliability. A methodological and correlational research methodology was employed. The study was performed with 348 pediatric nurses between January and March 2023. Data collection measures were a "Personal Information Form" and the "Pediatric Nurse Parent Partnership Scale." Content and structure validity, internal consistency, and item analysis methods were utilized to establish the validity and reliability of the measure. The adapted measure was found to have 19 items, explaining 71.60% of the total variance, and a four-sub-dimensional structure. According to the explanatory factor analysis findings, factor loads varied from 0.509 to 0.854, and item-total score correlation values of 0.509- 0.750 were obtained. The goodness of fit indices obtained from the confirmatory factor analysis were CMIN/DF=3.845, GFI=0.87, CFI=0.92, NFI=0.89, TLI=0.90, and RMSEA=0.091. The confirmatory factor analysis of the four-factor measure structure showed that these index figures were acceptable. Cronbach's α was 0.939 for the total scale and varied from 0.845-0.893 for the sub-dimensions. The Pediatric Nurse Parent Partnership Scale was an effective and trustworthy measure that could be used in the Turkish sample to evaluate the partnerships reported by pediatric nurses and parents in the field.

The aim of this study was to explore the relationship between regular exercise, depression, and fall among the community older people to find out the predictors of fall. This study applied cross-sectional and correlational study design. The study recruited 285 community older people by using the questionnaires which included social-demographic data, regular exercise, depression, and whether fall history questionnaires were used in this study. The mean score of the depression scale for older people was 3.47 (SD 2.92). People who took anti-hypertensive or anti-diabetes drugs have higher risks of falls than those who did not (B = 1.659; p < .001; Exp (B) = 5.256). Community-dwelling older people with regular exercise have a lower risk of falls than those without (B = -1.485; p < .001; Exp(B) = 0.227). Rehabilitation programs designed to improve both the older people's physical function and mental health played very important roles in preventing falls. It is necessary to undergo depression screening programs for the community older people in order to detect older people depression in advance and prevent the incidence of falls.

Aim: The aim of this study was to evaluate the effect of cold sand pack on vascular complications and pain in patients who undergoing percutaneous coronary intervention.

Methods: This randomized controlled interventional trial was conducted in a hospital between November 30, 2021 and April 3, 2022. The patients were randomly assigned to CSP and NSP. A 5 kg sand pack was applied on the femoral area of the patients in the CSP group at an average temperature of 18.9°C for the first 20 minutes. A 5 kg sand pack was applied at an average temperature of 24.1°C after the procedure on the femoral region of the patients in the NSP group.

Results: After percutaneous coronary intervention, less bleeding developed in the CSP group at hours 2, 3, and 12 when compared to the NSP group, and the ecchymosis diameters measured at hours 1, 2, 3, 4, 5, 6, 12, and 24 were higher than those of the NSP patients (p < 0.05). It was detected that the pain score of the NSP group was higher at hours 1, 2, 3, 4, 5, 6, 12, and 24 on the femoral region when compared to the CSP group.

Conclusion: It was detected that the cold sand pack applied for the first 20 minutes prevented bleeding and reduced ecchymosis diameter and pain intensity.

Although the burden of caregiving is universal among people caring for advanced cancer patients, the perception of burden and the impact on individuals vary according to the society in which patients and caregivers are located. The characteristics of caregivers and the dimensions of burden they experience are influenced by the structure of each society. Therefore, the burden of caregivers is shaped by the situation in each country and its cultural perspective. Reducing the burden on caregivers and supporting individuals can make the patients they care for feel better. For this reason, caregivers should receive social, psychological, and economic support from society, the government, and their families, and efforts should be made to reduce the burden of caregiver assistance. To protect and improve the health of caregivers, health personnel should provide training on effective caregiving methods based on the needs of caregivers. It is especially important to support the patient's family members when the patient is in the terminal phase and to prepare them for the grieving process. The aim of this study is to better understand the level of caregiver burden and to guide researchers by providing a cross-cultural perspective.

Aim: This study was conducted with the aim of assessing the needs and determining the care dimensions of the essential palliative care service package for the elderly with Alzheimer's disease.

Method: The mixed exploratory study was conducted in three phases. The first phase of the study was conducted in the form of a qualitative study and a literature review. This qualitative research was done through in-depth and semi-structured interviews with 19 qualified caregivers (11 informal caregivers and 8 formal caregivers) The samples were selected using the purposive sampling method by referring to hospitals, nursing homes, and active branches of the Alzheimer's Association in some provinces. In the second phase, the dimensions of palliative care were codified, and in the third phase, the prioritization and the validation of the dimensions of palliative care were performed in the form of two Delphi rounds.

Results: Based on the results of the first phase of the study, the care dimensions of the service package were placed in eight categories based on National Consensus Project. In the second phase, the needs of Alzheimer's patients were arranged in the form of a questionnaire consisting of 8 parts, with 180 indicators. Then, in the third phase, the dimensions of the palliative care essential package were designed with 74 items in the form of 4 dimensions.

Conclusion: The dimensions of the essential service package of palliative care included a series of interventions as well as physical, psychological, cognitive, and spiritual support.

Aim: The aim of this study was to test the psychometric properties of the Turkish version of the Patient Education Materials Assessment Tool METHODS: The study was carried out with intern nurses receiving education at a Nursing Faculty in Turkey between July 2019 and June 2020. 248 intern nurses participated in PEMAT-P and 223 in PEMAT-A/V in this study. Five audio-visual and five printed materials were used. The Patient Education Materials Assessment Tool and the Patient Education Materials Assessment Tool User's Guide were translated into Turkish and culturally adapted using standard guidelines. Content and construct validity analyses were performed for the validity of the Turkish version of the Patient Education Materials Assessment Tool, and internal consistency, invariability, and external consistency analyses were performed for its reliability.

Results: The content validity index was 1.00 for all the scale items. At the conclusion of the factor analyses, the scale has composed a twodimension construct of understandability and actionability. The Cronbach's alpha coefficients were observed to be 0.901 of the Turkish version of the Patient Education Materials Assessment Tool for Printable Materials and 0.897 of the Turkish version of the Patient Education Materials Assessment Tool for Audiovisual Materials. The Pearson Product-Moment Correlation Coefficient (rxy) was high (Turkish version of the Patient Education Materials Assessment Tool for Printable Materials rxy=0.815, Turkish version of the Patient Education Materials Assessment Tool for Audiovisual Materials rxy=0.804). Cohen's kappa coefficients were obtained as 0.736 of the Turkish version of the Patient Education Materials Assessment Tool for Printable Materials and 0.781 of the Turkish version of the Patient Education Materials Assessment Tool for Audiovisual Materials.

Conclusion: The Turkish version of the Patient Education Materials Assessment Tool is a valid and reliable measurement tool in the evaluation of both printed and audiovisual patient education materials.

Aim: To investigate the level of burnout and resilience, and the associated factors when the coronavirus disease 2019 infection hit a peak in the community in Sichuan, China.

Method: This was a descriptive cross-sectional design study. Data were collected from 25 to 31 December 2022, at six hospitals in Sichuan province. Using convenience sampling, a total of 717 participants were recruited, using the revised version of the Maslach Burnout InventoryGeneral Survey, and the Resilience Assessment Scale for healthcare workers.

Results: More than half of nurses reported a moderate level of emotional exhaustion (66.50%, n = 484), cynicism (68.20%, n = 489), and personal accomplishment (68.76%, n = 493); nearly one-third and one-fourth of nurses experienced a high level of emotional exhaustion (27.48%, n = 197) and cynicism (20.78%, n = 149), respectively. In resilience, the highest scoring dimension was interpersonal connectedness, followed by decisional coping, flexible self-adaptation, and rational thinking. Satisfaction with work income, patient-nurse conflict, frequency of overtime work, age, and marital status were significant factors influencing burnout among nurses (p < .05).

Conclusion: The findings of the study enlighten nursing administrators on the level of burnout and resilience and associated factors among nurses during the peak of coronavirus disease 2019 infection in China. This would be of immense help in planning a welfare program to support the nurses.